The effect of recovery strategies on physical performance and cumulative fatigue in competitive basketball

Match-related fatigue in basketball: A systematic review

This study aimed to systematically review fatigue responses following basketball match-play and during congested match schedules, considering performance, physiological, athlete-reported, and sleep-related outcomes. Relevant articles published until 23 January 2024 were searched using Scopus, Web of Science, and SPORTDiscus. After screening, 44 studies were included in the systematic review. The main findings indicate that, in most cases, vertical jumping and linear sprinting showed significant decrements at match-end (<1 hour post-match) compared to pre-match [small-to-very large effect sizes (ES)], with persistent (≥1 hour post-match) impairments lasting 24-48 hours in jumping (only in males, small-to-very large ES) and linear sprinting (moderate-to-very large ES). Physiological changes generally included significant increases (moderate-to-very large ES) in cortisol and nutrient metabolism markers at match-end, alongside persistent increases in muscle damage (mainly at 13-72 hours post-match) and inflammation (13-48 hours). Finally, match-play generally increased muscle soreness (mainly at 24-48 hours, moderate-to-very large ES) and perceived fatigue (mainly at match-end), with unclear effects on mood, and no apparent impact on sleep-related outcomes. Research assessing congested match schedules is limited, although possible worsening in muscle damage, inflammation, perceived fatigue and well-being were observed in male players. Overall, these findings indicate an impairment in some of the reviewed performance, physiological, and athlete-reported outcomes.

Hemodynamic Effects of Intermittent Pneumatic Compression on Athletes: A Double-Blinded Randomized Crossover Study

PURPOSE

There are multiple postexercise recovery technologies available in the market based on the assumption of blood-flow enhancement. Lower-limb intermittent pneumatic compression (IPC) has been widely used, but the available scientific evidence supporting its effectiveness remains scarce, requiring a deeper investigation into its underlying mechanisms. The aim of this study was to assess the hemodynamic effects caused by the use of IPC at rest.

METHODS

Twenty-two soccer and track and field athletes underwent two 15-minute IPC protocols (moderate- [80 mm Hg] and high-pressure [200 mm Hg]) in a randomized order. Systolic peak velocity, end-diastolic peak velocity, arterial diameter, and heart rate were measured before, during (at the eighth minute), and 2 minutes after each IPC protocol.

RESULTS

Significant effects were observed between before and during (eighth minute) the IPC protocol for measures of systolic (P < .001) and end-diastolic peak velocities (P < .001), with the greater effects observed during the high-pressure protocol. Moreover, 2 minutes after each IPC protocol, hemodynamic variables returned to values close to baseline. Arterial diameter presented significant differences between pressures during the IPC protocols (P < .05), while heart rate remained unaltered.

CONCLUSION

IPC effectively enhances transitory blood flow of athletes, particularly when applying high-pressure protocols.

Acute and Acclimated Effects of Wearing Compression Garments on Balance Control in Community-Dwelling Older Adults

Falls are very serious health concerns among older adults. Providing additional cutaneous and proprioceptive feedback to older adults may enhance their balance control and therefore reduce the incidents of falls. This study aimed to investigate the acute and acclimated effect of wearing waist-to-above-ankle compression garments (CGs) on balance control in community-dwelling older adults. Thirty-one older adults participated in the study. The Timed Up and Go, Berg Balance Scale, and the Fall Risk Test of the Biodex Balance System were used in a random order to examine balance control in three testing sessions 1 week apart. Results indicated wearing CGs had a significant impact on the Timed Up and Go test (p < .001), Berg Balance Scale (p = .001), and the Fall Risk Test (p = .001). For the Timed Up and Go test, participants exhibited significant improvement in both the acute (8.68 vs. 7.91 s) and acclimated effect (7.91 vs. 7.41 s) of wearing CGs. For the Berg Balance Scale, participants showed significant improvement after wearing CGs for 1 week in comparison to the no CGs condition (55.77 vs. 55.39 points). For the Fall Risk Test, participants showed a significant improvement in the acute effect of wearing CGs in comparison to the no CGs condition (1.55° vs. 1.31°). This exploratory study showed that wearing waist-to-above-ankle CGs provided a positive impact on balance control in healthy community-dwelling older adults. It lays the foundation for future studies with a larger sample size to investigate the potential benefits of wearing CGs in individuals with balance control deficits and/or other comorbidities.

Does Total Playing Time Affect the Neuromuscular, Physiological, and Subjective Recovery of Futsal Players during a Congested Period?

The aims of this study were to analyze the effects of a congested period (three games in four days) on countermovement (CMJ) jump-landing metrics, heart rate variability (HRV), and total recovery quality (TQR) score in under-19 male futsal players, and to detect the differences between those who played for more minutes (HIGHMIN) and less minutes (LOWMIN). Fourteen youth futsal players (age: 17.5 ± 0.5 years; body mass: 70.2 ± 8.5 kg; height: 1.80 ± 0.1 m) participated. HRV, TQR questionnaire, and CMJ metrics (i.e., CMJ height, relative peak power (PPREL), eccentric and concentric impulse, braking time, and time to peak force) were registered. A linear mixed model and effect sizes (ESs) were used to assess the differences between groups and days. Considering the total sample, a significant decrease was found in the PPREL and TQR score (p = 0.001-0.013 and ES = 0.28-0.99) on Days 2, 3, and 4 when compared to Day 1. HIGHMIN group presented a significant decrease in PPREL on Day 3 (p = 0.004; ES: 0.62; 95% CI: 0.39-2.65) when compared to Day 1, and in the TRQ score on Day 3 (p = 0.002; ES: 1.98; 95% CI: 0.18-2.46) and 4 (p = 0.003; ES: 2.25; 95% CI: 0.52-3.38) when compared to Day 1. Non-significant differences were found for the rest of the metrics and in the group LOWMIN. In summary, neuromuscular performance (i.e., CMJ PPREL) and subjective recovery were impaired in players with higher playing minutes during a match-congested period when compared to those with less on-court time.

Athlete External Load Measures Across a Competitive Season in High School Basketball

ABSTRACT

Askow, AT, Jennings, W, Jagim, AR, Fields, JB, Beaudoin, RG, Sanchez, GM, Weeks, JE, Oliver, JM, and Jones, MT. Athlete external load measures across a competitive season in high school basketball. J Strength Cond Res 37(11): 2206-2212, 2023-The purpose of this retrospective analysis was to quantify in-season external load and to determine if relationships existed between load metrics and basketball performance. Eleven male high school varsity basketball athletes (n = 11; mass 80.5 ± 9.6 kg, height 190.2 ± 9.4 cm, age 17.6 ± 0.7 years) were monitored across a season. PlayerLoad (PL), PL per minute (PL·min -1 ), total jumps, and explosive movements (EMs) were quantified using a commercially available local positioning unit. Basketball-specific performance metrics, including points scored, points allowed, point differentials, and shooting percentages for each quarter and game, were compiled. Data were analyzed using repeated-measure analysis of variance to evaluate differences in load by starting status, session type, game outcome, and game type. Pearson's correlation coefficients were used to assess relationships between load metrics and basketball performance. Statistical significance was set at p < 0.05. The mean values across 23 games for PL, PL·min -1 , total jumps, and EMs were 457 ± 104 AU, 10.9 ± 1.6 AU, 42.6 ± 9.6, and 46.7 ± 7.2, respectively. Relationships were observed ( p < 0.05) between PL and points scored ( r = 0.38) and free throw percentage ( r = 0.21). Further relationships were observed between PL·min -1 and free throw shooting percentage ( r = -0.27), and between points scored and total jumps ( r = 0.28), and EMs ( r = 0.26). Notable differences in game demands were observed for playing status. Meaningful differences in measures of external load were observed between each quarter of play, with the highest measures evident in quarters 1 and 3. Guards and forwards experienced minimal differences in external load during gameplay, and game outcome did not result in differences. Higher point totals corresponded with higher PL, total jumps, and EM.

Impact of a 6-Day Official Tournament on Physical Demands, Perceptual-Physiological Responses, Well-Being, and Game Performance of Under-18 Basketball Players

PURPOSE

This study aimed to examine the effect of a 6-day basketball tournament on the physical demands, perceptual-physiological responses, well-being, and game statistics of elite under-18 (years of age) players.

METHODS

Physical demands (player load [PL], steps, impacts, and jumps, all normalized by playing time), perceptual-physiological responses (heart rate and rating of perceived exertion), well-being (Hooper index), and game statistics of 12 basketball players were monitored during 6 consecutive games. Linear mixed models and Cohen d effect sizes were used to assess differences among games.

RESULTS

Significant changes were found for PL per minute, steps per minute, impacts per minute, peak heart rate, and Hooper index over the tournament. Pairwise comparisons showed that PL per minute was higher in game #1 than in games #4 (P = .011, large), #5 (P < .001, very large), and #6 (P < .001, very large). PL per minute recorded during game #5 was also lower than in games #2 (P = .041, large) and #3 (P = .035, large). The number of steps per minute was higher in game #1 than in all other games (all P < .05, large to very large). Impacts per minute were significantly higher in game #3 than in games #1 (P = .035, large) and #2 (P = .004, large). The only physiological variable that varied significantly was peak heart rate (higher in game #3 than in game #6; P = .025, large). The Hooper index gradually increased throughout the tournament, indicating poorer player well-being as the tournament advanced. Game statistics did not significantly change among games.

CONCLUSIONS

The average intensities of each game and the players' well-being gradually decreased throughout the tournament. Conversely, physiological responses were mostly unaffected, and game statistics were unaffected.

The field study about the effects of artificial CO2-rich cool-water immersion after outdoor sports activity in a hot environment

Background/objective

In our previous laboratory experiment (room temperature of 25 °C), CO₂-rich cool-water immersion (CCWI) suppressed subjects' core body temperature even during repeated exercise. It is unclear whether the suppression of body temperature elevation would also continue after CCWI in a hot outdoor environment. Herein we investigated the thermal effects of CCWI after regular exercise training in heat on subjects' core temperature (T_core), three skin temperatures (T_skin), heart rate (HR), and the rate of perceived ice (RPI).

Methods

Thirty-six subjects (25 males, 11 females) were randomly allocated into three groups (CCWI, CWI, and control). After training at their competitive clubs, each subject was immersed up to the chest in CCWI or CWI at 20 °C for 20 min, followed by a 60-min recovery period. T_core, T_skin, HR, and RPI were measured at the initial rest, the end of immersion, and every 10 min during the recovery period.

Results

Compared to the control, the CCWI subjects' T_core was significantly lower at 50-60 min after the end of immersion (p < 0.05). T_skin at abdominal and lower-leg regions during the recovery period was maintained at significantly lower values in the CWI and CCWI groups versus control (p < 0.05). The CCWI subjects maintained lower T_skin for a longer time than the CWI subjects.

Conclusions

These findings indicate that CCWI suppresses the rise in body temperatures more than CWI, even in a hot environment, suggesting that CCWI may be a more effective countermeasure against increasing body temperature in a hot outdoor environment.

Dietary Intake, Biological Status, and Barriers towards Omega-3 Intake in Elite Level (Tier 4), Female Athletes: Pilot Study

Omega-3 polyunsaturated fatty acids (n-3 PUFA) have unique properties which benefit athlete populations. The literature investigating NCAA collegiate, rugby sevens and German endurance athletes indicates suboptimal n-3 PUFA dietary intake and biological status. The aims of this study were: (i) to explore the dietary intakes and FA profiles of elite level, team-based, female athletes and (ii) to understand perceived barriers towards achieving n-3 dietary guidelines. A total of 35 athletes (24.8 ± 4.5 years) completed both a questionnaire and a finger prick test. All the participants reported consuming fish and seafood over the previous six months however only nine athletes consumed ≥ 2 servings of fish per week. Four participants reported using an n-3 supplement. The mean omega-3 index (O3I; including supplementers) was below target levels of >8% (5.19 ± 0.86%). O3I was significantly higher (p < 0.001) in those consuming ≥ 2 servings of fish per week and/or supplements (5.91 ± 0.81%) compared with those who did not (4.82 ± 0.63%). The main barriers reported by those not consuming two servings of fish per week were sensory (n = 11; 42%), cooking skills (n = 10; 38%) and knowledge of n-3 benefits (n = 7; 27%). The current study shows that elite level female athletes present with suboptimal n-3 dietary intake and O3I due to their food preferences, cooking skills and n-3 knowledge.

A brief body scan mindfulness practice has no positive effect on the recovery of heart rate variability and cognitive tasks in female professional basketball players

Introduction

In this study, we examined the acute effects of a short video-based body scan mindfulness practice on the heart rate variability (HRV) and cognitive performance of professional female basketball players after the first half of a simulated basketball game.

Methods

In this crossover randomized controlled trial, nine professional athletes completed a physical loading protocol on two separate days. The protocol consisted of a 10-min Yo-Yo Intermittent Recovery Test Level 1 in the first quarter, followed by a 10-min basketball game in the second quarter. Immediately afterward, they were asked to engage in a 10-min mindfulness practice or watch a 10-min nature-based documentary as a type of mental intervention. Their HRV, Rating of Perceived Exertion (RPE), National Aeronautics and Space Administration Task Load Index 2 (NASA TLX-2), and Go/No-Go test scores were recorded immediately before and after the physical loading and after the mental intervention.

Results

The physical demand, effort, and frustration level subscales of the NASA TLX-2 and the RPE scores were found to be significantly higher after the physical loading, and they returned to the baseline level after both types of mental intervention. The Go/No-Go test scores did not differ depending on the measurement time. All time- and frequency-domain heart rate variability parameters, except the low-to-high frequency ratio, were found to be significantly high immediately after the physical loading protocol. However, these parameters returned to their initial levels after both types of mental intervention.

Discussion

Completing the tests involved in the study protocol successfully induced physical fatigue, as evidenced by consistent measurement tools, but the one-time and short-term mindfulness practice had no additional benefits for the recovery of heart rate variability, cognitive tasks, or subjective assessment methods, such as RPE and NASA TLX-2, in basketball players with no previous experience of mindfulness practice.

Practical Nutrition Strategies to Support Basketball Performance during International Short-Term Tournaments: A Narrative Review

A short-term (e.g., 6 days) basketball tournament is a shorter version of international tournaments, and qualification in it enables participation in international tournaments such as the Olympics and World championships or preparation before major tournaments. Time for recovery between matches is shorter compared with major tournaments, resulting in an accentuated load on players, which can be repeated up to four times within the 6-day competition period. Therefore, nutritional strategies need to focus on faster and adequate recovery after each match as well as optimum fuelling and hydration before and during matches. Travelling can also create additional challenges when preparing and/or applying those nutritional strategies. There are some particular evidence-based sport foods and ergogenic aids that can improve intermittent activity and/or the execution of motor skills, which may facilitate basketball players' recovery and performance. The present review provides practical nutritional strategies to support short-term basketball tournaments based on players' physiological needs and current sport nutrition guidelines.

The Application of Recovery Strategies in Basketball: A Worldwide Survey

The purpose of this study was to assess the perceived usefulness, actual use and barriers to the implementation of recovery strategies among basketball practitioners. 107 participants (strength and conditioning coaches, sport scientists, performance specialists) from different countries and competitive levels completed an online survey. Most participants rated recovery strategies as either extremely (46%) or very important (49%). Active recovery, massage, foam rolling, and stretching were perceived as most useful (80, 73, 72 and 59% of participants, respectively) and were most frequently adopted (68, 61, 72 and 67%, respectively). Participants mentioned lack of devices and facilities (51%), excessive cost (51%), lack of time (27%), players’ negative perception (25%) and lack of sufficient evidence (16%) as barriers to the implementation of recovery strategies. The present findings reveal that some dissociation between scientific evidence and perceived effectiveness was present among the study participants. A possible solution would be to ensure that scientific evidence-based guidelines are followed when considering the application of recovery strategies. Regarding actual use, participants favored easily implementable strategies (e.g. active recovery, stretching), rather than evidence-supported, but expensive and/or impractical strategies (e.g. whole-body cryotherapy). Possible solutions may include the use of practical tools that don’t need specific facilities, the development and validation of new low-cost recovery devices, the promotion of players education regarding recovery strategies, and conducting further research to increase the scientific knowledge in the area.

Orosomucoid: a promising biomarker for the assessment of exercise-induced fatigue triggered by basic combat training

Background

Orosomucoid (ORM) is a positive acute phase protein verified to be upregulated in various forms of exercise-induced fatigued (EIF) rodents. However, its association with EIF among human beings remained unknown. This study aimed to explore the association between serum ORM and EIF triggered by military basic combat training (BCT).

Methods

The degree of EIF were measured by Borg’s Rating of Perceived Exertion Scale (Borg-RPE-Scale®) as RPE score after BCT. Fifty-three male recruits were classified into three groups according to the RPE score: (1) group 1 (slight fatigue group): RPE score after BCT < 13; (2) group 2 (moderate fatigue group): RPE score after BCT = 13 or 14; (3) group 3 (severe fatigue group): RPE score after BCT > 14. The levels of blood ORM, lactate (LAC), cortisol and C-reactive protein (CRP) were determined before and after BCT. The diagnostic value of ORM was evaluated by receiver operating characteristic (ROC) curve analysis and logistic regression.

Results

After BCT, the level of LAC, CRP, and cortisol increased among all groups, but the changes had no significant between-group difference (all p > 0.05). The level of ORM had a specific significant increase in group 3 (p = 0.039), and the changes of ORM (ΔORM) had significant difference among groups (p = 0.033). ROC curve analysis showed that the estimated area under ROC curve for ΔORM was 0.724 (p = 0.009) with the recommended optimal cut-off value as 0.2565 mg/mL. Logistic analysis showed that recruits with ΔORM ≥ 0.2565 mg/mL had higher odds for suffering from severe EIF, 5.625 times (95% CI 1.542–20.523, p = 0.009) as large as those with ΔORM < 0.2565 mg/mL.

Conclusion

ORM might be a promising biomarker of severe EIF triggered by BCT among male recruits. Its potential optimal cut-off value regarding ΔORM was recommended to be 0.2565 mg/mL.

Supplementary Information

The online version contains supplementary material available at 10.1186/s13102-022-00490-6.

Anaerobic performance after 3-day consecutive CO2-rich cold-water immersion in physically active males

Background Objective

We investigated the effects of a 3-day consecutive CO₂-rich cold (20 °C) water immersion (CCWI) following a high-intensity intermittent test (HIIT) on subjects' sublingual temperature (T_sub), blood lactate ([La]b), and heart rate (HR) compared to cold (20 °C) tap-water immersion (CWI) or passive recovery (PAS).

Methods

Thirty-two subjects were randomly allocated into three groups (CCWI, CWI, and PAS), each of which completed 4 consecutive days of cycling experiments. HR, T_sub, and [La]b were recorded on each day of exercise testing (immersion from Day 1 to Day 3 and Day 4). HIIT consisted of 8 sets of 20-sec maximum exercise at an intensity of 120% of VO₂max with 10-sec passive rest. The mean and peak power, and peak pedal repetitions (PPR) within HIIT were averaged and the decline in PPR (ΔPPR) from Day 1 to Day 4 was measured.

Results

In CCWI and CWI, HR declined significantly following each immersion, with CCWI showing the larger reduction (p < 0.001). At Day 2, CCWI showed a significantly lower [La]b compared to PAS (p < 0.01). The changes in mean and peak power from Day 1 to Day 4 did not differ among the groups (p = 0.302). ΔPPR of HIIT was significantly correlated with the HR and [La]b values after immersions (ΔPPR-HR: r² = 0.938, p < 0.001, ΔPPR-[La]b: r² = 0.999, p < 0.001).

Conclusions

These findings indicate that CCWI is a promising intervention for maintaining peak performance in high-intensity intermittent exercise, which is associated with a reduction in [La]b and HR.

A Systematic Review on Fitness Testing in Adult Male Basketball Players: Tests Adopted, Characteristics Reported and Recommendations for Practice

Background

As basketball match-play requires players to possess a wide range of physical characteristics, many tests have been introduced in the literature to identify talent and quantify fitness in various samples of players. However, a synthesis of the literature to identify the most frequently used tests, outcome variables, and normative values for basketball-related physical characteristics in adult male basketball players is yet to be conducted.

Objective

The primary objectives of this systematic review are to (1) identify tests and outcome variables used to assess physical characteristics in adult male basketball players across all competition levels, (2) report a summary of anthropometric, muscular power, linear speed, change-of-direction speed, agility, strength, anaerobic capacity, and aerobic capacity in adult male basketball players based on playing position and competition level, and (3) introduce a framework outlining recommended testing approaches to quantify physical characteristics in adult male basketball players.

Methods

A systematic review of MEDLINE, PubMed, SPORTDiscus, Scopus, and Web of Science was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify relevant studies. To be eligible for inclusion, studies were required to: (1) be original research articles; (2) be published in a peer-reviewed journal; (3) have full-text versions available in the English language; and (4) include the primary aim of reporting tests used and/or the physical characteristics of adult (i.e., ≥ 18 years of age) male basketball players. Additionally, data from the top 10 draft picks who participated in the National Basketball Association combined from 2011–12 to 2020–21 were extracted from the official league website to highlight the physical characteristics of elite 19- to 24-year-old basketball players.

Results

A total of 1684 studies were identified, with 375 being duplicates. Consequently, the titles and abstracts of 1309 studies were screened and 231 studies were eligible for full-text review. The reference list of each study was searched, with a further 59 studies identified as eligible for review. After full-text screening, 137 studies identified tests, while 114 studies reported physical characteristics in adult male basketball players.

Conclusions

Physical characteristics reported indicate a wide range of abilities are present across playing competitions. The tests and outcome variables reported in the literature highlight the multitude of tests currently being used. Because there are no accepted international standards for physical assessment of basketball players, establishing normative data is challenging. Therefore, future testing should involve repeatable protocols that are standardised and provide outcomes that can be monitored across time. Recommendations for testing batteries in adult male basketball players are provided so improved interpretation of data can occur.

Clinical Trial Registration

This review was registered with the International Prospective Register of Systematic Reviews and allocated registration number CRD42020187151 on 28 April, 2020.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40279-021-01626-3.

Compression Garments for Recovery from Muscle Damage: Evidence and Implications of Dose Responses

ABSTRACT

The use of compression garments (CG) has been associated with improved recovery following exercise-induced muscle damage. The mechanisms responsible are not well established, and no consensus exists regarding the effects of compression pressure (i.e., the "dose"), which until recently was seldom reported. With the increasing prevalence of studies reporting directly measured pressures, the present review aims to consolidate current evidence on optimal pressures for recovery from exercise-induced muscle damage. In addition, recent findings suggesting that custom-fitted garments provide greater precision and experimental control are discussed. Finally, biochemical data from human trials are presented to support a theoretical mechanism by which CG enhance recovery, with recommendations for future research. The effects of compression on adaptation remain unexplored. More studies are required to investigate the relationship between compression pressure and the recovery of performance and physiological outcomes. Furthermore, improved mechanistic understanding may help elucidate the optimal conditions by which CG enhance recovery.

Relationship between training load and recovery in collegiate American football players during pre-season training

Background: The purpose of this study was to examine the relationship between training load and next-day recovery in collegiate American football (AF) players during pre-season.Methods: Seventeen athletes (Linemen, n = 6; Non-linemen, n = 11) participated in the 14-day study wearing monitoring (accelerometer + heart rate) sensors during on-field practice sessions throughout pre-season to assess the physiological (PL), mechanical load (ML) and recording of session RPE (sRPE load) immediately post-practice. Prior to practice, participants completed a drop-jump reactive strength index (RSI) test and reported perceived recovery status (PRS). Loaded counter movement vertical jump was assessed before and after pre-season.Results: For every one unit increase in sRPE load, RSI declined by 0.03. Non-linemen had a lower RSI value of 73.1 units compared to linemen. For every one unit increase in ML, the PRS decreased by 0.01. Non-linemen recorded higher average ML during week 2 (ES = 1.17) compared to linemen. Non-linemen recorded higher RSI values in weeks 1 (ES = -1.41) and 2 (ES = -1.72) compared to linemen. All training load and recovery parameters were lower week 2 compared to week 1 (p < 0.05) for all players.Conclusions: Next-day RSI values were influenced by sRPE load while next-day PRS appears to be more influenced by ML. No difference in PL or sRPE load was observed been groups despite non-linemen completing a higher ML throughout the preseason. A combination of training load and recovery metrics may be needed to monitor the fatigue and state of readiness of each player.

Custom-Fitted Compression Garments Enhance Recovery From Muscle Damage in Rugby Players

ABSTRACT

Brown, F, Jeffries, O, Gissane, C, Howatson, G, van Someren, K, Pedlar, C, Myers, T, and Hill, JA. Custom-fitted compression garments enhance recovery from muscle damage in rugby players. J Strength Cond Res 36(1): 212-219, 2022-to evaluate the effects of custom-fitted compression garments (CG) on recovery from muscle damage in rugby players. Forty-five players were tested for lower-body strength, power, and indices of muscle damage before completing a damaging protocol (20 × 20-m sprints with 5-m deceleration, 100 drop jumps). Players were randomly assigned to wear either custom-fitted (CF, n = 13), or standard-sized CG (SSG, n = 16), or to receive sham ultrasound therapy (CON, n = 16) immediately after exercise. Players were retested immediately, then after 24 and 48 hours. Strength recovery was significantly different between groups (F = 2.7, p = 0.02), with only CF recovering to baseline values by 48 hours (p = 0.973). Time × condition effects were also apparent for creatine kinase activity (χ2 = 30.4, p < 0.001) and midthigh girth (F = 3.7, p = 0.005), with faster recovery apparent in CF compared with both CON and SSG (p < 0.05). Custom-fitted CG improved strength recovery and indices of muscle damage in rugby players, compared with controls and standard-sized garments. Athletes and coaches would be advised to use appropriately fitted CG to enhance strength recovery after damaging exercise.

In-Season Nutrition Strategies and Recovery Modalities to Enhance Recovery for Basketball Players: A Narrative Review

Basketball players face multiple challenges to in-season recovery. The purpose of this article is to review the literature on recovery modalities and nutritional strategies for basketball players and practical applications that can be incorporated throughout the season at various levels of competition. Sleep, protein, carbohydrate, and fluids should be the foundational components emphasized throughout the season for home and away games to promote recovery. Travel, whether by air or bus, poses nutritional and sleep challenges, therefore teams should be strategic about packing snacks and fluid options while on the road. Practitioners should also plan for meals at hotels and during air travel for their players. Basketball players should aim for a minimum of 8 h of sleep per night and be encouraged to get extra sleep during congested schedules since back-to back games, high workloads, and travel may negatively influence night-time sleep. Regular sleep monitoring, education, and feedback may aid in optimizing sleep in basketball players. In addition, incorporating consistent training times may be beneficial to reduce bed and wake time variability. Hydrotherapy, compression garments, and massage may also provide an effective recovery modality to incorporate post-competition. Future research, however, is warranted to understand the influence these modalities have on enhancing recovery in basketball players. Overall, a strategic well-rounded approach, encompassing both nutrition and recovery modality strategies, should be carefully considered and implemented with teams to support basketball players' recovery for training and competition throughout the season.

Putting the Squeeze on Compression Garments: Current Evidence and Recommendations for Future Research: A Systematic Scoping Review

Background

Compression garments are regularly worn during exercise to improve physical performance, mitigate fatigue responses, and enhance recovery. However, evidence for their efficacy is varied and the methodological approaches and outcome measures used within the scientific literature are diverse.

Objectives

The aim of this scoping review is to provide a comprehensive overview of the effects of compression garments on commonly assessed outcome measures in response to exercise, including: performance, biomechanical, neuromuscular, cardiovascular, cardiorespiratory, muscle damage, thermoregulatory, and perceptual responses.

Methods

A systematic search of electronic databases (PubMed, SPORTDiscus, Web of Science and CINAHL Complete) was performed from the earliest record to 27 December, 2020.

Results

In total, 183 studies were identified for qualitative analysis with the following breakdown: performance and muscle function outcomes: 115 studies (63%), biomechanical and neuromuscular: 59 (32%), blood and saliva markers: 85 (46%), cardiovascular: 76 (42%), cardiorespiratory: 39 (21%), thermoregulatory: 19 (10%) and perceptual: 98 (54%). Approximately 85% (n = 156) of studies were published between 2010 and 2020.

Conclusions

Evidence is equivocal as to whether garments improve physical performance, with little evidence supporting improvements in kinetic or kinematic outcomes. Compression likely reduces muscle oscillatory properties and has a positive effect on sensorimotor systems. Findings suggest potential increases in arterial blood flow; however, it is unlikely that compression garments meaningfully change metabolic responses, blood pressure, heart rate, and cardiorespiratory measures. Compression garments increase localised skin temperature and may reduce perceptions of muscle soreness and pain following exercise; however, rating of perceived exertion during exercise is likely unchanged. It is unlikely that compression garments negatively influence exercise-related outcomes. Future research should assess wearer belief in compression garments, report pressure ranges at multiple sites as well as garment material, and finally examine individual responses and varying compression coverage areas.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40279-021-01604-9.

Is there Evidence for the Suggestion that Fatigue Accumulates Following Resistance Exercise?

It has been suggested that improper post-exercise recovery or improper sequence of training may result in an 'accumulation' of fatigue. Despite this suggestion, there is a lack of clarity regarding which physiological mechanisms may be proposed to contribute to fatigue accumulation. The present paper explores the time course of the changes in various fatigue-related measures in order to understand how they may accumulate or lessen over time following an exercise bout or in the context of an exercise program. Regarding peripheral fatigue, the depletion of energy substrates and accumulation of metabolic byproducts has been demonstrated to occur following an acute bout of resistance training; however, peripheral accumulation and depletion appear unlikely candidates to accumulate over time. A number of mechanisms may contribute to the development of central fatigue, postulating the need for prolonged periods of recovery; however, a time course is difficult to determine and is dependent on which measurement is examined. In addition, it has not been demonstrated that central fatigue measures accumulate over time. A potential candidate that may be interpreted as accumulated fatigue is muscle damage, which shares similar characteristics (i.e., prolonged strength loss). Due to the delayed appearance of muscle damage, it may be interpreted as accumulated fatigue. Overall, evidence for the presence of fatigue accumulation with resistance training is equivocal, making it difficult to draw the conclusion that fatigue accumulates. Considerable work remains as to whether fatigue can accumulate over time. Future studies are warranted to elucidate potential mechanisms underlying the concept of fatigue accumulation.

The relationship between physiological and performance variables during a hot/humid international rugby sevens tournament

To characterise physiological responses to competing in an international rugby sevens tournament played in hot/humid conditions, core temperature (T_c) and T_c predictors were collected from 11 elite men's rugby sevens athletes competing in the Oceania sevens tournament in Suva, Fiji. T_c, body mass change, sweat electrolytes, playing minutes, total running distance, high speed running distance (HSD), psychrometric wet bulb temperature and exertional heat illness symptoms were collected pre, during and post games. Linear mixed-models were used to assess the effect of T_c predictors on post-game T_c, along with differences in T_c across measurement periods. Compared to baseline on both tournament days, mean T_c was higher during all between game (recovery) measures (all d >1.30, p <0.01). On both tournament days, eight athletes reached a post-game T_c >39.0°C, with several athletes reaching >39.0°C during warm-ups. Mean post-game T_c was related to playing minutes, total running distance, HSD, and post warm-up T_c (all p < 0.01). The T_c during warm-ups and games regularly exceeded those demonstrated to be detrimental to repeated sprint performance (> 39°C). Warm-up T_c represents the easiest predictor of post-game T_c to control via time/intensity modulation and the use of appropriate pre- and per-cooling strategies. Practitioners should be prepared to modulate warm-ups and other heat preparation strategies based on likely environmental conditions during hot/humid tournaments.

Adaptations to Post-exercise Cold Water Immersion: Friend, Foe, or Futile?

In the last decade, cold water immersion (CWI) has emerged as one of the most popular post-exercise recovery strategies utilized amongst athletes during training and competition. Following earlier research on the effects of CWI on the recovery of exercise performance and associated mechanisms, the recent focus has been on how CWI might influence adaptations to exercise. This line of enquiry stems from classical work demonstrating improved endurance and mitochondrial development in rodents exposed to repeated cold exposures. Moreover, there was strong rationale that CWI might enhance adaptations to exercise, given the discovery, and central role of peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α) in both cold- and exercise-induced oxidative adaptations. Research on adaptations to post-exercise CWI have generally indicated a mode-dependant effect, where resistance training adaptations were diminished, whilst aerobic exercise performance seems unaffected but demonstrates premise for enhancement. However, the general suitability of CWI as a recovery modality has been the focus of considerable debate, primarily given the dampening effect on hypertrophy gains. In this mini-review, we highlight the key mechanisms surrounding CWI and endurance exercise adaptations, reiterating the potential for CWI to enhance endurance performance, with support from classical and contemporary works. This review also discusses the implications and insights (with regards to endurance and strength adaptations) gathered from recent studies examining the longer-term effects of CWI on training performance and recovery. Lastly, a periodized approach to recovery is proposed, where the use of CWI may be incorporated during competition or intensified training, whilst strategically avoiding periods following training focused on improving muscle strength or hypertrophy.

Recovery during and after a simulated multi-day tennis tournament: Combining active recovery, stretching, cold-water immersion, and massage interventions

The aim of this study was to investigate the effects of a mixed-method recovery intervention (MMR) consisting of active recovery, stretching, cold-water immersion, and massage on physical, technical, physiological, and perceptual recovery during and after a five-day simulated tennis tournament. Nine competitive male tennis players (age, 24.6±4.2 years) with national ranking positions (German Tennis Federation) and Universal Tennis Ratings between approximately 11-13 participated in two singles tennis tournaments, which were separated by a three-month washout period. During the tournaments, participants played five two-and-a-half-hour competitive singles tennis match on five consecutive days. For the assignment to one of two groups, athletes were matched into homogeneous pairs according to their ranking. Then, within each pair, the players were randomly assigned to one of two groups. The first group performed MMR during the first tournament, whereas the other group used passive recovery (PAS). During the second tournament, recovery conditions were interchanged. Measures of physical and technical performance as well as physiological and perceptual responses (heart rate, blood lactate concentration, perceived exertion) were recorded during match-play sessions. Furthermore, muscle soreness, perceived recovery state, blood markers, countermovement jump height (CMJ), and repeated sprint ability (RSA) were determined before, during, and after the five-day tournament periods. Results showed significant changes over time (P < 0.05) in muscle soreness, perceived recovery state, creatine kinase, c-reactive protein, insulin-like growth factor 1, and countermovement jump height. However, no significant differences or recovery strategy x time interactions were noted either for tennis-specific performance (e.g. number of total points won) or any other of the measured parameters between MMR and PAS (P > 0.05). In conclusion, the repeated use of MMR during and after a five-day tennis tournament did not affect match performance, match load, or recovery from repeated days of tennis match play.

Cold Water Immersion as a Strategy for Muscle Recovery in Professional Basketball Players During the Competitive Season

CONTEXT

Despite prior studies that have addressed the recovery effects of cold-water immersion (CWI) in different sports, there is a lack of knowledge about longitudinal studies across a full season of competition assessing these effects.

OBJECTIVE

To analyze the CWI effects, as a muscle recovery strategy, in professional basketball players throughout a competitive season.

DESIGN

A prospective cohort design.

SETTING

Elite basketball teams.

PARTICIPANTS

A total of 28 professional male basketball players divided into 2 groups: CWI (n = 12) and control (n = 16) groups.

MAIN OUTCOME MEASURES

Muscle metabolism serum markers were measured during the season in September-T1, November-T2, March-T3, and April-T4. Isokinetic peak torque strength and ratings of perceived exertion were measured at the beginning and at the end of the season. CWI was applied immediately after every match and after every training session before matches.

RESULTS

All serum muscular markers, except myoglobin, were higher in the CWI group than the control group (P < .05). The time course of changes in muscle markers over the season also differed between the groups (P < .05). In the CWI group, ratings of perceived exertion decreased significantly from the beginning (T1-T2) to the end (T3-T4). Isokinetic torque differed between groups at the end of the season (60°/s peak torque: P < .001 and ηp2=.884; and 180°/s peak torque: P < .001 and ηp2=.898) and had changed significantly over the season in the CWI group (P < .05).

CONCLUSIONS

CWI may improve recovery from muscle damage in professional basketball players during a regular season.

The cold truth: the role of cryotherapy in the treatment of injury and recovery from exercise

Cryotherapy is utilized as a physical intervention in the treatment of injury and exercise recovery. Traditionally, ice is used in the treatment of musculoskeletal injury while cold water immersion or whole-body cryotherapy is used for recovery from exercise. In humans, the primary benefit of traditional cryotherapy is reduced pain following injury or soreness following exercise. Cryotherapy-induced reductions in metabolism, inflammation, and tissue damage have been demonstrated in animal models of muscle injury; however, comparable evidence in humans is lacking. This absence is likely due to the inadequate duration of application of traditional cryotherapy modalities. Traditional cryotherapy application must be repeated to overcome this limitation. Recently, the novel application of cooling with 15 °C phase change material (PCM), has been administered for 3-6 h with success following exercise. Although evidence suggests that chronic use of cryotherapy during resistance training blunts the anabolic training effect, recovery using PCM does not compromise acute adaptation. Therefore, following exercise, cryotherapy is indicated when rapid recovery is required between exercise bouts, as opposed to after routine training. Ultimately, the effectiveness of cryotherapy as a recovery modality is dependent upon its ability to maintain a reduction in muscle temperature and on the timing of treatment with respect to when the injury occurred, or the exercise ceased. Therefore, to limit the proliferation of secondary tissue damage that occurs in the hours after an injury or a strenuous exercise bout, it is imperative that cryotherapy be applied in abundance within the first few hours of structural damage.

Physiological and Perceptual Recovery-Stress Responses to an Elite Netball Tournament

PURPOSE

To investigate and explore the relationships between physiological and perceptual recovery and stress responses to elite netball tournament workloads.

METHODS

Nine elite female netballers were observed across a 3-day (T1-3), 4-match tournament. Participants provided salivary samples for cortisol and alpha-amylase analysis, completed the Short Recovery Stress Scale (SRSS), and reported session ratings of perceived exertion. Inertial measurement units and heart-rate monitors determined player load, changes of direction (COD), summated heart-rate zones, and jumps.

RESULTS

Analysis revealed 6 significant SRSS time effects: (1) decreased recovery markers of physical performance (P = .042), emotional balance (P = .034), and overall recovery (P = .001) and (2) increased perceptual stress markers of muscular stress (P = .001), negative emotional state (P = .026), and overall stress (P = .010). Salivary cortisol decreased over the tournament (T1-3) before progressively increasing posttournament with greater salivary samples for cortisol on T+2 compared with T3 (P = .014, ES = -1.29; -2.24 to -0.22]) and T+1 (P = .031, ES = -1.54; -2.51 to -0.42). SRSS overall recovery moderately negatively correlated with COD (r = -.41, P = .028) and session ratings of perceived exertion (r = -.40, P = .034). Cumulative workload did not relate to posttournament perceptual or salivary responses. Percentage change in salivary variables related (P < .05) to total player load, total COD, and overall recovery across specific cumulative time periods.

CONCLUSIONS

During and after an elite netball tournament, athletes indicated increased perceptual stress and lack of recovery. The SRSS is a valuable tool for recovery-stress monitoring in elite tournament netball. It is recommended that practitioners monitor COD due to its negative influence on perceived overall recovery.

The Use of Upper-Body Intermittent Sequential Pneumatic Compression Arm Sleeves on Recovery From Exercise in Wheelchair Athletes

OBJECTIVE

The aim of the current study was to investigate the efficacy of an upper-body intermittent sequential pneumatic compression device on recovery after wheelchair team sport activity.

DESIGN

Eleven well-trained wheelchair basketball and rugby athletes (male, 8; female, 3; mean ± SD age = 33 ± 10 yrs) performed a series of performance measures pre-exercise, postexercise, and postrecovery (grip strength, pressure-to-pain threshold, medicine ball throw, wheelchair sprints, repeated sprints). Subjective muscle soreness and fatigue measurements were taken at the same time points as performance tests, with an additional 24-hr postrecovery measure. Participants completed two recovery trials, separated by 1 wk, of either passive recovery (control) or 20 mins of wearing recovery arm sleeves (intermittent sequential pneumatic compression) applied to both arms.

RESULTS

No statistically significant differences were found between trials for any of the performance or perceptual measures (P > 0.05). However, effect size analysis revealed a moderate decrease (d = -0.67) from postexercise to postrecovery for muscle fatigue in favor of intermittent sequential pneumatic compression. A large decrease (d = -0.96) in muscle soreness was also found after exercise to 24 hrs after recovery in favor of intermittent sequential pneumatic compression over control.

CONCLUSIONS

Intermittent sequential pneumatic compression may provide some benefit for perceptual recovery measures immediately after and 24 hrs after a high-intensity wheelchair activity with negligible effects on performance recovery.

Cold Water Immersion After a Handball Training Session: The Relationship Between Physical Data and Sensorial Experience

The aim of this study was to examine the relationship between the physiological data from subjects and their reported sensory experiences during two types of recovery methods following a handball training session. Female handball players (average age: 21.4 ± 1.3 years; weight: 59.2 ± 3.3 kg; height: 158 ± 3 cm; body mass index, 23.4 ± 2.0 kg.m⁻²) carried out an athletic training session (rating of perceived exertion RPE: 14.70 ± 0.89) with either a passive recovery (PR) period or cold water immersion (CWI) for 14 min) (cross-over design). Physiological data were collected during the recovery period: CWI had a greater effect than PR on heart rate (HR; bpm), the higher frequencies (HF) of heart rate variability (HRV: 46.44 ± 21.50 vs. 24.12 ± 17.62), delayed onset muscle soreness (DOMS: 1.37 ± 0.51 vs. 2.12 ± 1.25), and various reported emotional sensations. Spectrum HRV analysis showed a significant increase in HF during CWI. Sensorial experiences during the recovery periods were gathered from verbatim reports 24 h later. Players' comments about CWI revealed a congruence between the physiological data and sensorial reports. They used words such as: “thermal shock,” “regeneration,” “resourcefulness,” “dynamism,” and “disappearance of pain” to describe their sensations. In conclusion, this study demonstrated the link between physiological and experiential data during CWI and we propose that action of the parasympathetic system on the autonomic nervous system can, at least in part, explain the observed correlations between the corporeal data measured and the sensorial experiences reported.

Don't Lose Your Cool With Cryotherapy: The Application of Phase Change Material for Prolonged Cooling in Athletic Recovery and Beyond

Strenuous exercise can result in muscle damage in both recreational and elite athletes, and is accompanied by strength loss, and increases in soreness, oxidative stress, and inflammation. If the aforementioned signs and symptoms associated with exercise-induced muscle damage are excessive or unabated, the recovery process becomes prolonged and can result in performance decrements; consequently, there has been a great deal of research focussing on accelerating recovery following exercise. A popular recovery modality is cryotherapy which results in a reduction of tissue temperature by the withdrawal of heat from the body. Cryotherapy is advantageous because of its ability to reduce tissue temperature at the site of muscle damage. However, there are logistical limitations to traditional cryotherapy modalities, such as cold-water immersion or whole-body cryotherapy, because they are limited by the duration for which they can be administered in a single dose. Phase change material (PCM) at a temperature of 15°C can deliver a single dose of cooling for a prolonged duration in a practical, efficacious, and safe way; hence overcoming the limitations of traditional cryotherapy modalities. Recently, 15°C PCM has been locally administered following isolated eccentric exercise, a soccer match, and baseball pitching, for durations of 3-6 h with no adverse effects. These data showed that using 15°C PCM to prolong the duration of cooling successfully reduced strength loss and soreness following exercise. Extending the positive effects associated with cryotherapy by prolonging the duration of cooling can enhance recovery following exercise and give athletes a competitive advantage.

Actual Playing Time of Water Polo Players in Relation to the Field Position

In water polo competitions, teams play four periods, each period consisting of eight minutes of actual playing time: a total of 32 minutes (Standard Actual Play Time, SAPT). Substitutions are permitted and a player may be substituted several times. The aim of this article was to provide reference data on played time, taking into consideration the field play position of the players. 352 male water polo players of 18 different nationalities were studied during two consecutive FINA World Championships. 180 games were analyzed and 1980 measurements of the game Measured Actual Play Time (MAPT) were taken. A time density index (DI) was calculated for each athlete using SAPT and MAPT. No statistically significant differences between the field positions were found with regard to age, as was the case in relation to teams between Game MAPT, Tournament MAPT and DI. However, when looking at the diverse field positions (field players, FP; center forward, CF; center back, CB), there were statistically significant differences: Game MAPT FPvsCB p = 0.03 and FPvsCF p = 0.03; Tournament MAPT FPvsCB p = 0.03; DI FPvsCB p = 0.03 and FPvsCF p = 0.04. In these competitions the water polo player had on average a MAPT value of 17.4 ± 6.1 min (54.6 ± 9.5% DI); there were athletes who played 2.3 min (7.1% DI) and others who played up to 31.6 min (95.3% DI). The MAPT in water polo is extremely variable among athletes and must be considered for a correct performance analysis. High-level water polo players require different training strategies depending on their MAPT.

Effects of Upper-Limb, Lower-Limb, and Full-Body Compression Garments on Full Body Kinematics and Free-Throw Accuracy in Basketball Players

Compression garments can enhance performance and promote recovery in athletes. Different body coverage with compression garments may impose distinct effects on kinematic movement mechanics and thus basketball free-throw accuracy. The objective of this study was to examine basketball free-throw shooting accuracy, consistency and the range of motion of body joints while wearing upper-, lower- and full-body compression garments. Twenty male basketball players performed five blocks of 20 basketball free-throw shooting trials in each of the following five compression garment conditions: control-pre, top, bottom, full (top + bottom) and control-post. All conditions were randomized except pre- and post-control (the first and last conditions). Range of motion of was acquired by multiple inertial measurement units. Free-throw accuracy and the coefficient of variation were also analyzed. Players wearing upper-body or full-body compression garments had significantly improved accuracy by 4.2% and 5.9%, respectively (p < 0.05), but this difference was not observed with shooting consistency. Smaller range of motion of head flexion and trunk lateral bending (p < 0.05) was found in the upper- and full-body conditions compared to the control-pre condition. These findings suggest that an improvement in shooting accuracy could be achieved by constraining the range of motion through the use of upper-body and full-body compression garments.

Time Course of Recovery for Performance Attributes and Circulating Markers of Muscle Damage Following a Rugby Union Match in Amateur Athletes

BACKGROUND

We sought to determine the time course of changes in neuromuscular performance and muscle damage following a single rugby union match.

METHODS

Fourteen male amateur rugby players (28.9 ± 3.5 yrs; 1.7 ± 5.1 m; 86.1 ± 11.1 kg) participated. Plasma activity of creatine kinase ([CK]) and lactate dehydrogenase (LDH), L-run test (change of direction) and 30-m sprint (T30; speed) with 10-m lap time (T10; acceleration) were assessed on six occasions: one week before the match (PRE) and immediately, 24, 48, 72, and 96 h post-match.

RESULTS

Relative to PRE, LDH was elevated immediately post-match (+33.6% ± 13.6%; p < 0.001) and [CK] was elevated immediately (+64.1% ± 38.8%, p = 0.001) and 24 h post-match (+352% ± 317%; p = 0.024). L-run test time increased 16.0 ± 8.7% relative to PRE at 24 h post (p < 0.001) and remained elevated through 96 h post-match (p < 0.05). T10 and T30 times increased relative to PRE immediately post-match (+12.0% ± 10.4%, p = 0.008; and +6.1% ± 4.9%; p = 0.006, respectively), though T30 times were similar to baseline by 48 h post-match whereas T10 times remained elevated through 72 h post-match.

CONCLUSIONS

A single, competitive rugby union match induces significant muscle damage and performance decrements with distinct time courses of recovery in amateur athletes. Notably, change of direction attributes (i.e., L-run) appear to have the longest time course to full recovery.

Are Functional Movement Screen Tests Performed at the Right Time, if It Is an Injury Risk Predictor?

CONTEXT

Sports injuries are more common when players are fatigued and occur more frequently at the end of matches; therefore, determining the right time for employing an injury screening test is important.

OBJECTIVE

To determine the role of timing (prematch vs postmatch fatigue) on the functional movement screen (FMS) scores, a frequently used injury risk screening method.

DESIGN

Cross-sectional study.

SETTING

Field.

PARTICIPANTS

Twenty-four women soccer players from a professional team were included.

MAIN OUTCOME MEASURES

The players were evaluated with a visual analog scale for perceived fatigue and with the FMS. Assessments were conducted before and after a 60-minute match.

RESULTS

The subtest scores for deep squat, hurdle line, in-line lunge, trunk stability push-up, and the total FMS scores showed a significant decrease following the match (P < .05). Compared with prematch, the number of players who could achieve the highest score of 3/3 postmatch was lower for all subtests except right shoulder mobility.

CONCLUSIONS

Our results suggest a negative relationship between perceived fatigue level and performance on the deep squat, hurdle line, in-line lunge, and trunk stability push-up subtest scores and in the total FMS score. Therefore, the authors suggest that screening tests such as the FMS should be employed following a match when players present with fatigue.

Lower-body compression garments worn following exercise improves perceived recovery but not subsequent performance in basketball athletes

This study examined the effects of lower-body compression garments on perceived recovery and subsequent performance in basketball athletes. In a parallel-group design, 30 recreational, male basketball athletes were randomly allocated to either a control (CON, n = 15, loose-fitting clothing) or experimental group (COMP, n = 15, compression garments) for 15 h following fatigue-inducing, basketball-specific exercise in the evening (1600-1800 h). Perceptual measures of fatigue and muscle soreness, as well as physical performance tests (sprints, jumps and agility), were performed pre-exercise, post-exercise, and post-recovery (15 h following exercise). Subjective and objective measures of sleep were recorded following the exercise trial. There were non-significant (p > 0.05), unclear-trivial differences between groups for all performance measures. Perceived post-recovery fatigue (d = -1.27, large) and muscle soreness (d = -1.61, large) were significantly lower in COMP compared to CON (p < 0.05). COMP exhibited better perceived sleep quality (d = 0.42, small, p = 0.18) than CON, with an unclear difference in sleep duration between groups (p > 0.05). Wearing lower-body compression garments overnight improved perceived fatigue and muscle soreness, but had negligible effects on subsequent physical performance in basketball athletes. Future research should focus on longer periods of compression wear following fatiguing exercise.

The physiological effects of daily cold-water immersion on 5-day tournament performance in international standard youth field-hockey players

PURPOSE

This study examined the effects of daily post-exercise cold-water immersion (CWI) on match performance, perceptual recovery, and biomarkers of muscle damage and metabolic load during a 5-day international tournament of elite youth field-hockey players.

METHODS

The entire German under-18 national squad (n = 18) was randomly assigned to a daily CWI- (5-min at ~ 6 °C; excluding the head; n = 9) or passive recovery (CON; n = 9) intervention. Training and match performance were assessed using a GPS-tracking system and perceived exertion (RPE). Daily ratings of delayed onset muscle soreness (DOMS), perceived stress and recovery, quality of sleep, heart-rate recovery and serum creatine kinase (CK), lactate dehydrogenase, and urea nitrogen were also recorded. Repeated-sprint ability (RSA) and counter-movement jump (CMJ) were carried out on days 1 and 5.

RESULTS

There was no significance between intervention differences in time-on pitch, total distance, velocity zones, and accelerometer-base parameters during match performance (all p > 0.05). DOMS (p < 0.01), RPE (p < 0.01), and CK (p < 0.01) were significantly elevated over the course of the tournament; however, no between-intervention effects were observed (all p > 0.05). Both groups were able to maintain RSA and CMJ (all p > 0.05).

CONCLUSION

In conclusion, daily post-exercise CWI did not improve match performance, perceptual recovery, or biomarkers of muscle damage and metabolic load in elite youth field-hockey players.

Comparative efficacy of active recovery and cold water immersion as post-match recovery interventions in elite youth soccer

The current study compared cold-water immersion (CWI) and active recovery (AR) to static stretching (SS) on muscle recovery post-competitive soccer matches in elite youth players (n = 15). In a controlled crossover design, participants played a total of nine competitive soccer games, comprising three 80 minute games for each intervention (SS, CWI and AR). Muscle oedema, creatine kinase (CK), countermovement jump performance (CMJA) and perceived muscle soreness (PMS) were assessed pre-, immediately post-, and 48 hours post-match and compared across time-intervals and between interventions. Following SS, all markers of muscle damage remained significantly elevated (P < 0.05) compared to baseline at 48 hours post-match. Following AR and CWI, CMJA returned to baseline at 48 hours post-match, whilst CK returned to baseline following CWI at 48 hours post-match only. Analysis between recovery interventions revealed a significant improvement in PMS (P < 0.05) at 48 hours post-match when comparing AR and CWI to SS, with no significant differences between AR and CWI observed (P > 0.05). Analysis of %change for CK and CMJA revealed significant improvements for AR and CWI compared to SS. The present study indicated both AR and CWI are beneficial recovery interventions for elite young soccer players following competitive soccer matches, of which were superior to SS.

Making Every "Point" Count: Identifying the Key Determinants of Team Success in Elite Men's Wheelchair Basketball

Wheelchair basketball coaches and researchers have typically relied on box score data and the Comprehensive Basketball Grading System to inform practice, however, these data do not acknowledge how the dynamic perspectives of teams change, vary and adapt during possessions in relation to the outcome of a game. Therefore, this study aimed to identify the key dynamic variables associated with team success in elite men's wheelchair basketball and explore the impact of each key dynamic variable upon the outcome of performance through the use of binary logistic regression modeling. The valid and reliable template developed Francis et al. (2019) was used to analyze video footage in SportsCode from 31 games at the men's 2015 European Wheelchair Basketball Championships. The 31 games resulted in 6,126 rows of data which were exported and converted into a CSV file, analyzed using R (R Core Team, 2015) and subjected to a data modeling process. Chi-square analyses identified significant (p < 0.05) relationships between Game Outcome and 19 Categorical Predictor Variables. Automated stepwise binary regression model building was completed using 70% of the data (4,282 possessions) and produced a model that included 12 Categorical Predictor Variables. The accuracy of the developed model was deemed to be acceptable at accurately predicting the remaining 30% of the data (1,844 possessions) and produced an area under the receiver operating characteristic curve value of 0.759. The model identified the odds of winning are more than double when the team in possession are in a state of winning at the start of the possession are increased five-fold when the offensive team do not use a 1.0 or 1.5 classified player, but are increased six-fold when the offensive team use three or more 3.0 or 3.5 players. The final model can be used by coaches, players and support staff to devise training and game strategies that involve selecting the most appropriate offensive and defensive approaches when performing ball possessions to enhance the likelihood of winning in elite men's wheelchair basketball.

The Effect of Wearing a Lower Body Compression Garment on Anaerobic Exercise Performance in Division I NCAA Basketball Players

Lower body compression (LBC) has been shown as an effective recovery tool from basketball but it is unknown how it affects performance. The purpose of this study was to examine the effects of wearing a LBC garment on anaerobic exercise performance in collegiate basketball players. Healthy Division I collegiate basketball players (n = 12) were recruited for this study. In a crossover, counterbalanced study design, subjects volunteered to participate in two separate visits each with a different condition: wearing a LBC garment or non-compressive control (CON) garment. During each visit, subjects completed 2 × 30 second Wingate Anaerobic Tests (WAnTs) separated by a 5-min active recovery period. Each visit was separated by a 72 h washout period. Results revealed that over the 2 × 30 second WAnTs, mean power output (p = 0.028; d= 0.35), anaerobic capacity (p = 0.018; d = 0.45), and total work (p = 0.027; d = 0.36) were higher when wearing the LBC versus CON garment. However, peak power output (p = 0.319; d = 0.09), anaerobic power (p = 0.263; d = 0.23), and fatigue index (p = 0.749; d = 0.05) were not statistically different. Rating of perceived exertion (RPE) was significantly lower (p = 0.032; d = 0.72) with LBC compared to CON. Results indicate that LBC may increase anaerobic exercise performance in collegiate basketball players.

Cold water immersion improves recovery of sprint speed following a simulated tournament

It is a common requirement in tournament scenarios for athletes to compete multiple times in a relatively short time period, with insufficient recovery time not allowing full restoration of physical performance. This study aimed to develop a greater understanding of the physiological stress experienced by athletes in a tournament scenario, and how a commonly used recovery strategy, cold water immersion (CWI), might influence these markers. Twenty-one trained male games players (age 19 ± 2; body mass 78.0 ± 8.8 kg) were randomised into a CWI group (n = 11) or a control group (n = 10). To simulate a tournament, participants completed the Loughborough Intermittent Shuttle Test (LIST) on three occasions in five days. Recovery was assessed at specific time points using markers of sprint performance, muscle function, muscle soreness and biochemical markers of damage (creatine kinase, CK), inflammation (IL-6 and C-Reactive Protein) and oxidative stress (lipid hydroperoxides and activity of 6 lipid-soluble antioxidants). The simulated tournament was associated with perturbations in some, but not all, markers of physiological stress and recovery. Cold water immersion was associated with improved recovery of sprint speed 24 h after the final LIST (ES = 0.83 ± 0.59; p = .034) and attenuated the efflux of CK pre- and post-LIST 3 (p < .01). The tournament scenario resulted in an escalation of physiological stress that, in the main, cold water immersion was ineffective at managing. These data suggest that CWI is not harmful, and provides limited benefits in attenuating the deleterious effects experienced during tournament scenarios.

The quiet eye is sensitive to exercise-induced physiological stress

The current study sought to explore attentional mechanisms underpinning visuomotor performance degradation following acute exercise. Ten experienced basketball players took free throws while wearing mobile eye tracking glasses, before and after performing a bout of cycling exercise. Shooting accuracy was measured using a 6-point scoring system, and quiet eye duration (the final fixation to a target) was adopted as an objective measure of top-down attentional control. Four intensities of exercise (based on an initial ramp test) were performed in a counterbalanced order: rest, moderate, heavy and severe. The four intensities resulted in participants reaching 52±4%, 58±4%, 76±6% and 86±5% of their heart rate max, respectively. Performance and quiet eye were only significantly impaired (19% and 45% drops, respectively) between pre- and post-intervention at the severe intensity workload level. Additionally, exercise-induced changes in quiet eye predicted 33% of the subsequent change in performance accuracy. The results suggest that attentional disruptions may at least partially explain why sporting skills break down under acute fatigue. Implications for training to mitigate against these impairments are discussed.

3×3 Basketball: Performance Characteristics and Changes During Elite Tournament Competition

PURPOSE

To determine the changes in game performance during tournament play of elite 3×3 basketball.

METHODS

A total of 361 men and 208 women competing in selected international tournaments had game demands assessed by wearable technology (global positioning system, inertial sensor, and heart rate) along with postgame blood lactate and perceived responses. Differences in the means for selected variables between games were compared using magnitude-based inferences and reported with effect size and associated confidence limits (CL), along with the percentage difference (ES; ±90% CL, %difference) of log-transformed data.

RESULTS

No clear differences were seen over a tournament period in PlayerLoad™ or PlayerLoad·minute-1. Tournament competition elicits variable changes between games for all inertial measures. Average peak heart rate was 198 (10) and 198 (9) beats·min-1, and average game heart rate was 164 (12) and 165 (18) beats·min-1 for men and women, respectively, with no change between games. Average game lactate was 6.3 (2.4) and 6.1 (2.2) mmol·L-1 for men and women, respectively. Average game ratings of perceived exertion were 5.7 (2.1) and 5.4 (2.0) AU for men and women, respectively. Although lactate and ratings of perceived exertion were variable between games, there was no difference over a tournament.

CONCLUSIONS

The physical and physiological demands of elite 3×3 games over the duration of a tournament are similar regardless of pool or championship rounds. This may imply that maintaining technical and strategic aspects leads to success rather than minimizing fatigue through superior physical preparation. However, the physiological responses are high; caution is warranted in being underprepared for these demands in tournament play.

The Negative Influence of Air Travel on Health and Performance in the National Basketball Association: A Narrative Review

Air travel requirements are a concern for National Basketball Association (NBA) coaches, players, and owners, as sport-based research has demonstrated short-haul flights (≤6 h) increase injury risk and impede performance. However, examination of the impact of air travel on player health and performance specifically in the NBA is scarce. Therefore, we conducted a narrative review of literature examining the influence of air travel on health and performance in team sport athletes with suggestions for future research directions in the NBA. Prominent empirical findings and practical recommendations are highlighted pertaining to sleep, nutrition, recovery, and scheduling strategies to alleviate the negative effects of air travel on health and performance in NBA players.

Longer Sleep Durations Are Positively Associated With Finishing Place During a National Multiday Netball Competition

Juliff, LE, Halson, SL, Hebert, JJ, Forsyth, PL, and Peiffer, JJ. Longer sleep durations are positively associated with finishing place during a national multiday netball competition. J Strength Cond Res 32(1): 189-194, 2018-Sleep is often regarded as the single best recovery strategy available to an athlete, yet little is known about the quality and quantity of sleep in athletes during multiday competitions. This study objectively evaluated sleep characteristics of athletes during a national netball tournament. Using wrist actigraphy monitors and sleep diaries, 42 netballers from 4 state teams were monitored for the duration of a tournament (6 days) and 12 days before in home environments. Significant differences were found between teams based on final competition standings, suggesting enhanced sleep characteristics in athlete's whose team finished higher in the tournament standings. The top 2 placed teams when compared with the lower 2 placed teams slept longer (8:02 ± 36:43; 7:01 ± 27:33), had greater time in bed (9:03 ± 0:52; 7:59 ± 0:54) and reported enhanced subjective sleep ratings (2.6 ± 0.5; 2.3 ± 0.6). Sleep efficiency was no different between teams. A strong correlation (r = -0.68) was found indicating longer sleep durations during competition were associated with higher final tournament positions. Encouraging athletes to aim for longer sleep durations in competition, where possible, may influence the outcome in tournament style competitions.

Scoring Strategies Differentiating between Winning and Losing Teams during FIBA EuroBasket Women 2017

This study aimed to examine the scoring strategies differentiating between winning and losing teams during FIBA EuroBasket Women 2017 in relation to different game scores. Data were gathered for all games of FIBA EuroBasket Women 2017 from the official website. The investigated scoring strategies were fast break points (FBP); points in the paint (PP); points from turnover (PT); second chance points (SCP); and points from the bench (PB). Games were classified with cluster analysis based on their score difference as close, balanced, and unbalanced and the differences in the scoring strategies between winning and losing teams were assessed using magnitude-based statistics. Results revealed no substantial differences in FBP in any investigated cluster. Furthermore, winning teams showed a substantially higher number of PP and PT (in close and unbalanced games) and SCP (in balanced and unbalanced games) compared to losing teams. Finally, winning teams scored substantially lower and higher number of BPs in close games and unbalanced games, respectively, compared to losing teams. In conclusion, all the investigated scoring strategies discriminate between winning and losing teams in elite women’s basketball except for FBP. These results provide useful information for basketball coaches to optimize their training sessions and game strategies.

Dietetic-nutritional, physical and physiological recovery methods post-competition in team sports

To a proper recovery, is absolutely necessary to know that athletes with enhanced recovery after maximal exercise are likely to perform better in sports. Recovery strategies are commonly used in team sports despite limited scientific evidence to support their effectiveness in facilitating optimal recovery and the players spend a much greater proportion of their time recovering than they do in training. According to authors, some studies investigated the effect of recovery strategies on physical performance in team sports, lack of experimental studies about the real origin of the fatigue, certify the need for further study this phenomenon. Thus, developing effective methods for helping athletes to recover is deemed essential. Therefore, the aim of this review is provide information for his practical application, based on scientific evidence about recovery in team sports.

Validity and Usability of a New System for Measuring and Monitoring Variations in Vertical Jump Performance

Loturco, I, Pereira, LA, Kobal, R, Kitamura, K, Cal Abad, CC, Marques, G, Guerriero, A, Moraes, JE, and Nakamura, FY. Validity and usability of a new system for measuring and monitoring variations in vertical jump performance. J Strength Cond Res 31(9): 2579-2585, 2017-Vertical jump (VJ) height is one of the most sensitive measures to quantify training-related fatigue and athletic performance in elite athletes. Currently, however, there is no equipment designed to graphically deliver the daily performance changes in VJ compared with the smallest worthwhile change (SWC), which is considered essential in "progressive statistics" to judge meaningful performance fluctuations. The aims of the study were to analyze the criterion validity of a new contact mat (i.e., Elite Jump), alongside testing its usability to detect meaningful changes in VJ of elite team sport athletes. A total of 31 athletes participated in the criterion validity part of the study, whereas 17 rugby players participated in the VJ sensitivity part. When compared with the force plate, the contact mat produced squat jump (SJ) and countermovement jump (CMJ) values with very high intraclass correlation coefficients (0.998 and 0.997, respectively) and very low biases (-0.11 and -0.08 cm, respectively), as assessed by the Bland-Altman plot. In addition, during a training microcycle, rugby players presented identical meaningful changes in performance in both SJ and CMJ when comparing the Elite Jump and Hopkins' spreadsheet outputs. Therefore, the contact mat is valid and the proprietary software can properly execute the SWC calculations, providing coaches and researchers with accurate information concerning variations in the physical performance of elite athletes.

Anthropometric Variables and Somatotype of Young and Professional Male Basketball Players

Background: Determining somatic models and profiles in young athletes has recently become a fundamental element in selecting basketball playing positions. The aim of this study was to assess the relationship between the body build of young and adult elite male basketball players at different playing positions. Methods: Participants consisted of 35 young (age: 14.09 ± 0.30 years, n = 35) and 35 adult professional basketball players (age: 24.45 ± 5.40 years, n = 35) competing in elite leagues. The anthropometric characteristics assessed included body mass, body height, skinfolds, somatotypes, girths, and breadths. Results: The centers in both age groups were significantly taller and heavier (p < 0.001) compared to forwards and guards. The greatest difference between categories were in the guards’ personal height (from 169.36 to 186.68 = 17.32 cm). The guards from the professional team were closest in height to the forwards (difference = 7.17 cm) compared to young players where the difference between guards and forwards was 13.23 cm. Young competitors were more ectomorphic (2.12-3.75-4.17), while professional players were more mesomorphic (2.26-4.57-3.04). Significant criteria for center selection at professional level seems to be personal height and arm span ratio. Conclusions: The results indicate that the selection for basketball playing positions should include the analysis of body height and mass, shoulder breadth, humerus breadth, femur breadth and specifically for centers the difference between personal the height and arm span.