Age and sex-related upper body performance differences in competitive young tennis players

Shoulder range of motion in competitive tennis players: systematic review and meta-analysis

Background

To compare shoulder range of motion (ROM) in dominant vs. nondominant shoulder of competitive tennis players, and to determine whether shoulder ROM is different between younger and older players, or males and females.

Methods

A search was performed on PubMed, Embase, and Epistemonikos on December 18, 2023. This study conforms to the principles of the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Clinical studies or case reports on shoulder ROM including external rotation (ER; shoulder at 90° of abduction) and internal rotation (IR) in competitive, elite, or professional tennis players.

Results

We found 25 eligible studies that reported on a total of 18,534 tennis players, of which 20 studies reported the ROM for the dominant and nondominant side. Comparing dominant vs. nondominant shoulders revealed that dominant shoulders had significantly smaller IR (53.0° vs. 62.6°; P < .001). Comparing adults vs. children revealed that adults have significantly smaller IR (44.5° vs. 57.1°; P < .001) and ER (95.3° vs. 110.3°; P < .001). Comparing females vs. males revealed no significant differences in ER (113.4° vs. 104.9°; P = .360) or IR (54.3° vs. 56.4°; P = .710).

Conclusion

IR in shoulders of tennis players is significantly smaller in dominant vs. nondominant sides (53.0° vs. 62.6°, P < .001), and significantly smaller in adults vs. children (44.5° vs. 57.1°, P < .001). These findings could be relevant in the context of physical preparation and training of tennis players, to monitor evolution of IR as a result of their sport and/or as they transition from childhood to adulthood.

Neuromuscular Fitness Is Associated with Serve Speed in Young Female Tennis Players

In tennis, the serve plays a key role in determining the success of a player. The speed of a serve is influenced by a multitude of interconnected skills and abilities. The objective of this study was to establish the correlation between the explosive strength of the throwing type, the grip strength and flexibility of the arms, and the shoulder girdle with the serve speed in young female tennis players. Additionally, the study aimed to develop a regression model that accurately predicts the serve speed by analyzing the interplay among these variables. The study was carried out on a group of 20 tennis players, who had an average age of 13.10 ± 0.74 years. Additionally, their height was recorded as 165.70 ± 4.90 cm, and their body mass was measured at 51.45 ± 5.84 kg. To assess the motor abilities of the upper extremities, four tests were used that aimed to measure the explosive strength of the throwing type; one test was for the strength of the hand and forearm muscles, and one test was for the flexibility of the arms and shoulder girdle. Of all the variables examined, the medicine ball throw shot put (MBTSP) (r = 0.75), overhead medicine ball throw (OMBT) (r = 0.70), and grip strength (GS) (r = 0.71) displayed a notable correlation with serve speed (p < 0.05). The results obtained from the multiple regression analysis indicate that the combination of selected predictors (MBTSP-medicine ball throw shot put, OMBT-overhead medicine ball throw and GS-grip strength) explained 75% of the variability in serve speed. Significantly, MBTSP surfaced as the predominant predictor, autonomously elucidating 51% of the variability in serve speed. The importance of improving the analyzed motor skills of young female tennis players to enhance their serve in terms of speed is emphasized by the findings of this research.

Comprehensive secondary prevention of lateral epicondylitis in young tennis players

The research aims to increase the efficiency of the training process for young tennis players old based on lateral epicondylitis secondary prevention methods. Tennis players with apparent residual effects of lateral epicondylitis were selected for the study and divided into experimental (18 boys and 14 girls) and control groups (18 boys and 13 girls). The experimental group was trained according to the developed technique, and the control group as per standard one. The results of goniometry in the experimental group showed the normalization of the motion amplitude in extension and supination. The motor density of the training session applying the complex technique for the secondary prevention of lateral epicondylitis in the experimental group increased on average from 66.6% to 82.2% in boys and from 65.7% to 80.0% in girls.

The expert eye? An inter-rater comparison of elite tennis serve kinematics and performance

This study examined the reliability of expert tennis coaches/biomechanists to qualitatively assess selected features of the serve with the aid of two-dimensional (2D) video replays. Two expert high-performance coaches rated the serves of 150 male and 150 female players across three different age groups from two different camera viewing angles. Serve performance was rated across 13 variables that represented commonly investigated and coached (serve) mechanics using a 1-7 Likert rating scale. A total of 7800 ratings were performed. The reliability of the experts' ratings was assessed using a Krippendorffs alpha. Strong agreement was shown across all age groups and genders when the experts rated the overall serve score (0.727-0.924), power or speed of the serve (0.720-0.907), rhythm (0.744-0.944), quality of the trunk action (0.775-1.000), leg drive (0.731-0.959) and the likelihood of back injury (0.703-0.934). They encountered greater difficulty in consistently rating shoulder internal rotation speed (0.688-0.717). In high-performance settings, the desire for highly precise measurement and large data sets powered by new technologies, is commonplace but this study revealed that tennis experts, through the use of 2D video, can reliably rate important mechanical features of the game's most important shot, the serve.

Effects of physical training programs on female tennis players' performance: a systematic review and meta-analysis

Background: Tennis is among the world's most popular and well-studied sports. Physical training has commonly been used as an intervention among athletes. However, a comprehensive review of the literature on the effects of physical training programs on female tennis players' performance is lacking. Therefore, this systematic review and meta-analysis aimed to determine the effects of physical training on performance outcomes in female tennis players. Methods: A comprehensive search was conducted on Web of Science, PubMed, SPORTDicus, Scopus, and CNKI from inception until July 2023 to select relevant articles from the accessible literature. Only controlled trials were included if they examined the effects of physical training on at least one measure of tennis-specific performance in female tennis players. The Cochrane RoB tool was employed to assess the risk of bias. The CERT scale was used to examine the quality of program information. The GRADE approach was adopted to evaluate the overall quality of the evidence. The Comprehensive Meta-Analysis software was used for the meta-analysis. Results: Nine studies were selected for the systematic review and seven for the meta-analysis, totaling 222 individuals. The study's exercise programs lasted 6-36 weeks, with training sessions ranging from 30 to 80 min, conducted one to five times per week. Muscle power (ES = 0.72; p = 0.003), muscle strength (ES = 0.65; p = 0.002), agility (ES = 0.69; p = 0.002), serve velocity (ES = 0.72; p = 0.013), and serve accuracy (ES = 1.14; p = 0.002) demonstrated significant improvement following physical training, while no notable changes in linear sprint speed (ES = 0.63; p = 0.07) were detected. Conclusion: Although research on physical training in sports is diversified, studies on training interventions among female tennis players are scarce. This review found that existing training programs yield some favorable outcomes for female tennis players. However, further research with high methodological quality is warranted on the tailoring of specific training programs for female tennis players. There should be more consistent measuring and reporting of data to facilitate meaningful data pooling for future meta-analyses.

Is there an association between joint range of motion and muscle strength in young female dancers? And, does it depend on the effects of age and menarche?

Aiming to determine the association between joint range of motion (ROM) and muscle strength; and, the effect of age and menarche on those two factors; 132 pre-and post-menarche dancers, aged 12-14 years were assessed for joint ROM and for muscle strength at the hip, knee and ankle and foot joints. En-pointe ROM was significantly correlated with ankle plantar-flexors' (r = -.184) and with ankle dorsiflexors' muscle strength (r = -.221). Hip external rotation ROM was significantly correlated with knee extensors' strength (r = -.263). Pre-menarche dancers had higher joint ROM compared with post-menarche dancers; yet, dancers at post-menarche were stronger compared to dancers at pre-menarche. The slope coefficient was negative at the age of 12 in hip external rotation and in en-pointe (-0.80 and -0.52, respectively) and became steeper with age (age 13: -3.52 and -3.28, respectively; age 14: -6.31 and -4.42, respectively). Along maturation, dancers with high joints ROM showed reduced muscle strength. Pre-menarche dancers have higher joint ROM, yet reduced muscle strength, compared with post-menarche dancers. As the association between joint ROM and muscle strength might be involved with growth and development, young dancers should be screened along pubertal stages in order to decide the correct curricula and to prevent future injuries.

Association of Selected Fitness Variables with Perceived Performance Levels in Lawn Tennis Players

Objectives Lawn tennis is an explosive sport that involves various fitness parameters such as explosive strength, endurance, power, and agility. Improved physical fitness leads to superior athletic performance. The coach's perception is contingent upon his perception of the player at the time the athlete is comparing himself to the coach. Thus, this study aimed to determine the association between chosen fitness factors and perceived performance by coach in lawn tennis players. Thus, the study aims to detect the relationship between different fitness variables and perceived level of performance in lawn tennis player.

Materials and Methods Fifty-two lawn tennis players from two sports academies were measured for various parameters of fitness and perceived performance level as rated by the coach.

Statistical Analysis The association between selected fitness metrics and perceived performance in lawn tennis players was investigated using Pearson's correlation test. Furthermore, the data were analyzed with paired t-test for male and female group, and ANOVA was used to analyze the difference between the levels of performance.

Results Fatigue index, closed kinetic chain upper extremity stability (CKCUEST) test, and peak power and energy expenditure taken by metabolic equivalent (MET) calculation was found to be statistically different between males and females. While comparing BMI with the peak power, there was a weak positive correlation for males, while for female there was no correlation. Metabolic equivalent, energy expenditure, and peak power were positively correlated with the level of performance; however, fatigue index and level of performance had a negative nonsignificant correlation.

Conclusion Peak power, fatigue index, energy expenditure, and BMI were found to be associated in males, but not in females. Peak power and energy expenditure were connected to performance in both genders.

The Association Between Chronological Age and Maturity Status on Lower Body Clinical Measurements and Asymmetries in Elite Youth Tennis Players

BACKGROUND

Tennis is one of the most popular sports among youths. At elite levels, a notable increase in injury incidence and a temporary decline in performance may occur when children progress through puberty. However, limited research has explored maturity-associated variations in clinical measurements suggested as predictors of injury and tennis performance in elite youth players. Therefore, the main purpose of this study was to analyze the association between chronological age and maturity status on several measures of neuromuscular capability and physical performance as well as bilateral (interlimb) asymmetries in elite youth tennis players.

HYPOTHESIS

Youth tennis players around peak height velocity (PHV) will show higher growth-related impairments or deficits in measures of neuromuscular capability and physical performance than their less (pre-PHV) and more (post-PHV) mature counterparts irrespective of sex.

LEVEL OF EVIDENCE

Level 4.

METHODS

A total of 68 male (age, 13.7 ± 1.1 years; height, 162.4 ± 9.4 cm; body mass, 51.4 ± 10.3 kg [Mean values ± SD]) and 60 female (age, 13.6 ± 1.1 years; height, 162.8 ± 7.2 cm; body mass, 52.7 ± 7.5 kg [Mean values ± SD]) elite youth tennis players from 2 different age groups (under 13 [U13] and under 15 [U15]) and maturity status (pre-PHV, around PHV, and post-PHV), were tested during national training camps. Tests included the Y Balance Test, isometric hip abduction and adduction strength, hip ranges of motion (ROMs), and countermovement jump (CMJ) height. Bayesian analysis was used to establish any significant between-group differences.

RESULTS

Only dynamic balance (in boys; Bayesian factor [BF₁₀] = 88.2) and jump height (in both boys and girls; BF₁₀ >100) were significatively associated with chronological age, whereby the U15 group showed lower Y Balance Test reach distances (-6%; standardized effect size δ = 0.62) but higher CMJ height scores (+18%; δ = 0.73) than the U13 group. Although boys jump higher (+11%; δ = 0.62) and were stronger in isometric hip adduction strength (+14%; δ = 0.92) than girls, the latter had greater hip internal ROM values (+15%; δ = 0.75). Furthermore, relevant maturity-associated effects (BF₁₀ = 34.6) were solely observed for the CMJ test in boys, with the most mature players demonstrating higher jump height scores (+12%; δ = 0.93). Finally, a significant percentage (>25%) of tennis players, independent of sex, demonstrated bilateral asymmetries in hip ROM, hip strength, and jump height values.

CONCLUSION

The findings of this study show that in U13 and U15 male and female tennis players, there were neither positive nor negative maturity-associated variations in the clinical measurements analyzed (with the exception of jump height in male players). The high proportion of tennis players showing bilateral asymmetries in dynamic balance, hip ROM, and strength and jump performance highlight the need of future studies to analyze these factors in relation to unilateral tennis-specific adaptations in the musculoskeletal and sensorimotor systems.

CLINICAL RELEVANCE

These results may help to better understand how different clinical measurements are associated with the process of growth and maturation in elite youth tennis players and may aid in the design of specific training interventions during these stages of development.

Glenohumeral Internal Rotation Deficit in the Adolescent Overhead Athlete: A Systematic Review and Meta-Analysis

OBJECTIVE

The objective of this review was to investigate the average glenohumeral internal rotation deficit (GIRD) in the dominant arm of adolescent overhead athletes and to examine the association with shoulder and elbow injuries.

DESIGN

Systematic review and meta-analysis.

SETTING

MEDLINE, Embase, and PubMed were searched from inception to August 1, 2020.

PARTICIPANTS

Adolescent overhead athletes with glenohumeral range of motion (ROM) measurements.

INTERVENTIONS

Nonoperative treatments of GIRD.

MAIN OUTCOME MEASURES

Glenohumeral ROM measurements comparing the dominant and nondominant extremities were pooled in a meta-analysis.

RESULTS

Twenty-five studies were included in this review, which involved 2522 overhead athletes. Pooled internal rotation (IR) deficit of the dominant arm was 9.60° (95% confidence interval [CI] 7.87°-11.32°, P < 0.00001), with an external rotation (ER) gain of 6.78° (95% CI 4.97°-8.59°, P < 0.00001) and a total ROM (TROM) deficit of 1.78° (95% CI -0.70° to 4.26°, P = 0.16). The association between GIRD and shoulder or elbow injury was not clearly defined. Two studies reported treatment, and both used nonoperative treatment in the form of physiotherapy and sleeper stretches.

CONCLUSIONS

The adolescent overhead athlete has roughly 10° of IR deficit in their dominant arm, accompanied by nearly 7° of ER gain, with similar ROM measurements for injured and uninjured athletes. Those with pathological GIRD have a greater degree of IR deficit, but without an accompanying compensatory increase in ER, leading to a TROM deficit of nearly 15°. Surgical treatment in the absence of other indications is rare, whereas physiotherapy and sleeper stretches remain the first-line treatment.

Determinant Physical Factors of Tennis Serve Velocity: A Brief Review

PURPOSE

To review the main physical aspects that could positively or negatively influence serve velocity (SV).

METHODS

An examination of existing literature including studies analyzing positive (biomechanical aspects, anthropometrics, range of motion, strength, and power) and negative (competition-induced fatigue) associations to SV are summarized in this review.

RESULTS

Aspects such as lower-leg drive, hip and trunk rotations, upper-arm extension, and internal rotation seem to be the major contributors to racquet and ball speed. Favorable anthropometric characteristics, such as body height, arm length, and a greater lean body mass, seem to positively influence SV. Also, strength indicators such as maximal isometric strength and rate of force development in specific joint positions involved in the kinetic chain alongside upper-body power seem to be related to faster serves. On the other hand, the effects of prolonged or repetitive match play may impair the aforementioned factors and negatively influence SV.

CONCLUSIONS

Following specific serving models that seem to enhance velocity production and efficient motion is highly recommended. Moreover, achieving a higher impact point, alongside shifting body composition toward a greater lean body mass, will most likely aid toward faster serves. Programs aiming at improving maximal isometric strength and rate of force development in specific positions involved in the kinetic chain including stretch-shortening cycle predominance and the mimicking of the serve motion seem of great interest to potentially increase SV. Effective recovery and monitoring of these variables appear to be essential to avoid impairments produced by continued or repetitive competition loads.

Physical fitness and throwing speed in U13 versus U15 male handball players

Background

The aim of this study was to analyze the shoulder functional profile (rotation range of motion [ROM] and strength), upper and lower body performance, and throwing speed of U13 versus U15 male handball players, and to establish the relationship between these measures of physical fitness and throwing speed.

Methods

One-hundred and nineteen young male handball players (under (U)-13 (U13) [n = 85]) and U15 [n = 34]) volunteered to participate in this study. The participating athletes had a mean background of sytematic handball training of 5.5 ± 2.8 years and they exercised on average 540 ± 10.1 min per week including sport-specific team handball training and strength and conditioning programs. Players were tested for passive shoulder range-of-motion (ROM) for both internal (IR) and external rotation (ER) and isometric strength (i.e., IR and ER) of the dominant/non-dominant shoulders, overhead medicine ball throw (OMB), hip isometric abductor (ABD) and adductor (ADD) strength, hip ROM, jumps (countermovement jump [CMJ] and triple leg-hop [3H] for distance), linear sprint test, modified 505 change-of-direction (COD) test and handball throwing speed (7 m [HT7] and 9 m [HT9]).

Results

U15 players outperformed U13 in upper (i.e., HT7 and HT9 speed, OMB, absolute IR and ER strength of the dominant and non-dominant sides; Cohen’s d: 0.76–2.13) and lower body (i.e., CMJ, 3H, 20-m sprint and COD, hip ABD and ADD; d: 0.70–2.33) performance measures. Regarding shoulder ROM outcomes, a lower IR ROM was found of the dominant side in the U15 group compared to the U13 and a higher ER ROM on both sides in U15 (d: 0.76–1.04). It seems that primarily anthropometric characteristics (i.e., body height, body mass) and upper body strength/power (OMB distance) are the most important factors that explain the throw speed variance in male handball players, particularly in U13.

Conclusions

Findings from this study imply that regular performance monitoring is important for performance development and for minimizing injury risk of the shoulder in both age categories of young male handball players. Besides measures of physical fitness, anthropometric data should be recorded because handball throwing performance is related to these measures.

Inter-Limb Muscle Property Differences in Junior Tennis Players

The goal of this study was to investigate side-to-side differences and asymmetries regarding muscle characteristics in young tennis players. Thirty-four participants performed contractile property measurements (stiffness, tone, elasticity and time to relaxation) on the dominant and non-dominant extremities including nine muscle groups involved in the kinetic chain of main tennis strokes. Significant differences (p≤0.05) and small-to-moderate effect sizes for greater stiffness and tone were found for the dominant biceps femoris (-11.1% and -5.6%; ES=0.53 and 0.54) and the non-dominant vastus medialis (5.4% and 3.2%; ES=-0.33 and -0.41), while greater tone was present in the non-dominant pectoralis major (4.0%; ES=-0.56). Time to relaxation was increased in the dominant biceps femoris (10.3%; ES=-0.58), the non-dominant pectoralis major (5.1%; ES=-0.56) and the gastrocnemius (9.1%; ES=-0.5). The non-dominant infraspinatus and dominant rectus abdominis showed greater elasticity than contralateral muscles (9.9% and -8.0%; ES=-0.58 and 0.6, respectively). These results reflect the existence of small-to-moderate differences when comparing side-to-side values of contractile characteristics in a small amount of the muscle groups tested. However, passive measurements of a relaxed muscle do not seem to fully reflect possible adaptation and changes derived from gameplay in young tennis players.

Match Analysis, Physical Training, Risk of Injury and Rehabilitation in Padel: Overview of the Literature

Padel is a racket sport that has been gaining great popularity and scientific interest in recent years. It could be considered to be a high-intensity intermittent sport with valuable cardiovascular and neuromuscular benefits; however, the risk of injury cannot be neglected. To date, there is still a gap of knowledge in the scientific literature on this emergent sport. Therefore, the present review aims to synthetize the current knowledge on padel game dynamics to better characterize the main risk factors, the injury rate and characteristics, and the most effective rehabilitative treatment strategies. PubMed, Scopus, Cochrane, and PEDro were screened up to January 2022 to identify eligible studies focusing on padel players as participants. Out of 160 records, we included 19 studies, which were focused on match analysis, anthropometric and physical training, the risk of injury, and rehabilitative interventions. The results showed that the high action velocity and the sudden changes in direction during a padel match could represent a risk factor for injuries, especially in untrained players. However, the high heterogeneity of the studies in the literature hinders our ability to draw any strong conclusions, and the results should be carefully considered. Future research should address the lack of knowledge on injury mechanisms and type to implement a tailored rehabilitation program.

Eccentric and Isometric Shoulder Rotation Strength and Range of Motion: Normative Values for Adolescent Competitive Tennis Players

The aim of this cross-sectional study was to investigate isometric internal rotation (IR), external rotation (ER), abduction (ABD), and eccentric external rotation (eccER) shoulder strength and rotational range of motion (ROM) in adolescent male and female competitive tennis players. Additional aims of the study were to provide a tennis-specific normative database based on a large sample of players to deepen the knowledge regarding shoulder strength and ROM for adolescent competitive tennis players, and to discuss differences based on sex, age, and level of play. Shoulder strength and ROM was assessed in 301 adolescent competitive tennis players, 176 boys and 125 girls with a mean age of 14.6 and 14.4 years, respectively. Outcome variables of interest were isometric IR and ER strength, ABD strength, eccER shoulder strength, intermuscular strength ratios ER/IR and eccER/IR, IR ROM, ER ROM, and total range of motion (TROM). A General Linear Model two-way ANOVA was used to analyze differences in sex, age, and level of play. The findings of this study demonstrated age, side, and sex differences in the shoulder isometric strength, the eccER strength and ROM in adolescent competitive tennis players. Furthermore, when strength was expressed as ratios ER/IR and eccER/IR both sexes showed a lower ratio for eccER/IR in national players (0.95 ± 0.22 and 0.95 ± 0.23) compared to regional players (1.01 ± 0.32 and 1.07 ± 0.29) for male and female players, respectively. In conclusion, this paper presents a tennis-specific normative database for shoulder rotation strength and ROM in adolescent male and female competitive players. The key points in this evaluation are strength values normalized to body mass, intermuscular ratios, and TROM.

Flexibility, Position, and Strength of the Shoulder Complex in Pediatric and Adult Amateur Tennis Athletes

CONTEXT

Understanding the musculoskeletal adaptations in the shoulder complex of varying ages of tennis athletes may suggest preventive protocols and conditioning and rehabilitation programs to this population. This study aimed to generate a bilateral descriptive profile of shoulder flexibility, scapular and clavicular position, and muscle strength in pediatric and adult amateur tennis athletes. The outcome measures were compared between groups and sides. The number and percentage of athletes "at risk" according to cutoff values for shoulder range of motion (ROM) were also analyzed.

DESIGN

Cross-sectional study.

METHODS

36 pediatric and 28 adult amateur tennis athletes were tested. Outcome measures were ROM of shoulder flexion, abduction, internal and external rotation, posterior capsule tightness, pectoralis minor index (PMI), scapular upward rotation, clavicular elevation, and strength of the external rotators, serratus anterior, and lower trapezius of the dominant/nondominant sides.

RESULTS

Pediatric athletes had greater dominant side external rotation (P = .01) and total ROM (P = .04), increased Low Flexion test (P = .01), and decreased PMI (P = .01) compared with the adults. Bilaterally, the pediatric athletes had greater dominant side external rotation ROM (P < .01) and decreased PMI (P = .002) as compared with their nondominant side, whereas the adults displayed lower values on posterior capsule tightness (P = .01) and decreased PMI (P = .02) on their dominant side compared with their nondominant side. For the remaining outcomes, no interaction effects were observed. The cutoff values for shoulder ROM showed that several athletes were "at risk" of shoulder problems.

CONCLUSION

Upper extremity adaptations at the shoulder are present in both pediatric and adult tennis athletes. These data can assist clinicians in better understanding the biomechanical adaptations in the shoulder of amateur tennis athletes in different age groups.

Fitness testing in tennis: Influence of anthropometric characteristics, physical performance, and functional test on serve velocity in professional players

The aims of this study were to examine the relationship between anthropometric variables, physical performance, and functional test with serve velocity regarding tennis players’ level and to design regression models that effectively predict serve velocity. A sample of sixteen male tennis players participated in this study (national level = 8, professional level = 7). Anthropometric measurements (body mass, height, body mass index and body segments) and physical test (hand strength, countermovement jump, jump on serve, and serve velocity) and functional test (medicine ball throw overhead and shot put) were performed. No differences in anthropometrics and physical test were found between national and professional levels. A significant positive correlation (p < 0.05, ranging for 0.603 to 0.932) was found between some anthropometrics measurements (body mass, height, arm, forearm, and leg segments), physical parameters (hand strength, countermovement jump) and functional test (medicine ball throw shot put and overhead) with serve velocity for all tennis players. Multiple regression analysis indicated that medicine ball throw shot put was the most important test to explain serve velocity (r² = 0.869). The results showed how the combination of physical and anthropometric factors have an impact on serve velocity. In addition, a new functional fitness test (medicine ball throw shot put) is proposed as an alternative to traditional medicine ball throw overhead due to its high reproducibility (inter-trial reliability) and predictive validity values, as well as by multi-segmental coordination movement similar to tennis serve.

Shoulder Range of Motion, Rotator Strength, and Upper-Extremity Functional Performance in Junior Tennis Players

PURPOSE

Repetitive and asymmetric movements in tennis can result in biomechanical adaptation in shoulder joint. The aim of this study was to investigate the differences in shoulder range of motion (ROM), strength, and functional performance tests between the dominant and nondominant shoulders, as well as to identify gender differences in junior tennis players.

METHODS

Forty-two junior tennis players (age mean: 11.3 [1.2] y, body mass index 18.3 [2.4] kg/m2) were included in the study. Shoulder internal rotation (IR), external rotation (ER) ROM, and total ROM, IR and ER isokinetic strength and closed kinetic chain upper-extremity stability, seated medicine ball throw used, grip hold tests were applied bilaterally. Paired sample t test and Student t test were used to compare the differences.

RESULTS

ER ROM was greater, while IR ROM and total ROM were lower on the dominant shoulder (all P values < .05). Nineteen players had glenohumeral IR deficit (IR ROM difference >13°). The players had a greater ER strength on the dominant side and similar IR strength between shoulders. There was significant difference in seated medicine ball throw results between the dominant and nondominant sides (P < .001). The mean distance for bilateral seated medicine ball throw was 377.02 (85.70) m, and closed kinetic chain upper-extremity stability results were calculated as a mean of 15.85 (1.72) touches. Differences between the genders: total ROM of the dominant shoulder was higher in female players (P = .045), the IR PT/BW at 60°/s angular speed was higher in male players' dominant shoulder (P = .030), and closed kinetic chain upper-extremity stability performance was higher in male players (P = .019).

CONCLUSIONS

Adolescent tennis players demonstrated differences in strength, ROM, and functional performance results between the dominant and nondominant shoulders. Gender differences were also seen in the aforementioned parameters in junior tennis players. Determining these differences may improve our understanding of sport-specific shoulder joint adaptations in tennis.

Anthropometric Characterization and Physical Performance by Age and Biological Maturation in Young Tennis Players

The objective was to analyze anthropometric and physical performance variables as a function of chronological age and biological maturity in young Chilean tennis players. The study was observational, cross-sectional, with descriptive and analytical characteristics. Eighty-seven tennis players were evaluated (58 men 15.1 ± 0.8 years and 29 women, 15.3 ± 0.8 years). The measured anthropometric variables were a sprint test of 20m; a modified agility test; a sit-and-reach test and shoulder flexibility; manual grip strength; horizontal jump in feet; a medicine ball throw; a countermovement vertical jump; an abalakov vertical jump and a 20-m shuttle-run test. The growth velocity acceleration peak (APHV), skeletal muscle mass and fat mass were calculated, R² and standard error of estimate (SEE) were examined. The results show that chronological age explained the anthropometric variables between 1 and 23% in men and 1 and 29% in women; by biological age, variables were explained between 3 and 53% in men and 2 and 42% in women. Of the physical performance variables, chronological age described between 2 and 24% of them in men and 1 and 29% in women; the same were explained by biological age between 1 and 19% in men and 1 and 26% in women. We conclude that anthropometric variables showed a better relationship with biological age, except for volume of fat tissue, while physical performance variables showed low association with both biological and chronological age.

Gender Differences in Physical Fitness Characteristics in Professional Padel Players

The aims of the present study were to examine the fitness characteristics of professional padel players and to determine differences in physical performance regarding players' gender. Thirty professional padel players (men: n = 15, age = 27.4 ± 6.8 years, height = 177.9 ± 4.0 cm; women: n = 15, age = 30.0 ± 4.2 years, height = 166.6 ± 4.8 cm) completed a 4-day evaluation process, including: isometric handgrip strength, sit and reach, 10 × 5 shuttle test, countermovement jump (CMJ), squat jump (SJ), Abalakov test, one-repetition maximum test (bench press, leg extension, leg curl, lat pulldowns, overhead press, and shoulder press), anthropometry and VO2 max tests. The men players had higher values in terms of weight, height, one maximum repetition, jump tests (CMJ and ABK) and VO2 max test than the women (p < 0.005). By contrast, the women had higher values for fat mass (p = 0.005; ES: 2.49). The values from this multifaceted test battery can be a useful guide for coaches regarding players' development in future evaluations and monitoring.

Relationship between upper limb physical performance tests and muscle strength of scapular, shoulder and spine stabilizers: A cross-sectional study

INTRODUCTION

Performance tests of the upper limb have been frequently used in the evaluation of individuals to identify risk of injury and to determine improvement in physical performance. Understanding the variables related to the performance of the tests is important for better applicability and interpretation of test results. The aim of this cross-sectional study was to investige the correlation between isometric strength of scapular, shoulder and spine muscles with physical performance test of upper limb in men and women.

EXPERIMENTAL

Forty-nine healthy and physically conditioned individuals, men (n = 24) (22,7 ± 3,2 years; 74,6 ± 8,1 Kg; 176,7 ± 7,1 cm) women (n = 25) (23 ± 2,7 years; 61,5 ± 9,1 Kg; 163,2 ± 5,6 cm), were evaluated for shoulder abductor isometric strength (S-ABD); Middle (MT) and lower (LT) trapezium; lateral shoulder rotators (S-LR); flexors (T-FLEX), lateral incliners (T-INCL), and trunk extenders (T-EXT). Evaluation of upper limb physical performance was carried out by Upper Quarter Y Balance test (YBT-UQ) and Chain upper extremity stability test (CKC-UEST). Pearson's test (r values) p ≤ 0.05 was used to analyze the correlation.

RESULTS

The results reveal strong correlations between S-ABD and CKC-UEST in male group; and strong correlations in female group between S-ABD strength with CKC-UEST; and S-LR with all YBT-UQ directions and score and between T-EXT strength with CKC-UEST.

CONCLUSION

Therefore, strength of shoulder and spine stabilizers influences performance in upper limb tests, but with different correlations as to sex. To improve test performance, it may be important to increase the strength of the shoulder and spine muscles.

Performance in male and female elite tennis across season of birth

In the field of sports, there is an overrepresentation of athletes born in the initial months of the selection year, and an underrepresentation of athletes born in the latter months of the selection year. This season of birth effect appears to lead to a disadvantage in performance, even though with a considerable variability regarding age, sex, and skill. This study addressed season of birth effects on performance with the best one hundred male and female tennis players in the world. Specifically, we examined whether season of birth moderates the association of body height and ranking position with tennis performance. The main findings indicated that body height and rank associated in the expected direction with first service wins, break points saved, and a success rate describing the ratio of match wins to match defeats. For females born later in the selection year, however, height was unrelated to the percentage of first service wins or break points saved, and occupying higher positions in the ranking did not contribute to improve the ratio of wins to defeats. These findings suggest that season of birth effects on performance might operate for women but not for men when comparing highly selected populations such as the best tennis players in the world.

Physical Fitness in Young Padel Players: A Cross-Sectional Study

This study aimed to examine the fitness characteristics and to identify the influence of gender and practice experience between young amateur padel players. A total of thirty-four padel players (n = 19 boys and 15 girls) aged 13 to 17 years old (age 14.6 ± 1.5 years; body mass 63.4 ± 14.5 kg; height 166.6 ± 9.8 cm; 6.2 ± 2.5 padel experience) volunteered to participate. Body composition was assessed by bioimpedance. Change of direction and agility were evaluated by two padel-adapted tests. Upper-limb strength measurement included overhead and side medicine ball throws with dominant and non-dominant hands. One-way ANCOVA was used to determine whether there were significant differences between gender and experience on fitness variables adjusting for age as a covariate. Male and female young padel players presented an apparently healthy body composition and exhibited similar performance in all fitness tests except for jumping ability. Practice experience seemed to influence upper-limb throwing strength, however, sub-analyses revealed no conclusive results. These results contribute to the existing knowledge in padel by providing new data about the fitness status of amateur young players aged 13 to 17 years old and open a window for future interventions using padel as a health promotion tool among youths.

Key Physical Factors in the Serve Velocity of Male Professional Wheelchair Tennis Players

The aim of this study was to identify the physical factors related to serve speed in male professional wheelchair tennis players (WT). Nine best nationally-ranked Spanish male wheelchair tennis players (38.35 ± 11.28 years, 63.77 ± 7.01 kg) completed a neuromuscular test battery consisting of: isometric handgrip strength; serve velocity; 5, 10 and 20 m sprint (with and without racket); agility (with and without racket); medicine ball throw (serve, forehand and backhand movements); and an incremental endurance test specific to WT. Significantly higher correlations were observed in serve (r = 0.921), forehand (r = 0.810) and backhand (r = 0.791) medicine ball throws showing a positive correlation with serve velocity. A regression analysis identified a single model with the medicine ball throw serve as the main predictor of serve velocity (r² = 0.847, p < 0.001). In conclusion, it is recommended that coaches and physical trainers include medicine ball throw workouts in the training programs of WT tennis players due to the transfer benefits to the serve speed.

Injury and training history are associated with glenohumeral internal rotation deficit in youth tennis athletes

A glenohumeral internal rotation deficit (GIRD) of the shoulder, is associated with an increased risk of shoulder injuries in tennis athletes. The aim of the present study was to reveal the impact of 1) age, sex, specific training data (i.e. training volume, years of tennis practice, years of competitive play) and 2) upper extremity injuries on GIRD in youth competitive tennis athletes.

A cross-sectional retrospective study design was adopted. Youth tennis players (n = 27, 12.6 ± 1.80 yrs., 18 male) belonging to an elite tennis squad were included. After documenting the independent variables (anthropometric data, tennis specific data and history of injury), the players were tested for internal (IR) and external (ER) shoulder rotation range of motion (RoM, [°]). From these raw values, the GIRD parameters ER/IR ratio and side differences and TRoM side differences were calculated. Pearson’s correlation analyses were performed to find potential associations of the independent variables with the GIRD outcomes.

A significant positive linear correlation between the years of tennis training and IR side asymmetry occurred (p < .05). A significant negative linear relation between the years of tennis training and the ratio of ER to IR range of motion (RoM) in the dominant side (p < .05) was found. The analysis of covariance showed a significant influence of the history of injuries on IR RoM (p < .05).

Injury and training history but not age or training volume may impact on glenohumeral internal rotation deficit in youth tennis athletes. We showed that GIRD in the dominant side in youth tennis players is progressive with increasing years of tennis practice and independent of years of practice associated with the history of injuries. Early detection of decreased glenohumeral RoM (specifically IR), as well as injury prevention training programs, may be useful to reduce GIRD and its negative consequences.

Change of Direction Performance in Young Tennis Players: A Comparative Study Between Sexes and Age Categories

Fernandez-Fernandez, J, Loturco, I, Pereira, LA, Del Coso, J, Areces, F, Gallo-Salazar, C, and Sanz-Rivas, D. Change of direction performance in young tennis players: a comparative study between sexes and age-categories. J Strength Cond Res XX(X): 000-000, 2019-The aim of this study was to examine the differences in linear sprint, change of direction (COD) performance, and COD deficit in a large sample of under-13 (U13) and under-15 (U15) male and female tennis players. One hundred and twenty-eight junior tennis players grouped into 2 age-groups (U13 years [32 boys and 28 girls] and U15 [36 boys and 32 girls]) participated in this study. Tests included anthropometric measurements, sprints (5-, 10- and 20-m), and a modified version of the 505 COD test. The differences in performance between age-categories and sex were assessed via an independent t-test. The differences in the physical tests between U13 and U15 players were tested using a univariate analysis, with age and anthropometric variables as covariates. Effect sizes (ESs) were calculated for pairwise comparisons. Results showed that boys presented lower 20-m sprint times than girls in the U13 (ES: 0.54; p < 0.05), and lower linear sprint (5-20-m) and COD times than girls in the U15 category (ES varying from 0.67 to 1.60; p < 0.05). Comparing age-groups, U15 girls demonstrated a higher COD deficit than the U13 (p < 0.05), whereas no differences were found in the other variables. In boys, no significant differences were observed in any variable when comparing both categories. These results could be of great interest for coaches and researchers involved in the development and training of elite tennis players, suggesting the need to include strategies able to improve sprint and COD performance throughout the players' specialization process.