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Daab W, Zghal F, Nassis GP, Rebai H, Moalla W, Bouzid MA. Chronic beetroot juice supplementation attenuates neuromuscular fatigue etiology during simulated soccer match play. Appl Physiol Nutr Metab 2024; 49:105-113. [PMID: 37696044 DOI: 10.1139/apnm-2023-0179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/13/2023]
Abstract
The aim of the present study was to assess the effect of beetroot juice supplementation (BEET) on neuromuscular fatigue etiology during simulated soccer match play. In a randomized, double-blind, crossover design, 13 soccer players completed the Loughborough Intermittent Shuttle Test (LIST). Players received either BEET (2×150 mL; ∼8 mmol/L nitrate) or placebo (PLA) for 7 days (6 days prior to the experimental session and on the day of trial, 2 h before LIST). Neuromuscular assessments were performed at baseline, 45 min (half time: HT), and 90 min (full time: FT) following LIST. Maximal voluntary contraction (MVC) and twitch responses, delivered through electrical femoral nerve stimulation, were used to assess peripheral (quadriceps resting twitch force Qtw,pot) and central fatigue (voluntary activation, VA). Compared with baseline, MVC Qtw,pot and VA values decreased in PLA and BEET conditions at HT and FT (P < 0.05). Compared with PLA, the decrease in MVC and Qtw,pot was significantly attenuated with BEET at HT and FT (P < 0.001). Likewise, BEET attenuated the decrease in VA at HT (P < 0.001, d = 1.3) and FT (P < 0.001, d = 1.5) compared with the PLA condition. Chronic beetroot juice supplementation attenuates neuromuscular fatigue development during simulated soccer matches, and this is due to both central and peripheral factors. Consequently, chronic beetroot may optimize physical performance.
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Affiliation(s)
- Wael Daab
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Firas Zghal
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - George P Nassis
- Physical Education Department, College of Education (CEDU),United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, SDU Sport and Health Sciences Cluster,University of Southern Denmark, Odense, Denmark
| | - Haithem Rebai
- Research Laboratory Sports Performance Optimization (LR09SEP01), National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - Wassim Moalla
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Amine Bouzid
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
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Hubbard J, Pitcairn J, Brownstein CG. Exacerbated impairments in neuromuscular function when two bouts of team sport match simulations are separated by 48 h. Exp Physiol 2023; 108:1422-1433. [PMID: 37811800 PMCID: PMC10988426 DOI: 10.1113/ep091419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 09/25/2023] [Indexed: 10/10/2023]
Abstract
Intermittent team sports, involving high metabolic and mechanical demands, elicit prolonged impairments in neuromuscular function which persist for ∼48-72 h. Whether impairments in neuromuscular function are exacerbated when such exercise is repeated with incomplete recovery is unknown. This study assessed the neuromuscular, heart rate and metabolic responses to two bouts of ∼90 min modified team sport match simulations separated by 48 h in 12 competitive football players. Before and 2 min after both bouts, knee extensor isometric maximal voluntary contraction (MVC), contractile function (Qtw,pot ) and voluntary activation (VA) were measured. Heart rate (HR), sprint time, blood lactate and glucose were measured throughout both bouts. MVC was reduced relative to baseline at post-bout 1 (21 ± 12%; P = 0.003) and pre-bout 2 (14 ± 11%; P = 0.009), and was lower post-bout 2 (33 ± 14%; P < 0.001) relative to post-bout 1 (P = 0.036). Qtw,pot was reduced post-bout 1 (30 ± 11%; P < 0.001) and pre-bout 2 (9 ± 6%; P = 0.004), and was not different post-bout 2 (28 ± 8%; P < 0.001) relative to post-bout 1 (P = 0.872). VA was reduced post-bout 1 (8 ± 7%; P = 0.023), recovered pre-bout 2 (P = 0.133) and was lower post-bout 2 (16 ± 7%; P < 0.001) relative to post-bout 1 (P = 0.029). Total sprint time was longer, and HR, blood lactate and glucose were lower during bout 2 than bout 1 (P ≤ 0.021). Thus, impairments in neuromuscular function are exacerbated when high-intensity intermittent exercise is performed with incomplete recovery concurrent with accentuated reductions in VA. The lower blood lactate and glucose during the second bout might be due, at least in part, to reduced glycogen availability upon commencing exercise and consequently a greater reliance on glucose extraction. NEW FINDINGS: What is the central question of this study? There is limited evidence on whether impairments in neuromuscular function are exacerbated when prolonged high-intensity intermittent exercise is repeated with incomplete recovery: what are the neuromuscular consequences of performing two bouts of a modified team sport match simulations separated by 48 h? What is the main finding and its importance? Impairments in knee extensor force generating capacity are exacerbated concurrent with accentuated reductions in nervous system activation of muscle when prolonged high-intensity intermittent exercise is repeated with 48 h recovery.
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Affiliation(s)
- Joseph Hubbard
- School of Biomedical, Nutritional, and Sport SciencesFaculty of Medical Sciences Newcastle UniversityNewcastle upon TyneUK
| | - Jade Pitcairn
- School of Biomedical, Nutritional, and Sport SciencesFaculty of Medical Sciences Newcastle UniversityNewcastle upon TyneUK
| | - Callum G. Brownstein
- School of Biomedical, Nutritional, and Sport SciencesFaculty of Medical Sciences Newcastle UniversityNewcastle upon TyneUK
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Mihailescu L, Chiriac PB, Mihailescu LE, Manolachi V, Potop V. Determining the capacity for effort and recovery of the elite soccer players specialized in different playing positions. PeerJ 2023; 11:e15477. [PMID: 37273546 PMCID: PMC10234270 DOI: 10.7717/peerj.15477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 05/08/2023] [Indexed: 06/06/2023] Open
Abstract
Background The capacity for effort and recovery in performance sports can be increased by means of modern methodological strategies. This capacity to recover after intense matches and training helps to determine the performance in soccer. Using the Yumeiho technique will accelerate the exercise capacity recovery of the soccer players specialized in central zone positions. Methods The research was conducted with the C.S. Internațional Bălești team, formed of 16 players, aged 19-37 years, divided into two groups: experimental group A, n = 8 with central area players and control group B, n = 8 with players from side zones. Measurement and assessment tests: determining lactic acid level (LAC) in blood; 60 m sprinting speed motor test (ST); anaerobic lactic exercise; Gacon Test for evaluating the aerobic power; VO2max test; Dorgo Test for determining the individual recovery capacity; Sleep Quality and Efficiency Index (PSQI) and sleep duration. Means used in the recovery strategy: easy running, static stretching, cryotherapy; Yumeiho therapy was applied only to group A to accelerate the recovery. Results The anaerobic lactic capacity was evaluated by 60 m sprint test at the beginning and the end of the research. The results highlight the increase of the sprinting speed by 0.08 s in group A (p < 0.001). The aerobic capacity evaluated by means of Gacon Test in both groups shows the value 23.7%, namely a well-prepared level (p < 0.001). VO2max value in the soccer players of group A shows 87.5% good aerobic power, while the players of group B have 50% good aerobic power (p < 0.001). The concentration of LAC after exercise has a higher value in group A (p > 0.05). The level of recovery after exercise is improved in both groups, with larger differences in group A (very good level, p < 0.001). The PSQI grew by 20.37% in group A and by 11% in group B. The sleep duration increased in both groups (p < 0.001). The results of the correlation analysis in the soccer players of group A highlight strong connections of 14.8% while in group B the value is 12.5%. Conclusion The assessment of effort capacity in soccer players specialized in different playing positions at the beginning and the end of the research highlights the increase of the anaerobic lactic effort and aerobic effort. This assessment also shows the improvement of the individual recovery capacity. A higher PSQI and the increase of sleep duration in both groups, with greater differences of group A were found, which determined their level of capacity for effort and recovery. The use of the Yumeiho technique in the program of post-exercise recovery accelerates the aerobic and anaerobic lactic effort capacity of the soccer players specialized in the central zone positions. It positively influences exercise capacity recovery in general.
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Affiliation(s)
- Liliana Mihailescu
- Doctoral School of Sports Science and Physical Education, University of Pitesti, Pitesti, Romania
| | | | | | - Veaceslav Manolachi
- State University of Physical Education and Sport, Chisinau, Republic of Moldova
- “Dunarea de Jos” University of Galati, Galati, Romania
| | - Vladimir Potop
- Doctoral School of Sports Science and Physical Education, University of Pitesti, Pitesti, Romania
- Department of Physical Education and Sport, University of Pitesti, Pitesti, Romania
- State University of Physical Education and Sport, Chisinau, Republic of Moldova
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Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery. Eur J Appl Physiol 2022; 122:1153-1162. [PMID: 35195747 PMCID: PMC9012715 DOI: 10.1007/s00421-022-04915-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 02/15/2022] [Indexed: 01/01/2023]
Abstract
For centuries, cold temperatures have been used by humans for therapeutic, health and sporting recovery purposes. This application of cold for therapeutic purposes is regularly referred to as cryotherapy. Cryotherapies including ice, cold-water and cold air have been popularised by an ability to remove heat, reduce core and tissue temperatures, and alter blood flow in humans. The resulting downstream effects upon human physiologies providing benefits that include a reduced perception of pain, or analgesia, and an improved sensation of well-being. Ultimately, such benefits have been translated into therapies that may assist in improving post-exercise recovery, with further investigations assessing the role that cryotherapies can play in attenuating the ensuing post-exercise inflammatory response. Whilst considerable progress has been made in our understanding of the mechanistic changes associated with adopting cryotherapies, research focus tends to look towards the future rather than to the past. It has been suggested that this might be due to the notion of progress being defined as change over time from lower to higher states of knowledge. However, a historical perspective, studying a subject in light of its earliest phase and subsequent evolution, could help sharpen one's vision of the present; helping to generate new research questions as well as look at old questions in new ways. Therefore, the aim of this brief historical perspective is to highlight the origins of the many arms of this popular recovery and treatment technique, whilst further assessing the changing face of cryotherapy. We conclude by discussing what lies ahead in the future for cold-application techniques.
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Cross R, Lovell R, Marshall PW, Siegler J. Acute Neuromuscular Response to Team Sports-specific Running, Resistance, and Concurrent Training: A Cross-over Study. Med Sci Sports Exerc 2021; 54:456-465. [PMID: 34652335 DOI: 10.1249/mss.0000000000002804] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE To examine the changes in muscle contractile function, voluntary activation, and muscle damage following lower limb resistance training (RT), intermittent sprint exercise and concurrent training (CT). METHODS Ten male, recreational team sport athletes with a history of RT participated in a randomised cross-over study involving an intermittent sprint protocol (ISP), lower limb RT and CT (ISP and RT separated by 1 h). Prior to (PRE), immediately post (POST), 24 h and 48 h following each exercise condition, quadriceps muscle activation, voluntary activation, muscle contractile function (evoked twitch responses), creatine kinase (CK), muscle soreness and POMS-fatigue were recorded. RESULTS Quadriceps contractile function was hampered in all conditions, with a significantly greater decline observed POST RT (58.4 ± 18.0%) and CT (54.8 ± 8.6%) compared to ISP (35.9 ± 10.7%; p < 0.05), recovering at 48 h following all exercise conditions. POMS-fatigue ratings increased at POST in all conditions with CT and ISP eliciting the greatest increase, returning to baseline 48 h following all exercise conditions. Quadriceps muscle soreness remained elevated from PRE at 48 h following all exercise conditions. No changes across time were observed for voluntary activation and quadriceps surface EMG amplitude following any exercise condition. The volume and load lifted in the RT session was unaffected by prior intermittent exercise (ISP) in CT. CONCLUSION RT impairs contractile function which is not exacerbated when performed 1 h following the ISP. Contractile function following all exercise conditions displayed the same recovery profile (48 h) despite the post-exercise decrement being smaller following the ISP compared to RT and CT. Prior intermittent sprint exercise does not negatively impact the volume of exercise performed in a lower limb RT session.
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Affiliation(s)
- Rebecca Cross
- School of Health Science, Western Sydney University, Penrith, Australia College of Health Solutions, Arizona State University, Phoenix, AZ Department of Exercise Science, University of Auckland, Auckland, New Zealand
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Ma K, Zhang X, Ji J, Han L, Ding X, Xie W. Application and research progress of phase change materials in biomedical field. Biomater Sci 2021; 9:5762-5780. [PMID: 34351340 DOI: 10.1039/d1bm00719j] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Phase change materials (PCMs) are widely used in solar energy utilization, industrial waste heat recovery and building temperature regulation. However, there have been few studies on the application of PCMs in the field of biomedicine. In recent years, some scholars have carried out research in the biomedicine field using the characteristics of PCMs. It was observed that the excellent properties of PCMs enhance the quality of a variety of biomedical applications with many advantages over existing applications, which provide new methods for the treatment of disease. PCMs have broad application prospects in the field of biomedicine. Therefore, a timely review of relevant research progress is of great significance for the continuous development of new methods. Innovatively, from the unique perspective of the biomedical field, this paper systematically reviews the application and related research progress of PCMs from four aspects: cold chains for vaccines and medicines, drug delivery systems, thermotherapy/cold compress therapy and medical dressings. In addition, we summarize and discuss the general principles of the design and construction of PCMs in the biomedical field. Finally, existing problems, solutions and future research directions are also put forward in order to provide a basis for guidance and promote the future applications of phase change materials in the biomedicine field.
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Affiliation(s)
- Kunlin Ma
- Institute of Cool Thermal Storage Technology, Shanghai Maritime University, Shanghai 201306, China.
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Kwiecien SY, McHugh MP. The cold truth: the role of cryotherapy in the treatment of injury and recovery from exercise. Eur J Appl Physiol 2021; 121:2125-2142. [PMID: 33877402 DOI: 10.1007/s00421-021-04683-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 04/05/2021] [Indexed: 01/08/2023]
Abstract
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.
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Affiliation(s)
- Susan Y Kwiecien
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, USA.
| | - Malachy P McHugh
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, USA
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Kwiecien SY, McHugh MP, Howatson G. Don't Lose Your Cool With Cryotherapy: The Application of Phase Change Material for Prolonged Cooling in Athletic Recovery and Beyond. Front Sports Act Living 2020; 2:118. [PMID: 33345107 PMCID: PMC7739598 DOI: 10.3389/fspor.2020.00118] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 08/11/2020] [Indexed: 12/18/2022] Open
Abstract
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.
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Affiliation(s)
- Susan Y. Kwiecien
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, United States
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Malachy P. McHugh
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, United States
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Glyn Howatson
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, United Kingdom
- Water Research Group, North West University, Potchefstroom, South Africa
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Kwiecien SY, McHugh MP, Hicks KM, Keane KM, Howatson G. Prolonging the duration of cooling does not enhance recovery following a marathon. Scand J Med Sci Sports 2020; 31:21-29. [PMID: 32901996 DOI: 10.1111/sms.13822] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 08/19/2020] [Accepted: 08/31/2020] [Indexed: 12/14/2022]
Abstract
Runners commonly utilize cryotherapy as part of their recovery strategy. Cryotherapy has been ineffective in mitigating signs and symptoms of muscle damage following marathon running and is limited by its duration of application. Phase change material (PCM) packs can prolong the duration of cooling. This study aimed to test the efficacy of prolonging the duration of cooling using PCM on perceptual recovery, neuromuscular function, and blood markers following a marathon run. Thirty participants completed a marathon run and were randomized to receive three hours of 15°C PCM treatment covering the quadriceps or recover without an intervention (control). Quadriceps soreness, strength, countermovement jump (CMJ) height, creatine kinase (CK), and high sensitivity C-reactive protein (hsCRP) were recorded at baseline, 24, 48, and 72 hours after the marathon. Following the marathon, strength decreased in both groups (P < .0001), with no difference between groups. Compared to baseline, strength was reduced 24 (P = .004) and 48 hours after the marathon (P = .008) in the control group, but only 24 hours (P = .028) in the PCM group. Soreness increased (P < .0001) and CMJ height decreased (P < .0001) in both groups, with no difference between groups. Compared to baseline, CMJ height was not reduced on any days in the PCM group but was reduced in the control group 24 (P < .0001) and 48 hours (P = .003) after the marathon. CK and hsCRP increased in both groups (P < .0001). Although the marathon run induced significant muscle damage, prolonging the duration of cooling using PCM did not accelerate the resolution of any dependent variables.
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Affiliation(s)
- Susan Y Kwiecien
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, USA.,Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
| | - Malachy P McHugh
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, USA.,Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
| | - Kirsty M Hicks
- Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
| | - Karen M Keane
- Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
| | - Glyn Howatson
- Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle upon Tyne, UK.,Water Research Group, North West University, Potchefstroom, South Africa
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