• Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: a randomized controlled trial

      Wright, Amy; Stone, Keeron; Martinelli, Louis; Fryer, Simon; Smith, Grace; Lambrick, Danielle; Stoner, Lee; Jobson, Simon; Faulkner, James; University of Winchester; University of Gloucestershire; Hobbs Rehabilitation; University of Gloucestershire; University of Chester; University of Southampton; University of North Carolina; University of Winchester; University of Winchester (SAGE, 2020-12-27)
      Objectives:To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg orthosis on clinical functional outcomes in people with chronic stroke. Design:Randomized controlled trial. Setting:Home. Participants:Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n=16), using the device for 30 minutes per day, or (2)control group (n=18), 30 minutes of physical activity per day. Measurements:The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10- and 22-weeks after baseline. Results:Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10-weeks for over-ground robotic-assisted gait training (135±81m vs. 158±93m, respectively; P0.001) but not for control (122±92m vs. 119±84m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10-weeks (all P<.05). The differences observed in all of the aforementioned outcome measures were maintained at 22-weeks, 12 weeks after completing the intervention (all P >.05). Conclusion:Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks.
    • Low Body Fat Does Not Influence Recovery after Muscle-Damaging Lower-Limb Plyometrics in Young Male Team Sport Athletes.

      Fernandes, John F T; Lamb, Kevin L; orcid: 0000-0003-4481-4711; Twist, Craig; orcid: 0000-0001-6168-0378 (2020-11-05)
      This study assessed the influence of fat mass to fat-free mass ratio (FM:FFM) on recovery from plyometric exercise. After assessment of body composition, 20 male team sport players (age 20.7 ± 1.1 years; body mass 77.1 ± 11.5 kg) were divided into low- ( = 10; 0.11 ± 0.03) and normal- ( = 10; 0.27 ± 0.09) fat groups based on FM:FFM ratio. Thereafter, participants completed measurements of knee extensor torque at 60 and 240°∙s , countermovement jump flight time, plasma creatine kinase (CK) activity and perceived muscle soreness (VAS) before and at 0, 24 and 48 h after 10 × 10 maximal plyometric vertical jumps. Evidence of muscle damage was confirmed by alterations in VAS, peak torque at 60 and 240°∙s and flight time at 0, 24 and 48 h after plyometric exercise ( < 0.05). CK was increased at 0 and 24 h ( < 0.05) but returned to baseline values by 48 h. No time by group effects were observed for any of the dependent variables ( > 0.05). The current findings indicate that while muscle damage was present after plyometric exercise, the magnitude was similar across the two body composition groups. Applied practitioners can allow for a similar recovery time after plyometric exercise in those with low and normal body fat.
    • Fitness Monitoring in Elite Soccer Players: Group vs. Individual Analyses.

      Rabbani, Alireza; Kargarfard, Mehdi; Twist, Craig (2020-11)
      The aims of this study were to (a) examine changes in group and individual HR measures during a submaximal warm-up test, and (b) investigate the relationship between accumulated internal training loads and HR changes during an in-season phase among elite soccer players (n = 14). Before and after an in-season phase (24 days), exercise HR (HRex) and HR recovery (HRR) expressed either as the number of beats recovered (HRR60s) or as the mean HR (HRpost1) during 1 minute of recovery were analyzed. Heart rate measures were expressed as the % of maximal HR. Session rating of perceived exertion (sRPE) was computed for all training/match sessions. Group and individual HR changes were analyzed using magnitude-based inferences. Pearson correlation coefficients were also used to examine the relationships. Group analyses of HR changes revealed there were possibly to likely trivial changes in all HR measures. When analyzing individual data, no substantial change was observed for HRR60s%. However, substantial changes in HRex% and HRpost1% were observed for 4/14 and 5/14 players, respectively. The relationships between HRex% and HRpost1% were nearly perfect (r = 0.90, confidence limits [0.82-0.95]). The associations between changes in HRex% and HRpost1% were also nearly perfect (r = 0.92, 0.80-0.97). A very large inverse correlation was observed between HRex% and accumulated sRPE (r = -0.75, -0.44 to -0.90). This study highlights the value of conducting individual vs. group aerobic fitness monitoring. This study also showed the importance of how HRR is reported when aerobic fitness monitoring of elite soccer players.
    • Physiological and anthropometric determinants of critical power, W′ and the reconstitution of W′ in trained and untrained male cyclists

      Chorley, Alan; Bott, Richard P; Marwood, Simon; Lamb, Kevin L; University of Chester (Springer, 2020-08-09)
      Abstract Purpose This study examined the relationship of physiological and anthropometric characteristics with parameters of the critical power (CP) model, and in particular the reconstitution of W′ following successive bouts of maximal exercise, amongst trained and untrained cyclists. Methods Twenty male adults (trained nine; untrained 11; age 39 ± 15 year; mass 74.7 ± 8.7 kg; V̇O2max 58.0 ± 8.7 mL kg−1 min−1) completed three incremental ramps (20 W min−1) to exhaustion interspersed with 2-min recoveries. Pearson’s correlation coefficients were used to assess relationships for W′ reconstitution after the first recovery (W′rec1), the delta in W′ reconstituted between recoveries (ΔW′rec), CP and W′. Results CP was strongly related to V̇O2max for both trained (r = 0.82) and untrained participants (r = 0.71), whereas W′ was related to V̇O2max when both groups were considered together (r = 0.54). W′rec1 was strongly related to V̇O2max for the trained (r = 0.81) but not untrained (r = 0.18); similarly, ΔW′rec was strongly related to V̇O2max (r = − 0.85) and CP (r = − 0.71) in the trained group only. Conclusions Notable physiological relationships between parameters of aerobic fitness and the measurements of W′ reconstitution were observed, which differed among groups. The amount of W′ reconstitution and the maintenance of W′ reconstitution that occurred with repeated bouts of maximal exercise were found to be related to key measures of aerobic fitness such as CP and V̇O2max. This data demonstrates that trained cyclists wishing to improve their rate of W′ reconstitution following repeated efforts should focus training on improving key aspects of aerobic fitness such as V̇O2max and CP.
    • Assessment of energy availability and associated risk factors in professional female soccer players

      Moss, Samantha; Randell, Rebecca; Burgess, Darren; Ridley, Stephanie; Ó Cairealláin, Cairbre; Allison, Richard; Rollo, Ian; University of Chester; Gatorade Sports Science Institute, Arsenal Football Club, Tipperary GAA, Melbourne Football Club (Taylor & Francis, 2020-08-06)
      This study aimed to assess energy availability (EA), alongside possible risk factors of reduced or low EA of professional female soccer players during a competitive season. Thirteen players (age: 23.7 ± 3.4 y, stature: 1.69 ± 0.08 m, body mass: 63.7 ± 7.0 kg) engaged in a 5-day (two rest days, one light training, heavy training and match day) monitoring period. Energy intake (EI) and expenditure during exercise (EEE) were measured. EA was calculated and categorised as optimal, reduced or low (≥45, 31-44, ≤30 kcal·kg FFM-1·day-1, respectively). Relationships between EA and bone mineral density, resting metabolic rate (RMR), plasma micronutrient status, biochemical markers and survey data were assessed. EA was optimal for 15%, reduced for 62% and low for 23% of players. Higher EA was observed on rest days compared to others (P<0.05). EA was higher for the light compared to the heavy training day (P<0.001). EEE differed significantly between days (P<0.05). EI (2124 ± 444 kcal), carbohydrate (3.31 ± 0.64 g·kg·day-1) and protein (1.83 ± 0.41 g·kg·day-1) intake remained similar (P>0.05). Survey data revealed 23% scored ≥ 8 on the Low Energy Availability in Females Questionnaire and met criteria for low RMR (ratio <0.90). Relationships between EA and risk factors were inconclusive. Most players displayed reduced EA and did not alter EI or carbohydrate intake to training or match demands. Although cases of low EA were identified, further work is needed to investigate possible long-term effects and risk factors of low and reduced EA separately to inform player recommendations.
    • Enhancing the formulation of Shared Mental Models in football players

      Robbins, Mandy; Newton, Joseph L. (University of ChesterWrexham Glyndwr University, 2020-06-24)
      A significant amount of research has examined the development of Decision-Making (DM) in sport. However, only a limited amount of research has explored decisions in the context of which they are made. Using the Naturalistic Decision-Making (NDM) paradigm this thesis employs Cognitive Task Analysis (CTA) approaches and Performance Analysis (PA) within a professional football environment, through the lens of a performance analyst. Applying the DM Framework, outlined by Richards, Collins and Mascarenhas (2016), this thesis applied a mixed method approach using three CTA approaches; Critical Decision Method (CDM), Thinking Aloud Problem Solving (TAPS) and Concept Mapping (CM) to examine the development of Shared Mental Models (SMMs). Additionally, PA data was collected to measure on-field application of SMMs in the format of match performance. Method: The development of DM ability was examined using professional footballers (n=16) and professional coaches (n=2), over an eight-week period. PA provided video footage of critical attacking play situations for use in team meetings. Meetings were designed to empower players in the DM process and involved the integration of CTA approaches in the form of a DM booklet. The booklet consisted of questions and diagrams relating to six clips identified by the coaches. Players and coaches would reflect on the clips individually and collectively as a team in an off-field setting. Each clip was split into three Phases, and six clips were shown to all team members in weekly meetings. To ascertain the retention of SMMs developed over the eight weeks, qualitative narratives recorded by the players (DM booklets) were analysed. No CTA processes were applied on week seven, as this was classified as a retention week. The CTA booklet recorded individual team members understanding of the situation and facilitated group discussions after clips. PA analysed data in the form of match statistics to assess transference of SMMs to the field of play. Results: CTA analysed data qualitatively indicated that individual Situational Awareness (SA) improved. Players identified more key themes in weeks six and eight compared to week one, indicating a development in SMMs and increased compatibility of SMM outlined by the two expert coach’s SA. Additionally, the complexity of the players SMMs and team SMMs developed. The PA data illustrated that the team generated more shots on target and more shots on target per Phase 3 entry in weeks six and eight than week zero (pre-investigation). The improved on-field performance of key performance indicators, combined with the increased identification of key themes and growing compatibility of players SMM in line with the expert coaches, demonstrate a more developed SMM which resulted in enhanced DM by the team. In summary, the application of PA and CTA methods within an off-field environment provides a mechanism to develop SMMs in a professional football team which transfer to enhancing on-field team DM in competitive play. However, this work utilising off-field learning environments to enhance DM, is still in its early stages and more research is needed.
    • From public issues to personal troubles: individualising social inequalities in health within local public health partnerships

      Mead, Rebecca; Thurston, Miranda; Bloyce, Daniel; University of Lancaster; Inland Norway University of Applied Sciences; University of Chester (Taylor and Francis, 2020-05-20)
      This paper explores public health policy implementation through partnership working at the local level by examining how local actors from public health and the wider workforce, make sense of and work on social inequalities in health. An ethnographic case study was used to examine policy implementation in one local strategic partnership in north-west England during a period of significant resource constraint. Semi-structured interviews were the primary method of data generation. Sensitising concepts from figurational sociology were used to develop a theoretical account of how local policy implementation directed at narrowing social inequalities in health tended to give rise to relatively fragmented and short-term services, projects and practices, which focused on lifestyle factors and behaviour change. Theorising partnership work as figurations goes some way to explaining the apparent paradox among participants who expressed a relatively detached appreciation of wider social influences, alongside emotional involvement in their work. This process of individualisation explains how local professionals tended to conceptualise health inequality and the social determinants of health as personal troubles. Individualisation meant that the social reality of working in partnerships on difficult issues was simplified. Thus, any scope for working on the social determinants of health tended to be overlooked. The extent to which this was intentional or a matter of struggling to see opportunities, or a mixture of the two, was difficult to discern. Although the policy landscape has changed, the findings give some insight into understanding how local collaborative processes reproduce local public health work underpinned by lifestyle choices.
    • The effects of in-season, low-volume sprint interval training with and without sport-specific actions on the physical characteristics of elite academy rugby league players

      Dobbin, Nick; Highton, Jamie M.; Moss, Samantha; Twist, Craig (Human Kinetics, 2020-05-01)
      Purpose: To determine the utility of a running and rugby-specific, in-season sprint interval interventions in professional rugby league players. Methods: Thirty-one professional academy rugby players were assigned to a rugby-specific (SITr/s, n = 16) or running (SITr, n = 15) sprint interval training group. Measures of speed, power, change of direction (CoD) ability, prone Yo-Yo IR1 performance and heart rate recovery (HRR) were taken before and after the 2-week intervention as were sub-maximal responses to the prone Yo-Yo IR1. Internal, external and perceptual responses were collected during SITr/s/SITr, with wellbeing and neuromuscular function assessed before each session. Results: Despite contrasting (possible to most likely) internal, external and perceptual responses to the SIT interventions, possible to most likely within-group improvements in physical characteristics, HRR and sub-maximal responses to the prone Yo-Yo IR1 were observed after both interventions. Between-group analysis favoured the SITr/s intervention (trivial to moderate) for changes in 10 m sprint time, CMJ, change of direction and medicine ball throw as well as sub-maximal (280-440 m) high metabolic power, PlayerLoad™ and acceleratory distance during the prone Yo-Yo IR1. Overall changes in wellbeing or neuromuscular function were unclear. Conclusion: Two-weeks of SITr/s and SITr was effective for improving physical characteristics, HRR and sub-maximal responses to the prone Yo-Yo IR1, with no clear change in wellbeing and neuromuscular function. Between-group analysis favoured the SITr/s group, suggesting that the inclusion of sport- specific actions should be considered for in-season conditioning of rugby league players.
    • Effects of a four-week touch rugby and self-paced interval running intervention on health markers in active young men.

      Dobbin, Nick; Bloyce, Daniel; Hughes, Stephen; Twist, Craig (Springer, 2020-03-29)
      Background: Modified team sport activity has been proposed as effective exercise modality for promoting markers of health that are comparable or greater than continuous forms of activity. However, research using modified team sports is currently limited to sedentary populations using 2-3 sessions across a minimum of 8 weeks. Aim: To investigate the effects of a four-week touch rugby and self-paced interval running intervention on a range of health markers in active men. Methods: Sixteen participants (age 26.4 ± 6.4 years) were matched for age, demographic and physical activity before completing a single touch rugby (n = 8) or running (n = 8) session per week for four weeks. Measures of systolic and diastolic blood pressure, resting heart rate (RHR), body composition and biochemical status were recorded pre- and post-intervention. Results: ANCOVA analysis revealed between-group differences for impedance (P = 0.027), fat mass (P = 0.008), percentage body fat (P = 0.008) and fat free mass (P = 0.002), with greater changes after touch rugby. Systolic blood pressure decreased for both groups with greater reductions observed after touch rugby (P = 0.002). No between-group difference was observed for RHR, interleukin-6 or C-reactive protein (P > 0.05). Contrasting internal, external and perceptual loads were observed. Conclusion: The results of this study suggest that a single session of touch rugby over a 4-week period elicited greater improvements in body composition and SBP that self-paced running, with both equally beneficial for improving RHR, diastolic blood pressure and improved inflammatory status in active young men.
    • Delivering a sports participation legacy from the London 2012 Olympic and Paralympic Games: evidence from sport development workers in Birmingham and their experiences of a double-bind

      Lovett, Emily; Bloyce, Daniel; Smith, Andy; Edge Hill University; University of Chester (Taylor and Francis, 2020-03-11)
      Legacy promises from London 2012 meant that those working in sport in local, non-host areas in Britain were expected to facilitate more sporting opportunities for local citizens. Legacy preparations occurred in the context of many other constraints that stemmed from Government budget cuts and provision of leisure-time sport and other leisure activities. This paper presents new evidence on a significantly under-researched area of leisure studies, namely: the experiences of those delivering leisure-sport opportunities in a non-host city and how they responded to national legacy promises. Using Elias’s concept of the double-bind, we explain the ‘crisis situation’ in which some local sports workers were enmeshed and how their acceptance of ‘fantasy-laden beliefs’ of expected demonstration effects from mega-events exacerbated their ‘crisis’ (Elias, 2007). We also draw upon participants’ post-Games reflections to consider how future host nations may wish to leverage greater leisure-sporting legacies from a mega-event.
    • The utilisation of the Rugby League Athlete Profiling battery for assessing the anthropometric and physical characteristics of rugby league players

      Twist, Craig; Highton, Jamie; Moss, Sam; Dobbin, Nicholas (University of ChesterUniversity of Chester, 2020-01-18)
      The research described in this thesis used a standardised battery of tests called the ‘Rugby League Athlete Profiling (RLAP)’ battery for assessing the anthropometric and physical characteristics of UK-based rugby league players. The overall purpose of this research was to determine the utility of the RLAP battery, which involved establishing the use of RLAP across numerous professional clubs over a three-year period, determining the measurement properties of the tests included and investigating the factors associated with a change in the characteristics. An early version of the RLAP battery existed [called SPARQ] and was provided by the Rugby Football League with scope to alter this as part of this programme of research. Before determining if an alteration to the battery was required, it was essential to understand the tests that are currently used in rugby league for assessing the anthropometric and physical characteristics of players. As such, the systematic review initially sought to determine the volume of performance tests used in rugby league along with their measurement properties. Based on the results, it was evident that a shorter sprint distance (< 20 m) ought to be included in the battery. It was also clear that only one field-based method for measuring muscle strength was available, though had received minimal research. Furthermore, the review highlighted that no rugbyspecific intermittent running test had previously been used and that RLAP was the first battery to include such a test. Therefore, based on these results, the battery was rebranded to RLAP, which included a stature, body mass, a 10 m and 20 m sprint test, a rugby-specific intermittent test, a change of direction test, measures of lower- and whole-body power. With the RLAP battery confirmed, it was then used and the reliability (Chapter 4) and discriminant validity (Chapter 5) of its elements determined. Results indicated that the RLAP battery is reliable and does not require habituation. Furthermore, the calculation of the required change, which includes the worthwhile change and random error of each test, provides researchers and practitioners with a single value that can be used as an analytical goal to evaluate a true change in characteristics with confidence. All components of the RLAP battery (except 10 m sprint time) possessed adequate discriminant validity between youth, academy and senior rugby league players, suggesting this battery can accurately distinguish between playing standards. As noted in above, the review highlighted a rugby-specific intermittent test has yet to be established in the literature before its inclusion in the RLAP battery. Whilst it appeared to be suitable and, based on Chapters 3 and 4, is reliable and possesses discriminant validity, the test itself had received no previous attention. Given the novelty of this test, it was unknown if this test was better associated with the responses to rugby league match performance and what the physiological responses were to this test. As such, Chapter 5 sought to determine the concurrent validity of this test and compare it against the traditional Yo-Yo Intermittent Recovery test level 1 (Yo-Yo IR1). The results indicated the association between prone Yo-Yo IR1 distance and the external, internal and perceptual responses to simulated match-play was improved when compared to the Yo-Yo IR1. Chapter 6 demonstrated that starting each 40 m shuttle in a prone position increases the internal, external and perceptual loads whilst reducing the total distance achieved. The degree of shared covariance between the prone Yo-Yo IR1 and Yo-Yo IR1 suggest the rugby-specific test provided insight into additional characteristics associated with rugby league performance. In studies that have reported on the anthropometric and physical characteristics, few have considered the multiple factors that might influence these with no studies conducted in rugby league. Chapter 7 sought to determine the complex interaction between anthropometric and physical characteristics that requires careful consideration by those involved in developing youth and academy athletes. The results also revealed a number of contextual factors such as season phase, league ranking, playing age and playing position that can influenced the change in characteristics over the course of a competitive season. The findings of this study highlight how some characteristics are impaired towards the end of the season, thus providing a rationale for considering in-season training loads and the application of short training interventions to off-set these negative changes. Based on negative changes in some anthropometric and physical characteristics towards the end of the year, Chapter 8 reported on the efficacy of two in-season sprint interval interventions for enhancing the physical characteristics of rugby league players. Furthermore, the study provided insight into the sensitivity of the RLAP battery for detecting changes in the characteristics of rugby league players. The results highlighted that two weeks of rugby-specific and running-based sprint interval training appeared affective for promoting the physical characteristics of rugby league players with minimal deleterious effects on wellness and neuromuscular function. Using the reliability statistics from Chapter 1, the mean change for prone Yo-Yo IR1 in the rugbyspecific group met the required change whilst changes approached this value for the running-based group despite contrasting loads. In all, this study demonstrated that sprint interval training that includes sport-specific actions is a suitable and effective training modality that can be used in-season. In addition, the result demonstrated how the prone Yo-Yo IR1 was sensitive to change across the intervention period whilst others were not sensitive to sprint interval training due to the lack of specificity. This thesis provides a thorough evaluation of the RLAP battery that can be used by researcher and practitioners to assess the anthropometric and physical characteristics of rugby league players. The battery is reliable and possess discriminant validity, while the prone Yo-Yo IR1 has concurrent validity and is sensitive to change during a lowvolume in-season training intervention. Overall, this thesis provides justification for the tests included and comprehensively examines the utility of this battery for assessing the anthropometric and physical characteristics of rugby league players. Practically, this battery of tests can be used by researcher and applied practitioners in rugby league with an understanding of the reliability, validity and sensitivity of the tests along with some factors that might influence the characteristics of players across a season.
    • Maximal punching performance in amateur boxing: An examination of biomechanical and physical performance-related characteristics

      Lamb, Kevin; Thomson, Edd; Smith, Grace; Stanley, Edward, R (University of ChesterUniversity of Chester, 2020-01)
      Punches in boxing are intricate actions requiring the coordinated and synergistic recruitment of leg, trunk and arm musculature. Maximal punches can have a marked impact on the outcomes of boxing contests. Currently, there is an absence of research appraising the biomechanics and physical performance-related qualities associated with boxing punches, and as such, there are no practical guidelines pertaining to resistance training and its impact upon these important characteristics. In this respect, coaches and boxers are reliant consequently upon non-scientific approaches to training and contest preparation. Thus, the purpose of this thesis was to quantify the biomechanics and physical performance-related qualities associated with maximal punching techniques common to amateur boxing, and investigate the extent to which resistance training enhances such features. Study 1 quantified the three-dimensional kinetics and kinematics of maximal punches common to boxing competition to identify the differences between punch types (straights, hooks, and uppercuts), whilst Study 2 investigated the movement variability of these measures across punch types. These studies revealed significant differences for the majority of kinetic and kinematic variables between punch types. High within-subject, between-subject, and biological variability were recorded for the same variables across punch types, independent of the amount of boxing experience. These findings confirm that kinetic and kinematic characteristics vary from punch to punch, with boxers appearing to manipulate kinematic variables in order to achieve a consistent intensity and end-product. Study 3 quantified the relationships between physical performance-related traits and kinetic and kinematic qualities of maximal punches, and revealed moderate-to-large associations with muscular strength and power. From this, Study 4 appraised the extent to which strength and contrast resistance training enhanced maximal punch biomechanics and physical performance-related qualities. The findings highlighted that contrast training was superior among male amateur boxers over a six-week intervention, though strength training alone also brought about improvements. This current research has advanced our understanding of maximal punching and the influence of resistance training on a variety of its determinants. Nonetheless, future research is required to identify if the same findings can be generalised to higher standards of boxing and whether alternative strength and conditioning strategies are equally, or more effective.
    • Analysis of physical demands during youth soccer match-play: Considerations of sampling method and epoch length

      Doncaster, Greg; Page, Richard; White, Paul; Svenson, Robert; Twist, Craig; Edge HIll University; Stoke City FC; University of Chester (Taylor and Francis, 2019-11-27)
      The purpose of this study was to examine the physical match profiles of professional soccer players using 3 and 5 min fixed and rolling averages as well as fixed 1 min averages, with considerations to training prescription. Twenty-nine, professional U23 soccer outfield players competed across 17 competitive matches during the 2017/18 season, equating to a total of 130 separate physical match profiles. Match activities were recorded using global positioning system (GPS) devices with integrated micro-electrical mechanical systems (MEMS), recording total distance (TD), high-speed running (HSR) and metabolic power (MP). For each individual match profile and variable, 1, 3 and 5 min peak, post-peak, and average values were calculated using fixed-time epochs (FIXED) and rolling averages (ROLL). Linear mixed models were employed to examine the differences in the dependent variables as a function of the method of measurement. Results revealed significantly higher peak values, for relative TD, relative HSR and relative MP when employing the ROLL sampling method, in comparison to the FIXED method, for both 3 min and 5 min epoch lengths. Analysis of epoch length revealed significantly higher peak values, across all positions, for relative TD, relative HSR and MP for 1 min epochs, in comparison to 3 min and 5 min epochs. The data offers a novel insight into the appropriate identification of physical demands during youth soccer match-play. Researchers and practitioners should consider the sampling method and epoch length when assessing the physical demands of competitive match-play, as well as when designing and prescribing sport-specific conditioning drills.
    • To Infinity and Beyond: The Use of GPS Devices within the Football Codes

      Malone, James; Barrett, Stephen; Barnes, Chris; Twist, Craig; Drust, Barry; Liverpool Hope University; Hull City FC; CB Sports Performance; University of Chester; Liverpool John Moores University (Taylor and Francis, 2019-10-17)
      The quantification of external load through global positioning systems (GPS) is now commonplace across the different football codes. Despite this acceptance amongst sports science practitioners, confusion still remains around which are the most appropriate metrics to use when monitoring their athletes. In addition, the translation of the message between the data gathered and the athletes and coaches can often be lost. The aim of this commentary is to provide discussion and recommendations when using GPS for athlete monitoring.
    • The interaction between the physical and mental loads associated with actual and simulated rugby league performance

      Highton, Jamie; Twist, Craig; Mullen, Thomas (University of Chester, 2019-09)
      The aim of the current thesis was to develop knowledge of the ‘loads’ associated with rugby league match-play, with a particular focus on the effects of altered mental loads before and during exercise indicative of a rugby league match. Chapter 3 examined the test-retest reliability of movement, physiological and perceptual measures during and after a novel rugby match simulation, where movement commands were more random than those typical of match simulations. The most reliable measure of external load during bouts of the simulation was relative distance (typical error [TE] and coefficient of variation [CV%] = 1.5-1.6 m.min-1 and 1.4-1.5%, respectively), with all other movement characteristics possessing a CV% <5%. The most reliable measure of internal load, neuromuscular function and perceptual measures were for %HRmax during bout 1 (TE and CV% = 1.4-1.7% and 1-4-2.1%, respectively), MVC before (TE and CV% = 10.8-14.8 N·m and 3.8-4.6%, respectively), and average RPE (TE and CV% = 0.5-0.8 AU and 3.6-5.5%, respectively). The conclusion of this chapter was that randomisation of the movements during simulated activity to better reflect intermittent team sports has no detrimental effect on its reliability. Studies can therefore confidently examine alterations in several perceptual, neuromuscular, physiological and movement load measures related to rugby activity using stochastic movements. Chapter 4 examined the responses to a simulated rugby league protocol that was designed to include more random commands, and therefore require greater vigilance, than traditional team sport simulation protocols. The randomised simulation (RDM) was matched for the number and types of activity performed every 5.45 min in a control trial (CON), but included no repeated cycles of activity. The RDM trial was more mentally demanding than CON (Effect size (ES) = 0.56; ±0.57). Self-paced mean sprint performance increased in RDM (22.5 ± 1.4 vs. 21.6 ± 1.6 km∙h-1; ES = 0.50; ±0.45), which was accompanied by a higher RPE (14.3 ± 1.0 vs. 13.0 ± 1.4; ES = 0.87; ±0.54) and a greater number of errors in the Stroop Test (10.3 ± 2.5 vs. 9.3 ± 1.4 errors; ES = 0.65; ±0.67). MVC peak torque (CON = -48.4 ± 31.6 N.m, RDM = -39.6 ± 36.6 N.m) and voluntary activation (CON = -8.3 ± 4.8%, RDM = -6.0 ± 4.1%) was similarly reduced in both trials. Providing more random commands, requiring greater vigilance, can therefore alter performance and associated physiological, perceptual and cognitive responses to team sport simulations. Chapter 5 describes the subjective task load of elite rugby league match play using the NASA-TLX and examines their association with several contextual match factors, technical ii performance and external movement demands. Linear mixed modelling revealed that various combinations of contextual factors, technical performance and movement demands were associated with subjective task load (NASA-TLX). Greater number of tackles (η2 = 0.18), errors (η2 = 0.15) decelerations (η2 = 0.12), increased sprint distance (η2 = 0.13), losing matches (η2 = 0.36) and increased perception of effort (η2 = 0.27) lead to most likely – very likely increases in subjective total workload. These data provide a greater understanding of the internal load and their association with several contextual factors, technical performance and external movement demands during rugby league competition. The purpose of the final empirical chapter (Chapter 6) was to describe the effects of mental fatigue on simulated rugby league performance and to determine the effects of caffeine supplementation on simulated rugby league performance in the presence of mental fatigue. Completing a mentally demanding task increases participants’ subjective rating of mental fatigue (pre = 29 ± 25 AU; post = 55 ± 20 AU) immediately before completing a simulation protocol. Impairments in sprint speed (ES = -0.18; ±0.19), sprint to contact speed (ES = -0.20; ±0.27), high-intensity running (ES = -0.30; ±0.24), high metabolic power > 20 W·kg-1 (ES =-0.50; ±0.51) and time to complete a passing accuracy task (ES = 0.54; ±0.63) were observed after mental fatigue. Caffeine supplementation (5 mg.kg-1) attenuated several adverse effects of mental fatigue before exercise replicating the demands of rugby league match play, with increased sprint speed (ES = 0.40; ±0.18), high-intensity running (ES = 0.50; ±0.53), high metabolic power > 20 W·kg-1 (ES = 0.33; ±0.38) and decreased time to complete a passing accuracy test (ES =-0.70; ±0.45). Mental fatigue affected internal loads, external loads and skill performance during simulated rugby league match play that appear to be centrally regulated by a decreased motivation and increased perception of effort. However, a single dose of caffeine taken 60 min before performance can attenuate several of these negative effects. In summary, the current thesis highlights several interactions between the physical and mental loads associated with actual and simulated rugby league performance.
    • Stochastic ordering of simulated rugby match activity produces reliable movements and associated measures of subjective task load, cognitive and neuromuscular function

      Mullen, Thomas; Twist, Craig; Highton, Jamie; University of Chester (Taylor and Francis, 2019-07-31)
      The study assesses the test–retest reliability of movement and physiological measures during a simulated rugby match that employed activities performed in a stochastic order. Twenty male rugby players (21.4 ± 2.1 y) completed two trials of a 2 × 23 min rugby movement simulation protocol during which the order of events was performed in a stochastic order, with 7–10 days between trials. Movement characteristics, heart rate (HR), RPE, maximum voluntary contraction (MVC), voluntary activation (VA%) of the quadriceps, Stroop test and subjective task load rating (NASA-TLX) were measured. The most reliable measures of external load was relative distance (typical error [TE] and CV% = 1.5–1.6 m min−1 and 1.4–1.5%, respectively), with all other movement characteristics possessing a CV% <5%. The most reliable measure of internal load, neuromuscular function and perceptual measures were for %HRmax (TE and CV% = 1.4–1.7% and 1.4–2.1%, respectively), MVC before (TE and CV% = 10.8–14.8 N·m and 3.8–4.6%, respectively), and average RPE (TE and CV% = 0.5–0.8 AU and 3.6–5.5%, respectively). The Stroop test, NASA-TLX and blood lactate produced the least reliable measures (CV% >5%). Future studies can confidently examine changes in several perceptual, neuromuscular, physiological and movement measures related to rugby activity using stochastic movements.
    • Norwegian youngsters’ perceptions of physical education: Exploring the implications for mental health

      Røset, Linda; Green, Ken; Thurston, Miranda; University of Chester (Taylor & Francis, 2019-06-24)
      Improving young people’s mental health has become a priority for policy-makers in Norway as elsewhere. Although the evidence is limited, physical activity has been identified as having a role in mental health promotion with school physical education (PE) typically being presented as a suitable setting. Few studies, however, have explored young people’s perceptions and experiences of PE and the possible consequences for their mental health – the departure point for this paper. We approach this issue sociologically by focusing on the processes through which PE is enacted. Qualitative data were generated by 31 focus groups involving 148 youngsters from the 10th grade (15–16-year-olds) in eight secondary schools in Norway. The overarching theme to emerge was that PE was valued by the students for what it was not as much as what it was. The appeal of PE often lay in being different and a break from ‘normal’ school lessons and, at the same time, an opportunity for informal social interaction and strengthening social bonds. Enjoyment of PE – even among those with limited sporting competence – was understood as giving rise to cathartic benefits and an antidote to their increasingly academic, routinized and performance-oriented school lives. However, processes relating to the organization, delivery and assessment of lessons meant that these benefits were sometimes compromised for some young people. We conclude that as far as the mental health of young people is concerned, the best justificatory defence for PE becomes physical recreation as a solution to (academic) schooling rather than PE as education.
    • A Narrative Review on Female Physique Athletes: The Physiological and Psychological Implications of Weight Management Practices

      Alwan, Nura; Moss, Samantha L.; Elliott-Sale, Kisrty; Davies, Ian; Kevin, Enright; Liverpool John Moores University; University of Chester; Nottingham Trent University (Human Kinetics, 2019-06-13)
      Physique competitions are events in which aesthetic appearance and posing ability are valued above physical performance. Female physique athletes are required to possess high lean body mass and extremely low fat mass in competition. As such, extended periods of reduced energy intake and intensive training regimens are utilised with acute weight loss practices at the end of the pre-competition phase. This represents an increased risk for chronic low energy availability and associated symptoms of Relative Energy Deficiency in Sport, compromising both psychological and physiological health. Available literature suggests that a large proportion of female physique athletes report menstrual irregularities (e.g., amenorrhea and oligomenorrhea), which are unlikely to normalise immediately post-competition. Furthermore, the tendency to reduce intakes of numerous essential micronutrients is prominent among those using restrictive eating patterns. Following competition reduced resting metabolic rate, and hyperphagia, are also a concern for these female athletes, which can result in frequent weight cycling, distorted body image and disordered eating/eating disorders. Overall, female physique athletes are an understudied population and the need for more robust studies to detect low energy availability and associated health effects is warranted. This narrative review aims to define the natural female physique athlete, explore some of the physiological and psychological implications of weight management practices experienced by female physique athletes and propose future research directions.
    • The World Anti-Doping Agency at 20: progress and challenges

      Houlihan, Barrie; Vidar Hanstad, Dag; Loland, Sigmund; Waddington, Ivan (Informa UK Limited, 2019-06-06)
    • Exercise-induced muscle damage and recovery in young and middle-aged males with different resistance training experience

      Fernandes, John; Lamb, Kevin L.; Twist, Craig (MDPI, 2019-05-29)
      This study compared the time course of recovery after a squatting exercise in trained young (YG; n = 9; age 22.3 ± 1.7 years) and trained (MT; n = 9; 39.9 ± 6.2 years) and untrained (MU; n = 9; age 44.4 ± 6.3 years) middle-aged males. Before and at 24 and 72 h after 10 × 10 squats at 60% one-repetition maximum (1RM), participants provided measurements of perceived muscle soreness (VAS), creatine kinase (CK), maximal voluntary contraction (MVC), voluntary activation (VA), and resting doublet force of the knee extensors and squatting peak power at 20% and 80% 1RM. When compared to the YG males, the MT experienced likely and very likely moderate decrements in MVC, resting doublet force, and peak power at 20% and 80% 1RM accompanied by unclear differences in VAS, CK, and VA after the squatting exercise. MU males, compared to MT, experienced greater alterations in peak power at 20% and 80% 1RM and VAS. Alterations in CK, MVC, VA, and resting doublet force were unclear at all time-points between the middle-aged groups. Middle-aged males experienced greater symptoms of muscle damage and an impaired recovery profile than young resistance trained males. Moreover, regardless of resistance training experience, middle-aged males are subject to similar symptoms after muscle-damaging lower-body exercise.