Osgood-Schlatter disease is the most common osteochondritis of the lower limb in sport-practicing children and adolescents. Its manifestation usually coincides with the appearance of the secondary ossification center of the tibia and is linked to the practice of sports with an explosive component. In the present study, a review of the factors related to its appearance, diagnosis and treatment was carried out. Its appearance seems to be multifactorial and related to multiple morphological, functional, mechanical and environmental factors. Given all the above, risk factor reduction and prevention seem the most logical strategies to effectively prevent the appearance of the condition. In addition, it is essential to create prevention programs that can be objectively assessed and would allow to stop the progress of the pathology, particularly in those sports where high forces are generated on the insertion zone of the patellar tendon at sensitive ages. More studies are needed to clarify which type of treatment is the most appropriate—specific exercises or the usual care treatment.
Nowadays, the evaluation of physiological characteristics and training load quantification in road cycling is frequently performed through power meter data analyses, but the scientific evidence behind this tool is scarce and often contradictory. The aim of this paper is to review the literature related to power profiling, functional threshold testing, and performance assessment based on power meter data. A literature search was conducted following preferred reporting items for review statement (PRISMA) on the topic of {“cyclist” OR “cycling” AND “functional threshold” OR “power meter”}. The reviewed evidence provided important insights regarding power meter-based training: (a) functional threshold testing is closely related to laboratory markers of steady state; (b) the 20-min protocol represents the most researched option for functional threshold testing, although shorter durations may be used if verified on an individual basis; (c) power profiling obtained through the recovery of recorded power outputs allows the categorization and assessment of the cyclist’s fitness level; and (d) power meters represent an alternative to laboratory tests for the assessment of the relationship between power output and cadence. This review elucidates the increasing amount of studies related to power profiling, functional threshold testing, and performance assessment based on power meter data, highlighting the opportunity for the expanding knowledge that power meters have brought in the road cycling field.
Efectos del entrenamiento de fuerza en la velocidad de golpeo en tenistas jóvenes / Effects of Strength Training on Hitting Speed in Young Tennis Players
Training load (TL) metrics are usually assessed to estimate the individual, physiological and psychological, acute, and adaptive responses to training. Cardiac troponins (cTn) reflect myocardial damage and are routinely analyzed for the clinical diagnosis of myocardial injury. The association between TL and post-exercise cTn elevations is scarcely investigated in young athletes, especially after playing common team sports such as soccer. The objective of this study was to assess the relationship between TL measurements during a small-sided soccer game and the subsequent increase in cTn in young players. Twenty male soccer players (age 11.9 ± 2 years, height 151 ± 13 cm, weight 43 ± 13 kg) were monitored during a 5 × 5 small-sided game and had blood samples drawn before, immediately after, and 3 h after exercise for a posterior analysis of high-sensitivity cardiac troponin T (hs-cTnT). Internal, external, and mixed metrics of TL were obtained from the rating of perceived exertion (RPE), heart rate (HR), and GPS player tracking. The results show that the concentration of hs-cTnT peaked at 3 h post-exercise in all participants. The magnitude of hs-cTnT elevation was mainly explained by the exercise duration in the maximal heart rate zone (Maximum Probability of Effect (MPE) = 92.5%), time in the high-speed zone (MPE = 90.4 %), and distance in the high-speed zone (MPE = 90.45%). Our results support the idea that common metrics of TL in soccer, easily obtained using player tracking systems, are strongly associated with the release of hs-cTnT in children and adolescents.