Background/Objectives: Post-activation performance enhancement (PAPE) has been explored for its potential to improve general performance in combat sports. This systematic review and meta-analysis investigated the effects of PAPE protocols on physical performance, focusing on differences across disciplines, competitive levels, and testing methods. Methods: A PRISMA-guided search (2010–2023) identified 19 studies examining PAPE protocols in combat sports athletes. The inclusion criteria required human trials using defined PAPE protocols, with outcomes of general performance indicators such as countermovement jumps (CMJs). A meta-analysis was conducted on data from 866 athletes using random effects modeling. Results: The PAPE protocols yielded a pooled effect size of 0.136 (95% CI, 0.008–0.263) across 866 athletes. Taekwondo athletes exhibited the most pronounced improvements in CMJ performance, particularly when using protocols that combined repeated vertical jumps with heavy-resistance cluster sets, and with dynamic, sport-specific movements such as the bandal chagui protocol achieving an effect size of 1.19 (p < 0.001). Conversely, Muay Thai athletes experienced performance declines when the protocols incorporated highly specific techniques, such as roundhouse kicks (ES = −1.36, p = 0.009). Analysis by competitive level revealed pooled effect sizes of 0.14 (95% CI, −0.01 to 0.29) for amateur athletes and 0.13 (95% CI, −0.11 to 0.38) for elite athletes, with no statistically significant differences observed between these groups. Conclusions: PAPE’s effectiveness depends on tailoring protocols to the competitive level and discipline. Short rest intervals support plyometric protocols for amateurs, while heavy-resistance exercises enhance elite performers. Further research is needed to standardize PAPE protocols and explore discipline-specific adaptations.

Introduction: The purpose of this study was to evaluate the effect of Biofeedback Training in normoxic and normobaric hypoxic conditions on reaction times in judo athletes. Material and methods: The participants in the experimental group underwent thetha/beta1 training under simulated hypoxic conditions in a laboratory equipped with a normobaric hypoxia generation system (LOS-HYP1/3NU, Lowoxygen Systems, Germany), at a simulated altitude of 2500m above sea level (FiO2 = 15.5%). Each cycle of the study consisted of 15 training sessions. The training sessions lasted for 20 minutes, with 4 sets of 4 minutes each and a 1-minute break in between. In the initial phase, participants underwent EEG biofeedback training every other day. The control group followed the same frequency and duration of EEG biofeedback training sessions as the experimental group and demonstrated an identical pattern, but under normoxia conditions. Results: The results indicated significant differences in Theta/Beta ratio values after the 5th, 11th, and 15th training sessions between the hypoxia and normoxia groups. Moreover, theta/beta1 protocol in normobaric hypoxic conditions statistically significantly improved their complex reaction times after each training cycle compared to the control group in normoxia conditions. Conclusions: The findings indicate that neurofeedback training in normobaric hypoxia conditions may considerably enhance reaction skills, particularly complex reactions, in a sports context.

Background: This study aimed to investigate the acute changes in muscle and tendon viscoelastic properties in response to a progressive treadmill VO₂max test among professional male soccer players. Methods: Bilateral assessments at five sites—the Achilles tendon (AT), biceps femoris, semitendinosus, rectus femoris (RF), and sternocleidomastoid (SCM)—measured tone (oscillation frequency), dynamic stiffness, logarithmic decrement (elasticity), stress relaxation time, and creep. Each site was probed five times and values averaged. Repeated-measures ANOVA (Time × Side) with Bonferroni correction tested pre- to post-exercise changes; Pearson’s r examined associations with VO₂max. Results: Significant Time effects (all p < 0.05) were observed for RF frequency (η_p² = 0.226), RF creep (η_p² = 0.144), AT stiffness (η_p² ≈ 0.035), AT frequency (η_p² = 0.035), and SCM frequency (η_p² = 0.037). Post-exercise, right AT stiffness fell by 65 ± 14 N/m (p = 0.015), while left AT stiffness rose by 22 ± 9 N/m (p = 0.015). RF stiffness decreased by 28 ± 6 N/m (p < 0.001) and tone by 1.2 ± 0.3 Hz (p < 0.001), with creep (+0.08 ± 0.02; p < 0.001) and relaxation time (+1.5 ± 0.7 ms; p < 0.001) increasing. SCM tone declined by 0.8 ± 0.4 Hz (p = 0.010). Baseline RF properties—frequency (r = −0.597), stiffness (r = −0.59), relaxation time (r = 0.53), and creep (r = 0.48)—correlated moderately with VO₂max (all p < 0.05). Conclusions: These findings suggest that viscoelastic adaptations to exhaustive aerobic exercise are tissue- and side-specific, and that rectus femoris viscoelastic properties may serve as potential indicators of endurance readiness.

Objectives: Post-activation performance enhancement (PAPE) has been explored for its potential to improve performance in combat sports. This part II of the systematic review and meta-analysis investigated the acute effects of PAPE protocols on sport-specific performance outcomes and evaluated the influence of moderating variables, specifically competitive level and training experience. Methods: A PRISMA-guided search (2010–2024) identified 13 studies examining PAPE in combat sports athletes. Inclusion criteria required human trials using defined PAPE protocols and evaluating sport-specific tests, primarily the Frequency Speed of Kick Test (FSKT-10) and the Taekwondo-Specific Agility Test (TSAT). A random-effects meta-analysis (Hedges’ g) was conducted on data from 176 athletes. Results: The meta-analysis revealed a profound moderating effect of training status on PAPE responsiveness. For the FSKT-10, amateur athletes demonstrated large, significant improvements (g = 1.28, p < 0.001), whereas elite athletes showed trivial, non-significant changes (g = 0.11, p = 0.357). Similarly, athletes with 6 years) counterparts (g = 0.42 and g = −0.65, respectively). Furthermore, dynamic and biomechanically specific conditioning activities (e.g., repeated high-intensity techniques) were most effective at driving sport-specific potentiation. Conclusions: PAPE protocols may enhance acute sport-specific performance when utilizing dynamic, highly specific conditioning activities. However, a possible “ceiling effect” may blunt this potentiation in elite and highly experienced athletes, suggesting a potential need for highly individualized priming strategies at the top competitive levels, specifically in taekwondo.

This study determined the physiological correlates of lower-extremity performance capacity in trained male soccer players by integrating assessments of muscle twitch mechanics, neural activation, and architecture. Forty-four trained male soccer players underwent vastus lateralis (VL) assessments using tensiomyography (TMG), surface electromyography (normalised to maximal voluntary contraction; %MVC), and ultrasonography (muscle thickness, pennation angle, and estimated fascicle length). Lower-extremity performance capacity was operationalised as countermovement jump (CMJ) height and half-squat one-repetition maximum (1RM). Stepwise multiple linear regression analyses were performed to identify the variables most strongly associated with performance. The models explained 34% of the variance in CMJ height and 42% of the variance in 1RM strength (p < 0.001). Jump performance was independently associated with greater neural activation (%MVC) and twitch displacement (Dm), and with shorter sustained time (Ts). Maximal strength was associated with longer contraction time (Tc), greater Dm, and higher %MVC. Muscle thickness was not retained in the final multivariate models despite its bivariate correlation with strength; estimated fascicle length was unrelated to jump performance and did not improve model fit. In trained male soccer players, lower-extremity performance capacity was more closely related to evoked twitch electro-mechanical characteristics and activation intensity than to resting muscle architecture.Trial registration: ClinicalTrials.gov NCT06982937 (registered 5 May 2025).

Dehydration impairs endurance and may compromise cognition, yet the impact of pre-exercise hydration status on thermoregulation and cognitive function during continuous exercise is not well defined. Thirty physically active men were randomized to be tested either well-hydrated (HYD; n = 16) or insufficiently hydrated (HYP; n = 14), classified by fasting urine specific gravity (USG; HYD < 1.018; HYP > 1.018) verified over three weeks. On the experimental day, participants cycled at 50% maximal power output (Wmax) under thermoneutral conditions (22°C, 45% RH) until 3% body-mass loss or for 120 min. Core temperature (Tc) was recorded continuously, the sweat rate (SR) was derived from nude body-mass change, and executive function (Stroop Interference) along with visuospatial working memory (Corsi Block-Tapping) were assessed pre- and post-exercise. Participants in the HYD group produced a higher SR (ΔSRmean +0.30 L·h⁻¹, 95% CI 0.18–0.43; ΔSRpeak +0.34 L·h⁻¹, 95% CI 0.04–0.63) and were more likely to reach 3% mass loss (10/16 vs. 1/14; p = 0.002). Despite greater sudomotor output, early Tc burden (0–90 min) did not differ between groups. Hydration status selectively affected executive control: Stroop naming interference showed a time × status interaction (F(1,27) = 4.57, p = 0.042), driven by slowing in HYP participants (≈+63 ms, p = 0.029), whereas Corsi indices were unchanged. These findings support targeting euhydration before prolonged exercise (e.g., morning USG <1.018), as inadequate baseline hydration may impair inhibitory control even when early Tc responses are comparable. Accordingly, for training or competition requiring rapid decision-making and attentional control, pre-exercise hydration strategies (planned fluid intake and/or USG-based monitoring) may be warranted to mitigate decrements in executive function.