UNASSIGNED: It is widely reported that the weight distribution in each foot is approximately 60% in the rearfoot and 40% in the forefoot. For balance training, it is recommended to transfer some weight to the forefoot. However, it is still unclear whether fore-rear foot weightbearing ratio affects balance and plantar pressure parameters.
UNASSIGNED: There is a relationship between the forefoot weightbearing ratio and balance and plantar pressure in female adolescent athletes.
UNASSIGNED: Cross-sectional study.
UNASSIGNED: Level 3.
UNASSIGNED: A total of 91 adolescent female athletes aged between 10 and 19 years were included in the study. Weightbearing ratios of the forefoot, balance, and plantar pressure were assessed using a plantar pressure platform (FootWork, AMCube IST). In the static and stabilometric evaluation, the weightbearing ratio (%), mean and maximum plantar pressure (kPa), center of pressure (CoP) total, antero-posterior and medio-lateral sway length (cm), CoP surface area (cm2), and length over area (cm-1) were recorded. In the dynamic evaluation, the maximum pressure (kPa) acting on each foot was recorded.
UNASSIGNED: Two groups with forefoot weightbearing ratio <40% and ≥40% were compared. Maximum pressure values in static conditions, CoP anteroposterior, and total sway length were significantly different between these groups. In addition, as the amount of load transferred to the forefoot increased, CoP total and anteroposterior sway length increased postural stability.
UNASSIGNED: Although postural control mechanisms are quite complex, plantar pressure and postural control parameters can be varied by optimizing rear-to-fore foot weight transfer.
UNASSIGNED: This study will contribute to the development of appropriate training and rehabilitation strategies to optimize athlete performance and reduce injury risk.

Background: Supramaximal constant work rate tests (CWR) elicit intense hyperventilation, thus potentially up-shifting ventilation (⩒E)-to-carbon dioxide (CO2) responses when compared to graded exercise tests (GXT) in athletes. We predicted higher ventilatory efficiency on supramaximal CWR using a new method, challenging the classic orthodox interpretation of an increased ⩒E-⩒CO2 as ventilatory inefficiency. This misinterpretation could make difficult to differentiate between physiological hyperventilation from heart disease conditions in athletes. Methods: On different days, a GXT and a CWR at 110% of the maximal velocity achieved in the GXT were performed. Twenty-seven athletes completed the two tests and were compared for usual (linear regression) and log-transformed new variables for ventilatory efficiency through paired t-Student statistics. Results: The ⩒E-⩒CO2 slope (31.4 ± 4.9 vs. 26.2 ± 3.4, p < .001), ⩒E-⩒CO2 intercept (7.2 ± 7.5 vs. 2.8 ± 4.2, p < .007), ⩒E/⩒CO2 nadir (33.0 ± 3.6 vs. 25.4 ± 2.2, p < .001), ⩒CO2-log⩒E slope (10.8 ± 2.9 vs. 6.9 ± 2.2 L*logL-1, p < .001), and η⩒E (36.0 ± 12 vs. 22.8 ± 8.1%, p < .001) values were all significantly higher in the CWR compared to the GXT. We registered a bi-modal nadir response for ⩒E/⩒CO2 on CWR for 22 out of 27 subjects for the first time. A weak association was observed between ⩒E/⩒CO2 nadir (coefficient of determination ~ 27%) and time to exhaustion. Conclusions: The new method allows us to improve the quantification and interpretation of ventilatory efficiency in athletes, avoiding misinterpretation due to the up-shifting elicited by the usual ⩒E-⩒CO2 slope and ⩒E/⩒CO2 nadir indices, which may be confounded with ventilatory inefficiency. This study suggests that ventilatory changes underpin better ventilatory efficiency during CWR.

BACKGROUND: Preparticipation examinations (PPEs) are unstandardized screening tools routinely used to collect an athlete\'s baseline health information prior to the start of a new competitive season. However, many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes. A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness. As such, the objectives of this scoping review were to (a) determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness, and (b) map the results against the health domains outlined in the International Olympic Committee (IOC) consensus statement supplement on the female athlete.
METHODS: We searched Embase, Scopus, CINAHL, Medline Ovid, and SPORTDiscus from inception to December 2022. Any study with female athlete specific health PPE questions or recommendations for questions (i.e., menstrual health, eating habits, musculoskeletal health, etc.) was included. Three reviewers independently screened titles and abstracts, followed by full text articles for eligibility and data extraction, with conflicts resolved by a third-party reviewer. Extracted data were summarized into 3 determined groupings.
RESULTS: Of the 1356 studies screened, 41 were included in this study. Forty studies (98%) included questions/recommendations related to menstrual health. Thirty-one studies (76%) had questions/recommendations concerning disordered eating/eating habits. Twenty-four studies (59%) referred to body weight/image, and 16 studies (39%) referred to musculoskeletal health. No studies included questions on all IOC female athlete health domains.
CONCLUSIONS: There is currently a gap in female athlete specific health content included in PPEs. A more comprehensive, standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.

In the evaluation of shoulder instability, recognition of relevant pathology on imaging is critical to planning a surgical treatment that minimizes the risk for recurrent instability. The purpose of this review is to (1) discuss the use of radiography, computed tomography, and MRI in evaluating shoulder instability and (2) demonstrate how various imaging modalities are useful in identifying critical pathologies in the shoulder that are relevant for treatment.

Shoulder glenohumeral joint dislocations and subluxations are a relatively common injury among athletic populations. Evaluating the patient both on the field initially and through early recovery helps to determine the best treatment strategies and predict the natural history of each unique injury.

UNASSIGNED: This cross-sectional study aimed to investigate the role of low energy availability (LEA) in the interplay between depression and disordered eating/eating disorders (DE/EDs) among female athletes. The International Olympic Committee consensus statement on Relative Energy Deficiency in Sport (REDs) identified depression as both an outcome of LEA and a secondary risk factor for REDs. However, the direct link between LEA and depression has yet to be fully established.
UNASSIGNED: We assessed 57 female athletes participating in weight-sensitive sports at different levels of competition training at least four times a week. Assessment was conducted using laboratory analyses, clinical interviews and the Patient Health Questionnaire-9 questionnaire. Participants were recruited through various channels, including German sports clubs, Olympic training centres, social media platforms and the distribution of flyers at competitions. Indicators of LEA were defined if at least two of the following three physiological indicators were present: menstrual disturbances, suppressed resting metabolic rate and suppressed thyroid hormones. Logistic and linear regression analysis were used to examine the relationship between LEA, depression and DE/ED.
UNASSIGNED: The lifetime prevalence of depressive disorders was 29.6%. 19% of the participants were diagnosed with an ED, and an additional 22.6% exhibited DE.LEA was not significantly associated with either lifetime prevalence of depressive disorders or current depressive symptoms. However, a significant association was found between depression and DE/ED in terms of both lifetime prevalence and current depressive symptoms. DE/ED increased the probability of lifetime prevalence of depressive disorders by 34% (19%-49%) compared with normal eating behaviour.
UNASSIGNED: We found no evidence that LEA is an independent factor for depression in female athletes. Its association with LEA and REDs appears to occur primarily in the presence of DE/ED.

Athletes\' stories about their experiences in elite sport inevitably evoke the notion of meaning, a concept, which has appeared in many shapes and forms within sport psychology. Qualitative scholarship, for example, has generated a large literature base on the meaning of experience (i.e., implicit meaning) in elite sport. However, the experience of meaning(fulness) (i.e., existential meaning) has received less scholarly attention and has rarely been the explicit study object. To assist theorizing and the empirical investigation of meaning and purpose in elite sport in these early stages, we take stock of the emerging body of literature in sport psychology. The article has three parts: Firstly, we distinguish between implicit and existential meaning to delineate our study object. Secondly, we introduce psychological theory to show how existential meaning can be conceptualized (e.g., dimensions, sources, crisis of meaning). Thirdly, we analyzed 23 studies in a narrative review approach to understand how meaning (n=17) and purpose (n=6) in elite sport have been understood, and what we know about these concepts empirically. The current scholarship revealed itself heterogenous in terms of study designs, methodologies, theoretical frameworks, and conceptualizations of meaning and purpose. Findings are discussed in eight overarching themes (e.g., moments when meaning and purpose are questioned; as mechanism and indicator of growth following adversity) to map the reviewed literature comprehensibly and to provide a foundation for applied work. The article concludes by highlighting unresolved issues and proposing future directions for studying and applying existential meaning in elite sport.

BACKGROUND: Current and former athletes are one of the most at-risk population groups for disordered eating (DE), impacting their dietary practices, body composition, performance and health during and following their athletic careers. Few comprehensive DE screening tools exist for this group. To help address this, the current study utilised a mixed-methods approach of Classic Test Theory (CTT) and Item Response Theory (IRT) to develop and validate a DE screening tool suitable for current and former athletes.
METHODS: Novel scale development methodologies were used to develop and assess the validity (content, face, cross-cultural, construct), test-retest reliability, internal consistency reliability, factor analysis and Rasch analysis of a new DE scale.
RESULTS: A new validated Athletic Disordered Eating (ADE) screening tool was created, with 17 items and four subscales (food control, bingeing, body control, body discontent), with an internal consistency reliability of 0.91, excellent content and construct validity, an Intraclass Correlation Coefficient of 0.97 and excellent Rasch model fit.
CONCLUSIONS: The ADE screening tool has been dually developed for research purposes and as a clinically applicable screening tool to detect DE in current and former athletes and is suitable for a global use across sporting categories, diverse genders and levels of competition.

This study examined the content characteristics and user responses of athlete-run sports YouTube channels, providing empirical insights for content production strategies and contributing to the development of athlete-run sports YouTube channels. Content analysis was conducted on 3306 videos posted on 20 popular YouTube channels of South Korean athletes from 1 January 2020 to 31 December 2021. The formal characteristics analyzed included video length, the presence of foreign language subtitles, paid advertisements, and information sources. The content characteristics examined were the types of sports events, main content themes, and whether the content matched the athlete\'s sport. Results revealed significant differences in content characteristics and user responses based on whether the athletes were active or retired. This study\'s distinctive contribution lies in highlighting the evolving role of athletes as content creators and providing strategic implications for enhancing the competitiveness of athlete-run sports YouTube channels. Future research should consider a broader range of sports YouTubers and a wider variety of YouTube channels to gain comprehensive insights into the sports content ecosystem on this platform.

One of the reoccurring questions that arises during the countermovement vertical jump (CVJ) assessment is whether the learning effect has an impact on the accuracy of the results obtained. Thus, the purpose of the present investigation was to examine the impact of the short-term learning effect on the assessment of lower-body neuromuscular performance characteristics when performed on a portable one-dimensional force plate system. Sixteen recreationally active college-age males volunteered to participate in the present study. Each participant completed four sets of three non-consecutive CVJs with no arm swing throughout a single day. Besides strong verbal encouragement, participants were constantly instructed to focus on pushing the ground as explosively as possible. Fourteen force-time metrics were selected for CVJ performance analysis purposes: eccentric and concentric peak and mean force and power, eccentric and concentric duration, contraction time, jump height, reactive strength index-modified, and countermovement depth. Repeated measures multivariate analysis of variance was used to examine statistically significant differences across four testing time points (p < 0.05). The results indicate an absence of any meaningful differences across four testing time points in force-time metrics of interest during both eccentric and concentric phases of the CVJ. Moreover, no differences were observed in CVJ outcome metrics such as countermovement depth, suggesting that the movement strategy tends to remain consistent. Overall, these findings reveal that CVJ test repeatability is not affected by the short-term learning effect and that data are stable at least within the scope of this study and within this population.