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EFFECTS OF PLYOMETRIC TRAINING ON ACHILLES

TENDON PROPERTIES AND SHUTTLE RUNNING DURING


A SIMULATED CRICKET BATTING INNINGS
LAURENCE A. HOUGHTON, BRIAN T. DAWSON, AND JONAS RUBENSON
School of Sport Science, Exercise, and Health, The University of Western Australia, Perth, Western Australia

ABSTRACT investigation is required to determine whether this translates to


Houghton, LA, Dawson, BT, and Rubenson, J. Effects of decreased injury risk.
plyometric training on achilles tendon properties and KEY WORDS change of direction, cross-sectional area, jump,
shuttle running during a simulated cricket batting innings. modulus, stiffness, stress
J Strength Cond Res 27(4): 1036–1046, 2013—The aim of
this study was to determine whether intermittent shuttle INTRODUCTION

T
running times (during a prolonged, simulated cricket batting
he advent of multimillion dollar team franchises in
innings) and Achilles tendon properties were affected by
the shorter, more intense formats of Twenty20
8 weeks of plyometric training (PLYO, n = 7) or normal cricket (29) has spurred a need for evidence-based
preseason (control [CON], n = 8). Turn (5-0-5-m agility) strength and conditioning programs for cricketers
and 5-m sprint times were assessed using timing gates. (3). Cricket is a sport played around the world and requir-
Achilles tendon properties were determined using dyna- es the skills of batting, bowling and fielding. When batting,
mometry, ultrasonography, and musculoskeletal geometry. points (‘runs’) can be scored by hitting the ball and running
Countermovement and squat jump heights were also shuttles between 2 lines (separated by 17.68 m) before the
assessed before and after training. Mean 5-0-5-m turn time fielder returns the ball. As such, cricket batting is typical of
did not significantly change in PLYO or CON (pre vs. post: many team games in that it requires intermittent running
2.25 6 0.08 vs. 2.22 6 0.07 and 2.26 6 0.06 vs. 2.25 6 with change of direction.
0.08 seconds, respectively). Mean 5-m sprint time did not Cricket batting has traditionally been portrayed as physically
significantly change in PLYO or CON (pre vs. post: 0.85 6 undemanding because it requires intermittent shuttle running
0.02 vs. 0.84 6 0.02 and 0.85 6 0.03 vs. 0.85 6 0.02
interspersed with long periods of standing and walking (10).
Nevertheless, successful batting innings are often prolonged
seconds, respectively). However, inferences from the
(e.g., typically .2.5 hours when scoring 100 runs in One-Day
smallest worthwhile change suggested that PLYO had
cricket) and require frequent accelerations, decelerations and
a 51–72% chance of positive effects but only 6–15%
changes of direction (10,29). These actions, repeated over time,
chance of detrimental effects on shuttle running times. Jump contribute to physical fatigue in batting (16,27). Recent findings
heights only increased in PLYO (9.1–11.0%, p , 0.050). Achil- demonstrated a significant decrease (;5%) in squat jump (SJ)
les tendon mechanical properties (force, stiffness, elastic height, an increase in straight-line sprint times and an increase
energy, strain, modulus) did not change in PLYO or CON. in change-of-direction times across a prolonged, simulated,
However, Achilles tendon cross-sectional area increased in high-intensity, One-Day hundred (here-in referred to as
PLYO (pre vs. post: 70 6 7 vs. 79 6 8 mm2, p , 0.01) but BATEX; [15,16]). Although physical fatigue has been observed
not CON (77 6 4 vs. 77 6 5 mm2, p . 0.050). In conclusion, when batting, there has been no research into strength and
plyometric training had possible benefits on intermittent shuttle conditioning programs that aim to improve intermittent shuttle
running times and improved jump performance. Also, plyomet- running (running between the wickets) times during a pro-
ric training increased tendon cross-sectional area, but further longed batting innings (3,27).
It is possible that plyometric training may benefit perfor-
mance during a cricket batting innings because shuttle running
Address correspondence to Laurence Houghton, laurencehoughton@ requires short, high-intensity accelerations and decelerations.
hotmail.com. Plyometric training involves short, high-speed movements that
27(4)/1036–1046 use the stretch-shortening cycle (30). Previously, the benefits of
Journal of Strength and Conditioning Research plyometric training have been demonstrated in team sports
Ó 2013 National Strength and Conditioning Association (basketball and soccer) and individual sports (swimming), but
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might improve shuttle-running


times. Also, the effects of
TABLE 1. Anthropometric variables pretraining and posttraining.*
plyometric training on other
% Change from Achilles tendon properties
Pretraining Posttraining pretraining (effect size) has been observed, including
increased elastic energy and
Body mass (kg)
Control† 78.53 6 10.09 79.24 6 9.55 1.0 6 1.7 (0.08)
muscle-tendon-junction dis-
Plyometric† 73.68 6 10.34 74.96 6 10.54 1.8 6 2.6 (0.13) placement (22) and no change
Stature (cm) in cross-sectional area (12,22).
Controlz 179.3 6 2.9 179.6 6 3.2 0.2 6 0.3 (0.11)
Plyometric 174.6 6 3.1 174.5 6 3.3 20.1 6 0.4 (-0.03) METHODS
*Control group, n = 8; plyometric group, n = 7. Experimental Approach to
†p , 0.050, main effect of time: pretraining vs. posttraining. the Problem
zp , 0.050, main effect of condition: control vs. plyometric.
There is no published research
on the effects of strength and
conditioning programs on shut-
no investigations have been carried out on cricket-specific per- tle-running performance during cricket batting. The primary
formance (6,19,31). A recent review concluded that plyometric aim of this study was to determine whether the addition of
training may improve change-of-direction and straight-line run- plyometric sessions to normal preseason training affected
ning times (typical in cricket batting), particularly if horizontal shuttle running times (straight-line sprints and turns) during
and lateral jump exercises are included (4). However, this a prolonged, simulated cricket batting innings (BATEX). A
review did not report any research on the effects of plyometric secondary aim was to assess whether there were accompanied
training on prolonged, intermittent shuttle running times as changes in Achilles tendon properties because Achilles stiffness
required in a successful batting innings. has been reported to correlate with change-of-direction time in
The theoretical benefit of plyometric training on inter- cricketers (16). Previous research has demonstrated that at least
mittent, shuttle running performance is further supported by 2–3 plyometric sessions per week over at least 6 weeks are
considering previous research on the Achilles tendon. The required to improve strength and power (26,33). Therefore,
mechanical properties of the Achilles tendon significantly running-between-the-wickets performance was assessed dur-
contribute to ensuring efficient human locomotion (23). Pre- ing a simulated batting innings (BATEX) both before and after
vious research demonstrated that individuals with faster 8 weeks (15 sessions) of plyometric training.
running-between-the-wicket times had stronger plantar flex- To assess running-between-the-wicket performance, mean
ors and stiffer Achilles tendons (16). It was suggested that 5-m sprint times (seconds; intraclass correlation coefficient
stiffer tendons may allow better force transmission when [ICC] = 0.83; typical error [TE] = 0.01) and mean 5-0-5-m
accelerating and changing direction (16). Additionally, turn times (seconds, ICC = 0.76; TE = 0.04) were recorded
research has demonstrated increased Achilles tendon stiff- (dependent variables). Also, countermovement jump (CMJ)
ness and increased lower-limb strength after plyometric train- heights (centimeters, ICC = 0.94; TE = 1.76), and SJ heights
ing (5,12,22,33). Coupled together, these prior observations (centimeters, ICC = 0.81; TE = 1.88) were assessed to compare
further suggest that, in theory, a plyometric training program the efficacy of the plyometric program with previous research.
In addition, the following Achilles tendon properties (indepen-
dent variables) were assessed: force (newtons), low force-range
stiffness (Stiffness0–40%), high force-range stiffness (Stiffness50–
90%, newtons per millimeter), elastic energy (joules), peak strain
(percent), peak stress (megapascals), Young’s modulus (giga-
pascals) and cross-sectional area (millimeter square).
At the start of preseason (late-June, local winter), the
participants were allocated to either an 8-week plyometric
training group (PLYO, n = 9) or a control group (CON,
n = 10). The participants were familiarized to BATEX and
to the Achilles tendon test approximately 4 weeks before the
training program started. Two weeks before training com-
menced, the Achilles tendon test was completed. One week
before the training program, BATEX was performed. Out-
Figure 1. Cross-sectional area of the Achilles tendon using side of their involvement with the study, both groups com-
ultrasonography (white arrows denote the tendon area). pleted their normal preseason preparation. The Achilles
tendon test and BATEX were both repeated within 2 weeks

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1038

Plyometrics and Shuttle Run Performance


TABLE 2. Details of the plyometric training program.*

Focus of training Landing technique Maximize jump height Repeated jumps


Journal of Strength and Conditioning Research

phase
the

1 2 3 4
Week
Session 1 2 3 4 5 6 7 8

Land off box 3 3 10 (50) 2 3 10 (65), 2 3 5 (40)† 2 3 6 (40)†


(height, cm) 2 3 4 (40)†
Standing long 2 3 10 (100)z 2 3 10
jump in squat (100)z
jump position
(height, cm)
Standing long 2 3 10 (100)z 2 3 10 (100)z 3 3 10 (100)z
jump
(height, cm)
Forward jump 3 3 10 (20) 3 3 10 (20)z, 4 3 5 (40), 434 5 3 10 (40)z 6 3 5 (40)z 4 3 5 (30)†
over hurdle 2 3 4 (20)† 2 3 8 (20)† (30/40)†
(height, cm)
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Vertical 436 338 3 3 10


countermovement
jump
Lateral jump 2 3 10 (20) 2 3 4 (20)† 3 3 7 (40), 2 3 8 (20)† 3 3 5 (40)z 3 3 6 (20)†
over hurdle 2 3 5 (20)†
(height, cm)
Reactive jumps 3 3 8z 3 3 12z
Forward jump 335 435
(50 cm apart)
Bounding 436 336 436 337
Forward hurdles 2 3 5 (20)z 3 3 4 (20)z
(height, cm)
Forward jumps 3 3 5 (50) 3 3 5 (65)
to box
(height, cm)
Box jumps (height, 335 336
cm to cm) (35–40) (40–40)
Total jumps per 100 82 118 124 135 140 148 158
session
Focus of training Fixed height—jumping Drop jumps—maximize height, minimize contact time
phase with speed
Week 5 6 7 8
Session 9 10 11 12 13 14 15
Land off box 1 3 5 (40)†
(height, cm)

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Vertical 332
countermovement
jump
Forward jump 3 3 6 (30)†
over hurdle
(height, cm)
Lateral jump 2 3 7 (30)† 3 3 6 (40)z 2 3 10 (40)z,
over hurdle 2 3 5 (30)†
(height, cm)
Reactive jumps 1 3 5z 4 3 12z
Forward jump 534
(50 cm apart)
Bounding 536 534 438 336
Forward repeated 5 3 4 (20/30)z 535 536 536
hurdles (height, (20/30)z (20/30)z (20/30)z
cm)
Forward jumps to 3 3 5 (35)† 3 3 5 (40)† 3 3 5 (40)† 4 3 5 (65) 2 3 5 (40)†
box (height, cm)
Lateral jumps to box 3 3 5 (50) 4 3 5 (50)z 4 3 5 (65) 236
(height, cm) (50/65)
Box jumps (height, 335 435 435 335 436

Journal of Strength and Conditioning Research


the
cm to cm) (40–40) (50–50)z (50–50/65)z (50–50)z (40–50)z
Drop jump (height, 3 3 5 (40) 3 3 6 (40)
cm)
Drop jump and jump 3 3 5 (40, 40) 4 3 5 (40/ 4 3 5 (40/50,40)z
over hurdle 50, 40)z
(height,
VOLUME 27 | NUMBER 4 | APRIL 2013 |

cm to cm)
Total jumps per 71 138 138 96 109 112 116
session

*All exercises required landing on 2 feet unless marked otherwise.


†Exercise performed on 1 leg (recorded sets and repetitions completed on each leg).
zExercise performed with both hands on hips.

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Plyometrics and Shuttle Run Performance

TABLE 3. Mean sprint times and mean turn times during the high-intensity stages of the batting simulation and jump
heights both pretraining and posttraining.*

Effect Decrement in time from


size 6 90% CI stage 2 to stage 6
(%beneficial/trivial
Pretraining Posttraining /harmful) Inference Pretraining Posttraining

5-m Sprint time (s)


Control 0.85 6 0.03 0.85 6 0.02 20.43 6 0.69 (72/22/6) Unclear 20.02 6 0.02 20.02 6 0.01
Plyometric 0.85 6 0.02 0.84 6 0.02 20.02 6 0.03 20.02 6 0.01
5-0-5 m Turn time (s)
Control 2.26 6 0.06 2.25 6 0.08 20.21 6 0.67 (51/35/15) Unclear 20.03 6 0.06 20.02 6 0.04
Plyometric 2.25 6 0.08 2.22 6 0.07 20.07 6 0.07 20.09 6 0.04
Countermovement jump height (centimeters)
Control 36.0 6 5.5 35.6 6 4.6 0.82 6 0.45 (98/2/0) Very likely
Plyometric 37.8 6 5.2 41.9 6 6.1†z beneficial
Squat jump height (centimeters)
Control 34.1 6 4.2 34.6 6 4.4 0.65 6 0.41 (96/3/1) Very likely
beneficial
Plyometric 36.1 6 4.2 39.5 6 6.0†

*CI = confidence interval; control group, n = 8; plyometric group, n = 7.


†p , 0.050, control vs. plyometric.
zp , 0.01, pretraining vs. posttraining.

after the training program. Before and after the training pro- recreational sport. This training regime was similar to that
gram, testing sessions were performed at a similar time of reported by the participants before the study.
day and a 24-hour food diary was used to replicate dietary
Procedures
intake before BATEX.
The mechanical properties of the right Achilles tendon were
Subjects determined using the protocol described in detail in Houghton
Nineteen players were recruited from local district-grade et al. (16). In brief, the participants lay prone with ankle held in
cricket clubs. All the participants were without injury, had neutral (908) and performed five, 5-second ramp isometric plan-
experienced only minor lower limb sprains in the previous tar flexions to maximum voluntary contraction (MVC) (21).
2 years, regularly batted in the top 7 of the batting order, The ramp contractions allowed Achilles tendon mechanical
and had not completed a plyometric training program properties to be determined by plotting a graph of muscle-
before. Typically, maximum aerobic speeds of approximately tendon-junction displacement at 10% force increments of
15 km$h21 have been recorded in our laboratory (unpublished the day’s MVC. Displacement of the medial gastrocnemius
work). The participants were informed of the experimental muscle-tendon-junction was visualized using ultrasonography
risks and signed an informed consent form before the study
(6–7 MHz, 60–70 frames per second, 60-mm scanning length,
commenced. The study was approved by the University
Echoblaster 128 EXT-1Z, Telemed Ltd., Lithuania) and mea-
Human Research Ethics Board for use of human participants.
sured in ImageJ software (v1.43, NIH, USA). In each 5-second
Two participants withdrew from PLYO (one because of sport-
ramp contraction, displacements of the muscle-tendon junction
ing commitments and the other without giving reason). Two
were digitized 3 times, and the mean was used in final analyses.
CON participants were not included in final analyses because
they were unable to attend the final BATEX test. As a result, 15 Achilles tendon force was estimated using an inverse-
participants were included in the final analyses (21 6 4 years). dynamics protocol using a dynamometer (Biodex System 3,
Stature was marginally higher in CONT (2.8%, p = 0.009, 835-220, Shirley, NY, USA), electromyography (EMG;
Table 1). Conversely, body mass was similar in PLYO and Telemyo 2400R G2, Noraxon, AZ, USA) and tendon
CON but increased in both groups from pretraining to post- moment arm (28). For the EMG, electrodes were placed on
training (1.7%, p = 0.029, Table 1). In both PLYO and CON, the surface of the tibialis anterior and medial gastrocnemius.
a typical week of training (determined using diaries) included Inevitably, some heel slip occurred (7.8 6 2.58 plantar flexion)
0.5 hours of walking or running, 0.5 hours of upper during the ramp contractions, and so, muscle-tendon-junction
body weights, 0.75 hours of cricket training, and 1.5 hours of displacement was corrected for change in ankle angle by
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angle (908). Care was taken to


ensure the probe was kept per-
TABLE 4. Achilles tendon properties pretraining and posttraining.*
pendicular to the line of the
% Change from baseline Achilles with minimal com-
Pretraining Posttraining (effect size) pression of soft tissue. Using
ImageJ software (v1.43, NIH,
Resting tendon length (cm)
Control 199 6 38 198 6 40 20.5 6 3.9 (20.01) USA), cross-sectional area was
Plyometric 186 6 19 184 6 18 21.5 6 2.3 (20.16) measured 3 times for each the
Cross-sectional area (mm2) images (Figure 1), and the
Control 77 6 4 77 6 5 0.3 6 6.9 (0.03) mean was calculated. Resting
Plyometric 70 6 7† 79 6 8z 12.8 6 7.5 (1.02)§ Achilles tendon length was
Stiffness040% (N$mm21)
Control 246 6 58 243 6 74 21.5 6 14.1 (20.04) measured from the insertion at
Plyometric 238 6 54 246 6 80 5.7 6 35.2 (0.12) the calcaneus to the muscle-
Stiffness50290% (N$mm ) 21 tendon junction of the medial
Control 805 6 220 738 6 232 22.3 6 36.4 (20.30) gastrocnemius (using ultraso-
Plyometric 940 6 473 856 6 564 29.4 6 22.3 (20.17) nography). At the start and
Elastic energy (J)
Control 26.6 6 9.7 29.1 6 9.7 9.9 6 9.0 (0.26) end of the study, lower leg
Plyometric 25.2 6 9.9 24.8 6 8.3 2.9 6 27.1 (20.05) pain was subjectively rated
Peak tendon force (N) on a visual-analog scale after
Control 6,035 6 603 5,711 6 739 25.5 6 6.5 (20.48) performing 10 calf raises.
Plyometric 5,694 6 715 5,415 6 907 24.6 6 13.4 (20.35) The visual-analog scale was
Muscle-tendon-junction displacement (mm)
Control 14.7 6 3.1 15.0 6 2.4 3.4 6 8.7 (0.13) from ‘no pain at all’ (0 mm) to
Plyometric 14.3 6 3.4 14.1 6 2.4 2.0 6 21.1 (-0.07) ‘extremely painful’ (100 mm).
Peak stress (MPa) Linear regression equations
Control 79.2 6 11.1 74.6 6 9.3 25.5 6 8.3 (20.46) (R2 = 0.94 6 0.06) were fitted
Plyometric 81.7 6 8.0 69.2 6 11.4 215.2 6 12.3 (21.09) to the plot of tendon force
Peak strain (%)
Control 7.6 6 2.1 7.8 6 1.8 4.0 6 9.6 (0.11) against muscle-tendon-junction
Plyometric 7.7 6 2.0 7.7 6 1.5 3.5 6 20.9 (0.01) displacement between 0–40
Young’s modulus (GPa) and 50–90% MVC with gradient
Control 2.1 6 0.8 2.0 6 0.9 23.6 6 33.7 (20.19) used to determine stiffness in
Plyometric 2.5 6 1.3 2.0 6 1.3 219.2 6 18.3 (20.38) the low (Stiffness0–40%) and high
*Control group, n = 8; plyometric group, n = 7. force range (Stiffness50–90%),
†p , 0.050, control vs. plyometric. respectively. The total area
zp , 0.01, pretraining vs. posttraining.
§p , 0.01, control vs. plyometric. underneath the Achilles tendon
force-displacement curve was
used as a measure of elastic
energy. Muscle-tendon-junction
displacement was expressed as
determining muscle-tendon-junction displacement at different a percentage of resting Achilles tendon length (strain) to stan-
degrees of plantar flexion during passive rotation of the ankle dardize between participants. Tendon force was standardized
(16,24). In contrast to Houghton et al. (16), ankle angle was by dividing by cross-sectional area of the Achilles tendon to
recorded using a motion-capture system (Tracking tools, determine stress (megapascals). Finally, by plotting stress
v 2.3.1, OptiTrack, OR, USA). Continuous monitoring of against strain, Young’s elastic modulus was determined from
ankle angle also enabled an estimation of the misalignment the gradient of the linear regression (R2 = 0.97 6 0.03) fitted
of the medial malleolus with the dynamometer’s axis of between 50 and 90% of peak stress on the day of testing. If
rotation that occurred during heel slip (1). Moment arm of a change in tendon stiffness is accompanied by a change in
the Achilles tendon was determined using the tendon excursion Young’s modulus, it might suggest that alterations in Achilles
method (11,24). tendon material properties or biochemistry rather than tendon
To measure tendon cross-section, 3 transverse ultrasound hypertrophy. All mechanical properties were determined as
images (10 MHz, 40-mm scanning length, Echoblaster the mean of three of the ramp isometric contractions.
128 EXT-1Z, Telemed Ltd.) of the right Achilles tendon The physical demands of a high intensity, prolonged
were taken 2 cm superior to the line joining the lateral and (2 hours 20 minutes) cricket batting innings were simulated
medial malleoli of the right ankle (4.9 6 0.7 cm superior to using the BATEX protocol at an indoor net facility. Overall,
the inferior margin of the calcaneus). During this procedure, BATEX lasted 2 hours 20 minutes, required 49 straight-line
the participants were in normal stance with ankle at a neutral runs, 30 shuttle runs (total of 34 changes of direction) and

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Plyometrics and Shuttle Run Performance

Figure 3. Relationship between Achilles tendon strain and mean 5-0-5-m


time during the batting simulation, r = 0.577, p = 0.004.

and so, the participants were required to wear the same pro-
tective equipment before and after the training intervention.
Immediately before BATEX, jump heights were assessed
Figure 2. Achilles tendon stress-strain curves both pretraining (closed using a contact mat (Innervations, Kinematic Measurement
symbols) and posttraining (open symbols) in control and plyometric System, v 2009.1.0). After a standardized warm-up (light
groups. Note that data points are matched at 10% increments of peak
shuttle running and dynamic stretches), the participants
pretraining or posttraining tendon force but point of absolute maximal
stress (at maximal tendon force) has also been included on the graph. performed 3 CMJs and 3 SJs at maximal effort (each
For clarity, error bars (SD) have only been included for stress. †Large separated by 1-minute rest). The highest CMJ and SJ flight
effect size: 1.21–1.24.
times were used in later analysis. The jump-test battery was
repeated approximately 2 minutes after BATEX.
The 8-week plyometric training program was based on
approximately 5 km was covered (17). Details of BATEX previous literature and included horizontal and lateral (uni-
(including standardization of food and fluid intake) are avail- lateral and bilateral) exercises of varying intensity (12,30,31).
able in Houghton et al. (15). Briefly, BATEX required the Details of the plyometric program are presented in Table 2.
completion of six, 21-minute stages. During each stage the All the sessions were carried out on rubber gym matting
batsman played shots against balls delivered by a bowling with at least 2 days between sessions. Each session began with
machine. To replicate the timings of a match, balls were 4-minute cycling at moderate intensity and 5–6 minutes of
delivered every 35 seconds but with 80-second rest after dynamic stretches.
every 6 balls (an ‘over’). Before each ball, audio cues
instructed the batsman the number of shuttles (e.g., 1, 1.5, Statistical Analyses
2, or 3) to be made after each shot. In stages 1, 3, and 5 all All values are mean 6 SD. Statistical significance was
shuttle runs (running-between-the-wickets) were at a self- accepted at p # 0.050. Statistical analysis was performed
selected ‘cruise’ pace, whereas during stages 2, 4, and 6 all using PASW statistics v18.0.0 and Microsoft Excel (2003).
shuttle runs were at full speed. In the full-speed stages, mean Two-way, mixed-design factorial analyses of variance (Time:
5-m straight-line, sprint time was assessed in the single shut- pretraining/posttraining 3 Condition: PLYO/CON) were
tles and a 5-0-5-m turn time was assessed in the 1.5, 2, and used to analyze the effects of training on all variables (Achil-
3 shuttle runs (9). Running-between-the-wicket times were les tendon properties, for example, Stiffness0–40%; anthropo-
measured using electronic timing gates (Swift, Australia). metric properties, for example cross-sectional area; BATEX
Because of the limited space available in the indoor net performance variables, for example, 5-m sprint times; and,
facility, the pitch length was 1 m shorter compared to pre- jump heights). Levene’s test was used to confirm equality of
vious studies (15) and so the 5-m sprint time was sampled variances. If significant interaction effects were found, t-tests
between 6.68 and 11.68 m (rather than 7.68 and 12.68 m) were used to test for differences within (pretraining vs. post-
from the start ‘crease’. Further, in contrast to previous studies training) and between groups (PLYO vs. CON). Also, infer-
(15), BATEX was adapted to allow completion in pairs rather ences from the smallest worthwhile change were determined
than by individuals. Therefore, each batsman received half for performance data (5-m sprint, 5-0-5-m turn, CMJ, SJ)
the deliveries (i.e., 90 rather than 180 balls) but still com- using coefficients of variation (spreadsheet developed by
pleted the same shuttle running demands as in previous stud- Hopkins available at www.sportsci.org/resource/stats/).
ies. Leg-guard design can affect running performance (35), Inferences were made based on threshold chances of 5%
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for substantial magnitudes of change (14). Before and after vs. CON: 12.8 6 7.5 vs. 0.3 6 6.9%, p = 0.010, moderate
training, the percentage change of variables was compared effect size of 1.02; Table 4).
using independent t-tests. Effect sizes were considered small Peak and submaximal Achilles tendon stress were statistically
(0.2–0.59), moderate (0.6–1.19), or large (1.2–1.99) (7,13). similar between PLYO and CON (main effect of condition:
Significant correlations (p , 0.050) between Achilles tendon p = 0.749–958) but decreased from pretraining to post training
properties and BATEX performance variables were reported in PLYO only (main effect of time: p = 0.002–0.004, Figure 2).
as moderate (0.300–0.499) or strong (.0.500) (7). However, there was a moderate trend for peak stress to
decrease more in PLYO compared with CON (%Δ, PLYO vs.
RESULTS CON: 215.2 6 12.3 vs. 25.5 6 8.3%, p = 0.093, moderate
The mean 5-m sprint time and decrement in 5-m sprint time effect size of 0.87; Table 4). Also, at all submaximal points in
(from stages 2–6 of BATEX) were both similar between groups PLYO, the interaction effects (time 3 condition) approached
and from pretraining to posttraining (p . 0.050, Table 3). The significance (p = 0.054–0.073) and there were large effect sizes
effect size (20.43) suggested that the 0.01-second decrease in (1.21–1.24), together highlighting a strong trend for decreased
mean 5-m time in PLYO was small, possibly (72%) practically stress from pretraining to posttraining in PLYO (Figure 2).
beneficial and the overall inference was ‘unclear.’ Likewise, Pretraining, maximum muscle-tendon-junction displacement
mean 5-0-5-m turn time was similar between groups and from (r = 0.548), strain (r = 0.577, e.g., Figure 3), Stiffness50–90%
pretraining to posttraining (p . 0.050, Table 3). The effect (r = 20.535) and modulus (r = 20.522) were all strongly
size (20.21) suggested that the 0.03-second decrease in mean correlated with 5-0-5-m turn time (p = 0.024–0.046). Pretrain-
5-0-5-m turn time in PLYO was small, possibly (51%) practically ing, correlations between 5-m sprint and 5-0-5-m turn times
beneficial and the overall inference was ‘unclear.’ Although the and all other Achilles tendon properties were nonsignificant
decrement in 5-0-5-m turn time (from stages 2–6) did not differ (p . 0.050). Furthermore, there were no significant correlations
in either group from pretraining to posttraining (p = 0.665), the between change in mean 5-m time, change in mean 5-0-5-m
mean decrement (both pretraining and posttraining) was greater time and change in all other Achilles tendon properties after
in PLYO compared with CON (20.08 6 0.06 vs. 20.03 6 0.05, the training program.
p = 0.010, Effect size = 20.91, Table 3).
Self-selected running times (stages 1, 3, and 5 of BATEX) DISCUSSION
for both 5-m (1.42 6 0.28 seconds) and 5-0-5-m (2.95 6 0.41 The aim of this study was to explore whether the addition of
seconds) were similar between groups and from pretraining plyometric sessions to normal preseason training affected: (a)
to posttraining (p . 0.050). Shuttle running times (straight-line sprints and turns) during
In PLYO the percent increases in CMJ (11.0 6 7.1%), and a prolonged, simulated cricket batting innings (BATEX), and
SJ (9.1 6 5.5%) heights from pretraining to posttraining were (b) whether there were accompanied changes in Achilles
all greater than CON (20.7 6 8.2, 1.5 6 3.5, and 0.4 6 tendon mechanical properties. Inferences from the smallest
12.6%, respectively; p , 0.050). These findings mirrored worthwhile effect suggested that plyometric training may have
absolute jump height because CMJ and SJ only increased possible benefits on shuttle running times and only a small
in PLYO (p , 0.050, Table 3). The effect size statistics sug- chance of a detrimental effect. Achilles tendon stiffness0–40%,
gested that the increases in CMJ and SJ were moderate (0.82 Stiffness50–90%, elastic energy, force, muscle-tendon-junction
and 0.65), very likely (98 and 96%) practically beneficial and displacement, strain and Young’s modulus were unaffected
with the overall inferences being ‘very likely positive.’ by plyometric training. Interestingly, cross-sectional area of
Achilles tendon properties (resting length, Stiffness0–40%, the Achilles tendon increased after plyometric training.
Stiffness50–90%, elastic energy, peak Achilles tendon force, In PLYO, although there were no statistically significant
muscle-tendon-junction displacement, strain and Young’s changes in mean 5-m and 5-0-5 m times from pretraining
modulus) did not statistically differ from pretraining to post- to posttraining, there were possible benefits on shuttle run times
training or between PLYO and CON (p . 0.050, Table 4). and the chance of detrimental effects were small (,15%).
The main effect of time for both Young’s modulus (p = 0.067) Moreover, the decrease in mean 5-m sprint (0.01-second) and
and peak Achilles tendon force (p = 0.082) approached sig- 5-0-5 m turn (0.03-second) times from pretraining to posttrain-
nificance but the effect sizes were small (0.19–0.48). ing are equivalent to completing a shuttle run approximately
There was no change in pain rating in either PLYO or 6–13 cm quicker. It is emphasized that these are mean improve-
CON from pretraining to posttraining (pre to post: 27.5 6 17.8 ments over the course of a 2-hour 20-minute batting simulation
to 31.6 6 29.3 mm and 19.4 6 15.4 to 25.8 6 9.4 mm, and therefore, if consistently replicated in a match, might assist
respectively; p = 0.402). a batsman in getting his or her bat back across the crease-line
There was an interaction effect (time 3 condition) for before the ball is thrown in by a fielder. If a batter does not
Achilles tendon cross-sectional area (p = 0.007) such that ‘ground’ his or her bat across the crease line before the ball is
the pretraining cross-section was 9.8% lower in PLYO vs. thrown in by a fielder then their innings is terminated (‘run-out’).
CON (p = 0.029). Moreover, from pretraining to posttrain- Despite no statistically significant changes in running
ing, cross-sectional area only increased in PLYO (%Δ PLYO times, the efficacy of the plyometric program was confirmed

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Plyometrics and Shuttle Run Performance

by increased jump heights. The increases in CMJ (+11%) tendon elastic energy and muscle-tendon-junction displace-
and SJ (+9%) were comparable with previous plyometric ment after plyometric training. In the current study, no changes
training studies (;+10%: 12,26). Plyometric training may in Achilles tendon stiffness, elastic energy, muscle-tendon-
improve jump height through various mechanisms includ- junction displacement, force, Young’s modulus or strain were
ing, improvements in coordination, balance, muscle activa- observed after PLYO. These findings might also be explained
tion, neural drive, muscle strength, muscle fiber composition by the shorter duration and less intense training program used
and tendon mechanical properties (26). Previously, 5–6% in PLYO. Previously, Kubo et al. (22) used a 12-week program
increases in isometric plantar flexion torque, 19–60% with 4 sessions per week; Foure et al. (12) used a 14-week
increases in Achilles tendon stiffness and approximately program with 2–3 sessions per week and 200–600 jumps per
20% increase in Achilles tendon elastic energy were session (total of ;6,800 jumps); and, although Burgess et al. (5)
observed after plyometric training (12,22). However, Achil- only used a 6-week program, participants were trained using
les tendon force, Stiffness0–40%, Stiffness50–90%, elastic energy high-intensity, single-leg, maximum-effort drop jumps. How-
and Young’s modulus were unchanged in PLYO, suggesting ever, in this study, the plyometric program lasted for 8 weeks
increased jump heights were not related to improved plantar with a total of 1,785 jumps and 82–158 jumps per session of
flexion strength or a change in Achilles tendon properties. varied intensity (Table 2). A less intense workload was chosen
It is possible that the increased jump heights in PLYO may to reduce injury risk in the cricketers because they had no
have been because of improved strength, power and tendon experience of plyometric training and were also committed
mechanics in other muscle-tendon units of the lower limb to their normal preseason training preparations. Nevertheless,
(e.g., quadriceps femoris). Moreover, jumping, sprinting, and it is possible that changes in mechanical properties occurred in
change of direction have been reported as specific motor different locations along the Achilles tendon. For example, in
abilities (4,34) and so the increased jump heights may be this study, determination of muscle-tendon-junction displace-
due to improved coordination and neuromuscular recruit- ment was limited longitudinally along the Achilles tendon,
ment patterns (26). If improved coordination was the reason but it is possible changes in occurred transversely or in the
for increased jump height, it might explain why increases in aponeurosis (18).
jump heights were not translated to faster sprinting The pretraining cross-sectional area of the Achilles tendon
and change-of-direction times. Therefore, to significantly was similar to that in previous studies (;60–80 mm2)
improve shuttle running times, batting-specific sprint and (20,25). The cross-sectional area of the Achilles tendon
change-of-direction training may need to be combined with was higher in CON than PLYO, possibly explained by the
plyometric training (4). In this study, specific running- higher stature in CON compared to PLYO. Posttraining, the
between-the-wicket practice was not reported in the training cross-sectional area of the Achilles tendon increased in
diaries of PLYO or CON. PLYO (+12.8%) but not in CON (+0.03%). However, there
Before training, faster turn times were correlated to lower were no significant changes in Achilles tendon force in
strain and to higher Stiffness50–90% and modulus in PLYO PLYO or CON, and so, this explained the strong trends for
and CON. Previously, it was demonstrated that higher Achilles tendon stress (maximal and submaximal) to
Achilles tendon stiffness and force were correlated to faster decrease more in PLYO than CON. Conversely, previous
5-m sprint times and 5-0-5-m turn times during BATEX (16). plyometric studies have not observed changes in cross-
It is possible that tendons with lower strain and higher stiff- sectional area or stress of the Achilles tendon despite includ-
ness allow more control of movement when decelerating ing longer and more intense training programs (12,22).
and accelerating during change of direction (16). However, The increase in cross-sectional area in PLYO may have
Stiffness0–40%, Stiffness50–90%, strain, and peak Achilles ten- been due to reactive-tendinopathy or permanent tendon
don force were all unchanged after plyometric training and hypertrophy (8). Ayra and Kulig (2) observed higher cross-
so may provide a further explanation for the lack of statisti- sectional area of the Achilles tendon in individuals with
cally significant changes in 5-m and 5-0-5 m turn times. tendinopathy (93 mm2) compared with healthy controls
The lack of changes in Achilles tendon stiffness may have (56 mm2), possibly because of water accumulation related
been because of the relatively high pretraining stiffness. Stiffness to increased proteoglycan production (8). In this study,
values in the high force range (800–900 N$mm21) were higher the Achilles tendon test was completed 1 week after the
than that previously reported (;400 N$mm21) (16). However, last plyometric training session, so it is possible that
peak muscle-tendon displacement and peak tendon force were a training-induced ‘reactive-tendinopathy’ remained (8).
similar to that previously reported (16), and so, the higher However, the training load was tapered in the last 2 weeks
stiffness in this study may be explained by a difference in the to allow recovery (Table 2). Moreover, if reactive tendinop-
shape of the force-elongation curve. Further, training-induced athy was present, increased Achilles tendon stiffness and
increases in stiffness may have been prevented to ensure max- pain rating (using the visual-analog scale) might have been
imum muscle efficiency (23). Previously, Achilles tendon stiff- expected alongside the increase in cross-sectional area, but
ness has been reported to increase after plyometric training this was not the case (8). Alternatively, permanent Achilles
(5,12). Also, Kubo et al. (22) observed increased Achilles tendon hypertrophy might have occurred in PLYO because
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of increased type I collagen fibers (20). Findings from jump heights increased. However, inferences made from
cross-sectional studies suggest that a history of repetitive the smallest worthwhile change suggested possible benefits
lower-limb loading is associated with increased Achilles ten- (with minimal chance of detrimental affects) of plyometric
don cross-sectional area, particularly in the distal region training on prolonged, intermittent shuttle run times. More-
(20,25,32). For example, in runners (.80 km$wk21) the over, the change in mean sprint and change-of-direction times
cross-sectional area of the Achilles tendon was approxi- in PLYO might translate to practical differences (;6–13 cm) in
mately 85 mm2 but approximately 70 mm2 in nonrunners a cricket match. Achilles tendon mechanical properties were
(4 cm above the inferior margin of the calcaneus) (25). unaffected by training, but Achilles tendon cross-sectional
Increased cross-sectional area may decrease stress placed area increased. The increase in the cross-sectional area of
on the tendon during locomotion. the Achilles tendon might have been because of reactive-
Interestingly, Kongsgaard et al. (20) observed lower Achil- tendinopathy (temporary changes) or reflect permanent
les tendon stress in runners (72.4 MPa) compared with those Achilles tendon hypertrophy. Future research should investi-
with limited loading of the Achilles tendon (57.4 MPa in gate methods to better differentiation between reactive tendin-
kayakers). It has been reported that the Achilles tendon opathy and permanent adaptations to training. In addition,
has a failure stress of 100 MPa (25). In PLYO, Achilles ten- research should further investigate the relationship between
don stress during maximum contraction was 84 MPa but tendon cross-sectional area and injury risk.
was 69 MPa posttraining, and so, there was an increased
‘safety margin’ because peak stress was reduced further PRACTICAL APPLICATIONS
below Achilles tendon failure stress (assuming a failure stress
of 100 MPa that did not change as a result of training) (25). Addition of a lower-limb plyometric program to the pre-
Therefore, in PLYO, it is possible that the moderate to strong season training program of club-standard, cricket batsmen
trends for decreased Achilles tendon stress might translate to may result in practically significant improvements
reduced injury risk. However, further research is required to (and minimal detrimental effects) in shuttle run performance
examine the relationships between Achilles tendon cross- (running-between the wickets) during a prolonged batting
sectional area, stress and injury risk. innings. This application may translate to other sports since
It is acknowledged that a relatively small sample size was intermittent running with change of direction is typical of
used in this study and so may limit translation of findings to many team-games. Plyometric training may also led to
a wider population. First, the small sample size was because of increased jump heights. Although increased jump heights
the difficulty of recruiting trained individuals. Previously, may not be of direct advantage when batting, such improve-
studies that observe the effects of plyometrics on performance ments may benefit batsmen when fielding (e.g., when
have largely been carried out on nonathletes (26). In part, the jumping to catch a ball).
preference of recruiting untrained volunteers may be because
of the tendency of athletes to be hesitant at introducing novel ACKNOWLEDGMENTS
training methods to their programs. The reality of small ath- This research was carried out while L.A.H. was in receipt of
lete sample sizes in scientific investigations was acknowledged a University Postgraduate Reward and an Endeavor
by Hopkins et al. (14) when he recommended making pop- International Postgraduate Research Scholarship. The
ulation inferences from the smallest worthwhile change. The authors acknowledge the West Coast Eagles Football Club
recommendations of Hopkins et al. (14) were followed in the for loan of the timing gates; MiSport Ltd. for the loan of
current study. Second, the relatively small sample size of this PitchVision to enhance the batting simulation; and Revolu-
study was due to the high time demands of the BATEX and tion Sports for the use of their indoor facility. They also wish
Achilles tendon protocols. It could be argued that a less time- to acknowledge the invaluable efforts of all the participants.
demanding protocol should have been used to allow higher The authors declare no conflict of interest in the findings of
sample size, but the BATEX protocol has been shown to this research. The results of this study do not constitute
reflect the physical demands of a prolonged, batting innings endorsement of any equipment by the authors or the
in a match (17). Therefore, the relevance of the current find- National Strength and Conditioning Association.
ings to real match performance is greater than if short dura-
tion agility tests (,5 minutes) were used. Previous studies
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