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      Submaximal Fitness Tests in Team Sports: A Theoretical Framework for Evaluating Physiological State

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          Abstract

          Team-sports staff often administer non-exhaustive exercise assessments with a view to evaluating physiological state, to inform decision making on athlete management (e.g., future training or recovery). Submaximal fitness tests have become prominent in team-sports settings for observing responses to a standardized physical stimulus, likely because of their time-efficient nature, relative ease of administration, and physiological rationale. It is evident, however, that many variations of submaximal fitness test characteristics, response measures, and monitoring purposes exist. The aim of this scoping review is to provide a theoretical framework of submaximal fitness tests and a detailed summary of their use as proxy indicators of training effects in team sports. Using a review of the literature stemming from a systematic search strategy, we identified five distinct submaximal fitness test protocols characterized in their combinations of exercise regimen (continuous or intermittent) and the progression of exercise intensity (fixed, incremental, or variable). Heart rate-derived indices were the most studied outcome measures in submaximal fitness tests and included exercise (exercise heart rate) and recovery (heart rate recovery and vagal-related heart rate variability) responses. Despite the disparity between studies, these measures appear more relevant to detect positive chronic endurance-oriented training effects, whereas their role in detecting negative transient effects associated with variations in autonomic nervous system function is not yet clear. Subjective outcome measures such as ratings of perceived exertion were less common in team sports, but their potential utility when collected alongside objective measures (e.g., exercise heart rate) has been advocated. Mechanical outcome measures either included global positioning system-derived locomotor outputs such as distance covered, primarily during standardized training drills (e.g., small-sided games) to monitor exercise performance, or responses derived from inertial measurement units to make inferences about lower limb neuromuscular function. Whilst there is an emerging interest regarding the utility of these mechanical measures, their measurement properties and underpinning mechanisms are yet to be fully established. Here, we provide a deeper synthesis of the available literature, culminating with evidence-based practical recommendations and directions for future research.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s40279-022-01712-0.

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          Most cited references173

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          Psychophysical bases of perceived exertion

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            Development of a shuttle walking test of disability in patients with chronic airways obstruction.

            The aim was to develop a standardised and externally paced field walking test, incorporating an incremental and progressive structure, to assess functional capacity in patients with chronic airways obstruction. The usefulness of two different shuttle walking test protocols was examined in two separate groups of patients. The initial 10 level protocol (group A, n = 10) and a subsequent, modified, 12 level protocol (group B, n = 10) differed in the number of increments and in the speeds of walking. Patients performed three shuttle walking tests one week apart. Then the performance of patients (group C, n = 15) in the six minute walking test was compared with that in the second (modified) shuttle walking test protocol. Heart rate was recorded during all the exercise tests with a short range telemetry device. The 12 level modified protocol provided a measure of functional capacity in patients with a wide range of disability and was reproducible after just one practice walk; the mean difference between trial 2 v 3 was -2.0 (95% CI -21.9 to 17.9) m. There was a significant relation between the distance walked in the six minute walking test and the shuttle walking test (rho = 0.68) but the six minute walking test appeared to overestimate the extent of disability in some patients. The shuttle test provoked a graded cardiovascular response not evident in the six minute test. Moreover, the maximal heart rates attained were significantly higher for the shuttle walking test than for the six minute test. The shuttle walking test constitutes a standardised incremental field walking test that provokes a symptom limited maximal performance. It provides an objective measurement of disability and allows direct comparison of patients' performance.
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              The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure.

              Cycle and treadmill exercise tests are unsuitable for elderly, frail and severely limited patients with heart failure and may not reflect capacity to undertake day-to-day activities. Walking tests have proved useful as measures of outcome for patients with chronic lung disease. To investigate the potential value of the 6-minute walk as an objective measure of exercise capacity in patients with chronic heart failure, the test was administered six times over 12 weeks to 18 patients with chronic heart failure and 25 with chronic lung disease. The subjects also underwent cycle ergometer testing, and their functional status was evaluated by means of conventional measures. The walking test proved highly acceptable to the patients, and stable, reproducible results were achieved after the first two walks. The results correlated with the conventional measures of functional status and exercise capacity. The authors conclude that the 6-minute walk is a useful measure of functional exercise capacity and a suitable measure of outcome for clinical trials in patients with chronic heart failure.
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                Author and article information

                Contributors
                Tzlil21092@gmail.com
                Journal
                Sports Med
                Sports Med
                Sports Medicine (Auckland, N.z.)
                Springer International Publishing (Cham )
                0112-1642
                1179-2035
                11 July 2022
                11 July 2022
                2022
                : 52
                : 11
                : 2605-2626
                Affiliations
                [1 ]GRID grid.1029.a, ISNI 0000 0000 9939 5719, School of Health Sciences, , Western Sydney University, ; Sydney, NSW Australia
                [2 ]Newcastle Falcons Rugby Club, Newcastle upon Tyne, UK
                [3 ]GRID grid.8250.f, ISNI 0000 0000 8700 0572, Department of Sport and Exercise Sciences, , Durham University, ; Durham, UK
                [4 ]HIIT Science, Revelstoke, BC Canada
                [5 ]GRID grid.418501.9, ISNI 0000 0001 2163 2398, French National Institute of Sport (INSEP), Laboratory of Sport, Expertise and Performance (EA 7370), ; Paris, France
                [6 ]Kitman Labs, Performance Research Intelligence Initiative, Dublin, Ireland
                [7 ]GRID grid.1019.9, ISNI 0000 0001 0396 9544, Institute for Health and Sport, , Victoria University, ; Melbourne, VIC Australia
                [8 ]Netball Australia, Melbourne, VIC Australia
                [9 ]GRID grid.10346.30, ISNI 0000 0001 0745 8880, Carnegie Applied Rugby Research (CARR) Centre, Institute for Sport, Physical Activity and Leisure, , Carnegie School of Sport, Leeds Beckett University, ; Leeds, UK
                [10 ]Department of Sport Science Innovation, Playermaker, London, UK
                Author information
                http://orcid.org/0000-0002-0544-1986
                http://orcid.org/0000-0003-0480-3209
                http://orcid.org/0000-0003-4336-2370
                http://orcid.org/0000-0002-6751-9937
                http://orcid.org/0000-0001-5859-0267
                Article
                1712
                10.1007/s40279-022-01712-0
                9584880
                35817993
                c9e9acd3-12ae-4ece-b7d6-d0663f4cd53a
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 22 May 2022
                Funding
                Funded by: Western Sydney University
                Categories
                Review Article
                Custom metadata
                © Springer Nature Switzerland AG 2022

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