Fitness and Performance Testing in Sport - Benefits, Requirements and Results: Difference between revisions

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'''Original Editor '''- [[User:Wanda van Niekerk|Wanda van Niekerk]] based on the course by [https://members.physio-pedia.com/instructor/dr-james-laskin// James Laskin]<br>


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp;   
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp;   
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== Why Fitness and Performance Testing in Sport? ==
== Why Use Fitness and Performance Testing in Sport? ==
 
Fitness and performance testing in athletes is used to<ref name=":0">McGuigan M. Chapter 12 Principles of Test Selection and Administration. In Haff GG, Triplett NT, editors. Essentials of strength training and conditioning 4th edition. Human kinetics; 2015 Sep 23.</ref>:
* Assess athletic talent<ref>Koopmann T, Faber I, Baker J, Schorer J. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7441090/pdf/40279_2020_Article_1299.pdf Assessing technical skills in talented youth athletes: a systematic review]. Sports Medicine. 2020 Sep;50(9):1593-611.</ref>
* assess athletic talent<ref>Koopmann T, Faber I, Baker J, Schorer J. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7441090/pdf/40279_2020_Article_1299.pdf Assessing technical skills in talented youth athletes: a systematic review]. Sports Medicine. 2020 Sep;50(9):1593-611.</ref>
* Identify physical abilities<ref name=":1">Mancha-Triguero D, Garcia-Rubio J, Calleja-González J, Ibáñez SJ. Physical fitness in basketball players: A systematic review. J. Sports Med. Phys. Fit. 2019 Sep 1;59:1513-25.</ref>
* identify physical abilities<ref name=":1">Mancha-Triguero D, Garcia-Rubio J, Calleja-González J, Ibáñez SJ. [https://www.minervamedica.it/en/journals/sports-med-physical-fitness/article.php?cod=R40Y2019N09A1513 Physical fitness in basketball players: A systematic review]. J. Sports Med. Phys. Fit. 2019 Sep 1;59:1513-25.</ref>
* Identify areas in need of improvement
** strengths and weaknesses
* Goal setting
* identify areas in need of improvement
* Progress evaluation<ref name=":1" />
* set goals
* Indicates effectiveness of decisions related to athletes (Fukuda text book)
* progress the evaluation<ref name=":1" /> or to determine the need for possible changes in the training programme<ref name=":3">Fukuda DH. Assessments for sport and athletic performance. Human Kinetics; 2018 Dec 5.</ref>
* Provides quality data that can inform decision-making processes (Fukuda)
* indicate the effectiveness of decisions related to athletes<ref name=":3" />
* provide quality data that can inform decision-making processes<ref name=":3" />
* identify skill sets that will determine player positions or specialities
* may predict performance
* help in injury prevention and prehabilitation
** read more: [[Musculoskeletal Injury Risk Screening]]


== Key Terminology ==
* predict performance
 
* compare results against normative data
* Test = a procedure for assessing ability in a particular endeavour
** this can help athletes see where they currently stand or how much they have progressed
* Field test = a test used to assess ability that is performed away from the laboratory and does not require extensive training or expensive equipment
* Measurement = the process of collecting test data<ref name=":0">D'Isanto T, D'Elia F, Raiola G, Altavilla G. [https://www.researchgate.net/publication/330907509_Assessment_of_Sport_Performance_Theoretical_Aspects_and_Practical_Indications Assessment of sport performance: Theoretical aspects and practical indications]. Sport Mont. 2019;17(1):79-82.</ref>
* Evaluation = the process of analysing test results for the purpose of making decisions<ref name=":0" />


== Requirements of Testing ==
== Requirements of Testing ==
The concepts of validity and reliability are key to effective assessments. Consider the following principles in performance testing:
The concepts of validity and reliability are key to effective assessments. Consider the following principles in performance testing.
 
* Specificity
** designed to assess and athlete's fitness for the activity in question
** consider the general demands of the sport or activity
*** type of exercises/movements required during sport(e.g., running, jumping, kicking, throwing)
*** can movement or exercise be completed in a single movement (discrete), is there a series of connected movements (serial) or is there a repeated pattern of movements (cyclical)
*** discrete and serial movements are usually easy identifiable but may need to be broken up into phases to focus on specific demands
*** cyclical movements focus on the repetitive physical actions and this needs to be considered when selecting an appropriate test
** consider athlete constraints
*** individual constraints such as:
**** athlete's physical and psychological state
**** training experience of athlete
**** current injury or previous injuries
**** availability of normative data for a specific athlete
*** task constraints
**** work to rest ratio (e.g., football (soccer) player with a work to rest ratio of 1:4, during the game the player's work consists out of short-duration sprints and sudden changes in direction, and the rest periods represents the time the player is walking or standing during the game.)
**** athlete playing position (think about American football, where linemen need to have strength to defend opposing linemen versus the wide receiver who needs to catch the ball in the air)
**** competition level may also influence test selection
*** environmental constraints
**** policies of sporting organisation
**** physical test environment (indoor vs outdoor, privacy, etc)
*****
* Validity
** the degree to which the test measures what it clams to measure
** this is the most important characteristic of testing
** Types of validity:
*** Construct validity
**** The ability of a test to represent the underlying construct (the theory developed to organise and explain some aspects of existing knowledge and observations)
*** Face or logical validity
**** The appearance to the athlete and other observers that the test measures what it is intended to measure
*** Content validity
**** The assessment by experts that the testing covers all relevant subtopics or component abilities in appropriate proportions
*** Criterion-referenced validity
**** The extent to which test scores are associated with some other measure of the same ability
*** Discriminant validity
**** The results of a test can differentiate between individuals who have different physical fitness attributes (e.g., athletes vs non-athletes, endurance vs strength athletes)
 
* Reliability
** A measure of the degree of consistency or repeatability of a test
** Capable of consistent repetition
** Measurement error in reliability can arise from the following:
*** Intra-subject (within subjects) variability
**** The lack of consistent performance by the person tested
*** Intra-rater (within raters) variability
**** The consistency of scores by a given tester
*** Inter-rater (between raters) reliability
**** The consistency of scores across a group of raters
* Objectivity
** Produce a consistent result irrespective of the tester
* Other considerations
** Tests should not require any technical competence on the part of the athlete (unless it is being used to assess technique)
** Care should be taken to make sure that the athlete understands precisely what is required of him/her, what is being measured and why
** Test procedures should be strictly standardised in terms of administration, organisation and environmental conditions
*** Repeatability
 
== Factors that Influence Test Results ==
{| class="wikitable"
|+Table 1. Examples of influencing factors on fitness and performance test results
! colspan="2" |Factors that Influence Fitness and Performance Test Results
|-
|Ambient temperature, noise level and humidity
Amount of sleep the athlete had before testing
 
Athlete's emotional state
 
Medication that athlete may be taking
 
Time of day
 
Athlete's caffeine intake
 
Time since athlete's last meal
 
Test environment - surface (track, grass, road, gym)
 
Consequences of testing results
 
Availability and condition of equipment
|Timing and sequencing of testing
Athlete's prior knowledge and experience
 
Accuracy of measurements
 
Is athlete applying maximum effort in maximal tests
 
Inappropriate warm-up
 
People/spectators present
 
Personality, knowledge and skill of tester
 
Athlete's clothing and shoes
 
Surface on which test s conducted
 
Other environmental conditions - wind, rain, etc
|}
 
== Making Tests More Reliable and Valid ==
 
* Use competent and well-trained testers
* Equipment should be standardised and calibrated regularly
* Each test should measure only one factor
* Care should be taken to make sure the athlete understands exactly what is required of them
* Test procedure should be standardises in terms of administration, organisation and environmental conditions
* Test should be designed so that it can easily be repeated by another trained tester
* Test should be fully documented so that it can be administered in the same way the next time it is conducted


'''Specificity'''<ref name=":3" />
* designed to assess an athlete's fitness for the activity in question
* consider the general demands of the sport or activity
** type of exercises/movements required during sport (e.g., running, jumping, kicking, throwing)
** can movement or exercise be completed in a single movement (''discrete''), is there a series of connected movements (''serial'') or is there a repeated pattern of movements (''cyclical'')?
** discrete and serial movements are usually easily identifiable but may need to be broken up into phases to focus on specific demands
** cyclical movements focus on repetitive physical actions and this needs to be considered when selecting an appropriate test
* consider athlete constraints
** ''individual'' constraints such as:
*** athlete's physical and psychological state
*** training experience of the athlete
*** current injury or previous injuries
*** availability of normative data for a specific athlete
** ''task'' constraints
*** work-to-rest ratio (e.g., football (soccer) player with a work-to-rest ratio of 1:4 - during the game, the player's work consists of short-duration sprints and sudden changes in direction, and the rest periods represent the time the player is walking or standing during the game)
*** athlete playing position (think about American football, where linemen need to have the strength to defend opposing linemen versus the wide receiver who needs to catch the ball in the air)
*** competition level may also influence test selection
** ''environmental'' constraints
*** policies of sporting organisations
*** physical test environment (indoor vs outdoor, privacy, etc)
'''Validity'''<ref name=":0" />
* the degree to which the test measures what it claims to measure<ref name=":2">Haff GG, Dumke C. Laboratory manual for exercise physiology. Human Kinetics; 2022 Dec 2.</ref>
* this is the most important characteristic of testing
* types of validity<ref name=":0" />:
** '''construct validity'''
*** the ability of a test to represent the underlying construct (the theory developed to organise and explain some aspects of existing knowledge and observations)
** '''face or logical validity'''
*** the appearance to the athlete and other observers that the test measures what it is intended to measure
** '''content validity'''
*** the assessment by experts that the testing covers all relevant subtopics or component abilities in appropriate proportions
** '''criterion-referenced validity'''
*** the extent to which test scores are associated with some other measure of the same ability
** '''discriminant validity'''
*** the results of a test can differentiate between individuals who have different physical fitness attributes (e.g., athletes vs non-athletes, endurance vs strength athletes)
'''Reliability'''<ref name=":0" />
* a measure of the degree of consistency or repeatability of a test<ref name=":2" />
* capable of consistent repetition
* measurement error in reliability can arise from the following<ref name=":0" />:
** intra-subject (within subjects) variability
*** the lack of consistent performance by the person tested
** intra-rater (within raters) variability
*** the consistency of scores by a given tester
** inter-rater (between raters) reliability
*** the consistency of scores across a group of raters
'''Objectivity'''
* tests produce a consistent result irrespective of the tester
'''Other considerations'''
* tests should not require any technical competence on the part of the athlete (unless it is being used to assess technique)
* care should be taken to make sure that the athlete understands precisely what is required of them, what is being measured and why
* test procedures should be strictly standardised in terms of administration, organisation and environmental conditions
** repeatability
{{#ev:youtube|Qb-1hMw3spo|300}}<ref> The PE Tutor. Validity || Reliability || Practicality - What's the difference !? Available from:https://www.youtube.com/watch?v=Qb-1hMw3spo [last accessed 14/12/2022]</ref>
== Test Selection ==
== Test Selection ==
Relevant factors to consider with appropriate test selection include<ref name=":3" />:
* needs of the team/coach
** rehabilitation professionals can use their knowledge and experience to inform the goals or performance outcomes
** selected assessments help with decision-making processes
* needs of the athlete
** age
** career level
** injury or training status
* relevance of the test
** how will this help a rehabilitation professional address the athlete's needs?
** determine which physical fitness attributes are relevant
* ease of implementation
** consider available resources and barriers to implementation
* redundant assessments
** select a sufficient amount of tests to address the athlete's needs without too much overlap between tests
* intentional efficiency
* testing specificity
* availability of normative data
** when using normative data, always make sure that it is appropriate for the specific population that you are working with


* Needs of the team/coach
===== SWOT Analysis Framework =====
** Context of testing
"This framework may help determine the feasibility of implementing assessments."<ref name=":3" />
* Needs of the athlete
** Age
** Career level
** Injury or training status
* Relevance of the test
* Ease of implementation
* Redundant assessments
* Intentional efficiency
* Testing specificity
* Availability of normative data


SWOT analysis
* S = Strengths (internal factor)
* W = Weaknesses (internal factor)
* O = Opportunities (external factor)
* T = Threats (external factor)


* S = Strengths
=== Other Considerations with Test Selection ===
* W = Weaknesses
Some more considerations with test selection include<ref name=":0" />:
* O = Opportunities
* metabolic energy system specificity:
* T = Threats
** consider the energy demands of the sport and which system (phosphagen, glycolytic and/or oxidative) are being used<ref>Maciejczyk M, Michailov ML, Wiecek M, Szymura J, Rokowski R, Szygula Z, Beneke R. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8819085/ Climbing-specific exercise tests: energy system contributions and relationships with sport performance.] Frontiers in Physiology. 2022:2521.</ref>
 
** read more about [[Physiology In Sport#What Happens during Exercise|Energy Systems]]
== Resources  ==
** when selecting an appropriate test for a specific ability, clinicians should be familiar with the demands of the sport
*bulleted list
** position of the player and position-dependent aspects<ref>Ivanović J, Kukić F, Greco G, Koropanovski N, Jakovljević S, Dopsaj M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775855/pdf/ijerph-19-00977.pdf Specific Physical Ability Prediction in Youth Basketball Players According to Playing Position.] International Journal of Environmental Research and Public Health. 2022 Jan 16;19(2):977.</ref>
*x
** work-rest ratio<ref>Alba-Jiménez C, Moreno-Doutres D, Peña J. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950744/pdf/sports-10-00033.pdf Trends Assessing Neuromuscular Fatigue in Team Sports: A Narrative Review.] Sports. 2022 Feb 28;10(3):33.</ref>
or
* biomechanical movement pattern specificity
 
** the test needs to have similarities with important movements of the sport or activity and consider position-dependent aspects<ref>Fílter A, Olivares Jabalera J, Molina-Molina A, Suárez-Arrones L, Robles-Rodríguez J, Dos’ Santos T, Loturco I, Requena B, Santalla A. Effect of ball inclusion on jump performance in soccer players: A biomechanical approach. Science and Medicine in Football. 2022 Apr 3;6(2):241-7.</ref>
#numbered list
** for example, a vertical jump test will be more appropriate for a volleyball player than a hockey player
#x
* experience and training status
** athlete's ability to perform a technique<ref>Fort-Vanmeerhaeghe A, Milà-Villarroel R, Pujol-Marzo M, Arboix-Alió J, Bishop C. Higher vertical jumping asymmetries and lower physical performance are indicators of increased injury incidence in youth team-sport athletes. Journal of Strength and Conditioning Research. 2022 Aug 1;36(8):2204-11.</ref>
*** experienced athletes may be familiar with a sport-specific technique-intensive test, but in a novice, poor or improper technique may influence test performance
** athlete's level of strength and endurance
*** it might not be ideal to ask a weightlifter to complete a 10 km endurance test
** age and sex
*** these may affect the athlete's experience, interest and ability
** environmental factors
*** high temperature and high humidity can impair performance, have health risks and lower the validity of aerobic endurance tests
*** fluctuations in temperature can affect the ability to compare test results over time
*** altitude will influence endurance tests, but not strength and power tests
*** standardised environmental conditions are needed wherever possible


<div class="row">
  <div class="col-md-6"> {{#ev:youtube|oBcmCDi6Mno|250}} <div class="text-right"><ref>Dr. Jacob Goodin. Performance Testing | Safety Factors | CSCS Chapter 12. Available from: https://www.youtube.com/watch?v=oBcmCDi6Mno[last accessed 14/12/2022]</ref></div></div>
  <div class="col-md-6"> {{#ev:youtube|Joe8-V2uo2c|250}} <div class="text-right"><ref>DR J Kang DPT. CSCS Study Guide: Chapter 12 SUMMARY [Principles of Test Selection & Administration]. Available from: https://www.youtube.com/watch?v=Joe8-V2uo2c [last accessed 14/12/2022]</ref></div></div>
</div>
== References  ==
== References  ==


<references />
<references />
[[Category:Plus Content]]
[[Category:Course Pages]]
[[Category:Sports Medicine]]
[[Category:Sports Screening Tests]]

Latest revision as of 21:46, 3 December 2023

Original Editor - Wanda van Niekerk based on the course by James Laskin

Top Contributors - Wanda van Niekerk and Jess Bell  

Why Use Fitness and Performance Testing in Sport?[edit | edit source]

Fitness and performance testing in athletes is used to[1]:

  • assess athletic talent[2]
  • identify physical abilities[3]
    • strengths and weaknesses
  • identify areas in need of improvement
  • set goals
  • progress the evaluation[3] or to determine the need for possible changes in the training programme[4]
  • indicate the effectiveness of decisions related to athletes[4]
  • provide quality data that can inform decision-making processes[4]
  • identify skill sets that will determine player positions or specialities
  • may predict performance
  • help in injury prevention and prehabilitation
  • predict performance
  • compare results against normative data
    • this can help athletes see where they currently stand or how much they have progressed

Requirements of Testing[edit | edit source]

The concepts of validity and reliability are key to effective assessments. Consider the following principles in performance testing.

Specificity[4]

  • designed to assess an athlete's fitness for the activity in question
  • consider the general demands of the sport or activity
    • type of exercises/movements required during sport (e.g., running, jumping, kicking, throwing)
    • can movement or exercise be completed in a single movement (discrete), is there a series of connected movements (serial) or is there a repeated pattern of movements (cyclical)?
    • discrete and serial movements are usually easily identifiable but may need to be broken up into phases to focus on specific demands
    • cyclical movements focus on repetitive physical actions and this needs to be considered when selecting an appropriate test
  • consider athlete constraints
    • individual constraints such as:
      • athlete's physical and psychological state
      • training experience of the athlete
      • current injury or previous injuries
      • availability of normative data for a specific athlete
    • task constraints
      • work-to-rest ratio (e.g., football (soccer) player with a work-to-rest ratio of 1:4 - during the game, the player's work consists of short-duration sprints and sudden changes in direction, and the rest periods represent the time the player is walking or standing during the game)
      • athlete playing position (think about American football, where linemen need to have the strength to defend opposing linemen versus the wide receiver who needs to catch the ball in the air)
      • competition level may also influence test selection
    • environmental constraints
      • policies of sporting organisations
      • physical test environment (indoor vs outdoor, privacy, etc)

Validity[1]

  • the degree to which the test measures what it claims to measure[5]
  • this is the most important characteristic of testing
  • types of validity[1]:
    • construct validity
      • the ability of a test to represent the underlying construct (the theory developed to organise and explain some aspects of existing knowledge and observations)
    • face or logical validity
      • the appearance to the athlete and other observers that the test measures what it is intended to measure
    • content validity
      • the assessment by experts that the testing covers all relevant subtopics or component abilities in appropriate proportions
    • criterion-referenced validity
      • the extent to which test scores are associated with some other measure of the same ability
    • discriminant validity
      • the results of a test can differentiate between individuals who have different physical fitness attributes (e.g., athletes vs non-athletes, endurance vs strength athletes)

Reliability[1]

  • a measure of the degree of consistency or repeatability of a test[5]
  • capable of consistent repetition
  • measurement error in reliability can arise from the following[1]:
    • intra-subject (within subjects) variability
      • the lack of consistent performance by the person tested
    • intra-rater (within raters) variability
      • the consistency of scores by a given tester
    • inter-rater (between raters) reliability
      • the consistency of scores across a group of raters

Objectivity

  • tests produce a consistent result irrespective of the tester

Other considerations

  • tests should not require any technical competence on the part of the athlete (unless it is being used to assess technique)
  • care should be taken to make sure that the athlete understands precisely what is required of them, what is being measured and why
  • test procedures should be strictly standardised in terms of administration, organisation and environmental conditions
    • repeatability

[6]

Test Selection[edit | edit source]

Relevant factors to consider with appropriate test selection include[4]:

  • needs of the team/coach
    • rehabilitation professionals can use their knowledge and experience to inform the goals or performance outcomes
    • selected assessments help with decision-making processes
  • needs of the athlete
    • age
    • career level
    • injury or training status
  • relevance of the test
    • how will this help a rehabilitation professional address the athlete's needs?
    • determine which physical fitness attributes are relevant
  • ease of implementation
    • consider available resources and barriers to implementation
  • redundant assessments
    • select a sufficient amount of tests to address the athlete's needs without too much overlap between tests
  • intentional efficiency
  • testing specificity
  • availability of normative data
    • when using normative data, always make sure that it is appropriate for the specific population that you are working with
SWOT Analysis Framework[edit | edit source]

"This framework may help determine the feasibility of implementing assessments."[4]

  • S = Strengths (internal factor)
  • W = Weaknesses (internal factor)
  • O = Opportunities (external factor)
  • T = Threats (external factor)

Other Considerations with Test Selection[edit | edit source]

Some more considerations with test selection include[1]:

  • metabolic energy system specificity:
    • consider the energy demands of the sport and which system (phosphagen, glycolytic and/or oxidative) are being used[7]
    • read more about Energy Systems
    • when selecting an appropriate test for a specific ability, clinicians should be familiar with the demands of the sport
    • position of the player and position-dependent aspects[8]
    • work-rest ratio[9]
  • biomechanical movement pattern specificity
    • the test needs to have similarities with important movements of the sport or activity and consider position-dependent aspects[10]
    • for example, a vertical jump test will be more appropriate for a volleyball player than a hockey player
  • experience and training status
    • athlete's ability to perform a technique[11]
      • experienced athletes may be familiar with a sport-specific technique-intensive test, but in a novice, poor or improper technique may influence test performance
    • athlete's level of strength and endurance
      • it might not be ideal to ask a weightlifter to complete a 10 km endurance test
    • age and sex
      • these may affect the athlete's experience, interest and ability
    • environmental factors
      • high temperature and high humidity can impair performance, have health risks and lower the validity of aerobic endurance tests
      • fluctuations in temperature can affect the ability to compare test results over time
      • altitude will influence endurance tests, but not strength and power tests
      • standardised environmental conditions are needed wherever possible

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 1.5 McGuigan M. Chapter 12 Principles of Test Selection and Administration. In Haff GG, Triplett NT, editors. Essentials of strength training and conditioning 4th edition. Human kinetics; 2015 Sep 23.
  2. Koopmann T, Faber I, Baker J, Schorer J. Assessing technical skills in talented youth athletes: a systematic review. Sports Medicine. 2020 Sep;50(9):1593-611.
  3. 3.0 3.1 Mancha-Triguero D, Garcia-Rubio J, Calleja-González J, Ibáñez SJ. Physical fitness in basketball players: A systematic review. J. Sports Med. Phys. Fit. 2019 Sep 1;59:1513-25.
  4. 4.0 4.1 4.2 4.3 4.4 4.5 Fukuda DH. Assessments for sport and athletic performance. Human Kinetics; 2018 Dec 5.
  5. 5.0 5.1 Haff GG, Dumke C. Laboratory manual for exercise physiology. Human Kinetics; 2022 Dec 2.
  6. The PE Tutor. Validity || Reliability || Practicality - What's the difference !? Available from:https://www.youtube.com/watch?v=Qb-1hMw3spo [last accessed 14/12/2022]
  7. Maciejczyk M, Michailov ML, Wiecek M, Szymura J, Rokowski R, Szygula Z, Beneke R. Climbing-specific exercise tests: energy system contributions and relationships with sport performance. Frontiers in Physiology. 2022:2521.
  8. Ivanović J, Kukić F, Greco G, Koropanovski N, Jakovljević S, Dopsaj M. Specific Physical Ability Prediction in Youth Basketball Players According to Playing Position. International Journal of Environmental Research and Public Health. 2022 Jan 16;19(2):977.
  9. Alba-Jiménez C, Moreno-Doutres D, Peña J. Trends Assessing Neuromuscular Fatigue in Team Sports: A Narrative Review. Sports. 2022 Feb 28;10(3):33.
  10. Fílter A, Olivares Jabalera J, Molina-Molina A, Suárez-Arrones L, Robles-Rodríguez J, Dos’ Santos T, Loturco I, Requena B, Santalla A. Effect of ball inclusion on jump performance in soccer players: A biomechanical approach. Science and Medicine in Football. 2022 Apr 3;6(2):241-7.
  11. Fort-Vanmeerhaeghe A, Milà-Villarroel R, Pujol-Marzo M, Arboix-Alió J, Bishop C. Higher vertical jumping asymmetries and lower physical performance are indicators of increased injury incidence in youth team-sport athletes. Journal of Strength and Conditioning Research. 2022 Aug 1;36(8):2204-11.
  12. Dr. Jacob Goodin. Performance Testing | Safety Factors | CSCS Chapter 12. Available from: https://www.youtube.com/watch?v=oBcmCDi6Mno[last accessed 14/12/2022]
  13. DR J Kang DPT. CSCS Study Guide: Chapter 12 SUMMARY [Principles of Test Selection & Administration]. Available from: https://www.youtube.com/watch?v=Joe8-V2uo2c [last accessed 14/12/2022]