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Vannessa Rataj

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Aug 3, 2024, 1:19:16 PM8/3/24
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One of the most significant advances in medical history is the discovery and development of antibiotics, which in the middle of last century was flourishing and appeared to be the ultimate solution to the treatment of life-threatening human bacterial diseases. However, lately there has been a huge decline in the rate of discovery of new antimicrobial intervention strategies in parallel with an increasing incidence of multidrug-resistant pathogens; if these circumstances do not change we will continue to approach the end of the antibiotic era. Facing this dark future, scientists are considering new strategies for intervention tailored around the appropriate (selective) stimulation of the host's immune system, and particularly rapid acting innate immunity, as an alternative to direct targeting of microbial pathogens. One recent player in such an immunomodulatory strategy is the naturally occurring host defence peptides (HDP) and their synthetic innate defence regulator (IDR) analogues. In this chapter, we will discuss the potential therapeutic use of HDPs and IDRs as immunomodulatory agents.

A bobble head doll of legendary baseball player Satchel Paige acts as a sort of Greek chorus in the film Are We There Yet?. Created by the Jim Henson's Creature Shop for the film, the doll's movements were performed with the use of HDPS.

Copyright: 2023 Williams et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Previously, parkour has been proposed as an activity to develop FMS and athletic capabilities that can be transferred to SSS [32,33]. Indeed, anecdotally, there appears to have been an increase in the amount of strength and conditioning (S&C) coaches using parkour-based concepts with young athletes to develop movement skills. Often, these coaches have cited the importance of activities being less structured than conventional S&C training forms, as well as being engaging for young athletes to participate in. In this regard, typically, parkour adopts a guided discovery approach to learning that is self-paced and enables the participant to explore their capabilities in the absence of strict technical models [32,34]. Of further relevance, recently, significant associations have been identified between performance in the agility T test, standing long jump and countermovement jump, and higher performance in a parkour obstacle course [35]. Accordingly, parkour has been suggested to be an efficacious, yet still unproven, way to develop transferable movement skills for youth athletes [36]. However, to date no research has examined this theory empirically. Therefore, the purpose of this study was to compare the effects of a parkour-based warm-up to a conventional NMT warm-up on athletic performance measures in youth basketball players, implemented using a low-structured, guided discovery coaching approach. This was examined through two arms: In Investigation 1, the aims were to measure the effects of the two warm-ups on physical measures of athletic performance in prepubescent basketball players. We hypothesised that there would be no differences in outcome measures in response to the respective NMT protocols. Due to the novel concept of using parkour-based activities within the warm-up, using post-intervention semi-structured interviews, Investigation 2 aimed to gain insights from the players in relation to the perceived benefits of the two warm-ups.

All testing was carried out by the first author and took place in gymnasiums across two sites used by the respective basketball clubs for regular practice. Testing took place one week before and after the eight-week intervention period and included: anthropometry (height, seated height, mass), overhead squat (OHS) assessment, countermovement jump (CMJ), 10-m sprint and, for the experimental groups only, a parkour speed-run. To estimate participant maturity status, anthropometric measures were recorded using medical grade digital scales and stadiometer (Seca, Birmingham, United Kingdom) and entered into a sex-specific equation to predict maturity offset [38]:

For the OHS assessment, participants were instructed to hold a wooden dowel with extended arms above the crown of their head and, while maintaining the OH position, squat as low as possible. Following three warm-up trials, three further repetitions were performed and recorded using the motion analysis system, HumanTrak (Vald Performance, Brisbane, Qld, Australia). The sum of knee flexion angle for both limbs for the OHS were averaged for the three repetitions and used in the analysis.

To measure the CMJ, participants were required to jump with their hands placed upon their hips and instructed to descend to a self-selected countermovement depth before immediately jumping as high as possible. Following three warm-up trials, participants performed three test trials on dual portable force platforms (ForceDecks, Vald Performance, Brisbane, Qld, Australia), with at least 20 seconds between trials. The average of the three jumps were analysed.

For acceleration speed, electronic timing gates were used (Brower Timing Systems, Draper, Utah, USA). Following a standardised warm-up comprising submaximal running efforts over a 10-m distance and two practice trials at maximal intensity, each participant completed three trials with at least 60-seconds recovery between trials. Participants began each trial in a two-point position 50 cm behind the first timing gate and were then instructed not to countermove ahead of their first step forward, and to sprint through the end timing gate. The average of the three trials was used in the analysis.

The speed-run route was designed in accordance with Strafford et al. [33,35] and in collaboration with an experienced parkour coach and athlete. In brief, this included a series of obstacles (gymnastics vaulting boxes and benches) and open spaces set out within a gymnasium. The participants were required to navigate the course in the quickest way possible and were timed using timing gates positioned at the start and end points. Following two practice trials, each participant completed three trials with at least two-minutes between, and the best of the three trials was used in the analysis. A familiarisation session of the speed-run test was executed one week before the pre-intervention testing with data used against the pre-intervention measures to determine intra-class reliability (ICC) of the test.

Participants of both experimental groups were required to complete a 15-minute warm-up once per week before their regular basketball practice across 8-weeks. The warm-up was led by the principal researcher (also a qualified S&C coach) and conducted in the same school gymnasium located in a separate building to the basketball practice. While one group completed their intervention, the other group completed low intensity shooting exercises with their basketball coach. This was portrayed to the players to relate to limited space available in the warm-up location. However, to account for any impact of the shooting exercises, the order by which each group completed the intervention (before or after shooting) was alternated each week. To ensure the time of the warm-ups was matched, a timer was set for 15-minutes and commenced upon the explanation of the first activity / exercise of each of the respective warm-ups.

The details of the included exercises for both warm-ups are found in Table 1. For both groups, the coach adopted the same pedagogical approach, utilising a guided discovery strategy that provided limited technical instruction after the initial introduction to the movement skill / activity to be performed. This approach aligned to the typical practice of parkour coaches [34]. In addition to this, to prevent potential tedium in the Conventional Group, exercises were ordered differently in both groups across the 8-weeks. The control group, who were unaware of the warm-up interventions performed by the two experimental groups, instead continued with their normal basketball practice as well as other typical physical activities they were engaged in.

A thematic analysis was undertaken using the codes developed through three rounds of iterative coding. In addition, inductive analysis technique were also utlised in the analysis of the transcripts, creating additional codes deemed to be pertinent to the study aims (see for e.g., Fereday and Muir-Cochrane, [43]). To code the data, similar to the methods used by Spaaij et al. [44], two of the investigators independently read each of the transcripts and text were coded against the preliminary codes using Excel (Author 1) and NVivo (Author 2). Initial meaning codes were then discussed and corroborated by both investigators before determining the axial coding scheme [44]. Following Ball et al., [45], Nvivo was used by Author 2 to digitally organize and manually code the data. The author did not use any of the advanced searching and coding functions to aid analysis.

A high degree of reliability was found between familiarisation scores and the pre-intervention test scores for the speed-run. Based on an absolute agreement, 2-way mixed-effects model, the ICC estimate was .963 with a 95% confidence interval from .600 to .994. The average CV for the familiarisation scores was 6.65%. Within subject variation (CV) values for all pre- and post-intervention tests are displayed in Table 4.

Improved confidence in relation to movement competency and motor abilities was identified by the participants. In addition, participants displayed critical reflection of the activities prescribed and self-awareness of their movement capabilities. When asked whether the warm-up activities benefitted basketball, one participant reflected:

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