{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:39:33Z","timestamp":1792435173421,"version":"4.5.0"},"reference-count":51,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Adolescent female athletes often exhibit more pronounced lower-limb asymmetry due to physiological differences, increasing injury risk. Despite documented efficacy in team sports for injury mitigation and performance enhancement, integrative neuromuscular training (INT) effects on unilateral and bilateral lower-limb capabilities in trained adolescent female sprinters remain undetermined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>We hypothesized that an 8-week INT program would significantly improve unilateral and bilateral lower-extremity performance measures in adolescent female sprinters compared with traditional sprint-specific training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Twenty-four national second-level adolescent female sprinters (aged 16-18 years) were randomly assigned to an 8-week INT group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12) or a control group (CON,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12) that continued traditional sprint-specific training. Measurements obtained before and after the intervention included the hop test, star excursion balance test (SEBT), 3-repetition maximum (3RM) unilateral and bilateral back squat, 100-m run, standing long jump (SLJ), and limb symmetry index (LSI).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After the intervention, the INT group outperformed the CON group on the nondominant side in all hop tests (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.74-0.88), six directions of the SEBT (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.44-0.88), and the 3RM unilateral back squat (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.65). On the dominant side, the INT group also outperformed the CON group in the single hop for distance (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.80) and three directions of the SEBT (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.38-0.84). In addition, the INT group showed significantly greater improvements than the CON group in the LSI from unilateral tests (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.26-0.88), as well as in the 100-m run and SLJ (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001; \u03b7\n                      <jats:sub>p<\/jats:sub>\n                      \u00b2 = 0.61-0.69).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The 8-week INT program was associated with improvements in dynamic balance, explosive power, and limb symmetry in adolescent female sprinters, with greater benefits observed on the nondominant side.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>INT is an effective training modality for improving lower-limb performance and mitigating asymmetry in adolescent female sprinters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19417381261490670","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T11:36:47Z","timestamp":1792237007000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Integrative Neuromuscular Training on Unilateral and Bilateral Lower-Extremity Sports Performance in Adolescent Female Sprinters: A Randomized Controlled Trial"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8557-9497","authenticated-orcid":false,"given":"Xiaojing","family":"Yang","sequence":"first","affiliation":[{"name":"School of Physical Fitness Training, Beijing Sport University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0432-0246","authenticated-orcid":false,"given":"Gen","family":"Li","sequence":"additional","affiliation":[{"name":"School of Physical Education and Sports Science, South China Normal University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1865-0530","authenticated-orcid":false,"given":"Jiafu","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Physical Education and Sports Science, South China Normal University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5268-6384","authenticated-orcid":false,"given":"Chunlei","family":"Li","sequence":"additional","affiliation":[{"name":"School of Physical Fitness Training, Beijing Sport University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199826040-00002"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1139\/H09-127"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2024-0136"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-015-0384-x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-51.12.03"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2017.1361894"},{"issue":"5","key":"e_1_3_2_8_2","article-title":"Anthropometric characteristics, age, sex, drop height, and visual feedback as predictors of dynamic knee valgus during single-leg drop landing","volume":"13","author":"Casanova N","year":"2025","unstructured":"Casanova N, Correia D, Marconcin P, et al. 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