{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T10:28:27Z","timestamp":1786789707162,"version":"build-2736575974"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-20-STPH-002"],"award-info":[{"award-number":["ANR-20-STPH-002"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Rehabilitation and Assistive Technologies Engineering"],"published-print":{"date-parts":[[2026,8]]},"abstract":"\n Purpose<\/jats:title>\n \n To examine the feasibility of implementing voluntary hypoventilation at low lung volume (VHL) training during the 2024 Paralympic Games\u2019 preparation of an elite SH6 (short-stature) para-badminton athlete and characterize associated arterial oxygen saturation (SpO\n 2<\/jats:sub>\n ) and heart rate (HR) responses.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n During a 5-week intervention, 9 VHL-based training sessions were added, consisting of either repeated running-shuttle sprints or badminton-specific exercises performed with maximal end-expiratory breath holding (EEBH). SpO\n 2<\/jats:sub>\n and HR were monitored, rating of perceived exertion (RPE) was recorded, and hypoxic dose was quantified. Within-participant variability and response patterns across training conditions were characterized using visual inspection of the complete time-series data and summary descriptive metrics.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In both training types, a marked decrease in SpO\n 2<\/jats:sub>\n occurred from the first to the last repetition of each set. Mean nadir SpO\n 2<\/jats:sub>\n was higher during repeated running-shuttle sprint sessions\n vs<\/jats:italic>\n . badminton-specific exercise sessions (81.8 \u00b1 2%\n vs<\/jats:italic>\n . 76.3 \u00b1 3%) due to a shorter EEBH duration (7.2 \u00b1 0.7 s\n vs<\/jats:italic>\n . 9.8 \u00b1 0.9 s). Mean session SpO\n 2<\/jats:sub>\n , HR, and RPE did not differ between training types, but RPE decreased significantly across sessions, indicating improved tolerance to the VHL-induced hypoxic stimulus.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This case report demonstrates that VHL-based training with maximal EEBH is feasible, well tolerated, and capable of eliciting robust hypoxemic stimuli in an elite SH6 para-badminton athlete.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/20556683261464489","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T21:19:08Z","timestamp":1786569548000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Breathing less to win Paris 2024 gold: A case study using voluntary hypoventilation at low lung volume-based training in a para-badminton athlete"],"prefix":"10.1177","volume":"13","author":[{"given":"Xavier","family":"Woorons","sequence":"first","affiliation":[{"name":"Univ. Lille, Univ. Artois, Univ. Littoral C\u00f4te d\u2019Opale, ULR 7369 - URePSSS - Unit\u00e9 de Recherche Pluridisciplinaire Sport Sant\u00e9 Soci\u00e9t\u00e9, Lille, France"},{"name":"ARPEH, Association for Research and Promotion of Hypoventilation Training"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Dan\u00e9","sequence":"additional","affiliation":[{"name":"CREPS, Centre de Ressources, d'Expertise et de Performance Sportive"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mourad","family":"Amrani","sequence":"additional","affiliation":[{"name":"CREPS, Centre de Ressources, d'Expertise et de Performance Sportive"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0808-7986","authenticated-orcid":false,"given":"Franck","family":"Brocherie","sequence":"additional","affiliation":[{"name":"INSEP"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2020.00026"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40798-025-00853-6"},{"key":"e_1_3_4_4_2","first-page":"111","article-title":"Physiological responses to supramaximal running exercise with end-expiratory breath holding up to the breaking point","volume":"90","author":"Woorons X","year":"2023","unstructured":"Woorons X, Daussin F, Combes A, et al. Physiological responses to supramaximal running exercise with end-expiratory breath holding up to the breaking point. J Hum Kinet 2023; 90: 111\u2013123. https:\/\/doi.org\/10.5114\/jhk\/174465","journal-title":"J Hum Kinet"},{"key":"e_1_3_4_5_2","volume-title":"Hypoxia conditioning in health, exercise and sport: Principles, mechanisms and applications","author":"Woorons X","year":"2024","unstructured":"Woorons X The voluntary hypoventilation at low lung volume (VHL)method. In: Girard O, Burtscher J, Burtscher M, et al., eds. Hypoxia conditioning in health, exercise and sport: Principles, mechanisms and applications. Routledge, 2024."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1123\/ijspp.2024-0444"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2024.1441696"},{"key":"e_1_3_4_8_2","volume-title":"IPC Handbook: Classification Code, effective as of 1 January 2025","author":"International Paralympic Committee","year":"2024","unstructured":"International Paralympic Committee. IPC Handbook: Classification Code, effective as of 1 January 2025. : International Paralympic Committee, 2024."},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.98.1.145"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2025-110595"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/17479541221079531"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1999.87.6.1997"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-021-04813-2"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2023.0353"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2021.113709"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2021.113891"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2025.1600772"}],"container-title":["Journal of Rehabilitation and Assistive Technologies Engineering"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20556683261464489","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20556683261464489","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20556683261464489","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T10:19:51Z","timestamp":1786789191000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20556683261464489"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":16,"alternative-id":["10.1177\/20556683261464489"],"URL":"https:\/\/doi.org\/10.1177\/20556683261464489","relation":{},"ISSN":["2055-6683","2055-6683"],"issn-type":[{"value":"2055-6683","type":"print"},{"value":"2055-6683","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"20556683261464489"}}