The operative management of tendons combined with the application of autologous PRGF may present new possibilities for enhanced healing and functional recovery. This needs to be evaluated in a randomized clinical trial.

Detraining is the partial or complete loss of training-induced adaptations, in response to an insufficient training stimulus. Detraining characteristics may be different depending on the duration of training cessation or insufficient training. Short term detraining (less than 4 weeks of insufficient training stimulus) is analysed in part I of this review, whereas part II will deal with long term detraining (more than 4 weeks of insufficient training stimulus). Short term cardiorespiratory detraining is characterised in highly trained athletes by a rapid decline in maximal oxygen uptake (VO2max) and blood volume. Exercise heart rate increases insufficiently to counterbalance the decreased stroke volume, and maximal cardiac output is thus reduced. Ventilatory efficiency and endurance performance are also impaired. These changes are more moderate in recently trained individuals. From a metabolic viewpoint, short term inactivity implies an increased reliance on carbohydrate metabolism during exercise, as shown by a higher exercise respiratory exchange ratio, and lowered lipase activity, GLUT-4 content, glycogen level and lactate threshold. At the muscle level, capillary density and oxidative enzyme activities are reduced. Training-induced changes in fibre cross-sectional area are reversed, but strength performance declines are limited. Hormonal changes include a reduced insulin sensitivity, a possible increase in testosterone and growth hormone levels in strength athletes, and a reversal of short term training-induced adaptations in fluid-electrolyte regulating hormones.

A 2-wk taper during which training volume is exponentially reduced by 41-60% seems to be the most efficient strategy to maximize performance gains. This meta-analysis provides a framework that can be useful for athletes, coaches, and sport scientists to optimize their tapering strategy.

In this study, we examined gender and age differences in physical performance in football. Thirty-four elite female and 34 elite male players (age 17 +/- 1.6 to 24 +/- 3.4 years) from a professional football club were divided into four groups (n=17 each) according to gender and competitive level (senior males, senior females, junior males, and junior females). Players were tested for specific endurance (Yo-YoIR1), sprint over 15 m (Sprint-15 m), vertical jump without (CMJ) or with (ACMJ) arm swing, agility (Agility-15 m), and ball dribbling over 15 m (Ball-15 m). The Yo-YoIR1 and Agility-15m performances showed both a gender and competitive level difference (P < 0.001). Senior and junior males covered 97 and 153% more distance during the Yo-YoIR1 than senior and junior females, respectively (P < 0.001). Gender but not age differences were found for Sprint-15 m performance (P < 0.001). No difference in vertical jump and Ball-15 m performances were found between senior and junior males (P > 0.05). More marked gender differences were evident in endurance than in anaerobic performance in female players. These results show major fitness differences by gender for a given competitive level in football players. It is suggested that training and talent identification should focus on football-specific endurance and agility as fitness traits in post-adolescent players of both sexes.