HIGH SCHOOL COACHES’KNOWLEDGE OF PLYOMETRIC EXERCISE A THESIS Submitted to the Faculty of the School of Graduate Studies and Research of California University of Pennsylvania in partial fulfillment of the requirements for the degree of Master of Science by Paul Rucci Research Advisor, Dr. Shelly DiCesaro California, Pennsylvania 2012 ii iii ACKNOWLEDGEMENTS I would like to take this time to recognize the people who have made the most impact in my life, without their guidance I would not have had the courage to complete this task. First, I would like to thank my advisor Dr. Tom West, my chair person Dr. Shelly DiCesaro, and my committee members James Daley, and Dr. Ayanna Lyles. Without their expertise, knowledge, experience, and most importantly confidence in me, I would not have been able to take on and complete this huge task of completing my thesis and my master’s work. I know at times I seemed to lose faith in this process and seemed to fly off the handle, but you were always there to help me out and get me back on course. Shelly, you have taught me so much about staying calm and really taking a breath when I need it most. Without your help and guidance, I know I could not have completed this thesis. The lessons you taught me will go far beyond this year and I hope to carry them with me for the rest of my life. I would like to also thank the entire faculty in the athletic training department. Without the help of Ms. Carolyn Robinson I know this process would have been even more difficult. I have learned so much about what it takes iv to be a professional in this field during my time here. To all my baseball and softball athletes I would like to thank you for providing me with a fantastic experience and for keeping me on my toes this year. Lastly, to my classmates, this year has truly been a blast and I will miss you all dearly. I have had so much fun getting to know you all and spending this year of my life with you. I would also like to acknowledge Curt Snyder’s Mustache, which brightened my day, reminded me to laugh, and allowed me to be a free spirit and an overall better person each and every day I set foot in the athletic training room. Finally, I would like to thank my whole family back home in Maine and in New York. Without your love and support this process simply could not have happened. You were there to guide me at every new turn I have had in my life in the past year and have always has the confidence in me to be successful. I love you all very much. Without all of you this process may have never been completed and for that I am forever grateful. THANK YOU ALL!! v TABLE OF CONTENTS Page SIGNATURE PAGE . . . . . . . . . . . . . . . ii AKNOWLEDGEMENTS . . . . . . . . . . . . . . . iii TABLE OF CONTENTS LIST OF TABLES INTRODUCTION METHODS . . . . . . . . . . . . . . v . . . . . . . . . . . . . . . vii . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . 6 Research Design Subjects . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . 7 Preliminary Research. . . . . . . . . . . . . 7 Instruments . . . . . . . . . . . . . . . . 7 Procedures . . . . . . . . . . . . . . . . 8 Hypothesis(or Hypotheses). . . . . . . . . . . 9 Data Analysis RESULTS . . . . . . . . . . . . . . . 9 . . . . . . . . . . . . . . . . . 11 Reliability . . . . . . . . . . . . . . . . 11 Demographic Data . . . . . . . . . . . . . . 13 Hypothesis Testing . . . . . . . . . . . . . 13 DISCUSSION . . . . . . . . . . . . . . . . . 17 Discussion of Results . . . . . . . . . . . . 17 Conclusion . . . . . . . . . . . . . . . . . 22 Recommendations for Future Research . . . . . . . 23 REFERENCES . . . . . . . . . . . . . . . . . 24 vi APPENDICES . . . . . . . . . . . . . . . . . 26 APPENDIX A: Review of Literature . . . . . . . . 27 Plyometrics . . . . . . . . . . . . . . . . 29 Stretch Shortening Cycle . . . . . . . . . . 32 Design of Plymetric Training . . . . . . . . 34 Plyometric Traini ng Effects on Lower Extremity 38 Plyometric Training vs. Resistance Training . 42 Coaches’ Knowledge of Plyometric Exercise . . 45 Summary . . . . . . . . . . . . . . . . . . 47 APPENDIX B: The Problem . . . . . . . . . . . . 49 Statement of the Problem . . . . . . . . . . . 50 Definition of Terms . . . . . . . . . . . . . 51 Basic Assumptions . . . . . . . . . . . . . . 52 Limitations of the Study . . . . . . . . . . . 52 Significance of the Study . . . . . . . . . . 53 APPENDIX C: Additional Methods . . . . . . . . . 54 High School Coaches’of Plyometric Exercise Survey . 55 IRB: California University of Pennsylvania (C2) . . 63 Coverletter (C3) . . . . . . . . . . . . . . 75 REFERENCES ABSTRACT . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . . . . . . 81 vii LIST OF TABLES Table Page 1 Initial and follow up test scores . . . . . . . 12 2 Mean scores between coaches’ gender . . . . . . 14 3 Knowledge scores between male and female sports . . . . . . . . . . . . . . . . . . 15 4 Plyometric scores between different age groups . . . . . . . . . . . . . . . . . . 15 5 Significance between coaches age groups . . . . 16 1 INTRODUCTION Plyometric exercises are one technique used by athletes to increase maximal power output and jumping ability in sports. Plyometric training is an established technique for enhancing athletic performance but may also facilitate beneficial adaptations in the sensorimotor system that enhances dynamic restraint mechanisms and corrects faulty jumping or cutting mechanics, thus reducing the chance for lower extremity injury such as Anterior Cruciate Ligament tears.1 One of the primary training goals of plyometric exercises is to increase maximal power output and jumping ability.2-4 Using plyometric training in a safe and correct manner has been shown to produce many positive results such as increased jump height, development of muscle power, and increase muscular endurance.1,2 Coaches may be aware of plyometrics and how they can be used to help benefit athletes, but may not know how to perform them safely and implement them effectively into their team workouts. There are multiple training programs that are readily available to high school coaches, but an 2 exhaustive search of the literature examining the extent at which coaches use plyometrics effectively and safely when training their athletes is still widely unknown.2 Plyometric training is based on the Stretch Shortening Cycle.(SSC) When muscles undergo rapid eccentric elongation just before rapid concentric contraction it is known as the stretch-shortening cycle (SSC).5,6 The muscle is essentially stretched while loaded, resulting in greater force generated during a subsequent concentric contraction from a static position2. The rapid change in contraction allows for better performance such as increased vertical jump height and power output. If a muscle has the ability to adapt to the SSC it enables the individual performing the action to generate greater power.6 The Stretch-Shortening Cycle is important to athletes because generating a greater amount of power can have positive effects on athletic performance such has increased vertical jump and faster sprint speed. For coaches to effectively implement plyometric training with their athletes they must address several important training factors. Two major factors in determining the success of a plyometic training program is progression and recovery.7 A few common signs that an individual may not be ready to progress within their program are: 1).If the athlete shows extensive bending at 3 the waist or their torso produces excessive forward flexion or lateral bending, more core work may be needed; and 2). If the athlete exhibits prolonged contact with the floor, they may not have the overall body strength and power necessary to proceed.3 If the athlete's knees are collapsing towards each other producing genu valgus, this may mean lack of quadriceps strength. This can occur on landing during the eccentric contraction or on push-off of the concentric phase. If the level of exercise is not decreased, these movements can lead to joint pain, tendinopathies, excessive muscle fatigue of the legs, and a decreased demonstrated ability to explode. Without allowing for proper recovery, fatigued muscles will cause the athlete to have poor and improper exercise techniques which may lead to injury. It is crucial an individual’s techniques are performed properly to avoid injury. Additionally, it is crucial that recovery time is adequate, otherwise the athlete may become susceptible to overtraining.8 In a recent study performed by Luebbers and Potteiger, the importance of a recovery period following a plyometric program was examined. The study showed when participants were allowed four weeks to recover, that period of recovery had a powerful effect upon performance. It is unclear if the results would have increased more with 4 a longer recovery, but it is clear that a recovery period should be included following a plyometric training program to achieve maximum results.6 Intensity also plays a crucial role in plyometric exercise. In plyometrics, the intensity of a training session is determined by the exercises that are being performed or the rate of the SSC. Plyometric exercises can range from within a wide variety of intensities. Exercises such as core twists would be fairly low in intensity while box depth jump exercises would be very high in intensity. Lastly, volume is a vital piece of information crucial to a successful plyometric program.11 Volume in plyometric exercises is determined by the number of foot touches within a training period. Foot touches may vary due to participant’s age, gender, or experience. Volume measured in foot touches is inversely related to training intensity. The more foot touches per workout, the lower the intensity should be and the less foot touches per workout, the higher intensity. Therefore, low intensity programs will consist of about 400 foot touches per workout while high intensity workouts consist of anywhere from 250- to 300 foot touches.12 Plyometric exercise has been proven to increase muscle output, power, endurance, and vertical jump height 5 as well as decrease the risk of injury.1-4 The purpose of this study is to examine high school coaches’ level of knowledge of plyometric training. Plyometric training that is done incorrectly can result in injury and/or have negative effects on performance. 6 METHODS The purpose of this study was to determine high school coaches’ knowledge of plyometric exercise. This section includes the following subsections: Research Design, Subjects, Preliminary Research, Instruments, Procedures, Hypotheses, and Data Analysis. Research Design A descriptive design was used in this study with data collected via a web based survey. The primary purpose of this study was to examine the knowledge of plyometric exercise amongst high school coaches. The dependent variable of this study was coaches’ knowledge of plyometric exercise. The independent variables of this study include: the coaches gender, the gender of the sport they coached, and their age. A strength of this study is content validity was established for the survey after a review by a panel of experts. Limitations of this study are only high school coaches in Pennsylvania were survey, the survey cannot be distributed directly to high school coaches in the 7 Pennsylvania Interscholastic Athletic Association (PIAA), and the survey was not generalized to the entire population of coaches in the United States. Subjects Subjects in this study were composed of high school coaches in the Pennsylvania Interscholastic Athletic Association (PIAA) throughout the state of Pennsylvania. Preliminary Research Prior to distribution of the survey to subjects, the survey was completed by 6 coaches at the collegiate level to determine reliability. A Pearson Product moment correlation was performed to determine correlation coefficients for each question as well as the survey as a whole. Instruments The Knowledge of Plyometric Training Survey (Appendix C4) was used in this study. The survey was developed by the researcher to determine knowledge of plyometric training 8 amongst high school coaches. The survey consists of ten demographic questions and twenty questions pertaining specifically to plyometric training. These questions were based on published literature on plyometrics. Procedures Approval from California University of Pennsylvania’s Institutional Review Board for Protection of Human Subjects form (Appendix C2) was obtained prior to data collection. The survey was read for content and faced validity by a group of experts in the field of athletic training. The following procedure was followed to distribute: 1. An email containing a cover letter explaining the study with a link to the survey was emailed to the executive director of the PIAA. 2. The executive director forwarded the cover letter and link to surveymonkeyTM to all athletic directors within the PIAA. 3. Athletic directors then forwarded the email to their respective high school coaches. 4. High school coaches had 4 weeks to complete the online survey. 9 5. Reminder emails were sent at week 2 to remind the coaches to complete the survey. Once the data collection was complete, the researcher downloaded the data to SPSS 18.0 for data analysis. Hypotheses The following hypotheses are based upon previous research after a review of the literature. 1. There will be no significant difference in plyometric knowledge test scores between coaches of different gender at the high school level. 2. There will be no significant difference in plyometric knowledge test scores between coaches of female versus male sports at the high school level. 3. There will be no significant difference in plyometric knowledge test scores between coaches based on number of years coaching. Data Analysis The first two hypotheses were measured using a one-way T- Test while the second two hypotheses were tested through 10 the use of ANOVA. For all hypotheses alpha was set at a p <.05. 11 RESULTS The purpose of this study was to determine Pennsylvania high school coaches’ knowledge of plyometic exercise. Data was collected via an online survey using Surveymonkey™ and was accessible for four weeks for all coaches within the Pennsylvania Interscholastic Athletic Association (PIAA). This section has been divided into the following sections: reliability testing, demographics and hypothesis testing. Validity The High School Coaches’ Knowledge of Plyometric Exercise survey was reviewed for face and content validity by a group of experts from University of Maine at Presque Isle and California University of Pennsylvania. Reliability testing The High School Coaches’ Knowledge of Plyometric Exercise survey was created by the researcher based on previous surveys and literature pertaining to plyometric 12 exercise. Reliability of the survey instrument was obtained through the use of six collegiate coaches at California University of Pennsylvania. The survey was administered twice and received equal responses after the second administration 2 weeks later. The Data was consistent when analyzed by the researcher and deemed reliable. With a Pearson Product moment correlation coefficient (r(6)=.984, p<0.05), indicated a significant linear relationship between the two tests and a strong positive correlation. This is shown in table 1 below. Table 1. Initial and follow up test scores Source Pre Post Initial Person 1 .984* Correlation Sig. (21 .000 tailed) N 6 6 Follow up Person .984* 1 Correlation Sig. (2.000 tailed) N 6 6 **Correlation is significant at the 0.05 level (2-tailed) A Cronbach’s Alpha scale was also used to test reliability for this survey. A score of .670 was found. 13 Demographic Data The director of the PIAA forwarded a link of the survey to all coaches in the PIAA. Total number of surveys sent was unattainable due to third party distribution. One hundered fourty-nine coaches logged onto survey monkey and submitted a survey, however, due to incomplete data, 82 surveys were used for the first hypothesis, 78 surveys were used for the second hypothesis and 88 surveys were useable for the third hypothesis. Hypothesis Testing The first two hypotheses were measured using a one-way T- Test while the second two hypotheses were tested through the use of ANOVA. For all hypotheses alpha was set at a p <.05. Hypothesis 1. There will be no significant difference in plyometric knowledge test scores between coaches gender at the high school level. Conclusion: An independent-samples t test was calculated comparing the mean score of participants who identified themselves as male (n=62) to the mean score of participants 14 who identified themselves as female (n=20). No significant difference was found. The difference between the mean score of the male group (m=6.76, sd=±3.486) was not statistically significant from the mean of the female group (m=6.75, sd=±2.403, p=.188 p<0.05). Table 2 shows the mean scores between coaches gender. Table 2. Mean scores between coaches gender Std. Gender N Mean Deviatio n Male 62 6.67 3.486 Female 20 6.75 2.403 P-Value .188 Hypothesis 2. There will be no significant difference in plyometric knowledge test scores between coaches of female versus male sports at the high school level. Conclusion: An independent samples t-test was calculated to test significance of hypothesis 2. The difference of the mean score of the male sport (coaches) compared to the female sport (coaches) was found to not be statistically significant. (Males= 6.98, sd ±3.984, Females=6.65, sd ±2.791,p=.170). This is displayed below in table 3. 15 Table 3. Knowledge scores between male sports vs. female sports P-Value Std. Sport N Mean Deviation Male Sport 41 6.98 3.684 .170 Female Sport 37 6.65 2.7191 Hypothesis 3. There will be no significant difference in plyometric knowledge test scores between coaches based on the coaches’ age. Conclusion: The coaches’ ages ranged between 18-60 years (or older.) Scores in different age groups did not show significant differences as shown in table 4. Additionally, age group distribution is shown below in Table 5. Table 4. Plyometric scores between different age groups Sum of Sig. Squares Df Mean Square F Between 8.924 5 1.785 .162 .976 Groups Within 904.519 82 11.031 Groups Total 913.443 87 16 Table 5. Significance between coaches' age groups Std. Std. Error Age Group N Mean Deviation 2. 18-20 yr. old 1 8.00 3. 20-29 yr. old 16 6.88 3.181 .795 4. 30-39 yr. old 5. 40-49 yr. old 6. 50-59 yr. old 7. 60-above yr. old Total 29 20 17 5 6.62 6.30 7.06 6.20 3.133 3.771 3.363 2.588 .582 .843 .816 1.158 88 6.67 3.240 .345 17 DISCUSSION In discussion of the findings of this study, the following sections are presented: (1) Discussion of Results,(2) Conclusions, and (3) Recommendations for Future Research. Discussion of Results This study was conducted to investigate Pennsylvania high school coaches’ knowledge of plyometric exercise. One of the primary training goals of plyometric exercise is to increase maximal power output and jumping ability, which when used in a safe and correct manner has been shown to produce positive results such as increased jump height, development of muscle power, and increase muscular endurance.1,2-4 Additionally, plyometric exercise has been shown to potentially decrease lower extremity injuries when implemented in a safe and effective manner1-4 Although coaches may be aware of what plyometric exercises are, their knowledge of how to perform plyometrics in a safe and beneficial manner are still widely unknown.2 18 The results of this study found there were no significant knowledge score differences between male and female coaches or the gender of which they coached. As previously mentioned, plyometrics have been used effectively to decrease lower extremity injuries, particularly in female athletes1-4. A study performed by Mandelbaum et al.17 looked to determine whether a neuromuscular and proprioceptive performance program was effective in decreasing the incidence of ACL injuries in young female athletes. The athletes were asked to perform a sport specific training intervention in the trial. The intervention consisted of education, stretching, strengthening, plyometrics, and sport specific agility drills. The study consisted of a female sport training group and a control group made up of girls of the same age group in the same league. Results concluded that during the season, there was an 88% decrease in ACL injuries in the enrolled subjects compared to the control group. In the next season there was also a 74% reduction of this same injury. The conclusion from this study was that using a training program such as plyometrics could have a direct benefit in decreasing the number of ACL injuries in females.17 This would lead one to believe female coaches as 19 well coaches of female athletes would have a particular interest in implementing plyometrics into their programs. Sports that involve explosive jumping, cutting, and sprinting are more likely to use plyometric exercise to increase vertical jump height and power, such as basketball.2-5 Additionally it was hypothesized there would be no significant difference in scores between coaches of female verses male sports at the high school level. The theory behind this hypothesis is that coaches of female sports would recognize the significant differences in lower extremity injury rate amongst their female athletes compared to male’s injury rate of ACL tears.2-5 Lastly, we hypothesized there would be no significant difference in plyometric knowledge test scores between coaches age groups. Because plyometric training is a relatively new technique, the researcher believed that the younger coaches would be more knowledgeable with this type of training due to the fact that it may have been a technique they performed as younger athletes. Coaches that were older in the age groups may have been "set in their ways" of training and have not adapted the more recent techniques like plyometric exercise, thus leading to lower scores. However, results showed that all age groups scored very similarly in this study. 20 Recently, mild traumatic brain injury or concussion, has received an enormous amount of attention in both the medical world and media. Research has also been conducted, similar to ours, investigating coaches’ knowledge of concussion prevention, recognition and treatment.14 Studies investigating concussion awareness and coaches have shown recent knowledge improvement over the last decade.14-15. This may be attributed to recent campaigns to increase coaches knowledge of the recognition and treatment of concussions which has shown to produce positive results when working with athletes who have suffered a brain injury.14 In a study by Guilmette et al., coaches’ knowledge of concussions was surveyed.14 After the baseline test, coaches were given a review of Heads Up, educational materials focusing on concussion and coach recognition. Seventy percent of coaches who had received and reviewed the material reported the information provided to be very helpful. Included in the material was information on educating coaches about all aspects of a concussion injury. When asked about how the coaches planned to use the materials, a significant majority reported they planned to give it to athletes and parents. Overall, the study concluded that coaches seemed eager and willing to learn 21 more about concussions if the material were made available to them.14 Another recent study by Sawyer et al. evaluated coaches’ perceptions, assessment, and use of a "toolkit" that was sent to high school coaches on how to prevent and manage concussions among high school athletes. The kit included a facts sheet, posters and a video. Upon telephone follow up, most coaches reported that they had used or planned to use the kit materials with their athletes. Eighty-one percent of schools with a written plan for preventing and managing concussions said that the toolkit could be used to improve their current plan and 96% of coaches who did not have a plan indicated that the kit could be used to develop one. Coaches agreed that a visually appealing kit that was easy to understand would be beneficial to their teams. To conclude, this study provided confirmation that the toolkit should be viewed as appealing and useful material for high school coaches and is likely to contribute to increased prevention and improved management of concussions amongst high school athletes.15 The previous studies show that coaches are willing to implement changes if given the right materials. If coaches are receptive to informative videos, posters, or handouts 22 on concussions, perhaps the same educational techniques could be used for those coaches who wish to incorporate plyometric exercise into their workouts. Conclusion The findings of this research provide some insight of high school coach’s knowledge of plyometric exercise in the state of Pennsylvania. Although none of the hypotheses were found to be significant, it is worth noting the average scores of the survey were very low with mean scores of 6 correct, well below 50% correct for the survey. I believe this may have occurred in part due to complexity of as well as the concepts involved with understanding plyometrics. Without correct knowledge of volume, intensity, rest time, periodization, and proper technique it is very difficult to understand the principals of plyometric training. A firm understanding of biomechanics, exercise physiology, and strength training is needed to incorporate plyometrics in a safe and effective manner. Often times coaches have not had experience or education with plyometrics and this may lead to improper training programs and an increased risk of injury. If coaches wish to implement plyometric training, I 23 think that is important for them to first have the correct knowledge of plyometric exercise. Recommendations for Future Research The research study, Coaches Knowledge of Plyometric Exercise has investigated a limited population of coaches within the state of Pennsylvania. The results of the study have yielded a few primary recommendations by the researcher for future research on this subject. The survey should be distributed more efficiently, specifically, by the researcher themselves, instead of relying on a third party. Ensuring the survey and researcher is more easily accessible to coaches may increase the rate of return. The second recommendation is to focus on high school coaches that do currently implement plyometric exercise in their programs rather than coaches who may or may not use them. If coaches who use plyometrics are the only ones to respond, it may be able possible to get a clearer assessment of their knowledge of plyometric exercise and how they implement them at their high school setting. 24 REFERENCES 1. Plowman S, & Smith. Exercise physiology. Baltimore: Lippincott Williams&Wilkins;2009:525-526. 2. Markovic G. Does plyometric training improve vertical jump height? A meta-analytical review. Br J Sports Med.2007;41:349–355. DOI :10.1136/bjsm.2007.035113. 3. Bobbert MF. Drop jumping as a training method for jumping ability. Sports Med.1990;9:7-22. 4. Lundin P, Berg W. Plyometrics: a review of plyometric training. Nat Strength Cond Assoc J. 1991;13:22-34. 5. Makaruk H, Sacewicz T. Effects of Plyometric Training on Maximal Power Output and Jumping Ability. Human Movement.2010;11:17-22. Accessed June 2, 2011. 6. Komi PV. Stretch-shortening cycle: a powerful model to study normal and fatigued muscle. J Biomech.2000; 33:1197–1206. 7. Potteiger J, Lockwood R, Haub M, et al. Muscle Power and Fiber Characteristics Following 8 Weeks of Plyometric Training. Journal of Strength and Conditioning.1999;13:274-279. Accessed June 22, 2011. 8. Chu D. Jumping into Plyometrics. 2nd ed.Champaign, III: Human Kinetics.1998. 9. McClellan T. Big jumps. Training and Conditioning. 2005;40-50. 10. Luebbers PE, Potteiger JA, Hulver MW, et al. Effects of plyometric training and recovery on vertical jump performance and anaerobic power. J Strength Conditioning.2004;17:704-902 11. McClellan T. Big jumps. Training and Conditioning. March 2005;42-46 12. Clark M, Lucett S.Sports performance training. Baltimore: Lippincott Williams &Wilkins. 25 13. Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas.1970;30:607610. 14. Guilmette T, Malia L, McQuiggan M. High school coaches knowledge of sport related concussion. Brain Injury.2007; 21:1039-1047. http://web.ebscohost.com.navigatorcup.passhe.edu/ehost/resultsadvanced?sid+aa54cee94b39-47e3-8b9a. Accessed July 20, 2011. 15. Sawyer J, Hamdallah M, White T, et al. High school coaches’ assessments, intentions. Health Promotions Practice.2008;34-43. July 20,2011. 16. Harrington L. The Effects of 4 Weeks of Jump Training on Landing Knee Valgus and Grossover Hop Performance in Female Basketball Players. Journal of Strength and Conditioning.2010;24:3427-3432.Accessed June 30, 2011 17. Mandelbaum B, Silvers H, Watanabe T, et al. Effectiveness of neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes . The Amercian Journal of Sports Medicine.2005;33:1003-1010. 26 APPENDICES 27 APPENDIX A Review of Literature 28 REVIEW OF THE LITERATURE Plyometric exercise at the high school level is becoming a popular training technique used by high school coaches. Plyometric exercises are used primarily to increase maximal power output and jumping ability. Plyometric training is an established technique for enhancing athletic performance but may also facilitate beneficial adaptations in the sensorimotor system that enhance dynamic restraint mechanisms and correct faulty jumping or cutting mechanics.1 Ploymetric training has been shown to increase vertical jump performance. Vertical jumping is affected by muscular and neural aspects alike. In order for a subject to jump higher, the greatest amount of vertical acceleration needs to be achieved before leaving the ground. The acceleration creates initial vertical velocity. The greater the velocity, the higher the center of mass will reach. In order to achieve the greatest vertical acceleration, the individual needs to create as much force as possible over the shortest amount of time. It is crucial that by increasing muscle mass and by training neural mechanisms alike, an athlete can jump higher and react faster.2 Some other advantages of plyometric training is it 29 increases functional power and allows the muscles to reach a higher power level. Plyometric training has also been shown to decrease muscle reflex inhibition, increases the sensitivity of the Golgi tendon organs, improve the sensitivity of the muscle spindles, and increases muscle tension while reducing risk of injury.3-8 These may all in turn, increase performance while also decreasing the risk of injury. This review of the literature aims to explain plyometric exercise and its scientific benefits as well as high school coach’s knowledge of plyometric training including the knowledge of risks, benefits, routine schedule, and sources of information. The information will be broken into the following sections: defining plyometric training, plyometric training effects on the lower extremity, effects of various types of plyometric programs, and high school coach’s knowledge of plyometric exercise. Plyometric Training Plyometric exercise is defined as eccentric loading immediately followed by a concentric contraction.9 Research has shown that the main goal of plyometric training is to increase maximal power output and also increase vertical 30 jump height. This can be achieved thru exercises that include bounding, hopping, and other jumping exercises with one or two legs.10-11 In order to understand how plyometric exercises work, one must first understand basic muscle physiology and the actions that the muscles will perform during plyometric exercise. Muscles have the ability to both passively lengthen and contract. Having the ability to lengthen and contract allows us to perform dynamic movements of the body. Each muscle fiber contains thousands of smaller rodlike strands referred to as myofibrils. Myofibrils are contractile structures made of myofilaments. The myofibrils lie parallel to the long axis of the muscle cell and extend the length of the muscle. The myofibrils function to contract, elongate, or relax a muscle.1 Also involved in the contraction of muscle are Golgi tendon organs (GTOs). The GTOs are located in the muscletendon junctions and in the tendons at both ends of the muscles. These receptors are stimulated by tension in the muscle-tendon unit. GTOs detect tension in the muscle and cause the muscle to act upon the change of tension by contracting or lengthening. Both myofibrils and GTOs play an important role in contraction during plyometric exercise. When the muscle is contracted or lengthened 31 during jumping, the GTO’s detect the change of length in the muscle and quickly act upon that change.1 Muscle contractions are the basis for all human movement, and our muscles have 4 characteristics that allow a muscle to produce movement. These 4 characteristics include irritability, contractility, extensibility and elasticity. Irritability refers to the ability of a muscle to receive and respond to stimuli via chemical message from a neurotransmitter, and then in turn, respond with an electrical current to produce movement. Contractility is the ability of a muscle to shorten when responding to stimuli. Contractility allows a muscle to produce force. Elasticity is the ability of the muscle to return to its resting length after being stretched. The last characteristic is extensibility, which allows a muscle to be stretch or lengthened when responding to an external force.1 The above mentioned characteristics of muscle allow for 3 different types of dynamic muscle movements. They are concentric, eccentric, and isometric contractions. Concentric contraction occurs when a muscle produces tension during a shortening movement allowing for acceleration of the body part. Eccentric contraction occurs when a muscle that produces tension is lengthening. Eccentric contraction is mainly used to help decelerate a 32 body part. Finally, isometric contraction occurs when a muscle contracts but does not change its length.1 Plyometric exercise involves rapid changes of muscle contraction. Much of a participant’s ability to maximize plyometric muscle strength relies on the Stretch-Shortening Cycle (SSC). Stretch-Shortening Cycle The stretch shortening cycle (SSC) is described as an eccentric phase or stretch followed by an isometric transitional period (amortization phase), leading into an explosive concentric action. The SSC goes together with plyometrics and is often referred to as the reversible action of muscles.8 Vertical jump performance relies heavily on the participant’s ability to use the stretch-shortening cycle to increase vertical jump height.10 The greater force produced by the muscle during plyometric training is related to the storage of elastic energy during muscle stretch and its rapid release during the shortening movement. When muscles undergo rapid eccentric elongation just before rapid concentric contraction it is known as the Stretch-Shortening Cycle (SSC).10 The muscle is essentially stretched while active, resulting in a greater force production during the concentric contraction than could be 33 generated during a subsequent concentric contraction from a static position. If a muscle has the ability to adapt to this cycle it enables the individual performing the action to generate greater power.11 Most sports require jumping, sprinting, or rely on a combination of strength, speed, and power. Plyometric exercises are used to increase maximal power output and jumping ability.10 Makaruk et al. performed a study using 44 non-training individuals. Subjects in the study performed plyometric exercises twice a week for 6 weeks. The measurements for this test included maximal power output, center of mass elevation, rebound time, and knee flexion angle. It was concluded that there was an increase in maximal power output during the counter jump movement and during depth jumps as well as a significant reduction of rebound time in the depth jump.10 No significant changes in the center of mass elevation were noted in either jump. Similarly, Lehnert et al. performed a study to find the validity of using plyometric training program and its effects on speed and explosive power in female youth volleyball athletes. Plyometric exercises were implemented twice a week for eight weeks. Their level of explosive power and locomotor speed was evaluated before, during and after the intervention was completed. The levels were 34 determined with the following tests: the standing vertical jump, the vertical jump with an approach and the shuttle run for 6 x 6 m. There were positive changes in the average values of test scores during the period of testing, but the dynamics of the changes in the explosive power and the speed were different.12 Results from the study concluded plyometric training is effective in increasing power and speed in young female athletes. 12 Design of Plyometric Training There are many components within a plyometric training program, including progression. Progression within exercise can come from a variety of different ways such as changing weight, speed, intensity, duration or adding more exercises. When thinking of progression with plyometric training exercises you should consider intensity, volume, and recovery. A few common signs that an individual may not be ready to progress within their program are: 1).If the athlete shows extensive bending at the waist or her torso flops forward or from side-to side, more core work may be needed. 2). If the athlete exhibits prolonged contact with the floor, she may not have the overall body strength and power necessary to proceed. 3). If the athlete's knees are collapsing towards each other, this can mean lack of 35 quadriceps strength. The collapsing of the knees can occur on landing during the eccentric contraction or on push-off of the concentric phase. If the level of exercise is not decreased, these movements can lead to joint pain, tendonitis, excessive heaviness of the legs, and a decreased demonstrated ability to explode. Ideally, the knees should be aligned over the middle toe of each foot for all jumping and landing exercises. These progressions are all interrelated, the higher the intensity, the lower the volume, the longer rest period.13 Intensity is the amount of energy put forth to complete an exercise. In plyometrics, the intensity of a training session is determined by the exercises that are being performed or the rate of the SSC. Intensity has been defined as the amount of stress the plyometric drill places on the muscle, connective tissue, and joint.13-14 Plyometric exercises can stretch from a wide variety of intensity. An exercise such as core twists would have low intensity whereas box jumps would have a very high intensity. Volume is also a vital piece to successful plyometrics.13 Within plyometrics the number of foot touches would account for the volume of a plyometric training exercise. The number of foot touches an individual may have may be dependent of factors such as age, weight, skill level, or 36 exercise preference.13 Plyometrics can range from low to very high intensity. It is important to remember that in plyometrics, foot touches and volume are inversely related. Therefore, low intensity should be approximately 400 foot contacts a session, moderate intensity should be around 350 foot contacts a session, high intensity may consist of around 300 foot contacts a session, and very high intensity plyometrics should consist of about 200 foot contacts. The lower the number of foot contacts, the higher the intensity. Individuals with minimal experience using plyometrics should keep the ground contacts to less than 100 maximal efforts per session, whereas those with more experience could have as many as 120-140 maximal effort ground contracts per session.15 Recovery is essential to execute a successful plyometric training program.9 When performing a plyometric program, recovery can have multiple meanings. Recovery can be the recovery time in between sets of an exercise and the rest time between workouts. In order to perform plyometric exercises correctly, the individual must have proper rest times in between exercises and proper recovery times after each workout. The effectiveness of a plyometric training session depends on maximal effort and a high speed of movement for each repetition. Rest intervals between 37 repetitions and sets should be long enough to allow almost complete recover.16 As much as 5-10 seconds may be required between depth jumps and a work to rest ratio of 1:10 is recommended. For example, if a set of bounds takes 30 seconds to complete, the rest interval between sets would be 300 seconds or 5 minutes.17 Without allowing for this proper rest interval, muscles may become over fatigued which may lead to poor technique which may result in injury. A study performed by Luebbers and Potteiger focused on the importance of recovery time following a plyometric program. In the study, neither group showed an improvement immediately post training. However, when the subjects were allowed four weeks to recover, the study showed obvious effects that recovery can have on performance. It remains unclear if the results would have increased more with a longer recovery. What is clear however is that a recovery period should be included following a plyometric training program.17 Along with recovery, detraining effects can occur after a training program. Detraining may occur when an athlete reduces the training intensity, during, or ceases to train due to injury or illness.18-19 Detraining can result in the loss of anatomical and physiological adaptations as 38 well as decrease performance.18-19 The amount of detraining depends on the length of time and the training level of the athlete.14 A study performed by Faigenbaum et al demonstrated a very rapid and significant decrease in strength of preadolescence kids who trained for 8 weeks and were reevaluated 8 week after the training had ended.18-19 A study performed by Kraemer et al2. investigated whether the was any change in vertical jump height after detraining occurred. The study showed that although there was no difference in jump height after 2 weeks, there was a reduction of 3-5% after 12 weeks.2 To help avoid detraining, athletes should often consider other methods of training. Although the exact mechanism for detraining is still not known, it is likely that changes in neuromuscular functioning are partially responsible.20 Plyometric Training Effects on the Lower Extremity As mentioned earlier, plyometic training has many benefits that can help maximize athletic performance. Studies focusing on the benefits of plyometric training have found that this type of exercise can increase muscular power output, regulate lower extremity muscle co- 39 activation, and correct poor mechanics of the knee, ankle and hip.2,9,11 One of plyometric exercises known advantages is increasing muscle output. A recent study by Potteiger et al. examined changes in muscular power output and fiber characteristics following a 3 day a week, 8 week plyometric and aerobic exercise program in 19 physically active men. The plyometric training consisted of vertical jumping, bounding, and depth jumping. Muscle biopsies were collected from the vastus lateralis before and after training and type I and II fibers were identified. Peak muscle power output, measured using vertical jump significantly increased in both groups. The authors reported this may be in part to the reduced amortization phase between concentric and eccentric movements. A reduced amortization phase allows for greater increase power production. The study showed an increase of power output that may be related to an increase in muscle fiber size.11 Similar studies show supportive evidence of the effects of an 8 week training program.12 Another common theory of plyometric training is it may increase changes in speed and explosive power. Over a course of 8 weeks Lehnert et al. examined muscle power and locomotor speed was before, during, and after a workout performed by youth 40 female volleyball players was complete. The individual’s levels were measured by the standing vertical jump test, vertical jump with an approach, and a 6x6 shuttle. The results of the program supported the theory that plyometric exercises are effective in increasing explosive power and speed in young female athletes.12 Muscle co-activation has been shown to enhance neuromuscular performance and prevent knee injuries by increasing dynamic stability.9 The objective of a study performed by Chimera et al. was to evaluate the effects of plyometric training on muscle activation strategies and performance of the lower extremity during jumping exercises. The subjects included in the study were Division 1 female college athletes. Female athletes are thought to have a greater risk of knee injury due to high adduction and abduction knee movements and increased landing force when compared to males. The participants performed plyometric exercises 2 times per week for 6 weeks. Surface electromyography was used to assess preparatory and reactive activity of the vastus medialis and vastus lateralis along with the medial and lateral hamstring and hip abductors and adductors. The results concluded that after the six week plyometric exercise, there were significant increases in firing of adductor 41 muscles during the preparatory phase. It was also concluded an increases in preparatory adductor to abductor muscle coactivation, and an increase in quadriceps to hamstring muscle coactivation. Plyometric training induced beneficial neuromuscular adaptations in the hip adductor muscles that may assist with knee stability. Adductor muscle preactivation and adductor and abductor coactivation both increased after plyometric training. These neuromuscular adaptations, combined with previous kinematic and kinetic data strongly support the use of plyometric training to enhance dynamic restraint and functional stability at the knee joint.16 These studies concluded that an increase in preparatory coactivation can be increased in plyometric training and may help reduce the risk of knee injuries in females.9 One of the more common knee injuries theorized to be a result of poor muscle activation is non- contact ACL tears. Non-contact ACL tears are especially common amongst female athletes. Non- contact ACL injuries in particular are often attributed to excessive knee valgus. Research shows females often land from a jump with increased knee valgus then males. It is believed that jump training with plyometrics can help reduce knee valgus during landing leading to a reduction of non-contact ACL tears in female 42 athletes. The purpose of a study performed by Harrington et al.21 was to assess if a jump training program could have similar effects to those studies previously reported. Female athletes had their knee valgus angles assessed during two landing tasks. This was done by a twodimensional frontal-plane projection angle of the knee. A digital camera was set up two meters anterior to the subjects knee. The digital images were imported into a digitizing software program (Quintic 4, Quintic Consultancy Ltd., United Kingdom). The angle between the lines formed between the markers at the anterior superior Iliac spine and middle of the tibiofemoral joint and that formed from the markers on the middle of the tibiofemoral joint to the middle of the ankle mortise was recorded as the valgus angle of the knee. Two tests were performed in this study. One was a drop jump and the other was a crossover hop. The jump training program lasted 4 weeks, 3 times a week. After training, the results showed significant decrease in knee valgus during landing from their pretest measures.21 Plyometric Training vs. Resistance Training A popular training program for athletes, coaches, and strength and conditioning specialists is resistance 43 training. Resistance training will often use free weights or weight machines along with a slow controlled motion by the individual. Studies such as those performed by Vissing et al show plyometric training and traditional resistance training show specific benifits.22 Vissing et al wanted to compare changes in muscle strength, power, and morphology induced by conventional strength training vs. plyometric training of equal time and effort requirements in 16 healthy males.22 Those subjects who were in a conventional strength training group performed incline leg press, knee extension, hamstring curl. The plyometric group performed hurdle jumps, countermovement jumps and drop jumps. After 12 weeks of respective training, results concluded both conventional resistances training and plyometric training can benefit individuals. Moreover, the study went on to explain that both types of training increased gross muscle size, whereas only traditional resistance training increased cross-sectional area. The study concluded that both traditional resistance training and plyometric training had very similar gains in muscle strength, whereas muscle power increased almost exclusively in plyometric training.21 It is well documented that plyometric training is the best way to increase an individual’s ability to increase jump height.20 Enhancing 44 power performance allows an individual to rapidly accelerate their body during a dynamic movement such as a vertical jump. The increased power that leads to better acceleration can only be increased by plyometric training exercises.1,2,21 Brown et al also studied the different effects of resistive training and plyometric training in female dancers.23 The purpose of the study was to observe the differences in performance found in female dancers who participated in either plyometric or traditional weight training. The plyometric group performed 3 sets of 8 repetitions of 4 different lower body plyometric exercises twice a week. The weight training group performed 3 sets of 6 to 8 repetitions of 4 lower body isotonic exercises twice a week. All subjects in the study performed testing prior to and post the 6 week work outs. The testing included in this study consisted of assessments of jumping skill and lower body strength and power. Strength was assessed via 3 one repetition max tests: using the leg press, leg curl and leg extension. Power was assessed with a wingate anaerobic power test and vertical jump height tests. Aesthetic jumping ability was assessed using 1 dance faculty member. The results showed there were no differences in the jumping ability, strength or power among 45 the groups at the start of the study. The plyometric group significantly increased leg press strength, standing vertical jump height, and aesthetic jump height. The weight training group significantly increased leg press, leg curl, mean aerobic power, and aesthetic jump height. Results showed that both weight training and plyometics have positive effects on vertical jumping ability.22 These two studies demonstrate plyometrics are not meant to be performed alone. They should be used along with other training methods such as strength, flexibility, and cardiovascular training. When plyometric drills are combined with a resistance training program, vertical jump performance appears to be enhanced to a significantly greater extent than if each of the training programs were performed alone.24 Coaches Knowledge of Plyometric Exercise Recent studies and current literature prove plyometic exercise can increase athletic performance and decrease the risk of injury. What is not understood is why coaches may or may not have athletes perform plyometrics. Factors such as time, commitment, knowledge of plyometrics, or sports they coach may be factors. Although no current literature 46 has focused on coachs’ knowledge of plyometric exercise, an emphasis of coaches’ knowledge of concussions has been a recent topic. Although these two topics are not directly related, coaches’ knowledge may be reasons why they do not have their athletes perform plyometric exercise. Many studies have focused on coach’s knowledge and management of sport related concussions. Studies have shown that coaches main weakness is that they believe all concussions may be treated the same.25 This may be an indication that high school coaches understand the basics of a concussion but are unsure of how to follow up and manage an athlete with symptoms. These results may indicate that high school coaches may readily recognize concussion symptoms, and thus more attention may need to be given to educating coaches on the management of concussions to ensure they are equally confident in recognizing and treating concussive injuries in their athletes.25 Much like concussions, plyometric exercise also involves knowledge of many different domains of exercise. If coaches do not have the knowledge of the principles of plyometric exercise, they may either not feel confident in their ability to run plyometric exercises for their athletes or may be performing them incorrectly which could lead to injury. 47 Summary Explosive power production is essential for maximal performance in many athletic events.1 Plyometric exercises are defined as eccentric loading immediately followed by a concentric contraction.9 Research has shown that plyometric training can increase maximal power output and also increase vertical jump height. One of plyometric exercises most significant advantages is increasing muscle output. An increase in muscle output leads to greater power generated. Peak muscle power output, measured using a vertical jump significantly increased in groups performing plyometric exercise. This may be in part to the reduced amortization phase between concentric and eccentric movements. A reduced amortization phase allows for greater increase power production. An increase in power production may possibly be directly related to an increase in muscle fiber size and muscle output.11 The overall goal of plyometric training is to increase power output for individuals to increase jump height and maximize power. In studies performed showing gains in 48 athletes performing traditional weight lifting vs. plyometric exercise, it is well documented plyometric training is the best way to increase an individual’s ability to increase jump height and maximal power.20 Plyometric training is an established technique that can be used to maximize athletic performance such as maximal power output and jumping ability as well as facilitate positive neuromuscular control to reduce injury and correct faulty jumping or cutting mechanics. 49 APPENDIX B The Problem 50 STATEMENT OF THE PROBLEM One of the primary training goals of plyometric exercises is to increase the maximal power output and jumping ability. Using plyometric training in a safe and correct manner has shown to produce multiple positive results such as improving explosive power, increasing vertical jump height, and agility, and developing faster contraction times with both slow and fast twitch muscle fibers.4 Additionally, ploymetric exercise may lead to a decrease of lower extremity injuries. Coaches may be aware of plyometrics and how they can be used to help benefit athletes, but may not have the knowledge to perform them safely and effectively implement into their respective team workouts. Multiple training programs are easily available to high school coaches, but the extent of what they know about performing this type of exercise is still widely unknown. The purpose of this study is to determine coaches’ level of knowledge when incorporating plyometric exercise training programs into their practices and conditioning. 51 Definition of Terms The following definitions of terms are as defined for this study: 1. Concentric- A muscle contraction in which the muscle fibers pull together and shorten.4 2. Eccentric- A muscle contraction, which occurs when the muscle lengthens under tension.4 3. Myofibrils- Contractile structures composed of myofilaments.4 4. Golgi Tendon Organs-Receptors that are activated by stretch or active contraction of a muscle and that transmit information about muscle tension.4 7. Plyometrics- A type of exercise training designed to produce fast, powerful movements, and improve the functions of the nervous system, generally for the purpose of improving performance in sports. 8. Stretch shortening cycle- where the muscles involved are first stretched rapidly and then shortened to accelerate the body or limb.10 52 Basic Assumptions The following are basic assumptions of this study: 1. The subjects of this study will complete the survey to the best of their ability. 2. The survey provided was valid and reliable. 3. Subjects did not use any outside resources to complete the survey. 4. Responses and demographic questions will be varied. Limitations of the Study The following are possible limitations of the study: 1. The results of the study are only valid for high school coaches in the state of Pennsylvania, results for other states cannot be generalized. 2. Coaches may choose to not respond to the online survey. 3. Athletic Directors will be responsible to forward the survey to their high school coaches. 4. Coaches may not have access to online survey. 5. Coaches may quit taking the survey at any time. 6. Time between survey validity was only 2 weeks. 53 Significance of the Study It is vital that those who are training high school athletes understand the concept of plyometric exercise. Plyometric exercise gives athletes the opportunity to increase vertical jump height, maximal power output, and agility. If done incorrectly, this type of exercise can lead to improper mechanics or even injury. The results of this study may help identify knowledge of plyometric training among coaches at the high school level. The overall goal is to identify areas of the knowledge of plyometrics. 54 APPENDIX C Additional Methods 55 APPENDIX C1 High School Coaches’ Knowledge of Plyometic Exercise Survey 56 57 58 59 60 61 62 63 APPENDIX C2 Institutional Review Board – California University of Pennsylvania 64 65 66 67 68 69 70 71 72 73 74 Institutional Review Board California University of Pennsylvania Morgan Hall, Room 310 250 University Avenue California, PA 15419 instreviewboard@calu.edu Robert Skwarecki, Ph.D., CCC-SLP,Chair Dear Paul Rucci: Please consider this email as official notification that your proposal titled "Knowledge of Plyometric Exercises amongst High School Coaches” (Proposal #11-041) has been approved by the California University of Pennsylvania Institutional Review Board as amended. (1) (2) (3) (4) The effective date of the approval is 2-02-2012 and the expiration date is 201-2013. These dates must appear on the consent form . Please note that Federal Policy requires that you notify the IRB promptly regarding any of the following: Any additions or changes in procedures you might wish for your study (additions or changes must be approved by the IRB before they are implemented) Any events that affect the safety or well-being of subjects Any modifications of your study or other responses that are necessitated by any events reported in (2). To continue your research beyond the approval expiration date of 2-012013 you must file additional information to be considered for continuing review. Please contact instreviewboard@calu.edu Please notify the Board when data collection is complete. Regards, Robert Skwarecki, Ph.D., CCC-SLP Chair, Institutional Review Board 75 APPENDIX C3 COVER LETTER 76 Dear High School Coach: My name is Paul Rucci and I am currently a graduate student at California University of Pennsylvania pursing a Master of Science degree in Athletic Training. Part of the graduate study curriculum is to complete a research thesis through research and I am conducting survey research to determine high school coaches’ knowledge of plyometric exercise. High school coaches in the state of Pennsylvania are being asked to participate in this research; however, your participation is voluntary and you do have the right to choose not to participate. You also have the right to discontinue participation at any time during the survey completion process at which time your data will be discarded. The California University of Pennsylvania Institutional Review Board has reviewed and approved this project. The approval is effective 02/02/2012 and expires 02/02/2013 Data will be collected online via surveymonkey and will be kept confidential and anonymous. Informed consent to use the data collected will be assumed upon return of the survey. Aggregate survey responses will be housed in a password protected file on the CalU campus. Minimal risk is posed by participating as a subject in this study. I ask that you please take this survey at your earliest convenience as it will take approximately 20 minutes to complete. If you have any questions regarding this project, please feel free to contact the primary researcher, Paul Rucci at RUC6286@calu.edu or by phone at (207) 944-4809. You can also contact the faculty advisor for this research Shelly DisCesaro at dicesaro@calu.edu. Thank you in advance for your participation. Please click the following link to access the survey (https://www.surveymonkey.com/s/LLCQ75C ) Again, thank you for taking the time to take part in my thesis research. I greatly appreciate your time and effort put into this task. The survey can be found at https://www.surveymonkey.com/s/LLCQ75C Sincerely, Paul Rucci, ATC Primary Researcher California University of Pennsylvania 250 University Ave California, PA 15419 (207) 944-4809 RUC6286@calu.edu 77 APPENDIX C4 REFERENCES 78 REFERENCES 1. Plowman S, & Smith. Exercise physiology. Baltimore: Lippincott Williams&Wilkins;2009:525-526. 2. Kraemer W, Ratamess N, Volek J, et al. Detraining produces minimal changes in physical performance and hormonal variables in recreationally strength-trained men. J Strength Conditioning Research.2002;16:373-382. 3. Bompa T, Carrera M. Periodization training for sports (2nd ed.). Champaign, IL: Human Kinetics;2005 4. Boyle M. Functional training for sports. Champaign, IL: Human Kinetics;2004 5. Chu D. A. Jumping into plyometrics. Champaign, IL: Human Kinetics;1998 6. Gambetta V. Plyometrics – myths and Sport Coach.1999;20:7-12 7. Potach D H, Chu D A. Plyometric training. In R. T. Beachle & R. W. Earle (Eds.), Essentials of strength training and conditioning;2004 8. Zatsiorsky M, & Kraemer W J. Science and practice of strength training. Champaign, IL: Human Kinetics;2006 9. Chimera N, Swanik K, Swanik T, et al. Effects of Plyometric Training on Muscle Activation Strategies and Performance in Female Athletes. Journal of Athletic Training.2004;39:24-34. Accessed June 24, 2011 10. Makaruk H, Sacewicz T. Effects of Plyometric Training on Maximal Power Output and Jumping Ability. Human Movement.2006;11:17-27.Accessed June 21,2004 11. Potteiger J, Lockwood R, Haub M, et al. Muscle Power and Fiber Characteristics Following 8 Weeks of misconceptions. 79 Plyometric Training. Journal of Strength and Conditioning. 1999;13:274-279.Accessed June 30, 2011 12. Lehnert M, Lamrova I, Elfmark M. Changes in speed and strength in Female Volleyball Players Before and After Plyometric Training Programs;2006 13. McClellan T. Big jumps. Training and Conditioning. March 2005;42-46. 14. Potach DH, Chu DA. Plyometric Training.Essentials of Strength Training and Conditioning. TR Beachle and RW Earle (eds). Champaign,Il: Human Kinetics. 15. Stemm J, Jacobson B. Comparison of Land and AquaticBased Plyometric Training on Vertical Jump Performance. Journal of Strength and Conditioning.2007;21:568-571.Accessed June, 19, 2011 16. National Strength and Conditioning Association. Position statement: Explosive/plyometric exercise. NSCA.J;1993:16 17. Luebbers PE, Potteiger JA, Hulver MW, et al. Effects of plyometric training and recovery on vertical jump performance and anaerobic power. J Strength Conditioning.2004;17:704-9. 18. Faigenbaum A, Wescott W, Micheli L, Outerbride R, Long, LaRosa-Loud R, Zaichkowsky L. The effects of strength training and detraining on children. J Strength Conditioning. 1996;10:109-114 19. Benjamin H, Glow K. Strength training for children and adolescents. The Physican and Sportsmedicine.2003;9:220-225. 20. Baechle T, Earle R. Essentials of strength training and conditioning. National Strength and Conditioning Association: Human Kinetics;2000. 21. Harrington L. The Effects of 4 Weeks of Jump Training on Landing Knee Valgus and Grossover Hop Performance in Female Basketball Players. Journal of Strength and Conditioning.2010;24:3427-3432. http://web.ebscohost.com/ehost/detail?vid=3&hid=19&sid =e17a92a6-8880-410f. Accessed June 30,2011 80 22. Vissing K, Brin M. Lonbro, et al. Muscle adaptations to plyometric vs. resistance training in untrained young men. Journal of Strength and Conditioning.2008;22:1799-1810. 23. Brown A, Wells T. Schade, M., et al. Effects of Plyometric Training Versus Traditional Weight Training on Strength, Power, and Aesthetic Jumping Ability in Female Collegiate Dancers. Journal of Dance Medicine and Science.2007;11:38-44.Accessed June 22, 2011 24. Chu D. Jumping into Plyometrics. 2nd ed.Champaign, III: Human Kinetics. 1998. 25. Guilmette T, Malia L, McQuiggan M. High school coaches knowledge of sport related concussion. Brain Injury. 2007;21:1039-1047.Accessed June 22, 2011 81 ABSTRACT Title: High School Coaches’ Knowledge of Plyometric Exercise Researcher: Paul Rucci Advisor: Dr. Shelly DiCesaro Research Type: Master’s Thesis Context: In light of the economic crisis Pennsylvania school are facing, budgets do not normally afford strength and conditioning coaches. Therefore, high school coaches may often be leading conditioning programs, including plyometric exercise for their athletes. However, it is unknown if coaches actually do include plyometric programs into their practice or if they have the proper knowledge of plyometrics to implement them in a safe and effective manner. Objective: The purpose of this study was to identify high school coaches in Pennsylvania that use plyometric exercises as part of their workouts for high school athletes and gain a better understanding of their level of knowledge with this type of training. Design: Descriptive research study Setting: The survey was distribute via email to high school coaches in the state of Pennsylvania Subjects: High school coaches from the state of Pennsylvania in the PIAA were surveyed for this study. Interventions: The independent variables for this study were 1) high school coaches’ gender, 2) high school coaches’ gender of sport they coach, and 3) high school coaches’ age group. This survey was conducted via an online survey program. The survey was distributed to high school athletic directors in the PIAA who in turn, forwarded the survey link to their coaches’. The survey was open for 4 weeks with a reminder email sent at 2 weeks into the survey. Measurements: All data was analyzed via SPSS version 18 with an alpha level of 0.05 Coaches gender and sport gender 82 coached was evaluated via a one way independent t-test. High school coach’s age group was evaluated utilizing an ANOVA. Results: P-values of the first two interventions were p=.188, and p=.170 respectively showing no sign of significance. The significance found in the 3rd intervention, p=.976 was also not significant. Conclusion: Although no significance was found in the study, it is worth noting that coaches scored A mean o f6 out of 20 answers correctly in the survey. This may indicate that coaches need to be educated regarding plyometric exercise and implementation into daily practices.