Effects of Maturation Stage on Physical Fitness in Youth Male Team Sports Players After Plyometric Training: A Systematic Review and Meta-Analysis

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Methods: This systematic review and meta-analysis followed PRISMA 2020 guidelines. Three databases (PubMed, Web of Science, SCOPUS) were searched. Study eligibility was rated using the PICOS method, and methodological quality was assessed with the PEDro scale. A random-effects model calculated the meta-analysis, reporting Hedge's g effect sizes (ES) with 95% confidence intervals (95% CI). Statistical significance was set at p ≤ 0.05. Egger’s test assessed bias, with the trim and fill method applied if necessary. Subgroup analyses and meta-regression calculations of training variables were performed. Result :A total of 31 studies were included, involving 717 soccer players, 146 basketball players, 54 handball players, and 110 volleyball players. Compared to the control group, PT improved the following metrics across all age groups combined: Countermovement jump (CMJ) height (ES = 0.761), Standing long jump (SLJ) distance (ES = 0.572), ≤10-m linear sprint time (ES = -0.709), >10-m linear sprint time (ES = -0.488), and change-of-direction (COD) time (ES = -0.896).In the 10 to 12.99 years age group (PRE), PT improved CMJ height (ES = 0.73), SLJ distance (ES = 0.441), ≤10-m linear sprint time (ES = -0.431), >10-m linear sprint time (ES = -0.307), and COD time (ES = -0.783). In the 13 to 15.99 years age group (MID), PT improved CMJ height (ES = 0.523), >10-m linear sprint time (ES = -0.37), and COD time (ES = -0.635). In the 16 to 18 years age group (POST), PT improved CMJ height (ES = 1.053), SLJ distance (ES = 1.329), ≤10-m linear sprint time (ES = -1.81), >10-m linear sprint time (ES = -1.18), and COD time (ES = -1.665).There were no significant differences in adaptations for maximal strength in all groups, SLJ distance and ≤10 m linear sprint time in the MID group (all p > 0.05).Meta-regression showed that training variables could not predict the impact of PT on physical fitness. Subgroup analysis showed that when the total number of training sessions was ≥16 (ES = 1.061), there was a significantly greater improvement in CMJ height compared to fewer than 16 training sessions (ES = 0.36) (p = 0.002). Conclusion: Compared to the control group, PT can improve CMJ height, SLJ distance, ≤10-m linear sprint time, >10-m linear sprint time, and COD time in youth male team sports players across all age groups. However, PT does not improve maximal strength. The trend of improvement appears to be best during the late adolescence stage. In contrast, during mid-adolescence, SLJ distance and ≤10-m linear sprint time did not improve, and the improvements in CMJ height and COD time seem to be the least pronounced during this stage. Plyometric exercise Team sports Youth sports Physical fitness maturation Figures Figure 1 1. Background Team sports such as soccer, basketball, handball, and volleyball require athletes to frequently perform high-intensity actions such as jumping, sprinting, and change of direction (COD) during games. These actions demand highly developed physical fitness in youth athletes 1–3 . Explosive power, agility, and strength are crucial for athletes to score during competitions 4,5 . In basketball games, jumping occurs approximately once per minute, and athletes need to perform numerous sprints and high-intensity lateral movements 6,7 . Linear sprints and vertical jumps have been shown to be the most common actions preceding goals in soccer 5 . Furthermore, high levels of jumping, sprinting, and COD abilities have been proven to effectively distinguish elite athletes from non-elite athletes 8,9 . Plyometric training (PT) is widely recognized for its effectiveness in enhancing various physical performance attributes 10 . It typically involves exercises that use the stretch-shortening cycle (SSC), where a rapid concentric action follows an eccentric action 11 . This process leverages the natural elastic components of muscles and tendons, as well as the stretch reflex, to increase the power of subsequent movements 12 . The SSC enhances the neuromuscular and tendon systems' ability to generate maximum force in the shortest time, making PT a bridge between strength and speed 13 . This training method is particularly beneficial for improving jumping ability 14 , sprint speed 14 , COD speed 15 , and maximal strength 16 , all of which are crucial for success in team sports. Additionally, research by Kons et al. 17 suggests that athletes in team sports might adapt better to PT due to the greater specificity of jumping tasks during training and competition. However, the impact of PT may vary depending on the maturation stage of youth athletes, as developmental stages influence their physiological adaptability to training 18 . For adolescents, maturation status may be a crucial factor influencing training response 19 . During the developmental process of adolescents, a series of biological changes occur, such as rapid increases in height, significant gains in lean body mass, and alterations in muscle-tendon structures 20,21 . These factors can affect the improvement of physical fitness following PT 22 . Additionally, when training strategies are combined with the natural developmental processes of physical fitness, it may provide more effective maturation-related training stimuli, thereby significantly enhancing training outcomes 23 . Therefore, considering the maturation status of adolescents is essential when designing their training programs. Existing literature has explored the adaptations of youth soccer players at different age stages following PT. Moran et al. 19 conducted a meta-analysis on the adaptation of youth male soccer players to PT in terms of countermovement jump (CMJ). The results showed that PT had a moderate effect on increasing CMJ height, with greater adaptive responses observed in the 10 to 12.99 years age group (ES = 0.91) and the 16 to 18 years age group (ES = 1.02). Despite undergoing more training, the 13 to 15.99 years age group (ES = 0.47) showed a lower adaptive response to PT. Another systematic review and meta-analysis by Asadi et al. 15 examined the effect of PT on the COD ability in youth male soccer players. The results indicated that PT significantly improved COD ability across all age groups (ES = 0.86), with higher adaptive effects observed in the 13 to 15.99 years age group (ES = 0.95) and the 16 to 18 years age group (ES = 0.99), whereas the 10 to 12.99 years age group showed lower adaptive effects (ES = 0.68). This suggests that PT's effectiveness in improving different physical fitness attributes varies with maturation stages. Although these studies have revealed the adaptations of youth soccer players at different maturation stages to PT, they mainly focus on single physical fitness indicators and a limited range of sports. However, a comprehensive understanding of PT's effects on multiple physical fitness indicators and a broader spectrum of sports in youth athletes is still lacking. Therefore, this study aims to provide a more extensive summary, exploring the overall impact of PT on various physical fitness indicators, such as sprint speed, jumping ability (including vertical and horizontal jumps), COD ability, and maximal strength. Additionally, this study encompasses a wider range of team sports (such as soccer, basketball, handball, and volleyball) to offer a more comprehensive perspective. 2. Methods This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews 24 . This study was registered with the International Platform of Registered Systematic Review and Meta-Analysis Protocols (No. 202470059). 2.1 Literature Search: Management and Update An electronic search was conducted in the databases PubMed (4956 results), Web of Science (3686 results), and Scopus (4930 results) without any time restrictions. The search strategy involved using Boolean operators AND and OR with the following keywords: “plyometric”, “ballistic”, “stretch-shortening cycle”, “jump training”, “Youth”, “Young”, “Teen”, “Puberty”, “Maturation”, “Agility”, “direction”, “balance”, “Stability”, “velocity”, “Sprint”, “Jump”, “Explosive”, “Muscle”, “Power”, and “strength”. The results of the systematic literature search from the three databases were combined and duplicates were removed. After the removal of duplicates, two researchers screened the search results based on the inclusion criteria. 2.2 Inclusion and Exclusion Criteria The studies were screened using the PICOS (Participants, Intervention, Comparison, Outcomes, and Study design) method 25 . Table 1 lists the inclusion/exclusion criteria. The additional inclusion criteria were as follows: ( 1 ) experimental trials published in peer-reviewed English-language journals, providing full-text access; ( 2 ) interventions exclusively using plyometric training (PT), excluding studies that combined PT with weight training to avoid the effects of combined training. Table 1 Eligibility criteria Category Inclusion criteria Exclusion criteria Population Group average age is between 10 and 18 years old, consisting of male adolescent team sport athletes, with no restrictions on their fitness level or competitive level Participants who are unable to participate in the plyometric training program due to health issues Intervention Plyometric training lasting ≥ 4 weeks Implement an intervention combining plyometric training and weight training Comparator The study must include an experimental group undergoing plyometric training and a comparable control group. The control group must not engage in any plyometric training A study without a control group Outcome At least 1 measure of physical fitness (e.g., countermovement jump) before and after the training intervention There are no indicators related to physical fitness (e.g., countermovement jump) before and after the training intervention Study design Controlled trials Non-controlled trials 2.3 Data Extraction Microsoft Excel (Microsoft Corp., Redmond, WA, USA) was used to extract the means and standard deviations of the dependent variables before and after the intervention from the included studies. The first author extracted the physical fitness indicators such as jumps (e.g., CMJ), linear sprints (e.g., 10 m, 20 m), COD ability (e.g., Illinois test), and strength (e.g., 1 repetition maximum half-squat) from the included studies as dependent variables. Additionally, subject health status, gender, sample size, sport, years of practice, and intervention descriptions (exercise type, intensity, duration, and frequency) were extracted. The second author checked the accuracy and completeness of the extracted data. Moreover, age groupings previously used by researchers 15,19 (10-12.99 years = pre-peak height velocity [PRE], 13-15.99 years = mid-peak height velocity [MID], 16–18 years = post-peak height velocity [POST]) were used to estimate the possible maturation status of participants in each study. 2.4 Quality Assessment The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies 26 . The quality assessment was interpreted using the following 10-point scale: a score of ≤ 3 was considered to indicate poor quality, 4–5 indicated fair quality, and 6–10 indicated high quality. The PEDro scale consists of 11 items designed to evaluate methodological quality. Each satisfied item contributes 1 point to the overall PEDro score (range 0–10 points). Item 1 was not included in the quality rating of the studies as it pertains to external validity. 2.5 Summary Measures, Synthesis of Results, and Publication Bias The pre- and post-training means and standard deviations (SD) for each dependent variable were used to calculate the effect sizes (ES; Hedge's g) for each physical fitness indicator in both the PT and control groups. A random-effects model was employed to account for variability between studies that might affect the PT effects 27,28 . ES values were expressed with 95% confidence intervals (95% CI). The calculated ES were interpreted using the following scale: trivial: 0.6–1.2; large: >1.2-2.0; very large: >2.0–4.0; and extremely large: >4.0 29 . Heterogeneity was assessed using the I² statistic, with values of 75% representing low, moderate, and high levels of heterogeneity, respectively 30 . The extended Egger test was used to explore the risk of bias 31 . In cases of bias, the trim and fill method was applied for adjustments 32 . All analyses were conducted using Stata/SE software v.15.1 (StataCorp, College Station, TX). Statistical significance was set at p ≤ 0.05. 2.6 Subgroup Analysis Subgroup analyses were performed using median split techniques to divide moderator variables (frequency, training duration, and total sessions). The median was calculated when at least three studies provided data for the moderator variable. Additionally, to minimize heterogeneity, the median was calculated for specific age groups and outcome indicators. 2.7 Meta-Regression Multivariable random-effects meta-regression was conducted to verify whether any training variables (frequency, training duration, and total sessions) could predict the effects of PT on physical fitness variables. Meta-regression calculations were performed only if there were at least 10 studies for each covariate 33 . 3. Results 3.1 Study Selection The search process identified 13,572 studies (4956 from PubMed, 4930 from Scopus, and 4226 from Web of Science), resulting in a total of 7,885 studies after removing duplicates. Ultimately, 31 studies were included in this meta-analysis 12,34–63 . Figure 1 illustrates the study selection process. Table 2 displays the characteristics of participants in the included studies. Table 2 Characteristics of participants examined in the included studies. Study n a Age b (years) Height b (cm) Weight b (kg) sport Frequency (days/week) Duration (weeks) PRE Asadi et al.(2018) 34 10/10 11.5/11.7 138.3/137.4 31/33.1 Soccer 2 6 Drouzas et al.(2020) 37 23/22 10/10.2 139.2/141.6 36.1/38.5 Soccer 2 10 Jlid et al.(2019) 46 14/14 11.8/11.6 143/142 36.5/34.2 Soccer 2 8 Kurt et al.(2023) 47 11/11/10 12.09 ± 0.89 155.01 ± 9.97 44.59 ± 8.04 Soccer 2 6 McKinlay et al.(2018) 48 13/14 12.6/12.5 157.8/152.1 47.2/41.3 Soccer 3 8 Michailidis et al.(2013) 49 24/21 10.7/10.6 147/145 42.5/41.7 Soccer 2 12 Negra et al.(2020) 51 13/11 12.7/12.7 158.6/152 43.7/39.9 Soccer 2 8 Negra et al.(2020) 50 11/11 12.7/12.8 156.4/153.2 45.9/42.5 Soccer 2 12 Padrón-Cabo et al.(2021) 52 10/10 12.6/12.39 161.2/158 48.9/46.75 Soccer 2 6 Ramirez-Campillo et al.(2020) 58 8/7 12.9/12.6 154/155.9 44.4/45.6 Soccer 2 8 Ramirez-Campillo et al.(2020) 58 8/7 12.1/12.6 159.3/155.9 45.6/45.6 Soccer 2 8 Sammoud et al.(2022) 60 11/11 12.7/12.8 156.4/153.2 45.9/42.6 Soccer 2 12 Vera-Assaoka et al.(2020) 62 16/16 11.2/11.5 143/141 36.8/35.8 Soccer 2 7 Zribi et al.(2014) 63 25/26 12.1/12.2 155.5/154.8 41.1/41.2 Basketball 2 9 MID Asadi et al.(2018) 34 10/10 14/14.2 154.5/150.1 43.5/41.2 Soccer 2 6 Buga et al.(2022) 35 12/12 13.08/13.58 165.75/166.75 58.19/57.71 Basketball 2 8 Buga et al.(2022) 35 12/12 13.17/13.58 163.83/166.75 55.36/57.71 Basketball 2 8 Fathi et al.(2019) 38 20/20 14.6/14.5 178.1/173.9 67.9/63.4 Volleyball 2 16 Fernandes Correia et al.(2020) 39 6/7 15.83/15.43 183/174 70.78/72.94 Basketball 2 6 Hammami et al.(2016) 41 15/13 15.7/15.8 176/176 59/58.2 Soccer 2 8 Hammami et al.(2019) 42 14/12 15.7/15.8 175/168 58.9/58.3 Soccer 2 8 Hernandez-Martinez et al.(2023) 45 14/13 14.5/15 168/162 57.1/59.8 Volleyball 2 8 Meylan et al.(2009) 12 14/11 13.3/13.1 159/163 48.6/47.4 Soccer 2 8 Paes et al.(2022) 53 6/7 15.83/15.43 183/174 70.78/72.94 Volleyball 2 6 Palma-Muñoz et al.(2021) 54 8/7 13.8/14 159.8/159 62.6/61.5 Basketball 2 6 Palma-Muñoz et al.(2021) 54 7/7 14.6/14 161.4/159 61.9/61.5 Basketball 2 6 Pramono et al.(2023) 55 15/15 13–15 157–170 57–67 Volleyball 2 8 Ramirez-Campillo et al.(2018) 56 25/24 13.9/13.7 153/155 46.7/49.1 Soccer 2 7 Ramirez-Campillo et al.(2018) 56 24/24 13.1/13.7 153/155 47.2/49.1 Soccer 2 7 Ramirez-Campillo et al.(2019) 57 19/20 13.2/13.5 154/155 48.6/49.1 Soccer 2 7 Santos et al.(2011) 61 14/10 15/14.5 172.9/173.2 62.6/61.1 Basketball 2 10 Vera-Assaoka et al.(2020) 62 22/22 14.4/14.5 163/162 54.7/55.8 Soccer 2 7 POST Asadi et al.(2018) 34 10/10 16.6/16.2 171.5/176.4 60.6/62.4 Soccer 2 6 Chelly et al.(2014) 36 12/11 17.1/17.2 181/177 80.1/78 Handball 2 6 Fonseca et al.(2022) 40 9/8 17.3/17.3 175.9/174.6 65.4/68.3 Soccer 2 6 Hammami et al.(2020) 43 12/12 16.2/16.4 178/178 59.8/58.9 Soccer 2 10 Hammami et al.(2020) 44 10/10 16.4/16.5 178/179 69.7/70.5 Handball 3 7 Hammami et al.(2020) 44 11/10 16.2/16.5 180/179 70.8/70.5 Handball 3 7 Ramirez-Campillo et al.(2020) 59 12/12 16.9/17.1 172.3/174.9 64.9/66.8 Soccer 2 7 Ramirez-Campillo et al.(2020) 59 14/12 17.1/17.1 172.6/174.9 65.4/66.8 Soccer 2 7 a The sample size of the experimental group/control group (when a study includes two usable experimental groups, the sample size is represented as experimental group/experimental group/control group). b The mean values of the experimental group/control group (mean ± SD representing the combined data of the experimental and control groups). 3.2 Methodological Quality Assessment Using the PEDro checklist, 7 studies were considered to be of moderate quality (4–5 points), and the remaining 24 studies were considered to be of high quality (6–10 points) .(Supplementary Table 1). 3.3. Results of the Meta-Analysis The overall effects of PT on physical fitness are shown in Table 3 . The forest plots are provided in Supplementary Figures S1 -S6. 3.3.1 Jump Performance Meta-analysis results showed that PT had a significant effect on improving the CMJ height of youth overall (combined across all age groups) [ES = 0.761, 95% CI: (0.507, 1.016), P < 0.01]. Significant improvements in CMJ height were observed across different age stages: PRE [ES = 0.73, 95% CI: (0.18, 1.28), P < 0.01]; MID [ES = 0.523, 95% CI: (0.285, 0.761), P < 0.01]; POST [ES = 1.215, 95% CI: (0.636, 1.793), P < 0.01].(Supplementary Fig. S1 ). PT had a significant effect on improving the SLJ distance of youth overall [ES = 0.572, 95% CI: (0.318, 0.826), P < 0.01]. Significant improvements in SLJ distance were observed in PRE and POST: PRE [ES = 0.441, 95% CI: (0.162, 0.721), P < 0.01]; POST [ES = 1.329, 95% CI: (0.519, 2.139), P 0.05].(Supplementary Fig. S2 ). 3.3.2 Linear Sprint Performance Meta-analysis results showed that PT had a significant effect on improving the ≤ 10 m sprint performance of youth overall [ES = -0.709, 95% CI: (-0.998, -0.421), P < 0.01]. Significant improvements in ≤ 10 m sprint performance were observed in both PRE [ES = -0.431, 95% CI: (-0.678, -0.184), P < 0.01] and POST [ES = -1.81, 95% CI: (-2.527, -1.093), P 0.05].(Supplementary Fig. S3 ). PT also had a significant effect on improving the > 10 m sprint performance of youth overall [ES = -0.488, 95% CI: (-0.657, -0.319), P 10 m sprint performance were observed across different age stages: PRE [ES = -0.307, 95% CI: (-0.514, -0.1), P < 0.01]; MID [ES = -0.37, 95% CI: (-0.576, -0.163), P < 0.01]; POST [ES = -1.18, 95% CI: (-1.777, -0.584), P < 0.01].(Supplementary Fig. S4). 3.3.3 Change of Direction Meta-analysis results showed that PT had a significant effect on improving the COD of youth overall [ES = -0.896, 95% CI: (-1.16, -0.631), P < 0.01]. Significant improvements in COD were observed across different age stages: PRE [ES = -0.783, 95% CI: (-1.202, -0.364), P < 0.01]; MID [ES = -0.635, 95% CI: (-0.912, -0.358), P < 0.01]; POST [ES = -1.665, 95% CI: (-2.339, -0.99), P < 0.01].(Supplementary Fig. S5). 3.3.4 Maximal Strength Meta-analysis results showed that PT had no significant effect on improving the maximal strength of youth overall [ES = 0.2, 95% CI: (-0.034, 0.435), P > 0.05]. No significant improvements in maximal strength were observed for youth in PRE [ES = 0.052, 95% CI: (-0.399, 0.502), P > 0.05] and MID [ES = 0.255, 95% CI: (-0.019, 0.53), P > 0.05].(Supplementary Fig. S6). Table 3 Synthesis of results across included studies regarding the effects of plyometric training on physical fitness in male adolescent team sport athletes. n a ES (95%CI) %Weight p I² Egger’s test (p) Countermovement jump height PRE 10 0.73(0.18 to 1.28) 35.39% 0.009 79.6% 0.882 MID 12 0.523(0.285 to 0.761) 43.06% <0.001 18.4% 0.206 POST 7(8) 1.053(0.459 to 1.648) b 21.54% 0.001 61.4% 0.009 all 29 0.761(0.507 to 1.016) 100% <0.001 65.6% 0.054 Standing long jump distance PRE 8 0.441(0.162 to 0.721) 60.18% 0.002 0% 0.434 MID 3 0.291(-0.19 to 0.772) 21.59% 0.236 0% 0.032 c POST 3 1.329(0.519 to 2.139) 18.23% 0.001 55.9% 0.47 all 14 0.572(0.318 to 0.826) 100% <0.001 22.7% 0.112 ≤ 10-m linear sprint time PRE 9 -0.431(-0.678 to -0.184) 40.22% 0.001 0% 0.457 MID 9 -0.433(-0.869 to -0.002) 38.89% 0.051 62.8% 0.408 POST 6 -1.81(-2.527 to -1.093) 20.89% <0.001 63.9% 0.002 c all 24 -0.709(-0.998 to -0.421) 100% 10-m linear sprint time PRE 14 -0.307(-0.514 to -0.1) 41.52% 0.004 0% 0.972 MID 12 -0.37(-0.576 to -0.163) 39.35% <0.001 0% 0.324 POST 8 -1.18(-1.777 to -0.584) 19.13% <0.001 69.6% <0.001 c all 34 -0.488(-0.657 to -0.319) 100% <0.001 35.5% 0.004 c change-of-direction time PRE 9 -0.783(-1.202 to -0.364) 39.71% <0.001 57.7% 0.12 MID 9 -0.635(-0.912 to -0.358) 41.72% <0.001 19.4% 0.311 POST 5 -1.665(-2.339 to -0.99) 18.57% <0.001 56.4% 0.012 c all 23 -0.896(-1.16 to -0.631) 100% <0.001 58% 0.001 c Maximal strength PRE 3 0.052(-0.399 to 0.502) 27.08% 0.822 0% 0.648 MID 5 0.255(-0.019 to 0.53) 72.92% 0.068 0% 0.34 POST 0 all 8 0.2(-0.034 to 0.435) 100% 0.094 0% 0.034 c a The data are represented as the number of studies providing data (with the number of studies after the trim and fill method shown in parentheses). b Values adjusted using the trim and fill method. c Values adjusted using the trim and fill method remained the same (identical to observed values). 3.4 Results of Subgroup Analysis When the total number of training sessions was ≥16 (ES = 1.061), there was a significantly greater improvement in CMJ height compared to fewer than 16 training sessions (ES = 0.36) (p = 0.002).(Supplementary Table 2). 3.5 Results of the Meta-Regression Meta-regression calculations were performed only for outcome indicators with at least 10 studies per covariate. After excluding outcome indicators with collinearity issues, meta-regression analysis was conducted for CMJ height (combined across all age groups): training duration (p = 0.016), training frequency (p = 0.014), and total sessions (p = 0.017),R²=0.19.(Supplementary Table 3). 4. Discussion 4.1 Jump Performance Meta-analysis results showed that PT had a significant effect on improving CMJ height and SLJ distance in youth overall (combined across all age groups). Significant improvements in CMJ height were observed for PRE, MID, and POST, with POST and MID showing the greatest and least improvements, respectively. Significant improvements in SLJ distance were observed for PRE and POST, with POST showing the greatest improvement trend. No significant improvements were observed for MID in SLJ distance. The effectiveness of PT in enhancing CMJ performance in youth athletes is consistent with previous meta-analyses 19 . The improvements in jump performance after PT may be attributed to various adaptive mechanisms, such as enhanced neural drive to the active muscles, improved SSC utilization, better intermuscular coordination, and changes in muscle structure 10 . Specifically, during different maturation stages, youth in the PRE stage have greater tendon compliance 64,65 . More compliant muscle-tendon units can store and release more elastic energy, enhancing SSC performance 10 . Additionally, PT not only induces favorable neuromuscular adaptations 10 but also promotes adaptations in bone 66 and muscle-tendon units 67,68 . The combined effect of these training adaptations and natural development contributes to improved jump performance. However, the improvements in jump performance during the MID stage are not as ideal as in other stages. This may be due to this period being the fastest growth phase for males 69 , with different growth spurts in trunk and leg lengths 70 . The legs reach peak growth velocity before peak height velocity, while the trunk reaches peak growth velocity afterward 20 , leading to a higher center of gravity 71 . Additionally, rapid weight gain 71 and the inability of neural pathways to quickly adapt to substantial changes in body size 72 complicate the control of the trunk during PT in youth 73 , thereby affecting training benefits. In the POST stage, PT shows the most noticeable improvement in jump performance among the three age groups. By this time, the "adolescent awkwardness" phenomenon diminishes, muscle mass and circulating hormone concentrations increase 74 , and the central nervous system matures, enhancing motor unit recruitment and neuromuscular coordination 75 . Furthermore, with age, muscle activation strategies shift from reactive, protective inhibition to preparatory, performance-enhancing excitation 76 . These factors contribute to maximizing PT benefits in the POST stage. Further subgroup analysis revealed that when the total sessions of PT were ≥16, the improvement in CMJ height across all age groups was significantly greater than with fewer than 16 total sessions (ES = 1.061 vs. ES = 0.36, p < 0.01). This may be because higher training volumes provide athletes with sufficient time and opportunity to adapt and strengthen muscle and neural responses 77 . Continuous training allows athletes to better master and apply PT techniques, resulting in significant improvements in CMJ performance. In practical application, trainers should adjust the intensity and type of PT based on the maturation stage of youth athletes to maximize training effects. Particularly during the MID stage, focusing on coordination training can help athletes navigate this "awkward period" and lay the foundation for improved power performance in later stages. Additionally, appropriately increasing the total sessions of PT can strengthen the muscle and nervous system and enhance adaptation to PT. 4.2 Sprint Performance Meta-analysis results showed that PT had a significant effect on improving both ≤10 m and >10 m sprints in youth overall (combined across all age groups). Significant improvements were observed in ≤10 m sprints for PRE and POST, with POST showing a greater improvement trend, while there was no significant improvement for MID. Significant improvements were observed in >10 m sprints for PRE, MID, and POST, with POST showing the greatest improvement trend and PRE the smallest. Sprint performance is the product of stride rate and stride length 34 , and PT can improve both stride frequency and stride length 78,79 . The enhanced sprint performance following PT is likely due to increased neuromuscular activation of the muscles, including increased discharge frequency of active motor units and changes in their recruitment patterns 80 . Younger adolescents exhibit more inhibitory mechanisms and lower neuromuscular efficiency compared to older adolescents 81 . They activate higher levels of antagonistic muscles immediately after ground contact 82 and have lower stretch reflex responses than adults 65,83 , a phenomenon more pronounced in the PRE stage. Additionally, the premotor cortex cannot accurately maintain postural control and adapt to rapid corrections during SSC movements by controlling the appropriate motor units 84 . As leg and vertical stiffness increase with maturation, eccentric and concentric contact times may decrease 85 . Reduced ground contact time requires a higher rate of force development and more efficient reuse of elastic energy to maintain the center of mass displacement 84 . Although the ability to utilize and generate power develops throughout an athlete’s maturation, the power generation in MID adolescents is still not high enough 84 . These complex interactions likely result in less ideal sprint performance improvements in the MID stage compared to the POST stage. For ≤10 m sprints, the abilities related to horizontal force and postural control are particularly important during the acceleration phase 86 , and the poorer trunk control in MID adolescents 72 may explain the lack of significant improvements in ≤10 m sprint performance after PT. Maturation plays a crucial role in energy storage and utilization and in the development of SSC at maximum sprint speed 85 . With age, increases in testosterone, growth hormone, and IGF-1 contribute to the accumulation of lean mass and the relative reduction of body fat. By age 18, most males have attained 90% of their final total skeletal mass 87 . This increase in strength is associated with faster sprint performance in adolescents 88 . Additionally, sprint performance naturally develops due to increased muscle size, limb length, changes in tendon tissue, enhanced neural and motor development, and better movement quality and coordination 89 . 4.3 Change of Direction Meta-analysis results showed that PT had a significant effect on improving COD in youth overall (combined across all age groups). Significant improvements in COD were observed for PRE, MID, and POST, with POST showing the greatest improvement trend and MID the least. Unlike previous meta-analyses 15 , PT showed a lower improvement trend for COD in MID compared to other stages. The potential mechanisms underlying COD improvements after PT are likely related to neuromuscular adaptations, such as enhanced motor unit recruitment and discharge frequency 22,90 . Specifically, improvements in COD require rapid force development, eccentric strength of the thigh muscles, and quick transitions of the leg extensors from eccentric to concentric muscle actions, which PT seems to enhance 91,92 . In different maturation stages, improvements in COD performance during the PRE stage may be primarily due to factors such as increased motor unit activation, faster contraction velocity, enhanced pre-activation, and greater reliance on short-latency stretch reflexes, leading to more feedforward SSC function 22 . Although strength development is slower in the PRE stage 75 , better motor unit recruitment or neural adaptations following PT can improve COD performance 22 . Effective translation of PT into COD performance might require a certain level of motor coordination, as PT can be technically challenging for younger athletes 93 . Additionally, Young et al. 94 suggested that agility tasks might be more influenced by motor control factors than muscle strength or power. In the MID stage, the weaker trend in COD improvements compared to other stages might be due to rapid lengthening of the trunk and limbs, sudden weight gain, and changes in the center of gravity 70,71 , all of which can lead to a decline in coordination related to physical development 95 , thereby interfering with training adaptations 93 . Specific sensorimotor mechanisms may also degrade during rapid adolescent growth, such as neuromuscular control, postural stability, and inter-limb/segmental coordination 72 . In the POST stage, athletes typically exhibit greater strength due to increased muscle mass, elevated testosterone levels, and enhanced motor control 96–98 . Higher strength levels are closely linked to faster sprint performance in adolescents 88 , and high sprint speeds over short distances are closely related to COD 99 . Additionally, PT can enhance the eccentric strength of the thigh muscles, which is crucial for deceleration during impulsive movements 91 . This enhanced eccentric strength facilitates rapid transitions of the leg extensors from eccentric to concentric muscle actions, promoting changes in direction 15 . PT can also positively impact COD performance by reducing ground reaction time through increased muscle power output and movement efficiency 100 . The combined effects of these training adaptations and natural development contribute to the improvement in COD performance during the POST stage. 4.4 Maximal Strength Meta-analysis results showed no significant improvement in maximal strength following PT. This is inconsistent with previous meta-analyses 101 , which might be attributed to the absence of studies on the post-peak height velocity (PHV) stage in this research, as accelerated strength gains occur during the post-PHV stage 74 . Muscle hypertrophy can enhance muscle strength 102 . Older adolescents may exhibit greater muscle plasticity after PT, including increases in muscle size, a shift from type I to type II muscle fibers, changes in muscle pennation angle, enhanced muscle contraction capabilities, improved motor unit recruitment, and increased neural drive to the active muscles 10 . In contrast, younger male adolescents have lower hormone levels, which are less conducive to muscle mass increase 103 . It is noteworthy that the meta-analysis by Oliver et al. indicated that combined plyometric and strength training is about three times more effective in improving lower limb maximal strength compared to PT alone, highlighting the impact of training specificity 104 . Integrating this combined training approach into the development of high-level, well-trained youth athletes appears to be more desirable. 5. Conclusion Compared to the control group, PT can improve CMJ, SLJ, ≤10 m sprint, >10 m sprint, and change of direction in youth male team sports players overall (combined across all age groups), but it does not improve maximal strength. Specifically, the improvement trends are best during the POST stage. However, during the MID stage, there are no improvements in SLJ and ≤10 m sprints, and the improvement trends for CMJ and change of direction are the lowest. This suggests that the MID stage is less ideal for adaptations in various physical fitness attributes. These results highlight the importance of considering the physiological development stages of youth male team sports players when implementing PT to develop personalized and effective training programs. Future research should focus on how to further enhance adaptations to PT during different maturation stages, particularly during the MID stage. Abbreviations CI Confidence interval ES Effect size I 2 Impact of statistical heterogeneity PICOS Participants, intervention, comparators, outcomes, and study design PEDro Physiotherapy Evidence DatabasePEDro Physiotherapy Evidence Database PRISMA Preferred Reporting Items for Systematic reviews and Meta‐Analyses Declarations Ethics Approval and Consent to Participate Not applicable. Consent for Publication Not applicable. Availability of Data and Materials All data generated or analyzed during this study are presented in the form of tables, figures, and/or electronic supplementary materials in the article. Competing interests The authors declare that they have no competing interests. Funding 1.Guangdong Provincial Philosophy and Social Sciences Regularization Project 2022 (GD22CTY09): Research on the Coordinated Development Path of International Competitiveness in Sports in the Guangdong-Hong Kong-Macao Greater Bay Area. 2.National Social Science Fund of China (General Project), "Research on the Reproduction of Traditional Chinese Martial Arts Culture in the New Era"(20BTY103). Author Contributions All authors participated in the completion of the article together. Acknowledgements Not applicable. References Ortega-Becerra, M., Belloso-Vergara, A. & Pareja-Blanco, F. Physical and Physiological Demands During Handball Matches in Male Adolescent Players. Journal of Human Kinetics 72 , 253–263 (2020). Lidor, R. & Ziv, G. Physical characteristics and physiological attributes of adolescent volleyball players—A Review. Pediatric exercise science 22 , 114–134 (2010). Murr, D., Raabe, J. & Höner, O. 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The Effects of Strength, Plyometric and Combined Training on Strength, Power and Speed Characteristics in High-Level, Highly Trained Male Youth Soccer Players: A Systematic Review and Meta-Analysis. Sports Med 54 , 623–643 (2024). Supplementary Files SupplementaryFileFigures.docx SupplementaryFileTables.docx Cite Share Download PDF Status: Published Journal Publication published 21 Aug, 2025 Read the published version in Sports Medicine-Open → Version 1 posted Editorial decision: Major Revision 23 Mar, 2025 Reviewers agreed at journal 16 Sep, 2024 Reviewers invited by journal 04 Sep, 2024 Editor assigned by journal 12 Aug, 2024 First submitted to journal 09 Aug, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4876519","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":349569182,"identity":"dbb0e556-963e-478f-8d01-baaec5b721aa","order_by":0,"name":"gesheng lin","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA00lEQVRIie2PMQ6CMBhGa0hg+SNriUSvUHYSrkIXmEwYGRhKMO2g7hzD0ZWQ4FJ3RogXwM3Bwe4ai5tD39ShL//3EDIY/hDbKathIhhcpyyHOC/0yhJaHtRZ6HuHtiKD7PTKGqdsBVMSkj7l3rizZgyDhgU1aQHJhueU2cgV+1jXwlRLCwtR8p6efYTl9TTvigWNUqSNCN5qFExVi1LUg2eUW7OVBEApaJ6i9qhhIWBoKhzLDrQtGyFuw/TEUXQR4/2RF2tXHL8rb8Bv3w0Gg8HwkRdDdk4X9yfMfQAAAABJRU5ErkJggg==","orcid":"https://orcid.org/0009-0001-6907-2737","institution":"Digital physical training laboratory, Guangzhou Sport University, Guangzhou, China","correspondingAuthor":true,"prefix":"","firstName":"gesheng","middleName":"","lastName":"lin","suffix":""},{"id":349569183,"identity":"1d2df66e-ea9d-488a-b667-ca56a2448cf3","order_by":1,"name":"jiayong chen","email":"","orcid":"","institution":"Digital physical training laboratory, Guangzhou Sport University, Guangzhou, China","correspondingAuthor":false,"prefix":"","firstName":"jiayong","middleName":"","lastName":"chen","suffix":""},{"id":349569184,"identity":"2e1a650d-2b07-42ca-a969-558a55a77577","order_by":2,"name":"ruixiang yan","email":"","orcid":"","institution":"Digital physical training laboratory, Guangzhou Sport University, Guangzhou, China","correspondingAuthor":false,"prefix":"","firstName":"ruixiang","middleName":"","lastName":"yan","suffix":""},{"id":349569185,"identity":"df325dc4-d3ac-4274-b40b-738334934a76","order_by":3,"name":"beiwang deng","email":"","orcid":"","institution":"Digital physical training laboratory, Guangzhou Sport University, Guangzhou, China","correspondingAuthor":false,"prefix":"","firstName":"beiwang","middleName":"","lastName":"deng","suffix":""},{"id":349569186,"identity":"0e3f0c95-dfb2-4783-81c6-89eb8e1c329f","order_by":4,"name":"jian sun","email":"","orcid":"","institution":"Sports Training Institute, Guangzhou Sport University. Guangzhou, China;Guangdong Provincial Key Laboratory of Human Sports Performance Science, China","correspondingAuthor":false,"prefix":"","firstName":"jian","middleName":"","lastName":"sun","suffix":""},{"id":349569187,"identity":"3c54b617-0c50-42f9-b0f8-fab4775842f4","order_by":5,"name":"bo guan","email":"","orcid":"","institution":"School of Wushu,Guangzhou Sport University, Guangzhou, China;Lingnan Traditional Sports Culture Inheritance and Development Research Center, China","correspondingAuthor":false,"prefix":"","firstName":"bo","middleName":"","lastName":"guan","suffix":""},{"id":349569188,"identity":"97093e6c-c5ea-42fc-b950-ef4a2ce507e2","order_by":6,"name":"wenfeng song","email":"","orcid":"","institution":"Sports Training Institute, Guangzhou Sport University. Guangzhou, China","correspondingAuthor":false,"prefix":"","firstName":"wenfeng","middleName":"","lastName":"song","suffix":""}],"badges":[],"createdAt":"2024-08-07 18:09:55","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4876519/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4876519/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s40798-025-00907-9","type":"published","date":"2025-08-21T16:29:15+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":66054545,"identity":"2cbeb4d3-4726-478c-b6a6-bec76ec954d0","added_by":"auto","created_at":"2024-10-07 09:01:29","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":130074,"visible":true,"origin":"","legend":"\u003cp\u003eStudy inclusion and exclusion selection process\u003c/p\u003e","description":"","filename":"1.png","url":"https://assets-eu.researchsquare.com/files/rs-4876519/v1/71ce1d9fa1f929d3de3cc329.png"},{"id":89847235,"identity":"555255ec-b01d-44a5-8b86-7153af422ea7","added_by":"auto","created_at":"2025-08-25 16:42:24","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1686937,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4876519/v1/d3db239c-da6c-4e47-9d94-f15b9e51c9b3.pdf"},{"id":66055621,"identity":"56fd67a6-2f6a-4078-ab5f-30f46f6120e3","added_by":"auto","created_at":"2024-10-07 09:09:29","extension":"docx","order_by":4,"title":"","display":"","copyAsset":false,"role":"supplement","size":109277,"visible":true,"origin":"","legend":"","description":"","filename":"SupplementaryFileFigures.docx","url":"https://assets-eu.researchsquare.com/files/rs-4876519/v1/f73c55681849c952affa343d.docx"},{"id":66055622,"identity":"fa16be1c-6152-4ec1-8b61-7cae4b325745","added_by":"auto","created_at":"2024-10-07 09:09:29","extension":"docx","order_by":5,"title":"","display":"","copyAsset":false,"role":"supplement","size":114311,"visible":true,"origin":"","legend":"","description":"","filename":"SupplementaryFileTables.docx","url":"https://assets-eu.researchsquare.com/files/rs-4876519/v1/d79a48524b56130b5f7505b6.docx"}],"financialInterests":"","formattedTitle":"Effects of Maturation Stage on Physical Fitness in Youth Male Team Sports Players After Plyometric Training: A Systematic Review and Meta-Analysis","fulltext":[{"header":"1. Background","content":"\u003cp\u003eTeam sports such as soccer, basketball, handball, and volleyball require athletes to frequently perform high-intensity actions such as jumping, sprinting, and change of direction (COD) during games. These actions demand highly developed physical fitness in youth athletes\u003csup\u003e1\u0026ndash;3\u003c/sup\u003e. Explosive power, agility, and strength are crucial for athletes to score during competitions\u003csup\u003e4,5\u003c/sup\u003e. In basketball games, jumping occurs approximately once per minute, and athletes need to perform numerous sprints and high-intensity lateral movements\u003csup\u003e6,7\u003c/sup\u003e. Linear sprints and vertical jumps have been shown to be the most common actions preceding goals in soccer\u003csup\u003e5\u003c/sup\u003e. Furthermore, high levels of jumping, sprinting, and COD abilities have been proven to effectively distinguish elite athletes from non-elite athletes\u003csup\u003e8,9\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003ePlyometric training (PT) is widely recognized for its effectiveness in enhancing various physical performance attributes\u003csup\u003e10\u003c/sup\u003e. It typically involves exercises that use the stretch-shortening cycle (SSC), where a rapid concentric action follows an eccentric action\u003csup\u003e11\u003c/sup\u003e. This process leverages the natural elastic components of muscles and tendons, as well as the stretch reflex, to increase the power of subsequent movements\u003csup\u003e12\u003c/sup\u003e. The SSC enhances the neuromuscular and tendon systems' ability to generate maximum force in the shortest time, making PT a bridge between strength and speed\u003csup\u003e13\u003c/sup\u003e. This training method is particularly beneficial for improving jumping ability\u003csup\u003e14\u003c/sup\u003e, sprint speed\u003csup\u003e14\u003c/sup\u003e, COD speed\u003csup\u003e15\u003c/sup\u003e, and maximal strength\u003csup\u003e16\u003c/sup\u003e, all of which are crucial for success in team sports. Additionally, research by Kons et al.\u003csup\u003e17\u003c/sup\u003esuggests that athletes in team sports might adapt better to PT due to the greater specificity of jumping tasks during training and competition. However, the impact of PT may vary depending on the maturation stage of youth athletes, as developmental stages influence their physiological adaptability to training\u003csup\u003e18\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eFor adolescents, maturation status may be a crucial factor influencing training response\u003csup\u003e19\u003c/sup\u003e. During the developmental process of adolescents, a series of biological changes occur, such as rapid increases in height, significant gains in lean body mass, and alterations in muscle-tendon structures\u003csup\u003e20,21\u003c/sup\u003e. These factors can affect the improvement of physical fitness following PT\u003csup\u003e22\u003c/sup\u003e. Additionally, when training strategies are combined with the natural developmental processes of physical fitness, it may provide more effective maturation-related training stimuli, thereby significantly enhancing training outcomes\u003csup\u003e23\u003c/sup\u003e. Therefore, considering the maturation status of adolescents is essential when designing their training programs.\u003c/p\u003e \u003cp\u003eExisting literature has explored the adaptations of youth soccer players at different age stages following PT. Moran et al.\u003csup\u003e19\u003c/sup\u003econducted a meta-analysis on the adaptation of youth male soccer players to PT in terms of countermovement jump (CMJ). The results showed that PT had a moderate effect on increasing CMJ height, with greater adaptive responses observed in the 10 to 12.99 years age group (ES\u0026thinsp;=\u0026thinsp;0.91) and the 16 to 18 years age group (ES\u0026thinsp;=\u0026thinsp;1.02). Despite undergoing more training, the 13 to 15.99 years age group (ES\u0026thinsp;=\u0026thinsp;0.47) showed a lower adaptive response to PT. Another systematic review and meta-analysis by Asadi et al.\u003csup\u003e15\u003c/sup\u003eexamined the effect of PT on the COD ability in youth male soccer players. The results indicated that PT significantly improved COD ability across all age groups (ES\u0026thinsp;=\u0026thinsp;0.86), with higher adaptive effects observed in the 13 to 15.99 years age group (ES\u0026thinsp;=\u0026thinsp;0.95) and the 16 to 18 years age group (ES\u0026thinsp;=\u0026thinsp;0.99), whereas the 10 to 12.99 years age group showed lower adaptive effects (ES\u0026thinsp;=\u0026thinsp;0.68). This suggests that PT's effectiveness in improving different physical fitness attributes varies with maturation stages.\u003c/p\u003e \u003cp\u003eAlthough these studies have revealed the adaptations of youth soccer players at different maturation stages to PT, they mainly focus on single physical fitness indicators and a limited range of sports. However, a comprehensive understanding of PT's effects on multiple physical fitness indicators and a broader spectrum of sports in youth athletes is still lacking. Therefore, this study aims to provide a more extensive summary, exploring the overall impact of PT on various physical fitness indicators, such as sprint speed, jumping ability (including vertical and horizontal jumps), COD ability, and maximal strength. Additionally, this study encompasses a wider range of team sports (such as soccer, basketball, handball, and volleyball) to offer a more comprehensive perspective.\u003c/p\u003e"},{"header":"2. Methods","content":"\u003cp\u003eThis review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews\u003csup\u003e24\u003c/sup\u003e. This study was registered with the International Platform of Registered Systematic Review and Meta-Analysis Protocols (No. 202470059).\u003c/p\u003e \u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003e2.1 Literature Search: Management and Update\u003c/h2\u003e \u003cp\u003eAn electronic search was conducted in the databases PubMed (4956 results), Web of Science (3686 results), and Scopus (4930 results) without any time restrictions. The search strategy involved using Boolean operators AND and OR with the following keywords: \u0026ldquo;plyometric\u0026rdquo;, \u0026ldquo;ballistic\u0026rdquo;, \u0026ldquo;stretch-shortening cycle\u0026rdquo;, \u0026ldquo;jump training\u0026rdquo;, \u0026ldquo;Youth\u0026rdquo;, \u0026ldquo;Young\u0026rdquo;, \u0026ldquo;Teen\u0026rdquo;, \u0026ldquo;Puberty\u0026rdquo;, \u0026ldquo;Maturation\u0026rdquo;, \u0026ldquo;Agility\u0026rdquo;, \u0026ldquo;direction\u0026rdquo;, \u0026ldquo;balance\u0026rdquo;, \u0026ldquo;Stability\u0026rdquo;, \u0026ldquo;velocity\u0026rdquo;, \u0026ldquo;Sprint\u0026rdquo;, \u0026ldquo;Jump\u0026rdquo;, \u0026ldquo;Explosive\u0026rdquo;, \u0026ldquo;Muscle\u0026rdquo;, \u0026ldquo;Power\u0026rdquo;, and \u0026ldquo;strength\u0026rdquo;. The results of the systematic literature search from the three databases were combined and duplicates were removed. After the removal of duplicates, two researchers screened the search results based on the inclusion criteria.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003e2.2 Inclusion and Exclusion Criteria\u003c/h2\u003e \u003cp\u003eThe studies were screened using the PICOS (Participants, Intervention, Comparison, Outcomes, and Study design) method\u003csup\u003e25\u003c/sup\u003e. Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e lists the inclusion/exclusion criteria. The additional inclusion criteria were as follows: (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e) experimental trials published in peer-reviewed English-language journals, providing full-text access; (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e) interventions exclusively using plyometric training (PT), excluding studies that combined PT with weight training to avoid the effects of combined training.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eEligibility criteria\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCategory\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eInclusion criteria\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eExclusion criteria\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePopulation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eGroup average age is between 10 and 18 years old, consisting of male adolescent team sport athletes, with no restrictions on their fitness level or competitive level\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eParticipants who are unable to participate in the plyometric training program due to health issues\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIntervention\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePlyometric training lasting\u0026thinsp;\u0026ge;\u0026thinsp;4 weeks\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eImplement an intervention combining plyometric training and weight training\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eComparator\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eThe study must include an experimental group undergoing plyometric training and a comparable control group. The control group must not engage in any plyometric training\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eA study without a control group\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOutcome\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAt least 1 measure of physical fitness (e.g., countermovement jump) before and after the training intervention\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eThere are no indicators related to physical fitness (e.g., countermovement jump) before and after the training intervention\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eStudy design\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eControlled trials\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eNon-controlled trials\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003e2.3 Data Extraction\u003c/h2\u003e \u003cp\u003eMicrosoft Excel (Microsoft Corp., Redmond, WA, USA) was used to extract the means and standard deviations of the dependent variables before and after the intervention from the included studies. The first author extracted the physical fitness indicators such as jumps (e.g., CMJ), linear sprints (e.g., 10 m, 20 m), COD ability (e.g., Illinois test), and strength (e.g., 1 repetition maximum half-squat) from the included studies as dependent variables. Additionally, subject health status, gender, sample size, sport, years of practice, and intervention descriptions (exercise type, intensity, duration, and frequency) were extracted. The second author checked the accuracy and completeness of the extracted data. Moreover, age groupings previously used by researchers\u003csup\u003e15,19\u003c/sup\u003e(10-12.99 years\u0026thinsp;=\u0026thinsp;pre-peak height velocity [PRE], 13-15.99 years\u0026thinsp;=\u0026thinsp;mid-peak height velocity [MID], 16\u0026ndash;18 years\u0026thinsp;=\u0026thinsp;post-peak height velocity [POST]) were used to estimate the possible maturation status of participants in each study.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003e2.4 Quality Assessment\u003c/h2\u003e \u003cp\u003eThe Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies\u003csup\u003e26\u003c/sup\u003e. The quality assessment was interpreted using the following 10-point scale: a score of \u0026le;\u0026thinsp;3 was considered to indicate poor quality, 4\u0026ndash;5 indicated fair quality, and 6\u0026ndash;10 indicated high quality. The PEDro scale consists of 11 items designed to evaluate methodological quality. Each satisfied item contributes 1 point to the overall PEDro score (range 0\u0026ndash;10 points). Item 1 was not included in the quality rating of the studies as it pertains to external validity.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003e2.5 Summary Measures, Synthesis of Results, and Publication Bias\u003c/h2\u003e \u003cp\u003eThe pre- and post-training means and standard deviations (SD) for each dependent variable were used to calculate the effect sizes (ES; Hedge's g) for each physical fitness indicator in both the PT and control groups. A random-effects model was employed to account for variability between studies that might affect the PT effects\u003csup\u003e27,28\u003c/sup\u003e. ES values were expressed with 95% confidence intervals (95% CI). The calculated ES were interpreted using the following scale: trivial: \u0026lt;0.2; small: 0.2\u0026ndash;0.6; moderate: \u0026gt;0.6\u0026ndash;1.2; large: \u0026gt;1.2-2.0; very large: \u0026gt;2.0\u0026ndash;4.0; and extremely large: \u0026gt;4.0\u003csup\u003e29\u003c/sup\u003e. Heterogeneity was assessed using the I\u0026sup2; statistic, with values of \u0026lt;\u0026thinsp;25%, 25%-75%, and \u0026gt;\u0026thinsp;75% representing low, moderate, and high levels of heterogeneity, respectively\u003csup\u003e30\u003c/sup\u003e. The extended Egger test was used to explore the risk of bias\u003csup\u003e31\u003c/sup\u003e. In cases of bias, the trim and fill method was applied for adjustments\u003csup\u003e32\u003c/sup\u003e. All analyses were conducted using Stata/SE software v.15.1 (StataCorp, College Station, TX). Statistical significance was set at p\u0026thinsp;\u0026le;\u0026thinsp;0.05.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003e2.6 Subgroup Analysis\u003c/h2\u003e \u003cp\u003eSubgroup analyses were performed using median split techniques to divide moderator variables (frequency, training duration, and total sessions). The median was calculated when at least three studies provided data for the moderator variable. Additionally, to minimize heterogeneity, the median was calculated for specific age groups and outcome indicators.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003e2.7 Meta-Regression\u003c/h2\u003e \u003cp\u003eMultivariable random-effects meta-regression was conducted to verify whether any training variables (frequency, training duration, and total sessions) could predict the effects of PT on physical fitness variables. Meta-regression calculations were performed only if there were at least 10 studies for each covariate\u003csup\u003e33\u003c/sup\u003e.\u003c/p\u003e \u003c/div\u003e"},{"header":"3. Results","content":"\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003e3.1 Study Selection\u003c/h2\u003e \u003cp\u003eThe search process identified 13,572 studies (4956 from PubMed, 4930 from Scopus, and 4226 from Web of Science), resulting in a total of 7,885 studies after removing duplicates. Ultimately, 31 studies were included in this meta-analysis\u003csup\u003e12,34\u0026ndash;63\u003c/sup\u003e. Figure\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e illustrates the study selection process. Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e displays the characteristics of participants in the included studies.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eCharacteristics of participants examined in the included studies.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eStudy\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003en\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eAge\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(years)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eHeight\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(cm)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eWeight\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(kg)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003esport\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eFrequency (days/week)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eDuration (weeks)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003ePRE\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAsadi et al.(2018)\u003csup\u003e34\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.5/11.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e138.3/137.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e31/33.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrouzas et al.(2020)\u003csup\u003e37\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e23/22\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10/10.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e139.2/141.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e36.1/38.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eJlid et al.(2019)\u003csup\u003e46\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14/14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.8/11.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e143/142\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e36.5/34.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eKurt et al.(2023)\u003csup\u003e47\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e11/11/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.09\u0026thinsp;\u0026plusmn;\u0026thinsp;0.89\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e155.01\u0026thinsp;\u0026plusmn;\u0026thinsp;9.97\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e44.59\u0026thinsp;\u0026plusmn;\u0026thinsp;8.04\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMcKinlay et al.(2018)\u003csup\u003e48\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13/14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.6/12.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e157.8/152.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e47.2/41.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMichailidis et al.(2013)\u003csup\u003e49\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e24/21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10.7/10.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e147/145\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e42.5/41.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNegra et al.(2020)\u003csup\u003e51\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13/11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.7/12.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e158.6/152\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e43.7/39.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNegra et al.(2020)\u003csup\u003e50\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e11/11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.7/12.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e156.4/153.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e45.9/42.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePadr\u0026oacute;n-Cabo et al.(2021)\u003csup\u003e52\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.6/12.39\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e161.2/158\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e48.9/46.75\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2020)\u003csup\u003e58\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8/7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.9/12.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e154/155.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e44.4/45.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2020)\u003csup\u003e58\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8/7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.1/12.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e159.3/155.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e45.6/45.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSammoud et al.(2022)\u003csup\u003e60\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e11/11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.7/12.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e156.4/153.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e45.9/42.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVera-Assaoka et al.(2020)\u003csup\u003e62\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e16/16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11.2/11.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e143/141\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e36.8/35.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eZribi et al.(2014)\u003csup\u003e63\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e25/26\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.1/12.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e155.5/154.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e41.1/41.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMID\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAsadi et al.(2018)\u003csup\u003e34\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14/14.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e154.5/150.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e43.5/41.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eBuga et al.(2022)\u003csup\u003e35\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12/12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.08/13.58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e165.75/166.75\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e58.19/57.71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eBuga et al.(2022)\u003csup\u003e35\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12/12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.17/13.58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e163.83/166.75\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e55.36/57.71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFathi et al.(2019)\u003csup\u003e38\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e20/20\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14.6/14.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e178.1/173.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e67.9/63.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eVolleyball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e16\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFernandes Correia et al.(2020)\u003csup\u003e39\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6/7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15.83/15.43\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e183/174\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e70.78/72.94\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHammami et al.(2016)\u003csup\u003e41\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e15/13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15.7/15.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e176/176\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e59/58.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHammami et al.(2019)\u003csup\u003e42\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14/12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15.7/15.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e175/168\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e58.9/58.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHernandez-Martinez et al.(2023)\u003csup\u003e45\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14/13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14.5/15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e168/162\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e57.1/59.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eVolleyball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMeylan et al.(2009)\u003csup\u003e12\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14/11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.3/13.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e159/163\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e48.6/47.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePaes et al.(2022)\u003csup\u003e53\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6/7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15.83/15.43\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e183/174\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e70.78/72.94\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eVolleyball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePalma-Mu\u0026ntilde;oz et al.(2021)\u003csup\u003e54\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8/7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.8/14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e159.8/159\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e62.6/61.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePalma-Mu\u0026ntilde;oz et al.(2021)\u003csup\u003e54\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7/7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14.6/14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e161.4/159\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e61.9/61.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePramono et al.(2023)\u003csup\u003e55\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e15/15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13\u0026ndash;15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e157\u0026ndash;170\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e57\u0026ndash;67\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eVolleyball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2018)\u003csup\u003e56\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e25/24\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.9/13.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e153/155\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e46.7/49.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2018)\u003csup\u003e56\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e24/24\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.1/13.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e153/155\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e47.2/49.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2019)\u003csup\u003e57\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e19/20\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e13.2/13.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e154/155\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e48.6/49.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSantos et al.(2011)\u003csup\u003e61\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15/14.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e172.9/173.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e62.6/61.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eBasketball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVera-Assaoka et al.(2020)\u003csup\u003e62\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e22/22\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e14.4/14.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e163/162\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e54.7/55.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003ePOST\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAsadi et al.(2018)\u003csup\u003e34\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.6/16.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e171.5/176.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e60.6/62.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eChelly et al.(2014)\u003csup\u003e36\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12/11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.1/17.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e181/177\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e80.1/78\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eHandball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFonseca et al.(2022)\u003csup\u003e40\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9/8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.3/17.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e175.9/174.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e65.4/68.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHammami et al.(2020)\u003csup\u003e43\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12/12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.2/16.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e178/178\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e59.8/58.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHammami et al.(2020)\u003csup\u003e44\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.4/16.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e178/179\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e69.7/70.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eHandball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHammami et al.(2020)\u003csup\u003e44\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e11/10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.2/16.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e180/179\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e70.8/70.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eHandball\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2020)\u003csup\u003e59\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12/12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e16.9/17.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e172.3/174.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e64.9/66.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRamirez-Campillo et al.(2020)\u003csup\u003e59\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14/12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17.1/17.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e172.6/174.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e65.4/66.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSoccer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003csup\u003ea\u003c/sup\u003e The sample size of the experimental group/control group (when a study includes two usable experimental groups, the sample size is represented as experimental group/experimental group/control group).\u003c/p\u003e \u003cp\u003e \u003csup\u003eb\u003c/sup\u003e The mean values of the experimental group/control group (mean\u0026thinsp;\u0026plusmn;\u0026thinsp;SD representing the combined data of the experimental and control groups).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003e3.2 Methodological Quality Assessment\u003c/h2\u003e \u003cp\u003eUsing the PEDro checklist, 7 studies were considered to be of moderate quality (4\u0026ndash;5 points), and the remaining 24 studies were considered to be of high quality (6\u0026ndash;10 points) .(Supplementary Table\u0026nbsp;1).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003e3.3. Results of the Meta-Analysis\u003c/h2\u003e \u003cp\u003eThe overall effects of PT on physical fitness are shown in Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e. The forest plots are provided in Supplementary Figures \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003e-S6.\u003c/p\u003e \u003cdiv id=\"Sec14\" class=\"Section3\"\u003e \u003ch2\u003e3.3.1 Jump Performance\u003c/h2\u003e \u003cp\u003eMeta-analysis results showed that PT had a significant effect on improving the CMJ height of youth overall (combined across all age groups) [ES\u0026thinsp;=\u0026thinsp;0.761, 95% CI: (0.507, 1.016), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. Significant improvements in CMJ height were observed across different age stages: PRE [ES\u0026thinsp;=\u0026thinsp;0.73, 95% CI: (0.18, 1.28), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; MID [ES\u0026thinsp;=\u0026thinsp;0.523, 95% CI: (0.285, 0.761), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; POST [ES\u0026thinsp;=\u0026thinsp;1.215, 95% CI: (0.636, 1.793), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01].(Supplementary Fig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003e).\u003c/p\u003e \u003cp\u003ePT had a significant effect on improving the SLJ distance of youth overall [ES\u0026thinsp;=\u0026thinsp;0.572, 95% CI: (0.318, 0.826), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. Significant improvements in SLJ distance were observed in PRE and POST: PRE [ES\u0026thinsp;=\u0026thinsp;0.441, 95% CI: (0.162, 0.721), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; POST [ES\u0026thinsp;=\u0026thinsp;1.329, 95% CI: (0.519, 2.139), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. There was no significant improvement in SLJ distance for youth in MID [ES\u0026thinsp;=\u0026thinsp;0.291, 95% CI: (-0.19, 0.772), P\u0026thinsp;\u0026gt;\u0026thinsp;0.05].(Supplementary Fig. \u003cspan refid=\"MOESM2\" class=\"InternalRef\"\u003eS2\u003c/span\u003e).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section3\"\u003e \u003ch2\u003e3.3.2 Linear Sprint Performance\u003c/h2\u003e \u003cp\u003eMeta-analysis results showed that PT had a significant effect on improving the \u0026le;\u0026thinsp;10 m sprint performance of youth overall [ES = -0.709, 95% CI: (-0.998, -0.421), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. Significant improvements in \u0026le;\u0026thinsp;10 m sprint performance were observed in both PRE [ES = -0.431, 95% CI: (-0.678, -0.184), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01] and POST [ES = -1.81, 95% CI: (-2.527, -1.093), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. There was no significant improvement in \u0026le;\u0026thinsp;10 m sprint performance for youth in MID [ES = -0.433, 95% CI: (-0.869, -0.002), P\u0026thinsp;\u0026gt;\u0026thinsp;0.05].(Supplementary Fig. \u003cspan refid=\"MOESM3\" class=\"InternalRef\"\u003eS3\u003c/span\u003e).\u003c/p\u003e \u003cp\u003ePT also had a significant effect on improving the \u0026gt;\u0026thinsp;10 m sprint performance of youth overall [ES = -0.488, 95% CI: (-0.657, -0.319), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. Significant improvements in \u0026gt;\u0026thinsp;10 m sprint performance were observed across different age stages: PRE [ES = -0.307, 95% CI: (-0.514, -0.1), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; MID [ES = -0.37, 95% CI: (-0.576, -0.163), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; POST [ES = -1.18, 95% CI: (-1.777, -0.584), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01].(Supplementary Fig. S4).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section3\"\u003e \u003ch2\u003e3.3.3 Change of Direction\u003c/h2\u003e \u003cp\u003eMeta-analysis results showed that PT had a significant effect on improving the COD of youth overall [ES = -0.896, 95% CI: (-1.16, -0.631), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]. Significant improvements in COD were observed across different age stages: PRE [ES = -0.783, 95% CI: (-1.202, -0.364), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; MID [ES = -0.635, 95% CI: (-0.912, -0.358), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01]; POST [ES = -1.665, 95% CI: (-2.339, -0.99), P\u0026thinsp;\u0026lt;\u0026thinsp;0.01].(Supplementary Fig. S5).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec17\" class=\"Section3\"\u003e \u003ch2\u003e3.3.4 Maximal Strength\u003c/h2\u003e \u003cp\u003eMeta-analysis results showed that PT had no significant effect on improving the maximal strength of youth overall [ES\u0026thinsp;=\u0026thinsp;0.2, 95% CI: (-0.034, 0.435), P\u0026thinsp;\u0026gt;\u0026thinsp;0.05]. No significant improvements in maximal strength were observed for youth in PRE [ES\u0026thinsp;=\u0026thinsp;0.052, 95% CI: (-0.399, 0.502), P\u0026thinsp;\u0026gt;\u0026thinsp;0.05] and MID [ES\u0026thinsp;=\u0026thinsp;0.255, 95% CI: (-0.019, 0.53), P\u0026thinsp;\u0026gt;\u0026thinsp;0.05].(Supplementary Fig. S6).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSynthesis of results across included studies regarding the effects of plyometric training on physical fitness in male adolescent team sport athletes.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"7\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003en\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eES (95%CI)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e%Weight\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003ep\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eI\u0026sup2;\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eEgger\u0026rsquo;s test (p)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCountermovement jump height\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePRE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.73(0.18 to 1.28)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e35.39%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.009\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e79.6%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.882\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.523(0.285 to 0.761)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e43.06%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e18.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.206\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePOST\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7(8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.053(0.459 to 1.648)\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e21.54%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e61.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.009\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eall\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e29\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.761(0.507 to 1.016)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e65.6%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.054\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eStanding long jump distance\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePRE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.441(0.162 to 0.721)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e60.18%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.002\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.434\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.291(-0.19 to 0.772)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e21.59%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.236\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.032\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePOST\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.329(0.519 to 2.139)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e18.23%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e55.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.47\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eall\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.572(0.318 to 0.826)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e22.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.112\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003e\u0026le;\u0026thinsp;10-m linear sprint time\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePRE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.431(-0.678 to -0.184)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e40.22%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.457\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.433(-0.869 to -0.002)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e38.89%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.051\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e62.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.408\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePOST\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-1.81(-2.527 to -1.093)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e20.89%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e63.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.002\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eall\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e24\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.709(-0.998 to -0.421)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e65.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.003\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003e\u0026gt;10-m linear sprint time\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePRE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.307(-0.514 to -0.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e41.52%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.004\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.972\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.37(-0.576 to -0.163)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e39.35%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.324\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePOST\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-1.18(-1.777 to -0.584)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e19.13%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e69.6%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u0026lt;0.001\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eall\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e34\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.488(-0.657 to -0.319)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e35.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.004\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003echange-of-direction time\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePRE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.783(-1.202 to -0.364)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e39.71%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e57.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.635(-0.912 to -0.358)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e41.72%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e19.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.311\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePOST\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-1.665(-2.339 to -0.99)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e18.57%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e56.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.012\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eall\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e23\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-0.896(-1.16 to -0.631)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e58%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.001\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMaximal strength\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePRE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.052(-0.399 to 0.502)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e27.08%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.822\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.648\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.255(-0.019 to 0.53)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e72.92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.068\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.34\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePOST\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eall\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.2(-0.034 to 0.435)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.094\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.034\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003csup\u003ea\u003c/sup\u003e The data are represented as the number of studies providing data (with the number of studies after the trim and fill method shown in parentheses).\u003c/p\u003e \u003cp\u003e \u003csup\u003eb\u003c/sup\u003e Values adjusted using the trim and fill method.\u003c/p\u003e \u003cp\u003e \u003csup\u003ec\u003c/sup\u003e Values adjusted using the trim and fill method remained the same (identical to observed values).\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e\u003cp\u003e3.4 Results of Subgroup Analysis\u003c/p\u003e\n\u003cp\u003eWhen the total number of training sessions was ≥16 (ES = 1.061), there was a significantly greater improvement in CMJ height compared to fewer than 16 training sessions (ES = 0.36) (p = 0.002).(Supplementary Table 2).\u003c/p\u003e\n\u003cp\u003e3.5 Results of the Meta-Regression\u003c/p\u003e\n\u003cp\u003eMeta-regression calculations were performed only for outcome indicators with at least 10 studies per covariate. After excluding outcome indicators with collinearity issues, meta-regression analysis was conducted for CMJ height (combined across all age groups): training duration (p = 0.016), training frequency (p = 0.014), and total sessions (p = 0.017),R²=0.19.(Supplementary Table 3).\u003c/p\u003e"},{"header":"4. Discussion","content":"\u003cp\u003e4.1 Jump Performance\u003c/p\u003e\n\u003cp\u003eMeta-analysis results showed that PT had a significant effect on improving CMJ height and SLJ distance in youth overall (combined across all age groups). Significant improvements in CMJ height were observed for PRE, MID, and POST, with POST and MID showing the greatest and least improvements, respectively. Significant improvements in SLJ distance were observed for PRE and POST, with POST showing the greatest improvement trend. No significant improvements were observed for MID in SLJ distance.\u003c/p\u003e\n\u003cp\u003eThe effectiveness of PT in enhancing CMJ performance in youth athletes is consistent with previous meta-analyses\u003csup\u003e19\u003c/sup\u003e. The improvements in jump performance after PT may be attributed to various adaptive mechanisms, such as enhanced neural drive to the active muscles, improved SSC utilization, better intermuscular coordination, and changes in muscle structure\u003csup\u003e10\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eSpecifically, during different maturation stages, youth in the PRE stage have greater tendon compliance\u003csup\u003e64,65\u003c/sup\u003e. More compliant muscle-tendon units can store and release more elastic energy, enhancing SSC performance\u003csup\u003e10\u003c/sup\u003e. Additionally, PT not only induces favorable neuromuscular adaptations\u003csup\u003e10\u003c/sup\u003e but also promotes adaptations in bone\u003csup\u003e66\u003c/sup\u003e and muscle-tendon units\u003csup\u003e67,68\u003c/sup\u003e. The combined effect of these training adaptations and natural development contributes to improved jump performance.\u003c/p\u003e\n\u003cp\u003eHowever, the improvements in jump performance during the MID stage are not as ideal as in other stages. This may be due to this period being the fastest growth phase for males\u003csup\u003e69\u003c/sup\u003e, with different growth spurts in trunk and leg lengths\u003csup\u003e70\u003c/sup\u003e. The legs reach peak growth velocity before peak height velocity, while the trunk reaches peak growth velocity afterward\u003csup\u003e20\u003c/sup\u003e, leading to a higher center of gravity\u003csup\u003e71\u003c/sup\u003e. Additionally, rapid weight gain\u003csup\u003e71\u003c/sup\u003e and the inability of neural pathways to quickly adapt to substantial changes in body size\u003csup\u003e72\u003c/sup\u003e complicate the control of the trunk during PT in youth\u003csup\u003e73\u003c/sup\u003e, thereby affecting training benefits.\u003c/p\u003e\n\u003cp\u003eIn the POST stage, PT shows the most noticeable improvement in jump performance among the three age groups. By this time, the \"adolescent awkwardness\" phenomenon diminishes, muscle mass and circulating hormone concentrations increase\u003csup\u003e74\u003c/sup\u003e, and the central nervous system matures, enhancing motor unit recruitment and neuromuscular coordination\u003csup\u003e75\u003c/sup\u003e. Furthermore, with age, muscle activation strategies shift from reactive, protective inhibition to preparatory, performance-enhancing excitation\u003csup\u003e76\u003c/sup\u003e. These factors contribute to maximizing PT benefits in the POST stage.\u003c/p\u003e\n\u003cp\u003eFurther subgroup analysis revealed that when the total sessions of PT were ≥16, the improvement in CMJ height across all age groups was significantly greater than with fewer than 16 total sessions (ES = 1.061 vs. ES = 0.36, p \u0026lt; 0.01). This may be because higher training volumes provide athletes with sufficient time and opportunity to adapt and strengthen muscle and neural responses\u003csup\u003e77\u003c/sup\u003e. Continuous training allows athletes to better master and apply PT techniques, resulting in significant improvements in CMJ performance.\u003c/p\u003e\n\u003cp\u003eIn practical application, trainers should adjust the intensity and type of PT based on the maturation stage of youth athletes to maximize training effects. Particularly during the MID stage, focusing on coordination training can help athletes navigate this \"awkward period\" and lay the foundation for improved power performance in later stages. Additionally, appropriately increasing the total sessions of PT can strengthen the muscle and nervous system and enhance adaptation to PT.\u003c/p\u003e\n\u003cp\u003e4.2 Sprint Performance\u003c/p\u003e\n\u003cp\u003eMeta-analysis results showed that PT had a significant effect on improving both ≤10 m and \u0026gt;10 m sprints in youth overall (combined across all age groups). Significant improvements were observed in ≤10 m sprints for PRE and POST, with POST showing a greater improvement trend, while there was no significant improvement for MID. Significant improvements were observed in \u0026gt;10 m sprints for PRE, MID, and POST, with POST showing the greatest improvement trend and PRE the smallest.\u003c/p\u003e\n\u003cp\u003eSprint performance is the product of stride rate and stride length\u003csup\u003e34\u003c/sup\u003e, and PT can improve both stride frequency and stride length\u003csup\u003e78,79\u003c/sup\u003e. The enhanced sprint performance following PT is likely due to increased neuromuscular activation of the muscles, including increased discharge frequency of active motor units and changes in their recruitment patterns\u003csup\u003e80\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eYounger adolescents exhibit more inhibitory mechanisms and lower neuromuscular efficiency compared to older adolescents\u003csup\u003e81\u003c/sup\u003e. They activate higher levels of antagonistic muscles immediately after ground contact\u003csup\u003e82\u003c/sup\u003e and have lower stretch reflex responses than adults\u003csup\u003e65,83\u003c/sup\u003e, a phenomenon more pronounced in the PRE stage. Additionally, the premotor cortex cannot accurately maintain postural control and adapt to rapid corrections during SSC movements by controlling the appropriate motor units\u003csup\u003e84\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eAs leg and vertical stiffness increase with maturation, eccentric and concentric contact times may decrease\u003csup\u003e85\u003c/sup\u003e. Reduced ground contact time requires a higher rate of force development and more efficient reuse of elastic energy to maintain the center of mass displacement\u003csup\u003e84\u003c/sup\u003e. Although the ability to utilize and generate power develops throughout an athlete’s maturation, the power generation in MID adolescents is still not high enough\u003csup\u003e84\u003c/sup\u003e. These complex interactions likely result in less ideal sprint performance improvements in the MID stage compared to the POST stage. For ≤10 m sprints, the abilities related to horizontal force and postural control are particularly important during the acceleration phase\u003csup\u003e86\u003c/sup\u003e, and the poorer trunk control in MID adolescents\u003csup\u003e72\u003c/sup\u003e may explain the lack of significant improvements in ≤10 m sprint performance after PT.\u003c/p\u003e\n\u003cp\u003eMaturation plays a crucial role in energy storage and utilization and in the development of SSC at maximum sprint speed\u003csup\u003e85\u003c/sup\u003e. With age, increases in testosterone, growth hormone, and IGF-1 contribute to the accumulation of lean mass and the relative reduction of body fat. By age 18, most males have attained 90% of their final total skeletal mass\u003csup\u003e87\u003c/sup\u003e. This increase in strength is associated with faster sprint performance in adolescents\u003csup\u003e88\u003c/sup\u003e. Additionally, sprint performance naturally develops due to increased muscle size, limb length, changes in tendon tissue, enhanced neural and motor development, and better movement quality and coordination\u003csup\u003e89\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003e4.3 Change of Direction\u003c/p\u003e\n\u003cp\u003eMeta-analysis results showed that PT had a significant effect on improving COD in youth overall (combined across all age groups). Significant improvements in COD were observed for PRE, MID, and POST, with POST showing the greatest improvement trend and MID the least. Unlike previous meta-analyses\u003csup\u003e15\u003c/sup\u003e, PT showed a lower improvement trend for COD in MID compared to other stages.\u003c/p\u003e\n\u003cp\u003eThe potential mechanisms underlying COD improvements after PT are likely related to neuromuscular adaptations, such as enhanced motor unit recruitment and discharge frequency\u003csup\u003e22,90\u003c/sup\u003e. Specifically, improvements in COD require rapid force development, eccentric strength of the thigh muscles, and quick transitions of the leg extensors from eccentric to concentric muscle actions, which PT seems to enhance\u003csup\u003e91,92\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eIn different maturation stages, improvements in COD performance during the PRE stage may be primarily due to factors such as increased motor unit activation, faster contraction velocity, enhanced pre-activation, and greater reliance on short-latency stretch reflexes, leading to more feedforward SSC function\u003csup\u003e22\u003c/sup\u003e. Although strength development is slower in the PRE stage\u003csup\u003e75\u003c/sup\u003e, better motor unit recruitment or neural adaptations following PT can improve COD performance\u003csup\u003e22\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eEffective translation of PT into COD performance might require a certain level of motor coordination, as PT can be technically challenging for younger athletes\u003csup\u003e93\u003c/sup\u003e. Additionally, Young et al.\u003csup\u003e94\u003c/sup\u003e suggested that agility tasks might be more influenced by motor control factors than muscle strength or power. In the MID stage, the weaker trend in COD improvements compared to other stages might be due to rapid lengthening of the trunk and limbs, sudden weight gain, and changes in the center of gravity\u003csup\u003e70,71\u003c/sup\u003e, all of which can lead to a decline in coordination related to physical development\u003csup\u003e95\u003c/sup\u003e, thereby interfering with training adaptations\u003csup\u003e93\u003c/sup\u003e. Specific sensorimotor mechanisms may also degrade during rapid adolescent growth, such as neuromuscular control, postural stability, and inter-limb/segmental coordination\u003csup\u003e72\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eIn the POST stage, athletes typically exhibit greater strength due to increased muscle mass, elevated testosterone levels, and enhanced motor control\u003csup\u003e96–98\u003c/sup\u003e. Higher strength levels are closely linked to faster sprint performance in adolescents\u003csup\u003e88\u003c/sup\u003e, and high sprint speeds over short distances are closely related to COD\u003csup\u003e99\u003c/sup\u003e. Additionally, PT can enhance the eccentric strength of the thigh muscles, which is crucial for deceleration during impulsive movements\u003csup\u003e91\u003c/sup\u003e. This enhanced eccentric strength facilitates rapid transitions of the leg extensors from eccentric to concentric muscle actions, promoting changes in direction\u003csup\u003e15\u003c/sup\u003e. PT can also positively impact COD performance by reducing ground reaction time through increased muscle power output and movement efficiency\u003csup\u003e100\u003c/sup\u003e. The combined effects of these training adaptations and natural development contribute to the improvement in COD performance during the POST stage.\u003c/p\u003e\n\u003cp\u003e4.4 Maximal Strength\u003c/p\u003e\n\u003cp\u003eMeta-analysis results showed no significant improvement in maximal strength following PT. This is inconsistent with previous meta-analyses\u003csup\u003e101\u003c/sup\u003e, which might be attributed to the absence of studies on the post-peak height velocity (PHV) stage in this research, as accelerated strength gains occur during the post-PHV stage\u003csup\u003e74\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eMuscle hypertrophy can enhance muscle strength\u003csup\u003e102\u003c/sup\u003e. Older adolescents may exhibit greater muscle plasticity after PT, including increases in muscle size, a shift from type I to type II muscle fibers, changes in muscle pennation angle, enhanced muscle contraction capabilities, improved motor unit recruitment, and increased neural drive to the active muscles\u003csup\u003e10\u003c/sup\u003e. In contrast, younger male adolescents have lower hormone levels, which are less conducive to muscle mass increase\u003csup\u003e103\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eIt is noteworthy that the meta-analysis by Oliver et al. indicated that combined plyometric and strength training is about three times more effective in improving lower limb maximal strength compared to PT alone, highlighting the impact of training specificity\u003csup\u003e104\u003c/sup\u003e. Integrating this combined training approach into the development of high-level, well-trained youth athletes appears to be more desirable.\u003c/p\u003e"},{"header":" 5. Conclusion","content":"\u003cp\u003eCompared to the control group, PT can improve CMJ, SLJ, \u0026le;10 m sprint, \u0026gt;10 m sprint, and change of direction in youth male team sports players overall (combined across all age groups), but it does not improve maximal strength. Specifically, the improvement trends are best during the POST stage. However, during the MID stage, there are no improvements in SLJ and \u0026le;10 m sprints, and the improvement trends for CMJ and change of direction are the lowest. This suggests that the MID stage is less ideal for adaptations in various physical fitness attributes. These results highlight the importance of considering the physiological development stages of youth male team sports players when implementing PT to develop personalized and effective training programs. Future research should focus on how to further enhance adaptations to PT during different maturation stages, particularly during the MID stage.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eCI \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;Confidence interval\u003c/p\u003e\n\u003cp\u003eES \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Effect size\u003c/p\u003e\n\u003cp\u003eI\u003csup\u003e2 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u0026nbsp;\u003c/sup\u003e Impact of statistical heterogeneity\u003c/p\u003e\n\u003cp\u003ePICOS \u0026nbsp; \u0026nbsp; \u0026nbsp;Participants, intervention, comparators, outcomes, and study design\u003c/p\u003e\n\u003cp\u003ePEDro \u0026nbsp; \u0026nbsp; \u0026nbsp;Physiotherapy Evidence DatabasePEDro Physiotherapy Evidence Database\u003c/p\u003e\n\u003cp\u003ePRISMA \u0026nbsp; \u0026nbsp;Preferred Reporting Items for Systematic reviews and Meta‐Analyses\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics Approval and Consent to Participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for Publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of Data and Materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll data generated or analyzed during this study are presented in the form of tables, figures, and/or electronic supplementary materials in the article.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e1.Guangdong Provincial Philosophy and Social Sciences Regularization Project 2022 (GD22CTY09): Research on the Coordinated Development Path of International Competitiveness in Sports in the Guangdong-Hong Kong-Macao Greater Bay Area.\u003c/p\u003e\n\u003cp\u003e2.National Social Science Fund of China (General Project), \"Research on the Reproduction of Traditional Chinese Martial Arts Culture in the New Era\"(20BTY103).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor Contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors participated in the completion of the article together.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eOrtega-Becerra, M., Belloso-Vergara, A. \u0026amp; Pareja-Blanco, F. 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The Effects of Strength, Plyometric and Combined Training on Strength, Power and Speed Characteristics in High-Level, Highly Trained Male Youth Soccer Players: A Systematic Review and Meta-Analysis. \u003cem\u003eSports Med\u003c/em\u003e\u003cstrong\u003e54\u003c/strong\u003e, 623\u0026ndash;643 (2024).\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":true,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"sports-medicine-open","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"smoa","sideBox":"Learn more about [Sports Medicine-Open](http://sportsmedicine-open.springeropen.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/smoa/default.aspx","title":"Sports Medicine-Open","twitterHandle":"@SpringerOpen","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Plyometric exercise, Team sports, Youth sports, Physical fitness, maturation","lastPublishedDoi":"10.21203/rs.3.rs-4876519/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4876519/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003eA comprehensive summary of the effects of plyometric training (PT) on multiple physical fitness indicators in youth athletes at different maturation stages, as well as on a broader range of sports, has not yet been conducted.This study aims to comprehensively summarize the effects of plyometric training on multiple physical fitness indicators of young male team athletes at different stages of maturity.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003eThis systematic review and meta-analysis followed PRISMA 2020 guidelines. Three databases (PubMed, Web of Science, SCOPUS) were searched. Study eligibility was rated using the PICOS method, and methodological quality was assessed with the PEDro scale. A random-effects model calculated the meta-analysis, reporting Hedge's g effect sizes (ES) with 95% confidence intervals (95% CI). Statistical significance was set at p ≤ 0.05. Egger’s test assessed bias, with the trim and fill method applied if necessary. Subgroup analyses and meta-regression calculations of training variables were performed.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResult\u003c/strong\u003e:A total of 31 studies were included, involving 717 soccer players, 146 basketball players, 54 handball players, and 110 volleyball players. Compared to the control group, PT improved the following metrics across all age groups combined: Countermovement jump (CMJ) height (ES = 0.761), Standing long jump (SLJ) distance (ES = 0.572), ≤10-m linear sprint time (ES = -0.709), \u0026gt;10-m linear sprint time (ES = -0.488), and change-of-direction (COD) time (ES = -0.896).In the 10 to 12.99 years age group (PRE), PT improved CMJ height (ES = 0.73), SLJ distance (ES = 0.441), ≤10-m linear sprint time (ES = -0.431), \u0026gt;10-m linear sprint time (ES = -0.307), and COD time (ES = -0.783). In the 13 to 15.99 years age group (MID), PT improved CMJ height (ES = 0.523), \u0026gt;10-m linear sprint time (ES = -0.37), and COD time (ES = -0.635). In the 16 to 18 years age group (POST), PT improved CMJ height (ES = 1.053), SLJ distance (ES = 1.329), ≤10-m linear sprint time (ES = -1.81), \u0026gt;10-m linear sprint time (ES = -1.18), and COD time (ES = -1.665).There were no significant differences in adaptations for maximal strength in all groups, SLJ distance and ≤10 m linear sprint time in the MID group (all p \u0026gt; 0.05).Meta-regression showed that training variables could not predict the impact of PT on physical fitness. Subgroup analysis showed that when the total number of training sessions was ≥16 (ES = 1.061), there was a significantly greater improvement in CMJ height compared to fewer than 16 training sessions (ES = 0.36) (p = 0.002).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003eCompared to the control group, PT can improve CMJ height, SLJ distance, ≤10-m linear sprint time, \u0026gt;10-m linear sprint time, and COD time in youth male team sports players across all age groups. However, PT does not improve maximal strength. The trend of improvement appears to be best during the late adolescence stage. In contrast, during mid-adolescence, SLJ distance and ≤10-m linear sprint time did not improve, and the improvements in CMJ height and COD time seem to be the least pronounced during this stage.\u003c/p\u003e","manuscriptTitle":"Effects of Maturation Stage on Physical Fitness in Youth Male Team Sports Players After Plyometric Training: A Systematic Review and Meta-Analysis","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-10-07 09:01:23","doi":"10.21203/rs.3.rs-4876519/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Major Revision","date":"2025-03-23T08:02:20+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"","date":"2024-09-16T20:24:31+00:00","index":0,"fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-09-04T14:44:46+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-08-12T09:14:30+00:00","index":"","fulltext":""},{"type":"submitted","content":"Sports Medicine-Open","date":"2024-08-09T22:32:51+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"sports-medicine-open","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"smoa","sideBox":"Learn more about [Sports Medicine-Open](http://sportsmedicine-open.springeropen.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/smoa/default.aspx","title":"Sports Medicine-Open","twitterHandle":"@SpringerOpen","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"0ff2b9d6-c140-449b-b6d9-00dcbecc39fb","owner":[],"postedDate":"October 7th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2025-08-25T16:33:47+00:00","versionOfRecord":{"articleIdentity":"rs-4876519","link":"https://doi.org/10.1186/s40798-025-00907-9","journal":{"identity":"sports-medicine-open","isVorOnly":false,"title":"Sports Medicine-Open"},"publishedOn":"2025-08-21 16:29:15","publishedOnDateReadable":"August 21st, 2025"},"versionCreatedAt":"2024-10-07 09:01:23","video":"","vorDoi":"10.1186/s40798-025-00907-9","vorDoiUrl":"https://doi.org/10.1186/s40798-025-00907-9","workflowStages":[]},"version":"v1","identity":"rs-4876519","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4876519","identity":"rs-4876519","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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