Evidence map›Paper›PMID 41230887›Full record

ArticleMilitary medicine2026

Neuromuscular Performance Changes in Response to the Australian Special Forces Selection Course.

Angela Uphill, Kristina L Kendall, Stuart Guppy, Michael Vacher, Simon Parker, Hannah Brown, Brendan Ashmore, Travis Zomer, G Gregory Haff

Abstract read
In one paragraph

Article in Military medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Angela UphillSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0002-8909-7392
Kristina L KendallSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0001-6872-7335
Stuart GuppySchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0001-9209-7409
Michael VacherAustralian eHealth Research Centre, CSIRO Health and Biosecurity, Kensington, WA 6151, Australia.ORCID 0000-0003-0375-8370
Simon ParkerAustralian Defence Force, Paddington, NSW 2021, Australia.ORCID 0000-0002-5210-2581
Hannah BrownSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0001-8108-4450
Brendan AshmoreAustralian Defence Force, Paddington, NSW 2021, Australia.
Travis ZomerAustralian Defence Force, Paddington, NSW 2021, Australia.ORCID 0000-0002-9950-9207
G Gregory HaffSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0002-0676-7750

Funding

Australian Army HeadquartersCollaborative Research G1005184Defence Science CenterDefence Science Center, an initiative of the State Government of Western Australia G1005184Edith Cowan UniversityIndustry scholarship collaboration between Edith Cowan University and the Wanderers Education Fund G1004466State Government of Western AustraliaWanderers Education Fund G1004466
6 · The paper itself

Abstract

introductionStrenuous military activities, such as Special Forces (SF) selection courses, are known to involve high physical loads in the presence of food and sleep deprivation, which can have detrimental impacts on physical performance. Understanding the magnitude of performance deficit and the time required for recovery associated with these events, is important for injury prevention and maintaining operational readiness. The purpose of this study was to investigate the changes in physical performance in response to the Australian SF Selection Course (SF-SC) and to monitor recovery throughout 8 weeks following the course. MATERIALS AND

methodsNinety-three healthy male participants (age: 28 ± 4 years) were recruited; follow-up data were available from those who successfully completed the SF-SC (n = 21). The isometric mid-thigh pull (IMTP), countermovement jump (CMJ), serum hormone concentrations (total testosterone, free testosterone, cortisol, sex hormone binding globulin [SHBG], testosterone:cortisol ratio [T:C]), and body composition (body mass, lean mass) were assessed before the course, immediately post-course, and at 1, 3, 5, and 8 weeks post-course. This study employed Wilcoxon rank tests for pairwise comparisons between baseline and immediate post-course measures, as well as baseline measures with subsequent time points (weeks 1, 3, 5, and 8) to assess recovery time. Additionally, linear mixed effects models (LMEs) were used to analyze the effects of body composition and hormones on physical performance.

resultsIMTP peak force was reduced by 16 ± 11% (P < .01, ES = 0.83, 95% CI [0.66-0.88]), and peak force relative to lean mass was reduced by 13 ± 13% (P < .05, ES = 0.76, 95% CI [0.54-0.88]) in response to the SF-SC. No other measured IMTP variable demonstrated statistically significant change in response to the SF-SC, and all measured IMTP variables had returned to baseline levels at 1 week post-course. Jump height was reduced by 28 ± 9% (P < .001, ES = 0.88, 95% CI [0.88-0.88]) in response to the SF-SC. CMJ peak power and mean power were reduced by 30 ± 5.6% (P < .001, ES = 0.88, 95% CI [0.88-0.88]), and 29 ± 7.5% (P < .001, ES = 0.88, 95% CI [0.88-0.88]), respectively. Concentric peak force was reduced by 26 ± 10% (P < .001, ES = 0.88, 95% CI [0.88-0.88]), breaking peak force by 28 ± 26.3% (P < .01, ES = 0.86, 95% CI [0.76-0.88], and flight time:contraction time (F:T) by 26 ± 10.8% (P < .001, ES = 0.88, 95% CI [0.88-0.88]). CMJ variables took between 1 and 3 weeks to recover to baseline. LMEs demonstrated that total testosterone, free testosterone, and the T:C ratio all had a significant effect on CMJ jump height and peak power and IMTP peak force and peak rate of force development (RFD). Body mass and lean mass exhibited significant positive effects on peak power and peak force, while they did not influence jump height or peak RFD.

conclusionsThe SF-SC resulted in large decreases in strength and power, that took 3 weeks to fully recover. The results of this study can be utilized to inform training and recovery intervention following highly strenuous military training.

Indexed as

Military PersonnelPhysical Functional PerformanceAdultAustraliaHumansHydrocortisoneMaleMuscle StrengthTestosteroneHydrocortisoneTestosterone

Identifiers

PMID41230887
PMCPMC13143296

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.