Return to Basketball Play Following COVID-19 Lockdown

Dimitrios I Bourdas, Emmanouil D Zacharakis, Antonios K Travlos, Athanasios Souglis, Dimitrios I Bourdas, Emmanouil D Zacharakis, Antonios K Travlos, Athanasios Souglis

Abstract

Due to concerns regarding the spread of coronavirus (COVID-19), major sporting events and activities have been temporarily suspended or postponed, and a new radical sports protocol has emerged. For most sports there are few recommendations based on scientific evidence for returning to team-game activities following the lifting of COVID-19 restrictions, the extended duration of lockdown, and self-training or detraining in the COVID-19 environment, and this is especially true for basketball. A post-lockdown return to the basketball court ultimately depends on the teams-coaches, trainers, players, and medical staff. Nevertheless, our current scientific knowledge is evidently insufficient as far as safety and return-to-play timing are concerned. This situation presents a major challenge to basketball competition in terms of organization, prioritization, maintaining physical fitness, and decision-making. While preparing an adequate basketball return program, the players' health is the major priority. In this article we briefly discuss the topic and propose multiple strategies.

Keywords: aerobic; anaerobic; detraining; fatigue; fitness training; injury; performance; recovery; testing.

Conflict of interest statement

The authors declare no potential conflict of interest with respect to the work, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
Example of a periodized 6-week preseason anaerobic conditioning program (modified by Hoffman and Maresh [28]). † Sprint 100 m and jog the turns (continuous lap performance); ‡ interspersed high-intensity sprints with lower-intensity running.
Figure 2
Figure 2
Example of a periodized preseason basic power training program for basketball players (modified by Hoffman and Maresh [28]). # Two times per week, not consecutive days; † set number subjected to the player’s level; ‡ repetition maximum.
Figure 3
Figure 3
Two examples of agility and running-technique drills (modified by Anderson [48]). The player should always focus on minimizing the time to finish the drill and change direction. Drills are repeated 4–8 times, with a 60–90 s rest in between, depending on the player’s level. (I) Left with no ball. Player starts beneath the basket and moves from (a), (b), (c), and (d) points to the finish/start point. Player movements could be various combinations of backpedals with hands in a raised defensive position, backwards run, lateral steps keeping hands raised in the defensive position, leap to touch the net or backboard or the hoop ring, etc. (II) Right with ball. Similarly, player starts on the baseline facing the court and moves from (a), (b), (c), (d), and (e) points to the finish point. Player movements could be various combinations of dribbling, sprinting, jumps (to touch the net, or the backboard, or the basket ring), passing (chest-passes, overhead-passes), pass receiving, etc. Arrows indicate player movement, dashed arrows indicate passes, the numbered cycle indicates player position, the black dot indicates the ball, and C indicates coach position.

References

    1. World Health Organization Coronavirus Disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update. [(accessed on 27 May 2021)];2021 Available online: .
    1. Parnell D., Widdop P., Bond A., Wilson R. COVID-19, networks and sport. Manag. Sport Leis. 2020 doi: 10.1080/23750472.2020.1750100.
    1. Bourdas D., Zacharakis E. Impact of Lockdown on Physical Activity in the Early COVID-19 Presence: Greece National Cross-Sectional Study. SSRN Electron. J. 2020 doi: 10.2139/ssrn.3619812.
    1. Bourdas D.I., Zacharakis E.D. Evolution of changes in physical activity over lockdown time: Physical activity datasets of four independent adult sample groups corresponding to each of the last four of the six COVID-19 lockdown weeks in Greece. Data Brief. 2020;32:106301. doi: 10.1016/j.dib.2020.106301.
    1. Bourdas D.I., Zacharakis E.D. Impact of COVID-19 Lockdown on Physical Activity in a Sample of Greek Adults. Sports. 2020;8:139. doi: 10.3390/sports8100139.
    1. Petway A.J., Freitas T.T., Calleja-González J., Leal D.M., Alcaraz P.E. Training load and match-play demands in basketball based on competition level: A systematic review. PLoS ONE. 2020;15:e0229212. doi: 10.1371/journal.pone.0229212.
    1. Paulauskas R., Kamarauskas P., Nekriošius R., Bigwood N.M. Physical and physiological response to different modes of repeated sprint exercises in basketball players. J. Hum. Kinet. 2020;72:91–99. doi: 10.2478/hukin-2019-0100.
    1. Godfrey R., Ingham S., Pedlar C., Whyte G. The detraining and retraining of an elite rower: A case study. J. Sci. Med. Sport. 2005;8:314–320. doi: 10.1016/S1440-2440(05)80042-8.
    1. Joo C.H. The effects of short term detraining and retraining on physical fitness in elite soccer players. PLoS ONE. 2018;13:e0196212. doi: 10.1371/journal.pone.0196212.
    1. Caparrós T., Casals M., Solana Á., Pena J. Low External Workloads Are Related to Higher Injury Risk in Professional Male Basketball Games. J. Sports Sci. Med. 2018;17:289–297.
    1. Purdam C., Drew M., Blanch P., Chapman D., Gabbett T., Gore C., Hughes D., Kelly T., Mitchell J., Rice T., et al. Pre-scription of Training Load in Relation to Loading and Unloading Phases of Training. Australian Institute of Sport; Bruce, Australia: 2015.
    1. International Basketball Federation Return to Basketball, FIBA COVID-19 Restart Guidelines, Version 2.0. [(accessed on 27 May 2021)];2020 Available online: .
    1. Minnesota Youth Basketball Alliance Safe Play: Back to the Hardwood COVID-19 Competition, Safety Requirements and Recommendations. [(accessed on 27 May 2021)];2021 Available online: .
    1. County of Los Angeles Department of Public Health Reopening Protocol for Youth and Adult Recreational Sports Leagues. [(accessed on 27 May 2021)];2021 Available online: .
    1. National Collegiate Athletic Association NCAA Issues Updated Return-to-Sport Guidelines. [(accessed on 27 May 2021)];2021 Available online: .
    1. Lu J., Gu J., Li K., Xu C., Su W., Lai Z., Zhou D., Yu C., Xu B., Yang Z. COVID-19 Outbreak Associated with Air Conditioning in Restaurant, Guangzhou, China, 2020. Emerg. Infect. Dis. 2020;26:1628–1631. doi: 10.3201/eid2607.200764.
    1. Setti L., Passarini F., De Gennaro G., Barbieri P., Perrone M.G., Borelli M., Palmisani J., Di Gilio A., Piscitelli P., Miani A. Airborne Transmission Route of COVID-19: Why 2 Meters/6 Feet of Inter-Personal Distance Could Not Be Enough. Int. J. Environ. Res. Public Health. 2020;17:2932. doi: 10.3390/ijerph17082932.
    1. Blocken B., Malizia F., Van Druenen T., Marchal T. Towards Aerodynamically Equivalent COVID-19 1.5 m Social Distancing for Walking and Running. [(accessed on 14 April 2020)];2020 Available online: .
    1. World Health Organization (WHO) Novel Coronavirus (2019-Ncov) Advice for the Public. [(accessed on 1 October 2020)]; Available online: .
    1. Feng S., Shen C., Xia N., Song W., Fan M., Cowling B.J. Rational use of face masks in the COVID-19 pandemic. Lancet Respir. Med. 2020;8:434–436. doi: 10.1016/S2213-2600(20)30134-X.
    1. McGuigan M. Principles of test selection and administration. In: Haff G.G., Travis T.N., editors. Essentials of Strength Training and Conditioning. 4th ed. Human Kinetics; Champaign, IL, USA: 2016. pp. 249–258.
    1. Wen N., Dalbo V.J., Burgos B., Pyne D.B., Scanlan A.T. Power testing in basketball: Current practice and future recommendations. J. Strength Cond. Res. 2018;32:2677–2691. doi: 10.1519/JSC.0000000000002459.
    1. Nieß A.M., Bloch W., Friedmann-Bette B., Grim C., Gärtner B., Halle M., Hirschmüller A., Kopp C., Meyer T., Niebauer J., et al. Recommendations for exercise testing in sports medicine during the current pandemic situation (SARS-CoV-2/COVID-19) Ger. J. Sports Med. 2020;71:E1–E2. doi: 10.5960/dzsm.2020.438.
    1. Bringard A., Pogliaghi S., Adami A., De Roia G., Lador F., Lucini D., Pizzinelli P., Capelli C., Ferretti G. Cardiovascular determinants of maximal oxygen consumption in upright and supine posture at the end of prolonged bed rest in humans. Respir. Physiol. Neurobiol. 2010;172:53–62. doi: 10.1016/j.resp.2010.03.018.
    1. Crisafulli A., Melis F., Tocco F., Laconi P., Lai C., Concu A. External mechanical work versus oxidative energy consumption ratio during a basketball field test. J. Sports Med. Phys. Fit. 2002;42:409–417.
    1. Narazaki K., Berg K., Stergiou N., Chen B. Physiological demands of competitive basketball. Scand. J. Med. Sci. Sports. 2009;19:425–432. doi: 10.1111/j.1600-0838.2008.00789.x.
    1. Hoffman J.R., Epstein S., Einbinder M., Weinstein Y. The influence of aerobic capacity on anaerobic performance and re-covery indices in basketball players. J. Strength Cond. Res. 1999;13:407–411.
    1. Hoffman J.R., Maresh C.M. Physiology of basketball. In: Garrett W.E., Kirkendall D.T., editors. Exercise and Sport Science. Lip-pincott Williams & Wilkins; Philadelphia, PA, USA: 2000. pp. 733–744.
    1. Pojskić H., Šeparović V., Užičanin E., Muratović M., Mačković S. Positional Role Differences in the Aerobic and Anaerobic Power of Elite Basketball Players. J. Hum. Kinet. 2015;49:219–227. doi: 10.1515/hukin-2015-0124.
    1. Castagna C., d’Ottavio S., Manzi V., Annino G., Colli R., Belardinelli R., Lacalaprice F. HR and VO2 responses during basketball drills. In: Dikic N., Zinanic S., Astojic S., Tornjanski Z., editors. Book of Abstracts of the 10th Annual Congress of the European College of Sport Science. Ministry of Education and Sports; Belgrade, Serbia: 2005. p. 160.
    1. Bangsbo J., Mohr M., Poulsen A., Perez-Gomez J., Krustrup P. Training and testing the elite athlete. J. Exer. Sci. Fit. 2006;4:1–14.
    1. Delextrat A., Kraiem S. Heart-Rate Responses by Playing Position During Ball Drills in Basketball. Int. J. Sports Physiol. Perform. 2013;8:410–418. doi: 10.1123/ijspp.8.4.410.
    1. Marinković D., Pavlović S. The differences in aerobic capacity of basketball players in different playing positions. Ser. Physic. Educ. Sport. 2013;11:73–80.
    1. Montgomery P.G., Pyne D.B., Minahan C.L. The Physical and Physiological Demands of Basketball Training and Competition. Int. J. Sports Physiol. Perform. 2010;5:75–86. doi: 10.1123/ijspp.5.1.75.
    1. Maggioni M.A., Bonato M., Stahn A., La Torre A., Agnello L., Vernillo G., Castagna C., Merati G. Effects of Ball Drills and Repeated-Sprint-Ability Training in Basketball Players. Int. J. Sports Physiol. Perform. 2019;14:757–764. doi: 10.1123/ijspp.2018-0433.
    1. Sampaio J., Abrantes C., Leite N. Power, heart rate and perceived exertion responses to 3X3 and 4X4 basketball small-sided games. Rev. Psicol. Deporte. 2009;18:463–467.
    1. Vaquera A., Suárez-Iglesias D., Guiu X., Barroso R., Thomas G., Renfree A. Physiological Responses to and Athlete and Coach Perceptions of Exertion During Small-Sided Basketball Games. J. Strength Cond. Res. 2018;32:2949–2953. doi: 10.1519/JSC.0000000000002012.
    1. Atl H., Köklü Y., Alemdaroğlu U., Koçak F. Ünver A Comparison of Heart Rate Response and Frequencies of Technical Actions Between Half-Court and Full-Court 3-A-Side Games in High School Female Basketball Players. J. Strength Cond. Res. 2013;27:352–356. doi: 10.1519/JSC.0b013e3182542674.
    1. Klusemann M.J., Pyne D.B., Foster C., Drinkwater E. Optimising technical skills and physical loading in small-sided bas-ketball games. J. Sports Sci. 2012;30:1463–1471. doi: 10.1080/02640414.2012.712714.
    1. McCormick B.T., Hannon J.C., Newton M., Shultz B.B., Miller N., Young W. Comparison of Physical Activity in Small-Sided Basketball Games versus Full-Sided Games. Int. J. Sports Sci. Coach. 2012;7:689–697. doi: 10.1260/1747-9541.7.4.689.
    1. Castagna C., Impellizzeri F.M., Chaouachi A., Ben Abdelkrim N., Manzi V. Physiological responses to ball-drills in regional level male basketball players. J. Sports Sci. 2011;29:1329–1336. doi: 10.1080/02640414.2011.597418.
    1. Mujika I., Padilla S. Detraining: Loss of Training-Induced Physiological and Performance Adaptations. Part I. Sports Med. 2000;30:79–87. doi: 10.2165/00007256-200030020-00002.
    1. Simpson R.J., Campbell J.P., Gleeson M., Krüger K., Nieman D.C., Pyne D., E Turner J., Walsh N.P. Can exercise affect immune function to increase susceptibility to infection? Exerc. Immunol. Rev. 2020;26:8–22.
    1. Santos E.J., Janeira M.A. The effects of polyometric training followed by detraining and reduced training periods on explosive strength in adolescent male basketball players. J. Strength Cond. Res. 2011;25:441–452. doi: 10.1519/JSC.0b013e3181b62be3.
    1. Sheppard J.M., Young W.B. Agility literature review: Classifications, training and testing. J. Sports Sci. 2006;24:919–932. doi: 10.1080/02640410500457109.
    1. Zacharakis E.D., Bourdas D.I., Kotsifa M.I., Bekris E.M., Velentza E.T., Kostopoulos N.I. Effect of balance and propriocep-tive training on balancing and technical skills in 13–14-year-old youth basketball players. J. Phys. Educ. Sport. 2020;20:2487–2500.
    1. Paul D.J., Gabbett T.J., Nassis G.P. Agility in Team Sports: Testing, Training and Factors Affecting Performance. Sports Med. 2016;46:421–442. doi: 10.1007/s40279-015-0428-2.
    1. Anderson J. Basketball Agility Drills: Agility Drill #1—Super Shuttle, Agility Drill #3—Shuttle with Passes. [(accessed on 27 June 2020)];2017 Available online:
    1. Behm D.G., Blazevich A.J., Kay A., McHugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: A systematic review. Appl. Physiol. Nutr. Metab. 2016;41:1–11. doi: 10.1139/apnm-2015-0235.
    1. Bourdas D.I., Zacharakis E.D. Physical activity: A natural ally to prevent impending adverse effects due to the increase of isolation and physical inactivity in COVID-19 era. Sports Med. 2020;1:25–34.
    1. Bourdas D.I., Zacharakis E.D. Physical activity: COVID-19 enemy. Arch. Clin. Med. Case Rep. 2021;5:84–90. doi: 10.26502/acmcr.96550330.
    1. Brancaccio P., Maffulli N., Limongelli F.M. Creatine kinase monitoring in sport medicine. Br. Med. Bull. 2007;81–82:209–230. doi: 10.1093/bmb/ldm014.
    1. Cheung K., Hume P., Maxwell L. Delayed onset muscle soreness: Treatment strategies and performance factors. Sports Med. 2003;33:145–164. doi: 10.2165/00007256-200333020-00005.
    1. Montgomery P.G., Pyne D.B., Cox A.J., Hopkins W.G., Minahan C.L., Hunt P.H. Muscle damage, inflammation, and re-covery interventions during a 3-day basketball tournament. Eur. J. Sport. Sci. 2008;8:241–250. doi: 10.1080/17461390802251844.
    1. Souglis A., Bogdanis G.C., Chryssanthopoulos C., Apostolidis N., Geladas N.D. Time Course of Oxidative Stress, Inflammation, and Muscle Damage Markers for 5 Days After a Soccer Match: Effects of Sex and Playing Position. J. Strength Cond. Res. 2018;32:2045–2054. doi: 10.1519/JSC.0000000000002436.
    1. Mohr M., Draganidis D., Chatzinikolaou A., Barbero-Álvarez J.C., Castagna C., Douroudos I., Avloniti A., Margeli A., Papassotiriou I., Flouris A.D., et al. Muscle damage, inflammatory, immune and per-formance responses to three football games in 1 week in competitive male players. Eur. J. Appl. Physiol. 2016;116:179–193. doi: 10.1007/s00421-015-3245-2.
    1. Clarkson P.M., Nosaka K., Braun B. Muscle function after exercise-induced muscle damage and rapid adaptation. Med. Sci. Sports Exerc. 1992;24:512–520. doi: 10.1249/00005768-199205000-00004.
    1. Moreira A., Nosaka K., Nunes J., Viveiros L., Jamurtas A., Aoki M.S. Changes in Muscle Damage Markers in Female Basketball Players. Biol. Sport. 2013;31:3–7. doi: 10.5604/20831862.1083272.
    1. Ballmann C., Hotchkiss H., Marshall M., Rogers R. The Effect of Wearing a Lower Body Compression Garment on Anaerobic Exercise Performance in Division I NCAA Basketball Players. Sports. 2019;7:144. doi: 10.3390/sports7060144.
    1. Atkins R., Lam W.-K., Scanlan A.T., Beaven C.M., Driller M. Lower-body compression garments worn following exercise improves perceived recovery but not subsequent performance in basketball athletes. J. Sports Sci. 2020;38:961–969. doi: 10.1080/02640414.2020.1737387.
    1. Lee D.C., Ali A., Sheridan S., Chan D.K., Wong S.H. Wearing Compression Garment Enhances Central Hemodynamics? A Systematic Review and Meta-Analysis. J. Strength Cond. Res. 2020 doi: 10.1519/JSC.0000000000003801.
    1. Fox J.L., Stanton R., Scanlan A.T., Teramoto M., Sargent C. The Association Between Sleep and In-Game Performance in Basketball Players. Int. J. Sports Physiol. Perform. 2021;16:333–341. doi: 10.1123/ijspp.2020-0025.
    1. Conte D., Kamarauskas P., Ferioli D., Scanlan A.T., Kamandulis S., Paulauskas H., Lukonaitienė I. Workload and well-being across games played on consecutive days during in-season phase in basketball players. J. Sports Med. Phys. Fitness. 2021;61:534–541. doi: 10.23736/S0022-4707.20.11396-3.
    1. Doeven S.H., Brink M.S., Huijgen B.C.H., de Jong J., Lemmink K.A.P.M. Managing Load to Optimize Well-Being and Re-covery During Short-Term Match Congestion in Elite Basketball. Int. J. Sports Physiol. Perform. 2020;16:45–50. doi: 10.1123/ijspp.2019-0916.
    1. Fox J.L., Scanlan A.T., Stanton R., O’Grady C.J., Sargent C. Losing Sleep Over It: Sleep in Basketball Players Affected by Game but Not Training Workloads. Int. J. Sports Physiol. Perform. 2020;15:1–8. doi: 10.1123/ijspp.2020-0448.
    1. Marik P.E., Kory P., Varon J. Does vitamin D status impact mortality from SARS-CoV-2 infection? Med. Drug Discov. 2020;6:100041. doi: 10.1016/j.medidd.2020.100041.
    1. Mrityunjaya M., Pavithra V., Neelam R., Janhavi P., Halami P.M., Ravindra P.V. Immune-Boosting, Antioxidant and Anti-inflammatory Food Supplements Targeting Pathogenesis of COVID-19. Front. Immunol. 2020;11:570122. doi: 10.3389/fimmu.2020.570122.
    1. Costagliola G., Spada E., Comberiati P., Peroni D.G. Could nutritional supplements act as therapeutic adjuvants in COVID-19? Ital. J. Pediatr. 2021;47:1–5. doi: 10.1186/s13052-021-00990-0.
    1. Gasmi A., Tippairote T., Mujawdiya P.K., Peana M., Menzel A., Dadar M., Benahmed A.G., Bjørklund G. Micronutrients as immunomodulatory tools for COVID-19 management. Clin. Immunol. 2020;220:108545. doi: 10.1016/j.clim.2020.108545.
    1. Shakoor H., Feehan J., Al Dhaheri A.S., Ali H.I., Platat C., Ismail L.C., Apostolopoulos V., Stojanovska L. Immune-boosting role of vitamins D, C, E, zinc, selenium and omega-3 fatty acids: Could they help against COVID-19? Maturitas. 2021;143:1–9. doi: 10.1016/j.maturitas.2020.08.003.
    1. Schinke R., Papaioannou A., Henriksen K., Si G., Zhang L., Haberl P. Sport psychology services to high performance athletes during COVID-19. Int. J. Sport Exerc. Psychol. 2020;18:269–272. doi: 10.1080/1612197X.2020.1754616.
    1. Di Fronso S., Costa S., Montesano C., Di Gruttola F., Ciofi E.G., Morgilli L., Robazza C., Bertollo M. The effects of COVID-19 pandemic on perceived stress and psychobiosocial states in Italian athletes. Int. J. Sport Exerc. Psychol. 2020;2020:1–13. doi: 10.1080/1612197X.2020.1802612.
    1. Andrade A., Bevilacqua G., Casagrande P., Brandt R., Coimbra D. Sleep quality associated with mood in elite athletes. Phys. Sportsmed. 2018;47:312–317. doi: 10.1080/00913847.2018.1553467.
    1. Schinke R.J., Stambulova N.B., Si G., Moore Z. International society of sport psychology position stand: Athletes’ mental health, performance, and development. Int. J. Sport Exerc. Psychol. 2018;16:622–639. doi: 10.1080/1612197X.2017.1295557.
    1. Cormier M.L., Zizzi S.J. Athletic Trainers’ Skills in Identifying and Managing Athletes Experiencing Psychological Distress. J. Athl. Train. 2015;50:1267–1276. doi: 10.4085/1062-6050-50.12.02.
    1. Souter G., Lewis R., Serrant L. Men, Mental Health and Elite Sport: A Narrative Review. Sports Med. Open. 2018;4:1–8. doi: 10.1186/s40798-018-0175-7.
    1. Brooks S.K., Webster R.K., Smith L.E., Woodland L., Wessely S., Greenberg N., Rubin G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395:912–920. doi: 10.1016/S0140-6736(20)30460-8.
    1. Muir I.L., Munroe-Chandler K.J. Using Infographics to Promote Athletes’ Mental Health: Recommendations for Sport Psychology Consultants. J. Sport Psychol. Action. 2020;11:143–164. doi: 10.1080/21520704.2020.1738607.
    1. Costa S., Santi G., Di Fronso S., Montesano C., Di Gruttola F., Ciofi E.G., Morgilli L., Bertollo M. Athletes and adversities: Athletic identity and emotional regulation in time of COVID-19. Sport Sci. Health. 2020;16:609–618. doi: 10.1007/s11332-020-00677-9.
    1. Moore E.W.G., Gearity B.T. Guest Editorial for Psychology of Strength and Conditioning Special Issue. Strength Cond. J. 2019;41:1–2. doi: 10.1519/SSC.0000000000000468.
    1. Birrer D., Morgan G. Psychological skills training as a way to enhance an athlete’s performance in high-intensity sports. Scand. J. Med. Sci. Sports. 2010;20:78–87. doi: 10.1111/j.1600-0838.2010.01188.x.
    1. Ballesta A.S., Abruñedo J., Caparrós T. Acelerometría en baloncesto. Estudio de la carga externa durante los entrenamientos. Apunts Educ. Física Deportes. 2019;135:100–117. doi: 10.5672/.(2019/1).135.07.

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