Effects of Postactivation Potentiation enhacement on sprint and change-of-direction performance in athletes: A systematic review

Background: Training interventions like Resisted Sled Training, Complex Training, Plyometric training, and recently, Postactivation Potentiation Enhancement (PAPE) protocols are being employed by sportsmen for performance enhancement. Currently, there is no conclusive evidence on the effectiveness of the PAPE protocols and methods to integrate them into the training. The current systematic review aims to critically summarize the current evidence on PAPE protocols' effect on Sprint and Change of Direction (COD) performance in Athletes and study the influence of the Type of PAPE protocols, Recovery duration, Volumes, and loads of PAPE protocols. Methods: A systematic computerized literature search was performed from December 2020 to June 2022 on the databases: MEDLINE (assessed by PubMed), CENTRAL (Cochrane Library Central Register of Controlled Trials), PeDro, and Science direct. The major criteria for inclusion were Athletes (Population) who performed PAPE protocol as Intervention before Sprint and/or COD assessment tests. The studies were individually assessed for Risk of Bias using EPHPP (Effective Public Health Practice Project) Tool. Results: A total of sixteen studies were included. For Linear sprint, nine studies reported a significant PAPE effect whereas, six studies reported insignificant effects. Whereas, for COD performance, two studies reported insignificant results and one study reported significant CODS enhancements The recovery duration ranged from 15 s up to 16 min. Conclusion: PAPE protocols can be incorporated provided the recovery duration is of Moderate duration (3-8mins) or Individualized durations, using multiple sets (2-6), moderate-high loads (>85% 1-RM), type of protocol is Barbell Hip Thrust, Plyometrics or Unilateral biomechanically similar exercises to Running.