Response to: Comment on: “Effects of Plyometric Training on Physical Performance: An Umbrella Review”
(2023) 9:74
Kons et al. Sports Medicine - Open
https://doi.org/10.1186/s40798-023-00609-0
Sports Medicine - Open
Open Access
LETTER
Response to: Comment on: “Effects
of Plyometric Training on Physical Performance:
An Umbrella Review”
Rafael L. Kons1*, Lucas B. R. Orssatto2, Jonathan Ache‑Dias3, Kevin De Pauw4, Romain Meeusen4,
Gabriel S. Trajano2, Juliano Dal Pupo5 and Daniele Detanico5
Dear Editor,
We agree that letters to the editor are part of the scientific process, and, in fact, we aim to clarify the methodological concerns about our manuscript. Notwithstanding,
we understand the minor concerns expressed in the letter and will discuss each aspect and make the necessary
amendments, as follows.
Literature Search Strategy
In our umbrella review, we selected 29 studies based on a
priori defined inclusion/exclusion criteria (see Kons et al.
[1]—Table 1). Ramirez-Campillo et al. [2] questioned why
we did not include in our review a list outlining the reasons why 47 studies were excluded. However, this information is clearly listed in Fig. 1 of the manuscript, as
follows: “Reports excluded: No meta-analysis included
This reply refers to the comment available online at https://doi.org/10.1186/
s40798-023-00595-3 and https://doi.org/10.1186/s40798-022-00550-8.
*Correspondence:
Rafael L. Kons
1
Department of Education, Faculty of Education, Federal University
of Bahia, Salvador, Bahia 40110‑100, Brazil
2
School of Exercise and Nutrition Sciences, Faculty of Health, Queensland
University of Technology, Brisbane, QLD, Australia
3
Research Group On Technology, Sport and Rehabilitation, Catarinense
Federal Institute - IFC, Araquari, Brazil
4
Human Physiology and Sports Physiotherapy Research Group
and Brussels Human Robotic Research Center (BruBotics), Vrije Universiteit
Brussel, Pleinlaan 2, 1050 Brussels, Belgium
5
Biomechanics Laboratory, Centre of Sports ‑ CDS, Federal University
of Santa Catarina, Florianópolis, Santa Catarina, Brazil
related to the plyometric training (n = 17); Reviews
related to combined training (n = 10); Reviews related
to post-activation potentiation (n = 2); Reviews related
to lower limb injury prevention (n = 6); Reviews related
to the influence of stretching on the lower limbs (n = 2);
Reviews involving complex training (n = 10)”.
Ramirez-Campillo et al. [2] also listed a few metaanalyses excluded from our study that took into account
other comparators, such as strength training [3–5]. However, it is important to clarify that comparing plyometric
training to other interventions was not part of our study
aims, as follows: “(i) to systematically review the available
meta-analytical evidence that has examined the effects of
plyometric training on physical fitness performance (e.g.,
sprint time, change of direction, maximal strength, muscle power and explosive strength, vertical or horizontal
jump and specifying additional outcomes, such as endurance, high intermittent running performance, kicking
performance, balance, and Yo-Yo intermittent recovery
test) in different populations”.
The eight meta-analyses mentioned by RamirezCampillo et al. [2] as not being included in our review
were published after the conclusion of the systematic
search. It is great that the field is moving forward very
quickly, and an update to our review might be necessary
in the next 3–5 years, hopefully including higher-quality
meta-analyses (e.g., including randomized controlled trials [RCTs] only).
© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which
permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the
original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or
other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line
to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this
licence, visit http://creativecommons.org/licenses/by/4.0/.
Kons et al. Sports Medicine - Open
(2023) 9:74
Interpretation of Published Meta‑analyses
The eligibility criteria for our umbrella review (see
Table 1—Kons et al. [1]) included studies with a control
group or control situation. However, when developing
the present study, we noted that only a few meta-analyses actually compared intervention to control groups.
Therefore, we chose to highlight that most of the selected
studies lacked comparisons with control groups, and
they were classified as low-to-moderate quality. We
also selected and discussed studies with comparisons
between groups (e.g., vertical vs. horizontal jumps), but
we considered as a central point a direct comparison of
the effects of plyometric training in relation to controls.
By using a control group, researchers can ensure that any
observed differences in outcomes between the experimental and control groups are a result of the intervention
or treatment being tested, rather than other extraneous
factors. This helps to minimize bias and increases the
validity of the study’s findings. Control groups in RCTs
are essential as they provide a basis for comparison and
enable researchers to determine the effectiveness of new
treatments or interventions being tested by establishing
a baseline and minimizing bias. Despite this, we understand the importance of the benefits of plyometric training when establishing comparisons with other types of
intervention (e.g., horizontal training, running, and others), and this could represent a great opportunity for
investigation in the future. The correction related to the
data is present in an additional file 1.
Inconsistent and Erroneous Data
The minor errors and respective corrections are
described in the Additional file 1. Regarding the authors’
[2] concern that “it is unclear how standardized mean
differences [SMDs] were computed from meta-analyses
that reported different types of effect sizes (e.g., Hedges’
g; standardized mean differences)”, we understand that
different types of SMD calculations used in meta-analysis can introduce bias into the generated effect size [6].
Unfortunately, the literature is inconsistent regarding
the methods used for synthesizing SMDs, and accurately
converting effect sizes from the available data is not possible. However, minimal differences have been reported
when synthesiing SMDs and 95% confidence intervals
by different methods in meta-analyses [6]. Therefore, we
disagree that the inconsistency of how SMDs were computed in the meta-analyses would have influenced the
interpretation of the data.
We appreciate the authors’ [2] contributions to
improving our comprehensive review. As (...truncated)