# Effects of 12-week integrative neuromuscular training on muscular fitness and sex differences in response to intervention in five- to six-year-old preschoolers

**Authors:** Zhihai Wang, Jiayu Zang, Zhaohong Wang, Daniel T.P. Fong, Dan Wang

PMC · DOI: 10.7717/peerj.19417 · PeerJ · 2025-05-08

## TL;DR

A 12-week neuromuscular training program improved muscular fitness in young children more than regular physical education, with no sex-based differences in response.

## Contribution

Demonstrates the effectiveness of integrative neuromuscular training in preschoolers and absence of sex-specific differences in response.

## Key findings

- The experimental group showed significant improvements in muscular fitness compared to the control group.
- No sex-specific differences were observed in the response to the training program.
- Improvements were evident as early as Week 6 and continued through Week 12.

## Abstract

This study examined the effects of a 12-week integrative neuromuscular training (INT) program on muscular fitness in male and female five- to six-year-old preschoolers.

Thirty preschoolers were randomly assigned to either an experimental group (EG; n = 15; age = 5.3 ± 0.5 years, body height = 115.3 ± 5.2 cm, body mass = 20.7 ± 2.6 kg) or a control group (CG; n = 15; age = 5.2 ± 0.4 years, body height = 118.5 ± 4.9 cm, body mass = 22.6 ± 2.7 kg) participating in a 12-week INT program and regular physical education classes three times per week, respectively. Upper extremity maximal strength (grip strength test) and power (tennis ball throwing test), core endurance strength (one-minute sit-up test), and lower extremity power (standing long jump test) were assessed at the baseline (T0), Week 6 (T6), and Week 12 (T12). Data were analyzed using an independent samples T-test and a two-way repeated-measures ANOVA.

Significant interaction effects between the EG and CG were observed for grip strength, tennis ball throws, one-minute sit-ups, and standing long jumps (p < 0.001). Relative to the CG, the EG demonstrated significant improvements in all muscular fitness at T6 and T12 (p < 0.05). However, no significant interaction was found between the time and the sex (p > 0.05).

These findings suggested that a 12-week INT program can more effectively enhance the muscular fitness of 5–6-year-old preschoolers compared to regular physical education classes, serving as an effective and efficient supplement to physical education for this age group. Furthermore, there is no evidence of sex -specific differences in the development of muscular fitness among 5–6-year-old preschoolers under the INT program.

## Full-text entities

- **Diseases:** developmental disabilities (MESH:D002658), cognitive deficits (MESH:D003072), cardiovascular disease (MESH:D002318), congenital malformations (OMIM:163000), fatigue (MESH:D005221), injuries (MESH:D014947), musculoskeletal injuries (MESH:D009140)
- **Chemicals:** INT (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

44 references — full list in the complete paper: https://tomesphere.com/paper/PMC12066101/full.md

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Source: https://tomesphere.com/paper/PMC12066101