Masterclass in Field-Ready and Point-of-Care Assessment:
Integrating Human Performance Across Physiological and Pathophysiological Conditions

This session explores how field-ready and point-of-care assessments can improve the precision, validation and professional usability of performance evaluation under real-world conditions. Rather than treating laboratory testing as the sole standard, the symposium focuses on how emerging physiological and pathophysiological data can be integrated into established diagnostic frameworks in a scientifically robust yet practically applicable way. Special attention will be given to translating scientific results for professional users, linking nutritional state, metabolic preparation, workload transitions and recovery to high-performance function through an integrated perspective that includes oxygen transport, metabolite and by-product dynamics and blood and muscle responses. Across the full continuum from warm-up to fatigue, rehabilitation, return-to-play and both metabolic and structural recovery, the session aims to demonstrate how validated field-based measurements can provide a more relevant and actionable understanding of human performance in practice.

Date: Tuesday, 7 July
Time: 09:00 - 11:00
Session room: 3BC
Booth: Kurucsai, ID 22, Campus Level - live demonstrations throughout the Congress days

CHAIRS

 

Dr Gabor Kurucsai
Medical Doctor | Performance Pathophysiology & Longevity Medicine | Székesfehérvár, Hungary
Medical CEO | 2.SportScience | Budapest, Hungary
This email address is being protected from spambots. You need JavaScript enabled to view it.
Connect on LinkedIn

From Mitochondrial Resilience to Injury Prevention, Safety Performance and Field-Ready Diagnostics

Performance in the field cannot be understood through a single parameter alone. While classical threshold models are typically based on incremental laboratory testing, real team-sport environments involve repeated disruptor efforts followed by changing recovery demands, where lactate may remain elevated despite substantial metabolic recovery. In our field-realistic, reversed workload model, lactate showed similar threshold-like values under physiologically distinct conditions, whereas acid–base balance, blood gas (pO₂/pCO₂) dynamics and substrate utilisation changed significantly. These findings suggest that active and passive recovery reflect different metabolic states and that integrated oxygen logistics, acid–base regulation and fuel utilisation provide a more meaningful framework for interpreting fatigue, recovery and adaptation than any single parameter alone.

Dr Jeroen Molinger
(Tactical) System Biologist Lead, Clinical Research Program Lead | Co-Director, Duke Cardiovascular Performance and Innovation Center | (Tactical) System Biologist Lead, Senior Lead Clinical Medical Exercise Physiologist | Co-Director, Duke University Hospital | Anesthesiology and Critical Care, Duke Human Pharmacology and Physiology Laboratory (HPPL) | Clinical Research Program Lead Invasive CPX, Cathlab, Duke University Hospital | Duke Heart, advanced heart failure transplant cardiology | Duke School of Medicine, Durham, North Carolina, USA   

The Brain-Lung-Muscle Axis in Tier 1 Operations: Integrating Cardiorespiratory Fitness, Ventilatory Efficiency and Multi-Site NIRS to Predict Cognitive Resilience During Close-Quarter-Battle (CQB)

Background: Tier 1 operators must maintain elite executive function while navigating the extreme physical and metabolic demands of Close Quarters Battle (CQB). While high cardiorespiratory fitness (CRF) is a baseline requirement, the physiological mediators that preserve decision-making and shooting precision under acute, all-out exertion remain
poorly defined. This study investigated how ventilatory efficiency and the coupling of cerebral (fNIRS) and peripheral muscle (mNIRS) oxygenation determine cognitive resilience in tactical environments.

 

SPEAKERS 

 

Ass Prof Seyed Houtan Shahidi
PhD in Exercise Physiology | Faculty of Sports Sciences | Sports Performance Laboratory Director | Research Development Director | Level 1 Anthropometrist (ISAK) | Gedik University, Istanbul, Türkiye

 

Beyond the Lab: Field-Based Testing as a Practical Standard for Warm-Up, Recovery and Endurance Performance

Endurance running performance depends on the interaction between central oxygen delivery and peripheral muscle oxygen utilisation. Although V̇O₂max defines aerobic capacity, the ability to rapidly mobilise and distribute oxygen during changes in exercise intensity is often more important in competitive settings, where runners must respond to pace surges and fluctuating metabolic demands. Recent research, including our ongoing work, suggests that priming strategies and respiratory preparation may improve oxygen uptake kinetics, ventilatory efficiency and muscle oxygen extraction, thereby reducing oxygen deficit at the onset of intense exercise. By combining laboratory-based cardiopulmonary testing with field-based running assessments and wearable muscle oxygenation monitoring, we aim to translate physiological diagnostics into practical warm-up strategies that support endurance performance under real racing conditions.

Stijn Lintermans
Coordinating Research & Internships, Physical Department KV Mechelen Youth | Body & Brain Coach | Co-founder, Integrated Performance Training | Mechelen, Belgium

 

Validated Sensor-Based Monitoring in Performance Science

This presentation outlines a practical approach to translating performance data into meaningful decision-making support, with a particular focus on validated non-invasive monitoring methods in youth and adolescent athlete development. It shows how monitoring tools can create value in sports science and performance practice when their outputs are interpreted correctly and applied in context. A key message of the presentation is that technological innovation alone is not sufficient; the practical value of data depends on proper validation and meaningful interpretation. Overall, the session offers a concise and applied perspective on how performance science can generate more relevant and actionable insights in daily practice.

Roger Schmitz
CEO, Moxy Monitor | Hutchinson, Minnesota, USA

 

Overview of Muscle Oxygen Monitoring Applications

The presentation begins with a concise overview of how Near Infrared Spectroscopy (NIRS) works and what it measures in muscle. It then provides practical examples of how muscle oxygenation data can be used in athlete monitoring and performance support, with particular attention to breakpoint analysis and intensity control. Additional applications include warm-up optimisation, identification of physiological limiters and rehabilitation and return-to-play decision-making after injury.

Riitta Simonen
Head of Concepts and Research | Myontec | Kuopio, Finland

 

Wearable Muscle EMG | Myontec: Rapid Field Screening for Performance

Myontec supports field-ready screening during dynamic training in team sports, ball sports, tennis and other high-intensity movement settings by identifying which muscle groups fatigue first and where left-right asymmetries emerge. It provides an objective snapshot of activation patterns, muscle relaxation level and load distribution under real-life conditions, helping practitioners quickly identify the most likely weak link. This enables more targeted follow-up assessment and more confident decisions in training adjustment and return-to-play.

Prof Fabio Cavargini
Preparatore Atletico FIGC | Strength and Conditioning Coach | Master ELAV Sport Performance Top Certification | Città di Castello, Italy

 

EMG in Football-Specific Dynamic Activities

By adapting his assessment approach to practical, field-ready measurements, Fabio Cavargini has built more than twenty years of experience as a strength and conditioning coach working with soccer players, with a particular focus on strength assessment and training. In recent years, he has integrated Myontec wearable technology into his practice to assess internal muscle load during dynamic and static activities, as well as during post-injury rehabilitation and return-to-play progression.

Anna Hortobagyi
Nutrition Science student Semmelweis University | Budapest, Hungary
Dr. Kurucsai Medical Care Centre | Székesfehérvár, Hungary

The 150-Minute Guideline Is Not Enough: Laboratory Evidence for Intensity Misclassification, Delayed Lactate Handling, and Recovery-Dependent Metabolic Coupling in Obesity

Many adults with obesity remain metabolically non-responsive despite achieving ≥150 min/week, suggesting that time-based targets miss real-life intensity distribution.
In 91 participants, a lab protocol combining slow movement, individualised exercise, an all-out disruptor and structured recovery showed the most favourable metabolic profile during low-intensity activity, while higher intensity increased by-product load without better fat utilisation.
Lactate clearance was delayed even after recovery, highlighting recovery-dependent metabolic coupling beyond simple “minutes.”
Take-home message: in public health, guidelines alone are not enough; outcomes depend on selecting the right intensity (including downshifting to preserve oxygen availability) and on the quality of recovery within the broader lifestyle context.

The 31st Annual Congress of the ECSS will take place in Lausanne, Switzerland and is proudly hosted by the University of Lausanne (UNIL) and the École Polytechnique Fédérale de Lausanne (EPFL).
ECSS Lausanne 2026 will take place in the modern SwissTech Convention Center, which was built in 2014 and is located at the heart of the EPFL campus in Lausanne, close to the city centre.
Copyright © 2025 by the European College of Sport Science. All rights reserved.
The ECSS is a non profit organisation, dedicated to Sport Science.

Supported by SporTools GmbH