Background: This study aimed to evaluate the effect of flywheel training on female populations, report practical recommendations for practitioners based on the current available evidence, underline the limitations of current literature, and establish future research directions.Methods: Studies were searched through the electronic databases (PubMed, SPORTDiscus, and Web of Science) following the preferred reporting items for systematic reviews and meta-analysis statement guidelines.Results: The methodological quality of the 7 studies included in this review ranged from 10 to 19 points (good to excellent), with an average score of 14-points (good). These studies were carried out between 2004 and 2019 and comprised a total of 100 female participants. The training duration ranged from 5 weeks to 24 weeks, with volume ranging from 1 to 4 sets and 7 to 12 repetitions, and frequency ranged from 1 to 3 times a week. Discussion: The literature suggests that flywheel training is a safe and time effective strategy to obtain lower limb performance enhancements and positive muscle morphological adaptations with elderly and young females. The present literature, although limited, supports the use flywheel training for the prevention of falls and the enhancement of physical capabilities in young and elderly female populations. Nonetheless, a lack of clarity still exists regarding appropriate flywheel training volume, frequency, and intensity. Further high-quality investigation into this topic is warranted to establish clear guidelines about the use of flywheel training methodologies with female populations.
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