Neuromuscular Control and Motor Performance Across the Menstrual Cycle in Physically Active Young Females

This study aimed to analyze potential menstrual cycle-related changes in physical parameters associated with performance and injury risk, focusing on neuromuscular control and motor performance in physically active young females. Twenty-two healthy participants with regular menstrual cycles (24-34 days) were examined sequentially during the follicular phase (day 3), ovulatory phase (within 48 h after a positive urine LH test), and luteal phase (7 days post-ovulation). Ovulation was indicated by a positive urinary LH surge test. The assessments included countermovement jump (CMJ), squat jump (SJ), postural control, ankle dorsiflexion range of motion (ROM), and isokinetic concentric maximal strength. Statistical analyses involved one-way repeated-measures ANOVA or the Friedman test for non-normally distributed data. Significant effects across the menstrual cycle were found for maximum concentric flexion strength (p = 0.003; ${\eta }_G^2$  = 0.037) and ankle ROM (p = 0.043; ${\eta }_G^2$  = 0.010). Post hoc analysis revealed a significant increase in concentric flexion strength from the follicular to the luteal phase (p = 0.004), whereas no significant pairwise differences were observed for ankle ROM. Concentric flexion strength increased significantly from the follicular to the luteal phase (+7.4%), and ankle ROM showed a trend toward improvement, with the highest values observed in the luteal phase (+3.8%). In contrast, CMJ, SJ, and postural control remained constant across all phases. Overall, neuromuscular and motor performance parameters appear largely consistent throughout the menstrual cycle, with only small fluctuations in strength and flexibility. These findings suggest that menstrual cycle-related changes have limited functional relevance but may still warrant consideration in future studies investigating individual responses and injury risk.