"Was Sinner in full possession of his physical abilities?", Henin reflects on the US Open final

The highly anticipated duel between Alcaraz and Sinner in the US Open final turned in favor of the Spaniard. While many experts highlighted the latter's performance, others felt the Italian did not seem to be at his usual level, as evidenced by this statement from former champion Justine Henin:
"It was really unusual. We have to ask ourselves if Sinner was in full possession of his physical abilities. We must ask that question. We didn't see him complain about any pain throughout the entire match.
And it's true that at certain moments, we saw an almost perfect Carlos Alcaraz. Sinner was certainly backed into a corner, but overall, in terms of reactivity, movement, and agility, he was less precise than usual."
For reference, Sinner's coach, Vagnozzi, had indicated that his player was suffering from a slight abdominal issue after his semifinal against Auger-Aliassime, but it was not serious. Some believe the injury was still present, as illustrated by a significant drop in his serve during the final at Flushing Meadows (48% first serves).
Maybe Sinner's coach said that about a possible injure to jack with the gamblers heads?