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Salter J, Julian R, Mentzel SV, Hamilton A, Hughes JD, De St Croix M. Maturity status influences perceived training load and neuromuscular performance during an academy soccer season. Res Sports Med 2024; 32:235-247. [PMID: 35860914 DOI: 10.1080/15438627.2022.2102916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 06/20/2022] [Indexed: 10/17/2022]
Abstract
Commonly we see large within-age-group variations in physique, including body mass, stature, and percentages of predicted adult height, which suggests that age-specified training loads are flawed. Aims were to investigate how maturation impacts training load and neuromuscular response within academy soccer and to provide recommendations for practitioners. Fifty-five male soccer players (age 14.5 ± 1.2 years; stature 172 ± 10 cm; body mass 59.8 ± 10 kg; 94.1 ± 1.8% predicted adult height) reported differential ratings of perceived exertion (AU) across a season. Neuromuscular performance (countermovement jump, reactive strength index, absolute and relative leg stiffness) was measured at three time points across the season. Perceived exertion and neuromuscular performance were examined using linear mixed modelling, supplemented with non-clinical magnitude-based decisions. Analysis indicates every 5% increase in maturity status results in players perceiving overall session intensity 6.9 AU lower and 13.9 AU lower for a 10% maturity shift. Both 5% and 10% changes in maturity most likely resulted in higher countermovement jump, with likely to very likely differences observed for RSI and ABS. Maturity substantially influences neuromuscular performance over the season. Therefore, maturity-specific load prescription may prevent significant within age-group differences in accumulated load, possibly reducing injury risk and/or burnout.
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Affiliation(s)
- Jamie Salter
- School of Science, Technology and Health, York St John University, York, England
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
| | - Ross Julian
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
- Institute of Sport and Exercise Sciences, University of Muenster, Muenster, Germany
| | - Stijn V Mentzel
- Institute of Sport and Exercise Sciences, University of Muenster, Muenster, Germany
| | | | - Jonathan D Hughes
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
| | - Mark De St Croix
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
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2
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Škomrlj J, Modrić T, Sekulić D, Bandalović A, Turić A, Bećir B, Veršić Š. Longitudinal analysis of the incidence rate of injury in elite youth football: Trends over six years including the COVID-19 pandemic period. Phys Ther Sport 2024; 66:85-92. [PMID: 38359730 DOI: 10.1016/j.ptsp.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 01/16/2024] [Accepted: 01/17/2024] [Indexed: 02/17/2024]
Abstract
OBJECTIVES We aimed to analyze injury trends and the possible effects of the coronavirus disease (COVID-19) pandemic on the incidence rates of injury in young elite football players. DESIGN A prospective cohort study design was adopted. PARTICIPANTS Our study included 832 male football players who suffered an injury during any of the six competitive seasons. SETTING An elite youth football academy. MAIN OUTCOME MEASURE Descriptive data and the incidence of injury were calculated. A generalized linear mixed model was used to assess differences in the occurrence of injury among the various age groups. Joinpoint regression was used to analyze injury trends. RESULTS Joinpoint regression models showed a statistically significant decrease in the incidence of injury in all age groups with an average annual percent change (AAPC) of 13.9 (95 %Confidence Interval [CI]:-23.2 - 3.4) and -13.5 (95 %CI:-24.5 to -0.9) for models with zero and one joinpoint, respectively. Football players in older age groups sustain a higher number of injuries, probably due to a higher number of matches and greater training intensity. CONCLUSION This study showed a downward trend in injuries in the participants prior to the pandemic, with an evident increase in the incidence rate of injury during the COVID-19 pandemic.
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Affiliation(s)
- Jakša Škomrlj
- HNK Hajduk Split, Split, 21000, Croatia; University of Split, Faculty of Kinesiology, Split, 21000, Croatia.
| | - Toni Modrić
- University of Split, Faculty of Kinesiology, Split, 21000, Croatia; High Performance Sport Center, Croatian Olympic Committee, Zagreb, 10000, Croatia.
| | - Damir Sekulić
- University of Split, Faculty of Kinesiology, Split, 21000, Croatia; High Performance Sport Center, Croatian Olympic Committee, Zagreb, 10000, Croatia.
| | - Ante Bandalović
- HNK Hajduk Split, Split, 21000, Croatia; University Hospital Split, Surgery Clinic, Department of Orthopedics and Traumatology, 21000, Split, Croatia.
| | - Ante Turić
- HNK Hajduk Split, Split, 21000, Croatia; University Hospital Split, Surgery Clinic, Department of Orthopedics and Traumatology, 21000, Split, Croatia.
| | | | - Šime Veršić
- HNK Hajduk Split, Split, 21000, Croatia; University of Split, Faculty of Kinesiology, Split, 21000, Croatia; High Performance Sport Center, Croatian Olympic Committee, Zagreb, 10000, Croatia.
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Wik EH, Chamari K, Tabben M, Di Salvo V, Gregson W, Bahr R. Exploring Growth, Maturity, and Age as Injury Risk Factors in High-Level Youth Football. Sports Med Int Open 2024; 8:a21804594. [PMID: 38312925 PMCID: PMC10832576 DOI: 10.1055/a-2180-4594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 09/18/2023] [Indexed: 02/06/2024] Open
Abstract
Rapid somatic growth and biological maturity status may affect injury patterns in youth football, yet firm conclusions cannot be drawn from the existing research. We aimed to explore growth velocity, maturity, and age as injury risk factors in 95 academy players (11.9-15.0 years), using anthropometric (height and body mass), maturity (skeletal age), injury, and football exposure data collected prospectively over three seasons (2016/17-2018/19). We compared the relative quality of mixed-effects logistic regression models with growth velocity for 223 growth intervals (average 113 days) included as fixed effects and adjusted for age (chronological or skeletal) plus load (hours/week). Associations were considered practically relevant based on the confidence interval for odds ratios, using thresholds of 0.90 and 1.11 to define small beneficial and harmful effects, respectively. We observed harmful effects of older age on overall (OR: 2.61, 95% CI: 1.15-5.91) and sudden onset (1.98, 1.17-3.37) injury risk. Significant associations (p<0.05) were observed for higher body mass change and greater maturity on sudden onset injuries, and for higher hours/week on gradual onset, bone tissue, and physis injuries. Future studies should include larger samples, monitoring athletes from pre-adolescence through maturation, to enable within-subject analyses and better understand the relationship between growth, maturation, and injuries.
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Affiliation(s)
- Eirik Halvorsen Wik
- FIFA Medical Centre of Excellence, Aspetar Orthopaedic and Sports
Medicine Hospital, Doha, Qatar
- Oslo Sports Trauma Research Center, Department of Sports Medicine,
Norwegian School of Sport Sciences, Oslo, Norway
- Institute of Sport and Exercise Medicine, Department of Exercise, Sport
and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch
University, Stellenbosch, South Africa
- Division of Physiotherapy, Department of Health and Rehabilitation
Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University,
Stellenbosch, South Africa
| | - Karim Chamari
- FIFA Medical Centre of Excellence, Aspetar Orthopaedic and Sports
Medicine Hospital, Doha, Qatar
| | - Montassar Tabben
- FIFA Medical Centre of Excellence, Aspetar Orthopaedic and Sports
Medicine Hospital, Doha, Qatar
| | - Valter Di Salvo
- Football Performance and Science Department, Aspire Academy, Doha,
Qatar
- Department of Movement, Human and Health Sciences, University of Rome
'Foro Italico', Roma, Italy
| | - Warren Gregson
- Football Performance and Science Department, Aspire Academy, Doha,
Qatar
- Department of Sport and Exercise Sciences, Institute of Sport,
Manchester Metropolitan University, Manchester, United Kingdom of Great Britain
and Northern Ireland
| | - Roald Bahr
- FIFA Medical Centre of Excellence, Aspetar Orthopaedic and Sports
Medicine Hospital, Doha, Qatar
- Oslo Sports Trauma Research Center, Department of Sports Medicine,
Norwegian School of Sport Sciences, Oslo, Norway
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Weishorn J, Jaber A, Trefzer R, Zietzschmann S, Kern R, Spielmann J, Renkawitz T, Bangert Y. How Does Age Affect Injury Characteristics in Young Elite Footballers?-A Prospective Cohort Study of a German Youth Academy. J Clin Med 2023; 12:6938. [PMID: 37959403 PMCID: PMC10649570 DOI: 10.3390/jcm12216938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 10/26/2023] [Accepted: 11/03/2023] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Little is known about age-related changes in injury characteristics and burden, and existing data are inconsistent, highlighting the need for new studies on this topic. This study aimed to describe age-related injury risk, severity and burden in a German elite youth football academy. METHODS A prospective cohort study was conducted in the 2012/2013 season, reporting 109 time-loss injuries among 138 young athletes playing at an elite football academy in Germany. For the most severe injuries, the injury burden in the different age groups was considered separately. RESULTS Athletes missed a total of 2536 days of exposure, resulting in an overall incidence of 2.6 per 1000 h (1.7-3.0; 95% CI) and a burden of 60.6 days lost per 1000 h (40.8-80.3; 95% CI). The incidence and burden of joint sprains and muscle injuries were higher in the older age groups. Physeal injuries peaked in the U14 age group during the pubertal growth spurt. Bone injuries and contusions showed no age trend. CONCLUSION Injury characteristics vary with age. The overall incidence, severity and burden of injuries increased with the age of the athletes. To ensure the optimal development of young athletes, it is important to be aware of the differences in injury susceptibility between age groups in order to implement tailored prevention programmes.
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Affiliation(s)
- Johannes Weishorn
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
| | - Ayham Jaber
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
| | - Raphael Trefzer
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
| | - Severin Zietzschmann
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
| | - Ralph Kern
- Ethianum Heidelberg, Fehrentzstrasse 2, 69115 Heidelberg, Germany
- TSG 1899 Hoffenheim Fußball-Spielbetriebs GmbH, Horrenberger Straße 58, 74939 Zuzenhausen, Germany
| | - Jan Spielmann
- TSG ResearchLab gGmbH, Horrenberger Straße 58, 74939 Zuzenhausen, Germany
| | - Tobias Renkawitz
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
| | - Yannic Bangert
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
- TSG 1899 Hoffenheim Fußball-Spielbetriebs GmbH, Horrenberger Straße 58, 74939 Zuzenhausen, Germany
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Murray-Smith S, Williams S, Whalan M, Peoples GE, Sampson JA. The incidence and burden of injury in male adolescent community rugby union in Australia. SCI MED FOOTBALL 2023; 7:315-322. [PMID: 36134642 DOI: 10.1080/24733938.2022.2123556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
OBJECTIVES To describe the incidence, location, mechanism and burden of injury in community male adolescent rugby. METHODS A prospective cohort injury surveillance study using sports trainers to record 'any physical complaint' over three seasons (2018/2019/2021) in 979 U13-U17 community male rugby union players. RESULTS One hundred and fifty-two time-loss injuries (27.6/1000 hours) with an associated burden of 2313 days (419.7 days/1000 hours), 169 non-time loss medical attention (30.1/1000 hours) and 813 physical complaints (147.5/1000 hours) were recorded from 5511.7 exposure hours (matches 3932.5 hours, training 1579.2 hours). Time-loss injury incidence was highest in U16 (45/1000 hours) and lowest in U17 (16.6/1000 hours), with U17 significantly lower than U16 and U15 age-grades (p < 0.05). Injury burden was greatest in U13 (561.4 days/1000 hours), and significantly higher than U15 and U17 (p < 0.05). Collectively, injury incidence was greatest for the head/neck (11.8/1000 hours), bruise/contusions were most common (8.7/1000 hours) and concussion (4.5/1000 hours) accounted for the greatest injury burden (102 days/1000 hours). Being tackled was the most observed injury mechanism (10.0/1000 hours). Forwards had significantly higher incidence in mild injury (p < 0.01). The total burden (p < 0.001) associated with mild (p < 0.001) and moderate injuries (p < 0.001) was significantly higher in forwards, as was the burden of being tackled (p < 0.001), collisions (p < 0.001), trunk (p < 0.001) and lower limb (p < 0.01) injury locations. In contrast, ruck-related injury burden was greater in backs (p < 0.001). CONCLUSION This study showed age-grade and positional differences in incidence and burden of injury in community adolescent rugby union. The rate of non-time loss relative to time-loss injury and muscle strain injury in U13-U14s suggests further research into injury risk and maturation in rugby is needed.
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Affiliation(s)
- S Murray-Smith
- Centre of Medical and Exercise Physiology, University of Wollongong, Wollongong, Australia
| | - S Williams
- Department for Health, University of Bath, Bath, UK
| | - M Whalan
- Medical Department, Sydney Football Club, Sydney, Australia
- NSW Football Medicine Association, Sydney, Australia
- Football Australia, Sydney, Australia
| | - G E Peoples
- Centre of Medical and Exercise Physiology, University of Wollongong, Wollongong, Australia
| | - J A Sampson
- Centre of Medical and Exercise Physiology, University of Wollongong, Wollongong, Australia
- NSW Football Medicine Association, Sydney, Australia
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Kalčíková P, Přidalová M. The Influence of Somatic Maturity on Anthropometrics and Body Composition in Youth Soccer Players. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1732. [PMID: 38002823 PMCID: PMC10670197 DOI: 10.3390/children10111732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 10/21/2023] [Accepted: 10/24/2023] [Indexed: 11/26/2023]
Abstract
The primary aim of this investigation was to compare players' anthropometric (AP) and body composition (BC) characteristics between distinct maturity bands (pre-PHV, circa-PHV, post-PHV) in youth elite soccer. This study considered 320 male soccer players (mean age 13.8 y). Participants were from U14 (n = 157) and U15 (n = 163) age categories. The Khamis-Roche method was applied to calculate the percentage of predicted adult height (PAH) at the time of assessment based on which the players were further divided into maturity bands (pre-PHV ≤ 87%, circa-PHV = 88-95%, post-PHV > 95%). The findings indicated that most of the players were in the circa-PHV stage at the time of investigation. Measurements included height and weight. The estimates of BC parameters were derived using bioelectrical impedance (BIA) analysis. These various AP and BC attributes displayed significant differences among the maturity bands (F = 139.344-7.925; p < 0.001; large effect sizes) except in body fat mass (BFM) (F = 2.998; p = 0.051; small effect size). The current somatic maturity stage of the athletes should be considered when evaluating BC results, otherwise there is a risk of misinterpretation.
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Affiliation(s)
- Pavlína Kalčíková
- Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University Olomouc, Křížkovského 511/8, CZ-779 00 Olomouc, Czech Republic;
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7
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Arenas L, Frenger M, Skorski S, Meyer T. Survey of the current practices of German football academies towards biological maturation assessment. SCI MED FOOTBALL 2023:1-14. [PMID: 37840319 DOI: 10.1080/24733938.2023.2270563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/05/2023] [Indexed: 10/17/2023]
Abstract
OBJECTIVES This study aimed to examine the importance assigned to assessing and considering biological maturation in thematic areas of player development and provide an overview of current practices in German football academies regarding its consideration in training and competition. METHODS An online survey was sent to 56 elite German football academies. A total of 46 responded to the questionnaire (82% response rate). Six participants provided incomplete information resulting in a total of 40 completed surveys in the period from March to May 2022. RESULTS Only 20 of participants regularly carried out maturation assessments, despite 95% recognizing its importance for load management, 90% for player development, and 85% for injury prevention. There was no consistent approach to modifying training and competition formats based on maturity status, with a primary focus on gym-based sessions for load management. CONCLUSION The survey results highlight limited implementation of maturation assessment and training modification based on maturity status in German elite youth football academies. Despite recognizing the importance of load monitoring, reporting to parents, and long-term player development in considering biological maturation, practices are not widespread. The predominant use of the maturity offset method suggests an opportunity to improve accuracy by exploring alternative measurement methods and increasing assessment frequency. Moreover, a lack of established procedures for incorporating maturity status into training and competition exists, hindering comprehensive consideration of biological maturation and injury risk prevention. Further research is needed to understand the reasons for inconsistent approaches in maturation assessment and load modification during training and competition.
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Affiliation(s)
- Lukas Arenas
- Institute of Sport and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Monika Frenger
- Department Economics and Sociology of Sport, Saarland University, Saarbrücken, Germany
| | - Sabrina Skorski
- Institute of Sport and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Tim Meyer
- Institute of Sport and Preventive Medicine, Saarland University, Saarbrücken, Germany
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Niering M, Muehlbauer T. Changes After a Conventional vs. an Alternative Therapy Program on Physical, Psychological, and Injury-Related Parameters in Male Youth Soccer Players With Patellar Tendinopathy During Return to Competition. J Strength Cond Res 2023; 37:1834-1843. [PMID: 36752745 DOI: 10.1519/jsc.0000000000004467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
ABSTRACT Niering, M and Muehlbauer, T. Changes after a conventional vs. an alternative therapy program on physical, psychological and injury-related parameters in male youth soccer players with patellar tendinopathy during return to competition. J Strength Cond Res 37(9): 1834-1843, 2023-Changes after a conventional (CON) vs. alternative (ALT) therapy program on physical, psychological, and injury-related or pain-related parameters in soccer players with patellar tendinopathy (PT) during return to competition were examined. Thirty-four male youth soccer players (15-16 years) with PT were randomly assigned to a CON ( n = 18) or ALT ( n = 16) program. The ALT program consisted of 60 minutes of balance training, eccentric and isometric exercises, static stretching, and a dual-task progression. The CON program consisted of 30 minutes of eccentric and isometric exercises and static stretching. Both programs were conducted until painlessness was reported during full training load. Assessments of muscle power (drop jump, jump and reach), change of direction speed (CODS) (acyclic sprint), speed (tapping, 30-m linear sprint), endurance (Yo-Yo intermittent recovery test level-1), the Achievement Motives Scale Sport, and injury-related or pain-related correlates were performed immediately, 6 weeks, 16 weeks, and 20 weeks after the respective therapy program. Players in the ALT group required a shorter program duration (ALT: 47.1 ± 15.6 days, CON: 58.2 ± 24.6 days) and achieved the same (muscle power, speed, endurance) or greater (CODS) improvements in physical performances, the same enhancements in psychological measures (achievement motives), and better values for injury-related or pain-related correlates (injury incidence, pain-related training interruptions). Results indicate that both programs effectively improve relevant outcome parameters in players with PT. The ALT therapy is more time efficient than the CON therapy. Therapists should consider this multimodal training program for effective treatment of athletes to shorten their return to competition time and minimize the risk of secondary injuries.
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Affiliation(s)
- Marc Niering
- Department of Health and Social Affairs, FHM Bielefeld-University of Applied Sciences, Bielefeld, Germany; and
| | - Thomas Muehlbauer
- Division of Movement and Training Sciences/Biomechanics of Sport, University of Duisburg-Essen, Essen, Germany
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Monasterio X, Gil SM, Bidaurrazaga-Letona I, Lekue JA, Santisteban JM, Diaz-Beitia G, Lee DJ, Zumeta-Olaskoaga L, Martin-Garetxana I, Bikandi E, Larruskain J. The burden of injuries according to maturity status and timing: A two-decade study with 110 growth curves in an elite football academy. Eur J Sport Sci 2023; 23:267-277. [PMID: 34767492 DOI: 10.1080/17461391.2021.2006316] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Injuries have a negative impact on the development of football players. Maturation is a potential risk factor for football injuries but available data on this topic provide limited evidence due to methodological shortcomings. The aim of this study was to describe the injury burden of male academy football players according to growth curve-derived maturity status and timing. Injury and growth data were collected from 2000 to 2020. Longitudinal height records for 110 individual players were fitted with the Super-Imposition by Translation and Rotation model to estimate age at peak height velocity (PHV). Players were clustered according to maturity status (pre-, circa-, post-PHV, or adults) and timing (early, on-time, late maturers). Overall and specific injury burdens (days lost/player-season) and rate ratios for comparisons between groups were calculated. Overall injury burden increased with advanced maturity status; pre-PHV players had 3.2-, 3.7-, and 5.5-times lower burden compared with circa-PHV, post-PHV, and adult players, respectively. Growth-related injuries were more burdensome circa-PHV, while muscle and joint/ligament injuries had a higher impact post-PHV and in adults. Further, in the pre-PHV period, late maturers showed lower burden of overall, growth-related, anterior inferior iliac spine osteochondrosis, and knee joint/ligament injuries compared with on-time maturers. In adult players, however, injuries were less burdensome for early maturers than on-time and late maturers. In addition, joint/ligament injuries of adult late maturers were 4.5-times more burdensome than those of early maturers. Therefore, monitoring maturity seems crucial to define each player's maturation profile and facilitate design of targeted injury prevention programmes.Highlights Injury burden is significantly lower in football players at pre-peak height velocity (PHV). Growth-related injuries are most burdensome circa-PHV, while muscle and joint/ligament injuries are more burdensome post-PHV and especially in adults.Before PHV, growth-related and knee joint/ligament injuries have lower burden in players who mature late than those who mature on-time. Adult late maturers have greater burden of overall and joint/ligament injuries than early maturers.Football academies should regularly assess the maturity status and timing of young football players, as the impact of injuries varies with maturation status and timing.Management of the maturity-related injury risk profile, in combination with other relevant factors (training load, neuromuscular and biomechanical factors, physiotherapy, coaching, communication, psychosocial factors …), might help improve the success of player development programmes and protect the health of young football players.
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Affiliation(s)
- Xabier Monasterio
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain.,Medical Services, Athletic Club Lezama, Spain
| | - Susana M Gil
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain
| | - Iraia Bidaurrazaga-Letona
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain
| | - Jose A Lekue
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain.,Medical Services, Athletic Club Lezama, Spain
| | - Juan M Santisteban
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain.,Medical Services, Athletic Club Lezama, Spain
| | - Gontzal Diaz-Beitia
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain.,Medical Services, Athletic Club Lezama, Spain
| | - Dae-Jin Lee
- Basque Center for Applied Mathematics (BCAM), Bilbao, Spain
| | | | - Imanol Martin-Garetxana
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU) Leioa, Spain.,Medical Services, Athletic Club Lezama, Spain
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10
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Johnson D, Williams S, Bradley B, Cumming SP. Can we reduce injury risk during the adolescent growth spurt? An iterative sequence of prevention in male academy footballers. Ann Hum Biol 2023; 50:452-460. [PMID: 37823577 DOI: 10.1080/03014460.2023.2261854] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 09/13/2023] [Indexed: 10/13/2023]
Abstract
Background: The adolescent growth spurt is associated with an increased risk of injury in young athletes.Aim: This study aimed to use an interdisciplinary collaboration between technical coaches, sports scientists, and medical staff to mitigate this risk.Subjects and methods: 77 male academy footballers were followed across two seasons. At-risk players were identified using somatic maturity status and growth rate in stature and the lower limbs, using thresholds of 88% to 92.8% of predicted adult stature, ≥7.2 cm/year, and ≥3.6 cm/year, respectively. During the 2019-20 season, players with symptoms of a growth-related injury or two of three risk factors were included in an intervention strategy that included modified training load, football-specific skills, balance, coordination and landing drills, and an individualised strength program.Results: For players with the three risk factors, there was a significant reduction in the incidence (rate ratio [RR] = 0.14 (5.2 per 1000h → 0.8 per 1000h, p = 0.05) and burden (RR = 0.08 (216 per 1000h → 17 per 1000h, p = 0.02) between the seasons. For players with ≤2 risk factors, there were no significant differences in injury risk between the baseline and intervention seasons.Conclusion: Overall, it may be possible to mitigate injury incidence and burden during the adolescent growth spurt in high-risk athletes.
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Affiliation(s)
- David Johnson
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
- Sports Science and Medicine, AFC Bournemouth Football Club, Bournemouth, United Kingdom of Great Britain and Northern Ireland
| | - Sean Williams
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
| | - Ben Bradley
- Sports Science and Medicine, AFC Bournemouth Football Club, Bournemouth, United Kingdom of Great Britain and Northern Ireland
| | - Sean P Cumming
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
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11
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Secondary School Athletic Trainers' Strategies and Barriers to Overuse Injury Treatment in Adolescent Athletes. J Sport Rehabil 2023; 32:402-408. [PMID: 36689997 DOI: 10.1123/jsr.2022-0277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 11/11/2022] [Accepted: 11/29/2022] [Indexed: 01/25/2023]
Abstract
CONTEXT Studies have illustrated that overuse injuries occur in adolescent athletes more often than previously reported. The general purpose of this study was to provide a thorough report of secondary school athletic trainers encounters, practices, and perceptions of overuse injury in adolescent athletes. DESIGN Cross-sectional. METHODS An anonymous online questionnaire was distributed via email to athletic trainers in the secondary school setting. The questionnaire was sent to participants during the summer of 2021 and 430 participants (highest educational degree earned: master's degree = 66%) completed the survey. Various survey methods were used to evaluate athletic trainers (1) demographics, (2) estimations about what percentage of injuries evaluated and treated were classified as overuse, (3) methods for treating overuse injuries, (4) confidence in treating overuse injuries and the complete implementation of their treatment plan, (5) perceptions of various barriers to treating overuse injuries, and (6) perception as to why patients did not want to reduce activity to treat their overuse injuries. RESULTS Participants reported that about half of all evaluations and treatments in a year were overuse injuries and they were "fairly" or "completely" confident (90%) in their ability to treat these injuries. The most common treatments cited were stretching (91%) and reducing activity (90%). Only 61% of participants were "fairly" or "completely" confident in the complete implementation of their treatment plan. Participants believed that patients' reluctance to reduce sport activities (82% "moderate" or "extreme" barrier) was the most significant barrier to treatment. Participants cited athletes' avoidance of missing games as the most common reason athletes were reluctant to reduce sporting activity. CONCLUSIONS Participants felt confident in treating overuse injuries yet faced significant barriers in treating these injuries. Clinicians should be prepared to have conversations about the importance of reducing sporting activity to allow proper healing for overuse injuries in adolescent athletes.
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12
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Monasterio X, Gil S, Bidaurrazaga-Letona I, Lekue JA, Diaz-Beitia G, Santisteban JM, Lee DJ, Zumeta-Olaskoaga L, Martin-Garetxana I, Larruskain J. Peak Height Velocity Affects Injury Burden in Circa-PHV Soccer Players. Int J Sports Med 2023; 44:292-297. [PMID: 36410710 DOI: 10.1055/a-1983-6762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Growth and maturation are potential risk factors for soccer injuries. This research sought to describe how peak height velocity (PHV) affects overall and specific injury burden in circa- and post-PHV elite academy soccer players. Injuries and growth data collected from 2000 to 2020 were studied retrospectively. Longitudinal height records for 124 players were fitted with the Super-Imposition by Translation and Rotation model to calculate PHV (cm/year) and age at PHV. Players were classified according to PHV percentile (fast:≥75th; average: 25-75th; slow:≤25th) and maturity status (circa- or post-PHV). Overall and specific injury burden (days lost/player-season) and rate ratios for comparisons between groups were calculated based on zero-inflated negative binomial models. Confidence intervals were calculated at the 95% confidence level (CI) and the significance level was set at<0.05. In circa-PHV, players with fast PHV had 2.6 (CI: 1.4-4.8)- and 3.3 (CI:1.3-6.7)-times higher overall burden and 2.9 (CI:1.1-7.1)- and 4.1 (CI: 1.4-15.2)-times higher for growth-related injury burden compared to players with average and slow PHV, respectively. Regular monitoring of growth seems important to detect players at higher risk for being disrupted by growth-related injuries.
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Affiliation(s)
| | - Susana Gil
- Physiology, University of the Basque Country, Leioa, Spain
| | | | - Jose A Lekue
- Medical Services, Athletic Club, Lezama, Spain.,Physiology, University of the Basque Country, Leioa, Spain
| | - Gontzal Diaz-Beitia
- Medical Services, Athletic Club, Lezama, Spain.,Physiology, University of the Basque Country, Leioa, Spain
| | - Juan M Santisteban
- Medical Services, Athletic Club, Lezama, Spain.,Physiology, University of the Basque Country, Leioa, Spain
| | - Dae-Jin Lee
- Basque Center for Applied Mathematics, Basque Center for Applied Mathematics, Bilbao, Spain
| | - Lore Zumeta-Olaskoaga
- Basque Center for Applied Mathematics, Basque Center for Applied Mathematics, Bilbao, Spain
| | - Imanol Martin-Garetxana
- Medical Services, Athletic Club, Lezama, Spain.,Physiology, University of the Basque Country, Leioa, Spain
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13
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Beech J, Jones B, King R, Bennett P, Young S, Williams S, Stokes K, Emmonds S. The incidence and burden of injuries in elite English youth female soccer players. SCI MED FOOTBALL 2022; 6:605-615. [PMID: 35297310 DOI: 10.1080/24733938.2022.2051730] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
This study aimed to investigate the incidence, severity and burden of injury in English elite youth female soccer players. Qualified therapists at six English girls' academies prospectively recorded all injuries that required medical attention or caused time loss for matches and training in 375 elite youth female soccer players (under-10 [U10], U12, U14 and U16) during the 2019/2020 season. One hundred- and eleven time-loss injuries (52 from training, 59 from matches) were sustained, resulting in 1,946 days absent (779 days from training injuries, 1,167 days from match injuries) from soccer activities. The injury incidence for matches (9.3/1000 hours, 95% CIs: 7.2-11.9) was significantly greater than training (1.1/1000 hours, 95% CIs: 0.9-1.5, p < 0.001). Additionally, the injury burden for matches (183 days lost/1000 hours, 95% CIs: 142-237) was significantly greater than training (17 days lost/1000 hours, 95% CIs: 13-22, p < 0.001). Injury incidence and burden were greatest in the U16 age group and were found to increase with age. Whilst injury incidence and burden are greater in matches than training, a large proportion of preventable injuries, soft-tissue and non-contact in nature, were sustained in training. Findings provide comparative data for elite youth female soccer players.
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Affiliation(s)
- Jake Beech
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK.,The Football Association, Burton-Upon-Trent, UK
| | - Ben Jones
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK.,England Performance Unit, The Rugby Football League, Leeds, UK.,Leeds Rhinos Rugby League club, Leeds, UK.,Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, the University of Cape Town and the Sports Science Institute of South Africa, Cape Town, South Africa.,School of Science and Technology, University of New England, Armidale, Australia
| | - Ryan King
- The Football Association, Burton-Upon-Trent, UK
| | | | | | | | - Keith Stokes
- Department for Health, University of Bath, Bath, UK.,Rugby Football Union, Twickenham, UK
| | - Stacey Emmonds
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
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14
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Wik EH. Growth, maturation and injuries in high-level youth football (soccer): A mini review. Front Sports Act Living 2022; 4:975900. [PMID: 36385783 PMCID: PMC9663653 DOI: 10.3389/fspor.2022.975900] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 08/24/2022] [Indexed: 12/02/2022] Open
Abstract
Understanding the challenges football (soccer) players face during adolescence is fundamental to avoid disruptions in their development due to injury. This mini review will describe basic concepts of somatic growth and biological maturity, examine data from 53 prospective epidemiological studies on high-level youth football players and discuss how age, growth and maturity may affect the injury patterns observed. Based on the existing evidence, at least every third player sustains an injury during a football season. The thigh (median for studies of boys: 25%, median for girls: 21%), ankle (b: 18%, g: 30%), knee (b: 17%, g: 18%) and hip/groin (b: 14%, g: 10%) are the body parts injured most often, while muscle strains (b: 31%, g: 25%), sprains (b: 20%, g: 27%) and contusions (b: 17%, g: 16%) are the most common injury types. Injury trends are, however, not consistent throughout adolescence, and players' age, maturity status and position relative to peak height velocity (PHV) have shown to influence the number, type and location of injuries sustained. Despite a high volume of observational injury studies published on high-level youth players, girls (7 studies) and settings outside of Europe (included in 23% of studies) are underrepresented and should receive extra attention in the future. Based on the available epidemiological data, tailored injury reduction programmes can be considered in youth football, alongside application of general training principles such as progression, variation and individualization which may be especially important during vulnerable phases such as the adolescent growth spurt.
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Affiliation(s)
- Eirik Halvorsen Wik
- Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Institute of Sport and Exercise Medicine, Stellenbosch University, Stellenbosch, South Africa
- Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
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15
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Tsutsui T, Iizuka S, Sakamaki W, Maemichi T, Torii S. Growth until Peak Height Velocity Occurs Rapidly in Early Maturing Adolescent Boys. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9101570. [PMID: 36291506 PMCID: PMC9600346 DOI: 10.3390/children9101570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/08/2022] [Accepted: 10/17/2022] [Indexed: 11/26/2022]
Abstract
The timing and tempo of growth rate varies inter-individually during adolescence and can have an impact on athletic performance. This study aimed to determine the difference in growth rate for each maturity status. We combined data collected both retrospectively and prospectively from 78 adolescent boys aged 12 years old; growth charts were collected from their elementary school records, and the height of each participant was subsequently measured every six months over a period of two years. Take Off Age (TOA), Peak Height Velocity Age (PHVA), and Final Height Age (FHA) were estimated using the AUXAL 3.1 program. Growth Tempo 1 and 2 were calculated by dividing the height increase by the time difference between TOA and PHVA, and FHA, respectively. Our results showed three group differences based on the maturation status of PHVA: Growth Tempo 1 and 2 were both higher in the early than during middle and late maturation. Additionally, entering the height at each event as a covariate, the group differences for Growth Tempo 1 did not change; however, for Growth Tempo 2, group differences were eliminated. Therefore, we conclude that during early maturation, growth from TOA to PHVA occurs rapidly and in a shorter period.
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Affiliation(s)
- Toshiharu Tsutsui
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama 359-1192, Japan
| | - Satoshi Iizuka
- Japan Institute of Sports Science, 3-15-1 Nishigaoka, Kita-ku, Tokyo 115-0056, Japan
| | - Wataru Sakamaki
- Graduate School of Sport Sciences, 2-579-15 Mikajima, Tokorozawa, Saitama 359-1192, Japan
| | - Toshihiro Maemichi
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama 359-1192, Japan
| | - Suguru Torii
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama 359-1192, Japan
- Correspondence:
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16
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Monasterio X, Bidaurrazaga-Letona I, Larruskain J, Lekue JA, Diaz-Beitia G, Santisteban J, Martin-Garetxana I, Gil SM. Relative skeletal maturity status affects injury burden in U14 elite academy football players. Scand J Med Sci Sports 2022; 32:1400-1409. [PMID: 35750986 DOI: 10.1111/sms.14204] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 12/07/2021] [Accepted: 06/11/2022] [Indexed: 11/30/2022]
Abstract
Maturation progresses at different times and at different rates between individuals. Thus, differences in maturity status exist among players in the same chronological age-based category, especially in U14 players. The purpose of this prospective study was to describe injury burden according to the relative skeletal maturity status in U14 elite academy football players. From 2011 to 2020 injuries and individual exposure (training and match) were prospectively recorded in 183 male U14 players. Skeletal age (SA) was assessed using the Tanner-Whitehouse 2 method. Relative skeletal maturity status [SA minus chronological age (CA)] was classified as follows: early (SA-CA > 0.5), on-time (SA-CA ± 0.5) and late (SA-CA < -0.5). Overall and specific injury burden (days lost/1000h) and rate ratios for comparisons between groups were calculated. Overall injury burden was 2.8-times higher (3.6-times in training) in early maturers compared with late maturers. Growth-related injuries were the most burdensome injuries in all three groups, but significant differences were not found between groups. Muscle injuries were 4-times more burdensome in early maturers compared with on-time and late maturers. Besides, joint/ligament injuries were 7- and 12- times less burdensome in late maturers than in on-time and late maturers, respectively. Significant differences between groups in overall and specific injury burden were not found in matches. Our results showed different injury patterns in U14 early, on-time and late maturers. Hence, monitoring maturity seems crucial to detect potential injuries that cause the greatest disruption, and facilitate design of targeted injury prevention programs.
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Affiliation(s)
- X Monasterio
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.,Medical Services, Athletic Club, Lezama, Spain
| | - I Bidaurrazaga-Letona
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain
| | | | - J A Lekue
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.,Medical Services, Athletic Club, Lezama, Spain
| | - G Diaz-Beitia
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.,Medical Services, Athletic Club, Lezama, Spain
| | - J Santisteban
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.,Medical Services, Athletic Club, Lezama, Spain
| | - I Martin-Garetxana
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.,Medical Services, Athletic Club, Lezama, Spain
| | - S M Gil
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain
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17
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Seow D, Massey A. Correlation between preseason body composition and sports injury in an English Premier League professional football team. BMJ Open Sport Exerc Med 2022; 8:e001193. [PMID: 35692439 PMCID: PMC9134165 DOI: 10.1136/bmjsem-2021-001193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/29/2022] [Indexed: 11/03/2022] Open
Abstract
Objectives To identify the correlation between preseason body composition and incidence coupled with injury burden throughout the season in adult male professional football players. Methods A retrospective case series was performed for linear regression analysis of preseason body composition variables and injury data. R2 >0.10 was deemed of adequate correlation. Results All 36 professional football players in the male first team of an English Premier League professional football team were recruited, with none lost to follow-up. The total and mean incidence of injuries was 83.00 and 2.31 (95% CI 1.72 to 2.89), respectively. The mean injury burden was 58.32 (95% CI 37.67 to 78.98) days missed. Simple linear regression analysis indicated no significant or adequate correlations between incidence and preseason body composition variables. Injury burden revealed non-significant adequate negative correlations to body mass (R2=0.17), body mass index (BMI) (R2=0.15), waist circumference (R2=0.17), total bone mineral density (BMD) (R2=0.11) and mean embedded structures (R2=0.10). Conclusions Players with decreased body mass, BMI, waist circumference, total BMD and mean embedded structures may be prone to greater injury burden. Further studies with a larger sample size that incorporates multiple football teams are warranted to investigate this.
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18
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Rapid Spike in Hip Adduction Strength in Early Adolescent Footballers: A Study of 125 Elite Male Players From Youth to Senior. Int J Sports Physiol Perform 2022; 17:1407-1414. [PMID: 35534012 DOI: 10.1123/ijspp.2022-0025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 03/21/2022] [Indexed: 11/18/2022]
Abstract
PURPOSE To investigate the differences in hip adductor and abductor muscle strength in elite male footballers from youth to senior level. METHODS We tested 125 players from the under-13-years (U'13) to senior squads of a Danish male professional football club in this cross-sectional design study. Hip adductor and abductor force (in newtons), torque (in newton meters), normalized torque (in newton meters per body mass), and adduction-to-abduction ratio were measured using handheld dynamometry. RESULTS Between U'13 and senior level, adductor force increased by 104%, torque by 127%, and normalized torque by 21%. Abductor force increased by 78%, torque by 126%, and normalized torque by 17%. For incremental differences between age groups, significant increases were observed between the ages of U'13 to U'14 (18%-39%) and U'14 to U'15 (19%-33%) for all strength measures (P ≤ .021). No incremental difference was observed for adductor-to-abductor ratio. CONCLUSIONS The large increases in hip adductor and abductor strength occurring between the ages of U'13 and U'15 offer insight into the strength capabilities and stress demands in these players, which may relate to injury vulnerability, and facilitate clinicians in selecting best-suited exercise interventions.
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19
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Injury risk is greater in physically mature versus biologically younger male soccer players from academies in different countries. Phys Ther Sport 2022; 55:111-118. [DOI: 10.1016/j.ptsp.2022.03.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 03/12/2022] [Accepted: 03/14/2022] [Indexed: 11/19/2022]
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20
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Johnson DM, Cumming SP, Bradley B, Williams S. The influence of exposure, growth and maturation on injury risk in male academy football players. J Sports Sci 2022; 40:1127-1136. [DOI: 10.1080/02640414.2022.2051380] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- David M. Johnson
- Department for Health, University of Bath, Bath, UK
- Academy Sports Science and Medicine Department, AFC Bournemouth, Bournemouth, UK
| | | | - Ben Bradley
- Academy Sports Science and Medicine Department, AFC Bournemouth, Bournemouth, UK
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21
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Jönsson F, von Rosen P. Is there a strong association between substantial injuries and previous injuries in adolescent elite athletes? A 1-year prospective cohort study. Physiother Theory Pract 2022:1-8. [DOI: 10.1080/09593985.2022.2042756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Frida Jönsson
- Division of Physiotherapy, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska Institutet, Huddinge, Sweden
| | - Philip von Rosen
- Division of Physiotherapy, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska Institutet, Huddinge, Sweden
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22
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McBurnie AJ, Dos'Santos T, Johnson D, Leng E. Training Management of the Elite Adolescent Soccer Player throughout Maturation. Sports (Basel) 2021; 9:170. [PMID: 34941808 PMCID: PMC8708071 DOI: 10.3390/sports9120170] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Revised: 12/12/2021] [Accepted: 12/14/2021] [Indexed: 11/16/2022] Open
Abstract
Professional soccer clubs invest significantly into the development of their academy prospects with the hopes of producing elite players. Talented youngsters in elite development systems are exposed to high amounts of sports-specific practise with the aims of developing the foundational skills underpinning the capabilities needed to excel in the game. Yet large disparities in maturation status, growth-related issues, and highly-specialised sport practise predisposes these elite youth soccer players to an increased injury risk. However, practitioners may scaffold a performance monitoring and injury surveillance framework over an academy to facilitate data-informed training decisions that may not only mitigate this inherent injury risk, but also enhance athletic performance. Constant communication between members of the multi-disciplinary team enables context to build around an individual's training status and risk profile, and ensures that a progressive, varied, and bespoke training programme is provided at all stages of development to maximise athletic potential.
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Affiliation(s)
- Alistair J McBurnie
- Football Medicine & Sports Science, Manchester United F.C., AON Training Complex, Manchester M31 4BH, UK
- Department of Sport Science, School of Science and Technology, Nottingham Trent University, Nottingham NG1 4FQ, UK
| | - Thomas Dos'Santos
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK
- Manchester Institute of Sport, Manchester Metropolitan University, Manchester M1 7EL, UK
| | - David Johnson
- Department for Health, University of Bath, Bath BA2 7AY, UK
| | - Edward Leng
- Football Medicine & Sports Science, Manchester United F.C., AON Training Complex, Manchester M31 4BH, UK
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23
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MacMaster C, Portas M, Parkin G, Cumming S, Wilcox C, Towlson C. The effect of bio-banding on the anthropometric, physical fitness and functional movement characteristics of academy soccer players. PLoS One 2021; 16:e0260136. [PMID: 34843528 PMCID: PMC8629286 DOI: 10.1371/journal.pone.0260136] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 11/04/2021] [Indexed: 11/19/2022] Open
Abstract
The study examined if maturity status bio-banding reduces within-group variance in anthropometric, physical fitness and functional movement characteristics of 319, under-14 and under-15 players from 19 UK professional soccer academies. Bio-banding reduced the within-bio-banded group variance for anthropometric values, when compared to an aggregated chronological banded group (chronological: 5.1-16.7%CV; bio-banded: 3.0-17.3%CV). Differences between these bio-banded groups ranged from moderate to very large (ES = 0.97 to 2.88). Physical performance variance (chronological: 4.8-24.9%CV; bio-banded: 3.8-26.5%CV) was also reduced with bio-banding compared to chronological aged grouping. However, not to the same extent as anthropometric values with only 68.3% of values reduced across banding methods compared to 92.6% for anthropometric data. Differences between the bio-banded groups physical qualities ranged from trivial to very large (ES = 0.00 to 3.00). The number of functional movement metrics and %CV reduced by bio-banding was lowest within the 'circa-PHV' groups (11.1-44.4%). The proportion of players achieving the threshold value score of ≥ 14 for the FMS™ was highest within the 'post-PHV' group (50.0-53.7%). The use of maturity status bio-banding can create more homogenous groups which may encourage greater competitive equity. However, findings here support a bio-banding maturity effect hypothesis, whereby maturity status bio-banding has a heightened effect on controlling for characteristics which have a stronger association to biological growth.
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Affiliation(s)
- Calum MacMaster
- School of Sport and Exercise Science, University of Birmingham, Birmingham, United Kingdom
| | - Matt Portas
- The English Football Association, St Georges Park, Burton Upton Trent, Staffordshire, United Kingdom
- School of Health and Science, Teesside University, Middlesbrough, Yorkshire, United Kingdom
| | - Guy Parkin
- Pro Football Support, Huddersfield, Yorkshire, United Kingdom
| | - Sean Cumming
- Department for Health, University of Bath, Bath, Somerset, United Kingdom
| | - Chris Wilcox
- Department of Sport, Health and Exercise Science, University of Hull, Yorkshire, United Kingdom
| | - Christopher Towlson
- Department of Sport, Health and Exercise Science, University of Hull, Yorkshire, United Kingdom
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24
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Jayanthi N, Schley S, Cumming SP, Myer GD, Saffel H, Hartwig T, Gabbett TJ. Developmental Training Model for the Sport Specialized Youth Athlete: A Dynamic Strategy for Individualizing Load-Response During Maturation. Sports Health 2021; 14:142-153. [PMID: 34763556 DOI: 10.1177/19417381211056088] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
CONTEXT Most available data on athletic development training models focus on adult or professional athletes, where increasing workload capacity and performance is a primary goal. Development pathways in youth athletes generally emphasize multisport participation rather than sport specialization to optimize motor skill acquisition and to minimize injury risk. Other models emphasize the need for accumulation of sport- and skill-specific hours to develop elite-level status. Despite recommendations against sport specialization, many youth athletes still specialize and need guidance on training and competition. Medical and sport professionals also recommend progressive, gradual increases in workloads to enhance resilience to the demands of high-level competition. There is no accepted model of risk stratification and return to play for training a specialized youth athlete through periods of injury and maturation. In this review, we present individualized training models for specialized youth athletes that (1) prioritize performance for healthy, resilient youth athletes and (2) are adaptable through vulnerable maturational periods and injury. EVIDENCE ACQUISITION Nonsystematic review with critical appraisal of existing literature. STUDY DESIGN Clinical review. LEVEL OF EVIDENCE Level 4. RESULTS A number of factors must be considered when developing training programs for young athletes: (1) the effect of sport specialization on athlete development and injury, (2) biological maturation, (3) motor and coordination deficits in specialized youth athletes, and (4) workload progressions and response to load. CONCLUSION Load-sensitive athletes with multiple risk factors may need medical evaluation, frequent monitoring, and a program designed to restore local tissue and sport-specific capacity. Load-naive athletes, who are often skeletally immature, will likely benefit from serial monitoring and should train and compete with caution, while load-tolerant athletes may only need occasional monitoring and progress to optimum loads. STRENGTH OF RECOMMENDATION TAXONOMY (SORT) B.
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Affiliation(s)
- Neeru Jayanthi
- Departments of Orthopaedics and Family Medicine, Emory School of Medicine, Atlanta, Georgia.,Emory Sports Medicine Center, Johns Creek, Georgia.,Emory Sport Performance and Research Center, Flowery Branch, Georgia
| | | | - Sean P Cumming
- Department for Health, University of Bath, Bath, United Kingdom
| | - Gregory D Myer
- Emory Sports Medicine Center, Johns Creek, Georgia.,Emory Sport Performance and Research Center, Flowery Branch, Georgia.,Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia.,The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts
| | - Heather Saffel
- South Bend-Notre Dame Sports Medicine Fellowship, Beacon Bone & Joint Specialists, South Bend, Indiana
| | - Tim Hartwig
- School of Behavioural and Health Sciences, Strathfield Campus, Australian Catholic University, Strathfield, New South Wales, Australia
| | - Tim J Gabbett
- Gabbett Performance Solutions, Brisbane, Queensland, Australia.,Centre for Health Research, University of Southern Queensland, Ipswich, Queensland, Australia
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25
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Sasaki S, Nagano Y, Suganuma Y, Koyama T, Ichikawa H. Acceleration profile of high-impact movements during young football games: a cross-sectional study involving healthy children. Sports Biomech 2021:1-15. [PMID: 34490829 DOI: 10.1080/14763141.2021.1970796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 08/16/2021] [Indexed: 10/20/2022]
Abstract
Repetitive high-impact movements cause growth-related injuries in children. This study aimed to identify which movements during junior football games require >6 G and >8 G acceleration and the frequency at which they occur. Additionally, we compared the components of acceleration among movements with >8 G resultant acceleration. Eleven young male footballers (10.7 ± 0.4 years) played 8-a-side games while wearing a tri-axial accelerometer on their upper back. The number and frequency of the movements that generated >6 G and >8 G were calculated, and each directive acceleration of the top five items was compared using two-way ANOVA to examine the effect of movements. The frequency of movements that generated >6 G and >8 G acceleration during junior football games was 8.70 case/min and 2.62 case/min, respectively. The top five >8 G movements were braking and pre-braking in shuffle, slowdown, stop, and run/jog items. The vertical acceleration was significantly greater during braking in shuffle than during slowdown, stop, and run/jog and also greater during stop and pre-braking in shuffle than during run/jog movement. This pilot study suggests that decelerated movements mainly provoked high-impact situations and may be key actions for preventing overuse injury in young footballers.
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Affiliation(s)
- Shogo Sasaki
- Faculty of Health Sciences, Tokyo Ariake University of Medical and Health Sciences, Tokyo, Japan
| | - Yasuharu Nagano
- Department of Sports and Health Science, Japan Women's College of Physical Education, Tokyo, Japan
| | - Yusaku Suganuma
- Graduate School of Health Sciences, Tokyo Ariake University of Medical and Health Sciences, Tokyo, Japan
| | - Takeshi Koyama
- Sports Medical Science Research Institute, Tokai University, Tokyo, Japan
| | - Hiroshi Ichikawa
- Department of Health and Sports, Niigata University of Health and Welfare, Niigata, Japan
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Gil SM, Bidaurrazaga-Letona I, Larruskain J, Esain I, Irazusta J. The relative age effect in young athletes: A countywide analysis of 9-14-year-old participants in all competitive sports. PLoS One 2021; 16:e0254687. [PMID: 34270609 PMCID: PMC8284647 DOI: 10.1371/journal.pone.0254687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 07/02/2021] [Indexed: 11/18/2022] Open
Abstract
The relative age effect (RAE) has primarily been investigated in male athletes involved in popular sports and high-level competitions. However, occurrence of RAE in other types of sports at the grassroots level, particularly in female athletes, is less well-studied. Thus, we examined the RAE in a large cohort of young athletes who participated in all competitive sports in Bizkaia, Spain, according to gender and specificity of the sport. The birth dates of 38,381 participants (65.1% males and 34.9% females) aged 9–14 years old in 37 competitive sports were analyzed. Birth dates were divided into four birth-quarters and compared to those of all children born in the same period using a χ2 goodness-of-fit test and standardized residuals. The effect size Cramer’s V was measured, and odds ratio and 95% confidence intervals were calculated to determine the odds of athletes born in January playing in the highest leagues. In the total sample, in boys RAE was evident in football, but only in higher-competition leagues (p<0.001, large effect size). In girls, RAE was evident in the most popular team sports: basketball (p<0.001, large effect size in basketball 1st league), handball and football (p<0.05, both small effect sizes). Players born in January were 3.23- and 2.89-times more likely to play in the 1st leagues than those born in December, for boys (football) and girls (basketball) respectively. In the overall analysis and in the remaining sports, presence of RAE was negligible. Therefore, the date of birth does not seem to be a constraint to participating in most sports in Bizkaia. The potential mechanisms for RAE are multifactorial and complex, yet a combination of factors, such as the popularity of a sport and the depth of competition, physicality and social influences may be involved. We discuss these mechanisms and potential measures to mitigate RAE.
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Affiliation(s)
- Susana M. Gil
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain
- * E-mail:
| | - Iraia Bidaurrazaga-Letona
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain
| | | | - Izaro Esain
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain
| | - Jon Irazusta
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain
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27
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Towlson C, Salter J, Ade JD, Enright K, Harper LD, Page RM, Malone JJ. Maturity-associated considerations for training load, injury risk, and physical performance in youth soccer: One size does not fit all. JOURNAL OF SPORT AND HEALTH SCIENCE 2021; 10:403-412. [PMID: 32961300 PMCID: PMC8343060 DOI: 10.1016/j.jshs.2020.09.003] [Citation(s) in RCA: 47] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 07/24/2020] [Accepted: 08/07/2020] [Indexed: 05/14/2023]
Abstract
Biological maturation can be defined as the timing and tempo of progress to achieving a mature state. The estimation of age of peak height velocity (PHV) or percentage of final estimated adult stature attainment (%EASA) is typically used to inform the training process in young athletes. In youth soccer, maturity-related changes in anthropometric and physical fitness characteristics are diverse among individuals, particularly around PHV. During this time, players are also at an increased risk of sustaining an overuse or growth-related injury. As a result, the implementation of training interventions can be challenging. The purpose of this review was to (1) highlight and discuss many of the methods that can be used to estimate maturation in the applied setting and (2) discuss the implications of manipulating training load around PHV on physical development and injury risk. We have provided key stakeholders with a practical online tool for estimating player maturation status (Supplementary Maturity Estimation Tools). Whilst estimating maturity using predictive equations is useful in guiding the training process, practitioners should be aware of its limitations. To increase the accuracy and usefulness of data, it is also vital that sports scientists implement reliable testing protocols at predetermined time-points.
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Affiliation(s)
- Chris Towlson
- Department of Sport, Health and Exercise Science, University of Hull, Hull HU6 7RX, UK.
| | - Jamie Salter
- School of Sport, York St John University, York YO31 7EX, UK
| | - Jack D Ade
- Liverpool FC Academy, Liverpool Football Club, Liverpool L33 7ED, UK; Research Institute for Sport and Exercise Sciences, L3, Liverpool John Moores University, Liverpool L3 3A, UK
| | - Kevin Enright
- Research Institute for Sport and Exercise Sciences, L3, Liverpool John Moores University, Liverpool L3 3A, UK
| | - Liam D Harper
- Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK
| | - Richard M Page
- Department of Sport and Physical Activity, Edge Hill University, Ormskirk L39 4QP, UK
| | - James J Malone
- School of Health Sciences, Liverpool Hope University, Liverpool L16 9JD, UK
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28
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Rinaldo N, Gualdi-Russo E, Zaccagni L. Influence of Size and Maturity on Injury in Young Elite Soccer Players. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063120. [PMID: 33803535 PMCID: PMC8003020 DOI: 10.3390/ijerph18063120] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 03/12/2021] [Accepted: 03/16/2021] [Indexed: 02/06/2023]
Abstract
The involvement of pre-adolescents in soccer is becoming more and more frequent, and this growing participation generates some concerns about the potential factors for sports injuries. The purpose of this study was to investigate sports injuries in younger (U9–U11) and older (U12–U13) children playing soccer at an elite level, analyzing potential anthropometric and maturity risk factors. A total of 88 elite soccer players aged 9–13 years were investigated. Weight, stature, and sitting height were measured at the start and at the end of the competitive season, computing the relative growth velocities. Additional body composition parameters were taken during a second survey. Maturity offset was calculated using predictive equations based on anthropometric traits such as years from age at peak height velocity (YPHV). Injuries suffered during the competitive season were recorded. Maturity and some anthropometric characteristics were significantly different according to the presence or absence of injuries among the players. Multiple logistic regression revealed that YPHV, body mass index (BMI), and calf muscle area were the factors most significantly correlated with injuries. Players with increased BMI, with decreased calf muscle area, and who were closer to their peak height velocity, were at a higher risk of injury. Findings showed that a monitoring program of anthropometric characteristics taking into account the maturational stage needs to be developed to prevent injuries.
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29
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Rommers N, Rössler R, Shrier I, Lenoir M, Witvrouw E, D'Hondt E, Verhagen E. Motor performance is not related to injury risk in growing elite-level male youth football players. A causal inference approach to injury risk assessment. J Sci Med Sport 2021; 24:881-885. [PMID: 33752967 DOI: 10.1016/j.jsams.2021.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 11/23/2020] [Accepted: 03/05/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To identify the causal relation between growth velocity and injury in elite-level youth football players, and to assess the mediating effects of motor performance in this causal pathway. DESIGN Prospective cohort study. METHODS We measured the body height of 378 male elite-level football players of the U13 to U15 age categories three to four months before and at the start of the competitive season. At the start of the season, players also performed a motor performance test battery, including motor coordination (Körperkoordinationstest für Kinder), muscular performance (standing broad jump, counter movement jump), flexibility (sit and reach), and endurance measures (YoYo intermittent recovery test). Injuries were continuously registered by the academies' medical staff during the first two months of the season. Based on the causal directed acyclic graph (DAG) that identified our assumptions about causal relations between growth velocity (standardized to cm/y), injuries, and motor performance, the causal effect of growth velocity on injury was obtained by conditioning on maturity offset. We determined the natural indirect effects of growth velocity on injury mediated through motor performance. RESULTS In total, 105 players sustained an injury. Odds ratios (OR) showed a 15% increase in injury risk per centimetre/year of growth velocity (1.15, 95%CI: 1.05-1.26). There was no causal effect of growth on injury through the motor performance mediated pathways (all ORs were close to 1.0 with narrow 95%CIs). CONCLUSIONS Growth velocity is causally related to injury risk in elite-level youth football players, but motor performance does not mediate this relation.
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Affiliation(s)
- Nikki Rommers
- Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Brussels, Belgium; Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium; Research Foundation - Flanders (FWO), Brussels, Belgium
| | - Roland Rössler
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam, The Netherlands; Department of Sport, Exercise, and Health, University of Basel, Basel, Switzerland.
| | - Ian Shrier
- Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, McGill University, Montreal, Canada
| | - Matthieu Lenoir
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - Erik Witvrouw
- Department of Physical Therapy and Motor Rehabilitation, Ghent University, Ghent, Belgium
| | - Eva D'Hondt
- Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Brussels, Belgium
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam, The Netherlands
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30
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Monasterio X, Gil S, Bidaurrazaga-Letona I, Lekue J, Santisteban J, Diaz-Beitia G, Martin-Garetxana I, Bikandi E, Larruskain J. Injuries according to the percentage of adult height in an elite soccer academy. J Sci Med Sport 2021; 24:218-223. [DOI: 10.1016/j.jsams.2020.08.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 07/27/2020] [Accepted: 08/04/2020] [Indexed: 01/27/2023]
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31
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Salter J, De Ste Croix MBA, Hughes JD. The moderating impact of maturation on acute neuromuscular and psycho-physiological responses to simulated soccer activity in academy soccer players. Eur J Sport Sci 2020; 21:1637-1647. [PMID: 33315522 DOI: 10.1080/17461391.2020.1851775] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AbstractResource constraints complicate load monitoring practices in some academies, which is problematic based on load-injury associations surrounding periods of rapid non-linear growth. Limited research has explored relationships between maturation and perceived psycho-physiological response to activity and associated neuromuscular performance changes. This study aimed to quantify neuromuscular and psycho-physiological responses to standardised activity and analyse whether dose-responses were moderated by maturation. Fifty-seven male soccer players (age: 14.1 ± 0.9 years; stature: 165 ± 10 cm; body mass, 57 ± 9 kg; percentage of predicted adult height 92.7 ± 5%) from two Elite Player Performance Plan (EPPP) academies completed the youth soccer-specific aerobic fitness test (Y-SAFT60). Countermovement jump (CMJ), reactive strength index (RSI), absolute (ABS) and relative leg stiffness (REL) were measured pre-post the Y-SAFT60 with playerload (PL), heart rate (HR), total distance (TDist) and differential ratings of perceived exertion (dRPE) used as markers of load and intensity. A moderation model was employed to analyse interactions of maturation as a continuous variable. Analysis indicated no significant interaction (p <0.05) between maturation and neuromuscular performance but RPE-Technical demonstrated significant interactions (p = 0.01). Slope analysis indicated four variables (PL, RSI, ABS and REL) that demonstrated significance at various stages of maturation, most notably aligning with peak height velocity (∼87-96% PAH). Tentatively, we propose that maturational developments in the neuromuscular system offer some mechanistic explanation to the varied dose-responses observed. It is therefore important that maturation is habitually considered within prescription of training programmes and that further empirical studies are completed to determine maturity specific dose-responses.Highlights Components of both neuromuscular performance and psycho-physiological response to simulated soccer was influenced by maturity status.Individuals more biologically developed are more capable of 'coping' with the biomechanical load of simulated soccer activity resulting in more favourable neuromuscular responses.The period surrounding peak height velocity appears to influence whole body load-response pathways resulting in altered movement patterns during this period.To minimise the impact of maturity status, practitioners can restrict activities that elicit high biomechanical load and introduce biologically categorised training activities.
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Affiliation(s)
- Jamie Salter
- School of Sport, York St John University, York, UK.,School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
| | | | - Jonathan D Hughes
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
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32
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Materne O, Chamari K, Farooq A, Weir A, Hölmich P, Bahr R, Greig M, McNaughton LR. Injury incidence and burden in a youth elite football academy: a four-season prospective study of 551 players aged from under 9 to under 19 years. Br J Sports Med 2020; 55:493-500. [PMID: 33199359 DOI: 10.1136/bjsports-2020-102859] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVE Investigate the incidence and burden of injuries by age group in youth football (soccer) academy players during four consecutive seasons. METHODS All injuries that caused time-loss or required medical attention (as per consensus definitions) were prospectively recorded in 551 youth football players from under 9 years to under 19 years. Injury incidence (II) and burden (IB) were calculated as number of injuries per squad season (s-s), as well as for type, location and age groups. RESULTS A total of 2204 injuries were recorded. 40% (n=882) required medical attention and 60% (n=1322) caused time-loss. The total time-loss was 25 034 days. A squad of 25 players sustained an average of 30 time-loss injuries (TLI) per s-s with an IB of 574 days lost per s-s. Compared with the other age groups, U-16 players had the highest TLI incidence per s-s (95% CI lower-upper): II= 59 (52 to 67); IB=992 days; (963 to 1022) and U-18 players had the greatest burden per s-s: II= 42.1 (36.1 to 49.1); IB= 1408 days (1373 to 1444). Across the cohort of players, contusions (II=7.7/s-s), sprains (II=4.9/s-s) and growth-related injuries (II=4.3/s-s) were the most common TLI. Meniscus/cartilage injuries had the greatest injury severity (95% CI lower-upper): II= 0.4 (0.3 to 0.7), IB= 73 days (22 to 181). The burden (95% CI lower-upper) of physeal fractures (II= 0.8; 0.6 to 1.2; IB= 58 days; 33 to 78) was double than non-physeal fractures. SUMMARY At this youth football academy, each squad of 25 players averaged 30 injuries per season which resulted in 574 days lost. The highest incidence of TLI occurred in under-16 players, while the highest IB occurred in under-18 players.
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Affiliation(s)
- Olivier Materne
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar .,Aspire Health Centre, Aspire Academy, Doha, Qatar
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Abdulaziz Farooq
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Adam Weir
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.,Sport medicine and exercise, clinic Haarlem (SBK), Haarlem, The Netherlands.,Erasmus MC, Department of Orthopaedics, Erasmus MC University Medical Centre, Rotterdam, The Netherlands
| | - Per Hölmich
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.,Sports Orthopaedic Research Center, Copenhagen (SORC-C) - Copenhagen University Hospital, Amager-Hvidovre, Denmark
| | - Roald Bahr
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.,Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway
| | - Matt Greig
- Department of Sport and Physical Activity, Edge Hill University, Ormskirk, UK
| | - Lars R McNaughton
- Department of Sport and Physical Activity, Edge Hill University, Ormskirk, UK.,Department of Sport and Movement Studies, Faculty of Health Science, University of Johannesburg, Auckland Park, South Africa
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33
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Owoeye OBA, VanderWey MJ, Pike I. Reducing Injuries in Soccer (Football): an Umbrella Review of Best Evidence Across the Epidemiological Framework for Prevention. SPORTS MEDICINE - OPEN 2020; 6:46. [PMID: 32955626 PMCID: PMC7505904 DOI: 10.1186/s40798-020-00274-7] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 08/19/2020] [Indexed: 01/31/2023]
Abstract
Soccer is the most popular sport in the world. Expectedly, the incidence of soccer-related injuries is high and these injuries exert a significant burden on individuals and families, including health and financial burdens, and on the socioeconomic and healthcare systems. Using established injury prevention frameworks, we present a concise synthesis of the most recent scientific evidence regarding injury rates, characteristics, mechanisms, risk and protective factors, interventions for prevention, and implementation of interventions in soccer. In this umbrella review, we elucidate the most recent available evidence gleaned primarily from systematic reviews and meta-analyses. Further, we express the exigent need to move current soccer injury prevention research evidence into action for improved player outcomes and widespread impact through increased attention to dissemination and implementation research. Additionally, we highlight the importance of an enabling context and effective implementation strategies for the successful integration of evidence-based injury prevention programs into real-world soccer settings. This narrative umbrella review provides guidance to inform future research, practice, and policy towards reducing injuries among soccer players.
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Affiliation(s)
- Oluwatoyosi B A Owoeye
- Department of Physical Therapy and Athletic Training, Doisy College of Health Sciences, Saint Louis University, Allied Health Professions Building, 3437 Caroline Street, St. Louis, MO, 63104, USA.
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
| | - Mitchell J VanderWey
- Department of Physical Therapy and Athletic Training, Doisy College of Health Sciences, Saint Louis University, Allied Health Professions Building, 3437 Caroline Street, St. Louis, MO, 63104, USA
| | - Ian Pike
- Department of Paediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- BC Injury Research and Prevention Unit, BC Children's Hospital Research Institute, Vancouver, BC, Canada
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34
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Farley JB, Barrett LM, Keogh JWL, Woods CT, Milne N. The relationship between physical fitness attributes and sports injury in female, team ball sport players: a systematic review. SPORTS MEDICINE - OPEN 2020; 6:45. [PMID: 32926228 PMCID: PMC7490320 DOI: 10.1186/s40798-020-00264-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 07/20/2020] [Indexed: 01/12/2023]
Abstract
BACKGROUND Understanding the relationships between physical fitness characteristics and sports injury may assist with the development of injury minimisation programs. The purpose of this systematic review was to investigate the association between physical fitness attributes and sports injury in female, team ball sport players. METHODS Four scientific databases (MEDLINE, EMBASE, SPORTDiscus, Scopus) and reference lists of relevant research were searched for eligible studies up to September 2, 2019. Full-text articles examining the relationship between physical fitness and sports injury in female, team ball sport players were included. A modified Downs and Black checklist was used to assess methodological quality. Data synthesis determined summary conclusions based on the number of significant relationships divided by the total relationships investigated and reported as a percentage. Level of certainty was identified for summary conclusions based on level of evidence. Sub-analyses regarding competition level, age, and single injury types were also conducted. RESULTS A total of 44 studies were included. Data synthesis revealed no associations (low to moderate certainty) between body composition (1/9; 11%), flexibility (18-20%), and balance (2/8; 25%) and 'any injury' classification. No associations (mostly of moderate certainty) were found between flexibility (0-27%), muscular strength (0-27%), and body composition (14-33%) and various body region injury classifications, whereas mixed summary conclusions were shown for balance (0-48%). Many associations between physical fitness and sports injury were deemed 'unknown' or with an insufficient level of certainty. Sub-analyses revealed no association between strength and noncontact ACL injuries (0/5; 0%) or ankle sprains (0/12; 0%), and between flexibility and ankle sprains (1/5; 20%); however, insufficient certainty of these results exists. Clear associations were concluded between balance and lower body injuries in female, non-elite (10/16; 63%) and junior (9/12; 75%) team ball sport players, with moderate and insufficient certainty of these results, respectively. CONCLUSION Limited evidence is available to demonstrate relationships between physical fitness and sports injury in female, team ball sport players. High-quality evidence investigating the multifactorial nature of sports injury, including the interactions physical fitness qualities have with other injury determinants, is needed to better understand the role of physical fitness in minimising sports injuries in female, team ball sport players. TRIAL REGISTRATION CRD42017077374 (PROSPERO on September 14, 2017).
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Affiliation(s)
- Jessica B. Farley
- grid.1033.10000 0004 0405 3820Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast, QLD Australia
| | - Lily M. Barrett
- grid.10049.3c0000 0004 1936 9692Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - Justin W. L. Keogh
- grid.1033.10000 0004 0405 3820Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast, QLD Australia
- grid.252547.30000 0001 0705 7067Sports Performance Research Centre New Zealand, AUT University, Auckland, New Zealand
- grid.1034.60000 0001 1555 3415Cluster for Health Improvement, Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Sunshine Coast, Australia
- grid.411639.80000 0001 0571 5193Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka India
| | - Carl T. Woods
- grid.1019.90000 0001 0396 9544Institute for Health and Sport, Victoria University, Melbourne, VIC Australia
| | - Nikki Milne
- grid.1033.10000 0004 0405 3820Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast, QLD Australia
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35
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Dupré T, Potthast W. Groin injury risk of pubertal soccer players increases during peak height velocity due to changes in movement techniques. J Sports Sci 2020; 38:2661-2669. [PMID: 32691676 DOI: 10.1080/02640414.2020.1794769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Adolescent athletes experience an increase in injury incidence when they undergo peak height velocity (PHV). To find the reason behind this increase, the present study investigated if PHV influences hip joint kinematics, kinetics and adductor muscle forces in two groups of adolescent soccer players performing 90°-cutting manoeuvres and inside passing. One group was estimated to be more than half a year before PHV (PRE, N = 12). The second group was estimated to be less than half a year before or after PHV (MID, N = 10). Maximum static gripping and adductor forces were measured. Motion capturing and inverse dynamics were used to calculate kinematics and kinetics. The MID group was significantly taller and heavier compared to PRE while the force measurements showed no differences. Statistics showed a higher hip abduction moment for MID during the cutting manoeuvre. Results from the anthropometrics and force measurements suggest that the moments of inertia of the participants' extremities increase faster than the muscles can adapt. A higher abduction moment of MID likely increases the load on the adductor muscles through a change of technique. Combining both findings, it is likely that the risk of suffering a groin injury is increased in the MID group.
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Affiliation(s)
- Thomas Dupré
- Institute of Biomechanics and Orthopedics, German Sport University Cologne , Cologne, Germany
| | - Wolfgang Potthast
- Institute of Biomechanics and Orthopedics, German Sport University Cologne , Cologne, Germany
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