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Al Attar WSA, Mahmoud H, Alfadel A, Faude O. Does Headgear Prevent Sport-Related Concussion? A Systematic Review and Meta-Analysis of Randomized Controlled Trials Including 6311 Players and 173,383 Exposure Hours. Sports Health 2024; 16:473-480. [PMID: 37204092 PMCID: PMC11025511 DOI: 10.1177/19417381231174461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023] Open
Abstract
CONTEXT A sport-related concussion (SRC) is a traumatic brain injury that is caused by biomechanical stresses and results in a complex pathophysiological process in the brain. Some in the sporting community believe that headgear (HG) can prevent SRC, and several professional Australian sports organizations, including rugby, football, and soccer clubs, recommend its use. OBJECTIVE The purpose of this study is to determine whether HG is effective in lowering the prevalence of SRC in sports. DATA SOURCES A systematic search for related studies published between 1985 and 2023 was conducted using the following databases: Cochrane Library, AMED, PubMed, Web of Science, and Physiotherapy Evidence Database (PEDro). STUDY SELECTION Only randomized controlled trials (RCTs) that investigated the effectiveness of HG in reducing SRC rate were included. STUDY DESIGN Systematic review and meta-analysis of RCTs. LEVEL OF EVIDENCE Level 1a. DATA EXTRACTION Two researchers independently completed the title and abstract search and performed full-text reviews. A third reviewer was consulted to reach a consensus if any discrepancies were noted. The PEDro scale was used to evaluate the quality of the included RCTs. Data recorded from each study included authors, year of publication, type and number of players, study design, duration of the study, injury rate, compliance (%), sports/level, and exposure hours. RESULTS The pooled results of 6311 players and 173,383 exposure hours showed 0% SRC reduction per 1000 hours of exposure in the experimental group compared with the control group, with an injury risk ratio of 1.03 (95% CI, 0.82-1.30; P = 0.79). CONCLUSION This systematic review and meta-analysis demonstrates that HG does not prevent SRC among soccer and rugby players, and therefore the findings from this meta-analysis do not currently support the use of HG to prevent SRC in soccer or rugby.
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Affiliation(s)
- Wesam Saleh A. Al Attar
- Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia
| | - Hayam Mahmoud
- Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia
- Department of Physical Therapy for Neurology, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Abdulaziz Alfadel
- Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia
- Department of Physical Therapy, King Abdul Aziz Medical City, Jeddah, Saudi Arabia
| | - Oliver Faude
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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Ribeiro E, Barreira J, Carraco D, Galatti L, Götze M, Cal Abad CC. The relative age effect in under-17, under-20, and adult elite female soccer players. SCI MED FOOTBALL 2024; 8:153-160. [PMID: 36592346 DOI: 10.1080/24733938.2022.2164608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/29/2022] [Indexed: 01/03/2023]
Abstract
To investigate the RAE in elite female soccer players, the absolute and relative birthdate distributions of players who disputed the Women's World Cup were assessed. Differences between observed and expected distributions were analyzed using chi-square and effect sizes. The birthdates of 1224 female soccer players were assessed in Under-17 (N = 336), Under-20 (N = 336) and adult (N = 552) categories. There was no significant RAE in adult category for different playing positions and players in general (including all playing positions per age category). There was significant RAE for midfielders and players in general with mainly small effect sizes for the U-17 and U-20. In both age categories, players born in Q1 were over-represented with the highest quartile ratio for midfielders. In regard of RAE and success defined by final ranking at the World Cup, we found no significant differences between the birthdate distributions of players who participated in either the group stages or finally the knockout phases. Coaches should consider this information to avoid bias in talent programs designed to promote and select female soccer players independently of their birthdates. Young female players should be encouraged to learn to play in different field positions before to reach high-level performance.
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Affiliation(s)
- Elaine Ribeiro
- Department of Sport, Paulistano Athletic Club (CAP), São Paulo, Brazil
- Department of Post Gratuation, Singularidades Institute (iS), São Paulo, Brazil
| | - Júlia Barreira
- School of Applied Sciences, University of Campinas (UNICAMP), Limeira, Brazil
| | - Dayse Carraco
- Department of Post Gratuation, Singularidades Institute (iS), São Paulo, Brazil
| | - Larissa Galatti
- School of Applied Sciences, University of Campinas (UNICAMP), Limeira, Brazil
| | - Martin Götze
- Faculty of Sport Science, Institute of Movement and Training Science, University of Leipzig, Leipzig, Germany
| | - Cesar Cavinato Cal Abad
- Research Center of Sport Science, Social Service of Industry (SESI), São Paulo, Brazil
- Department of Physical Education, Lusófona Faculty of São Paulo (FLSP), Cotia, Brazil
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Andriolo L, Marín Fermín T, Chiari Gaggia GMM, Serner A, Kon E, Papakostas E, Massey A, Verdonk P, Filardo G. Knee Cartilage Injuries in Football Players: Clinical Outcomes and Return to Sport After Surgical Treatment: A Systematic Review of the Literature. Cartilage 2024:19476035231224951. [PMID: 38651797 DOI: 10.1177/19476035231224951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2024] Open
Abstract
OBJECTIVE To systematically review the literature and analyze clinical outcomes and return-to-sport after surgical management of cartilage injuries in football players. DESIGN A systematic literature review was performed in August 2023 on PubMed, WebOfScience, and Cochrane Library to collect studies on surgical strategies for cartilage lesions in football players. Methodological quality and risk of bias were assessed with the modified Coleman Methodology score and RoB2 and RoBANS2 tools. RESULTS Fifteen studies on 409 football players (86% men, 14% women) were included: nine prospective and two retrospective case series, one randomized controlled trial, one prospective comparative study, one case report, and one survey. Bone marrow stimulation (BMS) techniques were the most documented. The lesion size influenced the treatment choice: debridement was used for small lesions (1.1 cm2), BMS, osteochondral autograft transplantation (OAT), matrix-assisted autologous chondrocytes transplantation (MACT), and scaffold-augmented BMS for small/mid-size lesions (2.2-3.0 cm2), and autologous chondrocytes implantation (ACI) for larger lesions (5.8 cm2). The surgical options yielded different results in terms of clinical outcome and return-to-sport, with fastest recovery for debridement and scaffold-augmented BMS. The current evidence is limited with large methodological quality variation (modified Coleman Methodology score 43.5/100) and a high risk of bias. CONCLUSIONS Decision-making in cartilage injuries seems to privilege early return-to-sport, making debridement and microfractures the most used techniques. The lesion size influences the treatment choice. However, the current evidence is limited. Further studies are needed to confirm these findings and establish a case-based approach to treat cartilage injuries in football players based on the specific patient and lesion characteristics and the treatments' potential in terms of both return-to-sport and long-term results. LEVEL OF EVIDENCE Systematic review, level IV.
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Affiliation(s)
- Luca Andriolo
- Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
| | | | | | - Andreas Serner
- FIFA Medical, Fédération Internationale de Football Association, Zurich, Switzerland
| | - Elizaveta Kon
- IRCCS Humanitas Research Hospital, Milan, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | | | - Andrew Massey
- FIFA Medical, Fédération Internationale de Football Association, Zurich, Switzerland
| | - Peter Verdonk
- Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
- ORTHOCA, Antwerp, Belgium
- Department of Orthopaedic Surgery, Antwerp University Hospital, Edegem, Belgium
| | - Giuseppe Filardo
- Service of Orthopaedics and Traumatology, Department of Surgery, Ente Ospedaliero Cantonale, Lugano, Switzerland
- Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
- Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Saavedra-García MA, Santiago-Alonso M, Vila-Suárez H, Montero-Seoane A, Fernández-Romero JJ. Relative Age Effect Analysis in the History of the Ballon d'Or (1956-2023). Sports (Basel) 2024; 12:115. [PMID: 38668583 DOI: 10.3390/sports12040115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 04/10/2024] [Accepted: 04/17/2024] [Indexed: 04/29/2024] Open
Abstract
Ballon d'Or is the most important individual award in football, and is a significant measure of excellence. From our knowledge, this is the first study that explored the relative age effect (RAE) throughout the history of the Ballon d'Or. A total of 1899 football players nominated for the award from the first edition in 1956 to the most recent edition (2023) were analyzed. To assess the RAE, the birthdate distributions were categorized into four trimesters. The comparison involved correcting for the uniform distribution using chi-square analysis, with Cramer's V serving as a measure of effect size. Standardized residuals were computed to identify quarters that exhibited significant deviation from the expected values. Odds Ratio and 95% confidence intervals were used to identify discrepancies between trimesters. The results indicated a pronounced presence of an RAE at the global level. However, the longitudinal analysis revealed variations in the behavior of the RAE over time. In the initial decades, there is an overrepresentation of players born in the last months of the year. Subsequently, there is no discernible RAE. In the most recent decades, there has been a clear resurgence of RAE, with an overrepresentation of players born in the first quarters of the year.
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Affiliation(s)
- Miguel A Saavedra-García
- Grupo de Investigación en Ciencias del Deporte (INCIDE), Departamento de Educación Física y Deportiva, Universidade da Coruña, Oleiros, 15179 A Coruña, Spain
| | - Miguel Santiago-Alonso
- Grupo de Investigación en Ciencias del Deporte (INCIDE), Departamento de Educación Física y Deportiva, Universidade da Coruña, Oleiros, 15179 A Coruña, Spain
| | - Helena Vila-Suárez
- Grupo de Investigación en Ciencias del Deporte (INCIDE), Departamento de Educación Física y Deportiva, Universidade da Coruña, Oleiros, 15179 A Coruña, Spain
- Departamento de Didácticas Especiales, Facultad de Educación y Ciencias del Deporte, Universidade de Vigo, 36005 Vigo, Spain
| | - Antonio Montero-Seoane
- Grupo de Investigación en Ciencias del Deporte (INCIDE), Departamento de Educación Física y Deportiva, Universidade da Coruña, Oleiros, 15179 A Coruña, Spain
| | - Juan J Fernández-Romero
- Grupo de Investigación en Ciencias del Deporte (INCIDE), Departamento de Educación Física y Deportiva, Universidade da Coruña, Oleiros, 15179 A Coruña, Spain
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Schneider KN, Zafeiris T, Gosheger G, Klingebiel S, Rickert C, Schachtrup T, Theil C. Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012/2013 until 2022/2023. Knee Surg Sports Traumatol Arthrosc 2024. [PMID: 38643395 DOI: 10.1002/ksa.12199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 03/24/2024] [Accepted: 04/02/2024] [Indexed: 04/22/2024]
Abstract
PURPOSE Injuries exert a detrimental impact on the team performance in professional football. Shoulder dislocations are known for their severity and often cause substantial lay-off times. However, there is a notable gap in the general understanding regarding the frequency and convalescence of these events in professional football. Thus, the aims of this study were (1) to determine the incidence, (2) to evaluate return to competition (RTC) and redislocation events (RDEs) and (3) to identify relevant player-, match- and injury-related parameters. METHODS All shoulder dislocations within the highest three German football leagues (1.-3. Bundesliga) during the seasons 2012/2013 until 2022/2023 were identified. Player-, injury- and match-related data were obtained by performing a media analysis. Data were analysed using descriptive statistics. p Value was set at 0.05. RESULTS A total of 90 first-time shoulder dislocations in 89 players with a median age of 25 years (interquartile range [IQR]: 23-28) were available for analysis. The incidence was 9.1 per 1000 Bundesliga matches played and increased over time. Forty-four (49%) shoulder dislocations were treated conservatively and 46 (51%) operatively. Median RTC was 24 days (IQR: 12-43) following conservative and 103 days (IQR: 85-135) following surgical treatment (p < 0.001). Twenty-two (24%) players suffered a redislocation, of whom 13 (59%) underwent initial conservative and nine (41%) initial surgical treatment (not significant [n.s.]). RDE following conservative treatment was after a median of 4 months (IQR: 2-22) and 7 months (IQR: 3-23) following surgical treatment (n.s.). CONCLUSION The incidence of shoulder dislocation within professional football is increasing and currently amounts to 9.1 per 1000 matches played. A conservative treatment leads to a quicker RTC, while frequency and time to RDE were similar regardless of treatment. The increasing incidence of shoulder dislocations in professional football necessitates an analysis of relevant injury mechanisms and the implementation of specific preventive measures. LEVEL OF EVIDENCE Level III.
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Affiliation(s)
| | - Theodoros Zafeiris
- Department of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Münster, Germany
| | - Georg Gosheger
- Department of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Münster, Germany
| | - Sebastian Klingebiel
- Department of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Münster, Germany
| | - Carolin Rickert
- Department of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Münster, Germany
| | - Tim Schachtrup
- Department of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Münster, Germany
| | - Christoph Theil
- Department of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Münster, Germany
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Grassadonia G, Alcaraz PE, Freitas TT. Comparison of Metabolic Power and Energy Cost of Submaximal and Sprint Running Efforts Using Different Methods in Elite Youth Soccer Players: A Novel Energetic Approach. Sensors (Basel) 2024; 24:2577. [PMID: 38676194 DOI: 10.3390/s24082577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 04/12/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024]
Abstract
Sprinting is a decisive action in soccer that is considerably taxing from a neuromuscular and energetic perspective. This study compared different calculation methods for the metabolic power (MP) and energy cost (EC) of sprinting using global positioning system (GPS) metrics and electromyography (EMG), with the aim of identifying potential differences in performance markers. Sixteen elite U17 male soccer players (age: 16.4 ± 0.5 years; body mass: 64.6 ± 4.4 kg; and height: 177.4 ± 4.3 cm) participated in the study and completed four different submaximal constant running efforts followed by sprinting actions while using portable GPS-IMU units and surface EMG. GPS-derived MP was determined based on GPS velocity, and the EMG-MP and EC were calculated based on individual profiles plotting the MP of the GPS and all EMG signals acquired. The goodness of fit of the linear regressions was assessed by the coefficient of determination (R2), and a repeated measures ANOVA was used to detect changes. A linear trend was found in EMG activity during submaximal speed runs (R2 = 1), but when the sprint effort was considered, the trend became exponential (R2 = 0.89). The EMG/force ratio displayed two different trends: linear up to a 30 m sprint (R2 = 0.99) and polynomial up to a 50 m sprint (R2 = 0.96). Statistically significant differences between the GPS and EMG were observed for MP splits at 0-5 m, 5-10 m, 25-30 m, 30-35 m, and 35-40 m and for EC splits at 5-10 m, 25-30 m, 30-35 m, and 35-40 m (p ≤ 0.05). Therefore, the determination of the MP and EC based on GPS technology underestimated the neuromuscular and metabolic engagement during the sprinting efforts. Thus, the EMG-derived method seems to be more accurate for calculating the MP and EC in this type of action.
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Affiliation(s)
- Gabriele Grassadonia
- UCAM Research Center for High Performance Sport, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain
- UPSS-International Department of Motor Arts, Popular University of Sport Sciences, 00122 Rome, Italy
- UPM-Department of Medical Sciences, Popular University of Milan, 20122 Milan, Italy
- MIU-Department of Sport Sciences, Miami International University, Miami, FL 33131, USA
| | - Pedro E Alcaraz
- UCAM Research Center for High Performance Sport, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain
- Faculty of Sport, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain
- Strength and Conditioning Society, 30008 Murcia, Spain
| | - Tomás T Freitas
- UCAM Research Center for High Performance Sport, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain
- Faculty of Sport, Universidad Católica de Murcia (UCAM), 30107 Murcia, Spain
- Strength and Conditioning Society, 30008 Murcia, Spain
- NAR-Nucleus of High Performance in Sport, São Paulo 04753-060, Brazil
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Mayer MA, Deliso M, Hong IS, Saltzman BM, Longobardi RS, DeLuca PF, Rizio L. Rehabilitation and Return to Play Protocols After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Systematic Review. Am J Sports Med 2024:3635465241233161. [PMID: 38622858 DOI: 10.1177/03635465241233161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
Abstract
BACKGROUND Rehabilitation after anterior cruciate ligament ACL reconstruction (ACLR) is crucial for safe return to play (RTP) and reducing the chances of a reinjury. Yet, there is no consensus on the ideal functional tests to assess rehabilitation progress in soccer players after ACLR. PURPOSE The primary objective was to highlight the existing gap in the literature concerning the most effective standardized rehabilitation protocols and testing for facilitating successful RTP among soccer players. STUDY DESIGN Systematic review; Level of evidence, 4. METHODS A systematic review using PubMed, Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) was conducted. Inclusion criteria encompassed original studies (level of evidence 1-4) that examined rehabilitation protocols, metrics of knee rehabilitation, and clinical outcomes after ACLR in soccer players. RESULTS This review incorporated 23 studies, predominantly retrospective case series, with a total number of 874 soccer players who underwent ACLR and rehabiliation. 5 (21.7%) studies utilized an accelerated rehabilitation protocol, while 7 (30.4%) of studies utilized a criterion-based rehabilitation. A wide heterogeneity of data was extracted including functional tests of rehabilitation and RTP such as strength test batteries, hop test batteries, and movement quality assessments. Of the 23 selected studies, 2 (8.7%) used all 3 test batteries, 8 (34.8%) used 2 test batteries, 12 (52.2%) used 1 test battery, and 1 (4.3%) used 0 of the test batteries. The mean time between surgery and RTP ranged from 3 to 8 months with only 2 (8.7%) studies reporting complications after ACLR. Lastly, out of the total studies examined, 9 (39.1%) assessed patient-reported outcome measures (PROMs), all of which demonstrated significant improvement from the initial assessment to the final follow up. CONCLUSION Soccer-specific rehabilitation after ACLR lacks standardization. Even though many studies have assessed protocols for optimal RTP and reduced secondary ACL injuries, there is a gap in the literature regarding the most effective protocols and RTP testing. The methodology reported by Kyritsis et al could serve as a foundation for future prospective randomized multicenter studies to establish a standard rehabilitation protocol and enable a successful return to soccer.
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Affiliation(s)
- McKenzie A Mayer
- Department of Orthopedic Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
- Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, New Jersey, USA
| | - Marisa Deliso
- Department of Orthopedic Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
- Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, New Jersey, USA
| | - Ian S Hong
- Department of Orthopedic Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
- Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, New Jersey, USA
| | - Bryan M Saltzman
- OrthoCarolina Sports Medicine Center, Charlotte, North Carolina, USA
- Musculoskeletal Institute, Atrium Health, Charlotte, North Carolina, USA
| | - Raphael S Longobardi
- Department of Sports Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
| | - Peter F DeLuca
- Department of Sports Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
| | - Louis Rizio
- Department of Sports Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
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Bonet L, Benito A, Usó H, Peraire M, Haro G, Almodóvar-Fernández I. Mental Health in First- and Second-Division Soccer Players: A Cross-Sectional Study. Sports (Basel) 2024; 12:106. [PMID: 38668574 DOI: 10.3390/sports12040106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 04/04/2024] [Accepted: 04/08/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND The benefits of sport in mental health have been broadly studied. However, few studies have examined these outcomes in high-performance athletes. We aimed to analyze the state of the mental health of the Villarreal Soccer Club's first- (FD) and second-division (SD) players and the possible mediating effects of sex and professional category. METHODS This was a cross-sectional study with an initial sample of 108 soccer players (final sample n = 54). Data from MINI, HARS, HDRS, BARRAT-11 and SCSRQ questionnaires were analyzed. RESULTS The mean age was 23.41 years (SD = 4.56) and 61.1% (n = 33) were men. A proportion of 24.1% (n = 13) stated that they had undergone mental health treatment, 7.4% (n = 4) had taken psychotropic drugs, and 2.1% (n = 1) had made a suicide attempt. Differences were observed between the FD and SD players in terms of the sensitivity to punishment (t = -2.2; p = 0.033), overall impulsivity (t = -3.1; p = 0.003), unplanned impulsivity (t = 3.4; p = 0.001), and the HDRS (U = -110.5; p = 0.004), HARS-Total (U = -104.0; p = 0.006) and HARS-Psychological subscale scores (U = -104.0; p = 0.001). Differences were also observed between the female and male SD players for the HARS-Somatic subscale (U = 136.5; p = 0.028). CONCLUSION The low values obtained in the clinical scales, together with the reported psychopathological histories, suggested that the Villareal players showed better mental health than the general population.
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Affiliation(s)
- Lucía Bonet
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain
- Mental Health Department, Provincial Hospital Consortium of Castellon, 12002 Castellón, Spain
| | - Ana Benito
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain
- Mental Health Unit Torrente, University General Hospital of Valencia, 46014 Valencia, Spain
| | - Héctor Usó
- Director of Health Department, Villarreal Football Club, 12540 Villareal, Spain
| | - Marc Peraire
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain
- Mental Health Department, Provincial Hospital Consortium of Castellon, 12002 Castellón, Spain
| | - Gonzalo Haro
- TXP Research Group, Universidad Cardenal Herrera-CEU, 12006 Castellón, Spain
- Mental Health Department, Provincial Hospital Consortium of Castellon, 12002 Castellón, Spain
| | - Isabel Almodóvar-Fernández
- Nursing Department, Jaume I University, 12006 Castellón, Spain
- Villarreal Football Club Research Department, 12540 Villareal, Spain
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García-Angulo FJ, Palao JM, Giménez-Egido JM, Ortega-Toro E. Effect of Rule Modifications on Kinematic Parameters Using Maturity Stage as a Moderating Variable in U-10 Football Players. Sensors (Basel) 2024; 24:2462. [PMID: 38676078 DOI: 10.3390/s24082462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2024] [Revised: 04/06/2024] [Accepted: 04/08/2024] [Indexed: 04/28/2024]
Abstract
The aim of the present study was to analyse the effects of regulatory modifications in competitive situations on cinematic variables, considering maturity stage as a moderating factor, in youth football players. A quasi-experimental study was conducted in which 45 players with a mean age of 9.47 ± 0.54 participated. The independent variable analysed was the modification of rules (playing time, scoring, and specific rules). The dependent variables analysed were cinematic variables. These variables were recorded with WimuTM. The maturity stage was considered a moderating factor in this effect. The main results indicate that the modified competition reduced the total distance covered, maximum acceleration speed, and distance covered in acceleration and deceleration in different speed zones. In addition, the maturity stage was found to moderate the effect of the intervention on the total distance covered, distance covered by accelerating in zone 3, and distance covered by decelerating in zone 3. Thus, the proposed modification appeared to reduce the physical demand for competition. Furthermore, it reduced the differences between players with early maturational development and those with late maturational development.
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Affiliation(s)
- Francisco Javier García-Angulo
- Department of Physical Activity and Sport, Faculty of Sport Science, University of Murcia, 30720 Murcia, Spain
- Sport Performance Analysis Association, 30720 Murcia, Spain
| | - José Manuel Palao
- Sport Performance Analysis Association, 30720 Murcia, Spain
- Department of Health, Exercise and Sport Management, University of Wisconsin-Parkside, Kenosha, WI 53144, USA
| | - José María Giménez-Egido
- Department of Physical Activity and Sport, Faculty of Sport Science, University of Murcia, 30720 Murcia, Spain
- Sport Performance Analysis Association, 30720 Murcia, Spain
| | - Enrique Ortega-Toro
- Department of Physical Activity and Sport, Faculty of Sport Science, University of Murcia, 30720 Murcia, Spain
- Sport Performance Analysis Association, 30720 Murcia, Spain
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Grashow R, Eagle SR, Terry DP, DiGregorio H, Baggish AL, Weisskopf MG, Kontos A, Okonkwo DO, Zafonte R. Medical Conditions in Former Professional American-Style Football Players Are Associated With Self-Reported Clinical Features of Traumatic Encephalopathy Syndrome. Neurotrauma Rep 2024; 5:376-386. [PMID: 38655114 PMCID: PMC11035840 DOI: 10.1089/neur.2024.0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024] Open
Abstract
Consensus criteria for traumatic encephalopathy syndrome (TES) specify that at least one core clinical feature of cognitive impairment (CI; e.g., difficulties with memory, executive function) or neurobehavioral dysregulation (ND; e.g., explosiveness, rage, and mood lability) be present and not fully accounted for by other health disorders. Associations between self-reported symptoms that mirror the core clinical features of TES-and how they may be related to concomitant medical conditions-remain unclear. The purpose of this study was to evaluate the association of medical conditions and football exposures with TES clinical features (CI+/-, ND+/-) in 1741 former professional American-style football (ASF) players (age, 57.7 ± 13.9 years; professional seasons, 6.6 ± 3.9 years). Demographics (age, race/ethnicity, current body mass index, age of first football exposure, use of performance-enhancing drugs, position played, and past concussion symptoms), self-reported medical conditions (anxiety, depression, attention-deficit hyperactivity disorder [ADHD], sleep apnea, headache, stroke, hypertension, heart disease, high cholesterol, erectile dysfunction, and low testosterone) were collected. Of 1741 participants, 7.4% were CI+ and/or ND+ (n = 129). Participants who were CI+ or ND+ were more likely to report one or more coexisting medical conditions than participants who did not report CI or ND (odds ratio [OR] = 2.04; 95% confidence interval: 1.25-3.47; p = 0.003). Separate general linear models for each medical condition that adjusted for demographics and football-related factors identified significant associations between ADHD, diabetes, erectile dysfunction, headaches, sleep apnea, anxiety, and low testosterone and CI+ and/or ND+ (ORs = 1.8-6.0). Chi-square automatic interaction detection (CHAID) multi-variable decision tree models that incorporated medical conditions and football exposures accurately differentiated former players meeting either CI or ND clinical criteria from those meeting none (accuracy = 91.2-96.6%). CHAID identified combinations of depression, headache, sleep apnea, ADHD, and upper quartiles of concussion symptom history as most predictive of CI+ and/or ND+ status. CI+ and/or ND+ players were more likely to report medical conditions known to cause cognitive symptoms. Concussion exposure and medical conditions significantly increased the likelihood that a former ASF player would demonstrate cognitive or neurobehavioral dysfunction. Clinicians engaged with this population should consider whether treatable coexisting condition(s) could account for some portion of the clinical picture associated with TES presentation.
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Affiliation(s)
- Rachel Grashow
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Shawn R. Eagle
- Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Douglas P. Terry
- Vanderbilt Sports Concussion Center, Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | | | - Aaron L. Baggish
- Harvard Medical School, Boston, Massachusetts, USA
- Cardiovascular Performance Program, Massachusetts General Hospital, Boston, Massachusetts, USA
- Department of Cardiology, Lausanne University Hospital (CHUV) and Institute for Sport Science, University of Lausanne (ISSUL), Lausanne, Switzerland
| | - Marc G. Weisskopf
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Anthony Kontos
- Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - David O. Okonkwo
- Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Ross Zafonte
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA
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11
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Reverte-Pagola G, Pecci J, del Ojo-López JJ, del Campo RL, Resta R, Feria-Madueño A. Analyzing the impact of non-participation in the FIFA World Cup Qatar 2022 on LaLiga players' physical performance. Front Sports Act Living 2024; 6:1385267. [PMID: 38645722 PMCID: PMC11026628 DOI: 10.3389/fspor.2024.1385267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 03/27/2024] [Indexed: 04/23/2024] Open
Abstract
Background Monitoring external load demands in soccer is crucial for optimizing performance and reducing injury risk. However, events like the FIFA World Cup Qatar 2022 and unexpected interruptions can disrupt load management strategies. Understanding the impact of such events on player performance is essential for effective training and recovery strategies. Objective This study retrospectively assessed the impact of the FIFA World Cup Qatar 2022 on the physical performance of LaLiga elite soccer players who were not part of the tournament. The aim was to analyze various external load parameters and determine the direction of their changes post-tournament. Methods Data from 239 LaLiga players who were not selected for the World Cup were analyzed. External load parameters from 8 matches before and after the tournament were compared. Statistical analyses, including repeated measures ANOVA, were conducted to evaluate changes in performance metrics. Results Minutes played and total distance covered showed no significant changes post-tournament. However, maximal speed decreased significantly (p < 0.001; η2p = 0.117). High-speed running parameters improved significantly (p < 0.05), except for HSRRelCount (p = 0.074; η2p = 0.013). Sprint-related variables demonstrated significant enhancements, except for SprintAbsAvgDuration, SprintMaxAvgDuration, and Sprints >85% Vel Max. Acceleration metrics showed significant improvements in Accel_HighIntensityAccAbsCount (p = 0.024; η2p = 0.021), while Accel_Accelerations showed no significant changes. Deceleration metrics remained unchanged, but Accel_HighIntensityDecAbsCount and Accel_HighIntensityDecAbsDistance increased significantly post-tournament (p = 0.002; η2p = 0.040, p = 0.001; η2p = 0.044, respectively). Conclusion Non-participant LaLiga players demonstrated enhanced performance in most external load metrics after the FIFA World Cup Qatar 2022. These findings highlight the importance of effective load management during periods of competition interruption and suggest strategies to optimize performance and reduce injury risk. Further research should consider holistic performance metrics and internal load parameters to provide comprehensive insights into player response to mid-season tournaments.
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Affiliation(s)
| | - Javier Pecci
- Department of Physical Education and Sport, University of Seville, Seville, Spain
| | | | | | - Ricardo Resta
- Department of Competitions and Mediacoach, LaLiga, Madrid, Spain
| | - Adrián Feria-Madueño
- Department of Physical Education and Sport, University of Seville, Seville, Spain
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12
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Roso-Moliner A, Gonzalo-Skok O, Villavicencio Álvarez VE, Calero-Morales S, Mainer-Pardos E. Analysing the Influence of Speed and Jumping Performance Metrics on the Percentage Change of Direction Deficit in Adolescent Female Soccer Players. Life (Basel) 2024; 14:466. [PMID: 38672737 DOI: 10.3390/life14040466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 03/30/2024] [Accepted: 04/01/2024] [Indexed: 04/28/2024] Open
Abstract
Studies show that although female soccer players often have shorter change of direction (COD) deficits than males, indicating different biomechanical profiles, there is a lack of research on the impact of physical metrics on COD performance in females. The purpose of this work was to analyse whether performance metrics based on speed and jumping could explain the variation in %CODD in young female soccer players. Thirty-three highly trained adolescent female soccer players with an age of 16 ± 0.95 years, a body mass of 55.7 ± 7.22 kg, and a height of 160.4 ± 5.22 cm performed COD180 tests, 10 m and 30 m sprint tests, single-leg countermovement, and horizontal jumps. Acceleration in the first 10 m of a sprint was identified as a significant predictor of COD180 performance (R2 = 28%), (R2 = 50%), (p < 0.01), indicating that early sprint performance may largely determine an individual's ability to change direction. However, no predictors were found for %CODD. Significant correlations were observed between COD180 performance and %CODD, acceleration, linear speed, and horizontal jump performance (r = -0.59 to 0.70; p < 0.05). The study suggests that specific physical performance metrics, particularly early acceleration, are crucial for enhancing COD skills in female soccer players, emphasizing the need for targeted training interventions.
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Affiliation(s)
- Alberto Roso-Moliner
- Health Sciences Faculty, Universidad San Jorge, Autov. A23 Km 299, Villanueva de Gállego, 50830 Zaragoza, Spain
| | - Oliver Gonzalo-Skok
- Department of Communication and Education, Universidad Loyola Andalucía, 41704 Seville, Spain
| | | | - Santiago Calero-Morales
- Department of Human and Social Sciences, Universidad de las Fuerzas Armadas-ESPE, Quito 171103, Ecuador
| | - Elena Mainer-Pardos
- Health Sciences Faculty, Universidad San Jorge, Autov. A23 Km 299, Villanueva de Gállego, 50830 Zaragoza, Spain
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McLean C, Lavender AP, Pereira E, Peek K, Davey P, Ma'ayah F, Morris S, Georgieva J. The Acute Effects of Ball Pressure on Anticipation Timing Following a Series of Purposeful Headers in Adult Football (Soccer) Players. Sports (Basel) 2024; 12:102. [PMID: 38668570 DOI: 10.3390/sports12040102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 03/21/2024] [Accepted: 03/28/2024] [Indexed: 04/29/2024] Open
Abstract
The purpose of this study is to investigate the acute effects of ball pressure on anticipation timing following a series of purposeful headers in adult football (soccer) players. There is evidence to suggest acute neurophysiological changes to the brain following purposeful heading; this may lead to altered anticipation timing as a result, potentially having future safety implications for players. A repeated measures crossover design was used. Seventeen participants aged between 20 and 30 years performed (i) 20 rotational headers with a lower-pressure match ball (58.6 kPa; 8.5 psi), (ii) 20 rotational headers with a higher-pressure match ball (103.4 kPa; 15 psi), or (iii) 20 non-headers (kicks) as a control each on separate days. The effect of ball pressure on anticipation timing accuracy, measured as absolute, constant, and variable errors, was assessed before and immediately after each intervention session using an anticipation timing task. Differences between group means were compared using repeated measures ANOVA and linear mixed effects models, with p-values of <0.05 considered statistically significant. No significant differences in anticipation timing accuracy across interventions were detected between control, occluded, and non-occluded trials. This finding differs from the previous literature regarding the measurable, acute effects of purposeful heading. The anticipation timing task may lack sensitivity for detecting the effects of repeated heading on brain function.
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Affiliation(s)
- Chad McLean
- Curtin School of Allied Health, Curtin University, Bentley, WA 6102, Australia
| | - Andrew P Lavender
- Institute of Health and Wellbeing, Federation University Australia, Ballarat, VIC 3350, Australia
| | - Ethan Pereira
- Curtin School of Allied Health, Curtin University, Bentley, WA 6102, Australia
| | - Kerry Peek
- Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Lidcombe, NSW 2006, Australia
| | - Paul Davey
- Curtin School of Nursing, Curtin University, Bentley, WA 6102, Australia
| | - Fadi Ma'ayah
- School of Education, Curtin University, Bentley, WA 6102, Australia
| | - Susan Morris
- Curtin School of Allied Health, Curtin University, Bentley, WA 6102, Australia
| | - Julia Georgieva
- Curtin School of Allied Health, Curtin University, Bentley, WA 6102, Australia
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14
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Thorarinsdottir S, Amundsen R, Larmo A, Pedersen R, Andersen TE, Bahr R, Møller M. Groin injuries in women's premier league football in Norway: A two-season prospective cohort study describing clinical and imaging characteristics. Scand J Med Sci Sports 2024; 34:e14611. [PMID: 38534061 DOI: 10.1111/sms.14611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 12/13/2023] [Accepted: 03/13/2024] [Indexed: 03/28/2024]
Abstract
OBJECTIVE To describe the prevalence, incidence, and burden of groin injuries in the Norwegian women's premier football league and to describe their clinical and imaging characteristics. METHODS During the 2020 and 2021 seasons, players in the Norwegian women's premier league reported groin injuries weekly, using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems (OSTRC-H2). We calculated weekly prevalence, incidence, and burden of groin injuries. The team physical therapists classified the player-reported injuries based on the Doha classification system. Injuries with more than 3 days' time loss or reported in 2 consecutive weeks were eligible for magnetic resonance imaging (MRI). RESULTS On average, 3.9% (95% CI: 3.4-4.4) of players reported a groin injury at any time; of which 78% caused time loss. The incidence rate was 1.6 injuries/1000 h (95% CI: 1.3-2.0) and their burden was 11 days lost/1000 h. The physical therapists examined 67 of 124 player-reported groin injuries (53%). Adductor-related injury was most common (55%) followed by iliopsoas (15%) and rectus femoris-related (12%). Pubic-related injuries caused most time loss (median: 24 days, IQR: 5-133). In this study, 42 injuries were investigated with MRI; 8 (19%) showed no changes, 6 (14%) an acute musculotendinous lesion, and 32 (76%) a nonacute finding (e.g., central symphyseal disc protrusion, tendinopathies). CONCLUSION The incidence rate and burden of groin injuries were high. Adductor-related injuries were most common, but pubic-related injuries caused most time loss. Most MRI examinations demonstrated nonacute findings.
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Affiliation(s)
- Solveig Thorarinsdottir
- Oslo Sports Trauma Research Center, Institute of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
| | - Roar Amundsen
- Oslo Sports Trauma Research Center, Institute of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
| | | | | | - Thor Einar Andersen
- Oslo Sports Trauma Research Center, Institute of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
- The Norwegian FA Medical Centre (Idrettens helsesenter), Oslo, Norway
| | - Roald Bahr
- Oslo Sports Trauma Research Center, Institute of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
| | - Merete Møller
- Oslo Sports Trauma Research Center, Institute of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
- Research Unit of Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
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Mausehund L, Krosshaug T. Knee Biomechanics During Cutting Maneuvers and Secondary ACL Injury Risk: A Prospective Cohort Study of Knee Biomechanics in 756 Female Elite Handball and Soccer Players. Am J Sports Med 2024; 52:1209-1219. [PMID: 38459717 PMCID: PMC10986153 DOI: 10.1177/03635465241234255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 12/18/2023] [Indexed: 03/10/2024]
Abstract
BACKGROUND An athlete who returns to sport after an anterior cruciate ligament (ACL) injury has a substantially high risk of sustaining a new secondary ACL injury. Because ACL injuries most frequently occur during cutting maneuvers, such movements should be at the center of research attention. PURPOSE To investigate whether knee biomechanical parameters during side-step cutting maneuvers differ between female elite athletes with and without a history of ACL injury and to evaluate whether such parameters are associated with future secondary ACL injury. STUDY DESIGN Cohort study; Level of evidence, 2. METHODS A total of 756 female elite handball and soccer players, of whom 76 had a history of ACL injury, performed a sport-specific cutting task while 3-dimensional kinematics and kinetics were measured. ACL injuries were registered prospectively over an 8-year follow-up period. Seven knee-specific biomechanical variables were the basis for all analyses. Two-way analyses of variance were applied to assess group differences, whereas logistic regression models served to evaluate associations between the knee-specific variables and future secondary ACL injury. RESULTS When players with a previous ACL injury performed the cutting maneuver with their ipsilateral leg, they exhibited lower knee abduction angles (mean difference [MD], 1.4°-1.5°; 95% CI, 0.2°-2.9°), lower peak knee flexion moments (MD, 0.33 N·m/kg-1; 95% CI, 0.18-0.48 N·m/kg-1), lower peak knee abduction moments (MD, 0.27 N·m/kg-1; 95% CI, 0.12-0.41 N·m/kg-1), and lower peak knee internal rotation moments (MD, 0.06 N·m/kg-1; 95% CI, 0.01-0.12 N·m/kg-1) compared with injury-free players. When players performed the cut with their contralateral leg, no differences were evident (P < .05). None of the 7 knee-specific biomechanical variables was associated with future secondary ACL injury in players with an ACL injury history (P < .05). CONCLUSION Approximately 4 years after ACL injury, female elite team-ball athletes still unloaded their ipsilateral knee during cutting maneuvers, yet contralateral knee loading was similar to that of injury-free players. Knee biomechanical characteristics were not associated with future secondary ACL injury.
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Affiliation(s)
- Lasse Mausehund
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway
| | - Tron Krosshaug
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway
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16
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Stambaugh JR, Bryan TP, Edmonds EW, Pennock AT. Arthroscopic Shoulder Stabilization in High School Football Players. Orthop J Sports Med 2024; 12:23259671241239334. [PMID: 38584991 PMCID: PMC10998486 DOI: 10.1177/23259671241239334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 09/18/2023] [Indexed: 04/09/2024] Open
Abstract
Background Destabilizing shoulder injuries are common in high school American football players; however, the rate of recurrent glenohumeral instability and return to play after arthroscopic labral stabilization surgery remains unknown. Purpose/Hypothesis The purpose of this study was to determine the rate of recurrent instability on return to competitive high school football after arthroscopic shoulder labral stabilization and capsulorrhaphy procedures. It was hypothesized that the instability rate would be greater in players with more years of eligibility remaining (YER) to play at the high school level. Study Design Case series; Level of evidence, 4. Methods Consecutive male high school football players with at least 1 YER who sustained at least 1 anterior traumatic inseason shoulder instability episode and underwent arthroscopic stabilization between 2012 and 2017 were identified. Patients and/or families were contacted by phone to discuss (1) recurrent instability episodes and (2) return to competitive sport and/or recreational athletic activity. Statistical analysis was conducted using chi-square tests to compare recurrent shoulder instability with return to play and YER. Results A total of 45 football players aged 14 to 17 years were included, with a mean follow-up of 4.1 years. Most patients (60%) chose not to return to competitive football, due mainly to fear of recurrent injury. Overall, the recurrent instability rate was 15.6% (7/45). The instability rate in players who returned to football was 16.7%, with 66.7% requiring revision surgery. The instability rate in patients who did not return to football was 14.8%, with no revision procedures required. In players who returned to football, the instability rate in YER group 4 was significantly higher than that in YER groups 1 to 3 (42% vs 10.5%, respectively, P = .03), with each year of play conferring an additional 10% risk of reinjury. There was a significant difference in the type of recurrent instability in players who returned to any sport versus those who did not (P = .029). Conclusion High school football players who returned to competitive play after arthroscopic shoulder stabilization surgery experienced a higher rate of recurrent instability that was dependent on their YER. Over half of the players chose not to return to football, with fear of reinjury being the most common reason.
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Affiliation(s)
- Jessica R. Stambaugh
- Department of Orthopedic Surgery, Naval Medical Center, San Diego, California, USA
| | - Tracey P. Bryan
- Department of Orthopedic Surgery, Rady Children’s Hospital, San Diego, California, USA
| | - Eric W. Edmonds
- Department of Orthopedic Surgery, Rady Children’s Hospital, San Diego, California, USA
| | - Andrew T. Pennock
- Department of Orthopedic Surgery, Rady Children’s Hospital, San Diego, California, USA
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17
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Rabbani A, Ermidis G, Clemente FM, Twist C. Variability of External Load Measures During Soccer Match Play: Influence of Player Fitness or Pacing? Int J Sports Physiol Perform 2024; 19:340-346. [PMID: 38198797 DOI: 10.1123/ijspp.2023-0243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 11/07/2023] [Accepted: 11/30/2023] [Indexed: 01/12/2024]
Abstract
PURPOSE The aims of this study were to examine the variability of selected external load metrics within 15-minute intervals during soccer match play and examine their relationship with players' high-intensity intermittent fitness. METHODS A total of 18 male soccer players were monitored for their external load metrics during 26 matches, which included total distance, high-metabolic-load distance, and mechanical work (defined as the sum of accelerations and decelerations >3 m2). Additionally, players completed the 30-15 Intermittent Fitness Test. RESULTS Total distance had lower coefficients of variation than high-metabolic-load distance and mechanical work (effect size [ES]: 5.2 to 6.4; very large). Within-player Δ-15min showed moderate to large decreases (ES: -0.7 to -1.6) and increases (ES: 0.9 to 1.8) in absolute and coefficient-of-variation values, respectively. Large relationships (r = .55 to .61) were observed between the Intermittent Fitness Test and 15-minmean and 15-minbest in all selected external load metrics. However, small to moderate (0.27 to 0.41) associations were observed between the Intermittent Fitness Test and Δ-15min in selected external load metrics. CONCLUSIONS These findings suggest that players with relatively lower intermittent running capacity might show lower variability during matches, as evidenced by smaller reductions in high-intensity actions during the final 15 minutes. We attribute these observations to players' possessing better pacing strategies.
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Affiliation(s)
- Alireza Rabbani
- Sport Science Department, Ittihad Kalba F.C, Fujairah, United Arab Emirates
- Sport Science Department, OFI Crete F.C, Crete, Greece
| | | | - Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Viana do Castelo, Portugal
- Sport Physical Activity and Health Research & Innovation Center (SRINT), Viana do Castelo, Portugal
- Gdansk University of Physical Education and Sport, Gdańsk, Poland
| | - Craig Twist
- Research Institute of Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom
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Clemente FM. Greater Psychophysiological Intensities in Conditioned Games May Impair Technical Performance: An Exploratory Study in Youth Male Soccer Players. Int J Sports Physiol Perform 2024:1-9. [PMID: 38561005 DOI: 10.1123/ijspp.2024-0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 02/15/2024] [Accepted: 02/22/2024] [Indexed: 04/04/2024]
Abstract
PURPOSE The aim of this study was 2-fold: (1) to examine the relationships between psychophysiological responses and locomotor demands with variations in technical performance during 2v2 and 4v4 conditioned games and (2) to compare psychophysiological and locomotor responses among players exhibiting higher and lower technical performance levels during the conditioned games. METHODS Twenty-four male youth soccer players (16.3 ± 0.8 y old) participating at the trained/developmental level underwent monitoring for psychophysiological responses (including heart rate, rating of perceived exertion, and visual analog scale), locomotor demands (such as distance covered), and technical performance variables (including successful and unsuccessful passes and shots, as well as lost balls) across 2v2 and 4v4 formats. These formats were applied 4 times within a single session and were replicated twice over 2 weeks. RESULTS Large correlations between the number of lost balls per minute and mean heart rate were found in both the 2v2 and 4v4 games (r = .586 and r = .665, respectively). Successful shots were inversely and largely correlated with mean heart rate (r = -.518) in 4v4 games. The number of interceptions per minute was inversely and significantly correlated with the visual analog scale in 2v2 and 4v4 games (r = -.455 and r = -.710, respectively). The frequency of lost balls was significantly higher among players who attained a higher mean heart rate (2v2: +42.9%, P = .031, d = -0.965; 4v4: +57.1%, P < .001, d = -2.072). CONCLUSIONS Coaches should be aware that highly psychophysiologically demanding scenarios may significantly impair technical performance. Therefore, prioritizing technical performance by deliberately adjusting the intensity should be considered.
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Affiliation(s)
- Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun'Álvares, Viana do Castelo, Portugal
- Sport Physical Activity and Health Research & Innovation Center, Viana do Castelo, Portugal
- Gdansk University of Physical Education and Sport, Gdańsk, Poland
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Williams MJ, Wade JB, Nwadei T, Swaminathan A, Harrison CK, Bukstein S. Looking the Part: Stereotypicality in Appearance Among White Professionals Predicts Leadership Attainment and Perceived Leadership Suitability. Pers Soc Psychol Bull 2024; 50:613-628. [PMID: 36575969 DOI: 10.1177/01461672221143756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
This project explores the effects of racial phenotypic stereotypicality, or the degree to which a person's appearance is perceived as typical of their racial group, on leadership outcomes. Building on research showing that people hold an image of the ideal leader as a White person, we propose that looking more typically White may facilitate leadership attainment. In Study 1, which used a sample of American college football coaches (N = 1,106), White (vs. Black) coaches were more likely to occupy leadership roles. Furthermore, within race, stereotypicality positively predicted occupying a leadership or head-coach role among White professionals (and negatively predicted occupying a head-coach role among Black professionals). Study 2 elucidated a possible mechanism by showing a causal effect of stereotypicality on perceived suitability for leadership among Whites. These findings advance theorizing on the White-leader link and have implications for the ability of people of color to access lucrative professional roles.
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Affiliation(s)
| | - James B Wade
- The George Washington University, Washington, DC, USA
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Rodrigues F, Monteiro D, Matos R, Jacinto M, Antunes R, Amaro N. Exploring the Dynamics of Athletes' Enjoyment and Self-Determined Motivation, and of the Motivational Climate in Youth Football: A Longitudinal Perspective. Percept Mot Skills 2024; 131:551-567. [PMID: 38096458 PMCID: PMC10924548 DOI: 10.1177/00315125231222152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/10/2024]
Abstract
We aimed to explore a short period longitudinal interplay between athletes' enjoyment and their self-determined motivation and motivational climate in youth football. We recruited 109 youth football athletes (79 males, 30 females) through a convenient sampling method. We included individuals within the 12-17-year-old age range, with a mean age of 14.31 (SD = 1.46) years. To examine these proposed associations, we performed hierarchical multiple regression analyses and found that enjoyment at pre-season assessment (T1) and self-determined motivation and a task-involving sport climate at mid-season (T2) were significant predictors of mid-season enjoyment (at T2). However, self-determined motivation and task-involving climate at T1 did not significantly contribute to the model. These findings emphasize the importance of initial enjoyment and an evolved self-determined motivation, and task-involving climate in understanding later enjoyment in sport. Coaches, practitioners, and policymakers should prioritize strategies that enhance intrinsic motivation, provide opportunities for autonomy, and cultivate a supportive and growth-oriented environment.
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Affiliation(s)
- Filipe Rodrigues
- ESECS - Polytechnic of Leiria, Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), Vila Real, Portugal
| | - Diogo Monteiro
- ESECS - Polytechnic of Leiria, Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), Vila Real, Portugal
| | - Rui Matos
- ESECS - Polytechnic of Leiria, Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), Vila Real, Portugal
| | - Miguel Jacinto
- ESECS - Polytechnic of Leiria, Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), Vila Real, Portugal
| | - Raúl Antunes
- ESECS - Polytechnic of Leiria, Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), Vila Real, Portugal
| | - Nuno Amaro
- ESECS - Polytechnic of Leiria, Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), Vila Real, Portugal
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21
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Galily Y. From Sport Psychology to Action Philosophy: Immanuel Kant and the Case of Video Assistant Referees. Behav Sci (Basel) 2024; 14:291. [PMID: 38667089 PMCID: PMC11047540 DOI: 10.3390/bs14040291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Revised: 03/22/2024] [Accepted: 03/28/2024] [Indexed: 04/29/2024] Open
Abstract
The implementation of Video Assistant Referees (VARs) in 2018 has had a significant impact on the multi-billion-dollar soccer industry. As the most popular and watched sport globally, soccer's financial stakes are high, with clubs, leagues, broadcasters, sponsors, and fans heavily invested in the game. The ongoing debate surrounding the VAR system brings to light the intricate balance between preserving the authenticity of football (soccer) and harnessing technology to improve accuracy. It is crucial to strike the right equilibrium in order to uphold football's metaphorical power and sustain the timeless joy it has brought to fans throughout generations. In this context, Immanuel Kant's philosophy can offer valuable insights into the utilization of VARs in soccer. According to Kantian ethics, using VARs can be justified if it serves to enhance fairness and accuracy, aligning with the moral duties of referees. Nevertheless, it is important to consider the potential dehumanizing effects and the necessity of preserving the value of human judgment in the game. Therefore, this paper aims to explore in-depth the intricate dynamics that arise when technology is integrated into traditional practices, emphasizing the significance of critical reflection on the implications of such advancements.
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Affiliation(s)
- Yair Galily
- Sport, Media and Society (SMS) Research Lab, Sammy Ofer School of Communications, Reichman University (IDC) Herzliya, Herzliya 46150, Israel;
- Baruch Ivcher School of Psychology, Reichman University (IDC) Herzliya, Herzliya 46150, Israel
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22
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Bangert Y, Jaber A, Trefzer R, Zietzschmann S, Koch KA, Kern R, Spielmann J, Renkawitz T, Weishorn J. The Impact of Injury on Career Progression in Elite Youth Football-Findings at 10 Years. J Clin Med 2024; 13:1915. [PMID: 38610680 PMCID: PMC11012782 DOI: 10.3390/jcm13071915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 03/18/2024] [Accepted: 03/25/2024] [Indexed: 04/14/2024] Open
Abstract
Background: There is a lack of evidence regarding the impact of time loss, match exposure, and age at injury on career progression in elite football. Therefore, the aim of this study was to identify injury characteristics and their influence on career progression in a German youth academy. Methods: During the 2012/2013 season, a prospective cohort study reported 107 time-loss injuries among 130 young athletes from an elite German soccer academy. Individual career progression was analyzed using 10-year data. Results: Injuries and time loss were not associated with career progression (p > 0.05) in the overall cohort. In the U17 and U19 groups, 24% were able to reach the professional level, with injuries significantly decreasing this probability (p = 0.002). Injuries lasting more than 28 days had a negative impact on career progression compared to minor injuries (30% vs. 10%; p = 0.02). Conclusions: Not only the characteristics of injuries, but also their impact on career development, vary with age. In the U17 and U19 age groups, serious injuries resulting in more than 28 days of absence have a negative impact on career progression. It is important to be aware of these effects in order to focus on the prevention of long-term injuries to ensure the optimal development of young athletes.
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Affiliation(s)
- Yannic Bangert
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
- TSG 1899 Hoffenheim Fußball-Spielbetriebs GmbH, Horrenberger Straße 58, 74939 Zuzenhausen, Germany;
| | - Ayham Jaber
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
| | - Raphael Trefzer
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
| | - Severin Zietzschmann
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
| | - Kevin-Arno Koch
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
| | - Ralph Kern
- TSG 1899 Hoffenheim Fußball-Spielbetriebs GmbH, Horrenberger Straße 58, 74939 Zuzenhausen, Germany;
- Ethianum, Fehrentzstrasse 2, 69115 Heidelberg, 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; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
| | - Johannes Weishorn
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; (Y.B.); (A.J.); (S.Z.); (K.-A.K.); (T.R.)
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23
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Rocha JVDS, de Almeida RF, de Lima Cordeiro BN, Cardoso Sarcinelli CH, Zimerer C, Arêas FZ. Effects of bi-hemispheric anodal transcranial direct current stimulation on soccer player performance: a triple-blinded, controlled, and randomized study. Front Sports Act Living 2024; 6:1350660. [PMID: 38584685 PMCID: PMC10995377 DOI: 10.3389/fspor.2024.1350660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 02/27/2024] [Indexed: 04/09/2024] Open
Abstract
The search for increased performance and physical performance are linked to the use of ergogenic resources. The vertical jump is one of the measures commonly used to evaluate the performance of lower limbs in athletes. Transcranial direct current stimulation (tDCS) is a non-invasive, safe, economically viable technique that can modulate cortical excitability, which can influence the increase in the performance of athletes in general. This study aimed to investigate whether the use of tDCS on the primary motor cortex (M1) improves the performance of soccer players. A cross-sectional study was conducted. Twenty-seven players were randomized into three groups: Active tDCS group (n = 9), Sham group (n = 9), and control group (n = 9). Stimulation was applied at 2 mA for 15 min using a cephalic mount. Visual Pain Scale (VAS) and Subjective Recovery Scale (SRS) were monitored before and after tDCS. In addition, the participants performed the Countermovement Jump (CMJ) before and after the stimulation intercalated with Heart Rate (HR) and Rating of Perceived Exertion (RPE CR-10). No differences were found in any of the performance variables analyzed (p > 0.05) nor in the responses of HR (p > 0.05), RPE (p > 0.05), VAS (p > 0.05), and SRS (p > 0.05) between groups. The tDCS in M1 did not change the performance of the vertical jump, and there was no improvement in the subjective scales. New studies should also be developed with different stimulus intensities in different cortical areas and sports modalities.
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Affiliation(s)
- Jader Vinicius Da Silva Rocha
- Universidade Federal do Espirito Santo, Vitória, Brazil
- Department of Physiological Sciences, Federal University of Espirito Santo, Vitória, Brazil
| | | | - Bárbara Naeme de Lima Cordeiro
- Universidade Federal do Espirito Santo, Vitória, Brazil
- Department of Physiological Sciences, Federal University of Espirito Santo, Vitória, Brazil
| | | | - Carla Zimerer
- Universidade Federal do Espirito Santo, Vitória, Brazil
| | - Fernando Zanela Arêas
- Universidade Federal do Espirito Santo, Vitória, Brazil
- Department of Physiological Sciences, Federal University of Espirito Santo, Vitória, Brazil
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Asimakidis ND, Bishop CJ, Beato M, Mukandi IN, Kelly AL, Weldon A, Turner AN. A survey into the current fitness testing practices of elite male soccer practitioners: from assessment to communicating results. Front Physiol 2024; 15:1376047. [PMID: 38567112 PMCID: PMC10985349 DOI: 10.3389/fphys.2024.1376047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 02/29/2024] [Indexed: 04/04/2024] Open
Abstract
This study provides insight into the current fitness testing practices in elite male soccer. One hundred and two practitioners from professional soccer leagues across 24 countries completed an online survey comprising 29 questions, with five sections: a) background information, b) testing selection, c) testing implementation, d) data analysis, and e) data reporting. Frequency analysis was used to evaluate the responses to fixed response questions and thematic analysis was used for open-ended questions to generate clear and distinct themes. Strength (85%) and aerobic capacity (82%) represent the most frequently assessed physical qualities. Scientific literature (80%) is the most influential factor in testing selection and practitioners conduct fitness testing less frequently than their perceived ideal frequency per season (3.6 ± 2 vs. 4.5 ± 2). Time and competitive schedule were the greatest barriers to fitness testing administration. Practitioners mostly used a 'hybrid' approach (45%) to fitness testing, blending 'traditional' (i.e., a day dedicated to testing) and 'integrated' (i.e., testing within regular training sessions) methods. Microsoft Excel is the most used software for data analysis (95%) and visualization (79%). An equal use of the combination of best and mean scores of multiple trials (44%) and the best score (42%) was reported. Comparing a player's test performance with previous scores (89%) was the most common method for interpreting test results. However, only 38% considered measurement error. Digital displays and verbal feedback are the most common data reporting methods, with different data reporting processes for coaches and players. Practitioners can use data and findings from this study to inform their current testing practices and researchers to further identify areas for investigation, with the overarching aim of developing the field of fitness testing in elite male soccer.
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Affiliation(s)
- Nikolaos D. Asimakidis
- Faculty of Science and Technology, London Sport Institute, Middlesex University, London, United Kingdom
| | - Chris J. Bishop
- Faculty of Science and Technology, London Sport Institute, Middlesex University, London, United Kingdom
| | - Marco Beato
- School of Health and Sports Sciences, University of Suffolk, Ipswich, United Kingdom
| | - Irvin N. Mukandi
- Faculty of Science and Technology, London Sport Institute, Middlesex University, London, United Kingdom
| | - Adam L. Kelly
- Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, United Kingdom
| | - Anthony Weldon
- Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, United Kingdom
| | - Anthony N. Turner
- Faculty of Science and Technology, London Sport Institute, Middlesex University, London, United Kingdom
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25
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Martin-Garetxana I, Hughes J, De Ste Croix M, Larruskain J, Lekue JA, Ayala F. Acute pre- and post-competitive soccer match-play changes in neuromuscular factors, physical performance, and muscle response in youth male players. SCI MED FOOTBALL 2024:1-11. [PMID: 38497787 DOI: 10.1080/24733938.2024.2329273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/04/2024] [Indexed: 03/19/2024]
Abstract
There is a paucity of literature analyzing the impact of fatigue from actual competitive soccer match-play on measures of neuromuscular function and muscle damage markers in youth players. Aims The main purpose was to analyze the acute pre- and post-competitive soccer match-play changes in measures of landing mechanics, stretch-shortening cycle capability, physical performance, muscle damage, and match intensity. A secondary purpose was to explore whether the players' maturity status and chronological age were associated with post-soccer match-play responses. Methods Thirty-two male youth outfield soccer players from two chronological competition age groups (U14 and U16) were assessed pre-and post-competitive soccer match-play for 2D dynamic knee valgus at landing (DKV), leg stiffness, reactive strength index, 20 m sprint time, CMJ-Abalakov jump height, creatine kinase and urea activity and visual analogue scale for muscle soreness (VAS). Players' maturity status was also estimated using a previously validated regression equation. Results There were statistically significant (p < 0.05) post-competitive soccer match-play impairments in all measures of stretch-shortening cycle capability and muscle damage markers assessed irrespective of the age group. Likewise, significant post-match play alterations in landing mechanics (DKV of the dominant leg) and physical performance (sprint time and jump height) scores were documented for the U14 players. Significant interactions between maturity and landing mechanics and VAS responses to competitive soccer match-play were also found whereby more mature players demonstrated larger post-match changes. Conclusion The findings of this study suggest the existence of a negative influence of competitive match-play on neuromuscular function and muscle damage in youth soccer.
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Affiliation(s)
- Imanol Martin-Garetxana
- Medical Services, Athletic Club, Lezama, Spain
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Vitoria-Gasteiz, Spain
| | - Jonathan Hughes
- Youth Physical Development Center, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, Wales, UK
| | - Mark De Ste Croix
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
| | | | - Jose A Lekue
- Medical Services, Athletic Club, Lezama, Spain
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Vitoria-Gasteiz, Spain
| | - Francisco Ayala
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
- Department of Physical Activity and Sport, Faculty of Sport Sciences, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, San Javier, Spain
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26
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Modena R, Schena F. External training load and performance recovery after small-sided games in soccer: Insights for return-to-play management. AIMS Public Health 2024; 11:315-329. [PMID: 38617408 PMCID: PMC11007412 DOI: 10.3934/publichealth.2024016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 02/14/2024] [Accepted: 02/26/2024] [Indexed: 04/16/2024] Open
Abstract
The return-to-play process' characteristics can vary by injury and sport type but are typically composed of phases of different durations, training targets, and intensities that gradually increase the physiological and mechanical load. In team sports, contact drills are a necessary part of the last phases of this process, and they should be planned using the optimal mechanical load. The present study investigated the external load and kinetic recovery in U19 soccer players performing 6vs6 and 3vs3 small-sided games. A global positioning system (GPS) measured external load metrics. The rate of perceived exertion (RPE) was registered at the end. Total quality of recovery (TQR) was collected at the beginning of the training session and after 24 h. Moreover, before and after the small-sided games (SSGs) and at 24 h, delayed-onset muscle soreness (DOMS) of the legs, sprinting time, and vertical jump height (CMJ) were collected. 6vs6 presented higher values in total distance low-, moderate-, high, and very-high-speed distance, and maximum speed (p < 0.05). However, 3vs3 showed higher number of sprints, acceleration, and deceleration at different intensities. Furthermore, no difference was shown in RPE. The effect of fatigue on sprint seems greater for 6vs6, showing an impairment persistent at 24 h (p < 0.05). Moreover, CMJ height was impaired after 6vs6 and at 24 h (p < 0.05) but did not change after 3vs3 (p > 0.05). DOMS values after SSGs and at 24 h were higher than baseline for both conditions (p < 0.05), while TQR decreased at 24 h in both conditions (p < 0.05). Based on our results, it seems that 6vs6, leading to a greater high-speed running distance, might cause a training load that needs more time to recover. This point may be crucial in a return-to-play process, especially when hamstring muscles are involved.
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Affiliation(s)
- Roberto Modena
- CeRiSM, Sport Mountain and Health Research Center, University of Verona, Rovereto, Italy
- Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway
| | - Federico Schena
- Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
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27
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Orhant E, Chapellier JF, Carling C. The impact of a mid-season FIFA World Cup™ on injury occurrence and patterns in French professional soccer clubs. Res Sports Med 2024:1-10. [PMID: 38449320 DOI: 10.1080/15438627.2024.2326517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 02/28/2024] [Indexed: 03/08/2024]
Abstract
This study retrospectively compared the effect of holding the 2022 FIFA World Cup™ (WC) mid-season (season 2022/23) on injury rates and patterns in French Ligue 1 soccer clubs. Epidemiological data in 17 clubs were prospectively recorded by their physicians. Time-loss injuries (injuries leading to a player being unable to fully participate in play over the following 72-hour period) were compared with those reported during a regular season (2021-22). In the WC season, an increase of approximately 23% (training + match-play) was observed for both the total number of injuries and knee, ankle and muscle injuries combined. Incidences for match-play injury overall and for the knee, ankle and muscle regions combined and the hamstrings and calf regions specifically also rose significantly (range: p < 0.05-p < 0.01). These results suggest that injury occurrence and patterns in French L1 soccer clubs were substantially affected during the 2022/23 season when a mid-season WC was held.
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Affiliation(s)
- Emmanuel Orhant
- Medical Department, French Football Federation, Paris, France
| | - J F Chapellier
- Medical Department, French Football Federation, Paris, France
| | - Christopher Carling
- French Football Federation Research Centre, Clairefontaine National Football Centre, Clairefontaine-en-Yvelines, France
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport (INSEP), Paris, France
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28
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Su Y, Protas H, Luo J, Chen K, Alosco ML, Adler CH, Balcer LJ, Bernick C, Au R, Banks SJ, Barr WB, Coleman MJ, Dodick DW, Katz DI, Marek KL, McClean MD, McKee AC, Mez J, Daneshvar DH, Palmisano JN, Peskind ER, Turner RW, Wethe JV, Rabinovici G, Johnson K, Tripodis Y, Cummings JL, Shenton ME, Stern RA, Reiman EM. Flortaucipir tau PET findings from former professional and college American football players in the DIAGNOSE CTE research project. Alzheimers Dement 2024; 20:1827-1838. [PMID: 38134231 PMCID: PMC10984430 DOI: 10.1002/alz.13602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 10/27/2023] [Accepted: 11/20/2023] [Indexed: 12/24/2023]
Abstract
INTRODUCTION Tau is a key pathology in chronic traumatic encephalopathy (CTE). Here, we report our findings in tau positron emission tomography (PET) measurements from the DIAGNOSE CTE Research Project. METHOD We compare flortaucipir PET measures from 104 former professional players (PRO), 58 former college football players (COL), and 56 same-age men without exposure to repetitive head impacts (RHI) or traumatic brain injury (unexposed [UE]); characterize their associations with RHI exposure; and compare players who did or did not meet diagnostic criteria for traumatic encephalopathy syndrome (TES). RESULTS Significantly elevated flortaucipir uptake was observed in former football players (PRO+COL) in prespecified regions (p < 0.05). Association between regional flortaucipir uptake and estimated cumulative head impact exposure was only observed in the superior frontal region in former players over 60 years old. Flortaucipir PET was not able to differentiate TES groups. DISCUSSION Additional studies are needed to further understand tau pathology in CTE and other individuals with a history of RHI.
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Affiliation(s)
- Yi Su
- Banner Alzheimer's Institute and Arizona Alzheimer's ConsortiumPhoenixArizonaUSA
| | - Hillary Protas
- Banner Alzheimer's Institute and Arizona Alzheimer's ConsortiumPhoenixArizonaUSA
| | - Ji Luo
- Banner Alzheimer's Institute and Arizona Alzheimer's ConsortiumPhoenixArizonaUSA
| | - Kewei Chen
- Banner Alzheimer's Institute and Arizona Alzheimer's ConsortiumPhoenixArizonaUSA
| | - Michael L. Alosco
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
| | - Charles H. Adler
- Department of NeurologyMayo Clinic College of Medicine, Mayo Clinic ArizonaScottsdaleArizonaUSA
| | - Laura J. Balcer
- Departments of NeurologyNYU Grossman School of MedicineNew YorkNew YorkUSA
- Department of Population Health and OphthalmologyNYU Grossman School of MedicineNew YorkNew YorkUSA
| | - Charles Bernick
- Cleveland Clinic Lou Ruvo Center for Brain HealthLas VegasNevadaUSA
- Department of NeurologyUniversity of WashingtonSeattleWashingtonUSA
| | - Rhoda Au
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
- Framingham Heart StudyFraminghamMassachusettsUSA
- Slone Epidemiology Center; Departments of Anatomy & Neurobiology, Neurology, and MedicineDepartment of EpidemiologyBoston University Chobanian & Avedisian School of Medicine; Boston University School of Public HealthBostonMassachusettsUSA
| | - Sarah J. Banks
- Departments of Neuroscience and PsychiatryUniversity of CaliforniaSan DiegoCaliforniaUSA
| | - William B. Barr
- Departments of NeurologyNYU Grossman School of MedicineNew YorkNew YorkUSA
| | - Michael J. Coleman
- Departments of Psychiatry and RadiologyPsychiatry Neuroimaging LaboratoryBrigham and Women's Hospital, Harvard Medical SchoolBostonMassachusettsUSA
| | - David W. Dodick
- Department of NeurologyMayo Clinic College of Medicine, Mayo Clinic ArizonaScottsdaleArizonaUSA
| | - Douglas I. Katz
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
- Encompass Health Braintree Rehabilitation HospitalBraintreeMassachusettsUSA
| | - Kenneth L. Marek
- Institute for Neurodegenerative Disorders, Invicro, LLCNew HavenConnecticutUSA
| | - Michael D. McClean
- Department of Environmental HealthBoston University School of Public HealthBostonMassachusettsUSA
| | - Ann C. McKee
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
- VA Boston Healthcare SystemBostonMassachusettsUSA
| | - Jesse Mez
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
- Framingham Heart StudyFraminghamMassachusettsUSA
| | - Daniel H. Daneshvar
- Department of Physical Medicine & RehabilitationMassachusetts General Hospital, Spaulding Rehabilitation Hospital, Harvard Medical SchoolCharlestownMassachusettsUSA
| | - Joseph N. Palmisano
- Boston University Alzheimer's Disease Research Center, Boston University CTE Center, Biostatistics and Epidemiology Data Analytics Center (BEDAC), Boston University School of Public HealthBostonMassachusettsUSA
| | - Elaine R. Peskind
- Department of Psychiatry and Behavioral SciencesVA Northwest Mental Illness Research, Education, and Clinical Center, VA Puget Sound Health Care System; University of Washington School of MedicineSeattleWashingtonUSA
| | - Robert W. Turner
- Department of Clinical Research & LeadershipThe George Washington University School of Medicine & Health SciencesWashingtonDistrict of ColumbiaUSA
| | - Jennifer V. Wethe
- Department of Psychiatry and PsychologyMayo Clinic School of Medicine, Mayo Clinic ArizonaScottsdaleArizonaUSA
| | - Gil Rabinovici
- Department of NeurologyUniversity of California San FranciscoSan FranciscoCaliforniaUSA
| | - Keith Johnson
- Gordon Center for Medical Imaging, Mass General Research Institute, Harvard Medical SchoolBostonMassachusettsUSA
| | - Yorghos Tripodis
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
- Department of BiostatisticsBoston University School of Public HealthBostonMassachusettsUSA
| | - Jeffrey L. Cummings
- Department of Brain HealthChambers‐Grundy Center for Transformative NeuroscienceSchool of Integrated Health Sciences, University of Nevada Las VegasLas VegasNevadaUSA
| | - Martha E. Shenton
- Departments of Psychiatry and RadiologyPsychiatry Neuroimaging LaboratoryBrigham and Women's Hospital, Harvard Medical SchoolBostonMassachusettsUSA
| | - Robert A. Stern
- Department of NeurologyBoston University Alzheimer's Disease Research CenterBoston University CTE CenterBoston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
| | - Eric M. Reiman
- Banner Alzheimer's Institute and Arizona Alzheimer's ConsortiumPhoenixArizonaUSA
- University of Arizona, Arizona State University, Translational Genomics Research InstitutePhoenixArizonaUSA
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29
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Gokeler A, Tosarelli F, Buckthorpe M, Della Villa F. Neurocognitive Errors and Noncontact Anterior Cruciate Ligament Injuries in Professional Male Soccer Players. J Athl Train 2024; 59:262-269. [PMID: 37248515 PMCID: PMC10976343 DOI: 10.4085/1062-6050-0209.22] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
CONTEXT Evidence is emerging that core neurocognitive functions such as working memory and inhibitory control (ie, motor-response and attentional inhibition) are linked to the anterior cruciate ligament (ACL) injury risk. Research has been conducted in laboratory settings, but the contribution of neurocognition to actual ACL injuries under real-world conditions is unknown. OBJECTIVE To describe the possible neurocognitive errors involved in noncontact ACL injury mechanisms. DESIGN Case series. SETTING Soccer matches. PATIENTS OR OTHER PARTICIPANTS A total of 47 professional male soccer players. MAIN OUTCOME MEASURE(S) Three independent reviewers evaluated 47 videos of players sustaining noncontact ACL injuries. Neurocognitive errors in inhibitory control were operationalized as follows: (1) motor-response inhibition was scored when a player demonstrated poor decision-making and approached the opponent with high speed that reduced the ability to stop or change the intended action and (2) an attentional error was scored when a player shifted his selective attention away from the relevant task to irrelevant stimuli. RESULTS Of 47 noncontact ACL injuries, 26 (55%) were related to a pressing-type injury, 19 (73%) of which involved a deceiving action made by the opponent, suggesting poor inhibitory control of the defender. Of the remaining 21 noncontact ACL injuries (45%), 16 (76%) could be attributed to attentional errors. Agreement among the 3 raters was very good for all items except poor decision-making, which showed fair to good agreement (Fleiss κ = 0.71). Interrater reliability was excellent (intraclass correlation coefficient = 0.99-1.00). CONCLUSIONS Errors in motor-response inhibitory control and attentional inhibition were common during noncontact ACL injury events in professional male soccer players. The interrater agreement in detecting neurocognitive errors in general was very good.
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Affiliation(s)
- Alli Gokeler
- Exercise Science and Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Germany
| | - Filippo Tosarelli
- Education & Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy
| | - Matthew Buckthorpe
- Education & Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy
- Faculty of Sport, Allied Health and Performance Science, St Mary’s University, Twickenham, London, United Kingdom
| | - Francesco Della Villa
- Education & Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy
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Alonso-Callejo A, García-Unanue J, Guitart-Trench M, Majano C, Gallardo L, Felipe JL. Validity and Reliability of the Acceleration-Speed Profile for Assessing Running Kinematics' Variables Derived From the Force-Velocity Profile in Professional Soccer Players. J Strength Cond Res 2024; 38:563-570. [PMID: 37831781 PMCID: PMC10880943 DOI: 10.1519/jsc.0000000000004637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2023]
Abstract
ABSTRACT Alonso-Callejo, A, García-Unanue, J, Guitart-Trench, M, Majano, C, Gallardo, L, and Felipe, J. Validity and reliability of the acceleration-speed profile for assessing running kinematics' variables derived from the force-velocity profile in professional soccer players. J Strength Cond Res 38(3): 563-570, 2024-The aim of this research is to assess the validity and reliability of the acceleration-speed profile (ASP) for measuring the mechanical variables of running kinematics when compared with the force-velocity profile (FVP) obtained by reference systems. The ASP and FVP of 14 male players of an elite football club were assessed during a competitive microcycle. Three ASPs were tested according to the number and type of sessions included in its plotting (ASP1: 5 training sessions and competitive match; ASP2: 5 training sessions; ASP3: competitive match). Force-velocity profile was tested 4 days before match (MD-4) with a 30-m linear sprint using 3 previously validated devices (encoder, mobile App, and global positioning system). Level of significance was p < 0.05. Acceptable reliability (intraclass correlation coefficient > 0.5) was found between the ASP1 and the encoder for all variables (F 0 -A 0 , V 0 -S 0 , and V max ). The more reliable ASP method was the ASP1 showing a lower bias than the ASP2 and ASP3 methods for almost all variables and reference systems. For ASP1, lower mean absolute error (MAE: 0.3-0.5) and higher correlation (P-M corr: 0.57-0.92) were found on variables related to the velocity in comparison with variables related to the early acceleration phase (F 0 -A 0 ; MAE: 0.49-0.63; P-M corr: 0.13-0.41). Acceleration-speed profile, when computed with data from a complete competitive week, is a reliable method for analyzing variables derived from velocity and acceleration kinematics. From these results, practitioners could implement ASP and the applications of the FVP previously studied, such as resistance training prescription, performance assessment, and return-to-play management.
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Affiliation(s)
- Antonio Alonso-Callejo
- IGOID Research Group, Department of Physical Activity and Sport Sciences, University of Castilla-La Mancha, Toledo, Spain
| | - Jorge García-Unanue
- IGOID Research Group, Department of Physical Activity and Sport Sciences, University of Castilla-La Mancha, Toledo, Spain
| | - Marc Guitart-Trench
- Medical and Performance Department, Barça Innovation Hub, Futbol Club Barcelona, Barcelona, Spain; and
| | - Carlos Majano
- IGOID Research Group, Department of Physical Activity and Sport Sciences, University of Castilla-La Mancha, Toledo, Spain
| | - Leonor Gallardo
- IGOID Research Group, Department of Physical Activity and Sport Sciences, University of Castilla-La Mancha, Toledo, Spain
| | - Jose Luis Felipe
- IGOID Research Group, Department of Physical Activity and Sport Sciences, University of Castilla-La Mancha, Toledo, Spain
- Performance Analysis Department, UD Las Palmas, Las Palmas de Gran Canaria, Spain
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Mandorino M, Clubb J, Lacome M. Predicting Soccer Players' Fitness Status Through a Machine-Learning Approach. Int J Sports Physiol Perform 2024:1-11. [PMID: 38402880 DOI: 10.1123/ijspp.2023-0444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 12/15/2023] [Accepted: 01/13/2024] [Indexed: 02/27/2024]
Abstract
PURPOSE The study had 3 purposes: (1) to develop an index using machine-learning techniques to predict the fitness status of soccer players, (2) to explore the index's validity and its relationship with a submaximal run test (SMFT), and (3) to analyze the impact of weekly training load on the index and SMFT outcomes. METHODS The study involved 50 players from an Italian professional soccer club. External and internal loads were collected during training sessions. Various machine-learning algorithms were assessed for their ability to predict heart-rate responses during the training drills based on external load data. The fitness index, calculated as the difference between actual and predicted heart rates, was correlated with SMFT outcomes. RESULTS Random forest regression (mean absolute error = 3.8 [0.05]) outperformed the other machine-learning algorithms (extreme gradient boosting and linear regression). Average speed, minutes from the start of the training session, and the work:rest ratio were identified as the most important features. The fitness index displayed a very large correlation (r = .70) with SMFT outcomes, with the highest result observed during possession games and physical conditioning exercises. The study revealed that heart-rate responses from SMFT and the fitness index could diverge throughout the season, suggesting different aspects of fitness. CONCLUSIONS This study introduces an "invisible monitoring" approach to assess soccer player fitness in the training environment. The developed fitness index, in conjunction with traditional fitness tests, provides a comprehensive understanding of player readiness. This research paves the way for practical applications in soccer, enabling personalized training adjustments and injury prevention.
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Affiliation(s)
- Mauro Mandorino
- Performance and Analytics Department, Parma Calcio 1913, Parma, Italy
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico," Rome, Italy
| | - Jo Clubb
- Global Performance Insights Ltd, London, United Kingdom
| | - Mathieu Lacome
- Performance and Analytics Department, Parma Calcio 1913, Parma, Italy
- Laboratory of Sport, Expertise and Performance (EA 7370), French Institute of Sport (INSEP), Paris, France
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Sebastiá-Rico J, Martínez-Sanz JM, Sanchis-Chordà J, Alonso-Calvar M, López-Mateu P, Romero-García D, Soriano JM. Supplement Consumption by Elite Soccer Players: Differences by Competitive Level, Playing Position, and Sex. Healthcare (Basel) 2024; 12:496. [PMID: 38391871 PMCID: PMC10887827 DOI: 10.3390/healthcare12040496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 02/13/2024] [Accepted: 02/17/2024] [Indexed: 02/24/2024] Open
Abstract
Soccer is a sport practiced all over the world and whose practice begins in young athletes. Currently, the consumption of nutritional supplements is essential to achieve the maximum performance of players. The aim of this study was to describe the consumption of sports supplements (CSS) by elite soccer players and its association with their competitive level, playing position, and sex. A comparative descriptive and non-experimental study was performed during the 2021-2022 competitive season. A total of 70 elite players completed one online questionnaire about their CSS. We found that sports drinks (55.7%), sports bars (50.0%), whey protein (48.6%), caffeine (47.1%), and creatine (60.0%) were the most consumed supplements by the total sample. Relative to the categories, the CSS was higher in the senior teams for both men and women. Regarding playing positions, caffeine was more consumed by midfielders and forwards (p = 0.013). Finally, in relation to sex, significant differences were found in the consumption of sports confectionery (p = 0.036), whey protein (p = 0.002), β-alanine (p = 0.013), and melatonin (p = 0.016). Soccer club SS questionnaires gather data to understand patterns, assess effectiveness and risks, and aid research. In conclusion, differences were found in the CSS according to competitive level, sex, and playing position.
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Affiliation(s)
- Jaime Sebastiá-Rico
- Area of Nutrition, University Clinic of Nutrition, Physical Activity and Physiotherapy (CUNAFF), Lluís Alcanyís Foundation-University of Valencia, 46020 Valencia, Spain
- Food & Health Lab, Institute of Materials Science, University of Valencia, 46980 Paterna, Spain
| | | | | | - Miguel Alonso-Calvar
- Area of High Conditional Performance, Academia Valencia CF SAD, 46980 Paterna, Spain
| | - Pedro López-Mateu
- Area of Medical Services, Academia Valencia CF SAD, 46980 Paterna, Spain
| | | | - Jose M Soriano
- Food & Health Lab, Institute of Materials Science, University of Valencia, 46980 Paterna, Spain
- Joint Research Unit of Endocrinology, Nutrition and Clinical Dietetics, Health Research Institute La Fe-University of Valencia, 46026 Valencia, Spain
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Vinet SA, Martens G, Guay S, Apinis-Deshaies A, Merbah J, Caré BR, Corbin-Berrigan LA, Wagnac E, De Beaumont L. Short-term changes in the physiology of the primary motor cortex following head impact exposure during a Canadian football game. J Neurosurg 2024:1-9. [PMID: 38364223 DOI: 10.3171/2023.11.jns231933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 11/29/2023] [Indexed: 02/18/2024]
Abstract
OBJECTIVE This study investigated the association between head impact exposure (HIE) during varsity Canadian football games and short-term changes in cortical excitability of the primary motor cortex (M1) using transcranial magnetic stimulation (TMS). METHODS Twenty-nine university-level male athletes wore instrumented mouth guards during a football game to measure HIE. TMS measurements were conducted 24 hours before and 1-2 hours after the game. Twenty control football athletes were submitted to a noncontact training session and underwent identical TMS assessments. Between-group changes in short-interval intracortical inhibition (SICI) ratios over time were conducted using two-way ANOVAs. The relationship between HIE (i.e., number, magnitude, and cumulative forces of impacts) and SICI (secondary outcome) was also investigated using Pearson correlations. RESULTS Relative to controls, the group of athletes who had played a full-contact football game exhibited a significant intracortical disinhibition (p = 0.028) on the SICI 3-msec protocol (i.e., short interstimulus interval of 3 msec) within hours following the game. Moreover, exposure to ≥ 40g hits positively correlated with SICI disinhibition (p < 0.05). CONCLUSIONS Athletes exposed to subconcussive hits associated with Canadian football exhibit abnormal M1 corticomotor inhibition function, particularly when the recorded impact magnitude was ≥ 40g. Given the deleterious effects of decreased inhibition on motor control and balance, systematically tracking head impact forces at each game and practice with contacts could prove useful for injury prevention in contact sports.
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Affiliation(s)
- Sophie-Andrée Vinet
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
- 2Psychology Department, University of Montréal, Québec, Canada
| | - Géraldine Martens
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
- 3Surgery Department, University of Montréal, Québec, Canada
| | - Samuel Guay
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
- 2Psychology Department, University of Montréal, Québec, Canada
| | | | - Johan Merbah
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
| | - Bertrand R Caré
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
- 4BERGIA Solutions, Toulon, Var, France
| | | | - Eric Wagnac
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
- 6Department of Mechanical Engineering, Superior Technology School, Montréal, Québec, Canada
| | - Louis De Beaumont
- 1Montréal Sacred Heart Hospital Research Center, Montréal, Québec, Canada
- 3Surgery Department, University of Montréal, Québec, Canada
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Puga TB, Schafer J, Thiel G, Scigliano N, Ruan T, Toledo A, Agbedanu PN, Treffer K. COVID-19 National Football League (NFL) Injury Analysis: Follow-Up Study. JMIRx Med 2024; 5:e45688. [PMID: 38462739 PMCID: PMC10985286 DOI: 10.2196/45688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 07/24/2023] [Accepted: 12/27/2023] [Indexed: 03/12/2024]
Abstract
Background In 2020, COVID-19 spread across the world and brought normal daily life to a halt, causing the shutdown of nearly everything in order to prevent its spread. The National Football League (NFL) similarly experienced shutdowns and the resulting effects, leaving athletes unable to train in some of the most advanced facilities with many of the best trainers in the world. A previous study, titled COVID-19 Return to Sport: NFL Injury Prevalence Analysis, determined that there was increased injury prevalence during the 2020 season, likely due to decreased physiological adaptations within athletes' bodies as a result of facility shutdowns. Understanding injury epidemiology is vital to the prevention of injuries and the development of return-to-play protocols. Objective The objective of this study is to perform a follow-up study to COVID-19 Return to Sport: NFL Injury Prevalence Analysis in order to examine the longitudinal effects of the COVID-19 pandemic on injury epidemiology. This study examines if there was a recovery to baseline levels of injuries or if there are still lingering effects from the COVID-19 pandemic-induced spike in injuries. Methods To determine if there was change in the number of injuries for each season, injury tallies collected from the 17-week-long 2018, 2019, and 2020 NFL regular seasons were compared with those from the 18-week-long 2021 and 2022 NFL regular seasons. A Kruskall-Wallis test with post hoc Dunn analysis was conducted to compare the rate of injuries per team per week between each of the 2018, 2019, 2020, 2021, and 2022 regular seasons. Results The Kruskall-Wallis test revealed an H statistic of 32.61 (P<.001) for the comparison of the injury rates across the 5 seasons. The post hoc Dunn analysis showed that 2020 had a statistically significant difference when compared with each of the 2018 (P<.001), 2019 (P=.04), 2021 (P=.02), and 2022 (P=.048) seasons. The 2019 season showed no statistical significance when compared with the 2021 (P=.23) and 2022 (P=.13) seasons. Conclusions The results of this follow-up study, combined with the previous study, show that extended training interruptions stemming from COVID-19 in 2020 induced detraining and led to increased injuries. Additionally, the results of this study show that retraining can occur, resulting in the development of injury protective factors, as injury rates returned to baseline levels after 2020. This is the first large-scale and long-term opportunity to demonstrate the effects of these principles and how they are important to understanding injury epidemiology.
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Affiliation(s)
- Troy B Puga
- College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States
| | - Joshua Schafer
- School of Medicine, University of Kansas, Kansas City, KS, United States
| | - Grace Thiel
- College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States
| | - Nicholas Scigliano
- College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States
| | - Tiffany Ruan
- College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States
| | - Andres Toledo
- College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States
| | - Prince N Agbedanu
- Division of Science, Technology, Engineering, and Math, Department of Health Sciences, Friends University, Wichita, KS, United States
| | - Kevin Treffer
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States
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Abbott W, Exall Z, Walsh L, Clifford T. Menstrual Cycle and Situational Match Variables: Effects on Well-Being in Professional Female Soccer Players. Res Q Exerc Sport 2024:1-9. [PMID: 38306676 DOI: 10.1080/02701367.2023.2298443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 12/19/2023] [Indexed: 02/04/2024]
Abstract
Purpose: We examined whether the situational match factors (location, result, and opposition quality), as well as playing position and menstrual cycle phase, influenced self-reported well-being in female soccer players. Methods: Twenty-two professional players (25 ± 5 years) from a squad in the Women's Super League in England self-reported their menstrual cycle phase via an online survey, and their soreness, sleep, stress, mood, and fatigue on a 1 (positive) to 5 (negative) scale on the morning of match day (MD) and for the next 3 days (referred to as MD + 1, MD + 2, MD + 3, respectively). Data was collected for 26 matches across the 2021-2022 season. Session rate of perceived exertion (sRPE) and total distance covered (measured with GPS) were measured on match and training days. Results: Menstrual cycle phase and the situational match factors had no influence on distance covered during matches and sRPE (p > .05). Sleep was worse on MD + 1 (p < .001; g = 1.59) and MD + 2 (p = .005; g = 0.98) after away matches. Stress and mood were > 28% worse after playing top vs. mid and bottom table opposition at MD + 1, and significantly worse when losing compared to winning and drawing (p > .05). Playing position and menstrual cycle phase has no influence on self-reported well-being (p > .05). Conclusion: Sleep quality was worse after away matches and losing matches negatively affects stress and mood for 2 days post-match, but menstrual cycle phase does not influence post-match well-being.
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Affiliation(s)
- Will Abbott
- Brighton and Hove Albion F.C., American Express Elite Performance Centre
| | - Zoe Exall
- Brighton and Hove Albion F.C., American Express Elite Performance Centre
| | - Lisa Walsh
- Brighton and Hove Albion F.C., American Express Elite Performance Centre
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Maly T, Hank M, Verbruggen FF, Clarup C, Phillips K, Zahalka F, Mala L, Ford KR. Relationships of lower extremity and trunk asymmetries in elite soccer players. Front Physiol 2024; 15:1343090. [PMID: 38370013 PMCID: PMC10869622 DOI: 10.3389/fphys.2024.1343090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 01/16/2024] [Indexed: 02/20/2024] Open
Abstract
In light of previous research highlighting the prevalence of asymmetries in soccer players and possible links to injury risks, there is a crucial gap in the biomechanical understanding of complex relationships between lower extremity and trunk asymmetries in elite soccer players. The purpose of this study was to investigate the level, relationships, and differences among twelve different parameters of strength, morphological, and neuromuscular asymmetries in elite soccer players. Methods: Elite male soccer players (n = 25, age 21.7 ± 3.9 years) were tested in the following tests: bilateral fluid distribution, hip flexor range of motion, postural stability, isokinetic strength of knee extensors and flexors, isometric lateral trunk rotation strength, eccentric strength of knee flexors, isometric bilateral strength of hip adductors, and vertical ground reaction force in counter-movement jump-free arms, counter-movement jump, squat jump, and drop jump tests. One-way ANOVA, Pearson's coefficient (r), and partial eta squared (η p 2) were used for data analysis. Results: Significant differences in asymmetries were found in elite soccer players (F11,299 = 11.01, p < .01). The magnitude of asymmetry over 10% was in postural stability and drop jump parameters. The lowest magnitudes of asymmetries were in the fluid distribution of the lower limbs and the vertical ground reaction force during the take-off phase in squat jumps. The highest asymmetries between the dominant and non-dominant sides were found in postural stability and drop jump. A total of eleven significant correlations (p < 0.05, r = 0.41-0.63, R2 = 0.17-0.40) were detected between the analyzed asymmetries in elite soccer players. The lateral trunk rotation asymmetries were significantly correlated to vertical ground reaction force asymmetries and knee extensors. Conclusion: Long-term exposure in elite soccer leads to unilateral biomechanical loading that induces abnormal strength and morphological adaptations in favor of the dominant side while linking lower limb and trunk strength asymmetries. By unraveling these complex relationships, we strive to contribute novel methods that could inform targeted training regimens and injury prevention strategies in the elite soccer community. The data should encourage future researchers and coaches to monitor and develop trunk strength linked to lower body kinematics.
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Affiliation(s)
- Tomas Maly
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
- Department of Performance, AC Sparta Praha, Prague, Czechia
| | - Mikulas Hank
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
| | - Ferdia Fallon Verbruggen
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
- Department of Performance, AC Sparta Praha, Prague, Czechia
| | | | - Kirk Phillips
- Department of Performance, AC Sparta Praha, Prague, Czechia
| | - Frantisek Zahalka
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
| | - Lucia Mala
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
| | - Kevin R. Ford
- Department of Physical Therapy, High Point University, High Point, NC, United States
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Heuvelmans P, Di Paolo S, Benjaminse A, Bragonzoni L, Gokeler A. Relationships Between Task Constraints, Visual Constraints, Joint Coordination and Football-Specific Performance in Talented Youth Athletes: An Ecological Dynamics Approach. Percept Mot Skills 2024; 131:161-176. [PMID: 37948538 PMCID: PMC10863366 DOI: 10.1177/00315125231213124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
Individual performance in team sports is a multifactorial reflection of how well a player can cope and accomplish tasks in varied playing situations. Thus, performance analysis should not only focus on outcomes, but also on underlying mechanisms of those outcomes. We adopted principles of the ecological dynamics approach (EDA) to investigate the effect of introducing constraints on players' joint coordination responses for a football-specific performance drill outcome. Seventeen talented youth football (soccer) players performed a football-specific drill under different conditions: basic constraints, additional defender dummies, stroboscopic glasses, and a combination of the latter two constraints. We recorded these players' execution time, passing accuracy, and lower extremity joint kinematics. We calculated joint coordination for hip-knee, knee-ankle, and trunk-hip couplings. The added constraints negatively affected execution time and passing accuracy, and caused changes in joint coordination. Furthermore, we identified a relationship between execution time and joint coordination. This study serves as an example how the EDA can be adopted to investigate mechanisms that underlie individual performance in team sports.
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Affiliation(s)
- Pieter Heuvelmans
- Exercise Science and Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany
| | - Stefano Di Paolo
- Department for Life Quality Studies, University of Bologna, Bologna, Italy
| | - Anne Benjaminse
- Department of Human Movement Sciences, Faculty of Medical Sciences, University of Groningen, Groningen, the Netherlands
- School of Sport Studies, Hanze University Groningen, Groningen, the Netherlands
| | - Laura Bragonzoni
- Department for Life Quality Studies, University of Bologna, Bologna, Italy
| | - Alli Gokeler
- Exercise Science and Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany
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Fothergill MA, Gill G, Graham PL. The beautiful game bringing families together: children's and parents' experiences of a family football programme. Health Promot Int 2024; 39:daad183. [PMID: 38195063 PMCID: PMC10776202 DOI: 10.1093/heapro/daad183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024] Open
Abstract
Children are consistently not achieving recommended levels of physical activity (PA) despite it being a compulsory requirement of the national curriculum in England. Fruit and vegetable consumption also falls below recommended levels for both adults and children. With school PA increasingly being outsourced, football foundations (linked to professional football clubs) are now prominent providers of children's PA. However, research exploring coach-led interventions in schools is limited with a particular gap in knowledge surrounding the qualitative experiences of children and parents/carers. The current study therefore aimed to explore the experiences of children and parents engaged in a 6-week family football programme. Family football is a free after-school programme engaging parents/carers and their children, to enhance their engagement in PA and healthy nutritional habits. A purposive sample of parents/carers and their children (N = 36) took part in qualitative focus groups to discuss their experiences of participating in family football. Reflexive thematic analysis revealed two themes: (i) healthy lifestyle facilitators and challenges and (ii) added value of programme participation. Children discussed programme content around nutritional practices and parents/carers discussed examples of where nutritional practices had improved at home, though some parents/carers and children highlighted persistent barriers to health improvement. Both parents/carers and children reflected on how the programme had enabled them to spend dedicated time with one another. The findings emphasize the significance of direct parent/carer involvement in school-based health interventions as well as the value of coach-led interventions in the enhancement of PA enjoyment, nutritional knowledge and connectedness of families within schools.
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Affiliation(s)
- Melissa A Fothergill
- Department of Psychology, Northumbria University, Northumberland Road, Newcastle-upon-Tyne, NE1 8ST, UK
| | - Gursharan Gill
- School of Psychology,Newcastle University, Wallace Street, NE2 4DR, UK
| | - Pamela L Graham
- Department of Social Work, Education and Community Wellbeing, Northumbria University, Coach Lane Campus, NE7 7XA, UK
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Kavanagh R, McDaid K, Rhodes D, McDonnell J, Oliveira R, Morgans R. An Analysis of Positional Generic and Individualized Speed Thresholds Within the Most Demanding Phases of Match Play in the English Premier League. Int J Sports Physiol Perform 2024; 19:116-126. [PMID: 38134895 DOI: 10.1123/ijspp.2023-0063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 09/14/2023] [Accepted: 10/12/2023] [Indexed: 12/24/2023]
Abstract
OBJECTIVES To analyze the positional distances covered above generic and individualized speed thresholds within the most demanding phases of match play. Categorized by position, 17 English Premier League players' match data were analyzed over 2 consecutive seasons (2019-20 and 2020-21). The most demanding phases of play were determined using a rolling average across 4 periods of 1, 3, 5, and 10 minutes. Distance covered in the time above the standard speed of 5.5 m/s was analyzed, with individualized metrics based on the maximal aerobic speed (MAS) test data. RESULTS Central defenders displayed lower values for high-intensity periods when compared with fullbacks, midfielders, and wide midfielders for both generic and individualized metrics. MAS during 1-minute periods was significantly higher for forwards when compared with central defenders (82.9 [18.9] vs 67.5 [14.8] for maximum high-speed running [HSR] and 96.0 [15.9] vs 75.7 [13.8] HSR for maximum MAS activity). The maximum effect size differences between the central midfielders, wide midfielders, and fullbacks for HSR and MAS measures under the maximum HSR criterion was 0.28 and 0.18 for the 1-minute period, 0.36 and 0.19 for the 3-minute period, 0.46 and 0.31 for the 5-minute period, and 0.49 and 0.315 for the 10-minute period. CONCLUSIONS Individualized speed metrics may provide a more precise and comparable measure than generic values. Data appear to be consistent across playing positions except for central defenders. This information may allow practitioners to directly compare individualized physical outputs of non-central defenders during the most demanding phases of play regardless of the players' positional group. This may provide coaches with important information regarding session design, training load, and fatigue monitoring.
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Affiliation(s)
- Ronan Kavanagh
- Nottingham Forest FC, Nottingham, United Kingdom
- Football Performance Hub, Institute of Coaching and Performance, University of Central Lancashire, Preston, United Kingdom
| | - Kevin McDaid
- Applied Data Analytics Research Group, Dundalk Institute of Technology, Louth, Ireland
| | - David Rhodes
- Human Performance Department, Burnley Football Club, Burnley, United Kingdom
| | - Jack McDonnell
- Applied Data Analytics Research Group, Dundalk Institute of Technology, Louth, Ireland
| | - Rafael Oliveira
- Sports Science School of Rio Maior-Polytechnic Institute of Santarém, Rio Maior, Portugal
- Research Center in Sport Sciences, Health Sciences and Human Development, Vila Real, Portugal
- Life Quality Research Center, Rio Maior, Portugal
| | - Ryland Morgans
- Football Performance Hub, Institute of Coaching and Performance, University of Central Lancashire, Preston, United Kingdom
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom
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Ellens S, Carey D, Gastin P, Varley MC. Changing the criteria applied to acceleration and deceleration efforts changes the types of player actions detected. SCI MED FOOTBALL 2024; 8:52-59. [PMID: 36250240 DOI: 10.1080/24733938.2022.2137575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/14/2022] [Indexed: 10/24/2022]
Abstract
This study identified and profiled the types of player actions of Australian football players executed during high acceleration and/or deceleration efforts and identified how the duration exceeding the acceleration or deceleration threshold influenced the identified executed player actions. The commencing speed of the acceleration and deceleration efforts were also assessed. Acceleration and deceleration efforts of 22 Australian football players monitored with a 10-Hz GNSS device across two matches were analysed. Synchronised video footage of the matches was used to identify the player actions executed during acceleration and deceleration efforts. Linear mixed models were conducted to examine the relationship between commencing speed, player action, and duration exceeding the effort threshold. 'Linear movement' and 'jump' were the most frequently executed player actions for high accelerations and 'stop' and 'being tackled' for high decelerations. Significant differences were observed in commencing speed between player actions for the high deceleration efforts. Furthermore, it was found that a higher commencing speed was associated with an increased duration exceeding the deceleration threshold. These findings will help practitioners and researchers with selecting minimum-duration criteria for acceleration and deceleration efforts and provide an understanding of the types of player actions executed during these efforts.
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Affiliation(s)
- Susanne Ellens
- Sport and Exercise Science, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Australia
| | - David Carey
- Sport and Exercise Science, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Australia
| | - Paul Gastin
- Sport and Exercise Science, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Australia
| | - Matthew C Varley
- Sport and Exercise Science, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Australia
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Ketcheson LR, Pitchford EA, Hauck J, Loetzner F. On-field physical activity of Special Olympics athletes and Unified Partners during the 2022 Special Olympics World Unified Cup. J Intellect Disabil Res 2024; 68:164-172. [PMID: 37933771 DOI: 10.1111/jir.13102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 08/30/2023] [Accepted: 10/11/2023] [Indexed: 11/08/2023]
Abstract
BACKGROUND Special Olympics is a sport organisation spearheading efforts to increase physical activity accessibility through inclusive sport. The Unified Sports® initiative brings together Special Olympics athletes (with intellectual disabilities) and Unified partners (without a disability) in sport training and competition on the same team. The study aims to objectively evaluate differences in on-field physical activity levels between athletes and partners during the 2022 Special Olympics World Unified Cup, an international soccer (i.e., football) competition. Participants were Special Olympics athletes (n = 96; 44 females, 52 males) and Unified partners (n = 70; 34 females and 36 males) competing in the women's and men's tournaments. METHODS On-field actigraph accelerometry measured physical activity from 166 players, over 29 matches, and totalling 493 player-matches. RESULTS In the women's tournament, nearly identical estimates of moderate-to-vigorous physical activity levels (MVPA) were observed between athletes and partners (P = .409). However, a significant group difference was observed within a specific physical activity intensity category as partners accrued more minutes of very vigorous physical activity than athletes (P < .001). In the men's tournament, no significant differences were also observed between athletes and partners for minutes of MVPA (P = .341), but athletes engaged in significantly more vigorous physical activity (P < .001), and partners had more minutes of very vigorous physical activity (P < .001). CONCLUSIONS The results suggest that on-field physical activity levels were similar between players with and without intellectual disabilities during Unified Sports competition.
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Affiliation(s)
- L R Ketcheson
- Kinesiology Health and Sport Studies, Wayne State University, Detroit, MI, USA
| | - E A Pitchford
- School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR, USA
| | - J Hauck
- Department of Kinesiology, Michigan State University, East Lansing, MI, USA
| | - F Loetzner
- Kinesiology Health and Sport Studies, Wayne State University, Detroit, MI, USA
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Rubio-Morales A, Díaz-García J, Harper LD, García-Calvo T. The influence of the perceived requirements of the next match and motivation on the mental fatigue of soccer players. Scand J Med Sci Sports 2024; 34:e14580. [PMID: 38339789 DOI: 10.1111/sms.14580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/16/2024] [Accepted: 01/29/2024] [Indexed: 02/12/2024]
Abstract
The high cognitive and/or emotional demands of competition can lead to a state of mental fatigue which has shown to be detrimental to soccer performance. However, there is a need to further understand the true mental demands of soccer players. The aim of the present study was to analyze the influence of motivation and the perceived requirements of the next match on mental fatigue perceived by soccer players over the passing of a season. The combined effect of both variables on the perception of mental fatigue, as well as the influence of the time of the season on perceived mental fatigue, were also analyzed. Twenty-six semi-professional Spanish male players (M = 26.31 ± 5.18 years) participated in the present study, conducted during the 2020-2021 season. Perceived mental fatigue and motivation were measured at each training session. The perceived requirements of the next match were also measured in each of the competitive weeks. Linear mixed models were run with R Studio to examine the influence of motivation and the perceived difficulty of the next match on perceived mental fatigue, the combined effect of both variables on perceived mental fatigue, and the influence of the passing of the season on perceived mental fatigue. The results showed a negative and significant influence of motivation on perceived mental fatigue (p < 0.001) and a positive and significant influence of the perceived requirements of the next match on perceived mental fatigue (p < 0.001). Regarding the combined effect, there was a positive and significant effect (p < 0.01) of the perceived difficulty of the next match on the relation between motivation and perceived mental fatigue. A negative influence of season passage on perceived mental fatigue levels was found (p < 0.001). We recommended coaches to consider using the most motivating training tasks when higher next-match requirements are perceived and to be careful with avoidance strategies for mental fatigue, especially at the beginning of the season.
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Affiliation(s)
- A Rubio-Morales
- Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
| | - J Díaz-García
- Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
| | - L D Harper
- Department of Life Sciences, Manchester Metropolitan University, Manchester, UK
- Institute of Sport, Manchester Metropolitan University, Manchester, UK
- Musculoskeletal Science and Sports Medicine, Manchester Metropolitan University, Manchester, UK
| | - T García-Calvo
- Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
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Georgieva J, Arnold EJ, Peek K, Smith A, Lavender AP, Serner A, Fitzgerald M, Ma'ayah F, Campbell A. The incidence and characteristics of heading in the 2019 FIFA Women's World Cup™. SCI MED FOOTBALL 2024:1-8. [PMID: 38293754 DOI: 10.1080/24733938.2024.2305396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/07/2024] [Indexed: 02/01/2024]
Abstract
INTRODUCTION To quantify the incidence and characteristics of purposeful heading and other head impacts in professional women's football at the 2019 FIFA Women's World Cup™. METHODS This cross-sectional cohort study analysed purposeful headers (uncontested and contested) and their characteristics (e.g. playing position, match situation, field location, and distance ball travelled), and other head impact events using video analysis. Total headers and head impact events, and incidence rate (IR) per 1000 match-hours were calculated for countries, positions, and other characteristics, such as location on the pitch. RESULTS Purposeful headers accounted for 76% of all coded events (uncontested: 71%; contested: 29%), followed by attempted headers (21%), unintentional ball-head impacts (2%), and other head impacts (1%). Headers ranged from 0 to 22 per player, per match with a mean of 4.8 [±1.2]. Of all field positions, centrebacks had the highest heading rates and wingers the lowest. Strikers performed significantly more contested headers than any other position, and significantly less uncontested headers. Most headers occurred in the middle third (48%), from free game play (72%) and from long balls (>20 m) (68%). CONCLUSION The findings of this study could assist the development of player heading risk profiles, sex-specific heading guidelines, and coaching practices.
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Affiliation(s)
- Julia Georgieva
- Curtin School of Allied Health, Curtin University, Perth, WA, Australia
| | - Eloise J Arnold
- Curtin School of Allied Health, Curtin University, Perth, WA, Australia
| | - Kerry Peek
- Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia
| | - Anne Smith
- Curtin School of Allied Health, Curtin University, Perth, WA, Australia
- enAble Institute for Health Science, Curtin University, Perth, WA, Australia
| | - Andrew P Lavender
- Institute of Health and Wellbeing, Federation University, Ballarat, VIC, Australia
| | - Andreas Serner
- FIFA Medical, Fédération Internationale de Football Association, Zurich, Switzerland
| | - Melinda Fitzgerald
- Perron Institute for Neurological and Translational Science, Nedlands, WA, Australia
- Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia
| | - Fadi Ma'ayah
- School of Education, Curtin University, Perth, WA, Australia
| | - Amity Campbell
- Curtin School of Allied Health, Curtin University, Perth, WA, Australia
- enAble Institute for Health Science, Curtin University, Perth, WA, Australia
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Morgans R, Oliveira R, Rhodes D, Orme P, Ceylan HI, González-Fernández FT, Linán-González A, Moreira A. Does elite European match-play affect salivary immunoglobulin-A and cortisol in soccer players? The influence of playing status and match outcome. Front Physiol 2024; 15:1253417. [PMID: 38332986 PMCID: PMC10850389 DOI: 10.3389/fphys.2024.1253417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 01/15/2024] [Indexed: 02/10/2024] Open
Abstract
Introduction: The aims of this study were to: a) investigate salivary immunoglobulin A (s-IgA) and cortisol (s-Cort) responses to nine competitive fixtures in starting and non- starting soccer players; and b) compare s-IgA and s-Cort responses of starters and non-starters considering match outcome. Methods: Saliva from 19 male outfield players from an elite soccer team (mean ± SD, age 26 ± 4 years; weight 80.5 ± 8.1 kg; height 1.83 ± 0.07 m; body-fat 10.8% ± 0.7%) was collected. Saliva samples were taken on the day before each match (MD-1), 60-min before kick-off (MDpre), 30-min post-match (MDpost), and 72-h post-match (MD+3). There were five wins, one draw and three losses. Results: The mean s-IgA value was found to be significantly lower at MD+3 compared to MDpre and MDpost. s-Cort was significantly higher at MDpost compared to MD-1 and MDpre. When compared to MDpre, a statistically significant decrease in s-Cort was observed at MD+3 compared to MDpost. Starters displayed higher s-Cort values across the nine matches. There was a significant group-by-time interaction for s-Cort. There was a significant increase in s-Cort levels at MDpost compared to MD-1 and from MDpre to MDpost in starting players. At MDpost, starters had significantly higher s-Cort values. s-IgA values of starting and non- starting players following successful and unsuccessful matches did not reveal a significant difference. However, similar analysis of s-Cort in successful matches showed a significant difference between starters and non-starters. s-IgA values at MD-1, MDpre, MDpost and MD+3 in starters and non-starters following successful and unsuccessful matches revealed significant differences at MDpre and MDpost in starters, respectively. Furthermore, s-Cort values at MD-1, MDpre, MDpost and MD+3 in starters and non-starters in successful and unsuccessful matches revealed significant differences at MD+3 in starting players. Discussion: The present study suggests that in elite level soccer players, both starting status and match outcome influence s-IgA and s-Cort responses, particularly starters. Specifically, s-IgA was lower for starters before and after the match following successful outcomes. Moreover, higher s-Cort values were found before the match while lower values occurred after the match for starters in successful matches.
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Affiliation(s)
- R. Morgans
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom
| | - R. Oliveira
- Research Centre in Sports Sciences, Health and Human Development, Vila Real, Portugal
- Sports Science School of Rio Maior–Polytechnic Institute of Santarém, Rio Maior, Portugal
| | - D. Rhodes
- Football Performance Hub, Institute of Coaching and Performance, School of Sport and Health Sciences, University of Central Lancashire, Preston, United Kingdom
| | - P. Orme
- Sport Science and Medical Department, Bristol, United Kingdom
| | - H. I. Ceylan
- Faculty of Kazim Karabekir Education, Physical Education of Sports Teaching Department, Ataturk University, Erzurum, Türkiye
| | - F. T. González-Fernández
- Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - A. Linán-González
- Department of Nursing, Faculty of Health Sciences, Melilla Campus, University of Granada, Melilla, Spain
| | - A. Moreira
- Department of Sport, School of Physical Education and Sport, University of Sao Paulo, São Paulo, Brazil
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Chryssanthopoulos C, Souglis A, Tsalouhidou S, Hulton AT, Bogdanis GC, Petridou A, Philippou A, Maridaki M, Theos A. Dietary Intake of Soccer Players before, during and after an Official Game: Influence of Competition Level and Playing Position. Nutrients 2024; 16:337. [PMID: 38337622 PMCID: PMC10856869 DOI: 10.3390/nu16030337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 01/19/2024] [Accepted: 01/22/2024] [Indexed: 02/12/2024] Open
Abstract
Physical demands in soccer differ according to league level and playing position and may influence nutritional requirements. This study examined the effect of competition level and playing position on dietary intake in male soccer players (SP). Diet was weighed and recorded by 123 SP for 3 days; before, on the day, and the day after an official match. SP in the Super League (SL, n = 33) division reported higher (p < 0.05) average three-day energy (195 ± 36 kJ/kg), carbohydrate (6.0 ± 1.1 g/kg), and protein (2.2 ± 0.5 g/kg) intakes compared to the intakes reported by SP in the 2nd (n = 30) (energy: 159 ± 31 kJ/kg; carbohydrate: 4.6 ± 1.2 g/kg; protein: 1.9 ± 0.4 g/kg), 3rd (n = 30) (energy: 153 ± 34 kJ/kg; carbohydrate: 4.5 ± 1.2 g/kg; protein: 1.7 ± 0.4 g/kg), and 4th (n = 30) (energy: 152 ± 36 kJ/kg; carbohydrate: 4.2 ± 1.2 g/kg; protein: 1.7 ± 0.5 g/kg) national leagues (mean ± SD). Furthermore, when data were analyzed by playing position (pooled data), wide midfielders reported higher (p < 0.05) energy (183 ± 33 kJ/kg), carbohydrate (5.4 ± 1.2 g/kg), and fat (1.5 ± 0.4 g/kg) intakes compared to central defenders (energy: 147 ± 37 kJ/kg; carbohydrate: 4.1 ± 1.1 g/kg; fat: 1.2 ± 0.4 g/kg). The dietary intake of SP may differ according to the playing position and competition level, possibly due to different metabolic demands in training and competition.
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Affiliation(s)
- Costas Chryssanthopoulos
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece (G.C.B.)
- Department of Physiology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece;
| | - Athanasios Souglis
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece (G.C.B.)
| | - Sofia Tsalouhidou
- Laboratory of Evaluation of Human Biological Performance, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece (A.P.)
| | - Andrew T. Hulton
- Department of Nutrition, Food and Exercise Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7XH, UK;
| | - Gregory C. Bogdanis
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece (G.C.B.)
| | - Anatoli Petridou
- Laboratory of Evaluation of Human Biological Performance, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece (A.P.)
| | - Anastassios Philippou
- Department of Physiology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece;
| | - Maria Maridaki
- Department of Physical Education and Sport Science, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece (G.C.B.)
| | - Apostolos Theos
- Section of Sports Medicine, Department of Community Medicine & Rehabilitation, Umeå University, 901 87 Umeå, Sweden
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Guimarães RDS, García-Calvo T, Raya-González J, Ponce-Bordón JC, Fatela P, Lobo-Triviño D. Effects of Contextual Variables on Match Load in a Professional Soccer Team Attending to the Different Season Periods. Sensors (Basel) 2024; 24:679. [PMID: 38276372 PMCID: PMC10820192 DOI: 10.3390/s24020679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 01/11/2024] [Accepted: 01/17/2024] [Indexed: 01/27/2024]
Abstract
This study aimed to analyze the effects of contextual variables (i.e., match location and match outcome) and season periods on match load (i.e., internal and external load) in professional Brazilian soccer players. Thirty-six professional players from the same soccer team participated in this study. The season was split into four phases: matches 1-16 (i.e., Phase 1 = P1); matches 17-32 (i.e., Phase 2 = P2); matches 33-48, (i.e., Phase 3 = P3); matches 49-65 (i.e., Phase 4 = P4). Considering match outcome, when the team wins, Cognitive load, Emotional load, and Affective load were significantly higher in away vs. home matches (p < 0.05). Considering season phases, in P3, Mental Fatigue was significantly higher in drawing than in losing matches (p < 0.05). Additionally, considering the match outcome, when the team lost, Total Distance (TD)/min and TD > 19 km·h-1/min were significantly lower in P1 than P2 (p < 0.001), P3 (p < 0.001), and P4 (p < 0.001). These results suggest to strength and conditioning coaches the need to consider the outcome and location of the previous game when planning the week, as well as the phase of the season they are in to reduce fatigue and injury risk.
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Affiliation(s)
- Rodrigo dos Santos Guimarães
- Faculty of Sport Sciences, University of Extremadura, Avenida de la Universidad S/N, 10003 Caceres, Spain; (R.d.S.G.); (J.R.-G.); (J.C.P.-B.); (D.L.-T.)
| | - Tomás García-Calvo
- Faculty of Sport Sciences, University of Extremadura, Avenida de la Universidad S/N, 10003 Caceres, Spain; (R.d.S.G.); (J.R.-G.); (J.C.P.-B.); (D.L.-T.)
| | - Javier Raya-González
- Faculty of Sport Sciences, University of Extremadura, Avenida de la Universidad S/N, 10003 Caceres, Spain; (R.d.S.G.); (J.R.-G.); (J.C.P.-B.); (D.L.-T.)
| | - José C. Ponce-Bordón
- Faculty of Sport Sciences, University of Extremadura, Avenida de la Universidad S/N, 10003 Caceres, Spain; (R.d.S.G.); (J.R.-G.); (J.C.P.-B.); (D.L.-T.)
| | - Pedro Fatela
- Faculty of Human Kinetics, University of Lisbon, Estr. da Costa, 1495-751 Cruz Quebrada, Portugal;
| | - David Lobo-Triviño
- Faculty of Sport Sciences, University of Extremadura, Avenida de la Universidad S/N, 10003 Caceres, Spain; (R.d.S.G.); (J.R.-G.); (J.C.P.-B.); (D.L.-T.)
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Wang Z, Su L, Agudamu, Gong T, Bu T, Zhang Y. Factors driving FIFA world cup 2022 viewership ratings in mainland China: marketing outlooks for FIFA world cup 2026. Front Sports Act Living 2024; 5:1282898. [PMID: 38260816 PMCID: PMC10801063 DOI: 10.3389/fspor.2023.1282898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 12/20/2023] [Indexed: 01/24/2024] Open
Abstract
Introduction The FIFA World Cup is not only the most lucrative athletic event globally, but it also functions as a platform for promoting peace owing to FIFA's new vision. Nevertheless, the determinants of TV viewership ratings, especially in the Chinese market, which is a critical revenue stream for FIFA TV broadcasting, are still unsolved. Using a distributional regression, this study aimed to quantify the dynamics of viewership ratings for the FIFA World Cup 2022 in mainland China. Methods The CCTV viewership ratings were modeled using 12 covariables related to Chinese TV consumer behavior. Given the data structure, a Logit Normal regression model was chosen to fit the location and dispersion parameters of viewership ratings to explanatory variables. Results In the fitted heteroscedastic model, the viewership ratings dynamics in mainland China were driven by the match kick-off time: μ ^ = logistic [ - 4.874 + 0.043 × match kick - off time ] . In addition, the model captures the factors that influence the variations in viewership ratings: σ ^ = exp [ - 14.26 - 1.346 (if, FIFA World Cup champion = "Yes") + 0.004 × FIFA world ranking]. Thus, it shows that the FIFA World Cup champions tamp down such variations, leading to a more stable viewing behavior among Chinese consumers. Conclusions Time- and team-sensitive strategies are proposed to aid in crafting uncertainty-suppressing business decisions for the FIFA World Cup 2026. Ultimately, in the more insecure 2020s, a broader live coverage of the FIFA World Cup would be invaluable for promoting peace.
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Affiliation(s)
- Zongqing Wang
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Lide Su
- School of Humanities, Inner Mongolia University of Technology, Hohhot, China
| | - Agudamu
- Graduate School of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea
| | - Tao Gong
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Te Bu
- College of Physical Education, Hunan Normal University, Changsha, China
- Institute of Sports and Health Industry, HEHA CAT Fitness, Changsha, China
| | - Yang Zhang
- Independent Researcher, Windermere, FL, United States
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Pietsch S, Green B, Schache AG, Pizzari T. Epidemiology of quadriceps muscle strain injuries in elite male Australian football players. Scand J Med Sci Sports 2024; 34:e14542. [PMID: 37994173 DOI: 10.1111/sms.14542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 10/24/2023] [Accepted: 11/12/2023] [Indexed: 11/24/2023]
Abstract
OBJECTIVE To describe the epidemiology of quadriceps muscle strain injury (QMSI) in elite Australian Football League (AFL) players, explore recovery milestones and determine whether recovery is impacted by factors such as injury type (index vs. re-injury), the primary muscle injured and the mechanism of injury. MEASURES All QMSI data reported to the Soft Tissue Injury Registry of the AFL from the 2014 to 2020 seasons were evaluated. Player demographic data, circumstances of injury, MRI reports and recovery outcomes following injury were extracted. Descriptive statistics and frequency distributions are presented. Recovery outcomes for injury type, primary muscle injured and the mechanism of injury were compared using univariate analyses. RESULTS There were 164 QMSIs from 122 players reported (134 index; 30 re-injuries). Almost all (91.3%) QMSIs involved the rectus femoris. Half (48.4%) of the QMSIs occurred during kicking and most commonly affected the dominant kicking leg (72%). The majority occurred at training (64.6%). All re-injuries involved the rectus femoris, most occurred from kicking (63.0%) and within 6 months of the preceding injury (70%). The mean return to play (RTP) time was 25.4 days (95%CI = 22.6-28.2) and rectus femoris injuries took around 14 days longer to RTP than vastii injuries (p = 0.001). QMSIs with a kicking mechanism took the longest to RTP of all injury mechanisms. CONCLUSION In AFL players, QMSIs occur mostly in the dominant leg from a kicking mechanism. Rectus femoris injuries are more prevalent and result in longer RTP time frames. Re-injuries exclusively involved the rectus femoris, primarily from kicking.
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Affiliation(s)
- Samuel Pietsch
- La Trobe Sport and Exercise Medicine Research Centre. School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia
| | - Brady Green
- School of Health Sciences and Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
- School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia
| | - Anthony G Schache
- La Trobe Sport and Exercise Medicine Research Centre. School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia
| | - Tania Pizzari
- La Trobe Sport and Exercise Medicine Research Centre. School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia
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Walter AE, Wilkes JR, Scaramuzzo M, Johns-Bostick T, Lynch S, Sebastianelli W, Seidenberg P, Bream T, Slobounov SM. Head acceleration event exposure and cognitive and functional outcomes: a comparison of multiple football seasons. Res Sports Med 2024; 32:122-131. [PMID: 35708219 DOI: 10.1080/15438627.2022.2090249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 06/11/2022] [Indexed: 10/18/2022]
Abstract
Athletes in contact sports are exposed to repetitive impacts as an inherent part of sport. There is concern over the accumulative effect; however, much is still unknown regarding their short-term effects. This study investigated impact accumulation and outcomes over three seasons (2015, 2017, 2019) in NCAA Football Bowl Subdivision players. Impacts were recorded using helmet accelerometers, and virtual reality testing (VR) was done across the season. Incidence rates for impacts (total; ≥25 G to <80 G; ≥80 G) all significantly differed by season (p < 0.05). VR scores changed across the seasons, specifically significant decreases in spatial memory (p < 0.05) in 2015, significant changes in balance and spatial memory (p < 0.05) in 2017, and no significant changes in 2019. Linear regressions predicting VR change score by impact incidence rate were nonsignificant. Monitoring exposure to impacts and changes in outcomes is useful; however, results are fluid, and many factors could indirectly have protective effects on athletes.
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Affiliation(s)
- Alexa E Walter
- Department of Kinesiology, The Pennsylvania State University, University Park, PA, USA
- Department of Neurology, University of Pennsylvania Perelman School of Medicine Philadelphia, PA, USA
| | - James R Wilkes
- Department of Kinesiology, The Pennsylvania State University, University Park, PA, USA
| | - Madeleine Scaramuzzo
- Intercollegiate Athletics, The Pennsylvania State University, University Park, PA, USA
- Intercollegiate Athletics, Southeastern Louisiana University, Hammond, LA, USA
| | - Tesa Johns-Bostick
- Intercollegiate Athletics, The Pennsylvania State University, University Park, PA, USA
| | - Scott Lynch
- Department of Orthopaedics, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA, USA
| | - Wayne Sebastianelli
- Department of Orthopaedics and Rehabilitation, the Pennsylvania State University, Penn State College of Medicine, State College, PA, USA
| | - Peter Seidenberg
- Department of Orthopaedics and Rehabilitation and Family and Community Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA, USA
- Department of Family Medicine, Louisiana State University Health School of Medicine, Shreveport, LA, USA
| | - Tim Bream
- Intercollegiate Athletics, The Pennsylvania State University, University Park, PA, USA
- SAFR Sport Technologies, Chester Springs, PA, USA
| | - Semyon M Slobounov
- Department of Kinesiology, The Pennsylvania State University, University Park, PA, USA
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50
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Quintana-Cepedal M, de la Calle O, Olmedillas H. Can the Copenhagen Adduction Exercise Prevent Groin Injuries in Soccer Players? A Critically Appraised Topic. J Sport Rehabil 2024; 33:45-48. [PMID: 37734743 DOI: 10.1123/jsr.2023-0088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 07/09/2023] [Accepted: 07/20/2023] [Indexed: 09/23/2023]
Abstract
CLINICAL SCENARIO Injuries that affect the groin region are among the most common in football players. To prevent this condition, studies have focused on strengthening the adductors, hip flexors, or abdominal muscles. Recent investigations have used an eccentric-biased exercise (Copenhagen Adduction Exercise [CAE]) that promotes functional and architectural adaptations in the muscle tissue, though its effect on injury risk reduction is unknown. CLINICAL QUESTION Can the Copenhagen Adduction Exercise prevent groin injuries in soccer players? SUMMARY OF KEY FINDINGS The literature was searched for studies investigating the potential groin injury risk reduction effect of the CAE. (1) Three studies met the inclusion criteria and were used for this appraisal; (2) one study observed a significantly lower injury rate ratio favoring the group that used the CAE program; and (3) 2 studies found similar or higher injury rates in the intervention groups, not supporting the inclusion of the CAE as a preventative tool. CLINICAL BOTTOM LINE There is conflicting evidence that usage of the CAE is superior to not performing adductor strengthening exercises in mitigating the risk of sustaining groin injuries. Given the evidence supporting these findings, it is advisable to exercise caution when contemplating the incorporation of the CAE into training regimens aimed at preventing groin injuries. STRENGTH OF RECOMMENDATION There is Grade B evidence to suggest that inclusion of the CAE may not be associated with reduced injury rates.
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Affiliation(s)
- Marcos Quintana-Cepedal
- Asturian Research Group in Performance, Readaptation, Training, and Health (ASTURES), Department of Functional Biology, University of Oviedo, Oviedo, Spain
| | | | - Hugo Olmedillas
- Asturian Research Group in Performance, Readaptation, Training, and Health (ASTURES), Department of Functional Biology, University of Oviedo, Oviedo, Spain
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