Economic impact of muscle injury rate and hamstring strain injuries in professional football clubs. Evidence from LaLiga.

The aims of this study were: 1) to describe the total muscular injuries, and specifically HSIs, and their corresponding missed matches; 2) to analyse their economic impact; and 3) to estimate the loss of incomes due to TV rights, in first division clubs from LaLigaTM depending on the expected and actual ranking position during the 2018/2019 season. To do that, a cross-sectional study for season 18/19 and for all players of the 20 Spanish professional football clubs was performed. The economic impact of injuries was estimated considering the missed matches and salary cost of all players and the audio-visual income loss was estimated considering the Spanish Royal Decree of Law (RDL 5/2015). The high number of muscular (270) and hamstring injuries (57) implies a high cost for professional first division football clubs, specifically € 365,811 per month for the former and € 47,388 per month for the latter. In addition, reaching a worse than expected position in LaLigaTM ranking involved a loss of 45,2 million € in TV rights incomes. The high cost of muscle injuries in first division teams justifies the need for multidisciplinary teams that are capable of reducing the number of injuries as well as recovery times.

Do Activities Performed within the Intra-Contrast Rest Interval Affect Neuromuscular Performance during Complex-Contrast Training Protocols?

The aim of this study was to analyze the acute effects of including different exercises within the intra-contrast rest interval (ICRI) of a complex-contrast training (CCT) session. Seventeen recreationally active males completed three different CCT protocols. Programs consisted of a contrast pair combining a moderate-intensity conditioning activity (i.e., a back squat) with a lower-body high-velocity exercise (i.e., a vertical jump) and only differed in the activities performed during the ICRI: 1) passive recovery (CCTPASS); 2) a mobility exercise (CCTMOB); and 3) an upper-body high-intensity strength exercise (i.e., a bench press) (CCTSTR). Countermovement jump and bench press throw metrics were evaluated at baseline and after each set during the workout. The rate of perceived exertion was recorded post-session. Non-significant differences in performance were found between CCTPASS, CCTMOB and CCTSTR throughout the session. Significant declines (p < 0.05) were observed for CMJ peak power in the last 2-3 repetitions of each set, irrespective of the protocol. CCTSTR was perceived as more intense than CCTPASS and CCTMOB (p < 0.05). From a neuromuscular performance perspective, including activities during the ICRI (mobility drills or high-intensity strength exercises) may be a suitable strategy to optimize CCT prescription since the acute responses were similar to those found with passive rest periods. Finally, prescribing a lower number of repetitions per set is recommended to attenuate mechanical performance impairment during CCT protocols, irrespective of the activities completed within the ICRI.

Weekly Programming of Hamstring-Related Training Contents in European Professional Soccer.

Hamstring injuries in soccer continue to be a challenge for professionals who work with soccer players daily. Although its origin is multifactorial, the proper management of neuromuscular fatigue during the training microcycle is a very important factor to consider. There are no clear guidelines regarding the weekly distribution of certain exercises that demand the hamstrings. The main objective of this study was to describe the usual training practices of professional European soccer teams. An international observational survey design was applied to some of the strength and conditioning coaches of professional soccer teams. The survey included different neuromuscular demanding exercises for the hamstrings. For each exercise, the strength and conditioning coaches had to respond in relation to their frequency of use and timepoint depending on the day of the weekly microcycle. Although there is no strong consensus in this regard, there does seem to be a trend when applying certain exercises, especially on the days matchday-4 and matchday-3.

Exploring countermovement jump variables across competitive levels and playing positions in futsal.

Introduction: The aims of this study were to compare several countermovement jump (CMJ) kinetic variables between professional (PRO) and semi-professional (SEMI-PRO) futsal players and examine the differences amongst playing positions. Methods: CMJ performance from 56 male futsal players (25.2 ± 4.8 years; weight: 74.4 ± 6.4 kg) was analysed. Players were separated into PRO (n = 29; 27.0 ± 4.4 years; 75.4 ± 6.0 kg) and SEMI-PRO (n = 27; 22.7 ± 4.3 years; 73.1 ± 6.8 kg), and according to playing position: defenders (n = 16; 25.4 ± 3.7 years; 75.2 ± 6.0 kg), wingers (n = 26; 23.5 ± 4.5 years; 72.0 ± 6.9 kg), and pivots (n = 14; 28.0 ± 5.6 years; 77.8 ± 4.3 kg). Linear mixed models and effect sizes were used for the analyses based on the mean of two jumps for each variable. Results: PRO players presented a deeper center of mass (COM) displacement (p = 0.002, ES = 0.83), greater eccentric (Ecc) absolute (p = 0.019, ES = 0.61) and relative peak power (p = 0.046, ES = 0.52), and achieved greater Ecc peak velocities (p = 0.004, ES = 0.76) when compared to SEMI-PRO. Non-significant and trivial-to-small differences were observed in all the other CMJ variables according to the competitive level and playing position. Discussion: Ecc capabilities (i.e., deeper COM displacement, greater Ecc absolute and relative peak power, and peak velocity) during vertical jump seem to differentiate PRO and SEMI-PRO players. However, CMJ variables do not discriminate amongst playing positions in futsal players.

Myotendinous Thermoregulation in National Level Sprinters after a Unilateral Fatigue Acute Bout-A Descriptive Study.

In the last decade there has been a growing interest in infrared thermography in the field of sports medicine in order to elucidate the mechanisms of thermoregulation. The aim of this study was to describe bilateral variations in skin temperature of the anterior thigh and patellar tendon in healthy athletes and to provide a model of baseline tendon and muscle thermoregulation in healthy sprinters following a unilateral isokinetic fatigue protocol. Fifteen healthy national-level sprinters (eleven men and four women), with at least 3 years of athletic training experience of 10-12 h/week and competing in national-level competitions, underwent unilateral isokinetic force testing and electrostimulation in which their body temperature was measured before, during, and after the protocol using an infrared thermographic camera. ANOVA detected a significant difference in the time × side interaction for patellar temperature changes (p ≤ 0.001) and a significant difference in the time/side interaction for quadriceps temperature changes (p ≤ 0.001). The thermal challenge produces homogeneous changes evident in quadriceps areas, but not homogeneous in tendon areas. These data show that metabolic and blood flow changes may depend on the physical and mechanical properties of each tissue. Future research could be conducted to evaluate the predictive value of neuromuscular fatigue in the patellar tendon and quadriceps after exercise in order to optimize post-exercise recovery strategies.

Does External Load Reflect Acute Neuromuscular Fatigue and Rating of Perceived Exertion in Elite Young Soccer Players?

ABSTRACT: Martínez-Serrano, A, Freitas, TT, Franquesa, X, Enrich, E, Mallol, M, and Alcaraz, PE. Does external load reflect acute neuromuscular fatigue and rating of perceived exertion in elite young soccer players? J Strength Cond Res 37(3): e1-e7, 2023-This study aimed to analyze the acute and residual effects of increased high-speed running (HSR) demands during an in-season training microcycle in young elite soccer players on localized neuromuscular fatigue (NMF) of the knee extensors (KE), posterior chain muscles, and rating of perceived exertion (RPE). Thirty-four elite young soccer players (age = 17.1 ± 0.8 years) were assessed in 2 consecutive days at different time points (baseline, POST-activation gym-based session, POST-small-sided game [SSG], POST-training 1 [TR1], POST-6H, POST-24H, POST-preventive gym-based session, and POST-training 2 [TR2]). Neuromuscular fatigue of the KE and posterior chain muscles was measured with a maximum voluntary isometric contraction (MVIC). External (total distance, number of accelerations or decelerations, and HSR distance) and internal (RPE) load was assessed during the SSG, TR1, and TR2 sessions. Players were divided through a median split, into "HIGH" or "LOW" group according to the training demands. The alpha level was set at p ≤ 0.05. A 2-way mixed effects model ANOVA showed a significant decreased in 90:20 MVIC after TR1 in the "HIGH" HSR group ( p = 0.037; effect size [ES] = 0.45). No significant differences in RPE were found after TR1 ( p = 0.637; ES = 0.58) and TR2 ( p = 0.109; ES = 0.62) when comparing the "HIGH" HSR group with the "LOW" HSR group. Assessing player's force production capabilities can be an effective strategy to detect NMF when HSR demands are acutely increased. Special caution should be taken when prescribing the training load of the training session based solely on RPE, as NMF might be present.

Electromyography, Stiffness and Kinematics of Resisted Sprint Training in the Specialized SKILLRUN® Treadmill Using Different Load Conditions in Rugby Players.

This study's aim was to analyze muscle activation and kinematics of sled-pushing and resisted-parachute sprinting with three load conditions on an instrumentalized SKILLRUN® treadmill. Nine male amateur rugby union players (21.3 ± 4.3 years, 75.8 ± 10.2 kg, 176.6 ± 8.8 cm) performed a sled-push session consisting of three 15-m repetitions at 20%, 55% and 90% body mas and another resisted-parachute session using three different parachute sizes (XS, XL and 3XL). Sprinting kinematics and muscle activity of three lower-limb muscles (biceps femoris (BF), vastus lateralis (VL) and gastrocnemius medialis (GM)) were measured. A repeated-measures analysis of variance (RM-ANOVA) showed that higher loads during the sled-push increased (VL) (p ≤ 0.001) and (GM) (p ≤ 0.001) but not (BF) (p = 0.278) activity. Furthermore, it caused significant changes in sprinting kinematics, stiffness and joint angles. Resisted-parachute sprinting did not change kinematics or muscle activation, despite producing a significant overload (i.e., speed loss). In conclusion, increased sled-push loading caused disruptions in sprinting technique and altered lower-limb muscle activation patterns as opposed to the resisted-parachute. These findings might help practitioners determine the more adequate resisted sprint exercise and load according to the training objective (e.g., power production or speed performance).