Elite North American soccer performance in thermally challenging environments: An explorative approach to tracking outcomes.

AIMS: The physiologic challenges related to performances in hot conditions calls for dedicated consideration when planning athlete training, although complete amelioration of the effects of heat may not be possible. We aimed to quantify within-subject correlations between different measures of environmental temperature and performance changes over multiple elite soccer competitions. METHODS: Thirty-seven elite male soccer players (age: 26 ± 3.4 years, height: 171 ± 2 cm, body mass: 78 ± 7.1 kg) competed in North America over four seasons (range: 3 to 98 matches). Players wore global positioning system devices during games and reported differential-RPE immediately post game. Temperatures at kick-off, week average temperature, the difference between game-day and week average (DiffTemp), and heat index at kick-off were obtained. Within-player correlations were calculated using general linear models to quantify associations between fluctuations in temperature measures and physical and perceived outputs. RESULTS: Correlations between total distance and the various temperature measures were trivial to small (range: -0.08 to 0.13, p=<0.001-0.02). Small negative correlations were found between all temperature measures except DiffTemp and high-speed running (HSR) (range: -0.17 to -0.14, p=<0.001). Most correlations between differential-RPE and temperature measures were trivial to small and not significant (r = 0.06 to 0.18 p = 0.03-0.92) although breathlessness-RPE and heat index showed a small significant association (P = 0.018). CONCLUSION: Decrements in HSR appear to be associated with increased environmental temperature, however, these associations are small in magnitude.

Do environmental temperatures and altitudes affect physical outputs of elite football athletes in match conditions? A systematic review of the 'real world' studies.

Players involved in the various football codes compete throughout the calendar year around the world. Therefore, environmental stressors such as temperature and altitude should be considered in preparation for, and during, matches. We aimed to systematically review the observational and quasi-experimental studies that have been specifically designed to quantify the effects of temperature (hot or cold) high altitude on in-match physical performance indicators. A search of electronic databases (Web of Science, Scopus, SPORTDiscus, PubMed/MEDLINE) was conducted, with 19,424 papers identified as relevant. Following sifting in relation to the eligibility criteria, 12 papers were deemed directly relevant. The reviewed studies scored 6-9 (on a 0-9 scale) for quality assessment using a previously used scale. The major outcome variables relevant to the current review were total distance (m), high-speed running (m) and high-speed runs (count) measured during matches. Standardized effect sizes (ES) were heterogeneous across studies for total distance (ES: -0.96 to -0.14) and high-speed running (ES: -0.69 to 0.12) for >1000 m vs sea-level, time spent at the given altitude being a putative factor for this heterogeneity. Heat had mainly detrimental effects on performance, but ES were, again, heterogeneous across studies (ES: -1.25 to 0.26), dependent on temperature. Given the small number of studies that involved mostly male athletes, and large heterogeneity across studies, more research needs be conducted on physical performance in these environmental conditions, with attention paid to standardizing outcomes and broadening the approaches of studies to guide future decision-making in professional sporting environments.

The Uptake of Nordic Hamstring Exercise Program for Injury Prevention in Major League Soccer and Its Barriers to Implementation in Practice.

CONTEXT: It is well demonstrated that Nordic hamstring (NH) program has poor compliance across European soccer clubs, but little is known about its implementation in Major League Soccer (MLS). The authors aimed to investigate MLS hamstring prevention practices and compliance with the NH program and understand the reasons for its inclusion or exclusion. DESIGN: A cross-sectional electronic survey was completed by 24 of the 26 (92%) MLS top-division soccer clubs. METHODS: The survey, based on the Reach, Efficacy, Adoption, Implementation, and Maintenance framework, was sent to team medical staff. Medical staff were also asked for opinions on barriers to implementation. RESULTS: Eighteen clubs (75%) reported a formal hamstring injury prevention program, with eccentric exercises (94%; 95% CI [confidence interval], 74%-99%), high-speed running (94%; 95% CI, 74%-99%), and NH exercises (89%; 95% CI, 67%-97%) the most common strategies adopted. Fifteen clubs partially implemented the NH program, but only 5 (21%; 95% CI, 9%-40%) completed the full program and were classed as compliant. A total of 20 respondents reported that player perception and muscle soreness (83%; 95% CI, 64%-93%) were barriers to the implementation of the NH program. On a 5-point Likert scale, respondents "partially agreed" (4.13 [0.80]) that the NH exercise could substantially reduce injuries and would be "effective" at their own club (3.88 [0.61]). CONCLUSIONS: The NH exercise was valued, but negative player perception and muscular soreness were identified as barriers to implementing the full program. Manipulation of volume and frequency should inform future "effectiveness" research to prospectively assess such modifications in the context of MLS.

Maturational effect on Functional Movement Screen™ score in adolescent soccer players.

OBJECTIVES: The effect of maturity on Functional Movement Screen (FMS) scores in elite, adolescent soccer players was examined. DESIGN: A cross-sectional observational study was completed. METHODS: Participants were 1163 male English Football League soccer players (age 8-18 years). Players were mid-foundation phase (MF) (U9); late foundation phase (LF) (U10 and U11); early youth development phase (EYD) (U12 and U13); mid-youth development (MYD) phase (U14-U15); Late Youth Development Phase (LYD) (U16) and early professional development phase (EPD) (U18). Age from peak height velocity was estimated and players were categorized as pre- or post-peak height velocity (PHV). To analyse where differences in FMStotal score existed we separated the screen into FMSmove (3 movement tests); FMSflex (2 mobility tests) and FMSstab (2 stability tests). RESULTS: FMStotal median score ranged from 11 at MF to 14 for EPD. There was a substantial increase (10%) in those able to achieve a score of ≥14 on FMStotal in those who were post-PHV compared to pre-PHV. This was explained by a substantial increase in those achieving a score of ≥4 on FMSstab (21%). There was a substantial increase in the proportion of players who achieved the FMStotal threshold of ≥14 with an increase of 47.5 (41.4-53.6)% from the MF phase to the EPD phase due to improvements in FMSmove and FMSstab. CONCLUSIONS: PHV and maturity have substantial effects on FMS performance. FMS assessment appears to be invalid for very young players. Findings are relevant to those analyzing movement in soccer players.

Variability of physical performance and player match loads in professional rugby union.

OBJECTIVES: To examine the within- and between-player variability of physical performance and player match loads in professional rugby union. DESIGN: A single cohort, observational study. METHODS: Physical match performance data were collected from 28 male, professional, English Championship players over 15 competitive matches. Using microsensors, the variables selected for analysis were total distance, low-speed running distance, high-speed running distance, very high-speed running distance, total impacts, repeated high-intensity efforts, body load (PlayerLoad™), and low velocity (<7.2kmh(-1)) body load. Ratings of perceived exertion represented match internal loads. Variability was quantified using the coefficient of variation, with the meaningful interpretation of change in physical performance and match loads calculated using magnitude-based inferences. RESULTS: We found large between-match (within-player) variation for high-speed running distance (27.6%; ±90% confidence limits 6.9% [forwards], 20.1%; ±4.1% [backs]), very high-speed running distance (68%; ±19%, 34.1%; ±7.5%), total impacts (24.0%; ±5.9%, 36.4%; ±7.9%) and repeated high-intensity efforts (18.7%; ±4.4%, 39.5%; ±8.8%), with moderate variability for match ratings of perceived exertion (8.2%; ±1.8%, 10.8%; ±2.1%), body load (7.3%; ±1.7%, 10.0%; ±2.0%) and low velocity body load (8.9%; ±2.0%, 10.7%; ±2.1%). Threshold values for likely substantial between-match changes in high-intensity physical performance measures ranged from 21% to 76%, and were âˆ¼10% for match ratings of perceived exertion, body load and low velocity body load. CONCLUSIONS: Within- and between-player variability of high-intensity activity in professional rugby union is large, yet ratings of perceived exertion, body load and low velocity body load appear more stable by comparison and may be interpreted with greater accuracy.

The effectiveness of 4 weeks of fundamental movement training on functional movement screen and physiological performance in physically active children.

The effectiveness of fundamental movement training interventions in adolescents is not fully understood. The Functional Movement Screen (FMS) may provide means of evaluating the effectiveness of such programs alongside traditional tests of physiological performance. Twenty-two children completed the FMS, plank, side plank, sit and reach, and multistage fitness test. Participants were pair matched by total FMS score and assigned to control or intervention. The intervention group received a weekly 4 × 30-minute training sessions with an emphasis on movement quality, whereas the control group was involved in generic multisport activity. A smallest worthwhile effect of 0.2 between-participant SDs was set a priori for all measures except total FMS score for which a change of 1 unit was chosen. When compared with the control, our intervention had a likely trivial effect for FMS score (0.2 Arbitrary Units [AU], 90% confidence limits ±1.2 AU), a very likely small beneficial effect for plank score (87 ± 55%), but a possibly small harmful effect for side plank score (-22 ± 49%). A likely trivial effect was observed for the sit and reach test (0.3 ± 15%), whereas the effect of the training intervention on predicted (Equation is included in full-text article.)was unclear (-0.3 ± 11%). Unexpectedly, generic multisport activity enhanced both side plank and sit and reach test performances in the control group. These results demonstrated that short-term interventions might affect specific isolated components of fitness but not FMS performance.

The effect of a short practical warm-up protocol on repeated sprint performance.

The aim of our study was to investigate the effect of a short, practical, 2-phase warm-up on repeated sprint performance when compared with more traditional warm-up protocols that contain stretching activities. Eleven subelite male soccer players completed a warm-up protocol that commenced with 5 minutes jogging at approximately 65% of maximal heart rate, followed by no stretching, static stretching, or dynamic stretching and finishing with a task-specific high-intensity activity. Using a crossover design, the 3 warm-up protocols were performed in a counterbalanced order with at least 48 hours between sessions. Repeated sprint performance was measured using a repeated sprint test that consisted of 6 × 40-m maximal sprints interspersed with a 20-second recovery. There were trivial differences in mean sprint time (0.2%) and posttest blood lactate (3.1%) between the 2-phase warm-up and the 3-phase warm-up that included dynamic stretching, whereas the short warm-up had a possibly detrimental effect on fastest sprint time (0.7%). Fastest (-1.1%) and mean (-1.2%) sprint times were quicker and posttest blood lactates were higher (13.2%) after the 2-phase warm-up when compared with the 3-phase warm-up that included static stretching. Although it is not harmful to complete a traditional 3-phase warm-up that includes dynamic stretching, it appears practical for athletes preparing for activities dependent on repeated sprint ability to complete a 2-phase warm-up consisting of a cardiovascular and specific high-intensity activity.

Re-examination of the post half-time reduction in soccer work-rate.

OBJECTIVES: To re-examine the work-rate of soccer players immediately after a passive half-time interval with an alternative approach to data reduction and statistical contrasts. DESIGN: Time-motion analysis data (5Hz global positioning system), were collected from 20 elite youth players (age: 17±1 years) during 21 competitive league fixtures (5±3 matches per player). METHODS: Physical performances were categorised into total distance covered, total low-speed running (0-14.9kmh(-1)) and total high-speed running (15.0-35.0kmh(-1)). These dependent variables were subsequently time averaged into pre-determined periods of 5-, 15- and 45-min duration, and expressed in relative (mmin(-1)) terms to allow direct comparisons between match periods of different lengths. During the 15-min half-time interval players were passive (seated rest). RESULTS: There was a large reduction in relative total distance covered (effect size - standardised mean difference - 1.85), low-speed running (effect size -1.74) and high-speed running (effect size -1.37) during the opening 5-min phase of the second half (46-50min) when compared to the first half mean (0-45min). When comparing the 51-55 and 56-60-min periods, effect sizes were trivial for relative total distance covered (effect size -0.13; -0.04), low-speed running (effect size -0.10; -0.11) and small/trivial for high-speed running (-0.39; 0.11). CONCLUSIONS: Using a more robust analytical approach, the findings of this study support and extend previous research demonstrating that players work-rate was markedly lower in the first 5-min after a passive half-time interval, although we observed this phenomenon to be transient in nature. Time-motion analysts might re-consider their data reduction methods and comparators to distinguish within-match player work-rate trends.

Reduction in physical match performance at the start of the second half in elite soccer.

PURPOSE: Soccer referees' physical match performances at the start of the second half (46-60 min) were evaluated in relation to both the corresponding phase of the first half (0-15 min) and players' performances during the same match periods. METHODS: Match analysis data were collected (Prozone, UK) from 12 soccer referees on 152 English Premier League matches during the 2008/09 soccer season. Physical match performance categories for referees and players were total distance, high-speed running distance (speed >5.5 m/s), and sprinting distance (>7.0 m/s). The referees' heart rate was recorded from the start of their warm-up to the end of the match. The referees' average distances (in meters) from the ball and fouls were also calculated. RESULTS: No substantial differences were observed in duration (16:42 ± 2:35 vs 16:27 ± 1:00 min) or intensity (107 ± 11 vs 106 ± 14 beats/ min) of the referees' preparation periods immediately before each half. Physical match performance was reduced during the initial phase of the second half when compared with the first half in both referees (effect sizes-standardized mean differences-0.19 to 0.73) and players (effect sizes 0.20 to 1.01). The degree of the decreased performance was consistent between referees and players for total distance (4.7 m), high-speed running (1.5 m), and sprinting (1.1 m). The referees were closer to the ball (effect size 0.52) during the opening phase the second half. CONCLUSION: Given the similarity in the referees' preparation periods, it may be that the reduced physical match performances observed in soccer referees during the opening stages of the second half are a consequence of a slower tempo of play.

The interchangeability of global positioning system and semiautomated video-based performance data during elite soccer match play.

In elite-level soccer, player motion characteristics are commonly generated from match play and training situations using semiautomated video analysis systems and global positioning system (GPS) technology, respectively. Before such data are used collectively to quantify global player load, it is necessary to understand both the level of agreement and direction of bias between the systems so that specific interventions can be made based on the reported results. The aim of this report was to compare data derived from both systems for physical match performances. Six elite-level soccer players were analyzed during a competitive match using semiautomated video analysis (ProZone® [PZ]) and GPS (MinimaxX) simultaneously. Total distances (TDs), high speed running (HSR), very high speed running (VHSR), sprinting distance (SPR), and high-intensity running distance (HIR; >4.0 m·s(-1)) were reported in 15-minute match periods. The GPS reported higher values than PZ did for TD (GPS: 1,755.4 ± 245.4 m; PZ: 1,631.3 ± 239.5 m; p < 0.05); PZ reported higher values for SPR and HIR than GPS did (SPR: PZ, 34.1 ± 24.0 m; GPS: 20.3 ± 15.8 m; HIR: PZ, 368.1 ± 129.8 m; GPS: 317.0 ± 92.5 m; p < 0.05). Caution should be exercised when using match-load (PZ) and training-load (GPS) data interchangeably.

Motion analysis of match-play in elite U12 to U16 age-group soccer players.

The aim of this study was to quantify the motion demands of match-play in elite U12 to U16 age-group soccer players. Altogether, 112 players from two professional soccer clubs at five age-group levels (U12-U16) were monitored during competitive matches (n = 14) using a 5 Hz non-differential global positioning system (NdGPS). Velocity thresholds were normalized for each age-group using the mean squad times for a flying 10 m sprint test as a reference point. Match performance was reported as total distance, high-intensity distance, very high-intensity distance, and sprint distance. Data were reported both in absolute (m) and relative (m · min(-1)) terms due to a rolling substitute policy. The U15 (1.35 ± 0.09 s) and U16 (1.31 ± 0.06 s) players were significantly quicker than the U12 (1.58 ± 0.10 s), U13 (1.52 ± 0.07 s), and U14 (1.51 ± 0.08 s) players in the flying 10 m sprint test (P < 0.001). The U16 age-group covered significantly more absolute total distance (U16 > U12, U13, U14), high-intensity distance (U16 > U12, U13, U14, U15), very high-intensity distance (U16 > U12, U13), and sprint distance (U16 > U12, U13) than their younger counterparts (P < 0.05). When the data are considered relative to match exposure, few differences are apparent. Training prescription for youth soccer players should consider the specific demands of competitive match-play in each age-group.

The validity and reliability of 1-Hz and 5-Hz global positioning systems for linear, multidirectional, and soccer-specific activities.

PURPOSE: The study aimed to analyze the validity and reliability of commercially available nondifferential Global Positioning System (NdGPS) devices for measures of total distance during linear, multidirectional and soccer-specific motion at 1-Hz and 5-Hz sampling frequencies. METHODS: Linear (32 trials), multidirectional (192 trials) and soccer-specific courses (40 trials) were created to test the validity (mean ± 90% confidence intervals), reliability (mean ± 90% confidence intervals) and bias (mean ± 90% confidence intervals) of the NdGPS devices against measured distance. Standard error of the estimate established validity, reliability was determined using typical error and percentage bias was established. RESULTS: The 1-Hz and 5-Hz data ranged from 1.3% ± 0.76 to 3.1% ± 1.37 for validity and 2.03% ± 1.31 to 5.31% ± 1.2 for reliability for measures of linear and soccer-specific motion. For multidirectional activity, data ranged from 1.8% ± 0.8 to 6.88% ± 2.99 for validity and from 3.08% ± 1.34 to 7.71% ± 1.65 for reliability. The 1-Hz underestimated some complex courses by up to 11%. CONCLUSIONS: 1-Hz and 5-Hz NdGPS could be used to quantify distance in soccer and similar field-based team sports. Both 1-Hz and 5-Hz have a threshold beyond which reliability is compromised. 1-Hz also underestimates distance and is less valid in more complex courses.

Factors associated with increased propensity for hamstring injury in English Premier League soccer players.

The aim of this study was to concurrently model the influence of a number of physical and performance parameters on subsequent incidence of hamstring injury in a squad of English Premier League soccer players. Thirty six healthy, male, elite, professional soccer players (age 22.6+/-5.2 years, height 1.81+/-0.08 m, mass 75.8+/-9.4 kg, lean mass 69.0+/-8.0 kg) were assessed during the first week of pre-season training for anthropometry, flexibility, lower limb strength and power, speed and agility. Over the subsequent 45 week competitive season all hamstring injuries were diagnosed and recorded. Multiple logistic regression analysis was performed to link individual physical and performance capabilities with propensity to sustain a hamstring injury. A model containing age, lean mass, non-counter movement jump (NCM) performance and active hip flexion range of movement (ROM) was significantly (p<0.05) associated with increased propensity for hamstring injury. Odds for sustaining an injury increased x 1.78 for each 1 year increase in age, x 1.47 for each 1cm increase in NCM and x 1.29 for each 1 degrees decrease in active range of hip flexion. Older, more powerful and less flexible soccer players are at greater risk of sustaining a hamstring injury. Support staff should identify such individuals and make appropriate interventions to minimise risk without compromising performance capabilities.

The effects of contrast bathing and compression therapy on muscular performance.

UNLABELLED: Contrast bathing (CB) and compression garments (CG) are widely used to promote recovery. PURPOSE: To evaluate CB and CG as regeneration strategies after exercise-induced muscle damage (EIMD). METHODS: Baseline values of muscle soreness, serum creatine kinase (CK) and myoglobin (Mb), joint range of motion, limb girth, 10- or 30-m sprint, countermovement jump (CMJ), and five repetition maximum squat were completed by 26 young men who then undertook a resistance exercise challenge (REC) to induce EIMD: 6 x 10 parallel squats at 100% body weight with 5-s one repetition maximum eccentric squat superimposed onto each set. After the REC, subjects were separated into three intervention groups: CB, CG, and control (CONT). Forty-eight hours after REC, the subjects exercise performance was reassessed. CK and Mb were also measured +1, +24, and +48 h post-REC. RESULTS: CK was elevated at +24 h ( upward arrow140%; upward arrow161%; upward arrow270%), and Mb was elevated at +1 h ( upward arrow523%; upward arrow458%; upward arrow682%) in CB, CG, and CONT. Within-group large effect sizes for loge[CK] were found for CB at +24 h (0.80) and +48 h (0.84). Area under the [Mb] curve was lower in CB compared with CG and CONT (P < or = 0.05). At +48 h, significant differences from baseline were found in all groups for CMJ (CG, downward arrow5.1%; CB, downward arrow4.4%; CONT, downward arrow8.5%) and soreness ( upward arrow213%; upward arrow284%; upward arrow284%). Soreness transiently fell at +1 h compared with post-REC in the CB group. At +48 h, midthigh girth increased in CB ( upward arrow1.4%) and CONT ( upward arrow1.6%), whereas 30-m sprint time increased in CG ( upward arrow2%). CONCLUSION: No hierarchy of recovery effects was found. Neither contrast bathing nor compression acted to promote acute recovery from EIMD any more effectively than passive conditions, although contrast bathing may transiently attenuate postexercise soreness.

The relationship between preseason range of motion and muscle strain injury in elite soccer players.

The purpose of the study was to determine the influence of preseason lower-extremity range of motion (ROM) on the risk of muscle strain injury during a competitive season for elite soccer players. Thirty-six elite male soccer players (age, 25.6 +/- 4.7 years) had maximum static ROM for 6 movements of the lower extremity measured prior to the 2003-2004 English Premier League season. Player age, body size, dominant limb, and playing position were documented also. All lower-extremity muscle strain injuries were recorded prospectively during the competitive season, as was the total amount of time spent in training and games for each player. Soccer players sustaining a muscle strain injury in the hip flexors or knee flexors had lower preseason ROM (p < 0.05) in these muscle groups compared with uninjured players. Similar trends were observed for the remaining muscle groups, but all failed to reach statistical significance (p > 0.05). Most significantly, soccer players with lower preseason ROM in the hip flexors and knee flexors had a statistically higher risk for a muscle strain injury to these muscle groups during a competitive season. Age, body size, limb dominance, and playing position were not significant intrinsic risk factors for the development of muscle strain injuries. Screening of flexibility for soccer players should be conducted during preseason, and flexibility training should be prescribed to players with reduced ROM to lower the risk of developing a muscle strain injury.

The effect of static, ballistic, and proprioceptive neuromuscular facilitation stretching on vertical jump performance.

The purpose of this study was to compare the acute effects of different modes of stretching on vertical jump performance. Eighteen male university students (age, 24.3 +/- 3.2 years; height, 181.5 +/- 11.4 cm; body mass, 78.1 +/- 6.4 kg; mean +/- SD) completed 4 different conditions in a randomized order, on different days, interspersed by a minimum of 72 hours of rest. Each session consisted of a standard 5-minute cycle warm-up, accompanied by one of the subsequent conditions: (a) control, (b) 10-minute static stretching, (c) 10-minute ballistic stretching, or (d) 10-minute proprioceptive neuromuscular facilitation (PNF) stretching. The subjects performed 3 trials of static and countermovement jumps prior to stretching and poststretching at 5, 15, 30, 45, and 60 minutes. Vertical jump height decreased after static and PNF stretching (4.0% and 5.1%, p < 0.05) and there was a smaller decrease after ballistic stretching (2.7%, p > 0.05). However, jumping performance had fully recovered 15 minutes after all stretching conditions. In conclusion, vertical jump performance is diminished for 15 minutes if performed after static or PNF stretching, whereas ballistic stretching has little effect on jumping performance. Consequently, PNF or static stretching should not be performed immediately prior to an explosive athletic movement.