Return to Play and Performance After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Systematic Review of Recent Evidence.

BACKGROUND: The available literature referring to the return to play (RTP) and performance after anterior cruciate ligament reconstruction (ACLR) has already been comprehensively summarized in team sports such as basketball or American Football. Therefore, in this sense, it is necessary to synthesize evidence relating to the mentioned parameters in soccer players who underwent ACLR. OBJECTIVE: The aim of this systematic review was to examine RTP and the performance of soccer players after ACLR. METHODS: Three electronic databases, Web of Science, Scopus, and PubMed, have been comprehensively searched to identify relevant articles. The following inclusion criteria were applied: (1) the sample of respondents consisted of soccer players irrespective of their age, sex, or level of competition; (2) athletes experienced anterior cruciate ligament injury and underwent ACLR; (3) outcomes estimated referred to the RTP, RTP at the preinjury level of competition, RTP time, performance, and career duration of soccer players; (4) studies were written in the English language. The methodological quality of the research was evaluated using the Methodological Index for Non-Randomized Studies (MINORS). RESULTS: Databases searched yielded a total of 694 studies, of which 17 fulfilled the eligibility criteria and were included in the final analysis. These included 3657 soccer players, 2845 males and 812 females, who underwent ACLR and most commonly competed at the elite, national, amateur, and recreational levels. The results obtained indicated that 72% of soccer players successfully RTP and 53% RTP at the preinjury level of participation after ACLR. In addition, recent evidence provided in this literature review demonstrated that mean RTP time was 264 days or 8.7 months. Moreover, the majority of the studies unambiguously suggested that performance related to statistical aspects noticeably deteriorated compared with both the preinjury period and noninjured athletes. The mean career length of soccer players following ACL surgery was approximately between 4 and 5 years. CONCLUSION: Although a high percentage of athletes RTP after a relatively short period of absence from the sports field compared with other sports closely related to soccer, ACLR negatively impacts soccer players' performance and career duration.

Longitudinal analysis of the incidence rate of injury in elite youth football: Trends over six years including the COVID-19 pandemic period.

OBJECTIVES: We aimed to analyze injury trends and the possible effects of the coronavirus disease (COVID-19) pandemic on the incidence rates of injury in young elite football players. DESIGN: A prospective cohort study design was adopted. PARTICIPANTS: Our study included 832 male football players who suffered an injury during any of the six competitive seasons. SETTING: An elite youth football academy. MAIN OUTCOME MEASURE: Descriptive data and the incidence of injury were calculated. A generalized linear mixed model was used to assess differences in the occurrence of injury among the various age groups. Joinpoint regression was used to analyze injury trends. RESULTS: Joinpoint regression models showed a statistically significant decrease in the incidence of injury in all age groups with an average annual percent change (AAPC) of 13.9 (95 %Confidence Interval [CI]:-23.2 - 3.4) and -13.5 (95 %CI:-24.5 to -0.9) for models with zero and one joinpoint, respectively. Football players in older age groups sustain a higher number of injuries, probably due to a higher number of matches and greater training intensity. CONCLUSION: This study showed a downward trend in injuries in the participants prior to the pandemic, with an evident increase in the incidence rate of injury during the COVID-19 pandemic.

Eight-week exercise intervention improves shoulder pain and body posture of wheelchair athletes with spinal cord injury.

BACKGROUND: Wheelchair athletes, as a group of elite athletes who participate in high-level sports activities, are constantly exposed to musculoskeletal injuries and disorders due to their frequent use of wheelchairs and overworked upper limbs. In this study, we investigated the effect of elastic band exercises on the extent of athletes' forward head angle, kyphosis, rounded shoulder, and pain scores. METHODS: Twenty-six male and female wheelchair athletes with spinal cord injuries (age: 27.11±6.67), active in table tennis, basketball and pétanque, were selected and randomly divided into either a control or training group. The Wheelchair User's Shoulder Pain Index (WUSPI) questionnaire was used to investigate the level of shoulder pain. A sagittal view photogrammetry method was used to measure the forward head angle and round shoulder angle, and a flexible ruler was used to measure the thoracic kyphosis angle. For our statistical analysis, a covariance test (ANCOVA) and independent and dependent T tests were used. RESULTS: After eight weeks of training, there was a significant decrease in the angle of the forward head tilt, kyphosis, round shoulder, and pain questionnaire scores in the training group (P<0.05). CONCLUSIONS: Changes in the forward head angle, rounded shoulder and kyphosis angle, and pain scores show the desirable effect of resistance training with an elastic band. Therefore, this exercise program is recommended for wheelchair athletes with spinal cord injuries.

Prevalence of metabolic syndrome and its association with rapid weight loss among former elite combat sports athletes in Serbia.

BACKGROUND: In terms of the potential influence of rapid weight loss (RWL) on the metabolic health of former combat sports athletes (CSA), the scientific literature is quite scarce. Therefore, the objective of the presented research was to determine the differences in metabolic syndrome (MetS) parameters and the prevalence of MetS between former athletes who performed RWL and athletes who did not. METHODS: The sample of the presented study comprised 150 participants from Serbia, equally divided into two groups: 75 former athletes who had practiced combat sports and 75 ex-athletes of various other sports who did not practice RWL during their careers. The following parameters related to the MetS were evaluated: waist circumference, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, fasting glucose, and triglycerides. The oral glucose tolerance test (OGTT) was used to assess the participant's body response to sugar. RESULTS: The RWL group had significantly higher both systolic (p < 0.001) and diastolic blood pressure (p < 0.001) compared to the group of athletes who did not practice weight reduction during their careers. Additionally, a tendency toward statistically significant differences between groups was recorded in the variable triglycerides (p = 0.069). Regarding OGTT, increased values of fasting blood glucose at the final measurement were revealed only in the RWL group (p = 0.003). The prevalence of MetS was substantially higher in CSA than in the control group (39.5% vs. 16.2%, respectively p = 0.002). CONCLUSIONS: This study suggests that former elite CSA who used RWL during their sports career are susceptible to negative metabolic alterations at the end of their competitive period.

Exploring Factors Associated with Physical Activity in the Elderly: A Cross-Sectional Study during the COVID-19 Pandemic.

The COVID-19 pandemic negatively influenced individuals' physical activity levels (PALs) and particularly the PAL of the elderly. However, few studies have examined the correlates of PALs in this population during the pandemic. This study aimed to evaluate the residence-specific correlates of PALs in elderly people from Croatia and Bosnia and Herzegovina during the COVID-19 pandemic. The participants were 211 persons older than 65 years (101 females), of whom 111 were community-dwelling residents, and 110 were nursing home residents (71.11 ± 3.11 and 72.22 ± 4.01 years of age, respectively; t-test = 0.91, p < 0.05). The variables included health status, residential status sociodemographic factors, anthropometrics (body mass, height, and body mass index), and PAL. PAL was evaluated using a translated version of the Physical Activity Scale for the Elderly (PASE), and was validated in this study. PASE showed good test-retest reliability (51% of the common variance) and validity (57% of the common variance, with the step count measured using pedometers). Apart from participants' health status and age, PAL was positively correlated with (i) community-dwelling residence (OR = 1.93, 95% CI: 1.60-2.23), and (ii) a lower BMI (OR = 0.85, 95% CI = 0.71-0.98). The pre-pandemic physical activity was positively correlated with the PAL of the nursing home residents (OR = 1.2, 95% CI: 1.02-1.45). A higher education level was positively correlated with the PAL of community-dwelling residents (OR = 1.31, 95% CI: 1.04-1.66). This study evidenced the residence-specific correlates of PALs, and enabled the identification of specific groups that are at risk of having low PALs during the pandemic. Future studies examining this problem during a non-pandemic period are warranted.

To train or not to train (on match day)? Influence of a priming session on match performance in competitive elite-level soccer.

This study examined the effect of a morning priming session consisted of stretching, mobility, core and lower-body resistance, and reactive agility exercises on match performance in elite-level soccer players. Information on physical and technical performance was collected during competitive matches (n = 32) and subsequently classified as those preceded or not preceded by a priming session. Results showed significantly increased (i) distance covered overall (Cohen's d (d) = 0.34, p = 0.011), in moderate-intensity (d = 0.52, p = 0.001) and high-intensity running (d = 0.30, p = 0.024), and (ii) frequency of duels (d = 0.26, p = 0.050) in matches preceded by a priming session compared to those not preceded by a priming session. These findings show that players' physical performance was notably enhanced due to the pre-match routines that the team implemented on match day, while technical performance was in general similar irrespective of whether a priming session was implemented or not before the match. Therefore, morning priming session implemented on match day can be recommended as an effective pre-match strategy to increase players' physical performance in soccer without negative consequences on technical performance.

Evaluation of Physical Literacy in 9- to 11-Year-Old Children: Reliability and Validity of Two Measurement Tools in Three Southeastern European Countries.

The awareness of the importance of physical literacy (PL) is globally increasing; however, knowledge of the applicability of PL measurement tools in southeastern Europe is limited. The aim of this study was to evaluate the reliability and validity of translated versions of the CAPL-2 and PLAYself questionnaires in 9- to 11-year-old elementary school children from Croatia, Bosnia and Herzegovina, and Montenegro. The participants were 303 children (141 girls; all 9 to 11 years of age) from Croatia (n = 71), Bosnia and Herzegovina (n = 162), and Montenegro (n = 70), enrolled in regular elementary school. The participants were tested throughout a test-retest procedure using two PL evaluation tools, i.e., the Canadian Assessment of Physical Literacy (shorter version, CAPL-2) and the Physical Literacy Assessment of Youth (PLAYself) questionnaires. With an intraclass correlation (ICC) of 0.70-0.80 for specific questionnaire subscales and 0.84 for the total score, PLAYself was found to be reliable. With Kappa values of 0.11-0.23 and a percentage of absolute agreement of less than 62%, CAPL-2 appeared to be less reliable. Factors related to sport participation were significantly positively associated with the PLAYself score, indicating its proper validity. In conclusion, we suggest the usage of the PLAYself questionnaire in further studies examining PL in children of a similar age in the region. Future studies in other age groups and languages are also warranted.

Match running performance characterizing the most elite soccer match-play.

In order to identify match running performance (MRP) characterizing the most elite soccer match-play, this study aimed to examine position-specific differences in the MRP of players competing in "big five" (BFLTs) and "non-big five" league teams (N-BFLTs). The data were obtained from 24 teams (BFLTs; n = 14, N-BFLTs; n = 10) during the UEFA Champions League (UCL) matches (n = 20) in the 2020/21 season using a semiautomatic video system. The differences in MRP between BFLTs and N-BFLTs, while controlling for contextual factors, were examined using linear mixed model. No differences in overall MRP between fullbacks, central midfielders, wide midfielders and forwards from BFLTs and their peers from N-BFLTs were found, while only central defenders from BFLTs covered more high-intensity running than central defenders from BFLTs (moderate effects size). For players on all playing positions from BFLTs, total- and low-intensity distance covered were lower in offensive phase of game and greater in defensive phase of game compared to their peers from N-BFLTs (all large effect sizes). This study demonstrated that the most elite match-play in soccer is characterized by increased efforts in defensive phase of game, and decreased efforts in offensive phase of game. Soccer training programmes should be adapted accordingly.

Effectiveness of Physical-Literacy-Based Online Education on Indices of Physical Fitness in High-School Adolescents: Intervention Study during the COVID-19 Pandemic Period.

There is a global consensus that physical literacy (PL) is an important determinant of physical fitness (PF), but studies have rarely examined the effects of PL-based interventions on PF. The aim of this research was to evaluate the effectiveness of specific online video-based PL intervention on PF indices in high-school students from Croatia. Participants were 423 high-school adolescents (295 girls, 128 boys; 14-to-18 years of age), divided into an intervention group (n = 230) and a control group (n = 193). The intervention lasted 12 weeks. Educational video materials were disseminated to the intervention group by the closed social network during the pandemic period. Variables included height, mass, BMI, cardiorespiratory fitness (CRF), and power, strength, and flexibility indices. Pre- to post-testing design was applied, with two-way analysis of variance for repeated measurement (Time × Group). Applied intervention induced positive effects in CRF (the intervention group improved their capacities, while no changes occurred in the control group) and BMI (the intervention group retained their BMI levels at the pre-testing level, while BMI of the control group slightly increased over the course of the study), with better effectiveness in girls than in boys. No effects were evidenced for other variables. The positive effects of applied educational intervention on BMI and CRF are encouraging knowing that both indices are related to health status.

Artificial Turf Increases the Physical Demand of Soccer by Heightening Match Running Performance Compared with Natural Grass.

ABSTRACT: Modric, T, Esco, M, Perkovic, S, Basic, Z, Versic, S, Morgans, R, and Sekulic, D. Artificial turf increases the physical demand of soccer by heightening match running performance compared with natural grass. J Strength Cond Res 37(11): 2222-2228, 2023-This study aimed to determine differences in match running performance (MRP) of elite soccer players (n = 31) during matches played on artificial turf (AT) and natural grass (NG). The players' MRP (AT; 131 observations, NG; 135 observations) were collected during official matches (n = 32) using global positioning system and classified according to their playing positions as central defenders, central midfielders, fullbacks, forwards, and wingers. The MRP variables included total distance covered (TD), low-intensity running (LIR), moderate-intensity running (MIR), high-intensity running (HIR), total (Tacc) and high-intensity accelerations (Hacc), and total (Tdec) and high-intensity decelerations (Hdec). The influence of match outcome, location, and opponent quality was controlled for as contextual factors. Playing matches on AT resulted in (a) increased TD (Cohen's d (d) = 0.55, 0.61, and 0.28, respectively), MIR (d = 0.91, 0.79, and 0.49, respectively), and HIR (d = 0.67, 0.44, and 0.38, respectively) for central defenders, central midfielders, fullbacks; (b) increased Tacc (d = 0.38, 0.37, and 0.4, respectively) and Tdec (d = 0.31, 0.34, and 0.31, respectively) for central defenders, central midfielders, and wingers; and (c) decreased Hdec (d = -1.5) for forwards. These results show that playing on AT is more physically demanding for defensive and midfield players than playing on NG. Soccer coaches should consider implementing preparatory strategies that mitigate the increased demands of playing on AT for these players, especially before a competitive period when transitions between pitch surfaces routinely occur.

Effects of school-based physical activity interventions on physical fitness and cardiometabolic health in children and adolescents with disabilities: a systematic review.

Background: This study aimed to examine the influence of school-based physical exercise programs on physical fitness and cardiometabolic health in children and adolescents with disabilities. Methods: Web of Science, Scopus, and PubMed were thoroughly searched to identify relevant investigations. To be included in the systematic review, studies needed to fulfill the following inclusion criteria: 1) performed school-based physical exercise interventions; 2) parameters evaluated referred to health-related physical fitness (HRPF), skill-related physical fitness (SRPF), and cardiometabolic health; 3) a sample of participants consisted of children and adolescents with disabilities; 4) the mean age of respondents was less than 18 years; and 5) were written in the English language. Results: After searching the databases, a total of 474 studies have been identified, 18 of them met the eligibility criteria, and their outcomes were presented. Relating to the respondents' characteristics, the investigations involved 681 children and adolescents with disabilities, out of which 440 were male and 241 female. Regarding types of physical exercise interventions, the most commonly implemented were combined aerobic and resistance training, aerobic exercise, sports games, adapted high-intensity interval training, as well as sprint interval training. The obtained results unambiguously demonstrated that applied exercise interventions improved HRPF components such as cardiorespiratory fitness, muscular fitness, and flexibility. In terms of the SRPF, agility, balance, coordination, and power were considerably enhanced following the school-based exercise. On the other hand, the influence on indices of body composition and cardiometabolic health is quite controversial. The majority of the available studies did not find favorable effects. Additionally, no adverse events were reported in 7 of 8 research, and adherence to exercise was approximately 92%. Conclusion: School-based physical exercise programs were very efficient in improving HRPF and SRPF in children and adolescents with disabilities, while the evidence concerning the variables of body composition and cardiometabolic health is inconclusive and warrants further investigations.

Forearm muscle oxygenation and blood volume parameters during sustained contraction performance in youth sport climbers.

BACKGROUND: Forearm muscle strength and endurance are essential determinants of sports climbing success. This study aimed to investigate whether delayed rates of muscle oxygen saturation and total hemoglobin correlate to sustained contraction performance of youth climbers. METHODS: Twelve recreational and competitive youth sport climbers (six females, six males) participated in the study. Variables included finger flexors muscle maximal voluntary contraction, sustained contraction test (SCT), muscle oxygen dynamics (SmO2), and blood volume (tHb) parameters. Pearson's correlation coefficients were calculated to determine the correlation between physiological and performance variables. RESULTS: SCT had a significant positive relationship to SmO2 delayed rate (r=0.728, P=0.007), and a significant negative relationship to tHb delayed rate (r=-0.690, P=0.013). SmO2 delayed rate and tHb delayed rate also had a significant negative correlation (r=-0.760, P=0.004). CONCLUSIONS: According to the results of this study, it can be suggested that delayed rates of SmO2 and tHb could be used in determining and predicting sustainable finger flexors performance in youth climbers. However, future studies investigating delayed rates of SmO2 and tHb in climbers of different ability levels are warranted to investigate this issue in more detail.

The seven phases of match status differentiate the running performance of soccer players in UEFA Champions League.

The purpose of this research was to investigate the running performance of professional soccer players in relation to seven phases which resulted in the changing or maintaining the match status in the UEFA Champion League games during season 2020/2021. Moreover, we aimed to define which match status phases occur at the earliest stage of regular game time. This study involved professional soccer players from 24 teams participating in the group stage of UEFA Champions League in season 2020/21. The match status was divided into seven phases that result in changing or maintaining the match outcome: DW (Drawing to Winning); LD (Losing to Drawing); WW (Winning to Winning); DD (Drawing to Drawing); LL (Losing to Losing); DL (Drawing to Losing); WD (Winning to Drawing). Such running performance variables as: total distance covered (TDC) and distance covered in high-intensity running (HIR) were analyzed. Players participating in the UEFA Champions League matches cover the longest TDC in DW, DL and DD phases. TDC in these stages was between 111 and 123 m min-1. The highest HIR was recorded during phases: DW, DL and LL (range between 9.91 and 10.82 m min-1). In contrast, the lowest total distance and distance in HIR is covered during WD phase (only 105.57 ± 1.89 m min-1 and 7.34 m min-1 respectively). On average, phases resulting in the change of the match status occur during the first half, while all phases maintaining the result in the second half. Coaching staffs should consider registering and analysing the physical match performance in relation to described seven match status phases. Such information allows to prepare team-specific training drills, that players should perform more often in order to change or maintain the status of the game.

Factors affecting match running performance in elite soccer: Analysis of UEFA Champions League matches.

This study aimed to examine the independent effect of different match-related factors on match running performance (MRP) in elite soccer. Players' MRPs (n = 244) were collected during UEFA Champions League (UCL) group stage matches in the 2020-21 season. All MRP data were collected by the semi-automatic optical system InStat Fitness (InStat Limited, Limerick, Republic of Ireland). Match-related factors included match outcome, team quality, match location, opponent quality and difference in team quality, while MRP included cumulative and relative measures of total distance (TD and R-TD), low-intensity running (LIR and R-LIR) (≤ 4 m/s), moderate-intensity running (MIR and R-MIR) (4-5.5 m/s) and high-intensity running (HIR and R-HIR) (≥ 5.5 m/s). Linear mixed models were used to examine the collective effect of match-related factors on MRPs when controlling for between-player, between-playing position and between-team variation. The main findings were that match outcome was associated with reduced HIR (d = -0.38, p = 0.04), match location was associated with increased TD, R-TD, LIR and R-LIR (d = 0.54-0.87, all p < 0.01), while team quality, opponent quality and difference in team quality were not associated with MRP. These results show that (i) winning UCL matches was not strongly influenced by players' physical performance, (ii) away UCL matches were characterized by a slower match pace and greater match volume, and (iii) players' physical performance was similar irrespective of playing either in or against high- or low-quality teams. The findings from this study may help soccer coaches to ensure optimal physical preparation of players in elite soccer.

Injury Occurrence in Amateur Rugby: Prospective Analysis of Specific Predictors over One Half-Season.

Background and objectives: The incidence of injuries in rugby is extremely high, but studies have rarely examined the predictors of injury in amateur players. This study aimed to systematically analyse sports and injury factors as potential predictors of musculoskeletal injuries in senior-level amateur rugby players. Methods: The participants in this study were 101 senior-level rugby players from Croatia (average of 24.64 years old). At baseline, all participants were tested on sociodemographic and anthropometric parameters (age, body height and mass), consumption of dietary supplements, preseason injury status and training volume, and sport factors (position in game). Data on injury occurrence (dependent variable), prevalence of pain, training status, and characteristics of the played match were surveyed prospectively once a week during the three-month period (one half-season). Results: The logistic regression revealed a higher injury occurrence in forward players of the 1st row, 2nd row (OR = 5.07; 95% CI: 1.64-15.69), and center (OR = 4.72; 95% CI: 1.28-14.31), with reference to outside back players. When observed univariately, higher body mass, higher level of competition, more weekly training sessions, self-perceived pain, and playing with pain were significant injury risk factors. The multivariate logistic regression identified pre-season injury (OR = 1.30, 95% CI: 1.09-1.52), higher level of the game/match (OR = 1.44, 95% CI: 1.13-1.76), higher body mass (OR = 1.03, 95% CI: 1.01-1.05), and pain prevalence (OR = 5.71, 95% CI: 3.22-7.70) as multivariate predictors of injury occurrence over the season. Conclusion: The results of this study showed that among sport factors, the playing position, level of competition, and training exposure represent major injury risk factors. Therefore, in order to reduce the number of injuries, special emphasis should be placed on the specific tackling technique of forward players, which could both increase their situational efficiency and protect them from injuries. Additionally, perceived pain, injury history, and playing with injury were noted among injury factors as the ones that can be predictors of future injuries. In that manner, it is important that coaching and medical staff monitor players with previous injuries and with pain symptoms in order to act preventively against injury occurrence.

Effects of Additional Plyometric Training on the Jump Performance of Elite Male Handball Players: A Systematic Review.

Handball is one of the most popular team sports around the world that has become physically very demanding, related to both competitions and daily training sessions. Optimal training programs are necessary to improve performance, especially when taking into account the frequency of jump shots (vertical jumps) and handball feints (changes of directions) during daily training. The main objective of the present study is to review the available literature systematically, and to determine what are the effects of additional plyometric training on handball players' vertical jump abilities. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, six studies were selected after a systematic search through four digital databases: Web of Science, PubMed, Scopus, and ScienceDirect. The available scientific articles show that plyometric training alone or in combination with standard handball training, lasting at least six weeks, and including two training sessions per week, contributes to improving the performance of elite- or national-level handball players. Plyometric training is recommended to improve performance, as well as to maintain explosive strength parameters during the season.

How Different Predominant SARS-CoV-2 Variants of Concern Affected Clinical Patterns and Performances of Infected Professional Players during Two Soccer Seasons: An Observational Study from Split, Croatia.

There are limited data describing clinical patterns and match running performance (MRP) among players with COVID-19 infection before and after infection, particularly related to different predominant SARS-CoV-2 variants, as well as in comparison to uninfected players. This observational study was conducted during two consecutive soccer seasons in one professional club in Split, Croatia. There were four clusters of mild, self-limited, or asymptomatic infection characterised by low adherence to preventive measures. Infected players had significantly more symptoms (t-test = 3.24; p = 0.002), a longer period of physical inactivity (χ2 = 10.000; p = 0.006) and a longer period of self-assessment for achieving full fitness (χ2 = 6.744; p = 0.034) in the 2020-2021 season (Wuhan wild strain and Alpha variant) than in the 2021-2022 season (Omicron variant). It was also found that, despite the milder clinical presentation of the infection in the 2021-2022 season, the players had significantly more abnormal laboratory findings (χ2 = 9.069240; p = 0.002), although without clinical significance at the time of the study. As for the MRP, player performance in the 2021-2022 season was not negatively affected by the Omicron variant, while there was an improvement in MRP in scores for a sample of all players. The RTP protocol was correctly applied because it helped the athletes to recover their pre-infection physical capacities relatively quickly. This study advances the understanding that an optimally and individually planned RTP protocol is crucial for the MRP of infected players. Future research needs to replicate the findings of abnormal laboratory results and extend the study focusing on their potential long-term clinical significance.

Physical literacy in Europe: The current state of implementation in research, practice, and policy.

Background/objective: The holistic concept of physical literacy (PL) embraces different person-centered qualities (physical, cognitive, affective/psychological) necessary to lead physically active lifestyles. PL has recently gained increasing attention globally and Europe is no exception. However, scientific endeavors summarizing the current state of PL in Europe are lacking. Therefore, the goal of this study was to comprehensively assess and compare the implementation of PL in research, policy, and practice across the continent. Methods: We assembled a panel of experts representing 25 European countries. Employing a complementary mixed-methods design, the experts first prepared reviews about the current state of PL in their countries (categories: research, practice/policy). The reviews underwent comparative document analysis, ensuring a transnational four-eyes principle. For re-validation purposes, the representatives completed a quantitative survey with questions reflecting the inductive themes from the document analysis. Results: The document analysis resulted in ten disjunct themes (related to "concept", "research", "practice/policy", "future/prospect") and yielded a heterogenous PL situation in Europe. The implementation state was strongly linked to conceptual discussions (e.g., existence of competing approaches), linguistic issues (e.g., translations), and country-specific traditions. Despite growing scholarly attention, PL hesitantly permeates practice and policy in most countries. Nevertheless, the experts largely anticipate increasing popularity of PL for the future. Conclusion: Despite the heterogeneous situation across Europe, the analysis has uncovered similarities among the countries, such as the presence of established yet not identical concepts. Research should intensify academic activities (conceptual-linguistic elaborations, empirical work) before PL may gain further access into practical and political spheres in the long term.

Analysis of the associations between salivary cortisol-, alpha-amylase-, and testosterone-responsiveness with the physical contact nature of team handball: a preliminary analysis.

BACKGROUND: This study evaluated endocrine responsiveness (ER) to physical stress (contact vs. non-contact nature of play) during team handball matches, according to the playing positions, thereby contextualizing the contact nature of the handball match. METHODS: The participants were ten male team handball players (24.1±3.17 years, 188.2±6.42 cm, 94.6±9.6 kg) divided into two groups: contact playing positions (CPP) and non-contact playing positions (NCPP). To evaluate the ER, the salivary cortisol (C), testosterone (T), and alpha-amylase (AA) concentrations were assessed before the game, during the halftime break, and after the match. Moreover, playing time (PT) and the number of contacts (NC) were counted post-match by video analysis. To determine possible differences between PT and the NC in the first and second halves of the match, a paired-sample t-test was used. The differences among ER-measures were calculated by the magnitude-based Cohen's effect size. Possible associations between NC and ER were analyzed by comparing CPP and NCPP in C, T, and AA. RESULTS: The CPP group performed significantly more physical contacts, while there was no difference in playing time between the groups. A stronger C response was evidenced in players with a longer playing time. During the game, the C response was directly determined by physical contact, with CPP players showing a stronger C response than NCPP players. CONCLUSIONS: This study provided evidence of the importance of contact actions during matches and training sessions, as a parameter of calculating training loads and preparing strategies for recovery and injury prevention. Further studies examining larger samples are warranted.

Do players competing in the UEFA Champions League maintain running performance until the end of the match? Positional analysis between halves and 5-minute intervals.

BACKGROUND: This investigation aimed to analyze differences in running performances amongst playing positions between the first and second halves of soccer matches and at 5-minute intervals during matches. METHODS: Data were collected from 179 soccer players during 20 UEFA Champions League (UCL) 2020/2021 group stage matches. Data were examined using the InStat Fitness semi-automatic video system. Eight variables were selected to quantify players' running performance (RP). Players were categorized based on positional groups: central defenders (CD), fullbacks (FB), central midfielders (CM), wide midfielders (WM), and forwards (FW). Univariate differences in RP were analyzed using ANOVA and the t-test for dependent samples and multivariate differences were identified using canonical discriminant analysis. RESULTS: The main findings were that all positions achieved significantly higher average speeds and walking distances in the first half of the match than in the second half. Furthermore, analysis of positions showed that CM covered more distance than CD in all 5-minute intervals. In addition, WM performed more high-intensity running than CD in all 5-minute intervals and FW performed more high-intensity running than all other playing positions. CONCLUSIONS: The findings from the present study should help coaches design training exercises that are specific to parts of a match. Moreover, the findings can help provide better understanding of match demands and individualization of training. Analysis of 5-minute intervals may also help coaches understand the stages of a match where player substitutions will be most effective.