Fifth metatarsal stress fracture in elite male football players: an on-field analysis of plantar loading.

OBJECTIVE: Evaluate plantar loading during 'on-field' common football movements in players after fifth metatarsal (MT-5) stress fracture and compare with matched healthy players. METHODS: Fourteen elite male soccer players participated in the study conducted on a natural grass playing surface using firm ground football boots. Seven players who had suffered a primary stress fracture (MT-5 group) and seven matched healthy players (controls, CON) performed three common football movements while in-shoe plantar loading data were collected. RESULTS: Large between-group differences exist for maximal vertical force normalised to bodyweight (Fmax) at the lateral toes (2-5) of the stance leg during a set-piece kick (MT-5: 0.2±0.06 bodyweight (BW), CON: 0.1±0.05 BW, effect size (ES) 1.4) and the curved run where the MT-5 group showed higher Fmax with very large effect size at the lateral forefoot of the injured (closest to curve) limb when running a curve to receive a pass (MT-5 injured-CON=0.01 BW, ES 1.5). Small between-group differences were evident during straight-line running. However, between-limb analysis of MT-5 group showed significant unloading of the lateral forefoot region of the involved foot. CONCLUSIONS: Elite male football players who have returned to play after MT-5 stress fracture display significantly higher maximum plantar force at the lateral forefoot and lateral toes (2-5) compared with healthy matched control players during two football movements (kick and curved run) with the magnitude of these differences being very large. These findings may have important implications for manipulating regional load during rehabilitation or should a player report lateral forefoot prodromal symptoms.

Evidence of sub-optimal sleep in adolescent Middle Eastern academy soccer players which is exacerbated by sleep intermission proximal to dawn.

The purpose was to assess sleep patterns, quantity and quality in adolescent (16.2 ± 1.2 yr) Middle Eastern academy soccer players (n = 20) and the influence of an intermission upon these characteristics. On a 17-day training camp (located one time zone west of home) including three discrete matches, sleep was assessed pre- (PRE) and post-match (POST) via wrist actigraphy. Retrospective actigraphy analysis identified sleep characteristics, including if players experienced a sleep intermission (YES) or not (NO) proximal to dawn, and bedtime (hh:mm), get-up time (hh:mm), time in bed (h), sleep duration (h) and sleep efficiency (%). Within YES two bouts were identified (BOUT1 and BOUT2). No differences were seen between PRE and POST, nor between BOUT1 and BOUT2 (p > .05). Overall players did not meet National Sleep Foundation (NSF) guidelines (7:04 ± 1:16 h vs. recommended 8-10 h for 14-17 yr). Sleep duration was significantly reduced (∼ -13% or -1:06) in YES compared to NO (6:33 ± 1:05 vs. 7:29 ± 1:17, p < .01). Despite players in YES waking earlier due to an intermission, they did not compensate for this with a later wake time, rising significantly earlier compared to NO (09:40 ± 00:38 vs. 10:13 ± 00:40, p < .05). These players on average do not obtain sufficient sleep durations relative to NSF guidelines, with decrements increased by an intermission proximal to dawn. High inter- and intra-individual variance in the players sleep characteristics indicates the need for individualized sleep education strategies and interventions to promote appropriate sleep.

Examining the External Training Load of an English Premier League Football Team With Special Reference to Acceleration.

Akenhead, R, Harley, J, and Tweddle, S. Examining the external training load of an English Premier League football team with special reference to acceleration. J Strength Cond Res 30(9): 2424-2432, 2016-Practitioners and coaches often use external training load variables such as distance run and the number of high-speed running (HSR) activities to quantify football training. However, an important component of the external load may be overlooked when acceleration activities are not considered. The aim of this study was to describe the within-microcycle distribution of external load, including acceleration, during in-season 1-game weeks in an elite football team. Global Positioning System technology was used to collect time-motion data from 12 representative 7-day microcycles across a competitive season (48 training days, 295 data sets). Training time, total distance (TD), high-speed running (HSR) distance (>5.8 m·s), sprint running distance (>6.7 m·s) and acceleration variables were recorded during each training session. Data were analysed for interday and interposition differences using mixed linear modeling. The distribution of external load was characterized by the second training day of the microcycle (5 days prematch) exhibiting the highest values for all variables of training load, with the fourth day (1 day prematch) exhibiting the lowest values. Central midfield players covered ∼8-16% greater TD than other positions excluding wide midfielders (p ≤ 0.03, d = 0.2-0.4) and covered ∼17% greater distance accelerating 1-2 m·s than central defenders (p = 0.03, d = 0.7). When expressed relative to training duration and TD, the magnitude of interday and interposition differences were markedly reduced (p = 0.03, d = 0.2-0.3). When managing the distribution of training load, practitioners should be aware of the intensity of training sessions and consider the density of external load within sessions.

Training Load and Player Monitoring in High-Level Football: Current Practice and Perceptions.

Training load (TL) is monitored with the aim of making evidence-based decisions on appropriate loading schemes to reduce injuries and enhance team performance. However, little is known in detail about the variables of load and methods of analysis used in high-level football. Therefore, the aim of this study was to provide information on the practices and practitioners' perceptions of monitoring in professional clubs. Eighty-two high-level football clubs from Europe, the United States, and Australia were invited to answer questions relating to how TL is quantified, how players' responses are monitored, and their perceptions of the effectiveness of monitoring. Forty-one responses were received. All teams used GPS and heart-rate monitors during all training sessions, and 28 used rating of perceived exertion. The top-5-ranking TL variables were acceleration (various thresholds), total distance, distance covered above 5.5 m/s, estimated metabolic power, and heart-rate exertion. Players' responses to training are monitored using questionnaires (68% of clubs) and submaximal exercise protocols (41%). Differences in expected vs actual effectiveness of monitoring were 23% and 20% for injury prevention and performance enhancement, respectively (P < .001 d = 1.0-1.4). Of the perceived barriers to effectiveness, limited human resources scored highest, followed by coach buy-in. The discrepancy between expected and actual effectiveness appears to be due to suboptimal integration with coaches, insufficient human resources, and concerns over the reliability of assessment tools. Future approaches should critically evaluate the usefulness of current monitoring tools and explore methods of reducing the identified barriers to effectiveness.

The Transition Period in Soccer: A Window of Opportunity.

The aim of this paper is to describe the physiological changes that occur during the transition period in soccer players. A secondary aim is to address the issue of utilizing the transition period to lay the foundation for the succeeding season. We reviewed published peer-reviewed studies if they met the following three selection criteria: (1) the studied population comprised adult soccer players (aged >18 years), (2) time points of physiological and performance assessments were provided, and (3) appropriate statistics for the calculation of effect sizes were reported. Following two selection phases, 12 scientific publications were considered, involving a total sample of 252 players. The transition period elicits small to moderate negative changes in body composition, a moderate decline in sprint performance with and without changes of direction, and small to moderate decrements in muscle power. Detraining effects are also evident for endurance-related physiological and performance outcomes: large decrements in maximal oxygen consumption V̇O2max) and time to exhaustion, and moderate to very large impairments have been observed in intermittent-running performance. Off-season programs should be characterized by clear training objectives, a low frequency of training sessions, and simple training tools in order to facilitate compliance. The program suggested here may constitute the 'minimum effective dose' to maintain or at least attenuate the decay of endurance- and neuromuscular-related performance parameters, as well as restore an adequate strength profile (reduce muscle strength imbalances). This periodization strategy may improve the ability of players to cope with the elevated training demands of pre-season training and therefore reduce the risk of injury. Moreover, this strategy will favor a more efficient development of other relevant facets of performance during the pre-competition phase (e.g., tactical organization). We contend that the transition period needs to be perceived as a 'window of opportunity' for players to both recover and 'rebuild' for the following season.

Time-motion analysis of acceleration demands of 4v4 small-sided soccer games played on different pitch sizes.

We aimed to quantify the time-motion characteristics and technical demands of small-sided soccer games (SSGs) played on small, medium and large pitches using a high frequency non-differential global positioning system (NdGPS) that allowed assessment of acceleration and deceleration patterns. Eight male soccer players competed in SSGs comprising 4×4min quarters (3min recovery) on small (30×20m) medium (40×30m) and large (50×40m) pitch sizes. Time motion analysis using a NdGPS positioning system quantified distance covered sprinting (⩾6.7ms(-1)), high speed running (⩾5.8ms(-1)) and low (1-2ms(-2)), medium (2-3ms(-2)) and high (>3ms(-2)) acceleration. The frequency of common technical actions (passing, turning, dribbling, shooting, tackling, heading and interceptions) was performed using a hand notation system. SSGs played on medium and large pitches had a greater physical demand than on small pitches, with significantly more distance covered in all movement categories. Total distance covered in acceleration categories ranged from 230±111 (small pitch) to 356±72m (medium pitch). The small pitch imposed a greater technical demand on players (more passes, shots and tackles) compared to medium and large pitches. The study provides novel data demonstrating the acceleration patterns observed in SSGs are relatively greater than those observed during professional match play. Thus SSGs might offer a "density" type conditioning stimulus. Practitioners should be aware that changes in pitch size impact both the physical and technical demands of SSGs.

The acceleration dependent validity and reliability of 10 Hz GPS.

OBJECTIVES: To examine the validity and inter-unit reliability of 10 Hz GPS for measuring instantaneous velocity during maximal accelerations. DESIGN: Experimental. METHODS: Two 10 Hz GPS devices secured to a sliding platform mounted on a custom built monorail were towed whilst sprinting maximally over 10 m. Displacement of GPS devices was measured using a laser sampling at 2000 Hz, from which velocity and mean acceleration were derived. Velocity data was pooled into acceleration thresholds according to mean acceleration. Agreement between laser and GPS measures of instantaneous velocity within each acceleration threshold was examined using least squares linear regression and Bland-Altman limits of agreement (LOA). Inter-unit reliability was expressed as typical error (TE) and a Pearson correlation coefficient. RESULTS: Mean bias ± 95% LOA during accelerations of 0-0.99 ms(-2) was 0.12 ± 0.27 ms(-1), decreasing to -0.40 ± 0.67 ms(-1) during accelerations >4 ms(-2). Standard error of the estimate ± 95% CI (SEE) increased from 0.12 ± 0.02 ms(-1) during accelerations of 0-0.99 ms(-2) to 0.32 ± 0.06 ms(-1) during accelerations >4 ms(-2). TE increased from 0.05 ± 0.01 to 0.12 ± 0.01 ms(-1) during accelerations of 0-0.99 ms(-2) and >4 ms(-2) respectively. CONCLUSION: The validity and reliability of 10 Hz GPS for the measurement of instantaneous velocity has been shown to be inversely related to acceleration. Those using 10 Hz GPS should be aware that during accelerations of over 4 ms(-2), accuracy is compromised.

Diminutions of acceleration and deceleration output during professional football match play.

OBJECTIVES: This study examined distances covered at low (1-2 ms(-2)), moderate (2-3 ms(-2)) and high (>3 ms(-2)) acceleration (L(ACC), M(ACC) and H(ACC) respectively) and deceleration (L(DEC), M(DEC), and H(DEC) respectively) during competitive football games. Temporal and transient patterns of acceleration and deceleration were also examined. DESIGN: Observational, repeated measures. METHODS: Thirty-six professional male professional footballers were monitored using a 10 Hz non-differential global positioning system (NdGPS). Match data was organised into six 15 min periods (P1: 1-15 min, P2: 16-30 min, P3: 31-45 min, P4: 46-60 min, P5: 61-75 min, and P6: 76-90 min) for analysis of temporal patterns, and into eighteen 5 min periods for analysis of transient patterns. ANOVA with Bonferroni post hoc tests were used to identify significant (p<0.05) differences between periods. RESULTS: Distance covered at L(ACC), M(ACC), H(ACC), L(DEC), M(DEC), and H(DEC) was 424±75 m, 242±25 m, 178±38 m, 365±54 m, 210±23 m and 162±29 m respectively. Between period decrements ranged from 8.0% to 13.2% from P1 to P3, 9.2% to 16.3% from P4 to P6, and from 14.9% to 21.0% from P1 to P6. Following PEAK H(ACC) (148% of mean 5 min H(ACC)), H(ACC) at 5POST was 10.4% lower than mean (p<0.01). CONCLUSIONS: Time-dependent reductions in distances covered suggest that acceleration and deceleration capability are acutely compromised during match play. Further, the occurrence of transient fatigue may be supported by the findings that HACC and HDEC performance following PEAK was approximately 10% lower than mean values.