Toward Mapping an NGSI-LD Context Model on RDF Graph Approaches: A Comparison Study.

A considerable number of Internet of Things deployments are isolated from specific solutions, from devices to data platforms. Standardized data models were proposed to overcome the interoperability gap between these deployments. Next generation service interfaces-linked data (NGSI-LD) is one of the proposed platforms that exploits linked data and proposes an information model and an application programming interface (API) for easy use and standard management of context information. The NGSI-LD information model is based on JSON for Linked Data (JSON-LD) as a serialization format for context information. This efficiently exploits the potential of semantics and linked open data. However, the NGSI-LD graph API and query language are still theoretically defined and limited to some preliminary works. Consequently, current NGSI-LD implementations are mainly based on traditional databases, where the JSON-LD serialization is supported but not exploited owing to the difficulties in defining and implementing new NGSI-LD based Graph APIs. One of the basic solutions is the use of an RDF store for NGSI-LD payloads because these types of databases are well defined and maintained and will not need any added effort for JSON-LD based payloads. However, the main complication at this level is the use of reification to annotate relationships. This study focused on both aspects of exploiting the semantics of NGSI-LD by proposing standardized mapping mechanisms to RDF graphs without reifying JSON-LD payloads and with respect to the NGSI-LD context model and API. Our main proposals highlight that exploiting the RDF store for processing NGSI-LD data semantically is feasible and uncomplicated. We illustrated the proposed mapping approaches with real use-case examples and a possible exploitation of semantic approaches.

Recovery During a Congested Schedule and Injury in Professional Football.

PURPOSE: To analyze the relationships between the recovery kinetics experienced by professional football players and noncontact injury. METHODS: A cohort of 46 professional football players (age 24.2 [4.7] y) from the same team (French Ligue 1) was monitored each day between matches when the team played twice a week. The recovery monitoring procedure was implemented after 38 matches and included some questionnaires: duration of sleep, Hooper scale (quality of sleep, level of stress, fatigue, and muscle soreness), perceived recovery status scale, creatine kinase concentrations, a countermovement jump, and an isometric force test. Noncontact injuries were collected during these periods. RESULTS: Noncontact injuries were associated with perceived fatigue and muscle soreness 2 days (relative risk [RR] = 1.89 and 1.48, respectively) and 3 days following the matches (RR = 2.08 and 2.08, respectively). An increase of sleep quantity during the 2 nights following a match was significantly associated with a lower RR (RR = 0.65), as well as a lower decrement score on the isometric force test on each of the 3 days after the matches (RR = 0.97, RR = 0.99, and RR = 0.97, respectively). No other association was reported for the variables sleep quality, stress, perceived recovery, creatine kinase concentrations, countermovement jump, and noncontact injuries. CONCLUSION: During a congested schedule, implementing a recovery monitoring protocol including questionnaires about fatigue, muscle soreness, quantity of sleep, and a physical test of isometric force could help practitioners prevent injuries.

Monitoring of Post-match Fatigue in Professional Soccer: Welcome to the Real World.

Participation in soccer match-play leads to acute and transient subjective, biochemical, metabolic and physical disturbances in players over subsequent hours and days. Inadequate time for rest and regeneration between matches can expose players to the risk of training and competing whilst not entirely recovered. In professional soccer, contemporary competitive schedules can require teams to compete in excess of 60 matches over the course of the season with periods of fixture congestion occurring, prompting much attention from researchers and practitioners to the monitoring of fatigue and readiness to play. A comprehensive body of research has investigated post-match acute and residual fatigue responses. Yet the relevance of the research for professional soccer contexts is debatable, notably in relation to the study populations and designs employed. Monitoring can indeed be invasive, expensive, time inefficient, and difficult to perform routinely and simultaneously in a large squad of regularly competing players. Uncertainty also exists regarding the meaningfulness and interpretation of changes in fatigue response values and their functional relevance, and practical applicability in the field. The real-world need and cost-benefit of monitoring must be carefully weighed up. In relation to professional soccer contexts, this opinion paper intends to (1) debate the need for post-match fatigue monitoring; (2) critique the real-world relevance of the current research literature; (3) discuss the practical burden relating to measurement tools and protocols, and the collection, interpretation and application of data in the field; and (4) propose future research perspectives.

The impact of short periods of match congestion on injury risk and patterns in an elite football club.

BACKGROUND: The effect of fixture congestion on injury rates and patterns has received scarce attention in elite football and existing investigations have not accounted for player rotation or examined the temporal distribution and potential cause of injuries. AIM: To prospectively investigate the epidemiology of injury during short periods of fixture congestion in a professional football club. METHODS: Over a six-season period, exposure time and injury data were compared in the same players (n=25 (14 individuals)) when participating in two frequently occurring short congested fixture cycles in comparison to match-play outside these cycles. (1) two successive matches separated by an interval totalling ≤3 days calculated immediately from the end of play in match 1 to the beginning of play in match 2; (2) three successive matches separated by ≤4-day intervals starting the day immediately after each match. RESULTS: In two-match congestion cycles, incidence rate ratios (IRR) showed that there was a higher risk of injury in the final 15 min of play in the second match in comparison to match-play outside the cycles (IRR: 3.1 (95% CI 1.1 to 9.3), p=0.0400). A greater risk of injury overall (IRR: 2.0 (95% CI 1.1 to 3.8), p=0.0345) and in the first-half of play (2.6 (1.1 to 6,5), p=0.0386), and risk of ankle sprains (10.4 (95% CI 1.9 to 57.9), p=0.0068) and non-contact injuries due to a 'change in direction' (IRR: 7.8 (1.3 to 46.8), p=0.0243) were observed in the final match of three-match congestion cycles in comparison to match-play outside the cycles. CONCLUSIONS: Injury rates and patterns were affected in the same elite football players when competing in short congested fixture cycles in comparison to match-play outside the cycles.

What is the extent of exposure to periods of match congestion in professional soccer players?

This study investigated exposure to periods of match congestion in regular starter players in a professional soccer team across 4 competitive seasons (2009-2013). Players were divided into 2 groups: club players (club match exposure only, n = 41) and national team players (club and national team exposure, n = 22). The frequency of congested periods that players were potentially exposed to per season was initially determined: 2-match cycles - potential exposure to 2 successive matches separated by a ≤ 3-day interval calculated immediately from the end of play in match 1 to the start of play in match 2 occurred on 12.5 ± 5.1 and 16.0 ± 4.7 occasions for club and national team players, respectively. Multiple-match cycles: potential exposure to 3-, 4-, 5- or 6-matches played successively within a ≤ 4-day period commencing from the day after each match occurred on 8.5 ± 2.1, 4.3 ± 1.7, 3.0 ± 0.8 and 1.8 ± 0.5 occasions for club and 11.5 ± 2.4, 6.5 ± 0.6, 4.5 ± 1.9 and 3.0 ± 1.4 occasions for national team players, respectively. With regard to actual exposure in club and national team players, respectively, participation in both matches in 2-match cycles attained 61.2% and 59.3% while 90-min play in both matches was only completed on 38.2% and 40.5% of occasions and ≥75-min play on 47.6% and 50.0% of occasions, despite availability to play in both groups being >86%. While availability to play in all players was frequently >70% for multiple-match cycles, a trend was observed for a sharp decline in participation as the number of matches in the cycles increased. Therefore, the present players were not extensively exposed to periods of fixture congestion.

Reliability and sensitivity of a simple isometric posterior lower limb muscle test in professional football players.

This study aimed (1) to determine the reliability of a simple and quick test to assess isometric posterior lower limb muscle force in professional football players and (2) verify its sensitivity to detect reductions in force following a competitive match. Twenty-nine professional football players performed a 3-s maximal isometric contraction of the posterior lower limb muscles for both legs with players lying supine. Both legs were tested using a knee angle of 90° and 30° measured on a force plate. Players were tested twice with one week between sessions to verify reliability. Sensitivity was tested following a full competitive football match. The test showed high reliability for dominant leg at 90° (CV = 4.3%, ICC = 0.95, ES = 0.15), non-dominant leg at 90° (CV = 5.4%, ICC = 0.95, ES = 0.14), and non-dominant leg at 30° (CV = 4.8%, ICC = 0.93, ES = 0.30) and good reliability for dominant leg at 30° (CV = 6.3%, ICC = 0.86, ES = 0.05). The measure was sensitive enough to detect reductions in force for dominant leg at 90° (P = 0.0006, ES > 1), non-dominant leg at 90° (P = 0.0142, ES = 1), and non-dominant leg at 30° (P = 0.0064, ES > 1) and for dominant leg at 30° (P = 0.0016, ES > 1). In conclusion, the present test represents a useful and practical field tool to determine the magnitude of match-induced fatigue of the posterior lower limb muscles and potentially to track their recovery.

The impact of in-season national team soccer play on injury and player availability in a professional club.

This study investigated the impact of in-season national team duty on injury rates and player availability in a professional soccer club. Time-loss injuries and exposure time during club and national team duties were recorded prospectively over 5 seasons (2009-2014). A time-loss injury was sustained by 37.7% of squad members participating in national duty, all injuries occurring in match-play. The incidence (per 1000 h exposure) for national team player match-play injuries did not differ (P = 0.608) to that for all players in club competitions: 48.0 (95% CI 20.9-75.5) vs. 41.9 (95% CI 36.5-47.4), incidence rate ratio = 1.2 (CI: 0.8-2.4). The majority (58%) of national team injuries resulted in a layoff ≤1 week. Of all working days lost to injury generally, 5.2% were lost through injury on national duty. Injury incidence in the week following national duty was comparable (P = 0.818) in players participating or not: 7.8 (95% CI 3.6-12.0) vs. 7.1 (95% CI: 4.6-9.6), incidence rate ratio = 1.1 (CI: 0.7-2.7). While approximately 40% of participating players incurred a time-loss injury on national duty, no training injuries were sustained and injuries made up a negligible part of overall club working days lost to injury. Following duty, players had a similar injury risk to peers without national obligations.

Injury risk factors, screening tests and preventative strategies: a systematic review of the evidence that underpins the perceptions and practices of 44 football (soccer) teams from various premier leagues.

PURPOSE: To systematically review the scientific level of evidence for the 'Top 3' risk factors, screening tests and preventative exercises identified by a previously published survey of 44 premier league football (soccer) teams. Also, to provide an overall scientific level of evidence and graded recommendation based on the current research literature. METHODS: A systematic literature search (Pubmed [MEDLINE], SportDiscus, PEDRO and Cochrane databases). The quality of the articles was assessed and a level of evidence (1++ to 4) was assigned. Level 1++ corresponded to the highest level of evidence available and 4, the lowest. A graded recommendation (A: strong, B: moderate, C: weak, D: insufficient evidence to assign a specific recommendation) for use in the practical setting was given. RESULTS: Fourteen studies were analysed. The overall level of evidence for the risk factors previous injury, fatigue and muscle imbalance were 2++, 4 and 'inconclusive', respectively. The graded recommendation for functional movement screen, psychological questionnaire and isokinetic muscle testing were all 'D'. Hamstring eccentric had a weak graded 'C' recommendation, and eccentric exercise for other body parts was 'D'. Balance/proprioception exercise to reduce ankle and knee sprain injury was assigned a graded recommendation 'D'. CONCLUSIONS: The majority of perceptions and practices of premier league teams have a low level of evidence and low graded recommendation. This does not imply that these perceptions and practices are not important or not valid, as it may simply be that they are yet to be sufficiently validated or refuted by research.

Squad management, injury and match performance in a professional soccer team over a championship-winning season.

Squad management, injury and physical, tactical and technical match performance were investigated in a professional soccer team across five consecutive league seasons (2008-2013, 190 league games) with specific focus on a championship-winning season (2010/11). For each player, match participation and time-loss injuries were recorded, the latter prospectively diagnosed by the team's physician. Defending and attacking tactical and technical performance indicators investigated included ball possession and possession in opponents' half, passes, forward passes, completed passes and forward passes, crosses and completed crosses, goal attempts and goal attempts on target, successful final third entries, free-kicks and 50/50 duels won/lost. Physical performance measures included total distance and distance covered at high-speeds (≥19.1 km/h). Results showed that during the 2010/11 season, squad utilisation was lowest potentially owing to the observed lower match injury occurrence and working days lost to injury thereby increasing player availability. In 2010/11, the team won both its highest number of points and conceded its lowest number of goals especially over the second half of this season. The team also won its highest number of games directly via a goal from a substitute and scored and conceded a goal first on the highest and lowest number of occasions, respectively. While multivariate analysis of variance (MANOVA) detected a significant difference in some attacking and defensive performance indicators across the five seasons, these were generally not distinguishing factors in 2010/11. Similarly, univariate ANOVAs showed a significant difference in running distances covered across seasons, but the trend was for less activity in 2010/11.

Risk factors, testing and preventative strategies for non-contact injuries in professional football: current perceptions and practices of 44 teams from various premier leagues.

PURPOSE: Little is known about injury prevention practices in professional football clubs. The purpose of this study was therefore to determine the current perceptions and practices of premier league football clubs internationally concerning risk factors, testing and preventative exercises for non-contact injuries. METHODS: A survey was administered to 93 premier league football clubs internationally. The survey included four sections: (1) persons involved in the injury prevention programme: position, quantity, role, qualification; (2) perceptions regarding non-contact injury risk factors; (3) tests used to identify non-contact injury risk and (4) non-contact injury prevention exercises used, their perceived effectiveness and implementation strategies. RESULTS: 44 surveys were successfully returned (47%). The position of physiotherapist was the most represented position in the injury prevention programme. The top five perceived risk factors in rank order were previous injury, fatigue, muscle imbalance, fitness and movement efficiency. The five most commonly used tests to identify injury risk (in rank order) were functional movement screen, questionnaire, isokinetic dynamometry, physical tests and flexibility. The top five exercises used by clubs were (also in rank order) eccentric exercise, balance/proprioception, hamstring eccentric, core stability and, sharing the fifth position, Nordic hamstring and gluteus activation. CONCLUSIONS: The survey revealed the most common perceptions and practices of premier league football clubs internationally regarding risk factors, testing and preventative exercises. The findings can enable reduction of the gap between research and practice.

Physical performance and subjective ratings after a soccer-specific exercise simulation: comparison of natural grass versus artificial turf.

This study aimed to compare the recovery kinetics of physical performance and subjective ratings in response to a soccer-specific exercise simulation on natural grass and artificial turf. Physical performance tests and subjective ratings were assessed on 13 professional soccer players before, immediately after, 24 h and 48 h after the test. Physical performance tests included squat jump, countermovement jump, 6-s sprint on a non-motorised treadmill and isokinetic eccentric hamstring assessment (2.09 rad · s(-1)). Hamstring peak torque decrement was higher (P < 0.05) on natural grass than on artificial turf immediately (-4.0%, CI 95%: -10.0 to 2.0%, effect size [ES] = 0.29), 24 h (-3.1%, CI 95%: -9.3 to 3.1%, ES = 0.29) and 48 h (-3.8%, CI 95%: -8.5 to 0.9%, ES = 0.43) after the test. Squat jump performance decrement was significantly lower (P < 0.05) on natural grass than artificial turf 48 h after the test (+3.7%, CI 95%: 1.1 to 6.3%, ES = 0.40). Sprint performance showed no change from baseline performance for both trials throughout the protocol. No significant interaction between surface and time was found for countermovement jump and subjective ratings. These results suggest that a one-off exercise on artificial turf does not induce greater fatigue nor does it delay the recovery process when compared to natural grass among regular artificial turf players.

The developmental activities of elite soccer players aged under-16 years from Brazil, England, France, Ghana, Mexico, Portugal and Sweden.

The developmental activities of 328 elite soccer players aged under-16 years from Brazil, England, France, Ghana, Mexico, Portugal and Sweden were examined using retrospective recall in a cross-sectional research design. The activities were compared to the early diversification, early specialisation, and early engagement pathways. Players started their involvement in soccer at approximately 5 years of age. During childhood, they engaged in soccer practice for a mean value of 185.7, s = 124.0 h · year(-¹), in soccer play for 186.0, s = 125.3 h · year(-¹), and in soccer competition for 37.1, s = 28.9 h · year(-¹). A mean value of 2.3, s = 1.6 sports additional to soccer were engaged in by 229 players during childhood. Players started their participation in an elite training academy at 11 to 12 years of age. During adolescence, they engaged in soccer practice for a mean value of 411.9, s = 184.3 h · year(-¹), in soccer play for 159.7, s = 195.0 h · year(-¹), and in soccer competition for 66.9, s = 48.8 h · year(-¹). A mean value of 2.5, s = 1.8 sports other than soccer were engaged in by 132 players during this period. There were some relatively minor differences between countries, but generally the developmental activities of the players followed a mixture of the early engagement and specialisation pathways, rather than early diversification.

Analysis of repeated high-intensity running performance in professional soccer.

The aims of this study were twofold: (1) to characterize repeated high-intensity movement activity profiles of a professional soccer team in official match-play; and (2) to inform and verify the construct validity of tests commonly used to determine repeated-sprint ability in soccer by investigating the relationship between the results from a test of repeated-sprint ability and repeated high-intensity performance in competition. High-intensity running performance (movement at velocities >19.8 km · h(-1) for a minimum of 1 s duration) was measured in 20 players using computerized time-motion analysis. Performance in 80 French League 1 matches was analysed. In addition, 12 of the 20 players performed a repeated-sprint test on a non-motorized treadmill consisting of six consecutive 6 s sprints separated by 20 s passive recovery intervals. In all players, most consecutive high-intensity actions in competition were performed after recovery durations ≥61 s, recovery activity separating these efforts was generally active in nature with the major part of this spent walking, and players performed 1.1 ± 1.1 repeated high-intensity bouts (a minimum of three consecutive high-intensity bouts with a mean recovery time ≤20 s separating efforts) per game. Players reporting lowest performance decrements in the repeated-sprint ability test performed more high-intensity actions interspersed by short recovery times (≤20 s, P < 0.01 and ≤30 s, P < 0.05) compared with those with higher decrements. Across positional roles, central-midfielders performed more high-intensity actions separated by short recovery times (≤20 s) and spent a larger proportion of time running at higher intensities during recovery periods, while fullbacks performed the most repeated high-intensity bouts (statistical differences across positional roles from P < 0.05 to P < 0.001). These findings have implications for repeated high-intensity testing and physical conditioning regimens.

A four-season prospective study of muscle strain reoccurrences in a professional football club.

The aim of this investigation was to characterise muscle strain reinjuries and examine their impact on playing resources in a professional football club. Muscle strains and reoccurrences were prospectively diagnosed over four seasons in first-team players (n = 46). Altogether, 188 muscle strains were diagnosed with 44 (23.4%) of these classed as reinjuries, leading to an incidence of 1.32 strain reoccurrences per 1,000 hours exposure (95% Confidence Interval [CI], 0.93-1.71). The incidence of recurrent strains was higher in match-play compared with training (4.51, 95% CI, 2.30-6.72 vs 0.94, 95% CI, 0.59-1.29). Altogether, 50.0% of players sustained at least 1 reoccurrence of a muscle strain, leading to approximately 3 days lost and 0.4 matches missed per player per season. The incidence of recurrent strains was highest in centre-forwards (2.15, 95% CI, 1.06-3.24), peaked in May (3.78, 95% CI, 0.47-7.09), and mostly affected the hamstrings (38.6% of all reoccurrences). Mean layoff for nonreoccurrences and recurrences was similar: approximately 7.5 days. These results provide greater insight into the extent of the problem of recurrent muscle strains in professional football.

Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers.

Sports training characterized by impacts or weight-bearing activity is well known to induce osteogenic effects on the skeleton. Less is known about the potential effects on bone strength and geometry, especially in female adolescent athletes. The aim of this study was to investigate hip geometry in adolescent soccer players and swimmers compared to normal values that stemmed from a control group. This study included 26 swimmers (SWIM; 15.9 ± 2 years) and 32 soccer players (SOC; 16.2 ± 0.7 years), matched in body height and weight. A group of 15 age-matched controls served for the calculation of hip parameter Z-scores. Body composition and bone mineral density (BMD) were assessed by dual-energy X-ray absorptiometry (DXA). DXA scans were analyzed at the femoral neck by the hip structure analysis (HSA) program to calculate the cross-sectional area (CSA), cortical dimensions (inner endocortical diameter, ED; outer width and thickness, ACT), the centroid (CMP), cross-sectional moment of inertia (CSMI), section modulus (Z), and buckling ratio (BR) at the narrow neck (NN), intertrochanteric (IT), and femoral shaft (FS) sites. Specific BMDs were significantly higher in soccer players compared with swimmers. At all bone sites, every parameter reflecting strength (CSMI, Z, BR) favored soccer players. In contrast, swimmers had hip structural analysis (HSA) Z-scores below the normal values of the controls, thus denoting weaker bone in swimmers. In conclusion, this study suggests an influence of training practice not only on BMD values but also on bone geometry parameters. Sports with high impacts are likely to improve bone strength and bone geometry. Moreover, this study does not support the argument that female swimmers can be considered sedentary subjects regarding bone characteristics.

Work-rate of substitutes in elite soccer: a preliminary study.

The aim of this study was to investigate the work-rate of substitutes in professional soccer. A computerised player tracking system was used to assess the work-rates of second-half substitutes (11 midfielders and 14 forwards) in a French Ligue 1 club. Total distance, distance covered in five categories of movement intensity and recovery time between high-intensity efforts were evaluated. First- and second-half work-rates of the replaced players were compared. The performance of substitutes was compared to that of the players they replaced, to team-mates in the same position who remained on the pitch after the substitution and in relation to their habitual performances when starting games. No differences in work-rate between first- and second-halves were observed in all players who were substituted. In the second-half, a non-significant trend was observed in midfield substitutes who covered greater distances than the player they replaced whereas no differences were observed in forwards. Midfield substitutes covered a greater overall distance and distance at high-intensities (p<0.01) and had a lower recovery time between high-intensity efforts (p<0.01) compared to other midfield team-mates who remained on the pitch. Forwards covered less distance (p<0.01) in their first 10-min as a substitute compared to their habitual work-rate profile in the opening 10-min when starting matches while this finding was not observed in midfielders. These findings suggest that compared to midfield substitutes, forward substitutes did not utilise their full physical potential. Further investigation is warranted into the reasons behind this finding in order to optimise the work-rate contributions of forward substitutes.

Anthropometric and fitness characteristics of international, professional and amateur male graduate soccer players from an elite youth academy.

We compared anthropometric and fitness performance data from graduate male youth players from an elite soccer academy who on leaving the institution were either successful or not in progressing to higher standards of play. Altogether, 161 players were grouped according to whether they achieved international or professional status or remained amateur. Measures were taken across three age categories (under 14, 15 and 16 years of age). Players were assessed using standard measures of anthropometric and fitness characteristics. The skeletal age of players was also measured to determine maturity status. Multivariate analysis (MANCOVA) identified a significant (p<0.001) effect for playing status. Univariate analysis revealed a significant difference in maturity status in amateurs and professionals versus internationals (p<0.05), in body mass in professionals versus amateurs (d=0.56, p<0.05), in height (d=0.85, p<0.01) and maximal anaerobic power (d=0.79, p<0.01) in both professionals and internationals versus amateurs. There was also a significant difference in counter-movement jump (d=0.53, p<0.05) and 40-m sprint time (d=0.50, p<0.05) in internationals versus amateurs, as well as a significant main effect for age and playing position (p<0.001). Significant differences were reported for maturity status, body mass, height, peak concentric torque, maximal anaerobic power, and sprint and jump performance with results dependant on age category and playing position. These results suggest that anthropometric and fitness assessments of elite youth soccer players can play a part in determining their chances of proceeding to higher achievement levels.

Injuries in young elite female soccer players: an 8-season prospective study.

BACKGROUND: Epidemiologic data on injuries in young female soccer players at elite levels are scarce. PURPOSE: The aim of the present study is to investigate the incidence of soccer-related injuries in young elite female French players. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Injuries sustained by players between 15 and 19 years of age, during 8 seasons, were diagnosed and documented by a sports physician according to type, location, severity, the date the injury occurred, and playing position. RESULTS: Altogether 619 injuries were documented for 110 players (92.4%). Of these injuries, 64.6% (4.6/1000 training hours; 95% confidence interval [CI], 4.2-5.0) and 35.4% (22.4/1000 match hours; 95% CI, 19.4-25.4) were sustained during training and matches, respectively. The risk of injury was greater in the youngest (under age 15) group compared with the oldest (under 19) group (relative risk 1.7; 95% CI, 1.3-2.3). Traumatic injuries amounted to 536 (86.4%) and 83 (13.4%) were overuse injuries. There were 51.9% minor injuries, 35.7% moderate injuries, and 12.4% major injuries. Most injuries were located at the lower extremities (83.4%), with the majority affecting the ankle (n = 157). The most commonly diagnosed injury was ankle sprain (16.8%). Twelve anterior cruciate ligament ruptures were sustained, with the majority occurring during matches (n = 10; 1.0/1000 match hours; 95% CI, 0.4-1.6). Reinjuries accounted for 4.4% of total injuries, and September was the predominant month for injury (14.2%). CONCLUSIONS: The results, when compared with those of other investigations on female soccer players, revealed high rates of both traumatic injury and match injury, whereas recurrence of injury was low. Injuries, notably sprains, to the ankle were common, suggesting a need for the implementation of specific injury prevention strategies for this joint.

Incidence of injuries in elite French youth soccer players: a 10-season study.

BACKGROUND: Research on age-related injury incidence in elite youth soccer is needed to identify high-risk groups. PURPOSE: To investigate the incidence of soccer-related injuries in elite French youth players based at the Clairefontaine Football Center. STUDY DESIGN: Cohort study (Prevalence); Level of evidence, 1. METHODS: Injuries sustained by players in the younger than 14-, 15-, and 16-year-old age groups during 10 seasons were diagnosed and documented by a sports physician according to type, location, severity, the date the injury occurred, and playing position. RESULTS: Altogether, 1152 injuries were documented across all age groups with 69.1% and 30.9% sustained during training and matches, respectively. A total of 4.8 injuries per 1000 hours' exposure time were recorded and 11.2 and 3.9 injuries per 1000 hours for matches and training, respectively. There was no significant difference in injury frequency between age groups. The youngest group sustained more training injuries (P < .05) and osteochondroses (P < .05) and fewer match injuries than did the oldest group. Injury incidence varied throughout the season, peaking in September in all groups. The majority of injuries lasted less than 1 week (60.2%), contusions were the predominant injury type (30.6%, P < .05), and the upper leg was the site most often injured (24.5%, P < .05). CONCLUSION: Those players younger than 14 years incurred more injuries in training and sustained more growth-related overuse disorders. Older players were more often injured during matches. Injury incidence and the frequency of overuse disorders were highest early in the season.