Association between SARS-COV-2 infection and muscle strain injury occurrence in elite male football players: a prospective study of 29 weeks including three teams from the Belgian professional football league.

OBJECTIVES: The aim of this study was to investigate the association between SARS-CoV-2 infection and muscle strain injury in elite athletes. METHODS: A prospective cohort study in three Belgian professional male football teams was performed during the first half of the 2020-2021 season (June 2020-January 2021). Injury data were collected using established surveillance methods. Assessment of SARS-CoV-2 infection was performed by a PCR test before each official game. RESULTS: Of the 84 included participants, 22 were infected with SARS-CoV-2 and 14 players developed a muscle strain during the follow-up period. Cox's proportional hazards regression analyses demonstrated a significant association between SARS-CoV-2 infection and the development of muscle strain (HR 5.1; 95% CI 1.1 to 23.1; p=0.037), indicating an increased risk of developing muscle strains following SARS-CoV-2 infection. All athletes who sustained a muscle strain after infection were injured within the first month (15.71±11.74 days) after sports resumption and completed a longer time in quarantine (14.57±6.50 days) compared with the infected players who did not develop a muscle strain (11.18±5.25 days). CONCLUSION: This study reported a five times higher risk of developing a muscle strain after a SARS-CoV-2 infection in elite male football players. Although this association should be examined further, it is possible that short-term detraining effects due to quarantine, and potentially pathological effects of the SARS-CoV-2 infection are associated with a higher risk of muscle strain injury.

Multivariate Relationships among Morphology, Fitness and Motor Coordination in Prepubertal Girls.

Motor coordination and physical fitness are multidimensional concepts which cannot be reduced to a single variable. This study evaluated multivariate relationships among morphology, physical fitness and motor coordination in 74 pre-pubertal girls 8.0-8.9 years of age. Data included body dimensions, eight fitness items and four motor coordination tasks (KTK battery). Maturity status was estimated as percentage of predicted mature stature attained at the time of observation. Canonical correlation analysis was used to examine the relationships between multivariate domains. Significant pairs of linear functions between indicators of morphology and fitness (rc = 0.778, Wilks' Lambda = 0.175), and between fitness and motor coordination (rc = 0.765, Wilks' Lambda = 0.289) were identified. Girls who were lighter and had a lower waist-to-stature ratio and % fat mass attained better scores in the endurance run, sit-ups and standing long jump tests, but poorer performances in hand grip strength and 2-kg ball throw. Better fitness test scores were also associated with better motor coordination scores. Relationships between body size and estimated fatness with motor fitness suggested an inverse relationship that was particularly evident in performance items that required the displacement of the body through space, while motor coordination was more closely related with fitness than with somatic variables.

Correction to: Tanner-Whitehouse Skeletal Ages in Male Youth Soccer Players: TW2 or TW3?

An Online First version of this article was made available online at https://link.springer.com/article/10.1007%2Fs40279-017-0799-7 on 29 October 2017. Errors were subsequently identified in the article, and the following corrections should be noted.

Tanner-Whitehouse Skeletal Ages in Male Youth Soccer Players: TW2 or TW3?

BACKGROUND: The Tanner-Whitehouse radius-ulna-short bone protocol (TW2 RUS) for the assessment of skeletal age (SA) is widely used to estimate the biological (skeletal) maturity status of children and adolescents. The scale for converting TW RUS ratings to an SA has been revised (TW3 RUS) and has implications for studies of youth athletes in age-group sports. OBJECTIVES: The aim of this study was to compare TW2 and TW3 RUS SAs in an international sample of male youth soccer players and to compare distributions of players by maturity status defined by each SA protocol. METHODS: SA assessments with the TW RUS method were collated for 1831 male soccer players aged 11-17 years from eight countries. RUS scores were converted to TW2 and TW3 SAs using the appropriate tables. SAs were related to chronological age (CA) in individual athletes and compared by CA groups. The difference of SA minus CA with TW2 SA and with TW3 SA was used to classify players as late, average, or early maturing with each method. Concordance of maturity classifications was evaluated with Cohen's Kappa coefficients. RESULTS: For the same RUS score, TW3 SAs were systematically and substantially reduced compared with TW2 SAs; mean differences by CA group ranged from - 0.97 to - 1.16 years. Kappa coefficients indicated at best fair concordance of TW2 and TW3 maturity classifications. Across the age range, 42% of players classified as average with TW2 SA were classified as late with TW3 SA, and 64% of players classified as early with TW2 SA were classified as average with TW3 SA. CONCLUSION: TW3 SAs were systematically lower than corresponding TW2 SAs in male youth soccer players. The differences between scales have major implications for the classification of players by maturity status, which is central to some talent development programs.

A retrospective study on anthropometrical, physical fitness, and motor coordination characteristics that influence dropout, contract status, and first-team playing time in high-level soccer players aged eight to eighteen years.

The goal of this article was twofold, and a 2-study approach was conducted. The first study aimed to expose the anthropometrical, physical performance, and motor coordination characteristics that influence dropout from a high-level soccer training program in players aged 8-16 years. The mixed-longitudinal sample included 388 Belgian youth soccer players who were assigned to either a "club group" or a "dropout group." In the second study, cross-sectional data of anthropometry, physical performance, and motor coordination were retrospectively explored to investigate which characteristics influence future contract status (contract vs. no contract group) and first-team playing time for 72 high-level youth soccer players (mean age = 16.2 years). Generally, club players outperformed their dropout peers for motor coordination, soccer-specific aerobic endurance, and speed. Anthropometry and estimated maturity status did not discriminate between club and dropout players. Contract players jumped further (p = 0.011) and had faster times for a 5-m sprint (p = 0.041) than no contract players. The following prediction equation explains 16.7% of the variance in future playing minutes in adolescent youth male soccer players: -2,869.3 + 14.6 × standing broad jump. Practitioners should include the evaluation of motor coordination, aerobic endurance, and speed performances to distinguish high-level soccer players further succeeding a talent development program and future dropout players, between 8 and 16 years. From the age of 16 years, measures of explosivity are supportive when selecting players into a future professional soccer career.

A longitudinal study investigating the stability of anthropometry and soccer-specific endurance in pubertal high-level youth soccer players.

We investigated the evolution and stability of anthropometric and soccer-specific endurance characteristics of 42 high-level, pubertal soccer players with high, average and low yo-yo intermittent recovery test level 1 (YYIR1) baseline performances over two and four years. The rates of improvement were calculated for each performance group, and intra-class correlations were used to verify short- and long-term stability. The main finding was that after two and four years, the magnitudes of the differences at baseline were reduced, although players with high YYIR1 baseline performance still covered the largest distance (e.g., low from 703 m to 2126 m; high from 1503 m to 2434 m over four years). Furthermore, the YYIR1 showed a high stability over two years (ICC = 0.76) and a moderate stability over four years (ICC = 0.59), due to large intra-individual differences in YYIR1 performances over time. Anthropometric measures showed very high stability (ICCs between 0.94 to 0.97) over a two-year period, in comparison with a moderate stability (ICCs between 0.57 and 0.75) over four years. These results confirm the moderate-to-high stability of high-intensity running performance in young soccer players, and suggest that the longer the follow-up, the lower the ability to predict player's future potential in running performance. They also show that with growth and maturation, poor performers might only partially catch up their fitter counterparts between 12 and 16 years. Key pointsYoung, high-level soccer players with a relatively low intermittent-endurance capacity are capable to catch up with their better performing peers after four years.Individual development and improvements of anthropometric and physical characteristics should be considered when evaluating young soccer players.

Stature and jumping height are required in female volleyball, but motor coordination is a key factor for future elite success.

It was hypothesized that differences in anthropometry, physical performance, and motor coordination would be found between Belgian elite and sub-elite level female volleyball players using a retrospective analysis of test results gathered over a 5-year period. The test sample in this study consisted of 21 young female volleyball players (15.3 ± 1.5 years) who were selected to train at the Flemish Top Sports Academy for Volleyball in 2008. All players (elite, n = 13; sub-elite, n = 8) were included in the same talent development program, and the elite-level athletes were of a high to very high performance levels according to European competition level in 2013. Five multivariate analyses of variance were used. There was no significant effect of playing level on measures of anthropometry (F = 0.455, p = 0.718, (Equation is included in full-text article.)= 0.07), flexibility (F = 1.861, p = 0.188, (Equation is included in full-text article.)= 0.19), strength (F = 1.218, p = 0.355, (Equation is included in full-text article.)= 0.32); and speed and agility (F = 1.176, p = 0.350, (Equation is included in full-text article.)= 0.18). Multivariate analyses of variance revealed significant multivariate effects between playing levels for motor coordination (F = 3.470, p = 0.036, (Equation is included in full-text article.)= 0.59). A Mann-Whitney U test and a sequential discriminant analysis confirmed these results. Previous research revealed that stature and jump height are prerequisites for talent identification in female volleyball. In addition, the results show that motor coordination is an important factor in determining inclusion into the elite level in female volleyball.

Motor competence assessment in children: convergent and discriminant validity between the BOT-2 Short Form and KTK testing batteries.

This study investigated convergent and discriminant validity between two motor competence assessment instruments in 2485 Flemish children: the Bruininks-Oseretsky Test of Motor Proficiency 2 Short Form (BOT-2 Short Form) and the KörperKoördinationsTest für Kinder (KTK). A Pearson correlation assessed the relationship between BOT-2 Short Form total, gross and fine motor composite scores and KTK Motor Quotient in three age cohorts (6-7, 8-9, 10-11 years). Crosstabs were used to measure agreement in classification in children scoring below percentile 5 and 15 and above percentile 85 and 95. Moderately strong positive (r=0.44-0.64) associations between BOT-2 total and gross motor composite scores and KTK Motor Quotient and weak positive correlations between BOT-2 Short Form fine motor composite and KTK Motor Quotient scores (r=0.25-0.37) were found. Levels of agreement were fair to moderate. Therefore, some proof of convergent and discriminant validity between BOT-2 Short Form and KTK was established in this study, underlining the notion that the evaluation of motor competence should not be based upon a single assessment instrument.

Modeling developmental changes in yo-yo intermittent recovery test level 1 in elite pubertal soccer players.

PURPOSE: To model the development of soccer-specific aerobic performance, assessed by the Yo-Yo Intermittent Recovery Test Level 1 in 162 elite pubertal soccer players, age 11-14 y at baseline. METHODS: Longitudinal multilevel modeling analyses comprised predictors related to growth (chronological age, body size [height and weight] and composition [fat mass, fat-free mass]), and motor coordination [3 KÖrperkoordination Test für Kinder subtests: jumping sideways, moving sideways, backward balancing] and estimated biological-maturation groups (earliest [percentile 66]). RESULTS: The best-fitting model on soccer-specific aerobic performance could be expressed as -3639.76 + 369.86 × age + 21.38 × age² + 9.12 × height - 29.04 × fat mass + 0.06 × backward balance. Maturity groups had a negligible effect on soccer-specific aerobic performance (-45.32 ± 66.28; P > .05). CONCLUSION: The current study showed that the development of aerobic performance in elite youth soccer is related to growth and muscularity and emphasized the importance of motor coordination in the talent-identification and -development process. Note that biological maturation was excluded from the model, which might endorse the homogeneity in estimated biological-maturation status in the current elite pubertal soccer sample.

Changes in physical fitness and sports participation among children with different levels of motor competence: a 2-year longitudinal study.

The goal of this study was to investigate differences in physical fitness and sports participation over 2 years in children with relatively high, average, and low motor competence. Physical fitness and gross motor coordination of 501 children between 6-10 years were measured at baseline and baseline+2 years. The sample compromised 2 age cohorts: 6.00-7.99 and 8.00-9.99 years. An age and sex-specific motor quotient at baseline testing was used to subdivide these children into low (MQ < P33), average (P33 ≤ MQ < P66) and high (MQ ≥ P66) motor competence groups. Measures of sports participation were obtained through a physical activity questionnaire in 278 of the same children. Repeated Measures MANCOVA and two separate ANOVAs were used to analyze differences in changes in physical fitness and measures of sports participation respectively. Children with high motor competence scored better on physical fitness tests and participated in sports more often. Since physical fitness levels between groups changed similarly over time, low motor competent children might be at risk for being less physically fit throughout their life. Furthermore, since low motor competent children participate less in sports, they have fewer opportunities of developing motor abilities and physical fitness and this may further prevent them from catching up with their peers with an average or high motor competence.

Variation in sport participation, fitness and motor coordination with socioeconomic status among Flemish children.

Socioeconomic status (SES) is often indicated as a factor that influences physical activity and associated health outcomes. This study examined the relationship between SES and sport participation, morphology, fitness and motor coordination in a sample of 1955 Flemish children 6-11 years of age. Gender, age and SES-specific values for morphologic dimensions, amount and type of sport participation and fitness and motor coordination tests were compared. SES was positively and significantly associated with sport participation and sports club membership in both sexes. Although differences were not consistently significant, morphologic dimensions and tests of fitness and motor coordination showed a trend in favor of children from higher SES. The results suggest that public and local authorities should consider providing equal opportunities for children in all social strata and especially those in the lower SES to experience the beneficial effects of sport participation through which they can enhance levels of physical fitness and motor coordination.

Biological maturation, morphology, fitness, and motor coordination as part of a selection strategy in the search for international youth soccer players (age 15-16 years).

We report the morphology (height, weight, body fat, body mass index), fitness (strength, speed, agility, flexibility), and soccer-specific (dribbling) and non-specific motor coordination skills (Körper KoordinationsTest für Kinder; KTK) of 78 Belgian international youth soccer players aged 15-16 years with varying biological maturity status. The more mature players (U16 and U17) possessed higher morphological measures and outperformed their later maturing peers (U16 Futures and U17 Futures) on almost all fitness tests. However, soccer-specific and non-specific motor coordination tests did not distinguish the more mature players from the later maturing players in both age groups. When adjusted for the confounder (age at peak height velocity), multivariate analysis of covariance revealed that several morphology- and fitness-related parameters did not differ between selection groups, again in both age groups. These findings indicate that biological maturation affects morphology and fitness more so than motor coordination skills. In conclusion, to prevent the dropout of promising late maturing players, we suggest avoiding one-dimensional approaches and to include measures of biological maturity status as well as maturity independent performance tests during the talent identification and selection process.

The value of a non-sport-specific motor test battery in predicting performance in young female gymnasts.

Gymnastics talent identification focuses on the identification of young gymnasts who display characteristics for potential success in the future. The aim of this study was to identify which current performance characteristics are related to performance in competition 2 years later. Twenty-three female gymnasts aged 7-8 years completed a multidimensional test battery measuring anthropometric, physical, and coordinative characteristics and were technically evaluated by expert coaches. Two years later, the all-around competition results of those gymnasts now participating in elite (n = 12) and sub-elite (n = 11) competition were obtained. None of the initial measurements significantly correlated with the results of the sub-elite gymnasts 2 years later. For the elite gymnasts, a non-sport-specific motor test battery correlated strongly with the competition result, with more than 40% of the variation in competition performance being explained by the result on that test 2 years earlier. Neither the coaches' judgement nor the anthropometric and physical characteristics were sensitive enough to predict performance. A motor coordination test might be valuable in the early identification of gymnasts, as its discriminative and predictive qualities might be sufficiently powerful for selection within a relatively homogeneous population of gymnasts exhibiting similar anthropometric and physical profiles.

Differences in physical fitness and gross motor coordination in boys aged 6-12 years specializing in one versus sampling more than one sport.

The Developmental Model of Sports Participation proposes two pathways towards expertise in sports between 6 and 12 years of age: early specialization and early diversification. This study investigated the effect of sampling various sports and of spending many or few hours in sports on fitness and gross motor coordination. Altogether, 735 boys in three age groups (6-8, 8-10, and 10-12 years) were profiled using a fitness test battery. A computerized physical activity questionnaire was used to obtain data on sports participation. In the eldest group, (M)ANCOVA showed a positive effect of sampling various sports on strength, speed, endurance, and gross motor coordination (P < 0.05). A positive effect of many hours per week spent in sports was apparent in every age group. These data suggest an acute positive effect of many hours in sports and a latent positive effect of early sampling on fitness and gross motor coordination. Multiple comparisons revealed that boys aged 10-12 years, who spent many hours in various sports, performed better on standing broad jump (P < 0.05) and gross motor coordination (P < 0.05) than boys specializing in a single sport. Therefore, our results highlight the importance of spending many hours in sports and sampling various sports in the development of fitness and gross motor coordination.

Longitudinal study of repeated sprint performance in youth soccer players of contrasting skeletal maturity status.

The purpose of the study was to evaluate the developmental changes in performance in a repeated-sprint ability (RSA) test in young soccer players of contrasting maturity status. A total of 83 regional level Portuguese youth soccer players, aged 11-13 years at baseline was assessed annually. Stature, body mass, 7x34.2-m sprint protocol (25-s active recovery), 20-m multi-stage continuous shuttle endurance run and counter-movement jump (CMJ) without the use of the arms were measured. Fat-free mass (FFM) was determined by age and gender-specific formulas. Developmental changes in total sprint time across ages were predicted using multilevel modeling. Corresponding measurements were performed on an independent cross-sectional subsample of 52 youth soccer players 11-17 years to evaluate the predictive model. CA, CA(2), maturational status (SA-CA), body size (mass and stature), FFM, aerobic endurance, lower limb explosive strength and annual volume training significantly improved the statistical fit of the RSA multilevel model. In 'late' maturing athletes, the best model for predicting change in RSA was expressed by the following equation: 86.54 - 2.87 x CA + 0.05 x CA(2) - 0.25 x FFM + 0.15 x body mass + 0.05 x stature - 0.05 x aerobic endurance - 0.09 x lower limb explosive strength - 0.01 x annual volume training. The best fitting models for players who were 'on time' and 'early' maturing were identical to the best model for late maturing players, less 0.64 seconds and 1.74 seconds, respectively. Multilevel modeling provided performance curves that permitted the prediction of individual RSA performance across adolescent years in regional level soccer players. Key pointsRepeated-sprint ability tests are a valuable sport-specific field test of sprint performance in youth soccer players. Here, the test had reasonable reliability and can be useful to trainers and coaches in the assessment of young athletes and in monitoring changes over time.The total sprint time of youth soccer players advanced in biological maturation improves more, on average, than that of players who are on time (average) and late in maturation. The performance difference between early and late maturing players is consistent after about 13 years of age.Multilevel modeling is a promising statistical technique for analyzing the development of functional capacity in a sport. It has the potential to provide useful information to assist trainers and coaches in evaluating and facilitating the development of individual players.

Multivariate association among morphology, fitness, and motor coordination characteristics in boys age 7 to 11.

Discussions of growth and motor performance of children are often set in the context of physical fitness. Although there is a clear theoretical concept or definition of fitness comprising motor coordination, the latter is not systematically considered. This study determined to what extent the variance in motor coordination might be explained by morphological and fitness characteristics. To postulate understanding of this association during childhood, 613 boys aged 7-11 years completed the morphological measurements, the Körperkoordinationstest für Kinder (KTK) and different fitness tests. The results demonstrated a substantial interrelationship among morphology, fitness and motor coordination in elementary school boys. The magnitude of explained variance and the loadings of the canonical correlation between the several constructs are strongly pronounced during childhood indicating that these constructs should be well considered given their contribution to a child's general development.

Assessment of reliability in isokinetic testing among adolescent basketball players.

BACKGROUND: The reproducibility of day-to-day testing of isokinetic concentric and eccentric muscular actions among adolescent basketball players aged 14 to 16 years and relationships of mean within-subject variation in two isokinetic testing sessions with chronological age, biological maturation (estimated age at peak height velocity), training experience, body size, lower-body morphology, and initial strength performance were evaluated. MATERIAL AND METHODS: The sample included 27 basketball players who completed replicate test sessions of 5 repetitions of reciprocal concentric and eccentric knee extensions and flexions at 60º s(-1). A randomly selected subsample of 8 players completed a third testing session to confirm reliability estimates. RESULTS: Coefficients of variation (CV) between sessions 1 and 2 ranged from 8.1% to 17.4%, and intraclass coefficients (ICCs) ranged from 0.72 to 0.89. For sessions 1 and 3, CVs ranged from 3.9% to 6.0%, and ICCs ranged from 0.95 to 0.99. The initial level of strength of eccentric knee flexion (r=-0.43) and eccentric knee extension (r=-0.42) were correlated (P<0.05) with eccentric knee extension within-variation between two sessions. Training experience (r=-0.37, P<0.05) and initial values of concentric knee flexion (r=-0.62, P<0.01) were correlated with concentric knee flexion within-subject differences. Within-subject variation of eccentric knee extension was correlated (P<0.05) with chronologic age (r=0.41), estimated age at peak height velocity (r=-0.38), body size (r=0.41 to 0.47), and leg volume (r=0.39). CONCLUSIONS: Familiarization sessions may improve the reliability of concentric and eccentric knee isokinetic strength testing at 60º s(-1) in adolescent basketball players. Age, maturity status, and training experience of young athletes should be considered when testing knee isokinetic strength at 60º s(-1).

Age-related variation of anaerobic power after controlling for size and maturation in adolescent basketball players.

BACKGROUND: Adolescence is characterized by increments in body size and physical performance. Short bursts of maximal intensity, requiring anaerobic metabolism, are important in many team sports including basketball. AIM: Variation of anaerobic power of adolescent basketball players (n = 93, 14-16 years) in relation to years before and after estimated age at peak height velocity (PHV) and variation in body size was considered. METHODS: The cross-sectional study included chronological age, estimated age at PHV, training experience; stature, body mass (BM), free-fat mass (FFM) and estimated lower-limb volume (LLV) by anthropometry; and short-term power outputs derived from the Wingate Anaerobic Test (WAnT). Based on proportional allometric modeling, power outputs were partitioned for biological maturity status and size variables. Pearson correlations were used to estimate the associations between distance to PHV (maturity offset) and training experience with absolute and scaled estimates of short-term power. RESULTS: Absolute WAnT increased linearly (PP, r = 0.72; MP, r = 0.74) through the interval of rapid growth of the adolescent spurt. Increments were related mainly to BM and muscle mass. Nevertheless, a residual significant positive influence of chronological age per se on maximal short-term power outputs remained independent of body size. CONCLUSION: Allometric modelling to partition size may reveal other potentially meaningful factors in the development of short-term performance in adolescent athletes.

Attention for emotional facial expressions in dysphoria: an eye-movement registration study.

Former research demonstrated that depression is associated with dysfunctional attentional processing of emotional information. Most studies examined this bias by registration of response latencies. The present study employed an ecologically valid measurement of attentive processing, using eye-movement registration. Dysphoric and non-dysphoric participants viewed slides presenting sad, angry, happy and neutral facial expressions. For each type of expression, three components of visual attention were analysed: the relative fixation frequency, fixation time and glance duration. Attentional biases were also investigated for inverted facial expressions to ensure that they were not related to eye-catching facial features. Results indicated that non-dysphoric individuals were characterised by longer fixating and dwelling on happy faces. Dysphoric individuals demonstrated a longer dwelling on sad and neutral faces. These results were not found for inverted facial expressions. The present findings are in line with the assumption that depression is associated with a prolonged attentional elaboration on negative information.

Cross-validation and reliability of the line-drill test of anaerobic performance in basketball players 14-16 years.

This study evaluates the validity and reliability of the line-drill (LD) test of anaerobic performance in 76 male basketball players 14.0-16.0 years of age. The Wingate Anaerobic Test (WAnT) was used as the reference for anaerobic performance. Wingate Anaerobic Test and LD test were moderately correlated (0.39 and 0.43, p < 0.01). Estimated age at peak height velocity (APHV) was moderately, negatively, and significantly (p < 0.01) correlated with WAnT peak (r = -0.69) and mean power (r = -0.71); earlier-maturing players had greater anaerobic power. Training experience was not associated with anaerobic performance, but chronological age (CA) and estimated APHV were significant covariates of the LD test (p < 0.05). National players were better than local players on the LD test (p < 0.01) after controlling for CA and body size. Short-term reliability of the LD test (n = 12, 1-week interval) was good: technical error of measurement = 0.44 seconds (95% confidence interval [CI] 0.31-0.75 seconds), intraclass correlation coefficient = 0.91 (95% CI 0.68-0.97), and coefficient of variation = 1.4% (95% CI 1.0-2.3%). Although the relationship between the LD test and WAnT was moderate, the LD test effectively distinguished local- and national-level adolescent basketball players. In contrast to WAnT, the LD test was not influenced by estimated biological maturity status. Thus, the LD test may be suitable for field assessment of anaerobic performance of youth basketball players.