The Effects of Fixture Congestion on Injury in Professional Male Soccer: A Systematic Review.

BACKGROUND: Professional soccer teams are often required to compete with ≤ 4 days recovery between matches. Since congested schedules reduce recovery time between matches, players are possibly at an increased injury risk. To date, there are no published systematic reviews on the impact of match congestion on injuries during professional male soccer. OBJECTIVE: The aim of this systematic review was to assess the effects of fixture congestion on injuries during professional soccer. METHODS: Following pre-registration on the Open Science Framework ( https://osf.io/86m25/ ) and conforming with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, systematic searches of four electronic databases (PubMed, Scopus, SPORTDiscus, and Web of Science) were conducted by independent researchers from inception until February 2022. Articles were included if they were original articles written in English and contained relevant time-loss injury data (injury that results in unavailability for training and/or match-play) for male professional soccer players regarding periods of fixture congestion (a minimum of two matches with ≤ 4 days recovery). RESULTS: A total of eight articles were included in the review. Five studies identified that congested fixture schedules expose players to increased match injury incidence, although layoff duration was typically lower during congested periods. Two studies identified that training and overall injury incidence were higher during congested periods, with another study identifying a lower training injury incidence during congested periods. CONCLUSION: Injury risk is, overall, increased during fixture-congested periods; however, the layoff duration is typically shorter. The current findings have implications for practitioners regarding the management, periodisation, monitoring, and design of training and competition schedules.

The Impact of 120 Minutes of Soccer-Specific Exercise on Recovery.

Purpose: The extra-time (ET) period of soccer is competed during fixture congested schedules with often limited recovery time between matches. The aim of this study was to assess muscle damage recovery following 90- and 120-min (i.e., incorporation of ET) of simulated soccer match-play. Methods: Twelve semiprofessional soccer players completed 90 and 120-min treadmill-based soccer-specific exercise in a counterbalanced order. Creatine kinase (CK), creatinine, urea, aspartate aminotransferase, perceived muscle soreness, pain pressure threshold, reactive strength index, countermovement jump height, and isokinetic strength assessments of eccentric knee flexors at 60, 180 and 270 deg‧s-1 were taken at baseline and immediately-, 24, 48 and 72-hr post-exercise to assess recovery. Results: No significant between-trial interactions except for CK were found. Pairwise comparisons detected a 53% increase in CK at 24-hr (455 ± 29 µâˆ™L-1) following 120-min of simulated match-play vs. the corresponding post 90-min time-point (299 ± 29 µâˆ™L-1; p < .01). The 120-min trial caused a 58% higher CK response at 72-hr (244 ± 25 µâˆ™L-1) vs. post 90-min comparisons (154 ± 29 µâˆ™L-1; p = .02). No interaction effects were detected for any other recovery variables. Creatine kinase and perceived muscle soreness remained elevated up to 72-hr in both trials (p < .01). Conclusions: These data indicate that 120 min of simulated soccer match-play delays the time-course of CK recovery up to 72-hr post-match. However, 120 min of simulated soccer has no additional impact on functional recovery and perceived muscle soreness vs. 90 min. Recovery should be investigated following 90- and 120-min of actual match-play.Trial registration The study was pre-registered on the Open Science Framework (DOI: 10.17605/OSF.IO/VGU6T Date: 10/06/2019).

Recovery following the extra-time period of soccer: practitioner perspectives and applied practices.

Research has demonstrated that the extra-time (ET) period of soccer negatively impacts recovery. However, it is not known to what extent recovery practices are being adapted by practitioners following ET and where gaps exist between research and practice. Therefore, this study explored soccer practitioner perceptions of recovery practices following ET matches. A total of 72 practitioners from across different levels of soccer and several countries completed a bespoke online survey. Inductive content analysis of the responses identified five higher-order themes: 'conditioning', 'player monitoring', 'recovery practices', 'training', and 'future research directions'. Mixed responses were received in relation to whether practitioners condition players in preparation for ET, though 72% allowed players to return to training based on fatigue markers following this additional 30-min period. Sixty-three (88%) practitioners believed that ET delays the time-course of recovery, with 82% highlighting that practices should be adapted following ET compared with a typical 90-min match. Forty-nine practitioners (68%) reduce training loads and intensities for up to 48 hr post ET matches, though training mostly recommences as 'normal' at 72 hr. Sixty-three (88%) practitioners believed that more research should be conducted on recovery following ET, with 'tracking players physiological and physical responses', 'nutritional interventions to accelerate recovery' and 'changes in acute injury-risk' being the three areas of research that practitioners ranked as most important. These data suggest practitioners and coaches adjust recovery practices following ET matches compared to 90 min. Further research on the efficacy of recovery strategies following ET matches is required to inform applied practice.

Lower-Limb Muscle Excitation, Peak Torque, and External Load Responses to a 120-Minute Treadmill-Based Soccer-Specific Simulation.

Purpose: The aim of this study was to investigate thigh musculature excitation and torque generation in response to soccer-specific exercise incorporating an extra-time (ET) period. Methods: Twelve semiprofessional soccer players performed 120-min treadmill-based soccer-specific exercise. Surface electromyography (EMG) signals for the rectus femoris (EMGRF) and biceps femoris (EMGBF) were measured as the mean response across a pre-determined 10-second sprint bout during each 15-min block of exercise. Peak eccentric torque of the knee flexors (eccKF) and concentric torque of the knee extensors (conKE) were recorded across angular velocities of 60, 180, and 270 deg∙s-1 immediately pre- and post-exercise. Tri-axial PlayerLoad™ (PL-T) was monitored throughout exercise and defined across vertical (PL-V), anterior-posterior (PL-AP), and medial-lateral (PL-ML) planes of motion. Results: A reduction in normalized EMGRF amplitude was evident at 105‒120 min, versus 0‒15 min (-12.5%; p = .037), 15‒30 min (-12.5%; p = .047), and 45‒60 min (-14%; p = .030). Peak torque of the eccKF was significantly reduced from pre- to post-exercise at 60 (-7.7%; p = .018), 180 (-10.5%; p = .042), and 270 deg∙s-1 (-7.5%; p = .034). A main effect for time was identified for PL-T (p < .010), PL-V (p = .033), and PL-AP (p < .010). Conclusions: These findings suggest that muscle excitation of the rectus femoris is reduced during ET, accompanied with a deficit in the torque generation of the knee flexors following 120 min of soccer-specific activity. Practitioners should adequately condition players for the additional ET period by incorporating exercises into training schedules that develop fatigue-resistant eccentric hamstring strength to minimize injury risk.

The demands of the extra-time period of soccer: A systematic review.

OBJECTIVE: Soccer match-play is typically contested over 90 min; however, in some cup and tournament scenarios, when matches are tied, they proceed to an additional 30 min, which is termed "extra-time" (ET). This systematic review sought to appraise the literature available on 120-min of soccer-specific exercise, with a view to identifying practical recommendations and future research opportunities. METHODS: The review was conducted according to the PRISMA guidelines. Independent researchers performed a systematic search of PubMed, CINAHL, and PsycINFO in May 2019, with the following keywords entered in various combinations: "soccer", "football", "extra-time", "extra time", "extratime", "120 minutes", "120 min", "additional 30 minutes", and "additional 30 min". RESULTS: The search yielded an initial 73 articles. Following the screening process, 11 articles were accepted for analyses. Articles were subsequently organized into the following 5 categories: movement demands of ET, performance responses to ET, physiological and neuromuscular response during ET, nutritional interventions, and recovery and ET. The results highlighted that during competitive match-play, players cover 5%-12% less distance relative to match duration (i.e., meters per minute) during ET compared to the preceding 90 min. Reductions in technical performance (i.e., shot speed, number of passes and dribbles) were also observed during ET. Additionally, carbohydrate provision may attenuate and improve dribbling performance during ET. Moreover, objective and subjective measures of recovery may be further compromised following ET when compared to 90 min. CONCLUSION: Additional investigations are warranted to further substantiate these findings and identify interventions to improve performance during ET.

The Effect of Fixture Congestion on Performance During Professional Male Soccer Match-Play: A Systematic Critical Review with Meta-Analysis.

BACKGROUND: Fixture congestion (defined as a minimum of two successive bouts of match-play, with an inter-match recovery period of < 96 h) is a frequent and contemporary issue in professional soccer due to increased commercialisation of the sport and a rise in the number of domestic and international cup competitions. To date, there is no published systematic review or meta-analysis on the impact of fixture congestion on performance during soccer match play. OBJECTIVE: We sought to conduct a systematic review and meta-analysis of the literature related to the effects of fixture congestion on physical, technical, and tactical performance in professional soccer match-play. METHODS: Adhering to PRISMA guidelines and following pre-registration with the Open Science Framework ( https://osf.io/fqbuj ), a comprehensive and systematic search of three research databases was conducted to identify articles related to soccer fixture congestion. For inclusion in the systematic review and meta-analysis, studies had to include male professional soccer players, a congestion period that contained two matches ≤ 96 h, and have outcome measures related to physical, technical or tactical performance. Exclusion criteria comprised non-male and/or youth players, data that only assessed impact of congestion on injury, used simulated protocols, or were grey literature, such as theses or dissertations. RESULTS: Out of sixteen articles included in the systematic review, only five were eligible for the meta-analysis, and the only variable that was measured consistently across studies was total distance covered. Fixture congestion had no impact on total distance covered [p = 0.134; pooled standardized mean difference; Hedge's G = 0.12 (- 0.04, 0.28)]. Between-study variance, heterogeneity, and inconsistency across studies were moderate [Cochrane's Q = 6.7, p = 0.150, I2 = 40.7% (CI 0.00, 93.34)]. Data from articles included in the systematic review suggest fixture congestion has equivocal effects on physical performance, with variation between studies and low quality of research design in some instances. Tactical performance may be negatively impacted by fixture congestion; however, only one article was identified that measured this element. Technical performance is unchanged during fixture congestion; however, again, research design and the sensitivity and relevance of methods and variables require improvement. CONCLUSION: Total distance covered is not impacted by fixture congestion. However, some studies observed a negative effect of fixture congestion on variables such as low- and moderate-intensity distance covered, perhaps suggesting that players employ pacing strategies to maintain high-intensity actions. There is a lack of data on changes in tactical performance during fixture congestion. With ever increasing numbers of competitive matches scheduled, more research needs to be conducted using consistent measures of performance (e.g., movement thresholds) with an integration of physical, technical and tactical aspects.

Biomechanical and Physiological Responses to 120 Min. of Soccer-Specific Exercise.

Purpose: The purpose of the study is to investigate biomechanical and physiological responses to soccer-specific exercise incorporating an extra-time period (ET) and assess the test-retest reliability of these responses. Methods: Twelve soccer players performed 120 min of soccer-specific exercise. Tri-axial (PLTotal) and uni-axial PlayerLoad™ in the vertical (PLV), anterior-posterior (PLA-P), and medial-lateral (PLM-L) planes were monitored using a portable accelerometer. Likewise, respiratory exchange ratio (RER) was recorded throughout exercise. At the end of each 15-min period, players provided differential ratings of perceived exertion for legs (RPE-L), breathlessness (RPE-B) and overall (RPE-O), and capillary samples were taken to measure blood lactate (BLa) concentrations. The soccer-specific exercise was completed twice within 7 days to assess reliability. Results: A main effect for time was identified for PLTotal (p = 0.045), PLV (p = 0.002), PLA-P (p = 0.011), RER (p = 0.001), RPE-L (p = 0.001), RPE-O (p = 0.003), and CMJ (p = 0.020). A significant increase in PLTotal (234 ± 34 au) and decrease in RER (0.87 ± 0.03) was evident during 105-120 versus 0-15 min (215 ± 25 au; p = 0.002 and 0.92 ± 0.02; p = 0.001). Coefficients of variations were <10% and Pearson's correlation coefficient demonstrated moderate-to-very strong (0.33-0.99) reliability for all PL variables, RPE-B, BLa, and RER. Conclusions: These results suggest that mechanical efficiency is compromised and an increased rate of lipolysis is observed as a function of exercise duration, particularly during ET. These data have implications for practitioners interested in fatigue-induced changes during ET.

The assessment of neuromuscular fatigue during 120 min of simulated soccer exercise.

PURPOSE: This investigation examined the development of neuromuscular fatigue during a simulated soccer match incorporating a period of extra time (ET) and the reliability of these responses on repeated test occasions. METHODS: Ten male amateur football players completed a 120 min soccer match simulation (SMS). Before, at half time (HT), full time (FT), and following a period of ET, twitch responses to supramaximal femoral nerve and transcranial magnetic stimulation (TMS) were obtained from the knee-extensors to measure neuromuscular fatigue. Within 7 days of the first SMS, a second 120 min SMS was performed by eight of the original ten participants to assess the reliability of the fatigue response. RESULTS: At HT, FT, and ET, reductions in maximal voluntary force (MVC; -11, -20 and -27%, respectively, P ≤ 0.01), potentiated twitch force (-15, -23 and -23%, respectively, P < 0.05), voluntary activation (FT, -15 and ET, -18%, P ≤ 0.01), and voluntary activation measured with TMS (-11, -15 and -17%, respectively, P ≤ 0.01) were evident. The fatigue response was robust across both trials; the change in MVC at each time point demonstrated a good level of reliability (CV range 6-11%; ICC2,1 0.83-0.94), whilst the responses identified with motor nerve stimulation showed a moderate level of reliability (CV range 5-18%; ICC2,1 0.63-0.89) and the data obtained with motor cortex stimulation showed an excellent level of reliability (CV range 3-6%; ICC2,1 0.90-0.98). CONCLUSION: Simulated soccer exercise induces a significant level of fatigue, which is consistent on repeat tests, and involves both central and peripheral mechanisms.