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Objectives: To assess measurement agreement between FELS and Tanner‐Whitehouse (TW) II skeletal ages in male youth soccer players from the Middle East. Methods: We examined agreement between FELS and TW‐II skeletal ages using data collected between‐ and within‐subjects (n = 1057 observations) for 409 male, full‐time, academy student‐athletes recruited as part of the Qatar Football Association national soccer development programme (chronological age range, 9.8 to 18 years; annual screening range, one to seven visits). The Bland–Altman method for repeated measurements estimated the limits of agreement describing the expected range of differences for 95% of pairs of future FELS and TW‐II skeletal ages determined on similar individuals from the reference population. Results: The mean difference for TW‐II versus FELS protocols was 0.02 years (95% confidence interval, −0.04 to 0.08 years) with lower and upper limits of agreement ranging from −1.39 years (95% confidence interval, −1.48 to −1.30 years) to 1.43 years (95% confidence interval, 1.34 to 1.52 years). Conclusion: Differences for 95% of pairs of future skeletal ages determined with FELS and TW‐II methods in this population could be as high as ~3 years for some people that suggested protocols may not be interchangeable in youth Middle Eastern athletes. Justification of skeletal age protocol selection rests on knowledge of measurement bias and variability of expected growth estimations for rationalized application to a population of interest. [ABSTRACT FROM AUTHOR]

Objectives: To examine the timing and intensity of skeletal maturation of the radius‐ulna‐short (RUS) bones in elite youth Arab athletes. Methods: We compared SuperImposition by Translation And Rotation (SITAR) models with different spline degrees of freedom and transformation expressions to summarize 492 longitudinal measurements for individual RUS bones scores assessed from 99 male academy student‐athletes (chronological age range, 11.4 to 18 years; annual screening range, four to seven visits). Results: The SITAR model with 5 degrees of freedom and untransformed chronological age was superior to the other models. The mean growth curve increased with age and showed a mid‐pubertal double‐kink at a RUS score of ~600 bone score units (au). The SITAR model revealed a first peak in the skeletal maturation velocity curve of ~206 au·year−1 occurred at ~13.5 years. The mean age at the second and largest peak occurred at 15.1 years (95% confidence interval [CI], 14.9 to 15.3 years), with the respective estimated peak skeletal ossification rate of 334 au·year−1 (95% CI, 290 to 377 au·year−1). The mean age at peak height velocity was 13.5 years (95% CI, 13.3 to 13.7 years), with peak height velocity of 10 cm·year−1 (95% CI, 9.6 to 10.4 cm·year−1). Conclusion: Application of the SITAR method confirmed two peaks in the skeletal maturation velocity curve, with the second and largest rate of ossification occurring at a relatively later timing of ~1.5 years than the height growth spurt. Knowledge of the RUS bones timing and intensity can be important to advance strategies for athlete performance development purposes. [ABSTRACT FROM AUTHOR]

This survey sought to establish current use, knowledge and perceptions of cold-water immersion (CWI) when used for recovery. 111 athletes, coaches and support practitioners completed the anonymous online survey, answering questions about their current CWI protocols, perceptions of benefits associated with CWI and knowledge of controlling mechanisms. Respondents were largely involved in elite sport at international, national and club level, with many having used CWI previously (86%) and finding its use beneficial for recovery (78%). Protocols differed, with the duration of immersion one aspect that failed to align with recommendations in the scientific literature. Whilst many respondents were aware of benefits associated with CWI, there remains some confusion. There also seems to be a gap in mechanistic knowledge, where respondents are aware of benefits associated with CWI, but failed to identify the underlying mechanisms. This identifies the need for an improved method of knowledge transfer between scientific and applied practice communities. Moreover, data herein emphasises the important role of the 'support practitioner' as respondents in this role tended to favour CWI protocols more aligned to recommendations within the literature. With a significant number of respondents claiming they were made aware of CWI for recovery through a colleague (43%), the importance of knowledge transfer and context being appropriately applied to data is as important as ever. With the firm belief that CWI is useful for recovery in sport, the focus should now be on investigating the psychophysiological interaction and correct use of this methodology. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to explore the influence of differences in relative skeletal maturity on performance test outcomes in elite youth soccer players from the Middle East. Methods: We integrated skeletal age and performance assessments using mixed-longitudinal data available for 199 outfield players (chronological age range, 11.7 to 17.8 yr) enrolled as academy student-athletes (annual screening range, 1 to 5 visits). Skeletal age was determined as per the Tanner–Whitehouse II protocol. Relative maturity was calculated as the difference (∆) between Tanner–Whitehouse II skeletal age minus chronological age. Performance test outcomes of interest were 10-m sprinting, 40-m sprinting, countermovement jump height, and maximal aerobic speed. Separate random-effects generalized additive models quantified differences in performance test outcomes by relative skeletal maturity. Estimated differences were deemed practically relevant based on the location of the confidence interval (95% CI) against minimal detectable change values for each performance test outcome. Results: For 40-m sprinting, differences of +0.51 s (95% CI, +0.35 to +0.67 s) and +0.62 s (95% CI, +0.45 to +0.78 s) were practically relevant for relative maturity status of ∆ = −1.5 yr versus ∆ = +0.5 and ∆ = +1 yr, respectively. For countermovement jump height, a difference of −8 cm (95% CI, −10 to −5 cm) was practically relevant for ∆ = −1.5 yr versus ∆ = +1 yr relative maturity status comparison. Effects for 10-m sprinting and maximal aerobic speed were unclear. Conclusions: Integration of skeletal age and performance assessments indicated that conventional maturity status classification criteria were inconsistent to inform player development processes in our sample. Between-player differences in test performance may depend on a substantial delay in skeletal maturation (∆ ≤ −1.5 yr) and the performance outcome measure. [ABSTRACT FROM AUTHOR]

Purpose: The muscle perfusion response to postexercise cold-water immersion (CWI) is not well understood. We examined the effects of graded postexercise CWI upon global and regional quadriceps femoris muscle perfusion using positron emission tomography and [15O]H2O. Methods: Using a matched-group design, 30 healthy men performed cycle ergometer exercise at 70% V̇O2peak to a core body temperature of 38°C, followed by either 10 min of CWI at 8°C, 22°C, or seated rest (control). Quadriceps muscle perfusion; thigh and calf cutaneous vascular conductance; intestinal, muscle, and local skin temperatures; thermal comfort; mean arterial pressure; and heart rate were assessed at preexercise, postexercise, and after CWI. Results: Global quadriceps perfusion was reduced beyond the predefined minimal clinically relevant threshold (0.75 mL per 100 g·min−1) in 22°C water versus control (difference (95% confidence interval (CI)), −2.5 (−3.9 to −1.1) mL per 100 g·min−1). Clinically relevant decreases in muscle perfusion were observed in the rectus femoris (−2.0 (−3.0 to −1.0) mL per 100 g·min−1) and vastus lateralis (−3.5 (−4.9 to −2.0) mL per 100 g·min−1) in 8°C water, and in the vastus lateralis (−3.3 (−4.8 to −1.9) mL per 100 g·min−1) in 22°C water versus control. The mean effects for vastus intermedius and vastus medialis perfusion were not clinically relevant. Clinically relevant decreases in thigh and calf cutaneous vascular conductance were observed in both cooling conditions. Conclusions: The present findings revealed that less noxious CWI (22°C) promoted clinically relevant postexercise decreases in global quadriceps muscle perfusion, whereas noxious cooling (8°C) elicited no effect. [ABSTRACT FROM AUTHOR]

For centuries, cold temperatures have been used by humans for therapeutic, health and sporting recovery purposes. This application of cold for therapeutic purposes is regularly referred to as cryotherapy. Cryotherapies including ice, cold-water and cold air have been popularised by an ability to remove heat, reduce core and tissue temperatures, and alter blood flow in humans. The resulting downstream effects upon human physiologies providing benefits that include a reduced perception of pain, or analgesia, and an improved sensation of well-being. Ultimately, such benefits have been translated into therapies that may assist in improving post-exercise recovery, with further investigations assessing the role that cryotherapies can play in attenuating the ensuing post-exercise inflammatory response. Whilst considerable progress has been made in our understanding of the mechanistic changes associated with adopting cryotherapies, research focus tends to look towards the future rather than to the past. It has been suggested that this might be due to the notion of progress being defined as change over time from lower to higher states of knowledge. However, a historical perspective, studying a subject in light of its earliest phase and subsequent evolution, could help sharpen one's vision of the present; helping to generate new research questions as well as look at old questions in new ways. Therefore, the aim of this brief historical perspective is to highlight the origins of the many arms of this popular recovery and treatment technique, whilst further assessing the changing face of cryotherapy. We conclude by discussing what lies ahead in the future for cold-application techniques. [ABSTRACT FROM AUTHOR]

Purpose: To examine the effects of a simulated dawn during the last 30 min of sleep on the subsequent dissipation of sleep inertia and changes in simulated work and physical performance. Methods: Eight participants, who reported difficulty with morning waking, were administered in a random order to a control (C) and a dawn simulation (DS) trial (starting 30 min prior to waking). Subjective ratings of sleep quality and alertness were obtained alongside measures of cognitive performance (addition and reaction time tasks measured at 5, 30 and 75 min after waking at habitual workday times). Physical performance was also measured 35 min after waking using a self-paced cycling protocol. Results: After waking in DS, perceived sleep quality was 1.16 ± 0.89 ( p = 0.01 ) points higher compared with C. Ratings of alertness were significantly higher in DS than C throughout the testing period ( p = 0.04). Cognitive performance improved in both trials as time awake increased ( p < 0.0005 ). On average, participants completed a greater number of additions in DS compared with C (69.5 ± 15.3 vs 66.9 ± 16.7, p = 0.03). Reaction times were also faster in DS compared with C (0.81 ± 0.07 s vs 0.86 ± 0.06 s, p < 0.0005). The self-paced time-trial was completed 21.4 s (4.7 %) quicker in DS ( p = 0.07). Conclusion: These data provide the first evidence that light exposure during the last 30 min of habitual sleep can increase subjective alertness and improve both cognitive and physical performance after waking. [ABSTRACT FROM AUTHOR]

Kyprianou, E, Di Salvo, V, Lolli, L, Al Haddad, H, Villanueva, AM, Gregson, W, and Weston, M. To measure peak velocity in soccer, let the players sprint. J Strength Cond Res 36(1): 273–276, 2022—Expressing externals loads relative to a player's individual capacities has potential to enhance understanding of dose-response. Peak velocity is an important metric for the individualization process and is usually measured during a sprint test. Recently, however, peak velocity was reported to be faster during soccer matches when compared with a 40-m sprint test. With the aim of developing the practice of individualized training prescription and match evaluation, we examined whether the aforementioned finding replicates in a group of elite youth soccer players across a broader range of soccer activities. To do this, we compared the peak velocities of 12 full-time male youth soccer players (age 16.3 ± 0.8 years) recorded during a 40-m sprint test with peak velocity recorded during their routine activities (matches, sprints, and skill-based conditioning drills: small-sided games [SSG], medium-sided games [MSG], large-sided games [LSG]). All activities were monitored with 10-Hz global positioning systems (Catapult Optimeye S5, version 7.32) with the highest speed attained during each activity retained as the instantaneous peak velocity. Interpretation of clear between-activity differences in peak velocity was based on nonoverlap of the 95% confidence intervals for the mean difference between activities with sprint testing. Peak velocity was clearly faster for the sprint test (8.76 ± 0.39 m·s−1) when compared with matches (7.94 ± 0.49 m·s−1), LSG (6.94 ± 0.65 m·s−1), MSG (6.40 ± 0.75 m·s−1), and SSG (5.25 ± 0.92 m·s−1), but not sprints (8.50 ± 0.36 m·s−1). Our data show the necessity for 40-m sprint testing to determine peak velocity. [ABSTRACT FROM AUTHOR]

The purpose of this study was to provide a detailed analysis of the physical demands of competitive international female soccer match play. A total of 148 individual match observations were undertaken on 107 outfield players competing in competitive international matches during the 2011-2012 and 2012-2013 seasons, using a computerized tracking system (Prozone Sports Ltd., Leeds, England). Total distance and total high-speed running distances were influenced by playing position, with central midfielders completing the highest (10,985 ± 706 m and 2,882 ± 500 m) and central defenders the lowest (9,489 ± 562 m and 1,901 ± 268 m) distances, respectively. Greater total very high-speed running distances were completed when a team was without (399 ± 143 m) compared to with (313 ± 210 m) possession of the ball. Most sprints were over short distances with 76% and 95% being less than 5 and 10 m, respectively. Between half reductions in physical performance were present for all variables, independent of playing position. This study provides novel findings regarding the physical demands of different playing positions in competitive international female match play and provides important insights for physical coaches preparing elite female players for competition. [ABSTRACT FROM AUTHOR]

Purpose: Cold-water immersion (CWI) and whole body cryotherapy (WBC) are widely used recovery methods in an attempt to limit exercise- induced muscle damage, soreness, and functional deficits after strenuous exercise. The aim of this study was to compare the effects of ecologically valid CWI and WBC protocols on postexercise lower limb thermoregulatory, femoral artery, and cutaneous blood flow responses. Methods: Ten males completed a continuous cycle exercise protocol at 70% maximal oxygen uptake until a rectal temperature of 38°C was attained. Participants were then exposed to lower-body CWI (8°C) for 10 min, or WBC (- 110°C) for 2 min, in a randomized crossover design. Rectal and thigh skin, deep, and superficial muscle temperatures, thigh, and calf skin blood flow (laser Doppler flowmetry), superficial femoral artery blood flow (duplex ultrasound), and arterial blood pressure were measured before, and for 40 min post, cooling interventions. Results: Greater reductions in thigh skin (CWI, -5.9°C ± 1.8°C; WBC, 0.2°C ± 0.5°C; P < 0.001) and superficial (CWI, -4.4°C ± 1.3-C;WBC, -1.8°C ± 1.1-C; P < 0.001) and deep (CWI, -2.9°C ± 0.8°C;WBC, -1.3-C ± 0.6°C; P < 0.001) muscle temperatures occurred immediately after CWI. Decreases in femoral artery conductance were greater after CWI (CWI, - 84% ± 11%; WBC, -59% ± 21%, P < 0.02) and thigh (CWI, -80% ± 5%; WBC, -59% ± 14%, P < 0.001), and calf (CWI, -73% ± 13%; WBC, -45% ± 17%, P < 0.001) cutaneous vasoconstriction was greater after CWI. Reductions in rectal temperature were similar between conditions after cooling (CWI, - 0.6-C ± 0.4-C; WBC, - 0.6-C ± 0.3-C; P = 0.98). Conclusion: Greater reductions in blood flow and tissue temperature were observed after CWI in comparison with WBC. These novel findings have practical and clinical implications for the use of cooling in the recovery from exercise and injury. [ABSTRACT FROM AUTHOR]

Purpose: We tested the hypothesis that both post-exercise and passive cold water immersion (CWI) increases PGC-1α and VEGF mRNA expression in human skeletal muscle. Method: Study 1 Nine males completed an intermittent running protocol (8 × 3-min bouts at 90 % $$\dot{V}{\text{O}}_{2} \hbox{max}$$ , interspersed with 3-min active recovery (1.5-min at 25 % and 1.5-min at 50 % $$\dot{V}{\text{O}}_{2} \hbox{max}$$ ) before undergoing CWI (10 min at 8 °C) or seated rest (CONT) in a counterbalanced, randomised manner. Study 2 Ten males underwent an identical CWI protocol under passive conditions. Results: Study 1 PGC-1α mRNA increased in CONT (~3.4-fold; P < 0.001) and CWI (~5.9-fold; P < 0.001) at 3 h post-exercise with a greater increase observed in CWI ( P < 0.001). VEGFtotal mRNA increased after CWI only (~2.4-fold) compared with CONT (~1.1-fold) at 3 h post-exercise ( P < 0.01). Study 2 Following CWI, PGC-1α mRNA expression was significantly increased ~1.3-fold ( P = 0.001) and 1.4-fold ( P = 0.0004) at 3 and 6 h, respectively. Similarly, VEGF165 mRNA was significantly increased in CWI ~1.9-fold ( P = 0.03) and 2.2-fold ( P = 0.009) at 3 and 6 h post-immersion. Conclusions: Data confirm post-exercise CWI augments the acute exercise-induced expression of PGC-1α mRNA in human skeletal muscle compared to exercise per se. Additionally CWI per se mediates the activation of PGC-1α and VEGF mRNA expression in human skeletal muscle. Cold water may therefore enhance the adaptive response to acute exercise. [ABSTRACT FROM AUTHOR]

The popularity and professionalism of female soccer has increased markedly in recent years, with elite players now employed on either a professional or semi-professional basis. The previous review of the physiological demands of female soccer was undertaken two decades ago when the sport was in its relative infancy. Increased research coupled with greater training and competition demands warrants an updated review to consider the effect on physical performance and injury patterns. The physical demands of match-play along with the influence of factors such as the standard of competition, playing position and fatigue have been explored. Total distance covered for elite female players is approximately 10 km, with 1.7 km completed at high-speed (>18 km·h). Elite players complete 28 % more high-speed running and 24 % more sprinting than moderate-level players. Decrements in high-speed running distance have been reported between and within halves, which may indicate an inability to maintain high-intensity activity. Although the physical capacity of female players is the most thoroughly researched area, comparisons are difficult due to differing protocols. Elite players exhibit maximal oxygen uptake ( VO) values of 49.4-57.6 mL·kg·min, Yo Yo Intermittent Endurance test level 2 (YYIE2) scores of 1,774 ± 532 m [mean ± standard deviation (SD)] and 20 m sprint times of 3.17 ± 0.03 s (mean ± SD). Reasons for the increased prevalence of anterior cruciate ligament injuries in females (2-6 times greater than males) are discussed, with anatomical, biomechanical loading and neuromuscular activation differences being cited in the literature. This review presents an in-depth contemporary examination of the applied physiology of the female soccer player. [ABSTRACT FROM AUTHOR]

Objective: To describe and categorise the injury-inciting circumstances of sudden-onset hamstring match injuries in professional football players using systematic video analysis., Methods: Using a prospective injury surveillance database, all sudden-onset hamstring match injuries in male football players (18 years and older) from the Qatar Stars League between September 2013 and August 2020 were reviewed and cross-referenced with broadcasted match footage. Videos with a clear observable painful event (ie, a player grabbing their posterior thigh) were included. Nine investigators independently analysed all videos to describe and categorise injury-inciting circumstances. We used three main categories: playing situation (eg, time of injury), player action(s) (eg, running) and other considerations (eg, contact). Player action(s) and other considerations were not mutually exclusive., Results: We included 63 sudden-onset hamstring match injuries out of 295 registered injuries between 2013 and 2020. Running was involved in 86% of injuries. Hamstring injuries occurred primarily during acceleration of 0-10 m (24% of all injuries) and in general at different running distances (0-50 m) and speeds (slow to fast). At 0-10 m distance, indirect player-to-player contact and inadequate balance were involved in 53% and 67% of the cases, respectively. Pressing occurred in 46% of all injuries (injured player pressing opponent: 25%; being pressed by opponent: 21%) and frequently involved player-to-player contact (69% of the cases when the injured player was pressing vs 15% of the cases when the opponent was pressing) and inadequate balance (82% vs 50%, respectively). Other player actions that did not involve running (n=9, 14% of all injuries) were kicking (n=6) and jumping (n=3)., Conclusion: The injury-inciting circumstances of sudden-onset hamstring match injuries in football varied. The most common single-player action (24%) was acceleration over a distance of <10 m. Pressing, inadequate balance and indirect contact were frequently seen player actions. Injury prevention research in football should look beyond high-speed running as the leading risk factor for sudden-onset hamstring injuries., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

Objective: To examine the abrupt effects of Ramadan onset on actigraphy-based time asleep in male youth Muslim football players., Methods: We adopted a quasi-experimental, interrupted time-series research design and tracked objective time asleep over a minimum of 12 consecutive nights in the two weeks prior to and immediately after Ramadan onset, respectively. Twenty-two, male academy student-athletes (chronological age range: 12.6 to 16.2 years) participated in the study (464 individual observations). Segmented generalized mixed-effects modelling estimated the effects of Ramadan onset on time asleep during the first period of night sleep only., Results: Ramadan onset led to an immediate mean reduction of 89 min (95% confidence interval [CI], 54 to 123 min) in time asleep during the first period of night sleep compared to pre-Ramadan sleep patterns. Model-adjusted estimated marginal means for time asleep were ~ 5.7 h (95%CI, 5.1 to 6.2 h) before and ~ 4.2 h (95%CI, 3.6 to 4.7 h) after Ramadan onset. Night sleep interruptions resulting in two or more fragmented periods accounted for 8% (95%CI, 2 to 21%) to 19% (95%, 11 to 29%) of sleep observations before and after Ramadan onset, respectively., Conclusions: The onset of Ramadan determined an abrupt reduction in time asleep of ~ 1 h 30 min in the first period of a night cycle and contributed to additional problems of heterogeneous sleep fragmentation that can impact optimal school learning and youth athlete performance development processes.

The use of data and analytics in professional football organisations has grown steadily over the last decade. Nevertheless, how and whether these advances in sports analytics address the needs of professional football remain unexplored. Practitioners from national federations qualified for the FIFA World Cup Qatar 2022™ and professional football clubs from an international community of practitioners took part in a survey exploring the characteristics of their data analytics infrastructure, their role, and their value for elaborating player monitoring and positional data. Respondents from 29 national federations and 32 professional clubs completed the survey, with response rates of 90.6% and 77.1%, respectively. Summary information highlighted the underemployment of staff with expertise in applied data analytics across organisations. Perceptions regarding analytical capabilities and data governance framework were heterogenous, particularly in the case of national federations. Only a third of national federation respondents (~30%) perceived information on positional data from international sports data analytics providers to be sufficiently clear. The general resourcing limitations, the overall lack of expertise in data analytics methods, and the absence of operational taxonomies for reference performance metrics pose constraints to meaningful knowledge translations from raw data in professional football organisations.

Rapid somatic growth and biological maturity status may affect injury patterns in youth football, yet firm conclusions cannot be drawn from the existing research. We aimed to explore growth velocity, maturity, and age as injury risk factors in 95 academy players (11.9-15.0 years), using anthropometric (height and body mass), maturity (skeletal age), injury, and football exposure data collected prospectively over three seasons (2016/17-2018/19). We compared the relative quality of mixed-effects logistic regression models with growth velocity for 223 growth intervals (average 113 days) included as fixed effects and adjusted for age (chronological or skeletal) plus load (hours/week). Associations were considered practically relevant based on the confidence interval for odds ratios, using thresholds of 0.90 and 1.11 to define small beneficial and harmful effects, respectively. We observed harmful effects of older age on overall (OR: 2.61, 95% CI: 1.15-5.91) and sudden onset (1.98, 1.17-3.37) injury risk. Significant associations (p<0.05) were observed for higher body mass change and greater maturity on sudden onset injuries, and for higher hours/week on gradual onset, bone tissue, and physis injuries. Future studies should include larger samples, monitoring athletes from pre-adolescence through maturation, to enable within-subject analyses and better understand the relationship between growth, maturation, and injuries., Competing Interests: Conflict of Interest The authors declare that they have no conflict of interest., (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)

Objectives: To examine the moderating effect of familiarization on the relationship between external load and ratings of perceived exertion (RPEs) in elite youth soccer players., Methods: Thirty-five elite male youth soccer players were monitored over a 31-week period. Players had no previous experience using the centiMax scale (arbitrary units [AU]). The final sample included familiarized (blackness test; n = 20) and nonfamiliarized players (n = 15) with the Borg centiMax scale. Players recorded a global RPE and differential RPEs (dRPE) for breathlessness (RPE-B) and leg-muscle exertion (RPE-L) 15 to 30 minutes following training sessions and competitive matches. Separate multivariable-adjusted random-effects generalized additive models with restricted maximum likelihood quantified familiarization versus no-familiarization differences in actual perceived exertion score (in AU) by number of accelerations, decelerations, and high-speed running distance (in meters) as predictor variables, respectively., Results: Players improved their blackness test score from 39% to 78%. For explorations by number of accelerations, familiarization effects were not practically relevant for the RPE and RPE-B variables. The width and sign of the effects for the RPE-L variable at 30 efforts of 10 AU (95% CI, 4-16 AU) suggested that scores were lower for players who underwent familiarization versus players who did not. Familiarization effects were not practically relevant for any RPE variable irrespective of the number of deceleration efforts and high-speed running distance covered., Conclusion: Improved performance on the blackness test did not have a moderating effect on the relationship between proxy measures of external load and RPEs.

Purpose: To develop age-specific reference intervals for physical performance test outcomes relevant to male youth Middle Eastern football players., Methods: We analyzed mixed-longitudinal data (observations range: 1751-1943 assessments) from a sample of 441 male youth outfield football players (chronological age range: 11.7-18.4 y) as part of the Qatar Football Association and Aspire Academy development program over 14 competitive seasons. Semiparametric generalized additive models for location, scale, and shape estimated age-specific reference centiles for 10-m sprinting, 40-m sprinting, countermovement jump height, and maximal aerobic speed variables., Results: The estimated reference intervals indicated that the distribution of the physical performance test scores increased monotonically and nonlinearly with advancing chronological age for sprinting and countermovement jump outcome measures, reaching a plateau after 16 years common to each of these performance variables. The maximal aerobic speed median score increased substantially until ∼14.5 years, with the nonlinear trend flattening off toward relatively older chronological ages., Conclusions: We developed age-related reference intervals for physical performance test outcomes relevant to youth Qatari football players. Country-wide age-specific reference intervals can assist in the longitudinal tracking of the individual players' progress over time against benchmark values derived from the reference population.

The purpose of this study was to present reference standards for physical performance test outcomes relevant to elite female soccer players. We analysed mixed-longitudinal data (n = 1715 observations) from a sample of 479 elite youth and senior players as part of the English Football Association's national development programme (age range: 12.7 to 36.0 years). Semi-parametric generalized additive models for location, scale and shape (GAMLSS) estimated age-related reference centiles for 5-m sprinting, 30-m sprinting, countermovement jump (CMJ) height, and Yo-Yo Intermittent Recovery Test Level 1 (Yo-Yo IR1) performance. The estimated reference centiles indicated that the median of the distribution of physical performance test scores varied non-linearly with advancing chronological age, improving until around 25 years for each performance variable. These are the first reference ranges for performance test outcomes in elite English female soccer players. These data can assist practitioners when interpreting physical test performance outcomes to track an individual's progress over time and support decision-making regarding player recruitment and development.

Aim: Medical and performance units are integral components of player development programmes in elite football academies. Nevertheless, the nature of the operational processes implemented by practitioners within clubs and national federations remains unexplored. The aim of the present study, therefore, was to survey elite youth professional football academies from around the world regarding the operational processes adopted by their medical and performance units., Methods: Of the 50 organizations invited, 10 national federations and 25 clubs took part in the survey resulting in a response rate of 70% (95% confidence interval, 56%-81%). The respondents represented three groups: senior club and academy management, performance, and medical staff., Results: The majority (60%-90%) of clubs and national federations reported strategic alignment between senior and academy medical and performance units as well as between academy medical and performance units. Survey responses indicated substantial heterogeneity in the composition and number of medical and performance professionals employed in academies. The majority of respondents agreed their medical and performance departments were effective in utilizing staff knowledge and external sources of knowledge to inform their practice (56%-80%). Performance staff (40%-50%) and physiotherapists (30%-32%) were deemed most influential in injury prevention programmes. During the return-to-play process, the influence of specific practitioners in the medical and performance units was dependent upon the phase of return-to-play. Shared decision-making was common practice amongst performance and medical staff in injury prevention and return-to-play processes. Medical and performance data were generally centralized across the first team and academy in majority (50%-72%) of clubs and national federations. Data were integrated within the same data management system to a higher degree in clubs (68%) vs. national federations (40%). Research and development activity were reported for most academies (50%-72%), and generally led by the head of performance (37%) or team doctor (21%). Research activities were largely undertaken via internal staff (~100%), academic collaborations (50%-88%) and/or external consultants and industry partnerships (77%-83%) in the national federation and clubs., Conclusion: Collectively, these findings provide a detailed overview regarding key operational processes delivered by medical and performance practitioners working in elite football academies., Competing Interests: Authors WG, DB, EL, LL, and VS were employed by the company Aspire Academy. Author AG was employed by the company Juventus FC. Author JO'B was employed by the company Red Bull Athlete Performance Center. Author PR was employed by the company Premier League. Author FT was employed by the company Sporting Clube de Portugal. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Gregson, Carling, Gualtieri, O'Brien, Reilly, Tavares, Bonanno, Lopez, Marques, Lolli and Salvo.)

Hamstring injuries constitute the single largest cause of lost playing time in professional football. While restoring high-speed running ability is paramount for rehabilitation from these injuries, little evidence exists regarding the extent of return to sport running performance after hamstring injury in football. We examined medical and match performance data available from a sample of 38 professional soccer players competing in the Qatar Stars League (N = 1426 observations) to describe high-speed running performance during match-play prior and subsequent to a hamstring strain injury. Multivariable-adjusted random-effects generalized additive models estimated post- versus pre-hamstring injury differences in maximal speed (km/h), high-speed running (>20 km/h), and sprinting (>25 km/h) distance. Mean effects and uncertainty (95% confidence interval, CI) were interpreted against the estimated random match-to-match variability in maximal sprinting speed, high-speed running distance, and sprinting running distance of ±1.67 km/h (95% CI, 1.62-1.72 km/h), ±102 m (95% CI, 99-105 m), and ±60 m (95% CI, 58-61 m), respectively. The estimated post- versus pre-hamstring injury mean differences in maximal sprinting speed, high-speed running distance, and sprinting running distance primary outcomes were -0.25 km/h (95% CI, -0.38 to -0.12 km/h), -43 m (95% CI, -56 to -30 m), and -22 m (95% CI, -29 to -16 m). Players returning to football match-play after hamstring strain injury experienced reductions in high-speed match physical performance that were well within normal match-to-match variation in performance., (© 2022 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)

Purpose: To assess conventional assumptions that underpin the percentage of mature height index as the simple ratio of screening height (numerator) divided by actual or predicted adult height (denominator)., Methods: We examined cross-sectional data from 99 academy youth soccer players (chronological age range, 11.5 to 17.7 y) skeletally immature at the screening time and with adult height measurements available at follow-up., Results: The y-intercept value of -60 cm (95% confidence interval, -115 to -6 cm) from linear regression between screening height and adult height indicated the failure to meet the zero y-intercept assumption. The correlation coefficient between present height and adult height of .64 (95% confidence interval, .50 to .74) was not equal to the ratio of coefficient of variations between these variables (CVx/CVy = 0.46) suggesting Tanner's special circumstance was violated. The non-zero correlation between the ratio and the denominator of .21 (95% confidence interval, .01 to .39) indicated that the percentage of mature height was biased low for players with generally shorter adult height, and vice versa., Conclusion: For the first time, we have demonstrated that the percentage of mature height is an inconsistent statistic for determining the extent of completed growth, leading to potentially biased inferences for research and applied purposes.

Introduction: Valid and informed interpretations of changes in physical performance test data are important within athletic development programmes. At present, there is a lack of consensus regarding a suitable method for deeming whether a change in physical performance is practically relevant or not., Methods: We compared true population variance in mean test scores between those derived from evidence synthesis of observational studies to those derived from practioner opinion (n = 30), and to those derived from a measurement error (minimal detectable change) quantification (n = 140). All these methods can help to obtain 'target' change score values for performance variables., Results: We found that the conventional 'blanket' target change of 0.2 (between-subjects SD) systematically underestimated practically relevant and more informed changes derived for 5-m sprinting, 30-m sprinting, CMJ, and Yo-Yo Intermittent Recovery Level 1 (IR1) tests in elite female soccer players., Conclusions: For the first time in the field of sport and exercise sciences, we have illustrated the use of a principled approach for comparing different methods for the definition of changes in physical performance test variables that are practically relevant. Our between-method comparison approach provides preliminary guidance for arriving at target change values that may be useful for research purposes and tracking of individual female soccer player's physical performance.

Objectives: To investigate the impact of physical efforts performed in the period preceding activity as a potential risk factor of muscle injury during match-play within a sample of professional soccer players., Design: Observational cohort study., Methods: Match load (running [>14.4-19.8km/h], high-speed running [>19.8-25.2km/h], sprinting [>25.2km/h], leading and explosive sprint type) averaged in 1-min and 5-min periods prior to an event or non event for 29 professional outfield soccer players. Conditional logistic and Poisson regression models estimated the relationship between load and injury for a 2 within-subject standard deviation in match load or 1-action increment in the number of sprinting activities, respectively. Associations were deemed beneficial or harmful based on non-overlap of the 95% confidence intervals against thresholds of 0.90 and 1.11, respectively., Results: An increment in sprinting distance [+2-SDs=11m] covered over a 1-min period (odds ratio [OR]: 1.22, 95%CI, 1.12 to 1.33) increased the odds of muscle injury., Conclusions: Our study provides novel exploratory evidence that the volume of sprinting during competitive soccer match-play has a harmful association with muscle injury occurrence., (Copyright © 2019 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

Objectives: To support future developments of field-based biomechanical load monitoring tools, this study aimed to identify generalised segmental acceleration patterns and their contribution to ground reaction forces (GRFs) across different running tasks., Design: Exploratory experimental design., Methods: A multivariate principal component analysis (PCA) was applied to a combination of segmental acceleration data from all body segments for 15 team-sport athletes performing accelerated, decelerated and constant low-, moderate- and high-speed running, and 90° cutting trials. Segmental acceleration profiles were then reconstructed from each principal component (PC) and used to calculate their specific GRF contributions., Results: The first PC explained 48.57% of the acceleration variability for all body segments and was primarily related to the between-task differences in the overall magnitude of the GRF impulse. Magnitude and timing of high-frequency acceleration and GRF features (i.e. impact related characteristics) were primarily explained by the second PC (12.43%) and also revealed important between-task differences. The most important GRF characteristics were explained by the first five PCs, while PCs beyond that primarily contained small contributions to the overall GRF impulse., Conclusions: These findings show that a multivariate PCA approach can reveal generalised acceleration patterns and specific segmental contributions to GRF features, but their relative importance for different running activities are task dependent. Using segmental acceleration to assess whole-body biomechanical loading generically across various movements may thus require task identification algorithms and/or advanced sensor or data fusion approaches., (Copyright © 2019 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

Objectives: The study examined if three feasible strategies involving additional in-play cooling periods attenuate the core (rectal) temperature rise during simulated football matches., Design: Four counterbalanced experimental trials in an environmental chamber set to 35 °C ambient temperature, 55% relative humidity, and 30 °C WBGT., Methods: Twelve healthy well-trained football players completed a regular simulated match (REG), regular simulated match with additional 3-min cooling periods at the 30-min mark of each half inclusive of chilled water consumption (COOL water ), regular simulated match with additional 3-min cooling periods at the 30-min mark of each half inclusive of chilled water consumption and the application of an ice towel around the neck (COOL towel ), regular simulated match with an extended (+5 min; total of 20-min) half-time break (HT extended )., Results: The difference in rectal temperature change was significantly lower in the COOL water (-0.25 °C), COOL towel (-0.28 °C), and HT extended (-0.21 °C) trials in comparison to the REG (all p < 0.05). Exercising heart rate and session rating of perceived exertion was lower in the COOL water (-13 bpm; -1.4 au), COOL towel (-10 bpm; -1.3 au), and HT extended (-8 bpm; -0.9 au) trials in comparison to the REG trial (all p < 0.05). The cooling interventions did not significantly change skin temperature or thermal sensation in comparison to the REG (all p > 0.05)., Conclusions: All three cooling interventions attenuated core body thermal strain during simulated matches. The laboratory-based study supports the use of brief in-play cooling periods as a means to attenuate the rise in core temperature during matches in hot and humid conditions., (Copyright © 2019 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

Objectives: Unlike physiological loads, the biomechanical loads of training in running-based sports are still largely unexplored. This study, therefore, aimed to assess the validity of estimating ground reaction forces (GRF), as a measure of external whole-body biomechanical loading, from segmental accelerations., Methods: Fifteen team-sport athletes performed accelerations, decelerations, 90° cuts and straight running at different speeds including sprinting. Full-body kinematics and GRF were recorded with a three-dimensional motion capture system and a single force platform respectively. GRF profiles were estimated as the sum of the product of all fifteen segmental masses and accelerations, or a reduced number of segments., Results: Errors for GRF profiles estimated from fifteen segmental accelerations were low (1-2Nkg -1 ) for low-speed running, moderate (2-3Nkg -1 ) for accelerations, 90° cuts and moderate-speed running, but very high (>4Nkg -1 ) for decelerations and high-speed running. Similarly, impulse (2.3-11.1%), impact peak (9.2-28.5%) and loading rate (20.1-42.8%) errors varied across tasks. Moreover, mean errors increased from 3.26±1.72Nkg -1 to 6.76±3.62Nkg -1 across tasks when the number of segments was reduced., Conclusions: Accuracy of estimated GRF profiles and loading characteristics was dependent on task, and errors substantially increased when the number of segments was reduced. Using a direct mechanical approach to estimate GRF from segmental accelerations is thus unlikely to be a valid method to assess whole-body biomechanical loading across different dynamic and high-intensity activities. Researchers and practitioners should, therefore, be very cautious when interpreting accelerations from one or several segments, as these are unlikely to accurately represent external whole-body biomechanical loads., (Copyright © 2018 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

It has been proposed that match congestion in elite soccer results in residual fatigue and underperformance in ensuing competition due to insufficient recovery time. In this article, matters relating to match congestion and running performance in elite soccer competition are discussed. We suggest a need to determine the extent to which elite players are, in reality, exposed to periods of match congestion and hence to potential declines in performance. Despite evidence of exercise-induced muscle damage combined with a decline in physical performance up to 72 h post-match, research using time-motion analyses suggests that running performance represented by distances covered is unaffected over periods of match congestion. We recommend analysis of alternative movement variables including accelerations, decelerations and turns that are taxing metabolically and contribute greatly to muscle damage. Moreover, a holistic approach combining subjective ratings with biochemical, hormonal and immunological responses to exercise would be pertinent, especially in players frequently exposed to match congestion. Contemporary practitioners typically implement various post-match recovery treatments during dense schedules in an attempt to accelerate recovery and ensure that subsequent running performance is not unduly affected. However, empirical evidence to support their efficacy in maintaining running performance is lacking and we recommend controlled intervention studies using match simulations in an attempt to verify their effectiveness. These points are critically addressed using findings from the current scientific literature, while gaps in the current body of knowledge and future directions for research are highlighted.