Competitive Soccer Players Research Articles

Evaluation of Blood Lactate among Different Player Roles: A Pilot Study on Competitive Young Male Soccer Players.

Soccer match requires anaerobic and aerobic energetic metabolism. The aim of this pilot study was to investigate the changes in blood lactate concentration in young male soccer players in different playing roles at different time points after the soccer match. Following an initial screening of 134 young soccer athletes, 8 male athletes (average age of 15.5 ± 5 SD) were chosen for their characteristics similar to those of competitive athletes. Players were categorized as goalkeeper, central defender, central midfielder, and forward. Blood lactate concentrations were determined using a portable device at different times (10 min, 5 and 16 h) after the soccer match by a maximum effort test on a treadmill. The data were analyzed by one-way analysis of variance ANOVA, followed by Bonferroni's post-hoc test. The following results (mean ± SD) were obtained: VO2max (%) 60.33 ± 3.10; blood lactate (mM) end match (10 min) 2.17 ± 0.78, post-match-early (after 5 h) 2.2 ± 0.42, postmatch-late (16 h) 3.2 ± 0.84. ANOVA analysis indicated that the blood LA concentrations at end-match (10 min) and post-match-early (5 h) were statistically significative lower than those determined at post-match-late (16 h) (p < 0.05). These results suggest that aerobic mechanisms can also use LA as an energy source, contributing to the reduction of its blood concentration. This effect can be due to reduced maximal work during a soccer match and to the LA removal during exercise at reduced intensity. These data can provide indications for planning suitable training strategies for young male soccer players.

Greater hip internal rotation range of motion is associated with increased dynamic knee valgus during jump landing, both before and after fatigue.

The aim of this study was to analyse sex-specific differences contributing to dynamic valgus in competitive soccer players before and after a standardised fatiguing protocol. Thirty-nine healthy female and male competitive soccer players (19 females and 20 males) were recruited for the purpose of this study. Bilateral medial knee displacement (MKD) was assessed during drop jump landings using a three-dimensional motion capture system before and after a standardised fatiguing protocol. In addition, all soccer players underwent clinical examinations, including rotational hip range of motion (ROM), isokinetic strength testing and magnetic resonance imaging (MRI) of the hip and knee. Sex-specific and fatigue-dependent differences were reported, and the influence of demographic, clinical and radiographic factors on MKD was analysed via multiple linear regression models. Compared with male soccer players, female soccer players demonstrated a tendency towards increased MKD during drop jump landings before (p = 0.09) and after the fatiguing protocol (p = 0.04). Sex-specific differences included increased hip internal rotation (IR) ROM, decreased hip external rotation (ER) strength and increased femoral torsion in females (all p < 0.002). According to the multiple linear regression models (stepwise method), increased hip IR ROM (90° of flexion) and the non-dominant leg remained the sole independent predictors of increased MKD during drop jump landings before (p < 0.01 and p = 0.02, respectively) and after fatigue (p < 0.01 and p < 0.01, respectively). An increase in hip IR ROM in females was linearly related to MKD after fatigue (R2 = 0.25; p < 0.01). Female soccer players exhibited increased dynamic valgus before and after fatigue, which is likely attributed to joint mobility, as well as muscular and anatomical differences, such as increased hip IR ROM, reduced hip ER strength and increased femoral torsion. In particular, females with increased hip IR ROM were more susceptible to effects of fatigue on MKD, which may increase their risk for anterior cruciate ligament injury. Level III.

Relation of general-perceptual cognitive abilities and sport-specific performance of young competitive soccer players.

In soccer, skill is significantly influenced by motor skills and physical constitution. In addition, perceptual-cognitive abilities are thought to affect sport-specific performance. Nevertheless, there are hardly any studies investigating the relationship of general cognitive abilities with sport-specific performance. Therefore, the aim of this study was to analyze relationships between general perceptual-cognitive abilities and soccer-specific performance in competitive youth sports. Thirty highly talented male youth soccer players aged 12-14years completed various perceptual-cognitive (selective attention, cognitive flexibility, inhibition, working memory, peripheral perception, and choice response) and sport-specific on-field tests. Cognitive abilities were assessed using a computer-based test system. Soccer-specific performance skills were evaluated by two sport-specific on-field tests. The relation between perceptual-cognitive abilities and soccer-specific performance was examined using a correlation analysis as well as a four-stage regression analysis. Overall, the expression of general perceptual-cognitive abilities was found to have an impact on performance in soccer-specific test situations, particularly cognitive flexibility and selective attention. Our results suggest that general cognitive tests could be an important tool for the evaluation of cognitive abilities in soccer. This study brings together key approaches in expertise research and makes a significant contribution to a better understanding of expertise in soccer.

Performing Lower-Limb Strength Exercises Before or After Training Does not Influence Fatigue Indices in Competitive Youth Soccer Players.

Gantzer, C, Huff, D, Butterick, B, Chalmers, S, Marshall, P, Lovell, R, and Siegler, JC. Performing lower-limb strength exercises before or after training does not influence fatigue indices in competitive youth soccer players. J Strength Cond Res XX(X): 000-000, 2024-A multicenter approach was used to conduct a controlled, laboratory-based study (Part A) in conjunction with an ecologically focused, field-based study (Part B) of the influence of timing on hamstring fatigue induced by lower-limb strength exercises. Part A required players to perform the FIFA 11+ warm-up before a simulated soccer training session, whereas the other session involved removing the lower-limb strength exercises from the warm-up and delivering them after the simulated session. For Part B, players completed 2 live training sessions, where one session included the Nordic hamstring exercise (NHE) as part of a standardized warm-up before training and the other session incorporated the NHE at the end of training. Maximal hamstring force (MVC), rate of force development (RFD), countermovement jump (CMJ), and sprint speed (SS) were assessed before, during, and after the simulation and field training, respectively, to quantify fatigue across both study cohorts. There was no suggestion that timing of the intervention had an influence fatigue in either Part A or B, with no condition (MVC [Part A & B]: p > 0.43; RFD: p = 0.43; CMJ: p = 0.10; SS: p = 0.62), time (MVC: p > 0.30; RFD: p = 0.72; CMJ: p = 0.87; SS: p = 0.85), or interactions (MVC: p > 0.93; RFD: p = 0.78; CMJ: p = 0.99; SS: p = 0.94) evident. Our findings suggest youth soccer coaches should not be concerned with the timing of interventions, allowing them to focus instead on adherence and player buy-in.

Tibial Supra-Tubercular Deflexion Osteotomy During Revision Anterior Cruciate Ligament Reconstruction

Background: A deflexion osteotomy may reduce anterior translational forces imparted upon an anterior cruciate ligament (ACL) reconstruction (ACL-R) graft, thereby reducing risk of ACL graft failure in patients with excessive congenital posterior tibial slope. Indications: A 13-year-old female competitive soccer player with 13.7° of posterior tibial slope presented with failure of a prior ACL-R. Technique Description: A vertical incision is made along the medial border of the patellar tendon and the proximal tibia is exposed. The planned osteotomy is templated under fluoroscopic guidance by placement of 2.4-mm Steinmann pins. A supra-tubercular deflexion osteotomy is made with a sagittal saw and osteotomes, with care to maintain the posterior cortical hinge. Compression staples are utilized for fixation of the osteotomy site. Revision ACL-R is then performed. Results: There were no immediate complications following surgery. Surgical management led to radiographic improvement of the patient's posterior tibial slope and clinical resolution of anterior translational knee instability. Discussion/Conclusion: The senior author's preferred technique for a tibial supra-tubercular deflexion osteotomy in association with a revision ACL-R is presented. A deflexion osteotomy is a surgical option for patients with excessive (&gt;12°) posterior tibial slope in the setting of a prior failed ACL-R. This case demonstrates the efficacy of a tibial supra-tubercular deflexion osteotomy in the revision ACL-R setting by reducing posterior tibial slope, thereby lessening anterior translational forces on the ACL graft in a patient at high risk of graft failure. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.

Psychological risk factors for a first hamstring strain injury in soccer: a qualitative study.

Hamstring strain injuries (HSIs) remain one of the most burdensome injuries in soccer. Current recommendations to prevent sports injuries suggest the importance for coaches and medical staff to consider psychological and contextual risk factors and to specify them according to the injury type and context. HSI risk factors in soccer have been widely investigated, mainly from physiological and biomechanical perspectives. However, psychological and health-related risk factors are still unexplored. Therefore, the objective of this study was to determine the psychological and health-related risk factors for a first HSI in male competitive soccer. Individual semi-structured interviews were conducted with ten male competitive soccer players, who had recently sustained a HSI. Based on multifactorial models of sports injury causation, soccer players' individual, contextual, and situational risk factors at the time of their first HSI were investigated. Interviews were analyzed using thematic analysis with deductive and inductive approaches. Individual psychological risk factors included common at-risk personality traits, obsessive passion for soccer with competitive motivational goals, strong athletic identity, and poor health literacy. The injured players were exposed to a controlling coaching style, with a fear of negative staff evaluations, and had recently experienced life stressors. They were injured during matches or overload periods and were highly engaged in the activity. Previously injured soccer players exhibit a lack of perspective concerning the repercussions of their actions on their health. From a preventive viewpoint, these results suggest enhancing the players' health literacy, supporting their autonomy, and moderating the controlling coaching style.

Midterm Functional Outcomes of Arthroscopically Treated Recalcitrant Osteitis Pubis in Competitive Soccer Players.

Outcomes after arthroscopic debridement for isolated osteitis pubis in athletes are unknown, and midterm results following this method have not been established. To evaluate the safety and efficiency of arthroscopic treatment for recalcitrant osteitis pubis in competitive soccer players. It was hypothesized that this treatment modality would yield clinical improvement in functional and patient satisfaction scores compared with preoperative values. Case series; Level of evidence 4. At a single center, 10 consecutive male soccer players (mean age, 23.6 ± 4.4 years; range, 19-32 years) with a mean follow-up period of 72.2 ± 13.4 months (range, 60-97 months) were evaluated. All patients presented with symptomatic osteitis pubis and failed to respond to nonoperative treatment. Arthroscopic pubic symphysiectomy was performed in the supine position, and penile manipulation was performed in all cases to mitigate risks associated with neurovascular structures and the root of the penis. Outcome measurements were time to return to sports, visual analog scale (VAS) for pain, Nirschl Phase Rating Scale (NPRS), Nonarthritic Hip Score (NAHS), modified Harris Hip Score (mHHS), and patient satisfaction. Preoperative and postoperative radiographs were also assessed. The mean time to return to sports was 4.6 ± 1.7 months (range, 3-8 months). The mean VAS pain score decreased from 9.3 ± 0.8 (range, 8-10) to 0.2 ± 0.4 (range, 0-1) (P = .005). The mean NPRS decreased from 6.6 ± 0.5 (range, 6-7) to 0.3 ± 0.5 (range, 0-1) (P = .004). The mean NAHS increased from 35.8 ± 16.7 (range, 14-72) to 98.2 ± 2.7 (range, 93-100) (P = .005). The mean mHHS increased from 47.4 ± 10.6 (range, 27-60) to 98.2 ± 4.5 (range, 86-100) (p = .005). The mean patient satisfaction was 9.7 ± 0.7 (range, 8-10). Scrotal swelling was observed in 4 patients, which was resolved 36 to 48 hours postoperatively. Arthroscopic treatment of osteitis pubis may be an option for recalcitrant cases when nonoperative treatment fails. However, further studies are needed to determine whether this technique and the outcomes of this study can be reproduced.

Effect of curcumin supplementation on inflammatory status and muscle damage in competitive female soccer players: a placebo-controlled, singleblind, nonrandomized, crossover pilot study.

Curcumin, a major component of turmeric, has anti-inflammatory and antioxidative properties, which are associated with protective effects against muscle damage. This study examined the effects of dietary curcumin on inflammation and muscle damage in female competitive soccer players. A single-blinded, placebo-controlled, nonrandomized, crossover pilot study was conducted. Six competitive female soccer players (20.0 ± 2.0 yearsold) who participated in a 2-week preseason training program were assigned to two conditions: placebo and curcumin. The participants ingested a placebo or curcumin dosage (270 mg/day) during 2 weeks of preseason training, with 1 week of washout. Fasting blood samples were collected under resting conditions before (day 0) and after (day 15) the training period to examine changes in the concentration of interleukin 6 (IL-6), an inflammatory marker, and indices reflective of muscle damage. Curcumin decreased the concentration of IL-6 released (mean decrease, -30.2 ± 28.1%), whereas no decrease was observed in the placebo condition (13.4 ± 17.4%). Changes in plasma IL-6 concentrations were significantly greater in the curcumin condition than in the placebo condition (p &lt; 0.05). However, curcumin supplementation had no significant effects on muscle damage indices. The present study shows that curcumin supplementation could attenuate inflammation, as indicated by IL-6 concentrations, in competitive female soccer players during the training period.

Majority of competitive soccer players return to soccer following hip arthroscopy for femoroacetabular impingement: female and older aged players are less likely to return to soccer.

To determine return to soccer rates and soccer performance in a large cohort of competitive soccer players after hip arthroscopic surgery for the treatment offemoroacetabular impingement (FAI) and to identify possible risk factors associated with not returning to soccer. An institutional hip preservation registry was retrospectively reviewed for patients identified as competitive soccer players who underwent primary hip arthroscopy for FAI performed between 2010 and 2017. Patient demographics and injury characteristics as well as clinical and radiographic findings were recorded. All patients were contacted for return to soccer information using a soccer-specific return to play questionnaire. Multivariable logistic regression analysis was used to identify potential risk factors for not returning to soccer. Eighty-seven competitive soccer players (119 hips) were included. 32 players (37%) underwent simultaneous or staged bilateral hip arthroscopy. The mean age at surgery was 21.6 ± 7.0years. Overall, 65 players (74.7%) returned to soccer, of which 43 players (49% of all included players) returned to pre-injury level of play or better. Most common reasons for not returning to soccer were pain or discomfort (50%) followed by fear of re-injury (31.8%). The mean time to return to soccer was 33.1 ± 26.3weeks. Among 22 players who did not return to soccer, 14 (63.6%) reported satisfaction from surgery. Multivariable logistic regression analysis revealed female players (odds ratio [OR] = 0.27; confidence interval [CI] = 0.083 to 0.872; p = 0.029) and older aged players (OR = 0.895; 95% CI = 0.832 to 0.963; p = 0.003) were less likely to return to soccer. Bilateral surgery was not found to be a risk factor. Hip arthroscopic treatment for FAI in symptomatic competitive soccer players allowed three-quarters of them to return to soccer. Despite not returning to soccer, two-thirds of players who did not return to soccer were satisfied with their outcome. Female and older aged players were less likely to return to soccer. These data can better guide clinicians and soccer players with realistic expectations related to the arthroscopic management of symptomatic FAI. III.

Knee Joint Contact Forces during High-Risk Dynamic Tasks: 90° Change of Direction and Deceleration Movements.

Pivoting sports expose athletes to a high risk of knee injuries, mainly due to mechanical overloading of the joint which shatters overall tissue integrity. The present study explored the magnitude of tibiofemoral contact forces (TFCF) in high-risk dynamic tasks. A novel musculoskeletal model with modifiable frontal plane knee alignment was developed to estimate the total, medial, and lateral TFCF developed during vigorous activities. Thirty-one competitive soccer players performing deceleration and 90° sidestepping tasks were assessed via 3D motion analysis by using a marker-based optoelectronic system and TFCF were assessed via OpenSim software. Statistical parametric mapping was used to investigate the effect of frontal plane alignment, compartment laterality, and varus-valgus genu on TFCF. Further, in consideration of specific risk factors, sex influence was also assessed. A strong correlation (R = 0.71 ÷ 0.98, p < 0.001) was found between modification of compartmental forces and changes in frontal plane alignment. Medial and lateral TFCF were similar throughout most of the tasks with the exception of the initial phase, where the lateral compartment had to withstand to higher loadings (1.5 ÷ 3 BW higher, p = 0.010). Significant sex differences emerged in the late phase of the deceleration task. A comprehensive view of factors influencing the mediolateral distribution of TFCF would benefit knee injury prevention and rehabilitation in sport activities.

Effects of training on the heart rate variability of competitive soccer players: A systematic review with meta-analysis

Heart rate variability (HRV) has become a popular method for monitoring readiness, recovery, and other training-derived parameters to optimize physical performance. This systematic review aimed to examine the impact of training interventions on HRV fluctuations in competitive soccer players. The EBSCO, Web of Sciences (WOS), and Cochrane databases were used for the search. After identifying 293 studies, 13 were included in a qualitative analysis and 6 in a quantitative analysis. Training had a small and nonsignificant effect on HRV in competitive soccer players (Effect Size (ES) = 0.143, Standard Error (SE) = .108, p = .186, 95% confidence interval (CI) [−0.69, 0.355]). Soccer-focused training resulted in higher HRV scores than combined training (Q(2) = 38.13, p = .05). Higher ES were found for frequency domain parameters ( p = .047; d = 0.059), night assessment ( p = .016; d = 0.453), and soccer-focused training ( p = .006; d = 0.366). HRV was also found to have a greater impact on females ( p = .027; d = 0.275) and/or professional soccer players ( p = .007; d = 0.302). Soccer training had a minimal and nonsignificant effect on HRV.

Shuttle Running Within a Small-Sided Game: Effects on Internal and External Workloads, in Young Elite Soccer Players.

To compare the effects of 2 small-sided games (SSGs), shuttle running within the bout (SSG-S) versus possession play only (SSG-P) on acute physiological and metabolic responses, perception of effort, and performance. Ten young elite male soccer players (age 18.6 [1.9]y) performed two 5vs5 SSG formats (SSG-S and SSG-P) consisting of 4 × 4minutes with 1minute of passive recovery between bouts, 2 times each, once a week, and in a randomized order. Heart rate, blood lactate concentration, and rating of perceived exertion were assessed as indices of internal workload. Total and relative distances, distance at moderate and high speed, distances traveled in accelerations (≥2m·s-2) and decelerations (≤-2m·s-2; DDEC), and average metabolic power were chosen as indices of external workload and collected with a 10-Hz portable global positioning system device. Total distance, distances traveled in acceleration, distances traveled in deceleration, average metabolic power (always P < .01 and g > 1.62-large effect), and distance at moderate speed (P = .03 and g = 0.84-large effect) were significantly higher in SSG-S than in SSG-P. Moreover, the SSG-S showed higher blood lactate concentration (P = .0001, g = 12.58-large effect) and rating of perceived exertion (P = .03, g = 1.14-large effect) values than SSG-P. No significant differences in peak heart rate, relative distance, and distance at high speed were found. Our study showed, in young competitive male soccer players, the effectiveness of an SSG format that includes shuttle running within each bout in the development of more relevant internal and external workloads. These experimental data should encourage coaches to use this new SSG regimen within the traditional weekly training program.

Effects of Eight-Week Circuit Training with Core Exercises on Performance in Adult Male Soccer Players.

Core exercises have been widely promoted in the last 25 years. However, the scientific debate about its efficacy for improving individual and team sports performance is still open. Thus, the present study aims to investigate the effects of circuit training with a core exercise program on physical performance in competitive amateur soccer players. The training was conducted during the off-season period, two times per week for 8 weeks. Pre- and post-evaluations were conducted using the following tests: Y-Balance Test (YB), standing long jump (SLJ), medicine ball chest press (MBC), curl-up (CU), and Illinois Agility Test (IAT). A total of 19 adults were divided into an experimental group (EG, n = 11, age 22 years, weight 71.2 ± 4.8 kg, height 174 ± 5.8 cm) and a control group (CG, n = 8, age 22 years, weight 73.2 ± 4.1 Kg, height 176 ± 6.3 cm). The EG showed significant improvements in lower and upper body strength, core endurance and balance, whereas the CG did not report significant changes in the pre- and post-test comparison. Despite study limitations, our positive results show that circuit training with core exercises appears to be a good strategy for performance improvement in adult soccer players.

Breaking new grounds in injury risk screening in soccer by deploying unsupervised learning with a special focus on sex and fatigue effects

ABSTRACT In injury prevention, a vertical drop jump (DJ) is often used for screening athletes at risk for injury; however, the large variation in individual movement patterns might mask potentially relevant strategies when analysed on a group-based level. Two movement strategies are commonly discussed as predisposing athletes to ACL injuries: a deficient leg axis and increased leg stiffness during landing. This study investigated the individual movement pattern of 39 female and male competitive soccer players performing DJs at rest and after being fatigued. The joint angles were used to train a Kohonen self-organising map. Out of 19,596 input vectors, the SOM identified 700 unique postures. Visualising the movement trajectories and adding the latent parameters contact time, medial knee displacement (MKD) and knee abduction moment allow identification of zones with presumably increased injury risk and whether the individual movement patterns pass these zones. This information can be used, e.g., for individual screening and for feedback purposes. Additionally, an athlete’s reaction to fatigue can be explored by comparing the rested and fatigued movement trajectories. The results highlight the ability of unsupervised learning to visualise movement patterns and to give further insight into an individual athlete’s status without the necessity of a priori assumptions.

P27 MONOMORPHIC VENTRICULAR TACHYCARDIA INDUCED BY BLUNT CHEST TRAUMA IN A YOUNG MAN WITHOUT STRUCTURAL HEART DISEASE: A CASE REPORT

Abstract Introduction Life–threatening ventricular arrhythmias secondary to chest trauma without structural cardiac damage (i.e. commotio cordis [CC]) are a rare but dramatic cause of sudden cardiac death. We present a case of fast ventricular tachycardia (VT) induced by blunt chest trauma in a healthy man during sports activity. Case Presentation A 22–year–old man, competitive soccer player, was admitted to our hospital for VT. A few hours before admission, after a heavy ball impact in the chest during a soccer match, he suddenly reported fast and regular palpitation with lightheadedness and dyspnea, without loss of consciousness. The emergency medical service was activated, and the evaluation revealed a hemodynamically tolerated monomorphic VT with a rate of almost 285 bpm (Fig.A). Amiodaron infusion was ineffective and sinus rhythm (SR) was restored by electrical cardioversion. At the time of admission, he was asymptomatic. Familiar history, past medical history and physical examination were unremarkable. ECG revealed regular SR, with minimal right bundle branch conduction delay (Fig.B). Blood samples showed normal blood cells count, electrolyte concentrations and liver, kidney, and thyroid function; seriate high sensitivity troponin I determinations were negative. Echocardiography and cardiac magnetic resonance showed normal findings. Computed tomography angiography excluded coronary anomalies. Exercise test revealed no signs of cardiac ischemia and no effort–induced arrhythmias. The fluoroscopy–free unipolar and bipolar voltage maps showed normal electrograms throughout the right ventricle (Fig.C). No sustained arrhythmias were induced by programmed ventricular stimulation. The patient was then discharged with the indication to cardiology follow–up and the advice to avoid contact sports activities. Discussion VT is a rare presentation of CC. It has been proposed that CC occurs when a chest strike timed at the upstroke of the T–wave causes both ventricular depolarization trigger and altered dispersion of repolarization, mainly via activation of KATP channels. In the absence of structural heart disease (SHD), the usual presenting rhythm is ventricular fibrillation and there are no accepted mechanisms to explain monomorphic VT in this context. Some authors reported monomorphic VT after chest trauma as the first manifestation of arrhythmogenic cardiomyopathy. Therefore, a careful follow–up will be needed to exclude future development of SHD in this patient.

Comparison of the Agonist/Antagonist Tensional Balance of the Knee between Two Isokinetic Positions: A Pilot Study on a Sample of High-Level Competitive Soccer Players.

Isokinetic knee dynamometry evolves towards more precise techniques, such as the calculation of the functional ratio. This study evaluated the influence of an intermediate hip position called the unified reclined position (URP) compared to the classic sitting position, (CSP) on hamstring eccentric PT values (Hexc30) and conventional (Hcon60/Qcon60) and functional (Hexc30/Qcon60) ratios. Twenty Spanish high-level competitive soccer players (20.4 ± 4.44 years) were evaluated in CSP and in URP. The hip angle in URP (44°) was determined with a passive extensibility test (quadriceps and hamstrings), looking for an agonist/antagonist tension balance. The following were performed: three repetitions (60°/s) and five repetitions (240°/s) in concentric quadriceps and hamstrings mode; and three repetitions (30°/s) in concentric and eccentric for the hamstrings. At 30°/s, the CSP presents higher values of maximal eccentric hamstring strength than URP, (Dom + N-Dom leg (Nm): CSP = 148.3 ± 19.5 vs. URP 143.5 ± 23.2); p = 0.086 (n.s.). The conventional relationship did not show data justifying the preference for URP over CSP (p = 0.86 (n.s.)). However, although the functional index did not show significant values (p = 0.97 (n.s.), it did show a greater number of subjects with imbalances measured in URP (five in URP vs. two in CSP). An assessment angle of the hip closer to sports reality seems to favor the use of the URP as a complementary method to the CSP. These data stimulate new studies using URP together with the classic protocol.

Describing the tactical knowledge used by young competitive soccer players: A psychophenomenological analysis

PurposeDecision-making is the process through which players choose the most appropriate action to perform in the play. Previous investigations did not clearly portray the specific decisional background of learning players considering the progressing state of their capabilities and game knowledge. The study aimed to describe significant information picked up in situ and how young soccer players applied it to make decisions in the play.MethodsThree male soccer players aged 14 years were interviewed after 2 official district championship games in Portugal. Their games were filmed; the video sequences showing offensive actions were extracted and edited for visualization. Before questioning, each sequence was visualized for recalling the game actions. The explicitation interview technique was used to help the athletes describe in detail their recalled actions. In line with the recommendation in similar studies, a content analysis of the interviews was conducted to identify the decisional background and the links between elements of information picked up in situ and the decision itself.ResultsThe players did not perform a detailed judgement for every decision and were influenced by direct constraints such as opponent pressure. In contrast, they occasionally assessed risks and opportunities emerging in the game depending on their colleagues’ actions and the pitch zone. At times, they relied on their imagination of what their teammates would do with the action outcome.ConclusionsKey elements of the decisional background are common among learning players and can be used as a reference for further investigation or practical intervention in game teaching.

Profiles of psychosocial factors: Can they be used to predict injury risk?

The creation of risk profiles using the model of stress and athletic injury (J Appl Sport Psychol. 1998;10(1):5) represents a proposed shift from the reductionism paradigm to the complex sport approach in an attempt to formulate prevention strategies to combat the increasing number of injuries being reported in sporting populations. As a result, the primary purpose of this study was to: (a) identify different risk profiles based on psychosocial factors associated with the Williams and Andersen's model of stress and athletic injury model; and (b) examine potential differences in the frequency of injuries across these risk profiles. A prospective research design was utilized with a sample of 117 competitive soccer players (81males and 36 females) from Sweden and the United States of America. Data was collected at two time points over the course of three months. At time 1 (beginning of the season) - a demographic information sheet, the Life Event Survey for Collegiate Athletes (LESCA), Sport Competitive Anxiety Test (SCAT), and Brief Cope were administered. At time two (T2), three months after the initial data collection, participants' traumatic injuries were recorded. Latent profile analysis (LPA) showed that 3 profiles solution showed best fit to data. Players in profile 1 and 2 reported fewer injuries compared to players in profile 3. However, whereas individuals in profile 1had a lower predictive risk of sustaining an injury when compared to those in profile 3, both profiles had similar anxiety levels and use of coping strategies with differing stress levels. These findings suggest that the interaction between different proposed risk factors might influence injury risk.

The effects of a sled push at different loads on 20 metre sprint time in well-trained soccer players

This study determined the effects of a single sled push at different loads on sprint performance in competitive male soccer players. Twenty male competitive outfield soccer players (age 19.6±1.3y, body mass 73.6±8.2kg) were split into experimental (n=10) and control groups. In the experimental group, 20m linear sprint time was measured immediately before and 5, 6 and 7minutes after the sled push with either 50 or 100% body mass. The control group performed the 20m sprints only. A repeated measures ANOVA comparing control and experimental groups revealed no effects of time, group or time by group interaction for either experimental condition (all P&gt;0.05). The repeated measures ANOVA compared the experimental conditions revealed effects of time (P=0.034) and group (P=0.002), but not time by group (P&gt;0.05). The effects sizes demonstrated within group effects on sprint time that were small to moderate (-0.26 to 0.71) and trivial to small (-0.31 to 0.09) for the 50% and 100% body mass condition, respectively. These findings demonstrate that a sled push has no significant effect on 20 m sprint time in competitive footballers. If coaches continue to prescribed a sled push before sprinting, a single 15 m push with 50% body mass could have positive benefits.

Abstract 9912: A Case of Left Ventricle Non-Compaction in an Asymptomatic Athlete

Introduction: Left ventricle non-compaction (LVNC) is defined as a primary genetic cardiomyopathy by the American Heart Association and as an unclassified cardiomyopathy by the European Society of Cardiology. Phenotypically, it is characterized by prominent trabeculations and intertrabecular recesses in the ventricular cavity. The clinical manifestations of LVNC range from an asymptomatic state to progressive heart failure and life-threatening arrhythmias. The following case highlights an athletic patient with LVNC. Case Presentation: A 22-year-old male presented to the cardiology clinic for evaluation prior to enrolling in the police academy. At age 15, an echo revealed prominent trabeculations. The patient has been a competitive soccer player since high school. Upon presentation, he was asymptomatic with non-specific T wave changes noted on ECG, stress echocardiography revealed preserved functional capacity, prominent trabeculations, and EF 55%. No arrhythmias were noted. CMR revealed a hyper-trabeculated LV predominantly at the mid-ventricular and apical segments, moderate left and right ventricular enlargement with EF 55%. No LGE enhancement was noted. Discussion: LVNC is estimated to affect 8-12 patients per 1 million annually, but the actual number is likely higher as many individuals are asymptomatic. Although the cause of LVNC is unclear, it has been associated with mutations in sarcomere encoding genes including MYH7 and MYBPC3. It remains controversial whether LVNC is a distinct disorder since it has been reported in other cardiomyopathies and since it has been reported in pregnancy and trained athletes. The current diagnostic criteria for LVNC include a ratio of non-compacted to compacted myocardium &gt;2.1:1 as demonstrated by echo or a ratio of &gt;2.3:1 by CMR. However, it has been proposed that trabeculation formation represents a physiological adaptation to increased loading conditions seen in pregnancy and vigorously trained athletes. Therefore, it remains unclear whether the current diagnostic criteria apply to an athletic population. Furthermore, the prognostic implications of prominent trabeculations meeting accepted diagnostic criteria for LVNC remain uncertain.