CC BY-NC-ND 4.0 · Sports Med Int Open 2018; 02(03): E84-E90
DOI: 10.1055/a-0631-9346
Training & Testing
Eigentümer und Copyright ©Georg Thieme Verlag KG 2018

Pre-season Fitness Level and Injury Rate in Professional Soccer – A Prospective Study

Eyal Eliakim
1   Wingate Institute, Zinman College of Physical Education, Netanya, Israel
,
Ofer Doron
1   Wingate Institute, Zinman College of Physical Education, Netanya, Israel
,
Yoav Meckel
1   Wingate Institute, Zinman College of Physical Education, Netanya, Israel
,
Dan Nemet
2   Child Health & Sports Center, Meir Medical Center, Pediatrics, Sackler School of Medicine, Tel Aviv University Kfar Saba, Israel
,
Alon Eliakim
2   Child Health & Sports Center, Meir Medical Center, Pediatrics, Sackler School of Medicine, Tel Aviv University Kfar Saba, Israel
› Author Affiliations
Further Information

Publication History

received  09 February 2018
revised   01 May 2018

accepted 03 May 2018

Publication Date:
22 August 2018 (online)

Abstract

The aim of the present study was to assess prospectively the effect of pre-season fitness on injury rate during the competitive season among professional soccer players. Thirty-one players participated in the study during two consecutive competitive seasons (2015–16 and 2016–17; a squad of 22 players in each season). During the 6-week pre-season training period (8 training sessions and a friendly match every week, 14–18 training hours/week) there was a significant improvement in VO2 max, a significant increase in ideal and total sprint time and no change in vertical jump, flexibility and repeated sprint-test performance decrement. During the two consecutive seasons, 28 injuries were recorded. Ten injuries were classified as mild (missing 3–7 days of practice/match), 8 as moderate (missing 8–28 days) and 10 as severe (missing >28 days). The rate of match injuries was higher (9.4 per 1000 match hours) compared to practice injuries (4.7 per 1000 training hours). Most injuries were overuse injuries (72%) of the lower limbs (71%). Most of match injuries occurred during the last 15 min of each half. There were no differences in fitness characteristics in the beginning of pre-season training between injured and non-injured players. However, improvements in VO2 max during the pre-season training period were significantly lower among injured players (0.9±5.5%) compared to non-injured players (10.4±6.5%, p<0.05). Our results emphasize the importance of pre-season training in professional soccer players not only for improvement in fitness but also for injury prevention during the following competitive season.

 
  • References

  • 1 Andersen TE, Tenga A, Engebretsen L, Bahr R. Video analysis of injuries and incidents in Norwegian professional football. Br J Sports Med 2004; 38: 626-631
  • 2 Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Physical fitness, injuries, and team performance in soccer. Med Sci Sports Exerc 2004; 36: 278-285
  • 3 Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Risk factors for injuries in football. Am J Sports Med 2004; 32: 5S-16S
  • 4 Bishop D, Spencer M, Duffield R, Lawrence S. The validity of a repeated sprint ability test. J Sci Med Sport 2001; 4: 19-29
  • 5 Brenner JS. American Academy of Pediatrics Council on Sports Medicine and Fitness. Overuse injuries, overtraining, and burnout in child and adolescent athletes. Pediatrics 2007; 119: 1242-1245
  • 6 Brink MS, Frencken WG, Jordet G, Lemmink KA. Coaches’ and players’ perceptions of training dose: Not a perfect match. Int J Sports Physiol Perform 2014; 9: 497-502
  • 7 Cloke D, Moore O, Shah T, Rushton S, Shirley MD, Deehan DJ. Thigh muscle injuries in youth soccer: Predictors of recovery. Am J Sports Med 2012; 40: 433-439
  • 8 Dauty M, Collon S. Incidence of injuries in French professional soccer players. Int J Sports Med 2011; 32: 965-969
  • 9 Deehan DJ, Bell K, McCaskie AW. Adolescent musculoskeletal injuries in a football academy. J Bone Joint Surg Br 2007; 89: 5-8
  • 10 Dragijsky M, Maly T, Zahalka F, Kunzmann E, Hank M. Seasonal variation of agility, speed and endurance performance in young elite soccer players. Sports 2017; 5: 12
  • 11 Dupont G, Nedelec M, McCall A, McCormack D, Berthoin S, Wisloff U. Effect of 2 soccer matches in a week on physical performance and injury rate. Am J Sports Med 2010; 38: 1752-1758
  • 12 Dvorak J, Junge A, Chomiak J, Graf-Baumann T, Peterson L, Rosch D, Hodgson R. Risk factor analysis for injuries in football players. Possibilities for a prevention program. Am J Sports Med 2000; 28: S69-S74
  • 13 Eirale C, Farooq A, Smiley FA, Tol JL, Chalabi H. Epidemiology of football injuries in Asia: A prospective study in Qatar. J Sci Med Sport 2013; 16: 113-117
  • 14 Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39: 1226-1232
  • 15 Ekstrand J, Walden M, Hagglund M. A congested football calendar and the wellbeing of players: Correlation between match exposure of European footballers before the World Cup 2002 and their injuries and performances during that World Cup. Br J Sports Med 2004; 38: 493-497
  • 16 Ergun M, Denerel HN, Binnet MS, Ertat KA. Injuries in elite youth football players: A prospective three-year study. Acta Orthop Traumatol Turc 2013; 47: 339-346
  • 17 Fuller CW, Bahr R, Dick RW, Meeuwisse WH. A framework for recording recurrences, reinjuries, and exacerbations in injury surveillance. Clin J Sport Med 2007; 17: 197-200
  • 18 Hagglund M, Walden M, Bahr R, Ekstrand J. Methods for epidemiological study of injuries to professional football players: Developing the UEFA model. Br J Sports Med 2005; 39: 340-346
  • 19 Hagglund M, Walden M, Ekstrand J. Injury incidence and distribution in elite football – a prospective study of the Danish and the Swedish top divisions. Scand J Med Sci Sports 2005; 15: 21-28
  • 20 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2018 update. Int J Sports Med 2017; 38: 1126-1131
  • 21 Hawkins RD, Fuller CW. A prospective epidemiological study of injuries in four English professional football clubs. Br J Sports Med 1999; 33: 196-203
  • 22 Hawkins RD, Hulse MA, Wilkinson C, Hodson A, Gibson M. The association football medical research programme: An audit of injuries in professional football. Br J Sports Med 2001; 35: 43-47
  • 23 Hill-Haas SV, Coutts AJ, Rowsell GJ, Dawson BT. Generic versus small-sided game training in soccer. Int J Sports Med 2009; 30: 636-642
  • 24 Jaspers A, Brink MS, Probst SG, Frencken WG, Helsen WF. Relationships between training load indicators and training outcomes in professional soccer. Sports Med 2017; 47: 533-544
  • 25 Johnson A, Doherty PJ, Freemont A. Investigation of growth, development, and factors associated with injury in elite schoolboy footballers: Prospective study. BMJ 2009; 338: b490
  • 26 Junge A, Dvorak J. Soccer injuries: A review on incidence and prevention. Sports Med 2004; 34: 929-938
  • 27 Le Gall F, Carling C, Reilly T, Vandewalle H, Church J, Rochcongar P. Incidence of injuries in elite French youth soccer players: A 10-season study. Am J Sports Med 2006; 34: 928-938
  • 28 Magal M, Smith RT, Dyer JJ, Hoffman JR. Seasonal variation in physical performance-related variables in male NCAA Division III soccer players. J Strength Cond Res 2009; 23: 2555-2559
  • 29 Meckel Y, Gefen Y, Nemet D, Eliakim A. Influence of short vs. long repetition sprint training on selected fitness components in young soccer players. J Strength Cond Res 2012; 26: 1845-1851
  • 30 Meckel Y, Harel U, Michaely Y, Eliakim A. Effects of a very short-term preseason training procedure on the fitness of soccer players. J Sports Med Phys Fitness 2014; 54: 432-440
  • 31 Morgan BE, Oberlander MA. An examination of injuries in major league soccer. The inaugural season. Am J Sports Med 2001; 29: 426-430
  • 32 Pfirrmann D, Herbst M, Ingelfinger P, Simon P, Tug S. Analysis of injury incidences in male professional adult and elite youth soccer players: A systematic review. J Athl Train 2016; 51: 410-424
  • 33 Price RJ, Hawkins RD, Hulse MA, Hodson A. The Football Association medical research programme: An audit of injuries in academy youth football. Br J Sports Med 2004; 38: 466-471
  • 34 Spencer M, Fitzsimons M, Dawson B, Bishop D, Goodman C. Reliability of a repeated-sprint test for field-hockey. J Sci Med Sport 2006; 9: 181-184
  • 35 Stolen T, Chamari K, Castagna C, Wisloff U. Physiology of soccer: An update. Sports Med 2005; 35: 501-536
  • 36 Taylor J, Portas MD, Wright MD, Hurst C, Weston M. Within-season variation of fitness in elite youth female soccer players. J Athl Enhanc 2012; 1:
  • 37 van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med 1992; 14: 82-99
  • 38 Walden M, Hagglund M, Ekstrand J. Injuries in Swedish elite football – a prospective study on injury definitions, risk for injury and injury pattern during 2001. Scand J Med Sci Sports 2005; 15: 118-125
  • 39 Walden M, Hagglund M, Ekstrand J. UEFA Champions League study: A prospective study of injuries in professional football during the 2001–2002 season. Br J Sports Med 2005; 39: 542-546
  • 40 Wong P, Hong Y. Soccer injury in the lower extremities. Br J Sports Med 2005; 39: 473-482