Groin Problems in Male Soccer Players Are More Common Than Previously Reported

2017 ◽  
Vol 45 (6) ◽  
pp. 1304-1308 ◽  
Author(s):  
Joar Harøy ◽  
Ben Clarsen ◽  
Kristian Thorborg ◽  
Per Hölmich ◽  
Roald Bahr ◽  
...  
Keyword(s):  
Injury Surveillance ◽  
Soccer Players ◽  
Time Loss ◽  
Match Play ◽  
Surveillance Studies ◽  
Trauma Research ◽  
Increased Risk ◽  
High Prevalence ◽  
Soccer Training ◽  
Different Levels

Background: The majority of surveillance studies in soccer have used a time-loss injury definition, and many groin problems result from overuse, leading to gradually increasing pain and/or reduced performance without necessarily causing an absence from soccer training or match play. Thus, the magnitude of groin problems in soccer has probably been underestimated in previous studies based on traditional injury surveillance methods. Purpose: To investigate the prevalence of groin problems among soccer players of both sexes and among male soccer players at different levels of play through a new surveillance method developed to capture acute and overuse problems. Study Design: Descriptive epidemiology study. Methods: We registered groin problems during a 6-week period of match congestion using the Oslo Sports Trauma Research Center Overuse Injury Questionnaire. A total of 240 players from 15 teams across different levels of play and from both sexes were included, and they responded to the weekly questionnaire. We calculated the average weekly prevalence of all groin problems and substantial groin problems. Results: Of the 240 players, 112 male players (59%) and 20 female players (45%) reported at least 1 episode of groin problems. The average weekly prevalence of any groin problem and substantial groin problem for all male players was 29% (range, 23%-32% across different levels) and 10% (7%-13%), respectively. Elite male players had an increased risk of experiencing groin problems (odds ratio: 3.1, 95% CI: 1.5-6.4, P = .03) compared with elite female players. There was no difference in the risk of experiencing groin problems among elite, subelite, and amateur male players. For substantial problems, there was no difference between elite male and elite female players or among levels of play for senior male soccer players. Conclusion: We found a high prevalence of groin problems among male soccer players during a period with match congestion. Time-loss definition as used in previous injury surveillance studies captured only one-third of the male groin problems registered with the new method. Elite male players had 3 times’ higher risk of reporting groin problems as compared with elite female players, while playing level did not influence the risk of reporting a groin problem among males.

scholarly journals Musculoskeletal Screening Tests and Bony Hip Morphology Cannot Identify Male Professional Soccer Players at Risk of Groin Injuries: A 2-Year Prospective Cohort Study

2018 ◽  
Vol 46 (6) ◽  
pp. 1294-1305 ◽  
Author(s):  
Andrea B. Mosler ◽  
Adam Weir ◽  
Andreas Serner ◽  
Rintje Agricola ◽  
Cristiano Eirale ◽  
...  
Keyword(s):  
At Risk ◽  
Groin Pain ◽  
Soccer Players ◽  
Screening Tests ◽  
Radiographic Examination ◽  
Match Play ◽  
Professional Soccer ◽  
Hip Morphology ◽  
Increased Risk ◽  
The Mean

Background: Musculoskeletal hip/groin screening tests are commonly performed to detect at-risk individuals. Bony hip morphology is considered a potential intrinsic risk factor but has not been examined prospectively. Purpose: To evaluate the association between intrinsic risk factors identified from musculoskeletal and radiographic screening tests and hip/groin injuries leading to time loss from training and/or match play in professional male soccer players. Study Design: Prospective cohort study; Level of evidence, 2. Methods: Male professional soccer players, aged ≥18 years, underwent screening specific for hip/groin pain during 2 consecutive seasons of the Qatar Stars League. The screening battery included pain provocation, range of motion, and strength tests as well as a hip radiographic examination. The radiographic examination included an anteroposterior pelvic view and 45° Dunn view, with bony hip morphology determined using quantitative methods. Time-loss (≥1 day) hip/groin injuries and individual player exposure (training and match play) were recorded prospectively, and injuries were categorized as adductor-related, inguinal-related, iliopsoas-related, pubic-related, or hip-related groin pain, or “other,” as recommended in the Doha agreement. We calculated hazard ratios (HRs) from univariate and multivariate Cox regression models to assess the relationship between potential risk factors and hip/groin injuries. Results: There were 438 players, completing 609 player seasons, and 113 hip/groin injuries that met the criteria for inclusion, with 85 injuries categorized as adductor-related. The proportion of players with bony morphological variants was the following: cam, 71%; pincer, 5%; and acetabular dysplasia, 13%. Previous hip/groin injuries (HR, 1.8; 95% CI, 1.2-2.7) and eccentric adduction strength were associated with the risk of hip/groin injuries. Higher (>1 SD above the mean) than normal eccentric adduction strength was associated with an increased risk for all hip/groin injuries (HR, 1.6; 95% CI, 1.0-2.5). Lower (<1 SD below the mean) than normal eccentric adduction strength was associated with an increased risk for adductor-related injuries (HR, 1.7; 95% CI, 1.0-3.0). No other musculoskeletal screening test or bony hip morphology variables were associated with the injury risk. Conclusion: Previous groin injuries and eccentric adduction strength were associated with the risk of groin injuries. However, these associations were not strong enough to identify an “at-risk” individual, and therefore, musculoskeletal screening tests were not useful to dictate individualized prevention strategies. Bony hip morphology was not associated with the risk of groin injuries.

scholarly journals Training duration may not be a predisposing factor in potential maladaptations in talent development programmes that promote early specialisation in elite youth soccer

2018 ◽  
Vol 13 (5) ◽  
pp. 674-678 ◽  
Author(s):  
Thomas E Brownlee ◽  
Andy O’Boyle ◽  
Ryland Morgans ◽  
James P Morton ◽  
Robert M Erskine ◽  
...  
Keyword(s):  
Resistance Training ◽  
Body Mass ◽  
Age Groups ◽  
Talent Development ◽  
Soccer Players ◽  
Predisposing Factor ◽  
Match Play ◽  
Training Time ◽  
Youth Soccer ◽  
Soccer Training

Purpose To determine whether training duration is a predisposing factor in potential maladaptations in talent development programmes that promote early specialisation in elite youth soccer. Methods Training times and type of 184 elite soccer players, from the under-9 to under-21 age groups (age 9.4 to 18.4 yrs; stature 1.38 to 1.82 m; body mass 32.2 to 76.2 kg) were recorded. Results Total training time progressively increased between the under-9 (268 ± 25 min/week) and under-14 (477 ± 19 min/week) groups with the majority of training time (96.5 ± 3.9%) consisting of soccer training and matches. Total training time then subsequently reduced from under-14 to under-15 (266 ± 77 min/week) groups, with no differences in training time between under-15 and under-21. Only under-15 to under-21 players completed resistance training; this inclusion coincided with a reduction in soccer training and match play when compared to time spent in these activities for younger groups (73.8 ± 3.2% of total training). Conclusion Data suggest that although the majority of training is focused on technical development, the training duration as a whole is unlikely to contribute to potential maladaptations in talent development programmes in elite youth soccer.

scholarly journals Hamstring injuries in elite Gaelic football: an 8-year investigation to identify injury rates, time-loss patterns and players at increased risk

2016 ◽  
Vol 52 (15) ◽  
pp. 982-988 ◽  
Author(s):  
Mark Roe ◽  
John C Murphy ◽  
Conor Gissane ◽  
Catherine Blake
Keyword(s):  
Management Strategies ◽  
Fold Increase ◽  
Hamstring Injury ◽  
Time Loss ◽  
Match Play ◽  
Injury Rates ◽  
Musculotendinous Junction ◽  
Hamstring Injuries ◽  
Increased Risk ◽  
Prevention Programmes

BackgroundHamstring injuries occur frequently in field sports, yet longitudinal information to guide prevention programmes is missing.AimInvestigate longitudinal hamstring injury rates and associated time loss in elite Gaelic football, while identifying subgroups of players at increased risk.Methods38 data sets from 15 elite male Gaelic football teams were received by the National Gaelic Athletic Association (GAA) Injury Surveillance Database between 2008 and 2015. Injury and exposure data were provided by the team's medical staff via an online platform.Results391 hamstring injuries were sustained accounting for 21% (95% CI 20.0% to 21.7%) of all injuries. Prevalence was 21% (95% CI 19.2% to 23.4%). Incidences were 2.2 (95% CI 1.9 to 2.4) per 1000 exposure hours, and 7.0 (95% CI 6.5 to 7.1) times greater in match play than in training. Typically each team sustained 9.0 (95% CI 7.0 to 11.0) hamstring injuries per season affecting the: bicep femoris belly (44%; 95% CI 39.4% to 48.7%); proximal musculotendinous junction (13%; 95% CI 9.8% to 16.3%); distal musculotendinous junction (12%; 95% CI 8.6% to 14.9%) and semimembranosis/semitendinosis belly (9%; 95% CI 6.3% to 11.7%). ∼36% (95% CI 31.5% to 41.0%) were recurrent injuries. Mean time loss was 26.0 (95% CI 21.1 to 33.0) days, which varied with age, injury type and seasonal cycle. Hamstring injuries accounted for 31% (95% CI 25.8% to 38.2%) of injury-related time loss. Previously injured players (rate ratio (RR)=3.3), players aged 18–20 years (IRR=2.3) or >30 years (RR=2.3), as well as defensive (IRR=2.0) and midfield players (RR=1.5), were most at risk of sustaining a hamstring injury. Comparisons of 2008–2011 with 2012–2015 seasons revealed a 2-fold increase in hamstring injury incidences. Between 2008 and 2015 training incidence increased 2.3-fold and match-play incidences increased 1.3-fold.ConclusionsHamstring injuries are the most frequent injury in elite Gaelic football, with incidences increasing from 2008–2011 to 2012–2015. Tailoring risk management strategies to injury history, age and playing position may reduce the burden of hamstring injuries.

scholarly journals Capture of Time-Loss Overuse Soccer Injuries in the National Collegiate Athletic Association's Injury Surveillance System, 2005–2006 Through 2007–2008

2018 ◽  
Vol 53 (3) ◽  
pp. 271-278
Author(s):  
Karen Roos ◽  
Kristen L. Kucera ◽  
Yvonne Golightly ◽  
Joseph B. Myers ◽  
Wayne Rosamond ◽  
...  
Keyword(s):  
Medical Records ◽  
National Collegiate Athletic Association ◽  
Injury Surveillance ◽  
Soccer Players ◽  
Medical Attention ◽  
Overuse Injuries ◽  
Time Loss ◽  
Injury Surveillance System ◽  
Injury Mechanisms ◽  
Women's Soccer

Context:  Overuse injuries are reported to account for nearly 50% of sports injuries and, due to their progressive nature and the uncertainty regarding date of onset, are difficult to define and categorize. Comparing the capture rates of overuse injuries between injury-surveillance systems and medical records can clarify completeness and determinants of how overuse injuries are represented in injury-surveillance data. Objective:  To estimate the capture rate of time-loss medical-attention overuse injuries in men's and women's soccer in the National Collegiate Athletic Association Injury Surveillance System (NCAA ISS) compared with medical records maintained by certified athletic trainers and assess the differences in completeness of capture and factors contributing to those differences. Design:  Capture-recapture study. Setting:  Fifteen NCAA institutions provided NCAA ISS and medical record data from men's and women's soccer programs from 2005–2006 through 2007–2008. Patients or Other Participants:  National Collegiate Athletic Association men's and women's soccer players. Main Outcome Measure(s):  Time-loss medical-attention overuse injuries were defined as injuries with an overuse mechanism of injury in the NCAA ISS or medical records. Capture rates were calculated as the proportion of total overuse injuries classified as having overuse mechanisms in the NCAA ISS and the NCAA ISS and medical records combined. Results:  The NCAA ISS captured 63.7% of the total estimated overuse mechanisms of injury in men's and women's soccer players. The estimated proportion of overuse injury mechanisms captured by both the NCAA ISS and medical records was 37.1%. The NCAA ISS captured more overuse injury mechanisms in men's soccer than in women's soccer (79.2% versus 45.0%, χ2 = 9.60; P = .002) athletes. Conclusions:  From 2005–2006 through 2007–2008, the NCAA ISS captured only two thirds of time-loss medical-attention overuse mechanisms of injury in men's and women's soccer players. Future researchers should consider supplementing injury-surveillance data with a clinical record review to capture the burden of these injuries.

scholarly journals Off-Season Training Habits and BMI, Not Preseason Jump Measures, Are Associated with Time-Loss Injury in Female Collegiate Soccer Players

Sports ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 36
Author(s):  
Jason Brumitt ◽  
Alma Mattocks ◽  
Amy Engilis ◽  
Jill Sikkema ◽  
Jeremy Loew
Keyword(s):  
Injury Risk ◽  
Soccer Players ◽  
P Value ◽  
Time Loss ◽  
Anthropometric Measures ◽  
Lower Quadrant ◽  
Increased Risk ◽  
Long Jump ◽  
Training Habits ◽  
Screening Clinic

The primary purpose of this study was to determine the effectiveness of the standing long jump (SLJ) and the single-leg hop (SLH) tests to discriminate lower quadrant (low back and lower extremities) injury occurrence in female collegiate soccer players. The secondary purpose of this study was to determine associations between injury and off-season training habits or anthropometric measures. SLJ, SLH, and anthropometric measures were collected during a preseason screening clinic. Each subject completed a questionnaire providing demographic information and off-season training habits. Each athlete performed three SLJ and three SLH per leg. SLJ and SLH scores were not associated with an increased risk of a noncontact time-loss lower quadrant (LQ) injury. Athletes with a higher BMI or who reported less time training during the off-season were two times more likely to sustain an injury. Athletes who had both a higher body mass index (BMI) and lower off-season training habits were three times (relative risk = 3.1 (95% CI: 1.7, 5.5) p-value = 0.0001) more likely to sustain a noncontact time-loss lower quadrant injury. Preseason SLJ and SLH scores do not discriminate injury risk in female collegiate soccer players. Higher BMI and lower off-season training habits are associated with an increased risk of LQ injury.

Four Weeks of Power Optimized Sprint Training Improves Sprint Performance in Adolescent Soccer Players

2021 ◽  
pp. 1-9
Author(s):  
Mikael Derakhti ◽  
Domen Bremec ◽  
Tim Kambič ◽  
Lasse Ten Siethoff ◽  
Niklas Psilander
Keyword(s):  
Body Height ◽  
Sprint Performance ◽  
Soccer Players ◽  
Control Group ◽  
Sprint Training ◽  
Control Groups ◽  
Match Play ◽  
Youth Athletes ◽  
Soccer Training ◽  
And Control

Purpose: This study compared the effects of heavy resisted sprint training (RST) versus unresisted sprint training (UST) on sprint performance among adolescent soccer players. Methods: Twenty-four male soccer players (age: 15.7 [0.5] y; body height: 175.7 [9.4] cm; body mass: 62.5 [9.2] kg) were randomly assigned to the RST group (n = 8), the UST group (n = 10), or the control group (n = 6). The UST group performed 8 × 20 m unresisted sprints twice weekly for 4 weeks, whereas the RST group performed 5 × 20-m heavy resisted sprints with a resistance set to maximize the horizontal power output. The control group performed only ordinary soccer training and match play. Magnitude-based decision and linear regression were used to analyze the data. Results: The RST group improved sprint performances with moderate to large effect sizes (0.76–1.41) across all distances, both within and between groups (>92% beneficial effect likelihood). Conversely, there were no clear improvements in the UST and control groups. The RST evoked the largest improvements over short distances (6%–8%) and was strongly associated with increased maximum horizontal force capacities (r = .9). Players with a preintervention deficit in force capacity appeared to benefit the most from RST. Conclusions: Four weeks of heavy RST led to superior improvements in short-sprint performance compared with UST among adolescent soccer players. Heavy RST, using a load individually selected to maximize horizontal power, is therefore highly recommended as a method to improve sprint acceleration in youth athletes.

scholarly journals Elite Ice Hockey Goalkeepers Have a High Prevalence of Hip and Groin Problems Associated With Decreased Sporting Function: A Single-Season Prospective Cohort Study

2019 ◽  
Vol 7 (12) ◽  
pp. 232596711989258 ◽  
Author(s):  
Tobias Wörner ◽  
Benjamin Clarsen ◽  
Kristian Thorborg ◽  
Frida Eek
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Ice Hockey ◽  
Descriptive Epidemiology ◽  
Time Loss ◽  
Trauma Research ◽  
The Past ◽  
Competitive Season ◽  
High Prevalence

Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers. Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season. Study Design: Descriptive epidemiology study. Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into “all” and “substantial” hip and groin problems. Three times during the season (pre-, mid-, and end-season), players reported hip and groin function on the Hip and Groin Outcome Score (HAGOS) as well as on the OSTRC-O. Results: A total of 101 goalkeepers participated in the study (83.3% male [seniors, 44.1%; juniors, 39.2%], 16.7% female). The cumulative incidences of all hip and groin problems and substantial hip and groin problems were 69% (95% CI, 59%-79%) and 36% (95% CI, 26%-46%), respectively. The average biweekly prevalence for all hip and groin problems and substantial hip and groin problems was 28.1% (95% CI, 25.0%-31.3%) and 10% (95% CI, 8.7%-11.4%), respectively. Among all the reported hip and groin problems, 16.9% (n = 70) were acute, 83.1% (n = 343) were because of overuse, and 15.5% (n = 64) led to time loss. HAGOS did not differ in the pre-, mid-, or end-season. Players reporting hip and groin problems on the OSTRC-O had significantly worse HAGOS scores than players without problems ( P < .01). Conclusion: Hip and groin problems are highly prevalent in elite ice hockey goalkeepers. During a competitive season, 69% of players experienced hip and groin problems and 36% of players suffered from substantial problems. The vast majority of problems were because of overuse, not leading to time loss but related to reduced self-reported hip and groin function.

Effects of Whole-Season Training and Match-Play on Hip Adductor and Abductor Muscle Strength in Soccer Players: A Pilot Study

2021 ◽  
pp. 194173812110537
Author(s):  
Víctor Moreno-Pérez ◽  
Marcelo Peñaranda ◽  
Aitor Soler ◽  
Álvaro López-Samanes ◽  
Per Aagaard ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Adductor Muscle ◽  
Soccer Players ◽  
Strength Ratio ◽  
Abductor Muscle ◽  
Match Play ◽  
Hip Abductor ◽  
Soccer Training ◽  
Groin Injury ◽  
Abductor Strength

Background: Previous investigations have associated weakness of hip muscles with a higher likelihood of developing hip groin injury. However, no previous investigation has examined the influence of soccer training and match-play during the season on maximal isometric hip adductor and abductor muscle strength. Hypothesis: Maximal hip adductor and abductor muscle strength would increase after the preseason, maintaining relatively constant levels across the soccer season. Design: Cross-sectional study. Level of Evidence: Level 3. Methods: A total of 26 semiprofessional male soccer players underwent measurements of maximal isometric hip adductor and abductor muscle strength at 3 time points of the soccer season: preseason, midseason, and end-season to investigate the longitudinal effect of soccer training and competition during a complete season on maximal isometric hip adductor and abductor muscle strength in the semiprofessional Spanish soccer player. Results: Compared with preseason, hip abductor muscle strength increased in the midseason (14.2% and 17.1%, for dominant and nondominant limb, respectively; P < 0.001) and in the end-season (13.1%; P = 0.005, and 14.1%; P < 0.005). In contrast, hip adductor muscle strength remained unchanged across the season in both limbs. As a result, the adductor/abductor strength ratio in the nondominant limb was reduced at midseason and end-season time points (−14.6% and −18.4%, respectively; P < 0.001) with a corresponding tendency in the dominant limb (−9.3% and −15.0%, respectively; P > 0.05). Conclusion: While maximal hip abductor muscle strength increased throughout the season, hip adductor muscle strength remained stable across the season. This produced a substantial deficit in hip adductor/abductor strength ratio at midseason and end-season. Clinical Relevance: The progressive imbalance in adductor/abductor strength across the soccer season may be an indicator of increased risk of groin injury and may reinforce the need for preventive rehabilitation activities focused on enhancing adductor muscle strength.

scholarly journals Understanding the Influence of the Head Coach on Soccer Training Drills—An 8 Season Analysis

2020 ◽  
Vol 10 (22) ◽  
pp. 8149
Author(s):  
Steve Barrett ◽  
Matthew C. Varley ◽  
Samuel P. Hills ◽  
Mark Russell ◽  
Matt Reeves ◽  
...  
Keyword(s):  
Mixed Models ◽  
High Speed ◽  
Microelectromechanical Systems ◽  
Soccer Players ◽  
Head Coach ◽  
Match Play ◽  
Professional Soccer ◽  
Soccer Training ◽  
Physical Output

Soccer players perform a variety of training drills to develop the physical, technical and tactical qualities required for match-play. The role of coaches in prescribing training suggests that players may not always meet physical targets set by conditioning staff. To quantify the physical outputs elicited by different training drill types, 183 professional soccer players were monitored over 8 seasons using Microelectromechanical Systems during normal training, yielding 65,825 drill observations [362 ± 341 observations·player−1]. Linear mixed models assessed the influence of drill type, head coach and playing position on physical output. Drills lasted ~14 min, eliciting total distances and high speed running of ~1000 m and 40 m, respectively. Conditioning drills elicited substantially greater relative high-speed running [18.8 ± 27.2 m.min−1] and Sprint [3.5 ± 9.4 m.min−1] distances than all other drill types. The proportion of training drill types used and external outputs elicited per drill were affected by the head coach. Midfielders recorded the highest total distance [77.3 ± 36.1 m.min] and PlayerLoad™ [8.29 ± 3.54] of any playing position, whilst the lowest outputs were recorded by goalkeepers. This study provides reference data for practitioners when seeking to manipulate training prescription to achieve physical output targets whilst also meeting the team’s technical and tactical objectives.

scholarly journals Does the Reliability of Reporting in Injury Surveillance Studies Depend on Injury Definition?

2018 ◽  
Vol 6 (3) ◽  
pp. 232596711876053 ◽  
Author(s):  
Matthew Cross ◽  
Sean Williams ◽  
Simon P.T. Kemp ◽  
Colin Fuller ◽  
Aileen Taylor ◽  
...  
Keyword(s):  
Coefficient Of Variation ◽  
Injury Risk ◽  
Incidence Rates ◽  
Injury Surveillance ◽  
Injury Incidence ◽  
Time Loss ◽  
Level Of Evidence ◽  
Surveillance Studies ◽  
Definition Of ◽  
Injury Definition

Background: Choosing an appropriate definition for injury in injury surveillance studies is essential to ensure a balance among reporting reliability, providing an accurate representation of injury risk, and describing the nature of the clinical demand. Purpose: To provide guidance on the choice of injury definition for injury surveillance studies by comparing within- and between-team variability in injury incidence with >24-hour and >7-day time-loss injury definitions in a large multiteam injury surveillance study. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Injury data were reported for 2248 professional rugby union players from 15 Premiership Rugby clubs over 12 seasons. Within-team percentage coefficient of variation and mean between-team standard deviation (expressed as a percentage coefficient of variation) in injury incidence rates (injuries per 1000 player match hours) were calculated. For both variables, a comparison was made between >24-hour and >7-day injury incidence rates in terms of the magnitude of the observed effects. Results: The overall mean incidence across the population with a >24-hour time-loss injury definition was approximately double the reported incidence with the >7-day definition. There was a 10% higher between-team variation in match injury incidence rates with the >24-hour time-loss definition versus the >7-day definition. Conclusion: There was a likely higher degree of between-team variation in match injury incidence rates with a >24-hour time-loss definition than with a >7-day definition of injury. However, in professional sports settings, it is likely that the benefits of using a more inclusive definition of injury (improved understanding of clinical demand and the appropriate and accurate reporting of injury risk) outweigh the small increase in variation in reporting consistency.

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