scholarly journals Association of Skeletal Maturity and Injury Risk in Elite Youth Soccer Players: A 4-Season Prospective Study With Survival Analysis

2021 ◽  
Vol 9 (3) ◽  
pp. 232596712199911
Author(s):  
Olivier Materne ◽  
Karim Chamari ◽  
Abdulaziz Farooq ◽  
Adam Weir ◽  
Per Hölmich ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Lower Extremity ◽  
Injury Risk ◽  
Skeletal Maturity ◽  
Soccer Players ◽  
Medical Attention ◽  
Chronological Age ◽  
Injury Patterns ◽  
Time Loss ◽  
Youth Soccer

Background: The association between injury risk and skeletal maturity in youth soccer has received little attention. Purpose: To prospectively investigate injury patterns and incidence in relation to skeletal maturity in elite youth academy soccer players and to determine the injury risks associated with the skeletal maturity status, both overall and to the lower limb apophysis. Study Design: Descriptive epidemiology study. Methods: All injuries that required medical attention and led to time loss were recorded prospectively during 4 consecutive seasons in 283 unique soccer players from U-13 (12 years of age) to U-19 (18 years). The skeletal age (SA) was assessed in 454 player-seasons using the Fels method, and skeletal maturity status (SA minus chronological age) was classified as follows: late, SA >1 year behind chronological age; normal, SA ±1 year of chronological age; early, SA >1 year ahead of chronological age; and mature, SA = 18 years. An adjusted Cox regression model was used to analyze the injury risk. Results: A total of 1565 injuries were recorded; 60% were time-loss injuries, resulting in 17,772 days lost. Adjusted injury-free survival analysis showed a significantly greater hazard ratio (HR) for different status of skeletal maturity: early vs normal (HR = 1.26 [95% CI, 1.11-1.42]; P < .001) and early vs mature (HR = 1.35 [95% CI, 1.17-1.56]; P < .001). Players who were skeletally mature at the wrist had a substantially decreased risk of lower extremity apophyseal injuries (by 45%-61%) compared with late ( P < .05), normal ( P < .05), and early ( P < .001) maturers. Conclusion: Musculoskeletal injury patterns and injury risks varied depending on the players’ skeletal maturity status. Early maturers had the greatest overall adjusted injury risk. Players who were already skeletally mature at the wrist had the lowest risk of lower extremity apophyseal injuries but were still vulnerable for hip and pelvis apophyseal injuries.

scholarly journals Hopping and Landing Performance in Male Youth Soccer Players: Effects of Age and Maturation

2017 ◽  
Vol 38 (12) ◽  
pp. 902-908 ◽  
Author(s):  
Paul Read ◽  
Jon Oliver ◽  
Mark De Ste Croix ◽  
Gregory Myer ◽  
Rhodri Lloyd
Keyword(s):  
Injury Risk ◽  
Soccer Players ◽  
Height Velocity ◽  
Chronological Age ◽  
Peak Height Velocity ◽  
Temporary Reduction ◽  
Cross Sectional ◽  
Male Youth ◽  
Youth Soccer ◽  
Increased Risk

AbstractQuantifying hopping and landing performances can assist coaches in identifying young male soccer players who may be at increased risk of injury. The influence of chronological age and maturation on these measures in this population is unknown. Single leg hop for distance (SLHD) and 75% horizontal hop and stick landing force (75%Hop) were examined in a cross-sectional sample (N=400) of elite male youth soccer players. Between-group differences for both chronological age (U11–U18) and stage of maturation (pre-, circa- or post-peak height velocity (PHV)) were analyzed. Absolute 75%Hop increased with both age and maturation. Apart from the U18s, pre-PHV and U11–U12 players displayed the greatest relative landing forces compared to all other groups (p<0.001; d=0.56–0.93). Absolute and relative SLHD were greatest in the U18s and post-PHV players (p<0.001; d=0.35–2.04). A trend showed increased SLHD with each consecutive age group although a reduction in performance was identified in the U13s (d=0.50–0.59). High volumes of accumulated soccer participation in the U18s may lead to altered landing strategies indicative of high injury risk. A temporary reduction in hop performance in the U13s may also be linked to a period of adolescent awkwardness.

Size and Maturity Mismatch in Youth Soccer Players 11- to 14-Years-Old

2010 ◽  
Vol 22 (4) ◽  
pp. 596-612 ◽  
Author(s):  
António J. Figueiredo ◽  
Manuel J. Coelho e Silva ◽  
Sean P. Cumming ◽  
Robert M. Malina
Keyword(s):  
Skeletal Maturity ◽  
Age Groups ◽  
Goal Orientations ◽  
Pubic Hair ◽  
Soccer Players ◽  
Chronological Age ◽  
Age Group ◽  
Male Youth ◽  
Pubertal Status ◽  
Youth Soccer

The purpose of the study was to compare the anthropometric, functional and sport-specific skill characteristics and goal orientations of male youth soccer players at the extremes of height and skeletal maturity in two competitive age groups, 11–12 and 13–14 years. The shortest and tallest players, and least and most skeletally mature players (n = 8 per group) within each age group were compared on chronological age; skeletal age (Fels method); pubertal status (pubic hair); size, proportions and adiposity; four functional capacities; four soccer-specific skills; and task and ego orientation. The tallest players were older chronologically, advanced in maturity (skeletal, pubertal) and heavier, and had relatively longer legs than the shortest players in each age group. At 11–12 years, the most mature players were chronologically younger but advanced in pubertal status, taller and heavier with more adiposity. At 13–14 years, the most mature players were taller, heavier and advanced in pubertal status but did not differ in chronological age compared with the least mature players. Players at the extremes of height and skeletal maturity differed in speed and power (tallest > shortest; most mature > lest mature), but did not differ consistently in aerobic endurance and in soccer-specific skills. Results suggested that size and strength discrepancies among youth players were not a major advantage or disadvantage to performance. By inference, coaches and sport administrators may need to provide opportunities for or perhaps protect smaller, skilled players during the adolescent years.

scholarly journals Injury Risk and Injury Burden Are Related to Age Group and Peak Height Velocity Among Talented Male Youth Soccer Players

2018 ◽  
Vol 6 (12) ◽  
pp. 232596711881104 ◽  
Author(s):  
Hans Jan Bult ◽  
Maarten Barendrecht ◽  
Igor Joeri Ramon Tak
Keyword(s):  
Injury Risk ◽  
Age Groups ◽  
Peak Height ◽  
Soccer Players ◽  
Height Velocity ◽  
Incidence Density ◽  
Chronological Age ◽  
Peak Height Velocity ◽  
The Mean ◽  
Injury Burden

Background: The relationship between injury risk (IR) in age groups and periods around peak height velocity (PHV) remains unclear. PHV is defined as the moment of the largest increase in body height. Purpose: To investigate injury risk and injury burden as functions of growth velocity (periods around PHV) and chronological age groupings (under 12 years [U12] to U19) in talented youth male soccer players. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 170 players from the youth academy of a Dutch soccer club (highest professional league: Eredivisie) were observed for 1 to 3 seasons. Injuries, exposure, PHV age, and chronological age were registered. The injury incidence density (IID) and injury burden per 1000 hours of soccer participation, with 95% CIs, were calculated for 5 PHV periods and 7 age groups. These were compared with the overall cohort results using incidence ratios (IRs) and burden ratios (BRs) with 95% CIs. Results: The mean age at PHV was 14.4 ± 0.65 years (range, 12.8-16.5 years). The mean IID for the total cohort was 8.34 injuries per 1000 hours (95% CI, 7.71-9.02). Compared with the overall mean, a significantly higher IID was found for PHV period 4+5 (IR, 1.31 [95% CI, 1.00-1.71]; P = .049) and for the U15 group (IR, 1.49 [95% CI, 1.24-1.79]; P < .001). The overall injury burden was 58.37 injury days per 1000 hours (95% CI, 56.66-60.13). In PHV period 4+5, the injury burden was significantly higher (BR, 1.53 [95% CI, 1.39-1.68]; P < .001) when compared with the overall mean. Also, compared with the overall mean, the injury burden was higher in the U16 (BR, 1.48 [95% CI, 1.39-1.58]; P < .001), U15 (BR, 1.28 [95% CI, 1.19-1.38]; P < .001), and U17 groups (BR, 1.21 [95% CI, 1.13-1.31]; P < .001). Conclusion: Talented young soccer players were more prone to injuries during the 6 months after PHV (31% above overall mean) as well as in the U15 group (49% above overall mean). Based on the higher injury burden in the U16 (48%), U15 (28%), and U17 (21%) groups, we suggest that research on injury risk factors and preventive measures should primarily target these age groups. Additional interventions based on PHV may be of limited value from a screening perspective. Further research is needed on the interaction between age groups and PHV periods.

Age and Gender Effects on Lower Extremity Kinematics of Youth Soccer Players in a Stop-Jump Task

2005 ◽  
Vol 33 (9) ◽  
pp. 1356-1364 ◽  
Author(s):  
Bing Yu ◽  
Scott B. McClure ◽  
James A. Onate ◽  
Kevin M. Guskiewicz ◽  
Donald T. Kirkendall ◽  
...  
Keyword(s):  
Gender Differences ◽  
Lower Extremity ◽  
Cruciate Ligament ◽  
Flexion Angle ◽  
Soccer Players ◽  
Motion Patterns ◽  
Youth Soccer ◽  
Anterior Cruciate Ligament Injuries ◽  
Anterior Cruciate ◽  
Hip Flexion

Background Gender differences in lower extremity motion patterns were previously identified as a possible risk factor for non-contact anterior cruciate ligament injuries in sports. Hypothesis Gender differences in lower extremity kinematics in the stop-jump task are functions of age for youth soccer players between 11 and 16 years of age. Study Design Descriptive laboratory study. Methods Three-dimensional videographic data were collected for 30 male and 30 female adolescent soccer players between 11 and 16 years of age performing a stop-jump task. The age effects on hip and knee joint angular motions were compared between genders using multiple regression analyses with dummy variables. Results Gender and age have significant interaction effects on standing height (P = .00), body mass (P = .00), knee flexion angle at initial foot contact with the ground (P = .00), maximum knee flexion angle (P = .00), knee valgus-varus angle (P = .00), knee valgus-varus motion (P = .00), and hip flexion angle at initial foot contact with the ground (P = .00). Conclusion Youth female recreational soccer players have decreased knee and hip flexion angles at initial ground contact and decreased knee and hip flexion motions during the landing of the stop-jump task compared to those of their male counterparts. These gender differences in knee and hip flexion motion patterns of youth recreational soccer players occur after 12 years of age and increase with age before 16 years. Clinical Relevance The results of this study provide significant information for research on the prevention of noncontact anterior cruciate ligament injuries.

scholarly journals Assessment of Injury Risk Factors in Male Youth Soccer Players

2016 ◽  
Vol 38 (1) ◽  
pp. 12-21 ◽  
Author(s):  
Paul J. Read ◽  
Jon L. Oliver ◽  
Mark B. A. De Ste Croix ◽  
Gregory D. Myer ◽  
Rhodri S. Lloyd
Keyword(s):  
Risk Factors ◽  
Injury Risk ◽  
Soccer Players ◽  
Male Youth ◽  
Youth Soccer ◽  
Injury Risk Factors

scholarly journals Injuries in Professional Male Soccer Players in the Netherlands: A Prospective Cohort Study

2015 ◽  
Vol 50 (2) ◽  
pp. 211-216 ◽  
Author(s):  
Janine H. Stubbe ◽  
Anne-Marie M. C. van Beijsterveldt ◽  
Sissi van der Knaap ◽  
Jasper Stege ◽  
Evert A. Verhagen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Injury Risk ◽  
Knee Injuries ◽  
Lower Extremities ◽  
Body Part ◽  
Soccer Players ◽  
Injury Incidence ◽  
Time Loss ◽  
Professional Soccer ◽  
Common Diagnosis

Context: Injuries are a major adverse event in a soccer player's career. Reducing injury incidence requires a thorough knowledge of the epidemiology of soccer injuries. Objective: To investigate the incidence and characteristics of injuries in the Dutch premier soccer league. Design: Cohort study. Setting: The Dutch premier soccer league. Patients or Other Participants: During the 2009–2010 soccer season, a total of 217 professional soccer players from 8 teams were prospectively followed. Main Outcome Measure(s): The medical staff recorded time-loss injuries, including information on injuries (ie, type, body part, duration) and exposure data for training sessions and matches. Results: A total of 286 injuries were recorded, affecting 62.7% of the players. The overall injury incidence was 6.2 injuries per 1000 player-hours, 2.8 in training sessions and 32.8 in matches. Most of the recorded injuries were acute (68.5%). Eight percent of the injuries were classified as recurrent. Injuries were most likely to be located in the lower extremities (82.9%). Injury time loss ranged from 1 to 752 days, with a median of 8 days. Knee injuries had the greatest consequences in terms of days of absence from soccer play (on average, 45 days). The most common diagnosis was muscle/tendon injury of the lower extremities (32.9%). Conclusions: Injury risk in the Dutch premier soccer league is high, especially during matches. Preventive measures should focus on the most common diagnoses, namely, muscle/tendon injuries of the lower extremities.

Preseason Injury Rates in a Division II Football Team Before and After the 2017 NCAA Practice Rule Changes

2020 ◽  
Vol 25 (1) ◽  
pp. 17-20 ◽  
Author(s):  
John J. Smith ◽  
Daniel J. Baer
Keyword(s):  
Lower Extremity ◽  
Injury Risk ◽  
Ncaa Division Ii ◽  
Practice Session ◽  
Time Loss ◽  
Injury Rates ◽  
Football Team ◽  
Before And After ◽  
Rule Changes ◽  
Division Ii

In 2017, the NCAA implemented rule changes to enhance safety in college football; however, the effect on injury risk remains unclear. The purpose of this study was to observe differences in the number and rate of injuries and time-loss injuries in an NCAA Division II football team during two consecutive preseasons, before and after the rule changes. From 2016 to 2017, we observed a decrease in lower extremity (LE) muscle strains from 1.00 injury/session to 0.55 injuries/session. We also observed a decrease in time-loss LE muscle strains from 0.52 injuries/session in 2016 to 0.20 injuries/session in 2017. After the rule changes, we observed fewer time-loss injuries (14.06% decrease), acute LE strains (45.00% decrease), and time-loss LE strains (61.54% decrease) per preseason practice session. These findings suggest that the rule changes may help reduce both the number and severity of LE muscle strains during preseason football.

Effects of Age and Maturation on Lower Extremity Range of Motion in Male Youth Soccer Players

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Francisco Javier Robles-Palazón ◽  
Francisco Ayala ◽  
Antonio Cejudo ◽  
Mark De Ste Croix ◽  
Pilar Sainz de Baranda ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Range Of Motion ◽  
Soccer Players ◽  
Male Youth ◽  
Youth Soccer
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