A retrospective survey on injuries in Croatian football/soccer referees

BACKGROUND: Injury among soccer referees is rarely studied, especially with regard to differences in the quality level of the refereeing. Additionally, we have found no study that has reported injury occurrence during official physical fitness testing for soccer referees. The aim of this study was to investigate the frequency, type and consequences of match-related and fitness-testing related injuries among soccer referees of different competitive levels. METHODS: We studied 342 soccer referees (all males; mean age 32.9 ± 5.02 years). The study was retrospective, and a self-administered questionnaire was used. In the first phase of the study, the questionnaire was tested for its reliability and applicability. The questionnaire included morphological/anthropometric data, refereeing variables, and musculoskeletal disorders together with the consequences. RESULTS: The sample comprised 157 main referees (MR; mean age 31.4 ± 4.9 years) and 185 assistant referees (AR; mean age 34.1 ± 5.1 years) divided into: international level (Union of European Football Associations-UEFA) referees (N = 18; 6 MRs; 12 ARs) ; 1(st) (N = 78; 31 MRs; 47 ARs), 2(nd) (N = 91; 45 MRs; 46 ARs); or 3(rd) national level referees (N = 155; 75 MRs; 80 ARs). In total, 29% (95%CI: 0.23–0.37) of the MRs and 30% (95%CI: 0.22–0.36) of the ARs had experienced an injury during the previous year, while 13% (95%CI: 0.05–0.14) of the MRs, and 19% (95%CI: 0.14–0.25) of the ARs suffered from an injury that occurred during fitness testing. There was an obvious increase in injury severity as the refereeing advanced at the national level, but the UEFA referees were the least injured of all referees. The results showed a relatively high prevalence of injuries to the upper leg (i.e., quadriceps and hamstrings) during physical fitness testing for all but the UEFA referees. During game refereeing, the ankles and lower legs were the most commonly injured regions. The MRs primarily injured their ankles. The ARs experienced lower leg and lower back disorders. However, the overall injury rate was equal for both groups, with 5.29 (95%CI: 2.23–8.30) and 4.58 (95%CI: 2.63–6.54) injuries per 1000 hours of refereeing for MRs and ARs, respectively. CONCLUSION: In addition to the reported risk of injury during soccer games, physical fitness testing should be classified as a risk for injury among soccer referees. Special attention should be given to (I) lower leg injuries during games and (II) upper leg injuries during physical fitness tests. A higher physical fitness level and a qualitative approach to training are recognized as protective factors against injury. Subsequent studies should investigate the specific predictors of injuries among referees

Is there a danger for myopia in anti-doping education? Comparative analysis of substance use and misuse in Olympic racket sports calls for a broader approach

<p>Abstract</p> <p>Background</p> <p>Racket sports are typically not associated with doping. Despite the common characteristics of being non-contact and mostly individual, racket sports differ in their physiological demands, which might be reflected in substance use and misuse (SUM). The aim of this study was to investigate SUM among Slovenian Olympic racket sport players in the context of educational, sociodemographic and sport-specific factors.</p> <p>Methods</p> <p>Elite athletes (N = 187; mean age = 22 ± 2.3; 64% male) representing one of the three racket sports, table tennis, badminton, and tennis, completed a paper-and-pencil questionnaire on substance use habits. Athletes in this sample had participated in at least one of the two most recent competitions at the highest national level and had no significant difference in competitive achievement or status within their sport.</p> <p>Results</p> <p>A significant proportion of athletes (46% for both sexes) reported using nutritional supplements. Between 10% and 24% of the studied males would use doping if the practice would help them achieve better results in competition and if it had no negative health consequences; a further 5% to 10% indicated potential doping behaviour regardless of potential health hazards. Females were generally less oriented toward SUM than their male counterparts with no significant differences between sports, except for badminton players. Substances that have no direct effect on sport performance (if timed carefully to avoid detrimental effects) are more commonly consumed (20% binge drink at least once a week and 18% report using opioids), whereas athletes avoid substances that can impair and threaten athletic achievement by decreasing physical capacities (e.g. cigarettes), violating anti-doping codes or potentially transgressing substance control laws (e.g. opiates and cannabinoids). Regarding doping issues, athletes' trust in their coaches and physicians is low.</p> <p>Conclusion</p> <p>SUM in sports spreads beyond doping-prone sports and drugs that enhance athletic performance. Current anti-doping education, focusing exclusively on rules and fair play, creates an increasingly widening gap between sports and the athletes' lives outside of sports. To avoid myopia, anti-doping programmes should adopt a holistic approach to prevent substance use in sports for the sake of the athletes' health as much as for the integrity of sports.</p

Performance Profiling in Handball Using Discriminative Variables and its Practical Applications

Performance profiles of teams performance highlight areas of weaknesses and strengths for coaches to inform their decision-making on how to spend their limited training time with athletes. This study used a stepwise discriminative analysis approach comparing one successful team’s (TEAM) performances through five consecutive seasons against a) other top four teams (TOP4) and b) teams with a final rank between 5th and eight (LOW) in a semi-professional league. The predictive model created was used to set forth a performance profile for the selected team. A total of 95 matches of the TEAM’s matches from the last five seasons are in the analysis. The objective was to create a performance profile with relevant performance indicators selected based on the discriminant analysis results of the selected TEAM and discuss its practical applicability. For matches against other TOP4 teams, the predictive model created consisted of three variables; legal stops, blocked shots and 9 m shots, classifying 72.6% correctly. The LOW ranked teams model had six variables and correctly classified 94.4% of cases (assists, blocked shots, legal stops, the goalkeeper saved shots, 2-minute exclusion, and shot efficiency). The selected variables are presented in Table 4, with medians and a 95% confidence interval of the median as a team performance profile. The profile provides the coaches with two models containing values that can serve as a reference for this team’s performance. The profile of this TEAM’s performances during the last five seasons generally aligns with the variables associated with success in other studies in female handball.publishedVersio

Match running performance characterizing the most elite soccer match-play

In order to identify match running performance (MRP) characterizing the most elite soccer matchplay, this study aimed to examine position-specific differences in the MRP of players competing in “big five” (BFLTs) and “non-big five” league teams (N-BFLTs). The data were obtained from 24 teams (BFLTs; n = 14, N-BFLTs; n = 10) during the UEFA Champions League (UCL) matches (n = 20) in the 2020/21 season using a semiautomatic video system. The differences in MRP between BFLTs and N-BFLTs, while controlling for contextual factors, were examined using linear mixed model. No differences in overall MRP between fullbacks, central midfielders, wide midfielders and forwards from BFLTs and their peers from N-BFLTs were found, while only central defenders from BFLTs covered more high-intensity running than central defenders from BFLTs (moderate effects size). For players on all playing positions from BFLTs, total- and low-intensity distance covered were lower in offensive phase of game and greater in defensive phase of game compared to their peers from N-BFLTs (all large effect sizes). This study demonstrated that the most elite match-play in soccer is characterized by increased efforts in defensive phase of game, and decreased efforts in offensive phase of game. Soccer training programmes should be adapted accordingly

Associations of Vitamin D Levels with Physical Fitness and Motor Performance; A Cross-Sectional Study in Youth Soccer Players from Southern Croatia

Simple Summary Vitamin D is a fat-soluble prohormone crucial for bone mineralization, muscle contractility, and neurological conductivity. It is theorized that Vitamin D plays an important role in sport performances, especially in young athletes. In this study we examined the associations of levels of 25-hydroxyvitamin D (25(OH)D) with physical fitness and motor-performance achievements in youth soccer players from Southern Croatia. Participants were tested on physical fitness, motor performance and vitamin D at the end of the winter period, when levels of vitamin D are known to be lowest due to low exposure to sunlight. Results showed that deficiency of 25(OH)D was widespread among youth soccer players living in Southern Croatia. Low 25(OH)D levels were associated with lower results in fitness tests (i.e., tests of energetic capacities), but there was no correlation between 25(OH)D levels and the results in motor performance tests (i.e., skill tests). Our results support the theory of the association between vitamin D and energetic capacities of athletes, but there is no evidence on association between vitamin D and skill-based capacities. Vitamin D level is known to be a factor potentially influencing physical fitness, but few studies have examined this phenomenon among youth athletes. We aimed to evaluate the associations of vitamin D levels (as measured by 25-hydroxyvitamin D concentrations-25(OH)D) with various physical fitness and motor performance tests in youth football (soccer) players. This cross-sectional study included a total of 52 youth soccer players (15.98 +/- 2.26 years old) from Southern Croatia. The participants were evaluated at the end of the winter period and data were collected of anthropometric measures (body mass and body height), vitamin D status (25(OH)D levels), physical fitness tests (sprints of 10 and 20 m, 20 yards test, the countermovement jump, the reactive strength index (RSI)) and motor performance tests (the soccer-specific CODS, the soccer-specific agility, and static balance). Among the studied players, 54% had 25(OH)D insufficiency/deficiency, showing a lack of 25(OH)D is widespread even in youth athletes living at a southern latitude. The 25(OH)D level was correlated with sprint 20 m, 20 yards tests, and RSI, showing a greater role of 25(OH)D in physical fitness tests where energetic capacity is essential than in sport-related motor performance tests where skills are crucial. Our results support the idea that vitamin D can play a determinant role in physical fitness tests with a clear physiological component, but is not crucial in motor performance tests related to specific sports where skills are a key component. Future studies should investigate the effects of vitamin D supplementation on the performance in physical fitness and motor performance tests among youth athletes.This research is partially financed by Croatian Science Foundation (grant numbers: IP2018-01-8330; DOK-2018-09-1940)

Analysis of pacing strategies in 10 km open water swimming in international events

The purpose of this study was to ascertain the pacing strategies employed in 10 km open water swimming events, and to define which split time was most determinant for the final performance as a function of sex and classification in International Championships of the highest level. Six international competitions over the last five years were analysed retrospectively: Olympic Games, World Championships, and European Championships. The data corresponded to a total of 437 swimmers̕ competition histories (257 men, 180 women). A two-way analysis of variance (sex [2 levels: men, women], classification [3 levels: 1st to 3rd, 4th to 8th, 9th and below]) was performed for each split (0-2.5 km, 2.6-5.0 km, 5.1-7.5 km, and 7.6 to 10 km) and half (0-5 km, 5.1-10 km). The Bonferroni post-hoc test was used to compare means, and Pearson᾿s simple correlation coefficient to determine correlations between the split times and the final performance (total time). In general, the medal winners and the seconde tier classified swimmers, both men and women,employed a negative pacing strategy (the first half of the race was swum slower than the second). Women, however, in proportional terms swam a faster first partial (0 to 2.5 km) than men. These results could help coaches convince their swimmers that the first split of the event should be swum as slowly as possible, while still ensuring that they are in the leading group

The effect of mid-season coach turnover on running match performance and match outcome in professional soccer players

[Abstract]: The aim of this research was to examine the physical match performance and match outcome before and after coach turnover in professional soccer teams compared with a control group containing coaches working continuously for 3 consecutive seasons. Analysed data included 325 performances of teams led by dismissed coaches (DC), 313 of teams led by new coaches (NC), and 580 of teams led by unchanged coaches (UnC). Variables, such as average number of collected points, total distance (TD), total distance per minute (TD/min), high-speed running (HSR), sprinting and number of high-intensity runs (NHIR), were analysed in the last 15 games of DC and 15 matches of NC. These periods were divided into 3 blocks out of 5 matches (5-match blocks). NC collected a significantly higher number of points than DC (p = 0.015), whereas average points collected by UNC were significantly greater than DC (p < 0.001 and NC (p = 0.012). TD and TD/min for DC were significantly lower (p < 0.001) compared with both NC and UnC, whereas significant differences in HSR (p = 0.003) and NHIR (p = 0.03) were identified between DC and NC. The current study reported that mid-season coach turnover may result in short-term improvement in team results and physical match performance. However, this effect disappears after a period of approximately 5 games

Disordered eating, amenorrhea, and substance use and misuse among professional ballet dancers: Preliminary analysis

Background: Substance use and misuse (SUM), eating disorders (ED) and consequent amenorrhea (AM) occur frequently in professional ballet dancing. The objective of this study has been to explore the prevalence and association between ED, AM and SUM in ballet. Material and Methods: The sample comprised 21 ballet dancers, 23.1±4.5 years old, members of the professional National Ballet Ensemble from Croatia. Variables were collected by questionnaires examining SUM, occurrence of amenorrhea, and corresponding ballet-specific and socio-demographic factors (Questionnaire on Substance Use – QSU) and the level of ED (Brief Eating Disorder in Athletes Questionnaire – BEDA-Q). Results: Smoking is prevalent in 40% of dancers (25% smoke on a daily basis), 36% often use analgesics, and 25% engage in binge drinking at least once a month. Smoking and binge drinking are less frequent in ballerinas with a higher academic level (r = 0.60 and r = 0.54 for binge drinking and smoking, respectively; p < 0.05). Alcohol drinking is higher among dancers who consume analgesics more often and those with a higher BEDA-Q score (r = 0.53 and r = 0.54 for analgesics and BEDA-Q, respectively; p < 0.05). Amenorrhea is more prevalent among those dancers with a higher BEDA-Q score. Women who consume nutritional supplements are less likely to use analgesics (Mann Whitney U test = 2.11; p < 0.05). Conclusions: Efforts seeking to prevent ED in ballet should target dancers who consume alcohol to a greater extent. Future studies should specifically explore the less frequent consumption of analgesics among dancers who consume nutritional supplements. Med Pr 2016;67(1):21–2

Acute Effects of Different Plyometric and Strength Exercises on Balance Performance in Youth Weightlifters

Background: High-intensity muscle actions have the potential to temporarily improve the performance which has been denoted as postactivation performance enhancement. Objectives: This study determined the acute effects of different stretch-shortening (fast vs. low) and strength (dynamic vs. isometric) exercises executed during one training session on subsequent balance performance in youth weightlifters. Materials and Methods: Sixteen male and female young weightlifters, aged 11.3±0.6years, performed four strength exercise conditions in randomized order, including dynamic strength (DYN; 3 sets of 3 repetitions of 10 RM) and isometric strength exercises (ISOM; 3 sets of maintaining 3s of 10 RM of back-squat), as well as fast (FSSC; 3 sets of 3 repetitions of 20-cm drop-jumps) and slow (SSSC; 3 sets of 3 hurdle jumps over a 20-cm obstacle) stretch-shortening cycle protocols. Balance performance was tested before and after each of the four exercise conditions in bipedal stance on an unstable surface (i.e., BOSU ball with flat side facing up) using two dependent variables, i.e., center of pressure surface area (CoP SA) and velocity (CoP V). Results: There was a significant effect of time on CoP SA and CoP V [F(1,60)=54.37, d=1.88, p<0.0001; F(1,60)=9.07, d=0.77, p=0.003]. In addition, a statistically significant effect of condition on CoP SA and CoP V [F(3,60)=11.81, d=1.53, p<0.0001; F(3,60)=7.36, d=1.21, p=0.0003] was observed. Statistically significant condition-by-time interactions were found for the balance parameters CoP SA (p<0.003, d=0.54) and CoP V (p<0.002, d=0.70). Specific to contrast analysis, all specified hypotheses were tested and demonstrated that FSSC yielded significantly greater improvements than all other conditions in CoP SA and CoP V [p<0.0001 (d=1.55); p=0.0004 (d=1.19), respectively]. In addition, FSSC yielded significantly greater improvements compared with the two conditions for both balance parameters [p<0.0001 (d=2.03); p<0.0001 (d=1.45)]. Conclusion: Fast stretch-shortening cycle exercises appear to be more effective to improve short-term balance performance in young weightlifters. Due to the importance of balance for overall competitive achievement in weightlifting, it is recommended that young weightlifters implement dynamic plyometric exercises in the fast stretch-shortening cycle during the warm-up to improve their balance performance

Do Acute Bouts of Resistance Training Influence the Psychometric Status and Affective State of Prepubertal Weightlifters?

Resistance training (RT) can represent a challenging and stressful endeavour for those who participate in it. We aimed to investigate the acute effect of four types of RT exercise [i.e., Concentric (CONC), Isometric (ISOM), Dynamic (DYN) and Eccentric (ECC)] on psychological parameters (feeling scale: FS) and perceived internal load (RPE) in young elite weightlifters. The RT protocols were differentiated according to the contractile characteristics of the involved muscles and comprised: (i) CONC: 3 sets of 3 hurdle jumps; (ii) ECC: 3 sets of drop jumps; (iii) ISOM: 3 sets of 3-second maximal isometric back squat; (iv) DYN: 3 sets of 3 repetitions of 10 RM maximal back squats. Thereafter, participants were reported scores for RPE and FS. The execution of different types of RT exercises did not induce changes in FS. On the contrary, differences in RPE were observed with the CONC protocol being the least acutely strenuous, followed by the ECC and DYN methods. Of all four types used in this study, ISOM seemed to induce the highest RPE score , though these remained relatively low across the 10-point scale. Coaches can manipulate training activities based on the condition of the athlete and the potential physical strain that is associated with each exercise type