Anticipating Injuries and Health Problems in Elite Soccer Players Using Dynamic Complexity

BACKGROUND/AIM: Injuries and health problems of soccer players may appear abruptly and are often unexpected. However, hypotheses from complex systems theory suggest that these events can be preceded by certain Early Warning Signals (EWSs).1 We tested whether injuries and health problems can be anticipated with a specific type of EWS, that is, an increase in dynamic complexity (DC).2METHODS:Over two competitive seasons, we collected psychological and physiological self-reports (i.e., self-efficacy, motivation, mood, rating of own performance, enjoyment, and recovery) and data from heart rate sensors on every training and match day from 14 youth soccer players. We recorded time-loss injuries daily and players filled in the Sports Trauma Research Center Questionnaire on Health Problems (OSTRC-H2) once a week. We then calculated the DC of the self-reports and sensor data in a seven-day window to test for increased variability and complexity over time before injuries and health problems.RESULTS:Players experienced 5.6 injuries and 8.4 health problems on average across two seasons (range=1-18 and range=2-26, respectively). Results showed that increases in DC could often anticipate the occurrence of injuries and health problems. In 55% and 37% of the players DC increased up to five days before injuries and health problems, respectively (SD=39% and SD=25%, Min=0% and Min=0%, Max=100% and Max=83%).CONCLUSIONS:Results of this study suggest that EWSs can be used for real-time anticipation of injuries and health problems in daily soccer practice. Future research should test for the robustness of these results within and between individuals and perform sensitivity and specificity tests. In addition, finding out how warning signals can be communicated to soccer players and staff is an interesting avenue.REFERENCES1. Den Hartigh RJR, Meerhoff LRA, Van Yperen NW, et al. Resilience in Sports: A Multidisciplinary, Dynamic, and Personalized Perspective. Int Rev Sport Exerc Psychol. 2022. doi:https://doi.org/10.1080/1750984X.2022.20397492. Olthof M, Hasselman F, Strunk G, et al. Critical Fluctuations as an Early-Warning Signal for Sudden Gains and Losses in Patients Receiving Psychotherapy for Mood Disorders. Clin Psychol Sci. 2020;8(1):25-35. doi:10.1177/2167702619865969<br/

Anticipating Injuries and Health Problems in Elite Soccer Players Using Dynamic Complexity

BACKGROUND/AIM: Injuries and health problems of soccer players may appear abruptly and are often unexpected. However, hypotheses from complex systems theory suggest that these events can be preceded by certain Early Warning Signals (EWSs).1 We tested whether injuries and health problems can be anticipated with a specific type of EWS, that is, an increase in dynamic complexity (DC).2METHODS:Over two competitive seasons, we collected psychological and physiological self-reports (i.e., self-efficacy, motivation, mood, rating of own performance, enjoyment, and recovery) and data from heart rate sensors on every training and match day from 14 youth soccer players. We recorded time-loss injuries daily and players filled in the Sports Trauma Research Center Questionnaire on Health Problems (OSTRC-H2) once a week. We then calculated the DC of the self-reports and sensor data in a seven-day window to test for increased variability and complexity over time before injuries and health problems.RESULTS:Players experienced 5.6 injuries and 8.4 health problems on average across two seasons (range=1-18 and range=2-26, respectively). Results showed that increases in DC could often anticipate the occurrence of injuries and health problems. In 55% and 37% of the players DC increased up to five days before injuries and health problems, respectively (SD=39% and SD=25%, Min=0% and Min=0%, Max=100% and Max=83%).CONCLUSIONS:Results of this study suggest that EWSs can be used for real-time anticipation of injuries and health problems in daily soccer practice. Future research should test for the robustness of these results within and between individuals and perform sensitivity and specificity tests. In addition, finding out how warning signals can be communicated to soccer players and staff is an interesting avenue.REFERENCES1. Den Hartigh RJR, Meerhoff LRA, Van Yperen NW, et al. Resilience in Sports: A Multidisciplinary, Dynamic, and Personalized Perspective. Int Rev Sport Exerc Psychol. 2022. doi:https://doi.org/10.1080/1750984X.2022.20397492. Olthof M, Hasselman F, Strunk G, et al. Critical Fluctuations as an Early-Warning Signal for Sudden Gains and Losses in Patients Receiving Psychotherapy for Mood Disorders. Clin Psychol Sci. 2020;8(1):25-35. doi:10.1177/2167702619865969<br/

Are Off-Field Activities an Underestimated Risk for Hamstring Injuries in Dutch Male Amateur Soccer Players? An Exploratory Analysis of a Prospective Cohort Study

Purpose The purpose of this study was to explore what extent male amateur soccer players participate in off-field activities and whether these off-field activities are associated with the development of hamstring injuries. Methods Amateur soccer players (n = 399) from first-class selection teams (n = 32) filled out a baseline screening questionnaire concerning off-field activities (i.e., work and study type and hours, traveling time, sleep, energy costs, and time spent on other activities) and their history of hamstring injury as a part of a cluster-randomized controlled trial. Throughout one competition, the players reported weekly their hamstring injuries, which were verified by medical/technical staff. Multivariable Firth corrected logistic regression models were used to explore associations between off-field activities and hamstring injuries. Results Sixty-five hamstring injuries were recorded. Previous injury was significantly associated with hamstring injuries (OR ranging from 1.94 [95% CI 1.45–2.61] to 2.02 [95% CI 1.49–2.73]), but off-field activities were not. Conclusion Although amateur soccer players spent a relatively large amount of time on off-field activities, we did not find off-field activities measured at baseline to be associated with hamstring injuries in the subsequent competitive soccer season. In contrast, previous hamstring injury was found to be strongly associated with (recurrent) hamstring injuries