Low-load resistance training reduces injury incidence and burden, and improves the physical performance in youth soccer players
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The inclusion of some specific strength training programs could be a key strategy to reinforce the injury prevention process. This study aimed to analyze the effects of a 12-week low-load resistance training program on injury incidence, burden, and physical fitness in semiprofessional youth soccer players. Twenty male players were randomly assigned to the experimental group (EG, n = 10 players), which performed a low-load resistance training program, or to the control group (CG, n = 10 players), which performed only their usual soccer training. Injury incidence and injury burden were registered during the intervention, as well as the physical fitness attributes: jumping, repeated sprint abilities (RSA), change of direction ability (CODA), linear sprints and isometric strength, at baseline and after the training program. A significant (p < 0.05) lower injury incidence was observed in EG (CG: 9.57 vs. EG: 0.00 injuries/1000 h of exposure) and a significant (p < 0.001) lower injury burden in the EG (CG: 317.83 vs. EG: 0.00 days of absence/1000 h of exposure). The ANCOVA model revealed significant between-group differences favoring the EG, showing significant higher improvements in all physical fitness attributes (p < 0.001–0.024). This study demonstrated the effectiveness of a low-load resistance training program in preventing injuries and improving physical condition in young soccer players.
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Ahern, L., Nicholson, O., O’Sullivan, D., & McVeigh, J. G. (2021). Effect of functional rehabilitation on performance of the Star Excursion Balance Test among recreational athletes with chronic ankle instability: A systematic review. Archives of Rehabilitation Research and Clinical Translation, 3(3), 100133. https://doi.org/10.1016/j.arrct.2021.100133
Andersen, V., Fimland, M., Cumming, K., Vraalsen, Ø., & Saeterbakken, A. (2018). Explosive resistance training using elastic bands in young female team handball players. Sports Medicine International Open, 2(06), E171–E178. https://doi.org/10.1055/a-0755-6473
Bahr, R., Clarsen, B., & Ekstrand, J. (2018). Why we should focus on the burden of injuries and illnesses, not just their incidence. British Journal of Sports Medicine, 52(16), 1018–1021. https://doi.org/10.1136/bjsports-2017-098160
Baldjian, A., Mohrenberger, H., & Ciladi, M. (2022). Estudio epidemiológico de lesiones en un equipo profesional de fútbol en Argentina. Argentinian Journal of Respiratory & Physical Therapy, 4(3), 23-31. https://doi.org/10.58172/ajrpt.v4i3.213
Bakal, D. R., Hussain, F. S., Dzierzawski, J. T., Meyer, D. T., Dawson, H. E., & Olufade, O. A. (2024). Gender-specific hip strength disparities correlate with injury patterns in NCAA men's and women's soccer players. PMR, 16(4), 347–355. https://doi.org/10.1002/pmrj.13150
Beato, M., Maroto-Izquierdo, S., Turner, A., Bishop, C. (2021). Implementing strength training strategies for injury prevention in soccer: Scientific rationale and methodological recommendations. International Journal of Sports Physiology and Performance, 16(3), 456-461. https://doi.org/10.1123/ijspp.2020-0862
Bello, M. L., Gillen, Z. M., Smith, J.W. (2024). Changes in muscular strength following nine weeks of high- or low-load resistance training. Journal of Sports Medicine and Physical Fitness, 64(5), 439-445. https://doi.org/10.23736/S0022-4707.24.15569-7
Blazevich, A. J., & Sharp, N. C. (2005). Understanding muscle architectural adaptation: Macro- and micro-level research. Cells Tissues Organs, 181(1), 1-10. https://doi.org/10.1159/000091936
Blazevich, A. J., Cannavan, D., Coleman, D. R., & Horne, S. (2007). Influence of concentric and eccentric resistance training on architectural adaptation in human quadriceps muscles. Journal of Applied Physiology, 103(5), 1565–1575. https://doi.org/10.1152/japplphysiol.00578.2007
Bosco, C., Luhtanen, P., & Komi, P. V. (1983). A simple method for measurement of mechanical power in jumping. European Journal of Applied Physiology and Occupational Physiology, 50(2), 273-82. https://doi.org/10.1007/BF00422166
Brull-Muria, E., & Beltran-Garrido, J. V. (2021). Effects of a specific core stability program on the sprint and change-of-direction maneuverability performance in youth, male soccer players. International Journal of Environmental Research and Public Health, 18(19), 10116. https://doi.org/10.3390/ijerph181910116
Burd, N. A., West, D. W. D., Staples, A. W., Atherton, P. J., Baker, J. M., Moore, D. R., Holwerda, A. M., Parise, G., Rennie, M. J., Baker, S. K., & Phillips, S. M. (2010). Low-load high volume resistance exercise stimulates muscle protein synthesis more than high-load low volume resistance exercise in young men. Plos One, 5(8), e12033. https://doi.org/10.1371/journal.pone.0012033
Castillo, D., Raya-González, J., Scanlan, A. T., Sánchez-Díaz, S., Lozano, D., & Yanci, J. (2021). The influence of physical fitness attributes on external demands during simulated basketball matches in youth players according to age category. Physiology & Behavior, 233, 113354. https://doi.org/10.1016/j.physbeh.2021.113354
Cohen, J. (1998). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Croisier, J. L., Ganteaume, S., Binet, J., Genty, M., & Ferret, J. M. (2008). Strength imbalances and prevention of hamstring injury in professional soccer players: A prospective study. American Journal of Sports Medicine, 36(8), 1469–1475. https://doi.org/10.1177/0363546508316764
Domínguez-Navarro, F., Benitez-Martínez, J. C., Ricart-Luna, B., Cotolí-Suárez, P., Blasco-Igual, J. M., & Casaña-Granell, J. (2022). Impact of hip abductor and adductor strength on dynamic balance and ankle biomechanics in young elite female basketball players. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-07467-1
Durán-Custodio, R., Castillo, D., Raya-González, J., & Yanci, J. (2023). Is a maximal strength-training program effective on physical fitness, injury incidence, and injury burden in semi-professional soccer players? A Randomized Controlled Trial. Healthcare (Switzerland), 11(24). https://doi.org/10.3390/healthcare11241153
Ekstrand, J., Spreco, A., Bengtsson, H., & Bahr, R. (2021). Injury rates decreased in men’s professional football: An 18-year prospective cohort study of almost 12000 injuries sustained during 1.8 million hours of play. British Journal of Sports Medicine, 55(19), 1084–1091. https://doi.org/10.1136/bjsports-2020-103159
Emamvirdi, M., Letafatkar, A., & Khaleghi Tazji, M. (2019). The effect of valgus control instruction exercises on pain, strength, and functionality in active females with patellofemoral pain syndrome. Sports Health, 11(3), 223–237. https://doi.org/10.1177/1941738118821236
Franettovich Smith, M. M., Bonacci, J., Mendis, M. D., Christie, C., Rotstein, A., & Hides, J. A. (2017). Gluteus medius activation during running is a risk factor for season hamstring injuries in elite footballers. Journal of Science and Medicine in Sport, 20(2), 159–163. https://doi.org/10.1016/j.jsams.2016.08.023
Fritsch, C. G., Dornelles, M. P., Oliveira, G. dos S., & Baroni, B. M. (2023). Poor hamstrings-to-quadriceps torque ratios in male soccer players: Weak hamstrings, strong quadriceps, or both? Sports Biomechanics, 22(7), 811–821. https://doi.org/10.1080/14763141.2020.1864452
Fuller, C. W., Junge, A., Decelles, J., Donald, J., Jankelowitz, R., & Dvorak, J. (2010). “Football for health” - A football-based health-promotion programme for children in South Africa: A parallel cohort study. British Journal of Sports Medicine, 44(8), 546–554. https://doi.org/10.1136/bjsm.2010.073841
Gaamouri, N., Hammami, M., Cherni, Y., Oranchuk, D. J., Bragazzi, N., Knechtle, B., Chelly, M. S., & van den Tillaar, R. (2023). The effects of upper and lower limb elastic band training on the change of direction, jump, power, strength and repeated sprint ability performance in adolescent female handball players. Frontiers in Sports and Active Living, 5, 1021757. https://doi.org/10.3389/fspor.2023.1021757
Gabbett, T. J., & Domrow, N. (2007). Relationships between training load, injury, and fitness in sub-elite collision sport athletes. Journal of Sports Sciences, 25(13), 1507–1519. https://doi.org/10.1080/02640410701215066
Haddad, M., Abbes, Z., Zarrouk, N., Aganovic, Z., Hulweh, A., Moussa-Chamari, I., & Behm, D. G. (2023). Difference asymmetry between preferred dominant and non-dominant legs in muscular power and balance among sub-elite soccer players in Qatar. Symmetry, 15(3), 625. https://doi.org/10.3390/sym15030625
Hägglund, M., Waldén, M., & Ekstrand, J. (2005). Injury incidence and distribution in elite football - A prospective study of the Danish and the Swedish top divisions. Scandinavian Journal of Medicine and Science in Sports, 15(1), 21–28. https://doi.org/10.1111/j.1600-0838.2004.00395.x
Hägglund, M., Waldén, M., Magnusson, H., Kristenson, K., Bengtsson, H., & Ekstrand, J. (2013). Injuries affect team performance negatively in professional football: An 11-year follow-up of the UEFA Champions League injury study. British Journal of Sports Medicine, 47(12), 738–742. https://doi.org/10.1136/bjsports-2013-092215
Harper, D. J., Carling, C., & Kiely, J. (2019). High-Intensity Acceleration and Deceleration Demands in Elite Team Sports Competitive Match Play: A Systematic Review and Meta-Analysis of Observational Studies. Sports Medicine, 49(12), 1923–1947. https://doi.org/10.1007/s40279-019-01170-1
Heick, J. D., Talkington, M., & Jain, T. (2020). Electromyographic analysis of gluteal recruitment: An exploration of activation during jumping tasks. International Journal of Sports Physical Therapy, 15(6), 1019–1028. https://doi.org/10.26603/ijspt20201019
Hoffman, D. T., Dwyer, D. B., Tran, J., Clifton, P., & Gastin, P. B. (2019). Australian Football League injury characteristics differ between matches and training: A longitudinal analysis of changes in the setting, site, and time span from 1997 to 2016. Orthopaedic Journal of Sports Medicine, 7(4). https://doi.org/10.1177/2325967119839645
Hurley, O. A. (2016). Impact of player injuries on teams’ mental states, and subsequent performances, at the rugby world cup 2015. Frontiers in Psychology, 7, 807. https://doi.org/10.3389/fpsyg.2016.00807
Impellizzeri, F. M., McCall, A., Meyer, T., & van Smeden, M. (2022). Measures of (injury and illness) occurrence: A primer on epidemiological concepts and terminology for authors. Science and Medicine in Football, 6(2), 137–140. https://doi.org/10.1080/24733938.2021.2022159
Impellizzeri, F. M., Rampinini, E., Maffiuletti, N., & Marcora, S. M. (2007). A vertical jump force test for assessing bilateral strength asymmetry in athletes. Medicine and Science in Sports and Exercise, 39(11), 2044–2050. https://doi.org/10.1249/mss.0b013e31814fb55c
Iodice, P., Trecroci, A., Dian, D., Proietti, G., Alberti, G., & Formenti, D. (2020). Slow-Speed Resistance Training Increases Skeletal Muscle Contractile Properties and Power Production Capacity in Elite Futsal Players. Frontiers in Sports and Active Living, 2(8). https://doi.org/10.3389/fspor.2020.00008
Jones, A., Jones, G., Greig, N., Bower, P., Brown, J., Hind, K., & Francis, P. (2019). Epidemiology of injury in English Professional Football players: A cohort study. Physical Therapy in Sport, 35, 18–22. https://doi.org/10.1016/j.ptsp.2018.10.004
Kirkendall, D. T., & Dvorak, J. (2010). Effective injury prevention in soccer. Physician and Sportsmedicine, 38(1), 147–157. https://doi.org/10.3810/psm.2010.04.1769
Kirkwood, B. R., & Sterne, J. A. C. (2003). Essential Medical Statistics (2nd ed.). Oxford: Blackwell Science. https://doi.org/10.1002/9780470986849
Krutsch, W., Memmel, C., Alt, V., Krutsch, V., Tröß, T., aus der Fünten, K., & Meyer, T. (2022). Timing return-to-competition: A prospective registration of 45 different types of severe injuries in Germany’s highest football league. Archives of Orthopaedic and Trauma Surgery, 142(3), 455–463. https://doi.org/10.1007/s00402-021-04020-2
Martins, F., França, C., Sarmento, H., Henriques, R., Przednowek, K., Nascimento, M. M., … Gouveia, É. R. (2024). Lower limbs strength variations between injured and non-injured professional soccer players. Science progress, 107(1), 368504231216312. https://doi.org/10.1177/00368504231216312
Lee, I., Jeong, H. S., & Lee, S. Y. (2020). Injury profiles in Korean youth soccer. International Journal of Environmental Research and Public Health, 17(14), 1–10. https://doi.org/10.3390/ijerph17145153
Lephart, S. M., Abt, J. P., Ferris, C. M., Sell, T. C., Nagai, T., Myers, J. B., & Irrgang, J. J. (2005). Neuromuscular and biomechanical characteristic changes in high school athletes: A plyometric versus basic resistance program. British Journal of Sports Medicine, 39(12), 932–938. https://doi.org/10.1136/bjsm.2005.019083
Lesinski, M., Prieske, O., Chaabene, H., & Granacher, U. (2021). Seasonal effects of strength endurance vs. power training in young female soccer athletes. Journal of Strength and Conditioning Research, 35(Suppl 12), S90-S96. https://doi.org/10.1519/JSC.0000000000003798
Lim, C., Kim, H. J., Morton, R. W., Harris, R., Phillips, S. M., Jeong, T. S., & Kim, C. K. (2019). Resistance exercise-induced changes in muscle phenotype are load dependent. Medicine and Science in Sports and Exercise, 51(12), 2578–2585. https://doi.org/10.1249/MSS.0000000000002073
Longo, U. G., Lamberti, A., Maffulli, N., & Denaro, V. (2011). Tissue engineered biological augmentation for tendon healing: A systematic review. British Medical Bulletin, 98(1), 31–59. https://doi.org/10.1093/bmb/ldr007
Longo, U. G., Loppini, M., Cavagnino, R., Maffulli, N., & Denaro, V. (2012). Musculoskeletal problems in soccer players: Current concepts. Clinical Cases in Mineral and Bone Metabolism, 9(2), 107–111. https://doi.org/10.11138/ccmbm/2012.9.2.107
Lopes, J. S. S., Machado, A. F., Micheletti, J. K., de Almeida, A. C., Cavina, A. P., & Pastre, C. M. (2019). Effects of training with elastic resistance versus conventional resistance on muscular strength: A systematic review and meta-analysis. SAGE Open Medicine, 7. https://doi.org/10.1177/2050312119831116
Lovell, R., Siegler, J. C., Knox, M., Brennan, S., & Marshall, P. W. M. (2016). Acute neuromuscular and performance responses to Nordic hamstring exercises completed before or after football training. Journal of Sports Sciences, 34(24), 2286–2294. https://doi.org/10.1080/02640414.2016.1215494
Maffulli, N., Longo, U. G., & Denaro, V. (2010). Novel approaches for the management of tendinopathy. Journal of Bone and Joint Surgery, 92(15), 2604-2613. https://doi.org/10.2106/JBJS.I.01539
Marshall, P. W. M., Lovell, R., Knox, M. F., Brennan, S. L., & Siegler, J. C. (2015). Hamstring fatigue and muscle activation changes during six sets of Nordic hamstring exercise in amateur soccer players. Journal of Strength and Conditioning Research, 29(11), 3124-3133. https://doi.org/10.1519/JSC.0000000000000969
Mascarin, N. C., De Lira, C. A. B., Vancini, R. L., Pochini, A. de C., da Silva, A. C., & Andrade, M. dos S. (2017). Strength training using elastic bands: Improvement of muscle power and throwing performance in young female handball players. Journal of Sport Rehabilitation, 26(3), 245–252. https://doi.org/10.1123/jsr.2016-0029
McKay, A. K. A., Stellingwerff, T., Smith, E. S., Martin, D. T., Mujika, I., Goosey-Tolfrey, V. L., Sheppard, J., & Burke, L. M. (2022). Defining training and performance caliber: A participant classification framework. International Journal of Sports Physiology and Performance, 17(2), 317–331. https://doi.org/10.1123/ijspp.2021-0253
Mendiguchia, J., Edouard, P., Samozino, P., Brughelli, M., Cross, M., Ross, A., Gill, N., & Morin, J. B. (2016). Field monitoring of sprinting power–force–velocity profile before, during and after hamstring injury: Two case reports. Journal of Sports Sciences, 34(6), 535–541. https://doi.org/10.1080/02640414.2015.1122204
Mitchell, C. J., Churchward-Venne, T. A., West, D. W. D., Burd, N. A., Breen, L., Baker, S. K., & Phillips, S. M. (2012). Resistance exercise load does not determine training-mediated hypertrophic gains in young men. Journal of Applied Physiology, 113(1), 71–77. https://doi.org/10.1152/japplphysiol.00307.2012
Miyazaki, T., & Fujii, N. (2022). Effects of changes in optimal muscle fibre length in the biceps femoris long head on muscle force during the late swing phase of maximal speed sprinting: A simulation study. Sports Biomechanics, 8, 1-16. https://doi.org/10.1080/14763141.2022.2097895
Morton, R. W., Oikawa, S. Y., Wavell, C. G., Mazara, N., Mcglory, C., Quadrilatero, J., Baechler, B. L., Baker, S. K., & Phillips, S. M. (2016). Neither load nor systemic hormones determine resistance training-mediated hypertrophy or strength gains in resistance-trained young men. Journal of Applied Physiology, 121(1), 129–138. https://doi.org/10.1152/japplphysiol.00154.2016
Myer, G. D., Ford, K. R., McLean, S. G., & Hewett, T. E. (2006). The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. American Journal of Sports Medicine, 34(3), 445–455. https://doi.org/10.1177/0363546505281252
Newton, R. U., Gerber, A., Nimphius, S., & Shim, J. K. (2006). Determination of functional strength imbalance of the lower extremities. Journal of Strength and Conditioning Research, 20(4), 971-977. https://doi.org/10.1519/R-18975.1
O’Connor, B., Simmons, J., & O’Shea, P. (1989). Weight training today. St. Paul, MN: West Publishing.
Olivares-Jabalera, J., Fílter-Ruger, A., Dos’Santos, T., Afonso, J., Villa, F., Morente-Sánchez, J., Soto-Hermoso, V. M., & Requena, B. (2021). Exercise-based training strategies to reduce the incidence or mitigate the risk factors of anterior cruciate ligament injury in adult football (Soccer) players: A systematic review. International Journal of Environmental Research and Public Health, 18(24). https://doi.org/10.3390/ijerph182413297
Owoeye, O. B. A., Aiyegbusi, A. I., Fapojuwo, O. A., Badru, O. A., & Babalola, A. R. (2017). Injuries in male and female semi-professional football (soccer) players in Nigeria: Prospective study of a National Tournament. BMC Research Notes, 10(1), 1–6. https://doi.org/10.1186/s13104-017-2505-x
Pérez-Gómez, J., Adsuar, J. C., Alcaraz, P. E., & Carlos-Vivas, J. (2022). Physical exercises for preventing injuries among adult male football players: A systematic review. Journal of Sport and Health Science, 11(1), 115-122. https://doi.org/10.1016/j.jshs.2020.12.004
Pietraszewski, P., Gołaś, A., Matusiński, A., Mrzygłód, S., Mostowik, A., & Maszczyk, A. (2020). Muscle activity asymmetry of the lower limbs during sprinting in elite soccer players. Journal of Human Kinetics, 75(1), 239–245. https://doi.org/10.2478/hukin-2020-0041
Plotkin, D., Coleman, M., Van Every, D., Maldonado, J., Oberlin, D., Israetel, M., Feather, J., Alto, A., Vigotsky, A. D., & Schoenfeld, B. J. (2022). Progressive overload without progressing load? The effects of load or repetition progression on muscular adaptations. PeerJ, 10, e14142. https://doi.org/10.7717/peerj.14142
Raya-González, J., Torres Martin, L., Beato, M., Rodríguez-Fernández, A., & Sanchez-Sanchez, J. (2023). The effects of training based on Nordic hamstring and sprint exercises on measures of physical fitness and hamstring injury prevention in U19 male soccer players. Research in Sports Medicine, 31(5), 588–603. https://doi.org/10.1080/15438627.2023.2189631
Ribič, A., Hadzic, V., & Spudić, D. (2024). Hip adduction and abduction strength in different test positions and their relationship to previous groin injuries in women footballers. Research in Sports Medicine, 1–12. https://doi.org/10.1080/15438627.2024.2368898
Romero-Franco, N., Jiménez-Reyes, P., & Montaño-Munuera, J. A. (2017). Validity and reliability of a low-cost digital dynamometer for measuring isometric strength of lower limb. Journal of Sports Sciences, 35(22), 2179–2184. https://doi.org/10.1080/02640414.2016.1260159
Rossi, A., Pappalardo, L., Cintia, P., Iaia, F. M., Fernàndez, J., & Medina, D. (2018). Effective injury forecasting in soccer with GPS training data and machine learning. Plos One, 13(7), e0201264. https://doi.org/10.1371/journal.pone.0201264
Sánchez-Sánchez, J., Torres Martín, L., Ramirez-Campillo, R., Castillo, D., & Raya-González, J. (2022). The effects of jump training on measures of physical performance, lower extremities injury incidence and burden in highly trained male soccer players. Research in Sports Medicine, 32(1), 107-121. https://doi.org/10.1080/15438627.2021.1888108
Schoenfeld, B. J., Peterson, M. D., Ogborn, D., Contreras, B., & Sonmez, G. T. (2015). Effects of low- vs. high-load resistance training on muscle strength and hypertrophy in well-trained men. Journal of Strength and Conditioning Research, 29(10), 2954-2963. https://doi.org/10.1519/JSC.0000000000000958
Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT Group. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMJ, 23, 340. https://doi.org/10.1136/bmj.c332
Snyder, K. R., Earl, J. E., O’Connor, K. M., & Ebersole, K. T. (2009). Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clinical Biomechanics, 24(1), 26–34. https://doi.org/10.1016/j.clinbiomech.2008.09.009
Spencer, M., Pyne, D., Santisteban, J., & Mujika, I. (2011). Fitness determinants of repeated-sprint ability in highly trained youth football players. International Journal of Sports Physiology and Performance, 6(4), 497-508. https://doi.org/10.1123/ijspp.6.4.497
Thompson, J. A., Chaudhari, A. M. W., Schmitt, L. C., Best, T. M., & Siston, R. A. (2013). Gluteus maximus and soleus compensate for simulated quadriceps atrophy and activation failure during walking. Journal of Biomechanics, 46(13), 2165–2172. https://doi.org/10.1016/j.jbiomech.2013.06.014
Timmins, R. G., Filopoulos, D., Nguyen, V., Giannakis, J., Ruddy, J. D., Hickey, J. T., Maniar, N., & Opar, D. A. (2021). Sprinting, strength, and architectural adaptations following hamstring training in Australian footballers. Scandinavian Journal of Medicine and Science in Sports, 31(6), 1276–1289. https://doi.org/10.1111/sms.13963
Torrontegui-Duarte, M., Gijon-Nogueron, G., Perez-Frias, J. C., Morales-Asencio, J. M., & Luque-Suarez, A. (2020). Incidence of injuries among professional football players in Spain during three consecutive seasons: A longitudinal, retrospective study. Physical Therapy in Sport, 41, 87–93. https://doi.org/10.1016/j.ptsp.2019.12.008
Weakley, J., Schoenfeld, B. J., Ljungberg, J., Halson, S. L., & Phillips, S. M. (2023). Physiological responses and adaptations to lower load resistance training: Implications for health and performance. Sports Medicine, 9(1), 28. https://doi.org/10.1186/s40798-023-00345-1