Concussion Incidence and Recurrence in Professional Australian Football Match-Play: A 14-Year Analysis.
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ABSTRACT:
SUBMITTER: Gibbs N
PROVIDER: S-EPMC5540267 | biostudies-other | 2017
REPOSITORIES: biostudies-other
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Project description:There is a rapid growing body of knowledge regarding physical aspects of a football match due to studies using computer-assisted motion analysis. The present study used time-motion analysis and triaxial-accelerometers to obtain new insights about differences in physical profiles of elite football players across playing-positions. Player performance data in 23 official home matches from a professional football club, during two seasons were collected for analysis. Eighteen players from five different playing positions (central backs: n = 3; full-backs: n = 5; central midfielders: n = 6; wide midfielders: n = 3; and central forwards: n = 4), performing a total of 138 observations. A novel finding was that central backs and central midfielders had significantly lower work-rate in sprints, decelerations and accelerations than full-backs, wide midfielders and central forwards (p<0.001). Furthermore, wide midfielders and full-backs performed significantly more turns (>90°) than central backs. The most common distance covered in high-intensity runs (?19.8 km·h-1) for central backs, central midfielders, wide midfielders and central forwards was 1-5 m, but for full-backs was 6-10 m. This may help coaches in developing individualized training programs to meet the demands of each position in match-play.
| S-EPMC5967838 | biostudies-literature
Project description:BACKGROUND:Rugby league is a collision sport, where players are expected to be physically competent in a range of areas, including aerobic fitness, strength, speed and power. Several studies have attempted to characterise the physical demands of rugby league match-play, but these studies often have relatively small sample sizes based on one or two clubs, which makes generalisation of the findings difficult. Therefore, the aim of this review was to synthesise studies that investigated the physical demands of professional rugby league match-play. METHODS:SPORTDiscus, CINAHL, MEDLINE (EBSCO) and Embase (EBSCO) databases were systematically searched from inception until October 2018. Articles were included if they (1) recruited professional rugby league athletes aged ??18?years and (2) provided at least one match-play relevant variable (including playing time, total and relative distance, repeat high-intensity efforts (RHIE), efforts per RHIE, accelerations and decelerations, total and relative collisions). Meta-analyses were used to provide pooled estimates ±?95% confidence intervals. RESULTS:A total of 30 studies were included. Pooled estimates indicated that, compared to adjustables and backs, forwards have less playing time (-?17.2?±?5.6 and -?25.6?±?5.8?min, respectively), cover less 'slow-speed' (-?2230?±?735 and -?1348?±?655?m, respectively) and 'high-speed' distance (-?139?±?108 and?-?229?±?101?m, respectively), but complete more relative RHIEs (+?0.05?±?0.05 and +?0.08?±?0.04 per minute, respectively), and total (+?12.0?±?8.1 and?+?12.8?±?7.2 collisions, respectively) and relative collisions (+?0.32?±?0.22 and?+?0.41?±?0.22 collisions per minute, respectively). Notably, when the distance was expressed relative to playing time, forwards were not different from adjustables and backs in slow-speed (P???0.295) and high-speed (P???0.889) relative distance. The adjustables and backs subgroups were similar in most variables, except playing time (shorter for adjustables, -?8.5?±?6.2?min), slow-speed distance (greater for adjustables, +?882?±?763?m) and total relative distance (greater for adjustables, +?11.3?±?5.2?m·min-1). There were no significant differences between positional groups for efforts per RHIE, accelerations and decelerations (P???0.745). CONCLUSIONS:These results indicate the unique physical demands of each playing position and should be considered by strength and conditioning and tactical coaches when planning for professional rugby league performance. PROTOCOL REGISTRATION: https://osf.io/83tq2/.
| S-EPMC6560119 | biostudies-literature
Project description:ObjectivesTo assess in a single team of Australian Rules football players the effect of a specific intervention program on the incidence and consequence of hamstring muscle strain injuries.MethodA prospective study was performed with a single team being followed for four playing seasons for hamstring injury. Magnetic resonance imaging was used to confirm the diagnosis of hamstring muscle injury. After two playing seasons an intervention program was implemented with the number of athletes with hamstring injury, competition days missed, and incidence of hamstring match injuries per 1000 h of playing time being compared pre- and post-intervention. The intervention program involved stretching whilst fatigued, sport specific training drills, and an emphasis on increasing the amount of high intensity anaerobic interval training.ResultsIn the seasons prior to the intervention, nine and 11 athletes sustained hamstring injury compared to two and four following intervention. Competition days missed reduced from 31 and 38 to 5 and 16 following intervention and match incidence decreased from 4.7 to 1.3 per 1000 h of playing time. A beneficial effect was demonstrated with a smaller number of players having hamstring injuries (p = 0.05), a lower number of competition games missed being recorded (p < 0.001), and a decrease in hamstring strain incidence per 1000 h of playing time (p = 0.01) following the intervention program.ConclusionsIncreasing the amount of anaerobic interval training, stretching whilst the muscle is fatigued, and implementing sport specific training drills resulted in a significant reduction in the number and consequences of hamstring muscle strain injuries.
| S-EPMC1725238 | biostudies-literature
Project description:Background Biomarkers that can objectively guide the diagnosis of sports-related concussion, and consequent return-to-play decisions, are urgently needed. In this study, we aimed to determine the temporal profile and diagnostic ability of serum levels of neurofilament light (NfL), ubiquitin carboxy-terminal hydrolase L1 (UCHL1), glial fibrillary acidic protein (GFAP), and tau in concussed male and female Australian footballers. Methods Blood was collected from 28 Australian rules footballers (20 males, 8 females) at 2-, 6-, and 13-days after a diagnosed concussion for comparison to their levels at baseline (i.e. pre-season), and with 27 control players (19 males, 8 females) without a diagnosis of concussion. Serum concentrations of protein markers associated with damage to neurons (UCHL1), axons (NfL, tau), and astrocytes (GFAP) were quantified using a Simoa HD-X Analyzer. Biomarker levels for concussed players were compared over time and between sex using generalised linear mixed effect models, and diagnostic performance was assessed using area under the receiver operating characteristic curve (AUROC) analysis. Results Serum NfL was increased from baseline in male footballers at 6- and 13-days post-concussion. GFAP and tau were increased in male footballers with concussion at 2- and 13-days respectively. NfL concentrations discriminated between concussed and non-concussed male footballers at all time-points (AUROC: 2d = 0.73, 6d = 0.85, 13d = 0.79), with tau also demonstrating utility at 13d (AUROC = 0.72). No biomarker differences were observed in female footballers after concussion. Conclusions Serum NfL may be a useful biomarker for the acute and sub-acute diagnosis of concussion in males, and could inform neurobiological recovery and return-to-play decisions. Future adequately powered studies are still needed to investigate biomarker changes in concussed females. Supplementary Information The online version contains supplementary material available at 10.1186/s40364-020-00256-7.
| S-EPMC7797141 | biostudies-literature
Project description:Australian Rules football comprises physical and skilled performance for more than 90 min of play. The cognitive and physiological fatigue experienced by participants during a match may reduce performance. Consequently, the length of time an athlete is on the field before being interchanged (known as a stint), is a key tactic which could maximize the skill and physical output of the Australian Rules athlete. This study developed two methods to quantify the relationship between athlete time on field, skilled and physical output. Professional male athletes (n = 39) from a single elite Australian Rules football club participated, with physical output quantified via player tracking systems across 22 competitive matches. Skilled output was calculated as the sum of involvements performed by each athlete, collected from a commercial statistics company. A random intercept and slope model was built to identify how a team and individuals respond to physical outputs and stint lengths. Stint duration (mins), high intensity running (speeds >14.4 km · hr-1) per minute, meterage per minute and very high intensity running (speeds >25 km·hr-1) per minute had some relationship with skilled involvements. However, none of these relationships were strong, and the direction of influence for each player was varied. Three conditional inference trees were computed to identify the extent to which combinations of physical parameters altered the anticipated skilled output of players. Meterage per minute, player, round number and duration were all related to player involvement. All methods had an average error of 10 to 11 involvements, per player per match. Therefore, other factors aside from physical parameters extracted from wearable technologies may be needed to explain skilled output within Australian Rules football matches.
| S-EPMC5660114 | biostudies-literature
Project description:Introduction: Although several approaches have been proposed to mitigate post-match fatigue, few studies have been conducted in team sports to understand the types of recovery methods and the underlying reasons for the choices of medical and technical staff. This study aimed to develop a valid and reliable online questionnaire to assess the recovery practices implemented by football clubs within 72 h post-match. Methods: Two research members developed the original questionnaire proposal, and two experts in sports science and sports medicine confirmed the content and face validities. Then, 20 football coaches (age: 39.4 ± 6.8 years) with a minimum of 5 years of experience in professional football (9.1 ± 4.9 years) and with an academic background participated in determining the ecological validity and reliability of the questionnaire. The acceptability and relevance of the questionnaire were determined using descriptive statistics. Results: After confirming the content and face validities, one questionnaire section with two questions was excluded due to lack of relevance, seven open-ended questions were removed due to the adherence of small participants (i.e., 45.4%), and one section was divided into three to facilitate clearness in reading. The remaining sections were considered acceptable and relevant (>94.1%). About 91.8% of nominal and ordinal items derived from the questionnaire questions showed good to very good reliability outcomes (average k classification: 0.73 ± 0.13; min-max: 0.22-1.00, p < 0.05; average wk classification: 0.82 ± 0.15; min-max: 0.22-1.00, p < 0.05). Conclusions: This study provided a novel, valid, reliable, and easy-to-use tool to examine the post-match recovery practices in professional football contexts.
| S-EPMC8319234 | biostudies-literature
Project description:Introduction: Accurate interpretation of activity profile data requires an understanding of the variables influencing player movement during matches. Methods: Over 65,000 stints (player rotations) from all 207 matches of the 2018 Australian Football League (AFL) season were evaluated. The relative activity profile including total distance per minute (TD), high-speed running distance per minute (HSR) and Player LoadTM per minute (PL) was determined for each stint and analysed against a range of match-related, player-related and environment-related predictor variables using multivariate linear mixed modelling. Effect size statistics along with the uncertainty in the estimates (95% confidence interval) were used to interpret the findings. Results: The smallest important effects on TD, HSR, and PL were calculated as 1.5%, 5.5%, and 2.4%, respectively. Stint duration had small to moderate negative effects on TD (-6%), PL (-7.7%), and HSR (-13%), while recovery duration between stints had a small positive effect on HSR (+7%). There were moderate reductions in TD (-8%), HSR (-23%), and PL (-9.6%) in the last quarter compared to the first quarter of matches, while similar reductions existed in subsequent stints compared to the first stint in each quarter. Moderate to large differences of up to 9% in TD, 48% in HSR and 12% in PL existed between positions. The TD of less experienced players was slightly higher than their more experienced counterparts (2-3%). A 5% increase in body mass was associated with a small reduction in HSR (-5.5%). There were small reductions in TD (-2%), HSR (-10%), and PL (-3%) during the Finals Series compared to the Premiership Season. Moderate levels of rainfall during matches and higher apparent temperatures had small negative effects on TD (-2%) and HSR (-6 and -9%). The number of days break between matches, score margin, match outcome, ground hardness, ground size, and traveling for the current or the previous match had trivial effects on the activity profile. Conclusion: Player position and stage of the match (quarter) had the largest effects on match activity profile while stint duration, recovery duration, stint timing, professional experience, body mass, stage of the season, and weather conditions also had substantial effects.
| S-EPMC7739775 | biostudies-literature
Project description:The current study aimed to determine whether previously identified candidate polymorphisms were associated with match performance in sub-elite Australian Rules Football (ARF) players. The genotypes of thirty players were analysed along with 3x1-kilometre time trial results, ARF-specific skill assessments (handball and kicking), and match performance (direct game involvements) per minute (DGIs/min) to investigate if there was a relationship between any of the variables. Results support previous findings that aerobic time trials are a significant predictor of DGIs/min in sub-elite ARF players. Significant associations were found for genotypes ADRB2 CC (p = .001), PPARGC1A AA (p = .001), PPARGC1A AG (p < .001), ACE ID (p < .001), COMT AA (p = .003), BDNF AG (p = .008), ADRB1 CC (p = .018) and ADRB3 CC (p = .010) and the 3x1-kilometre time trials (p < .001). In the current study, a variant in the DRD2 gene was a strong predictor of handball possessions during a match. Significance was seen for variants in the BDNF and COMT genes when the kicking and handball skill test results were combined and used in a linear mixed model to predict DGIs/min, suggesting a potential relationship with motor learning. The confirmation of genetic predictors of player performance in a team sport, such as ARF, suggests a portion of the physiological mechanisms of skill and ARF-specific talent may be explained by the expression of a specific number of genes.
| S-EPMC6353729 | biostudies-literature
Project description:Despite the importance of extra-time in determining progression in specific soccer tournament matches, few studies have profiled the demands of 120-minutes of soccer match-play. With a specific focus on the extra-time period, and using a within-match approach, we examined the influence of prolonged durations of professional soccer match-play on markers of technical (i.e., skilled) performance. In 18 matches involving professional European teams played between 2010 and 2014, this retrospective study quantified the technical actions observed during eight 15-minute epochs (E1: 00∶00-14∶59 min, E2: 15∶00-29∶59 min, E3: 30∶00-44∶59 min, E4: 45∶00-59∶59 min, E5: 60∶00-74∶59 min, E6: 75∶00-89∶59 min, E7: 90∶00-104∶59 min, E8: 105∶00-119∶59 min). Analysis of players who completed the demands of the full 120 min of match-play revealed that the cumulative number of successful passes observed during E8 (61±23) was lower than E1-4 (E1: 88±23, P = 0.001; E2: 77±21, P = 0.005; E3: 79±18, P = 0.001; E4: 80±21, P = 0.001) and E7 (73±20, P = 0.002). Similarly, the total number of passes made in E8 (71±25) was reduced when compared to E1 (102±22, P = 0.001), E3 (91±19, P = 0.002), E4 (93±22, P≤0.0005) and E7 (84±20, P = 0.001). The cumulative number of successful dribbles reduced in E8 (9±4) when compared to E1 (14±4, P = 0.001) and E3 (12±4, P≤0.0005) and the total time the ball was in play was less in E8 (504±61 s) compared to E1 (598±70 s, P≤0.0005). These results demonstrate that match-specific factors reduced particular indices of technical performance in the second half of extra-time. Interventions that seek to maintain skilled performance throughout extra-time warrant further investigation.
| S-EPMC4208825 | biostudies-literature
Project description:Importance:Small studies suggest that head trauma in men may be associated with low testosterone levels and sexual dysfunction through mechanisms that likely include hypopituitarism secondary to ischemic injury and pituitary axonal tract damage. Athletes in contact sports may be at risk for pituitary insufficiencies or erectile dysfunction (ED) because of the high number of head traumas experienced during their careers. Whether multiple symptomatic concussive events are associated with later indicators of low testosterone levels and ED is unknown. Objective:To explore the associations between concussion symptom history and participant-reported indicators of low testosterone levels and ED. Design, Setting, and Participants:This cross-sectional study of former professional US-style football players was conducted in Boston, Massachusetts, from January 2015 to March 2017. Surveys on past football exposures, demographic factors, and current health conditions were sent via electronic and postal mail to participants within and outside of the United States. Analyses were conducted in Boston, Massachusetts; the data analysis began in March 2018 and additional analyses were performed through June 2019. Of the 13?720 male former players eligible to enroll who were contacted, 3506 (25.6%) responded. Exposures:Concussion symptom score was calculated by summing the frequency with which participants reported 10 symptoms, such as loss of consciousness, disorientation, nausea, memory problems, and dizziness, at the time of football-related head injury. Main Outcomes and Measures:Self-reported recommendations or prescriptions for low testosterone or ED medication served as indicators for testosterone insufficiency and ED. Results:In 3409 former players (mean [SD] age, 52.5 [14.1] years), the prevalence of indicators of low testosterone levels and ED was 18.3% and 22.7%, respectively. The odds of reporting low testosterone levels or ED indicators were elevated for previously established risk factors (eg, diabetes, sleep apnea, and mood disorders). Models adjusted for demographic characteristics, football exposures, and current health factors showed a significant monotonically increasing association of concussion symptom score with the odds of reporting the low testosterone indicator (highest vs lowest quartile, odds ratio, 2.39; 95% CI, 1.79-3.19; P?<?.001). The ED indicator showed a similar association (highest quartile vs lowest, odds ratio, 1.72; 95% CI, 1.30-2.27; P?<?.001). Conclusions and Relevance:Concussion symptoms at the time of injury among former football players were associated with current participant-reported low testosterone levels and ED indicators. These findings suggest that men with a history of head injury may benefit from discussions with their health care clinicians regarding testosterone deficiency and sexual dysfunction.
| S-EPMC6714010 | biostudies-literature