Match Analysis in Team Ball Sports: An Umbrella Review of Systematic Reviews and Meta-Analyses

Addressing meniscal deficiency part 2: An umbrella review of systematic reviews and meta-analyses on meniscal scaffold-based approaches

Purpose

Meniscal injuries are common in knee surgery and often require preservation techniques to prevent secondary osteoarthritis. Despite advancements in repair techniques, some patients undergo partial meniscectomy, which can lead to postmeniscectomy syndrome. To address these challenges, meniscal substitution techniques like scaffolds have been developed. However, a comprehensive synthesis of the existing evidence through an umbrella review is lacking.

Methods

A comprehensive search was conducted in the MEDLINE, Embase and Scopus databases to identify relevant systematic reviews and meta-analyses. Studies were screened based on predefined inclusion and exclusion criteria. The quality of included studies was assessed using the AMSTAR-2 tool.

Results

A total of 17 studies met the inclusion criteria and were included in the review. Most studies focused on the use of collagen-based scaffolds, with fewer studies evaluating synthetic scaffolds. The majority of studies (52.9%) were rated as having 'Critically Low' overall confidence, with only one study (5.9%) rated as 'High' confidence and most studies exhibiting methodological limitations, such as small sample sizes and lack of long-term follow-up. Despite these limitations, the majority of studies reported positive short-term outcomes, including pain relief and functional improvement, following scaffold implantation. However, some studies noted a relatively high failure rate. Radiographically, outcomes also varied, with some studies reporting morphological deterioration of the implant seen on MRI, while others noted possible chondroprotective effects.

Conclusions

Meniscal scaffold-based approaches show promise in the management of meniscal deficiency; however, the current evidence is limited by methodological shortcomings. One notable gap in the literature is the lack of clear guidelines for patient selection and surgical technique. Future research should focus on conducting well-designed randomized controlled trials with long-term follow-up to further elucidate the benefits and indications of these techniques in clinical practice. Additionally, efforts should be made to develop consensus guidelines to standardize the use of meniscal scaffolds and improve patient outcomes. Despite limited availability, synthesizing the literature on meniscal scaffold-based approaches is crucial for understanding research, guiding clinical decisions and informing future directions.

Level of Evidence

Level IV.

Comparing locomotor intensity indicators in soccer training and competition across contextual factors: a study of replaced coaches in a Portuguese professional 1st league team

This study aims to examine, for each head coach (HC) replaced, the association between training intensity and physical performances obtained in games. Furthermore, the study investigated how contextual factors influence locomotor and mechanical performance association. External load variables were collected using Global Positioning System (GPS) devices across the 4 weeks and 4 games before and after the replacement in a professional adult male soccer team. Six different HC records were analysed (48.8 ± 7.4 years of age; 11.2 ± 3.9 years as an HC) during a three-season span (2020/21-2022/2023). There were marked differences within player variability across the two coaching regimes. Game loads didn't reflect training-related performance, with differences ranging from -71.4% to -9.9%. Players under the outgoing coaches have greater coverage of meters per minute. Meters per minute, distance covered over 18 km/h and high-speed running (all in training) are found to be significant variables influenced by contextual factors. Within-subject and time, training loads did not reflect game-related loads/performances, with starters showing higher deficits (ranging from -79.0 to -14.5). The study suggests that changes in soccer HC can affect players' training intensity and game performance, influenced by various contextual factors and not directly correlated. This type of information might be very suitable to improve training load periodization and programming. For further research avenues, could be the study of the variation of the psychological states of the players at the time of the dismissal and hiring of the HCs, associating them with the physiological performance at the same moments.

Sequential Mapping of Game Patterns in Men and Women Professional Padel Players

PURPOSE

This study analyzed the sequences of actions in professional men and women padel players to identify common game patterns.

METHODS

The sample comprised 17,557 stroke-by-stroke actions (N = 1640 rallies) of the championship World Padel Tour. Multistep Markov chains were used to calculate the conditional probabilities of occurrence of actions during the rally.

RESULTS

Results revealed that men's and women's padel is mainly defined by 36 patterns constituting 55% and 63% of all actions in the game, respectively, with the 10 most common sequences accounting for 42% to 45% of the game. There were recurrent technical-tactical actions with specific offensive and defensive functions that were constantly reiterated during the rallies. In men, the use of smash, volley, bandeja, direct, back wall, back-wall lobs, and direct lobs followed a foreseeable pattern up to 8 lags, whereas women described predictable interactions for volley, bandeja, direct, lobs, and direct lobs up to 5 lags and for smash and back wall up to 4 lags.

CONCLUSIONS

The ability of padel players to recall these patterns and enhance their anticipation skills may potentially improve their performance. These findings contribute to a better knowledge of professional padel game dynamics while providing coaches and players with useful information to optimize training and decision-making strategies.

Internal and external load during on-field training drills with an aim of improving the physical performance of players in professional soccer: a retrospective observational study

Extensive research has led to evidence-based methodological recommendations for appropriate prescription and implementation of different training drills to improve the physical performance of professional soccer players, while also pointing out limitations of drills. Less is known about the current methods used in an ecological context and the extent to which evidence-based considerations are applied. Knowledge of current practices might also enable to identify pitfalls in successful implementation and/or deficiencies in the communication of scientific knowledge. Thus, the aim of this study was to quantify and compare the load that players experience in an ecological context during drills that are frequently used, and in which there is an intention to improve the players' physical capacities. Therefore, a retrospective observational cohort study was conducted over a 14-month period, analyzing 9 load measures during training drills of 39 players of a team competing in the highest Swiss league. The load experienced by players was statistically significant different between the assessed drill categories for each load measure (all p < .001). This indicates different drills provide different stimuli. HIIT drills proved to be a more powerful tool of getting players to cover distances at high-speed and to spend time at an intensity ≥90% HRmax compared to sided games. The sprint distance of players was very low in all sided games and in most cases also in HIIT drills, in the latter the players also hardly performed any deceleration. In small goal-oriented sided games, players covered a greater distance per minute when outside floaters were present. Particularly regarding an improvement of the players' aerobic capacity, the present data emphasize the relevance for coaches to ensure an appropriate exposure. In general, the importance of individual load management in professional soccer is highlighted.

Identifying Soccer Players' Playing Styles: A Systematic Review

Identifying playing styles in football is highly valuable for achieving effective performance analysis. While there is extensive research on team styles, studies on individual player styles are still in their early stages. Thus, the aim of this systematic review was to provide a comprehensive overview of the existing literature on player styles and identify research areas required for further development, offering new directions for future research. Following the PRISMA guidelines for systematic reviews, we conducted a search using a specific strategy across four databases (PubMed, Scopus, Web of Science, and SPORTDiscus). Inclusion and exclusion criteria were applied to the initial search results, ultimately identifying twelve studies suitable for inclusion in this review. Through thematic analysis and qualitative evaluation of these studies, several key findings emerged: (a) a lack of a structured theoretical framework for player styles based on their positions within the team formation, (b) absence of studies investigating the influence of contextual variables on player styles, (c) methodological deficiencies observed in the reviewed studies, and (d) disparity in the objectives of sports science and data science studies. By identifying these gaps in the literature and presenting a structured framework for player styles (based on the compilation of all reported styles from the reviewed studies), this review aims to assist team stakeholders and provide guidance for future research endeavors.

Training and match load ratios in professional soccer-should we use player- or position-specific match reference values?

Careful load management is needed to optimize the physical capacity, a key performance component, of soccer players. The training load of soccer players is often expressed as a percentage of match load. However, no study has yet evaluated how training match load ratios are affected by using either a player-specific or position-specific reference for match load. Therefore, this study aimed to compare training match load ratios of professional soccer players per day of a microcycle with match load being player-specific and position-specific, respectively. Additionally, the load that players typically experience per day of a microcycle and its variation should be analyzed. Therefore, a retrospective observational cohort study was conducted over a 14-month period, analyzing 11 external load measures during sessions of 20 players belonging to a team competing in the highest Swiss league. Within a microcycle, typical full matches presented a unique load for players, and they experienced higher training loads on days with a greater temporal distance to a match. Load variation proved to be highly associated with the day in a microcycle and the load measure. Substantial differences in typical load were evident in (i) trainings between players, (ii) matches both between players and positions, and (iii) training match load ratios when using player-specific or position-specific match references. The importance of individual load management in professional soccer was reaffirmed. When consulting training match load ratios for that purpose, one should be aware of the aim, select appropriate reference values depending on it, and interpret the ratios accurately to finally draw adequate conclusions.

Seasonal analysis of match load in professional soccer players: An observational cohort study of a Swiss U18, U21 and first team

The aim of this study was to quantify and compare various external match load measures in three age groups and leagues in male soccer (U18 in highest league of their age group vs U21 in fourth highest league vs first team in highest league). In this retrospective observational cohort study accelerations, decelerations, absolute and relative high-speed running as well as sprint distance, dynamic stress load, explosive distance, high intensity bursts total distance, high metabolic load (HML) distance, speed intensity, total distance, total time, and total loading were assessed in 416 individual player matches of 59 players. All these external load measures showed large inter-individual variability. At a group level, one-way ANOVAs or Kruskal-Wallis tests revealed statistically significant differences between the three teams for all measures analyzed (all p < 0.05), except accelerations. The first team displayed statistically significant higher dynamic stress load, explosive distance, HML distance, speed intensity, total distance and total loading compared to the two youth teams (all p < 0.05). The U18 featured statistically significant higher number of decelerations, absolute and relative high-speed running distance, high metabolic load distance, speed intensity, relative sprint distance, total distance, and total time than the U21, while for U21 higher dynamic stress load was observed than for U18 (all p < 0.05). Based on our data we conclude a routinely monitoring of match loads of different age groups and competitive settings to be required to 1) provide an indication of what players need to be prepared for, 2) track the athletic and match evolution, and 3) individually tailor training programs allowing players to fulfill the short- and long-term sport-specific requirements.

[Impact of isometric training on blood pressure: an umbrella study of systematic reviews and meta-analyses]

High blood pressure causes 45% of deaths from heart diseases and 51% of deaths from stroke.

OBJECTIVE

To conduct systematic search and summarize the systematic reviews and/or meta-analyses about impact of isometric training on blood pressure.

MATERIAL AND METHODS

Systematic search for publications in PubMed, Cochrane Library and Epistemonikos databases for the period from January of 2017 yr. to 19 of January 2023 yr. was carried out. The search was done by keywords: isometric exercises, isometric training, blood pressure, arterial hypertension, static resistance training, handgrip test. Methodological quality of included articles was assessed using the «Assessment of methodological quality of systematic reviews» (AMSTAR-2) tool. The number of systematic reviews equal 15 was analyzed.

RESULTS

The overall methodological quality of 15 included reviews, obtained by AMSTAR-2, revealed a very low confidence rate (critically low confidence, 10 publications) for results of systematic review and meta-analyses. In total, analysis and generalization of all results of included systematic reviews about blood pressure decrease by isometric training showed, that systolic blood pressure against the background of this method decreases on average by 6.1±2.0 mm Hg, and diastolic blood pressure - by 3.0±1.0 mm Hg.

CONCLUSION

Authors of 15 systemic reviews, included in an umbrella study, reached a common conclusion about isometric training efficacy in secondary prevention of arterial hypertension.