Importance of Peak Height Velocity Timing in Terms of Injuries in Talented Soccer Players

Abstract

The purpose of this study was to identify differences in traumatic and overuse injury incidence between talented soccer players who differ in the timing of their adolescent growth spurt. 26 soccer players (mean age 11.9±0.84 years) were followed longitudinally for 3 years around Peak Height Velocity, calculated according to the Maturity Offset Protocol. The group was divided into an earlier and later maturing group by median split. Injuries were registered following the FIFA consensus statement. Mann-Whitney tests showed that later maturing players had a significantly higher overuse injury incidence than their earlier maturing counterparts both in the year before Peak Height Velocity (3.53 vs. 0.49 overuse injuries/1 000 h of exposure, U=49.50, z=−2.049, p<0.05) and the year of Peak Height Velocity (3.97 vs. 1.56 overuse injuries/1 000 h of exposure, U=50.5, z=−1.796, p<0.05). Trainers and coaches should be careful with the training and match load they put on talented soccer players, especially those physically not (yet) able to handle that load. Players appear to be especially susceptible to injury between 13.5 and 14.5 years of age. Training and match load should be structured relative to maturity such that athletic development is maximized and the risk of injury is minimized.

Key words

maturation - development - traumatic - overuse - longitudinal study - adolescent

• References

• 1 Baxter-Jones A, Maffulli N, Helms P. Low injury rates in elite athletes. Arch Dis Child 1993; 68: 130-132
• 2 Beunen GP, Rogol AD, Malina RM. Indicators of biological maturation and secular changes in biological maturation. Food and Nutrition Bulletin 2006; 27 (4 suppl.) S244-S256
• 3 Brink MS, Frencken WGP, Jordet G, Lemmink KA. Coaches’ and players’ perceptions of training dose: not a perfect match. Int J Sports Physiol Perform 2013; Nov 13 (Epub ahead of print)
• 4 Brink MS, Visscher C, Arends S, Zwerver J, Post WJ, Lemmink KA. Monitoring stress and recovery: new insights for the prevention of injuries and illnesses in elite youth soccer players. Br J Sports Med 2010; 44: 809-815
• 5 Brink MS, Visscher C, Coutts AJ, Lemmink KA. Changes in perceived stress and recovery in overreached young elite soccer players. Scand J Med Sci Sports 2012; 22: 285-292
• 6 Carling C, Le Gall F, Malina RM. Body size, skeletal maturity, and functional characteristics of elite academy soccer players on entry between 1992 and 2003. J Sports Sci 2012; 30: 1683-1693
• 7 Coelho E, Silva MJ, Figueiredo AJ, Simoes F, Seabra A, Natal A, Vaeyens R, Philippaerts R, Cumming SP, Malina RM. Discrimination of u-14 soccer players by level and position. Int J Sports Med 2010; 31: 790-796
• 8 Elferink-Gemser MT, Huijgen BC, Coelho-e-Silva M, Lemmink KA, Visscher C. The changing characteristics of talented soccer players – a decade of work in Groningen. J Sports Sci 2012; 30: 1581-1591
• 9 Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med 2003; 13: 256-268
• 10 Field A. Non-parametric tests. Discovering Statistics Using SPSS: Sage publication; London, Thousand Oaks, New Delhi: 2005: 540-550
• 11 Figueiredo AJ, Coelho E, Silva MJ, Cumming SP, Malina RM. Size and maturity mismatch in youth soccer players 11- to 14-years-old. Pediatr Exerc Sci 2010; 22: 596-612
• 12 Figueireido AJ, Coelho e Silva MJ, Malina RM. Predictors of functional capacity and skill in youth soccer players. Scand J Med Sci Sports 2011; 21: 446-454
• 13 Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hagglund M, McCrory P, Meeuwisse WH. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scand J Med Sci Sports 2006; 16: 83-92
• 14 Harley JA, Barnes CA, Portas M, Lovell R, Barrett S, Paul D, Weston M. Motion analysis of match-play in elite U12 to U16 age-group soccer players. J Sports Sci 2010; 28: 1391-1397
• 15 Harris DJ, Atkinson G. Ethical standards in sports and exercise research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
• 16 Impellizzeri FM, Rampinini E, Marcora SM. Physiological assessment of aerobic training in soccer. J Sports Sci 2005; 23: 583-592
• 17 Iuliano-Burns S, Mirwald RL, Bailey DA. Timing and magnitude of peak height velocity and peak tissue velocities for early, average, and late maturing boys and girls. Am J Hum Biol 2001; 13: 1-8
• 18 Johnson A, Doherty PJ, Freemont A. Investigation of growth, development, and factors associated with injury in elite schoolboy footballers: prospective study. BMJ 2009; 338: b490
• 19 Kentta G, Hassmen P. Overtraining and recovery. A conceptual model. Sports Med 1998; 26: 1-16
• 20 Le Gall F, Carling C, Reilly T. Biological maturity and injury in elite youth football. Scand J Med Sci Sports 2007; 17: 564-572
• 21 Malina RM, Beunen G. Matching of opponents in youth sports. In: Bar-Or O. (ed.) The child and adolescent athlete. Oxford: Blackwell Science; 1996: 202-213
• 22 Malina RM, Bouchard C, Bar-Or O. Growth, Maturation and physical activity. Champaign: Human Kinetics; 2004
• 23 Malina RM, Chamorro M, Serratosa L, Morate F. TW3 and Fels skeletal ages in elite youth soccer players. Ann Hum Biol 2007; 34: 265-272
• 24 Malina RM, CoelhoE Silva MJ, Figueireido AJ, Carling C, Beunen GP. Interrelationships among invasive and non-invasive indicators of biological maturation in adolescent male soccer players. J of Sports Sciences 2012; 30: 1705-1717
• 25 Malina RM, Eisenmann JC, Cumming SP, Ribeiro B, Aroso J. Maturity-associated variation in the growth and functional capacities of youth football (soccer) players 13–15 years. Eur J Appl Physiol 2004; 91: 555-562
• 26 Malina RM, Koziel SM. Validation of maturity offset in a longitudinal sample of Polish boys. J of Sports Sciences 2014; 35: 424-437
• 27 Malina RM, Morano PJ, Barron M, Miller SJ, Cumming SP, Kontos AP. Incidence and player risk factors for injury in youth football. J Sports Sci 2006; 16: 214-222
• 28 Malina RM, Pena Reyes ME, Eisenmann JC, Horta L, Rodrigues J, Miller R. Height, mass and skeletal maturity of elite Portuguese soccer players aged 11–16 years. J Sports Sci 2000; 18: 685-693
• 29 Mendez-Villanueva A, Buchheit M, Kuitunen S, Douglas A, Peltola E, Bourdon P. Age-related differences in acceleration, maximum running speed, and repeated-sprint performance in young soccer players. J Sports Sci 2011; 29: 477-484
• 30 Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc 2002; 34: 689-694
• 31 Philippaerts RM, Vaeyens R, Janssens M, Van Renterghem B, Matthys D, Craen R, Bourgois J, Vrijens J, Beunen G, Malina RM. The relationship between peak height velocity and physical performance in youth soccer players. J Sports Sci 2006; 24: 221-230
• 32 Quatman-Yates CC, Quatman CE, Meszaros AJ, Paterno MV, Hewett TE. A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness?. Br J Sports Med 2012; 46: 649-655
• 33 Ross WD. Marfell-JonesMJ. Kinanthropometry. In: MacDougall JD. (ed.) Physiological Testing of the High-Performance Athlete. 2^nd Edition Canadian Association of Sports Sciences, Sports Medicine Council of Canada; 1991
• 34 Roy MA, Bernard D, Roy D, Marcotte G. Body-checking in pee-wee hockey. Physician Sportsmed 1989; 17: 119-126
• 35 Valente-dos-Santos J, Coelho-e-Silva MJ, Simoes F, Figueiredo AJ, Leite N, Elferink-Gemser MT, Malina RM, Sherar L. Modeling developmental changes in functional capacities and soccer-specific skills in male players aged 11–17 years. Pediatr Exerc Sci 2012; 24: 603-621
• 36 van der Sluis A, Elferink-Gemser MT, Coelho-E-Silva MJ, Nijboer JA, Brink MS, Visscher C. Ssport injuries aligned to peak height velocity in talented pubertal soccer players. Int J Sports Med 2013;
• 37 Wrigley R, Drust B, Stratton G, Scott M, Gregson W. Quantification of the typical weekly in-season training load in elite junior soccer players. J Sports Sci 2012; 30: 1573-1580