Several recent studies have revealed that high caliber European professional soccer players often have diminished levels of neurological functioning, yet no study has been able to identify the specific aspect of soccer participation responsible for these decreases. In an effort to identify a source of mild traumatic brain injury present in everyday participation in soccer, this study investigated whether a single bout of heading a soccer ball would have acute detrimental, measurable effects on sensorimotor and neurocognitive functioning. We hypothesized that subjects would exhibit significant changes in postural stability, memory, and concentration immediately after an acute bout of repeated heading a soccer ball. Additionally, we evaluated the protective effect(s) associated with wearing a mouthguard while performing the acute bout of heading. Twenty-eight elite level soccer players (mean age, 20.9 �� 2.5 yrs) were randomly assigned to one of three experimental groups: Headers with mouthguard (n=10), Headers with no mouthguard (n=10), and Control (n=8). Subjects in the two treatment groups performed 12 headers of soccer balls projected at 40 km/hr from an electric soccer ball-launching machine. Postural stability was evaluated using a Biodex Stability System, while memory and concentration were assessed using Wechsler Digit Span (WDS) tests (digits forward and digits backward) in a 3 x 2 factorial ANOVA design (��=0.05). There were no significant main effects or interactions among the three measures of postural stability scores in the three groups (p>0.05). The WDS Forward group means ranged from 10.4 �� 1.8 to 13.5 �� 1.2 while the WDS Backward means ranged from 6.4 �� 1.1 to 7.7 �� 3.0, but were not different among the groups (p>0.05). We concluded that a single bout of 12 soccer headers approximating the number of headers performed during a typical NCAA Division I-A soccer practice did not produce significant deficits in postural stability, memory, or concentration. While our findings are similar to several recent studies, we suggest that more sensitive measurement tools such as ImPACT neurocognitive testing and functional magnetic resonance imaging be utilized to determine the effects of acute as well as chronic exposure to headers in soccer players. / Graduation date: 2003

Background: An increased load on the European elite football players is seen; both physically, with more matches with the national teams and the club teams, but also mentally. To play football on the highest level induce a high injury risk with injury incidences very high, both in the national team and in the club teams. Objective: To investigate the injury risk among elite football players in UEFA Champions League when playing in their clubs compared to international matches with their national team respectively. Further the objective also was to study the injury incidence and injury pattern differences between national team players and non national team players. Materials and methods: In this study 3233 player seasons were registered for 6141 injuries from 134 UEFA Champions League team seasons, during the seasons 2001/2002 to 2009/2010. Existing data from UEFA research group consisted of injuries, exposure, anthropometric data etc. The author collected data regarding national team exposure. Definitions of injury severity, injury categorization, injury incidence are standard definitions and the definition of being national team player or not were given by the author. Results: The baseline data showed that the national team players played more matches, had more match injuries, had a higher match exposure and were younger. No large differences are seen in injury incidence in the type of injuries. Some specific injuries as Achilles tendon, low back pain and ACL are more common in matches whit the non national team players, while knee MCL injuries are more common among the national team players. The non national team players had more absence from injuries. When comparing the both groups in injury incidence in total, there were no differences. Discussion: The results of this study can be compared to other similar studies, because of the same procedure regarding injury incidence etc. as consensus. The figures in this study show the same figures as other studies in the same subject. Conclusions: The injury incidence and injury pattern do not diverge from one another or from earlier studies on the same topic. The noteworthy finding is that the players who play for the national team have not a higher injury incidence than the players who do not play for the national team.

Thesis (M.A.)--University of North Carolina at Chapel Hill, 2004. / Includes bibliographical references (leaves 113-119). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.

Thesis (M.A.)--University of North Carolina at Chapel Hill, 2004. / Includes bibliographical references (leaves 113-119).

M.Tech. / Soccer is the most widely played sport in the world and, of all the skills required to participate, the instep soccer kick is considered to be the primary offensive action within the game of soccer. Biomechanical analysis of the instep soccer kick has revealed that the action of kicking is characterised by a proximal to distal series of multi-articular movements with distal segmental movements being predetermined by more proximal ones (Kellis and Katis, 2007). According to Smith, Gilleard, Hammond and Brooks (2006), the lower spine and pelvis play a pivotal role in determining the placement and actions of distal segmental motion during the action of the instep soccer kick. The aim of this study was to determine the effectiveness of chiropractic adjustments in soccer players with lumbar facet and sacroiliac joint dysfunctions by assessing the resultant speed of a soccer ball once kicked with an instep soccer kick. By correcting the lumbar facet and sacroiliac joint dysfunction of the affected soccer players, it was postulated that with restoration of joint motion and reduction of pain, the speed of the soccer ball, when kicked, would improve. When kicked the resultant ball speed is indicative of biomechanical kicking success. Thirty male professional soccer players from the Jomo Cosmos football establishment who met the study’s selection criteria were selected and randomly divided into one of two groups. The study group received chiropractic adjustments of dysfunctional lumbar facets and sacroiliac joints and the control group received a placebo treatment in form of a de-tuned stationary ultra-sound head over the effected facets joints for five minutes. Treatment for both groups occurred over a two week period with treatment being administered twice a week, totalling of four treatments per participant. Data capture was collected 3 times over the 2-week period; 1st reading done before the 1st treatment, the 2nd reading before the 3rd treatment and the final reading taken after the 4th and final treatment. Data capture consisted of both subjective and objective readings. The subjective data consisted of the measurements of pain experienced by the participants in the form of a Numerical Pain Rating Scale. Objective data involved the measurement of ball speed once kicked, with the use of a radar speed gun as well as lumbar spine range of motion measurements by means of a Digital Inclinometer. In executing the group comparisons, it was found that both groups would present with contrasting results. The group undergoing the chiropractic adjustments would show an improvement in their ball speed, reduction in their overall pain and increased lumbar spine extension and rotation ROM; where as the group undergoing the placebo treatment experienced a decrease in their ball speed, an increase in their overall pain and decreased lumbar spine ROM. The results obtained from the study demonstrated that the majority of the data was not statistically significant in either of the groups however, from a clinical perspective there was a definite effect on the lumbar spine range of motion, ball speed and pain reduction as a result of the Chiropractic adjustments that would warrant further investigation. There is a definite link with the negative effects that lumbar facet and sacroiliac joint dysfunctions have on the proximal to distal sequence of events that take place during the instep soccer kick. Therefore, treating the lumbar facet and sacroiliac joint dysfunction with chiropractic adjustments allows for better transfer of energy between segments and for greater resultant ball speed. In conclusion, the study demonstrated that chiropractic adjustment of lumbar facet and Sacroiliac joint dysfunctions showed good improvement in the resultant ball speed, reduction in lower back pain and improved lumbar spine extension and rotation ROM. From these results, it would be prudent to incorporate more chiropractic treatment into mainstream soccer and encourage further research into the advantages that chiropractic treatment has in better understanding the biomechanics involved in the instep soccer kick.

Submitted to the Faculty of Health Science in partial compliance with the requirements for the Master’s Degree in Technology : Chiropractic, Department of Chiropractic,Durban University Of Technology, Durban. South Africa, 2015. / Introduction: Participation of young females in soccer has started to increase in the past few years. Females participating in soccer are more vulnerable to injuries than males due to the nature of the sport especially because the sport is characterised as a vigorous, high intensity, intermittent ball and contact activity. Objective: This study sought to determine the epidemiology of injuries in high school female soccer players in the eThekwini district. Method: A quantitative approach using a cross sectional survey was used to determine the epidemiology of injuries in female high school soccer players in the eThekwini district. One-hundred-and-ninety-seven female high school soccer players, between the ages of 14 to 19 years who have played soccer for at least one season, from 27 female high schools in the eThekwini district were invited to participate. A self-administered questionnaire was used to determine the demographic profile of the players and the reported prevalence of injuries in the soccer players. The study also determined the profile of soccer related injuries, management of injuries, identified risk factors for injury, and compared injuries occurring during training and during matches. Results: Out of a total of 85 respondents only 31 sustained injuries. The injury prevalence for the season was 36.5%. Only 61 injuries (71.8%) were reported by the injured players. The rate of injury was 90 per 1000 athlete exposure hours during the season. Only two female players reported the five injuries while all 29 female players sustained at least one injury. The defenders (31.7%) and midfielders (28.6%) sustained the most injuries. Most injuries reported were contact in nature (12.9%). More injuries occurred during training (12.9%) rather than during matches (8.2%). The lower extremity (77.8%) was injured more than the upper extremity (22.2%). The knee (22.2%) and ankle (15.9%) were the most frequently injured body parts. Muscle injury (23.5%) was the most commonly reported followed by bruising (10.6%). Conclusion: Prevalence of injuries was high in the cohort studied. The lower limb, specifically the knee and ankle were most commonly injured. Muscle injury and bruising were the most common injury affecting the lower extremity. It is recommended that the study be extended to a larger cohort of school children.

Playing professional football is a high risk occupation. Injury rates among professional footballers are higher than those commonly found in other industries. Several Scandinavian studies have begun to document the long-term physical health problems, such as osteoarthritis (OA), that can beset ex-professional footballers. However, the experiences of ex-professional footballers playing and living in the United Kingdom (UK) have not received similar academic attention. Furthermore, no studies have investigated the impact that OA has on the quality of life of former players anywhere in the world. This thesis aimed to rectify a widespread and serious health problem among a cohort that has largely been neglected to date. In Phase I, 284 ex-professional footballers responded to a postal survey which aimed to establish the prevalence of injury and OA. In Phase II, 12 semi-structured interviews were conducted with ex-professional footballers from Phase I who had developed OA. The aim was to gain an in-depth understanding of how the condition impacted on their lives and how they coped. In Phase II, 101 ex-professional footballers, who were not involved in Phases I and II, responded to a cross-sectional postal survey, which investigated the relationships between pain, pain coping and psychological distress within the context of a stress and coping model. Career injury and surgery were common among respondents in Phase I and nearly half (49%) had subsequently developed OA in at least one joint. Pain was the most common problem for all respondents irrespective of OA diagnosis. Lack of mobility and work disability were other problems reported by respondents. Interviewees in Phase II described how they were encouraged to 'play hurt' during their career and to accept, minimise or ignore the threat of pain, injury and OA. It was some of these attributes which enabled respondents to 'live hurt' in the presence of chronic pain and disability in later life. In Phase II it was shown that psychological distress was not a serious problem for many respondents. However, several coping strategies (denial, emotional venting and upward comparison) were positively associated with pain and psychological distress, particularly for those participants in greater pain. Although OA and chronic pain are prevalent among ex-professional footballers in the UK, its impact upon psychological distress was not as great as reported in some other studies of persons which chronic disease and pain. Increased psychological distress was linked to greater pain and the use of several coping strategies (e.g. denial, emotional venting and upward comparison). However, given the cross-sectional design, it remains to be clarified whether coping predicts psychological distress or whether an increase in psychological distress precipitates more coping. Suggestions are proposed for a psychosocial intervention which would have an impact on pain coping and psychological distress among ex-professional footballers.

Thesis (M.S.)-- Springfield College, 2006. / Includes bibliographical references.

Thesis (M.Sc.( Sports Physiotherapy and Rehabilitation)) --Sefako Makgatho Medical University, 2013. / Introduction: Soccer predisposes its players to a number of injuries which could adversely affect the player’s career if relevant management is not instituted. The aim of the study was to develop a profile of soccer injuries amongst the premier soccer teams in Lesotho and determine a need for physiotherapy intervention. Methodology: A cross sectional descriptive survey was used. Simple random selection was used to select a total of 201 soccer players from 12 premier teams participated in the study. Inferential statistics were performed using ANOVA, ANCOVA and Pearson’s correlation coefficient tests to determine the relationship of the players’ injuries, contributing factors and their management. Questionnaire’s validity and reliability were established by physiotherapist working with athletes. Results: The lower limb is the commonly affected body part with the ankle sustaining most injuries (36.4%). Common types of injuries were muscle strains (32.4%) and ligament sprains (23.0%). Mechanisms of injury during competitive games and training sessions include being tackled (25.2%); landing, tackling and overuse. Injuries sustained are treated sometimes by medical personnel (43.7%), traditional or home remedies (41.7%) and physiotherapist (29.6%). Ankle injuries are associated with self- treat (p= 0.020). There is a strong significant relationship between the mode of treatment (not physiotherapy) and common injuries that occurred amongst the players (p<0.05). The common mechanism of injury is also association with the common injuries that occurred (p<0.05). Conclusion and implications: Injuries occurring amongst soccer players in the Lesotho Premier Soccer League are sprains and strains and no consistent management is available for the injured players. The type and severity of common injuries indicate their impact on the soccer sporting activity. The injured player ceases activity immediately after injury. Soccer fraternity need to pay attention to provision of physiotherapy services and players have to be educated regarding appropriate injury prevention and management strategies.

Thesis (MScPhysio)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Introduction: Groin injuries are among the top six injuries in contact sports and may lead to career ending chronic pain. Research on the role of knee kinematics in developing chronic groin pain in sport is scarce. Objective: The purpose of this study was to determine if there are differences in knee kinematics during a single-leg drop-landing in sports participants with chronic groin pain compared to asymptomatic controls. Methodology: A descriptive study was conducted. Twenty active sports’ participants were recruited from soccer and rugby clubs situated around the Cape Peninsula area, Western Cape, South Africa. The three-dimensional (3D) knee kinematics of ten cases with chronic groin pain and ten asymptomatic controls was analysed. Knee kinematics was analysed in the FNB-3D Vicon Laboratory at Stellenbosch University, using an eight camera Vicon system. A positive adductor squeeze test was used as a diagnostic test to include cases with chronic groin pain. Each participant performed six single-leg drop landings. The main outcome measure was 3D knee kinematics at initial foot contact and at the lowest vertical position of the drop landing. The following sub-groups were analysed: seven unilateral groin pain cases compared to their seven matched controls; three bilateral groin pain cases where their most painful leg and least painful leg were compared to their matched controls, respectively. Descriptive statistical techniques were used for all outcome measures; means and standard deviations (SD) were calculated, followed by a Student’s t-test to determine significant differences between the cases and controls. For all outcomes with p-values equal to or below 0.05, the effect size was calculated using the Cohen’s D. Results: The findings of this study indicated a significant difference (p=0.0001) between cases with unilateral groin pain having less knee internal rotation compared to the controls at the lowest vertical position of the drop landing in the transverse plane. Significantly less internal rotation (p<0.0001), was also noted in the cases with bilateral groin pain (in the most painful leg and the less painful leg), although this was noted at foot contact. Cases with bilateral groin pain also had significantly (p<0.001) more knee varus (adduction) during the landing phase. Conclusion: Differences in knee kinematics between sports participants with chronic groin pain and asymptomatic controls were found. These findings imply that the knee joint should be included during assessment and rehabilitation of individuals suffering with chronic groin pain. Due to the cross-sectional study design of the current study, it cannot be stated for certain whether the knee kinematics noted in the groin pain group are causative or as a result of groin pain. Future prospective studies are thus recommended; these studies should focus on the effect of contralateral knee kinematics on the hip adductors and may include exploration of the muscular components during a single-leg drop landing. / AFRIKAANSE OPSOMMING: Inleiding: Lies beserings is een van die top ses beserings in kontak sport en kan lei tot chroniese lies pyn en selfs die be-eindigging van ‘n sportloopbaan. Navorsing oor die rol van knie kinematika in die ontwikkeling van chroniese liesbeserings in sport is skaars. Doelwit: Die doel van hierdie studie was om te bepaal of daar verskille in die knie kinematika is tydens 'n enkel been val landing in sport deelnemers met chroniese lies pyn in vergelyking met gesonde kontroles. Metode: 'n Beskrywende studie was uitgevoer. Twintig aktiewe sport deelnemers is gewerf van rugby en sokker sportklubs geleë rondom die Kaapse Skiereiland, Wes-Kaap, Suid-Afrika. Die 3D knie kinematika van tien gevalle met chroniese lies pyn en tien asimptomatiese bypassende kontroles is ontleed. Knie kinematika was ontleed in die FNB-3D Vicon Laboratorium by die Universiteit van Stellenbosch, met behulp van 'n agt-kamera Vicon stelsel. 'n Positiewe Adduktor druk toets was gebruik as 'n diagnostiese toets om gevalle met chroniese lies pyn in te sluit. Om die knie kinematika te analiseer, het elke deelnemer ses enkel been val landings uitgevoer . Die belangrikste uitkomsmeting was 3D knie kinematika by die aanvanklike voet kontak en by die laagste vertikale posisie van die enkel-been val landing. Die volgende sub-groepe was ontleed: sewe unilaterale lies pyn gevalle in vergelyking met hul sewe bypassende kontroles; drie bilaterale lies pyn gevalle waar hul mees pynlike been, sowel as minder pynlike been onderskeidelik vergelyk was met hul bypassende kontroles. Beskrywende statistiese tegnieke was gebruik vir alle uitkoms maatreëls; gemiddeldes en standaardafwykings (SA) was bereken, gevolg deur 'n Studente’s t-toets om beduidende verskille tussen die gevalle en kontroles te bepaal. Vir al die uitkomste met p-waardes gelyk of onder 0.05, is die effekgrootte bereken deur die Cohen’s D. Resultate: Die bevindings van hierdie studie dui op 'n beduidende verskil (p=0,0001) tussen gevalle met unilaterale lies pyn met minder interne knie rotasie in vergelyking met die kontroles by die laagste vertikale posisie van die val landing in die dwars vlak. Aansienlik minder interne rotasie (p<0,0001), is ook opgemerk in gevalle met bilaterale lies pyn (in die mees pynlike been en die minder pynlik been), alhoewel tydens voet kontak. Gevalle met bilaterale lies pyn het ook betekenisvol (p <0.001) meer knie varus (adduksie) tydens die landingsfase gehad. Gevolgtrekking: Verskille bestaan in die knie kinematika tussen sport deelnemers met chroniese liesbesering pyn en gesonde kontroles. Hierdie bevindinge impliseer dat die knie behoort ingesluit te word tydens die assessering en rehabilitasie van individue met chroniese lies pyn. As gevolg van die deursnee-studie ontwerp van hierdie studie, kan dit nie bevestig word of die knie kinematika die oorsaak van die chroniese pyn is nie. Toekomstige voornemende studies word dus aanbeveel, hierdie studies moet fokus op die effek van die kinematika van die kontralaterale knie op die heup adduktore en kan moontlik die ondersoek van die spier kinetika tydens hierdie aktiwiteit insluit.