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Original Research

Does External Load Reflect Acute Neuromuscular


Fatigue and Rating of Perceived Exertion in Elite
Young Soccer Players?
Antonio Martı́nez-Serrano,1,2 Tomás T. Freitas,1,2,3,4 Xavi Franquesa,5,6 Edgar Enrich,5,6 Milos Mallol,5,6 and
Pedro E. Alcaraz1,2
1
UCAM Research Center for High Performance Sport, Catholic University of Murcia, Murcia, Spain; 2Strength and Conditioning
Society, Rome, Italy; 3NAR—Nucleus of High Performance in Sport, São Paulo, Brazil; 4Faculty of Sport Sciences, Catholic University of
Murcia, Murcia, Spain; 5Strength and Conditioning Department, Futbol Club Barcelona, Barcelona, Spain; and 6Barça Innovation Hub,
Futbol Club Barcelona, Barcelona, Spain

Abstract
Martı́nez-Serrano, A, Freitas, TT, Franquesa, X, Enrich, E, Mallol, M, and Alcaraz, PE. Does external load reflect acute neuro-
muscular fatigue and rating of perceived exertion in elite young soccer players? J Strength Cond Res XX(X): 000–000, 2022—This
study aimed to analyze the acute and residual effects of increased high-speed running (HSR) demands during an in-season training
microcycle in young elite soccer players on localized neuromuscular fatigue (NMF) of the knee extensors (KE), posterior chain
muscles, and rating of perceived exertion (RPE). Thirty-four elite young soccer players (age 5 17.1 6 0.8 years) were assessed in 2
consecutive days at different time points (baseline, POST-activation gym-based session, POST–small-sided game [SSG], POST-
training 1 [TR1], POST-6H, POST-24H, POST-preventive gym-based session, and POST-training 2 [TR2]). Neuromuscular fatigue
of the KE and posterior chain muscles was measured with a maximum voluntary isometric contraction (MVIC). External (total
distance, number of accelerations or decelerations, and HSR distance) and internal (RPE) load was assessed during the SSG, TR1,
and TR2 sessions. Players were divided through a median split, into “HIGH” or “LOW” group according to the training demands. The
alpha level was set at p # 0.05. A 2-way mixed effects model ANOVA showed a significant decreased in 90:20 MVIC after TR1 in the
“HIGH” HSR group (p 5 0.037; effect size [ES] 5 0.45). No significant differences in RPE were found after TR1 (p 5 0.637; ES 5
0.58) and TR2 (p 5 0.109; ES 5 0.62) when comparing the “HIGH” HSR group with the “LOW” HSR group. Assessing player’s force
production capabilities can be an effective strategy to detect NMF when HSR demands are acutely increased. Special caution
should be taken when prescribing the training load of the training session based solely on RPE, as NMF might be present.
Key Words: team sports, performance, training load, football, high-speed running

Introduction usually face during the season, where the recovery times are
limited, or even incomplete (11), thus potentially increasing risk
Throughout the years, muscle injuries have consistently consti-
of injury. Therefore, to reduce the likelihood of players suffering
tuted a substantial concern for players and clubs in modern soc-
an injury, sports practitioners conduct sessions with different
cer, both at professional and amateur levels (13). The hamstring
objectives and stimuli (e.g., resistance training sessions, small-
muscles are particularly susceptible to injury, with an incidence
sided games [SSG], tactical sessions, or real match-play situations)
rate in soccer players ranging from 0.3 to 1.9 injuries per 1,000
to prepare the athlete to cope with the increased match demands.
exposure hours and a high recurrence rate (4–68%) (12) that
Those capable of adapting to the training load will be better
negatively affects team performance. Despite the fact that nu-
protected in real match situations (2), thus reducing the risk of
merous exercise-based prevention protocols have been proposed
injury. However, if the implementation of these injury prevention
to reduce the risk of muscle injuries (1,34,36), the overall muscle
sessions is performed inadequately (i.e., prolonging the absence of
injury rate has not decreased in the past 18 years, neither in
training in the off-season, performing high-eccentric load exer-
training nor in matches (14).
cises 48 hours before the competition (22), or planning excessive
This phenomenon might be attributed to the greater number of
tactical training that underestimate critical attributes such as HSR
high-intensity actions (e.g., accelerations [ACC], decelerations
(15)), it might have opposite effects to those initially inten-
[DEC], high-speed running [HSR] distance, changes of directions,
ded (29).
jumps, kicks, or tackles) performed in match-play (3), as well as
Hence, it becomes important to assess the effects that the
because of the congested competitive calendar that players
training sessions performed throughout the season have on
Address correspondence to Tomás T. Freitas, tfreitas@ucam.edu.
player’s physical performance as a result of neuromuscular fa-
Supplemental digital content is available for this article. Direct URL citations appear
tigue (NMF) (32). Although adequate and sufficient training
in the printed text and are provided in the HTML and PDF versions of this article on stimuli is necessary to achieve neuromuscular adaptations, sig-
the journal’s Web site (http://journals.lww.com/nsca-jscr). nificant increases in acute fatigue during the competitive micro-
Journal of Strength and Conditioning Research 00(00)/1–7 cycle should be avoided due to the limited recovery time and the
ª 2022 National Strength and Conditioning Association wide diversity of training contents, which could negatively affect

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Neuromuscular Fatigue in Young Soccer (2022) 00:00

muscle activation and coactivation, biomechanical properties, leg MD-4 session); (b) immediately after the PREV gym-based ses-
stiffness, and reactive strength (33). Consequently, focusing spe- sion; and (c) after the soccer training activity (TR2). Players were
cifically in the hamstring muscles, different isometric tests have divided into groups of 4 to ensure a constant recovery time (1–2
been developed to assess posterior lower-limb NMF in a simple, minutes) between tasks and isometric strength tests. Owing to
fast, and reliable way (9,25,26) and to identify neuromuscular time constraints, frequent in applied research settings, KE force
imbalances between dominant and nondominant legs. The was not assessed on day 2. Player’s external load during the SSG,
implementation of these tests might be a useful strategy to eval- TR1, and TR2 were assessed using a WIMU PRO Local Posi-
uate NMF of specific muscle groups after the match, facilitating tioning System (RealTrack Systems, Almeria, Spain). The training
an early intervention that could decrease the likelihood of sus- session’s content was based on a typical in-season microcycle and
taining an injury (35). defined by the team’s coaching staff. On TR1, players performed
Another key aspect to optimize performance and increase a 6v6 1 2 goalkeepers match on a 40 3 40 m space and a 10v8
player availability is to monitor training and competition loads, offensive-defensive transitions in 3/4 of the soccer field. On TR2,
specifically in soccer, in which cycles of training, tapering, com- they performed a 7v713 game situation on a 90 3 60m space and
petition, and recovery are repeated systematically during the a 10v8 offensive-defensive transitions in 3/4 of the soccer field.
competitive microcycle. As such, most teams have integrated Both sessions had an approximate duration of 90 minutes.
global positioning systems (GPS) with built-in accelerometers (6)
and measurements of the player’s rating of perceived exertion
(RPE) to analyze external and internal load, respectively. The first Subjects
instrument (i.e., GPS) allows sport scientists and strength and The sample consisted of 34 postpeak height velocity (from 2 to 5
conditioning coaches to assess player’s performance, physical years postpeak) elite male young soccer players (age ranging from
stress, physiological demands, and several external load metrics 16 to 18 years, mean 5 17.1 6 0.8 years; body mass [BM] 5 62.9
(10,28) during the training session. The second (i.e., RPE), aimed 6 7.9 kg; height 5 168.0 6 32.2 cm). Players were excluded from
at assessing internal load, allows the understanding of player’s the study if they were taking any nutritional supplementation that
global perception of effort after practice, enabling the de- could influence tests results or if they had suffered a lower-limb
velopment of training load planification strategies based on these musculoskeletal injury 6 months before the beginning of the
values (20). Of note, the sensitivity of RPE to detect specific al- study. They were already familiarized with the gym-based ses-
terations at the muscular level (i.e., localized), in response to sions, SSG task, and training sessions. Each player provided in-
different external load demands in young soccer players, is not dividual consent to participate in the study as part of the team
clear (27). Indeed, it is possible for local NMF to be produced requirements. Moreover, after reading the information sheet,
despite players perceiving the session (as a whole) as low or parental or guardian informed consent form was obtained. The
moderate intensity. As such, if the training load distribution is Ethics committee of the Catholic University of Murcia approved
performed exclusively considering RPE values without assessing the study’s procedure (CE022106), conforming the Declaration
local NMF, the risk of suffering a muscle injury because of an of Helsinki.
inadequate load programming could be increased (21).
Therefore, this research seeks to analyze the acute and residual
effects of different HSR demands (high and low, as divided
Procedures
through a median split) during a training session in young soccer
players on localized NMF of the knee extensors (KE), posterior Knee Extensors Maximal Voluntary Isometric Contraction. To
chain muscles, and RPE. We hypothesize that increasing HSR assess KE maximum voluntary isometric contraction (MVIC),
demands would cause a significant impairment in the neuro- players sat upright in a leg extension machine (Technogym,
muscular performance of posterior chain muscles, while the KE Cesena, Italy), with the dominant leg flexed at 90° and the ankle
force production capabilities would remain relatively unaffected. strapped directly to a load cell (Model SML500; Interface
Moreover, players with increased HSR demands would report Scottsdale, AZ) that was fixed to a customized apparatus. Sub-
higher perceived exertion values. jects performed 3 trials of MVIC, each lasting for 3 seconds (ICC
5 0.978; CV 5 6.20%). Two minutes of rest were given between
contractions. To ensure maximal effort, subjects were encouraged
Methods verbally and at least 2 MVICs had to be within 10% of one
another. The highest peak force trial was used for analysis.
Experimental Approach to the Problem
A cross-sectional, repeated-measures study design was used. Posterior Chain Maximal Voluntary Isometric Contraction. The
Players were assessed in 2 consecutive days at different time posterior chain MVIC was assessed with the 90:20 test, pre-
points (Figure 1). On day 1 (match day [MD-4]), players com- viously shown to be a reliable method (25). Players stood with
pleted 2 isometric strength tests (i.e., KE and posterior chain their glutes, upper back, head, and nontested leg heel against a
muscles): (a) at rest, before an activation (ACT) gym-based ses- wall; arms crossed on chest; and hands touching the opposite
sion; (b) immediately after the ACT gym-based session and before acromion. The dominant leg’s heel was positioned on the center
a SSG (4v4 1 3) activity where 4 attackers with the assistance of 3 of a force platform, sampling at 1,000 Hz (Kistler 9286BA, Kis-
floaters had to maintain ball possession against 4 defenders; (c) tler Group, Winterthur, Switzerland), and placed on a customized
immediately after the SSG task (only posterior chain muscles were wooden box. The height of the box and its distance to the wall
assessed at this time point); (d) immediately after the soccer were individually adjusted so that each player was tested in a 90°
training session (TR1); and (e) 6 hours after the end of the and 20° of hip and knee flexion, respectively (measured using a
morning soccer training. On day 2 (MD-3), the posterior chain goniometer). Subjects were instructed to “exert maximal force
muscles assessment was performed: (a) at rest, before a preventive vertically into the force plate” for 3 seconds. To ensure that the
(PREV) gym-based session (coinciding with ;24 hours after the player’s initial whole-body position was kept as described above

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Figure 1. Timeline of neuromuscular fatigue assessment during 2 days of the in-season competitive microcycle. 90:20 5
isometric posterior chain test; ACT 5 activation gym-based session; KE 5 knee extensors; MVIC 5 maximum voluntary
isometric contraction; PREV 5 preventive gym-based session; RPE 5 rating of perceived exertion; SSG 5 small-sided game;
TR1 5 training session 1; TR2 5 training session 2.

during the test, a researcher applied the necessary amount of force Rating of Perceived Exertion. Borg’s CR10 scale was used to
to avoid the nontest leg from flexing. The time between trials was measure the perception of player’s exertion after TR1 and TR2.
2 minutes. The dominant leg was tested twice (ICC 5 0.981; CV This scale is comprised of 11 points ranging from 0 to 10, 0 being
5 13.35%), and the highest peak force value, obtained instantly “no exertion at all” and 10 “maximal exertion” (5).
from ForceDecks software (Vald Performance, Brisbane, Aus-
tralia), was retained for analysis.
Statistical Analyses
Activation and Preventive Gym-Based Sessions. The ACT session
was focused on displacements, ACC and DEC, and jumps and in- The statistical analysis was performed using GraphPad Prism 9.0
cluded the following exercises: (a) 2 3 10 barbell glute bridge from (GraphPad Software, Inc., San Diego, CA). The Shapiro-Wilk test
bench (in a loading scheme in which players left 3 repetitions in was used for assessing the normality of the distribution of the
reserve); (b) 2 3 10 ab wheel crunches; (c) 2 3 2 15-m resisted sprint variables. The external load metrics (i.e., TD, ACC, DEC, and
(10–20% BM); (d) 2 3 10 unilateral backwards displacement with HSR) were not modified by the research team at any time. They
flywheel; (e) 2 3 8 unilateral oblique turns with flywheel; (f) 2 3 2 were only retrospectively used to divide the players (i.e., after the
10-m ACC and DEC sprints; (g) 2 3 10 yo-yo squats; (h) 2 3 10 end of the experimental period, when analyzing the data) into
isometric ab crunch on BOSU; and (i) 2 3 2 3 hurdle jumps and 2 “HIGH” or “LOW” groups, through a median split based on the
headers. Exercises a, c, d, f, g and i were performed at maximum summated external load for each variable after TR1. This was
speed, whereas exercises b, e and h were executed in a controlled performed to investigate whether a specific metric could be used
manner. On the other hand, the PREV session specially targeted to discriminate NMF levels of the KE and the posterior chain. A 2-
hamstrings and groin muscles. This session included (a) 2 3 10 way repeated measure ANOVA with Tukey’s multiple compari-
unilateral lying flywheel hamstring kick, (b) 2 3 10 unilateral lying sons test was used to analyze whether any change in the KE MVIC
quadriceps eccentric contraction with elastic bands, (c) 2 3 10 ec- values after the TR1 were the result of the interaction between the
centric nordic hamstring, (d) 2 3 10 ab wheel crunches, (e) 2 3 10 “external load demands” (i.e., HIGH and LOW demands) and
unilateral fitball glute bridge, (f) 2 3 10 Copenhagen hip adduction, “time point” (i.e., PRE-ACT, POST-ACT, POST-TR1, and
(g) TRX plank, and (h) 2 3 10 side lying clams with elastic band. In
this session, players were asked to control exercise’s speed execution.
Table 1
The ACT and PREV sessions lasted approximately 21–22 minutes.
Descriptive data (mean 6 SD) of the summated external load
variables and RPE after TR1 (time point when the median split was
Soccer-Specific Activity Profile. Players wore a local portable performed).*
positioning system WIMU PRO (RealTrack Systems) equipped
Group TR1
with 4 3D accelerometers (full-scale output ranges 616 g, 616 g,
632 g, 6400 g at 100 Hz sample frequency), 3 gyroscopes TD (m) High 7,139.321 6 895.04
Low 4,151.167 6 702.57
(8000°·s21 full-scale output range at 100 Hz sample frequency), a
HSR (m) High 290.703 6 199.63
3D magnetometer (100 Hz), a GPS unit (10 Hz), and a UWB (18
Low 10.610 6 9.49
Hz). The system used has been previously shown to be valid and ACC (no.) High 54.235 6 15.20
reliable for time-motion analysis in soccer (4). Devices were Low 29.235 6 4.98
placed inside an adjustable vest located at the upper back of each DEC (no.) High 53.167 6 14.02
player. The data collected in the SSG task, TR1, and TR2 were Low 27.688 6 6.39
analyzed using the proprietary software (WIMU Software; RPE (1–10) High 6.824 6 1.29
Realtrack Systems SL). The following external load variables Low 6.000 6 1.46
were collected: total distance (TD) covered, number of total ACC *RPE 5 rating of perceived exertion; TR1 5 training session 1; TD 5 total distance; HSR 5 high-
and DEC, and HSR distance (.19.8 km·h21) covered. speed running; ACC 5 accelerations; DEC 5 decelerations; m 5 meters; no. 5 number.

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Table 2
Knee extensors maximum voluntary isometric contraction after TR1 and POST-6H according to external load demands.*
Adjusted
Tukey’s multiple comparisons test Mean diff. 95% CI of diff. p ES
TD High
POST-ACT vs. POST-TR1 0.231 228.33 to 28.80 .0.999 0.00
POST-TR1 vs. POST-6H 211.350 248.62 to 25.93 0.816 0.09
Low
POST-ACT vs. POST-TR1 3.465 223.69 to 30.62 0.982 0.03
POST-TR1 vs. POST-6H 22.406 229.36 to 24.54 0.994 0.02
HSR High
POST-ACT vs. POST-TR1 2.758 227.06 to 32.57 0.993 0.02
POST-TR1 vs. POST-6H 211.310 248.16 to 25.55 0.813 0.09
Low
POST-ACT vs. POST-TR1 0.770 224.82 to 26.36 0.999 0.01
POST-TR1 vs. POST-6H 22.451 230.07 to 25.17 0.994 0.02
ACC High
POST-ACT vs. POST-TR1 0.342 231.27 to 31.95 .0.999 0.00
POST-TR1 vs. POST-6H 0.947 230.71 to 32.60 0.999 0.01
Low
POST-ACT vs. POST-TR1 3.347 219.57 to 26.26 0.973 0.03
POST-TR1 vs. POST-6H 215.520 248.94 to 17.90 0.549 0.13
DEC High
POST-ACT vs. POST-TR1 21.747 237.28 to 33.79 0.999 0.01
POST-TR1 vs. POST-6H 25.362 240.90 to 30.17 0.979 0.04
Low
POST-ACT vs. POST-TR1 5.575 231.13 to 42.28 0.979 0.05
POST-TR1 vs. POST-6H 28.791 245.49 to 27.91 0.923 0.08
*TR1 5 training session 1; CI 5 confidence interval; ES 5 effect size; TD 5 total distance; ACT 5 activation gym-based session; HSR 5 high-speed running; ACC 5 accelerations; DEC 5 decelerations.

POST-6H). A 2-way mixed effects model ANOVA (because of the 0.845). Only HSR was found to discriminate posterior chain
presence of some missing values: 5 and 6 in the “HIGH” and NMF when comparing “HIGH” and “LOW” groups. As such,
“LOW” groups, respectively, across all 8 time points) with when considering the latter variable, 90:20 MVIC peak force
Tukey’s multiple comparisons test was performed to analyze decreased significantly after TR1 in the “HIGH” HSR group (p 5
whether any change in the 90:20 MVIC values after the SSG task, 0.037; effect size [ES] 5 0.45 [20.24 to 1.12]) (Figure 2). De-
TR1, and TR2 was the result of the interaction between the scriptive data are reported in Table 3. No significant differences
“external load demands” (i.e., HIGH and LOW) and “time were found after the SSG task and TR2 between those in the
point” (i.e., PRE-ACT, POST-ACT, POST-SSG, POST-TR1, “HIGH” or “LOW” groups in TD, HSR, ACC, or DEC (see
POST-6H, POST-24H, POST-PREV, and POST-TR2). Finally, a Data, Supplemental Digital Content 1, http://links.lww.com/
2-way ANOVA with Tukey’s multiple comparisons test was used JSCR/A335).
to assess whether significant differences were detected between Finally, there was no statistically significant effect of HSR de-
the “HIGH” and “LOW” HSR group in RPE after TR1 and TR2. mands on RPE (F 5 1.115; p 5 0.308) after TR1 and TR2.
If sphericity was not met, the Greenhouse-Geisser correction was Moreover, no significant differences were found after TR1 (p 5
applied. Cohen’s d effect sizes for each comparison were calcu- 0.637; ES 5 0.58 [20.18 to 1.44]) and TR2 (p 5 0.109; ES 5
lated manually in Microsoft Excel 16.36 (Microsoft, Redmond, 0.62 [20.04 to 1.21]) when comparing the “HIGH” HSR group
Washington) and were classified as trivial (,0.2), small (0.2–0.6), with the “LOW” HSR group (Figure 3).
moderate (0.6–1.2), large (1.2–2), very large (2–4), and near
perfect (.4) (19). Data are presented as mean 6 SD. The alpha
level was set at p # 0.05. Discussion
The present findings indicated that the increase in HSR demands
in a typical in-season training session (i.e., POST-TR1) in young
Results
elite soccer players acutely affected the neuromuscular perfor-
Table 1 provides the descriptive data of the external and in- mance of the posterior chain muscles. Although both groups
ternal load during the SSG task, TR1, and TR2. No significant subjectively perceived the overall session in a similar way, only
effects were found in KE MVIC peak force after TR1 and those with higher HSR demands suffered from acute NMF. Fi-
POST-6H between the players in the “HIGH” or “LOW” nally, no acute or residual changes in KE MVIC with different
group in TD (F 5 1.155; p 5 0.332), ACC (F 5 0.450; external load demands were found suggesting that the hamstring
p 5 0.718), DEC (F 5 0.185; p 5 0.906), and HSR (F 5 0.153; muscles were more taxed during the training sessions.
p 5 0.928) (Table 2). To our understanding, few studies have analyzed the acute and
After performing a median split analysis for all external load residual effects of training load on neuromuscular performance
variables, no significant differences were found in 90:20 MVIC during the competitive microcycle in young soccer players (23).
between “HIGH” and “LOW” groups based on TD (F 5 1.324; p Despite TD being one of the most frequently used variables in elite
5 0.240), ACC (F 5 0.518; p 5 0.821), and DEC (F 5 0.485; p 5 soccer to monitor training load, our findings indicated that HSR

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Figure 2. Development of posterior chain neuromuscular performance according to HSR distance demands performed in
training session 1. Error bars indicate the standard error of the mean. ACT 5 activation gym-based session; PREV 5
preventive gym-based session; SSG 5 small-sided game; TR1 5 training session 1; TR2 5 training session 2.

was the most sensitive GPS metric to detect acute changes on Similar results were found by Camic et al. (7) during an in-
posterior chain MVIC after TR1 (214.08%; from 337.7 6 105.8 cremental treadmill running test. According to the authors, the
to 290.2 6 104.2 N). These results are in line with Hader et al. hamstring-to-quadriceps ratio (H:Q ratio) increases significantly
(17) as they showed that very high-intensity running (18–19.8 when the exercise intensity is higher (from 0.841 6 0.142 at 40%
km·h21) was highly correlated with acute fatigue (postmatch) of V̇ O2peak to 0.999 6 0.071 at 100% V̇ O2peak). Furthermore,
the hamstring muscles, explaining up to ;50% of the neuro- running at high speed causes the knee to be in an almost fully
muscular state postmatch. Interestingly, although no significant extended position during the late swing phase, resulting in greater
differences between groups were found, the “HIGH” HSR group eccentric force in the hamstring in comparison with the quadri-
had a delayed recovery dynamic throughout the experimental ceps, because of its function of decelerating the limb (8). The
period (29.4%, 25.0%, and 23.7% at POST-TR1, POST-6H, continuous repetition of these eccentric actions has been sug-
and POST-24H, respectively) compared with baseline values. By gested to lead to greater muscle damage (30), which, together with
contrast, the “LOW” HSR group did not exhibit any decreases in alterations at the central nervous system level (i.e., decreased re-
posterior chain MVIC (0.2, 2.4, and 6.5% at POST-TR1, POST- cruitment and discharge rates of motor units) (16), could explain
6H, and POST-24H, respectively). These findings might suggest the higher neuromuscular fatigue found post-TR1 in this muscle
that limiting HSR distance during the training session might be an complex.
effective strategy to avoid fatigue accumulation in congested Contrarily to expected, the RPE values of the “HIGH” and
microcycles where recovery time is reduced. “LOW” HSR groups after the training session were similar (p 5
Notably, KE MVIC force was not acutely or residually (POST- 0.087; ES 5 0.60). These results are not in line with those recently
6H) affected by none of the GPS metrics. This might be explained published by Marynowicz et al. (24) who found that RPE and
by the fact that hamstring muscles, such as biceps femoris, are session-RPE (sRPE) increased when HSR demands during a
activated for a greater amount of time relative to stride duration youth soccer training session were higher, being sRPE the highest
at higher running velocities (i.e., greater work-to-rest ratio) in correlated variable (p , 0.001; r 5 0.52). Nonetheless, it has been
comparison with vastus lateralis that tends to decrease (18). suggested that RPE may underestimate the stress caused by very
short bouts of HSR because these actions performed during the
training session are interspersed with extensive recovery time
(31), thus reducing player’s perception of effort. This could ex-
Table 3 plain why our results did not show significant differences in RPE
Descriptive data of 90:20 maximum voluntary isometric between groups. Notwithstanding these findings, it is worth
contraction according to HSR demands performed in TR1 shown
noting that although both groups reported similar RPE (Figure 3),
as mean 6 SD.*
only the group with higher HSR demands had acute neuromus-
“HIGH” HSR “LOW” HSR cular impairments. From an applied perspective, these findings
PRE-ACT 320.30 6 92.7 317.44 6 109.4 suggest that subjective information must be complemented with
POST-ACT 324.85 6 102.7 339.26 6 129.8 muscle-specific neuromuscular assessments to accurately dis-
POST-SSG 337.73 6 105.8 319.30 6 110.8 criminate player’s level of fatigue at the muscular level.
POST-TR1 290.16 6 104.2† 317.99 6 128.1
One of this study’s main limitation was that, because of play-
POST-6H 304.38 6 106.4 325.05 6 128.5
POST-24H 308.40 6 116.0 337.92 6 149.9
ers’ time unavailability, KE MVIC was not assessed at all time
POST-PREV 322.75 6 86.8 362.93 6 148.0 points, so the neuromuscular recovery pattern between sessions
POST-TR2 319.94 6 108.7 342.21 6 138.3 was incomplete. Moreover, only the dominant limb was assessed,
not allowing to identify possible changes between limbs.
*HSR 5 high-speed running; TR1 5 training session 1; ACT 5 activation gym-based session;
According to our findings and the current body of knowledge,
PREV 5 preventive gym-based session; SSG 5 small-sided game; TR2 5 training session 2.
†Significant differences regarding POST-SSG (highlighted in bold). All values represent maximal future studies should focus on how drills with different high-
isometric force and are presented in N. intensity actions (e.g., ACC, DEC, HSR, and COD) in the training

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Neuromuscular Fatigue in Young Soccer (2022) 00:00

No funding was received for this work from any of the following
organizations: National Institutes of Health (NIH), Wellcome
Trust, Howard Hughes Medical Institute (HHMI), and other(s).

References
1. Al Attar WSA, Soomro N, Sinclair PJ, Pappas E, Sanders RH. Effect of
injury prevention programs that include the nordic hamstring exercise on
hamstring injury rates in soccer players: A systematic review and meta-
analysis. Sports Med 47: 907–916, 2017.
2. Bangsbo J. The physiology of soccer–with special reference to intense
intermittent exercise. Acta Physiol Scand Suppl 619: 1–155, 1994.
3. Barnes C, Archer DT, Hogg B, Bush M, Bradley PS. The evolution of
physical and technical performance parameters in the English Premier
League. Int J Sports Med 35: 1095–1100, 2014.
Figure 3. Comparison of player’s rate of perceived exertion 4. Bastida Castillo A, Gómez Carmona CD, De la Cruz Sánchez E, Pino
after training session 1 and 2 according to HSR distance Ortega J. Accuracy, intra- and inter-unit reliability, and comparison be-
demands. HSR 5 high-speed running; RPE 5 rating of per- tween GPS and UWB-based position-tracking systems used for time-
ceived exertion; TR1 5 training session 1; TR2 5 training motion analyses in soccer. Eur J Sport Sci 18: 450–457, 2018.
session 2. 5. Borg G. Borg’s Perceived Exertion and Pain Scales, Chapter 6. Cham-
paign, IL: Human Kinetics, 1998. pp. 39–43.
6. Buchheit M, Allen A, Poon TK, et al. Integrating different tracking systems
in football: Multiple camera semi-automatic system, local position mea-
session could alter neuromuscular performance of the posterior surement and GPS technologies. J Sports Sci 32: 1844–1857, 2014.
chain and KE muscles. 7. Camic CL, Kovacs AJ, Enquist EA, McLain TA, Hill EC. Muscle activa-
In conclusion, young soccer players who performed higher tion of the quadriceps and hamstrings during incremental running. Muscle
HSR demands throughout an in-season training session acutely Nerve 52: 1023–1029, 2015.
8. Chumanov ES, Heiderscheit BC, Thelen DG. The effect of speed and in-
decreased posterior chain neuromuscular performance of the fluence of individual muscles on hamstring mechanics during the swing
dominant limb. By contrast, KE neuromuscular performance was phase of sprinting. J Biomech 40: 3555–3562, 2007.
not impaired. Contrary to our hypothesis, there were no signifi- 9. Constantine E, Taberner M, Richter C, Willett M, Cohen DD. Isometric
cant differences in RPE when comparing players with higher and posterior chain peak force recovery response following match-play in elite
lower HSR demands during the training session. youth soccer players: Associations with relative posterior chain strength.
Sports (Basel) 7: 218, 2019.
10. Cummins C, Orr R, O’Connor H, West C. Global positioning systems
(GPS) and microtechnology sensors in team sports: A systematic review.
Practical Applications Sports Med 43: 1025–1042, 2013.
11. Dellal A, Lago-Peñas C, Rey E, Chamari K, Orhant E. The effects of a
Considering the growing tendency to increase the number of congested fixture period on physical performance, technical activity and
tasks with different training demands and stimuli during the injury rate during matches in a professional soccer team. Br J Sports Med
49: 390–394, 2015.
competitive microcycle in soccer, our data suggest that the 12. Diemer WM, Winters M, Tol JL, Pas HIMFL, Moen MH. Incidence of
implementation of fatigue monitoring practices could help acute hamstring injuries in soccer: A systematic review of 13 studies in-
strength and conditioning coaches and practitioners to have a volving more than 3800 athletes with 2 million sport exposure hours.
better knowledge of player’s neuromuscular state. Moreover, J Orthop Sports Phys Ther 51: 27–36, 2021.
13. Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in
it would allow to optimally adjust the training load of the next
professional football (soccer). Am J Sports Med 39: 1226–1232, 2011.
sessions, thus avoiding the development of injury risk factors 14. Ekstrand J, Spreco A, Bengtsson H, Bahr R. Injury rates decreased in men’s
related to neuromuscular fatigue. Based on our findings, HSR professional football: An 18-year prospective cohort study of almost 12
demands had the most influence on posterior chain neuro- 000 injuries sustained during 1.8 million hours of play. Br J Sports Med
muscular performance. Therefore, caution should be taken 55: 1084–1091, 2021.
15. Gabbett TJ, Mulvey MJ. Time-motion analysis of small-sided training
when prescribing exercises that involve high volumes of HSR games and competition in elite women soccer players. J Strength Cond Res
in consecutive days of the microcycle because greater HSR 22: 543–552, 2008.
distances might induce acute neuromuscular fatigue in these 16. Gandevia SC. Spinal and supraspinal factors in human muscle fatigue.
muscles. Finally, although RPE may be a good indicator of Physiol Rev 81: 1725–1789, 2001.
17. Hader K, Rumpf MC, Hertzog M, et al. Monitoring the athlete match
how intense the session was perceived by the players, practi-
response: Can external load variables predict post-match acute and re-
tioners should consider that it may not necessarily discrimi- sidual fatigue in soccer? A systematic review with meta-analysis. Sports
nate between athletes with higher and lower HSR distances Med Open 5: 48, 2019.
and neuromuscular fatigue. As such, this metric should ideally 18. Hanon C, Thépaut-Mathieu C, Vandewalle H. Determination of mus-
be used in combination with external load tracking and cular fatigue in elite runners. Eur J Appl Physiol 94: 118–125, 2005.
19. Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive sta-
muscle-specific assessments for a more thorough monitoring tistics for studies in sports medicine and exercise science. Med Sci Sports
of localized fatigue. Exerc 41: 3–13, 2009.
20. Impellizzeri FM, Rampinini E, Coutts AJ, Sassi A, Marcora SM. Use of RPE-
based training load in soccer. Med Sci Sports Exerc 36: 1042–1047, 2004.
21. Jones CM, Griffiths PC, Mellalieu SD. Training load and fatigue marker
associations with injury and illness: A systematic review of longitudinal
studies. Sports Med 47: 943–974, 2017.
22. Lovell R, Whalan M, Marshall PWM, et al. Scheduling of eccentric lower
Acknowledgments limb injury prevention exercises during the soccer micro-cycle: Which day
of the week? Scand J Med Sci Sports 28: 2216–2225, 2018.
No conflict of interest is reported by the authors. The results of the 23. Malone JJ, Murtagh CF, Morgans R, et al. Countermovement jump
present study do not constitute endorsement of the product by the performance is not affected during an in-season training microcycle in elite
authors or the NSCA. youth soccer players. J Strength Cond Res 29: 752–757, 2015.

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24. Marynowicz J, Kikut K, Lango M, Horna D, Andrzejewski M. Re- 31. Scott BR, Lockie RG, Knight TJ, Clark AC, Janse de Jonge XA. A com-
lationship between the session-RPE and external measures of training load parison of methods to quantify the in-season training load of professional
in youth soccer training. J Strength Cond Res 34: 2800–2804, 2020. soccer players. Int J Sports Physiol Perform 8: 195–202, 2013.
25. Matinlauri A, Alcaraz PE, Freitas TT, et al. A comparison of the isometric 32. Silva JR, Rumpf MC, Hertzog M, et al. Acute and residual soccer match-
force fatigue-recovery profile in two posterior chain lower limb tests fol- related fatigue: A systematic review and meta-analysis. Sports Med 48:
lowing simulated soccer competition. PLoS One 14: e0206561, 2019. 539–583, 2018.
26. McCall A, Nedelec M, Carling C, et al. Reliability and sensitivity of a 33. Thomas AC, Lepley LK, Wojtys EM, McLean SG, Palmieri-Smith RM.
simple isometric posterior lower limb muscle test in professional football Effects of neuromuscular fatigue on quadriceps strength and activation
players. J Sports Sci 33: 1298–1304, 2015. and knee biomechanics in individuals post-anterior cruciate ligament re-
27. McLaren SJ, Graham M, Spears IR, Weston M. The sensitivity of differ- construction and healthy adults. J Orthop Sports Phys Ther 45:
ential ratings of perceived exertion as measures of internal load. Int J 1042–1050, 2015.
Sports Physiol Perform 11: 404–406, 2016. 34. van der Horst N, Smits DW, Petersen J, Goedhart EA, Backx FJ. The
28. McLellan CP, Lovell DI, Gass GC. Performance analysis of elite Rugby preventive effect of the nordic hamstring exercise on hamstring injuries in
league match play using global positioning systems. J Strength Cond Res amateur soccer players: A randomized controlled trial. Am J Sports Med
25: 1703–1710, 2011. 43: 1316–1323, 2015.
29. Nassis GP, Brito J, Figueiredo P, Gabbett TJ. Injury prevention training in 35. Wollin M, Thorborg K, Drew M, Pizzari T. A novel hamstring strain
football: Let’s bring it to the real world. Br J Sports Med 53: 1328–1329, 2019. injury prevention system: Post-match strength testing for secondary pre-
30. Proske U, Morgan DL. Muscle damage from eccentric exercise: Mecha- vention in football. Br J Sports Med 54: 498–499, 2020.
nism, mechanical signs, adaptation and clinical applications. J Physiol 36. Woods K, Bishop P, Jones E. Warm-up and stretching in the prevention of
537: 333–345, 2001. muscular injury. Sports Med 37: 1089–1099, 2007.

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