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  • Open Access

    Differential responses to seasonal soccer training in U-15 and U-17 players: Body composition, strength, agility, and effect size analysis

    Rick Stoop1, Georgios Georgiadis2, Iván González-García3
    1. Football Club Utrecht, Herculesplein 241, 3584 AA Utrecht , NL
    2. Department of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University , NL
    3. Faculty of Health Sciences, Universidad Isabel I, Burgos , ES
    2026-06-09
    doi https://doi.org/10.56003/sei.v2i1.735
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 09 June 2026
    |
    page 48-63
    Abstract

    Background: Training programs during adolescence play a crucial role in optimizing body composition and physical performance in youth soccer players. However, differences in training adaptations between age groups, particularly in agility performance, remain insufficiently explored.

    Objectives: This study aimed to examine the effects of a seasonal soccer training program on body composition, strength, and agility in U-15 and U-17 soccer players.

    Methods: A pre–post experimental design was applied to 28 male youth soccer players (U-15: n = 15; U-17: n = 13) competing in a football league in the Netherlands. Participants completed a 16-week training program consisting of technical, conditioning, tactical, and mental components. Body composition (height, body mass, lean mass, fat mass), jump performance (SJ, CMJ, CMJmax), isokinetic strength (knee flexion and extension peak torque), and agility (Illinois Agility Test) were assessed before and after the intervention. Data were analyzed using repeated-measures analysis of variance (ANOVA) and effect sizes were calculated using Cohen’s d.

    Results: In the U-15 group, significant improvements were observed only in knee flexion (70.2 ± 15.8 vs. 95.4 ± 23.5 Nm, p = 0.006, d = 1.25) and extension peak torque (75.1 ± 20.4 vs. 96.8 ± 18.9 Nm, p = 0.012, d = 1.10). In contrast, U-17 players demonstrated significant increases in lean mass (50.2 ± 3.1% vs. 53.4 ± 2.3%, p = 0.021), reductions in fat mass (11.0 ± 2.9% vs. 8.7 ± 2.5%, p = 0.037), improvements in agility performance (16.2 ± 0.7 vs. 15.4 ± 0.65 s, p = 0.008, d = 1.18), and knee flexion peak torque (78.4 ± 26.5 vs. 118.3 ± 28.7 Nm, p = 0.003, d = 1.45), together with significant gains in jump performance (p < 0.05). Most significant changes in the U-17 group were accompanied by large effect sizes (d = 0.85–1.45).

    Conclusions: The training program elicited greater physiological and performance adaptations in U-17 compared to U-15 players. The greater adaptations observed in the U-17 group may be partially influenced by differences in biological maturation; however, maturity status was not directly assessed in the present study.

    APA Citation Style
    Stoop, R. , Georgiadis, G. , & González-García, I. (2026). Differential responses to seasonal soccer training in U-15 and U-17 players: Body composition, strength, agility, and effect size analysis. Sport, Exercise, and Injury, 48-63. https://doi.org/10.56003/sei.v2i1.735
  • Open Access

    Foot biomechanics and injury risk factors in youth football players: A cross-sectional study

    Hamza Sinen1, Amirhossein Ghanbarian2
    1. Sintech Prosthesis Orthosis R&D and Innovation Trade Limited Company , TR
    2. Department of Biomechanics and Sport Injuries , Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran , IR
    2026-06-02
    doi https://doi.org/10.56003/sei.v2i1.713
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 02 June 2026
    |
    page 11-20
    Abstract

    Background: Altered plantar pressure distribution and foot alignment have been suggested in previous studies to be associated with ankle instability and overuse injuries; however, evidence in youth populations remains limited.

    Objectives: This study aimed to investigate foot biomechanics and potential injury risk factors in youth football players aged 5–15 years.

    Methods: This study employed an analytical cross-sectional design involving 30 youth football players recruited from local football academies. Participants were categorized into three age groups: 5–9 years (n = 10), 10–12 years (n = 10), and 13–15 years (n = 10). Data were collected through pedobarographic plantar pressure assessment, hallux valgus angle (HVA) measurement using a goniometer, navicular drop test (NDT), and subtalar angle assessment. Statistical analyses included descriptive statistics, Shapiro–Wilk normality test, Pearson correlation, independent t-test, and one-way ANOVA with effect size (η²). A significance level of p ≤ 0.05 was applied.

    Results: The results showed that hindfoot plantar pressure was higher than forefoot pressure in both feet, indicating a posterior loading pattern. Hallux valgus angles were within normal ranges, while subtalar angles demonstrated a tendency toward pronation. Significant differences were observed in left foot HVA and left hindfoot pressure across age groups (p < 0.05), with moderate effect sizes (η² = 0.20–0.21). Correlation analysis revealed moderate to strong positive relationships between subtalar pronation and HVA variables.

    Conclusions: Youth football players exhibit biomechanical characteristics, such as increased hindfoot loading and subtalar pronation, that may represent adaptive responses to sport-specific demands and be associated with potential injury risk. However, given the study's cross-sectional design, these findings should be interpreted as descriptive biomechanical patterns rather than as direct predictors of injury. Early biomechanical screening and targeted preventive training may help support optimal athletic development.

    APA Citation Style
    Sinen, H. , & Ghanbarian, A. (2026). Foot biomechanics and injury risk factors in youth football players: A cross-sectional study. Sport, Exercise, and Injury, 11-20. https://doi.org/10.56003/sei.v2i1.713
  • Open Access

    The effects of the FIFA 11+ program on lower limb functional outcomes: A systematic review

    Yulingga Nanda Hanief1, Italo Sannicandro2, Raja Mohammed Firhad Raja Azidin3
    1. State University of Malang , ID
    2. Clinical and Experimental Medicine Department, University of Foggia , IT
    3. Faculty of Sports Science and Recreation, Universiti Teknologi MARA , MY
    2025-12-30
    doi https://doi.org/10.56003/sei.v1i2.670
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 30 December 2025
    |
    page 122-138
    Abstract

    Background: The FIFA 11+ program has been proven effective in preventing soccer injuries, but evidence regarding its impact on lower extremity functional outcomes is still scattered and reported heterogeneously.

    Objectives: This systematic review aims to synthesize evidence regarding the effects of the FIFA 11+ program on lower extremity functional outcomes—including ROM, knee extension, internal and external hip rotation, and hamstring muscle strength—in athletes.

    Methods: This systematic review was prospectively registered in PROSPERO (CRD420251147261) and conducted in accordance with PRISMA 2020 guidelines. A total of 14 studies involving athletes or physically active individuals met the inclusion criteria. Functional outcomes were measured using various instruments, primarily an isokinetic dynamometer for muscle strength and a goniometer for ROM measurement. The methodological quality of the studies was assessed using the Newcastle–Ottawa Scale. Due to substantial heterogeneity in study design, measurement instruments, intervention protocols, and reporting formats, a quantitative meta-analysis was not performed, and the data were synthesized using a qualitative narrative approach.

    Results: Most studies (approximately 70–80%) reported an increase in hamstring muscle strength after the FIFA 11+ intervention, particularly in concentric and eccentric isokinetic measurements. Improvements in ROM and functional outcomes of the knee and hip were also reported, although results varied between studies. Evidence related to knee extension and hip rotation shows lower consistency compared to hamstring strength.

    Conclusions: The FIFA 11+ program shows potential functional benefits beyond injury prevention, particularly in improving hamstring muscle strength and several aspects of joint mobility.
    APA Citation Style
    Hanief, Y. N. , Sannicandro, I. , & Azidin, R. M. F. R. (2025). The effects of the FIFA 11+ program on lower limb functional outcomes: A systematic review. Sport, Exercise, and Injury, 122-138. https://doi.org/10.56003/sei.v1i2.670
  • Open Access

    Gender differences in bilateral and ipsilateral lower limb strength asymmetry among football players

    Randy R. Manimtim1, Eissel Ronquillo2
    1. Office of Sports Development Program, Batangas State University The National Engineering University Lipa Campus , PH
    2. Department of Physical Education, School of Education, Holy Angel University , PH
    2026-06-02
    doi https://doi.org/10.56003/sei.v2i1.681
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 02 June 2026
    |
    page 1-10
    Abstract

    Background: Lower limb muscle strength asymmetry is a significant factor that can impact playing ability and increase the risk of injury in soccer players. Differences in leg use and the specific movement requirements of a sport can lead to strength imbalances, either on both sides of the body or on the same side. Lower limb muscle strength asymmetry, particularly bilateral and ipsilateral strength asymmetry, is a significant factor influencing performance and increasing injury risk in football players. Differences in limb dominance and sport-specific movement demands can lead to strength imbalances.

    Objectives: This study aimed to compare bilateral and ipsilateral lower limb strength asymmetry between male and female football players.

    Methods: A cross-sectional study was conducted involving 50 amateur football players (26 males and 24 females; aged 18–21 years). Isokinetic strength testing of knee extensors and flexors was performed at 60°/s. Bilateral asymmetry was calculated based on peak torque differences between limbs, while ipsilateral asymmetry was assessed using the hamstring-to-quadriceps (H/Q) ratio. Statistical analyses included the Mann–Whitney U test and independent t-test (p < 0.05).

    Results: Significant sex differences were found in bilateral strength asymmetry for both quadriceps (7.21 ± 4.04% vs 5.04 ± 3.13%, p = 0.02) and hamstrings (9.13 ± 5.15% vs 5.06 ± 4.04%, p = 0.01), with males showing greater asymmetry. Female athletes demonstrated values closer to the recommended asymmetry threshold (≤10–15%). No significant differences were observed in ipsilateral strength asymmetry (H/Q ratio) between groups (p > 0.05).

    Conclusions: Bilateral strength asymmetry differs by sex, with male athletes exhibiting higher imbalance, while ipsilateral strength balance is comparable between groups. These findings highlight the importance of monitoring individual strength asymmetry to inform targeted training strategies, reduce injury risk, and optimize performance in football players.

    APA Citation Style
    Manimtim, R. R. , & Ronquillo, E. (2026). Gender differences in bilateral and ipsilateral lower limb strength asymmetry among football players. Sport, Exercise, and Injury, 1-10. https://doi.org/10.56003/sei.v2i1.681
  • Open Access

    Eccentric hamstring strength and asymmetry in female handball athletes: A descriptive study

    Alvito Dandy Putra Sanjaya1, Awang Firmansyah2, Aziz Abdul Hakim3, Panji Bana4
    1. Universitas Negeri Surabaya , ID
    2. Universitas Negeri Surabaya , ID
    3. Universitas Negeri Surabaya , ID
    4. Universitas Negeri Surabaya , ID
    2025-06-17
    doi https://doi.org/10.56003/sei.v1i1.553
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 17 June 2025
    |
    page 60-69
    Abstract

    Background: Handball is a competitive sport that requires high physical strength and muscle endurance. The game requires a balance of muscle strength to support athletes in performing movements such as sprints, jumps, and fast movement maneuvers. Lack of flexibility and high hamstring muscle asymmetry values ​​are risk factors for injury to handball athletes.

    Objectives: This study aims to determine the eccentric strength and hamstring muscle asymmetry in female handball athletes in Surabaya City.

    Methods: The study subjects were 13 female handball athletes from Surabaya aged 18-23 years with regional-level competition experience and no lower extremity injuries. The instrument in this study is Nordbord by Vald Performance; Nordbord is a portable rapid assessment tool that can analyze large groups, providing information about the exact functional strength parameters quickly and efficiently. This study used a quantitative descriptive method to analyze hamstring muscle strength and asymmetry data.

    Results: Indicated the athletes had an average (body mass of 59.30 ± 10.94 kg and height of 164.80 ± 6.80 cm). The overall eccentric hamstring strength was 88.1% of the expected norm, with right and left maximum forces averaging 230.70 ± 48.80 N and 233.61 ± 50.15 N, respectively. The average asymmetry between legs was -1.44 ± 9.14%, suggesting relatively balanced muscle strength.

    Conclusions: The study concluded that hamstring eccentric strength in both legs should be improved by approximately 11.9% while maintaining the current low asymmetry levels to support muscle balance. Targeted training interventions are recommended to increase hamstring strength and minimize asymmetry, enhancing performance and reducing injury risk in female handball athletes.

    APA Citation Style
    Sanjaya, A. D. P. , Firmansyah, A. , Hakim, A. A. , & Bana, P. (2025). Eccentric hamstring strength and asymmetry in female handball athletes: A descriptive study. Sport, Exercise, and Injury, 60-69. https://doi.org/10.56003/sei.v1i1.553
  • Open Access

    Injury patterns and risk factors in high school futsal: An observational study

    Rafif Jendra Atmaja1
    1. State University of Malang , ID
    2025-06-17
    doi https://doi.org/10.56003/sei.v1i1.513
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 17 June 2025
    |
    page 1-14
    Abstract

    Background: Sports injuries at an early age are crucial and must be given attention.

    Objectives: This study aims to analyze injury patterns, causative factors, and prevention strategies specific to high school futsal players.

    Methods: The research method used was descriptive quantitative with a cross-sectional study approach. The population in this study were male students of State Senior High School 1 Ponorogo who participated in class meeting activities, with purposive sampling technique found 24 samples. Data collected by questionnaire included information on the type of injury, location of injury, causative factors, injury treatment and type of rehabilitation.

    Results: The results showed that the most common injuries were cuts/abrasions (29%) and bruises (23%), most common in the lower extremities, namely knees (23%) and ankles (20%), the most common cause of injury was physical contact (54%), most injuries occurred during the second half (67%), the most common first aid given was cold compresses (51%) and the most common rehabilitation/therapy was massage (25%) and physiotherapy (21%).

    Conclusions: The findings can be concluded that the most dominant type of injury experienced by students is abrasion, especially in the knee area. In addition, the main causative factors of injury are fatigue, infrastructure, and collisions between players. The results of this study indicate the urgency of implementing injury prevention programs and the importance of conducting post-injury rehabilitation, in an effort to minimize the risk of injury to support the sustainability of students' careers in sports.

    APA Citation Style
    Atmaja, R. J. (2025). Injury patterns and risk factors in high school futsal: An observational study. Sport, Exercise, and Injury, 1-14. https://doi.org/10.56003/sei.v1i1.513
  • Open Access

    Eccentric hamstring strength profile and limb asymmetry in sub-elite female taekwondo athletes: Implications for injury prevention

    Christina Septya Dewi1, Pudjijuniarto Pudjijuniarto2, Awang Firmansyah3, Roy Januardi Irawan4
    1. Universitas Negeri Surabaya , ID
    2. Universitas Negeri Surabaya , ID
    3. Universitas Negeri Surabaya , ID
    4. Universitas Negeri Surabaya , ID
    2025-06-17
    doi https://doi.org/10.56003/sei.v1i1.574
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 17 June 2025
    |
    page 70-79
    Abstract

    Background: Taekwondo is a physical contact sport requiring quick reactions and explosive movements such as kicking, which depend heavily on hamstring muscle strength to maintain performance and reduce injury risk.

    Objectives: This study aims to profile the eccentric hamstring strength and asymmetry in sub-elite female taekwondo athletes in East Java.

    Methods: This was a quantitative descriptive study with a cross-sectional approach. A total of 22 female athletes with regional competition experience and no lower limb injuries were selected using purposive sampling. Data were collected using the NordBord by Vald Performance, a reliable tool for measuring eccentric hamstring strength and asymmetry. Descriptive statistics analyzed the mean, standard deviation, minimum, maximum, and strength percentage relative to normative values.

    Results: The athletes had an average age of 18.86±2.05 years, body mass of 57.45±8.90 kg, height of 160.68±6.72 cm, and BMI of24.33 ±2.51. Eccentric hamstring strength was 89.6% in the left leg, 85% in the right leg, and 87.2% overall, indicating the need for improvement.

    Conclusions: The eccentric hamstring strength of both legs needs to be increased by approximately 12.8% while maintaining the current low asymmetry level to support muscle balance. Targeted hamstring strengthening exercises are recommended to enhance performance and reduce injury risk. This study is limited to female athletes; further research should include broader populations and variables.

    APA Citation Style
    Dewi, C. S. , Pudjijuniarto, P. , Firmansyah, A. , & Irawan, R. J. (2025). Eccentric hamstring strength profile and limb asymmetry in sub-elite female taekwondo athletes: Implications for injury prevention. Sport, Exercise, and Injury, 70-79. https://doi.org/10.56003/sei.v1i1.574
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