EXERCISE PRESCRIPTION FOR THE SOCCER MIDFIELDER By Jennifer L. Doherty (Soccer Midfielder) December 3, 2002 ESS 620 The Scientific Basis of Training Prescription Fall Semester 2002 jdoherty@miami.edu Introduction The purpose of this project is to analyze the sport of soccer with regard to the midfielder position. A general understanding of the sport of soccer, specifically the midfielder position, is required to conduct a meaningful and appropriate analysis. The following components will be examined and the information obtained will be used to develop a training program specifically for the midfielder position: bioenergetic specificity, biomechanical specificity, physiological testing battery, and training prescription. The typical pattern of play for male soccer players has been reviewed. 54 Male soccer players typically cover a distance of 8 to 12 km in a game.45, 54 The type of work performed by male soccer players is mainly aerobic consisting of the following: 24% walking, 35% jogging, 20% running (cruising), 7% backward running, 11% sprinting, and 2% of the time with the ball.51 In terms of time, these percentages result in a ratio 7 to 1 of aerobic to anaerobic work45 and a ratio of low-intensity to high-intensity work of approximately 2.2 to 1,51 which denotes a predominance of aerobic work.45, 51 Soccer players must be able to perform and sustain the typical pattern of play required of the game to be successful. The anatomy and physiology of successful male soccer players has been determined. Successful male soccer players are between the ages of 24 to 27 years of age.54 The typical height of successful male soccer players is 1.83 m; however, midfielders are usually shorter.5, 11 A body mass of approximately 75 to 80 kg with less than 10% body fat is typically seen in successful male soccer players.5, 11 Successful male soccer players usually have a maximal oxygen intake (VO2max) of 60 to 70 ml/(kg)(min)1, 4, 19 and an anaerobic threshold of approximately 45 ml/kg.20 The average anaerobic power for successful male soccer players is approximately 27 W/kg.9, 48 The development of muscular strength in the trunk,59 hip flexors,16, 41 and the knee extensors and flexors10, 16 also is evident in successful male soccer players. A successful male soccer player must master the technical and tactical skills of the game. A midfielder must be able to perform a variety of technical soccer skills, including but not limited to, dribbling, passing (serving) long range and short range, heading, and tackling.31 The tactical skills of a midfielder includes the ability to offer support to the play on both offense and defense, which involves communicating with the attackers and the defenders,56 the ability to penetrate offensively with the ball by incorporating technical skills to create scoring opportunities,31, 56 and the ability to read the field for open space and penetrate without the ball both offensively and defensively.31, 56 A successful male soccer player not only possesses the anatomical and physiological characteristics that lend to success but also possesses the technical and tactical skills required of the game to create successful results on the field. The athlete and position evaluated for this project is the soccer midfielder. This athlete is a male who has been playing soccer since childhood and is now a world-class soccer midfielder. Because this athlete competes on the world-class level, he most likely possesses the technical and tactical skills required of the game. In terms of the anatomical and physiological characteristics, this soccer midfielder is 28 years or age, is 1.8 m in height, and weighs approximately 77 kg, which are within the typical age, height, and weight ranges of successful male soccer players.5, 11, 54 However, no information pertaining to his VO2max, his anaerobic threshold, his anaerobic power, or his muscular strength is known. All of these physiological factors may influence his performance; therefore, these physiological factors should be evaluated and trained to improve the likelihood of success on the field. Bioenergetic Specificity Success in soccer requires cardiovascular fitness; therefore, the bioenergetic pathways utilized by a soccer player should be examined. Soccer is an activity that is on an aerobic/anaerobic continuum over the course of 90 minutes with the players’ physiological state moving from aerobic to anaerobic and back to aerobic metabolism while active recovery takes place.24, 32, 58 The soccer midfielder utilizes three energy systems: creatine phosphate, anaerobic glycolysis, and aerobic glycolysis.22, 32, 58 The intensity and duration of the work/recovery cycles that occur throughout a soccer game determine the degree to which the energy systems are used.32, 58 The proportion of utilization of the creatine phosphate energy system is greatest during short-term high-intensity exercise of less than 5 s in duration.15, 22, 58 This energy system is utilized most by a soccer player while kicking the ball or heading the ball.24, 32 The proportion of utilization of anaerobic glycolysis progressively increases during short-term high-intensity exercise and predominates in activities of less than 60 s in duration. 15, 22 This energy system would be utilized most by a soccer player while sprinting 30 yards onto a pass.22, 24, 32, 58 The proportion of utilization of the aerobic energy system increases during prolonged submaximal exercise.15 This energy system is utilized by soccer players while walking or jogging during the course of a 90-minute game.24, 32, 58 Submaximal exercise during a soccer game provides an active recovery period, which reduces post-exercise oxygen consumption and lactic acid levels produced by anaerobic glycolysis, allowing the soccer player to reengage in high-intensity work.58 As mentioned previously, the work performed by male soccer players is predominately aerobic. Midfielders cover the greatest distances compared to other soccer positions; therefore, their aerobic demands are greater.22, 45, 46 A soccer midfielder requires efficiency of all three energy systems utilized, the creatine phosphate system, anaerobic glycolysis, and aerobic glycolysis; however, greater emphasis on aerobic metabolism is warranted. Biomechanical Specificity Because success in soccer requires the execution of a variety of technical skills, these skills should be analyzed from a biomechanical aspect. A biomechanical analysis reveals the important components of the technical skill that may be trained to potentially enhance performance. The following biomechanical components should be examined: the muscle utilization patterns and the types of contractions required to perform the skill, the joint angles and the muscle lengths required to perform the skill, and the speed of movement required to perform the skill. Running Soccer midfielders cover a large amount of distance in a 90-minute game while moving along the aerobic/anaerobic continuum24, 32, 58 by running, jogging, and sprinting.51 The running action may be divided into three phases when conducting a biomechanical analysis: swing, support, and float.26, 42 The float phase occurs when both feet are out of contact with the ground.42 The percentage of time spent in the float phase increases as the speed of running increases.42 Due to the presence of the float phase, running requires muscular strength to generate the necessary amount of force for movement and balance to provide coordination of movement.42 The muscle activity may be examined for the swing phase and the support phase of running. At toe-off, the gluteal and hamstring muscles act to extend the hip and the gastrocnemius muscle acts to plantarflex the ankle.26, 42 During the swing phase the iliopsoas muscle acts to flex the hip, the hamstring muscles act to flex the knee, and the anterior tibialis muscle acts to dorsiflex the ankle to bring the swing leg forward in front of the support leg while the adductor muscles act to prevent the leg from swinging outwards.26, 42 At the end of the swing phase, the quadriceps muscle group acts to extend the knee in preparation for foot-strike, which marks the end of the swing phase of running.26, 42 Foot-strike marks the beginning of the support phase of running during which time the weight of the body must be controlled.26 At foot-strike, the hip joint is flexed, the knee joint is slightly flexed, and the ankle joint is dorsiflexed and slightly inverted. 26 The anterior tibialis and the gastrocnemius muscles work eccentrically to control the foot as it strikes the ground.26 The momentum generated while running carries the body forward onto the support leg and over the ankle joint leading to toe-off.26 Muscles of the trunk and arms also act during running to maintain balance and to counterbalance the rotation of the pelvis that occurs while moving along the swing phase, float phase, and support phase continuum.26 Longer strides are taken as the speed of running increases, which requires greater hip extension and greater knee flexion early in the swing phase and greater hip flexion later in the swing phase.26 Shorter strides are taken when the soccer player runs with the ball, which may result in knee flexion at toe-off and ankle plantarflexion at foot-strike.26 Cometti et al13 conducted a study comparing amateur, sub-elite, and elite soccer players while sprinting over a distance of 10 m.13 The sprint speeds of the elite and subelite soccer players were significantly greater than the amateur soccer players, indicating a potential relationship between sprint speed and performance.13 Kicking Three-dimensional analysis is required to obtain a true biomechanical analysis of the kicking motion; however, due to the complexity of this motion it is simplified to a twodimensional analysis in the sagittal plane.26, 33 The kicking motion may be divided into four phases: 1) swing limb loading, 2) flexion of the hip, 3) deceleration of the thigh and acceleration of the low leg, and 4) follow through.6, 26 During phase one, the swing limb loading phase, the following actions occur in the kicking leg: the hip joint is extended quickly by the gluteal muscles, the pelvis rotates posteriorly, the knee joint if flexed by the hamstring muscles, and the ankle joint is dorsiflexed by the tibialis anterior muscle.26, 33 In this position, the hip flexors, adductors, and quadriceps muscle groups are eccentrically stretched allowing for the storage of potential elastic energy in preparation for phase two of the kicking motion.6, 14, 26 The following actions occur in phase two of the kicking motion: the iliopsoas muscle forcefully contracts to flex the hip joint and the pelvis rotates anteriorly while the knee remains flexed.6, 26, 33 This phase results in acceleration of the thigh as it swings forward. 6, 14 In phase three of the kicking motion, the thigh begins to decelerate and the low leg begins to accelerate due to a shift in momentum.6, 33 The hamstrings contract eccentrically to decelerate the thigh.26 The quadriceps generate momentum by shifting from the eccentrically stretched position noted in phase two to a forceful concentric contraction to extend the knee, which results in acceleration of the low leg.6, 14, 26, 33 This pre-stretch of the quadriceps muscle from phase two increases the speed of the kicking leg by approximately 21%.7, 28 The fourth phase of the kicking motion, the follow through, serves as a protective mechanism for the muscles in the swing limb as the momentum generated during the kicking motion is dissipated.6 The hamstring muscle group is eccentrically stretched in the follow through phase, thus opposing the hip flexion and knee extension motions that occurred in phase three of the kicking motion.16 The muscles in the non-kicking leg function to provide stabilization of the body while the kicking leg is in motion.26 Muscles of the trunk and arms also act during the kicking motion to maintain balance and to counterbalance the kicking leg.26 The ratio of ball speed to foot speed provides an indication of the level of skill in kicking the ball with a greater value indicating a higher level of skill.2 Amateur male soccer players generally exhibit foot speeds in the range of 16 to 22 m/s with a resultant ball speed in the range of 24 to 30 m/s.2 Professional male soccer players; however, have exhibited foot speeds of approximately 28.3 m/s with a resultant ball speed of approximately 29.9 m/s.2 The muscles utilized in the kicking motion are directly responsible for increasing foot speed as reported by several researchers in the literature, thus providing evidence of the relationship between muscle strength in the hip flexors, knee flexors, and knee extensors and the performance of the soccer kick. 10, 13, 16, 41 Jumping and Heading Jumping and heading are important technical skills in soccer for advancing the ball down the field, intercepting a pass, or as a shot on goal.35 There are three types of approaches to heading: 1) from a standing position, 2) when jumping from a standing position and 3) when jumping with an approach.26, 35 In a game situation, very few headers are performed from the standing position.35 Headers are usually performed while jumping from a standing position or from an approach.26, 35 A standing jump usually occurs from both feet whereas a jump with an approach occurs from one foot.26 While performing a header with a jump, the soccer player will move into a position of trunk flexion, hip flexion, knee flexion, and ankle dorsiflexion as a result of body weight and gravity.26 Control of this movement is accomplished through eccentric stretching of the erector spinae, gluteal, hamstring, quadriceps, and plantarflexor muscle groups.26 The stretched position of these muscle groups results in the storage of potential elastic energy.26 Flexion of the elbow joints and extension of the shoulder joints also are noted in this position.26 The jumping motion occurs with quick and forceful concentric contractions of the erector spinae, gluteal, hamstring, quadriceps, and plantarflexor muscle groups to produce trunk extension, hip extension, knee extension, and plantarflexion, respectfully.26, 35 Also, quick concentric contractions of the elbow extensors and shoulder flexors cause the arms to swing forward and upward into a position of elbow extension and shoulder flexion. 26, 35 The segmental contributions giving rise to the center of gravity necessary to perform the jumping skill are as follows: knee extension contributes 55%, ankle plantarflexion contributes 25%, trunk extension contributes 10%, and shoulder flexion and elbow extension contributes 10%.36 When landing from a jump the erector spinae, gluteal, hamstring, quadriceps, and plantarflexor muscle groups act eccentrically to control joint motion, to decelerate the motion, and to absorb the forces of impact with the ground. 26 Throw-In The muscle utilization patterns of a soccer player while performing a throw-in have been examined. Throw-ins are performed with both hands on the ball and with both feet on the ground from either a standing position or from a short running approach. 26 At the initiation of the throw-in motion, the erector spinae muscle group extends the spine, the gluteal and hamstring muscle groups contract to extend the hip joints, and the dorsiflexor muscles act eccentrically to plantarflex the ankle joints.26 The ball is moved overhead placing the shoulder and elbow joints in full flexion by contraction of the shoulder flexors and elbow flexors, respectively.26 This position places the shoulder extensors and elbow extensors on a stretch, which results in the storage of potential elastic energy. 26 As the throw-in motion begins, the stretched shoulder extensors and elbow extensors contract concentrically to cause shoulder extension and elbow extension.26 Also, the abdominal muscles and the iliopsoas muscle contract to cause flexion of the spine and flexion of hips, respectively.26 Kollath and Schwirtz29 compared the standing throw-in and the running throw-in. The height and angle of release were not significantly different; therefore, the difference observed between the standing throw-in and the running throw-in was attributed to arm speed.29 The distance achieved using the standing throw-in was 20.9 m with an arm speed of 14.2 m/s compared to 24.1 m with an arm speed of 15.3 m/s using the running throwin.29 These results indicate a possible relationship between increased arm speed and enhanced performance of the throw-in soccer skill. The ability to execute the technical skills of soccer lends to successful soccer performance. Through a biomechanical analysis, knowledge of the muscle utilization patterns and the types of contractions required to perform a skill, the joint angles and the muscle lengths required to perform a skill, and the speed of movement required to perform a skill is obtained. This knowledge allows for the incorporation of specific training exercises to elicit the desired training effects in an attempt to enhance performance on the soccer field. Testing Battery Physiological assessment of soccer players allows for the identification of individual strengths and weaknesses and for the identification of changes in individual fitness levels.44 Physiological assessment is achieved through a battery of fitness tests because a single fitness test is not capable of providing an accurate profile of the athlete. 21, 44 The testing battery should be standardized and contain fitness tests that are feasible and reliable. 3, 57, 52 Also, the fitness tests utilized in the physiological assessment of soccer players should be selected or designed with the context of the sport in mind.3 The following areas are assessed in the testing battery for male soccer players: anthropometry, anaerobic/power, aerobic/endurance, muscle strength, and flexibility.3, 44, 52, 54, 57 Anthropometry Anthropometry is the assessment of body composition, or percentage of body. 44, 57 This is an important consideration for the game of soccer because excess fat mass adds weight and slows the speed of movement required for successful execution of soccer skills.44, 57 Skinfolds measurements performed according to the recommendations set forth by the Laboratory Standards Assistance Scheme are used to estimate the percentage of body fat in soccer players.43, 44, 57 Skinfold measurements from seven sites are collected to calculate body fat percentage: the triceps, subscapular, biceps, supraspinale, abdominal, thigh, and calf.43 Appendix A contains illustrations of the seven skinfold measurements. 43 The body fat percentage of top male soccer players is approximately 10% during the season,5, 11 but body fat percentage may rise to approximately 19 to 20% during the offseason.47 Anaerobic Performance/Power Anaerobic performance and power are important for the soccer midfielder in executing the technical skills of soccer, such as kicking the ball,24,32 jumping and heading,24,32 or sprinting 30 yards onto a pass.22, 24, 32, 58 Measurements of power output in the legs are commonly used to assess anaerobic performance and power of soccer players. 18, 57 A popular laboratory test used to assess anaerobic performance and power is the 6-Second Bicycle Test.18 This test is conducted while the soccer player is cycling, which is not applicable to the sport.44 The results obtained from the 6-Second Bicycle Test are not highly correlated with peak power and anaerobic threshold.18 An alternate method of assessing anaerobic performance and power is the vertical jump test conducted with the countermovement jump, which is more applicable to the sport.57 The soccer player may complete three attempts and the best score is used to calculate power output using a standard equation.18, 21, 44 The average anaerobic power of successful male soccer players is approximately 27 W/kg.9, 48 Aerobic Performance/Endurance Aerobic performance and endurance are important for the success of the soccer midfielder because this position covers the greatest distances compared to other soccer positions; therefore, the aerobic demands are greater.22, 45, 46 The measurement of VO2max is the most commonly used method for assessing aerobic performance and endurance. 57 A popular laboratory test used to measure VO2max is treadmill running with expired gas analysis.57 This laboratory test; however, only requires the soccer player to run in a straight line, which is not applicable to the sport.57 An alternate method of assessing aerobic performance and endurance is being used more often because it requires the soccer player to constantly change the direction and speed of running, which is more applicable to the sport.57 This new method is a field test called the multistage test. During this test, the soccer player must run back and forth between two cones set 20 m apart in correspondence with a standardized yet variable cadence provided by a multistage test cassette tape or CD.18 The score obtained on the multistage test is used to estimate the VO2max of the soccer player.57 The multistage test is considered a valid method of indirectly estimating VO2max.44 The VO2max of successful male soccer players falls into the range of 60 to 70 ml/(kg)(min).1, 4, 19, 44, 57 Muscular Strength Muscular strength in the trunk, the lower limbs, and the upper limbs is important for the performance of soccer skills and in maintaining balance while performing these skills, as described earlier in the biomechanical analysis of soccer skills.44 Isokinetic testing for the assessment of muscle strength is widely used as a laboratory test in evaluating soccer players.61 Several isokinetic studies have been conducted on soccer players in an attempt to correlate lower limb strength with kicking performance.10, 13, 16, 41 The isokinetic testing method is limited to testing only one muscle group at a time, which is not applicable to the sport because soccer players are required to use multiple muscle groups to perform the skills of the game, as explained earlier in the biomechanical analysis of soccer skills.61 The association between isokinetic testing and athletic performance is questionable and further research in this area is warranted.61 Isoinertial strength assessment may be more applicable to the sport of soccer because multiple muscle groups are utilized to perform the strength test. The technical skills utilized by soccer players incorporate concentric contractions and the use of potential elastic energy that is stored during an eccentric stretching of a muscle, as described earlier in the biomechanical analysis of soccer skills. Isoinertial strength assessment incorporates multiple muscle groups and involves both concentric contraction and eccentric stretching of these muscles,34 which is more applicable to the sport. Maximal isoinertial strength is usually determined from a one-repetition maximum (1RM) test or a three-repetition maximum (3RM) test.34 The 3RM test protocol will be utilized because it is more reliable, safer, and highly correlated to the 1RM test. 27, 53 The 3RM for this soccer midfielder will be assessed for the squat and bench press to determine strength of the lower limbs and the upper limbs, respectively. After warming up, the soccer player will begin the 3RM test. The soccer player has four attempts with rest periods of 3 to 5 minutes to determine the 3RM.34 The weight is increased progressively by 5 kg for the squat and by 2.5 kg for the bench press. 34 The final amount of weight lifted, meeting the satisfactory criteria, for three successive lifts is recorded as the absolute 3RM.34 Although isoinertial strength testing more closely simulates the activities involved in the sport of soccer as compared to isokinetic testing, further research is warranted to examine the potential relationship between isoinertial strength scores and athletic performance.34 Flexibility Flexibility is an important consideration for soccer players because of the potential for enhancing performance and preventing injury.23, 44 Flexibility exercises of the quadriceps and hamstring muscle groups have been reported to increase the range of motion about the hip joint, which increases knee extension speed important for kicking,25 increases stride frequency during sprinting,25 and offers protection against injury.50 Flexibility is capable of preventing injury by increasing the length of the muscle, which allows for greater force absorption by the muscle without injury.23 A relationship between muscle tightness in the hamstring and adductor muscle groups and increased risk of muscle injury has been reported.17 Flexibility exercises also have been reported to improve the storage of potential elastic energy by increasing the length of the muscle, thereby more energy can be transferred to the concentric contraction resulting in greater force production.12, 60 Stored potential elastic energy plays a role in the performance of soccer skills as described in the biomechanical analysis of the soccer skills.26 Due to the importance of flexibility, the testing battery for soccer players includes the assessment of range of motion for the muscle groups utilized in the sport. The flexibility tests from the standardized F-MARC testing battery for soccer players will be used in accordance with established testing protocols to assess the trunk muscles, the hip extensors, the knee flexors, the knee extensors, and the plantarflexors.52 The seven flexibility tests from the F-MARC testing battery are illustrated in Appendix B.52 The FMARC testing battery for flexibility is appealing because it is a feasible assessment tool; however, further research is warranted with regard to the reliability of these flexibility tests.52 A testing battery developed according to the demands of the sport results in comprehensive physiological assessment of soccer players, which allows for the identification of individual strengths and weaknesses and for the identification of changes in individual fitness levels.44 The order in which the testing battery is administered is of important consideration to minimize the potential of crossover effects among the fitness tests. The multistage test for assessing aerobic performance and endurance will be administered first because multiple soccer players may be assessed simultaneously. The 3RM bench press test for muscular strength of the upper limbs will be administered next, providing a rest period for the lower limbs. Skinfold assessment and the flexibility tests may be administered interchangeably following the 3RM bench press test. These fitness tests provide recovery time from the multistage test and the 3RM bench press test because they are not physically taxing for the soccer player. The testing battery is concluded with the vertical jump test and the 3RM squat test, respectively. The vertical jump test for anaerobic performance and power and the 3RM squat test for muscular strength in the lower limbs are last in the testing battery due to the potential development of muscular fatigue. The 3RM squat test is the last test administered because it is more physically taxing than the vertical jump test due to the external load. The testing battery should be administered in one day to minimize the disruption of the current training program of the soccer players. Modifications to the testing battery or the order in which the fitness tests are administered may be required if a soccer player is unable to perform a fitness test or complete the testing battery for any reason. This may occur due to illness, injury, improper technique, or poor physical fitness. Illness or injury not withstanding, this population of soccer players is competing on the world-class level and should possess the proper technique and physical fitness required to perform and complete this testing battery. The testing battery will be administered during the transition from off-season to preseason. Data gathered at this time establishes a baseline and serves as the foundation for an individualized training prescription for the season. The testing battery will be administered a second time during the transition from pre-season to in-season. Data gathered at this time may be compared to previous data to ensure the efficacy of the training prescription in maintaining aerobic/endurance, anaerobic/power, strength, and flexibility levels throughout the season. The testing battery will be administered mid-season (refer to Table 1) and the data gathered may be compared to previous data to determine if modifications in the training prescription are necessary to maintain the aerobic/endurance, anaerobic/power, strength, and flexibility level of the soccer players. During the transition from in-season to out-of-season, the testing battery will be administered to gather data to guide the development of an individualized training prescription for the soccer players for the off-season. Training Prescription The data collected during the testing battery are used to develop a training prescription to improve or maintain the aerobic/endurance, anaerobic/power, strength, and flexibility level of the soccer player. The goal of the training prescription is to obtain, or maintain, the attributes of a successful male soccer player as described earlier. 1, 4,5,9,11,16,19,41,48, 59 Aerobic and endurance exercises may be emphasized if a soccer player has greater than 10% body fat and/or a low VO2max. Interval training is considered one of the most effective ways for increasing the aerobic fitness level of soccer players.24 Interval training with a work to rest ratio of 1 to 2 will target the aerobic energy pathways and enhance endurance.24, 32 Interval training is applicable to the sport of soccer due to the resultant increase and decrease in heart rate, which occurs throughout the 90-minute soccer game.24 Pattern running is a type of interval training exercise with established guidelines. 24 The pattern running exercise includes a variety of different runs that are performed according to a 1:2 work to rest ratio.24 For example, if the soccer player completed a run in 15 seconds, then he has 30 seconds to jog back to the starting position. Pattern running should be performed for approximately 20 to 40 minutes.24 Pattern running is an effective interval training approach for soccer players because it involves a variety of movements that are applicable to the sport.24 Anaerobic exercises incorporating power and strength may be emphasized if a soccer player demonstrates low anaerobic power and/or muscular weakness. Strength and power in the muscles of the upper limbs, trunk, and lower limbs are important as described earlier in the biomechanical analysis of soccer skills. To develop and/or maintain power and strength in the upper limbs of soccer players, the following exercises are utilized: the incline/bench press, front lat pull-downs, seated rows, upright rows, medicine ball overhead throws, and medicine ball chest throws.8 Appendix C contains illustrations of these exercises.8 To develop and/or maintain power and strength in the trunk muscles of soccer players, the following exercises are utilized: back extensions, Good morning exercises, power lifts to chest level, dead lifts, abdominal V-sits, and weighted sit-ups.8 Appendix C contains illustrations of these exercises.8 To develop and/or maintain power and strength in the lower limbs of soccer players, the following exercises are utilized: squat, jump half squats, knee lifts, leg curls, drop jumps, and toe raises.8 Appendix C contains illustrations of these exercises.8 The power and strength exercises incorporated into the training prescription target the muscles utilized in the performance of soccer skills. Flexibility exercises may be emphasized if a soccer player demonstrates a restricted range of motion as assessed by the flexibility tests included in the testing battery. To develop and/or maintain flexibility in soccer players, the following stretches are utilized: neck stretch, back stretch, quadriceps stretch, hip flexor stretch, hamstring stretch, modified hurdler stretch, groin stretch, and lower-leg heel stretch.38 These flexibility exercises are performed prior to all training sessions. Appendix D contains illustrations of these flexibility exercises.38 The training prescription is developed to improve or maintain the aerobic/endurance, anaerobic/power, strength, and flexibility level of the soccer player. The training prescription must be individualized and refined to address the specific needs of the soccer player in an attempt to enhance athletic performance . The goal of the training prescription is to obtain, or maintain, the attributes of a successful male soccer player that has been reported in scientific literature as described earlier.1, 4, 5, 9, 11, 16, 19, 41,48, 59 Periodization Periodization is an important component of the training prescription because it provides variation to the training program.30 This variation reduces the occurrence of staleness, or a plateau in the training effect, and it reduces the occurrence of overtraining, or a decrease in exercise performance.30 Periodization also may be applied to the different cycles of training: the event cycle, the daily cycle, the microcycle, the mesocycle, and the macrocycle.30 Periodization may be incorporated into the event cycle by using a variety of exercises. For the aerobic/endurance exercises, selecting different runs provides variation in the pattern running exercise. Developing two programs for the anaerobic power and strength exercises also provides variation. Program one includes the incline/bench press, seated rows, medicine ball overhead throws, back extensions, power lifts to chest level, abdominal v-sits, the squat, knee lifts, and drop jumps. Program two includes the front lat pull-downs, upright rows, medicine ball chest throws, Good mornings, dead lifts, weighted sit-ups, jump half squats, leg curls, and toe raises. Periodization may be accomplished by alternating between program one and program two by the week (refer to Table 1). Focusing on different aspects of the training program on different days of the week provides variation in the daily cycle of training. Soccer players typically perform aerobic endurance exercises and anaerobic power and strength exercises three times a week.21 Utilizing different pattern runs throughout the week provides variation to this aerobic and endurance exercise. Focusing on different muscle groups for the three anaerobic power and strength training sessions provides periodization. In each week, training session one focuses on the lower limbs, training session two focuses on the upper limbs, and training session three focuses on the trunk (refer to Table 1). Periodization of the microcycle, which is typically 2 to 6 weeks,30 is accomplished by varying the intensity and volume of the weekly training program in accordance with the game schedule. In weeks with only one game, training at a high intensity with a low volume may be utilized, which includes 40 minutes of pattern running and performing the power and strength exercises at an intensity of 80 to 90% of 1RM for 1 to 7 repetitions with a rest interval of 3 to 5 minutes between sets.8 In weeks with two games, training at a moderate intensity with a moderate volume may be utilized, which includes 30 minutes of pattern running and performing power and strength exercises at an intensity of 50 to 80% of 1RM for 5 to 10 repetitions with a rest interval of 2 to 4 minutes between sets. 8 Training at a low intensity with a high volume may be utilized during the week preceding a difficult soccer game in an attempt to peak the soccer players. Peaking involves a time period during which the training state of the soccer players is maximized resulting in the highest level of performance possible.8 While attempting to peak, pattern running is conducted for 20 minutes and the power and strength exercises are performed at an intensity of 30 to 50% of 1RM for 10 to 30 repetitions with a rest interval of 1 to 2 minutes between sets.8 Three to five sets of each exercise are performed according to the desired volume of work for the soccer player. Research has reported that performing three to five sets of an exercise produced the most gains.38 Adjustments of the intensity and volume of training during the microcycle are individualized according to the performance of the soccer player in the testing battery. Periodization of the mesocycle occurs in the different training programs utilized during the off-season and in-season. Mesocycles typically last anywhere from 3 to 4 months.30 Establishing a base of aerobic endurance and developing strength and power are the training objectives during the off-season. Aerobic endurance may be established through various types of interval training with a work to rest ratio of 1 to 2.24, 32 Developing strength and power during the off-season occurs in three phases: hypertrophy phase, basic strength phase, and strength and power phase.8 The training objectives while inseason include the maintenance or aerobic endurance and anaerobic power and strength while training the technical and tactical skills of the sport.21 The macrocycle includes the training program over the course of a year.30 This cycle encompasses the off-season and the in-season. The macrocycle includes the mesocycle, the microcycle, the daily cycle, and the event cycle, which all include variations in training as previously described. Therefore, periodization in the macrocycle is evident. Summary There are several misconceptions with regard to developing a training prescription for soccer players. One misconception is that the training prescription for soccer players simply involves endurance training.58 The need for anaerobic training is overlooked and results in soccer players that are capable of running for long periods of time at a low intensity.58 Focusing strictly on endurance training results in soccer players that are incapable of performing, and recovering from, the multiple high-intensity sprints required of the game.58 The opposite misconception is that the training prescription for soccer players simply involves speed training.58 The need for aerobic training is overlooked and results in early muscle fatigue, thus limiting performance in the 90-minute soccer game.58 Soccer is an activity that is on an aerobic/anaerobic continuum over the course of 90 minutes with the players’ physiological state moving from aerobic to anaerobic and back to aerobic metabolism while active recovery takes place.24, 32, 58 Soccer midfielders are continuously moving along the aerobic/anaerobic continuum 24, 32, 58 by running, jogging, and sprinting.51 Efficiency of all three energy systems utilized, the creatine phosphate system, anaerobic glycolysis, and aerobic glycolysis is required for a soccer midfielder. Midfielders cover the greatest distances compared to other soccer positions; therefore, the aerobic demands are greater.22, 45, 46 In addition to the efficiency of the bioenergetic pathways, the soccer midfielder must possess muscular strength and flexibility of the trunk,59 hip flexors,16,41 and knee extensors and flexors,10, 16, 25 to improve the likelihood of successful performance on the soccer field. Therefore, the training prescription must be individualized and continuously refined to address the specific needs of the soccer midfielder in an attempt to enhance athletic performance. Table 1. Soccer training and competition schedule. WEEK Monday Tuesday 1 Lower #1 H/L, 40 min run Lower #2 H/L, 40 min run Lower #1 L/H, 20 min run Lower #2 M/M, 30 min run Lower #1 H/L, 40 min run Upper #1 H/L, 40 min run Upper #2 H/L, 40 min run Upper #1 L/H, 20 min run Upper #2 M/M, 30 min run Upper #1 H/L, 40 min run Lower #2 M/M, 30 min run Upper #1 L/H, 20 min run Upper #2 H/L, 40 min run Upper #1 M/M, 30 min run Upper #2 H/L, 40 min run Upper #1 M/M, 30 min run Upper #2 H/L, 40 min run Upper #1 H/L, 40 min run Upper #2 L/H, 20 min run Upper #1 L/H, 20 min run 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Game rating score = 3 Lower #1 L/H, 20 min run Lower #2 H/L, 40 min run Lower #1 M/M, 30 min run Lower #2 H/L, 40 min run Lower #1 M/M, 30 min run Lower #2 H/L, 40 min run Lower #1 H/L, 40 min run Lower #2 L/H, 20 min run Lower #1 L/H, 20 min run Wednesday Thursday Friday Trunk #1 H/L, 40 min run Game Game rating score = 3 Game rating score = 4 Game rating score = 1 Upper #2 M/M, 30 min run Game rating score = 1 TESTING BATTERY Game rating score = 1 Game rating score = 1 Game rating score = 5 rating score = 4 Trunk #1 L/H, 20 min run Trunk #2 M/M, 30 min run Trunk #1 H/L, 40 min run Trunk #2 M/M, 30 min run Trunk #1 L/H, 20 min run Trunk #2 H/L, 40 min run Trunk #1 M/M, 30 min run Trunk #2 H/L, 40 min run Trunk #1 M/M, 30 min run Trunk #2 H/L, 40 min run Trunk #1 H/L, 40 min run Trunk #2 L/H, 20 min run Trunk #1 L/H, 20 min run Saturday Sunday Game rating score = 2 Trunk #2 H/L, 40 min run Game rating score = 5 Game rating score = 3 Game rating score = 2 Game rating score = 5 Game rating score = 2 Game rating score = 1 Game rating score = 4 Game rating score = 3 Game rating score = 4 Game rating score = 1 Game rating score = 4 Game rating score = 2 - Game rating scale: 5 is toughest, 1 is easiest; Lower: lower limb power and strength exercises, Upper: upper limb power and strength exercises, Trunk: trunk power and strength exercises; #1: exercise program 1, #2: exercise program 2; H/L: high intensity/low volume, M/M: moderate intensity/moderate volume, L/H: low intensity/low volume; run: pattern running References 1. Apor P. Successful formulae for fitness training. In: Reilly T, ed. Science and Football. London: E & FN Spon; 1988; 95-105. 2. Asami T, Nolte V. Analysis of powerful ball kicking. In: Matsui H, Kobayashi K, eds. Biomechanics. Champaign, IL: Human Kinetics; 1993; 695-700. 3. Balsom P. Evaluation of physical performance. In: Reilly T, ed. Science and soccer. New York, NY: E & FN Spon; 1996; 102-123. 4. Bangsbo J. Energy demands in competitive soccer. Journal of Sports Sciences. 1994; 12: S5-S12. 5. Bangsbo J, Mizuno, M. Morphological and metabolic alterations in soccer players with detraining and retraining and their relation to performance. In: Reilly T, Lees A, Davids K, Murphy WJ, eds. Science and Football. London: E & FN Spon; 1988; 114-124. 6. Barfield W. The biomechanics of kicking in soccer. Clinics in Sports Medicine. Oct. 1998; 17(4): 711-728. 7. Bober T, Putnam C, Woodworth GC. Factors influencing the angular velocity of a human limb segment. Journal of Biomechanics. 1987; 20: 511-521. 8. Bompa T. Periodization Training for Sports. Champaign, IL: Human Kinetics; 1999. 9. Bosco C. Strength elasticity in football. In: Santilli G, ed. Sports Medicine Applied to Football. Rome: CPNI; 1990; 63-70. 10. Cabri J, De Proft E, Dufour W. Clarys JP. The relation between muscular strength and kick performance. In: Reilly T, Lees A, Davids K, Murphy WJ, eds. Science and Football. London: E & FN Spon; 1988; 106-153. 11. Caldarione G, Teanquilli C, Giampietro, M. Assessment of nutritional state of toplevel football players. In: Santilli G, ed. Sports Medicine Applied to Football. Rome: CONI; 1990; 133-141. 12. Ciullo J, Zarins B. Biomechanics of the musculotendinous unit: Relation to athletic performance and injury. Clinical Journal of Sport Medicine. 1983; 2(1): 71-86. 13. Cometti G. Maffiuletti NA, Pousson M, Chatard JC, Maffulli N. Isokinetic strength and anaerobic power of elite, sub-elite, and amateur French soccer players. International Journal of Sports Medicine. 2001; 22: 45-51. 14. Davids K, Lees A, Burwitz L. Understanding and measuring coordination and control in kicking skills in soccer: Implications for talent identification and skill acquisition. Journal of Sports Sciences. 2000; 18: 703-714. 15. Demaree SR, Powers SK, Lawler, JM. Fundamentals of exercise metabolism. In: Roitman JL, ed. American College of Sports Medicine’s Resource Manual for Guidelines for Exercise Testing and Prescription. New York, NY: Lippincott Williams & Wilkins; 2001; 133-140. 16. De Proft E, Clarys JP, Bollens E, Cabri J, Dufour W. Muscle activity in the soccer kick. In: Reilly T, Lees A, Davids K, Murphy WJ, eds. Science and Football. London: E & FN Spon; 1988; 434-440. 17. Ekstrand J. Soccer injuries and their prevention. Medical dissertation No. 130, Linkoping University, Sweden. 18. Ellis L, Gastin P, Lawrence S, Savage B, Buckeridge A, Stapff A, Tumilty D, Quinn A, Woolford S, Young W. Protocols for the physiological assessment of team sport players. In: Gore CJ, ed. Physiological Tests for Elite Athletes. Champaign, IL: Human Kinetics; 2000; 128-146. 19. Faina M, Gallozzi C, Lupo S, Colli R, Sassi R, Marini C. Definition of the physiological profile of the soccer player. In: Reilly T, Lees A, Davids K, Murphy WJ, eds. Science and Football. London: E & FN Spon; 1988; 158-163. 20. Green S. Anthropometric and physiological characteristics of South Australian soccer players. Australian Journal of Science and Medicine in Sport. 1992; 24: 3- 7. 21. Gregg L, Nash T. The Champion Within: Training for excellence. Burlington, NC: JTC Sports; 1999; 102-118. 22. Haman K. Circuit training for midfielders. Performance Conditioning for Soccer. 1996; 3(2): 2-3. 23. Harvey D, Mansfield C. Measuring flexibility for performance and injury prevention. In: Gore CJ, ed. Physiological Tests for Elite Athletes. Champaign, IL: Human Kinetics; 2000; 98-113. 24. Hedrick A. Soccer-specific conditioning. Strength and Conditioning Journal. April 1999; 21(2): 17-21. 25. Hortobagyi T, Faludi J, Tihanyi J, Merkley B. Effects of intense stretching-flexibility training on the mechanical profile of the knee extensors and on the range of motion of the hip joint. International Journal of Sports Medicine. 1985; 6(6): 317-321. 26. Howe T. Functional Anatomy. In: Reilly T, ed. Science and soccer. New York, NY: E & FN Spon; 1996; 65-79. 27. Jacobs I, Bell DG, Pope J. Comparison of isokinetic and isoinertial lifting tests as predictors of maximal lifting techniques. European Journal of Applied Physiology. 1988; 57: 146-153. 28. Jelusic V, Jaric S, Kukolj M. Effects of the stretch-shortening strength training on kicking performance in soccer players. Journal of Human Movement Studies. 1992; 22: 231-238. 29. Kollath E, Schwirtz, A. Biomechanics of the soccer throw-in. In: Reilly T, Lees K, Davids K, Murphy WJ, eds. Science and Football. London: E & FN Spon; 1988; 460-467. 30. Kraemer WJ, Bush, JA. Factors affecting the acute neuromuscular responses to resistance exercise. In: In: Roitman JL, ed. American College of Sports Medicine’s Resource Manual for Guidelines for Exercise Testing and Prescription. New York, NY: Lippincott Williams & Wilkins; 2001; 167-175. 31. Lauffer B. Training the central midfielder in attack. Texan Coach. Oct. 1993: 42-43. 32. Lawless D. Interval training – meeting the many demands of soccer. Performance Conditioning Soccer. 1996; 3(3): 4-6,8. 33. Lees A, Nolan L. The biomechanics of soccer: A review. Journal of Sports Sciences. 1998; 16: 211-234. 34. Logan P, Fornasiero D, Abernethy P, Lynch K. Protocols for the assessment of isoinertial strength. In: Gore CJ, ed. Physiological Tests for Elite Athletes. Champaign, IL: Human Kinetics; 2000; 200-221. 35. Luhtanen P. Biomechanical aspects. In: Ekblom B, ed. Football (Soccer). Boston, MA: Blackwell Scientific; 1994; 59-77. 36. Luhtanen P, Komi PV. Segmental contribution to forces in vertical jump. European Journal of Applied Physiology. 1978; 31: 181-188. 37. Montanari G, Vecchiet L, Campo JR. Structural adaptments of muscle in soccer players. In: Santilli G, ed. Sports Medicine Applied to Football. Rome: CONI; 1990; 169-179. 38. Moran GT, McGlynn GH. Cross-training for Sports. Champaign, IL: Human Kinetics; 1997. 39. Murphy AJ, Wilson, GL. The ability of tests of muscular function to reflect traininginduced changes in performance. Journal of Sports Sciences. 1997; 15(2): 191-200. 40. Murphy AJ, Wilson GL, Pryor JF. Use of the isoinertial force mass relationship in the prediction of dynamic human performance. European Journal of Applied Physiology. 1994; 69: 250-257. 41. Narici MV, Sirtori MD, Mognoni P. Maximal ball velocity and peak torque of hip flexor and knee extensor muscles. In: Reilly T, Lees A, Davids K, Murphy WJ, eds. Science and Football. London: E & FN Spon; 1988; 429-433. 42. Norkin CC, Levangie PK. Joint Structure and Function: A comprehensive analysis, 2nd ed. Philadelphia, PA: F.A. Davis; 1992. 43. Norton K, Marfell-Jones M, Whittingham N, Kerr D, Carter L, Saddington K, Gore C. Anthropometric assessment protocols. In: Gore CJ, ed. Physiological Tests for Elite Athletes. Champaign, IL: Human Kinetics; 2000; 66-85. 44. Reilly T. Fitness assessment. In: Reilly T, ed. Science and soccer. New York, NY: E & FN Spon; 1996; 25-47. 45. Reilly T. Motion analysis and physiological demands. In: Reilly T, ed. Science and soccer. New York, NY: E & FN Spon; 1996; 65-79. 46. Reilly T. Motion Characteristics. In: Ekblom B, ed. Football (Soccer). Boston, MA: Blackwell Scientific; 1994; 31-42. 47. Reilly T. Physiological profile of the player. In: Ekblom B, ed. Football (Soccer). Boston, MA: Blackwell Scientific; 1994; 78-94. 48. Reilly T. Football. In: Reilly T, Secher N, Snell P, Williams C, eds. Physiology of Sports. London: E & FN Spon; 1990; 371-426. 49. Reilly T, Ball D. The net physiological cost of dribbling a soccer ball. Research Quarterly for Exercise Sport. 1984; 55: 267-71. 50. Reilly T, Stirling A. Flexibility, warm-up and injuries in mature games players. In: Duquet W, Day JP, eds. Kinanthropometry IV. London: E & FN Spon; 1993; 119123. 51. Reilly T, Thomas V. A motion analysis of work-rate in different positional roles in professional football match play. Journal of Human Movement Sciences. 1976; 2: 87-97. 52. Rosch D, Hodgson R, Peterson L, Graf-Baumann T, Junge A, Chomiak J, Dvorak J. Assessment and evaluation of football performance. Journal of Sports Medicine. 2000; 28(5): S-29 – S-39. 53. Sewall LP, Lander JE. The effects of rest on maximal efforts in squat and bench press. Journal of Applied Sports Science Research. 1991; 5: 96-99. 54. Shephard RJ. Biology and medicine of soccer: An update. Journal of Sports Sciences. 1999; 17: 757-786. 55. Shephard, RJ. The energy needs of the soccer player. Clinical Journal of Sports Medicine. 1992; 2: 62-70. 56. Steinbrenner H, Rahmatpanah M. The midfielder on defense. Scholastic Coach. Oct. 1990: 66-67. 57. Tumilty D. Protocols for the physiological assessment of male and female soccer players. In: Gore CJ, ed. Physiological Tests for Elite Athletes. Champaign, IL: Human Kinetics; 2000; 356-362. 58. Wang J. Physiological overview of conditioning training for college soccer athletes. Strength and Conditioning. Aug. 1995: 62-65. 59. Williams CA, Singh M. Dynamic trunk strength of Canadian football players, soccer players, and middle to long distance runners. Journal of Orthopaedic and Sports Physical Therapy. 1991; 25: 271-276. 60. Worrel T, Smith T, Winegardener J. Effects of hamstring stretching on hamstring muscle performance. Journal of Orthopaedic and Sports Physical Therapy. 1994; 20(3): 154-159. 61. Wriglet T, Strauss G. Strength assessment by isokinetic dynamometry. In: Gore CJ, ed. Physiological Tests for Elite Athletes. Champaign, IL: Human Kinetics; 2000; 155-199. Appendix A: Skinfold Measurements Triceps Biceps Subscapular Supraspinale Thigh Abdominal Calf Appendix B: Flexibility Tests Leg Raise in Supine Position Lengthwise Leg Splits Sideways Bending Sideways Leg Splits Single-legged Knee Bend Bending Backwards Forward Trunk Bending Appendix C: Power and Strength Exercises Upper Limbs Trunk Lower Limbs Appendix D: Flexibility Exercises