Objectives: different active and passive post-exercise recovery techniques such as massage, foam rolling, stretching or ice baths among others, are used by elite athletes to promote effective physiological, physical, and mental restoration. However, limited research is available investigating the use of recovery strategies in professional soccer. As such, we aimed to explore and describe the use of strategies by professional teams throughout the season, describing competitive and preparatory phases. Methods: the present study collected data from all professional Spanish soccer teams who played in 'LaLiga' (The Spanish first division), during the season 2018-2019 (n = 20) and the ones promoted for the season 2019-2020 (n = 3). A six-section online survey was responded once. Results: teams used different recovery protocols and combinations, although natural and physical strategies such as sleep/nap, food/fluid replacement, cold/ice bath/shower/immersion, and massage were always present. However, there is no agreement in the protocols and timings employed. Three physical strategies showed a higher presence in the recovery protocols after competition: cold/ice bath/ shower/immersion, massage and foam rolling; always used by seventeen teams (74%), sixteen (70%) and thirteen (57%) respectively. The design and supervision of recovery are multidisciplinary tasks in 87% of the teams. Our findings also demonstrate that although there is a body of scientific evidence on recovery, a gap between theory and practice exists with 13% of the teams acknowledging that insufficient logistics and economic resources limit the use of some strategies, and two teams (9%) not periodizing or individualizing recovery. Conclusion: the investigation provided insight into the current use of recovery strategies by 'LaLiga' teams, highlighting that all clubs used them to one extent or another, but also that significant variability responding to individualized perceptions exists. Moreover, this study provides relevant contextual information that may be useful for professional soccer staff concerning the use of recovery strategies.

This study aimed to analyze and compare the match running performance during official matches across four seasons (2015/2016–2018/2019) in the top two professional leagues of Spanish football. Match running performance data were collected from all matches in the First Spanish Division (Santander; n = 1520) and Second Spanish Division (Smartbank; n = 1848), using the Mediacoach® System. Total distance and distances of 14–21 km·h−1, 21–24 km·h−1, and more than 24 km·h−1, and the number of sprints between 21 and 24 km·h−1 and more than 24 km·h−1 were analyzed. The results showed higher total distances in the First Spanish Division than in the Second Spanish Division (p < 0.001) in all the variables analyzed. Regarding the evolution of both leagues, physical demands decreased more in the First Spanish Division than in the Second Spanish Division. The results showed a decrease in total distance and an increase in the high-intensity distances and number of sprints performed, although a clearer trend is perceived in the First Spanish Division (p < 0.001; p < 0.01, respectively). Knowledge about the evolution of match running performance allows practitioners to manage the training load according to the competition demands to improve players’ performances and reduce the injury rate.

Background The construction of useful and attainable indicators of fitness assessment deserves special attention in clinical practice. We aimed to construct an indicator of the functional fitness age (FFA) of women aged 50 and older by an equation using fitness outcomes and its correlation with chronological age (CA) and to analyze the external validity of our results by comparing our sample to others. Methods Participants ( n = 459, age: 70.3 ± 7.9 years, mean ± SD) were evaluated using the Senior Fitness Test battery. We applied a multiple regression and a subsequent Holt's exponential smoothing to analyze the outcomes. Results We obtained a statistically significant expression of F (6, 452) = 328.384; p < 0.0005 in which the coefficients of the equation explain 81% of variability ( R 2 corrected = 0.813). The equation correlates fitness assessment in women aged 50 and over with regards to CA: FFA = 40.146 + 0.350 × CS (stand) − 0.714 × AC (rep) − 0.110 × ST (step) − 0.177 × CSR (cm) − 0.101 × BS (cm) + 8.835 × FUG (s) where CS means chair stand test, AC means arm curl test, ST means 2-min step test, CSR means chair sit-and-reach test, BS means back scratch test, FUG means 8-foot up-and-go test. We compared this index with percentiles distribution from our sample and from other studies. Conclusion We suggest the use of FFA as a valid indicator of fitness in adult and senior women as well as a useful motivational tool to undertake exercise programs.

IntroductionPatellar tendon overuse injuries are common in athletes. Imaging may show a change in tissue structure with tendon thickening and disruption of the intratendinous substance. We wish to test the hypothesis that both autologous bone marrow expanded mesenchymal stem cells and autologous leukocyte-poor platelet-rich plasma (LP-PRP) implanted into the area of the disrupted tendinopathic patellar tendon will restore function, but tendon regeneration tissue will only be observed in the subjects treated with autologous bone marrow expanded mesenchymal stem cells.Methods and analysisThis is a single-centre, pilot phase I/II, double-blinded clinical trial with randomisation with active control. Twenty patients with a diagnosis of patellar tendinopathy with imaging changes (tendon thickening and disruption of the intratendinous substance at the proximal portion of the patellar tendon) will be randomised in a 1:1 ratio to receive a local injection of either bone-marrow autologous mesenchymal stem cells (MSC), isolated and cultured under GMP at The Institute of Biology and Molecular Genetics (IBGM) (Spain) or P-PRP. The study will have two aims: first, to ascertain whether a clinically relevant improvement after 3, 6 and 12 months according to the visual analogue scale (VAS), Victorian Institute of Sport Assessment for patellar tendons (VISA-P) and dynamometry scales (DYN) will be achieved; and second, to ascertain whether the proposed intervention will restore tendon structure as determined by ultrasonography (US), Doppler ultrasonography (DUS), and innovative MRI and ultrasound techniques: Magnetic Resonance T2 FAT SAT (UTE, Ultrashort Echo TE) sequence and Ultrasound Tissue Characterization (UTC). Patients who are randomised to the P-PRP treatment group but do not achieve a satisfactory primary endpoint after 6 months will be offered treatment with MSC.Trial registrationNCT03454737.