Strength Conditioning Journal 2016 Rey
Strength Conditioning Journal 2016 Rey
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Recovery Strategies for Soccer Players
Despite the obvious popularity, there to accelerate the recovery (53). Active practice have also been described, due
is a lack of scientific evidence for the recovery can be applied immediately, to the reduction in the glycogen re-
validity of recovery interventions right after the end of the activity synthesis in skeletal muscle (23,24),
(9,10,48). This can be attributed to (training or match), or can be delayed, which could be relevant in extreme
the fact that many of the studies are in the next training session. Even situations, as the absence of nutri-
laboratory based and the protocols, though it is the more widely used tional replacement in the acute phase
which are used to simulate training recovery method in soccer teams of of postmatch recovery.
or competition, may lack specificity different performance levels (20), Although low-intensity aerobic
with regards to the timing after the there is no clear evidence to justify activity as a regenerating means
event, frequency, duration, and inten- its use (56). seems to have positive effects on lac-
sity. Another potential problem is that
There are basically 3 active recovery tic acid elimination and clearance,
the markers, which are used to define
techniques that are applied in soccer: the results related to its effects on
the state of recovery, are indirect and
low-intensity aerobic activity (jog- sports performance are by no means
also lack specificity. Because of this, the
ging, cycling, deep-water running); conclusive. Accordingly, whether
ability to prescribe discrete and specific
stretching; and muscle relaxation this recovery technique reduces
recommendations for recovery inter-
through mobilization and loosening acute fatigue after performing in
ventions in elite soccer is not feasi-
of the limbs in pairs (“shaking down”) a match or training is totally debat-
ble (48).
(53). Several effects have been able, and still constitutes a topic of
Therefore, the aim of this review is to defined, both in the short term (prob- research interest (74).
provide practitioners with current sci- ably more relevant in the intrasession In turn, stretching constitutes a post-
entific information in the area of recov- recovery) and in the long term on the training and competition modality
ery and elite soccer performance, and recovery process in soccer (interest- widely used in high-performance soc-
where possible, provide recommenda- ing for the intersession recovery)
tions regarding its usage. Specifically, cer (20). The practice of stretching as
(53). In the short term, low-intensity a regenerating or recovery means arises
this article discusses active and passive aerobic activity leads to a faster
recovery interventions, which may from the initial investigations targeting
decrease of blood lactic acid concen- postexercise muscle pain (myalgia),
potentially enhance recovery in soccer tration (1,42,43,45,46,66), which sug-
players. Those methods for which based on the muscle spasm theory
gests an increased blood flow, which (22). Even though this theory has lost
there is currently no specific evidence in turn would result in a fast elimina-
in soccer players have been excluded empiric credibility (11), the use of
tion of blood lactate through its oxi- stretching as a recovery means persists,
from this review. dation by the liver, heart, and muscle, despite the lack of scientific support on
It is important to consider that as the physiological mechanism the effectiveness of this tech-
although scientific evidence for certain (43,66). Other possible beneficial ef- nique (19,37).
recovery interventions may be lacking, fects are the restoration of the muscle
this review does not dismiss the contraction capacity, damaged by the Among the possible mechanisms
importance of anecdotal reports by eccentric actions of training or com- through which stretching could
elite soccer players. As research in petition (42,62), a less sudden drop of boost the recovery process are the
the area of recovery is in its infancy, the core temperature that would con- edema dispersion accumulated dur-
it would be inappropriate to suggest tribute to reduce the arousal level of ing tissue damage due to the sport
that certain recovery interventions the central nervous system, making it practice (11). It is questionable that
may not be beneficial simply as a con- easier to fall asleep the night after the this effect may bring benefits for de-
sequence of limited scientific investiga- game (52,64), the possible contribu- layed onset muscle soreness
tion. However, without scientific tion to the cicatrization of microrup- (DOMS), and it could even contrib-
evidence, these anecdotal suggestions tures produced by eccentric actions ute to worsen this clinical picture
should be examined and/or imple- (41,62), and the feeling of a better (18). One of the possible explana-
mented carefully. state of well-being put into operation tions, as pointed out in the literature,
through scales of perceived recovery to justify the beneficial effect of
ACTIVE RECOVERY (total quality recovery scale [TQR]) stretching over DOMS has been
Active recovery consists of maintain- and muscle fatigue (12,33,54). A pos- the apparent increase in the pain
ing submaximal work after training or sible positive effect has even been sug- threshold through this technique,
competition with the aim of preserv- gested on the immunosuppression thus achieving an analgesic effect
ing performance level between events experienced during 4–6 hours after (27,29,37,63).
(28,69). This recovery method is also the competition due to the “open- Finally, muscle relaxation, induced by
called “active cool down,” where window” theory (51). Some negative exercises in pairs for loosening the
exercise is used as a therapeutic tool effects related to the active recovery limbs or being shaken down in which
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a player lying prone with legs elevated alterations in the intracellular and evidence in soccer, cold water immer-
has his or her lower limbs shaken by intravascular fluid, reduced muscle sion also seems to have a positive
a teammate, has been suggested as edema, increased heart response effect on muscular performance dur-
a physiological effect that could help (without increasing energy expendi- ing a short-term recovery (2), which
regenerating the muscle fatigue (54). ture) (14,25,76), increased blood flow may have important implications
Calder (16) points out that this tech- and possible increased transport of when players need to take part in
nique can have a calming effect, acting nutrients, and removal of waste prod- exercise or competition more than
on neural fatigue. Nevertheless, the ucts (75). Other possible psychologi- once a day (e.g., during preseason
experimental evidence on athletes cal benefits have also been described, soccer 2-a-days or youth tourna-
being shaken down is limited because such as the analgesic effect, due to ments). Further research in connec-
the synergistic effects of this method in changes in the perception of pain tion with soccer is needed to specify
conjunction with low-intensity aerobic and discomfort (70) or the reduction more homogeneous protocols about
activity and stretching have only been in the feeling of fatigue during immer- cold water immersion that contribute
reviewed in 1 study (54). sion (75). Immersion in cold water to minimize the physiological and
Table 1 shows the results of research reduces heart response and addition- functional deficiency associated with
studies on active recovery in soccer ally increases heart rate and periph- training or competition.
(3–5,34,39,54–56,68). One can see eral resistance, oxygen consumption,
how low-intensity aerobic activity and metabolism to keep the core tem- WHOLE-BODY VIBRATION
usually develops as jogging or perature stable (28,75). The reduction Massage is one the most deeply
cycling on intensities of approxi- of cell, lymphatic, and capillary per- rooted physiotherapy techniques in
mately 60% of the V̇ O2max sustained meability due to localized vasocon- the realm of sports (9). Nevertheless,
for 12–30 minutes. The more widely striction reduces the diffusion of despite being an integral part of
used way of stretching has been static fluid into the interstitial space, thus recovery protocols in soccer, no
stretching located in the large muscle possibly helping to reduce acute research studies have reviewed its ef-
groups of the lower limbs. Despite inflammation of muscle damage, fects (72,73). One potential recovery
the possible beneficial effects of which in turn can diminish pain, also aid, currently growing in popularity,
active recovery, results from specific as a result of the reduced transmission is the application of whole-body
research in soccer have only shown of the nerve impulse, and the associ- vibration (WBV), its physiological
a greater efficacy on the passive ated loss of strength (75). principles being similar to those
recovery when it comes to reducing attributed to massage as a recovery
Cold water immersion has been technique (35). It has been suggested
specific muscle pain, which could acknowledged as one of most widely
boost the player’s working attitude that WBV increases blood flow, and
used recovery methods in soccer (47). the reduction in CK concentrations
toward training (68). In the light of the existing results in associated with the application of
In summary, evidence that active soccer players, this recovery method vibration could aid muscle recovery
recovery enhances recovery between provided worthwhile beneficial effects (8,35). Specifically in soccer, Marin
training sessions in soccer players is on maximal strength (6), counter et al. (39) observed a positive effect
currently lacking. Nevertheless, it is movement jumps (6), muscles soreness on perceived muscle pain and
necessary to specify the importance (6,59,60), subjective perceived recovery countermovement jump after WBV
given to this regenerating means on (21,34,59,60), muscular stiffness (26), massage and flexibility exercises
an anecdotal level by trainers and play- and creatine kinase (CK) concentra- compared with the control group
ers because it is one of the most widely tions (6). Nevertheless, it is important (without superimposed WBV).
used regenerative techniques (20,72). to note that only 1 study involved pro- WBV shows promise for alleviating
fessional players (26). The immersion symptoms of muscle soreness, which
COLD WATER IMMERSION protocols proposed in soccer-specific may in turn allow players to exercise
Cold water immersion (,158C) is one literature are relatively homogeneous, more frequently leading to an
of the physiotherapy means that has and we can differentiate between increase in sporting performance
aroused more interest in soccer given protocols of continuous ($158C; over time. Evidence suggests that
the large number of existing research #10 minutes) and intervallic type vibration therapy after exercise,
studies (6,15,21,26,34,58–61). Water (i.e., 4 immersions at 48C lasting 4 mi- especially after eccentric contrac-
temperature and hydrostatic pressure nutes each). Nevertheless, there are tions, is beneficial, although little is
have been pointed out as the most some common recommendations, known regarding the timing of appli-
relevant factors on the regenerative such as the immersion to the iliac crest, cation. Future research should inves-
benefits of this method (46,75). The with a cumulative time of immersion of tigate the effects of the timing of
possible physiological changes gener- at least 5 minutes. Additionally, despite vibration therapy on indices of mus-
ated by this recovery strategy include there not being specific scientific cle biology and performance.
3
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4
Table 1
(continued )
Kinugasa 28 males, 14.3 6 Randomized Friendly soccer 9 min of combined Control group (n 5 Vertical jump; No significant Combined active
and 0.7 y, young controlled game recovery (cold 12); 7 min of static tympanic differences between warm-down has
Kilding elite crossover water immersion stretching and temperature; groups for all no benefit to
(34) for 1 min followed 2 min with legs TQR; subjective assessed measures recovery from
by active recovery raised above heart thermal soccer match
using a cycle level; contrast sensation;
ergometer (60–80 water immersion muscle soreness
rpm at 90–100 W) group (n 5 19); (before, at
for 2 min and cold water 10 min, 19 min
repeating this 3 immersion (128C) and 24 h)
times) for 1 min
(immediately after immediately
the game) (n 5 21) followed by a hot
shower (388C) for
2 min and
repeated 3 times
Marin et al. 16 males, 17.1 6 Randomized Repeated-sprint Whole-body vibration Control group (n 5 MVIC; CMJ (before, Positive for muscle Whole-body
(39) 0.9 y, young controlled ability test (2 3 6 cool-down (2 3 30 s 8); the same at 0, 24, 48, and soreness at 24, 48, vibration in
elite trial 3 40 m [two 20 m per 15 s rest of exercises 72 h); muscle and 72 h combination
with 1808 turn] quadriceps and performed soreness (before, postexercise; with traditional
shuttle sprints gastrocnemius- without at 24, 48, and 72 positive for CMJ at cool-down
separated by 20 s hamstrings massage superimposed h) 24 h postexercise (p reduces muscle
of passive at 50 Hz-H, 1 3 30 s vibration stimulus , 0.05); no pain. Moreover,
recovery) each side of differences between whole-body
quadriceps and groups for MVIC vibration seems
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(continued)
5
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6
Rey et al. 31 males, Randomized A 45-min standard 20-min low-intensity Control group (n 5 CMJ; Balsom agility Positive for CMJ at 24 h Active recovery
(55) 23.5 6 3.4 y, controlled soccer training (15- exercise (12 min of 16); 20-min sitting test; 20-m sprint; postexercise (p , immediately
professionals trial min maximal submaximal rest muscle flexibility 0.05); no differences after soccer
intensity running at 65% of (before and at 24 between groups for training
intermittent MAV and 8 min of h) agility, sprint facilitating return
exercise [20 3 static stretching, capacity, and of normal jump
30 m, 30 s rest involving 3 bilateral muscle flexibility performance
period between repeats of 30 s held
each sprint] and stretches to the
30-min group- hamstring,
specific aerobic quadriceps,
endurance drill [4 gastrocnemius, and
3 4 min of 5 a side adductor muscles)
game, including [immediately post-
goalkeepers, in an exercise] (n 5 15)
area of 40 3 50 m,
with a 3-min active
rest at 65% of
maximal aerobic
velocity between
sets])
Rey et al. 31 males, 23.5 6 Randomized A 45-min standard 20-min low-intensity Control group (n 5 TMG variables; No significant Active recovery
(56) 3.4 y, controlled soccer training (15- exercise (12 min of 16); 20-min sitting muscle soreness differences between immediately
professionals trial min maximal submaximal rest (before and at 24 groups for all after soccer
intensity running at 65% of h) assessed measures training has no
intermittent MAV and 8 min of benefit to
exercise [20 3 static stretching, recovery muscle
30 m, 30 s rest involving 3 bilateral soreness and
period between repeats of 30 s held neuromuscular
each sprint] and stretches to the stiffness
30-min group- hamstring,
specific aerobic quadriceps,
endurance drill [4 gastrocnemius, and
3 4 min of 5 a side adductor muscles)
game, including (immediately post
goalkeepers, in an exercise) (n 5 15)
area of 40 3 50 m,
with a 3 min of
active rest at 65%
of maximal aerobic
velocity between
sets])
NEUROMUSCULAR ELECTRICAL
CMJ 5 countermovement jump; CK 5 creatine kinase; TQR 5 total quality recovery scale; MVIC 5 maximal voluntary isometric contraction; TMG 5 tensiomyography; SJ 5 squat jump; BJ 5
player’s working
attitude toward
STIMULATION
muscle-specific
The use of active
soreness and
Neuromuscular electrical stimulation
decreases
training
of low-frequency electric impulses
(1–9 Hz) through surface electrodes
that peripherally stimulate motor
anaerobic measures;
differences between
soreness (p , 0.01)
more beneficial for
electrostimulation
with no buoyancy
electrostimulation
electrostimulation
down group (n 5
rest; water warm-
running sideways
jogging, 8 min of
aerobic exercises
(impulses with 1
group (n 5 12);
Hz decrements
shallow water-
down to 2 Hz)
12); 20 min of
walking and
stretching);
of muscle soreness.
Specifically, only 2 studies have ana-
(continued )
running sideways
jogging, 8 min of
stretching)
technical drills,
technical drills,
technical drills,
circuit training
and 20 min of
2 min aerobic
25-min group
20-min team
crossover
travel (67).
COMPRESSION GARMENTS
Tessitore
et al.
7
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Recovery Strategies for Soccer Players
improve recovery from strenuous series of repeated measures to obtain implement recovery methods imme-
exercise by creating an external pres- information about the course of time diately after the training or match or
sure gradient, thus reducing the space of the recovery over 48–72 hours, any suitable time. The time between
available for swelling, enhancing after the application of the recovery the end of the exercise and the recov-
blood flow, aiding in the removal of methods. On the other hand, a greater ery period should be as short as pos-
waste products (CK), increasing limb individualization of the parameters of sible. The implementation of some
oxygenation, and reducing heart rate the burden of low-intensity continu- methods (i.e., cold water immersion
recovery (30,44,49). The use of com- ous running and a close monitoring of and WBV) is subject to the material
pression garments with a regenerative other relevant variables, such as the and instrumental resources at the
objective can be done during or after management of nontraining time team’s disposal and to the match loca-
training or competition. To the best of and the replacement measures of tion (i.e., away games). Figure 1 shows
our knowledge, only 1 study investi- energy substrates, would be appropri- a possible temporary management of
gated the effect of compression gar- ate in future research about active specific recovery methods analyzed in
ments in soccer player’s postexercise recovery. Much research has investi- soccer. As a result of the need of space
recovery using magnetic resonance gated the influence of recovery strat- and means, it is advisable to perform
imaging and muscular biopsy (71). egies on anaerobic performance, with active recovery, cold water immersion
Wearing compression garments dur- few studies on endurance perfor- and WBV within the sports facility
ing DOMS provoking exercise mance. Finally, it is still unclear itself, once the training session or
proved to be an effective method to whether immediate postmatch recov- game is finished. In the meanwhile,
reduce the amount and severity of his- ery offers additional benefits when in an attempt to achieve greater effi-
tological injury (26.7% on average) 48 compared with traditional next-day cacy, compression garments and
hours later in amateur soccer players, recovery. Research is required to NMES could be applied during the
probably as a result of the reduction in explore this issue. trip back home after the game or at
muscle oscillation and the improve- the player’s home.
ment in neurotransmission and
PRACTICAL APPLICATIONS Despite there being no specific scien-
mechanical efficiency at a molecule
The coaching and medical staff have tific evidence in soccer, anecdotal
level (71). Future research is needed
the possibility of individually moni- data support the rationale that older
to clarify the efficacy of using com-
toring the level of fatigue and recov- players may require longer periods to
pression garments after training or
ery of their players, using different achieve full recovery after matches
competition (i.e., during sleep and
variables of conditional performance and strenuous training sessions.
air/bus travel).
(i.e., counter movement jumps) and Therefore, a primary aim to technical
subjective assessments of the state of staff should be to educate players
DIRECTIONS FOR FUTURE
fatigue and recovery (i.e., TQR), to about the importance of passive and
RESEARCH
manage individually the recovery active recovery methods and its
Although completion of passive and
methods based on the needs and potential influence on performance.
active recovery methods is common
preferences of each player. Players need to be proactive through
practice in soccer, several questions
the allocation of enhancing recovery
remain unanswered. Given the lack Despite the limited scientific evidence
and applying regenerative methods.
of knowledge, further research is on the efficacy of various methods of
This can often take place away from
needed. Widely used methods in active and passive recovery in soccer,
the training environment according
practice, including massage, sauna, one should not overlook the impor-
to their preferences, resources, and
foam roller, or whole-body cryother- tance of these methods on a practical
perceived benefits.
apy do not yet have specific evidence level by players and trainers. In the
in soccer players. Future research light of the specific findings noted in Recovery demands may also be
should assess the efficacy of these this revision, Table 2 shows a sum- determined by other factors such as
methods on the management of the mary of the more widely used recov- the starter or nonstarter status of
fatigue-recovery processes after exer- ery methods in soccer with their each player and the current phase
cise in soccer players. In this regard, it respective recommendations of use. of the season (e.g., during the late
is advisable to use a longitudinal These strategies will be more signifi- season, starter players are expected
design that would allow the assess- cant when the rest time between to dedicate more time and regenera-
ment of the efficacy of these and games is shorter, such as when it oc- tive aids to achieve full recovery
other methods of recovery on the curs in European professional soccer rather than nonstarters and earlier
accumulated fatigue during competi- (e.g., 3 games in 1 week) or in youth phases of the season). Thus, regular
tive periods of high density (late sea- soccer tournaments (e.g., 6 games in 8 monitoring for changes of fatigue
son). At the same time, it could be days). Time is limited during a compe- and recovery might help identify
useful to use designs of temporary tition setting, so it is recommended to players who are at the risk of
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Table 2
Practical guidelines for enhancing recovery in soccer players
underrecovery. This may provide an management of recovery process re- Often, due to a lack of knowledge,
important feedback for coaches, quires a multidisciplinary work of facilities, and equipment, little time
conditioning specialists, and the the coaching and medical staff, prop- may be devoted to planning the recov-
team players themselves. erly contemplating other methods of ery process compared with the plan-
Even though there is no solid evi- proven efficacy, as for example, pas- ning of the training. The weekly
dence in this regard, it is suggested sive recovery, sleeping, hydroelec- recovery planning should change from
to implement recovery measures also trolytic and energy substrates microcycle to microcycle and team to
during the first session immediately replacement, or proper management team, considering the fixture schedule
after the match. Moreover, the of training loads. and fitness levels of players. Therefore,
Figure 1. Suggested time line for recovery methods in soccer. Active recovery, whole-body vibration, and cold water immersion
should be implemented progressively immediately after the match or training, and due to the needs of space and
resources, these recovery strategies should be performed in the sports facility itself. Neuromuscular electrical stimulation
and compression garments could be applied during the trip back home after the game or training or at the player’s
home.
9
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Recovery Strategies for Soccer Players
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Recovery Strategies for Soccer Players
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