Objectives: To determine whether four weeks of Rhodiola rosea (RHO) supplementation improves intermittent exercise performance, post-exercise blood lactate concentrations, and decision-making under fatigue in competitive football players. Methods: Twenty-four male competitive football players completed a randomised, double-blind, placebo-controlled 4-week intervention (RHO vs. placebo). Outcomes included Yo-Yo IR2, repeated-sprint ability (RSA), post-RSA blood lactate (0, 3, 5 min), football-specific technical tests (passing and shooting), a video-based decision-making task (reaction time and accuracy), GPS-derived match running metrics, countermovement jump (CMJ), foot tapping (TAP), and haematological markers. Results: Yo-Yo IR2 performance significantly improved in the RHO group (p = 0.012) and was superior to the placebo group (p = 0.046). For RSA, mean sprint time improved significantly from pre- to post-intervention in the RHO group (p = 0.017), whereas no significant change was observed in the placebo group. Post-intervention, mean sprint time was significantly better in RHO than placebo (p = 0.041), with no between-group difference observed at baseline. Best sprint time showed no between-group difference (p = 0.723). Post-exercise blood lactate concentrations were significantly lower in RHO than placebo at 0, 3, and 5 min (all p < 0.05). Under fatigue, the RHO group demonstrated faster reaction time (p = 0.042) and higher decision accuracy (p = 0.049) than placebo. Additionally, the RHO group showed significant pre- to post-intervention improvements in passing and shooting performance (p < 0.05), with between-group differences observed only for short-pass performance. Match total and high-speed running distances were higher in RHO, accompanied by increases in haemoglobin and haematocrit (p < 0.05). Conclusions: Four weeks of Rhodiola rosea supplementation enhanced high-intensity intermittent performance and decision-making under fatigue, with findings suggesting improved performance maintenance rather than increased peak sprint capacity.

Objectives: This study examined whether 8 weeks of unilateral flywheel resistance training (FRT) enhances eccentric neuromuscular characteristics and change-of-direction (COD) performance in male soccer players, and whether these adaptations transfer to sport-specific dribbling and match-play demands. Methods: Twenty-four male soccer players were randomized to a unilateral flywheel training group (EXT, n = 12) or a traditional resistance training control group (CON, n = 12). Both groups completed unilateral lower-limb strength training twice weekly for 8 weeks. Eccentric knee extensor and flexor peak torque (60°·s⁻¹), eccentric-to-concentric (E:C) ratio, and inter-limb asymmetry were assessed using isokinetic testing. Performance measures included a 10 m sprint, modified 505, COD deficit, a dribbling-based COD test (AFL), and GPS-derived high-intensity acceleration and deceleration metrics during matches. Results: Compared with CON, the EXT group showed greater increases in knee extensor (+0.54 Nm·kg⁻¹) and flexor (+0.46 Nm·kg⁻¹) eccentric peak torque, a higher E:C ratio, and reduced inter-limb asymmetry (all p < 0.05). While 10 m sprint performance remained unchanged, EXT improved modified 505 performance and reduced COD deficits (up to −0.06 s). In addition, AFL completion time decreased and match-play high-intensity acceleration and deceleration events increased in EXT compared with CON (p < 0.05). Conclusions: Unilateral FRT effectively enhances eccentric braking-related capacity and COD efficiency, with clear transfer to soccer-specific technical performance and high-intensity match-play demands.

Patellofemoral pain (PFP) in athletes is associated with lower-limb kinetic-chain constraints, yet rehabilitation strategies targeting both hip and ankle mobility remain insufficiently examined. This assessor-blinded randomized controlled trial investigated the effects of a 6-week hip and ankle mobility-based rehabilitation program in male collegiate athletes with PFP. Forty-eight participants were assigned using computer-generated 1:1 randomization to an intervention group (n = 24) or a control group (n = 24). The intervention group completed supervised hip and ankle mobility rehabilitation three times weekly, whereas the control group maintained regular sport-specific training only. Co-primary outcomes were pain intensity assessed using a 10-cm visual analog scale (VAS) and knee-related function assessed using the Kujala score. Secondary outcomes included hip rotation range of motion, weight-bearing ankle dorsiflexion, vastus medialis–vastus lateralis (VM–VL) onset timing, Y-Balance Test (YBT) composite score, and countermovement jump (CMJ) height. Significant group × time interactions favored the intervention group for VAS (p < 0.0001; partial η² = 0.436; change difference: −1.54 cm; 95% CI: −2.06 to −1.02) and Kujala score (p < 0.0001; partial η² = 0.285; change difference: 8.00 points; 95% CI: 4.24 to 11.76). Significant interactions were also observed for hip internal and external rotation range of motion, weight-bearing ankle dorsiflexion, VM–VL onset timing during a controlled squat task, and YBT composite score (all p ≤ 0.0405; partial η² = 0.088–0.374). No significant group × time interaction was observed for CMJ height (p = 0.0511; partial η² = 0.080). These findings suggest that, compared with regular sport-specific training alone, adding a supervised hip and ankle mobility-based rehabilitation program may improve pain, knee-related function, targeted mobility outcomes, VM–VL onset timing during a controlled squat task, and dynamic balance in the short term. However, because the control group did not receive an active or attention-matched intervention, these findings should be interpreted as the added effect of the supervised rehabilitation program rather than as definitive evidence of mobility-specific treatment effects. In addition, because patellar tracking, knee kinematics, joint kinetics, and patellofemoral joint loading were not directly measured, the findings should be interpreted as clinical and functional outcome changes rather than direct evidence of a confirmed biomechanical mechanism. Trial registration: NCT07542236.

Background: Soccer aerial duels require rapid take-off, repeated-performance maintenance, and effective head–neck control under physically demanding conditions. This study examined the effects of caffeine (CAF), Rhodiola rosea (RHO), and their combination on repeated aerial duel performance and neck neuromuscular function in male collegiate soccer players. Methods: Ninety-six players were randomly assigned, in a double-blind, placebo-controlled, parallel design, to placebo control (CTR), RHO, CAF, or RHO + CAF groups (n = 24 each) for 4 weeks. CAF was acutely administered at 3 mg·kg⁻¹ before testing, whereas RHO was chronically supplemented at 2.4 g·day⁻¹. Outcome measures included countermovement jump height, early take-off impulse, repeated heading contact height, ball exit velocity, heading duel success rate, neck maximal voluntary isometric contraction, and session rating of perceived exertion (session-RPE). Results: Significant group × time or group × repetition effects were observed for CMJ height (p = 0.0034), early take-off impulse (p = 0.0007), and post-intervention repeated heading contact height (p < 0.0001), with additional significant effects across heading-specific, neck strength, duel-success, and perceived-load outcomes. CAF was mainly associated with improved take-off-related explosive performance and duel success, whereas RHO was mainly associated with lower perceived exertion and better maintenance of heading contact height during the later repeated trials. Combined RHO + CAF supplementation produced the broadest pattern of benefits across explosive output, ball-contact performance, duel success, and multidirectional neck strength. Conclusions: These findings suggest that, in male collegiate soccer players, CAF and RHO may contribute differently to repeated aerial duel-related performance, and their combination may offer broader sport-specific benefits under repeated high-intensity demands.

Soccer requires frequent high-intensity decelerations, braking actions, and multidirectional re-accelerations. Flywheel resistance training may provide a b

Background: Soccer match play induces substantial mechanical, metabolic, inflammatory, and neuromuscular stress, yet post-match monitoring in applied settings often relies on isolated markers, venous sampling, or limited time points. This observational repeated-measures study aimed to describe whether capillary-derived biomarkers, neuromuscular performance, and perceptual measures showed asynchronous recovery during the first 48 h after a standardised soccer match in elite players. Methods: Twenty-two elite male outfield soccer players completed a standardised 90 min match. Capillary blood biomarkers, countermovement jump (CMJ), 20 m sprint performance, maximal voluntary contraction (MVC), and delayed onset muscle soreness (DOMS) were assessed before the match, immediately post-match, and at 24 and 48 h post-match. Time effects were analysed using repeated-measures mixed-effects models, and associations between biochemical and functional responses were examined descriptively. Results: Match play induced clear but domain-specific disturbances. IL-6 and cortisol rose rapidly immediately post-match, whereas hsCRP, CK, LDH, myoglobin, and DOMS showed delayed peaks during early recovery. CK, LDH, myoglobin, and soreness remained above baseline at 48 h. CMJ and sprint performance were impaired after the match but largely recovered by 48 h, whereas MVC showed its greatest decrement at 24 h. Exploratory associations indicated that larger muscle damage responses tended to co-occur with greater strength and jump decrements and higher soreness, but these analyses were not causal. Conclusions: Recovery after a standardised elite soccer match was multidimensional and non-synchronous across physiological, neuromuscular, and perceptual domains. A capillary-based, multi-domain assessment strategy may provide a feasible descriptive perspective for field-based observation of post-match fatigue.