Advancing and critical appraisal of an integrative load monitoring approach in microcycles in professional soccer.

Despite load monitoring being considered an integral part of targeted performance management, including injury and illness prevention, there is currently no consensus of an effective monitoring system in professional soccer. Thus, the aims were to apply an integrative load monitoring approach, previously established in rink-hockey, in professional soccer; extend this approach with further data (Short Recovery and Stress Scale); assess this (extended) approach, thereby further evaluating the relationship between the used external load (EL) measures (total distance, distance above 55% and 70% of individual maximal speed, number of accelerations and decelerations > 4 m/s2, total loading) and the internal load (IL) measure session rate of perceived exertion training load (sRPE-TL) as well as between the used EL measures and sRPE. This retrospective observational cohort study analyzed data from a Swiss team collected over a 14 week-period during the 2021/22 season. Based on our findings, the integrative approach tested proved to be an applicable load monitoring tool in professional soccer, placing players on a fitness-fatigue continuum throughout the different microcycle sessions without using tests, thus providing relevant information to individually tailor training programs. sRPE-TL (ρ [95% CI] = .55 [.51 to .59] to .87 [.85 to .88]; all p < .001) better reflected the EL experienced by players than sRPE (ρ [95% CI] = .45 [.40 to .50] to .71 [.69 to .75]; all p < .001) supporting the definition of sRPE-TL as a measure of IL. However, for even stronger relevance of the tested tool, further research is warranted, especially to ascertain its sensitivity and determine an optimal selection of EL and IL measures. In sum, the present data clearly demonstrate the importance of load management taking place at an individual level, even within team structures, thereby analyzing a set of both EL and IL measures.