Background: This study aimed to compare the effects of linear sprint training with changes of direction (LSCD) versus small-sided games (SSSG) on physical performance, agility, and soccer-specific skills in young elite female players. Methods: In a randomized crossover study, 27 players aged 15 to 17 were divided into two groups (G1 = 14, G2 = 13). After a two-week baseline period, each group completed a four-week training mesocycle (three sessions per week) consisting of either LSCD or SSG. After a two-week washout period, participants switched interventions and completed the alternate four-week mesocycle. Performance assessments were conducted before and after each mesocycle to evaluate training effects. Results: Both types of training improved physical performance, with different magnitudes. LSCD induced larger gains in sprint speed (5, 10, 20 m; p < 0.05), agility without the ball (t-test; p = 0.05), and explosive power (countermovement jump, repeated jumps over 15 s; p = 0.02 and p = 0.004). In contrast, SSSG led to larger improvements in aerobic endurance (Yo-Yo IR1 test; p = 0.03) and agility with the ball (t-test with ball; p = 0.05). No transfer effect between cycles was observed. Conclusions: In young elite female players, LSCD training was more effective in improving speed, agility, and power, while SSSG was more effective for aerobic endurance and ball agility.
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