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Can different small-sided game formats impact physiological, physical, technical, and tactical demands in basketball players? A systematic review with meta-analysis

Tingyu Li
1
,
Shuang Wang
2
,
Diogo V. Martinho
3, 4
,
Rui Miguel Silva
5, 6
,
Élvio R. Gouveia
4, 7
,
Filipe Manuel Clemente
1, 5, 6

  1. Gdansk University of Physical Education and Sport, 80-336 Gdańsk, Poland
  2. Changsha Xiangjun Peicui Expermental Middle School, Changsha 410002, China
  3. University of Coimbra, Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, Coimbra, Portugal
  4. Interactive Technologies Institute, Laboratory of Robotics and Engineering Systems, Funchal, Portugal
  5. Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun’Álvares, 4900-347Viana do Castelo, Portugal
  6. Sport Physical Activity and Health Research & Innovation Center, Viana do Castelo, Portugal
  7. University of Madeira, Department of Physical Education and Sport, Funchal, Portugal
Biol Sport. 2025;42(3):283–302
Online publish date: 2025/03/24
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INTRODUCTION

Small-sided games (SSGs) are drill-based activities frequently used by coaches to provide a multidimensional stimulus, integrating physical, technical, tactical, and cognitive demands to replicate the complexity of game scenarios and enhance player development [1]. In these games, the standard format and rules of a match are adjusted to align with the specific objectives of a training session [2]. These modifications help shape the playing dynamics, enhancing players’ awareness of specific collective and individual behaviors that ultimately influence their physiological, physical, technical, and tactical responses [3]. This approach allows coaches to modify players’ performance by manipulating various task constraints, such as playing area size, number of players, and specific rules, to achieve targeted objectives [4]. These games assume a relevant role within the training process as they replicate the physical, technical, tactical, and decision-making demands of the match [4].

Among the task constraints that coaches can manipulate, the playing format is one of the most commonly used and implemented [5]. The playing format is often defined by the number of players on each team and their numerical relationship with the opponent’s team. The play format in SSG is critical because it directly determines court dimensions, which vary depending on the number of players involved. For instance, smaller formats such as 1 v 1 or 2 v 2 typically use reduced court sizes to encourage close player interactions and frequent technical actions, while larger formats like 4 v 4 or 5 v 5 use proportionally larger areas to replicate full-game spatial dynamics and tactical complexity [6]. These variations in court dimensions ensure that the physical and tactical demands are appropriately matched to the number of participants. The number of players involved in the SSG and the court dimensions are often related. Therefore, to isolate the effect of the playing format (e.g., comparing 1 v 1 vs. 4 v 4 formats), the pitch dimensions are standardized to ensure the same player-to-square-meter ratio [7]. These two task constraints are the most studied and frequently implemented by coaches to regulate players’ performance.

Interest in studying the effects of manipulating different formats of play in basketball SSGs has grown in recent years [5]. Generally, the results suggest that extreme formats (e.g., 1 v 1 and 2 v 2) are associated with significantly higher heart rate responses and rates of perceived exertion [8]. This is likely due to the increased individual participation in the games, both at a tactical level—requiring players to engage more frequently in decision-making and spatial awareness— and at a technical level, with greater involvement in actions such as dribbling, passing, and shooting. This increased engagement reduces inactivity and rest time while elevating the frequency of metabolically demanding movements [9]. Additionally, some research indicates that smaller formats impact the number of individual technical actions performed by players [10, 11]. This is due to their participation without a clear tactical role, which impacts their involvement in both defensive and attacking moments. Furthermore, several studies have observed that the playing format promotes significant differences in the number of tactical solutions comprised of the decisions and actions executed by players to address game situations, such as positioning, passing options, and movement strategies [12].

Despite the existence of narrative [13] and systematic reviews [5] on the use of SSGs in basketball, which have addressed certain research questions, these reviews primarily summarized evidence without consolidating data through direct comparisons of game formats to examine their specific effects on players’ responses. Additionally, the only data that specifically addressed a research question about the effects of SSG-based programs on enhancing physical fitness [14]. Playing formats exemplify how task constraints can modulate performance, which is crucial for guiding coaches in selecting formats to achieve specific player responses. To answer such research questions, a systematic review with meta-analysis is the ideal approach. This method can summarize and provide solid evidence about the trends in results, clearly defining whether smaller or larger formats influence the intensity of physiological and physical demands or the frequency of technical actions and tactical requirements. Therefore, this systematic review with meta-analysis aimed to compare the effects of game formats on basketball players’ physiological, physical, technical, and tactical responses during SSGs.

MATERIALS AND METHODS

Basketball is a dynamic sport that requires players to integrate technical, tactical, physical, and cognitive skills to succeed in competitive scenarios [15]. Different training methods often aim to replicate game conditions while targeting specific performance outcomes. Among these, small-sided games (SSGs) have emerged as a popular training method for their ability to simulate the demands of basketball [16]. However, a relevant question is commonly raised among coaches: how do different SSG formats affect players’ physiological, physical, technical, and tactical responses? Understanding these effects is essential for coaches aiming to optimize their training process and achieve greater levels of player adaptation. Yet, there is limited consensus regarding the relative benefits and trade-offs of smaller (e.g., 1 v 1, 2 v 2) versus larger (e.g., 3 v 3, 4 v 4) formats, leaving a gap in evidence-based practice [17].

This systematic review and meta-analysis adhered to the guidelines established by the Cochrane Collaboration and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) framework [18]. Utilizing the PICOS methodology—Population, Intervention, Comparator, Outcomes, and Study Design—the review focused on basketball players of varying ages, sexes, and skill levels, excluding those with injuries, illnesses, or other medical conditions. The intervention examined smaller-sided game formats, while the comparator involved larger-sided game formats under similar experimental conditions. Outcomes measured included the mean and standard deviation (SD) values for key outcomes such as physiological responses, physical responses, technical actions, and tactical behaviors. The designs included were counterbalanced cross-over studies. This protocol was registered a priori on the OSF platform (https://doi.org/10.17605/OSF.IO/8QCZJ).

Eligibility criteria

Details regarding the criteria for inclusion and exclusion in this systematic review and meta-analysis are outlined in Table 1. All original studies published in peer-reviewed journals or advance-of-print status were considered eligible for inclusion. No language restrictions were imposed on the articles included in this systematic review.

TABLE 1

Inclusion and exclusion criteria

ItemInclusion criteriaExclusion criteria
PopulationBasketball players from any age-group, sex or skill level, e.g., tier 2 or above in the Participants Classification Framework [66], without injury, illness or other clinical condition.Other sports than basketball (e.g., soccer, futsal or football indoor, beach soccer, American football, Australian football, handball, volleyball, hockey); parabasketball players, injured players, recreational-level players – tier 1).

InterventionSmaller formats using any pitch dimension or other task condition. The following conditions were ensured:
  • The same playing format was repeated at least two times (two repetitions) for the same players;

  • The smaller format was extracted from the lowest format being compared (i.e., in case of studies comparing ≥ three formats for the same format or condition, only the smallest formats was extracted);

  • The same experimental conditions between smaller and larger formats were ensured (i.e., same teams, same players, same time duration, same task constraints).

  • The same format was applied in only one repetition;

  • Smaller and larger formats were not applied with same contextual and experimental conditions.


ComparatorLarger formats using any pitch dimension or other task condition. The following conditions were ensured:
  • The same format was repeated at least two times (two repetitions) for the same players;

  • The larger format was extracted (i.e., in case of studies comparing ≥ three formats for the same condition, only the largest format was extracted);

  • The same experimental conditions between smaller and larger formats were ensured (i.e., same teams, same players, same time duration, same task constraints).

  • The same format was applied in only one repetition;

  • Smaller and larger formats were not applied with same contextual and experimental conditions.


OutcomeAt least one measure of the following possibilities:
  • Physiological responses (e.g., heart rate, blood lactate concentrations or rated of perceived exertion);

  • Physical demands (e.g., total distance, distances covered at different speed thresholds, acceleration/decelerations);

  • Technical execution (e.g., passes, receptions, shots);

  • Tactical behavior (e.g., attacking or defensive tactical principles, collective organization measures)

Other outcomes than those related to immediate physiological and physical, technical or tactical responses (e.g., fatigue tests, well-being tests).

Study designA counterbalanced cross-over design.Non-counterbalanced cross-over design studies.

Additional criteriaPeer reviewed, original, full-text studies written in English, Portuguese and/or Spanish.Written in other language than those selected (English, Portuguese and/or Spanish). Reviews, letters to editors, trial registrations, proposals for protocols, editorials, book chapters, conference abstracts.

Two authors (TYL and DM) independently assessed the titles and abstracts of the retrieved records, followed by a separate independent review of the full texts. Any discrepancies among the authors were resolved through discussion and reevaluation. If a consensus could not be reached, a third reviewer (FMC) made the final determination. The EndNote X9.3.3 software was utilized for record management, including the automatic and manual removal of duplicates.

Information sources

Electronic databases (PubMed, Scopus, SPORTDiscus, and Web of Science) were searched for relevant publications on 9 September 2024. To uncover additional relevant studies, we conducted a manual search of the reference lists from the included studies. We also employed snowball citation tracking using the Web of Science database. Additionally, each study included in the review was scrutinized for possible errors or retractions.

Search strategy

The search was conducted using Boolean operators “AND” and “OR” without applying any filters for date, language, or study design, aiming to capture a broad spectrum of relevant studies. The detailed search approach was as follows:

[Title/Abstract] basket*

AND

[Title/Abstract] “small-sided games” OR “conditioned games” OR “SSG” OR “drill-based games” OR “small-sided conditioned games”

The full search strategy per database can be observed in Table 2.

TABLE 2

Full search strategy for each database.

PubMed(((((basket* [Title/Abstract]) AND (“small-sided games” [Title/Abstract])) OR (“conditioned games” [Title/Abstract])) OR (“SSG” [Title/Abstract])) OR (“drill-based games” [Title/Abstract])) OR (“small-sided conditioned games” [Title/Abstract])

Scopus(TITLE (basket*) OR ABS (basket*) AND TITLE (“small-sided games”) OR ABS (“small-sided games”) OR TITLE (“conditioned games”) OR ABS (“conditioned games”) OR TITLE (“SSG”) OR ABS (“SSG”) OR TITLE (“drill-based games”) OR ABS (“drill-based games”) OR TITLE (“small-sided conditioned games”) OR ABS (“small-sided conditioned games”))

SPORTDiscusTI basket* AND TI “small-sided games” OR TI “conditioned games” OR TI “SSG” OR TI “drill-based games” OR TI “small-sided conditioned games”

Web of Science((((((((((TI = (basket*)) OR AB = (basket*)) AND TI = (“small-sided games”)) OR AB = (“small-sided games”)) OR TI = (“conditioned games”)) OR AB = (“conditioned games”)) OR TI = (“SSG”)) OR AB = (“SSG”)) OR TI = (“drill-based games”)) OR AB = (“drill-based games”)) OR TI = (“small-sided conditioned games”)) OR AB = (“small-sided conditioned games”)

Extraction of data

To evaluate inclusion criteria, a customized data extraction form inspired by the template from the Cochrane Consumers and Communication Review Group was employed. This form was initially trialed on ten randomly selected studies to ensure its effectiveness. Two independent reviewers (TYL and DM) carried out this assessment. Disputes over study inclusion were resolved through discussions among the reviewers and a third author (AFS). Reasons for excluding full-text articles were documented, and all records were systematically logged using a Microsoft Excel spreadsheet (Microsoft Corporation, Redmond, WA, USA).

Data items

To ensure consistency in data analysis and reporting, only measures appearing in three or more studies were included. For physiological outcomes, the following outcomes were extracted: (i) cardiovascular responses (e.g., mean heart rate and peak heart rate), (ii) blood lactate levels, and (iii) rating of perceived exertion (RPE). For physical demands, the focus was on (i) total distance covered, (ii) distance traveled across various speed thresholds, (iii) number of accelerations and decelerations at different intensity levels, and (iv) mechanical workload metrics derived from inertial measurement units. In terms of technical performance, the metrics extracted included, for example, (i) total and accuracy-adjusted number of passes, (ii) total and accuracy-adjusted number of receptions, (iii) total and accuracy-adjusted number of shots, and (iv) total and accuracy-adjusted number of dribbles. For tactical behavior, we examined (i) individual attacking strategies, (ii) individual defensive strategies, and (iii) collective dispersion measures.

Data collected included sample size, mean, and standard deviation (SD) for each outcome in two different formats of SSG: extreme-sided games (ESG: 1 v 1; 2 v 2), medium-sided games (MSG: 3 v 3, 4 v 4), and 5 v 5. Further information extracted from the studies comprised: (i) participant details (number, age, competitive level, and sex); (ii) outcomes examined (physical, physiological, technical, and tactical), (iii) variables derived from each outcome; (iii) SSG format (e.g., 1 v 1, 2 v 2, 3 v 3, and 4 v 4) and 5 v 5, pitch dimensions, and relative area per player; (iv) specific rules. Where data were shown graphically, a specific software was used to extract mean and standard deviation (http://www.getdata-graph-digitizer.com). This software is accurate and precise in extracting these parameters [19].

Risk of bias assessment

The assessment of methodological quality for the included studies was conducted using the Methodological Index for Non-Randomized Studies (MINORS). This validated tool evaluates twelve specific criteria from the studies, with a scoring system where zero denotes no report on the criterion, one signifies an inadequate report, and two indicates an adequate report. In this review, we focused on eight key items from the MINORS tool: (1) a clearly stated aim, (2) inclusion of consecutive patients, (3) prospective collection of data, (4) endpoints appropriate to the aim of the study, (5) unbiased assessment of the study endpoint, (6) an appropriate follow-up period, (7) loss to follow-up of less than 5%, and (8) prospective calculation of study size. The total score for each study was calculated by summing the individual scores across these eight criteria, yielding a maximum possible score of 16 points. To categorize the studies based on their overall methodological quality, studies were classified as good, fair, or poor, depending on their total score. A score between 14 and 16 points was considered good, indicating a high methodological quality. A score between 10 and 13 points was classified as fair, suggesting moderate methodological quality. Studies with a score below ten were categorized as poor. Two reviewers (TYL and RMS) independently applied this scale to assess the quality of the studies. Discrepancies in ratings were addressed through discussions, with a final resolution provided by a third reviewer (FMC).

Summary measures, synthesis of results, and publication bias

Meta-analysis typically requires at least two studies to generate valid results [20], but due to the frequent small sample sizes in sports science research [21], and especially in SSG studies [22], this meta-analysis only included data if at least three study groups provided both means and standard deviations for comparisons of different game formats of a specific variable. Comparisons were performed considering three groups: extreme-sided games (1 v 1, 2 v 2), medium-sided games (3v3, 4v4), and 5v5. Effect sizes (ES; Hedge’s g) were computed for each outcome using these means and SDs. When means and SDs were not directly available, they were derived from 95% confidence intervals (CIs) or standard errors of the mean (SEM), utilizing Cochrane’s RevMan Calculator. A reductionist approach was chosen to combine multiple effect sizes of the same study [23]

A random-effects model was applied to accommodate variability between studies that could affect the SSG outcomes [24, 25]. Effect sizes are reported with 95% confidence intervals. The ES values were classified according to the following scale: < 0.2 as trivial, 0.2–0.6 as small, > 0.6–1.2 as moderate, > 1.2–2.0 as large, > 2.0–4.0 as very large, and > 4.0 as extremely large [26]. Heterogeneity was evaluated using the I2 statistic, with thresholds of < 25%, 25–75%, and > 75% indicating low, moderate, and high heterogeneity, respectively [27]. The risk of bias was assessed using the extended Egger’s test [28]. To address potential publication bias, a sensitivity analysis was performed employing the trim and fill method [29]. All statistical analyses were conducted with Comprehensive Meta-Analysis software (version 2; Biostat, Englewood, NJ, USA), with statistical significance set at p < 0.05.

RESULTS

Study identification and selection

An initial search was conducted across four electronic databases, yielding a total of 4,967 records, of which, after removing 1,661 duplicates, 3,306 records were screened based on their titles and abstracts. From this screening process, 3,261 records were excluded, and the full texts of 44 manuscripts were analyzed in detail. Twenty-eight papers were excluded based on specific criteria: (i) 24 studies did not compare different types of small-sided games; (ii) 3 studies had samples that did not include basketball players; (iii) one study presented duplicate data. As a result, this review includes a total of 16 studies, as illustrated in Figure 1.

FIG. 1

Flow chart diagram identifying the screening process and the studies included in the present scoping review.

/f/fulltexts/BS/55560/JBS-42-3-55560-g001_min.jpg

Risk of bias assessment

The MINORS assessment for risk of bias (table 3) across the included studies revealed that most studies scored well in defining clear aims, including consecutive participants, collecting data prospectively, aligning endpoints with study objectives, and ensuring unbiased assessment of these endpoints, with scores typically at 2 out of 2 for these criteria. However, there is a greater variability and lower scores in the follow-up period’s appropriateness loss to follow-up, particularly regarding the prospective calculation of sample size, where the overall studies scored 0 due to the absence of sample size calculations. This may indicate a potential risk of bias related to sample size adequacy and the representativeness of the follow-up data. However, the overall scores ranging from 9 to 14 out of 16 showed that the included studies have a moderate to good methodological quality.

TABLE 3

MINORS Risk of Bias assessment.

Item 1Item 2Item 3Item 4Item 5Item 6Item 7Item 8Total
Sansone et al. [30]2222222014 / 16
Gok et al. [41]2222210011 / 16
Bredt et al. [31]2222200010 / 16
Bredt et al. [40]2222200010 / 16
Stojanovic et al. [56]2222200010 / 16
Clemente et al. [42]2222200010 / 16
Ferioli et al. [33]2222222014 / 16
Clemente et al. [34]2222220012 / 16
Vaquera et al. [35]2222220012 / 16
Conte et al. [36]2222220012 / 16
Herran et al. [43]2222110010 / 16
Conte et al. [37]2222220012 / 16
Garcia et al. [38]1122211010 / 16
Klusemann et al. [45]2122111010 / 16
Tallir et al. [44]2122110010 / 16
Sampaio et al. [39]212211009 / 16

[i] Item 1: A clearly stated aim; Item 2: Inclusion of consecutive patients; Item 3: Prospective collection of data; Item 4: Endpoints appropriate to the aim of the study; Item 5: Unbiased assessment of the study endpoint; Item 6: Follow-up period appropriate to the aim of the study; Item 7: Loss to follow up less than 5%; Item 8: Prospective calculation of the study size.

Study characteristics

Table 4 summarizes the key information obtained from each study, including the country of origin, competitive level, sample size, age of participants, outcomes analyzed, and associated variables. A total of 309 basketball players were included in this systematic review. Eleven studies focused on men [3040], while three studies investigated female athletes [4143]. Two studies examined both sexes [44, 45]. Physiological outcomes were examined in 12 studies (approximately 71%), while tactical and physical outcomes were represented in 9 (approximately 56%) and 6 (approximately 38%) studies, respectively. Three studies focused on tactical outcomes, as shown in Figure 2. The review covered a total of 15 studies on extreme-sided games and 33 studies on medium-sided games. The comparison between game formats also considered additional variations (e.g., 3 v 3+1, 4 v 3, and 3 v 2), as illustrated in Figure 3.

TABLE 4

Characteristics of the studies included in the present review, outcomes examined, and variables assessed.

StudyCountryCompetitive levelSample size (n)SexAge (years)OutcomeVariable extracted
Sansone et al. [30]ItalyRegional15M15.6 ± 0.7PhysicalAverage external load intensity, peak external load intensity

Gok et al. [41]NIRegional18F15.6 ± 0.7PhysiologicalRate of perceived exertion

Gok et al. [41]TechnicalRebound, successful shot, unsuccessful shot, successful pass, unsuccessful pass, steal, turnover

Bredt et al. [31]NINational51MUnder-14: 13.7 ± 0.3
Under-15: 14.7 ± 0.3
Under-15: 14.7 ± 0.3
TacticalSpace creation with ball dribbled, space creation with ball not dribbled, perimeter isolation, poster isolation, space creation without ball, on-ball screen, offenses with no shots, close on-ball marking, close on-ball marking, fluctuated on-ball marking, close off-ball marking, fluctuated off-ball marking, defensive help or switch, defensive recovery, double-team

Bredt et al. [31]Technicalnumber of passes per offense, total number of offenses, closeout, steal, defensive rebound

Bredt et al. [40]NINational45MUnder-14: 13.7 ± 0.3
Under-15: 14.7 ± 0.3
Under-15: 14.7 ± 0.3
PhysicalAcceleration

Bredt et al. [40]PhysiologicalHeart rate

Bredt et al. [40]TacticalSpace creation with ball dribbled, perimeter isolation, space creation without ball, total number of offenses, fast-breaks, offenses with no shot, participation of floater, floater, number of passes per offense

Stojanovic et al. [56]NIRecreational12M21.4 ± 1.7PhysicalTotal distance, acceleration, deceleration

Stojanovic et al. [56]PhysiologicalHeart rate, blood lactate, rate of perceived exertion

Clemente et al. [42]NINational10F14.3 ± 0.3PhysiologicalRate of perceived exertion

Clemente et al. [42]TechnicalReceived balls, conquered balls, lost balls, attacking balls, rebounds, shots

Ferioli et al. [33]ItalyRegional10M18.3 ± 1.0PhysicalLow-intensity activities, medium-intensity activities, high-intensity activities, recovery, all movements

Ferioli et al. [33]PhysiologicalHeart rate, rate of perceived exertion

Ferioli et al. [33]TechnicalAssists, personal fouls, rebounds, steals, turnovers, total passes, correct passes, shots, scored shots

Clemente et al. [34]NINational20MUnder-14: 12.0 ± 0.8
Under-16: 14.3 ± 0.5
PhysiologicalRate of perceived exertion

Clemente et al. [34]TechnicalReceived balls, conquered balls, lost balls, attacking balls, shot, rebound

Vaquera et al. [35]SpainJunior12M16.0 ± 0.4PhysiologicalHeart rate, rate of perceived exertion

Conte et al. [36]ItalyRegional12M13.9 ± 0.7PhysiologicalHeart rate, rate of perceived exertion

Conte et al. [36]TechnicalDribble, pass, shot, interception, steal, rebound, turnover

Herran et al. [43]NIJunior10F15.1 ± 1.0PhysicalTotal distance, player load, maximum velocity, velocity, acceleration, deceleration

Conte et al. [37]NIRegional21M15.4 ± 0.9PhysiologicalHeart rate, rate of perceived exertion, Edwards’ TRIMP

Conte et al. [37]TechnicalDribble, steal, rebound, turnover, pass, shot

Garcia et al. [38]SpainNational19M14.5 ± 1.5PhysiologicalHeart rate

Klusemann et al. [45]AustraliaElite168 M;
8 F
M: 18.2 ± 0.6
F: 17.4 ± 0.3
PhysicalStand/walk, jog, run, sprint, low shuffle, medium shuffle, high shuffle, jump, total movements

Klusemann et al. [45]PhysiologicalHeart rate, rate of perceived exertion

Klusemann et al. [45]TechnicalDribble, pass, close range shot, mid-range shot, 3-point shot, rebound, ball screen, total elements

Tallir et al. [44]BelgiumJunior3023 M;
7 F
11.1 ± 0.6TacticalCognitive decision-making component

Tallir et al. [44]TechnicalMotor skill execution efficiency, motor skill execution efficacy

Sampaio et al. [39]PortugalNI8M15.5 ± 0.6PhysiologicalHeart rate, rate of perceived exertion

[i] NI (no information); M (male); F (female)

FIG. 2

Main outcomes analyzed.

/f/fulltexts/BS/55560/JBS-42-3-55560-g002_min.jpg
FIG. 3

Main formats of play analyzed.

/f/fulltexts/BS/55560/JBS-42-3-55560-g003_min.jpg

Table 5 presents the descriptive statistics for the comparisons between different basketball formats. Due to the numerous variables extracted from the four main outcomes — physical, physiological, technical, and tactical — a meta-analysis was conducted specifically for the rate of perceived exertion, cardiovascular demands (including peak heart rate, mean heart rate, and heart rate at specific intensities), and technical parameters (such as dribbling, passing, shooting, rebounds, assists, and steals).

TABLE 5

Characteristics of small-sided games in the included studies.

StudySSG formatsCourt dimension (m) | Ratio area/player (m2)SSG exercise characteristicsRules
Sansone et al. [30]1 v 1, 2 v 2, 3 v 3, 4 v 4, 5 v 5,
5 v 5 scrimmage
NINI5 v 5 scrimmage: competition rules

Gok et al. [41]2 v 2, 3 v 3, 4 v 428.0 × 15.0 | NI4 × 4 min /4 min recoveryNI

Bredt et al. [31]3 v 3, 4 v 33 v 3: 14.0 × 9.0 | 42
4 v 3: 14.0 × 9.0 | 31.5
1 × 4 min /8 min recoveryNo free throws

Bredt et al. [40]3 v 3, 3 v 3+1, 4 v 33 v 3: 28.0 × 9.0 | 84
4 v 3: 28.0 × 9.0 | 63
1 × 4 min /8 min recoveryNo free throws

Stojanovic et al. [56]1 v 1, 2 v 2, 3 v 31 v 1: 14.0 × 15.0 | 210
2 v 2: 14.0 × 15.0 | 105
3 v 3: 14.0 × 15.0 | 70
1 × 10 min /5 min recoveryNo free throws, after a defensive rebound the ball needs to be played out from the

three-point line

Clemente et al. [42]1 v 1, 2 v 2, 3 v 3, 4 v 4, 5 v 51 v 1: 15.0 × 6.0 | 45
2v 2: 22.0 × 8.0 | 44
3v 3: 24.0 × 11.0 | 44
4v 4: 26.0 × 13.0 | 42
5v 5: 28.0 × 15.0 | 42
1 v 1: 2 × 1 min /2 min recovery
2 v 2: 2 × 2 min / 2 min recovery
3 v 3: 2 × 3 min / 2 min recovery
4 v 4: 2 × 4 min / 2 min recovery
5 v 5: 2 × 5 min / 2 min recovery
No free throws

Ferioli et al. [33]3 v 3, 4 v 4, 5 v 53 v 3: 28.0 × 15.0 | 70
4 v 4: 28.0 × 15.0 | 52.5
5 v 5: 28.0 × 15.0 | 42
3 × 4 min /2 min recoveryNo free throws, throw-ins after a foul, one-on-one defence

Clemente et al. [34]1 v 1, 2 v 2, 3 v 3, 4 v 4, 5 v 51 v 1: 15.0 × 6.0 | 45
2 v 2: 22.0 × 8.0 | 44
3 v 3: 24.0 × 11.0 | 44
4 v 4: 26.0 × 13.0 | 42
5 v 5: 28.0 × 15.0 | 42
1 v 1: 2 × 1 min /2 min recovery
2 v 2: 2 × 2 min / 2 min recovery
3 v 3: 2 × 3 min / 2 min recovery
4 v 4: 2 × 4 min / 2 min recovery
5 v 5: 2 × 5 min / 2 min recovery
No free throws

Vaquera et al. [35]1 v 1, 2 v 2, 3 v 2, 5 v 528.0 × 15.0 | NI2–3 minutes recoveryOne-on-one defence, no free-throws

Conte et al. [36]2 v 2, 4 v 42 v 2: 28.0 × 15.0 | 1053 × 4 min / 2 min recoveryOne-on-one defence

Herran et al. [43]3 v 3, 5 v 55 v 5: 15.0 × 14.0 | 211 × 5 min / 5 min recoveryNo fouls, static position in out of bonds, after a successful shoot the further player make the ball playable, after a defensive rebound the ball needs to be played out from the three-point line via passing

Conte et al. [37]2 v 2, 4 v 42 v 2: 28.0 × 15.0 | 105
4 v 4: 28.0 × 15.0 | 52.5
CONT: 3 × 4 min / 2 min passive recovery
INTER: 3 × 7 min / 1 min exercise / 1 min passive rest
One-on-one defence

Garcia et al. [38]3 v 3, 4 v 43 v 3: 14.0 × 15.0 | 354 min / 3 min recoveryNI

Klusemann et al. [45]2 v 2, 4 v 42 v 2: 15.0 × 14.0 | 52.5
4 v 4: 15.0 × 14.0 | 26.3
NI12 second shot clock, reward a point when the foul is committed in shooting

Tallir et al. [44]3 v 3, 4 v 44 v 4: 14.0 × 26.0 | 30.3Smaller: 2 or 3 4 × 5 min / 5 min recovery
Larger: 4 × 5 min / 5 min recovery
One-on-one defence

Sampaio et al. [39]3 v 3, 4 v 43 v 3: 14.7 × 4.9 | 12
4 v 4: 19.8 × 6.6 | 16.8
4 × 4 min / 3 min recoveryNI

[i] SSG (small-sided games); NI (no information); CONT (continuous exercise) INTER (intermittent exercise).

TABLE 6

Comparisons regarding different formats of small-sided games on physical, physiological, technical or tactical outcomes.

StudyGame formatsVariable extracted (unit)Mean ± SDIncluded meta-analysis
Format 1Format 2Format 1Format 2
Sansone et al. [30]1 v 1, 2 v 23 v 3, 4 v 4Peak external load (peak EL • min–1)178 ± 23183 ± 22No
Average external load (peak EL • min–1)301 ± 39354 ± 38No
3 v 3, 4 v 45 v 5Peak external load (peak EL • min–1)183 ± 22183 ± 21No
Average external load (peak EL • min–1)354 ± 38372 ± 5No
1 v 1, 2 v 25 v 5Peak external load (peak EL • min–1)178 ± 23183 ± 21No
Average external load (peak EL • min–1)301 ± 39372 ± 5No

Gok et al. [41]2 v 23 v 3, 4 v 4RPE (AU)14.5 ± 1.112.9 ± 1.9Yes
Rebound (count)0.9 ± 0.30.7 ± 0.3Yes
Successful shot (count)1.9 ± 1.11.3 ± 0.4Yes
Unsuccessful shot (count)2.1 ± 0.71.6 ± 0.5No
Successful pass count)3.7 ± 1.54.0 ± 1.0Yes
Unsuccessful pass (count)0.3 ± 0.20.4 ± 0.2No
Stealing (count)0.2 ± 0.20.4 ± 0.3Yes
Turnover (count)0.4 ± 0.30.6 ± 0.4No

Bredt et al. [31]3 v 34 v 3Acceleration 0.0–0.5 g (seconds)168 ± 21182 ± 13No
Acceleration 0.5–1.0 g (seconds)63 ± 2249 ± 14No
Acceleration 1.0–1.5 g (seconds)7.2 ± 2.36.5 ± 2.5No
Acceleration 1.5–2.0 g (seconds)1.1 ± 0.71.1 ± 0.9No
Mean HR (% of maximal)86.2 ± 3.385.9 ± 4.9No
Peak HR (% of maximal)93.6 ± 3.292.0 ± 4.0No
HR > 85% (seconds)158.7 ± 53.6148.8 ± 63.4No
Space creation with ball dribbled (count)6.05.5No
Space creation with ball not dribbled (count) 1.00.0No
Perimeter isolation (count) 3.01.5No
Post isolation (count) 0.50.0No
Space creation without ball (count) 7.02.5No
On-ball screen (count) 0.00.0No
Passes per offense (count) 1.572.65No
Total number of offenses (count) 22.523.5No
Offenses with no shot (count) 3.02.5No
Close on-ball marking (count) 3.02.0No
Fluctuated on-ball marking (count) 4.02.0No
Close off-ball marking (count) 3.53.0No
Fluctuated off-ball marking (count) 8.08.0No
Defensive help or switch (count) 2.01.0No
Closeout (n) 2.06.0No
Double-team (n) 0.50.0No
Steal/ interception (n) 0.00.0No
Defensive rebound (n) 1.01.0No

Bredt et al. [40]3 v 34 v 3Acceleration 0.0–0.5 g (seconds)144 ± 24153 ± 24No
Acceleration 0.5–1.0 g (seconds)64 ± 4469 ± 34No
Acceleration 1.0–1.5 g (seconds)7.0 ± 2.96.0 ± 2.5No
Acceleration 1.5–2.0 g (seconds)1.0 ± 0.71.0 ± 0.6No
Mean HR (% of maximal)86.5 ± 3.685.0 ± 4.1No
Peak HR (% of maximal)93.8 ± 3.292.2 ± 4.2No
HR > 85% (time)158 ± 55138 ± 67No
Space creation with ball dribbled (count) 7.07.0No
Perimeter isolation (count) 1.50.5No
Space creation without ball (count) 7.512.5No
Total number of offenses (count) 22.023.0No
Fast-breaks (count) 6.07.0No
Offenses with no shot (count) 3.03.0No
Participation of floater (count) NI10.5No
Decisive floater (count) NI8.5No
Passes per offense (count) 1.622.1No
3 v 33 v 3+1Acceleration 0.0–0.5 g (seconds)144 ± 24150 ± 21No
Acceleration 0.5–1.0 g (seconds)64 ± 4482 ± 24No
Acceleration 1.0–1.5 g (seconds)7.0 ± 2.96.2 ± 2.6No
Acceleration 1.5–2.0 g (seconds)1.0 ± 0.71.2 ± 0.7No
Mean HR (% of maximal)86.5 ± 3.684.9 ± 3.5No
Peak HR (% of maximal)93.8 ± 3.292.9 ± 3.7No
HR > 85% (time)158 ± 55135 ± 74No
Space creation with ball dribbled (count) 7.05.0No
Perimeter isolation (count) 1.51.0No
Space creation without ball (count) 7.59.0No
Total number of offenses (count) 22.020.5No
Fast-breaks (count) 6.07.0No
Offenses with no shot (count) 3.03.0No
Participation of floater (count) NI10.5No
Decisive floater (count) NI8.5No
Passes per offense (count) 1.622.1No

Stojanovic et al. [56]1 v 1, 2 v 23 v 3Total distance (m)715 ± 180673 ± 181No
Acceleration (count)165 ± 15145 ± 16No
Deceleration (count)165 ± 15144 ± 16No
Mean HR (bpm)179 ± 9174 ± 9Yes
Maximal HR (bpm)193 ± 6190 ± 7Yes
Mean HR (% of maximal)88.1 ± 5.586.1 ± 5.8Yes
Maximal HR (% of maximal)95.1 ± 4.793.2 ± 5.7Yes
Blood lactate (mmol • L–1)5.0 ± 2.14.0 ± 1.2No
RPE (AU)5.3 ± 1.64.1 ± 1.5No

Clemente et al. [42]1 v 1, 2 v 23 v 3, 4 v 4RPE (AU)3.7 ± 1.05.2 ± 1.7Yes
Received balls (count • min–1)1.6 ± 0.91.2 ± 0.5Yes
Conquered balls (count • min–1)0.3 ± 0.40.2 ± 0.2Yes
Lost balls (count • min–1)0.5 ± 0.50.2 ± 0.2No
Attacking balls (count • min–1)1.0 ± 0.60.6 ± 0.6Yes
Shot (count • min–1)2.0 ± 0.90.7 ± 0.5Yes
Rebound (count • min–1)1.0 ± 0.60.3 ± 0.3Yes
3 v 3, 4 v 45 v 5RPE (AU)5.2 ± 1.77.2 ± 1.3Yes
Received balls (count • min–1)1.2 ± 0.51.1 ± 0.5Yes
Conquered balls (count • min–1)0.2 ± 0.20.2 ± 0.2Yes
Lost balls (count • min–1)0.2 ± 0.20.2 ± 0.2No
Attacking balls (count • min–1)0.6 ± 0.60.6 ± 0.4Yes
Shot (count • min–1)0.7 ± 0.50.4 ± 0.3Yes
Rebound (count • min–1)0.3 ± 0.30.2 ± 0.2Yes
1 v 1, 2 v 25 v 5RPE (AU)3.7 ± 1.07.2 ± 1.3Yes
Received balls (count • min–1)1.6 ± 0.91.1 ± 0.5No
Conquered balls (count • min–1)0.3 ± 0.40.2 ± 0.2No
Lost balls (count • min–1)0.5 ± 0.50.2 ± 0.2No
Attacking balls (count • min–1)1.0 ± 0.60.6 ± 0.4No
Shot (count • min–1)2.0 ± 0.90.4 ± 0.3No
Rebound (count • min–1)1.0 ± 0.60.2 ± 0.2No

Ferioli et al. [33]3 v 3, 4 v 45 v 5HR (% of maximal)93.3 ± 2.392.5 ± 2.8No
RPE (AU)6.6 ± 1.16.1 ± 1.1Yes
Low intensity activities (count)12.0 ± 1.411.6 ± 1.7No
Moderate intensity activities (count)4.5 ± 0.84.1 ± 1.0No
High intensity activities (count)5.8 ± 1.05.3 ± 0.9No
Recovery (count)6.9 ± 0.77.2 ± 0.6No
All movements (count)29.3 ± 2.328.0 ± 3.3No
Assists (count)3.5 ± 1.62.2 ± 1.1Yes
Personal founds (count)0.9 ± 0.90.9 ± 0.8No
Rebounds (count)5.4 ± 1.94.0 ± 1.4Yes
Steals (count)2.4 ± 0.91.7 ± 1.3Yes
Turnovers (count)3.8 ± 1.32.5 ± 1.6No
Total passes (count)24.1 ± 5.419.4 ± 3.2Yes
Correct passes (count)22.0 ± 4.917.7 ± 2.4Yes
Correct passes (%)91.7 ± 6.492.1 ± 9.3Yes
Total shots (count)9.4 ± 3.16.3 ± 2.2Yes
Scored shots (count)4.1 ± 2.32.4 ± 1.4Yes
Scored shots (%)41.1 ± 19.340.7 ± 24.8Yes

Clemente et al. [34]1 v 1, 2 v 23 v 3, 4 v 4RPE (AU)3.4 ± 1.13.7 ± 0.8Yes
Received balls (count • min–1)1.6 ± 0.71.2 ± 0.4Yes
Conquered balls (count • min–1)0.4 ± 0.40.1 ± 0.1Yes
Lost balls (count • min–1)0.4 ± 0.40.2 ± 0.2No
Attacking balls (count • min–1)0.8 ± 0.40.7 ± 0.4Yes
Shot (count • min–1)1.4 ± 0.60.6 ± 0.3Yes
Rebound (count • min–1)0.8 ± 0.50.4 ± 0.3Yes
3 v 3, 4 v 45 v 5RPE (AU)3.7 ± 0.85.8 ± 0.6Yes
Received balls (count • min–1)1.2 ± 0.41.0 ± 0.4Yes
Conquered balls (count • min–1)0.1 ± 0.10.1 ± 0.1Yes
Lost balls (count • min–1)0.2 ± 0.20.1 ± 0.1No
Attacking balls (count • min–1)0.7 ± 0.40.6 ± 0.2Yes
Shot (count • min–1)0.6 ± 0.30.4 ± 0.2Yes
Rebound (count • min–1)0.4 ± 0.30.3 ± 0.2Yes
1 v 1, 2 v 25 v 5RPE (AU)3.4 ± 1.15.8 ± 0.6Yes
Received balls1.6 ± 0.71.0 ± 0.4No
Conquered balls0.4 ± 0.40.1 ± 0.1No
Lost balls0.4 ± 0.40.1 ± 0.1No
Attacking balls0.8 ± 0.40.6 ± 0.2No
Shot1.4 ± 0.60.4 ± 0.2No
Rebound0.8 ± 0.50.3 ± 0.2No

Vaquera et al. [35]3 v 25 v 5Maximal HR (bpm)88.7 ± 5.892.0 ± 3.5No
Mean HR (% of maximal)78.5 ± 7.591.2 ± 4.7No
RPE (AU)8.2 ± 1.17.9 ± 1.5No
1 v 1, 2 v 25 v 5Maximal HR (bpm)91.5 ± 3.592.0 ± 3.5No
Mean HR (% of maximal)81.3 ± 4.391.2 ± 4.7No
RPE (AU)8.7 ± 0.77.9 ± 1.5Yes

Conte et al. [36]2 v 24 v 4HR (% of maximal)91.8 ± 3.089.7 ± 3.1Yes
RPE (AU)9.3 ± 3.08.4 ± 0.9Yes
Dribble (count)22.8 ± 5.813.5 ± 8.2Yes
Pass (count)21.4 ± 5.019.2 ± 6.6Yes
Shot (count)16.7 ± 7.25.6 ± 2.3Yes
Interception (count)1.7 ± 1.11.4 ± 1.6Yes
Steal (count)0.9 ± 0.90.9 ± 1.0Yes
Rebound (count)7.4 ± 3.43.1 ± 1.9Yes
Turnover (count)2.3 ± 1.72.1 ± 2.0No

Herran et al. [43]3 v 35 v 5Total distance (m)249.6 ± 32.8249.6 ± 32.8No
Total distance (m • min–1)49.9 ± 6.641.8 ± 7.2No
Player load47.6 ± 7.434.8 ± 8.6No
Maximum velocity (m • s–1)3.0 ± 0.42.8 ± 1.1No
Speed < 0.5 (m • s–1)48.7 ± 31.670.6 ± 35.3No
Speed 0.5 to 1.0 (m • s–1)59.2 ± 14.859.2 ± 13.3No
Speed 1.0 to 1.5 (m • s–1)60.6 ± 19.938.0 ± 21.3No
Speed 1.5 to 2.0 (m • s–1)43.4 ± 19.123.8 ± 16.6No
Speed > 2.0 (m • s–1)37.8 ± 16.117.6 ± 15.6No
Deceleration < 1.5 (m • s–2)8.6 ± 3.15.2 ± 3.5No
Deceleration -1.5 to -1.0 (m • s–2)7.6 ± 2.55.0 ± 2.7No
Deceleration -1.0 to -0.5 (m • s–2)15.9 ± 5.611.9 ± 5.3No
Deceleration -0.5 to 0.0 (m • s–2)42.5 ± 10.034.6 ± 10.6No
Acceleration 0.0 to 0.5 (m • s–2)103.5 ± 20.381.2 ± 18.6No
Acceleration 0.5 to 1.0 (m • s–2)16.4 ± 4.811.5 ± 4.6No
Acceleration 1.0 to 1.5 (m • s–2)8.6 ± 2.35.9 ± 2.6No
Acceleration > 1.5 (m • s–2)14.6 ± 4.99.8 ± 5.4No

Conte et al. [37]2 v 24 v 4Maximal HR (%): total time87.1 ± 2.984.5 ± 4.0Yes
Maximal HR (%): excluding recovery89.9 ± 3.187.3 ± 4.2Yes
Rate of perceived exertion (AU)8.8 ± 0.97.7 ± 1.1Yes
Edwards’ TRIMP (AU)54.1 ± 3.551.0 ± 5.1No
Dribble (count)23.7 ± 6.114.4 ± 7.2Yes
Steal (count)2.5 ± 1.92.1 ± 1.6Yes
Rebound (count)7.0 ± 3.33.3 ± 2.1Yes
Turnover (count)2.9 ± 2.02.5 ± 1.9No
Total pass (count)21.9 ± 5.417.7 ± 6.7Yes
Correct pass (count)19.8 ± 5.315.9 ± 6.2Yes
Wrong pass (count)2.1 ± 1.71.9 ± 1.4No
Total shot (count)16.0 ± 5.36.8 ± 3.0Yes
Scored shot (count)6.8 ± 3.72.8 ± 2.1Yes
Missed shot (count)9.1 ± 3.34.0 ± 1.9No
Made shot (%)40.8 ± 15.837.4 ± 23.1Yes

Garcia et al. [38]3 v 34 v 4HR high intensity (% maximal)153.260.1No
HR moderate intensity (% maximal)237.531.7No

Klusemann et al. [45]2 v 24 v 4Stand/walk (count)120 ± 18125 ± 23No
Jog (count)63 ± 1166 ± 12No
Run (count)35 ± 1035 ± 10No
Sprint (count)15 ± 511 ± 5No
Low shuffle (count)39 ± 1242 ± 10No
Medium shuffle (count)72 ± 1975 ± 17No
High shuffle (count)13 ± 68 ± 4No
Jump (count)26 ± 516 ± 6No
Total movements (count)382 ± 52378 ± 51No
Peak HR (% maximal)92 ± 392 ± 3Yes
Mean HR (% maximal)86 ± 483 ± 5Yes
Time spent zone 4 (%)355 ± 2451 ± 20Yes
Time spent zone 5 (%)430 ± 3122 ± 25Yes
Dribble (game • player–1)20 ± 612 ± 5Yes
Pass (game • player–1)19 ± 515 ± 5Yes
Close range shot (game • player–1)8 ± 33 ± 2Yes
Mid-range shot (game • player–1)4 ± 32 ± 2Yes
3-point shot3 ± 32 ± 2Yes
Rebound8 ± 35 ± 3Yes
Ball-screen5 ± 43 ± 3Yes
Total elements68 ± 1243 ± 10Yes

Tallir et al. [44]3 v 34 v 4Decision making (%)80.0 ± 12.880.1 ± 10.5No
MSE efficiency (%)84.0 ± 12.785.8 ± 5.8No
MSE efficacy (%)76.7 ± 13.078.9 ± 7.0No

Sampaio et al. [39]3 v 34 v 4Mean HR (bpm)173.4 ± 8.3164.7 ± 6.2No
RPE (AU)3.0 ± 0.54.1 ± 0.8No

1 High intensity (> 85%);

2 Moderate intensity (70–85%);

3 Time spent zone 4 (80–89%);

4 Time spent zone 5 (90–100%).

SSG (small-sided games); SD (standard deviation); RPE (rate of perceived exertion); HR (heart rate); AU (arbitrary units); bpm (beats per minute); EL (external load).

¶ Variables were expressed with median values.

Meta-analysis

Six studies [32, 34, 36, 37, 41, 42] provided data on the rate of perceived exertion (RPE), comparing extreme small-sided games (ESG) and medium-sided games (MSG) with a pooled sample size of 93. The comparison of RPE between ESG and MSG showed no statistically significant difference (Hedge’s g = -0.34, 95% CI: -0.97 to 0.30; p = 0.30). Furthermore, no risk of publication bias was identified for this comparison (Egger’s intercept = 4.80; p = 0.52), and Duval and Tweedie’s correction did not reveal any trimmed studies (Figure 4). High levels of heterogeneity were observed (I2 = 78%). When contrasting ESG and MSG with 5 v 5 regarding RPE, no significant differences were found among the game formats: ESG versus 5 v 5 (pooled n = 42, Hedge’s g = -0.38, 95% CI: -1.22 to 0.46; p = 0.37) and MSG versus 5 v 5 (pooled n = 40, Hedge’s g = -0.70, 95% CI: -3.03 to 1.64; p = 0.56). The negative effect sizes suggest higher RPE values in shorter game formats (Figures 5 and 6).

FIG. 4

Forest plot of comparison in the rate of perceived exertion in basketball players participating in (ESG: 1 v 1; 2 v 2) and medium-sided games (MSG: 3 v 3; 4 v 4). The black diamond reflects the overall comparisons.

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FIG. 5

Forest plot of comparison in the rate of perceived exertion in basketball players participating in extreme-sided games (ESG: 1 v 1; 2 v 2) and 5 v 5. The black diamond reflects the overall comparisons.

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FIG. 6

Forest plot of comparison in the rate of perceived exertion in basketball players participating in medium-sided games (MSG: 3 v 3; 4 v 4) and 5 v 5. The black diamond reflects the overall comparisons.

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No publication bias was found for ESG compared to 5 v 5 (Egger’s intercept = -3.20; p = 0.88) and for MSG compared to 5 v 5 (Egger’s intercept = 49.83; p = 0.34). High heterogeneity values were also noted for both comparisons (ESG and 5 v 5: I2 = 78%; MSG and 5 v 5: I2 = 95%).

In terms of cardiovascular responses, a meta-analysis was conducted to compare ESG and MSG, as shown in Figure 7 (pooled n = 49). The analysis revealed that cardiovascular demands were significantly higher during ESG (Hedge’s g = -0.47; 95% CI: -0.86 to -0.08; p = 0.02). The heterogeneity of this comparison was low (I2 < 5%), and no risk of publication bias was identified (Egger’s intercept = 2.83; p = 0.29). Additionally, two trimmed studies were identified, which resulted in an adjusted effect size that increased to a moderate level (Hedge’s g = -0.65; 95% CI: -0.96 to -0.34).

FIG. 7

Forest plot of comparison in cardiovascular demands in basketball players participating in small-sided games (ESG: 1 v 1; 2 v 2) and medium-sided games (MSG: 3 v 3, 4 v 4). The black diamond reflects the overall comparisons. Note: The mean differences of heart rate outputs were converged in one effect size. The study of Klusemann et al. (45) combined the peak heart (% of maximal), mean heart rate (% of maximal), time spent in zone 4 (%), time spent in zone 3 (%); the study of Conte et al. (2015) converged maximal heart rate (% – total time and excluding recovery periods); the cardiovascular variables combined in the study of Stojanovic et al. (56) were mean heart rate (beats per minute), maximal heart rate (beats per minute), mean heart rate (% of maximal) and maximal heart rate (% of maximal).

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The pooled sample size for the comparison between ESG and small-sided games on technical variables was 97 players. The effect size for this comparison was moderate, favoring ESG (Hedge’s g = -0.78; 95% CI: -1.09 to -0.48; p < 0.01). No trimmed studies were identified, and no risk of bias was observed (Egger’s intercept = -2.11; p = 0.29) (Figure 8).

FIG. 8

Forest plot of comparison in technical demands in basketball players participating in small-sided games (ESG: 1 v 1; 2 v 2) and medium-sided games (MSG: 3 v 3, 4 v 4). The black diamond reflects the overall comparisons. Note: The mean differences of heart rate outputs were converged in one effect size. The study of Klusemann et al. (45) combined the following variables: dribble, pass, close-range shot, mid-range shot, 3-point shot, rebound, ball screen, and total elements. The study of Conte et al. (37) combined the dribble, steal, rebound, total pass, correct pass, total shot, scored shot, made shot. Dribble, pass, shot, interception, steal, and rebound were converged in the study of Conte et al. (37). In the study of Clemente et al. (34), received balls, conquered balls, attacking balls, shots, and rebounds were converged. The study of Gok et al. (41) combined rebound, successful shot, successful pass, and steal.

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In the comparison between MSG and 5 v 5, the results tended to favor the shorter game format, showing a moderate effect size (Hedge’s g = -0.43; 95% CI: -0.86 to 0.00; p = 0.01). No trimmed studies were identified, and no risk of bias was noted (Egger’s intercept = -0.84; p = 0.39) (Figure 9). Heterogeneity across the studies was low in both meta-analyses, with I2 values of 8% for ESG and MSG and less than 5% for MSG and 5 v 5.

FIG. 9

Forest plot of comparison in technical demands in basketball players participating in medium-sided games (MSG: 3 v 3; 4 v 4) and 5 v 5. The black diamond reflects the overall comparisons. Note: The study of Clemente et al. (34) combined received balls, conquered balls, attacking balls, shots, and rebounds. Assists, rebounds, steals, total passes, correct passes, total shots, and scored shots were converged in the study of Ferioli et al. (33). Received balls, conquered balls, attacking balls, shots, and rebounds were combined.

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DISCUSSION

This systematic review with meta-analysis aimed to analyze the effects of different game formats (1 v 1, 2 v 2, 3 v 3, 4 v 4, 4 v 3, 3 v 3+1, and 5 v 5) on physiological, physical, technical, and tactical demands. The study findings revealed distinct increases across all four domains, with extreme SSG formats resulting in greater physiological and technical demands, while tactical and physical outcomes varied depending on game format and design.

Physiological effects

The present meta-analysis revealed a significant impact on internal demands during ESG when compared to MSG and traditional 5 v 5 formats. This finding supports the hypothesis that ESG formats may elevate the physiological load, likely due to increased individual participation and more frequent high-intensity actions of play, such as rapid changes in direction, accelerations, and decelerations [16, 46, 47]. However, no significant differences were found in the RPE among the different SSG formats, which might suggest that while the physiological load increases, players do not necessarily perceive these games as more physically demanding. This could be due to the psychological aspect of gameplay, where engagement in smaller formats might mask physical exertion [48]. As highlighted by Delextrat and Martinez [48], basketball players may perceive a lower exertion level when they are more focused on ball interactions, decision-making, and tactical execution. The cognitive load associated with these tasks could potentially mask their perception of physical exertion, leading to a lower RPE despite high physiological demand [49]. Also, temporal factors, such as the time-point at which RPE is measured (mid-game, end-of-game, or post-game), could have contributed to the observed lack of differentiation [50].

However, the high heterogeneity observed indicates variability in how different studies measured or induced cardiovascular responses, possibly due to differences in game rules, player numbers, pitch size, or coaches’ profiles. The way game rules are structured can influence the intensity of gameplay; for example, changes in scoring systems, time constraints, or restrictions on player movement may result in differing levels of cardiovascular demand across formats [51]. Player numbers can also increase intensity—fewer players typically increase individual load, leading to more frequent high-intensity actions [52]. Also, smaller courts may lead to more frequent and intense short bursts of activity, while larger courts may require more sustained movement, thus affecting cardiovascular responses differently [53]. Finally, variations in coaches’ profiles, including coaching strategies, emphasis on fitness or tactical execution, and experience, could influence how players engage in the games, further contributing to differences in cardiovascular responses across studies [54].

Regarding the objective measures of cardiovascular demands in basketball players participating in ESG (1 v 1; 2 v 2) and MSG (3 v 3; 4 v 4), the present meta-analysis demonstrated that the objective measures of cardiovascular demands significantly impacted during ESG when compared to MSG. The significant impact on cardiovascular demands indicates that ESGs impose greater physiological stress on players compared to larger formats. This can be attributed to the structural differences in gameplay as fewer players on the pitch result in more individual involvement, reduced opportunities for passive recovery, and a need for continuous high-intensity movements [55]. A potential underlying mechanism for this impacted cardiovascular demand could be the relationship between external and internal loads. External load refers to the physical demands of the task, such as the intensity, frequency, and duration of movements, which are typically greater in ESGs due to the higher participation and more frequent high-intensity actions. Internal load, on the other hand, refers to the physiological responses to these external demands, such as heart rate, lactate accumulation, and perceived exertion. The higher external load in ESG formats likely leads to a greater internal load, which is reflected in the increased cardiovascular stress observed in these formats. These findings imply that ESGs could be particularly useful for improving aerobic capacity, which is vital for basketball players who need to maintain high levels of high-intensity activity throughout a basketball game. While ESGs can accelerate cardiovascular demands, they should be balanced with adequate recovery periods and possibly used in phases where high intensity is the main goal [56].

From a practical perspective, it is suggested that ESG, such as the 1 v 1 or 2 v 2 formats, are especially useful for improving cardiovascular fitness, as they expose basketball players to greater high-intensity actions, improving their aerobic power [17]. Given that basketball requires players to maintain high activity levels throughout a game, ESGs could be particularly beneficial during phases of training focused on cardiovascular development [57]. However, it is important to balance the use of ESGs with adequate recovery periods and other SSG formats to avoid excessive load and the accumulation of fatigue to optimize player performance over the long term [58].

Technical effects

Considering the technical measures, the meta-analysis showed that ESG formats resulted in a significantly greater number of technical skills when compared to MSG and traditional 5 v 5 formats. This is likely due to more touches on the ball, increased involvement in the play, and the necessity for quicker decision-making [59]. However, the effect was more pronounced when comparing ESG with MSG than compared to traditional 5 v 5 formats. The increased frequency of technical actions in smaller SSG formats has implications for basketball training, particularly regarding skill acquisition. ESG, as demonstrated in this systematic review, creates an environment that demands more frequent technical actions, such as passing, dribbling, and shooting. This aligns with findings from multiple studies included in the review, where ESG (e.g., 1 v 1, 2 v 2) consistently had more frequent ball contact and technical involvements compared to larger formats such as the 5 v 5 format [33, 34, 36, 37, 41, 42, 45].

The impact on technical activity may be largely attributed to the reduced number of players per side, which increases each player’s participation in-game actions [60]. For instance, the study by Stojanovic et al. [32] revealed that in 1 v 1 and 2 v 2 formats, each player is engaged more frequently in offensive and defensive exchanges, resulting in more opportunities to practice decision-making under pressure. This forced interaction between players and the ball supports skill development by providing a higher number of task repetitions in short intervals [61]. Given that smaller formats allow for the continuous involvement of players, such SSG formats are more likely to improve technical proficiency. In the context of basketball, technical actions are integral to game success. In smaller SSGs, these actions are performed under more congested and pressured conditions, as players must execute their skills in smaller spaces and in less time [62]. This was particularly evident in two studies [31, 42] where smaller SSGs led to a greater number of total technical actions per minute compared to larger formats.

ESG challenges players to make faster decisions, improving their ability to anticipate and react to opponents’ movements, which is a crucial aspect of skill development in basketball [63]. Furthermore, ESG formats seem to provide a greater base for skill learning through variability [64]. Variability is an essential principle in skill acquisition, as it allows athletes to adapt their skills to different contexts and situations [61]. Another key factor in the increased technical involvement in smaller SSG formats is the pitch dimensions and the area per player. For example, studies such as those conducted by Sansone et al. [30] and Bredt et al. [31] showed that smaller pitch dimensions and fewer players resulted in a higher frequency of player involvement in both offensive and defensive actions. The area ratio per player illustrates how pitch size and player density influence technical behavior. For instance, in formats like 3 v 3, the area per player can be as low as 31.5 m2 [31], whereas in larger formats like 5 v 5, this increases to around 42 m2 [33]. This difference in playing space shows that players are under constant pressure in smaller SSG formats to perform more frequent and efficient technical actions.

Tactical effects

Tactical behaviors were less frequently studied than physiological or technical variables. However, the available data suggests that ESG results in greater tactical involvement due to reduced team size and increased ball contact. In ESG, players are required to make quicker decisions under pressure, often in congested spaces, which likely augments tactical awareness and execution [65]. For example, two of the included studies in the present systematic review [32, 42] reported more frequent 1 v 1 and 2 v 2 interactions in smaller formats, where players were actively engaged in offensive and defensive strategies. Conversely, MSG and traditional 5 v 5 formats provide a broader range for team-oriented tactical behaviors, such as structured offensive and defensive plays, due to the increased player density and space available. This aligns with findings [33, 34], showing that tactical variables like spatial awareness and off-ball movements were more prevalent in larger formats. These findings suggest that while ESG augments individual tactical skills such as decision-making and quick reactions, MSG and 5 v 5 allow players to practice collective tactical systems, which are essential for game strategies.

Study limitations and future research

Several limitations should be acknowledged. The limited number of included studies, especially those focused on ESG, limited our analyses. Although a comprehensive search was conducted, several studies were excluded due to insufficient data reporting or failure to meet eligibility criteria. Future studies should aim for greater standardization in reporting SSG formats, player demographics, and contextual variables to enable greater comparisons across different formats. The high heterogeneity observed in several measures, particularly in RPE and cardiovascular responses, limited us to draw consistent conclusions. Future research should establish more homogeneous experimental conditions. Furthermore, longitudinal studies and randomized controlled trials should be employed to address the identified gaps. Longitudinal studies would allow for the examination of the long-term effects of different SSG formats on player development and performance, while randomized controlled trials would provide more robust evidence regarding the causal effects of SSG formats on physiological, tactical, and technical outcomes. Lastly, this meta-analysis primarily focused on short-term physiological and technical responses during different SSGs. Future research should investigate the long-term effects of different playing formats on player development, including how exposure to different SSG formats influences physical and tactical performance over time.

Practical Applications

Based on the findings of this meta-analysis, it is suggested that ESG, such as 1 v 1 and 2 v 2, be incorporated into basketball training to improve cardiovascular demands and technical proficiency. These formats may be effective in increasing the physiological load, improving aerobic power, and promoting higher levels of player involvement in technical actions. Coaches should also consider integrating ESG into phases of training focused on developing aerobic capacity/power and technical skills. Furthermore, programming the intensity and frequency of ESG sessions to match the specific needs of individual players or team strategies is of utmost importance. By varying training intensities and including both small-sided and other traditional formats, players can be exposed to different game situations, which contribute to the athletes’ preparedness across different aspects of the game.

CONCLUSIONS

This systematic review with meta-analysis showed that ESGs resulted in higher cardiovascular demands and technical actions compared to MSGs, although no significant differences in RPE were found. These findings suggest that players may not perceive ESGs as more demanding despite their higher physiological load. The increased ball-related actions and decision-making in ESGs may mask exertion perceptions, making them effective for skill development and cardiovascular conditioning. Coaches should incorporate ESGs, such as 1 v 1 and 2 v 2 formats, to improve aerobic capacity, technical skills, and tactical actions. Overall, ESG formats can augment both physiological and technical demands in basketball training.

Conflict of interest

The authors declared no conflict of interest.

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