Premier League clubs have voted to prevent teams to make five substitutions per game for a third time at a shareholders' meeting on Thursday.

A number of managers have called for the top flight to adopt the change, with Jurgen Klopp calling it a "necessity" and Pep Guardiola labeling the current three substitute limit a "disaster".

The Premier League is currently the only major league in Europe not to have kept the five substitute limit that was introduced when domestic football resumed towards the end of last season.

The proposal was previously voted down twice before the 2020/21 campaign began and has again failed to meet the threshold of 14 votes in favor at a meeting of the 20 clubs.

While they chose to reject the five substitute proposal, the Premier League clubs voted in principle to introduce permanent concussion substitutions.

Teams will be able to use up to two additional replacements per game if players are suspecting of sustaining, or diagnosed with, a concussion.

(With input from agencies)