scholarly journals Protection Against Spikes in Workload With Aerobic Fitness and Playing Experience: The Role of the Acute:Chronic Workload Ratio on Injury Risk in Elite Gaelic Football

2017 ◽  
Vol 12 (3) ◽  
pp. 393-401 ◽  
Author(s):  
Shane Malone ◽  
Mark Roe ◽  
Dominic A. Doran ◽  
Tim J. Gabbett ◽  
Kieran D. Collins
Keyword(s):  
Aerobic Fitness ◽  
Injury Risk ◽  
Perceived Exertion ◽  
Reference Group ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Injury Protection

Purpose:To examine the association between combined session rating of perceived exertion (RPE) workload measures and injury risk in elite Gaelic footballers.Methods:Thirty-seven elite Gaelic footballers (mean ± SD age 24.2 ± 2.9 y) from 1 elite squad were involved in a single-season study. Weekly workload (session RPE multiplied by duration) and all time-loss injuries (including subsequent-wk injuries) were recorded during the period. Rolling weekly sums and wk-to-wk changes in workload were measured, enabling the calculation of the acute:chronic workload ratio by dividing acute workload (ie, 1-weekly workload) by chronic workload (ie, rolling-average 4-weekly workload). Workload measures were then modeled against data for all injuries sustained using a logistic-regression model. Odds ratios (ORs) were reported against a reference group.Results:High 1-weekly workloads (≥2770 arbitrary units [AU], OR = 1.63–6.75) were associated with significantly higher risk of injury than in a low-training-load reference group (<1250 AU). When exposed to spikes in workload (acute:chronic workload ratio >1.5), players with 1 y experience had a higher risk of injury (OR = 2.22) and players with 2–3 (OR = 0.20) and 4–6 y (OR = 0.24) of experience had a lower risk of injury. Players with poorer aerobic fitness (estimated from a 1-km time trial) had a higher injury risk than those with higher aerobic fitness (OR = 1.50–2.50). An acute:chronic workload ratio of (≥2.0) demonstrated the greatest risk of injury.Conclusions:These findings highlight an increased risk of injury for elite Gaelic football players with high (>2.0) acute:chronic workload ratios and high weekly workloads. A high aerobic capacity and playing experience appears to offer injury protection against rapid changes in workload and high acute:chronic workload ratios. Moderate workloads, coupled with moderate to high changes in the acute:chronic workload ratio, appear to be protective for Gaelic football players.

Absolute and Relative Load and Injury in Elite Junior Australian Football Players Over 1 Season

2020 ◽  
Vol 15 (4) ◽  
pp. 511-519 ◽  
Author(s):  
Timothy J.H. Lathlean ◽  
Paul B. Gastin ◽  
Stuart V. Newstead ◽  
Caroline F. Finch
Keyword(s):  
Injury Risk ◽  
Perceived Exertion ◽  
Fold Increase ◽  
Estimating Equation ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Injury Surveillance System ◽  
Relative Load ◽  
Risk Of Injury ◽  
Australian Football

Purpose: To investigate the association between training and match loads and injury in elite junior Australian football players over 1 competitive season. Methods: Elite junior Australian football players (n = 290, age 17.7 [0.3] y, range 16–18 y) were recruited from the under-18 state league competition in Victoria to report load and injury information. One-week load (session rating of perceived exertion multiplied by duration) and all time-loss injuries were reported using an online sport-injury surveillance system. Absolute load measures (weekly sums) enabled the calculation of relative measures such as the acute:chronic workload ratio. Load measures were modeled against injury outcome (yes/no) using a generalized estimating equation approach, with a 1-wk lag for injury. Results: Low (<300 arbitrary units [au]) and high (>4650 au) 1-wk loads were associated with significantly higher risk of injury. Furthermore, low (<100 au) and high (>850 au) session loads were associated with a higher risk of injury. High strain values (>13,000) were associated with up to a 5-fold increase in the odds of injury. There was a relatively flat-line association between the acute:chronic workload ratio and injury. Conclusions: This study is the first investigation of elite junior athletes demonstrating linear and nonlinear relationships between absolute and relative load measures and injury. Coaches should focus player loads on, or at least close to, the point at which injury risk starts to increase again (2214 au for 1-wk load and 458 au for session load) and use evidence-based strategies across the week and month to help reduce the risk of injury.

A synthetic undergarment increases physiological strain

2019 ◽  
Vol 28 (4) ◽  
pp. 275 ◽  
Author(s):  
Matthew C. Dorton ◽  
Brent C. Ruby ◽  
Charles L. Dumke
Keyword(s):  
Blood Flow ◽  
Skin Blood Flow ◽  
Perceived Exertion ◽  
Sweat Rate ◽  
Rest Period ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Physiological Strain ◽  
Physiological Factors ◽  
Increased Risk

Our aim was to examine the effect of a synthetic material undergarment on heat stress during exercise in a hot environment. Ten active males completed two trials of intermittent (50min walking, 10min sitting) treadmill walking over 3h in 35°C and 30% relative humidity. Subjects wore wildland firefighter flame-resistant meta-aramid blend pants and shirt with either a 100% cotton (C) or flame-retardant modacrylic undergarment (S), while carrying a 16-kg pack, helmet and leather gloves. Exercise was followed by a 30-min rest period without pack, helmet, gloves, and outerwear shirt. Rectal temperature and physiological strain were greater in S than C (P=0.04). No significant differences were found for heart rate, rating of perceived exertion, energy expenditure or skin temperature between C and S. Skin blood flow increased significantly in S following the second hour of exercise, resulting in a time×trial interaction (P=0.001). No significant differences for skin blood flow were found post exercise. Sweat rate and percent dehydration were not different between C and S. These data indicate that, of the two undergarments investigated, the synthetic undergarment negatively affected physiological factors that have been shown to indicate an increased risk of heat-related injuries.

scholarly journals The Influence of In-Season Training Loads on Injury Risk in Professional Rugby Union

2016 ◽  
Vol 11 (3) ◽  
pp. 350-355 ◽  
Author(s):  
Matthew J. Cross ◽  
Sean Williams ◽  
Grant Trewartha ◽  
Simon P.T. Kemp ◽  
Keith A. Stokes
Keyword(s):  
Generalized Estimating Equations ◽  
Injury Risk ◽  
Reference Group ◽  
Harmful Effect ◽  
Rugby Union ◽  
Time Loss ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Reduction Strategies ◽  
Risk Reduction Strategies

Purpose:To explore the association between in-season training-load (TL) measures and injury risk in professional rugby union players.Methods:This was a 1-season prospective cohort study of 173 professional rugby union players from 4 English Premiership teams. TL (duration × session-RPE) and time-loss injuries were recorded for all players for all pitch- and gym-based sessions. Generalized estimating equations were used to model the association between in-season TL measures and injury in the subsequent week.Results:Injury risk increased linearly with 1-wk loads and week-to-week changes in loads, with a 2-SD increase in these variables (1245 AU and 1069 AU, respectively) associated with odds ratios of 1.68 (95% CI 1.05–2.68) and 1.58 (95% CI 0.98–2.54). When compared with the reference group (<3684 AU), a significant nonlinear effect was evident for 4-wk cumulative loads, with a likely beneficial reduction in injury risk associated with intermediate loads of 5932–8651 AU (OR 0.55, 95% CI 0.22–1.38) (this range equates to around 4 wk of average in-season TL) and a likely harmful effect evident for higher loads of >8651 AU (OR 1.39, 95% CI 0.98–1.98).Conclusions:Players had an increased risk of injury if they had high 1-wk cumulative loads (1245 AU) or large week-to-week changes in TL (1069 AU). In addition, a U-shaped relationship was observed for 4-wk cumulative loads, with an apparent increase in risk associated with higher loads (>8651 AU). These measures should therefore be monitored to inform injury-risk-reduction strategies.

Internal workload and non-contact injury: a one-season study of five teams from the UEFA Elite Club Injury Study

2018 ◽  
Vol 52 (23) ◽  
pp. 1517-1522 ◽  
Author(s):  
Alan McCall ◽  
Gregory Dupont ◽  
Jan Ekstrand
Keyword(s):  
Injury Risk ◽  
Predictive Power ◽  
Perceived Exertion ◽  
Area Under The Curve ◽  
Rating Of Perceived Exertion ◽  
Operating Characteristics ◽  
Relative Risks ◽  
Risk Of Injury ◽  
Published Evidence ◽  
High Workload

BackgroundInternal workload (ie, from training and matches) is considered one of the most important injury risk factors for elite European football teams, however there is little published evidence to support this belief.ObjectiveWe examined the association and predictive power of internal workload and non-contact injuries.MethodsFive elite European teams, 171 players (age: 25.1±4.9 years; height: 181.6±6.7 cm; body mass: 77.5±7.2 kg) participated over one full competitive season. Using the session-rating of perceived exertion (s-RPE) method player’s internal workloads were calculated for acute week, week-to-week changes, cumulated weeks, chronic weeks and acute:chronic ratios and analysed for association with non-contact injury (using generalised estimating equations (GEE)). Associated variables from GEE analysis were categorised into very low to very high workload zones and checked for increased relative risks (RRs). Associated workload variables were also analysed for predictive power (receiver operating characteristics).ResultsAcute:chronic workload ratios at 1:3 and 1:4 weeks were associated with non-contact injury (P<0.05). Specifically, a greater risk of injury was found for players with an acute:chronic workload at 1:4 weeks of 0.97 to 1.38 (RR 1.68; 95% CI 1.02 to 2.78, likely harmful) and >1.38 (RR 2.13; 95% CI 1.21 to 3.77, very likely harmful) compared with players whose acute:chronic workload was 0.60 to 0.97. An acute:chronic workload 1:3 of >1.42 compared with 0.59 to 0.97 displayed a 1.94 times higher risk of injury (RR 1.90; 95% CI 1.08 to 3.36, very likely harmful). Importantly, acute:chronic workload at both 1:4 and 1:3 showed poor predictive power (area under the curve 0.53 to 0.58) despite previous reports and beliefs that it can predict injury.ConclusionsThis study provides evidence for the acute:chronic internal workload (measured using s-RPE) as a risk factor for non-contact injury in elite European footballers. However the acute:chronic workload, in isolation, should not be used to predict non-contact injury.

scholarly journals The Relationship between Dynamic Balance and Jumping Tests among Adolescent Amateur Rugby Players. A Preliminary Study

2021 ◽  
Vol 18 (1) ◽  
pp. 312
Author(s):  
Bartosz Wilczyński ◽  
Jakub Hinca ◽  
Daniel Ślęzak ◽  
Katarzyna Zorena
Keyword(s):  
Injury Risk ◽  
Dynamic Balance ◽  
Study Data ◽  
Balance Test ◽  
Risk Of Injury ◽  
Counter Movement Jump ◽  
Increased Risk ◽  
Positive Correlations ◽  
The Relationship ◽  
Rugby Players

Rugby is a demanding contact sport. In light of research, poor balance, reduced jumping ability, muscle strength, and incorrect landing patterns might contribute to the increased risk of injury in athletes. Investigating the relationship between tests assessing these abilities might not only allow for the skillful programming of preventive training but also helps in assessing the risk of injury to athletes. Thus, the main purpose of this study was to investigate the relationship between dynamic balance, vertical and horizontal jumps, and jump-landings movement patterns. Thirty-one healthy amateur adolescent rugby players (age: 14.3 ± 1.6 years, height 171.4 ± 9.7 cm, body mass 80 ± 26 kg) participated in the study. Data were collected by the Y-balance Test (YBT), Counter Movement Jump (CMJ), Single Leg Hop for Distance (SLHD), and Landing Error Score System (LESS). Significant positive correlations were found between SLHD both legs (SLHDb) and YBT Composite both legs (COMb) (r = 0.51, p = 0.0037) and between SLHDb and CMJ (r = 0.72, p < 0.0001). A relationship was also observed between the CMJ and YBT COMb test (r = 0.51, p = 0.006). Moderate positive correlations were found between the dominant legs in SLHD and the posterolateral (r = 0.40, p = 0.027), posteromedial (r = 0.43, p = 0.014), and composite (r = 0.48, p = 0.006) directions of the YBT. These results indicate that variables that are dependent on each other can support in the assessment of injury-risk and in enhancing sports performance of young athletes.

Within-Subject Correlation Between Salivary IgA and Measures of Training Load in Elite Football Players

2019 ◽  
Vol 14 (6) ◽  
pp. 847-849 ◽  
Author(s):  
Pedro Figueiredo ◽  
George P. Nassis ◽  
João Brito
Keyword(s):  
High Speed ◽  
Perceived Exertion ◽  
Immunoglobulin A ◽  
Correlation Coefficients ◽  
Training Load ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Positioning Systems ◽  
External Training ◽  
Salivary Secretory Immunoglobulin A

Purpose: To quantify the association between salivary secretory immunoglobulin A (sIgA) and training load in elite football players. Methods: Data were obtained on 4 consecutive days during the preparation camp for the Rio 2016 Olympic Games. Saliva samples of 18 elite male football players were collected prior to breakfast. The session rating of perceived exertion (s-RPE) and external training-load metrics from global positioning systems (GPS) were recorded. Within-subject correlation coefficients between training load and sIgA concentration, and magnitude of relationships, were calculated. Results: sIgA presented moderate to large negative correlations with s-RPE (r = −.39), total distance covered (r = −.55), accelerations (r = −.52), and decelerations (r = −.48). Trivial to small associations were detected between sIgA and distance covered per minute (r = .01), high-speed distance (r = −.23), and number of sprints (r = −.18). sIgA displayed a likely moderate decrease from day 1 to day 2 (d = −0.7) but increased on day 3 (d = 0.6). The training-load variables had moderate to very large rises from day 1 to day 2 (d = 0.7 to 3.2) but lowered from day 2 to day 3 (d = −5.0 to −0.4), except for distance per minute (d = 0.8) and sprints (unclear). On day 3, all training-load variables had small to large increments compared with day 1 (d = 0.4 to 1.5), except for accelerations (d = −0.8) and decelerations (unclear). Conclusions: In elite football, sIgA might be more responsive to training volume than to intensity. External load such as GPS-derived variables presented stronger association with sIgA than with s-RPE. sIgA can be used as an additional objective tool in monitoring football players.

On- Versus Off-Bike Power Training in Professional Cyclists: A Randomized Controlled Trial

2020 ◽  
pp. 1-8 ◽  
Author(s):  
Pedro L. Valenzuela ◽  
Jaime Gil-Cabrera ◽  
Eduardo Talavera ◽  
Lidia B. Alejo ◽  
Almudena Montalvo-Pérez ◽  
...  
Keyword(s):  
Body Composition ◽  
Muscle Strength ◽  
Perceived Exertion ◽  
Ventilatory Threshold ◽  
Controlled Trial ◽  
Time Trial ◽  
Endurance Performance ◽  
Rating Of Perceived Exertion ◽  
Power Training ◽  
Sprint Training

Purpose: To compare the effectiveness of resistance power training (RPT, training with the individualized load and repetitions that maximize power output) and cycling power training (CPT, short sprint training) in professional cyclists. Methods: The participants (20 [2] y, peak oxygen uptake 78.0 [4.4] mL·kg−1·min−1) were randomly assigned to perform CPT (n = 8) or RPT (n = 10) in addition to their usual training regime for 7 weeks (2 sessions/wk). The training loads were continuously registered using the session rating of perceived exertion. The outcomes included endurance performance (8-min time trial and incremental test), as well as measures of muscle strength/power (1-repetition maximum and mean maximum propulsive power on the squat, hip thrust, and lunge exercises) and body composition (assessed by dual-energy X-ray absorptiometry). Results: No between-group differences were found for training loads or for any outcome (P > .05). Both interventions resulted in increased time-trial performance, as well as in improvements in other endurance-related outcomes (ie, ventilatory threshold, respiratory compensation point; P < .05). A significant or quasi-significant increase (P = .068 and .047 for CPT and RPT, respectively) in bone mineral content was observed after both interventions. A significant reduction in fat mass (P = .017), along with a trend (P = .059) toward a reduced body mass, was observed after RPT, but not CPT (P = .076 for the group × time interaction effect). Significant benefits (P < .05) were also observed for most strength-related outcomes after RPT, but not CPT. Conclusion: CPT and RPT are both effective strategies for the improvement of endurance performance and bone health in professional cyclists, although the latter tends to result in greater improvements in body composition and muscle strength/power.

Increased Cardiorespiratory Stress During Submaximal Cycling After Ketone Monoester Ingestion in Endurance-Trained Adults

2021 ◽  
Author(s):  
Devin Goddard McCarthy ◽  
William Bostad ◽  
Fiona Jane Powley ◽  
Jonathan P. Little ◽  
Douglas Richards ◽  
...  
Keyword(s):  
Body Mass ◽  
Ketone Body ◽  
Perceived Exertion ◽  
Bolus Dose ◽  
Ventilatory Threshold ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Threshold Intensity ◽  
Double Blind ◽  
And Performance

There is growing interest in the effect of exogenous ketone body supplementation on exercise responses and performance. The limited studies to date have yielded equivocal data, likely due in part to differences in dosing strategy, increase in blood ketones, and participant training status. Using a randomized, double-blind, counterbalanced design, we examined the effect of ingesting a ketone monoester (KE) supplement (600 mg/kg body mass) or flavour-matched placebo in endurance-trained adults (n=10 males, n=9 females; VO2peak=57±8 ml/kg/min). Participants performed a 30-min cycling bout at ventilatory threshold intensity (71±3% VO2peak), followed 15 min later by a 3 kJ/kg body mass time-trial. KE versus placebo ingestion increased plasma [β-hydroxybutyrate] before exercise (3.9±1.0 vs 0.2±0.3 mM, p<0.0001, dz=3.4), ventilation (77±17 vs 71±15 L/min, p<0.0001, dz=1.3) and heart rate (155±11 vs 150±11 beats/min, p<0.001, dz=1.2) during exercise, and rating of perceived exertion at the end of exercise (15.4±1.6 vs 14.5±1.2, p<0.01, dz=0.85). Plasma [β-hydroxybutyrate] remained higher after KE vs placebo ingestion before the time-trial (3.5±1.0 vs 0.3±0.2 mM, p<0.0001, dz=3.1), but performance was not different (KE: 16:25±2:50 vs placebo: 16:06±2:40 min:s, p=0.20; dz=0.31). We conclude that acute ingestion of a relatively large KE bolus dose increased markers of cardiorespiratory stress during submaximal exercise in endurance-trained participants. Novelty bullets: •Limited studies have yielded equivocal data regarding exercise responses after acute ketone body supplementation. •Using a randomized, double-blind, placebo-controlled, counterbalanced design, we found that ingestion of a large bolus dose of a commercial ketone monoester supplement increased markers of cardiorespiratory stress during cycling at ventilatory threshold intensity in endurance-trained adults.

Various Workload Models and the Preseason Are Associated With Injuries in Professional Female Cyclists

2021 ◽  
pp. 1-6
Author(s):  
Teun van Erp ◽  
Taco van der Hoorn ◽  
Marco J.M. Hoozemans ◽  
Carl Foster ◽  
Jos J. de Koning
Keyword(s):  
Generalized Estimating Equations ◽  
Perceived Exertion ◽  
Estimating Equations ◽  
Rating Of Perceived Exertion ◽  
Moving Averages ◽  
The Third ◽  
Increased Risk ◽  
The Difference ◽  
Workload Models ◽  
Exponentially Weighted

Purpose: To determine if workload and seasonal periods (preseason vs in season) are associated with the incidence of injuries and illnesses in female professional cyclists. Methods: Session rating of perceived exertion was used to quantify internal workload and was collected from 15 professional female cyclists, from 33 athlete seasons. One week (acute) workload, 4 weeks (chronic) workload, and 3 acute:chronic workload models were analyzed. Two workload models are based on moving averages of the ratios, the acute:chronic workload ratio (ACWR), and the ACWR uncoupled (ACWRuncoup). The difference between both is the chronic load; in ACWR, the acute load is part of the chronic load, and in ACWRuncoup, the acute and chronic load are uncoupled. The third workload model is based on exponentially weighted moving averages of the ratios. In addition, the athlete season is divided into the preseason and in season. Results: Generalized estimating equations analysis was used to assess the associations between the workload ratios and the occurrence of injuries and illnesses. High values of acute workload (P = .048), ACWR (P = .02), ACWRuncoup (P = .02), exponentially weighted moving averages of the ratios (P = .01), and the in season (P = .0001) are significantly associated with the occurrence of injury. No significant associations were found between the workload models, the seasonal periods, and the occurrence of illnesses. Conclusions: These findings suggest the importance of monitoring workload and workload ratios in female professional cyclists to lower the risk of injuries and therefore improve their performances. Furthermore, these results indicate that, in the preseason, additional stressors occur, which could lead to an increased risk of injuries.

scholarly journals Association Between Gout and Injury Risk: A National Retrospective Cohort Study

2020 ◽  
Vol 17 (10) ◽  
pp. 3679
Author(s):  
Shih-Hsiang Ou ◽  
Chu-Lin Chou ◽  
Chia-Wei Lin ◽  
Wu-Chien Chien ◽  
Te-Chao Fang ◽  
...  
Keyword(s):  
Retrospective Cohort ◽  
Injury Risk ◽  
Cox Regression ◽  
Drug Intervention ◽  
Cox Regression Analysis ◽  
Analysis Group ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Insurance Database

The association between gout and injury remains unclear. This study aimed to investigate the injury risk in patients with gout. Using the Longitudinal Health Insurance Database (LHID) from 2000 to 2010 in Taiwan, patients with gout (group CFG) and those without gout (group C) were enrolled for further analysis. The CFG group was separated into two subgroups (with and without medication) to determine whether the risk of injury was reduced with drug intervention. The follow-up period was defined as the time from the initial diagnosis of gout to the date of injury. A total of 257,442 individuals were enrolled in this study, with 85,814 people in group CFG and 171,628 people in group C. Using Cox regression analysis, group CFG showed a significant increase in the risk of injury. Traffic injuries, poisoning, falls, crushing/cutting/piercing injury, and suicides were prominent among these injuries. Furthermore, when urate-lowing drugs were used to treat the CFG group, there were no significant differences in the occurrence of injury. Patients with gout had an increased risk of injury overall, and drug intervention did not lower the risk of injury in these patients.

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