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.

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.

Player Wellness (Soreness and Stress) and Injury in Elite Junior Australian Football Players Over 1 Season

2020 ◽  
Vol 15 (10) ◽  
pp. 1422-1429
Author(s):  
Timothy J.H. Lathlean ◽  
Paul B. Gastin ◽  
Stuart V. Newstead ◽  
Caroline F. Finch
Keyword(s):  
Injury Risk ◽  
Training Session ◽  
Estimating Equation ◽  
Decision Makers ◽  
Football Players ◽  
Injury Surveillance System ◽  
System A ◽  
Monitoring Strategies ◽  
Australian Football ◽  
Stress Fatigue

Purpose: To investigate the association between player wellness and injury in elite junior Australian football players over 1 competitive season. Methods: Prospective cohort study. Elite junior Australian football players (N = 196, average age = 17.7 y, range = 16–18 y) were recruited in the under-18 state league competition in Victoria, Australia. They recorded their wellness (sleep, fatigue, soreness, stress, and mood) according to a 5-point Likert scale 3 times weekly, with injuries (missed match/training session) entered into an online sport-injury surveillance system. A logistic generalized estimating equation was used to examine the association (expressed as odds ratio [OR]) between wellness and injury (yes/no). Results: Soreness was associated with injury at each time point across the week, with the strongest association evident for soreness reported 6 d postmatch (OR = 1.30; 95% confidence interval [CI], 1.17–1.44; P < .001). Stress and injury were associated with injury for average stress values across the week, as well as specifically on day 1 postmatch (OR = 1.10; 95% CI, 1.01–1.21; P = .038). Mood reported in the middle of the week (3 d postmatch) was associated with injury (OR = 0.87; 95% CI, 0.78–0.97; P = .014), as was fatigue (OR = 1.10; 95% CI, 1.00–1.22; P = .044). Conclusions: This study demonstrates key associations between wellness and injury in elite junior Australian football, specifically soreness, stress, fatigue, and mood. Monitoring strategies help identify injury-risk profiles, which can help decision makers (coaches or medical staff) intervene when relevant to reduce injury risk.

A Prospective Cohort Study of Load and Wellness (Sleep, Fatigue, Soreness, Stress, and Mood) in Elite Junior Australian Football Players

2019 ◽  
Vol 14 (6) ◽  
pp. 829-840 ◽  
Author(s):  
Timothy J.H. Lathlean ◽  
Paul B. Gastin ◽  
Stuart V. Newstead ◽  
Caroline F. Finch
Keyword(s):  
Cohort Study ◽  
Confidence Interval ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Perceived Exertion ◽  
Training Session ◽  
Load Ratio ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Australian Football

Purpose:To investigate associations between load (training and competition) and wellness in elite junior Australian Football players across 1 competitive season.Methods:A prospective cohort study was conducted during the 2014 playing season in 562 players from 9 teams. Players recorded their training and match intensities according to the session-rating-of-perceived-exertion (sRPE) method. Based on sRPE player loads, a number of load variables were quantified, including cumulative load and the change in load across different periods of time (including the acute-to-chronic load ratio). Wellness was quantified using a wellness index including sleep, fatigue, soreness, stress, and mood on a Likert scale from 1 to 5.Results:Players spent an average of 85 (21) min in each match and 65 (31) min per training session. Average match loads were 637 (232) arbitrary units, and average training loads were 352 (233) arbitrary units. Over the 24 wk of the 2014 season, overall wellness had a significant linear negative association with 1-wk load (B = −0.152; 95% confidence interval, −0.261 to −0.043;P = .006) and an inverseU-curve relationship with session load (B = −0.078; 95% confidence interval, 0.143 to 0.014;P = .018). Mood, stress, and soreness were all found to have associations with load.Conclusions:This study demonstrates that load (within a session and across the week) is important in managing the wellness of elite junior Australian Football players. Quantifying loads and wellness at this level will help optimize player management and has the potential to reduce the risk of adverse events such as injury.

Training Periodization of Professional Australian Football Players During an Entire Australian Football League Season

2015 ◽  
Vol 10 (5) ◽  
pp. 566-571 ◽  
Author(s):  
Alexandre Moreira ◽  
Johann C. Bilsborough ◽  
Courtney J. Sullivan ◽  
Michael Cianciosi ◽  
Marcelo Saldanha Aoki ◽  
...  
Keyword(s):  
Perceived Exertion ◽  
Training Session ◽  
Training Load ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Training Intensity ◽  
Australian Football League ◽  
Football Team ◽  
Cross Training ◽  
Australian Football

Purpose:To examine the training periodization of an elite Australian Football team during different phases of the season.Methods:Training-load data were collected during 22 wk of preseason and 23 wk of in-season training. Training load was measured using the session rating of perceived exertion (session-RPE) for all training sessions and matches from 44 professional Australian Football players from the same team. Training intensity was divided into 3 zones based on session-RPE (low, <4; moderate, >4 AU and <7 AU; and high, >7 AU). Training load and intensity were analyzed according to the type of training session completed.Results:Higher training load and session duration were undertaken for all types of training sessions during the preseason than in-season (P < .05), with the exception of “other” training (ie, re/prehabilitation training, cross-training, and recovery activities). Training load and intensity were higher during the preseason, with the exception of games, where greater load and intensity were observed during the in-season. The overall distribution of training intensity was similar between phases with the majority of training performed at moderate or high intensity.Conclusions:The current findings may allow coaches and scientists to better understand the characteristics of Australian Football periodization, which in turn may aid in developing optimal training programs. The results also indicate that a polarized training-intensity distribution that has been reported in elite endurance athletes does not occur in professional Australian Football.

An evaluation of the presentation and severity of Australian football injury in children

Trauma ◽  
2020 ◽  
pp. 146040862094133
Author(s):  
Leopold Simma ◽  
Cameron S Palmer ◽  
Alan Ngo ◽  
Helen E Jowett ◽  
Warwick J Teague
Keyword(s):  
Injury Risk ◽  
Football Players ◽  
Psychosocial Wellbeing ◽  
Risk Of Injury ◽  
Trauma Service ◽  
Australian Rules Football ◽  
High Participation ◽  
Australian Football ◽  
Active Research ◽  
Substantial Morbidity

Introduction Child participation in sport is important for physical, cognitive and psychosocial wellbeing. Australian rules football has high participation, but also carries a high risk of injury due to the contact nature of the sport. This study aimed to evaluate changes in the presentation and hospital admission of paediatric Australian rules football-related injuries, and to compare the severity of these injuries with those from other team ball sports. Materials and methods At an Australian paediatric major trauma service, ED and hospital trauma registry data relating to Australian rules football injury between 2009 and 2015 were obtained. Data from other common team ball sports with a shared field of play were also identified. Results During the study period, there were 10,003 ED presentations, and 1110 admissions resulting from team ball sports. With 4751 ED presentations and 616 admissions, Australian rules football accounted for almost one-third of all sports-related presentations and admissions, and around half of the team ball sports cohort. Compared to other team ball sports patients, Australian rules football-related patients were 40% more likely to be admitted, and nearly twice as likely to be classified as severe injury. Australian rules football players presented with different injury patterns were compared to other team ball sports players; admitted players were significantly more likely to have sustained head or neck injuries, and were more than twice as likely to sustain truncal injury. Conclusions Australian rules football is a common cause of ED presentations and results in substantial morbidity, both overall and when compared with other team ball sports. Australian rules football should remain a focus for ongoing and active research into strategies which reduce injury risk.

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.

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.

To Couple or not to Couple? For Acute:Chronic Workload Ratios and Injury Risk, Does it Really Matter?

2019 ◽  
Vol 40 (09) ◽  
pp. 597-600 ◽  
Author(s):  
Tim J. Gabbett ◽  
Billy Hulin ◽  
Peter Blanch ◽  
Paul Chapman ◽  
David Bailey
Keyword(s):  
Injury Risk ◽  
Perceived Exertion ◽  
Rating Of Perceived Exertion ◽  
Percentile Rank

AbstractWe examined the association between coupled and uncoupled acute:chronic workload ratios (ACWR) and injury risk in a cohort of 28 elite cricket fast bowlers (mean±SD age, 26±5 yr). Workloads were estimated using the session rating of perceived exertion (session-RPE). Coupled ACWRs were calculated using a 1-week acute workload and 4-week chronic workload (acute workload was included in the chronic workload calculation), whereas uncoupled ACWRs used the most recent 1-week acute workload and the prior 3-week chronic workload (acute workload was not included in the chronic workload calculation). A nearly perfect relationship (R2=0.99) was found between coupled and uncoupled ACWRs. Using a percentile rank method, no significant differences in injury risk were found between the coupled and uncoupled ACWR. Higher ACWRs were associated with increased injury likelihood for both coupled and uncoupled methods, however there were no significant differences in injury risk between coupled and uncoupled ACWRs. Our data demonstrates that both coupled and uncoupled ACWRs produce the same injury likelihoods. Furthermore, our results are consistent with previous studies: higher ACWRs are associated with greater risk, irrespective of whether acute and chronic workloads are coupled or uncoupled.

scholarly journals We know they train, but what do they do? Implications for coaches working with adolescent rugby union players

2017 ◽  
Vol 12 (2) ◽  
pp. 175-182 ◽  
Author(s):  
Padraic J Phibbs ◽  
Ben Jones ◽  
Gregory AB Roe ◽  
Dale B Read ◽  
Joshua Darrall-Jones ◽  
...  
Keyword(s):  
Heart Rate ◽  
High Speed ◽  
Injury Risk ◽  
Perceived Exertion ◽  
Rugby Union ◽  
Rating Of Perceived Exertion ◽  
Limited Information ◽  
Positioning Systems ◽  
Global Positioning ◽  
School Club

Limited information is available regarding the training loads of adolescent rugby union players. One-hundred and seventy male players (age 16.1 ± 1.0 years) were recruited from 10 teams representing two age categories (under-16 and under-18) and three playing standards (school, club and academy). Global positioning systems, accelerometers, heart rate and session-rating of perceived exertion (s-RPE) methods were used to quantify mean session training loads. Session demands differed between age categories and playing standards. Under-18 academy players were exposed to the highest session training loads in terms of s-RPE (236 ± 42 AU), total distance (4176 ± 433 m), high speed running (1270 ± 288 m) and PlayerLoad™ (424 ± 56 AU). Schools players had the lowest session training loads in both respective age categories. Training loads and intensities increased with age and playing standard. Individual monitoring of training load is key to enable coaches to maximise player development and minimise injury risk.

Subsequent Injury Risk Is Elevated Above Baseline After Return to Play: A 5-Year Prospective Study in Elite Australian Football

2019 ◽  
Vol 47 (9) ◽  
pp. 2225-2231 ◽  
Author(s):  
Jordan J. Stares ◽  
Brian Dawson ◽  
Peter Peeling ◽  
Jarryd Heasman ◽  
Brent Rogalski ◽  
...  
Keyword(s):  
Injury Risk ◽  
The Body ◽  
Return To Play ◽  
Time Loss ◽  
Data Set ◽  
Mixed Effect ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Australian Football ◽  
Subsequent Injury

Background: The risk of sustaining a subsequent injury is elevated in the weeks after return to play (RTP) from an index injury. However, little is known about the magnitude, duration, and nature by which subsequent injury risk is increased. Purpose: To quantify and describe the risk of injury in a 12-week period after RTP from an index injury in Australian football players. Study Design: Cohort study; Level of evidence, 2. Methods: Injury data were collected from 79 players over 5 years at 1 Australian Football League club. Injuries were classified with the Orchard Sports Injury Classification System and by side of the body. Furthermore, injury severity was classified as time loss (resulting in ≥1 matches being missed) or non–time loss (no matches missed). Subsequent injury was categorized with the SIC-2.0 model and applied to the data set via an automated script. The probability of a time loss subsequent injury was calculated for in-season index injuries for each week of a 12-week period after RTP via a mixed effect logistic regression model. Results: Subsequent injury risk was found to be highest in the week of RTP for both time loss injuries (9.4%) and non–time loss injuries (6.9%). Risk decreased with each week survived after RTP; however, it did not return to baseline risk of participation (3.6%). Conclusion: These findings demonstrate that athletes returning to play are at an increased risk of injury for a number of weeks, thus indicating the requirement for tertiary prevention strategies to ensure that they survive this period.

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