Debunking the myths about training load, injury and performance: empirical evidence, hot topics and recommendations for practitioners

Gabbett, Tim J.

doi:10.1136/bjsports-2018-099784

Cited by 114 publications

(112 citation statements)

References 109 publications

(223 reference statements)

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“…Historical (e. g., age and previous training experience) [14,15], physical (e. g., aerobic fitness, lower-body strength and speed) [15][16][17], environmental and psychosocial factors [18][19][20][21] may independently effect injury risk and moderate the workload-injury relationship. As such, interpreting and acting upon ACWR data should be conducted in association with other important information (i. e., athlete wellness, readiness measures, and risk profile) [22,23].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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We 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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…12 Intending to build robust and "unbreakable" soldiers, building resilience to training load is fundamental. 13 In 2016, Gabbett 14 proposed the training-injury prevention paradox: Physically hard training develops physical qualities, which develop greater resilience and training tolerance, which in turn protect against injuries. Gabbett has written that "high training workloads alone do not cause sports injuries: how you get there is the real issue."…”

Section: Introductionmentioning

confidence: 99%

Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta‐Analysis

Dijksma

Arslan

Etten-Jamaludin

et al. 2020

PM&R

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Objective: To evaluate the effect of exercise programs on reduction of musculoskeletal injury (MSI) risk in military populations. Design: Systematic review and meta-analysis. Literature Survey: A database search was conducted in PubMed/MEDLINE, EMBASE, Cochrane Library, CINAHL, SPORTdiscus, WHO International Clinical Trials Registry Platform Search Portal, Open Gray, National Technical Reports Library, and reference lists of included articles up to July 2019. Randomized and cluster-randomized controlled trials evaluating exercise programs as preventive interventions for MSIs in armed forces compared to other exercise programs or to usual practice were eligible for inclusion. Methodology: Two authors independently assessed risk of bias and extracted data. Data were adjusted for clustering if necessary and pooled using the random-effects model when appropriate. Synthesis: We included 15 trials in this review, with a total number of 14 370 participants. None of the included trials appeared to be free of any risk of bias. Meta-analysis and Grading of Recommendations, Assessment, Development and Evaluations (GRADE) assessment could be performed for static stretching compared to no stretching (3532 participants), showing low quality of evidence indicating no favorable effect of stretching. Gait retraining, an anterior knee-pain targeted program, and resistance exercises showed cautious favorable effects on reducing injury risk in military personnel. Conclusion: The current evidence base for exercise-based MSI prevention strategies in the military is of low quality. Areas worthy of further exploration include the effects of gait retraining, anterior knee-pain targeted programs, agility training, and resistance training programs, on medial tibial stress syndrome incidence, anterior knee pain incidence, attrition due to injuries and any type of MSI, respectively.

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“…These players often have no access to team doctors and physiotherapists in case of injuries, compared to players in top clubs [12,13,33]. As well posture and postural control are considered as significant indicators for motion control, latter gives information how resistant the body is towards injury-induced influences [34][35][36]. Furthermore, it is assumed that good postural control is a preventive factor of fall prophylaxis [37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Injury Occurrence in Male Handball Players and its Impact on Physical Constitution

et al. 2020

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In male handball, limited knowledge exists about the body posture and postural control in correlation to their injury occurrence and their impact on physical constitution. 91 male handball players participated and were asked about playing position and years, NSAIDs intake, sustained injuries and therapy duration. A three-dimensional back scanner and a pressure measuring plate were used. Shoulder injuries cause a differing scapular height and increase the vertebrae rotation in correlation to playing years. Lower limb injuries lead to a decrease on the Centre of Pressure (CoP) with growing game experience. Wing players show the lowest injury risk. Lower limb and shoulder girdle are mostly affected regarding the incidence of injuries. Pivot players suffer most injuries in the lower limb area (59%), whereas wing players mostly have shoulder injuries (19%). Being injured, 21% of the players continue playing, 79% pause for a minimum of six months (25%). No correlation can be determined between level of profession, use of NSAIDs and body posture or postural control. Playing position, employment situation or NSAIDs have no influence on type of injury, body posture or postural control. While shoulder injuries can be recognized in the vertebrae area, lower limb injuries can affect the CoP.

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Debunking the myths about training load, injury and performance: empirical evidence, hot topics and recommendations for practitioners

Cited by 114 publications

References 109 publications

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

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

Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta‐Analysis

Injury Occurrence in Male Handball Players and its Impact on Physical Constitution

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