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The associations between training load and baseline characteristics on musculoskeletal injury and pain in endurance sport populations: a systematic review.

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dc.contributor.author Johnston, Richard
dc.contributor.author Cahalan, Róisin Máire
dc.contributor.author O'Keeffe, Mary
dc.contributor.author O'Sullivan, Kieran
dc.contributor.author Comyns, Thomas M.
dc.date.accessioned 2019-05-07T08:56:15Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/7812
dc.description peer-reviewed en_US
dc.description.abstract Objectives To determine the associations between training load, baseline characteristics (e.g. age or previous injury) and rate of musculoskeletal injury and/or pain specifically within an Endurance Sporting Population (ESP). Design Prospectively registered systematic review. Methods Eight electronic databases were searched by two independent reviewers. Studies were required to prospectively monitor both (i) training loads and (ii) musculoskeletal injury and/or pain for >3 months. Methodological quality and risk of bias were determined utilising the Critical Skills Appraisal Program (CASP). Reported effect sizes were categorised as small, medium or large. Results Twelve endurance sport studies were eligible (running, triathlon, rowing). Increased injury and/or pain risk was associated with: (i) high total training distances per week/month (medium effect size) (ii) training frequency <2 sessions/week (medium effect size) and (iii) both low weekly (<2 hours/week) and high monthly (large effect size) training durations. None of the studies reported internal training load data or acute:chronic workload ratios. Baseline characteristics found to increase the rate of injury and/or pain included: (i) a history of previous injury (medium effect size), (ii) age >45 years (small effect size), (iii) non-musculoskeletal comorbidities (large effect size), (iv) using older running shoes (small effect size) and (v) non-competitive behaviour. Conclusions This review identifies a range of external training load factors and baseline characteristics associated with an increased rate of injury and/or pain within ESPs. There is an absence of research relating to internal training loads and acute:chronic workload ratios in relation to rate of injury and/or pain within ESPs en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Journal of Science and Medicine in Sport;21 (9), pp. 910-918
dc.rights This is the author’s version of a work that was accepted for publication in Journal of Science and Medicine in Sport. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Science and Medicine in Sport, 2018, 21 (9), pp. 910-918, https://doi.org/10.1016/j.jsams.2018.03.001 en_US
dc.subject endurance en_US
dc.subject surveillance en_US
dc.subject musculoskeletal en_US
dc.subject exercise en_US
dc.title The associations between training load and baseline characteristics on musculoskeletal injury and pain in endurance sport populations: a systematic review. en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2019-05-07T08:45:52Z
dc.description.version ACCEPTED
dc.identifier.doi https://doi.org/10.1016/j.jsams.2018.03.001.
dc.date.embargoEndDate 2020-03-14
dc.embargo.terms 2020-03-14 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2852469
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Journal Of Science And Medicine In Sport
dc.description.status peer-reviewed


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