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The relationship between training load and pain, injury and illness in competitive swimming: A systematic review

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dc.contributor.author Barry, Lorna A.
dc.contributor.author Lyons, Mark
dc.contributor.author McCreesh, Karen
dc.contributor.author Powell, Cormac
dc.contributor.author Comyns, Thomas M.
dc.date.accessioned 2021-02-16T12:35:33Z
dc.date.issued 2021
dc.identifier.uri http://hdl.handle.net/10344/9787
dc.description peer-reviewed en_US
dc.description.abstract Background Research suggests that the frequency of training, combined with the repetitive motion involved in high volume swimming can predispose swimmers to symptoms of over-training. The prevention of pain, injury and illness is of paramount importance in competitive swimming in order to maximise a swimmer’s ability to train and perform consistently. A significant factor in the prevention of pain, injury or illness is the appropriate load monitoring and management practices within a training programme. Objective The purpose of this systematic review is to investigate the relationship between training load and pain, injury and illness in competitive swimmers. Methods The databases SPORTDiscus, CINAHL, Scopus, MEDLINE and Embase were searched in accordance with PRISMA guidelines. Studies were included if they reported on competitive swimmers and analysed the link between training load and either pain, injury or illness. The methodological quality and study bias were assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Results The search retrieved 1,959 articles, 15 of which were included for review. The critical appraisal process indicated study quality was poor overall. Pain was the most explored condition (N = 12), with injury (N = 2) and illness (N = 1) making up the remaining articles. There was no evidence of an association between training load and pain, while there may be some evidence to suggest a relationship between training load and injury or illness. Conclusions The relationship between training load and pain, injury or illness is unclear owing to a host of methodological constraints. The review highlighted that youth, masters and competitive swimmers of a lower ability (e.g. club versus international) may need particular consideration when planning training loads. Winter periods, higher intensity sessions and speed elements may also need to be programmed with care. Monitoring practices need to be developed in conjunction with consensus guidelines, with the inclusion of internal training loads being a priority. Future research should focus on longitudinal prospective studies, utilising the session Rating of Perceived Exertion (sRPE) monitoring method and investigating the applicability of Acute/Chronic Workload Ratio (ACWR) and exponentially weighted moving average (EWMA). Improved methods and study design will provide further clarity on the relationship between load and pain, injury, and illness. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Physical Therapy in Sport;48, pp. 154-168
dc.relation.uri http://dx.doi.org/10.1016/j.ptsp.2021.01.002
dc.rights This is the author’s version of a work that was accepted for publication in Physical Therapy 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 Physical Therapy in Sport, 2021, 48, pp. 154-168, https://doi.org/10.1016/j.ptsp.2021.01.002 en_US
dc.subject internal load en_US
dc.subject external load en_US
dc.subject surveillance en_US
dc.subject monitoring en_US
dc.subject elite swimmer en_US
dc.title The relationship between training load and pain, injury and illness in competitive swimming: 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.identifier.doi 10.1016/j.ptsp.2021.01.002
dc.date.embargoEndDate 2021-12-09
dc.embargo.terms 2022-01-09 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2992976


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