Session Rating of Perceived Exertion Is a Valid Method to Monitor Intensity of Exercise in Adults with Acute Burn Injuries

Measuring exercise intensity for safety and to inform prescription in acute burn survivors, is challenging. This study aimed to assess the validity of adult patient end-of-workout rating of session perceived exertion (sRPE); and calculated training load (TL) (sRPE × session duration) as measures of exercise intensity. Secondly, the study aimed to compare clinician and patient perception of exercise effort during physiotherapist-led sessions. Repeated RPE data were collected every 5-min during two resistance exercise sessions completed by 25 burns patients. Physiological (heart rate [HR], blood lactate [BLa]) and perceptual measures (sRPE, ratings of pain, fatigue, delayed onset muscle soreness, sleep quality and stress) were also captured. Adjusted, multivariable linear regression models were used to determine the associations between sRPE and TL and significant predictor variables. Paired t-tests were performed to compare clinician and participant sRPE. Results: Average RPE calculated from 5-min repeats, after adjustment for age and %TBSA, was significantly associated with sRPE, F(1, 45) = 100.82, (p < 0.001, adjusted R2 = 0.64) and TL, F(1, 45) = 33.66, (p < 0.001, adjusted R2 = 0.39). No significant differences between patient and clinician sRPE were apparent (p = 0.948). Thus, one-off reporting of sRPE and calculated TL may be appropriate markers to monitor exercise intensity and aid prescription in individuals with burn injuries, regardless of patient and burn characteristics or time since burn. There was also no difference between patient and clinician's perceptions of exercise effort.

Differentiating Stroke and Movement Accelerometer Profiles to Improve Prescription of Tennis Training Drills

ABSTRACT

Perri, T, Reid, M, Murphy, A, Howle, K, and Duffield, R. Differentiating stroke and movement accelerometer profiles to improve prescription of tennis training drills. J Strength Cond Res 37(3): 646-651, 2023-This study compared the movement- and stroke-related accelerometer profiles and stroke counts between common on-court tennis training drills. Ten, junior-elite, male tennis players wore a cervical-mounted global positioning systems, with in-built accelerometer, gyroscope, and magnetometer during hard court training sessions ( n = 189). Individual training drills were classified into 8 categories based on previous research descriptions. Manufacturer software calculated total player load (tPL), while a prototype algorithm detected forehand (FH), backhands (BH), and serves and then calculated a stroke player load (sPL) from individual strokes. Movement player load (mPL) was calculated as the difference between tPL and sPL. Drill categories were compared for relative ( . min -1 ) tPL, sPL, mPL, and stroke counts via a 1-way analysis of variance with effect sizes (Cohen's d ) and 95% confidence intervals. Highest tPL . min -1 existed in accuracy and recovery or defensive drills ( p < 0.05), with lowest tPL·min -1 values observed in match-play simulation ( p < 0.05). For sPL·min -1 , accuracy drills elicited greater values compared with all other drill types ( p < 0.05), partly via greater FH-sPL·min -1 ( p < 0.05), with lowest sPL·min -1 existing for match-play ( p < 0.05). Accuracy, open, and recovery or defensive drills result in greater BH-sPL·min -1 and BH . min -1 ( p < 0.05). Serve-sPL·min -1 is highest in technical and match-play drills ( p < 0.05). Higher mPL·min -1 existed in accuracy, recovery or defensive, 2v1 net, open, and 2v1 baseline ( p < 0.05). Furthermore, mPL·min -1 in points drills was greater than technical and match-play simulation drills ( p < 0.05). Higher hitting-based accelerometer loads (sPL·min -1 ) exist in accuracy drills, whereas technical and match-play drills show the lowest movement demands (mPL·min -1 ). These findings can aid individual drill prescription for targeting movement or hitting load.

Litigation involving sports-related spinal injuries: a comprehensive review of reported legal claims in the United States in the past 70 years

BACKGROUND CONTEXT

Sports-related spinal injuries can be catastrophic in nature. Athletes competing in collision sports (eg, football) may be particularly prone to injury given the high-impact nature of these activities. Due to the oftentimes profound impact of sports-related spinal injuries on health and quality-of-life, they are also associated with a substantial risk of litigation. However, no study to date has assessed litigation risks associated with sports-related spinal injuries. A better understanding of the risk factors surrounding these legal claims may provide insights into injury prevention and other strategies to minimize litigation risks. In addition, it may allow the spine surgeon to better recognize the health, socioeconomic, and legal challenges faced by this patient population.

PURPOSE

To provide a comprehensive assessment of reported legal claims involving sports-related spinal injuries, including a comparative analysis of legal outcomes between collision and non-collision sports. To discuss strategies to prevent sports-related spinal injuries and minimize litigation risks.

STUDY DESIGN/SETTING

Retrospective review.

PATIENT SAMPLE

Athletes experiencing spinal injuries during sports.

OUTCOME MEASURES

Outcomes included verdict outcome (defendant vs. plaintiff), legal claims, injuries sustained, clinical symptoms, and award payouts.

METHODS

The legal research database Westlaw Edge (Thomson Reuters) was queried for legal claims brought in the United States from 1950 to 2021 involving sports-related spinal injuries. Verdict or settlement outcomes were collected as well as award payouts, time to case closure, case year, and case location. Demographic data, including type of sport (ie collision vs. non-collision sport) and level of play were obtained. Legal claims, spinal injuries sustained, and clinical symptoms were also extracted. Furthermore, the nature of injury, injured spinal region, and treatment pursued were collected. Descriptive statistics were reported for all cases and independent-samples t-tests and chi-square tests were used to compare differences between collision and non-collision sports.

RESULTS

Of the 840 cases identified on initial search, 78 met our criteria for in-depth analysis. This yielded 62% (n=48) defendant verdicts, 32% (n=25) plaintiff verdicts, and 6% (n=5) settlements, with a median inflation-adjusted award of $780,000 (range: $5,480-$21,585,000) for all cases. The most common legal claim was negligent supervision (n=38, 46%), followed by premises liability (n=23, 28%), and workers' compensation/no fault litigation (n=10, 12%). The most common injuries sustained were vertebral fractures (n=34, 44%) followed by disc herniation (n=14, 18%). Most cases resulted in catastrophic neurological injury (n=37, 49%), either paraplegia (n=6, 8%) or quadriplegia (n=31, 41%), followed by chronic/refractory pain (n=32, 43%). Non-collision sport cases had a higher percentage of premises liability claims (41% vs. 11%, p=.006) and alleged chronic/refractory pain (53% vs. 28%, p=.04). Conversely, collision sport cases had a higher proportion of workers' compensation/no fault litigation (23% vs. 4%, p=.03) and cases involving disc herniation (29% vs. 9%, respectively; p=.04).

CONCLUSION

Sports-related spinal injuries are associated with multiple and complex health, socioeconomic, and legal consequences, with median inflation-adjusted award payouts nearing $800,000 per case. In our cohort, the most commonly cited legal claims were negligent supervision and premises liability, emphasizing the need for prevention guidelines for safe sports practice, especially in non-professional settings. Cases involving athletes participating in non-collision sports were significantly associated with claims citing chronic/refractory pain, highlighting the importance of long-term care in severely injured athletes.

Differences in execution and perception of training sessions as experienced by (semi-) professional cyclists and their coach

This study aimed to investigate whether (semi-)professional cyclists' execution of a training programme differs from the coach's designed training programme. Also, the study sought to ascertain, in instances where the training sessions were indeed executed as designed by the coach, whether the perception of the cyclists differed from the intention of the coach. This study highlights the differences between the coach and the individual cyclist. In total, 747 training sessions were collected from 11 (semi-)professional cyclists. Rating of Perceived Exertion (RPE) and session Rating of Perceived Exertion (sRPE) were compared with intended RPE (iRPE) and intended sRPE (isRPE), planned by the coach. Pearson's correlation, regression coefficients and Typical Error of Estimate (TEE) were used to identify differences between the executed and planned training sessions. Moderate to large TEEs were noted between executed and intended sRPE, which indicates that cyclists do not always execute the training programme planned by the coach. Furthermore, when the training was executed as planned by the coach, very large correlations but moderate to very large TEEs were noted between cyclists' (s)RPE and the coach's i(s)RPE, with unique individual regression coefficients. This indicates that the relationship between RPE and iRPE is unique to each cyclist. Both the different execution and perception of the training programme by the individual cyclists could cause an impaired training adaptation. Therefore, the coach must pay attention to the perception of training sessions by the individual cyclist. Improved individual management of training load could result in the optimisation of the proposed training programme.Highlights On individual level, (semi-)professional cyclists train differently than planned by the coach, based on duration and sRPE of the training sessionsThe relationship between the RPE of the cyclist and the iRPE of the coach is unique for each cyclistCoaches should be aware that cyclist and coach could interpret the same training differently, resulting in an easier perception of low- and high- intensity training sessions by the cyclists compared to the intention of the coach.

Return to competitive gymnastics training in the UK following the first COVID-19 national lockdown

Following the outbreak of COVID-19 (coronavirus), the UK entered a national lockdown, and all sport was suspended. The study aimed to explore the process of returning to gymnastics training after several months away from the gym, with a particular interest towards training load and injury. Twenty-six, national programmed gymnasts from Men's artistic, Women's artistic and Trampoline gymnastics recorded training load and injury whilst returning to training. At the end of data collection, three coaches were interviewed to further explore the experiences and practices of returning to training. Home-based training during lockdown was seen as beneficial in maintaining a level of fitness. Coaches described a gradual increase in training to reduce the risk of injury, and this partly explains a non-significant association between training load and a substantial injury (p = 0.441). However, week-to-week changes in training load following periods of additional restrictions (additional lockdown, periods of isolation, or substantial restrictions) were not always gradual. There was a significant association between an injury in the preceding week (niggle or substantial injury to a different body part) and a substantial injury in the subsequent week (RR: 5.29, p = 0.011). Monitoring training was described to be a useful practice during the process of returning to training. Coaches believed that although the short-term development of their gymnasts was affected, the long-term development would not be impacted from COVID-19. It is anticipated that learnings from this study can be applied to future practices and situations, particularly when gymnasts are away from the gym for an extended period.

Validity and reliability of a novel monitoring sensor for the quantification of the hitting load in tennis

Wearable sensor systems are a emerging tools for the evaluation of the sport's activity and can be used to quantify the external workload of the athlete. The main goal of this paper was to evaluate the validity and reliability of the "Armbeep inertial measurement unit" (IMU) sensor both in a closed tennis exercise and in open matchplay. Twentyfour junior tennis players performed a baseline drill and played matches, during which they wore a combined accelerometer and gyroscope sensor. Video footage was concomitantly recorded using a digital video camera. The agreement between the measurements was assessed with the intraclass correlation coefficient (ICC) and the standard error of measurement (SEM). A simple linear regression was used to predict the number of shots registered from the video and from the Armbeep IMU sensor's data. The number of total forehand and backhand shots during the drill repetitions showed an excellent test and re-test reproducibility (ICC≥0.90). There was a significant relationship between the Armbeep IMU sensor's number of contacts and the total number of shots (R2 = 0.938) which indicated the excellent reliability of the tested Armbeep IMU sensor for those parameters. Considering the accuracy of the total tennis shots and the small magnitude of error for wrist speed and acceleration, the Armbeep IMU sensor appears to be an appropriate on-court tool that can be used to monitor the hitting load during tennis practice and matches.

The influence of growth and training loads on injury risk in competitive trampoline gymnasts

There is currently limited research exploring the relationship between growth, training load and injury in gymnasts. Twenty-one national level, trampoline gymnasts recorded training load and injury for 8-weeks. Percentage of predicted adult height (%PAH) was calculated using the Khamis-Roche method and used to define growth spurt status. Training load was calculated using the session rate of perceived exertion and analysed as differential loads and as a 7-day exponentially weighted moving average (EWMA7day). There was a significant non-linear association between %PAH and the probability of injury when adjusting for either training load metric (differential load, P = 0.015; EWMA7day; P = 0.008), with the highest injury risk estimated at ~90% PAH (circa growth spurt). The probability of injury significantly increased with increases in EWMA7day training load (RR: 1.88 95% CI: 1.21- 2.91, P = 0.005) but not with differential load. No significant interaction between %PAH, training load and the probability of injury were observed. Data suggest that competitive trampoline gymnasts are at an increased risk of injury during the adolescent growth spurt or with higher weekly training loads. Coaches should be educated and encouraged to identify periods of rapid growth and monitor training load, to reduce the risk of injury.

Factors Influencing the Association Between Coach and Athlete Rating of Exertion: a Systematic Review and Meta-analysis

BACKGROUND

Subjective monitoring of rate of perceived exertion is common practice in many sports. Typically, the information is used to understand the training load and at times modify forthcoming sessions. Identifying the relationship between the athlete and coach's interpretation of training would likely further benefit understanding load management. The aim of this systematic review was to evaluate the relationship between coaches' rating of intended exertion (RIE) and/or rating of observed exertion (ROE) and athletes' reported rating of perceived exertion (RPE).

METHODS

The review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We conducted a search of Medline, Google Scholar, Science Direct, SPORTDiscus, and Web of Science databases. We assessed the correlation between coach-reported RIE and/or ROE and RPE. Assessment for risk of bias was undertaken using the Quality Appraisal for Reliability Studies (QAREL) checklist. Inclusion criteria were (1) male and/or female individuals, (2) individual and/or team sport active participants, and (3) original research article published in the English language.

RESULTS

Data from 19 articles were found to meet the eligibility criteria. A random effect meta-analysis based on 11 studies demonstrated a positive association of player vs. coach rating of RIE (r = 0.62 [95% CI 0.5 to 0.7], p < 0.001). The pooled correlation from 7 studies of player vs. coach rating on ROE was r = 0.64 95% CI (0.5 to 0.7), p < 0.001.

CONCLUSION

There was a moderate to high association between coach RIE and/or ROE and athlete-reported RPE and this association seems to be influenced by many factors. The suggestions we present in this review are based on imploring practitioners to consider a multi-modal approach and the implications of monitoring when using RPE.

TRIAL REGISTRATION

CRD42020193387.

Discrepancies Exist between Exercise Prescription and Dose in Elite Women's Basketball Pre-Season

This study assessed the influence of exercise prescription on the objectively measured exercise dose in basketball. Intensity (RPE) and volume (sRPE) were prescribed by a professional coach on a drill-by-drill basis during pre-season training for nine elite basketball players. Training drills were classified by prescribed intensity (easy-moderate, moderate-hard, hard–very hard, and very hard-maximal) and type (warm-up, skill-development, offensive- and defensive-technical/tactical, or match-simulation). Exercise intensity was objectively quantified using accelerometry-derived average net force (AvF_Net) and time spent in accelerometry-derived relative intensity zones. The volume of exercise (exercise dose) was objectively quantified using accumulated impulse (AvF_Net × duration). Relationships between prescribed volume and exercise dose were explored by correlations between sRPE and drill-by-drill accumulation of sRPE (dRPE) with impulse. Very hard-maximal drill intensity was greater than hard-very hard (p = 0.011), but not moderate-hard (p = 0.945). Very hard-maximal drills included the most time performing Supra-maximal intensity (>100% V˙O₂R) efforts (p < 0.001), suggesting that intensity prescription was based upon the amount of high-intensity exercise. Correlations between impulse with sRPE and dRPE were moderate (r = 0.401, p = 0.197) and very-large (r = 0.807, p = 0.002), respectively, demonstrating that the coach misinterpreted the accumulative effect of drill volume over an entire training session. Overall, a mismatch existed between exercise prescription and exercise dose. Objective monitoring might assist coaches to improve precision of exercise prescription.

Player Session Rating of Perceived Exertion: A More Valid Tool Than Coaches' Ratings to Monitor Internal Training Load in Elite Youth Female Basketball

PURPOSE

To monitor elite youth female basketball training to verify whether players' and coaches' (3 technical coaches and 1 physical trainer) session rating of perceived exertion (s-RPE) has a relationship with Edwards' method.

METHODS

Heart rate of 15 elite youth female basketball players (age 16.7 [0.5] y, height 178 [9] cm, body mass 72 [9] kg, body mass index 22.9 [2.2] kg·m-2) was monitored during 19 team (268 individual) training sessions (102 [15] min). Mixed effect models were applied to evaluate whether s-RPE values were significantly (P ≤ .05) related to Edwards' data, total session duration, maximal intensity (session duration at 90-100% HRmax), type of training (ie, strength, conditioning, and technique), and whether differences emerged between players' and coaches' s-RPE values.

RESULTS

The results showed that there is a relationship between s-RPE and Edwards' methods for the players' RPE scores (P = .019) but not for those of the trainers. In addition, as expected, both players' (P = .014) and coaches' (P = .002) s-RPE scores were influenced by total session duration but not by maximal intensity and type of training. In addition, players' and coaches' s-RPE values differed (P < .001)-post hoc differences emerged for conditioning (P = .01) and technique (P < .001) sessions.

CONCLUSIONS

Elite youth female basketball players are better able to quantify the internal training load of their sessions than their coaches, strengthening the validity of s-RPE as a tool to monitor training in team sports.

Modeling the Prediction of the Session Rating of Perceived Exertion in Soccer: Unraveling the Puzzle of Predictive Indicators

PURPOSE

To predict the session rating of perceived exertion (sRPE) in soccer and determine its main predictive indicators.

METHODS

A total of 70 external-load indicators (ELIs), internal-load indicators, individual characteristics, and supplementary variables were used to build a predictive model.

RESULTS

The analysis using gradient-boosting machines showed a mean absolute error of 0.67 (0.09) arbitrary units (AU) and a root-mean-square error of 0.93 (0.16) AU. ELIs were found to be the strongest predictors of the sRPE, accounting for 61.5% of the total normalized importance (NI), with total distance as the strongest predictor. The included internal-load indicators and individual characteristics accounted only for 1.0% and 4.5%, respectively, of the total NI. Predictive accuracy improved when including supplementary variables such as group-based sRPE predictions (10.5% of NI), individual deviation variables (5.8% of NI), and individual player markers (17.0% of NI).

CONCLUSIONS

The results showed that the sRPE can be predicted quite accurately using only a relatively limited number of training observations. ELIs are the strongest predictors of the sRPE. However, it is useful to include a broad range of variables other than ELIs, because the accumulated importance of these variables accounts for a reasonable component of the total NI. Applications resulting from predictive modeling of the sRPE can help coaching staff plan, monitor, and evaluate both the external and internal training load.

Self-regulatory skills: Are they helpful in the prevention of overuse injuries in talented tennis players?

Talented athletes use metacognitive skills to improve their performance. Also, it is known that these skills are important for managing one's health. The goal of this study was to identify the relationship between metacognitive skills and overuse injuries in talented tennis players. Metacognitive skills were measured in 73 talented tennis players (45 boys and 28 girls, age 11-14) at the start of the season, using the Self-Regulation of Learning Self-Report Scale. Overuse injuries were monitored for one season using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. Ordinal regression indicated that moderate or low selfmonitoring skills (compared to high selfmonitoring) (OR 4.555, CI 1.096-18.927, P = 0.037) and exposure time (OR 1.380, CI 1.106-1.721, P = 0.004) were associated with more time loss overuse injuries. A second analysis showed that this was the case in girls (OR 10.757, CI 1.845-62.714, P = 0.008), but not in boys. Linear regression revealed that higher reflection scores and exposure time predicted overuse severity (F(5,58) = 2.921, P = 0.020, R²  = 0.201). Possibly, selfmonitoring can help players to prevent themselves from time loss overuse injuries. Coaches should be aware that players can differ in selfmonitoring ability and thus in the ability to prevent overuse injuries. The role of reflection needs more research.

Physiological Responses to and Athlete and Coach Perceptions of Exertion During Small-Sided Basketball Games

Vaquera, A, Suárez-Iglesias, D, Guiu, X, Barroso, R, Thomas, G, and Renfree, A. Physiological responses to and athlete and coach perceptions of exertion during small-sided basketball games. J Strength Cond Res 32(10): 2949-2953, 2018-This study describes heart rate (HR) responses during different small-sided games (SSGs) in junior basketball players and identifies the level of agreement between athlete and coach perceptions of internal training load calculated using the in-task rating of perceived exertion (RPE) method. Over a 6-week period, 12 male junior basketball players, who played in the Spanish national under-18 League, played 7 games of one-a-side (1v1), 6 games of 2-a-side (2v2), 8 games of 5-a-side (5v5), and 5 games of superiority (3v2) situations. During 1v1, 2v2, 5v5, and 3v2, peak HRs were 90.27 ± 3.37%, 92.68 ± 3.29%, 92.01 ± 3.48%, and 88.74 ± 5.77% of HRmax, respectively. These differences were statistically significant between 1v1 and 2v2 (p < 0.01), 1v1 and 5v5 (p ≤ 0.05), 2v2 and 3v2 (p < 0.001), and 5v5 and 3v2 (p < 0.001). Mean HR was 79.5 ± 4.4%, 83.1 ± 4.2%, 91.2 ± 4.7%, and 78.5 ± 7.5% of HRmax during 1v1, 2v2, 5v5, and 3v2, respectively, and differences were observed between 1v1 and 2v2 (p < 0.001), 2v2 and 3v2 (p < 0.001), and 5v5 and 3v2 (p ≤ 0.05). There were differences in athletes and coaches in-task RPE in all SSGs (all p < 0.0001 apart from 5 × 5 p = 0.0019). The 2v2 format elicited a higher mean in-task RPE in comparison with all other SSGs (p < 0.001), possibly because 2v2 imposes a greater cognitive load.

Session-RPE Method for Training Load Monitoring: Validity, Ecological Usefulness, and Influencing Factors

Purpose: The aim of this review is to (1) retrieve all data validating the Session-rating of perceived exertion (RPE)-method using various criteria, (2) highlight the rationale of this method and its ecological usefulness, and (3) describe factors that can alter RPE and users of this method should take into consideration.

Method: Search engines such as SPORTDiscus, PubMed, and Google Scholar databases in the English language between 2001 and 2016 were consulted for the validity and usefulness of the session-RPE method. Studies were considered for further analysis when they used the session-RPE method proposed by Foster et al. in 2001. Participants were athletes of any gender, age, or level of competition. Studies using languages other than English were excluded in the analysis of the validity and reliability of the session-RPE method. Other studies were examined to explain the rationale of the session-RPE method and the origin of RPE.

Results: A total of 950 studies cited the Foster et al. study that proposed the session RPE-method. 36 studies have examined the validity and reliability of this proposed method using the modified CR-10.

Conclusion: These studies confirmed the validity and good reliability and internal consistency of session-RPE method in several sports and physical activities with men and women of different age categories (children, adolescents, and adults) among various expertise levels. This method could be used as “standing alone” method for training load (TL) monitoring purposes though some recommend to combine it with other physiological parameters as heart rate.

Comparisons of Perceived Training Doses in Champion Collegiate-Level Male and Female Cross-country Runners and Coaches over the Course of a Competitive Season

Background

Session rating of perceived exertion (sRPE) is a practical tool for coaches to assess internal training load of their athletes. In a sport like cross-country running, that is individual in nature, but has a team training and competition component, information about the association between external and internal load is lacking. Furthermore, there is a need for studies that examine perception of training doses across multiple training cycles including the competitive season as well as between male and female athletes.

Methods

Session RPE, duration, and training load (TL_RPE = sRPE × duration) of 25 highly trained male and female cross-country runners and their coaches were recorded for every training session (110 days) throughout a collegiate cross-country season. Intensity (sRPE), duration, and TL_RPE were compared between coaches and runners by gender separately. Training sessions were also analyzed by those intended by the coaches to be easy, moderate, and hard as well as by training period.

Results

Data from 3024 training sessions were collected, 62% of which were considered “easy,” 18% “moderate,” and 20% “hard.” Men and women rated coach-intended easy sessions significantly harder during each month of the season (effect size (ES) > 2.9, p < 0.0001). Men rated moderate intensity sessions significantly higher than coaches (ES ≥ 1.0, p ≤ 0.002), whereas females rated hard intensity sessions significantly lower than coaches (ES > 0.5, p < 0.008). There was no difference between males and coach’s hard sessions (ES < 0.07, p > 0.05) or females and coach’s moderate sessions (ES < 0.18, p > 0.05). Training intensity and TL_RPE tended to increase throughout the season (p > 0.05), with a significant increase in moderate and hard intensity sessions in the last training period (p < 0.001).

Conclusions

The results indicate the male and female cross-country runners tend to regress to moderate intensity training throughout the cross-country season. Given the success of the athletes in this study, these results show how a simple system for monitoring training such as the sRPE method may improve control of training variables and provide a useful tool for coaches to evaluate training load placed on athletes in a simple, responsive way.

How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness

The modern-day athlete participating in elite sports is exposed to high training loads and increasingly saturated competition calendar. Emerging evidence indicates that inappropriate load management is a significant risk factor for acute illness and the overtraining syndrome. The IOC convened an expert group to review the scientific evidence for the relationship of load—including rapid changes in training and competition load, competition calendar congestion, psychological load and travel—and health outcomes in sport. This paper summarises the results linking load to risk of illness and overtraining in athletes, and provides athletes, coaches and support staff with practical guidelines for appropriate load management to reduce the risk of illness and overtraining in sport. These include guidelines for prescription of training and competition load, as well as for monitoring of training, competition and psychological load, athlete well-being and illness. In the process, urgent research priorities were identified.

How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury

Athletes participating in elite sports are exposed to high training loads and increasingly saturated competition calendars. Emerging evidence indicates that poor load management is a major risk factor for injury. The International Olympic Committee convened an expert group to review the scientific evidence for the relationship of load (defined broadly to include rapid changes in training and competition load, competition calendar congestion, psychological load and travel) and health outcomes in sport. We summarise the results linking load to risk of injury in athletes, and provide athletes, coaches and support staff with practical guidelines to manage load in sport. This consensus statement includes guidelines for (1) prescription of training and competition load, as well as for (2) monitoring of training, competition and psychological load, athlete well-being and injury. In the process, we identified research priorities.

Monitoring the Intended and Perceived Training Load of a Professional Futsal Team Over 45 Weeks: A Case Study

The aims of this study were to compare the training load intended by a coach with the training load perceived by the players, over a 45-week professional futsal team season and to compare the variation of session rating of perceived exertion (sRPE) across different periods of the season. Eighteen Brazilian professional futsal players participated in the study. The players' rating of perceived exertion (RPE) and coach's rating of intended exertion (RIE) were collected daily throughout the study. To compare the sRPE variation, the season was divided into 4 periods as follows: preseason (PRE-SEASON), first competitive period (COMP1), intercompetition period (INTER-COMP), and second competitive period (COMP2). Based on the cluster analyses, the training sessions were classified into 3 different intensity zones (low, moderate, and high). In all the season periods and intensity zones, the players' RPEs were lower than the coach's RIE. In the low-intensity zone, the INTER-COMP demonstrated higher sRPE values than did the other periods. In the moderate-intensity zones, the INTER-COMP and COMP2 were similar. Finally, for the high-zone intensity, the PRE-SEASON demonstrated higher values than did the other periods. We concluded that the coach overestimated the training load reported by the players in almost all intensity training zones and season periods. The RPE scale does not seem to be a suitable tool when used by the coach for intended training load. Therefore, technical staff should constantly review the training goals in each season period through daily training load control, always taking into consideration the possibilities and limitations of the RPE method.

Matchplay characteristics of Grand Slam tennis: implications for training and conditioning

The purpose of this study was to probe the sex-based differences in the stroke and movement dynamics of Grand Slam hard-court tennis. Player and ball tracking data were collated for 102 male and 95 female players during the 2012-2014 Australian Open tournaments. Serve, serve return, groundstroke and movement data were compared between sexes. Serve statistics were the subject of the largest differences, with males achieving significantly faster speeds, aces and unreturned serves while also winning a greater percentage of service points. When returning serve, women contacted the ball closer to the net, lower to the ground and achieved flatter ball trajectories than males. Groundstroke frequencies were similar between sexes, although males hit with greater speed, flatter trajectories and impacted more shots inside the baseline. Distance covered per set or during points won or lost was not sex dependent, yet men exhibited faster average movement speeds. These findings highlight the need for sex-specific training and practice designs that cater to the different stroke dynamics, particularly in relation to the first serve and serve-return, as well as movement speeds.

The relationship of training load to physical-capacity changes during international tours in high-performance junior tennis players

PURPOSE

Given the travel that punctuates junior tennis development, an understanding of the changes in fitness owing to touring and the association between training loads (TLs) and fitness on return is vital. The authors investigated physical-capacity changes from pretour to posttour, determining if those changes were related to the TL of athletes on tour.

METHODS

Thirty junior athletes completed fitness testing before and after 4-wk tours. Testing included double-leg countermovement jump (CMJ), dominant single-leg and nondominant single-leg CMJ, speed (5, 10, 20 m), modified 5-0-5 agility (left and right), 10 × 20-m repeated-sprint ability (RSA), and multistage fitness tests. Repeated-measures ANOVAs determined physical-capacity change, with effect-size analysis establishing the magnitude of change. To avoid regression toward the mean, a 1/3-split technique was implemented for comparative analysis (high to low TLs).

RESULTS

Moderate effects (d=0.50-0.70) for reductions of up to 3.6% in 5-, 10-, and 20-m speeds were observed. However, all remaining changes were only of trivial to small magnitude (d<0.40). Closer analysis of the interaction between TL and physical capacities (1/3-split) revealed that subjects who completed the greatest amount of total and tennis TL returned with a greater decline in speed and aerobic capacities (d>0.80). Furthermore, it was observed that match load dictates on- and off-court TL, with an increase in matches won understandably stunting exposure to off-court TL.

CONCLUSIONS

Specific training should be prescribed on tour to maintain speed characteristics over a 4-wk international tour. On-tour training schedules should be carefully monitored to maximize specific TL exposure after losses on tour.