1. Is the Endurance Standardized ACWR HMLD or the Underlying Acute and Chronic Components Related to Injuries?
- Author
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Marshall, Robert Percy, Schulze, Stephan, Droste, Jan-Niklas, Riepenhof, Helge, Delank, Karl-Stefan, Kurz, Eduard, and Schwesig, René
- Subjects
ANAEROBIC threshold ,SOCCER training ,SOCCER players ,LONGITUDINAL method ,WOUNDS & injuries - Abstract
Featured Application: Seasonal analysis of the intensive team training and competition periods for non-contact injuries showed a correlation with pre-season endurance diagnostics, particularly individual lactate thresholds. Individual endurance performance levels should therefore always be taken into account when quantitatively assessing the intensive parts of training and competition periods. The chronic component of the ACWR in conjunction with endurance capacity appears to be a particularly sensitive indicator in the two weeks prior to an injury. Therefore, even during seasonal periods with large load fluctuations, e.g., due to the competition calendar, attention should be paid to constant weekly load management. Acute (AW) and chronic (CW) workload imbalances, including their ratio (ACWR), are largely associated with increased injury risk. However, the inclusion of personal endurance performance (EP) in this calculation as a means of improving accuracy has been neglected in previous studies. The aim of this longitudinal observational study was to evaluate the relevance of the high metabolic load distance (ACWR
HMLD ) to EP in relation to non-contact injuries. Twenty-three German male first division soccer players (age: 24.5 ± 3.5 years; VO2max : 53.7 ± 4.9 mL/min/kg; v4: 15.2 ± 0.9 km/h) were analyzed. Eleven players with non-contact injuries were identified and matched with players without any injuries within the same time interval. Players were monitored using GPS and LPS tracking to calculate ACWRHMLD on a daily basis over the course of one competitive season. Relationships between different endurance performance parameters (v2, v4, vLT , VO2max ) and the ACWRHMLD , AW, CW were established for statistical analysis. An area under the curve analysis (AUC) was performed. Based on the four weeks preceding the non-contact injuries, the CW, especially for the last two weeks before the injury, proved to be the most suitable parameter to estimate the risk of injury. The highest significant AUC value (0.81, 95% CI: 0.59–1.00) was calculated for the CW (last week before injury) in relation to the vLT (suitable cut-off: 0.04 km; sensitivity: 78%, specificity: 80%). With regard to the injury rate, the ACWRHMLD seems to be the most appropriate method of calculation, especially for CW related to EP (vLT ). The sole use of ACWR, AW, and CW is not recommended. [ABSTRACT FROM AUTHOR]- Published
- 2024
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