ReviewBritish journal of sports medicine2019
Towards a complex systems approach in sports injury research: simulating running-related injury development with agent-based modelling.
Review in British journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05430581 (Prediction of Knee Injuries Through System Dynamics Modeling), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prediction of Knee Injuries Through System Dynamics Modeling
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Is the Acute: Chronic Workload Ratio (ACWR) Associated with Risk of Time-Loss Injury in Professional Team Sports? A Systematic Review of Methodology, Variables and Injury Risk in Practical Situations.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Getting the most out of intensive longitudinal data: a methodological review of workload-injury studies.BMJ open · 2018Pooled it
- When evidence fails in real life: Rethinking sports injury rehabilitation and prevention.Brazilian journal of physical therapy · 2026Review
- Interdependent Effect of Intrinsic Risk Factors on Non-Contact Lower Limb Injuries in Male Football Players: A Structural Equation Modeling Approach.Medicina (Kaunas, Lithuania) · 2025Article
- Synthetic Data for Sharing and Exploration in High-Performance Sport: Considerations for Application.Sports medicine (Auckland, N.Z.) · 2025Article
- Hamstring injury risk in male professional football: do external training loads play a role?BMJ open sport & exercise medicine · 2025Article
- Critical Fluctuations as an Early Warning Signal of Sports Injuries? A Proof of Concept Using Football Monitoring Data.Sports medicine - open · 2024Article
- ACL Injury Etiology in Its Context: A Systems Thinking, Group Model Building Approach.Journal of clinical medicine · 2024Article
- Interdisciplinary sport injury research and the integration of qualitative and quantitative data.BMC medical research methodology · 2023Article
- Towards the Development of a System Dynamics Model for the Prediction of Lower Extremity Injuries.International journal of exercise science · 2023Review
- Mathematical simulation of damage detection for fighting athletes and equipment based on conjugated polymer development.Frontiers in chemistry · 2023Article
- Review
- Unfixed Movement Route Model, Non-Overcrowding and Social Distancing Reduce the Spread of COVID-19 in Sporting Facilities.International journal of environmental research and public health · 2021Article
- Youth sport injury research: a narrative review and the potential of interdisciplinarity.BMJ open sport & exercise medicine · 2021Review
- Sports Injury Forecasting and Complexity: A Synergetic Approach.Sports medicine (Auckland, N.Z.) · 2020Review
- Training Load and Its Role in Injury Prevention, Part I: Back to the Future.Journal of athletic training · 2020Article
- Statement on methods in sport injury research from the 1st METHODS MATTER Meeting, Copenhagen, 2019.British journal of sports medicine · 2020Article
- Do alterations in muscle strength, flexibility, range of motion, and alignment predict lower extremity injury in runners: a systematic review.Archives of physiotherapy · 2019Review
- Sports Organizations as Complex Systems: Using Cognitive Work Analysis to Identify the Factors Influencing Performance in an Elite Netball Organization.Frontiers in sports and active living · 2019Article
- Time-to-event analysis for sports injury research part 2: time-varying outcomes.British journal of sports medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThere have been recent calls for the application of the complex systems approach in sports injury research. However, beyond theoretical description and static models of complexity, little progress has been made towards formalising this approach in way that is practical to sports injury scientists and clinicians. Therefore, our objective was to use a computational modelling method and develop a dynamic simulation in sports injury research.
methodsAgent-based modelling (ABM) was used to model the occurrence of sports injury in a synthetic athlete population. The ABM was developed based on sports injury causal frameworks and was applied in the context of distance running-related injury (RRI). Using the acute:chronic workload ratio (ACWR), we simulated the dynamic relationship between changes in weekly running distance and RRI through the manipulation of various 'athlete management tools'.
resultsThe findings confirmed that building weekly running distances over time, even within the reported ACWR 'sweet spot', will eventually result in RRI as athletes reach and surpass their individual physical workload limits. Introducing training-related error into the simulation and the modelling of a 'hard ceiling' dynamic resulted in a higher RRI incidence proportion across the population at higher absolute workloads.
conclusionsThe presented simulation offers a practical starting point to further apply more sophisticated computational models that can account for the complex nature of sports injury aetiology. Alongside traditional forms of scientific inquiry, the use of ABM and other simulation-based techniques could be considered as a complementary and alternative methodological approach in sports injury research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.