Evidence map›Paper›PMID 29943231›Full record

SynthesisSports medicine (Auckland, N.Z.)2018

The Relationship Between Training Load and Injury in Athletes: A Systematic Review.

Timothy G Eckard, Darin A Padua, Darren W Hearn, Brett S Pexa, Barnett S Frank

Erratum issuedAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 79 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Timothy G EckardDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Fetzer Hall CB #8700, Chapel Hill, NC, 27599-8700, USA. eckardtg@email.unc.edu.ORCID http://orcid.org/0000-0001-8262-3604
Darin A PaduaDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Fetzer Hall CB #8700, Chapel Hill, NC, 27599-8700, USA.ORCID http://orcid.org/0000-0002-9383-4236
Darren W HearnDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Fetzer Hall CB #8700, Chapel Hill, NC, 27599-8700, USA.
Brett S PexaDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Fetzer Hall CB #8700, Chapel Hill, NC, 27599-8700, USA.
Barnett S FrankDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Fetzer Hall CB #8700, Chapel Hill, NC, 27599-8700, USA.ORCID http://orcid.org/0000-0003-0486-0326

Funding

Foundation for Physical Therapy Promotion of Doctoral Studies Scholarship
6 · The paper itself

Abstract

backgroundThe relationship between training load and musculoskeletal injury is a rapidly advancing area of research in need of an updated systematic review.

objectiveThis systematic review examined the evidence for the relationship between training load and musculoskeletal injury risk in athlete, military, and first responder (i.e. law enforcement, firefighting, rescue service) populations.

methodsThe CINAHL, EMBASE, MEDLINE, SportDISCUS, and SCOPUS databases were searched using a comprehensive strategy. Studies published prior to July 2017 were included if they prospectively examined the relationship between training load and injury risk. Study quality was assessed using the Newcastle-Ottawa Quality Assessment Scale (NOS) and Oxford Centre for Evidence-Based Medicine levels of evidence. A narrative synthesis of findings was conducted.

resultsA total of 2047 articles were examined for potential inclusion. Forty-six met the inclusion criteria and 11 known to the authors but not found in the search were added, for a total of 57 articles. Overall, 47 studies had at least partially statistically significant results, demonstrating a relationship between training load and injury risk. Included articles were rated as poor (n = 15), fair (n = 6), and good (n = 36) based on NOS score. Articles assessed as 'good' were considered level 2b evidence on the Oxford Centre for Evidence-Based Medicine Model, and articles assessed as 'fair' or 'poor' were considered level 4 evidence.

conclusionsOur results demonstrate that the existence of a relationship between training load and injury continues to be well supported in the literature and is strongest for subjective internal training load. The directionality of this relationship appears to depend on the type and timeframe of load measured.

Indexed as

ExerciseWeight-BearingAthletesAthletic InjuriesFirefightersHumansMilitary PersonnelPhysical Conditioning, HumanPhysical ExertionPolice

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.