SynthesisSports medicine (Auckland, N.Z.)2018
The Relationship Between Training Load and Injury in Athletes: A Systematic Review.
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.
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.
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.
Who cites it
79 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Is Cumulative Load Associated with Injuries in Youth Team Sport? A Systematic Review.Sports medicine - open · 2022Pooled it
- Contributors to negative biopsychosocial health or performance outcomes in rugby players (CoNBO): a systematic review and Delphi study protocol.BMJ open sport & exercise medicine · 2022Pooled it
- The Validity and Reliability of Wearable Microtechnology for Intermittent Team Sports: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Making football safer for women: a systematic review and meta-analysis of injury prevention programmes in 11 773 female football (soccer) players.British journal of sports medicine · 2020Pooled it
- The Association Between the Acute:Chronic Workload Ratio and Injury and its Application in Team Sports: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Relationships Between Dry-land Resistance Training and Swim Start Performance and Effects of Such Training on the Swim Start: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2019Pooled it
- Sports-Related Health Problems in Para-Sports: A Systematic Review With Quality Assessment.Sports healthPooled it
- Ischemic preconditioning modulates the acute post-exercise inflammatory, angiogenic, and neurotrophic response in endurance runners.Scientific reports · 2026Trial
- Adherence to an Injury Prevention Warm-Up Program in Children's Soccer-A Secondary Analysis of a Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- The Relationship Between Games Missed for Rest or Load Management and Injury in the National Basketball Association, 2014-15 Through 2022-23.Sports medicine (Auckland, N.Z.) · 2026Observational
- Co-Creating an Intervention to Prevent Injuries in Police Force Recruits: A Concept Mapping Study of Police Force Recruits, Police Force Staff, Health Professionals, and Research Experts.Sports medicine - open · 2026Article
- Body Composition Architecture and Injury Topology in Physically Active Young Adults: A Tanglegram-Based Cophylogenetic Approach.Journal of clinical medicine · 2026Article
- Injury Prediction and Risk Modelling in Team Sports Using Artificial Intelligence and Sensor-Based Monitoring: A Scoping Review.Journal of functional morphology and kinesiology · 2026Review
- Athletic ability discrepancy, risk-taking, and recovery quality as predictors of match-related injuries in adolescent soccer players.Scientific reports · 2026Article
- The relationship between training load and injury risk in taekwondo: a systematic review.BMC sports science, medicine & rehabilitation · 2026Article
- The relative age effect among Malaysian university athletes: a cross-sectional survivorship analysis with exploratory AI-based movement screening.Frontiers in sports and active living · 2026Article
- Contributors to negative biopsychosocial outcomes in rugby players (CoNBO): part 1 the systematic review.BMJ open sport & exercise medicine · 2026Article
- A new conceptual framework for managing hamstring injury risk in soccer - implementing a data-informed approach: a narrative review.Biology of sport · 2026Review
- Sport-specific injury profiles and associated factors in elite wrestlers and judokas.Frontiers in public health · 2026Article
- Global Positioning System-Derived Metrics and Machine Learning Models for Injury Prediction in Professional Rugby Union Players.European journal of sport science · 2025Article
19 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
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
Identifiers
29943231What OpenQuestion holds
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.