ReviewFrontiers in sports and active living2021
Training Load Capacity, Cumulative Risk, and Bone Stress Injuries: A Narrative Review of a Holistic Approach.
Review in Frontiers in sports and active living, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Incidence and Risk Factors for the Development of Stress Fractures in Military Recruits and Qualified Personnel: A Systematic Review.International journal of environmental research and public health · 2025Pooled it
- Optimization of high-intensity resistance exercise protocols for improving bone mineral density in the elderly without chronic diseases: a systematic review and network meta-analysis.Frontiers in physiology · 2025Pooled it
- Trial
- Artificial intelligence and wearable sensors in sports injury risk prediction: current status and future perspectives.Annals of medicine · 2026Review
- Investigation of lower limb stress fractures in university long-distance runners: characteristics of pelvic and femoral stress fractures.International orthopaedics · 2026Article
- Optimal Resistance Exercise Strategies for Improving Bone Mineral Density in Middle-Aged and Older Adults: A Network Meta-Analysis Based on Exercise Intensity and Frequency.Calcified tissue international · 2026Article
- A Longitudinal Evaluation of Bone Mineral Density Across a Macrocycle in Highly Trained Female Athletes: A Systematic Review.Sports (Basel, Switzerland) · 2026Review
- From Injury to Impact: Optimizing Return-to-Play Outcomes and Reinjury Prevention via Four-Pillar Rehabilitation Strategy in Elite Football-A Clinical Study in a Sports Scenario.Muscles (Basel, Switzerland) · 2026Article
- Explainable temporal deep learning for athlete-independent classification of injury-labeled days in competitive distance runners: a methodological benchmark using seven-day training-load histories.Frontiers in public health · 2026Article
- The International Federation of Sports Physical Therapy at the World Physiotherapy Congress 2025: Shaping a Global Commitment to Sustainable Athlete Health.International journal of sports physical therapy · 2025Article
- Failure analysis and design improvement of retrieved plates from revision surgery.Journal of orthopaedic translation · 2024Article
- Duration, score, and timing: factors influencing the success of offensive transitions in top, marginal, and emerging football leagues.Frontiers in sports and active living · 2024Article
- Overtraining Syndrome as a Risk Factor for Bone Stress Injuries among Paralympic Athletes.Medicina (Kaunas, Lithuania) · 2023Review
- Intrinsic variables associated with low back pain and lumbar spine injury in fast bowlers in cricket: a systematic review.BMC sports science, medicine & rehabilitation · 2023Article
- Male Runners With Lower Energy Availability Have Impaired Skeletal Integrity Compared to Nonathletes.The Journal of clinical endocrinology and metabolism · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Bone stress injuries (BSIs) are a common orthopedic injury with short-term, and potentially long-term, effects. Training load capacity, influenced by risk factors, plays a critical role in the occurrence of BSIs. Many factors determine how one's body responds to repetitive loads that have the potential to increase the risk of a BSI. As a scientific community, we have identified numerous isolated BSI risk factors. However, we have not adequately analyzed the integrative, holistic, and cumulative nature of the risk factors, which is essential to determine an individual's specific capacity. In this narrative review, we advocate for a personalized approach to monitor training load so that individuals can optimize their health and performance. We define "cumulative risk profile" as a subjective clinical determination of the number of risk factors with thoughtful consideration of their interaction and propose that athletes have their own cumulative risk profile that influences their capacity to withstand specific training loads. In our narrative review, we outline BSI risk factors, discuss the relationship between BSIs and training load, highlight the importance of individualizing training load, and emphasize the use of a holistic assessment as a training load guide.
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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.