ArticleFrontiers in public health2026
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.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: This study evaluates whether seven-day training-load histories can support athlete-independent classification of injury-labeled days in competitive distance runners. The aim is methodological benchmarking rather than clinical injury-risk deployment. Research gap: Prior sports-injury prediction studies often use repeated athlete-day observations without fully addressing athlete leakage, rare-event imbalance, probability calibration, and the risk that explainability methods may identify recording artifacts rather than physiological mechanisms. Data and method: The public dataset contained 42,766 athlete-day observations from 74 runners, including 583 injury-labeled observations (1.36%). Seven external-load variables and three internal-response variables were organized from Day -7 to Day -1. A compact dual-stream multi-scale temporal convolutional network with gated fusion and feature-by-day Integrated Gradients was evaluated using athlete-independent five-fold grouped cross-validation. Logistic regression and XGBoost served as baselines, while three ablations and five prespecified neural-network seeds assessed robustness. Findings: In the primary analysis, DS-MTCN-IG achieved ROC-AUC 0.596, PR-AUC 0.0204, and Brier score 0.01343. Logistic regression achieved a numerically higher ROC-AUC of 0.619, but the paired athlete-cluster bootstrap difference was not statistically significant (ΔROC-AUC = 0.0227, 95% CI - 0.0180 to 0.0714; Conclusion: The study did not demonstrate a robust or practically useful athlete-independent predictive signal. The non-overlapping null result substantially limits interpretation of the full-window estimates and provides no support for clinical, coaching, or automated injury-warning use. The principal contribution is therefore a methodological audit showing how temporal overlap, participant-aware validation, calibration, model comparison, and attribution stability can alter conclusions in longitudinal sports-injury modeling.
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