Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes

ObjectiveTo examine the relationships between the occurrence and severity of injuries using three workload ratios (ACWR, EWMA, REDI) in elite female soccer players and international male and female pentathletes.Materials and MethodsFemale soccer players in the U16 to U18 national French teams (n = 2...

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Main Authors: Adrien Sedeaud, Quentin De Larochelambert, Issa Moussa, Didier Brasse, Jean-Maxence Berrou, Stephanie Duncombe, Juliana Antero, Emmanuel Orhant, Christopher Carling, Jean-Francois Toussaint
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2020.01034/full
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author Adrien Sedeaud
Adrien Sedeaud
Quentin De Larochelambert
Quentin De Larochelambert
Issa Moussa
Issa Moussa
Didier Brasse
Jean-Maxence Berrou
Stephanie Duncombe
Juliana Antero
Juliana Antero
Emmanuel Orhant
Christopher Carling
Jean-Francois Toussaint
Jean-Francois Toussaint
Jean-Francois Toussaint
author_facet Adrien Sedeaud
Adrien Sedeaud
Quentin De Larochelambert
Quentin De Larochelambert
Issa Moussa
Issa Moussa
Didier Brasse
Jean-Maxence Berrou
Stephanie Duncombe
Juliana Antero
Juliana Antero
Emmanuel Orhant
Christopher Carling
Jean-Francois Toussaint
Jean-Francois Toussaint
Jean-Francois Toussaint
author_sort Adrien Sedeaud
collection DOAJ
description ObjectiveTo examine the relationships between the occurrence and severity of injuries using three workload ratios (ACWR, EWMA, REDI) in elite female soccer players and international male and female pentathletes.Materials and MethodsFemale soccer players in the U16 to U18 national French teams (n = 24) and international athletes (n = 12, 4 women and 8 men) in the French modern pentathlon team were monitored throughout an entire season. The Acute Chronic Workload Ratio (ACWR), the Exponentially Weighted Moving Averages (EWMA), and the Robust Exponential Decreasing Index (REDI) were calculated for internal load by the ROE method in soccer and external load in pentathlon. The occurrence and severity of injuries (determined according to time-loss) were quantified in the sweet spot zone [0.8; 1.3] and compared to the other zones of load variation: [0; 0.8], [1.3; 1.5], [1.5; +8], using the three ratios.ResultsOver the study period, a total of sixty-six injuries (2.75 per athlete) were reported in the soccer players and twelve in pentathletes (1 per athlete). The cumulative severity of all injuries was 788 days lost in soccer and 36 in pentathlon: respectively, 11.9 days lost per injury in soccer player and 3.0 per pentathlete. The mean values across the three methods in soccer showed a higher number of injuries detected in the [0; 0.8] workload ratio zone: 22.3 ± 6.4. They were 17.3 ± 3.5 in the sweet spot ([0.8–1.3] zone) and 17.6 ± 5.5 in the [1.5; +8] zone. In comparison to the [1.5; +8] zone, soccer players reported a higher number of days lost to injuries in the presumed sweet spot and in the [0–0.8] zone: 204.7 ± 28.7 and 275.0 ± 120.7 days, respectively. In pentathletes, ten of the twelve injuries (83.3%) occurred in the presumed sweet spot. REDI was the only method capable of tracking workloads over all-time series.ConclusionIn the present cohort of elite soccer players and pentathletes, acute chronic workload calculations showed an association with injury occurrence and severity but did not provide evidence supporting existence of a sweet spot diminishing injury risk.
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spelling doaj.art-b467ebd6c1d04084945a846a430734e42022-12-22T01:22:28ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-08-011110.3389/fphys.2020.01034561736Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and PentathletesAdrien Sedeaud0Adrien Sedeaud1Quentin De Larochelambert2Quentin De Larochelambert3Issa Moussa4Issa Moussa5Didier Brasse6Jean-Maxence Berrou7Stephanie Duncombe8Juliana Antero9Juliana Antero10Emmanuel Orhant11Christopher Carling12Jean-Francois Toussaint13Jean-Francois Toussaint14Jean-Francois Toussaint15Institut de Recherche Biomédicale et d’Épidémiologie du Sport (IRMES), Institut National du Sport, de l’Expertise et de la Performance (INSEP), Paris, FranceEA7329 Institut de Recherche BioMédicale et d’Épidémiologie du Sport (IRMES), Paris, FranceInstitut de Recherche Biomédicale et d’Épidémiologie du Sport (IRMES), Institut National du Sport, de l’Expertise et de la Performance (INSEP), Paris, FranceEA7329 Institut de Recherche BioMédicale et d’Épidémiologie du Sport (IRMES), Paris, FranceInstitut de Recherche Biomédicale et d’Épidémiologie du Sport (IRMES), Institut National du Sport, de l’Expertise et de la Performance (INSEP), Paris, FranceEA7329 Institut de Recherche BioMédicale et d’Épidémiologie du Sport (IRMES), Paris, FranceFédération Française de Football, Paris, FranceFédération Française de Pentathlon Moderne, Paris, FranceSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, AustraliaInstitut de Recherche Biomédicale et d’Épidémiologie du Sport (IRMES), Institut National du Sport, de l’Expertise et de la Performance (INSEP), Paris, FranceEA7329 Institut de Recherche BioMédicale et d’Épidémiologie du Sport (IRMES), Paris, FranceFédération Française de Football, Paris, FranceFédération Française de Football, Paris, FranceInstitut de Recherche Biomédicale et d’Épidémiologie du Sport (IRMES), Institut National du Sport, de l’Expertise et de la Performance (INSEP), Paris, FranceEA7329 Institut de Recherche BioMédicale et d’Épidémiologie du Sport (IRMES), Paris, FranceCentre d’Investigation en Médecine du Sport, Paris, FranceObjectiveTo examine the relationships between the occurrence and severity of injuries using three workload ratios (ACWR, EWMA, REDI) in elite female soccer players and international male and female pentathletes.Materials and MethodsFemale soccer players in the U16 to U18 national French teams (n = 24) and international athletes (n = 12, 4 women and 8 men) in the French modern pentathlon team were monitored throughout an entire season. The Acute Chronic Workload Ratio (ACWR), the Exponentially Weighted Moving Averages (EWMA), and the Robust Exponential Decreasing Index (REDI) were calculated for internal load by the ROE method in soccer and external load in pentathlon. The occurrence and severity of injuries (determined according to time-loss) were quantified in the sweet spot zone [0.8; 1.3] and compared to the other zones of load variation: [0; 0.8], [1.3; 1.5], [1.5; +8], using the three ratios.ResultsOver the study period, a total of sixty-six injuries (2.75 per athlete) were reported in the soccer players and twelve in pentathletes (1 per athlete). The cumulative severity of all injuries was 788 days lost in soccer and 36 in pentathlon: respectively, 11.9 days lost per injury in soccer player and 3.0 per pentathlete. The mean values across the three methods in soccer showed a higher number of injuries detected in the [0; 0.8] workload ratio zone: 22.3 ± 6.4. They were 17.3 ± 3.5 in the sweet spot ([0.8–1.3] zone) and 17.6 ± 5.5 in the [1.5; +8] zone. In comparison to the [1.5; +8] zone, soccer players reported a higher number of days lost to injuries in the presumed sweet spot and in the [0–0.8] zone: 204.7 ± 28.7 and 275.0 ± 120.7 days, respectively. In pentathletes, ten of the twelve injuries (83.3%) occurred in the presumed sweet spot. REDI was the only method capable of tracking workloads over all-time series.ConclusionIn the present cohort of elite soccer players and pentathletes, acute chronic workload calculations showed an association with injury occurrence and severity but did not provide evidence supporting existence of a sweet spot diminishing injury risk.https://www.frontiersin.org/article/10.3389/fphys.2020.01034/fullinjurytraining loadsoccer (football)pentathlonACWREWMA
spellingShingle Adrien Sedeaud
Adrien Sedeaud
Quentin De Larochelambert
Quentin De Larochelambert
Issa Moussa
Issa Moussa
Didier Brasse
Jean-Maxence Berrou
Stephanie Duncombe
Juliana Antero
Juliana Antero
Emmanuel Orhant
Christopher Carling
Jean-Francois Toussaint
Jean-Francois Toussaint
Jean-Francois Toussaint
Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes
Frontiers in Physiology
injury
training load
soccer (football)
pentathlon
ACWR
EWMA
title Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes
title_full Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes
title_fullStr Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes
title_full_unstemmed Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes
title_short Does an Optimal Relationship Between Injury Risk and Workload Represented by the “Sweet Spot” Really Exist? An Example From Elite French Soccer Players and Pentathletes
title_sort does an optimal relationship between injury risk and workload represented by the sweet spot really exist an example from elite french soccer players and pentathletes
topic injury
training load
soccer (football)
pentathlon
ACWR
EWMA
url https://www.frontiersin.org/article/10.3389/fphys.2020.01034/full
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