Injury risk-workload associations in NCAA American college football.

Abstract:

OBJECTIVES:To determine injury risk-workload associations in collegiate American Football. DESIGN:Retrospective analysis. METHODS:Workload and injury data was recorded from 52 players during a full NCAA football season. Acute, chronic, and a range of acute:chronic workload ratios (ACWR: 7:14, 7:21 and 7:28 day) calculated using rolling and exponentially weighted moving averages (EWMA) were plotted against non-contact injuries (regardless of time lost or not) sustained within 3- and 7-days. Injury risks were also determined relative to position and experience. RESULTS:105 non-contact injuries (18 game- and 87 training-related) were observed with almost 40% sustained during the pre-season. 7-21 day EWMA ACWR's with a 3-day injury lag were most closely associated with injury (R2=0.54). Relative injury risks were >3× greater with high compared to moderate and low ratios and magnified when combined with low 21-day chronic workloads (injury probability=92.1%). Injury risks were similar across positions. 'Juniors' presented likely and possibly increased overall injury risk compared to 'Freshman' (RR: 1.94, CI 1.07-3.52) and 'Seniors' (RR: 1.7, CI 0.92-3.14), yet no specific ACWR - experience or - position interactions were identified. CONCLUSIONS:High injury rates during college football pre-season training may be associated with high acute loads. In-season injury risks were greatest with high ACWR and evident even when including (more common and less serious) non-time loss injuries. Substantially increased injury risks when low 21-day chronic workloads and concurrently high EWMA ACWR highlights the importance of load management for individuals with chronic game- (non-involved on game day) and or training (following injury) absences.

journal_name

J Sci Med Sport

authors

Sampson JA,Murray A,Williams S,Halseth T,Hanisch J,Golden G,Fullagar HHK

doi

10.1016/j.jsams.2018.05.019

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

1215-1220

issue

12

eissn

1440-2440

issn

1878-1861

pii

S1440-2440(18)30176-2

journal_volume

21

pub_type

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