Abstract:
:Over the past 20 years, research on the training-load-injury relationship has grown exponentially. With the benefit of more data, our understanding of the training-performance puzzle has improved. What were we thinking 20 years ago, and how has our thinking changed over time? Although early investigators attributed overuse injuries to excessive training loads, it has become clear that rapid spikes in training load, above what an athlete is accustomed, explain (at least in part) a large proportion of injuries. In this respect, it appears that overuse injuries may arise from athletes being underprepared for the load they are about to perform. However, a question of interest to both athletic trainers (ATs) and researchers is why some athletes sustain injury at low training loads, while others can tolerate much greater training loads? A higher chronic training load and well-developed aerobic fitness and lower body strength appear to moderate the training-injury relationship and provide a protective effect against spikes in load. The training-performance puzzle is complex and dynamic-at any given time, multiple inputs to injury and performance exist. The challenge facing researchers is obtaining large enough longitudinal data sets to capture the time-varying nature of physiological and musculoskeletal capacities and training-load data to adequately inform injury-prevention efforts. The training-performance puzzle can be solved, but it will take collaboration between researchers and clinicians as well as an understanding that efficacy (ie, how training load affects performance and injury in an idealized or controlled setting) does not equate to effectiveness (ie, how training load affects performance and injury in the real-world setting, where many variables cannot be controlled).
journal_name
J Athl Trainjournal_title
Journal of athletic trainingauthors
Gabbett TJdoi
10.4085/1062/6050.422.19subject
Has Abstractpub_date
2020-09-01 00:00:00pages
874-884issue
9eissn
1062-6050issn
1938-162Xpii
444130journal_volume
55pub_type
杂志文章abstract:OBJECTIVE:The purpose of this study was to assess the effect of low-volt, microamperage stimulation (LVMAS) on perceived pain and muscle strength following an intense bout of eccentric exercise. DESIGN AND SETTING:An experimental pretest-posttest control group design was used for the study. The experiment was conducte...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract:CONTEXT:Quadriceps and hamstrings weakness occurs frequently after anterior cruciate ligament (ACL) injury and reconstruction. Evidence suggests that knee injury may precipitate hip and ankle muscle weakness, but few data support this contention after ACL injury and reconstruction. OBJECTIVE:To determine if hip, knee,...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-48.3.23
更新日期:2013-09-01 00:00:00
abstract:CONTEXT:The Patient-Reported Outcomes Measurement Information System (PROMIS) item banks have been validated for general populations, but their application to high-functioning patient populations remains speculative. OBJECTIVE:To examine the measurement properties of the PROMIS physical function item bank, version 1.0...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-51.11.06
更新日期:2016-09-01 00:00:00
abstract:CONTEXT:Weakness or decreased activation of the hip abductors and external rotators has been associated with lower extremity injury, especially in females. Resisted side stepping is commonly used to address hip weakness. Whereas multiple variations of this exercise are used clinically, few data exist regarding which va...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-46-16
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To inform health care professionals about the various mechanisms of this little-known injury, as well as its potentially limb-threatening complications. In addition, keys to immediate recognition and the importance of a thorough rehabilitation program are stressed. DATA SOURCES:I searched MEDLINE (1966-2000)...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract:CONTEXT:Researchers have examined the physical activity (PA) habits of certified athletic trainers; however, none have looked specifically at athletic training students. OBJECTIVE:To assess PA participation and constraints to participation among athletic training students. DESIGN:Cross-sectional study. SETTING:Entry...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.3.56
更新日期:2015-02-01 00:00:00
abstract:CONTEXT:As health care providers, certified athletic trainers (ATs) should be role models for healthy behaviors. OBJECTIVE:To analyze the self-reported health and fitness habits of ATs. DESIGN:A cross-sectional, cluster random sample. SETTING:Online questionnaire. PATIENTS OR OTHER PARTICIPANTS:Of a sampling frame ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-43.6.617
更新日期:2008-10-01 00:00:00
abstract:CONTEXT:Female athletic trainers (ATs) are currently underrepresented in the collegiate setting. Parenting and family obligations may play a role in this underrepresentation. OBJECTIVE:To examine female ATs' perspectives on parenting and working in the secondary school and collegiate employment settings. DESIGN:Cross...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-45.5.459
更新日期:2010-09-01 00:00:00
abstract::OBJECTIVE: To identify the types of injuries the human brain incurs as a result of traumatic forces applied to the cranium. In athletic events and endeavors, the full spectrum of intracranial hemorrhages in various compartments, raised intracranial pressure, and diffuse nonhemorrhagic damage may be seen. In this revie...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:CONTEXT: Dynamic balance deficits have been described postconcussion, even after athletes return to play. Lower extremity (LE) musculoskeletal injury rates increase for up to 1 year after concussion, but the long-term musculoskeletal implications of concussion are unclear. OBJECTIVE: To (1) examine the association o...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.2.03
更新日期:2017-06-02 00:00:00
abstract:CONTEXT:A discrepancy in anterior cruciate ligament (ACL) injury rates exists between men and women. Structural differences between the sexes often are implicated as a factor in this discrepancy. Researchers anecdotally assume that men and women tend to display different normative values for certain lower extremity ali...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-44.3.249
更新日期:2009-05-01 00:00:00
abstract:CONTEXT:Athletic trainers (ATs) commonly use psychological skills during sport rehabilitation. However, little is known about their ability to accurately implement these skills. OBJECTIVE:To assess ATs' skills in identifying psychological symptoms, selecting appropriate strategies, and making referral decisions for at...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-50.12.02
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:The importance of addressing psychological issues in athletic injury rehabilitation has been recognized by the medical community. When and how to address psychological ramifications of injury, however, have not been given sufficient attention. BACKGROUND:VARIOUS FACTORS ARE ASSOCIATED WITH ATHLETIC INJURY: m...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:CONTEXT:Health care leaders have recommended the use of health information technology to improve the quality of patient care. In athletic training, using informatics, such as electronic medical records (EMRs), would support practice-based decisions about patient care. However, athletic trainers (ATs) may lack the knowl...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-113-19
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To present the case of a stress fracture of the eighth rib in a female collegiate rower. BACKGROUND:A female collegiate rower experienced severe pain in her chest, increasing with movement, deep breathing, and erect posture. No acute mechanism of injury was apparent. The team physician diagnosed a rib stress...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:CONTEXT:Muscle fatigue is generally categorized in 2 ways: that caused by peripheral weakness (peripheral fatigue) and that caused by a progressive failure of voluntary neural drive (central fatigue). Numerous variables have been studied in conjunction with fatigue protocols, including postural stability, maximum volun...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2005-07-01 00:00:00
abstract:CONTEXT:Mentoring has been identified as an important method to support newly credentialed athletic trainers during their transition to practice. Gaining a better understanding of this relationship could provide valuable insights that may assist employers and professional programs to develop a plan, which could better ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/JAT0242-20
更新日期:2020-12-22 00:00:00
abstract::OBJECTIVE: To investigate the retraction time, forces, and torques applied to the football helmet during removal of the face mask with different face-mask removal tools. DESIGN AND SETTING: Subjects retracted the face mask of a football helmet mounted to a force platform in a laboratory setting. They removed a standar...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract:CONTEXT:The shift to a culture of evidence-based practice (EBP) in athletic training is a necessary step in both the optimization of patient care and the advancement of athletic trainers (ATs) as health care professionals. Whereas individuals have gained knowledge in this area, most ATs still are not practicing in an e...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.2.15
更新日期:2014-03-01 00:00:00
abstract::Lateral ankle sprains are the most common injuries sustained during physical activity. The epidemiologic trends associated with chronic ankle instability (CAI) suggest that current rehabilitation approaches may be inadequate. We sought to synthesize best-practices evidence for the rehabilitation of patients with acute...
journal_title:Journal of athletic training
pub_type: 杂志文章,评审
doi:10.4085/1062-6050-474-17
更新日期:2019-06-01 00:00:00
abstract::Various continental sporting events have exposed team sports referees to different environmental conditions. Several studies have focused on strategies to prevent athlete performance impairment induced by heat or warm (or both) conditions, but few authors have investigated the effect of heat on referees' performance. ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-51.3.04
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To define the nomenclature and physiologic mechanisms responsible for functional joint stability. DATA SOURCES:Information was drawn from an extensive MEDLINE search of the scientific literature conducted in the areas of proprioception, neuromuscular control, and mechanisms of functional joint stability for ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:CONTEXT: It is important to understand the process whereby athletic trainers learn about their future roles, particularly when the roles can be complex and demanding. Little is known about the experiences of athletic training doctoral students, including facilitators and barriers to socialization as aspiring faculty m...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.7.01
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:To share with potential authors tips for communicating their ideas more clearly in a scholarly manuscript. DESCRIPTION:Communicating scientific, technical, or medical information so that readers can understand its meaning requires logical organization and proper use of language. These 30 tips review basic En...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:CONTEXT:Greater musculotendinous stiffness may enhance spinal stretch reflex sensitivity by improving mechanical coupling of the muscle spindle and the stretch stimulus. This heightened sensitivity would correspond with a shorter latency and higher-amplitude reflex response, potentially enhancing joint stability. OBJE...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-43.1.29
更新日期:2008-01-01 00:00:00
abstract:CONTEXT:Increased rates of sport participation and sport-related injury have led to greater emphasis on and attention to medical care of student-athletes in the secondary school setting. Access to athletic training services is seen as a critical factor for delivering adequate injury prevention and medical care to stude...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-48.4.04
更新日期:2013-07-01 00:00:00
abstract:CONTEXT: Environmental sustainability efforts are becoming a critical concern in health care. However, little is known regarding how athletic trainers feel about the environment or what can be done to reduce the environmental impact of the practice of athletic training. OBJECTIVE: To examine athletic trainers' attit...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.12.19
更新日期:2017-12-01 00:00:00
abstract:CONTEXT:Sunscreen lotions are important to protect the skin during outdoor exercise, but they may interfere with sweating. OBJECTIVE:To measure the effect of 2 water-resistant sunscreens on local sweat production in men and women exercising in the heat and to compare those effects with the expected inhibition resultin...
journal_title:Journal of athletic training
pub_type: 杂志文章,随机对照试验
doi:10.4085/1062-6050-51.11.01
更新日期:2016-09-01 00:00:00
abstract:CONTEXT:Sudden cardiac death (SCD) is a relatively rare yet unfortunate risk of athletic participation. To reduce the incidence of SCD, electrocardiogram (ECG) use during athletic preparticipation examinations (PPEs) has been proposed to detect underlying cardiac abnormalities. OBJECTIVE:To estimate the effectiveness ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-45.3.265
更新日期:2010-05-01 00:00:00
abstract:CONTEXT:Little is known about how educating runners may correct common misconceptions surrounding heat safety and hydration strategies. OBJECTIVE:To investigate (1) beliefs and knowledge about heat safety and hydration strategies among recreational runners and (2) the effectiveness of an educational video in optimizin...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-520-17
更新日期:2019-05-01 00:00:00