How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury

doi:10.1136/bjsports-2016-096581

. 2016 Sep;50(17):1030-41.

doi: 10.1136/bjsports-2016-096581.

How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury

Torbjørn Soligard¹, Martin Schwellnus², Juan-Manuel Alonso³, Roald Bahr⁴, Ben Clarsen⁵, H Paul Dijkstra³, Tim Gabbett⁶, Michael Gleeson⁷, Martin Hägglund⁸, Mark R Hutchinson⁹, Christa Janse van Rensburg², Karim M Khan¹⁰, Romain Meeusen¹¹, John W Orchard¹², Babette M Pluim¹³, Martin Raftery¹⁴, Richard Budgett¹, Lars Engebretsen¹⁵

Affiliations

¹ Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.
² Section Sports Medicine, Faculty of Health Sciences, Institute for Sport, Exercise Medicine and Lifestyle Research, University of Pretoria, Hatfield,Pretoria, South Africa.
³ Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar.
⁴ Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway Olympic Training Center (Olympiatoppen), Oslo, Norway.
⁵ Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway Olympic Training Center (Olympiatoppen), Oslo, Norway.
⁶ School of Exercise Science, Australian Catholic University, Brisbane, Queensland, Australia School of Human Movement Studies, University of Queensland, Brisbane, Australia.
⁷ School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
⁸ Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden.
⁹ Department of Orthopaedic Surgery and Sports Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.
¹⁰ Department of Family Practice, Centre for Hip Health and Mobility, University of British Columbia, Vancouver, Canada.
¹¹ Human Physiology Research Group, Vrije Universiteit Brussel, Brussels, Belgium.
¹² School of Public Health, University of Sydney, Sydney, Australia.
¹³ Medical Department, Royal Dutch Lawn Tennis Association, Amersfoort, The Netherlands Amsterdam Collaboration on Health and Safety in Sports, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, VUmc/AMC, Amsterdam, The Netherlands.
¹⁴ World Rugby, Dublin, Ireland.
¹⁵ Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway Faculty of Medicine, University of Oslo, Oslo, Norway.

PMID: 27535989
DOI: 10.1136/bjsports-2016-096581

How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury

Torbjørn Soligard et al. Br J Sports Med. 2016 Sep.

. 2016 Sep;50(17):1030-41.

doi: 10.1136/bjsports-2016-096581.

Authors

Affiliations

¹ Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.
² Section Sports Medicine, Faculty of Health Sciences, Institute for Sport, Exercise Medicine and Lifestyle Research, University of Pretoria, Hatfield,Pretoria, South Africa.
³ Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar.
⁴ Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway Olympic Training Center (Olympiatoppen), Oslo, Norway.
⁵ Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway Olympic Training Center (Olympiatoppen), Oslo, Norway.
⁶ School of Exercise Science, Australian Catholic University, Brisbane, Queensland, Australia School of Human Movement Studies, University of Queensland, Brisbane, Australia.
⁷ School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
⁸ Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden.
⁹ Department of Orthopaedic Surgery and Sports Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.
¹⁰ Department of Family Practice, Centre for Hip Health and Mobility, University of British Columbia, Vancouver, Canada.
¹¹ Human Physiology Research Group, Vrije Universiteit Brussel, Brussels, Belgium.
¹² School of Public Health, University of Sydney, Sydney, Australia.
¹³ Medical Department, Royal Dutch Lawn Tennis Association, Amersfoort, The Netherlands Amsterdam Collaboration on Health and Safety in Sports, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, VUmc/AMC, Amsterdam, The Netherlands.
¹⁴ World Rugby, Dublin, Ireland.
¹⁵ Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway Faculty of Medicine, University of Oslo, Oslo, Norway.

PMID: 27535989
DOI: 10.1136/bjsports-2016-096581

Abstract

Athletes participating in elite sports are exposed to high training loads and increasingly saturated competition calendars. Emerging evidence indicates that poor load management is a major risk factor for injury. The International Olympic Committee convened an expert group to review the scientific evidence for the relationship of load (defined broadly to include rapid changes in training and competition load, competition calendar congestion, psychological load and travel) and health outcomes in sport. We summarise the results linking load to risk of injury in athletes, and provide athletes, coaches and support staff with practical guidelines to manage load in sport. This consensus statement includes guidelines for (1) prescription of training and competition load, as well as for (2) monitoring of training, competition and psychological load, athlete well-being and injury. In the process, we identified research priorities.

Keywords: Fatigue; Injury; Load; Recovery; Well-being.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

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Comment in

On adhering to Olympic guidelines on load in sport and risk of injury.
Brito J. Brito J. Br J Sports Med. 2017 Jul;51(13):1046. doi: 10.1136/bjsports-2016-097153. Epub 2017 Mar 2. Br J Sports Med. 2017. PMID: 28254743 No abstract available.

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How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury

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How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury

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