Coaches of youth field sports as delivery agents of injury prevention programmes: how are we training the trainers? A scoping review.

OBJECTIVE: To systematically map the coach education (CE) component of injury prevention programmes (IPPs) for youth field sports by identifying and synthesising the design, content and facilitation strategies used to address competency drivers and behaviour change. DESIGN: Scoping review. DATA SOURCES: PubMed, PsycInfo, EMBASE, CINAHL, SportDiscus and Google Scholar electronic databases were searched using keywords related to IPPs and youth field sports. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies of IPPs in youth field sports, that provided 'train-the-trainer' education to coaches as designated delivery agents. RESULTS: 20 studies from two field sports (soccer/football; n=17, Rugby Union; n=3) fulfilled the eligibility criteria. Eleven CE interventions occurred in the preseason and 18 occurred at one time-point (single day). Five studies cited use of a behavioural change theory or model in the design of their CE, most frequently the Health Action Process Approach model (n=5); and use of behavioural change techniques varied. Twelve of twenty studies (60%) reported some form of ongoing support to coaches following the CE primary intervention concurrent with IPP implementation. CONCLUSION: CE that occurs on 1 day (one time-point) is most popular for preparing coaches as delivery agents of IPPs in youth field sports. While recognising pragmatic barriers, more expansive in-service training, support and feedback may enhance the effective implementation of IPPs. TRIAL REGISTRATION NUMBER: https://doi.org/10.17605/OSF.IO/FMHGD.

The Effects of High-Repetition Strength Training on Performance in Competitive Endurance Athletes: A Systematic Review and Meta-Analysis.

ABSTRACT: Nugent, FJ, Flanagan, EP, Darragh, I, Daly, L, and Warrington, GD. The effects of high-repetition strength training on performance in competitive endurance athletes: A systematic review and meta-analysis. J Strength Cond Res 37(6): 1315-1326, 2023-The aim of this systematic review and meta-analysis was to evaluate the effects of high-repetition strength training (HRST) on performance in competitive endurance athletes. The methodology followed the Preferred Reporting Items for Systematic Review and Meta-Analysis protocol. A search of databases was performed until December 2020. Inclusion criteria were (a) competitive endurance athletes, (b) ≥4 weeks HRST intervention, (c) control or comparison group, (d) outcome measures of performance (either physiological or time trial performance), and (e) all experimental designs. Quality assessment was performed using the Physiotherapy Evidence Database (PEDro) scale. Of the 615 studies retrieved, 11 studies were included (216 subjects) and 9 studies provided sufficient data for the meta-analysis (137 subjects). The PEDro scale score had a mean of 5 of 10 points (range: 3-6). There was no significant difference between the HRST and control groups (g = 0.35; 95% confidence interval [CI] = -0.38 to 1.07; p = 0.35) or HRST and low-repetition strength training (LRST) groups (g = 0.24; 95% CI = -0.24 to 0.72; p = 0.33). The findings of this review and meta-analysis indicate that HRST does not result in improved performance over a 4- to 12-week period, and the results seem to be similar to LRST. The majority of studies involved recreational endurance athletes and had a mean duration of 8 weeks, which is a limitation of the findings. Future intervention studies should be > 12 weeks in duration and involve well-trained endurance athletes (maximal oxygen uptake [V̇o2max] of >65 ml·kg-1·min-2).

Effects of Long-Haul Travel on Recovery and Performance in Elite Athletes: A Systematic Review.

ABSTRACT: Rossiter, A, Warrington, GD, and Comyns, TM. Effects of long-haul travel on recovery and performance in elite athletes: a systematic review. J Strength Cond Res 36(11): 3234-3245, 2022-Elite athletes are often required to travel long-haul (LH) across numerous time zones for training or competition. However, the extent to which LH travel affects elite athlete performance remains largely unknown. The purpose of this systematic literature review was to critically evaluate available evidence on the effects of LH travel on elite athlete psychometric, physiological, sleep, and performance markers. Electronic database searches of PubMed, SPORTDiscus, Scopus, and Web of Science were conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were eligible for inclusion if subjects were identified as elite athletes who embarked on a LH flight (>6 hours) and used an outcome measurement of recovery or performance after the flight. Studies that were retrospective, used light therapy or pharmacological interventions were not included. Of 2,719 records assessed, 14 studies comprising a total of 197 athletes from 6 sports met the inclusion criteria. There was an increase in perceived jet lag and disturbance to various physiological markers after LH travel; however, there was minimal disturbance in other psychometric markers. Sleep was not negatively affected by LH travel. Of 10 studies that assessed performance, 3 found decrements in indirect markers of performance. Elite athletes perceived themselves to be jet lagged and experienced disturbance to various physiological mechanisms after LH travel; however, the effect on performance was inconclusive. Future research would benefit from higher quality studies with improved control measures, larger sample sizes from a wider variety of sports, and use of ecologically valid measures of circadian rhythm and athletic performance.

Validity of Session-Rate of Perceived Exertion to Quantify Training Loads in Paralympic Swimmers.

ABSTRACT: Sinnott-O'Connor, C, Comyns, TM, and Warrington, GD. Validity of session-RPE to quantify training loads in Paralympic swimmers. J Strength Cond Res 35(9): 2611-2615, 2021-Multiple measures may be used by coaches to quantify training load (TL). The application of heart rate (HR) has limitations in swimming and in Paralympic swimmers, and it may not always be a suitable measure. Therefore, the aim of this study was to determine the validity and reliability of the session-rate of perceived exertion (sRPE) method for quantifying internal TL in Paralympic swimmers. A further aim was to examine the relationship between athlete and coach perceptions of sRPE TL. Four international Paralympic swimmers selected to compete in Rio 2016 Paralympic Games participated in this study. Heart rate, RPE, and session duration were recorded for 30 training sessions of varied intensities across a 6-week home training period to quantify TL. Significant high to very high positive correlations were observed between sRPE and 3 HR-based measures-Banister's, Edwards, and Lucia's TRIMP (r = 0.68, 0.66, 0.74, p < 0.01, respectively). Moderate correlations were observed between sRPE and distance measures (r = 0.53, p < 0.05) but were lower than those observed with HR-based measures. A 2-way analysis of variance identified significant differences in the sRPE ratings between coaches and athletes (F(2, 108) = 170.4, p < 0.01, η2 = 0.75). The results of this study suggest that the sRPE method may be an appropriate monitoring tool for quantifying TL during water-based training using a single measure in Paralympic swimmers.

Physiological Demands of Professional Flat and Jump Horse Racing.

Kiely, M, Warrington, GD, McGoldrick, A, Pugh, J, and Cullen, S. Physiological demands of professional flat and jump horse racing. J Strength Cond Res 34(8): 2173-2177, 2020-No information is currently available on the effect of race distance on the physiological demands of jockeys. This study aimed to quantify the respective demands of short and long flat and jump race distances. Twenty professional jockeys (10 flat and 10 jump) participated in the study. The subjects initially performed a graded incremental exercise test to volitional exhaustion on a treadmill to determine the peak heart rate (HR) and blood lactate concentrations. Two competitive races (short and long) were then monitored on 2 separate occasions for each jockey type to obtain hydration, HR, blood lactate concentration, and rating of perceived exertion data. Mean distances for the 4 races were: 1,247.2 ± 184.7 m (short flat race), 2,313.4 ± 142.2 m (long flat race), 3,480.2 ± 355.3 m (short jump race), and 4,546.4 ± 194.3 m (long jump race). The mean HR for the long flat race was 151 ± 19 b·min (79 ± 11% of HRpeak), which was significantly lower than all other race distances (p = 0.000, effect size [ES] = 0.469). A longer jump race resulted in a significantly higher reported rate of perceived exertion (RPE) (14 ± 2.8) than the short jump race (11.0 ± 1.5) (p = 0.009, ES = 0.271), whereas no significant difference was revealed between peak HR responses or blood lactate concentrations when comparing other race distances (p < 0.05). The finding of this study supports previous limited research, which suggests that horse racing is a high-intensity sport, whereas RPE and mean HR fluctuate according to the race distance.

HIIT enhances endurance performance and aerobic characteristics more than high-volume training in trained rowers.

This study compared the effects of long slow distance training (LSD) with high-intensity interval training (HIIT) in rowers. Nineteen well-trained rowers performed three tests before and after an 8-week training intervention: (1) 2000 m time trial; (2) seven-stage incremental step test to determine maximum oxygen uptake ([Formula: see text]O2max), power output at [Formula: see text]O2max (W[Formula: see text]O2max), peak power output (PPO), rowing economy and blood lactate indices and (3) seven-stroke power-output test to determine maximal power output (Wmax) and force (Fmax). After baseline testing, participants were randomly assigned either to a HIIT or LSD group. The LSD comprised 10 weekly aerobic sessions. The HIIT also comprised 10 weekly sessions: 8 aerobic and 2 HIIT. The HIIT sessions comprised 6-8 × 2.5 min intervals at 100% PPO with recovery time based on heart rate (HR) returning to 70% HRmax. Results demonstrated that the HIIT produced greater improvement in 2000 m time trial performance than the LSD (effect size (ES) = 0.25). Moreover, the HIIT produced greater improvements in [Formula: see text]O2max (ES = 0.95, P = 0.035) and power output at lactate threshold (WLT) (ES = 1.15, P = 0.008). Eight weeks of HIIT performed at 100% PPO is more effective than LSD in improving performance and aerobic characteristics in well-trained rowers.

Kinetic changes during a six-week minimal footwear and gait-retraining intervention in runners.

An evaluation of a six-week Combined minimal footwear transition and gait-retraining combination vs. gait retraining only on impact characteristics and leg stiffness. Twenty-four trained male runners were randomly assigned to either (1) Minimalist footwear transition Combined with gait-retraining over a six-week period ("Combined" group; n = 12) examined in both footwear, or (2) a gait-retraining group only with no minimalist footwear exposure ("Control"; n = 12). Participants were assessed for loading rate, impact peak, vertical, knee and ankle stiffness, and foot-strike using 3D and kinetic analysis. Loading rate was significantly higher in the Combined group in minimal shoes in pre-tests compared to a Control (P ≤ 0.001), reduced significantly in the Combined group over time (P ≤ 0.001), and was not different to the Control group in post-tests (P = 0.16). The impact peak (P = 0.056) and ankle stiffness reduced in both groups (P = 0.006). Loading rate and vertical stiffness was higher in minimalist footwear than conventional running shoes both pre (P ≤ 0.001) and post (P = 0.046) the intervention. There has a higher tendency to non-rearfoot strike in both interventions, but more acute changes in the minimalist footwear. A Combined intervention can potentially reduce impact variables. However, higher loading rate initially in minimalist footwear may increase the risk of injury in this condition.

Effects of Low-Volume, High-Intensity Training on Performance in Competitive Swimmers: A Systematic Review.

Nugent, FJ, Comyns, TM, Burrows, E, and Warrington, GD. Effects of low-volume, high-intensity training on performance in competitive swimmers: a systematic review. J Strength Cond Res 31(3): 837-847, 2017-The purpose of this systematic review was to examine the extent and quality of the current research literature to determine the effects of low-volume, high-intensity training (HIT) on physiological performance and swimming performance in competitive swimmers. The methodology followed the preferred reporting items for systematic review and meta-analysis protocol. A search of relevant databases and conference proceedings was performed until December 2015. The inclusion criteria were (a) competitive swimmers, (b) ≥4 weeks HIT intervention, (c) comparison group had to involve a higher training volume, (d) outcome measures of physiological and swimming performance, and (e) all experimental study designs. Quality assessment was performed using the Quality Index checklist. Results indicate that of the 538 studies retrieved, 7 studies met the inclusion criteria. Six of the 7 studies found that an HIT intervention resulted in significant improvements in physiological performance. Four of the 7 studies found that HIT resulted in significant improvements in swimming performance, whereas none of the 7 studies resulted in a reduction in physiological or swimming performance. Despite the positive findings of this review, the short study duration is a limitation to a number of studies. The current evidence on the effects of HIT on performance is promising; however, it is difficult to draw accurate conclusions until further research has been conducted.

Physiological Demands of Flat Horse Racing Jockeys.

The physiological demands of jockeys during competition remain largely unknown, thereby creating challenges when attempting to prescribe sport-specific nutrition and training guidelines. The purpose of this study was to evaluate the physiological demands and energy requirements of jockeys during flat racing. Oxygen uptake (V[Combining Dot Above]O2) and heart rate (HR) were assessed in 18 male trainee jockeys during a race simulation trial on a mechanical horse racing simulator for the typical time duration to cover a common flat race distance of 1,400 m. In addition, 8 male apprentice jockeys participated in a competitive race, over distances ranging from 1,200 to 1,600 m, during which HR and respiratory rate (RR) were assessed. All participants performed a maximal incremental cycle ergometer test. During the simulated race, peak V[Combining Dot Above]O2 was 42.74 ± 5.6 ml·kg·min (75 ± 11% of V[Combining Dot Above]O2peak) and below the mean ventilatory threshold (81 ± 5% of V[Combining Dot Above]O2peak) reported in the maximal incremental cycle test. Peak HR was 161 ± 16 b·min (86 ± 7% of HRpeak). Energy expenditure was estimated as 92.5 ± 18.8 kJ with an associated value of 9.4 metabolic equivalents. During the competitive race trial, peak HR reached 189 ± 5 b·min (103 ± 4% of HRpeak) and peak RR was 50 ± 7 breaths per minute. Results suggest that horse racing is a physically demanding sport, requiring jockeys to perform close to their physiological limit to be successful. These findings may provide a useful insight when developing sport-specific nutrition and training strategies to optimally equip and prepare jockeys physically for the physiological demands of horse racing.

The impact of making weight on physiological and cognitive processes in elite jockeys.

PURPOSE: To examine the impact of making weight on aerobic work capacity and cognitive processes in a group of professional jockeys. METHODS: Nine male jockeys and 9 age-, gender-, and BMI-matched controls were recruited to take part in two experimental trials, conducted 48 hr apart. The jockeys were asked to reduce their body mass by 4% in the 48 hr between trials, and controls maintained usual dietary and physical activity habits between trials. Aerobic work capacity was assessed by performance during an incremental cycle ergometer test. Motor response, decision making, executive function, and working memory were assessed using a computerized cognitive test battery. RESULTS: The jockey group significantly reduced their body mass by 3.6 ± 0.9% (p < .01). Mean urine specific gravity (Usg) readings increased from 1.019 ± 0.004-1.028 ± 0.005 (p < .01) following this reduction in body mass. Peak work capacity was significantly reduced between trials in the jockey group (213 ± 27 vs. 186 ± 23 W, p < .01), although VO2peak (46.4 ± 3.7 vs. 47.2 ± 6.3 ml·kg·min-1) remained unchanged. No changes were identified for any cognitive variable in the jockey group between trials. CONCLUSION: Simulation of race day preparation, by allocating a weight that is 4% below baseline body mass caused all jockeys to report for repeat testing in a dehydrated state, and a reduction in aerobic work capacity, both of which may impact on racing performance.

Risk factors for acute ankle sprains in field-based, team contact sports: a systematic review of prospective etiological studies.

OBJECTIVE: The aim of this systematic review was to identify prospectively measured ankle sprain risk factors in field-based team contact sports. METHODS: Eight databases including SPORTDiscus, CINAHL Complete, MEDLINE (EBSCO), Education Source, Web of Science, Scopus, Embase, and Pubmed were searched using specific Boolean terms. A modified-CASP diagnostic test assessed the quality of the included studies. Extensive data extraction included but was not limited to injury definition, protocols for injury diagnosis and recording, and outcomes associated with ankle sprain. RESULTS: 4012 records were returned from the online search and 17 studies met the inclusion criteria for this review. Twelve different risk factors including anatomic alignment of the foot and ankle, joint laxity, height, mass, BMI (body mass index), age, ankle strength, hip strength, single leg landing performance (ground reaction force, pelvic internal rotation, and knee varus), and single leg reach were all found to be associated with ankle sprain incidence. Injury definitions and methods of diagnosis and recording varied across the 17 studies. CONCLUSION: This review updates the literature on prospective risk factors for ankle sprain in a specific population rather than heterogeneous cohorts previously studied. From more than 20 categories of risk factors investigated for ankle sprain association across 17 studies in field-based team contact sports, 12 variables were found to be associated with increased incidence of ankle sprain. In order to reduce the risk of ankle sprain, BMI, ankle plantar and dorsiflexion strength, hip strength, and single leg landing performance should be factored in to athlete assessment and subsequent program design. More studies utilizing standardized definitions and methods of recording and reporting are needed. Future prospective etiological studies will allow strength and conditioning coaches, physiotherapists, and physicians to apply specific training principles to reduce the risk and occurrence of ankle sprain injuries.

Injury Trends for School Rugby Union in Ireland: The Need for Position-specific Injury-prevention Programs.

BACKGROUND: Concern has been raised over the injury risk to school Rugby union (Rugby) players and the potential long-term health consequences. Despite the increase in studies for this cohort, the influence of playing position on injury incidence and presentation is unclear. PURPOSE: To describe the incidence, nature and severity of match injuries for school Rugby in Ireland overall, and as a function of playing position. STUDY DESIGN: Prospective cohort study. METHODS: Data were collected from 15 male (aged 16-19 years) school Senior Cup teams across 2 seasons. In total, 339 players participated in season 1, whereas 326 players participated in season 2. Injury data were recorded onto a bespoke online platform. Match exposure was also recorded. RESULTS: The incidence rate of match injuries (24-hour time loss) was 53.6 per 1000 hours. Across both seasons, 6810 days were lost from play due to injury. Forwards (65.4 per 1000 hours) sustained significantly more (P < 0.05) injuries than backs (40.5 per 1000 hours). The head, shoulder, knee, and ankle were the most common injured body regions; however, forwards sustained significantly more (P < 0.05) head and shoulder injuries than backs. The tackle was responsible for the majority of injuries in both groups. The highest proportion of injuries occurred during the third quarter. CONCLUSION: Clear differences in injury presentation and incidence were evident when comparing forwards versus backs. The high rate of head and shoulder injuries in the forwards suggest the need for more targeted injury-prevention strategies and further research on education and laws around the tackle event. The spike of injuries in the third quarter suggests that fatigue or inadequate half-time warm-up may be a contributing factor warranting further exploration. CLINICAL RELEVANCE: This study demonstrates clear differences in injury presentation according to playing position in school Rugby and highlights the need for a more tailored approach to the design and implementation of injury-prevention strategies. LEVEL OF EVIDENCE: Level 3.

Weight regulation and bone mass: a comparison between professional jockeys, elite amateur boxers, and age, gender and BMI matched controls.

The aim of this study was to compare bone mass between two groups of jockeys (flat: n = 14; national hunt: n = 16); boxers (n = 14) and age, gender and BMI matched controls (n = 14). All subjects underwent dual energy X-ray absorptiometry (DXA) scanning for assessment of bone mass, with measurements made of the total body, vertebra L2-4 and femoral neck. Body composition and the relative contribution of fat and lean mass were extrapolated from the results. Data were analysed in accordance with differences in body composition, in particular, height, lean mass, fat mass and age. Both jockey groups were shown to display lower bone mass than either the boxers or control group at a number of sites including total body bone mineral density (BMD) (1.019 ± 0.06 and 1.17 ± 1.05 vs. 1.26 ± 0.01 and 1.26 ± 0.06 g cm(-2) for flat, national hunt, boxer and control, respectively), total body bone mineral content (BMC) less head, L2-4 BMD and femoral neck BMD and BMC (p < 0.05). Regression analysis revealed that lean mass and height were the primary predictors of total body BMC, although additional group-specific influences were present which reduced bone mass in the flat jockey group and enhanced it in the boxers (R (2) = 0.814). Reduced bone mass in jockeys may be a consequence of reduced energy availability in response to chronic weight restriction and could have particular implications for these athletes in light of the high risk nature of the sport. In contrast, the high intensity, high impact training associated with boxing may have conveyed an osteogenic stimulus on these athletes.

An altered hormonal profile and elevated rate of bone loss are associated with low bone mass in professional horse-racing jockeys.

Horse-racing jockeys are a group of weight-restricted athletes, who have been suggested as undertaking rapid and extreme weight cycling practices in order to comply with stipulated body-mass standards. The aim of this study was to examine bone mass, turnover and endocrine function in jockeys and to compare this group with age, gender and body mass index matched controls. Twenty male professional jockeys and 20 healthy male controls participated. Dual energy X-ray absorptiometry scans and early morning fasting blood and urine samples were used to measure bone mass, turnover and a hormonal profile. Total body bone mineral density (BMD) was significantly lower in jockeys (1.143 ± 0.05 vs. 1.27 ± 0.06 g cm(-3), p < 0.01). Bone resorptive activity was elevated in the jockey group as indicated by significantly higher urinary NTx/creatinine (76.94 ± 29.52 vs. 55.9 ± 13.9 nmol mmol(-1), p < 0.01), resulting in a significantly negative uncoupling index between bone resorption and formation. Sex hormone binding globulin (SHBG) levels were significantly higher in jockeys (41.21 ± 9.77 vs. 28.24 ± 9.98 nmol L(-1), p < 0.01) with a lower percentage of bioavailable testosterone (48.89 ± 7.38 vs. 59.18 ± 6.74 %, p < 0.01). SHBG and insulin-like growth factor-1 were independent predictors of total body and femoral neck BMD, respectively (p < 0.05). In conclusion, it appears that professional jockeys have an elevated rate of bone loss and reduced bone mass that appears to be associated with disrupted hormonal activity. It is likely that this may have occurred in response to the chronic weight cycling habitually experienced by this group.

Effects of long-haul transmeridian travel on physiological, sleep, perceptual and mood markers in Olympic team support staff.

The objective of this study was to holistically examine the impact of long-haul transmeridian travel (LHTT) on perceptual, mood, sleep and physiological markers in Olympic team support staff travelling to Japan for the 2020 Summer Olympic Games. An observational descriptive study design was used. Nine support staff members of the Irish Olympic team (2 M/7 F; age 34.3 ± 8.3 y (mean ±SD)) embarked on a long-haul (LH) eastward flight across eight time-zones from Ireland to Japan (approx. 24 h total travel time), to work at the Irish Team's 2020 Summer pre-Olympic Games camp, postponed to July 2021 due to Covid-19 pandemic. Perceived jet lag and travel fatigue symptoms, mood states and salivary markers for circadian rhythm and stress were assessed in the morning and evening during the week prior to travel as baseline (BL) measures and on days 1 to 8 (C1-C8) and day 15 (C15) post-travel. Night-time sleep (duration and quality) was monitored via actigraphy monitors and self-report sleep diaries. Participants perceived themselves to be significantly jet lagged for six days post-travel (p < .05). Morning sCort decreased by 66% on C1 and remained significantly lower than BL until C6 (p ≤ .03). On arrival participants perceived sleep to be worse than BL on arrival (C1, C2, C4, C5; p ≤ .04), with significantly shorter sleep duration (C2, C3, C6; p ≤ .01) and lower sleep efficiency (C2, C6; p ≤ .04) recorded by actigraphy, all normalizing by C7. Negative changes in mood states were evident in the evening time following LHTT, with significant elevations in confusion (C2, C3, p ≤ .02), fatigue (C2, C3; p ≤ .03) and depression (C3, C7; p < .05) and reduction in vigour (C2, C6, C7; p < .05). Following LHTT in an eastward direction across eight time-zones, it took seven days for perceived jet lag, physiological markers for circadian rhythm and sleep to normalize in Olympic team support staff. Despite alleviation of jet lag and fatigue and return of sleep to normal by C15, vigor remained low, indicating a "submerged" mood profile in these Olympic team support staff. These findings highlight the need to put strategies in place before and after LHTT for the Olympic Games to assist Olympic team support staff to maximize sleep, minimize stress and assist with expediating recovery from jet lag and travel fatigue, allowing them to perform optimally in supporting Olympic athletes in their final preparations for the Games.

Epidemiology of Shoulder Injuries in Schoolboy Rugby Union in Ireland.

BACKGROUND: The shoulder has been reported as a frequent location of injury in adult professional and amateur rugby, with match injury incidence rates ranging from 1.8 to 3 per 1000 player-hours (h). An increased understanding of the incidence and mechanism of shoulder injuries in school rugby players is vital to establish effective injury preventive strategies and advise on appropriate rehabilitation. PURPOSE: To describe the incidence, nature, and severity of shoulder injuries in schoolboy rugby in Ireland. STUDY DESIGN: Descriptive epidemiology study. METHODS: Injury surveillance was carried out for Senior Cup teams across two seasons (N = 665 players aged 17-19 years) in Ireland from 2018 to 2020. Match and training injury data were recorded using an online system by trained nominated injury recorders. Match exposure was also recorded. RESULTS: Shoulder match injury incidence was 12.2 per 1000 h (95% CI, 9.1-16.2), with a mean severity of 47 days' time loss and an overall burden of 573 days per 1000 h. In total, 47 match and 5 training shoulder injuries were recorded. The most common injuries were shoulder dislocations/subluxations (34%), followed by acromioclavicular joint sprains (30%). Shoulder dislocations/subluxations represented the most burdensome injury (280 days per 1000 h). The tackle accounted for the majority (81%) of shoulder injuries. Forwards sustained a significantly higher incidence of shoulder injuries (8.3/1000 h) in comparison with backs (3.9/1000 h), with a rate ratio of 2.13 (95% CI, 1.15-3.94; P = .015). CONCLUSION: We found a notably higher injury incidence rate in schoolboy rugby as compared with the adult amateur and professional game. Shoulder injuries were responsible for more days lost than any other injury, and shoulder dislocations were the most severe. This is of particular concern so early in a player's career and warrants further investigation into potential risk factors and mechanisms associated with shoulder injuries in school-age players.

Injury Trends in Irish Amateur Rugby: An Epidemiological Comparison of Men and Women.

BACKGROUND: Rugby union is a physically demanding sport that carries an inherent risk of injury. Despite being a popular and widely played team sport, little is known about injuries occurring across the male and female amateur game. PURPOSE: To establish and compare injury incidence, nature, and severity in male and female Irish amateur rugby union. STUDY DESIGN: Prospective cohort study. LEVEL OF EVIDENCE: Level 3. METHODS: Data were collected prospectively from 25 male teams (959 players) and 8 female teams (234 players) over 2 full seasons. Both time-loss (24-hour time-loss injury definition) and non-time-loss match injury reports were collected, alongside match exposure data. RESULTS: Time-loss match injury incidence rates were 49.1/1000 and 35.6/1000 player-hours for male and female players, respectively. Concussion and ankle ligament sprains were the most common diagnoses for male (5.6/1000 and 4.4/1000 player-hours, respectively) and female players (5.5/1000 and 3.9/1000 player-hours, respectively). Anterior cruciate ligament injuries presented the highest injury burden for male and female players with 200.3 and 307.2 days of absence per 1000 player-hours, respectively. In female players, 83% of noncontact injuries occurred in the fourth quarter of match play. CONCLUSION: While female players had a lower overall injury incidence rate compared with male players, concussion and ankle ligament injuries were the most common injuries in both cohorts. In female players, a high rate of noncontact injuries in the second half points to the need for strength and conditioning training programs to reduce fatigue-related injuries. CLINICAL RELEVANCE: Establishing the incidence and burden of rugby-related injuries is an essential step in minimizing injury risk. This epidemiological information will aid the development of future reduction strategies, including education and coaching strategies and strength and conditioning programs, informed by the most common injuries observed and the mechanism of injury.

Correlating multimodal physical sensor information with biological analysis in ultra endurance cycling.

The sporting domain has traditionally been used as a testing ground for new technologies which subsequently make their way into the public domain. This includes sensors. In this article a range of physical and biological sensors deployed in a 64 hour ultra-endurance non-stop cycling race are described. A novel algorithm to estimate the energy expenditure while cycling and resting during the event are outlined. Initial analysis in this noisy domain of "sensors in the field" are very encouraging and represent a first with respect to cycling.

Injury surveillance and prevention practices across Rugby schools in Ireland.

OBJECTIVES: To ascertain the extent of injury surveillance and prevention practices currently in operation and the availability of qualified personnel across Rugby playing schools in the Republic of Ireland. DESIGN: Cross-sectional survey design. SETTING: Rugby playing schools across Ireland. PARTICIPANTS: The Rugby games master, head Rugby coach or teacher/coach with knowledge of all Rugby activities in the school. RESULTS: Ninety-three Rugby playing schools responded and reported 356 (97% male, 3% female) school Rugby teams. Rugby injuries were formally monitored in 86% of schools. Injury recorders were primarily coaches (61%). Physiotherapy provision was available in 28% of schools, 14% of schools provided access to a medical doctor and 44% of schools provided access to an S&C coach. Structured warm-ups were undertaken in 66% of schools, weekly gym sessions in 49% of schools and 31% of schools did not implement any formal injury prevention measures. CONCLUSIONS: Injury monitoring practices, medical personnel accessibility and the frequency of injury prevention practices varies considerably across Rugby playing schools in Ireland. Future injury surveillance and prevention systems should be suitable for use by non-medical personnel and reflect the structural organisation of the school Rugby game so that data are not solely representative of the elite, well-resourced schools.

The Effects of Low-Volume, High-Intensity Training on Performance Parameters in Competitive Youth Swimmers.

PURPOSE: To assess the effects of a 7-wk low-volume, high-intensity training (HIT) intervention on performance parameters in national-level youth swimmers. METHODS: Sixteen swimmers (age 15.8 [1.0] y, age at peak height velocity 12.9 [0.6] y, 100-m freestyle 61.4 [4.1] s) were randomly assigned to an HIT group or a low-intensity, high-volume training (HVT) group that acted as a control. The HIT group reduced their weekly training volume of zone 1 (low-intensity) training by 50% but increased zone 3 (high-intensity) training by 200%. The HVT group performed training as normal. Pretest to posttest measures of physiological performance (velocity at 2.5- and 4-mM blood lactate [velocity2.5mM and velocity4mM] and peak blood lactate), biomechanical performance (stroke rate, stroke length [SL], and stroke index [SI] over a 50- and 400-m freestyle), and swimming performance (50-, 200-, and 400-m freestyle) were assessed. RESULTS: There were no significant 3-way interactions between time, group, and sex for all performance parameters (P > .05). There was a significant 2-way interaction between time and group for velocity4mM (P = .02, ηp2=.40 ), SL50 (P = .03, ηp2=.37 ), and SI50 (P = .03, ηp2=.39 ). Velocity4mM decreased in the HIT group but increased in the HVT group while SL50 and SI50 decreased in the HVT group. CONCLUSIONS: A 7-wk HIT intervention was neither beneficial nor detrimental to performance parameters; however, the HIT group completed 6 h (17.0 km) of swimming per week compared with 12 h (33.4 km) per week for the HVT group.