The impact of match congestion, training load (TL), perceived stress, fatigue and soreness on the odds of injury remains unclear. PURPOSE: To examine the influence of: 1) days rest between matches on injury rate (IR) and odds of injury and; 2) TL on injury, perceived stress, fatigue and soreness. METHODS: A prospective multi-site study tracked daily exposures, TL (distance and duration), injury and perceptual data from six Division I NCAA women’s soccer teams in one season. Overall and non-contact (NC) IRs expressed per 1000 athlete exposures (AEs), and odds ratios (OR) were determined by days before and after matches. Associations between injury and changes in both TL and perception were analyzed using a multilevel logistic regression. RESULTS: 139 players experienced 94 injuries in 137 matches and 107 injuries in 363 practices. Overall match and practice IRs (per 1000AEs [95%CI]) were 39.0 [31.1, 46.9] and 17.1 [13.9, 20.3], respectively. While insignificant (p > 0.21), match IRs were highest 2 days between matches (IR= 50.9 [26.7, 75.1]). Players were at increased odds of being injured in a match with 1 to 5 days since the last match vs. 6+ days (OR [95%CI] = 1.79 [1.02, 3.17]). Practice IRs were highest in the preseason (IR = 28.8 [17.0, 40.5]). Players were at increased odds of sustaining a NC overuse injury with 1-5 days between matches vs. 6+ days (OR=7.85 (1.06, 57.94); p=0.04). Similarly, 1-3 days’ rest had 2.24 (1.03, 4.88) times higher rates on NC overuse IR than 4+ days’ rest (p=0.05). Acute NC IR was increased with 1 to 3 days rest vs. 4+ days rest (OR= 3.01 [1.11, 8.14]; p=0.03). Players were at increased odds (p < 0.001) of feeling fatigue (> 5) (OR= 4.71 [1.82, 12.17]) and soreness (> 5) (OR= 7.68 (2.67, 22.10]) on match day with 2 days vs. 7+ days since the last match. For each additional 3000m covered on a day, odds of overall injury, soreness and fatigue increased (41%, 32% and 31% respectively. CONCLUSION: Days between matches and acute TL increases on a given day had a negative impact on odds of injury and perception. The odds of getting injured in a match were greater with 1 to 5 days vs. 6+ days between matches. These data may be used to inform and guide the NCAA in determining optimal scheduling and recovery.
Read full abstract