Elite Australian Football Research Articles

Lower limb musculoskeletal screening in elite female Australian football players

ObjectiveTo report physical characteristics of lower-limb strength, endurance, range of motion, balance, and pain during adductor squeeze in elite female Australian Football (AF) players, and to examine the effect of limb dominance, previous AF experience, age, and previous level of sports participation on these characteristics. DesignCross-sectional study. SettingThree elite AF clubs. ParticipantsEighty-five female players. All were aged ≥18, contracted for the 2018 season, and participated in pre-season training. Main outcome measuresThe physical characteristic assessments included; pain on adductor squeeze, weight-bearing lunge, side bridge, isometric hip abduction and adduction strength, and the modified star excursion balance test. ResultsThe adductor squeeze had low pain scores, with 93% of players scoring ≤2 on the numerical rating scale. Other assessment results were (mean ± SD): 10.8 ± 2.7 cm for weight-bearing lunge, 95 ± 39s for side bridge, 1.85 ± 0.23 and 1.85 ± 0.36Nm/kg for hip abduction and adduction strength respectively, and 92 ± 8% for the modified star excursion balance test. There was no clinically relevant effect of limb dominance, previous AF experience, age, or previous level of sports on physical characteristics. ConclusionsPhysical characteristics for five assessments are reported. These data can be used for comparison purposes in the screening and clinical management of elite female AF players.

Hip adduction and abduction strength and adduction-to-abduction ratio changes across an Australian Football League season

ObjectivesPre-season hip strength testing only represents the athlete’s level of conditioning at that time point, and may change over an Australian Football (AF) season. This study aimed to examine if there are changes in hip adduction, abduction and the adduction-to-abduction ratio between preferred and non-preferred kicking legs throughout an AF season. The influence of training load and player characteristics was also examined. DesignCross-sectional repeated measures. Methods38 uninjured elite AF players were included. Maximal isometric hip adduction and abduction strength were measured at four time points: start of pre-season (T1), end of pre-season (T2), mid-season (T3) and post-season (T4) using a hand held dynamometer with external belt fixation. ResultsHip adduction strength and hip-adduction-to-abduction ratio were greater in T3 compared to T1 (adduction by 22.71N, p<0.001, ratio by 0.15N, p<0.001) and hip adduction and abduction were weaker in T4 compared to T1 (adduction by 18.6N, p=0.004, abduction by 24.67N, p<0.001). No differences were found between the preferred and non-preferred leg in adduction (p=0.409) or abduction (p=0.602) strength. There was an interaction between leg and time point for the adduction-to-abduction ratio; at T3 and T4, the ratio of the preferred kicking leg was significantly lower than the non-preferred kicking leg (T3 by 0.14N, p=0.020, T4 by 0.15N, p=0.019). Training load was not significantly associated with strength changes. ConclusionsHip strength does change over an AF season. Regular in-season hip strength testing should occur to more accurately reflect player condition compared to one pre-season measurement.

Recovery of Force-Time Characteristics After Australian Rules Football Matches: Examining the Utility of the Isometric Midthigh Pull.

Purpose: This study assessed the utility of force-time characteristics from the isometric midthigh pull (IMTP) as a measure of neuromuscular function after elite-level Australian rules football matches. It was hypothesized that rate characteristics of force development would demonstrate a different response magnitude and recovery time course than peak force measurements. Methods: Force-time characteristics of the IMTP (peak force, 0- to 50-ms rate of force development [RFD], 100- to 200-ms RFD) were collected at 48 (G+2), 72 (G+3), and 96 h (G+4) after 3 competitive Australian rules football matches. Results: Meaningful reductions (>75% of the smallest worthwhile change) were observed at G+2, G+3, and G+4 for RFD 0-50 milliseconds (-25.8%, -17.5%, and -16.9%) and at G+2 and G+3 for RFD 100-200 milliseconds (-15.7% and -11.7%). No meaningful reductions were observed for peak force at any time point (G+2 -4.0%, G+3 -3.9%, G+4 -2.7%). Higher week-to-week variation was observed for RFD 0-50 milliseconds (G+2 17.1%, G+3 27.2%, G+4 19.3%) vs both RFD 100-200 milliseconds (G+2 11.3%, G+3 11.5%, G+4 7.2%) and peak force (G+2 4.8%, G+3 4.4%, G+4 8.4%). Conclusions: These findings highlight the potential use of rate characteristics from the IMTP as measures of neuromuscular function in elite sport settings, and in particular RFD 100-200 milliseconds due to its higher reliability. Interestingly, peak force collected from the IMTP was not meaningfully suppressed at any time point after elite Australian rules football match play. This suggests that rate characteristics from IMTP may provide more sensitive and valuable insight regarding neuromuscular function recovery kinetics than peak measures.

Differences between Elite and Semi-Elite Australian Football Conceptualised through the Lens of Ecological Dynamics.

This study explored the differences in match play between elite and semi-elite Australian football (AF) conceptualised through the lens of ecological dynamics. We sampled naturalistic constraints from match play across two AF competitions (elite and semi-elite) and heuristically classified them into task, environmental and individual classes. Data was extracted from 22 Australian Football League (AFL) games, and 18 semi-elite AF games, with a total of six constraints being sampled from each game. Match play within the AFL generated a greater percent of total disposals in general play within a processing time of 0–1s (d = 1.24 (0.64–1.80)), a greater opposition density surrounding the ball carrier (d = 0.82 (0.26–1.37)), and more disposals being performed while running (dynamic; d = 0.89 (0.33–1.45)). This data highlights differences with regards to the informational sources available to players across both competition standards to inform their movement choices. Specifically, a greater proportion of disposals within the AFL appear to be shaped by pronounced temporal and spatial constraints relative to a semi-elite competition. Coaches are encouraged to consider these results when developing representative training activities for both AFL and prospective AFL players.

Subsequent Injury Risk Is Elevated Above Baseline After Return to Play: A 5-Year Prospective Study in Elite Australian Football

Background: The risk of sustaining a subsequent injury is elevated in the weeks after return to play (RTP) from an index injury. However, little is known about the magnitude, duration, and nature by which subsequent injury risk is increased. Purpose: To quantify and describe the risk of injury in a 12-week period after RTP from an index injury in Australian football players. Study Design: Cohort study; Level of evidence, 2. Methods: Injury data were collected from 79 players over 5 years at 1 Australian Football League club. Injuries were classified with the Orchard Sports Injury Classification System and by side of the body. Furthermore, injury severity was classified as time loss (resulting in ≥1 matches being missed) or non–time loss (no matches missed). Subsequent injury was categorized with the SIC-2.0 model and applied to the data set via an automated script. The probability of a time loss subsequent injury was calculated for in-season index injuries for each week of a 12-week period after RTP via a mixed effect logistic regression model. Results: Subsequent injury risk was found to be highest in the week of RTP for both time loss injuries (9.4%) and non–time loss injuries (6.9%). Risk decreased with each week survived after RTP; however, it did not return to baseline risk of participation (3.6%). Conclusion: These findings demonstrate that athletes returning to play are at an increased risk of injury for a number of weeks, thus indicating the requirement for tertiary prevention strategies to ensure that they survive this period.

Session Availability as a Result of Prior Injury Impacts the Risk of Subsequent Non-contact Lower Limb Injury in Elite Male Australian Footballers.

Prior injury is a commonly identified risk factor for subsequent injury. However, a binary approach to classifying prior injury (i.e., yes/no) is commonly implemented and may constrain scientific findings, as it is possible that variations in the amount of time lost due to an injury will impact subsequent injury risk to differing degrees. Accordingly, this study investigated whether session availability, a surrogate marker of prior injury, influenced the risk of subsequent non-contact lower limb injury in Australian footballers. Data were collected from 62 male elite Australian footballers throughout the 2015, 2016, and 2017 Australian Football League seasons. Each athlete’s participation status (i.e., full or missed/modified) and any injuries that occurred during training sessions/matches were recorded. As the focus of the current study was prior injury, any training sessions/matches that were missed due to reasons other than an injury (e.g., load management, illness and personal reasons) were removed from the data prior to all analyses. For every Monday during the in-season periods, session availability (%) in the prior 7, 14, 21, 28, 35, 42, 49, 56, 63, 70, 77, and 84 days was determined as the number of training sessions/matches fully completed (injury free) relative to the number of training sessions/matches possible in each window. Each variable was modeled using logistic regression to determine its impact on subsequent injury risk. Throughout the study period, 173 non-contact lower limb injuries that resulted in at least one missed/modified training session or match during the in-season periods occurred. Greater availability in the prior 7 days increased injury probabilities by up to 4.4%. The impact of session availability on subsequent injury risk diminished with expanding windows (i.e., availability in the prior 14 days through to the prior 84 days). Lesser availability in the prior 84 days increased injury probabilities by up to 14.1%, only when coupled with greater availability in the prior 7 days. Session availability may provide an informative marker of the impact of prior injury on subsequent injury risk and can be used by coaches and clinicians to guide the progression of training, particularly for athletes that are returning from long periods of injury.

Identification of key performance characteristics of elite Australian football umpires

This research aimed to present a hierarchy of key attributes for Australian football umpires. Elite Australian football umpires ( n = 19) and their coaches ( n = 5) participated in this study. A list of attributes necessary for sports officiating was obtained from past research and adapted specifically for Australian football umpires. Umpires were required to rate each attribute on a scale of 0–9 (least to most importance), and provide a justification of its importance to performance. A modified questionnaire was developed with attributes removed or added, according to the first survey round. This research identified two cognitive attributes: knowing the laws/interpretations and decision-making as the two highest rated attributes, respectively. Psychological attributes composure and concentration were rated highly by the umpires, ranked as number three and five, respectively. The game skill attribute of teamwork was rated as the fourth highest. Fitness was the only physical attribute to be rated in the most important category. Results highlight the importance of cognitive and psychological attributes to elite performance; however, participant feedback suggests that the integration of all attributes is critical. This knowledge establishes an understanding of the key attributes for expert performance, and this information could be used by coaches for the assessment and development of Australian football umpires.

CHRONIC LACK OF SLEEP IS ASSOCIATED WITH INCREASED SPORTS INJURY IN ADOLESCENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background:Although sleep has been identified as an important modifiable risk factor for sports injury, the effect of decreased sleep on sports injuries in adolescents is poorly studied.Purpose:To ...

Hip range of motion increases after a 12-week rest period in elite Australian Rules Football players

Hip range of motion increases after a 12-week rest period in elite Australian Rules Football players

Association Between Preseason Training and Performance in Elite Australian Football.

To examine the association between preseason training variables and subsequent in-season performance in an elite Australian football team. Data from 41 elite male Australian footballers (mean [SD] age = 23.4 [3.1]y, height =188.4 [7.1]cm, and mass = 86.7 [7.9]kg) were collected from 1 Australian Football League (AFL) club. Preseason training data (external load, internal load, fitness testing, and session participation) were collected across the 17-wk preseason phase (6 and 11 wk post-Christmas). Champion Data© Player Rank (CDPR), coaches' ratings, and round 1 selection were used as in-season performance measures. CDPR and coaches' ratings were examined over the entire season, first half of the season, and the first 4 games. Both Pearson and partial (controlling for AFL age) correlations were calculated to assess if any associations existed between preseason training variables and in-season performance measures. A median split was also employed to differentiate between higher- and lower-performing players for each performance measure. Preseason training activities appeared to have almost no association with performance measured across the entire season and the first half of the season. However, many preseason training variables were significantly linked with performance measured across the first 4 games. Preseason training variables that were measured post-Christmas were the most strongly associated with in-season performance measures. Specifically, total on-field session rating of perceived exertion post-Christmas, a measurement of internal load, displayed the greatest association with performance. Late preseason training (especially on-field match-specific training) is associated with better performance in the early season.

A novel device to assess hip strength: Concurrent validity and normative values in male athletes

Objectives To assess concurrent validity of the new, novel externally-fixed dynamometer (GroinBar) with hand-held dynamometry (HHD); to provide normative GroinBar scores for elite Australian rules football (AFL) and football (Soccer) players; and to evaluate preliminary predictive validity of the GroinBar and HHD in this population by comparing strength results with patient-reported outcome scores. Design Cross-sectional and reliability study Participants Total of 67 athletes, 36 AFL players and 31 football (Soccer) players Setting Elite AFL and football (Soccer) teams Main Outcome Measures The GroinBar system, HHD, The Copenhagen Hip and Groin Outcome Score (HAGOS) Questionnaire. Results Moderate to good correlations were identified between the GroinBar and HHD strength tests for hip adduction and abduction in the long lever position (rs 0.53 – 0.71). Normative values of the GroinBar and HHD for both AFL and football (Soccer) players were obtained. Neither the GroinBar or HHD strength measures differed between players with groin problems and those without. Conclusion This externally fixed strength testing device, the GroinBar, may provide a robust method of athlete monitoring and screening that does not rely on tester experience and strength. Normative values are documented for hip adduction and abduction strength in elite male athletes.

Nutritional Intake in Australian Football Players: Sports Nutrition Knowledge and Macronutrient and Micronutrient Intake.

This study compared the energy, macronutrient, and micronutrient intake in elite and sub-elite Australian football players and compared nutritional intake to current recommendations. Sports nutrition knowledge was also quantified and compared between elite and sub-elite players. Nutritional intake was quantified in elite (n = 35) and sub-elite (n = 31) players using the Automated Self-Administered 24-Hour Dietary Assessment Tool. The 88-item Sports Nutrition Knowledge Questionnaire was used to quantify knowledge related to general nutrition concepts, fluid, recovery, weight control, and supplements. Elite players had a higher nutritional intake (mean ± SD) for energy (14,140 ± 5,887kJ [elite players] vs 10,412 ± 3,316kJ [sub-elite players]; P = .002) and fat (40% ± 6% [elite players] vs 34% ± 6% [sub-elite players]; P < .001). Protein intake exceeded the recommended intake in 77% of elite players and 68% of sub-elite players, and carbohydrate intake was below the recommended intake for 91% of elite players and 97% of sub-elite players. Sodium intake recommendations were exceeded by 100% of elite and sub-elite players. Both elite and sub-elite players answered 51% of the Sports Nutrition Knowledge Questionnaire questions correctly. The percentage of correctly answered questions specific to supplements was 27% for elite players and 18% for sub-elite players. The results of the current investigation suggest that Australian football players' nutritional intake is inconsistent with current recommendations for macronutrients and some micronutrients. Furthermore, players may benefit from additional knowledge of the risks and benefits of supplement use.

Functional Basis of Asymmetrical Lower-Body Skeletal Morphology in Professional Australian Rules Footballers.

Hart, NH, Newton, RU, Weber, J, Spiteri, T, Rantalainen, T, Dobbin, M, Chivers, P, and Nimphius, S. Functional basis of asymmetrical lower-body skeletal morphology in elite Australian footballers. J Strength Cond Res 34(3): 791-799, 2020-Bone strength is a product of its material and structural properties and is highly responsive to mechanical load. Given the measureable and adaptable features of bone, and thus relevance to medical screening, injury prevention, and injury management in athletes, this study describes the lower-body skeletal morphology of professional Australian rules footballers. Using a cross-sectional and quantitative study design, 54 professional Australian rules football players (n = 54; age: 22.4 ± 3.8 years; height: 189.0 ± 7.5 cm; body mass: 86.0 ± 8.6 kg; tibial length: 436.1 ± 29.2 mm; and body fat: 9.9 ± 1.7%) underwent tibiofibular peripheral quantitative computed tomography scans for the kicking and support limbs, and a whole-body dual-energy X-ray absorptiometry scans. The support leg was significantly stronger than the kicking leg (bone strength: p ≤ 0.001; d = 0.47) with significantly greater bone mass (p < 0.001; d = 0.28), cross-sectional areas (p ≤ 0.002; d = 0.20), and greater cortex thickness (p = 0.017; d = 0.20), owing to significantly greater periosteal apposition (p ≤ 0.001; d = 0.29) and endocortical expansion (p = 0.019; d = 0.13), despite significantly lower cortical density (p = 0.002; d = -0.25). Disparate skeletal morphology between limbs highlights context-specific adaptive responses to mechanical loads experienced during game-based tasks. Practitioners should concomitantly measure material and structural properties of musculoskeletal tissue when examining fragility or resilience to better inform medical screening, monitoring, and injury risk stratification. Support leg axial loading highlights a potential avenue for interventions aiming to remediate or optimize bone cross-sectional area.

Improvement of Prediction of Noncontact Injury in Elite Australian Footballers With Repeated Exposure to Established High-Risk Workload Scenarios.

To assess the effect of multiple high-risk-scenario (HRS) exposures on noncontact injury prediction in elite Australian footballers. Retrospective cohort study. Sessional workload data (session rating of perceived exertion, global positioning system-derived distance, sprint distance, and maximum velocity) from 1 club (N = 60 players) over 3 seasons were collated; several established HRSs were also defined. Accumulated HRS sessional exposures were calculated retrospectively (previous 1-8wk). Noncontact injury data were documented. Univariate and multivariate Poisson regression models determined injury incidence rate ratios (IRRs) while accounting for moderating effects (preseason workload volume and playing experience). Model performance was evaluated using receiver operating characteristics (area under curve). Very low (0-8 sessions: IRR = 5.76; 95% confidence interval [CI],1.69-19.66) and very high (>15 sessions: IRR = 4.70; 95% CI,1.49-14.87) exposures to >85% of an individual's maximal velocity over the previous 8 wk were associated with greater injury risk compared with moderate exposures (11-12 sessions) and displayed the best model performance (area under curve = 0.64). A single session corresponding to a very low chronic load condition over the previous week for all workload variables was associated with increased injury risk, with sprint distance (IRR = 3.25; 95% CI,1.95-5.40) providing the most accurate prediction model (area under curve = 0.63). Minimal exposure to high-velocity efforts (maximum speed exposure and sprint volume) was associated with the greatest injury risk. Being underloaded may be a mediator for noncontact injury in elite Australian football. Preseason workload and playing experience were not moderators of this effect.

Eccentric hamstring training in elite AFL athletes promotes improvements in lower limb strength

Introduction: In elite Australian Rules Football (AFL), hamstring strain injuries (HSI) are the most common cause of time lost from training and matches. Additionally, athletes with low levels of eccentric strength have been shown to be at a greater risk of HSI than stronger individuals. Recent research using various interventions to improve eccentric strength are limited in their application to the elite level due to their recreational cohorts. Therefore, the aim of this study was to determine the impact of Nordic hamstring exercise (NHE) and hip-based flywheel training on lower limb and eccentric knee flexor strength in elite Australian Footballers.

Predictive modelling of non-contact lower limb injuries in elite Australian footballers

Predictive modelling of non-contact lower limb injuries in elite Australian footballers

Calf strain injuries in elite Australian rules football: Epidemiological features, muscles injured and return to play

Calf strain injuries in elite Australian rules football: Epidemiological features, muscles injured and return to play

A video analysis of mechanisms of shoulder injuries in elite Australian Rules football

A video analysis of mechanisms of shoulder injuries in elite Australian Rules football

The Individual and Combined Effects of Multiple Factors on the Risk of Soft Tissue Non-contact Injuries in Elite Team Sport Athletes.

Aim: Relationships between athlete monitoring-derived variables and injury risk have been investigated predominantly in isolation. The aim of this study was to evaluate the individual and combined effects of multiple factors on the risk of soft-tissue non-contact injuries in elite team sport athletes.Methods: Fifty-five elite Australian footballers were prospectively monitored over two consecutive seasons. Internal and external training load was quantified using the session rating of perceived exertion and GPS/accelerometry, respectively. Cumulative load and acute-to-chronic workload ratios were derived using rolling averages and exponentially weighted moving averages. History of injuries in the current and previous seasons was recorded along with professional experience, weekly musculoskeletal screening, and subjective wellness scores for individual athletes. Individual and combined effects of these variables on injury risk were evaluated with generalized linear mixed models.Results: High cumulative loads and acute-to-chronic workload ratios were associated with increased risk of injuries. The effects for measures derived using exponentially weighted moving averages were greater than those for rolling averages. History of a recent injury, long-term experience at professional level, and substantial reductions in a selection of musculoskeletal screening and subjective wellness scores were associated with increased risk. The effects of high cumulative loads were underestimated by ~20% before adjusting for previous injuries, whereas the effects of high acute-to-chronic workload ratios were overestimated by 10–15%. Injury-prone players, identified via player identity in the mixed model, were at > 5 times higher risk of injuries compared to robust players (hazard ratio 5.4, 90% confidence limits 3.6–12) despite adjusting for training load and previous injuries. Combinations of multiple risk factors were associated with extremely large increases in risk; for example, a hazard ratio of 22 (9.7–52) was observed for the combination of high acute load, recent history of a leg injury, and a substantial reduction in the adductor squeeze test score.Conclusion: On the basis of our findings with an elite team of Australian footballers, the information from athlete monitoring practices in team sports should be interpreted collectively and used as a part of the injury prevention decision-making process along with consideration of individual differences in risk.

Forced retirement transition: A narrative case study of an elite Australian Rules football player

Retirement from elite sport is a complex and often-problematic process. The current study explores a negative case study of an athlete recently retired from a team sport (Australian Rules Football) in order to generate knowledge on how to improve the retirement process. Three semi-structured interviews were undertaken less than 5 years post retirement, and archival career records were gathered from online sources. Data were coded to construct a narrative account of the participant’s career and retirement. Narrative analysis also revealed that the retirement transition from elite sports for this athlete was problematic and caused considerable personal distress. We suggest that the means of improving retirement transition and reducing harm to players include fostering alternative life narratives and increasing self-complexity, utilising norm appropriate communication strategies, and recognising retirement as a potential grieving period for loss of community.