Elite Male Australian Football Players Research Articles

Epidemiology of Hamstring Strain Injuries in Elite Male Australian Football Players: An Analysis of 773 Injuries Over 7 Seasons

Epidemiology of Hamstring Strain Injuries in Elite Male Australian Football Players: An Analysis of 773 Injuries Over 7 Seasons

Epidemiology of quadriceps muscle strain injuries in elite male Australian football players.

To describe the epidemiology of quadriceps muscle strain injury (QMSI) in elite Australian Football League (AFL) players, explore recovery milestones and determine whether recovery is impacted by factors such as injury type (index vs. re-injury), the primary muscle injured and the mechanism of injury. All QMSI data reported to the Soft Tissue Injury Registry of the AFL from the 2014 to 2020 seasons were evaluated. Player demographic data, circumstances of injury, MRI reports and recovery outcomes following injury were extracted. Descriptive statistics and frequency distributions are presented. Recovery outcomes for injury type, primary muscle injured and the mechanism of injury were compared using univariate analyses. There were 164 QMSIs from 122 players reported (134 index; 30 re-injuries). Almost all (91.3%) QMSIs involved the rectus femoris. Half (48.4%) of the QMSIs occurred during kicking and most commonly affected the dominant kicking leg (72%). The majority occurred at training (64.6%). All re-injuries involved the rectus femoris, most occurred from kicking (63.0%) and within 6 months of the preceding injury (70%). The mean return to play (RTP) time was 25.4 days (95%CI = 22.6-28.2) and rectus femoris injuries took around 14 days longer to RTP than vastii injuries (p = 0.001). QMSIs with a kicking mechanism took the longest to RTP of all injury mechanisms. In AFL players, QMSIs occur mostly in the dominant leg from a kicking mechanism. Rectus femoris injuries are more prevalent and result in longer RTP time frames. Re-injuries exclusively involved the rectus femoris, primarily from kicking.

Hip Muscle Strength, Range of Motion, and Functional Performance in Young Elite Male Australian Football Players.

Hip and groin injuries are common in field sports such as football, with measurement of hip strength and range of motion (ROM) recommended for assessment of these conditions. We aimed to report hip strength, hip ROM, and functional task performance in young elite Australian football athletes. Cross-sectional study. Fifty-eight newly drafted Australian Football League athletes completed hip abduction, adduction, internal rotation, external rotation, and flexion strength testing with an adjustable stabilized or hand-held dynamometer. Hip internal rotation and external rotation, bent knee fall out, and ankle dorsiflexion ROM were also measured. Players completed hop for distance, side bridge, and star excursion balance functional tests. We compared findings between the dominant and nondominant limbs. We found small deficits unlikely to be clinically meaningful in the dominant limb for hip abduction and adduction strength, and a small deficit in the nondominant limb for external rotation strength and side bridge time. Athletes had lower hip internal rotation (mean difference 2.56°; 95% confidence interval, 0.87 to 4.26) and total rotation ROM (2.03°; 95% confidence interval, 0.06 to 4.01) on the dominant limb. There were no meaningful differences between dominant and nondominant limbs for hip strength, ROM, or functional tests. Our results may be used for benchmarking young male Australian football athletes when targeting optimal strength and returning from injury.

Reduced death rates of elite Australian Rules footballers compared to age-matched general population

ObjectivesTo determine age-matched death rates of current and retired elite male Australian football players (Australian and/or Victorian Football League) with the general population. DesignAnalysis of publicly-available birth, debut and death data for all Australian Victorian Football/Victorian Football League players who debuted prior to (and were still alive at) the start of 1971 or debuted 1971–2020. MethodsWikipedia was used to source the dates of death (or record that the player was alive in 2021) for the cohort. New players became part of the cohort for analysis on debut and existing cohort members left it at death. Actual death rates (per year and per decade) were then compared to expected deaths, based on age-specific population death rates. ResultsThere were 5400 players and ex-players in the cohort at the start of 1971 (average age 47.3) and a further 4532 players debuted between 1971 and 2020 inclusive (a total of 9932 players). The expected deaths for the cohort in this 50-year period were 4955, but only 3914 deaths occurred (Standardized Mortality Ratio 0.79, 95 %CI 0.76–0.82). For younger members of the cohort (age <50) the discrepancy between expected (222) and actual (98) deaths was also significant (Standardized Mortality Ratio 0.44, 95 %CI 0.35–0.56). ConclusionsWe conclude that the death rates of elite male Australian footballers are lower than the reference general population, similar to other studies of elite athletes. Some of this may be explained by “healthy cohort” selection bias, a limitation which affects almost all studies in this genre.

Mixed versus Focused Resistance Training during an Australian Football Pre-Season.

The purpose of this investigation was to determine the effect of a focused versus mixed-methods strength-power training plan on athletes undertaking high volumes of concurrent training. Fourteen junior elite male Australian football players were randomly assigned into either the focused or mixed group. Both training groups undertook a sequenced training intervention consisting of a four-week mesocycle emphasising heavy strength followed by a four-week mesocycle of high velocity emphasis. Training differed between groups by way of the degree of emphasis placed on the targeted attribute in each cycle and occurred during the preseason. Testing occurred pre- and post-training and consisted of the unloaded and loaded (+20 kg) countermovement jump (CMJ). Focused training elicited practical (non-trivial) improvements in flight time to contraction ratio (FT:CT) (g = 0.45, ±90% confidence interval 0.49) underpinned by a small reduction in contraction time (g = −0.46, ±0.45) and a small increase in braking (g = 0.36, ±0.42) and concentric phase mean force (g = 0.22, ±0.39). Conversely, the mixed group demonstrated an unchanged FT:CT (g = −0.13, ±0.56). Similar respective changes occurred in the loaded condition. Preferential improvements in FT:CT occur when a greater focus is placed on a targeted physical quality in a sequenced training plan of junior elite Australian football players during preseason training.

Reduced Levels of Aligned Fibrillar Structure Are Not Associated With Achilles and Patellar Tendon Symptoms.

To investigate whether the mean cross-sectional area (mCSA) of aligned fibrillar structure (AFS) was associated with the presence and severity of symptoms. Prospective cohort study. One hundred seventy-five elite male Australian football players completed monthly Oslo Sports Trauma Research Center overuse injury questionnaires for both the Achilles and patellar tendon over the season to ascertain the presence and severity of symptoms. At the start of the preseason, participants underwent ultrasound tissue characterization (UTC) imaging of the Achilles and patellar tendon. Images were classified as normal or abnormal based on gray-scale ultrasound. Based on UTC quantification, the mCSA of AFS was compared between those with and without current symptoms. No difference in the mCSA of AFS was observed between those with or without tendon symptoms (P < 0.05). Similar to previous findings, 80% to 92% of abnormal tendons had similar amounts of mCSA of AFS compared with normal tendon. If reduced mCSA of AFS was present, it was not associated with the presence or severity of symptoms. The prevalence, development, or severity of symptoms was not associated with decreased levels of AFS in the Achilles or patellar tendon. This suggests that a lack of structural integrity is not linked to symptoms and questions the rationale behind regenerative medicine. Most tendons are able to compensate for areas of disorganization and maintain tissue homeostasis.

No Influence of Prematch Subjective Wellness Ratings on External Load During Elite Australian Football Match Play.

To determine whether there is an association between external match load and contextual factors on subjective wellness in the days before and after Australian Rules football match play. A total of 34 elite male Australian football players completed a subjective wellness questionnaire in the days leading into the match (-3, -2, and -1d), the day of (match day), and the days after each match (+3, +2, and +1d). Players subjectively rated each item (mood, energy, stress, leg heaviness, muscle soreness, sleep quality, hours slept, and total wellness [a sum of the total response score]) on a visual analog scale ranging from 1 to 10, with 1 representing the negative end of the continuum. External load during competitive matches was quantified using accelerometer-derived PlayerLoad, and running activity was quantified using global positioning system technology across 2 competitive seasons. The relationships between perceptions of wellness (within-individual z score), external match load, and contextual factors (match result, match location, and between-matches recovery duration) were analyzed using linear mixed models. Mixed-effect linear models revealed trivial effects of match-day wellness z score on subsequent external match load metrics. Match result (win) and PlayerLoad in the anteroposterior vector (au·min-1) were associated with an increased (estimate ± SE: 0.30 ± 0.13 z score) and reduced subjective wellness (-0.15 ± 0.06 z score), respectively. The results of this study suggest that prematch perceived wellness does not relate to external match load in elite Australian football players. The between-matches microcycle length appears to be sufficient to restore perceived wellness to values that do not affect the subsequent external match loads.

Nutrient intake, meal timing and sleep in elite male Australian football players

ObjectivesTo investigate the relationship between dietary intake, meal timing and sleep in elite male Australian football players. DesignProspective cohort study. MethodsSleep and dietary intake were assessed in 36 elite male Australian Football League (AFL) players for 10 consecutive days in pre-season. Sleep was examined using wrist activity monitors and sleep diaries. Dietary intake was analysed using the smartphone application MealLogger and FoodWorks. Generalised linear mixed models examined the associations between diet [total daily and evening (>6pm) energy, protein, carbohydrate, sugar and fat intake] and sleep [total sleep time (TST), sleep efficiency (SE), wake after sleep onset (WASO) and sleep onset latency (SOL)]. ResultsTotal daily energy intake (MJ) was associated with a longer WASO [β=3, 95%CI: 0.2–5; p=0.03] and SOL [β=5, 95%CI: 1−9; p=0.01]. Total daily protein intake (gkg−1) was associated with longer WASO [β=4, 95%CI: 0.8−7; p=0.01] and reduced SE [β=−0.7 CI: −1.3 to −0.2; p=0.006], while evening protein intake (gkg−1) was associated with shortened SOL [β=−2, 95%CI: −4 to −0.4), p=0.02]. Evening sugar intake (gkg−1) was associated with shorter TST [β=−5, 95%CI: −10 to −0.6; p=0.03] and WASO [β=−1, 95%CI: −2 to −0.3; p=0.005]. A longer period between the evening meal consumption and bedtime was associated with a shorter TST [β=−8, 95%CI: −16 to −0.3; p=0.04]. ConclusionsEvening dietary factors, including sugar and protein intake, had the greatest association with sleep in elite male AFL players. Future research manipulating these dietary variables to determine cause and effect relationships, could guide dietary recommendations to improve sleep in athletes.

Training Load and Carbohydrate Periodization Practices of Elite Male Australian Football Players: Evidence of Fueling for the Work Required.

The authors aimed to quantify (a)the periodization of physical loading and daily carbohydrate (CHO) intake across an in-season weekly microcycle of Australian Football and (b)the quantity and source of CHO consumed during game play and training. Physical loading (via global positioning system technology) and daily CHO intake (via a combination of 24-hr recall, food diaries, and remote food photographic method) were assessed in 42 professional male players during two weekly microcycles comprising a home and away fixture. The players also reported the source and quantity of CHO consumed during all games (n = 22 games) and on the training session completed 4 days before each game (n = 22 sessions). The total distance was greater (p < .05) on game day (GD; 13km) versus all training days. The total distance differed between training days, where GD-2 (8km) was higher than GD-1, GD-3, and GD-4 (3.5, 0, and 7km, respectively). The daily CHO intake was also different between training days, with reported intakes of 1.8, 1.4, 2.5, and 4.5g/kg body mass on GD-4, GD-3, GD-2, and GD-1, respectively. The CHO intake was greater (p < .05) during games (59 ± 19g) compared with training (1 ± 1g), where in the former, 75% of the CHO consumed was from fluids as opposed to gels. Although the data suggest that Australian Football players practice elements of CHO periodization, the low absolute CHO intakes likely represent considerable underreporting in this population. Even when accounting for potential underreporting, the data also suggest Australian Football players underconsume CHO in relation to the physical demands of training and competition.

The prevalence of Achilles and patellar tendon injuries in Australian football players beyond a time-loss definition.

Little is known about the prevalence and associated of morbidity of tendon problems. With only severe cases of tendon problems missing games, players that have their training and performance impacted are not captured by traditional injury surveillance. The aim of this study was to report the prevalence of Achilles and patellar tendon problems in elite male Australian football players using the Oslo Sports Trauma Research Centre (OSTRC) overuse questionnaire, compared to a time-loss definition. Male athletes from 12 professional Australian football teams were invited to complete a monthly questionnaire over a 9-month period in the 2016 pre- and competitive season. The OSTRC overuse injury questionnaire was used to measure the prevalence and severity of Achilles and patellar tendon symptoms and was compared to traditional match-loss statistics. A total of 441 participants were included. Of all participants, 21.5% (95% CI: 17.9-25.6) and 25.2% (95% CI 21.3-29.4) reported Achilles or patellar tendon problems during the season, respectively. Based on the traditional match-loss definition, a combined 4.1% of participants missed games due to either Achilles or patellar tendon injury. A greater average monthly prevalence was observed during the pre-season compared to the competitive season. Achilles and patellar tendon problems are prevalent in elite male Australian football players. These injuries are not adequately captured using a traditional match-loss definition. Prevention of these injuries may be best targeted during the off- and pre-season due to higher prevalence of symptoms during the pre-season compared to during the competitive season.

Relationship Between Preseason Training Load and In-Season Availability in Elite Australian Football Players.

To investigate the relationship between the proportion of preseason training sessions completed and load and injury during the ensuing Australian Football League season. Single-cohort, observational study. Forty-six elite male Australian football players from 1 club participated. Players were divided into 3 equal groups based on the amount of preseason training completed (high [HTL], >85% sessions completed; medium [MTL], 50-85% sessions completed; and low [LTL], <50% sessions completed). Global positioning system (GPS) technology was used to record training and game loads, with all injuries recorded and classified by club medical staff. Differences between groups were analyzed using a 2-way (group × training/competition phase) repeated-measures ANOVA, along with magnitude-based inferences. Injury incidence was expressed as injuries per 1000 h. The HTL and MTL groups completed a greater proportion of in-season training sessions (81.1% and 74.2%) and matches (76.7% and 76.1%) than the LTL (56.9% and 52.7%) group. Total distance and player load were significantly greater during the first half of the in-season period for the HTL (P = .03, ES = 0.88) and MTL (P = .02, ES = 0.93) groups than the LTL group. The relative risk of injury for the LTL group (26.8/1000 h) was 1.9 times greater than that for the HTL group (14.2/1000 h) (χ2 = 3.48, df = 2, P = .17). Completing a greater proportion of preseason training resulted in higher training loads and greater participation in training and competition during the competitive phase of the season.

Achilles tendon structure improves on UTC imaging over a 5-month pre-season in elite Australian football players.

Pre-season injuries are common and may be due to a reintroduction of training loads. Tendons are sensitive to changes in load, making them vulnerable to injury in the pre-season. This study investigated changes in Achilles tendon structure on ultrasound tissue characterization (UTC) over the course of a 5-month pre-season in elite male Australian football players. Eighteen elite male Australian football players with no history of Achilles tendinopathy and normal Achilles tendons were recruited. The left Achilles tendon was scanned with UTC to quantify the stability of the echopattern. Participants were scanned at the start and completion of a 5-month pre-season. Fifteen players remained asymptomatic over the course of the pre-season. All four echo-types were significantly different at the end of the pre-season, with the overall echopattern suggesting an improvement in Achilles tendon structure. Three of the 18 participants developed Achilles tendon pain that coincided with a change in the UTC echopattern. This study demonstrates that the UTC echopattern of the Achilles tendon improves over a 5-month pre-season training period, representing increased fibrillar alignment. However, further investigation is needed to elucidate with this alteration in the UTC echopattern results in improved tendon resilience and load capacity.

Exploring General and Sports Nutrition and Food Knowledge in Elite Male Australian Athletes.

Nutrition knowledge is believed to influence nutritional intake, which in turn influences performance in elite athletes. There is currently no published data on the nutrition knowledge of elite Australian Football (AF) players. The purpose of this study was to gain insight into the current level of general and sports nutrition knowledge in elite male AF athletes. Forty six elite male AF players (23.5 ± 2.8 years) answered 123 questions relating to five areas of nutrition knowledge: dietary recommendations, sources of nutrients, choosing everyday foods, alcohol and sports nutrition. Demographic details and perceptions of nutrition knowledge were collected for all participants. The mean nutrition knowledge score was 74.4 ± 10.9 (60.5%). The highest score was obtained in sports nutrition section (17.9 ± 3.0, 61.7%). The dietitian was selected as the first source of information by 98% of athletes, with club trainer and teammates as second choice for 45.7% and 23.9% of athletes, respectively. The majority of athletes correctly answered questions regarding recommendations to increase fruit and vegetable intake and decrease fat intake (95.6%, 91.1% and 93.3% correct respectively). While 80% of the athletes were aware fat intake should predominately be made up of unsaturated fat, they were less able to identify food sources of unsaturated fats (35.6% and 24.4% correct for statements regarding monounsaturated and polyunsaturated fats, respectively). Broad nutrition messages and recommendations appear to be well understood; however, gaps in nutrition knowledge are evident. A better understanding of nutrition knowledge in athletes will allow nutrition education interventions to target areas in need of improvement.

TENDON RESPONSE IN ACHILLES TENDON OF AUSTRALIAN FOOTBALL PLAYERS USING ULTRASOUND TISSUE CHARACTERISATION

IntroductionThe Achilles tendon is an elastic storage tendon that converts kinetic energy into mechanical energy and reduces the metabolic cost of high-speed locomotion. Numerous studies have shown that the tendon...