Elite Male Australian Football Research Articles

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.

Is hip joint range of motion associated with bony morphology in elite male Australian Football League draftees?

Is hip joint range of motion associated with bony morphology in elite male Australian Football League draftees?

Preseason Body Composition Is Associated With In-season Player Availability in Elite Male Australian Footballers.

McCaskie, CJ, Sim, M, Newton, RU, Heasman, J, Rogalski, B, and Hart, NH. Preseason body composition is associated with in-season player availability in elite male Australian footballers. J Strength Cond Res 37(5): 1089-1095, 2023-The purpose of this study was to examine whether end of preseason body composition characteristics was associated with in-season match availability and injury. Sixty ( n = 60) elite Australian football players had body composition characteristics assessed using dual-energy X-ray absorptiometry across 3 seasons (2016, 2018, and 2021). Match availability and injury were recorded throughout each season. Pearson's correlations were calculated to assess the associations between body composition and in-season match availability and injury. Logistic regression models were used to assess the odds of missing games as a result of injury throughout a season. Regional lean soft tissue mass asymmetry and its relationship to injury and availability was explored. Statistical significance was set at p ≤ 0.05. Body composition characteristics expressed as relative values seemed to be more highly associated with in-season availability and injury than characteristics expressed as absolute values. Players with lower relative fat mass (FM) (<12.1% total body FM) were available for 89.7% of in-season matches compared with 80.7% for players with higher relative FM (>12.1% total body FM). Subsequently, players with higher relative FM had 3.3-3.5 times greater odds of missing one game to injury (odds ratio [OR] = 3.33; 95% confidence interval [CI] = 1.00-11.14; p ≤ 0.05) and missing 2 or more games to injury (OR = 3.50; 95% CI = 1.20-10.20; p ≤ 0.05) throughout a season compared with players with lower relative FM. Higher proportions of fat mass may accelerate the onset of fatigue and place players at a greater risk of injury. Reducing players' FM across the preseason phase should be a key aim for practitioners to reduce the odds of injury throughout the competitive season.

Genetic Variants within NOGGIN, COL1A1, COL5A1, and IGF2 are Associated with Musculoskeletal Injuries in Elite Male Australian Football League Players: A Preliminary Study

IntroductionAustralian Football is a dynamic team sport that requires many athletic traits to succeed. Due to this combination of traits, as well as technical skill and physicality, there are many types of injuries that could occur. Injuries are not only a hindrance to the individual player, but to the team as a whole. Many strength and conditioning personnel strive to minimise injuries to players to accomplish team success.PurposeTo investigate whether selected polymorphisms have an association with injury occurrence in elite male Australian Football players.MethodsUsing DNA obtained from 46 elite male players, we investigated the associations of injury-related polymorphisms across multiple genes (ACTN3, CCL2, COL1A1, COL5A1, COL12A1, EMILIN1, IGF2, NOGGIN, SMAD6) with injury incidence, severity, type (contact and non-contact), and tissue (muscle, bone, tendon, ligament) over 7 years in one Australian Football League team.ResultsA significant association was observed between the rs1372857 variant in NOGGIN (p = 0.023) and the number of total muscle injuries, with carriers of the GG genotype having a higher estimated number of injuries, and moderate, or combined moderate and high severity rated total muscle injuries. The COL5A1 rs12722TT genotype also had a significant association (p = 0.028) with the number of total muscle injuries. The COL5A1 variant also had a significant association with contact bone injuries (p = 0.030), with a significant association being found with moderate rated injuries. The IGF2 rs3213221-CC variant was significantly associated with a higher estimated number of contact tendon injuries per game (p = 0.028), while a higher estimated number of total ligament (p = 0.019) and non-contact ligament (p = 0.002) injuries per game were significantly associated with carriage of the COL1A1 rs1800012-TT genotype.ConclusionsOur preliminary study is the first to examine associations between genetic variants and injury in Australian Football. NOGGIN rs1372857-GG, COL5A1 rs12722-TT, IGF2 rs3213221-CC, and COL1A1 rs1800012-TT genotypes held various associations with muscle-, bone-, tendon- and ligament-related injuries of differing severities. To further increase our understanding of these, and other, genetic variant associations with injury, competition-wide AFL studies that use more players and a larger array of gene candidates is essential.

Characterising lower-body musculoskeletal morphology and whole-body composition of elite female and male Australian Football players

BackgroundPhysical demands and injury rates differ between elite female and male Australian Football (AF) players. To improve understanding of contributing physical factors to these differences, the purpose of this study was to investigate lower-body morphology and whole-body composition of elite footballers competing in the Australian Football League (AFL) and Australian Football League Women’s (AFLW).MethodsLower-body morphology and whole-body composition of 23 AFL players and 23 AFLW players were assessed using peripheral Quantitative Computed Tomography and Dual-energy X-ray Absorptiometry at the beginning of pre-season. Differences between cohorts, with sub-analyses of kicking vs. support limbs, and experienced vs. inexperienced player status were assessed using two-sample independent t-tests. Magnitude of differences were assessed using Cohen’s d effect sizes.ResultsAFL players had greater absolute (p < 0.001; ES = 3.28) and relative (p < 0.001; ES = 2.29) whole body lean soft-tissue mass, with less absolute (p = 0.004; ES = 0.91) and relative (p < 0.001; ES = 2.29) fat mass than AFLW players. For AFLW players, no significant differences existed between kicking and support limbs with few differences observed between experienced and inexperienced players.ConclusionsGreater emphasis on physical development in AFLW players may be required to enable increases in muscle mass and skeletal robustness, to ensure they can tolerate the loads of elite competition.

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.

Evening Whey Protein Intake, Rich in Tryptophan, and Sleep in Elite Male Australian Rules Football Players on Training and Nontraining Days.

To investigate the effect of evening whey protein supplementation, rich in tryptophan, on sleep in elite male Australian Rules Football players. Double-blinded, counterbalanced, randomized, cross-over study. Sleep was assessed using wrist activity monitors and sleep diaries in 15 elite male Australian Football League players on two training and nontraining days following evening consumption of an isocaloric whey protein supplement or placebo in preseason. A 5-day preintervention period was implemented to determine habitual dietary intake and baseline sleep measures. These habitual data were used to inform the daily dietary intake and timing of ingestion of the evening whey protein supplement or placebo on the intervention days. The whey protein supplement or placebo was consumed 3hr prior to habitual bedtime. Separate one-way repeated-measures analyses of covariance revealed no differences between the whey protein supplement and the placebo on sleep duration, sleep onset latency, sleep efficiency, or wake after sleep onset on either training or nontraining days. Evening whey protein supplementation, rich in tryptophan, does not improve acute sleep duration or quality in elite male Australian Football League players. However, elite athletes may be able to ingest a high protein/energy intake close to bedtime without impairing sleep, which is important for athlete recovery. Future research should investigate the effect of evening protein intake, high in tryptophan, on sleep duration and quality, including sleep staging during periods of restricted sleep and in poor-sleeping athletes.

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.

Reliability of a portable fixed frame dynamometry system used to test lower limb strength in elite Australian Football League players

ObjectivesDeficits in strength of lower limb musculature have been associated with increased injury risk in a variety of athletic populations. As medical and performance staff seek to better understand the association between hip and knee strength measures and injury risk, measurement tools with high reliability and utility are required to profile and manage athletes effectively. The purpose of this study was to investigate the test-retest reliability of a portable fixed frame dynamometry system used to assess hip and knee strength of an elite Australian Football League team. DesignCase series. MethodsMaximum voluntary isometric strength of the hip abductors, hip adductors and knee flexors of 41 elite male Australian Football League footballers (mean age=23.7±4.1 years, height=189.2±7.0cm, weight=88.6±8.4kg) were tested during preseason training. Tests were performed one week apart on the same training day of a standard preseason week. ResultsTest-retest reliability was very high for left hip adduction (ICC 0.958), right hip adduction (ICC 0.955), left hip abduction (ICC 0.957), right hip abduction (ICC 0.945), left knee flexion (ICC 0.927) and right knee flexion (ICC 0.923). Furthermore, standard errors of measurement in per cent (SEM%) ranged from 3.21 to 5.03%, and minimal detectable change (MDC) from 3.93 to 6.65kg for the different hip and thigh strength measures, making it possible to determine small changes in strength at the individual level. ConclusionsThis study demonstrated very high reliability when testing maximal voluntary isometric hip and knee strength using a portable fixed dynamometry system (KangaTech) in an elite male Australian Football League setting.

Correlating clinical assessment and MRI findings in diagnosing calf injuries in elite male Australian rules footballers.

Calf complex injuries represent a significant injury burden among Australian Rules athletes. To date, there has been limited research correlating clinical and radiological findings of pathology within the calf. The objective of this study is to determine how accurately magnetic resonance imaging (MRI) findings correlate with clinical measures of calf muscle complex pathology in elite male athletes. A prospective cohort study was conducted on Australian rules elite athletes. A cohort of 45 athletes underwent a high-load training session of approximately 10 km of running. Athletes were then assessed by a sports physiotherapist who made a diagnosis of no pathology, delayed onset muscle soreness, strain or other. Subsequently, the athletes underwent MRI of their bilateral calf complexes. Radiologists interpreted the MRI findings and radiological diagnosis were correlated with clinical diagnosis. A total of 90 calf MRIs were performed. Correlation of clinical and radiological diagnosis occurred in 57 cases. Of the 33 cases which did not correlate, there were 4 radiologically significant acute calf strains in clinically asymptomatic athletes, 3 of which involved old scar tissue. MRI may detect clinically insignificant injuries within the calf complex. If an athlete does not have any clinically relevant symptoms, abnormal signal on MRI may represent a different diagnosis to muscle strain. Signal change on MRI proximal to scar tissue may represent reactive oedema. Clinical history and examination should be correlated with radiological findings is recommended when diagnosing calf injury in elite athletes.

Low back pain and lumbopelvic muscles in elite female Australian football players: an exploratory study

Introduction: Low back pain is a common problem in male Australian football players which may have negative consequences on performance and is associated with increased odds of lower limb injury. Whilst deficits in trunk and hip muscle function associated with low back pain have been demonstrated in elite male Australian football and soccer players, little is known about this relationship in female Australian football players. This exploratory study aimed to examine the size and function of trunk and hip muscles in elite female AFL players with and without low back pain.

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.

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.

Association Between Pre-season Training and Performance in Elite Australian Football.

To examine the association between pre-season training variables and subsequent in-season performance in an elite Australian football team. Data from forty-one elite male Australian footballers (mean±SD: age=23.4±3.1y; height=188.4±7.1cm; mass=86.7±7.9kg) was collected from one Australian Football League (AFL) club. Pre-season training data (external load, internal load, fitness testing and session participation) were collected across the 17-week pre-season phase (6-weeks pre-Christmas, 11-weeks post-Christmas). Champion Data© Player Rank (CDPR), coaches' ratings (CR) and round one selection were used as in-season performance measures. CDPR and CR were examined over the entire season, first half of the season and the first four games. Both Pearson and partial (controlling for AFL age) correlations were calculated to assess if any associations existed between pre-season 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. Pre-season training activities appeared to have almost no association with performance measured across the entire season and the first half of the season. However, many pre-season training variables were significantly linked with performance measured across the first four games. Pre-season 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 (sRPE) post-Xmas, a measurement of internal load, displayed the greatest association with performance. Late pre-season training (especially on-field match specific training) is associated with better performance in the early season.

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.