Methods matter: exploring the 'too much, too soon' theory, part 1: causal questions in sports injury research

British Journal of Sports Medicine
Rasmus Oestergaard NielsenErik Thorlund Parner

Abstract

It is widely accepted that athletes sustain sports injury if they train 'too much, too soon'. However, not all athletes are built the same; some can tolerate more training than others. It is for this reason that prescribing the same training programme to all athletes to reduce injury risk is not optimal from a coaching perspective. Rather, athletes require individualised training plans. In acknowledgement of athlete diversity, it is therefore essential to ask the right causal research question in studies examining sports injury aetiology. In this first part of a British Journal of Sports Medicine educational series, we present four different causal research questions related to the 'too much, too soon' theory and critically discuss their relevance to sports injury prevention. If it is true that there is no 'one size fits all' training programme, then we need to consider by how much training can vary depending on individual athlete characteristics. To provide an evidence-base for subgroup-specific recommendations, a stronger emphasis on the following questions is needed: (1) How much training is 'too much' before athletes with different characteristics sustain sports-related injury? and (2) Does the risk of sports injury differ a...Continue Reading

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Citations

Jan 31, 2021·British Journal of Sports Medicine·Mohammad Ali MansourniaMichael J Campbell
Mar 24, 2021·British Journal of Sports Medicine·Jon PatriciosJonathan Drezner
Jul 24, 2021·Sports Biomechanics·Sebastian Deisting SkejøHenrik Sørensen

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