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Departm ent o f Exercise and Sport Science, University o f W isconsin-La Crosse, La Crosse, W isconsin, USA
tion of training to create a calculated training load. ences are of a configuration and magnitude such that
Independently, their coaches also recorded what they they may be a reasonable cause of the high incidence of
intended the athletes to do in training. maladaptations to training in athletes.
Setting. University-based athletics team.
Main outcome measure. Correspondence between
coaches’ and athletes’ rating of the coaches’ training
programme.
Introduction
Results. The correlation between coaches’ and ath
The ability of athletes to adapt to training and improve per
letes’ training LOAD (r = 0.72), training intensity (r = 0.75),
formance is one of the cornerstones of contemporary sports
and training duration (r= 0.65) was modestly strong. For
medicine. We469 10 and others23514 171820 have demonstrated a
training sessions intended by the coaches to be low
quantitative relationship between the magnitude of the train
intensity, the athletes trained at a significantly (P < 0.05)
ing load and subsequent performance. However, despite
higher RPE than intended (mean ± standard deviation)
this adaptability, there is a relatively high incidence of unde
(1.8 ± 0.5 vs 2.4 ± 1.4) and had a significantly higher
sired outcomes from heavy athletic training. These unde
sired outcomes are often summarised under the broad
category of overtraining syndrome (OTS).8151621 However, a
failure to train with sufficient intensity or duration to provoke
maximal adaptive responses might be just as likely to lead to
CORRESPONDENCE: a less than desired response to training.259 "-14-17-1820 Despite
the generally good educational level of contemporary coach
Dr Carl Foster es and the effort they invest in designing training pro
Department of Exercise and Sport Science grammes, the incidence of OTS remains quite high.81516
132 Mitchell Hall Similarly, one only has to listen to the comments of coaches
University of Wisconsin-La Crosse and athletes following unsuccessful competitions to recog
La Crosse, Wl 54601 nise that inadequate training is frequently believed to be
Tel: 091-608 785 8687 responsible for many competitive failures. We have previ
Fax: 091-608 785 8172 ously suggested, on the basis of empirical observations, that
E-mail: foster.carl@uwlax.edu one potential cause of this high incidence of negative train
?ff) 8
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.2 3
Coaches’ LOAD 0
Easy
□ Coaches
□ Athletes
Reproduced by Sabinet Gateway under licence granted by the Publisher (dated 2012.)
Easy
our monitoring method, but in terms of distance to be run and recovery days and easier than intended on coach-designa-
the pace desired. The larger implication within the present ted hard days. Although in the present results there was no
results is that when the highly detailed training plans of ath evidence of OTS within a short observational period, we
letes are translated into a simpler method of expression, believe that these results demonstrate a plausible and likely
then athletes apparently do not experience what the coach scenario that can account for the high incidence of OTS in
intended. competitive athletes training under the supervision of profes
sionally trained coaches.
To our knowledge, these are the first results systemati
cally and quantitatively comparing the training programmes
of coaches and athletes. Other studies have described the R eferences
training undertaken by athletes,37910” 171820 have compared 1. Bruin G, Kuipers H, Keizer HA, van der Vusse GJ. Adaptation and over
training in horses subjected to increasing training loads. J Appl Physiol
the interplay between fitness and fatigue with variations in 1994; 76: 1908-13.
training,25121718 and have attempted to relate the details of 2. Busso T, Chandau R, Lacour J. Fatigue and fitness modeled from the
training to the incidence of OTS.78 However, no study has effects of training on performance. Eur J Appl Physiol 1994; 69: 50-4.
yet compared how well athletes execute the training plans 3. Busso T, Denis C, Bonnefoy R, Geyssant A, Lacour J. Modeling of the
designed by coaches. Given the nature of our results, the adaptations to physical training by using a recursive least squares algo
rithm. J Appl Physiol 1997; 82: 1685-93.
present study needs replication in higher level athletes and
4. Daniels JT, Yarbrough RA, Foster C. Changes in V 0 2max and running per
in athletes who subsequently develop OTS. The subjects in formance with training. Eur J Appl Physiol 1991; 39: 249-54.
this study were relatively low level athletes, who were stud 5. Fitz-Clarke JR, Morton RH, Banister EW. Optimizing athletic performance
ied relatively late in the training year during a period of time by influence curves. J Appl Physiol 1991; 71:1151-8.
during which the overall training load was being decreased 6. Foster C, Hector L, Welsh R, Schrager M, Green MA, Snyder AC. Effects
of specific versus cross training on running performance. Eur J Appl
as a normal part of the seasonal plan. Both of these factors
Physiol 1995, 70: 367-72.
could potentially have reduced the likelihood of maladapta-
7. Foster C. Monitoring training in athletes with reference to overtraining
tions to training. Further, although we have made the syndrome. Med Sci Sports Exerc 1997; 30:1164-8.
assumption that the training programmes designed by the 8. Foster C, Lehmann M. Overtraining syndrome. In: Guten GN, ed.
coaches were correct, the fact remains that despite serious Running Injuries. Philadelphia: WB Saunders, 1997; 173-88.
efforts to develop quantitative models of coaching,19 this 9. Foster C, Daniels JT, Yarbrough RA. Physiological correlates of marathon
running performance. Aust J Sports Med 1977; 9:58-61.
activity remains as much art as science. At the least, the
10. Foster C, Daines E, Hector L, Snyder AC, Welsh R. Athletic performance
results of the present study demonstrate a viable technique in relation to training load. Wis Med J 1996; 95: 370-4.
tered in the primary care office. tions, nutritional strategies, dehydration, inflammation, and psy
■ The format for musculoskeletal and medical problems is the chological, sociological and physiological factors in sport
same from chapter to chapter, helping readers to easily find a Therapeutics which covers physiotherapy, chiropractic and al
specific topic or answer a specific question. ternative treatment approaches
■ Summary sites, illustrations, and decision protocols make criti Special Considerations which covers pregnancy, the mature ath
cal information easy-to-find. lete and the paediatric athlete
■ Excellent chapter on preparticipation evaluation is included. Neuromuscular Considerations which includes epilepsy, concus
■ Presents return to activity guidelines. sion, neuropsychology and neuromuscular conditions
Contents: 1. The Essential Points of the Musculoskeletal Exam: Regional Considerations which covers the shoulder, hand and
The Focused Injury History, the Focused Musculoskeletal Exam 2. wrist, lower back, hip and knee, and the ankle.
Preparticipation Evaluation, Youth and Adolescent: History, Youth Features
and Adolescent: Physical Exam, Adult, 3. The Exercise Prescrip ■ The focus on evidence-based practice gives practitioners a
tion: Youth and Adolescent, Adult, 4. Principles of Training 5. Ad firm basis for decision making.
vising the Athlete on Nutrition, 6. Office Based Rehabilitation, 7. ■ Comprehensively examines clinical decision making in all fac
Return to Play, 8. The Use of Nonsteroidal Anti-inflammatory Drugs ets of sports medicine
and Analgesics, 9. Office Evaluation of Minimal Brain Injury, 10. ■ Covers special topics such as Neurological Issues, Arthritis,
Neck and Cervical Spine Injury, 11. The Upper Extremity, 12. Sports Pregnancy and Paediatrics, which are not typically addressed by
Injuries to the Lower Extremity, 13. Back Injuries in Athletes, 14. sports medicine texts
Chest Injury, 15. Gastrointestinal Problems and Abdominal Trauma ■ The chapter on the aging athlete reflects the current trend
in Sports, 16. Genitourinary Problems, 17. Special Issues of the toward athletic activity throughout the lifespan
Young and Adolescent Athlete 18. Special Issues of the Woman ■ Applies many of the authors’ principles on decision making in
Athlete, 19. The Mature Athlete 20. Risk of Exercise, 21. The Ath rehabilitation to sports medicine.
lete with Medical Problems, The Hypersensitive Athlete, The Asth July 2000, hardback, 432 pp, 55 illus., CL, R499
matic/Allergic Athlete, Caring for the Diabetic Athlete, The Athlete
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