Exercise-Based Injury Prevention in High-Level and Professional Athletes: Narrative Review and Proposed Standard Operating Procedure for Future Lockdown-Like Contexts After COVID-19

Geraldine Martens; Francois Delvaux; Benedicte Forthomme; Jean-Francois Kaux; Axel Urhausen; Francois Bieuzen; Suzanne Leclerc; Laurent Winkler; Franck Brocherie; Mathieu Nedelec; Antonio J. Morales-Artacho; Alexis Ruffault; Anne-Claire Macquet; Gaël Guilhem; Didier Hannouche; Philippe M. Tscholl; Romain Seil; Pascal Edouard; Jean-Louis Croisier

doi:10.3389/fspor.2021.745765

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Exercise-Based Injury Prevention in High-Level and Professional Athletes: Narrative Review and Proposed Standard Operating Procedure for Future Lockdown-Like Contexts After COVID-19

Geraldine Martens ¹ Francois Delvaux Benedicte Forthomme ² Jean-Francois Kaux ³ Axel Urhausen ⁴ Francois Bieuzen ⁵ Suzanne Leclerc ⁵ Laurent Winkler Franck Brocherie ⁶ Mathieu Nedelec ^{6, 7} Antonio J. Morales-Artacho Alexis Ruffault ^{6, 8} Anne-Claire Macquet ⁹ Gaël Guilhem ⁶ Didier Hannouche ¹⁰ Philippe M. Tscholl Romain Seil ¹¹ Pascal Edouard ^{12, 13, 14} Jean-Louis Croisier ²

1 Coma Science Group [Liege]

2 Department of Physical & Rehabilitation Medicine and Sports Traumatology, SPORTS-2 [Liège, Belgium]

3 CHU-Liège - Centre Hospitalier Universitaire de Liège

4 Centre hospitalier of Luxemburg and CRPsanté

5 INS - Institut National du Sport du Québec

6 SEP (EA7370) - French Institute of Sport (INSEP), Research Department, Laboratory Sport, Expertise and Performance (EA7370)

7 APERE - Adaptations Physiologiques à l'Exercice et Réadaptation à l'effort - UR UPJV 3300

8 Unité de Recherche Interfacultaire Santé et Société (URiSS), University of Liège

9 INSEP - Institut national du sport, de l'expertise et de la performance

10 HUG - Hôpitaux Universitaires de Genève

11 Service de Chirurgie Orthopédique, Centre de l’Appareil Locomoteur de Médecine du Sport et de Prévention

12 Sports Medicine Unit, Department of Clinical and Exercise Physiology, University Hospital of Saint-Étienne

13 European Athletics Medical & Anti Doping Commission, European Athletics Association (EAA)

14 LIBM - Laboratoire Interuniversitaire de Biologie de la Motricité

Abstract : In regular times, implementing exercise-based injury prevention programs into the training routine of high-level and professional athletes represents a key and challenging aspect to decrease injury risk. Barriers to implementing such prevention programs have previously been identified such as lack of resources, logistic issues or motivation. The COVID-19 pandemic associated with restrictions on daily life dramatically impacted sports participation from training to competition. It is therefore reasonable to assume that such lockdown-like context has exacerbated the challenge to implement exercise-based injury prevention programs, potentially leading to a greater musculoskeletal injury risk. In this narrative review, recommendations are proposed for building an expertise- and evidence-based Standard Operating Procedure for injury prevention in lockdown-like contexts for high-level and professional athletes. The following recommendations can be provided: (1) assess the global and sport-specific risks in the light of the ongoing cause of isolation; (2) adapt remote training materials and programs; (3) ensure regular quality communication within the staff, between athletes and the staff as well as between athletes; (4) follow the athlete's mental well-being; and (5) plan for a safe return-to-sports as well as for an ongoing monitoring of the load-recovery balance. These key domains should further be addressed to comply with local policies, which are subject to change over time in each individual country. The use of these recommendations may improve the readiness of athletes, coaches, physicians and all sports stakeholders for future lockdown-like contexts.

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Sciences du Vivant [q-bio]

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https://hal-u-picardie.archives-ouvertes.fr/hal-03594668
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Soumis le : mercredi 2 mars 2022 - 18:12:04
Dernière modification le : vendredi 22 avril 2022 - 15:58:01

Exercise-Based Injury Prevention in High-Level and Professional Athletes: Narrative Review and Proposed Standard Operating Procedure for Future Lockdown-Like Contexts After COVID-19

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Exercise-Based Injury Prevention in High-Level and Professional Athletes: Narrative Review and Proposed Standard Operating Procedure for Future Lockdown-Like Contexts After COVID-19

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