King Marguerite Helen, Costa Nathalia, Lewis Amy, Watson Kate, Vicenzino Bill
University of Queensland School of Health and Rehabilitation Sciences: Physiotherapy, University of Queensland, Brisbane, Queensland, Australia.
Sports Performance Innovation and Knowledge Excellence, Queensland Academy of Sport, Sunnybank, Queensland, Australia.
BMJ Open Sport Exerc Med. 2022 Mar 8;8(1):e001214. doi: 10.1136/bmjsem-2021-001214. eCollection 2022.
To understand elite athlete, coach and support staff experiences, perceptions and beliefs in women's water polo with managing upper limb injuries and monitoring training loads. Inductive qualitative design. Twenty athletes, coaches and support staff were purposively recruited and participated in semistructured interviews. Participants either had experienced an upper limb injury or had experience managing athletes with upper limb injuries. Interviews were conducted in-person or virtually, audio-recorded, deidentified, transcribed verbatim and cleaned to ensure accuracy. Data were thematically analysed. Analysis identified five cohesive themes: (1) upper limb injury management is adequate-but prevention, communication and knowledge need improving, (2) current training load monitoring generates uncertainty and lack of consistency of processes-due to reliance on internal, and lack of external load monitoring, (3) optimal training load monitoring requires objective measurement of training load-that accurately measures the external load of athletes' upper limbs, (4) athlete-centred philosophy matters-including athlete-centred care to facilitate individually tailored rehabilitation programmes and their inclusion in management decisions, (5) mental, social and emotional aspects of upper limb injury management matter-acknowledging feelings of loss of team inclusion, fear of missing out and frustration felt by athletes as well as the emotional labour felt by coaches when supporting athletes with an upper limb injury. Upper limb injury management and training load monitoring are evolving areas where objective measurement of training load may assist in increasing consistency of communication, collaboration and coordination between all stakeholders, and to address uncertainty. Stakeholders placed value in intangible qualities such as trust and care in their relationships with other collaborators-facilitating athlete physical, mental and emotional recovery following upper limb injuries.
了解精英运动员、教练和辅助人员在女子水球运动中处理上肢损伤和监测训练负荷方面的经历、看法和信念。采用归纳定性设计。有目的地招募了20名运动员、教练和辅助人员，并让他们参与半结构化访谈。参与者要么经历过上肢损伤，要么有管理上肢损伤运动员的经验。访谈通过面对面或虚拟方式进行，进行录音、去识别化处理、逐字转录并清理以确保准确性。对数据进行主题分析。分析确定了五个连贯的主题：（1）上肢损伤管理是充分的，但预防、沟通和知识需要改进；（2）当前的训练负荷监测产生了不确定性且过程缺乏一致性——这是由于依赖内部监测且缺乏外部负荷监测；（3）最佳训练负荷监测需要对训练负荷进行客观测量——准确测量运动员上肢的外部负荷；（4）以运动员为中心的理念很重要——包括以运动员为中心的护理，以促进个性化康复计划并将其纳入管理决策；（5）上肢损伤管理的心理、社会和情感方面很重要——承认运动员失去团队归属感的感受、害怕错过和沮丧情绪，以及教练在支持上肢损伤运动员时所感受到的情感劳动。上肢损伤管理和训练负荷监测是不断发展的领域，训练负荷的客观测量可能有助于提高所有利益相关者之间沟通、协作和协调的一致性，并解决不确定性问题。利益相关者重视他们与其他合作者关系中的信任和关怀等无形品质，这有助于运动员在上肢受伤后实现身体、心理和情感的恢复。
