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How much is enough in rehabilitation? High running workloads following lower limb muscle injury delay return to play but protect against subsequent injury.

PMID 29764731 (2018): injury, load — Injury risk (study note for endurance athletes).

Last updated/Feb 23, 2026, 11:13 PM

Study note • PMID 29764731

How much is enough in rehabilitation? High running workloads following lower limb muscle injury delay return to play but protect against subsequent injury.

Journal of science and medicine in sport2018 • DOI 10.1016/j.jsams.2018.03.012
Evidence C60/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

Examine the influence of rehabilitation training loads on return to play (RTP) time and subsequent injury in elite Australian footballers. (cohort study; elite participants).

Effects on Injury risk are mixed or unclear from the abstract alone. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: Examine the influence of rehabilitation training loads on return to play (RTP) time and subsequent injury in elite Australian footballers.
  • Effects on Injury risk are mixed or unclear from the abstract alone.
  • Population: elite participants.
  • Protocol cues (title/abstract): 4days • 6 days • 775m • 710m • 426m.

Protocol

Protocol (as reported)

  • Intervention/exposure: injury, load.
  • Dose/time/duration cues in abstract/title: 4days • 6 days • 775m • 710m • 426m.
  • Outcomes: Injury risk.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (elite participants) working on injury risk.
  • Athletes who can measure Injury risk with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: cohort study.
  • Population: elite participants.
  • Outcomes measured: Injury risk.
  • Protocol cues mentioned: 4days • 6 days • 775m • 710m • 426m.
  • Source: PubMed PMID 29764731 (2018) — Journal of science and medicine in sport.

Results excerpt

What the abstract reports

Of 85 lower limb muscle injuries, 70 were rehabilitated to RTP, with 30 cases of subsequent injury recorded (recurrence rate=11.8%, new site injury rate=31.4%).

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Single studies often don’t generalize to your event, history, and training load; treat results as a starting point.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources