Monitoring External and Internal Training Loads Relationships with Injury Risk in Professional Soccer: A Review
ISSPF FACULTY MEMBER PUBLICATION
Newton M., Owen AL. & Baker J (2019).
Journal of EC Orthopaedics 10.9
Are You a Student of the Game?
Training load is multifaceted, therefore in order to facilitate our understanding of it, load is commonly broken down into two sub-categories, the external and internal training load. Monitoring external training loads provides practitioners with an objective comprehension of a player’s physical capabilities and their outputs in response to prescribed training load, irrespective of their physiological response. The quantification of physical outputs has simplified in recent years due to the advancement in load monitoring technologies and has therefore provided more insight into the relationship between movement patterns and muscular injuries. Monitoring the internal training load provides practitioners with an understanding of a player’s physiological and psychological response to a physical stimulus.
Monitoring methods such as HR monitoring, subjective questionnaires and biochemical analysis allow practitioners to measure levels of determinants of injury risk such as stress, fatigue and muscular damage that can predispose players to greater risk of injury. Although studies have examined the plausibility of integrating internal and external training loads in relation to fitness outputs in professional soccer, future research should explore its relationship with injury risk, as it may provide greater scientific insight into injury aetiology in elite-level men’s and women’s soccer.

Practical Application
- Soccer teams across the world tend to monitor both internal and external loads when trying to physically manage their soccer players with the focus of reducing injury rates & maximising performance.
- Training load management maybe possible through the integration of both load monitoring tools, in order to give a more rounded view of the player state & wellness pre- and post-training.