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Athlete Performance Data

79 primary sources 11 categories We publish the receipts
The essay Athlete Performance Data: What the Science Is Missing
A

Why this matters now

NFHS · NCAA.org

For example, high school sports in the United States counted 8,266,244 participants in 2024-25, which was a record

Participation in High School Sports Hits Record High with Sizable Increase in 2024-25 — National Federation of State High School Associations, NFHS, 2025 View source

College sports set a record too, since the NCAA counted 554,298 athletes in its championship sports that year

A record number of NCAA student-athletes participated in 2024-25 — National Collegiate Athletic Association, NCAA.org, 2025 View source

People aged 5 to 24 accounted for 64.9% of them

Sports- and Recreation-related Injury Episodes in the United States, 2011-2014 — Sheu Y et al, National Health Statistics Reports 99, 2016 View source

For example, an insurance broker counted 4,456 injuries in Europe's top five men's soccer leagues in 2024/25, with €676.14 million paid in wages to injured players

2024/25 Men's European Football Injury Index — Howden, Howden, 2025 View source

In addition, a study of the English Premier League estimated that injuries cost a team about £45 million a season in lost performance

Estimation of injury costs: financial damage of English Premier League teams' underachievement due to injuries — Eliakim E et al, BMJ Open Sport and Exercise Medicine 6(1), 2020 View source DOI

Across 24 European clubs and 11 seasons, a club tended to finish higher in its league in seasons when its injury burden was lower

Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study — Hagglund M et al, British Journal of Sports Medicine 47(12):738-742, 2013 View source DOI

In addition, teams often treat their data as a competitive advantage, so few findings are ever checked on a second group

The Trade Secret Taboo: Open Science Methods are Required to Improve Prediction Models in Sports Medicine and Performance — Bullock GS et al, Sports Medicine 53(10):1841-1849, 2023 View source DOI
B

What does the record show in numbers?

British Journal of Sports Medicine

Athletes in the first workload ratio study: 28 (Elite cricket fast bowlers, published 2014)

Spikes in acute workload are associated with increased injury risk in elite cricket fast bowlers — Hulin BT et al, British Journal of Sports Medicine 48(8):708-712, 2014 View source DOI

Injury prediction models tested on outside athletes: 0 of 204 (30 studies, searched to June 2021)

Just How Confident Can We Be in Predicting Sports Injuries? A Systematic Review of the Methodological Conduct and Performance of Existing Musculoskeletal Injury Prediction Models in Sport — Bullock GS et al, Sports Medicine 52(10):2469-2482, 2022 View source DOI

Best score in the largest team ball sport ACL cohort: 0.63 (791 elite female players and 60 injuries; a coin flip scores 0.5)

Predicting ACL Injury Using Machine Learning on Data From an Extensive Screening Test Battery of 880 Female Elite Athletes — Jauhiainen S et al, American Journal of Sports Medicine 50(11):2917-2924, 2022 View source DOI

Median sample size in the Journal of Sports Sciences: 19 (Reported in a 2022 review)

Replication concerns in sports and exercise science: a narrative review of selected methodological issues in the field — Mesquida C et al, Royal Society Open Science 9(12):220946, 2022 View source DOI

Published studies that held up when repeated: 7 of 25 (28%, studies published 2016 to 2021)

Estimating the Replicability of Sports and Exercise Science Research — Murphy J et al, Sports Medicine 55(10):2659-2679, 2025 View source DOI

Injured athletes needed to detect a small to moderate risk factor: About 200 (Methods paper, 2003)

Risk factors for sports injuries: a methodological approach — Bahr R and Holme I, British Journal of Sports Medicine 37(5):384-392, 2003 View source DOI

Women as a share of research participants: 34% (5,261 publications in six journals, 2014 to 2020; 6% studied women only)

"Invisible Sportswomen": The Sex Data Gap in Sport and Exercise Science Research — Cowley ES et al, Women in Sport and Physical Activity Journal 29(2):146-151, 2021 View source DOI

Men as a share of participants in team sport AI studies: 97% (58 studies and 6,456 participants)

Current Approaches to the Use of Artificial Intelligence for Injury Risk Assessment and Performance Prediction in Team Sports: a Systematic Review — Claudino JG et al, Sports Medicine - Open 5(1):28, 2019 View source DOI

Sports medicine studies that reported athlete race: 3.8% (842 studies in three journals, 2017 to 2021)

Rates of Reporting and Analyzing Race and Ethnicity in Athlete-Specific Sports Medicine Research: A Systematic Review — Sonnier JH et al, Orthopaedic Journal of Sports Medicine 12(10):23259671241261679, 2024 View source DOI
C

How small are the studies behind common training rules?

British Journal of Sports Medicine

In 2016, a review proposed that a ratio of 0.8 to 1.3 was a training "sweet spot," while 1.5 or more was a "danger zone"

The training-injury prevention paradox: should athletes be training smarter and harder? — Gabbett TJ, British Journal of Sports Medicine 50(5):273-280, 2016 View source DOI

The International Olympic Committee then repeated that range in a consensus statement the same year

How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury — Soligard T et al, British Journal of Sports Medicine 50(17):1030-1041 (International Olympic Committee), 2016 View source DOI

However, the first studies behind the ratio followed 28 cricket bowlers and 53 rugby league players

The acute:chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players — Hulin BT et al, British Journal of Sports Medicine 50(4):231-236, 2016 View source DOI

A later review found 20 studies of the ratio in professional team sport, although every one of the 1,234 athletes was male

Is the Acute: Chronic Workload Ratio (ACWR) Associated with Risk of Time-Loss Injury in Professional Team Sports? A Systematic Review of Methodology, Variables and Injury Risk in Practical Situations — Andrade R et al, Sports Medicine 50(9):1613-1635, 2020 View source DOI

It found no reduction in health problems, since the relative risk was 1.01

Does load management using the acute:chronic workload ratio prevent health problems? A cluster randomised trial of 482 elite youth footballers of both sexes — Dalen-Lorentsen T et al, British Journal of Sports Medicine 55(2):108-114, 2021 View source DOI

The injury odds came out similar, at 1.95 against 2.45

What Role Do Chronic Workloads Play in the Acute to Chronic Workload Ratio? Time to Dismiss ACWR and Its Underlying Theory — Impellizzeri FM et al, Sports Medicine 51(3):581-592, 2021 View source DOI

Injury risk rose steadily as planned hockey time rose relative to the prior four weeks, so there was no sweet spot

The intention-to-treat effect of changes in planned participation on injury risk in adolescent ice hockey players: A target trial emulation — Wang C et al, Journal of Science and Medicine in Sport 28(2):132-139, 2025 View source DOI

It came from 112 athletes at one school

Chronic lack of sleep is associated with increased sports injuries in adolescent athletes — Milewski MD et al, Journal of Pediatric Orthopaedics 34(2):129-133, 2014 View source DOI

For adult athletes, by contrast, a review of 12 prospective studies did not support poor sleep as an independent injury risk

The Association Between Poor Sleep and the Incidence of Sport and Physical Training-Related Injuries in Adult Athletic Populations: A Systematic Review — Dobrosielski DA et al, Sports Medicine 51(4):777-793, 2021 View source DOI

Likewise, training guided by heart rate variability is a common wearable feature, while the pooled trials behind it cover 198 people

Monitoring and adapting endurance training on the basis of heart rate variability monitored by wearable technologies: A systematic review with meta-analysis — Duking P et al, Journal of Science and Medicine in Sport 24(11):1180-1192, 2021 View source DOI
D

How many injuries does a study need?

American Journal of Sports Medicine

It reported that one landing measure predicted injury with 78% sensitivity and 73% specificity

Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study — Hewett TE et al, American Journal of Sports Medicine 33(4):492-501, 2005 View source DOI

However, none of its five landing measures predicted injury in players who had not been hurt before

The Vertical Drop Jump Is a Poor Screening Test for ACL Injuries in Female Elite Soccer and Handball Players: A Prospective Cohort Study of 710 Athletes — Krosshaug T et al, American Journal of Sports Medicine 44(4):874-883, 2016 View source DOI

Figure 1 sets seven well-known studies against the bar, including three team sport models that recorded 18, 32 and 51 injuries

A Preventive Model for Hamstring Injuries in Professional Soccer: Learning Algorithms — Ayala F et al, International Journal of Sports Medicine 40(5):344-353, 2019 View source DOI

Figure 1 sets seven well-known studies against the bar, including three team sport models that recorded 18, 32 and 51 injuries

A Preventive Model for Muscle Injuries: A Novel Approach based on Learning Algorithms — López-Valenciano A et al, Medicine and Science in Sports and Exercise 50(5):915-927, 2018 View source DOI

Figure 1 sets seven well-known studies against the bar, including three team sport models that recorded 18, 32 and 51 injuries

Forecasting football injuries by combining screening, monitoring and machine learning — Hecksteden A et al, Science and Medicine in Football 7(3):214-228, 2023 View source DOI

Across 58 studies, female athletes tore an ACL at a rate of 1.5 per 10,000 athlete exposures, where an exposure is one practice or game

"What's my risk of sustaining an ACL injury while playing sports?" A systematic review with meta-analysis — Montalvo AM et al, British Journal of Sports Medicine 53(16):1003-1012, 2019 View source DOI
E

How well do injury prediction models work?

BMC Medical Informatics and Decision Making

In a 2026 review of 97 sports medicine AI studies, prediction and estimation models made up 57.7% of applications, so this part of the record matters

Artificial intelligence and machine learning in sports medicine: mapping clinical tasks and assessing clinical maturity - a scoping review — Lindskog J et al, BMC Medical Informatics and Decision Making 26(1), 2026 View source DOI

Its precision was 0.50, so half of its warnings were false alarms

Effective injury forecasting in soccer with GPS training data and machine learning — Rossi A et al, PLoS ONE 13(7):e0201264, 2018 View source DOI

A review of machine learning injury models found 11 studies, with scores from 0.52 to 0.87

Machine learning methods in sport injury prediction and prevention: a systematic review — Van Eetvelde H et al, Journal of Experimental Orthopaedics 8(1):27, 2021 View source DOI

For example, hamstring models built on 2013 data from elite Australian footballers had a median score of 0.52 on 2015 data

Predictive Modeling of Hamstring Strain Injuries in Elite Australian Footballers — Ruddy JD et al, Medicine and Science in Sports and Exercise 50(5):906-914, 2018 View source DOI

Similarly, a model for 314 youth basketball and floorball players scored 0.65

New Machine Learning Approach for Detection of Injury Risk Factors in Young Team Sport Athletes — Jauhiainen S et al, International Journal of Sports Medicine 42(2):175-182, 2021 View source DOI

The score was 0.67, while the model overstated the risk

Can Field-Based Screening Predict ACL Injury Risk in Women Footballers? External Validation of a Prediction Model — Lopes Lima Y et al, Sports Health, 2026 View source DOI

Across 125 head-to-head comparisons at low risk of bias in orthopedic sports medicine prediction models, machine learning showed no advantage over ordinary logistic regression

Comparisons of machine learning models to logistic regression in orthopedic sports medicine are confounded by methodological heterogeneity: a systematic review and meta-analysis — Lu Y et al, Journal of ISAKOS 17:101088, 2026 View source DOI
F

Who is missing from the data?

Science and Medicine in Football · Pediatrics

In elite soccer research, likewise, women were 7% of all participants

Auditing the representation of elite female players in football performance and injury research — Clausen E et al, Science and Medicine in Football 10(3):358-373, 2026 View source DOI

Among adolescents the ratio is 1.40 overall, although it reaches 4.14 in basketball

Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis — Bram JT et al, American Journal of Sports Medicine 49(7):1962-1972, 2021 View source DOI

In high school sports played by both sexes, girls had 2.22 times the concussion rate of boys

Concussion Incidence and Trends in 20 High School Sports — Kerr ZY et al, Pediatrics 144(5), 2019 View source DOI

For instance, a 2026 analysis of muscle injury across the menstrual cycle found 3 eligible studies with 318 athletes, and it could make no recommendation

The influence of the menstrual cycle on muscle injuries - a systematic review and meta-analysis — Guthardt Y et al, Scientific Reports 16(1):3035, 2026 View source DOI

Para athletes made up 0.4% of participants in 767 studies of the athlete's heart

Female athlete representation in exercise-induced cardiac adaptation research: a systematic review and audit of the literature — Henley-Martin SR et al, American Journal of Physiology - Heart and Circulatory Physiology 330(4):H1302-H1318, 2026 View source DOI

However, injuries at the Paralympic Games run at 14.3 per 1,000 athlete days, against 6.5 at the Olympic Games

Injury and illness epidemiology in elite athletes during the Olympic, Youth Olympic and Paralympic Games: a systematic review and meta-analysis — Torvaldsson K et al, British Journal of Sports Medicine 59(18):1302-1314, 2025 View source DOI

The median share of participants with the darkest skin tones was 0%

The Representation of Different Populations in Studies Assessing the Validity of Consumer Wearable Photoplethysmography-Based Measurements: Scoping Review — Schipper RM et al, JMIR mHealth and uHealth 14:e87324, 2026 View source DOI

In one academy study, non-contact and overuse injuries ran at 24.5 per 1,000 match hours around the growth spurt, against 11.5 before it

Growing pains: Maturity associated variation in injury risk in academy football — Johnson DM et al, European Journal of Sport Science 20(4):544-552, 2020 View source DOI

All of them were boys in soccer academies

Sport injuries aligned to peak height velocity in talented pubertal soccer players — van der Sluis A et al, International Journal of Sports Medicine 35(4):351-355, 2014 View source DOI

All of them were boys in soccer academies

Injuries according to the percentage of adult height in an elite soccer academy — Monasterio X et al, Journal of Science and Medicine in Sport 24(3):218-223, 2021 View source DOI

For example, one study of 36 players at a single club found that hamstring injury odds rose 1.78 times with each year of age

Factors associated with increased propensity for hamstring injury in English Premier League soccer players — Henderson G et al, Journal of Science and Medicine in Sport 13(4):397-402, 2010 View source DOI

By contrast, a study of 1,401 professional players found no link between age and hamstring injury

Risk factors for lower extremity muscle injury in professional soccer: the UEFA Injury Study — Hagglund M et al, American Journal of Sports Medicine 41(2):327-335, 2013 View source DOI
G

Where has large-scale data already paid off?

British Journal of Sports Medicine

Over that period, injury rates fell 3% a season in both training and matches

Injury rates decreased in men's professional football: an 18-year prospective cohort study of almost 12 000 injuries sustained during 1.8 million hours of play — Ekstrand J et al, British Journal of Sports Medicine 55(19):1084-1091, 2021 View source DOI

Specifically, one surveillance study has logged 134,167 injuries over 67,255,905 athlete exposures in 20 years of high school sports

Brief Summary Report: 2024/25 National High School Sports-Related Injury Surveillance Study — Collins C, National High School Sports-Related Injury Surveillance Study, 2025 View source

Likewise, a concussion study run by the NCAA and the Department of Defense reports more than 53,000 enrolled athletes and cadets

CARE Consortium home page — NCAA and US Department of Defense CARE Consortium, careconsortium.net, 2025 View source

However, women took longer in contact sports and at Division II and III schools, while men took longer in limited-contact sports

Differences in sport-related concussion for female and male athletes in comparable collegiate sports: a study from the NCAA-DoD Concussion Assessment, Research and Education (CARE) Consortium — Master CL et al, British Journal of Sports Medicine 55(24):1387-1394, 2021 View source DOI

After a 2016 rule change, the concussion rate on kickoffs fell from 10.93 to 2.04 per 1,000 plays

Association Between the Experimental Kickoff Rule and Concussion Rates in Ivy League Football — Wiebe DJ et al, JAMA 320(19), 2018 View source DOI

Similarly, the NFL says it simulated 10,000 seasons before it adopted a new kickoff format

Advancing Player Health and Safety with the Digital Athlete — National Football League, NFL Player Health and Safety, 2026 View source

In 2024, the league reported that returns rose 57%, while the concussion rate on the play fell 43% against the 2021 to 2023 average

Concussions Decrease to Historic Low in 2024 NFL Season — National Football League, NFL Player Health and Safety, 2025 View source

With 1,157 more returned kickoffs, concussions on kickoffs rose from 8 to 35, although the league says the rate stayed below the old format

2025 Season Key Takeaways — National Football League, NFL Player Health and Safety, 2026 View source

Boys born in the first quarter of the year had 12.36 times the odds of being on the under-17 national team, against boys born in the last quarter

Are Soccer and Futsal Affected by the Relative Age Effect? The Portuguese Football Association Case — Figueiredo P et al, Frontiers in Psychology 12:679476, 2021 View source DOI
H

What will more data not fix?

British Journal of Sports Medicine

Programs that include the Nordic hamstring exercise cut hamstring injuries by about half across 8,459 athletes

Including the Nordic hamstring exercise in injury prevention programmes halves the rate of hamstring injuries: a systematic review and meta-analysis of 8459 athletes — van Dyk N et al, British Journal of Sports Medicine 53(21):1362-1370, 2019 View source DOI

However, a survey of 50 elite men's soccer clubs found that 83.3% of club seasons did not follow the program

Evidence-based hamstring injury prevention is not adopted by the majority of Champions League or Norwegian Premier League football teams: the Nordic Hamstring survey — Bahr R et al, British Journal of Sports Medicine 49(22):1466-1471, 2015 View source DOI

Meanwhile, in elite European men's soccer, hamstring injuries rose from 12% to 24% of all injuries between the 2001/02 and 2021/22 seasons

Hamstring injury rates have increased during recent seasons and now constitute 24% of all injuries in men's professional football: the UEFA Elite Club Injury Study from 2001/02 to 2021/22 — Ekstrand J et al, British Journal of Sports Medicine 57(5):292-298, 2023 View source DOI

The reason is overlap, because scores for athletes who get hurt look much like scores for those who do not

Why screening tests to predict injury do not work-and probably never will...: a critical review — Bahr R, British Journal of Sports Medicine 50(13):776-780, 2016 View source DOI

For example, a review of 45 workload studies found that a single study tested between 1 and 336 variables

How Has Workload Been Defined and How Many Workload-Related Exposures to Injury Are Included in Published Sports Injury Articles? A Scoping Review — Udby CL et al, Journal of Orthopaedic and Sports Physical Therapy 50(10):538-548, 2020 View source DOI

In addition, a review of 56 studies found that asking athletes how they felt tracked training load better than objective measures did

Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review — Saw AE et al, British Journal of Sports Medicine 50(5):281-291, 2016 View source DOI

Its records show that 2,281 pitchers had elbow ligament surgery from 2010 to 2023, and the yearly number rose

Epidemiology of Elbow Medial Ulnar Collateral Ligament Surgeries in Major and Minor League Baseball Pitchers: A Descriptive Study of 2281 Cases — Meta F et al, Orthopaedic Journal of Sports Medicine 13(7), 2025 View source DOI
I

Can a phone camera replace the motion lab?

PLoS Computational Biology · arXiv

In a field test, they collected data on 100 people in 8 hours

OpenCap: Human movement dynamics from smartphone videos — Uhlrich SD et al, PLoS Computational Biology 19(10):e1011462, 2023 View source DOI

In jumping, a pooled analysis of 20 studies found errors of 5.3 degrees at the hip and 4.4 at the knee

Are we there yet? A systematic review and meta-analysis of the validity and reliability of automated markerless motion capture systems during jumping tasks — Ogura A et al, Journal of Sports Sciences 44(10):1275-1295, 2026 View source DOI

In addition, a review of 53 studies found that camera systems differed from marker systems by 0.2 to 28.6 degrees, depending on the measure

Reliability and validity of lower extremity and trunk kinematics measured with markerless motion capture during sports-related and functional tasks: A systematic review — Yoma M et al, Journal of Sports Sciences 43(17):1703-1730, 2025 View source DOI

One athlete pose dataset holds about 1.3 million frames, although all of them come from eight athletes

AthletePose3D: A Benchmark Dataset for 3D Human Pose Estimation and Kinematic Validation in Athletic Movements — Yeung C et al, arXiv 2503.07499, 2025 View source

Another covers 24 people

SportsPose: A Dynamic 3D Sports Pose Dataset — Ingwersen CK et al, arXiv 2304.01865, 2023 View source

In addition, it records events on the ball instead of movement or injury

A public data set of spatio-temporal match events in soccer competitions — Pappalardo L et al, Scientific Data 6(1):236, 2019 View source DOI

Meanwhile, practices add more than 500 million tracking data points a week

Building a digital athlete: Using AI to rewrite the playbook on NFL player safety — Langton J, NFL Player Health and Safety, 2024 View source
J

Who owns an athlete's data?

NFL Players Association

In the NFL, for example, the 2020 labor agreement states that each player owns the personal data collected by his sensors

NFL and NFL Players Association Collective Bargaining Agreement, March 15, 2020 — National Football League and NFL Players Association, NFL Players Association, 2020 View source

It also allows a fine of up to $250,000 for a team that uses the data in contract talks

NBA and National Basketball Players Association Collective Bargaining Agreement, July 2023 — National Basketball Association and National Basketball Players Association, National Basketball Players Association, 2023 View source

Therefore they are excluded from the health privacy law known as HIPAA, even when the school is covered by it

Joint Guidance on the Application of FERPA and HIPAA to Student Health Records (December 2019 Update) — US Department of Health and Human Services and US Department of Education, US Department of Education, Student Privacy Policy Office, 2019 View source

In the union's survey of 119 players, 80% wanted access to their own data

Charter of Player Data Rights launched for professional footballers — FIFPRO, FIFPRO, 2022 View source
K

What would a useful athlete dataset contain?

British Journal of Sports Medicine

The International Olympic Committee published a recording standard in 2020, since 11 separate statements for single sports or settings had already appeared

International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020 — Bahr R et al, British Journal of Sports Medicine 54(7), 2020 View source DOI
These are the primary sources behind our research. Have a better one, or spot an error? Tell us — we’ll correct it.