Characterization and sex-related differences in the multi-location external workload profile of semiprofessional basketball players. A cross-sectional study

Commonly, the monitoring of external workload has been performed using a single device on player's scapulae. The human body is a complex multi-articular system and quantification in a single location is insufficient, being necessary the assessment in multiple body locations simultaneously. Therefore, this study aimed to characterize the multi-location external workload in men's and women's players and to analyze the sex-related differences during the most common movements in basketball. Twenty-six semi-professional basketball players (n = 13 men, n = 13 women) were evaluated in five tests: linear and curvilinear movements, changing of speed, jumping and in-game movements. PlayerLoad(RT) was evaluated at six anatomical locations simultaneously (scapulae, lumbar region, knees, and ankles) with WIMU PROTM inertial devices attached to the athlete using a full-body skinsuit. Statistical analysis was composed of a t-test of independent measures and Cohens d effect size. The main results indicated: (1) the type of movement modified the external workload supported by the musculoskeletal structures; (2) sex-related differences were found in the vertical absorption of external workload (p < 0.05); (3) no sex-related differences were shown in the horizontal profile (p > 0.16). The multi-location monitoring will allow the identification of musculoskeletal structures with high vertical absorption of external load depending on sex (men > women: scapulae-lumbar and knee-ankle; women > men: lumbar-knee) and type of movement (scapulae-lumbar: decelerations; lumbar-knee: jumping; knee-ankle: in-game), just like horizontal differences in lower limb (outer > inner leg: curvilinear). Equally movements distribution throughout training sessions, strengthening and recovery programmes of high-workload muscle groups according to player's characteristics could contributed to performance enhancement and reduce injury risk.

Automated summary

This study highlights the importance of monitoring external workload in multiple body locations to accurately assess the musculoskeletal structures. The results indicate sex-related differences in the absorption of external workload, as well as variations in load distribution among different body parts. Strengthening and recovery programs tailored to individual players can enhance performance and reduce the risk of injury.