{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:03:56Z","timestamp":1790629436617,"version":"4.1.0"},"reference-count":31,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jsams.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Science and Medicine in Sport"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jsams.2026.09.008","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:01:48Z","timestamp":1789502508000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring a systems-based, multifactorial framework for load tolerance and injury risk in women's soccer: A prospective study"],"prefix":"10.1016","author":[{"given":"Oluwatoyosi B.A.","family":"Owoeye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallory","family":"Hill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Hageman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan T.","family":"Lennox","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarushi","family":"Parmar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell M.","family":"Wayne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Sniffen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jsams.2026.09.008_bb0005","doi-asserted-by":"crossref","DOI":"10.1186\/s40798-020-00274-7","article-title":"Reducing injuries in soccer (football): an umbrella review of best evidence across the epidemiological framework for prevention","volume":"6","author":"Owoeye","year":"2020","journal-title":"Sports Med Open"},{"key":"10.1016\/j.jsams.2026.09.008_bb0010","article-title":"Epidemiology of injuries in professional football: a systematic review and meta-analysis","author":"L\u00f3pez-Valenciano","year":"2019","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jsams.2026.09.008_bb0015","doi-asserted-by":"crossref","DOI":"10.1097\/JSM.0000000000000290","article-title":"Collegiate ACL injury rates across 15 sports: National Collegiate Athletic Association injury surveillance system data update (2004\u20132005 through 2012\u20132013)","author":"Agel","year":"2016","journal-title":"Clin J Sport Med"},{"issue":"2","key":"10.1016\/j.jsams.2026.09.008_bb0020","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1249\/MSS.0000000000001787","article-title":"Health-related outcomes after a youth sport-related knee injury","volume":"51","author":"Whittaker","year":"2019","journal-title":"Med Sci Sports Exerc"},{"key":"10.1016\/j.jsams.2026.09.008_bb0025","article-title":"Health-related outcomes 3\u201315\u202fyears following ankle sprain injury in youth sport: what does the future hold?","author":"Owoeye","year":"2021","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.jsams.2026.09.008_bb0030","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2015-095850","article-title":"Complex systems approach for sports injuries: moving from risk factor identification to injury pattern recognition\u2014narrative review and new concept","author":"Bittencourt","year":"2016","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jsams.2026.09.008_bb0035","series-title":"The Basketball Sports Medicine and Science Book","article-title":"Digging deep into the etiology of basketball injuries: a complex systems approach for risk mitigation","author":"Owoeye","year":"2020"},{"issue":"5","key":"10.1016\/j.jsams.2026.09.008_bb0040","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1007\/s40279-024-02008-1","article-title":"Athletic injury research: frameworks, models and the need for causal knowledge","volume":"54","author":"Kalkhoven","year":"2024","journal-title":"Sports Med"},{"issue":"22","key":"10.1016\/j.jsams.2026.09.008_bb0045","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1136\/bjsports-2025-110889","article-title":"Female, woman and\/or girl Athlete Injury pRevention (FAIR) practical recommendations: International Olympic Committee (IOC) consensus meeting held in Lausanne, Switzerland, 2025","volume":"59","author":"Crossley","year":"2025","journal-title":"Br J Sports Med"},{"issue":"5","key":"10.1016\/j.jsams.2026.09.008_bb0050","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1136\/bjsports-2016-096040","article-title":"How do training and competition workloads relate to injury? The workload\u2014injury aetiology model","volume":"51","author":"Windt","year":"2017","journal-title":"Br J Sports Med"},{"issue":"22","key":"10.1016\/j.jsams.2026.09.008_bb0055","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1136\/bjsports-2025-111050","article-title":"Road to FAIR: where are all the female, woman and girl athletes?","volume":"59","author":"Whittaker","year":"2025","journal-title":"Br J Sports Med"},{"issue":"21","key":"10.1016\/j.jsams.2026.09.008_bb0060","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1136\/bjsports-2025-109902","article-title":"Modifiable risk factors for lower-extremity injury: a systematic review and meta-analysis for the Female, woman and\/or girl Athlete Injury pRevention (FAIR) consensus","volume":"59","author":"Whittaker","year":"2025","journal-title":"Br J Sports Med"},{"issue":"6","key":"10.1016\/j.jsams.2026.09.008_bb0065","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1097\/JSM.0000000000001250","article-title":"Snooze it or lose it: understanding sleep disturbance and injuries in soccer and basketball student-athletes","volume":"34","author":"Owoeye","year":"2024","journal-title":"Clin J Sport Med"},{"issue":"2","key":"10.1016\/j.jsams.2026.09.008_bb0070","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s40279-014-0260-0","article-title":"Sleep and athletic performance: the effects of sleep loss on exercise performance, and physiological and cognitive responses to exercise","volume":"45","author":"Fullagar","year":"2015","journal-title":"Sports Med"},{"issue":"15","key":"10.1016\/j.jsams.2026.09.008_bb0075","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19159128","article-title":"Absence of injury is not absence of pain: prevalence of preseason musculoskeletal pain and associated factors in collegiate soccer and basketball student athletes","volume":"19","author":"Owoeye","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"10.1016\/j.jsams.2026.09.008_bb0080","first-page":"768","article-title":"Normative hamstrings and quadriceps isometric strength values and hamstrings\u2013quadriceps asymmetry in healthy collegiate soccer and basketball players","volume":"17","author":"Owoeye","year":"2024","journal-title":"Int J Exerc Sci"},{"issue":"2","key":"10.1016\/j.jsams.2026.09.008_bb0085","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0191823","article-title":"Validity and reliability of an accelerometer-based player tracking device","volume":"13","author":"Nicolella","year":"2018","journal-title":"PloS One"},{"key":"10.1016\/j.jsams.2026.09.008_bb0090","article-title":"A prospective cohort study of load and wellness (sleep, fatigue, soreness, stress, and mood) in elite junior Australian football players","author":"Lathlean","year":"2018","journal-title":"Int J Sports Physiol Perform"},{"issue":"5","key":"10.1016\/j.jsams.2026.09.008_bb0095","doi-asserted-by":"crossref","first-page":"e324","DOI":"10.1097\/BPO.0000000000001306","article-title":"Lack of sleep and sports injuries in adolescents: a systematic review and meta-analysis","volume":"39","author":"Gao","year":"2019","journal-title":"J Pediatr Orthop"},{"issue":"8","key":"10.1016\/j.jsams.2026.09.008_bb0100","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.jsams.2017.11.017","article-title":"Eccentric hamstring strength deficit and poor hamstring-to-quadriceps ratio are risk factors for hamstring strain injury in football: a prospective study of 146 professional players","volume":"21","author":"Lee","year":"2018","journal-title":"J Sci Med Sport"},{"key":"10.1016\/j.jsams.2026.09.008_bb0105","article-title":"Sleep and the athlete: narrative review and 2021 expert consensus recommendations","author":"Walsh","year":"2020","journal-title":"Br J Sports Med"},{"issue":"5","key":"10.1016\/j.jsams.2026.09.008_bb0110","first-page":"583","article-title":"Injury risk is altered by previous injury: a systematic review of the literature and presentation of causative neuromuscular factors","volume":"9","author":"Fulton","year":"2014","journal-title":"Int J Sports Phys Ther"},{"key":"10.1016\/j.jsams.2026.09.008_bb0115","article-title":"How do training and competition workloads relate to injury? The workload-injury aetiology model","author":"Windt","year":"2016","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jsams.2026.09.008_bb0130","first-page":"43","article-title":"Lower hamstring to quadriceps muscle strength ratio and lower body weight as factors associated with noncontact anterior cruciate ligament injury in male American football players: a prospective cohort study","volume":"35","author":"Taketomi","year":"2024","journal-title":"Asia Pac J Sports Med Arthrosc Rehabil Technol"},{"issue":"7","key":"10.1016\/j.jsams.2026.09.008_bb0135","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1080\/17461391.2019.1689300","article-title":"Exercise interventions to prevent hamstring injuries in athletes: a systematic review and meta-analysis","volume":"20","author":"Vatovec","year":"2020","journal-title":"Eur J Sport Sci"},{"issue":"1","key":"10.1016\/j.jsams.2026.09.008_bb0140","doi-asserted-by":"crossref","first-page":"1866","DOI":"10.1136\/bmjsem-2023-001866","article-title":"A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study","volume":"10","author":"Edouard","year":"2024","journal-title":"BMJ Open Sport Exerc Med"},{"issue":"8","key":"10.1016\/j.jsams.2026.09.008_bb0145","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1136\/bjsports-2018-099322","article-title":"Effects of training and competition on the sleep of elite athletes: a systematic review and meta-analysis","volume":"53","author":"Roberts","year":"2019","journal-title":"Br J Sports Med"},{"issue":"6","key":"10.1016\/j.jsams.2026.09.008_bb0150","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.26603\/001c.89890","article-title":"Training load and current soreness predict future delayed onset muscle soreness in collegiate female soccer athletes","volume":"18","author":"Pexa","year":"2023","journal-title":"Int J Sports Phys Ther"},{"key":"10.1016\/j.jsams.2026.09.008_bb0155","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2015-095788","article-title":"The training-injury prevention paradox: should athletes be training smarter and harder?","author":"Gabbett","year":"2016","journal-title":"Br J Sports Med"},{"issue":"1","key":"10.1016\/j.jsams.2026.09.008_bb0160","doi-asserted-by":"crossref","DOI":"10.1186\/s40798-022-00516-w","article-title":"Is cumulative load associated with injuries in youth team sport? A systematic review","volume":"8","author":"Sniffen","year":"2022","journal-title":"Sports Med Open"},{"issue":"3","key":"10.1016\/j.jsams.2026.09.008_bb0165","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1097\/JSM.0b013e3180592a48","article-title":"A dynamic model of etiology in sport injury: the recursive nature of risk and causation","volume":"17","author":"Meeuwisse","year":"2007","journal-title":"Clin J Sport Med"}],"container-title":["Journal of Science and Medicine in Sport"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1440244026005657?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1440244026005657?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:29:40Z","timestamp":1790627380000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1440244026005657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":31,"alternative-id":["S1440244026005657"],"URL":"https:\/\/doi.org\/10.1016\/j.jsams.2026.09.008","relation":{},"ISSN":["1440-2440"],"issn-type":[{"value":"1440-2440","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exploring a systems-based, multifactorial framework for load tolerance and injury risk in women's soccer: A prospective study","name":"articletitle","label":"Article Title"},{"value":"Journal of Science and Medicine in Sport","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsams.2026.09.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of Sports Medicine Australia.","name":"copyright","label":"Copyright"}]}}