What are the key symptoms of overtraining and burnout?
Answer
In 2014, Dr. DiFiori published a position statement in the American Medical Society for Sports Medicine, the topic of which was overuse injuries and burnout. Some of the key symptoms that they noted are:
fatigue
depression
bradycardia or tachycardia
loss of motivation or interest
hypertension
sleep disturbances
insomnia
irritability
agitation
decreased self-confidence
anxiety
nausea
loss of appetite
weight loss
lack of mental concentration
heavy, sore, stiff muscles
restlessness
frequent illness
When we see patients with overuse injuries, it is a good idea to try to assess as to whether or not there are other issues or comorbidities occurring that might be the cause or a contributing factor in the overuse injury. Frequently, there is a lot of pressure on young athletes; they may feel uncomfortable acknowledging their injury or their lack of willingness to participate in their sport with their parent or their coach. This takes us all the way back to the child health pyramid and how we as health care providers should advocate for and be the voice of reason for these children, to try to identify as soon as possible the potential for overtraining syndrome and or burnout.
Tamara McLeod, PhD, ATC, FNATA
Dr. Tamara Valovich McLeod is the Athletic Training Program Director, Professor of Athletic Training, Research Professor in the School of Osteopathic Medicine in Arizona, and the John P. Wood, D.O., Endowed Chair for Sports Medicine at A.T. Still University in Mesa, Arizona. Dr. McLeod completed her doctor of philosophy degree in education with an emphasis in sports medicine from the University of Virginia. She was the founding director of the Athletic Training Practice-Based Research Network and her research has focused on the pediatric athlete with respect to sport-related concussion. Dr. McLeod was a contributing author for the NATA Position Statement on the Management of Sport-Related Concussion, the lead author on the NATA Position Statement on the Prevention of Pediatric Overuse Injuries, and a consultant and contributing author on the Appropriate Medical Coverage for Secondary School-Aged Athletes. Dr. McLeod serves on numerous editorial boards, and publishes frequently in the athletic training and sports medicine journals and is a NATA Fellow.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/concussion-phenotyping-cognitive-and-affective-4324Concussion Phenotyping: Cognitive and Affective Subtypes with Respect to Returning to School and WorkThis presentation will review the practice of concussion phenotyping to direct treatment and patient care. Specific emphasis will focus on the cognitive and affective sub-types with respect to considerations for assisting patients to return to school or work. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comConcussion Phenotyping: Cognitive and Affective Subtypes with Respect to Returning to School and WorkThis presentation will review the practice of concussion phenotyping to direct treatment and patient care. Specific emphasis will focus on the cognitive and affective sub-types with respect to considerations for assisting patients to return to school or work. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.4324OnlinePT120M
This presentation will review the practice of concussion phenotyping to direct treatment and patient care. Specific emphasis will focus on the cognitive and affective sub-types with respect to considerations for assisting patients to return to school or work. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.
2https://www.physicaltherapy.com/pt-ceus/course/upper-extremity-function-and-stages-4653Upper Extremity Fractures and Stages of Fracture HealingBased on the latest evidence of fracture healing and complications responsible for impaired healing, this course also includes the classification of fractures, stages of healing, and case studies.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comUpper Extremity Fractures and Stages of Fracture HealingBased on the latest evidence of fracture healing and complications responsible for impaired healing, this course also includes the classification of fractures, stages of healing, and case studies.4653OnlinePT120M
Based on the latest evidence of fracture healing and complications responsible for impaired healing, this course also includes the classification of fractures, stages of healing, and case studies.
3https://www.physicaltherapy.com/pt-ceus/course/clavicle-and-scapula-fractures-4674Clavicle and Scapula FracturesClavicle fractures account for 5% of upper extremity fractures and up to 15% in children. Scapular fractures account for 3% to 5% of all shoulder girdle fractures. Eighty to 95% of all scapular fractures are accompanied by other serious injuries like shoulder fractures, collarbone, and ribs. Clavicle and scapular fractures can cause serious impairment to the biomechanics of the upper extremity and function. This webinar revisits the anatomy of the clavicle and scapula and explains the fracture classification, radiological appearance, treatment strategies, and complications of these fractures.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comClavicle and Scapula FracturesClavicle fractures account for 5% of upper extremity fractures and up to 15% in children. Scapular fractures account for 3% to 5% of all shoulder girdle fractures. Eighty to 95% of all scapular fractures are accompanied by other serious injuries like shoulder fractures, collarbone, and ribs. Clavicle and scapular fractures can cause serious impairment to the biomechanics of the upper extremity and function. This webinar revisits the anatomy of the clavicle and scapula and explains the fracture classification, radiological appearance, treatment strategies, and complications of these fractures.4674OnlinePT120M
Clavicle fractures account for 5% of upper extremity fractures and up to 15% in children. Scapular fractures account for 3% to 5% of all shoulder girdle fractures. Eighty to 95% of all scapular fractures are accompanied by other serious injuries like shoulder fractures, collarbone, and ribs. Clavicle and scapular fractures can cause serious impairment to the biomechanics of the upper extremity and function. This webinar revisits the anatomy of the clavicle and scapula and explains the fracture classification, radiological appearance, treatment strategies, and complications of these fractures.
4https://www.physicaltherapy.com/pt-ceus/course/overuse-injuries-in-young-athletes-4429Overuse Injuries in Young Athletes: Recognition and Management StrategiesOveruse injuries have become more prevalent in youth athletes who participate in field and endurance sports. Early intervention by the healthcare provider may prevent such injuries from occurring and/or progressing. This presentation will discuss the latest evidence on overuse injuries including prevention, injury recognition, and management.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comOveruse Injuries in Young Athletes: Recognition and Management StrategiesOveruse injuries have become more prevalent in youth athletes who participate in field and endurance sports. Early intervention by the healthcare provider may prevent such injuries from occurring and/or progressing. This presentation will discuss the latest evidence on overuse injuries including prevention, injury recognition, and management.4429OnlinePT120M
Overuse injuries have become more prevalent in youth athletes who participate in field and endurance sports. Early intervention by the healthcare provider may prevent such injuries from occurring and/or progressing. This presentation will discuss the latest evidence on overuse injuries including prevention, injury recognition, and management.
5https://www.physicaltherapy.com/pt-ceus/course/physical-therapist-guide-exercise-prescription-4483A Physical Therapist Guide to Exercise Prescription for the Diabetic and Pre-diabetic PopulationThis course equips the physical therapist to identify pre-diabetes and type 1 diabetes in their patients based on history and clinical signs and symptoms. Exercise Prescription, the interaction of other medications, and modulation of a current exercise program for patients with diabetes as a co-morbidity are also included. This course also includes the management of diabetes from a Covid-19 perspective. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 3 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comA Physical Therapist Guide to Exercise Prescription for the Diabetic and Pre-diabetic PopulationThis course equips the physical therapist to identify pre-diabetes and type 1 diabetes in their patients based on history and clinical signs and symptoms. Exercise Prescription, the interaction of other medications, and modulation of a current exercise program for patients with diabetes as a co-morbidity are also included. This course also includes the management of diabetes from a Covid-19 perspective. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 3 hours of Direct Access CE credit.4483OnlinePT180M
This course equips the physical therapist to identify pre-diabetes and type 1 diabetes in their patients based on history and clinical signs and symptoms. Exercise Prescription, the interaction of other medications, and modulation of a current exercise program for patients with diabetes as a co-morbidity are also included. This course also includes the management of diabetes from a Covid-19 perspective.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 3 hours of Direct Access CE credit.
