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Assessment of Fatigue and Recovery in Sport: Narrative Review

Bestwick-Stevenson, Thomas; Toone, Rebecca; Neupert, Emma; Edwards, Kimberley; Kluzek, Stefan

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Rebecca Toone

Emma Neupert

Professor of Sport, exercise and Nutrition Education

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Clinical Associate Professor


Fatigue is a phenomenon associated with decreases in both physical and cognitive performances and increases in injury occurrence. Competitive athletes are required to complete demanding training programs with high workloads to elicit the physiological and musculoskeletal adaptations plus skill acquisition necessary for performance. High workloads, especially sudden rapid increases in training loads, are associated with the occurrence of fatigue. At present, there is limited evidence elucidating the underlying mechanisms associating the fatigue generated by higher workloads and with an increase in injury risk. The multidimensional nature and manifestation of fatigue have led to differing definitions and dichotomies of the term. Consequently, a plethora of physiological, biochemical, psychological and performance markers have been proposed to measure fatigue and recovery. Those include self-reported scales, countermovement jump performance, heart rate variability, and saliva and serum biomarker analyses. The purpose of this review is to provide an overview of fatigue and recovery plus methods of assessments.


Bestwick-Stevenson, T., Toone, R., Neupert, E., Edwards, K., & Kluzek, S. (2022). Assessment of Fatigue and Recovery in Sport: Narrative Review. International Journal of Sports Medicine, 43(14), 1151-1162.

Journal Article Type Article
Acceptance Date Apr 25, 2022
Online Publication Date Jun 15, 2022
Publication Date 2022-12
Deposit Date Jun 24, 2022
Publicly Available Date Jun 16, 2023
Journal International Journal of Sports Medicine
Print ISSN 0172-4622
Electronic ISSN 1439-3964
Publisher Thieme Publishing
Peer Reviewed Peer Reviewed
Volume 43
Issue 14
Pages 1151-1162
Keywords Orthopedics and Sports Medicine; Physical Therapy, Sports Therapy and Rehabilitation
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