What Young Baseball Pitchers Don’t Know Will Hurt Them

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Metrifit Athlete Monitoring and Well-Being

baseball pitcherWhat we don’t know can hurt us.  Those words are true across much of sports, but especially when dealing with kids.  Young athletes depend on parents and coaches for knowledge and guidance for the few decisions left up to them.  How much to train, how much to listen to their bodies and how much to rest are influenced by the advice of adults.

Unfortunately, many parents and coaches are driven by emotions rather than data.  Wanting to see their player and the team succeed, they push the limits of physical endurance since they often don’t have objective data with warning signals that a training threshold has been crossed.  Coaches often don’t know what a player does after they leave a training session, while parents don’t get accurate details of the workload that their son or daughter endured while at practice.  Now, new research highlights this miscommunication in baseball with surprising statistics about the injury rate of young pitchers.

In most sports health disciplines, the last several decades have seen improvements in the knowledge, treatment and outcomes of sports-related injuries or conditions.  Not true for baseball pitchers.  According to Joseph Guettler, M.D., an orthopaedic surgeon and sports medicine specialist at Oakland University School of Medicine, serious arm injuries requiring surgery are occurring an incredible 16 times more often than 30 years ago.

Guettler and his colleagues developed a survey to ask pitchers, with ages between  9 and 18, about their pitching habits, quantity and any soreness or injuries they encountered.  “Our goal was to develop a national study so that we could look at pitchers from all over the country,” said Guettler. “The ultimate goal was to figure out what was going on. What risk factors were associated with injury and what could we do to cut off this rise.”

The American Orthopedic Society for Sports Medicine sponsored the three year study.  Dr. Guettler describes the study in this video.

In what became the largest national study of its kind, 754 boys, with an average age of 14, participated from across the U.S.  Stats on their pitching habits included:

  • pitching 5.2 months per year with an average of 5.4 innings per week, but 13% pitched for more than 8 months in one year.
  • 56% pitched on back to back days with 19% pitching more than one game in a single day.
  • half pitched for a travel team and 42% attended a pitching camp while ⅓ played for more than one team.
  • throwing curve balls, known for the strain on the arm, at an average age of 12 years old.

The standout stats detailed the alarming injury rate:

  • one third of the 754 boys reported a pitching related injury in the last 12 months
  • 70% endured arm tiredness in the last 12 months
  • 40% had significant arm pain in the last 12 months

“Our research team and colleagues from around the country, saw several recurring themes,” says Dr. Guettler. “It became very clear that dangerous pitching behavior is occurring among pitchers as young as little league all the way through their high school years.”

So, given all of the national guidelines for young pitchers, why are coaches and parents ignoring expert advice and allowing their sons to overuse their arms?  It turns out the fault may fall more with the parents and pitchers, especially when the player is on multiple teams. “The blame doesn’t usually lie with the leagues or coaches,” warned Guettler. “Most were found to be adhering to nationally recognized guidelines for pitch limits and rest. It seems much of the blame lies with behavior of parents and their kids.”

Are parents intentionally trying to hurt their kids?  No, but without a hub of data to record practices, games, pitches thrown, soreness and other important variables, both the parent and the athlete lose track of the workload during the season.  As with any athlete, baseball pitchers need a training log that can also be accessed by their parents and all of their coaches.  Plotting physical activity and the body’s reaction to it over time will not only show trends leading to injuries but also performance ups and downs.

Dr. Guettler recommends the Rule of Ones for pitchers to avoid overuse injuries:

  • One game per day followed by at least one day of rest
  • One team at a time
  • One pitch type prior to high school (not a curve ball)
  • One season per year playing a different sport
  • One complaint of arm soreness or tiredness results in one week of rest

Without tracking data and setting rules for responding to this new information, what young athletes don’t know will hurt them.

About Metrifit

Metrifit is an athlete monitoring system that gathers subjective and objective information from both coaches and athletes in a simple but effective manner with intelligent visualization helping coaches and athletes to act on that data. Why not have a look at our Ready to Perform product and gain insight on the physical and mental state of your athletes through our daily wellbeing questionnaire? To find out more visit our Metrifit Product Overview page or get in touch for a free demo.

"The visualisation of data allows for easy discussion between athletes, performance staff and medical teams and offers the potential to predict and avoid issues which could hamper performance. Over the year the data has proven instrumental in our critical decision making. Metrifit is a excellent monitoring tool however the unsung additional aspect is the fantastic and tireless customer support."

Robert Walsh
Strength Coach
Nederlandse Ski Vereniging (Netherlands Ski/Snowboard Team)
Metrifit Athlete Monitoring System
2017-07-25T14:10:08+01:00
Robert Walsh
Strength Coach
Nederlandse Ski Vereniging (Netherlands Ski/Snowboard Team)
"The visualisation of data allows for easy discussion between athletes, performance staff and medical teams and offers the potential to predict and avoid issues which could hamper performance. Over the year the data has proven instrumental in our critical decision making. Metrifit is a excellent monitoring tool however the unsung additional aspect is the fantastic and tireless customer support."
"Metrifit has been used to gain a more in-depth insight into our student-athlete’s progressive athletic development and balance relative to their particular sporting and training activities, academic studies and total load. Metrifit doesn’t just help with optimising our Sports Scholarship students’ athletic performance. It assists us in helping them get the balance right between their sporting activities and academic studies."

Richard Deuchrass

Lincoln University Athletic Performance Manager

Metrifit Athlete Monitoring System
2017-06-12T13:58:58+01:00

Richard Deuchrass

Lincoln University Athletic Performance Manager

"Metrifit has been used to gain a more in-depth insight into our student-athlete’s progressive athletic development and balance relative to their particular sporting and training activities, academic studies and total load. Metrifit doesn’t just help with optimising our Sports Scholarship students’ athletic performance. It assists us in helping them get the balance right between their sporting activities and academic studies."
"Our coaches through Metrifit basically have an ‘X-ray’ vision into the habits and lifestyles and stressors their athletes have on a day to day basis, especially when they are not together. Thus the professional authentic relationships created through the casual conversations, reflection process and application provided is priceless."

Brian Clarke

Head Strength and Conditioning Co-ordinator,Noblesville High School

Metrifit Athlete Monitoring System
2017-06-12T14:21:17+01:00

Brian Clarke

Head Strength and Conditioning Co-ordinator,Noblesville High School

"Our coaches through Metrifit basically have an ‘X-ray’ vision into the habits and lifestyles and stressors their athletes have on a day to day basis, especially when they are not together. Thus the professional authentic relationships created through the casual conversations, reflection process and application provided is priceless."
"Metrifit is an amazingly easy-to-use yet comprehensive monitoring tool for training and recovery! The elite athletes we work with are able track and monitor their situations and states daily, in order to maximize their performance loads and recovery practices. This also helps our coaches customize the training programs ‎more effectively. I'd recommend this for any serious team / athlete or coach in wanting to bring out the very best in their long-term performances! "

Edgar K. Tham

Founder and Chief Sport & Performance Psychologist, SportPsych Consulting (Singapore, Indonesia, Philippines)

Metrifit Athlete Monitoring System
2017-06-12T18:03:35+01:00

Edgar K. Tham

Founder and Chief Sport & Performance Psychologist, SportPsych Consulting (Singapore, Indonesia, Philippines)

"Metrifit is an amazingly easy-to-use yet comprehensive monitoring tool for training and recovery! The elite athletes we work with are able track and monitor their situations and states daily, in order to maximize their performance loads and recovery practices. This also helps our coaches customize the training programs ‎more effectively. I'd recommend this for any serious team / athlete or coach in wanting to bring out the very best in their long-term performances! "
"I wanted to reach out to thank Metrifit for an extremely successful season. Our Regis University women’s side won the ultra-competitive RMAC with a 11-0-1 record. Our student-athletes reported in post-season interviews the positive use of Metrifit that enabled their own reflection about their bodies and also found value providing information to coaches for our strategic planning purposes. On more than one occasion, we recognized deviations from norms and were able to step-in with a quick chat to help a player get back on track or refer her to the proper support personnel for further assistance. Fantastic! "

J.B. Belzer
Head Coach, Women's Soccer at Regis University

Metrifit Athlete Monitoring System
2018-09-13T13:47:09+01:00

J.B. Belzer
Head Coach, Women's Soccer at Regis University

"I wanted to reach out to thank Metrifit for an extremely successful season. Our Regis University women’s side won the ultra-competitive RMAC with a 11-0-1 record. Our student-athletes reported in post-season interviews the positive use of Metrifit that enabled their own reflection about their bodies and also found value providing information to coaches for our strategic planning purposes. On more than one occasion, we recognized deviations from norms and were able to step-in with a quick chat to help a player get back on track or refer her to the proper support personnel for further assistance. Fantastic! "
"Metrifit has been hugely beneficial in supporting our coaches and back room staff to track and monitor our players training loads, performance and readiness to train. Having a one-stop shop for collating all relevant information across a holistic picture of the player allows us to help prevent burnout, injury and provide timely feedback and communication to all."

Eamonn Fitzmaurice

Kerry Senior Football, Manager

Metrifit Athlete Monitoring System
2017-06-12T14:01:46+01:00

Eamonn Fitzmaurice

Kerry Senior Football, Manager

"Metrifit has been hugely beneficial in supporting our coaches and back room staff to track and monitor our players training loads, performance and readiness to train. Having a one-stop shop for collating all relevant information across a holistic picture of the player allows us to help prevent burnout, injury and provide timely feedback and communication to all."
"Metrifit has been instrumental in helping our international Managers, Coaches and Medical teams to identify players who require modifications in training loads or who are struggling with some aspect of their preparation for, or recovery from, training and matches.  One of the big strengths of this technology is that it allows our Managers and Medical teams to monitor players both during international competition and outside of these times."

Dan Horan

Head of Fitness for International Football/Fitness Coach Men's Senior Team
Football Association of Ireland

Metrifit Athlete Monitoring System
2017-06-16T15:11:55+01:00

Dan Horan

Head of Fitness for International Football/Fitness Coach Men's Senior Team
Football Association of Ireland

"Metrifit has been instrumental in helping our international Managers, Coaches and Medical teams to identify players who require modifications in training loads or who are struggling with some aspect of their preparation for, or recovery from, training and matches.  One of the big strengths of this technology is that it allows our Managers and Medical teams to monitor players both during international competition and outside of these times."
"Metrifit has enabled us to bring to life the complexiities associated with managing the academic, pastoral and sporting demands of pupils aged 13 - 18 in a UK day and boarding school environment It has provided another bridge between coaches and sports pupis, giving pupils a space to provide honest self reflection on wellbeing and providing coaches a head start on appropriate freshness and fatigue balance across the school week."

Graham Williams

Athletic Development Coach, MSc ASCC
Millfield School, UK

Metrifit Athlete Monitoring System
2017-06-19T14:14:37+01:00

Graham Williams

Athletic Development Coach, MSc ASCC
Millfield School, UK

"Metrifit has enabled us to bring to life the complexiities associated with managing the academic, pastoral and sporting demands of pupils aged 13 - 18 in a UK day and boarding school environment It has provided another bridge between coaches and sports pupis, giving pupils a space to provide honest self reflection on wellbeing and providing coaches a head start on appropriate freshness and fatigue balance across the school week."
"Metrifit is an outstanding platform to track your athletes’ wellness. It’s simple to use, easy to implement and gives outstanding information on your athlete’s subjective wellness which can be used to assign training loads. I highly recommend Metrifit for any coach looking to begin implementing technology into their program"

Brijesh Patel

Quinnipiac University, Head Strength and Conditioning Coach

Metrifit Athlete Monitoring System
2017-06-12T17:58:50+01:00

Brijesh Patel

Quinnipiac University, Head Strength and Conditioning Coach

"Metrifit is an outstanding platform to track your athletes’ wellness. It’s simple to use, easy to implement and gives outstanding information on your athlete’s subjective wellness which can be used to assign training loads. I highly recommend Metrifit for any coach looking to begin implementing technology into their program"
"I've found Metrifit an invaluable resource. Not only to monitor daily wellness, readiness to train and training load within the squad, but also to monitor training load externally with additional external squads. Furthermore, Metrifit has acted as a key teaching tool, allowing young athletes associate good sleeping, eating and recovery habits to an improved sense of wellness and thus superior on-field performance."

Tommy Mooney

Strength and Conditioning Coach at DCU Sport and with Dublin Minor GAA

Metrifit Athlete Monitoring System
2017-06-14T13:31:14+01:00

Tommy Mooney

Strength and Conditioning Coach at DCU Sport and with Dublin Minor GAA

"I've found Metrifit an invaluable resource. Not only to monitor daily wellness, readiness to train and training load within the squad, but also to monitor training load externally with additional external squads. Furthermore, Metrifit has acted as a key teaching tool, allowing young athletes associate good sleeping, eating and recovery habits to an improved sense of wellness and thus superior on-field performance."
"As a school that cannot spend large amounts of money on athlete monitoring, Metrifit has provided us with a great tool for monitoring stress and athlete readiness at a great rate. Being athlete driven, we're able to get buy-in from the athlete, and drive individual or team wide conversations regarding lifestyle and performance education in the direction needed. Seeing acute and chronic stress on a real-time basis has greatly improved the way we schedule workouts and arrange travel during the season."

Derek Bol
Strength & Conditioning Coach, Valparaiso University
Metrifit Athlete Monitoring System
2017-06-20T22:26:45+01:00
Derek Bol
Strength & Conditioning Coach, Valparaiso University
"As a school that cannot spend large amounts of money on athlete monitoring, Metrifit has provided us with a great tool for monitoring stress and athlete readiness at a great rate. Being athlete driven, we're able to get buy-in from the athlete, and drive individual or team wide conversations regarding lifestyle and performance education in the direction needed. Seeing acute and chronic stress on a real-time basis has greatly improved the way we schedule workouts and arrange travel during the season."
"The holistic approach of medical, physical, emotional and even tech/tactical; bringing together what we need to monitor and evaluate our University players. “If you can’t measure it – it doesn’t exist.” I know we were the first Canadian University to use the program and I know many more will be asking for it in the future! I highly recommend Metrifit."

Tino Fusco, B.Sc. ChPC

Head Coach, Women's Soccer, Mount Royal University (Canada)

Metrifit Athlete Monitoring System
2017-06-12T14:25:37+01:00

Tino Fusco, B.Sc. ChPC

Head Coach, Women's Soccer, Mount Royal University (Canada)

"The holistic approach of medical, physical, emotional and even tech/tactical; bringing together what we need to monitor and evaluate our University players. “If you can’t measure it – it doesn’t exist.” I know we were the first Canadian University to use the program and I know many more will be asking for it in the future! I highly recommend Metrifit."
"The ability to acutely monitor stress and recovery and make the correct adjustments was critical to our health and performance throughout the NCAA tournament. Metrifit has a very strong educational component. With the information we get, I am able to clearly understand the habits and behaviors of our athletes, and how they may be impacting performance."

Erik Helland

Director of Strength & Conditioning and Head Strength Coach Men’s basketball, University of Wisconsin

Metrifit Athlete Monitoring System
2017-06-12T11:42:14+01:00

Erik Helland

Director of Strength & Conditioning and Head Strength Coach Men’s basketball, University of Wisconsin

"The ability to acutely monitor stress and recovery and make the correct adjustments was critical to our health and performance throughout the NCAA tournament. Metrifit has a very strong educational component. With the information we get, I am able to clearly understand the habits and behaviors of our athletes, and how they may be impacting performance."
"What’s more impressive is the ability to utilize the basics but at the same time have the capability to explore detailed and intricate correlative data points that helps us as coaches gain the most from our athletes. Metrifit has also served as an easy communications hub to ensure essential information is passed to the appropriate team. We are excited to what the future from Metrifit will bring."

Michael Torres

CEO, Shift Performance, Miami

Metrifit Athlete Monitoring System
2017-06-14T14:09:22+01:00

Michael Torres

CEO, Shift Performance, Miami

"What’s more impressive is the ability to utilize the basics but at the same time have the capability to explore detailed and intricate correlative data points that helps us as coaches gain the most from our athletes. Metrifit has also served as an easy communications hub to ensure essential information is passed to the appropriate team. We are excited to what the future from Metrifit will bring."
"Metrifit provides immediate insight and feedback on the physical and mental states of the student-athletes.  It allows us to adjust practices and training sessions to accurately meet needs. We have been able to identify potential injury concerns, track current injury status and monitor return to play progress."

Kari Thompson

Head Volley Ball Coach, Southern Illinois University

Metrifit Athlete Monitoring System
2017-06-16T15:08:31+01:00

Kari Thompson

Head Volley Ball Coach, Southern Illinois University

"Metrifit provides immediate insight and feedback on the physical and mental states of the student-athletes.  It allows us to adjust practices and training sessions to accurately meet needs. We have been able to identify potential injury concerns, track current injury status and monitor return to play progress."
"The success of young athletes using Metrifit was an interesting challenge in the Elite Soccer space… After six months of learning, creating habit with teenagers the project is a huge success…. 90% completion rate has allowed us deal with all the key KPI’s that are needed in their development. In our space with developing athletes…Metrifit is a godsend and is the most important tool in this space."

Niall O’Driscoll

Academy Directory, SJ.B (St. Joseph’s Bray ) Academy

Metrifit Athlete Monitoring System
2017-06-16T16:51:01+01:00

Niall O’Driscoll

Academy Directory, SJ.B (St. Joseph’s Bray ) Academy

"The success of young athletes using Metrifit was an interesting challenge in the Elite Soccer space… After six months of learning, creating habit with teenagers the project is a huge success…. 90% completion rate has allowed us deal with all the key KPI’s that are needed in their development. In our space with developing athletes…Metrifit is a godsend and is the most important tool in this space."
“Metrifit has become a multifactorial platform that has helped up us provide deeper context to the decisions that we make on a daily basis in regards to the physical development of our student-athletes. We have intimately been utilizing both the subjective wellness questionnaire along with player training load data to drive professional conversation and actionable tasks to enhance the sporting results and quality of life for our student-athletes with unparalleled success.”

Kevin Schultz
Associate Director of Strength & Conditioning
Director of Olympic Strength & Conditioning
University of Wisconsin

Metrifit Athlete Monitoring System
2017-06-20T12:12:33+01:00

Kevin Schultz
Associate Director of Strength & Conditioning
Director of Olympic Strength & Conditioning
University of Wisconsin

“Metrifit has become a multifactorial platform that has helped up us provide deeper context to the decisions that we make on a daily basis in regards to the physical development of our student-athletes. We have intimately been utilizing both the subjective wellness questionnaire along with player training load data to drive professional conversation and actionable tasks to enhance the sporting results and quality of life for our student-athletes with unparalleled success.”
"When our players have been only training with the national team Metrifit allows me to liaise very closely with our conditioning coaches to manage load and intensity of training during training camps. I recommend it to anyone who wants an easy to use monitoring system."

Dave Passmore

Head Coach, Irish Hockey

Metrifit Athlete Monitoring System
2017-06-15T12:51:46+01:00

Dave Passmore

Head Coach, Irish Hockey

"When our players have been only training with the national team Metrifit allows me to liaise very closely with our conditioning coaches to manage load and intensity of training during training camps. I recommend it to anyone who wants an easy to use monitoring system."
"While working with the Clare Senior Hurling team (2012-2014), Horse Sport Ireland (U25 European Eventing Champions) and currently with the Limerick Senior Hurling Team, Metrifit provides our team with critical information across a number of essential aspects of elite athletic performance. You don’t really know how your players are responding to training stimuli unless you have daily data and Metrifit provides and easy to use and highly effective means of finding this critical information."

Joe O’Connor

NISUS Fitness, S&C Coach Clare Senior Hurling, Horse Sport Ireland and Limerick Senior Hurling

Metrifit Athlete Monitoring System
2017-06-12T13:55:49+01:00

Joe O’Connor

NISUS Fitness, S&C Coach Clare Senior Hurling, Horse Sport Ireland and Limerick Senior Hurling

"While working with the Clare Senior Hurling team (2012-2014), Horse Sport Ireland (U25 European Eventing Champions) and currently with the Limerick Senior Hurling Team, Metrifit provides our team with critical information across a number of essential aspects of elite athletic performance. You don’t really know how your players are responding to training stimuli unless you have daily data and Metrifit provides and easy to use and highly effective means of finding this critical information."
"Gaelic football is an intermittent high-intensity collision-based field sport requiring high levels of endurance, strength, power, agility, and speed as well as proficiency with gaelic-related skills. These components comprise the training modalities used at the elite level and the monitoring of such a vast range of modalities is central to peak performance. The athlete monitoring tool Metrifit allows us to do this and can keep us one step ahead of our competitors."

Jason McGahan

Sports Scientist, Kildare Football, PhD Sports Science Researcher

Metrifit Athlete Monitoring System
2017-06-12T14:23:50+01:00

Jason McGahan

Sports Scientist, Kildare Football, PhD Sports Science Researcher

"Gaelic football is an intermittent high-intensity collision-based field sport requiring high levels of endurance, strength, power, agility, and speed as well as proficiency with gaelic-related skills. These components comprise the training modalities used at the elite level and the monitoring of such a vast range of modalities is central to peak performance. The athlete monitoring tool Metrifit allows us to do this and can keep us one step ahead of our competitors."
"The Metrifit RTP platform is an excellent tool to monitor, evaluate and make the right decisions for your athlete’s well being and performance. It enables coaches and athletes to track and sift through all the variables that underpin well being and performance on a day to day basis and to address an issue or potential issue in real time. A simply wonderful product."

Dr. Dale Richardson

CEO Achieve Total Performance Pty Ltd

Metrifit Athlete Monitoring System
2019-03-04T21:38:45+01:00

Dr. Dale Richardson

CEO Achieve Total Performance Pty Ltd

"The Metrifit RTP platform is an excellent tool to monitor, evaluate and make the right decisions for your athlete’s well being and performance. It enables coaches and athletes to track and sift through all the variables that underpin well being and performance on a day to day basis and to address an issue or potential issue in real time. A simply wonderful product."
"The cutting edge technology of Metrifit enables Managers, Coaches and Players to use this innovative technology to gain these crucial percentage points over their opponents in a technologically advanced yet easy to use web-based platform. The data collated on a daily basis greatly informs Management Teams while the educational aspect of the system really appeals to modern day athletes who are constantly looking for that extra edge."

Cian O’Neill

Kildare Senior Football Manager

Metrifit Athlete Monitoring System
2017-06-14T13:24:03+01:00

Cian O’Neill

Kildare Senior Football Manager

"The cutting edge technology of Metrifit enables Managers, Coaches and Players to use this innovative technology to gain these crucial percentage points over their opponents in a technologically advanced yet easy to use web-based platform. The data collated on a daily basis greatly informs Management Teams while the educational aspect of the system really appeals to modern day athletes who are constantly looking for that extra edge."
"Metrifit is an integral part of the set up within the senior and intermediate inter-county Camogie.  The data collected daily on the individual players is critical to the decision making of the backroom team including, managers, trainers, selectors, physiotherapist and indeed myself. As a nutritionist it allows me to monitor the quality of the player’s diet, energy levels, sleep pattern and overall wellbeing."

Yvonne Treacy

Nutritionist, Wexford Camogie

Metrifit Athlete Monitoring System
2017-06-13T16:38:55+01:00

Yvonne Treacy

Nutritionist, Wexford Camogie

"Metrifit is an integral part of the set up within the senior and intermediate inter-county Camogie.  The data collected daily on the individual players is critical to the decision making of the backroom team including, managers, trainers, selectors, physiotherapist and indeed myself. As a nutritionist it allows me to monitor the quality of the player’s diet, energy levels, sleep pattern and overall wellbeing."
“I recently started using the Metrifit system and have found it to be a very supportive tool in keeping me focused and accountable to my processes & commitments and on track to reach my goals. I have found it enjoyable and think that it is beneficial to professional golfers and athletes in sport.”

Robert Karlsson, Professional Golfer

Metrifit Athlete Monitoring System
2019-03-04T20:48:39+01:00

Robert Karlsson, Professional Golfer

“I recently started using the Metrifit system and have found it to be a very supportive tool in keeping me focused and accountable to my processes & commitments and on track to reach my goals. I have found it enjoyable and think that it is beneficial to professional golfers and athletes in sport.”
"We have been using Metrifit for the past season at Cornish Pirates. It has been greatly beneficial for us to have our wellness and load management data on one easy to access system. We have found this invaluable over the past season whereby Coaches, Physios and Strength and conditioning coaches can monitor both the psychological and physiological load of our athletes on a daily basis."

Paul Cremin

Head Physiotherapist, Cornish Pirates Rugby Club

Metrifit Athlete Monitoring System
2017-06-16T15:06:04+01:00

Paul Cremin

Head Physiotherapist, Cornish Pirates Rugby Club

"We have been using Metrifit for the past season at Cornish Pirates. It has been greatly beneficial for us to have our wellness and load management data on one easy to access system. We have found this invaluable over the past season whereby Coaches, Physios and Strength and conditioning coaches can monitor both the psychological and physiological load of our athletes on a daily basis."