ABSTRACTThis paper contributes a modelling approach for prediction of subsequent injury risk using longitudinal wearable data in the sports industry. Understanding subsequent injury events in sport, namely injuries that follow an initial injury, will assist athletes, support staff, and coaches to quantify the risk of future injury and better inform risk mitigation strategies. Traditionally, such modelling has relied on logistic regression and survival analysis, which can have limited ability to capture time‐varying and cumulative effects, differing exposures, and surveillance periods associated with training and injury history. Athletes and their injuries constitute a complex system. We develop a novel set of modelling tools combining survival modelling for feature selection of longitudinal wearable sensor and injury data, and a two‐state Hidden Markov Model (HMM) for predicting injury risk. Using data from a club in the Australian Football League (AFL), the quality of model fit was high with an Area Under the Curve (AUC) of 0.93 (77% sensitivity, 90% specificity). This HMM enables personalised analysis of risk given individual training and game loads and injury history, as well as cohort‐level insight into risk factors. Specifically, factors relating to the number of efforts exceeding the 95th percentile in terms of speed, rating of perceived exertion, and acceleration had order(s) of magnitude greater impact on risk than other features. This methodology is applicable to subsequent event modelling for a broad range of complex systems and industries, and highlights opportunities for better decision support for practitioners.
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