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Who ‘owns’ the injury or illness? Who ‘owns’ performance? Applying systems thinking to integrate health and performance in elite sport
  1. Mitchell Mooney1,
  2. Paula C Charlton2,
  3. Sadjad Soltanzadeh3,
  4. Michael K Drew2,4
  1. 1 Department of Performance Analysis, Australian Institute of Sport, Bruce, Canberra, Australia
  2. 2 Department of Physical Therapies, Australian Institute of Sport, Bruce, Canberra, Australia
  3. 3 Faculty of Education, Science, Technology and Mathematics, University of Canberra, Canberra, Australia
  4. 4 Australian Collaboration for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Victoria, Australia
  1. Correspondence to Michael K Drew, Department of Physical Therapies, Australian Institute of Sport, Leverrier Cr, Bruce, Canberra 2617, Australia; mick.drew{at}

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Systems thinking frameworks have gained attention in both modelling athlete performance and injury prevention in sports medicine.1–3 We believe that these fields may contribute valuably and interdependently within a larger high performance system.1 The purpose of this editorial is to explain how ‘injury’ and ‘performance’ interact within a system-based framework3 and to provide three practical implications of an integrated performance system.

Systems thinking in high performance sport

The basic premise underpinning any systems model is that parts of a system are inter-related, and the objective of the whole system defines the function of each part. Therefore, the interaction between parts cannot be reduced to a number of linear cause and effect relations.1 The influence of a part on the outcome of the whole system depends on the state of the other parts. Any change to a part of the system can affect the objectives of the whole system as …

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