Elite Athlete Performance

A single intervention is unlikely to make or destroy an elite athletic career by itself. An elite athlete's asymmetry cannot be interpreted confidently without direct assessment and context. Elite performance depends on many variables interacting over time. Injury and performance may be influenced by genetics, environment, sleep, training, stress, nutrition, and psychosocial state. Sleep deprivation is identified as a contributor to increased injury risk. Clinicians and coaches should guide decisions by observed response rather than ideology.