|Fatigue||Insomnia||Loss of appetite|
|Slow or fast heart beat (bradycardia or tachycardia)||Agitation||Lack of mental concentration|
|Loss of motivation or interest||Decreased self-confidence||Heavy, sore, stiff muscles|
|Hypertension (e.g. high blood pressure)||Anxiety||Restlessness|
|Sleep disturbances||Nausea||Frequent illness|
The diagnosis of overtraining syndrome/burnout should only be made by a qualified health care professional and only after the taking a thorough history and recognition of nonspecific and varied symptomatology:
- Decreased performance persisting despite weeks to months of recovery
- Mood disturbances
- Lack of signs/symptoms or diagnosis of other possible causes of underperformance
- Lack of enjoyment participating in sport
- Inadequate nutrional and hydration intake
Presence of potential triggers, including
- increased training load with adequate recovery
- monotony of training
- excessive number of competitions
- sleep disturbance
- stressors in family life (parental pressure)
- stressors in sporting life (coaching pressure and travel demands)
- previous illness.
Testing (if indicated by history)
- consider laboratory studies (i.e. complete blood count (CBC), comprehensive metabolic panel, etc.)
- Profile of Mood States (POMS)(a psychometric tool for a global measure of mood, tension, depression, anger, vigor, fatique, and confusion).
Treatment depends on the causes (e.g. etiology) of the burnout in the individual athlete:
- treat any diagnosed organic disease appropriately
- rest or relative rest an important component
- consider whether prevention of dropout is possible by changing adult-controlled factors
- efforts should be made to develop realistic but positive perceptions of competence
- consider consultation with sports pyschologist because more of a psychological component to burnout in children than in adults
- initial treatment of depression, anxiety, and sleep disturbances without drugs, and implementation of drug therapy only with appropriate professional guidance.
DiFiori JP, Benjamin HJ, Brenner J, Gregory A, Jayanthi N, Landry GL, Luke A. Overuse Injuries and Burnout in Youth Sports: A Position Statement from the American Medical Society for Sports Medicine. Clin J Sports Med. 2014;24(1):3-20.