Flow Diagram for Recognition of Overtraining Syndrome (OTS)

Has the athlete shown an unexplained drop in performance?

Number of weeks with fatigue, exhaustion or failure to recover

Is there a medical condition that could explain a drop in performance?

Is there objective evidence of a decline in performance?

• have any psychosocial problems or issues?

• have a nutritional disturbance?

• been dealing with unfavorable environmental conditions such as heat, cold, altitude, etc?

• had a recent significant increase in training load?

• have chronic medical condition ?