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META-ANALYSIS :
SYSTEMATIC REVIEWS :
EVIDENCE BASED :
JOURNAL ARTICLES :
SPORTS MEDICINE :
SPORTS INJURIES :
PHYSICAL EXERCISE AND FITNESS:
The Effectiveness of Exercise Interventions to Prevent Sports Injuries:
A Systematic Review and Meta-Analysis of Randomised Controlled Trials.
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The Effectiveness of Exercise Interventions to Prevent Sports Injuries: A
Systematic Review and Meta-Analysis of Randomised Controlled Trials.
Lauersen JB1, Bertelsen DM, Andersen LB.
British Journal of Sports Medicine
2014 Jun;48(11):871-7.
doi: 10.1136/bjsports-2013-092538.
Epub 2013 Oct 7.
https://www.ncbi.nlm.nih.gov/pubmed/24100287
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The effectiveness of exercise interventions to prevent sports injuries: a
systematic review and meta-analysis of randomised controlled trials.
Lauersen JB1, Bertelsen DM, Andersen LB.
Author information
Abstract
BACKGROUND:
Physical activity is important in both prevention and treatment of many
common diseases, but sports injuries can pose serious problems.
OBJECTIVE:
To determine whether physical activity exercises can reduce sports
injuries and perform stratified analyses of strength training, stretching,
proprioception and combinations of these, and provide separate acute and
overuse injury estimates.
MATERIAL AND METHODS:
PubMed, EMBASE, Web of Science and SPORTDiscus were searched and yielded
3462 results. Two independent authors selected relevant randomised,
controlled trials and quality assessments were conducted by all authors of
this paper using the Cochrane collaboration domain-based quality
assessment tool. Twelve studies that neglected to account for clustering
effects were adjusted. Quantitative analyses were performed in STATA V.12
and sensitivity analysed by intention-to-treat. Heterogeneity (I(2)) and
publication bias (Harbord's small-study effects) were formally tested.
RESULTS:
25 trials, including 26 610 participants with 3464 injuries, were
analysed. The overall effect estimate on injury prevention was
heterogeneous. Stratified exposure analyses proved no beneficial effect
for stretching (RR 0.963 (0.846-1.095)), whereas studies with multiple
exposures (RR 0.655 (0.520-0.826)), proprioception training (RR 0.550
(0.347-0.869)), and strength training (RR 0.315 (0.207-0.480)) showed a
tendency towards increasing effect. Both acute injuries (RR 0.647
(0.502-0.836)) and overuse injuries (RR 0.527 (0.373-0.746)) could be
reduced by physical activity programmes. Intention-to-treat sensitivity
analyses consistently revealed even more robust effect estimates.
CONCLUSIONS:
Despite a few outlying studies, consistently favourable estimates were
obtained for all injury prevention measures except for stretching.
Strength training reduced sports injuries to less than 1/3 and overuse
injuries could be almost halved.
KEYWORDS:
Evidence based reviews; Injury Prevention; Orthopaedics; Sporting
injuries; Training
PMID: 24100287 DOI: 10.1136/bjsports-2013-092538
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Sources Citing This Publication
http://tinyurl.com/ke95xm9
http://tinyurl.com/lyku4hz
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Content Sample:
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Bergeron, Michael F., Margo Mountjoy, Neil Armstrong, Michael Chia,
Jean C Carolyn A. Emery, Avery Faigenbaum et al.
"International Olympic Committee consensus statement
on youth athletic development."
British Journal of Sports Medicine 49, no. 13 (2015): 843-851.
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OBrien, James, and Caroline F. Finch.
"The implementation of musculoskeletal injury-prevention exercise programmes
in team ball sports: a systematic review employing the RE-AIM framework."
Sports medicine 44, no. 9 (2014): 1305-1318.
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Malisoux, Laurent, Joseph Ramesh, Robert Mann, Romain Seil, Axel Urhausen,
and Daniel Theisen.
"Can parallel use of different running shoes
decrease running-related injury risk?."
Scandinavian journal of medicine & science in sports
25, no. 1 (2015): 110-115.
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Emery, Carolyn A., Thierry-Olivier Roy, Jackie L. Whittaker,
Alberto Nettel-Aguirre, and Willem Van Mechelen.
"Neuromuscular training injury prevention strategies in youth sport:
a systematic review and meta-analysis."
British journal of sports medicine 49, no. 13 (2015): 865-870.
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Loturco, Irineu, Lucas A. Pereira, Ronaldo Kobal, Vinicius Zanetti,
Katia Kitamura, Cesar Cavinato Cal Abad, and Fabio Y. Nakamura.
"Transference effect of vertical and horizontal plyometrics
on sprint performance of high-level U-20 soccer players."
Journal of sports sciences 33, no. 20 (2015): 2182-2191.
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Suchomel, Timothy J., Sophia Nimphius, and Michael H. Stone.
"The importance of muscular strength in athletic performance."
Sports medicine 46, no. 10 (2016): 1419-1449.
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Riva, Dario, Roberto Bianchi, Flavio Rocca, and Carlo Mamo.
"Proprioceptive training and injury prevention in a professional men's
basketball team: a six-year prospective study."
Journal of Strength and Conditioning Research 30, no. 2 (2016): 461.
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Wright, Matthew D., Matthew D. Portas, Victoria J. Evans,
and Matthew Weston.
"The effectiveness of 4 weeks of fundamental movement training
on functional movement screen and physiological performance
in physically active children."
The Journal of Strength & Conditioning Research
29, no. 1 (2015): 254-261.
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Fortington, Lauren V., Alex Donaldson, Tim Lathlean, Warren B. Young,
Belinda J. Gabbe, David Lloyd, and Caroline F. Finch.
"When just doing itis not enough:
assessing the fidelity of player performance
of an injury prevention exercise program."
Journal of Science and Medicine in Sport 18, no. 3 (2015): 272-277.
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Al Attar, Wesam Saleh A., Najeebullah Soomro, Evangelos Pappas,
Peter J. Sinclair, and Ross H. Sanders.
"How effective are F-MARC injury prevention programs
for soccer players? A systematic review and meta-analysis."
Sports medicine 46, no. 2 (2016): 205-217.
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