Article Text

PDF
231
EFFECTIVE EXERCISE BASED TRAINING INTERVENTIONS TARGETING INJURY PREVENTION IN TEAM-BASED SPORTS: A SYSTEMATIC REVIEW
  1. E O'Malley1,
  2. J Murphy2,
  3. C Gissane3,
  4. U McCarthy-Persson1,
  5. C Blake1
  1. 1UCD School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin 4, Ireland
  2. 2Medfit Wellness & Rehabilitation, Blackrock Business Park, Carysfort Avenue, Dublin, Ireland
  3. 3St Mary's University College, Twickenham, London, Ireland

Abstract

Background Exercise-based training is proposed to aid injury prevention through enhanced neuromuscular-control and muscle strength.

Objective To assess the effects of exercise-based interventions on injury incidence in team sports.

Design Systematic review.

Setting 5 electronic databases were searched (12/01/13) returning 275 unique articles.

Participants 23 randomised controlled trials (RCTs) involving 21,479 participants were included.

Interventions Multifaceted exercise programmes were tested against controls (normal practice) in 12 studies, 7 studies used a balance board, 3 studies targeted hamstring strength and 1 study examined eccentric training of the Achilles and patellar tendons.

Main outcome measurements RCTs reporting overall or lower-limb injury incidence were included. Methodological quality of each trial was assessed using a tool developed by the Cochrane Bone, Joint and Muscle Trauma group (Goldman and Jones 2010). Meta-analysis was performed on homogenous studies using RevMan 5.1 software. Risk ratios (RR) and 95% confidence intervals (95% CI) were calculated using the Mantel-Haenszel method in a random effects model.

Results Pooled-analysis of multifaceted exercise programmes demonstrated a reduction in overall (RR=0.65, 95% CI=0.44–0.96, P=.03), knee (RR=0.79, 95% CI=0.63–0.99, P=.04), ACL (RR=0.51, 95% CI=0.28–0.93, P=.03) and ankle injury risk (RR=0.72, 95% CI=0.58–0.90, P=.003). Balance board interventions were shown to reduce hamstring (RR=0.22, 95% CI=0.05–1.02, P=.05) and ankle injury (RR=0.64, 95% CI=0.49–0.83, P=.001). Hamstring muscle training had no significant effect (RR=0.46, 95% CI=0.19–1.11, P=.09). Eccentric training of the Achilles and patellar tendons demonstrated an increased injury risk (RR=2.5, 95% CI=1.35- 4.61, P=.003).

Conclusions Exercise-based interventions can reduce injury risk in team sports. Strategies are required to translate this evidence into practice.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.