@article {O{\textquoteright}Malley647, author = {E O{\textquoteright}Malley and J Murphy and C Gissane and U McCarthy-Persson and C Blake}, title = {EFFECTIVE EXERCISE BASED TRAINING INTERVENTIONS TARGETING INJURY PREVENTION IN TEAM-BASED SPORTS: A SYSTEMATIC REVIEW}, volume = {48}, number = {7}, pages = {647--647}, year = {2014}, doi = {10.1136/bjsports-2014-093494.231}, publisher = {British Association of Sport and Excercise Medicine}, 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{\textendash}0.96, P=.03), knee (RR=0.79, 95\% CI=0.63{\textendash}0.99, P=.04), ACL (RR=0.51, 95\% CI=0.28{\textendash}0.93, P=.03) and ankle injury risk (RR=0.72, 95\% CI=0.58{\textendash}0.90, P=.003). Balance board interventions were shown to reduce hamstring (RR=0.22, 95\% CI=0.05{\textendash}1.02, P=.05) and ankle injury (RR=0.64, 95\% CI=0.49{\textendash}0.83, P=.001). Hamstring muscle training had no significant effect (RR=0.46, 95\% CI=0.19{\textendash}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.}, issn = {0306-3674}, URL = {https://bjsm.bmj.com/content/48/7/647.1}, eprint = {https://bjsm.bmj.com/content/48/7/647.1.full.pdf}, journal = {British Journal of Sports Medicine} }