Table 3

Results of the best evidence synthesis

N Univariate Multivariate Association with risk (↑\↓\=) Best evidence synthesis
Low risk of bias High risk of bias Low risk of bias High risk of bias Presence of association Level of evidence
Risk factors
Chronological age3008 6 8 6 6 8 YesStrong
Sex190 25 =25 NoLimited
Limb dominance1544 8 22 =8 22 NoModerate
Player stature1401 8 =8 NoLimited
Player body mass/weight3008 6 8 =6 8 NoStrong
BMI1607 6 6 YesLimited
Player height1607 6 =6 NoLimited
Preseason period183 24 24 YesLimited
Shorter between-match recovery/congested playing schedule621 7 14 =7 14 NoModerate
Level of competition190 25 =25 NoLimited
Playing position2300 8 10 =8 10 NoConflicting
Previous calf muscle strain injury3008 6 8 6 8 YesStrong
Previous adductor1401 8 8 YesLimited
Previous quadriceps1607 6 6 YesLimited
Previous knee173 23 23 YesLimited
Previous hamstring1401 8 8 YesLimited
Previous ‘lower leg, knee, thigh, ankle/foot and back’155 13 13 YesLimited
Temperature1607 6 =6 NoLimited
Evaporation in previous 7 days1607 6 =6 NoLimited
Rainfall in previous 7 days1607 6 =6 NoLimited
Rainfall on game day1607 6 =6 NoLimited
Month of year1607 6 =6 NoLimited
  • ↑↑, association with future calf muscle strain; ↓, association with lower risk for future calf muscle strain; =, no association with future calf muscle strain; BMI, body mass index.