[SportMed] 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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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

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Content Sample:

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Jean C Carolyn A. Emery, Avery Faigenbaum et al.
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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
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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.
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[SportMed] 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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