Acute Hamstring Injury Prevention Programs in Eleven-a-Side Football Players Based on Physical Exercises: Systematic Review

Rosado-Portillo, Adolfo; Chamorro-Moriana, Gema; González-Medina, Gloria; Pérez-Cabezas, Verónica

doi:10.3390/jcm10092029

Cited by 12 publications

(24 citation statements)

References 42 publications

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“…The characteristics of the eight eligible articles included in the umbrella review can be found in Table 2 (Ref. [3,[17][18][19][35][36][37][38]). The summary of the main evidence found in each review article is outlined in Table 3 (Ref.…”

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

“…The summary of the main evidence found in each review article is outlined in Table 3 (Ref. [3,[17][18][19][35][36][37][38]). There were 60 articles included in the eight systematic reviews, with 20 being repeated, two of which included female soccer players [39,40], two focused on injury prediction [41,42], one with a mixed sample [43], three systematic reviews, of which one was already within this review [18], another was mixed [44] and the last jointly involved risk factors, detection and prevention tests with articles that were already included in the other reviews [45], five of optimisation [46][47][48][49][50], one developed in Australian soccer [51] and one not available [52].…”

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

“…In total, 25 articles one non-equivalent control group (NCG) [72], one series of time (TS) [73], one qualitative study (QS) [74], and one retrospective design (RD) [75]. Olsen et al [17] included young soccer players, while the remainder of the studies incorporated adult professional, semi-professional, amateur and college/university soccer players [3,18,19,[35][36][37][38]. Despite two systematic reviews including two studies with female athletes and one with mixed genders, 95% of the included studies focused on male players.…”

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

“…Despite two systematic reviews including two studies with female athletes and one with mixed genders, 95% of the included studies focused on male players. Four systematic reviews included a generalised lower-limb injury prevention programme [3,17,36,37] and four assessed the efficacy of training programs on hamstring injury prevention [18,19,35,38]. Two of the systematic reviews focusing on lower-limb injury preven-tion programmes questioned the quality of the evidence obtained in the studies [36,37].…”

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

“…Porter and Rushton [36] and Fanchini et al [37] identified that the use of eccentric hamstring exercises may be effective in preventing hamstring injuries and that proprioceptive training may be effective in preventing recurrent ankle sprains. Rosado-Portillo et al [38] suggested that soccer players can reduce the incidence of injury in games and training sessions by participating in dynamic warm-ups, including, strength, balance and mobility training exercises. Olsen et al [17] demonstrated that the prevention strategies used in young soccer players appear effective, but further evaluation is required before robust inferences can be drawn.…”

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

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Injury Prevention Programmes in Male Soccer Players: An Umbrella Review of Systematic Reviews

Barrera¹,

Figueiredo²,

Clemente³

et al. 2022

JOMH

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Background:The incidence of lower-extremity injuries in soccer is high, with effective injury prevention programmes shown to reduce injury rates. Over the past decades, an exponential growth has occurred in the number of scientific publications including review articles on injury prevention programmes in male soccer. Accordingly, it is timely to summarise findings from potential systematic reviews and meta-analyses in the form of an umbrella review. Objective: This umbrella review was conducted to review, synthesise and appraise the findings of the published systematic reviews and meta-analyses that investigated the effects of injury prevention programs in male soccer players. Methods: Following pre-registration on the International Platform of Registered Systematic Review and Meta-analysis Protocols (https://inplasy.com/inplasy-2021-9-0066/) and according to PRISMA guidelines, a search of databases (Web of Science, Scopus, SPORTDiscus and PubMed) was conducted for studies published before June 2021. Studies were eligible if they included male (amateur to professional) soccer players, included studies that incorporated injury prevention programs with a control and intervention group(s), and adopted the form of a systematic review (with or without a meta-analysis). The methodological quality of the evidence was assessed using the AMSTAR 2 tool. Results: Eight systematic reviews (no meta-analyses) were included in the umbrella review. The review articles retained for analyses primarily focused on the prevention of injuries in the lower limbs, with primary focus on the hamstrings. Prevention programs principally incorporating strengthening, proprioception and multi-component protocols (balance, core stability, functional strength and mobility) revealed positive effects on injury incidence and severity. Implementing eccentric hamstring protocols demonstrated efficacy in decreasing hamstring injury and proprioception exercises reduced the risk of ankle sprains. It was also revealed that dynamic warm-ups were effective in reducing incidence, but not severity of injuries. Conversely, the evidence from the current umbrella review suggests that programs focusing on static stretching showed inconclusive injury preventative effects. Articles were of mixed methodological quality with one demonstrating high quality, two indicating low quality and five were of critically low quality. Conclusions: The systematic reviews in this area suggests that prevention programs developing muscle strength and proprioception are effective in reducing the incidence and severity of injury (time out). Dynamic movements performed before a match are effective in reducing injury incidence, whilst the effects of warm-ups incorporating static stretching are unclear. Future original studies on this topic with improved methodological quality and consistency among experimental study designs should be conducted to evaluate the benefits of different programs over longer periods in male soccer players.

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Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

Section: Characteristics Of the Study And Qualitative Synthesismentioning

confidence: 99%

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Injury Prevention Programmes in Male Soccer Players: An Umbrella Review of Systematic Reviews

Barrera¹,

Figueiredo²,

Clemente³

et al. 2022

JOMH

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Lower flexibility and range of motion in prepubertal soccer players: a pilot study

Pinto,

Bonaldi,

Pirri

et al. 2024

Sport Sci Health

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Purpose Even if sport practice is essential for children’s health, in the last years, an increased number of studies recorded injuries from the age of 12 years. In the multifactorial nature of injuries, a reduction in flexibility and/or range of motion is hypothesized to play a role. Thus, the aim of this study is to analyze the flexibility and range of motion of soccer players in the prepubertal age. Methods In this pilot transversal study, we investigated through various mobility tests (ankle wall test, sit and reach test, and active straight leg raise test) a population of 78 prepubertal soccer players (male, 12 ÷ 14 years old, BMI 18.472 ± 2.18 kg/m2). Results The results showed a significant reduction in their flexibility and range of motion compared to the reference values reported in clinical guidelines, and this decrement increased with the years of soccer history and age. Conclusions The lower flexibility and range of motion confirmed the importance of planning an adequate training to prevent their limitation with repercussions on body growth.

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Effectiveness of Conservative Interventions After Acute Hamstrings Injuries in Athletes: A Living Systematic Review

et al. 2023

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Background Hamstrings injuries are common in sports and the reinjury risk is high. Despite the extensive literature on hamstrings injuries, the effectiveness of the different conservative (i.e., non-surgical) interventions (i.e., modalities and doses) for the rehabilitation of athletes with acute hamstrings injuries is unclear. Objective We aimed to compare the effects of different conservative interventions in time to return to sport (TRTS) and/or time to return to full training (TRFT) and reinjury-related outcomes after acute hamstrings injuries in athletes. Data Sources We searched CINAHL, Cochrane Library, EMBASE, PubMed, Scopus, SPORTDiscus, and Web of Science databases up to 1 January, 2022, complemented with manual searches, prospective citation tracking, and consultation of external experts. Eligibility Criteria The eligibility criteria were multi-arm studies (randomized and non-randomized) that compared conservative treatments of acute hamstrings injuries in athletes. Data Analysis We summarized the characteristics of included studies and conservative interventions and analyzed data for main outcomes (TRTS, TRFT, and rate of reinjuries). The risk of bias was judged using the Cochrane tools. Quality and completeness of reporting of therapeutic exercise programs were appraised with the i-CONTENT tool and the certainty of evidence was judged using the GRADE framework. TRTS and TRFT were analyzed using mean differences and the risk of reinjury with relative risks. Results Fourteen studies (12 randomized and two non-randomized) comprising 730 athletes (mostly men with ages between 14 and 49 years) from different sports were included. Nine randomized studies were judged at high risk and three at low risk of bias, and the two non-randomized studies were judged at critical risk of bias. Seven randomized studies compared exercise-based interventions (e.g., L-protocol vs C-protocol), one randomized study compared the use of low-level laser therapy, and three randomized and two non-randomized studies compared injections of platelet-rich plasma to placebo or no injection. These low-level laser therapy and platelet-rich plasma studies complemented their interventions with an exercise program. Only three studies were judged at low overall risk of ineffectiveness (i-CONTENT). No single intervention or combination of interventions proved superior in achieving a faster TRTS/TRFT or reducing the risk of reinjury. Only eccentric lengthening exercises showed limited evidence in allowing a shorter TRFT. The platelet-rich plasma treatment did not consistently reduce the TRFT or have any effect on the risk of new hamstrings injuries. The certainty of evidence was very low for all outcomes and comparisons. Conclusions Available evidence precludes the prioritization of a particular exercise-based intervention for athletes with acute hamstrings injuries, as different exercise-based interventions showed comparable effects on TRTS/TRFT and the risk of reinjuries. Available evidence also does not support the use of platelet-rich pla...

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Acute Hamstring Injury Prevention Programs in Eleven-a-Side Football Players Based on Physical Exercises: Systematic Review

Cited by 12 publications

References 42 publications

Injury Prevention Programmes in Male Soccer Players: An Umbrella Review of Systematic Reviews

Injury Prevention Programmes in Male Soccer Players: An Umbrella Review of Systematic Reviews

Lower flexibility and range of motion in prepubertal soccer players: a pilot study

Effectiveness of Conservative Interventions After Acute Hamstrings Injuries in Athletes: A Living Systematic Review

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