Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females: meta-analysis and subgroup analysis

Sugimoto, Dai; Myer, Gregory D.; Foss, Kim D. Barber; Hewett, Timothy E.

doi:10.1136/bjsports-2014-093461

Cited by 175 publications

(189 citation statements)

References 64 publications

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“…22,49 It is also critical to develop and implement primary prevention strategies to limit the effects of acute traumatic joint injuries in tacticalathlete populations. Emerging evidence suggests that injury-prevention programs targeting high-risk biomechanical movement patterns may be effective in the primary prevention of acute traumatic knee-joint injury, 50,51 and these programs may be applicable to military training populations. 52 Information on effective acute traumatic injury-prevention strategies for other joints is currently limited in the literature.…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis and the Tactical Athlete: A Systematic Review

Cameron

Driban

Svoboda

2016

Journal of Athletic Training

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Objective: Although tactical athletes (eg, military service members, law enforcement personnel, fire fighters) are exposed to several known risk factors, it remains unclear if they are at increased risk for osteoarthritis (OA). The purpose of this systematic review was to investigate the association between serving as a tactical athlete and the incidence and prevalence of OA. Data Sources: We completed a comprehensive systematic literature search in November 2014 using 12 bibliographic databases (eg, PubMed, Ovid, SportDiscus) supplemented with manual searches of reference lists. Study Selection: Studies were included if they met the following criteria: (1) an aim of the study was to investigate an association between tactical athletes and OA; (2) the outcome measure was radiographic OA, clinical OA, total joint replacement, self-reported diagnosis of OA, or placement on a waiting list for a total joint replacement; (3) the study design was a cohort study; and (4) the study was written in English. Data Extraction: One investigator extracted data from articles that met all inclusion criteria (eg, group descriptions, measures of disease burden, source of nonexposed controls). Data Synthesis: Twelve articles met the inclusion criteria and described retrospective cohort studies. Firefighters, active-duty military service members, and veteran military parachutists consistently had a higher incidence or prevalence of knee, hip, or any OA diagnosis (4 studies). Active-duty pilots and veteran military parachutists may have a higher prevalence of spine OA, but this was not statistically significant (2 studies). Occupational risk factors for OA among tactical athletes include rank and branch of military service. The risk of OA among individuals who completed mandatory national military service remains unclear (6 studies). Conclusions: The incidence of OA among tactical athletes appears to be significantly higher when compared with nonexposed controls. Further research is needed to specifically identify modifiable risk factors within this high-risk population to develop and implement effective risk-reduction strategies.

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Section: Discussionmentioning

confidence: 99%

Osteoarthritis and the Tactical Athlete: A Systematic Review

Cameron

Driban

Svoboda

2016

Journal of Athletic Training

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“…Table 2 identifies key progressions we have included within our curriculum which provide a framework for integrated neuromuscular training progression. The curriculum incorporates strength, balance and proprioception, proximal control and plyometric exercise, as recommended (50). Figure 1 here Table 2 here…”

Section: Neuromuscular Trainingmentioning

confidence: 99%

“…Neuromuscular training methods successfully reduce injury in female youth athletes (50), but may also improve soccer specific physical performance. Given poor compliance associated with neuromuscular training programmes for injury reduction it may also be prudent to consider ancillary performance benefits of this training to promote athlete motivation and buy-in (1).…”

Section: Neuromuscular Trainingmentioning

confidence: 99%

“…Issues regarding the translation of scientific data to shape and drive practice in soccer have been questioned previously (11). This is evident in the compliance of female soccer players to neuromuscular training programs which can improve physical performance (15,43,45) and reduce injury risk factors (12,44,50,51,57,59) when implemented successfully. Studies, however, often report poor compliance with the training intervention (1, 12,44,59) or poor intervention fidelity (29).…”

Section: Introductionmentioning

confidence: 99%

“…It is possible that anaerobic or neuromuscular fitness is of even greater relevance to performance in female players. Moreover, a neuromuscular deficit occurs post puberty that has been associated with increased risk of knee ligament injuries (23), but can be attenuated through appropriate conditioning (50). Injury incidence rates in girls are relatively high in soccer and multifaceted neuromuscular training is essential for female players (5).…”

Section: Needs Analysismentioning

confidence: 99%

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Strength Training and Metabolic Conditioning for Female Youth and Adolescent Soccer Players

Wright

Laas

2016

Strength &Amp; Conditioning Journal

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CitationWright, M. (2016) AbstractDespite the rapid growth in women and girls playing soccer evidence based guidelines to inform conditioning for girls are sparse. The majority of research on youth soccer is conducted in males, which may not be transferable to practice in female teams. This paper reflects on the current evidence base and draws upon the authors' experiences to provide guidelines to improve conditioning programs throughout maturation in girls. The article focuses on the integration of neuromuscular and metabolic conditioning methods to safely improve physical performance and reduce injury risk factors. Guidelines are presented for players pre, circum, and post peak height velocity.

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Meta‐analysis of meta‐analyses of anterior cruciate ligament injury reduction training programs

Webster

Hewett

2018

Journal Orthopaedic Research

182

132

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Several meta-analyses have been published on the effectiveness of anterior cruciate ligament (ACL) injury prevention training programs to reduce ACL injury risk, with various degrees of risk reduction reported. The purpose of this research was to perform a systematic review and meta-analysis of overlapping meta-analyses evaluating the effectiveness of ACL injury prevention training programs so as to summarize the amount of reduction in risk for all ACL and non-contact ACL injuries into a single source, and determine if there were sex differences in the relative efficacy of ACL injury prevention training programs. Five databases (Medline, PubMed, Embase, CINAHL, and Cochrane) were searched to identify meta-analyses that evaluated the effectiveness of ACL injury prevention training programs on ACL injury risk. ACL injury data were extracted and the results from each meta-analysis were combined using a summary meta-analysis based on odds ratios (OR). Eight meta-analyses met eligibility criteria. Six of the eight only included data for female athletes. Summary meta-analysis showed an overall 50% reduction (OR = 0.5 [0.41-0.59]; I = 15%) in the risk of all ACL injuries in all athletes and a 67% reduction (OR = 0.33 [0.27-0.41]; I = 15%) for non-contact ACL injuries in females. This paper combines all previous meta-analyses into a single source and shows conclusive evidence that ACL injury prevention programs reduce the risk of all ACL injuries by half in all athletes and non-contact ACL injuries by two-thirds in female athletes. There is insufficient data to make conclusions as to the effectiveness of ACL injury prevention programs in male athletes. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:2696-2708, 2018.

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Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females: meta-analysis and subgroup analysis

Cited by 175 publications

References 64 publications

Osteoarthritis and the Tactical Athlete: A Systematic Review

Osteoarthritis and the Tactical Athlete: A Systematic Review

Strength Training and Metabolic Conditioning for Female Youth and Adolescent Soccer Players

Meta‐analysis of meta‐analyses of anterior cruciate ligament injury reduction training programs

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