The “SHRed Injuries Basketball” Neuromuscular Training Warm-up Program Reduces Ankle and Knee Injury Rates by 36% in Youth Basketball

Emery, Carolyn A.; Owoeye, Oluwatoyosi; Räisänen, Anu; Befus, Kimberley; HubkaRao, Tate; Palacios-Derflingher, Luz; Pasanen, Kati

doi:10.2519/jospt.2022.10959

Cited by 24 publications

(31 citation statements)

References 47 publications

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“…Although the current primary intervention for injury prevention in youth team sport is neuromuscular training warm-up exercise programs, the findings from this systematic review support load management strategies as an additional injury prevention intervention for this population [ 3 , 41 , 42 ]. The complexity around the etiology of sport injuries warrants that multiple interventions are considered for injury risk mitigation [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 81%

Is Cumulative Load Associated with Injuries in Youth Team Sport? A Systematic Review

et al. 2022

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Background High cumulative external and internal load may predispose athletes to increased risk for injury across a variety of sports, competition levels, and age groups. However, evidence of an association between cumulative load and injury in youth sport remains inconclusive. The objective of this study was to determine the current evidence for cumulative load and injury risk relationships in youth team sport through a systematic review of the existing literature. Methods A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Literature searches were conducted in PubMed, Web of Science, SCOPUS, and CINAHL for relevant articles published between January 2010 and April 2021. The authors conducted independent review and quality assessment of the eligible studies. Eleven articles evaluating youth (less than 18 years old) team sport were included for qualitative synthesis. Results Fifty-nine percent ( n = 39/66) of the relationships assessed revealed an association between cumulative load and injury across the team sports studied, including the presence of load–injury associations in 84% ( n = 16/19) of assessments in youth soccer. Of those relationships where an association was present, 79% ( n = 31/39) were positive associations between cumulative load and injury. Risk of bias assessment scores ranged from three to six out of seven possible (median = 5) for cohort studies and from four to seven out of 10 possible (median = 5.5) for cross-sectional studies. Conclusions There is some evidence for a positive association between load and injury in youth team sport. Youth soccer was the most studied team sport, and a substantial number of positive load–injury associations were reported. Current evidence lacks consistency in the measures and metrics used in defining load–injury relationships. Trial Registration PRISMA ID - CRD42020203622. Supplementary Information The online version contains supplementary material available at 10.1186/s40798-022-00516-w.

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Section: Discussionmentioning

confidence: 81%

Is Cumulative Load Associated with Injuries in Youth Team Sport? A Systematic Review

et al. 2022

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“…Only exercises for which a number of sets and repetitions were defined, as opposed to a prescribed distance (e.g., 3 × 50 m) or time (e.g., 2 × 30 s), and were completed by at least half of the study participants were included in the present study. Thus, four exercises were included: single leg jumps (forward to backward), squat jumps, Nordic hamstring curls, and single leg balances [29].…”

Section: Discussionmentioning

confidence: 99%

“…Youth basketball and soccer coaches attended workshops where they learned an NMT warm-up program designed for their sport and were encouraged to implement the program prior to practices and games [19,29,30]. Basketball and soccer were chosen as both sports involve frequent changes of direction, pivoting turns, and landings, which are common mechanisms for lower extremity injuries [6,7].…”

Section: Nmt Warm-up Workhopmentioning

confidence: 99%

“…In the workshop, the coaches were instructed on how to deliver the sport-specific NMT warm-up program as intended, which covered the correct technique for each exercise and the prescribed volume (sets and repetitions/distance covered/time) for each exercise [19]. The basketball NMT warm-up program comprised 13 exercises while the soccer NMT warm-up program comprised 9 exercises [19,29,30]. Both programs included aerobic, balance, strength, and agility exercises.…”

Section: Nmt Warm-up Workhopmentioning

confidence: 99%

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Comparison of Measured and Observed Exercise Fidelity during a Neuromuscular Training Warm-Up

2022

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Neuromuscular training (NMT) warm-up programs effectively prevent injuries in youth, but monitoring exercise fidelity is challenging. The purpose of this study was to compare the exercise fidelity as measured via an inertial measurement unit (IMU) with direct observations of selected exercises. Youth basketball and soccer players performed single leg jumps, squat jumps, Nordic hamstring curls, and/or single leg balance exercises as part of an NMT warm-up. An IMU was placed on the lower back of each participant and the warm-up was video recorded. A physiotherapist evaluated the volume aspect of exercise fidelity (i.e., performing the prescribed number of repetitions) using the video recordings and a checklist. Algorithms were developed to count the number of repetitions from the IMU signal. The repetitions from the algorithms were compared with the physiotherapist’s evaluation, and accuracy, precision, and recall were calculated for each exercise. A total of 91 (39 female, 52 male) athletes performed at least one of the four warm-up exercises. There was an accuracy, precision, and recall of greater than 88% for all exercises. The single leg jump algorithm classified all sets correctly. IMUs may be used to quantify exercise volume for exercises that involve both impact during landing and changes in orientation during rotations.

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“…Similarly, the "SHRed Injuries Basketball" program was shown to reduce ankle and knee injuries in young basketball players by 36%. 57 While some IPPs are sport-oriented, others focus on specific anatomy at high-risk for injury. In a study on high school female soccer and basketball players, Campbell et al found that correcting abnormal movement patterns, such as dynamic knee valgus, is the most effective strategy for preventing anterior cruciate ligament (ACL) injuries.…”

Section: Risk Factors and Overuse Injuriesmentioning

confidence: 99%

Raising the Young Athlete: Training and Injury Prevention Strategies

Bank¹,

Hecht²,

Karimi³

et al. 2022

Journal of the Pediatric Orthopaedic Society of North America

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Participation in youth sports is at an all-time high, surpassing pre-pandemic levels. While this represents a growing opportunity for increased activity, socialization, and skill development in America’s young athletes, we must remain cognizant of the associated risks that threaten their long-term physical and psychological well-being. To optimize the risk-benefit ratio of the increasing involvement in organized sports, current sporting safety recommendations are needed. We sought to provide current concepts on optimal training methods, injury prevention strategies, and stakeholder education programs.

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The “SHRed Injuries Basketball” Neuromuscular Training Warm-up Program Reduces Ankle and Knee Injury Rates by 36% in Youth Basketball

Cited by 24 publications

References 47 publications

Is Cumulative Load Associated with Injuries in Youth Team Sport? A Systematic Review

Is Cumulative Load Associated with Injuries in Youth Team Sport? A Systematic Review

Comparison of Measured and Observed Exercise Fidelity during a Neuromuscular Training Warm-Up

Raising the Young Athlete: Training and Injury Prevention Strategies

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