Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis.

Autor:	Lauersen JB; Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.; Department of Orthopedic Surgery, Hvidovre Hospital, Hvidovre, Denmark., Andersen TE; The Norwegian School of Sport Sciences, Oslo Sports Trauma Research Center, Oslo, Norway., Andersen LB; Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.; Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2018 Dec; Vol. 52 (24), pp. 1557-1563. Date of Electronic Publication: 2018 Aug 21.
DOI:	10.1136/bjsports-2018-099078
Abstrakt:	Objective: This review aims to analyse strength training-based sports injury prevention randomised controlled trials (RCT) and present best evidence recommendations for athletes and future research. A priori PROSPERO registration; CRD42015006970. Design: Systematic review, qualitative analysis and meta-analysis. Sorting of studies and quality assessments were performed by two independent authors. Qualitative analyses, relative risk (RR) estimate with robustness and strength of evidence tests, formal tests of publication bias and post-hoc meta-regression were performed. Data Sources: PubMed, Embase, Web of Science and SPORTDiscus were searched to July 2017. Eligibility Criteria for Selecting Studies: RCTs on strength training exercises as primary prevention of sports injuries. Results: Six studies analysed five different interventions with four distinct outcomes. 7738 participants aged 12-40 years were included and sustained 177 acute or overuse injuries. Studies were published in 2003-2016, five from Europe and one from Africa. Cluster-adjusted intention-to-treat analysis established RR 0.338 (0.238-0.480). The result was consistent across robustness tests and strength of evidence was high. A 10% increase in strength training volume reduced the risk of injury by more than four percentage points. Formal tests found no publication bias. Conclusion: The included studies were generally well designed and executed, had high compliance rates, were safe, and attained consistently favourable results across four different acute and overuse injury outcomes despite considerable differences in populations and interventions. Increasing strength training volume and intensity were associated with sports injury risk reduction. Three characteristically different approaches to prevention mechanisms were identified and incorporated into contemporary strength training recommendations. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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