Including the Nordic hamstring exercise in injury prevention programmes halves the rate of hamstring injuries: a systematic review and meta-analysis of 8459 athletes
| Autor: | Nicol van Dyk, Fearghal P. Behan, Rod Whiteley |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Soft Tissue Injuries Population Poison control Hamstring Muscles Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Injury prevention Humans Medicine Orthopedics and Sports Medicine education 030222 orthopedics education.field_of_study biology business.industry Athletes Incidence (epidemiology) 030229 sport sciences General Medicine biology.organism_classification Meta-analysis Relative risk Athletic Injuries Physical therapy business Hamstring Leg Injuries |
| Zdroj: | British Journal of Sports Medicine. 53:1362-1370 |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | Research questionDoes the Nordic hamstring exercise (NHE) prevent hamstring injuries when included as part of an injury prevention intervention?DesignSystematic review and meta-analysis.Eligibility criteria for selecting studiesWe considered the population to be any athletes participating in any sporting activity, the intervention to be the NHE, the comparison to be usual training or other prevention programmes, which did not include the NHE, and the outcome to be the incidence or rate of hamstring injuries.AnalysisThe effect of including the NHE in injury prevention programmes compared with controls on hamstring injuries was assessed in 15 studies that reported the incidence across different sports and age groups in both women and men.Data sourcesMEDLINE via PubMed, CINAHL via Ebsco, and OpenGrey.ResultsThere is a reduction in the overall injury risk ratio of 0.49 (95% CI 0.32 to 0.74, p=0.0008) in favour of programmes including the NHE. Secondary analyses when pooling the eight randomised control studies demonstrated a small increase in the overall injury risk ratio 0.52 (95% CI 0.32 to 0.85, p=0.0008), still in favour of the NHE. Additionally, when studies with a high risk of bias were removed (n=8), there is an increase of 0.06 in the risk ratio to 0.55 (95% CI 0.34 to 0.89, p=0.006).ConclusionsProgrammes that include the NHE reduce hamstring injuries by up to 51%. The NHE essentially halves the rate of hamstring injuries across multiple sports in different athletes.Trial registration numberPROSPERO CRD42018106150. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|