Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis
| Autor: | Dai Sugimoto, Gregory D. Myer, Michael J. Pepin, Timothy E. Hewett, Kim D. Barber Foss, Lyle J. Micheli |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Sports medicine Physical Therapy Sports Therapy and Rehabilitation Knee Injuries Article 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Risk Factors Intervention (counseling) medicine Humans Orthopedics and Sports Medicine Meta-regression Exercise 030222 orthopedics biology business.industry Athletes Anterior Cruciate Ligament Injuries 030229 sport sciences General Medicine Publication bias medicine.disease Neuromuscular training biology.organism_classification ACL injury Current analysis Athletic Injuries Physical therapy Regression Analysis Female business Physical Conditioning Human |
| Zdroj: | British Journal of Sports Medicine. 50:1259-1266 |
| ISSN: | 1473-0480 0306-3674 |
| DOI: | 10.1136/bjsports-2015-095596 |
| Popis: | Objective The aim of this study was to determine key components in neuromuscular training that optimise ACL injury reduction in female athletes using meta-regression analyses. Design Systematic review and meta-regression. Data sources The literature search was performed in PubMed and EBSCO. Eligibility criteria Inclusion criteria for the current analysis were: (1) documented the number of ACL injuries, (2) employed a neuromuscular training intervention that aimed to reduce ACL injuries, (3) had a comparison group, (4) used a prospective control study design and (5) recruited female athletes as participants. Two independent reviewers extracted studies which met the inclusion criteria. Methodological quality of included study and strength of recommendation were evaluated. Number of ACL injuries and participants in control and intervention groups, age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and status of verbal feedback were extracted. Results The meta-regression analyses identified age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and utilisation of verbal feedback as significant predictors of ACL injury reduction (p=0.01 in fixed-effects model, p=0.03 in random-effects model). Inclusion of 1 of the 4 components in neuromuscular training could reduce ACL injury risk by 17.2–17.7% in female athletes. No significant heterogeneity and publication bias effects were detected. Strength of recommendation was rated as A (recommendation based on consistent and good-quality patient-oriented study evidence). Conclusions Age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and utilisation of verbal feedback are predictors that influence the optimisation of prophylactic effects of neuromuscular training and the resultant ACL injury reduction in female athletes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|