Strategies to prevent injury in adolescent sport: a systematic review.

Musgrave Park Hospital, Belfast, Northern Ireland.
British journal of sports medicine (Impact Factor: 3.67). 11/2007; 41(10):627-38. DOI: 10.1136/bjsm.2007.035691
Source: PubMed

ABSTRACT This systematic review set out to identify randomised controlled trials and controlled intervention studies that evaluated the effectiveness of preventive strategies in adolescent sport and to draw conclusions on the strength of the evidence. A literature search in seven databases (Medline, SportDiscus, EMBASE, CINAHL, PEDro, Cochrane Review and DARE) was carried out using four keywords: adolescent, sport, injury and prevention (expanded to capture any relevant literature). Assessment of 154 papers found 12 studies eligible for inclusion. It can be concluded that injury prevention strategies that focus on preseason conditioning, functional training, education, balance and sport-specific skills, which should be continued throughout the sporting season, are effective. The evidence for the effectiveness of protective equipment in injury prevention is inconclusive and requires further assessment.

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    ABSTRACT: Trend analyses of hospital discharge data can raise signals for prevention policies, but are often flawed by changes in health care consumption. This is a trend analysis of the clinical incidence of paediatric trauma that used international criteria to overcome this bias. The objective is to describe trends in clinical incidence of moderate to severe paediatric trauma, and to identify target groups for prevention activities.
    Injury 04/2014; · 2.46 Impact Factor
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    ABSTRACT: The effects of methods to prevent injuries have been studied in several systematic reviews. However, no meta-analysis taking into account all randomised controlled intervention trials aiming at the prevention of sports injuries has been published. To summarise the effects of sports injury prevention interventions. Systematic review and meta-analysis of randomised controlled trials. PubMed, MEDLINE, SPORTDiscus, the Cochrane Central Register of Controlled Trials, CINAHL, PEDro, and Web of Science, searched in September 2013. The reference lists of retrieved articles and reviews were hand searched. To be selected articles had to examine the effects of any preventive intervention on sports injuries, be randomised/quasi-randomised and controlled trials, published in a peer-reviewed journal. The outcome of the trial had to be injury rate or the number of injured individuals. Of the 5580 articles retrieved after a search of databases and the relevant bibliography, 68 randomised controlled trials were included in the systematic review and 60 trials were included in the meta-analysis. Insoles (OR 0.51, 95 % CI 0.32-0.81), external joint supports (OR 0.40, 95 % CI 0.30-0.53), and specific training programmes (OR 0.55, 95 % CI 0.46-0.66) appeared to be effective in reducing the risk of sports injuries. Stretching (OR 0.92, 95 % CI 0.80-1.06), modified shoes (OR 1.23, 95 % CI 0.81-1.87), and preventive videos (OR 0.86, 95 % CI 0.44-1.68) seemed not to be effective. This meta-analysis showed that certain interventions can reduce the risk of sports injuries. There were limitations regarding the quality of the trials, generalisability of the results, and heterogeneity of the study designs. In future, the mechanisms behind effective methods and the most beneficial elements of preventive training programmes need to be clarified.
    Sports medicine (Auckland, N.Z.). 12/2013; 44(4).
  • Kinésithérapie la Revue 06/2013; 13(138):40-42.

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