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

Musgrave Park Hospital, Belfast, Northern Ireland.
British Journal of Sports Medicine (Impact Factor: 5.03). 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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Available from: Chris Bleakley, Aug 22, 2014
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    • "Technical skills can be developed at ages as young as 7–9 years (Branta et al., 1984; McMorris, 1998). Although the majority of the technical instructions at this level will be explicit, emphasis on correct technique and safety in the tackle should start from a young age and increase as the player gets older (Abernethy and Bleakley, 2007; Van Tiggelen et al., 2008). Accordingly, national injury prevention programs, such as those mentioned earlier, generally try to encompass learning of proper techniques for injury prevention at all levels of play (from under-6 to senior adult level). "
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    ABSTRACT: The tackle event in rugby, places both ball-carrier and tackler at a high risk of injury at all levels of play. To reduce this risk of injury, risk factors need to be identified. Attitude and behaviour have been identified as risk factors for injury in other sports, and probably also have a role in rugby. The purpose of this study was to assess the attitude and behaviour of players in training and match play with regards to safety and performance. A questionnaire was designed to assess attitude (importance) and behaviour (frequency and quantity) among junior (under 19) players on a 5-point Likert Scale. Questionnaires were handed out to 220 players (10 schools) at a tournament and 75% (9 schools, n=164) were returned for analysis. During training and match play, players’ mean ratings were higher for improving performance than for injury prevention. However, a level of importance was evident for injury prevention. When executing a tackle the aim is to dominate the contact situation and prevent the ball-carrier from gaining territory and retaining the ball. Therefore, players, coaches and administrators need to find the most suitable balance between injury prevention and performance during training within their team setting. This process may be facilitated by modifying the current equipment and training drills used to train the tackle, and the time of season during which tackle technique training occurs. Equally important, players should learn proper tackle technique at a younger age, with the importance of safety emphasised from all information sources.
    Safety Science 02/2012; 50(4). DOI:10.1016/j.ssci.2011.08.061 · 1.67 Impact Factor
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    • "Finally, an economic limitation would be the cost associated with upgrading all playing facilities to meet a pre-determined safety standard when compared to the cost of treating the injuries sustained due to poor-quality playing facilities. Several systematic reviews on sports injury prevention strategies have been published and some conclude that there are a range of interventions that can be effective even though the methodology is generally poor to moderate (Aaltonen, Karjalainen, Heinonen, Parkkari, & Kujala, 2007; Abernethy & Bleakley, 2007; Gilchrist, Gitanjali, & Marshall, 2009; Junge & Dvorak, 2004; Parkkari, Kujala, & Kannus, 2001). A number of models have also been developed to identify sports injury risk factors and establish preventive strategies (Bahr & Holme, 2003; Finch, 2006; van Mechelen, Hlobil, & Kemper, 1992). "
    International Journal of Injury Control and Safety Promotion 03/2010; 17(1):69-72. DOI:10.1080/17457300903524896 · 0.67 Impact Factor
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    ABSTRACT: Sport is the principal cause of injury in children and adolescents. Youth participation in organized athletics is estimated to be 45 million in the United States alone. These injuries influence health and fitness and have socioeconomic impact. Many injuries can be prevented. This article outlines the efficacy of current injury prevention strategies in youth sports through the use of educational programs, rule changes in baseball and hockey, safety equipment, and conditioning programs.
    Current Sports Medicine Reports 01/2008; 7(6):348-52. DOI:10.1249/JSR.0b013e31818f06e7 · 1.60 Impact Factor