TY - JOUR
T1 - Do exercise-based prevention programmes reduce non-contact musculoskeletal injuries in football (soccer)? A systematic review and meta-analysis with 13 355 athletes and more than 1 million exposure hours
T2 - A systematic review and meta-analysis with 13 355 athletes and more than 1 million exposure hours
AU - Lemes, Italo Ribeiro
AU - Pinto, Rafael Zambelli
AU - Lage, Vitor N.
AU - Roch, B. rbara A. B.
AU - Verhagen, Evert
AU - Bolling, Caroline
AU - Aquino, Cecilia Ferreira
AU - Fonseca, S. rgio T.
AU - Souza, Thales R.
N1 - Funding Information: Acknowledgements The authors acknowledge the Coordination for the Improvement of Higher Education Personnel (CAPES) – Finance code 001, and the corresponding authors of included studies for their help in data acquisition. STF and RZP are fellowship recipients from the National Council for Scientific and Technological Development (CNPq). Publisher Copyright: © Author(s) (or their employer(s)) 2021. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Objective: The aim of this systematic review was to investigate the effect of exercise-based programmes in the prevention of non-contact musculoskeletal injuries among football players in comparison to a control group. Design: Systematic review and meta-analysis of randomised controlled trials. Data sources: MEDLINE, EMBASE, CENTRAL, CINAHL, PEDro and SPORTDiscus databases were searched from the earliest record to January 2021. Eligibility criteria: Studies were eligible if they (1) included football players aged 13 years or older, (2) used exercise-based programmes as intervention, (3) presented the number of non-contact musculoskeletal injuries (ie, defined as any acute sudden onset musculoskeletal injury that occurred without physical contact) and exposure hours for each group, and (4) had a control group (eg, usual training, minimal intervention, education). All types of exercise-based prevention programmes were eligible for inclusion. Risk of bias for each included study and overall quality of evidence for the meta-analysis were assessed. Results: Ten original randomised controlled trials with 13 355 football players and 1 062 711 hours of exposure were selected. Pooled injury risk ratio showed very low-quality evidence that exercise-based prevention programmes reduced the risk of non-contact musculoskeletal injuries by 23% (0.77 (95% CI 0.61 to 0.97)) compared with a control group. Conclusion: Exercise-based prevention programmes may reduce the risk of non-contact musculoskeletal injuries by 23% among football players. Future high-quality trials are still needed to clarify the role of exercise-based programmes in preventing non-contact musculoskeletal injuries among football players. PROSPERO registration number: CRD42020173017.
AB - Objective: The aim of this systematic review was to investigate the effect of exercise-based programmes in the prevention of non-contact musculoskeletal injuries among football players in comparison to a control group. Design: Systematic review and meta-analysis of randomised controlled trials. Data sources: MEDLINE, EMBASE, CENTRAL, CINAHL, PEDro and SPORTDiscus databases were searched from the earliest record to January 2021. Eligibility criteria: Studies were eligible if they (1) included football players aged 13 years or older, (2) used exercise-based programmes as intervention, (3) presented the number of non-contact musculoskeletal injuries (ie, defined as any acute sudden onset musculoskeletal injury that occurred without physical contact) and exposure hours for each group, and (4) had a control group (eg, usual training, minimal intervention, education). All types of exercise-based prevention programmes were eligible for inclusion. Risk of bias for each included study and overall quality of evidence for the meta-analysis were assessed. Results: Ten original randomised controlled trials with 13 355 football players and 1 062 711 hours of exposure were selected. Pooled injury risk ratio showed very low-quality evidence that exercise-based prevention programmes reduced the risk of non-contact musculoskeletal injuries by 23% (0.77 (95% CI 0.61 to 0.97)) compared with a control group. Conclusion: Exercise-based prevention programmes may reduce the risk of non-contact musculoskeletal injuries by 23% among football players. Future high-quality trials are still needed to clarify the role of exercise-based programmes in preventing non-contact musculoskeletal injuries among football players. PROSPERO registration number: CRD42020173017.
KW - exercise
KW - football
KW - injury prevention
KW - soccer
KW - sporting injuries
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85106169378&origin=inward
U2 - https://doi.org/10.1136/bjsports-2020-103683
DO - https://doi.org/10.1136/bjsports-2020-103683
M3 - Review article
C2 - 34001503
SN - 1473-0480
VL - 55
SP - 1170
EP - 1178
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
IS - 20
ER -