Exercise-Based Strategies to Prevent Muscle Injury in Elite Footballers: A Systematic Review and Best Evidence Synthesis.

Fanchini, M; Steendahl, IB; Impellizzeri, FM; Pruna, R; Dupont, G; Coutts, AJ; Meyer, T; McCall, A

Exercise-Based Strategies to Prevent Muscle Injury in Elite Footballers: A Systematic Review and Best Evidence Synthesis.

Fanchini, M Steendahl, IB Impellizzeri, FM Pruna, R Dupont, G Coutts, AJ Meyer, T McCall, A

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Publisher:: ADIS INT LTD
Publication Type:: Journal Article
Citation:: Sports medicine (Auckland, N.Z.), 2020, 50, (9), pp. 1653-1666
Issue Date:: 2020-09

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Field	Value	Language
dc.contributor.author	Fanchini, M
dc.contributor.author	Steendahl, IB
dc.contributor.author	Impellizzeri, FM
dc.contributor.author	Pruna, R
dc.contributor.author	Dupont, G
dc.contributor.author	Coutts, AJ
dc.contributor.author	Meyer, T
dc.contributor.author	McCall, A
dc.date.accessioned	2021-02-24T03:53:01Z
dc.date.available	2021-02-24T03:53:01Z
dc.date.issued	2020-09
dc.identifier.citation	Sports medicine (Auckland, N.Z.), 2020, 50, (9), pp. 1653-1666
dc.identifier.issn	0112-1642
dc.identifier.issn	1179-2035
dc.identifier.uri	http://hdl.handle.net/10453/146382
dc.description.abstract	BACKGROUND:Exercise-based strategies are used to prevent muscle injuries in football and studies on different competitive-level populations may provide different results. OBJECTIVES:To evaluate the effectiveness of exercise-based muscle injury prevention strategies in adult elite football. METHODS:A systematic search was conducted in PubMed (MEDLINE), Web of Science, Cochrane Library, and SPORTDiscuss (EBSCO). We considered only elite adult (> 16 year-old) football players with no distinction for gender; the intervention to be any exercise/s performed with the target to prevent lower-limb muscle injuries; the comparison to be no injury prevention exercise undertaken; the outcome to be the number of injuries, injury incidence, and severity. We searched systematic reviews, randomized-controlled trials (RCTs), and non-randomized-controlled trials (NRCTs), limited for English language. Risk of bias was assessed using the Risk of Bias in Systematic Reviews tool, the Cochrane Collaboration's Tool for assessing risk of bias in RCTs, and the Risk of Bias in NRCTs of Interventions tool. RESULTS:15 studies were included. Three systematic reviews showed inconsistent results, with one supporting (high risk of bias) and two showing insufficient evidence (low risk of bias) to support exercise-based strategies to prevent muscle injuries in elite players. Five RCTs and seven NRCTs support eccentric exercise, proprioception exercises, and a multi-dimensional component to an injury prevention program; however, all were deemed to be at high/critical risk of bias. Only one RCT was found at low risk of bias and supported eccentric exercise for preventing groin problems. CONCLUSION:We found limited scientific evidence to support exercise-based strategies to prevent muscle injury in elite footballers. TRIAL REGISTRATION NUMBER:PROSPERO CRD42017077705.
dc.format	Print
dc.language	eng
dc.publisher	ADIS INT LTD
dc.relation.ispartof	Sports medicine (Auckland, N.Z.)
dc.relation.isbasedon	10.1007/s40279-020-01282-z
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	0913 Mechanical Engineering, 1106 Human Movement and Sports Sciences, 1302 Curriculum and Pedagogy
dc.subject.classification	Sport Sciences
dc.title	Exercise-Based Strategies to Prevent Muscle Injury in Elite Footballers: A Systematic Review and Best Evidence Synthesis.
dc.type	Journal Article
utslib.citation.volume	50
utslib.location.activity	New Zealand
utslib.for	0913 Mechanical Engineering
utslib.for	1106 Human Movement and Sports Sciences
utslib.for	1302 Curriculum and Pedagogy
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
dc.date.updated	2021-02-24T03:52:59Z
pubs.issue	9
pubs.publication-status	Published
pubs.volume	50
utslib.citation.issue	9

Abstract:

BACKGROUND:Exercise-based strategies are used to prevent muscle injuries in football and studies on different competitive-level populations may provide different results. OBJECTIVES:To evaluate the effectiveness of exercise-based muscle injury prevention strategies in adult elite football. METHODS:A systematic search was conducted in PubMed (MEDLINE), Web of Science, Cochrane Library, and SPORTDiscuss (EBSCO). We considered only elite adult (> 16 year-old) football players with no distinction for gender; the intervention to be any exercise/s performed with the target to prevent lower-limb muscle injuries; the comparison to be no injury prevention exercise undertaken; the outcome to be the number of injuries, injury incidence, and severity. We searched systematic reviews, randomized-controlled trials (RCTs), and non-randomized-controlled trials (NRCTs), limited for English language. Risk of bias was assessed using the Risk of Bias in Systematic Reviews tool, the Cochrane Collaboration's Tool for assessing risk of bias in RCTs, and the Risk of Bias in NRCTs of Interventions tool. RESULTS:15 studies were included. Three systematic reviews showed inconsistent results, with one supporting (high risk of bias) and two showing insufficient evidence (low risk of bias) to support exercise-based strategies to prevent muscle injuries in elite players. Five RCTs and seven NRCTs support eccentric exercise, proprioception exercises, and a multi-dimensional component to an injury prevention program; however, all were deemed to be at high/critical risk of bias. Only one RCT was found at low risk of bias and supported eccentric exercise for preventing groin problems. CONCLUSION:We found limited scientific evidence to support exercise-based strategies to prevent muscle injury in elite footballers. TRIAL REGISTRATION NUMBER:PROSPERO CRD42017077705.

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