Effect of neuromuscular training strategies on injury rates in adolescent males playing sport - a systematic review and meta-analysis

IF 2.3 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2026-05-01 Epub Date: 2026-02-26 DOI:10.1016/j.ptsp.2026.101904

F. Olivier , B. Olivier , J.J.W. Swart , A.S.-J. Hohlfeld , C. MacMillan

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引用次数: 0

Abstract

This systematic review and meta-analysis aimed to investigate the effectiveness of neuromuscular training strategies (NMTS) on injury rates in adolescent male athletes.

Nineteen databases were searched from inception to August 2025. Randomised controlled trials (RCT) investigating the effectiveness of NMTS (13–18-year-old male athletes) were included. The JBI tool for RCTs was used for critical appraisal. Meta-analyses (inverse statistical method, random effects, 95% confidence interval (CI)) with pooled point estimate of relative risk (RR) was used for data synthesis.

Eighteen studies (8480 participants) were included. Multifaceted warm-up NMTS (RR: 0.69 [95% CI: 0.55, 0.87]; n = 7521; I² = 80%) reduced number of injuries (moderate certainty). Strength training (RR: 0.13 [95% CI: 0.02, 0.83]; n = 72; I² = 0%) reduced incidence (moderate certainty). The effectiveness of eccentric thigh training was inconclusive. Functional Movement Screening training (RR: 0.25 [95% CI: 0.08, 0.82]; n = 71) was described narratively and reduced number of injuries after 12 weeks (high certainty). Overall NMTS reduced number of non-contact (RR: 0.47 [95% CI: 0.34, 0.65]; n = 883; I² = 41%) injuries and severity.

Multifaceted warm-up NMTS reduced injury rates. NMTS reduced number of non-contact- and severity of injuries overall. The varying effects and timeframes should be considered when implementing injury prevention strategies.

PROSPERO (CRD42022327047).

查看原文本刊更多论文

神经肌肉训练策略对青少年男性运动损伤率的影响——系统回顾和荟萃分析。

本系统综述和荟萃分析旨在探讨神经肌肉训练策略（NMTS）对青少年男性运动员损伤率的有效性。从成立到2025年8月检索了19个数据库。纳入了调查NMTS（13-18岁男性运动员）有效性的随机对照试验（RCT）。使用随机对照试验的JBI工具进行批判性评估。采用荟萃分析（反统计方法，随机效应，95%置信区间（CI））和相对风险（RR）的合并点估计进行数据综合。纳入18项研究（8480名受试者）。多面热身NMTS （RR: 0.69 [95% CI: 0.55, 0.87]; n = 7521; I2 = 80%）减少了损伤数量（中等确定性）。力量训练（RR: 0.13 [95% CI: 0.02, 0.83]; n = 72; I2 = 0%）降低发病率（中等确定性）。偏心大腿训练的有效性尚无定论。功能性运动筛选训练（RR: 0.25 [95% CI: 0.08, 0.82]; n = 71）在12周后被描述，并且减少了损伤次数（高确定性）。总的来说，NMTS减少了非接触性损伤的数量（RR: 0.47 [95% CI: 0.34, 0.65]; n = 883; I2 = 41%）和严重程度。多面热身NMTS降低了受伤率。NMTS总体上减少了非接触性伤害的数量和严重程度。在实施伤害预防策略时，应考虑不同的效果和时间框架。普洛斯彼罗(CRD42022327047)。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.