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The aim of this study was to determine key components in neuromuscular training that optimise ACL injury reduction in female athletes using meta-regression analyses.
In this review
study, the efficient predictors that effect the optimisation of prophylactic
effects of neuromuscular training and resultant anterior cruciate
ligament (ACL) injury reduction in
female athletes have been explored. This is also considered as a good-quality
patient-oriented study evidence.
The aim of this
study was to determine key components in neuromuscular training that optimise
ACL injury reduction in female athletes using meta-regression analyses.
Design Systematic
review and meta-regression. Data sources The literature search was performed in
PubMed and EBSCO.
Eligibility
criteria Inclusion criteria for the current analysis were: (1) documented the
number of ACL injuries, (2) employed a neuromuscular training intervention that
aimed to reduce ACL injuries, (3) had a comparison group, (4) used a
prospective control study design and (5) recruited female athletes as
participants. Two independent reviewers extracted studies which met the
inclusion criteria. Methodological quality of included study and strength of
recommendation were evaluated. Number of ACL injuries and participants in
control and intervention groups, age of participants, dosage of neuromuscular
training, exercise variations within neuromuscular training and status of
verbal feedback were extracted.
The
meta-regression analyses identified age of participants, dosage of neuromuscular
training, exercise variations within neuromuscular training and utilisation of
verbal feedback as significant predictors of ACL injury reduction (p=0.01 in
fixed-effects model, p=0.03 in random-effects model). Inclusion of 1 of the 4
components in neuromuscular training could reduce ACL injury risk by 17.2–17.7%
in female athletes. No significant heterogeneity and publication bias effects
were detected. Strength of recommendation was rated as A (recommendation based
on consistent and good-quality patient-oriented study evidence).
Age of
participants, dosage of neuromuscular training, exercise variations within
neuromuscular training and utilisation of verbal feedback are predictors that
influence the optimisation of prophylactic effects of neuromuscular training
and the resultant ACL injury reduction in female athletes.
Br J Sports Med 2016 Jun 1
Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis
Dai Sugimoto et al.
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