Injury Prevention Training Research Articles

Effectiveness of Injury Prevention Program Using a Global Systems Approach on High-Risk Movement Mechanics for Noncontact ACL Injury.

Injury prevention training using a global systems approach was designed to develop integrated trunk-lower extremity neuromuscular control using whole-body, rotational forces about the vertical Z-axis during simulated sports movements. Compared with traditional hip-focused exercises, injury prevention training using a global systems approach could improve kinetic and kinematic measures related to anterior cruciate ligament injury. Controlled laboratory study. Level 3. A total of 39 male and female athletes received 6 weeks of either global systems approach (n = 20), or hip-focused strengthening, balance, and plyometrics training (n = 19) exercises. Before and after the training program, participants performed a single-leg vertical drop jump task on their dominant leg. Peak vertical ground-reaction forces (GRFs), peak knee abduction, internal rotation moments, peak hip flexion, hip adduction, knee flexion, knee abduction, contralateral pelvic drop, and lateral trunk flexion angles were assessed. Biomechanical data were compared between the 2 groups using a random-intercept linear mixed-models analysis. A significant group × time interaction effect was found for vertical GRFs (P = 0.01; change difference relative to baseline: 4.5%), knee abduction moment (P = 0.01; 14.8%), hip adduction (P < 0.01; 16.7%), knee abduction (P < 0.01; 13.8%), contralateral pelvic drop (P < 0.01; change difference: 26.6%), and lateral trunk flexion (P = 0.04; 20.37%) angles, favoring the global systems approach group after 6 weeks of training. Participants who trained using the global systems approach had significantly decreased lateral trunk flexion, hip adduction, knee abduction and contralateral pelvic drop angles, peak vertical GRFs, and peak knee abduction moment during a single-leg vertical drop jump compared with participants who trained with hip-focused exercises. Incorporating additional external resistance at the proximal trunk results in improved biomechanics compared with conventional hip-focused exercises.

Neuromuscular Training in ACL Injury Prevention: A Narrative Review

Neuromuscular Training in ACL Injury Prevention: A Narrative Review

Coupling a finite element knee model with musculoskeletal multibody simulations. A case study of ACL force during a change-of-direction movement before and after injury prevention training

Coupling a finite element knee model with musculoskeletal multibody simulations. A case study of ACL force during a change-of-direction movement before and after injury prevention training

Ranking sports science and medicine interventions impacting team performance: a protocol for a systematic review and meta-analysis of observational studies in elite football

This study protocol describes a systematic method to identify, collect and rank sports science and medicine interventions most associated with optimising team performance in elite football in observational studies. While...

‘We may need some help; we are just parents who have chosen to engage in football’: a qualitative study on amateur coaches’ experiences of use of and support for injury prevention training in Sweden

IntroductionAchieving sufficient adherence with injury prevention exercise programmes is a challenge. The aim was to explore how amateur football coaches experience the use of and support for injury prevention training...

Effects of proprioceptive training on sports performance: a systematic review

BackgroundProprioception, the ability to sense the body’s position and movement, is essential for athletic performance and physical well-being. The literature highlights the importance of proprioceptive training in rehabilitation, sports performance, injury prevention, and motor function enhancement. Targeted training programs can improve balance, coordination, motor learning, and overall physical performance. This systematic review aimed to examine the effects of proprioceptive training methods on sports and athletic performance.MethodsA comprehensive search was conducted using the Web of Science, PubMed, and Scopus databases, and a literature review was performed based on the PICO criteria outlined in the abstract and title.ResultsFollowing the search, 178 articles were identified using relevant keywords, of which 19 directly addressed sports performance and were included in this study. The findings revealed that proprioceptive training had a positive influence on various aspects of athletic performance, including physiological capacity, balance, explosive strength, speed, agility, postural stability, knee joint position sense, muscle activation, reduction of chronic joint instability, dribbling, passing, and technical ball-control skills.ConclusionsThese results indicate that proprioceptive training can be an effective strategy for experts and coaches to enhance athletes’ physical performance. Primarily, proprioceptive exercises should be used inside and outside the training sessions to enable athletes to interact more effectively with their bodies, reduce the risk of injury, and improve power transfer.

Injury Prevention Training in Girls' and Women's Elite Football in Denmark: A Survey of Practices and Perceptions.

Through a national cross-sectional survey, the present study investigated the use and content of injury prevention training (IPT), and associated attitudes and beliefs, involving stakeholders in Danish girls' and women's elite football (U14, U16, U18, and Danish Women's League teams). A total of 168 stakeholders (coaches, physical performance coaches, physiotherapists, medical doctors, and club management) from 18 Danish elite clubs were invited to participate. Of these, 158 were eligible to participate, and 110 participants (69.6% response rate) provided 191 valid survey responses, as some provided more than one response due to multiple affiliations within the same club. The use of IPT ranged from 91.1% to 100% across team levels, with approximately 50% reporting up to 1-2 h/week. Interestingly, only 52.9%-72.7% of the responses indicated use of an evidence-based IPT program, with lowest adoption at the U14 and Danish Women's League teams. The FIFA 11+ was the most used evidence-based IPT program. The majority of the participants (>72%) had positive perceptions regarding IPT impact on injury reduction. These findings indicate that, while IPT is broadly used across Danish girls' and women's elite football teams, the implementation of evidence-based IPT programs varies, with lower adoption of these programs among the youngest and senior elite teams. Hence, there is a need to enhance integration of IPT programs proven effective in girls' and women's elite football. Notably, stakeholders expressed positive perceptions regarding the impact of IPT on injury reduction, which provides valuable support for future efforts to strengthen IPT in football practice.

Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial

IntroductionEfficacy trials show that evidence-based injury prevention training reduces injuries in youth athletes but effectiveness, that is, outside the controlled setting, is lower and, consequently this training has had limited...

Knowledge and attitudes regarding pressure injuries among assistant nurses in a clinical context.

This study aimed to evaluate assistant nurses' knowledge of and attitudes towards pressure injuries in a clinical setting. It employed a cross-sectional design, using two validated surveys: PUKAT 2.0 and APUP, alongside open-ended questions. A convenience sample of 88 assistant nurses from five wards across two departments at a 600-bed university hospital in Sweden participated. Participants answered the questionnaire and open-ended questions, followed by a learning seminar led by the study leader covering PUKAT 2.0 knowledge questions. The seminar ended with an evaluation of this training approach. Results revealed a significant knowledge gap in pressure injury prevention among assistant nurses, with a mean PUKAT 2.0 knowledge score of 33.8 and a standard deviation of ±11.7 (a score of 60 is deemed satisfactory). Only 3.4% (n = 3) of participants achieved a satisfactory knowledge score. However, attitudes towards pressure injury prevention, assessed by the APUP tool, were generally positive among the majority of the participants. Open-ended questions and evaluations of the seminar showed assistant nurses' desire for pressure injury prevention training and their appreciation for the seminar format. Further studies need to evaluate recurrent training procedures and departmental strategies aimed at reducing the knowledge gap among healthcare staff.

The Effect of Balance Training on Physical Motor Functions TO 11-12 Year Old Female Football Players

The aim of this study was to investigate the effect of balance training on the physical motor function of adolescent female football players. Thirty female football players aged 11-12 years were selected from Ausheng Football Club as the study subjects, and they were divided into a test group and a control group of 15 each using experimental testing and mathematical statistics methods. The experimental group received balance training intervention for a period of 5 weeks while the control group did not receive any intervention. The Y-Balance test and FMS test were used as assessment indicators to evaluate the balance and body movement function of the athletes respectively. Differences in performance between the two groups before and after training were compared and the relationship between balance ability and physical motor function was analyzed by methods such as paired samples t-test and independent samples t-test. The results showed that compared with the control group, the experimental group showed significant improvement in all balance indicators, especially in medial back and overall balance. In addition, the experimental group showed significant improvement in hurdle stride, linear lunge, and rotational stability indicators. The overall motor function of the experimental group improved significantly as assessed by the Functional Movement Screen (FMS), which indicated that the balance training was very effective. The Y-balance test further confirmed that the experimental group showed a substantial improvement in balance, while the control group showed little change. In addition, the results of the Y-balance test showed a moderate positive correlation with the results of the FMS test, suggesting a relationship between balance and functional movement. These findings emphasize the positive impact of balance training on the physical motor function of young female footballers, demonstrating the importance of balance training in motor development and injury prevention.

Judo 9+ injury prevention protocol (J9+IPP) on balance, strength, and anaerobic fitness in elite judokas: a one-group pretest-post-test, quasi-experimental trial

Abstract Judoka, the judo athlete, is involved in, high-intensity intermittent combat sport, to defeat the opponent by reversing body momentum with speed and skill. Hence the judokas are susceptible to injuries. Specific training and physical conditioning help the judoka perform efficiently with minimal risk of injuries. The judo9+ injury prevention protocol consisting of sport-specific exercises focuses on minimising lower limb risk factors. The objective of the study was to investigate the effects of judo 9+ injury prevention protocol on strength, balance, and anaerobic fitness in elite judokas. A sample of 20 (male and female elite judokas) aged between 20-40 years, were recruited in the study based on selection criteria. After demographic and baseline evaluation, the judo9+ injury prevention protocol was administered to each participant for four weeks (2 sessions/week). Balance (SEBT), lower limb strength (VJHT), and anaerobic fitness (SJFT) scores were administered before the training began and after the completion of the training. Pre-post-training changes were compared using, using the paired t-test. All the outcome measures, SEBT, VJHT and SJFT demonstrated statistical significant changes () following four weeks of judo9+ injury prevention training. Larger effect sizes of 0.94 and 1.42 with &gt;90% power were reported in VJHT and SJFT, respectively. There is sufficient evidence from this study to confirm that judo9+ injury prevention training significantly improves lower limb strength and anaerobic fitness among elite judokas following four weeks of judo9+ injury prevention training. However, balance improvement might require longer duration.

(Training to Prevent Sports Injuries to Ankles for Football Athletes)

The problem is that the incidence of ankle injuries in soccer athletes at soccer clubs in West Nusa Tenggara dominates every year, and experiences a decline in performance due to ankle injuries. The aim of this service is to analyze ankle injuries in NTB football players by identifying injuries through the coaches, medical team who provide information to the physiotherapy team. The method used in this research design is observational with a case control design with a retrospective study with the aim of finding out training to prevent sports injuries to the ankle for football athletes. Research stages: Screening Questionnaire and Ankle examination form, Initial examination 1, Examination management 1 and Seminar workshop. Research Results Based on the results and discussion in this research, it can be concluded that: there is a very significant effect of sports injury prevention training on the ankle for football athletes after chronic ankle injury.

Effect of Pressure Injury Prevention Training Program on Caregiver's Knowledge, Attitude, and Practices in Selected Geriatric Care Homes

Effect of Pressure Injury Prevention Training Program on Caregiver's Knowledge, Attitude, and Practices in Selected Geriatric Care Homes

Best practices for the dissemination and implementation of neuromuscular training injury prevention warm-ups in youth team sport: a systematic review

ObjectiveTo evaluate best practices for neuromuscular training (NMT) injury prevention warm-up programme dissemination and implementation (D&I) in youth team sports, including characteristics, contextual predictors and D&I strategy effectiveness.DesignSystematic review.Data sourcesSeven...

LITERATUR REVIEW: PENCEGAHAN CEDERA DAN REHABILITASI PADA PELARI TRAIL

Trail running is sports activity that combines two activities, namely mountain climbing and running. Trail running activities are carried out on mountains that have tracks in the form of paths, in the form of ground stones, or a mixture of sand and small rocks. Trail running was first carried out in the United States of America and continues to develop in Indonesia for example Bandung, Probolinggo, Lombok dan Banyuwangi, Which have been associated in the form of ITRA (International Trail Running Association). The majority of trail running injuries occur in the lower legs, especially the knees and ankles. The main mechanisms underlying injury and injury development include inadequate neuromotor control-balance-coordination ,running through fatigue and abnormal kinematics on a variety of terrain. Pre-Rehabilitation programs such as strengthening the kinetic chain consisting of dynamic flexibility, neuromotor strength and balance, plyometrics exercises can encourage stable and also controlled movement on trails. Educating patients about symptoms of early musculoskeletal soreness and training adjustments also proved to help prevent injuries from developing into serious overuse injuries. Regarding to the increasing number of the injury in trail runners, this article was wrote to describe the role of injury prevention and safe training to reduce the risk of injury and also early rehabilitation program for the injured runners. Study by Vincent et all that review the injury prevention, safe training and rehabilitation to return to sport was the main source in the discussion. The review result showed that educating the runners to prevent injury and how to do the safe running shown a positive impact to reduce the numbers of injury. Early rehabilitation program also shown a good impact in promoting healing in injured runners.

ACL Injury Prevention Education Improves Implementation of Neuromuscular Training Among High School Sports Coaches: A Cross-Sectional Survey Study.

Neuromuscular training (NMT) programs delivered by trained personnel have demonstrated protective effects against anterior cruciate ligament (ACL) injury among high school sports participants, but few studies have investigated the impact of education on high school sports coaches' knowledge and incorporation of NMT programs into daily practice sessions. We sought to evaluate changes in knowledge and behavior among high school sports coaches who completed an NMT-based injury prevention training program. High school sports coaches were invited to complete a free online training course in incorporating NMT into daily practice sessions. Anonymized surveys were administered before and after education and at 3 months to evaluate knowledge level and program effectiveness. Of the 13,640 coaches who enrolled in the training course in 2019, 1641 submitted pre- and post-education and 3-month follow-up surveys. Prior to training, 4.4% reported incorporating NMT into daily training sessions and the mean knowledge score was 1.89 ± 1.55. After training, 92.7% of participants reported that they intended to incorporate NMT into their daily training sessions and the mean knowledge score was 4.87 ± 1.11. At 3-month follow-up, 88.9% of participants reported incorporating NMT into daily training sessions. A chi-square test revealed a significant association between pre- and post-education incorporation of NMT into daily practice sessions, and a multiple regression analysis resulted in a significant model with intent to incorporate NMT into daily practice sessions identified as a significant behavior predictor. These survey results show that completion of a training course significantly improved ACL injury prevention knowledge among a cohort of high school sports coaches and likely contributed to the sustained incorporation of NMT into their daily practice sessions.

Evaluating the Effectiveness of Brief Training for Neonatal Intensive Care Nurses on the Prevention of Medical Device-Related Nasal Pressure Injury.

To evaluate the effectiveness of a brief training in medical device-related pressure injury (MDRPI) prevention for neonatal intensive care nurses. This single-group, pretest-posttest quasi-experimental study was conducted between April and October 2021 with 81 nurses working in the neonatal ICU of a city hospital. The participants completed a training program consisting of two 40-minute sessions that used a small-group problem-based learning approach developed in accordance with evidence-based research. Data were collected using a neonatal nurse information form, knowledge of MDRPI in preterm infants form, and training evaluation form, all of which were prepared for this study based on the literature. Data collection was performed before the training and repeated at 1 week and 1 month after the training. Data analysis was performed using the Number Cruncher Statistical System. Descriptive statistics, the Shapiro-Wilk test, Mann-Whitney U test, and Spearman correlation analysis were used. The participants' mean score on the knowledge of MDRPI in premature infants form was 82.44 ± 7.26 before training and increased significantly to 94.57 ± 5.03 at 1 week and 94.67 ± 3.11 at 1 month after training (P = .001 and P = .001, respectively). No significant relationship was detected between the participants' descriptive characteristics and their knowledge scores before or after the training (P > .05). Brief training on the prevention of nasal pressure injury caused by noninvasive ventilation increased nurses' knowledge level.

An 8-week injury prevention exercise program combined with change-of-direction technique training limits movement patterns associated with anterior cruciate ligament injury risk

Knee ligament sprains are common during change-of-direction (COD) maneuvers in multidirectional team sports. This study aimed to compare the effects of an 8-week injury prevention exercise program containing COD-specific exercises and a similar program containing linear sprint exercises on injury- and performance-related variables during a 135° COD task. We hypothesized that the COD-specific training would lead to (H1) stronger reductions in biomechanical variables associated with anterior cruciate ligament (ACL) injury risk during COD, i.e. knee abduction moment and angle, hip internal rotation angle and lateral trunk lean, and (H2) more effective improvements in COD performance according to the COD completion time, executed angle, ground contact time, and approach speed. Twenty-two sports science students (40% female) completed biomechanical assessments of COD movement strategies before and after participating in two supervised 25-min training sessions per week over 8 weeks. We observed significant ‘training x group’ interaction effects in support of H1: the COD-specific training but not the linear sprint training led to reduced peak knee abduction moments (interaction, p = 0.027), initial knee abduction (interaction, p < 0.001), and initial lateral trunk lean angles (interaction, p < 0.001) compared to baseline. Although the COD-specific training resulted in sharper executed angles (interaction, p < 0.001), the sprint-specific training group showed reduced COD completion (interaction, p = 0.037) and ground contact times (interaction, p < 0.001). In conclusion, a combination of generic and COD-specific injury prevention training resulted in COD technique adaptations that can help to avoid ACL injury-prone COD movements but may negatively affect COD speed.

Medical Device-Related Pressure Injury Care and Prevention Training Program (DevICeU): Effects on intensive care nurses' knowledge, prevention performance and point prevalence

ObjectiveTo determine the effect of the training given to intensive care unit (ICU) nurses to prevent medical device-related pressure injuries (MDRPIs) on nurses' knowledge levels, their prevention performance, and the point prevalence (PP) of MDRPIs. Research Methodology/DesignA pre-post test intervention study without a control group. SettingThe study was conducted between May and July 2023 with ICU nurses in three phases: pre-training phase (E0) (104 nurses, 116 patients), training implementation phase (E) and post-training phase (E1) (89 nurses, 120 patients). Main Outcome MeasuresThe data were collected by using the Patient (E0, E1) and Nurse (E0) Characteristic Forms, MDRPI Follow-up and Prevalence Form (E0, E1), D.E.V.I.C.E Performance Observation Checklist (E0, E1), MDRPI Knowledge Assessment Questionnaire (E0, E1), Braden Pressure Ulcer Risk Assessment Scale (E0, E1), Pressure Injury Grading Form (E0, E1), and Feedback Form about the Training Process (E). ResultsThe mean MDRPI knowledge score of the nurses increased significantly from E0 to E1 (13.23 ± 1.43 vs. 20.02 ± 1.30, p = 0.001), with the highest improvement in the staging and prevention themes. Nurses’ MDRPI prevention performance increased significantly from E0 to E1 (2.15 ± 1.01 vs. 11.17 ± 1.65, p = 0.001). There was a significant difference between the PP rate at E0 (61.2 %) and E1 (27.5 %) (p = 0.001). ConclusionThe study indicated that the training on MDRPIs given to ICU nurses increased their knowledge and prevention performance and decreased the prevalence of MDRPIs. However, further studies with a larger sample size are needed to confirm these findings. Implications for clinical practiceSince MDRPIs have more complex staging and prevention practices than conventional PIs, they require the adoption of a training approach that includes visual materials and practical methods in addition to theoretical knowledge. Accurate definitions of medical device dimensions and fixation, skin assessment, and prevention practices will lead to the desired outcome of reducing MDRPIs in ICUs.

Co-creating holistic injury prevention training for youth handball: Development of an intervention targeting end-users at the individual, team, and organizational levels

BackgroundInterventions that are co-created with end-users, and that are informed by behavior change or implementation theories, support implementation in real world settings. However, injury prevention programs for youth athletes have typically been developed by experts with no, or insufficiently described, end-user involvement and without guidance by theories. The aim of the current study was to describe the development of a holistic injury prevention intervention for youth handball targeting end-users at different levels, through using knowledge from end-users and researchers/experts and applying relevant behavior change and implementation theories.MethodsKnowledge from researchers/experts (sports medicine, sport psychology, handball, physical therapy, strength and conditioning (n = 14)) and end-users (coaches, players, club administrators, n = 16), and applying relevant implementation (Consolidated Framework for Implementation Research, CFIR), behavior change (Health Action Process Approach, HAPA) and motivational (Self-Determination Theory, SDT) theories, were used to co-design the intervention. Early end-users (coaches (n = 6), players (n = 3) and a club administrator (n = 1)) were interviewed for initial feedback.ResultsThe intervention consisted of end-user-targeted information and training that was made available in a specifically developed interactive mobile application with modules for players, coaches, club administrators, and caregivers. Information for all end-users included benefits and principles of physical and psychological injury prevention training, load-management, motivation, and communication. Information about implementation was developed for club administrators specifically. For coaches, training to do with their teams included handball-specific injury prevention exercises (legs, shoulders, core) combined with psychological aspects (motivation, task focus, body awareness) to integrate within warm-up and handball skills training. Training for players included handball-specific multi-joint strength, power, and explosive exercises (legs, shoulders, core) and sport psychology exercises (self-awareness, relaxation, being in the present moment, prevent and handle stress). To support self-management, adoption, and motivation, programs were provided, and players and coaches could change, add, progress the difficulty of exercises, and build their own programs. Initial feedback from early end-users was generally positive.ConclusionsUtilizing an approach where researchers/experts and end-users co-created injury prevention training specifically for youth handball, an intervention was generated that included information and holistic training targeting end-users at the individual (players, caregivers), team (coaches), and organizational (club administrators) levels.