Sports Injury Prevention Research Articles

PREVENÇÃO DE LESÕES ESPORTIVAS DURANTE O TREINAMENTO FÍSICO DOS JOGADORES DE VÔLEI

ABSTRACT Introduction Volleyball is a popular sport among Chinese college students. Almost all professional sports colleges and universities have set up volleyball majors courses. To improve the basic physical fitness of volleyball players, it is necessary to strengthen their physical training. Objective Analyze the causes and types of sports injuries of volleyball players in colleges, formulating countermeasures for preventive training of volleyball players. Methods The sports injuries of 38 volleyball players at a university were investigated, the physical training factors that caused injuries were analyzed, and the need to build an injury-prevention physical training system was discussed. Injury prevention physical training was presented to effectively prevent sports injuries. Results The common sports injuries of college volleyball athletes were mainly ligament injuries, knee joint injuries, patella cartilage injuries, and lumbar spine injuries. Conclusion Preventive physical training can effectively prevent sports injuries among college volleyball athletes, reduce the incidence of injury to a controlled extent, and at the same time extend the athletes’ sports trajectory as far as possible beyond their efforts to improve their ultimate sports performance. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

Application of functional motion screening test in physical fitness test of No.14 Middle School of Kaifeng

The obesity rate of students is increasing year by year, the physical health status is declining, and the incidence of cardiovascular disease is also increasing. The physical fitness test of students involves strength, cardiorespiratory endurance, flexibility, explosive power and other aspects. The overall poor physical test results of middle school students are related to training. Functional screening is a way of physical training evaluation. Scientific evaluation methods are introduced into the physical fitness training of middle school students. Diagnostic evaluation can effectively guide students to correct bad movement patterns during training, ensure the normal performance of movement patterns, and effectively prevent sports injuries. Combining students' physical fitness training with functional screening, and scientifically arranging training plans for movement diagnosis can better promote the overall development of middle school students' physical fitness. This research takes the students of the 14th Middle School of Kaifeng City as the research objects, and adopts scientific research methods such as literature data method, expert interview method, experimental method, mathematical statistics method and so on. The study found that in the physical fitness test of the experimental group of students, the 50 meters, sitting forward bending, pull-ups/sit-ups, 1000-meter running/800-meter running were significantly improved compared to before the experiment, and the improvement was even greater than that of the control group. Significantly, after being diagnosed by the FMS test, students in the experimental group developed a targeted training plan. Not only did their physical fitness test scores improve, but also their physical fitness test scores. That is, the higher the FMS test score, the better its athletic ability and performance.

THE ROLE OF STRENGTH TRAINING IN PREVENTING MUSCULOSKELETAL INJURIES AMONG FEMALE AND MALE SOCCER PLAYERS

Introduction The occurrence of sports injuries among soccer players causes both financial and health losses, which is why preventing them is crucial. Science should provide reliable data on how different interventions affect the occurrence of sports injuries among athletes. Aim The review aims to analyse the quality of evidence proofed by the studies on the effectiveness of strength training in preventing sports injuries in soccer players. Material and methods Five databases were used in the review: Web of Science, Embase, Cochrane Library, Academic Search Ultimate, and Pubmed. Keywords used included: soccer players, strength training, hypertrophy training, protocol, injury rate, burden, and prevalence. Quality evaluation of studies found was performed using PEDro scale. Results Of the 646 studies researched, only 4 met the criteria of being applicable to this systematic review. Conclusions All four studies confirmed the decrease in the number of injuries and absence days per 1000h of exposure due to strength training; nonetheless, the lack of standardized protocol based on knowledge efficient at building strength makes the conclusion unreliable.

Effects of cleaning sports mouthguards with ethylene-vinyl acetate on oral bacteria.

Sports mouthguards, worn in the oral cavity to prevent sports injuries, are constantly exposed to various microorganisms that cause oral infections. Hence, the optimal cleaning methods for sports mouthguards have been thoroughly examined. In this study, we evaluated the efficiency of cleaning effects with a mouthguard cleaner (MC) on microbial biofilm formation in sports mouthguards in vitro and in vivo. We evaluated the cleaning effects of the discs produced by ethylene-vinyl acetate (EVA) on bacterial biofilms formed by the commensal bacterium Streptococcus oralis, the cariogenic bacterium Streptococcus mutans, and the opportunistic pathogen Staphylococcus aureus in vitro. EVA discs with biofilm were subjected to sterile distilled water (CTRL) and ultrasonic washing (UW), followed by treatment with MC and sodium hypochlorite (NaClO) as positive controls. Thereafter, the viable bacterial cell counts were determined. The bacteria adhering to the sheets before and after the treatment were observed under an electron microscope. The degree of cleanliness and measurement of viable microbial cell counts for total bacteria, Streptococci and Candida, opportunistic fungi, were evaluated on the used experimental sports mouthguards with and without UW and MC treatment in vivo. The number of bacterial cells significantly decreased against all the tested biofilm bacteria upon treatment with MC, compared with CTRL and UW. Electron microscopy analysis revealed the biofilm formation by all bacteria on the EVA discs before cleaning. We observed fewer bacteria on the EVA discs treated with MC than those treated with CTRL and UW. Furthermore, the degree of cleanliness of the used experimental sports mouthguards cleaned using MC was significantly higher than that of the CTRL-treated mouthguards. Moreover, the viable microbial cell counts on the used experimental sports mouthguard were considerably lower than those on the CTRL ones. The cleaning effect of MC against oral bacteria was more effective than that of UW. MC treatment might have a potential future application as a cleaning method for sports mouthguards to protect athletes from oral infection.

Incidence of acute injuries in Swedish gymnastics with a special focus on cruciate ligament injuries.

Gymnastics is a sport with unique technical and physical demands. Elements of high rotational landing impacts may lead to severe injuries. In order to understand the risks of the sport and design injury prevention programs the magnitude of acute injuries must be understood. The aim was to investigate acute injuries, medical invalidity and injury costs in gymnastics using national insurance data. Insurance data covering acute injuries in Swedish gymnastics from October 2015 to October 2020 were analyzed. All Swedish gymnasts with either a training or competition license were included (N.=333,932 licenses, 249,823 females; 84,109 males). A total of 1733 acute injuries were reported, and the injury incidence was 5.2 per 1000 gymnast years, with no differences between upper and lower body. The arm followed by the foot and the knee were body locations with highest injury incidence. Skeletal injuries were most common in the arm and foot, and ligament injuries in the foot and knee. The proportion of cruciate ligament injuries was 37% of all knee injuries and 5% of all acute injuries. No significant difference between male and female gymnasts was observed. The highest proportion of medical invalidity was found in the knee (33%), the foot (22%), and the arm (20%). Sixteen percent of all cruciate ligament injuries led to medical invalidity and was the injury causing highest costs to the insurance company. The knee was the third most common injury location and the injury causing the highest medical invalidity.

Intrinsic and extrinsic factors contributing to running-related lower limb injuries among adolescent runners

ABSTRACT The purpose of this study was to assess which combination of intrinsic and extrinsic factors contribute to running-related injury (RRI)among adolescent cross-country, track, and long-distance runners. We conducted a retrospective study at a hospital-affiliated sports injury prevention centre of 130 adolescent runners (F: 62.1%, M: 37.9%; cross-country: 34.1%, track: 56.1%, long-distance running: 9.8%) who underwent an Injury Prevention Evaluation between 2013 and 2021. The evaluation included a questionnaire on personal and training factors, and standardised physical assessments. We used a binomial logistic regression to assess the influence of demographics, lower extremity strength and alignment, training (running volume and intensity, weight training), and dietary factors on RRIs. There were 38 adolescent runners who reported RRIs (ankle sprains: N = 16, shin splints: N = 9, stress fractures: N = 13). Female sex (odds ratio [OR]: 4.58 [1.37, 15.37]; p = 0.01), reduced weekday hours of sleep (OR: 1.75 [1.04, 2.95]; p = 0.04), reduced hip abduction strength (OR: 1.02 [1.00, 1.04]; p = 0.05), and intention to lose weight to improve athletic performance (OR: 4.58 [1.00, 21.28]; p = 0.05) were associated with RRIs. These intrinsic and extrinsic risk factors may represent targets for injury prevention for adolescent runners.

Retracted: Prevention and Treatment of Sports Injuries and Rehabilitative Physical Training of Wushu Athletes.

[This retracts the article DOI: 10.1155/2022/2870385.].

Effects of Yoga Intervention on Functional Movement Patterns and Mindfulness in Collegiate Athletes: A Quasi-Experimental Study.

High-quality movement patterns and high levels of mindfulness are thought to be beneficial in preventing sports injuries. Yoga is recommended in the field of athlete rehabilitation. This study investigated the effects of yoga intervention on functional movement patterns and mindfulness in collegiate athletes. It is a quasi-experimental study with a pre/post-test control design. The participants were divided into a yoga group and a control group. A Functional Movement Screen and the Mindful Attention Awareness Scale were used to assess participants' basic movement patterns and mindfulness before and after 12 weeks of yoga intervention (two classes per week, 90 min per class). The results show that the yoga group's FMS scores improved more compared to the control group [F(1,78) = 29.08, p < 0.001, ŋp2 = 0.27], and that the scores for the deep squat (ŋp2 = 0.4), shoulder mobility (ŋp2 = 0.17), and trunk stability pushup (ŋp2 = 0.36) improved substantially. The dysfunctional score ratio for deep squats (χ2 = 18.57, p < 0.001), shoulder mobility (χ2 = 26.90, p < 0.001), trunk stability pushup (χ2 = 17.07, p < 0.001), and rotatory stability (χ2= 38.29, p <0.001) decreased significantly compared with the control group, but there was no significant improvement in asymmetric movement patterns (χ2 = 0.75, p = 0.39). The mindfulness scores in the yoga group significantly exceeded those of the control group [F(1,78) = 13.56, p < 0.001, ŋp2 = 0.15]. These results suggest that yoga intervention can improve functional movement patterns and mindfulness levels, but further evidence is needed to determine whether yoga could positively influence sports injuries.

The FIFA 11+ injury prevention program reduces the incidence of groin injury among soccer players: a systematic review and meta-analysis of randomized controlled trials

Introduction: Groin injuries are among the three most common and time-consuming injuries in soccer, accounting for 2-19% of all injuries, with an incidence of 0.1-2.1 injuries per 1000 hours of play. Sports injury prevention programs have been showing promising results in reducing the risk of groin injury. The purpose of this systematic review and meta-analysis was to investigate the effectiveness of the FIFA 11+ Injury Prevention Program on reducing the incidence of groin injury among soccer players.

The FIFA 11+ injury prevention program reduces the incidence of hamstring injury among soccer players: a systematic review and meta-analysis

Introduction: Hamstring injury are among the most common non-contact injuries in sports. In soccer, which is the most popular sport worldwide, hamstring injuries represent between 15 and 50 % of all muscle injuries. Sports injury prevention programs have been showing promising results in reducing the risk of hamstring injury. The purpose of this systematic review and meta-analysis was to investigate the effectiveness of the FIFA 11+ Injury Prevention Program on reducing the incidence hamstring injury among soccer players. Methods: This systematic review with meta-analysis was based upon the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic search for relevant studies published from 1985-2022 using the following databases: Cochrane Library, MEDLINE, AMED, PubMed, Web of Science, and PEDro was conducted. The keywords used in the search strategy were ‘neuromuscular training’, ‘injury prevention programs’, ‘FIFA 11+’, ‘hamstring injury’, ‘soccer, and variations of these search terms. Included studies had to be randomized controlled trials using FIFA 11+ Injury Prevention Program for soccer players with the primary outcome being hamstring injury rate. There were no restrictions of age or playing level. The random-effects model was used in analysing the extracted data by the RevMan Meta-Analysis software version 5. Results: The pooled results of 2949 players and 274032 exposure hours showed 66% hamstring injury reduction per 1000 hours of exposure in the intervention group compared to control group with an injury risk ratio [IRR] of 0.34 (95% confidence interval [CI] 0.21–0.55, P < 0.0001). Discussion/Conclusion: This is the first meta-analysis of randomized controlled trials to evaluate the effectiveness of FIFA 11+ Injury Prevention Program in reducing the incidence of hamstring injury among soccer players. This meta-analysis demonstrates that the FIFA 11+ Injury Prevention Program reduces the incidence of hamstring injury by 66% among soccer players. Impact/Application to the field: The results showed a 66 % hamstring injury reduction. Therefore, it's recommended that soccer players and coaches implement the FIFA 11+ Injury Prevention Program in their current practice. Conflict of interest statement: No conflict of interest of relevance to the submission of this abstract.

The FIFA 11+ injury prevention program reduces the incidence of knee injury among soccer players: a systematic review and meta-analysis of randomized controlled trials

Introduction: Knee injuries are among the most common injuries seen in soccer, represent between 10- 50 % of all soccer injuries. Sports injury prevention programs have been showing promising results in reducing the risk of knee injury. The purpose of this systematic review and meta-analysis was to investigate the effectiveness of the FIFA 11+ Injury Prevention Program on reducing the incidence of knee injury among soccer players.

A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners.

BackgroundThere are multiple personal and environmental factors that influence the risk of developing running-related injuries (RRIs). However, it is unclear how these key clinical factors differ between adult and adolescent runners.PurposeThe purpose of this study was to compare anthropometric, training, and self-reported outcomes among adult and adolescent runners with and without lower extremity musculoskeletal RRIs.Study DesignCross-sectional study.MethodsQuestionnaire responses and clinical assessment data were extracted from 38 adult runners (F: 25, M: 13; median age: 23 [range 18-36]) and 91 adolescent runners (F: 56, M: 35; median age: 15 [range 14-16]) who underwent a physical injury prevention evaluation at a hospital-affiliated sports injury prevention center between 2013 and 2021. Participants were sub-grouped into those with (adults: 25; adolescents: 38) and those without (adults: 13; adolescents: 53) a history of self-reported RRIs based on questionnaire responses. Multivariate analyses of covariance (MANCOVA) covarying for gender were conducted to compare outcomes across groups.ResultsAdult runners had lower Functional Movement Screen™ (FMS™) scores (mean differences [MD]: -1.4, p=0.01), were more likely to report intentional weight-loss to improve athletic performance (% difference: 33.0%; p:<.001), and more frequently included resistance training into their training routines (% difference: 21.0%, p=0.01) compared to adolescents. Those with a history of RRIs were more likely to report intentional weight-loss compared to uninjured runners (% difference: 21.3; p=0.02) and had shorter single leg bridge durations than those without RRIs (RRI: 57.9±30, uninjured: 72.0±44, p=0.01).ConclusionThe findings indicate that addressing aspects of biomechanics identified by the FMS™ and behaviors of weight loss as an effort to improve performance may represent targets for the prevention of RRIs for adult and adolescent runners, given the association with history of RRIs.Level of Evidence3

Sex and Gender Differences in Pediatric Knee Injuries.

The participation of females in sports has increased significantly since the passage of Title IX. Sports participation may place young athletes at risk for knee injuries, including patellofemoral pain syndrome (PFPS), osteochondritis dissecans (OCD), and anterior cruciate ligament (ACL) rupture. Differences in anatomy, hormone production, and neuromuscular patterns between female and male athletes can contribute to disparities in knee injury rates with female athletes more vulnerable to PFPS and ACL injury. Biological differences between sexes alone cannot fully explain worldwide differences in musculoskeletal health outcomes. Social, cultural and societal attitudes toward gender and the participation of girls and women in sports may result in a lack of accessible training for both injury prevention and performance optimization; one must recognize the effects of gender disparities on injury risk. More nuanced approaches to assess the complex interplay among biological, physiologic, and social influences are needed to inform best practices for intervention and sports injury prevention.

Epidemiological Analysis of Foot and Ankle Injuries in Athletes: Experience of a Single Specialized Center

Category: Sports; Ankle Introduction/Purpose: The number of professional and amateur athletes has increased, consequently leading to an increase in the incidence of sports injuries. Understanding the epidemiological profile of foot and ankle's injuries in athletes is relevant for the prevention and treatment its occurrence. As far as we know, there is a lack of studies that report the epidemiological profile of athletes with foot and ankle disorders considering different sports. The aim of this study is to describe the epidemiology of foot and ankle injuries in athletes treated at an outpatient clinic specializing in injuries resulting from sports practice. The primary hypothesis is that ankle instability is the most frequent injury in athletes in the foot and ankle specialty outpatient clinic. Methods: Observational, retrospective, descriptive and comparative level IV of evidence study. The sample consisted of patients treated at an outpatient clinic specializing in foot and ankle injuries in sport, between January 1, 2015 and December 31, 2020. Three certified orthopedic physicians reviewed the charts and documented patient demographics, sport, diagnosis and lesion laterality. Age was analyzed according to age groups. The inclusion criteria were patients practicing amateurs or sports professionals of all age groups. We only count the first visits and the main modality and diagnosis of the patient. Exclusion criteria were insufficient data documented in chart, injuries that did not occur secondary to sports practice, and patients with conditions unrelated to the ankle and foot. Statistical analyzes were performed using software: SPSS V20, Minitab 16 and Excel Office 2010. We performed a multivariate logistic regression analysis to verify the association of gender, age and laterality with the main injuries documented. Results: A total of 763 patients (387 men and 376 women) met the inclusion criteria. The mean age was 35 years (SD= +-14.1; min=8.9; max=77). The most prevalent age group was young adults with 51.7% and the least prevalent was children with 1.4%. The most prevalent diseases were chronic lateral ankle instability (n=134, 17.6%), acute lateral ankle sprain (n=120, 15.7%) and plantar fasciitis (n=69, 9%). The multivariable analysis by logistic regression identified as a risk factor for lateral ankle instability the age group of young adults and females. In acute lateral ankle sprain, age was identified as a risk factor with statistical significance. In overuse injuries, only the female gender was evidenced as a risk factor. In non-insertional Achilles tendinopathy, bilaterality was associated as a risk factor with disease while in insertional Achilles tendinopathy, only the male gender was identified as a risk factor, as well as in Achilles tendon rupture. Conclusion: The literature specifically describing foot and ankle injuries during sport is limited, despite being highly prevalent injuries. Our work correlated several factors such as age, gender and laterality with specific sports through multivariate analysis, adding epidemiological data to the literature that help in the prevention and treatment of foot and ankle injuries in sports.

Is it Time to Consider Quaternary Injury Prevention in Sports?

Prevention has traditionally been categorized into three main areas: primary, secondary, and tertiary. In this Current Opinion, we present and discuss the concept of quaternary prevention in sports. Quaternary prevention aims to protect individuals from interventions that likely cause more harm than good, such as overdiagnosis, overtreatment, and overmedication. It includes preventing all types of harm associated with training and clinical interventions. Therefore, any sports injury prevention model or strategy should acknowledge the risks associated with training-related (i.e., overreaching and overuse) and clinical-related (i.e., overdiagnosis, over medicalization, and overtreatment) features. We propose a conceptual framework that integrates quaternary prevention into the contemporary injury prevention models in sports, taking into account that injury prevention is just one branch of the managerial, decision-making, and active hazard control process of risk management that athletes, coaches, and health and performance staff need to deal with. Therefore, we argue that integrating the concept of quaternary prevention into any form of prevention will significantly protect athletes from excessive, inappropriate, and ethically questionable interventions that may likely cause more harm than good.

PENGEMBANGAN APLIKASI (GSM) BERBASIS ANDROID DALAM PEMAHAMAN MASASE OLAHRAGA DAN PENCEGAHAN CEDERA BAGI GURU PJOK

Knowledge related to the process of providing first aid and early injury prevention during PJOK learning activities (sports) is an important thing that needs to be known. Therefore, this study aims to analyze the GSM application model and analyze the feasibility of an Android-based GSM application in understanding sports massage and injury prevention for PJOK teachers. Data collection techniques in this study used product validation sheets and questionnaires. The data analysis technique in this study used qualitative data analyzed by descriptive statistics. The subjects of this study were PJOK teachers throughout Surabaya who were divided into small groups of 15 people and large groups of 35 people. The results of the small group trial include 3 aspects of the assessment in the form of aspects of appearance, aspects of content/material, aspects of usefulness. The display aspect with a total score of 20 is in the “Good Enough” category, the content/material aspect with a total score of 38.6 is in the “Good enough” category, and the usefulness aspect with a total score of 15.3 is in the “Good” category. The results of the large group trial of the display aspect with a total score of 24 including the "Good" category, the content/material aspect with a total score of 49.8 including the "Good" category, and the usefulness aspect getting a score of 17 including the "Very Good" category. The conclusion in this study is that an Android-based application (GSM) in understanding sports massage and injury prevention is appropriate for PJOK teachers.

Sports Injury Risk Prevention and MRI Image Performance of Athletes in Physical Education.

In order to effectively prevent athletes' injury during sports training in physical education, a method of risk prevention of sports injury based on MRI technology was proposed. This method solves the problem of injury prevention in sports training by studying the association analysis algorithm in data mining technology and the research of MRI technology. The experimental results show that the average prediction error of CT and US is about 5%, so it can be considered that the model can predict accurately. Conclusion. The method of risk prevention of sports injury based on MRI technology can effectively prevent the injury of athletes in the process of sports training and reduce the injury rate of athletes.

Analysis of Visual Risk Factors of Anterior Cruciate Ligament Injury of Knee Joint.

This study aimed to explore whether the defect of visual function is a risk factor of knee anterior cruciate ligament (ACL) sports injury and to provide a theoretical basis for the primary prevention of ACL sports injury. This cross-sectional study included 392 participants divided into two groups: the sports injury group (287 with sports injury of knee) and the control group (105 healthy volunteers). Participants in the sports injury group were further divided into the ACL-Intact group (133) and the ACL-Deficient group (154). Participants in the sports injury group received a questionnaire about the conditions of their injury (including injury action, site condition, weather, contact) and a visual examination by synoptophore (including binocular vision, subjective and objective oblique angle, visual fusion range, stereoacuity). Participants in the control group only received the visual examination. In the end, we found that low visual fusion range (p = 0.003) and injury action, especially quick turn (p = 0.001), sudden stop (p < 0.001) and jump (p = 0.001), are the major risk factors for ACL injury in the analysis of the integrated data. In addition, athletes with low vision fusion range have increased risk of ACL sports injury when they make a sudden stop on wooden floor, plastic floor or cement floor on cloudy days (OR = 13.208). Visual factors, especially low fusion range, significantly increase the risk of ACL sports injury.

Trends in Revision ACL Reconstruction: Analysis of 257 Procedures

Background. Despite the anterior cruciate ligament reconstruction (ACL-R) is considered to be routine and successful procedure the burden of patients who needs revision surgery is growing worldwide.&#x0D; Purpose to describe the gender and social-demographic characteristics of this cohort of patients, analyze the reasons leading to revision ACL-R (re-ACL-R), estimate survival-ship of primary procedure as well as highlight clinically relative aspects of revision surgery.&#x0D; Methods. The database of Vreden Orthopaedic Center for the period from 01.01.2011 to 31.12.2021 searched for patients admitted for re-ACL-R. 234 patients (257 knees) agreed to take part in the study. Patient records with surgery reports, clinical exams and PROMs were analyzed.&#x0D; Results. There was a tendency to annual increase of re-ACL-R while the time between primary and revision procedures was just 4.0 years in average. Young males dominated among re-ACL-R cohort (75.2%, 31.0 years). The acute trauma prevailed over other reasons of ACL-R failure however, it was absent in 39.1% of cases. Patients who injured performing sports were significantly younger than the rest of the cohort (p = 0.005). Allografts were the most popular choice both for first re-ACL-R (53.0%) and re-revision ACL-R (60.9%). Interestingly that majority of re-ACL-R were performed in one stage while two-staged approach implemented only in 4.3% of cases.&#x0D; Conclusion. The main cause for re-ACL-R is repeated injury but significant percentage of patients develops recurrence of instability without trauma in middle-term period after ACL-R. Therefore to reduce the numbers of re-ACL-R both the proper post-op sport injury prevention program and improvement of surgical technique are of the same importance.

Hybrid effectiveness-implementation study designs in sports injury prevention research.

Despite vast evidence supporting the effectiveness of lower extremity injury prevention programs in a variety of sport settings, age groups, and levels of competition, there is limited evidence on implementation strategies that positively impact the feasibility, scale-up and sustainability of such programs. Sport-related injury prevention is affected by the research-to-practice gap, a pervasive issue in healthcare, where high-quality experimental research is not used in routine clinical practice. An intervention shown to be efficacious in a controlled environment, such as a lab or in a field-study conducted by scientists, will demonstrate a decline in benefit when implemented in the intended clinical setting. Real-world considerations, such as foundational knowledge and training, time constraints, or end user motivation, influence the quality and consistency of implementation. Acknowledging and addressing implementation barriers in a systematic way is essential to promote effective program dissemination. Study design methods that measure both clinical effectiveness and implementation strategies need to be identified. Hybrid effectiveness-implementation designs simultaneously measure both an intervention's effect on clinical outcomes as well as critical information related to implementation strategy; however these study designs are not frequently utilized. The purpose of this mini-review is to describe: the basics of hybrid designs, rationale for using hybrid designs, and examples of how these designs could be used in athletic healthcare injury prevention research.