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Neuromuscular training and the risk of leg injuries in female floorball players: cluster randomised controlled study [with consumer summary]
Pasanen K, Parkkari J, Pasanen M, Hiilloskorpi H, Makinen T, Jarvinen M, Kannus P
BMJ 2008 Jul 12;337(7661):a295
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate whether a neuromuscular training programme is effective in preventing non-contact leg injuries in female floorball players. DESIGN: Cluster randomised controlled study. SETTING: 28 top level female floorball teams in Finland. PARTICIPANTS: 457 players (mean age 24 years) -- 256 (14 teams) in the intervention group and 201 (14 teams) in the control group-followedup for one league season (six months). INTERVENTION: A neuromuscular training programme to enhance players' motor skills and body control, as well as to activate and prepare their neuromuscular system for sports specific manoeuvres. MAIN OUTCOME MEASURE: Acute non-contact injuries of the legs. RESULTS: During the season, 72 acute non-contact leg injuries occurred, 20 in the intervention group and 52 in the control group. The injury incidence per 1,000 hours playing and practise in the intervention group was 0.65 (95% confidence interval 0.37 to 1.13) and in the control group was 2.08 (1.58 to 2.72). The risk of non-contact leg injury was 66% lower (adjusted incidence rate ratio 0.34, 95% confidence interval 0.20 to 0.57) in the intervention group. CONCLUSION: A neuromuscular training programme was effective in preventing acute non-contact injuries of the legs in female floorball players. Neuromuscular training can be recommended in the weekly training of these athletes. TRIAL REGISTRATION: Current Controlled Trials ISRCTN26550281.
Reproduced with permission from the BMJ Publishing Group.

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