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| The protective effect of neuromuscular training on the medial tibial stress syndrome in youth female track-and-field athletes: a clinical trial and cohort study |
| Mendez-Rebolledo G, Figueroa-Ureta R, Moya-Mura F, Guzman-Munoz E, Ramirez-Campillo R, Lloyd RS |
| Journal of Sport Rehabilitation 2021 Sep;30(7):1019-1027 |
| clinical trial |
| 6/10 [Eligibility criteria: No; 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* |
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CONTEXT: Few reports have analyzed the effects of neuromuscular (NM) training programs on the injury incidence among youth female track-and-field athletes. OBJECTIVE: To determine the effects of NM training on reducing lower limb injury incidence and to establish its effects on countermovement jump performance, balance, 30-m sprint, and joint position sense in youth female track-and-field athletes. DESIGN: Single-blind, randomized controlled clinical trial. SETTING: Sports research laboratory. PARTICIPANTS: Twenty-two female athletes were allocated into 2 groups: conventional (CONV) training (n = 11; age 15.3 (2.1) y) and NM training (n = 11; age 15.0 (2.7) y). INTERVENTIONS: Interventions were performed during the preseason of 6 weeks. The CONV training included anaerobic, strength, and aerobic training. The NM training consisted of a multicomponent program that integrated jumps, landings, and running with strength, endurance, agility, balance, and CORE training. MAIN OUTCOME MEASURES: A follow-up of the cohorts was carried out through the evaluation of lower limb injuries (main outcome) during a regular season (weeks 7 to 18). Secondary outcomes were measured before and after the intervention: Y-balance test, active joint repositioning, ground reaction force, and countermovement jump height. RESULTS: The injury incidence rate was 17.89 injuries per 1,000 hours athlete-exposure in CONV training, and 6.58 in NM training (relative risk 0.38; 95% confidence interval 0.18 to 0.82; p = 0.044). Particularly, the medial tibial stress syndrome incidence rate was 5.96 injuries per 1,000 hours athlete-exposure in CONV training and 0.82 in NM training (relative risk 0.17; 95% confidence interval 0.02 to 1.12; p = 0.012). In addition, a significant training x time interaction was noted, favoring improvements in 30-m sprint and countermovement jump height after NM. CONCLUSION: The NM training may improve youth female athlete's physical fitness and reduce their injury relative risk of medial tibial stress syndrome injury.
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