Objectives: To describe and evaluate injury prevention interventions for pre-elite athletes who compete in an Olympic or professional sport.
Design: Systematic review.
Methods: This review was prospectively registered (PROSPERO CRD42017065083) and a systematic electronic search was conducted in May 2017. The following inclusion criteria were applied: (1) studies including and analysing data specific to pre-elite athletes (determined by the T3/T4 levels of the FTEM model); (2) featured injury prevention interventions; (3) provided sufficient data related to injury such that the effect can be analysed e.g. injury rates, incidence, prevalence, injury rate ratios; (4) featured randomised and non-randomised controlled trials or prospective cohorts.
Results: A total of 13,480 articles were retrieved with 121 titles identified and 11 studies satisfying the inclusion criteria. No studies demonstrated a low risk of bias. Four different interventions were identified: exercise (n=7, 64%), psychological (n=2, 18%), equipment (n=1, 9%), nutrition (n=1, 9%). Of the seven exercise interventions, four showed a protective effect and three found no significant effect, providing conflicting evidence. Caution is advised due to high risk of bias, low intervention reporting and minimal evidence for implementation planning in all seven studies.
Conclusions: There is limited evidence from level 2 and 3 studies suggesting exercise and psychology interventions may prevent injury in pre-elite athletes. There is an absence of evidence to support the use of equipment and nutrition interventions in pre-elite athletes. There is a need for quality research designs confirming the clinical impact of existing injury prevention interventions for pre-elite athletes.
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http://dx.doi.org/10.1016/j.jsams.2019.03.002 | DOI Listing |
J Sports Sci
April 2024
University of Canberra Research Institute for Sport and Exercise, University of Canberra, Canberra, Australian Capital Territory, Australia.
This study aimed to investigate inter- and intra-athlete technique variability in pre-elite and elite Australian fast bowlers delivering new ball conventional swing bowling. Ball grip angle and pelvis, torso, shoulder, elbow, wrist, upper arm, forearm, and hand kinematics were investigated at the point of ball release for inswing and outswing deliveries. Descriptive evaluations of group and individual data and k-means cluster analyses were used to assess inter- and intra-bowler technique variability.
View Article and Find Full Text PDFFront Sports Act Living
April 2023
School of Kinesiology and Health Science, York University, Toronto, ON, Canada.
While the term "athlete development" has been used to capture the changes (physical, psychological, etc.) that occur as an athlete moves from initial sport engagement to elite performance, much of the research in this area has focused on earlier stages of the pathway, with very little work examining the highest levels of sport. Considering a person's bio-psycho-social development continues through adulthood, the limited attention to development for athletes at higher competitive levels is perhaps surprising.
View Article and Find Full Text PDFJ Hand Surg Am
September 2024
Telluride Hand Surgery, Telluride, CO; Indiana Hand to Shoulder Center, Indianapolis, IN; Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN.
Purpose: Elbow osteochondritis dissecans (OCD) is well-studied in throwing athletes; however, there are limited data regarding gymnasts with capitellar OCD lesions. We aimed to determine the overall rate of return to competition following surgical treatment of capitellar OCD lesions and to determine the relationship, if any, between arthroscopic grade of lesion and ability to return to competition.
Methods: A medical chart Current Procedural Terminology query from 2000 to 2016 yielded data on 55 competitive adolescent gymnasts who were treated surgically for elbow OCD lesions in a total of 69 elbows.
Int J Sports Phys Ther
June 2022
The Discipline of Exercise Science, The University of Sydney.
Background: Movement competency screens (MCSs) are commonly used by coaches and clinicians to assess injury risk. However, there is conflicting evidence regarding MCS reliability.
Purpose: This study aimed to: (i) determine the inter- and intra-rater reliability of a sport specific field-based MCS in novice and expert raters using different viewing methods (single and multiple views); and (ii) ascertain whether there were familiarization effects from repeated exposure for either raters or participants.
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