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Exercise-Based Training Strategies to Reduce the Incidence or Mitigate the Risk Factors of Anterior Cruciate Ligament Injury in Adult Football (Soccer) Players: A Systematic Review

Author

Listed:
  • Jesús Olivares-Jabalera

    (HUMAN Lab, Sport and Health University Research Institute (iMUDS), University of Granada, 18016 Granada, Spain
    FSI Sport Research Lab, 18016 Granada, Spain)

  • Alberto Fílter-Ruger

    (FSI Sport Research Lab, 18016 Granada, Spain)

  • Thomas Dos’Santos

    (FSI Sport Research Lab, 18016 Granada, Spain
    Department of Sport and Exercise Sciences, Musculoskeletal Science and Sports Medicine Research Centre, All Saints Building, Manchester Campus John Dalton Building, Manchester Campus, Manchester Metropolitan University, Manchester M15 6BH, UK
    Manchester Institute of Sport 2.01, Manchester Metropolitan University, Manchester M1 7EL, UK)

  • Jose Afonso

    (Centre for Research, Education, Innovation and Intervention in Sport, Faculty of Sports of the University of Porto, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal)

  • Francesco Della Villa

    (Education and Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, 40132 Bologna, Italy)

  • Jaime Morente-Sánchez

    (FSI Sport Research Lab, 18016 Granada, Spain)

  • Víctor Manuel Soto-Hermoso

    (HUMAN Lab, Sport and Health University Research Institute (iMUDS), University of Granada, 18016 Granada, Spain)

  • Bernardo Requena

    (HUMAN Lab, Sport and Health University Research Institute (iMUDS), University of Granada, 18016 Granada, Spain
    FSI Sport Research Lab, 18016 Granada, Spain)

Abstract

Anterior cruciate ligament (ACL) is one of the most concerning injuries for football players. The aim of this review is to investigate the effects of exercise-based interventions targeting at reducing ACL injury rate or mitigating risk factors of ACL injury in adult football players. Following PRISMA guidelines, a systematic search was conducted in CINAHL, Cochrane Library, PubMed, Scopus, SPORTDiscus and Web of Science. Studies assessing the effect of exercise-based interventions in ACL injury incidence or modifiable risk factors in adult football players were included. 29 studies evaluating 4502 male and 1589 female players were included (15 RCT, 8 NRCT, 6 single-arm): 14 included warm-up, 7 resistance training, 4 mixed training, 3 balance, 1 core stability and 1 technique modification interventions. 6 out of 29 studies investigated the effect of interventions on ACL injury incidence, while the remaining 23 investigated their effect on risk factors. Only 21% and 13% studies evaluating risk of injury variables reported reliability measures and/or smallest worthwhile change data. Warm-up, core stability, balance and technique modification appear effective and feasible interventions to be included in football teams. However, the use of more ecologically valid tests and individually tailored interventions targeting specific ACL injury mechanisms are required.

Suggested Citation

  • Jesús Olivares-Jabalera & Alberto Fílter-Ruger & Thomas Dos’Santos & Jose Afonso & Francesco Della Villa & Jaime Morente-Sánchez & Víctor Manuel Soto-Hermoso & Bernardo Requena, 2021. "Exercise-Based Training Strategies to Reduce the Incidence or Mitigate the Risk Factors of Anterior Cruciate Ligament Injury in Adult Football (Soccer) Players: A Systematic Review," IJERPH, MDPI, vol. 18(24), pages 1-35, December.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13351-:d:705739
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Michal Lehnert & Pavel Stolfa & James J. Tufano & Petr Stastny, 2017. "Changes in Isokinetic Muscle Strength in Adolescent Soccer Players after 10 Weeks of Pre-Season Training," The Open Sports Sciences Journal, Bentham Open, vol. 10(1), pages 27-36, April.
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