Evidence map›Paper›PMID 27251898›Full record

SynthesisBritish journal of sports medicine2016

Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis.

Dai Sugimoto, Gregory D Myer, Kim D Barber Foss, Michael J Pepin, Lyle J Micheli, Timothy E Hewett

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in British journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 8 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dai SugimotoThe Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
Gregory D MyerThe Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Human Performance Laboratory, Sports Medicine Biodynamics Center, Cincinnati, Ohio, USA Department of Pediatrics and Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA Department of Orthopaedics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kim D Barber FossCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Human Performance Laboratory, Sports Medicine Biodynamics Center, Cincinnati, Ohio, USA.
Michael J PepinDivision of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA.
Lyle J MicheliThe Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
Timothy E HewettBiomechanics Laboratories and Sports Medicine Center, Orthopedic Surgery, Physical Medicine & Rehabilitation Physiology & Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Real-Time Sensorimotor Feedback for Injury Prevention Assessed in Virtual RealityU01AR067997 · NIAMS · EMORY UNIVERSITY · PI MYER, GREGORY DONALD · 2016 to 2022
$3.6M
Identification of Patellofemoral Pain Risk Factors Developed During MaturationR21AR065068 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI MYER, GREGORY DONALD · 2015 to 2016
$378k
NIAMS NIH HHS R21 AR065068NIAMS NIH HHS U01 AR067997
6 · The paper itself

Abstract

objectiveThe aim of this study was to determine key components in neuromuscular training that optimise ACL injury reduction in female athletes using meta-regression analyses.

designSystematic review and meta-regression. DATA SOURCES: The literature search was performed in PubMed and EBSCO. ELIGIBILITY CRITERIA: Inclusion criteria for the current analysis were: (1) documented the number of ACL injuries, (2) employed a neuromuscular training intervention that aimed to reduce ACL injuries, (3) had a comparison group, (4) used a prospective control study design and (5) recruited female athletes as participants. Two independent reviewers extracted studies which met the inclusion criteria. Methodological quality of included study and strength of recommendation were evaluated. Number of ACL injuries and participants in control and intervention groups, age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and status of verbal feedback were extracted.

resultsThe meta-regression analyses identified age of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and utilisation of verbal feedback as significant predictors of ACL injury reduction (p=0.01 in fixed-effects model, p=0.03 in random-effects model). Inclusion of 1 of the 4 components in neuromuscular training could reduce ACL injury risk by 17.2-17.7% in female athletes. No significant heterogeneity and publication bias effects were detected. Strength of recommendation was rated as A (recommendation based on consistent and good-quality patient-oriented study evidence).

conclusionsAge of participants, dosage of neuromuscular training, exercise variations within neuromuscular training and utilisation of verbal feedback are predictors that influence the optimisation of prophylactic effects of neuromuscular training and the resultant ACL injury reduction in female athletes.

Indexed as

Anterior Cruciate Ligament InjuriesAthletesAthletic InjuriesExerciseFemaleHumansKnee InjuriesPhysical Conditioning, HumanRegression AnalysisRisk FactorsACLFemalePreventionSports medicineTraining

Identifiers

PMID27251898
PMCPMC5502078

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.