Evidence map›Paper›PMID 29332470›Full record

Trial reportJournal of athletic training2018

A School-Based Neuromuscular Training Program and Sport-Related Injury Incidence: A Prospective Randomized Controlled Clinical Trial.

Kim D Barber Foss, Staci Thomas, Jane C Khoury, Gregory D Myer, Timothy E Hewett

Open access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of athletic training, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 12 pooled it
7.7field-weighted citation impact, top 2% of its field
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

44 citing papers in PubMed, 12 syntheses or guidelines pooled it, 106 citations in OpenAlex.

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  13. Neuromuscular training after concussion to improve motor and psychosocial outcomes: A feasibility trial.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2021
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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

5 authors at 2 institutions in 1 country.

Kim D Barber FossThe SPORT Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, OH.
Staci ThomasThe SPORT Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, OH.
Jane C KhouryDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital, OH.
Gregory D MyerThe SPORT Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, OH.
Timothy E HewettThe SPORT Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, OH.
Cincinnati Children's Hospital Medical Center · USThe Micheli Center for Sports Injury Prevention · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAn estimated 40 million school-aged children (age range = 5-18 years) participate annually in sports in the United States, generating approximately 4 million sport-related injuries and requiring 2.6 million emergency department visits at a cost of nearly $2 billion.

objectiveTo determine the effects of a school-based neuromuscular training (NMT) program on sport-related injury incidence across 3 sports at the high school and middle school levels, focusing particularly on knee and ankle injuries.

designRandomized controlled clinical trial.

settingA total of 5 middle schools and 4 high schools in a single-county public school district. PATIENTS OR OTHER

participantsA total of 474 girls (222 middle school, 252 high school; age = 14.0 ± 1.7 years, height = 161.0 ± 8.1 cm, mass = 55.4 ± 12.2 kg) were cluster randomized to an NMT (CORE; n = 259 athletes) or sham (SHAM; n = 215 athletes) intervention group by team within each sport (basketball, soccer, and volleyball). INTERVENTION(S): The CORE intervention consisted of exercises focused on the trunk and lower extremity, whereas the SHAM protocol consisted of resisted running using elastic bands. Each intervention was implemented at the start of the season and continued until the last competition. An athletic trainer evaluated athletes weekly for sport-related injuries. The coach recorded each athlete-exposure (AE), which was defined as 1 athlete participating in 1 coach-directed session (game or practice). MAIN OUTCOME MEASURE(S): Injury rates were calculated overall, by sport, and by competition level. We also calculated rates of specific knee and ankle injuries. A mixed-model approach was used to account for multiple injuries per athlete.

resultsOverall, the CORE group reported 107 injuries (rate = 5.34 injuries/1000 AEs), and the SHAM group reported 134 injuries (rate = 8.54 injuries/1000 AEs; F

conclusionsParticipation in an NMT intervention program resulted in a reduced injury incidence relative to participation in a SHAM intervention. This protective benefit of NMT was demonstrated at both the high school and middle school levels.

Indexed as

SchoolsAdolescentAthletesAthletic InjuriesBasketballChildEducationFemaleHumansIncidenceMaleProspective StudiesSoccerUnited StatesVolleyballepidemiologyhigh school athletesinjury ratesmiddle school athletessport injuries

Identifiers

PMID29332470
PMCPMC5800723
OpenAlexW2782905460

What OpenQuestion holds

Textmetadata
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.