Evidence map›Paper›PMID 40764021›Full record

SynthesisInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2026

Effect of adherence to exercise-based injury prevention programmes on the risk of sports injuries: a systematic review and meta-analysis of randomised controlled trials.

Janne Viiala, Pavol Čech, Peter Bakalár, Armin Paravlic, Pavel Ružbarský, Jaroslav Sučka, Kerttu Toivo, Jari Parkkari, Mari Leppänen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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

9 authors.

Janne ViialaTampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland janne.viiala@ukkinstituutti.fi.ORCID 0009-0001-6283-273X
Pavol ČechFaculty of Sports, University of Presov, Prešov, Slovakia.ORCID 0000-0001-5813-4915
Peter BakalárFaculty of Sports, University of Presov, Prešov, Slovakia.ORCID 0000-0001-6719-3618
Armin ParavlicFaculty of Sports, Institute of Kinesiology, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-7748-8097
Pavel RužbarskýFaculty of Sports, University of Presov, Prešov, Slovakia.
Jaroslav SučkaFaculty of Sports, University of Presov, Prešov, Slovakia.ORCID 0009-0001-3028-3385
Kerttu ToivoTampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland.ORCID 0000-0002-4573-1937
Jari ParkkariFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Mari LeppänenTampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland.ORCID 0000-0002-6521-5745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence may affect the effectiveness of injury prevention programmes (IPPs), yet no previous meta-analyses have examined the pooled impact of adherence to exercise-based IPPs across multiple injury types. The objective of the systematic review and meta-analysis was to investigate the effect of exercise-based IPP adherence on the risk of sports injuries.

methodsSix databases (PubMed, EMBASE, SPORTDiscus, PEDro, Cochrane Central Register of Controlled Trials and Web of Science) were searched from inception to the end of May 2023. Randomised, quasi-randomised controlled trials and cluster-randomised controlled trials investigating exercise-based sports injury prevention interventions and providing data on adherence were included in the systematic review. Studies included in the meta-analysis were divided into top (≥84%), middle (74%-83%) and bottom (<74%) adherence tertiles according to the percentage of completed intervention sessions with equal distribution in each tertile. Of 2647 identified reports, 52 studies were included in the systematic review and 35 of these were included in the meta-analysis.

resultsThe top-adherence group had a 47% lower injury rate than the control group (rate ratio (RR)=0.53, 95% CI 0.42 to 0.67, p<0.001). In the middle and bottom-adherence groups, injury rates were RR=0.50 (95% CI 0.39 to 0.64, p<0.001) and RR=0.87 (95% CI 0.75 to 1.02, p=0.08), respectively. Meta-regression analysis confirmed the results of the primary meta-analysis showing that adherence level significantly moderates the sports injury rate (β=-0.013, p<0.001).

conclusionsHigher adherence to IPPs resulted in reduced injury rates. When the adherence level was lower, the rate of injuries was not significantly reduced. PROSPERO REGISTRATION NUMBER: CRD42023429370.

Indexed as

Athletic InjuriesExercisePatient ComplianceHumansRandomized Controlled Trials as TopicInterventionsOutcome of InjurySports / Leisure FacilityUptake/Adherence

Identifiers

PMID40764021
PMCPMC12911647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.