Evidence map›Paper›PMID 42273628›Full record

SynthesisFrontiers in public health2026

Age-related differences in the effectiveness of neuromuscular training for preventing anterior cruciate ligament injuries in athletes: a systematic review and meta-analysis.

Youwei Yao, Xuesong Niu, Naizhao Shao, Yan Yao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Youwei YaoSchool of Strength and Conditioning, Shenyang Sport University, Shenyang, Liaoning, China.
Xuesong NiuSchool of Strength and Conditioning, Shenyang Sport University, Shenyang, Liaoning, China.
Naizhao ShaoSchool of Electronic and Information Engineering, Jinling Institute of Technology, Nanjing, Jiangsu, China.
Yan YaoSchool of Accounting, Nanjing University of Finance and Economics, Nanjing, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Anterior cruciate ligament (ACL) injuries are common in competitive sports and may lead to long-term functional impairment and substantial career burden. Neuromuscular training (NMT) has been proposed to reduce the risk of ACL injury; however, whether its preventive effectiveness differs by age remains controversial. This systematic review and meta-analysis quantitatively evaluated the protective effects of NMT across different age groups. Methods: Five databases were systematically searched for studies evaluating the effect of NMT on the incidence of ACL injury. Pooled effects were synthesized using random-effects models and reported as odds ratios (ORs) with 95% confidence intervals (CIs). Age-stratified subgroup analyses and meta-regression (using the study-level mean age as a continuous moderator) were conducted to explore potential age-related differences in effectiveness. Results: A total of 19 studies met the inclusion criteria and contributed to the primary meta-analysis. The random-effects meta-analysis showed that NMT significantly reduced ACL injury risk (OR = 0.456, 95% CI: 0.331-0.627, Conclusion: NMT significantly reduces the risk of ACL injury in athletes. Current evidence suggests that its protective effect may be greater in younger athletes and may attenuate with increasing age. As the available evidence is derived predominantly from female cohorts, further research is needed to clarify whether a similar age-related pattern exists in male athletes. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251218902, identifier: CRD420251218902.

Indexed as

Anterior Cruciate Ligament InjuriesAthletesAthletic InjuriesAge FactorsFemaleHumansage differencesanterior cruciate ligamentmeta-analysisneuromuscular trainingsports injury prevention

Identifiers

PMID42273628
PMCPMC13246426

What OpenQuestion holds

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Registered trials

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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.