The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses

Eccentric strength training can reduce the risk of hamstring strain injury (HSI) occurrence; however, its implementation can be impacted by athlete compliance and prescription. The aim of this review was to investigate the effects of intervention compliance, consistency and modality, on the preventi...

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Autores principales:	Nicholas Joel Ripley, Matthew Cuthbert, Steven Ross, Paul Comfort, John James McMahon
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	hamstring strain injury risk reduction compliance consistency modality nordic hamstring exercise Medicine R
Acceso en línea:	https://doaj.org/article/734fb926ddf5469fbebac4744ffd874a
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spelling	oai:doaj.org-article:734fb926ddf5469fbebac4744ffd874a2021-11-11T16:24:41ZThe Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses10.3390/ijerph1821112601660-46011661-7827https://doaj.org/article/734fb926ddf5469fbebac4744ffd874a2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11260https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Eccentric strength training can reduce the risk of hamstring strain injury (HSI) occurrence; however, its implementation can be impacted by athlete compliance and prescription. The aim of this review was to investigate the effects of intervention compliance, consistency and modality, on the prevention of HSIs among athletes. A literature search was conducted. 868 studies were identified prior to the application of the exclusion criteria which resulted in 13 studies identified. Random effects models were used to produce log odds ratios and 95% confidence intervals. Very high (>75.1%), moderate-high (50.1–75%), low-moderate (25.1–50%) and very low (<25%) and <1-, 1.01–3.00-, >3.01-weeks/session were used as thresholds of compliance and consistency, respectively. Modality was also observed. A positive effect on HSI incidence -0.61 (−1.05 to −0.17), favoring the intervention treatments (Z = −2.70, <i>p</i> = 0.007). There were non-significant, large differences between compliance (<i>p</i> = 0.203, Z = −1.272) and consistency (<i>p</i> = 0.137, Z = −1.488), with increased compliance and consistency showing greater effectiveness. A significant difference between intervention modalities was observed (<i>p</i> < 0.001, Z = −4.136), with eccentric interventions being superiorly effective. Compliance of >50.1% and consistent application with <3 weeks/session having positive effects on HSI incidence. Training interventions that can achieve high levels of compliance, and can be consistently performed, should be the objective of future practice.Nicholas Joel RipleyMatthew CuthbertSteven RossPaul ComfortJohn James McMahonMDPI AGarticlehamstring strain injuryrisk reductioncomplianceconsistencymodalitynordic hamstring exerciseMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11260, p 11260 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hamstring strain injury risk reduction compliance consistency modality nordic hamstring exercise Medicine R
spellingShingle	hamstring strain injury risk reduction compliance consistency modality nordic hamstring exercise Medicine R Nicholas Joel Ripley Matthew Cuthbert Steven Ross Paul Comfort John James McMahon The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses
description	Eccentric strength training can reduce the risk of hamstring strain injury (HSI) occurrence; however, its implementation can be impacted by athlete compliance and prescription. The aim of this review was to investigate the effects of intervention compliance, consistency and modality, on the prevention of HSIs among athletes. A literature search was conducted. 868 studies were identified prior to the application of the exclusion criteria which resulted in 13 studies identified. Random effects models were used to produce log odds ratios and 95% confidence intervals. Very high (>75.1%), moderate-high (50.1–75%), low-moderate (25.1–50%) and very low (<25%) and <1-, 1.01–3.00-, >3.01-weeks/session were used as thresholds of compliance and consistency, respectively. Modality was also observed. A positive effect on HSI incidence -0.61 (−1.05 to −0.17), favoring the intervention treatments (Z = −2.70, <i>p</i> = 0.007). There were non-significant, large differences between compliance (<i>p</i> = 0.203, Z = −1.272) and consistency (<i>p</i> = 0.137, Z = −1.488), with increased compliance and consistency showing greater effectiveness. A significant difference between intervention modalities was observed (<i>p</i> < 0.001, Z = −4.136), with eccentric interventions being superiorly effective. Compliance of >50.1% and consistent application with <3 weeks/session having positive effects on HSI incidence. Training interventions that can achieve high levels of compliance, and can be consistently performed, should be the objective of future practice.
format	article
author	Nicholas Joel Ripley Matthew Cuthbert Steven Ross Paul Comfort John James McMahon
author_facet	Nicholas Joel Ripley Matthew Cuthbert Steven Ross Paul Comfort John James McMahon
author_sort	Nicholas Joel Ripley
title	The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses
title_short	The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses
title_full	The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses
title_fullStr	The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses
title_full_unstemmed	The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses
title_sort	effect of exercise compliance on risk reduction for hamstring strain injury: a systematic review and meta-analyses
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/734fb926ddf5469fbebac4744ffd874a
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The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses

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