Prevalence of overuse injuries in athletes from individual and team sports: A systematic review with meta-analysis and GRADE recommendations

Background: Small-sided games (SSGs) are an adjusted form of official games that are often used in training scenarios to introduce a specific tactical issue to team sports players. Besides the acute effects of SSGs on players' performance, it is expectable that the consistent use of these drill-based games induces adaptations in the technical execution and tactical behaviors of youth team sports players.Objective: This systematic review with meta-analysis was conducted to assess the effects of SSG programs on the technical execution and tactical behaviors of young and youth team sports players.Data Sources: The data sources utilized were PubMed, Scopus, SPORTDiscus, and Web of Science.Study Eligibility Criteria: (i) Young and youth team sports players (i.e., < 18 years old) of any sex or skill level, without injury, illness, or other clinical conditions; (ii) SSGs-based programs not restricted to the duration and a minimum of one weekly training session; (iii) passive or active control groups; (iv) pre-post interventions values of technical execution and/or tactical behavior; (v) randomized and non-randomized controlled trials; and (vi) peer-reviewed original full-text studies written in English, Portuguese and/or Spanish.Results: The database search initially yielded 803 titles. From those, six articles were eligible for the systematic review and meta-analysis. None of the included studies presented tactical behavior outcomes. The results showed a small effect of SSGs on technical execution (ES = 0.59; 95% CI = 0.29 to 0.89; p < 0.001; I2 = 0.0%; Egger's test p = 0.590) when compared to controls. Sub-group analysis of the training factor revealed similar (p = 0.433) moderate (ES = 0.68, four study groups) and small (ES = 0.44, three study groups) improvements in technical execution after >17 and <17 SSG training sessions, respectively.Conclusions: This systematic review and meta-analysis revealed a significant beneficial effect of using SSG training programs for enhancing technical execution in young and youth players. The benefits were similar despite the various numbers of training sessions applied. Further studies should add tactical behaviors as one of the outcomes for controlling the effects of SSG training programs.

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Prescribed footwear and orthoses are not prophylactic in preventing lower extremity injuries in military tactical athletes: a systematic review with meta-analysis

BMJ Military Health ◽

10.1136/bmjmilitary-2021-001955 ◽

2021 ◽

pp. e001955

Author(s):

Scott L Paradise ◽

J R Beer ◽

C A Cruz ◽

K M Fechner ◽

A J MacGregor ◽

...

Keyword(s):

Systematic Review ◽

Lower Extremity ◽

Meta Analysis ◽

Technical Information ◽

Lower Extremity Injury ◽

Overuse Injuries ◽

Foot Orthoses ◽

Protective Effects ◽

Military Members ◽

Athletic Shoes

IntroductionMilitary members are exposed to high cumulative physical loads that frequently lead to injury. Prescribed footwear and orthoses have been used to prevent injury. The purpose of this systematic review with meta-analysis was to assess if prescribed prophylactic footwear or foot orthoses reduced the risk of lower extremity injury in military tactical athletes.MethodsMEDLINE, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature, SportDiscus, and Defense Technical Information Center databases were searched for randomised controlled trials published at any time that compared foot orthoses or prescribed footwear (to include shock-absorbing insoles and socks) with a placebo intervention or a no-treatment control. Methodological quality was assessed and the number of injuries, population at risk and duration of the study epoch were extracted and relative risk (RR) calculated. An omnibus meta-analysis was performed assessing all prescribed footwear and orthoses intervention studies, with subgroup analyses conducted on studies with similar interventions (ie, basketball athletic shoes, athletic shoes (prescribed by foot type), foot orthoses, shock-absorbing insoles, socks, tropical combat boots).ResultsOf 1673 studies identified, 22 were included. Three of eight studies that employed orthoses demonstrated significantly reduced overuse injuries compared with no-treatment controls (RR range: 0.34–0.68); one study showed neoprene insoles significantly decreased overuse injuries (RR: 0.75). There were no other significant effects in the individual studies and no protective effects observed in the omnibus meta-analysis or in the component subanalyses.ConclusionsPrescribed footwear and orthoses do not appear to have a prophylactic effect on lower quarter musculoskeletal injuries in military members and cannot be recommended at this time.

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Effects of acute ingestion of caffeine on team sports performance: a systematic review and meta-analysis

Research in Sports Medicine ◽

10.1080/15438627.2018.1552146 ◽

2018 ◽

Vol 27 (2) ◽

pp. 238-256 ◽

Cited By ~ 37

Author(s):

Juan José Salinero ◽

Beatriz Lara ◽

Juan Del Coso

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Team Sports ◽

Sports Performance ◽

Acute Ingestion

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The behavioral, psychological, and social impacts of team sports: a systematic review and meta-analysis

The Physician and Sportsmedicine ◽

10.1080/00913847.2020.1850152 ◽

2020 ◽

pp. 1-16

Author(s):

Scott L. Zuckerman ◽

Alan R. Tang ◽

Kelsey E. Richard ◽

Candace J. Grisham ◽

Andrew W. Kuhn ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Team Sports ◽

Social Impacts

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Effects of Training Programs on Decision-Making in Youth Team Sports Players: A Systematic Review and Meta-Analysis

Frontiers in Psychology ◽

10.3389/fpsyg.2021.663867 ◽

2021 ◽

Vol 12 ◽

Author(s):

Ana Filipa Silva ◽

Rodrigo Ramirez-Campillo ◽

Hugo Sarmento ◽

José Afonso ◽

Filipe Manuel Clemente

Keyword(s):

Systematic Review ◽

Decision Making ◽

Training Programs ◽

Meta Analysis ◽

Team Sports ◽

Decision Time ◽

Data Sources ◽

Control Groups ◽

Eligibility Criteria ◽

Meta Analyses

BackgroundThe use of dedicated training programs for improving decision-making (DM) in team sports players has grown in the last several years. Approaches such as imagery training, video-based training, or game-based drills are some of the interventions used in youth players in order to improve DM. However, no systematic reviews or meta-analyses have been conducted to summarize the main evidence regarding the effects of these programs on the players and identify the magnitude of the effects compared to control groups.ObjectiveThis systematic review (with meta-analysis) was conducted to assess the effects of training programs on the DM of youth team sports players.Data SourcesThe data sources utilized were PubMed, PsycINFO, Scopus, SPORTDiscus, and Web of Science.Study eligibility criteriaThe criteria included the following: (i) youth (≤ 18 years old) team sports players with no restriction on sex or competitive level; (ii) players subjected to training programs to develop DM; (iii) control groups; (iv) pre–post outcomes related to tactical behavior, technical execution, reaction, and decision time; and (v) controlled trials.ResultsThe database search initially identified 2497 titles. From these, six articles were eligible for the systematic review and meta-analysis. The results showed a significant beneficial effect of DM interventions on tactical behavior (ES = 1.12; p = 0.035; I2 = 80.0%; Egger’s test p = 0.066), whereas no significant effect of DM interventions on technical execution was found (ES = 0.74; p = 0.180; I2 = 69.1%; Egger’s test p = 0.873).ConclusionThe DM interventions were significantly effective in improving tactical behavior in youth team sports players independently from the number of sessions to which players were exposed. In addition, DM interventions were significantly effective in improving technical execution. However, the results should be carefully interpreted due to the heterogeneity of the articles’ overall methodological quality. Future DM interventions should consider using combined approaches that allow players to develop both tactical behavior and technical execution.

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Relationship Between Jump-Landing Kinematics and Lower Extremity Overuse Injuries in Physically Active Populations: A Systematic Review and Meta-Analysis

Sports Medicine ◽

10.1007/s40279-020-01296-7 ◽

2020 ◽

Vol 50 (8) ◽

pp. 1515-1532

Author(s):

Camilla De Bleecker ◽

Stefan Vermeulen ◽

Cedric De Blaiser ◽

Tine Willems ◽

Roel De Ridder ◽

...

Keyword(s):

Systematic Review ◽

Lower Extremity ◽

Meta Analysis ◽

Overuse Injuries ◽

Physically Active ◽

Jump Landing

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Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis

PEDIATRICS ◽

10.1542/peds.2018-0657 ◽

2018 ◽

Vol 142 (3) ◽

pp. e20180657 ◽

Cited By ~ 42

Author(s):

David R. Bell ◽

Eric G. Post ◽

Kevin Biese ◽

Curtis Bay ◽

Tamara Valovich McLeod

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Overuse Injuries

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Prescribed footwear and orthoses are not prophylactic in preventing lower extremity injuries in military tactical athletes. A systematic review with meta-analysis.

10.1101/2021.06.07.21258508 ◽

2021 ◽

Author(s):

Scott L Paradise ◽

Joshua R Beer ◽

Chris A Cruz ◽

Ken M Fechner ◽

Andrew J MacGregor ◽

...

Keyword(s):

Systematic Review ◽

Lower Extremity ◽

Injury Risk ◽

Meta Analysis ◽

Lower Extremity Injury ◽

Overuse Injuries ◽

Foot Orthoses ◽

Protective Effects ◽

Military Members ◽

Athletic Shoes

Introduction: Military members are exposed to high cumulative physical loads that frequently lead to injury. Prescribed footwear and orthoses have been used to prevent injury. The purpose of this systematic review with meta-analysis was to assess if prescribed prophylactic footwear or foot orthoses reduced lower extremity injury risk in military tactical athletes. Methods: MEDLINE, Embase, Web of Science, CINAHL, SportDiscus, and DTIC databases were searched for randomized controlled trials published at any time that compared foot orthoses or prescribed footwear (to include shock-absorbing insoles and socks) to a placebo intervention or a no-treatment control. Methodological quality was assessed and numbers of injuries, population at risk, and the duration of the study epoch were extracted and relative risk (RR) calculated. An omnibus meta-analysis was performed assessing all prescribed footwear and orthoses intervention studies, with subgroup analyses conducted on studies with similar interventions [i.e., basketball athletic shoes; athletic shoes (prescribed by foot type); foot orthoses; shock-absorbing insoles; socks; tropical combat boots]. Results: Of 1,673 studies identified, 22 studies were included. Three of eight studies that employed orthoses demonstrated significantly reduced overuse injuries compared to no treatment controls (RR range: 0.34-0.68); one study showed neoprene insoles significantly decreased overuse injuries (RR: 0.75). There were no other significant effects in the individual studies, and no protective effects observed in the omnibus meta-analysis or in the component sub analyses. Conclusions: Prescribed footwear and orthoses do not appear to have a prophylactic effect on lower quarter MSKI in military members and cannot be recommended at this time.

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