The effect of exercise compliance on risk reduction for hamstring strain injury : a systematic review and meta-analyses

Ripley, NJ, Cuthbert, M, Ross, S, Comfort, P ORCID: and McMahon, JJ ORCID: 2021, 'The effect of exercise compliance on risk reduction for hamstring strain injury : a systematic review and meta-analyses' , International Journal of Environmental Research and Public Health, 18 (21) , e11260.

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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, p = 0.007). There were non-significant, large differences between compliance (p = 0.203, Z = −1.272) and consistency (p = 0.137, Z = −1.488), with increased compliance and consistency showing greater effectiveness. A significant difference between intervention modalities was observed (p 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.

Item Type: Article
Contributors: Adsuar, JC (Editor)
Additional Information: ** From MDPI via Jisc Publications Router ** Licence for this article: **Journal IDs: eissn 1660-4601 **History: published 27-10-2021; accepted 22-10-2021
Schools: Schools > School of Health and Society
Journal or Publication Title: International Journal of Environmental Research and Public Health
Publisher: MDPI
ISSN: 1660-4601
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 02 Nov 2021 09:51
Last Modified: 15 Feb 2022 17:10

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