Cited by 262Sports injuries and preventionSports Performance and TrainingLower Extremity Biomechanics and Pathologies

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Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis

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Lauersen, Jeppe Bo, Andersen, Thor Einar, Andersen, Lars Bo·2018·British Journal of Sports Medicine

DOI 10.1136/bjsports-2018-099078

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Abstract

Objective: This review aims to analyse strength training-based sports injury prevention randomised controlled trials (RCT) and present best evidence recommendations for athletes and future research. A priori PROSPERO registration; CRD42015006970. Design: Systematic review, qualitative analysis and meta-analysis. Sorting of studies and quality assessments were performed by two independent authors. Qualitative analyses, relative risk (RR) estimate with robustness and strength of evidence tests, formal tests of publication bias and post-hoc meta-regression were performed. Data sources: PubMed, Embase, Web of Science and SPORTDiscus were searched to July 2017. Eligibility criteria for selecting studies: RCTs on strength training exercises as primary prevention of sports injuries. Results: Six studies analysed five different interventions with four distinct outcomes. 7738 participants aged 12–40 years were included and sustained 177 acute or overuse injuries. Studies were published in 2003–2016, five from Europe and one from Africa. Cluster-adjusted intention-to-treat analysis established RR 0.338 (0.238–0.480). The result was consistent across robustness tests and strength of evidence was high. A 10% increase in strength training volume reduced the risk of injury by more than four percentage points. Formal tests found no publication bias. Conclusion: The included studies were generally well designed and executed, had high compliance rates, were safe, and attained consistently favourable results across four different acute and overuse injury outcomes despite considerable differences in populations and interventions. Increasing strength training volume and intensity were associated with sports injury risk reduction. Three characteristically different approaches to prevention mechanisms were identified and incorporated into contemporary strength training recommendations.

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Background
Sleep, nutrition, hydration and rest
Puga, T. B., Mazumder, R. M., Ruan, T., Scigliano, N., Thiel, G. E., & Treffer, K. D. (2023) · Scientific Journal of Sport and Performance · doi:10.55860/lzno4932 · Cited by 1
“Many studies have shown how important training and practice are for injury prevention (Beato et al., 2021; Petushek et al., 2019; Lauersen et al., 2018).”
Les facteurs de risque d’entorses de genoux au sein des troupes de montagne en activité hivernale
Sanchez, M., Mrenda, B. M., Théfenne, L., Martel, C., & Ginon, B. (2023) · Journal de Traumatologie du Sport · doi:10.1016/j.jts.2023.08.003 · Cited by 1
Efecto del entrenamiento de fuerza en el salto de jugadores adolescentes de voleibol: una revisión sistemática
Orellana, S. V. A. B., Alfaro, L. F. V., & Velásquez-Salazar, A. (2023) · Journal of Movement & Health · doi:10.5027/jmh-vol21-issue1(2024)art202 · Cited by 1
Upper limb muscle strength and wheelchair-related abilities following an exoskeleton-assisted walking programme in individuals with chronic spinal cord injury: An exploratory study
Bass, A., Aubertin‐Leheudre, M., Vincent, C., Duclos, C., & Gagnon, D. H. (2024) · Journal of Rehabilitation Medicine · doi:10.2340/jrm.v56.19461 · Cited by 1
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López‐Rivera, E. (2021) · Sportphysio · doi:10.1055/a-1541-0959 · Cited by 1
“[11] Lauersen JB, Andersen TE, Andersen LB et al.”
Background
Os efeitos do treinamento de resistência associados à síndrome metabólica
Maggi, B. V., Astolphi, D. H. D. S., Gonçalves, J. V. P., Monção, M. P., & da Rocha, B. A. (2022) · Revista Omnia Saúde · doi:10.29327/4185532 · Cited by 1
Effects of strength training on ankle injuries in soccer players: a systematic review
Jerez‐Mayorga, D., & Hurtado, A. F. V. (2023) · Retos · doi:10.47197/retos.v49.95794 · Cited by 1
Injury Prevalence in Brazilian Jiu-Jitsu and Mitigation Strategies for Brazilian Jiu-Jitsu Practitioners and Instructors: A Literature ReviewPreprint
Segovia, R. O. (2022) · doi:10.31124/advance.19567654 · Cited by 2
Can the craniocervical position modulate trunk muscle activation during a deadlift? A preliminary electromyographical analysis comparing conventional and sumo variations
García-Jaén, M., Sanchís-Soler, G., Julia, M. C., Sebastiá-Amat, S., & Cortell-Tormo, J. M. (2022) · Journal of Physical Education and Sport · doi:10.7752/jpes.2022.11367 · Cited by 1
Is strength training an effective physiotherapy-related strategy for injury prevention and performance enhancement in team sports? A scoping review of high-quality randomized controlled trialsPreprint
Weerasinghe, K., Jayawardena, R., & Hills, A. P. (2025) · Research Square · doi:10.21203/rs.3.rs-5753318/v1 · Cited by 1
Practical Guidelines for Injury Prevention in Basketball: How to Get it Right
Short, S. (2020) · Springer eBooks · doi:10.1007/978-3-662-61070-1_53
Functional Assessment in Elite Basketball Players
Potter, N. D., & Taylor, J. B. (2020) · Springer eBooks · doi:10.1007/978-3-662-61070-1_50
Making Football Safer: Optimizing the efficacy and implementation of the 11+ Program
Whalan, M. (2020) · Research Online (University of Wollongong)
Injury surveillance and monitoring during transitions in dance training and careers including end-user perceptions towards training load practices
Fuller, M. (2021) · Queensland University of Technology · doi:10.5204/thesis.eprints.207339
Dehnen versus Krafttraining: Effekte auf die Beweglichkeit
Scheinost, D. (2021) · MSK – Muskuloskelettale Physiotherapie · doi:10.1055/a-1340-3014
Dehnen versus Krafttraining – Beweglichkeit verbessern
Scheinost, D. (2021) · physiopraxis · doi:10.1055/a-1542-6017
Management of Track and Field Injuries: Rehabilitation and Return to Sport After Injury in Track and Field Athletes
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The Effect of Proprioceptive Training upon the Upper Limbs Strength on Posttraumatic Shoulder Recovery in Weightlifter Women
Gidu, D. V., Neumann, O. V., Mușat, G. C., Voinea, F., Petcu, D., Petrescu, A. M., & CALOTA, N. D. (2021) · Revista Romaneasca pentru Educatie Multidimensionala · doi:10.18662/rrem/13.4/493
Effectiveness of resistance programs in wheelchair users shoulder function: A systematic review
Campayo-Piernas, M., Hernández‐Davó, J. L., Maia, J. B. G., & Willig, R. (2022) · Latin American Journal of Development · doi:10.46814/lajdv4n1-007
Verletzungsprävention
Mooren, F. C., & Muffert, A. (2022) · Elsevier eBooks · doi:10.1016/b978-3-437-21481-3.00013-x
Kniegelenk
Reuter, S. (2020) · Springer eBooks · doi:10.1007/978-3-662-62052-6_3
ARE SHOULDER MOBILITY TEST SCORES RELATED TO THROWING PERFORMANCE OR ARE THEY AN INJURY SIGNAL
Uylas, E., POLAT, Ş., ALSOY, Ş. B., & Günay, E. (2022) · The Online Journal of Recreation and Sport · doi:10.22282/ojrs.2022.96
Distal Biceps Reconstruction with Allograft for Chronic Tears
Hilgersom, N. F. J., Thé, B., & Eygendaal, D. E. (2022) · Springer eBooks · doi:10.1007/978-3-031-08080-7_34
COVID-19 NFL Injury Prevalence Analysis, A Follow-Up StudyPreprint
Puga, T. B., Schafer, J., Thiel, G. E., Scigliano, N., Ruan, T., Toledo, A., Agbedanu, P. N., & Treffer, K. D. (2023) · medRxiv · doi:10.1101/2023.01.11.23284292
“Training is one of the most important interventions for injury prevention and improved athletic performance in athletes of all populations [4-6,12-14].”
Background
The comparative effects of periodized lower body strength training versus high intensity circuit programming in experienced runners
Carnes, A. J., BROWN, K., Mahoney, S. E., DUONG, A., & Shefflette, A. C. S. (2023) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.23.14389-1
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Sampietro, M., Asinari, J., Gays, C., & Thomas, A. E. (2023) · Argentinian Journal of Respiratory & Physical Therapy · doi:10.58172/ajrpt.v5i1.253
Editorial: Contemporâneos do futuro
dos Santos, J. A. R. (2022) · Revista Portuguesa de Ciências do Desporto · doi:10.5628/rpcd.22.03.09
Avaliação musculoesquelética de jogadores de futsal masculino adulto ao longo de uma temporada
Alfaro, M. S., Blanco, V. C. D. A., Lara, S., Graup, S., Teixeira, L. P., & Azevedo, R. R. (2022) · Revista Portuguesa de Ciências do Desporto · doi:10.5628/rpcd.22.03.40
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THE ROLE OF STRENGTH TRAINING IN PREVENTING MUSCULOSKELETAL INJURIES AMONG FEMALE AND MALE SOCCER PLAYERS
Zduński, S., & Grygorowicz, M. (2023) · Issues of Rehabilitation Orthopaedics Neurophysiology and Sport Promotion – IRONS · doi:10.19271/irons-000177-2022-41
Resistance training
Faigenbaum, A. D., & Lloyd, R. S. (2023) · Oxford University Press eBooks · doi:10.1093/med/9780192843968.003.0035 · Cited by 1
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Razack, J. S. A., khan, W. A., Arif, A. H., Saibo, A. M., Muttappallymyalil, J., & Singh, W. A. (2024) · International Journal of Innovative Research in Medical Science · doi:10.23958/ijirms/vol09-i01/1813
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Advanced Sports Nutrition Assessment Technique
Butt, A. A., & Ahmed, Z. (2024) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/979-8-3693-6317-1.ch013

Authors: Lauersen, J. B., Andersen, T. E., & Andersen, L. B.
Affiliations: Hvidovre Hospital (DK)
Oslo Sports Trauma Research Center (NO)
Western Norway University of Applied Sciences (NO)
Corresponding author: Lauersen, Jeppe Bo
ORCID: Lauersen, Jeppe Bo
Andersen, Thor Einar
Andersen, Lars Bo
Venue: British Journal of Sports Medicine
Publisher: BMJ
Published: 2018-08-21
Volume: 52
Issue: 24
Pages: 1557-1563
ISSN: 0306-3674 (ISSN-L)
1473-0480
DOI: 10.1136/bjsports-2018-099078
OpenAlex: W2888705663
Cited by: 262
References: 75
Citations by year: 2026: 43 · 2025: 46 · 2024: 40 · 2023: 31 · 2022: 34 · 2021: 37 · 2020: 23 · 2019: 7 · 2018: 1
FWCI: 3.48
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: British Journal of Sports Medicine (publishedVersion)
PubMed (publishedVersion)
NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc)
NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
HighWire Press Open Archive (submittedVersion)
Topics: Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Keywords: resistance training, sports injury prevention, acute sports injuries, overuse injuries, dose-response relationship, training volume, injury risk reduction, prevention mechanisms, athletes
MeSH terms: Athletic Injuries, Humans, Primary Prevention, Cumulative Trauma Disorders, Randomized Controlled Trials as Topic, Resistance Training

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Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis

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