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Is it Possible to Prevent Sports Injuries?: Review of Controlled Clinical Trials and Recommendations for Future Work

Parkkari, Jari, Kujala, Urho M., Kannus, Pekka·2001·Sports Medicine
DOI 10.2165/00007256-200131140-00003
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Abstract

Sports injuries are one of the most common injuries in modern western societies. Treating sports injuries is often difficult, expensive and time consuming, and thus, preventive strategies and activities are justified on medical as well as economic grounds. A successful injury surveillance and prevention requires valid pre- and post-intervention data on the extent of the problem. The aetiology, risk factors and exact mechanisms of injuries need to be identified before initiating a measure or programme for preventing sports injuries, and measurement of the outcome (injury) must include a standardised definition of the injury and its severity, as well as a systematic method of collecting the information. Valid and reliable measurement of the exposure includes exact information about the population at risk and exposure time. The true efficacy of a preventive measure or programme can be best evaluated through a well-planned randomised trial. Until now, 16 randomised, controlled trials (RCT) have been published on prevention of sports injuries. According to these RCT, the general injury rate can be reduced by a multifactorial injury prevention programme in soccer (relative risk 0.25, p < 0.001, in the intervention group), or by ankle disk training, combined with a thorough warm-up, in European team handball [odds ratio 0.17; 95% confidence interval (CI) 0.09 to 0.32, p < 0.01]. Ankle sprains can be prevented by ankle supports (i.e. semirigid orthoses or air-cast braces) in high-ris…

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Metadata

Authors
Parkkari, J., Kujala, U. M., & Kannus, P.
Venue
Sports Medicine
Publisher
Springer Science and Business Media LLC
Published
2001
Volume
31
Issue
14
Pages
985-995
ISSN
0112-1642
DOI
10.2165/00007256-200131140-00003
Cited by
195
References
2
Language
en

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