The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up

Despite exercise-based injury prevention programs (EIPPs) being widely researched and used, several randomized controlled trials (RCTs) have failed to show their protective effect on injury risk. This is potentially due to underappreciating the EIPP dose–response relationship, by not controlling the...

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Autores: Iatropoulos, Spyridon, Dandrieux, Pierre-Eddy, Navarro, Laurent, Blanco, David, Edouard, Pascal
Formato: artículo
Fecha de publicación:2024
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/4480
Acesso em linha:http://hdl.handle.net/20.500.12328/4480
https://dx.doi.org/10.1111/sms.14720
Access Level:acceso abierto
Palavra-chave:Prevención de lesiones
Atletas de atletismo
Prevenció de lesions
Atletes d'atletisme
Injury prevention
Track and field athletes
61
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spelling The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-upIatropoulos, SpyridonDandrieux, Pierre-EddyNavarro, LaurentBlanco, DavidEdouard, PascalPrevención de lesionesAtletas de atletismoPrevenció de lesionsAtletes d'atletismeInjury preventionTrack and field athletes61Despite exercise-based injury prevention programs (EIPPs) being widely researched and used, several randomized controlled trials (RCTs) have failed to show their protective effect on injury risk. This is potentially due to underappreciating the EIPP dose–response relationship, by not controlling the analysis for the injuries sustained during the early EIPP implementation period, before the EIPP becomes efficacious. To determine the dose–response relationship of EIPP by controlling for the effects of injuries sustained before it became efficacious. We conducted a secondary analysis of an RCT analyzing the EIPP efficacy in athletics over a 39-week follow-up on 840 athletes, by including only those with 100% response rate. We controlled the statistical analyses for a range of lengths of early EIPP implementation period by either excluding the athletes with early injuries (i.e., exclusion approach) or adjusting for the early injuries' effects (i.e., inclusion approach). We estimated the EIPP's dose–response relationship by measuring the EIPP's effect at each length of the controlled period. When we considered no early controlled period, the EIPP showed no effect (OR = 0.85 [95% CI: 0.67–1.09]; p = 0.209). However, both exclusion and inclusion approaches showed that the EIPP effect increased significantly after 5–6 weeks of controlled period. This relationship plateaued at 7–12 weeks of controlled period, peaking at 10 weeks with the exclusion approach (OR = 0.28 [95% CI: 0.16–0.48]; p < 0.001), and 7 weeks with the inclusion approach (OR = 0.37 [95% CI: 0.25–0.55]; p < 0.001). Acknowledging the dose–response relationship of EIPPs could help researchers to design and analyze RCTs and practitioners to plan EIPP implementation timely.info:eu-repo/semantics/publishedVersionWiley2024info:eu-repo/semantics/article10http://hdl.handle.net/20.500.12328/4480https://dx.doi.org/10.1111/sms.14720reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésScandinavian Journal of Medicine & Science in Sports34© 2024 The Author(s). Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the originalwork is properly cited, the use is non-commercial and no modifications or adaptations are made.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/44802026-05-29T05:05:01Z
dc.title.none.fl_str_mv The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
title The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
spellingShingle The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
Iatropoulos, Spyridon
Prevención de lesiones
Atletas de atletismo
Prevenció de lesions
Atletes d'atletisme
Injury prevention
Track and field athletes
61
title_short The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
title_full The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
title_fullStr The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
title_full_unstemmed The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
title_sort The dose-response relationship of an exercise-based injury prevention program: a secondary analysis of a randomized controlled trial on athletics (track-and-field) athletes over a 39-week follow-up
dc.creator.none.fl_str_mv Iatropoulos, Spyridon
Dandrieux, Pierre-Eddy
Navarro, Laurent
Blanco, David
Edouard, Pascal
author Iatropoulos, Spyridon
author_facet Iatropoulos, Spyridon
Dandrieux, Pierre-Eddy
Navarro, Laurent
Blanco, David
Edouard, Pascal
author_role author
author2 Dandrieux, Pierre-Eddy
Navarro, Laurent
Blanco, David
Edouard, Pascal
author2_role author
author
author
author
dc.subject.none.fl_str_mv Prevención de lesiones
Atletas de atletismo
Prevenció de lesions
Atletes d'atletisme
Injury prevention
Track and field athletes
61
topic Prevención de lesiones
Atletas de atletismo
Prevenció de lesions
Atletes d'atletisme
Injury prevention
Track and field athletes
61
description Despite exercise-based injury prevention programs (EIPPs) being widely researched and used, several randomized controlled trials (RCTs) have failed to show their protective effect on injury risk. This is potentially due to underappreciating the EIPP dose–response relationship, by not controlling the analysis for the injuries sustained during the early EIPP implementation period, before the EIPP becomes efficacious. To determine the dose–response relationship of EIPP by controlling for the effects of injuries sustained before it became efficacious. We conducted a secondary analysis of an RCT analyzing the EIPP efficacy in athletics over a 39-week follow-up on 840 athletes, by including only those with 100% response rate. We controlled the statistical analyses for a range of lengths of early EIPP implementation period by either excluding the athletes with early injuries (i.e., exclusion approach) or adjusting for the early injuries' effects (i.e., inclusion approach). We estimated the EIPP's dose–response relationship by measuring the EIPP's effect at each length of the controlled period. When we considered no early controlled period, the EIPP showed no effect (OR = 0.85 [95% CI: 0.67–1.09]; p = 0.209). However, both exclusion and inclusion approaches showed that the EIPP effect increased significantly after 5–6 weeks of controlled period. This relationship plateaued at 7–12 weeks of controlled period, peaking at 10 weeks with the exclusion approach (OR = 0.28 [95% CI: 0.16–0.48]; p < 0.001), and 7 weeks with the inclusion approach (OR = 0.37 [95% CI: 0.25–0.55]; p < 0.001). Acknowledging the dose–response relationship of EIPPs could help researchers to design and analyze RCTs and practitioners to plan EIPP implementation timely.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/4480
https://dx.doi.org/10.1111/sms.14720
url http://hdl.handle.net/20.500.12328/4480
https://dx.doi.org/10.1111/sms.14720
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Scandinavian Journal of Medicine & Science in Sports
34
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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