Preventing Australian football injuries with a targeted neuromuscular control exercise programme: Comparative injury rates from a training intervention delivered in a clustered randomised controlled trial

Caroline F. Finch*, Dara M. Twomey, Lauren V. Fortington, Tim L A Doyle, Bruce C. Elliott, Muhammad Akram, David G. Lloyd

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)
14 Downloads (Pure)

Abstract

Background Exercise-based training programmes are commonly used to prevent sports injuries but programme effectiveness within community men’s team sport is largely unknown. Objective To present the intention-to-treat analysis of injury outcomes from a clustered randomised controlled trial in community Australian football. Methods Players from 18 male, non-elite, community Australian football clubs across two states were randomly allocated to either a neuromuscular control (NMC) (intervention n=679 players) or standard-practice (control n=885 players) exercise training programme delivered as part of regular team training sessions (2× weekly for 8-week preseason and 18-week regular-season). All game-related injuries and hours of game participation were recorded. Generalised estimating equations, adjusted for clustering (club unit), were used to compute injury incidence rates (IIRs) for all injuries, lower limb injuries (LLIs) and knee injuries sustained during games. The IIRs were compared across groups with cluster-adjusted Injury Rate Ratios (IRRs). Results Overall, 773 game injuries were recorded. The lower limb was the most frequent body region injured, accounting for 50% of injuries overall, 96 (12%) of which were knee injuries. The NMC players had a reduced LLI rate compared with control players (IRR: 0.78 (95% CI 0.56 to 1.08), p=0.14.) The knee IIR was also reduced for NMC compared with control players (IRR: 0.50 (95% CI 0.24 to 1.05), p=0.07). Conclusions These intention-to-treat results indicate that positive outcomes can be achieved from targeted training programmes for reducing knee and LLI injury rates in men’s community sport. While not statistically significant, reducing the knee injury rate by 50% and the LLI rate by 22% is still a clinically important outcome. Further injury reductions could be achieved with improved training attendance and participation in the programme.

Original languageEnglish
Pages (from-to)123-128
Number of pages6
JournalInjury Prevention
Volume22
Issue number2
DOIs
Publication statusPublished - 1 Apr 2016
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

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