Key result
Athletes with high adherence (≥76% of sessions) to injury prevention programs had a significantly lower incidence of ACL injuries, whereas moderate or low adherence did not reduce injury rates.
Why the study?
Athletes in cutting and pivoting sports are prone to ACL injuries, and whether a dose-response relationship exists between adherence to injury prevention programs and injury reduction remained to be examined.
Does adherence to injury prevention programs reduce ACL and lower extremity injuries in athletes?
Population
Athletes across 15 included studies (11 randomized controlled trials and 4 cohort studies)
Comparison
ACL injury prevention programs with varying adherence levels vs control
Design
Systematic review and meta-analysis
Authors
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High adherence is required for ACL injury prevention programs to succeed; confirms dose-dependent efficacy and prioritizes adherence strategies in practice and trials.
Meta-Analysis
Does adherence to injury prevention programs reduce ACL and lower extremity injuries in athletes?
High adherence (≥76% of sessions) to injury prevention programs is required to significantly reduce the incidence of ACL and lower extremity injuries in athletes.
Halvorsen et al. (2022) conducted a meta-analysis in Anterior cruciate ligament (ACL) injury. Injury prevention programs (IPPs) with high adherence (≥76% of sessions) vs. Control group or moderate/low adherence was evaluated on Incidence of ACL injury. Athletes with high adherence (≥76% of sessions) to injury prevention programs had a significantly lower incidence of ACL injuries, whereas moderate or low adherence did not reduce injury rates.