Faculty of Kinesiology, Sport Medicine Centre, University of Calgary, 2500 University Drive NW, Calgary, Alberta, T2N1N4, Canada.
Br J Sports Med. 2010 Jun;44(8):555-62. doi: 10.1136/bjsm.2010.074377.
Soccer is a leading sport for participation and injury in youth.
To examine the effectiveness of a neuromuscular prevention strategy in reducing injury in youth soccer players.
Cluster-randomised controlled trial.
Calgary soccer clubs (male or female, U13-U18, tier 1-2, indoor soccer).
Eighty-two soccer teams were approached for recruitment. Players from 60 teams completed the study (32 training (n=380), 28 control (n=364)).
The training programme was a soccer-specific neuromuscular training programme including dynamic stretching, eccentric strength, agility, jumping and balance (including a home-based balance training programme using a wobble board). The control programme was a standardised warm-up (static and dynamic stretching and aerobic components) and a home-based stretching programme.
Previously validated injury surveillance included injury assessment by a study therapist. The injury definition was soccer injury resulting in medical attention and/or removal from a session and/or time loss.
The injury rate in the training group was 2.08 injuries/1000 player-hours, and in the control group 3.35 injuries/1000 player-hours. Based on Poisson regression analysis, adjusted for clustering by team and covariates, the incidence rate ratios (IRR) for all injuries and acute onset injury were 0.62 (95% CI 0.39 to 0.99) and 0.57 (95% CI 0.35 to 0.91). Point estimates also suggest protection of lower extremity, ankle and knee sprain injuries (IRR=0.68 (95% CI 0.42 to 1.11), IRR=0.5 (95% CI 0.24 to 1.04) and IRR=0.38 (95% CI 0.08 to 1.75)).
A neuromuscular training programme is protective of all injuries and acute onset injury in youth soccer players.
足球是青少年参与度和受伤率最高的运动之一。
研究神经肌肉预防策略在减少青少年足球运动员受伤方面的效果。
整群随机对照试验。
卡尔加里足球俱乐部（男性或女性，U13-U18 岁，1-2 级，室内足球）。
共有 82 支足球队被邀请参加这项研究。有 60 支球队的球员完成了这项研究（32 支训练队（n=380），28 支对照组（n=364））。
训练计划是一项专门的足球神经肌肉训练计划，包括动态伸展、离心力量、敏捷性、跳跃和平衡（包括使用平衡板的家庭平衡训练计划）。对照组为标准化热身（静态和动态伸展和有氧成分）和家庭伸展计划。
之前经过验证的伤害监测包括由研究治疗师进行的伤害评估。损伤定义为导致医疗关注和/或从一个训练中移除和/或丧失运动能力的足球损伤。
训练组的损伤率为 2.08 例/1000 名运动员小时，对照组为 3.35 例/1000 名运动员小时。基于泊松回归分析，根据团队和协变量进行聚类调整，所有损伤和急性发作损伤的发病率比（IRR）分别为 0.62（95%CI 0.39 至 0.99）和 0.57（95%CI 0.35 至 0.91）。点估计还表明下肢、踝关节和膝关节扭伤的保护作用（IRR=0.68（95%CI 0.42 至 1.11），IRR=0.5（95%CI 0.24 至 1.04）和 IRR=0.38（95%CI 0.08 至 1.75））。
神经肌肉训练计划对青少年足球运动员的所有损伤和急性发作损伤都有保护作用。
