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一项运动控制训练计划对减少青少年橄榄球运动损伤的疗效:一项整群随机对照试验

The efficacy of a movement control exercise programme to reduce injuries in youth rugby: a cluster randomised controlled trial.

作者信息

Hislop M D, Stokes K A, Williams S, McKay C D, England M, Kemp S P T, Trewartha G

机构信息

Department for Health , University of Bath , Bath , UK.

Rugby Football Union , Twickenham , UK.

出版信息

BMJ Open Sport Exerc Med. 2016 Jan 19;2(1):e000043. doi: 10.1136/bmjsem-2015-000043. eCollection 2016.

Abstract

BACKGROUND

Injuries to youth rugby players have become an increasingly prominent health concern, highlighting the importance of developing and implementing appropriate preventive strategies. A growing body of evidence from other youth sports has demonstrated the efficacy of targeted exercise regimens to reduce injury risk. However, studies have yet to investigate the effect of such interventions in youth contact sport populations like rugby union.

OBJECTIVE

To determine the efficacy of an evidence-based movement control exercise programme compared with a sham exercise programme to reduce injury risk in youth rugby players. Exercise programme compliance between trial arms and the effect of coach attitudes on compliance will also be evaluated.

SETTING

School rugby coaches in England will be the target of the researcher intervention, with the effects of the injury prevention programmes being measured in male youth players aged 14-18 years in school rugby programmes over the 2015-2016 school winter term.

METHODS

A cluster-randomised controlled trial with schools randomly allocated to either a movement control exercise programme or a sham exercise programme, both of which are coach-delivered. Injury measures will derive from field-based injury surveillance, with match and training exposure and compliance recorded. A questionnaire will be used to evaluate coach attitudes, knowledge, beliefs and behaviours both prior to and on the conclusion of the study period.

OUTCOME MEASURES

Summary injury measures (incidence, severity and burden) will be compared between trial arms, as will the influence of coach attitudes on compliance and injury burden. Additionally, changes in these outcomes through using the exercise programmes will be evaluated.

TRIAL REGISTRATION NUMBER

ISRTCNN13422001.

摘要

背景

青少年橄榄球运动员受伤已成为一个日益突出的健康问题,凸显了制定和实施适当预防策略的重要性。来自其他青少年体育运动的越来越多的证据表明,有针对性的锻炼方案可有效降低受伤风险。然而,尚未有研究调查此类干预措施对橄榄球联盟等青少年接触性运动人群的影响。

目的

确定基于证据的运动控制锻炼方案与假锻炼方案相比,在降低青少年橄榄球运动员受伤风险方面的效果。还将评估试验组之间的锻炼方案依从性以及教练态度对依从性的影响。

背景

英国学校的橄榄球教练将成为研究人员干预的对象,在2015 - 2016学年冬季学期,对参与学校橄榄球项目的14 - 18岁男性青少年球员测量预防受伤方案的效果。

方法

一项整群随机对照试验,学校被随机分配到运动控制锻炼方案组或假锻炼方案组,这两种方案均由教练实施。受伤情况将通过现场受伤监测得出,并记录比赛和训练参与情况及依从性。在研究期开始前和结束时,将使用一份问卷来评估教练的态度、知识、信念和行为。

结果指标

将比较试验组之间的汇总受伤指标(发生率、严重程度和负担),以及教练态度对依从性和受伤负担的影响。此外,还将评估通过使用锻炼方案这些结果指标的变化。

试验注册号

ISRTCNN13422001。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c129/5117042/6b4f0eed58bc/bmjsem2015000043f01.jpg

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