The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses

Nicholas Joel Ripley, Matthew Cuthbert, Steven Ross, Paul Comfort and John James McMahon
Additional contact information
Nicholas Joel Ripley: Human Performance Laboratory, University of Salford, Salford M5 4BR, UK
Matthew Cuthbert: Human Performance Laboratory, University of Salford, Salford M5 4BR, UK
Steven Ross: Human Performance Laboratory, University of Salford, Salford M5 4BR, UK
Paul Comfort: Human Performance Laboratory, University of Salford, Salford M5 4BR, UK
John James McMahon: Human Performance Laboratory, University of Salford, Salford M5 4BR, UK

IJERPH, 2021, vol. 18, issue 21, 1-16

Abstract: Eccentric strength training can reduce the risk of hamstring strain injury (HSI) occurrence; however, its implementation can be impacted by athlete compliance and prescription. The aim of this review was to investigate the effects of intervention compliance, consistency and modality, on the prevention of HSIs among athletes. A literature search was conducted. 868 studies were identified prior to the application of the exclusion criteria which resulted in 13 studies identified. Random effects models were used to produce log odds ratios and 95% confidence intervals. Very high (>75.1%), moderate-high (50.1–75%), low-moderate (25.1–50%) and very low (<25%) and <1-, 1.01–3.00-, >3.01-weeks/session were used as thresholds of compliance and consistency, respectively. Modality was also observed. A positive effect on HSI incidence -0.61 (?1.05 to ?0.17), favoring the intervention treatments (Z = ?2.70, p = 0.007). There were non-significant, large differences between compliance ( p = 0.203, Z = ?1.272) and consistency ( p = 0.137, Z = ?1.488), with increased compliance and consistency showing greater effectiveness. A significant difference between intervention modalities was observed ( p < 0.001, Z = ?4.136), with eccentric interventions being superiorly effective. Compliance of >50.1% and consistent application with <3 weeks/session having positive effects on HSI incidence. Training interventions that can achieve high levels of compliance, and can be consistently performed, should be the objective of future practice.

Keywords: hamstring strain injury; risk reduction; compliance; consistency; modality; nordic hamstring exercise (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/21/11260/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/21/11260/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:21:p:11260-:d:665518

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().