Effect of an Unsupervised Exercises-Based Athletics Injury Prevention Programme on Injury Complaints Leading to Participation Restriction in Athletics: A Cluster-Randomised Controlled Trial

Pascal Edouard, Kathrin Steffen, Marie Peuriere, Pierre Gardet, Laurent Navarro and David Blanco
Additional contact information
Pascal Edouard: Inter-University Laboratory of Human Movement Science (LIBM EA 7424), University Jean Monnet, University of Lyon, F-42023 Saint Etienne, France
Kathrin Steffen: Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sports Sciences, 0806 Oslo, Norway
Marie Peuriere: Délégation à la Recherche Clinique et à l’Innovation (DRCI), Centre Hospitalo-Universitaire (CHU) de Saint-Etienne, 42055 Saint-Etienne, France
Pierre Gardet: PGC, 42580 L’Etrat, France
Laurent Navarro: Mines Saint-Etienne, U1059 Sainbiose, INSERM, University Jean Monnet, University of Lyon, F-42023 Saint-Etienne, France
David Blanco: Physiotherapy Department, Universitat Internacional de Catalunya, Sant Cugat del Vallès, 08195 Barcelona, Spain

IJERPH, 2021, vol. 18, issue 21, 1-15

Abstract: Objective: To test the efficacy of the Athletics Injury Prevention Programme (AIPP) to reduce the percentage of athletes presenting at least one injury complaint leading to participation restriction (ICPR) over an athletics season. Methods: During the 2017–2018 athletics season, we included in this cluster randomised controlled trial (ClinicalTrials.gov Identifier: NCT03307434) 840 athletes randomly assigned (randomisation unit: athletic clubs) to a control group (regular training) or to an intervention group (regular training plus the AIPP 2/week). Using a weekly online questionnaire, athletes reported the ICPR, training and competition exposures, and, for the intervention group, the compliance with the AIPP. The primary outcome was the percentage of athletes presenting at least one ICPR over the study follow-up. Results: A total of 449 and 391 athletes were included in the intervention and control groups, respectively. From them, 68 (15.1%) and 100 (25.6%) athletes, respectively, provided 100% of the requested information during the follow-up (39 weeks). A total of 6 (8.8%) performed the AIPP 2/week or more. The proportion of athletes who had at least one ICPR over the follow-up period was similar in the intervention (64.7%) and control groups (65.0%), with adjusted odds ratios: 0.81 (95% CI 0.36 to 1.85). There were no between-group differences when comparing separately the subgroups corresponding with the different compliance levels. Conclusion: This cluster randomised controlled trial reported no efficacy of the AIPP. However, the overall response proportion and the compliance with the AIPP in the intervention group were low. In individual sports especially, efforts should be first made to improve the implementation and adoption of interventions.

Keywords: sports injury prevention; injury prevention program; athletics; track and field; epidemiology; prospective studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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