Abstract：
OBJECTIVE: To examine the effectiveness of different exercise-based interventions to mitigate the risk of anterior cruciate ligament injury in football players, and to determine which is the most appropriate for them, specifically for female football players.
METHODS: Four databases were accessed in July 2023 using the keywords football, soccer, athletic injuries, anterior cruciate ligament, knee injuries, injury prevention, exercise-based programme, and risk factor.
METHODS: Randomised controlled trials that evaluated any exercise-based injury prevention intervention compared with a control group on the prevention of anterior cruciate ligament injury in football players were included.
RESULTS: Eleven studies were included. Data were presented as logarithm hazard ratio, credible intervals and standard deviation. FIFA 11+ was the most effective in reducing anterior cruciate ligament injury risk in football players (logarithm hazard ratio = -1.23 [95% credible intervals: -2.20, -0.35]; SD = 0.47), followed by the Knäkontroll programme (logarithm hazard ratio = -0.76 [95% credible intervals: -1.60, -0.03]; standard deviation = 0.42). For females, only Knäkontroll had a significant impact on reducing the risk of anterior cruciate ligament injury (logarithm hazard ratio = -0.62 [95% credible intervals: -1.71, 0.62]; standard deviation = 0.58).
CONCLUSIONS: Our results support the use of FIFA 11+ and Knäkontroll to mitigate injury incidence at overall level. However, the effectiveness of these interventions changed when adjusting for females. Knäkontroll is postulated as the programme with the greatest preventive nature, although these results should be interpreted with caution due to the lack of the sample.
METHODS: Four databases were accessed in July 2023 using the keywords football, soccer, athletic injuries, anterior cruciate ligament, knee injuries, injury prevention, exercise-based programme, and risk factor.
METHODS: Randomised controlled trials that evaluated any exercise-based injury prevention intervention compared with a control group on the prevention of anterior cruciate ligament injury in football players were included.
RESULTS: Eleven studies were included. Data were presented as logarithm hazard ratio, credible intervals and standard deviation. FIFA 11+ was the most effective in reducing anterior cruciate ligament injury risk in football players (logarithm hazard ratio = -1.23 [95% credible intervals: -2.20, -0.35]; SD = 0.47), followed by the Knäkontroll programme (logarithm hazard ratio = -0.76 [95% credible intervals: -1.60, -0.03]; standard deviation = 0.42). For females, only Knäkontroll had a significant impact on reducing the risk of anterior cruciate ligament injury (logarithm hazard ratio = -0.62 [95% credible intervals: -1.71, 0.62]; standard deviation = 0.58).
CONCLUSIONS: Our results support the use of FIFA 11+ and Knäkontroll to mitigate injury incidence at overall level. However, the effectiveness of these interventions changed when adjusting for females. Knäkontroll is postulated as the programme with the greatest preventive nature, although these results should be interpreted with caution due to the lack of the sample.
摘要：
目的：研究不同的运动干预措施对减轻足球运动员前交叉韧带损伤风险的有效性，并确定哪个最适合他们，专门针对女足球运动员。
方法：2023年7月，使用关键字football，足球,运动损伤,前交叉韧带,膝盖受伤,伤害预防,基于锻炼的计划，和风险因素。
方法：纳入了随机对照试验，该试验评估了任何基于运动的损伤预防干预措施与对照组对预防足球运动员前交叉韧带损伤的比较。
结果：共纳入11项研究。数据以对数风险比表示，可信区间和标准差。FIFA11+在降低足球运动员前交叉韧带损伤风险方面最有效(对数风险比=-1.23[95%可信区间:-2.20,-0.35];SD=0.47),其次是Knäkontroll程序（对数风险比=-0.76[95％可信区间：-1.60，-0.03]；标准偏差=0.42）。对于女性来说,只有Knäkontroll对降低前交叉韧带损伤的风险有显著影响(对数风险比=-0.62[95%可信区间:-1.71,0.62];标准差=0.58).
结论：我们的结果支持使用FIFA11+和Knäkontroll在整体水平上减轻损伤发生率。然而,当调整女性时，这些干预措施的有效性发生了变化。Knäkontroll被假定为具有最大预防性的计划，尽管由于缺乏样本，这些结果应谨慎解释。
方法：2023年7月，使用关键字football，足球,运动损伤,前交叉韧带,膝盖受伤,伤害预防,基于锻炼的计划，和风险因素。
方法：纳入了随机对照试验，该试验评估了任何基于运动的损伤预防干预措施与对照组对预防足球运动员前交叉韧带损伤的比较。
结果：共纳入11项研究。数据以对数风险比表示，可信区间和标准差。FIFA11+在降低足球运动员前交叉韧带损伤风险方面最有效(对数风险比=-1.23[95%可信区间:-2.20,-0.35];SD=0.47),其次是Knäkontroll程序（对数风险比=-0.76[95％可信区间：-1.60，-0.03]；标准偏差=0.42）。对于女性来说,只有Knäkontroll对降低前交叉韧带损伤的风险有显著影响(对数风险比=-0.62[95%可信区间:-1.71,0.62];标准差=0.58).
结论：我们的结果支持使用FIFA11+和Knäkontroll在整体水平上减轻损伤发生率。然而,当调整女性时，这些干预措施的有效性发生了变化。Knäkontroll被假定为具有最大预防性的计划，尽管由于缺乏样本，这些结果应谨慎解释。
