背景:伤害预防运动计划(IPEPs)可有效减少伤害。然而,在整个赛季中达到足够的依从性是具有挑战性的。主要目的是描述参加集群随机试验的三组教练和球员对IPEP的依从性。次要目的是描述对IPEP的看法,使用节目材料,和整体预防策略。
方法:这是一项子研究,分析了一项三臂随机试验的数据,该试验的团队随机使用全面的IPEP(扩展膝关节控制)或内收肌力计划,以及在研究开始时已经定期使用自行选择的IPEP的非随机团队(对照组)。指示球队在2020年足球赛季中使用各自的干预措施。男性和女性,青少年(≥14岁),成年业余球员参加了比赛。教练和球员对每周和赛季末的问卷做出了回应。数据以描述性方式呈现。
结果:502名玩家报告了每周的玩家数据(每周反应率65%),289(58%)回答了季末问卷。在483/529(91%)和585/641(91%)的训练中,扩展膝关节控制和对照组的团队使用了各自的IPEP,内收肌组的团队参加了199/315(63%)的会议。关于利用率保真度,每组42-52%的玩家每次练习重复1-10次。内收肌组的17支队伍中有7支在重复次数方面取得了建议的进展。扩展膝盖控制组的两个团队(10%),和7/24的比较团队在整个赛季中使用相同的练习。教练通过不同的方式访问IPEP(印刷材料,电影,工作坊,等。),但一半没有使用提供的数字材料。球员们赞赏IPEP可以降低受伤风险,并提高他们的运动表现,但是不喜欢他们踢足球的时间少,而且练习很无聊。49名球员在IPEP表演期间经历了疼痛。
结论:对IPEP的依从性普遍较高。为了满足不同的教练需求,节目材料应通过不同的数字和印刷资源提供。在IPEP表演期间报告疼痛的玩家数量是一个值得注意的发现。
背景:临床试验gov标识符:NCT04272047。2020年2月17日注册。https://clinicaltrials.gov/ct2/show/NCT04272047.
BACKGROUND: Injury prevention exercise programmes (IPEPs) efficaciously reduce injuries. However, it is challenging to achieve sufficient adherence across a season. The main aim was to describe adherence to IPEPs in three groups of coaches and players partaking in a cluster randomised trial. Secondary aims were to describe perceptions of IPEPs, use of programme material, and overall preventive strategies.
METHODS: This is a sub-study analysing data from a three-armed randomised trial with teams randomised to use either a comprehensive IPEP (extended Knee Control) or an adductor strength programme, and non-randomised teams that already used a self-chosen IPEP regularly at study start (comparison group). Teams were instructed to use their respective intervention across the 2020 football season. Male and female, adolescent (≥ 14 years of age), and adult amateur players took part. Coaches and players responded to weekly and end-of-season questionnaires. Data were presented descriptively.
RESULTS: Weekly player data were reported by 502 players (weekly response rate 65%), 289 (58%) responded to end-of-season questionnaires. Teams in the extended Knee Control and comparison group used their respective IPEP in 483/529 (91%) and 585/641 (91%) of training sessions, and teams in the adductor group in in 199/315 (63%) sessions. Regarding utilisation fidelity, 42-52% of players in each group used 1-10 repetitions per exercise. Seven out of 17 teams in the adductor group had progressed as recommended in terms of number of repetitions. Two teams (10%) in the extended Knee Control group, and 7/24 of comparison teams used the same exercises across the season. Coaches accessed the IPEPs by different means (printed material, films, workshops, etc.), but half did not use the provided digital material. The players appreciated that the IPEPs could reduce injury risk and that they improved their exercise performance, but disliked that they had less time for football and that the exercises were boring. Forty-nine players had experienced pain during IPEP performance.
CONCLUSIONS: Adherence with the IPEPs was generally high. To meet different coach needs, programme material should be available via different digital and printed resources. The number of players reporting pain during IPEP performance is a noteworthy finding.
BACKGROUND: Clinical Trials gov identifier: NCT04272047. Registered February 17, 2020. https://clinicaltrials.gov/ct2/show/NCT04272047 .