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Neuromuscular training reduces lower limb injuries in elite female basketball players. A cluster randomized controlled trial
Abstract:The study was a two‐armed, parallel group, cluster randomized controlled trial in which 15 teams (160 players) were assigned to either an experimental group (EG , 8 teams n = 86), which warmed‐up with bodyweight neuromuscular exercises, or a control group (CG , 7 teams, n = 74) that performed standard tactical‐technical exercises before training. All injuries during the 2015‐2016 regular season were counted. Epidemiologic incidence proportion and incidence rate were also calculated. Countermovement jump (CMJ ) and composite Y‐Excursion Balance test (YBT ) were used to assess lower limb strength and postural control. A total of 111 injuries were recorded. Chi‐square test detected statistically significant differences between EG and CG (32 vs 79, P  = .006). Significant differences in the injuries sustained in the EG (21 vs 11, P  = .024) and CG (52 vs 27, P  = .0001) during training and matches, respectively, were observed. Significant differences in post‐intervention injuries were observed between in EG and CG during training (21 vs 52, P  < .0001) and matches (11 vs 27, P  = .006). Significant differences in epidemiologic incidence (0.37 vs 1.07, P  = .023) and incidence rate (1.66 vs 4.69, P  = .012) between the EG and the CG were found. Significant improvement in CMJ (+9.4%, P  < .0001; d  = 1.2) and composite YBT (right: +4.4%, P  = .001, d  = 1.0; left: +3.0%, P  = .003; d  = 0.8) for the EG was noted. Significant differences in post‐intervention CMJ (+5.9%, P  = .004) and composite YBT scores (right, +3.7%, P  = .012; left, +2.3%, P  = .007) between the EG and the CG were observed. Including bodyweight neuromuscular training into warm‐up routines reduced the incidence of serious lower limb injuries in elite female basketball players.
Keywords:basketball  epidemiology  injury prevention  postural control  sports injury
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