RSS-Feed abonnieren
DOI: 10.1055/a-2184-9201
Youth Injury Knowledge and Beliefs following Neuromuscular Training Warm-up Implementation in Schools
Funding Information Alberta Innovates - Health Solutions — http://dx.doi.org/10.13039/501100000145;![](https://www.thieme-connect.de/media/sportsmed/202402/lookinside/thumbnails/9765_10-1055-a-2184-9201-1.jpg)
Abstract
Neuromuscular training warm-up programs can reduce injury rates in youth sports, but they often have poor uptake and adherence. Delivering such programs in school physical education classes may provide greater public health benefit, particularly if they promote improved injury knowledge and prevention beliefs amongst students. The purpose of this secondary analysis of a large cluster-randomized controlled trial was to understand how students’ (age 11–15 years) knowledge and beliefs change after exposure to an evidence-informed neuromuscular training warm-up program. Six schools delivered the program for a 12-week period in the initial study year (n=566) and two continued to use it in a subsequent “maintenance” year (n=255). Students completed a knowledge and beliefs questionnaire at baseline, 6-week, and 12-week timepoints. Knowledge scores ranged from 7/10 to 8/10 at all timepoints and students generally believed that injuries are preventable. On average, there was less than a one-point change in knowledge between timepoints and there was no change in the median belief scores. There were no meaningful differences between sexes, grades, or previous injury. These findings highlight that knowledge and beliefs are unlikely to change passively through program exposure. More active strategies are needed to improve injury prevention perceptions in this population.
Publikationsverlauf
Eingereicht: 03. Oktober 2022
Angenommen: 04. September 2023
Artikel online veröffentlicht:
29. November 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart,
Germany
-
References
- 1 Pickett W, Molcho M, Simpson K. et al. Cross national study of injury and social determinants in adolescents. Inj Prev 2005; 11: 213-218
- 2 Statistics Canada. Leading Causes of Death and Hospitalization in Canada (2016-03-01). Internet: http://www.phac-aspc.gc.ca/publicat/lcd-pcd97/table2-eng.php; accessed 2022-06-01
- 3 Kang J, Hagel B, Emery CA. et al. Assessing the representativeness of Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) sport and recreational injury data in Calgary, Canada. Int J Inj Prev Saf Promot 2012; 20: 19-26
- 4 Whittaker JL, Toomey CM, Nettel-Aguirre A. et al. Health-related outcomes following a youth sport-related knee injury. Med Sci Sports Exerc 2019; 51: 255-263
- 5 Toomey CM, Whittaker JL, Nettel-Aguirre A. et al. Higher fat mass is associated with a history of knee injury in youth sport. J Orthop Sports Phys Ther 2017; 47: 80-87
- 6 Richmond S, Fukuchi R, Ezzat A. et al. Are joint injury, sport activity, physical activity, obesity, or occupational activities predictors for osteoarthritis? A systematic review. J Orthop Sports Phys Ther 2013; 43: 515-519
- 7 Rössler R, Donath L, Verhagen E. et al. Exercise-based injury prevention in child and adolescent sport: A systematic review and meta-analysis. Sport Med 2014; 44: 1733-1748
- 8 Emery CA, Roy T-O, Whittaker JL. et al. Neuromuscular training injury prevention strategies in youth sport: A systematic review and meta-analysis. Br J Sports Med 2015; 49: 865-870
- 9 Lindblom H, Waldén M, Carlfjord S. et al. Implementation of a neuromuscular training programme in female adolescent football: 3-year follow-up study after a randomised controlled trial. Br J Sports Med 2014; 48: 1425-1430
- 10 Joy EA, Taylor JR, Novak MA. et al. Factors influencing the implementation of anterior cruciate ligament injury prevention strategies by girls soccer coaches. J Strength Cond Res 2013; 27: 2263-2269
- 11 Saunders N, Otago L, Romiti M. et al. Coaches’ perspectives on implementing an evidence-informed injury prevention programme in junior community netball. Br J Sports Med 2010; 44: 1128-1132
- 12 Barden C, Stokes KA, McKay CD. Utilising a behaviour change model to improve implementation of the Activate injury prevention exercise programme in schoolboy rugby union. Int J Environ Res Public Health 2021; 18: 5681
- 13 Gabriel EH, McCann RS, Hoch MC. Use of social or behavioural theories in exercise-related injury prevention program research: A systematic review. Sports Med 2019; 49: 1515-1528
- 14 Schwarzer R. Health Action Process Approach (HAPA) as a Theoretical Framework to Understand Behavior Change. Actualidades en Psicología 2016; 30: 119-130
- 15 Schwarzer R. Modeling Health Behaviour Change - How to predict and modify the adoption and maintenance of health behaviours. Appl Psychol 2008; 57: 1-29
- 16 Emery CA, van den Berg C, Richmond SA. et al. Implementing a school-based prevention program to reduce injuries through neuromuscular training (iSPRINT): A cluster-randomized controlled trial. Br J Sport Med 2020; 54: 913-919
- 17 Raisanen AM, van den Berg C, Owoeye O. et al. Running every time, planking sometimes: Youth adherence to a neuromuscular training program. Transl J Am Coll Sports Med 2022; 7: e000209
- 18 Barden C, Stokes K, McKay C. Implementation of the Activate injury prevention exercise programme in English schoolboy rugby union. BMJ Open Sport & Exerc Med 2021; 7: e001018
- 19 Owoeye OBA, Emery CA, Befus K. et al. How much, how often, how well? Adherence to a neuromuscular training warm-up injury prevention program in youth basketball. J Sports Sci 2020; 38: 2329-2337
- 20 Kontos AP. Perceived risk, risk taking, estimation of ability and injury among adolescent sport participants. J Pediatr Psychol 2004; 29: 447-455
- 21 Fraser-Thomas J, Jeffery-Tosoni S, Baker J. “I like that you can hit a guy and not really get in trouble”: Young ice hockey players' experiences with body checking. Int J Sport Exerc Psychol 2014; 12: 121-133
- 22 McGannon KR, McMahon J. Sport media research: Examining the benefits for sport injury psychology and beyond. In: R Wadey R (ed). Sport Injury Psychology: Cultural, Relational, Methodological, and Applied Considerations. New York: Routledge; 2020: 25-35
- 23 Saunders N, Otago L, Romiti M. et al. Coaches’ perspectives on implementing an evidence-informed injury prevention programme in junior community netball. Br J Sports Med 2010; 44: 1128-1132
- 24 Richmond SA, Donaldson A, Macpherson A. et al. Facilitators and barriers to the implementation of iSPRINT: A sport injury prevention program in junior high schools. Clin J Sport Med 2020; 30: 231-238
- 25 Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports 2018; 28: 1295-1303
- 26 Donaldson A, Callaghan A, Bizzini M. et al. Awareness and use of the 11+ injury prevention program among coaches of adolescent female football teams. Int J Sport Sci Coach 2018; 13: 929-938