Injury risk and prevention research in sports: Are the titles delivering on their promises or just a sales pitch to capitalize on a hot topic?
A systematic scoping review including 1,390 studies
DOI:
https://doi.org/10.51224/SRXIV.429Keywords:
injury risk, injury prevention, science communication, metascience, data reportingAbstract
Background: Injury risk and prevention are hot topics, leading to authors using “catchy” titles to grab the readers’ attention.
Objectives: To assess if empirical studies with titles containing “injury risk” or “injury prevention” deliver injury data.
Methods: Scoping review of injury risk or prevention studies with athletes and para-athletes. Databases included CINAHL, EMBASE, PubMed, Scopus, SPORTDiscus, Web of Science (no date or language limits). Matching of titles to injury data used a two-layer system.
Results: Of 147,125 records screened, 1,390 studies were included. Nearly one-third of empirical studies with “injury prevention” or “injury risk” in their title failed to provide injury data. Almost 40% of titles using “injury prevention” provided no injury data, and ~25% had injury data that were unrelated to any prevention measure. Titles could include qualifiers to denote that their goal was not to assess injuries, but related topics (e.g., adherence to an injury prevention program). Considering only titles with no such qualifiers, injury data were still absent in ~20% of the studies and this omission has been increasing consistently over time (e.g., 10% from 1984-2000, 22% from 2016-onwards).
Conclusions: A growing percentage of empirical studies with titles about “injury risk” and “injury prevention” do not report injury data, potentially leading to wasted research effort and misguided practical applications. Authors, reviewers, and editors share responsibility for accurate portrayal of injury studies. We propose a ruleset for more transparent reporting in future studies.
Registration: Open Science Framework public project (https://osf.io/5ybvc/) and registration (https://osf.io/atx5j).
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References
De Ste Croix M, Hughes J, Ayala F, et al. Efficacy of Injury Prevention Training Is Greater for High-Risk vs Low-Risk Elite Female Youth Soccer Players. Am J Sports Med 2018;46(13):3271-80. doi: https://doi.org/10.1177/0363546518795677
Afonso J, Peña J, Sá M, et al. Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review. Symmetry 2022;14(10):1993. doi: https://doi.org/10.3390/sym14101993
Afonso J, Reurink G, Clemente FM, et al. Revisiting the hamstring injury prevention and rehabilitation literature: filling the gaps! Br J Sports Med 2024;58(5):243. doi: https://doi.org/10.1136/bjsports-2023-106878
Rudisill SS, Varady NH, Kucharik MP, et al. Evidence-Based Hamstring Injury Prevention and Risk Factor Management: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Am J Sports Med 2023;51(7):1927-42. doi: https://doi.org/10.1177/03635465221083998
Jones HSR, Stiles VH, Verheul J, et al. Assessments performed on harder surfaces can misrepresent ACL injury risk. Sports Biomech 2023:1-23. doi: https://doi.org/10.1080/14763141.2023.2223556
Pedrazzi V, Figueiredo FAT, Adami LE, et al. Surrogate endpoints: when to use and when not to use? A critical appraisal of current evidences. Braz Oral Res 2020;34 Suppl 2:Article e074. doi: https://doi.org/10.1590/1807-3107bor-2020.vol34.0074
Ciani O, Manyara AM, Chan A-W, et al. Surrogate endpoints in trials: a call for better reporting. Trials 2022;23(1):991. doi: https://doi.org/10.1186/s13063-022-06904-7
Kemp R, Prasad V. Surrogate endpoints in oncology: when are they acceptable for regulatory and clinical decisions, and are they currently overused? BMC Medicine 2017;15(1):134. doi: https://doi.org/10.1186/s12916-017-0902-9
Elliott MR. Surrogate Endpoints in Clinical Trials. Annu Rev Stat Appl 2023;10(1):75-96. doi: https://doi.org/10.1146/annurev-statistics-032921-035359
Impellizzeri FM, Shrier I, McLaren SJ, et al. Understanding Training Load as Exposure and Dose. Sports Med 2023 doi: https://doi.org/10.1007/s40279-023-01833-0
Manyara AM, Davies P, Stewart D, et al. Definitions, acceptability, limitations, and guidance in the use and reporting of surrogate end points in trials: a scoping review. J Clin Epidemiol 2023;160:83-99. doi: https://doi.org/10.1016/j.jclinepi.2023.06.013
Weintraub WS, Lüscher TF, Pocock S. The perils of surrogate endpoints. Eur Heart J 2015;36(33):2212-8. doi: https://doi.org/10.1093/eurheartj/ehv164
Ciani O, Buyse M, Drummond M, et al. Time to Review the Role of Surrogate End Points in Health Policy: State of the Art and the Way Forward. Value Health 2017;20(3):487-95. doi: https://doi.org/10.1016/j.jval.2016.10.011
Ciani O, Buyse M, Garside R, et al. Comparison of treatment effect sizes associated with surrogate and final patient relevant outcomes in randomised controlled trials: meta-epidemiological study. BMJ 2013;346:f457. doi: https://doi.org/10.1136/bmj.f457
Kröll J, Spörri J, Steenstrup SE, et al. How can we prove that a preventive measure in elite sport is effective when the prevalence of the injury (eg, ACL tear in alpine ski racing) is low? A case for surrogate outcomes. Br J Sports Med 2017;51(23):1644-45. doi: https://doi.org/10.1136/bjsports-2016-097020
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: https://doi.org/10.1136/bmj.n71
Ardern CL, Büttner F, Andrade R, et al. Implementing the 27 PRISMA 2020 Statement items for systematic reviews in the sport and exercise medicine, musculoskeletal rehabilitation and sports science fields: the PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance. Br J Sports Med 2022;56(4):175-95. doi: https://doi.org/10.1136/bjsports-2021-103987
Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med 2018;169(7):467-73. doi: https://doi.org/10.7326/M18-0850
McKay AKA, Stellingwerff T, Smith ES, et al. Defining Training and Performance Caliber: A Participant Classification Framework. Int J Sports Physiol Perform 2022;17(2):317-31. doi: https://doi.org/10.1123/ijspp.2021-0451
Al Attar WSA, Bizzini M, Alzahrani H, et al. The FIFA 11+ Kids Injury Prevention Program Reduces Injury Rates Among Male Children Soccer Players: A Clustered Randomized Controlled Trial. Sports Health 2023;15(3):397-409. doi: https://doi.org/10.1177/19417381221109224
Kolodziej M, Jaitner T. Single Functional Movement Screen items as main predictors of injury risk in amateur male soccer players [Einzelne Functional-Movement-Screen-Items als Hauptprädiktoren des Verletzungsrisikos bei männlichen Amateurfußballern]. Ger J Exerc Sport Res 2018;48(3):349-57. doi: https://doi.org/10.1007/s12662-018-0515-2
Collings TJ, Diamond LE, Barrett RS, et al. Strength and Biomechanical Risk Factors for Noncontact ACL Injury in Elite Female Footballers: A Prospective Study. Med Sci Sports Exerc 2022;54(8):1242-51. doi: https://doi.org/10.1249/mss.0000000000002908
Brownbridge C, Fogel C. Athletes' Perceptions of Physical Contact and Injury Risk in Football and Rugby in Canada. Int J Sport Soc 2022;14(1):193-203. doi: https://doi.org/10.18848/2152-7857/CGP/V14I01/193-203
Gawrys SP, Wong WJ, Parker LM, et al. Educational intervention promotes injury prevention adherence in club collegiate men's lacrosse athletes. J Osteopath Med 2023 doi: https://doi.org/10.1515/jom-2022-0200
Corrigan J, O'Keeffe S, O'Connor S. Barriers and facilitators to injury prevention in ladies Gaelic football: A qualitative study. Phys Ther Sport 2023;59:151-61. doi: https://doi.org/10.1016/j.ptsp.2022.12.008
Owaid SN, Khudhair KA, Jabbar MK. The effect of a preventive training program on some kinetic variables of the anterior and posterior thigh muscles to reduce sports injuries for fencing players. NeuroQuantology 2022;20(6):8747-63. doi: https://doi.org/10.14704/nq.2022.20.6.NQ22864
Harnett K, Plint B, Chan KY, et al. Validating an inertial measurement unit for cricket fast bowling: a first step in assessing the feasibility of diagnosing back injury risk in cricket fast bowlers during a tele-sport-and-exercise medicine consultation. PeerJ 2022;10:e13228. doi: https://doi.org/10.7717/peerj.13228
Blach W, Smolders P, Simenko J, et al. Diagnostics of tissue involved injury occurrence of top-level judokas during the competition: suggestion for prevention. PeerJ 2022;10:e13074. doi: https://doi.org/10.7717/peerj.13074
Cantu RC, Mueller FO. The prevention of catastrophic head and spine injuries in high school and college sports. Br J Sports Med 2009;43(13):981-6. doi: https://doi.org/10.1136/bjsm.2009.067728
Marshall SW, Mueller FO, Kirby DP, et al. Evaluation of safety balls and faceguards for prevention of injuries in youth baseball. Jama 2003;289(5):568-74. doi: https://doi.org/10.1001/jama.289.5.568
Andersson SH, Bahr R, Clarsen B, et al. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed. Br J Sports Med 2018;52(18):1191-98. doi: https://doi.org/10.1136/bjsports-2017-097648
Chalmers S, Debenedictis TA, Zacharia A, et al. Asymmetry during Functional Movement Screening and injury risk in junior football players: A replication study. Scand J Med Sci Sports 2018;28(3):1281-87. doi: https://doi.org/10.1111/sms.13021
Chalmers S, Fuller JT, Debenedictis TA, et al. Asymmetry during preseason Functional Movement Screen testing is associated with injury during a junior Australian football season. J Sci Med Sport 2017;20(7):653-57. doi: https://doi.org/10.1016/j.jsams.2016.12.076
Hart PF, Rodgers W. Competition, competitiveness, and competitive advantage in higher education institutions: a systematic literature review. Stud High Educ Ahead of print:1-25. doi: https://doi.org/10.1080/03075079.2023.2293926
Fernandez-Cano A. Letter to the Editor: publish, publish … cursed! Scientometrics 2021;126(4):3673-82. doi: https://doi.org/10.1007/s11192-020-03833-7
Génova G, de la Vara JL. The Problem Is Not Professional Publishing, But the Publish-or-Perish Culture. Sci Eng Ethics 2019;25(2):617-19. doi: https://doi.org/10.1007/s11948-017-0015-z
Argan M, Dinç H, Argan MT, et al. What does rejection look like? A photovoice study on emotions and coping regarding manuscript rejection. Curr Psychol 2024;43:15983-6001. doi: https://doi.org/10.1007/s12144-023-04253-5
Bradley SH, DeVito NJ, Lloyd KE, et al. Reducing bias and improving transparency in medical research: a critical overview of the problems, progress and suggested next steps. J R Soc Med 2020;113(11):433-43. doi: https://doi.org/10.1177/0141076820956799
Sjögårde P, Didegah F. The association between topic growth and citation impact of research publications. Scientometrics 2022;127(4):1903-21. doi: https://doi.org/10.1007/s11192-022-04293-x
el-Guebaly N, Foster J, Bahji A, et al. The critical role of peer reviewers: Challenges and future steps. Nord Stud Alcohol Drugs 2022;40(1):14-21. doi: https://doi.org/10.1177/14550725221092862
Zhang S, Zhou H, Zhu Y. Have we found a solution for health misinformation? A ten-year systematic review of health misinformation literature 2013-2022. Int J Med Inform 2024;188:Article 105478. doi: https://doi.org/10.1016/j.ijmedinf.2024.105478
Heley K, Chou WS, D'Angelo H, et al. Mitigating Health and Science Misinformation: A Scoping Review of Literature from 2017 to 2022. Health Commun 2024:1-11. doi: https://doi.org/10.1080/10410236.2024.2332817
Tiller NB, Sullivan JP, Ekkekakis P. Baseless Claims and Pseudoscience in Health and Wellness: A Call to Action for the Sports, Exercise, and Nutrition-Science Community. Sports Med 2023;53(1):1-5. doi: https://doi.org/10.1007/s40279-022-01702-2
Silva JR, Buchheit M, Hader K, et al. Building Bridges Instead of Putting Up Walls: Connecting the “Teams” to Improve Soccer Players’ Support. Sports Med 2023;53(12):2309-20. doi: https://doi.org/10.1007/s40279-023-01887-0
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