A prevention strategy to reduce the incidence of injury in high school basketball: a cluster randomized controlled trial.
OBJECTIVE
To examine the effectiveness of a sport-specific balance training program in reducing injury in adolescent basketball.


METHODS
Cluster randomized controlled trial.


METHODS
Twenty-five high schools in Calgary and surrounding area.


METHODS
Nine hundred and twenty high school basketball players (ages 12-18).


METHODS
Subjects were randomly allocated by school to the control (n = 426) and training group (n = 494). Both groups were taught a standardized warm-up program. The training group was also taught an additional warm-up component and a home-based balance training program using a wobble board.


METHODS
All injuries occurring during basketball that required medical attention and/or caused a player to be removed from that current session and/or miss a subsequent session were then recorded and assessed by a team therapist who was blinded to training group allocation.


RESULTS
A basketball-specific balance training program was protective of acute-onset injuries in high school basketball [RR = 0.71 (95% CI; 0.5-0.99)]. The protective effect found with respect to all injury [RR = 0.8 (95% CI; 0.57-1.11)], lower-extremity injury [RR = 0.83 (95% CI; 0.57-1.19)], and ankle sprain injury [RR = 0.71 (95% CI; 0.45-1.13)] were not statistically significant. Self-reported compliance to the intended home-based training program was poor (298/494 or 60.3%).


CONCLUSIONS
A basketball-specific balance training program was effective in reducing acute-onset injuries in high school basketball. There was also a clinically relevant trend found with respect to the reduction of all, lower-extremity, and ankle sprain injury. Future research should include further development of neuromuscular prevention strategies in addition to further evaluation of methods to increase compliance to an injury-prevention training program in adolescents.
Emery
Carolyn A
CA
Sport Medicine Centre, Roger Jackson Centre for Health and Wellness Research, Faculty of Kinesiology, University of Calgary, 2500 University Drive, Calgary, Alberta, Canada. caemery@ucalgary.ca
Rose
M Sarah
MS
McAllister
Jenelle R
JR
Meeuwisse
Willem H
WH
D000293:Adolescent; D001265:Athletic Injuries / Q000209:etiology / Q000517:prevention & control*; D001490:Basketball; D002648:Child; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D052580:Muscle Stretching Exercises; D011315:Preventive Medicine; D012306:Risk; D012307:Risk Factors; D012574:Schools; D013178:Sports Medicine; D013334:Students