SYSTEMATIC REVIEW article
Front. Pediatr.
Sec. Children and Health
This article is part of the Research TopicEpidemiology of Orthopaedic Sports Trauma and InjuriesView all 7 articles
Effects of multicomponent exercise injury prevention program in adolescent team athlet es(10-19 years old):a systematic review and meta-analysis
Provisionally accepted
- College of Physical Education, Hunan Normal University, Changsha, China
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Objective The aim of this study was to assess the efficacy of multicomponent exercise injury pr evention programs in adolescent team athletes and to determine the optimal training pr ograms, program duration and potential sex differences through subgroup analysis. Methods A thorough literature search was performed on PubMed, Web of Science, Embase, EBSCOhost, and the Cochrane Library, covering all publications from their beginnings up to July 20, 2024. Results This meta-analysis of 16 randomized controlled trials assesses the effectiveness of mul ticomponent exercise interventions in reducing sports-related injuries and identifies opti mal training components, duration, and potential sex differences. The results showed t hat these programs significantly reduced injuries across various body regions: total inju ries by 35% (IRR=0.65, 95% CI: 0.54–0.77), lower-extremity injuries by 33% (IRR=0.67, 95% CI: 0.57–0.80), knee injuries by 22% (IRR=0.78, 95% CI: 0.66–0.92), ankle injuries by 38% (IRR=0.62, 95% CI: 0.47–0.81), and upper-extremity injuries by 32% (IRR = 0.68, 95% CI: 0.40–1.17). These programs also reduced acute injurie s by 32% (IRR = 0.68, 95% CI: 0.57–0.81) and overuse injuries by 39% (IRR=0.6 1, 95% CI: 0.49–0.76). Findings suggest that interventions under 20 minutes (IRR=0. 59, 95% CI: 0.44–0.79) and incorporating warm-up, jumping/plyometric, strength, agilit y, and balance are most effective (IRR=0.55, 95% CI: 0.41–0.73). Subgroup analyse s showed stronger effects in females (IRR = 0.56, 95% CI: 0.35–0.88) than in males (IRR=0.66, 95% CI: 0.55–0.80) and found greater effectiveness in interventions lasti ng <20 minutes compared to ≥20 minutes (IRR = 0.70, 95% CI: 0.57–0.86). Notably, most research training programs include balance and strength training. Conclusion Multicomponent sports intervention programs effectively reduce injury incidence in ado lescent team athletes. Subgroup analyses identified significant sex differences and confirmed the optimal training duration (<20 minutes) and the most effective training combination (warm-up, jumping/plyometric, strength, agility, and balance training). Strength t raining (focusing on the hamstrings and core) and balance training are recommended for inclusion in a multicomponent exercise injury prevention program. However, the low quality of current evidence highlights the need for rigorous studies to confirm these findings. Systematic review registration CRD42024580565
Keywords: Multicomponent exercise, Injury Prevention Program, Adolescent, team athletes, Meta-analysis
Received: 16 Jan 2025; Accepted: 26 Nov 2025.
Copyright: © 2025 Liu, 刘 and Yin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: 小明 刘
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