20.500.12556/RUL-185605 Effect of adherence to exercise-based injury prevention programmes on the risk of sports injuries a systematic review and meta-analysis of randomised controlled trials Background Adherence may affect the effectiveness of injury prevention programmes (IPPs), yet no previous meta-analyses have examined the pooled impact of adherence to exercise-based IPPs across multiple injury types. The objective of the systematic review and meta-analysis was to investigate the effect of exercise-based IPP adherence on the risk of sports injuries. Methods Six databases (PubMed, EMBASE, SPORTDiscus, PEDro, Cochrane Central Register of Controlled Trials and Web of Science) were searched from inception to the end of May 2023. Randomised, quasi-randomised controlled trials and cluster-randomised controlled trials investigating exercise-based sports injury prevention interventions and providing data on adherence were included in the systematic review. Studies included in the meta-analysis were divided into top (≥84%), middle (74%–83%) and bottom (<74%) adherence tertiles according to the percentage of completed intervention sessions with equal distribution in each tertile. Of 2647 identified reports, 52 studies were included in the systematic review and 35 of these were included in the meta-analysis. Results The top-adherence group had a 47% lower injury rate than the control group (rate ratio (RR)=0.53, 95% CI 0.42 to 0.67, p<0.001). In the middle and bottom-adherence groups, injury rates were RR=0.50 (95% CI 0.39 to 0.64, p<0.001) and RR=0.87 (95% CI 0.75 to 1.02, p=0.08), respectively. Meta-regression analysis confirmed the results of the primary meta-analysis showing that adherence level significantly moderates the sports injury rate (β=−0.013, p<0.001). Conclusions Higher adherence to IPPs resulted in reduced injury rates. When the adherence level was lower, the rate of injuries was not significantly reduced. sport injury prevention exercise šport športne poškodbe preprečevanje poškodb vadba true false true Angleški jezik Slovenski jezik Članek v reviji 2026-08-12 13:24:54 2026-08-12 13:24:56 2026-08-13 10:48:06 0000-00-00 00:00:00 2026 0 0 Str. 31-40 iss. 1 Vol. 32 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 796.01 1475-5785 10.1136/ip-2025-045632 250948355 31.full.pdf 31.full.pdf 1 C01CFB82450ECFE8FA96709C0A398611 ba2ccac52325ffd800af117f0a0163899bebdb6ace6df000630f69dfe3eb5484 8dcf23ea-9642-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=244309 https://injuryprevention.bmj.com/content/early/2025/08/05/ip-2025-045632 1 18122dca-9640-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=244306 Fakulteta za šport 0 0 0