Prevention programs are reducing the risk of injuries. The success of these programs is dependent on a high compliance. However, it is unclear which kind of supervision lead to a high compliance in young athletes.Objective
To compare the influence of different kinds of prevention-supervision during prevention training on compliance in young athletes.Design
University Potsdam, Medical Examination Center of the German Olympic Sports Federation.Patients (or Participants)
173 young athletes (m/f: 108/68; 13.4±0.4 yrs, 164.±58.6 cm, 52.3±9.0 kg) from different sports were included.Interventions (or Assessment of Risk Factors)
Athletes participated in a back pain prevention program (duration: 45 weeks; 4 exercises, 3 times/week, progression every 15 weeks). Following the initial introduction to the program, athletes were divided into 3 groups (G1: N=30; G2: N=54; G3: N=89). In G1 the coach, in G2 the coach and the athlete was responsible to execute the prevention program. In addition to G2, a therapist supervised the program once per week in G3. The number of prevention sessions was documented (paper & pencil) by coach (G1), athlete (G2) and athlete/therapist (G3).Main Outcome Measurements
The number of response per athlete (documented sessions) and the training-sessions per week was analysed. Data are presented descriptively followed by analysis of group differences (ANOVA; post-hoc Tukey, α =0.05).Results
All athletes in G1 responded and documented the training-session/week with a frequency of 2.0±0.4 sessions/week. In G2 53 athletes (2.5±0.7 sessions/week) and in G3 75 athletes (2.7±0.8 sessions/week) responded. Statistically significant differences could be shown between G1 and G2 (p=0.0005) and between G1 and G3 (p=0.058). There were no group differences between G2 and G3 (p=0.15).Conclusions
For a targeted high compliance in prevention training, a supervised implementation seems necessary. Good teamwork between coach, athlete and therapist seems to be mandatory. A personal responsibility of the athlete is relevant.