{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:55:12Z","timestamp":1790787312125,"version":"4.1.0"},"reference-count":67,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Eccentric strength training can reduce the risk of hamstring strain injury (HSI) occurrence; however, its implementation can be impacted by athlete compliance and prescription. The aim of this review was to investigate the effects of intervention compliance, consistency and modality, on the prevention of HSIs among athletes. A literature search was conducted. 868 studies were identified prior to the application of the exclusion criteria which resulted in 13 studies identified. Random effects models were used to produce log odds ratios and 95% confidence intervals. Very high (&gt;75.1%), moderate-high (50.1\u201375%), low-moderate (25.1\u201350%) and very low (&lt;25%) and &lt;1-, 1.01\u20133.00-, &gt;3.01-weeks\/session were used as thresholds of compliance and consistency, respectively. Modality was also observed. A positive effect on HSI incidence -0.61 (\u22121.05 to \u22120.17), favoring the intervention treatments (Z = \u22122.70, p = 0.007). There were non-significant, large differences between compliance (p = 0.203, Z = \u22121.272) and consistency (p = 0.137, Z = \u22121.488), with increased compliance and consistency showing greater effectiveness. A significant difference between intervention modalities was observed (p &lt; 0.001, Z = \u22124.136), with eccentric interventions being superiorly effective. Compliance of &gt;50.1% and consistent application with &lt;3 weeks\/session having positive effects on HSI incidence. Training interventions that can achieve high levels of compliance, and can be consistently performed, should be the objective of future practice.<\/jats:p>","DOI":"10.3390\/ijerph182111260","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T22:00:23Z","timestamp":1635372023000},"page":"11260","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The Effect of Exercise Compliance on Risk Reduction for Hamstring Strain Injury: A Systematic Review and Meta-Analyses"],"prefix":"10.3390","volume":"18","author":[{"given":"Nicholas Joel","family":"Ripley","sequence":"first","affiliation":[{"name":"Human Performance Laboratory, University of Salford, Salford M5 4BR, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Cuthbert","sequence":"additional","affiliation":[{"name":"Human Performance Laboratory, University of Salford, Salford M5 4BR, UK"},{"name":"The FA Group, St George\u2019s Park, Burton-upon-Trent, Staffordshire DE13 9RN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Ross","sequence":"additional","affiliation":[{"name":"Human Performance Laboratory, University of Salford, Salford M5 4BR, UK"},{"name":"Department of Sport and Physical Activity, Edge Hill University, Ormskirk L39 4QP, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1131-8626","authenticated-orcid":false,"given":"Paul","family":"Comfort","sequence":"additional","affiliation":[{"name":"Human Performance Laboratory, University of Salford, Salford M5 4BR, UK"},{"name":"School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia"},{"name":"Institute for Sport, Physical Activity and Leisure, Carnegie School of Sport, Leeds Beckett, Leeds LS1 3HE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9952-7846","authenticated-orcid":false,"given":"John James","family":"McMahon","sequence":"additional","affiliation":[{"name":"Human Performance Laboratory, University of Salford, Salford M5 4BR, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1136\/bjsports-2015-094826","article-title":"Evidence-based hamstring injury prevention is not adopted by the majority of Champions League or Norwegian Premier League football teams: The Nordic Hamstring survey","volume":"49","author":"Bahr","year":"2015","journal-title":"Br. 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