ReviewFrontiers in sports and active living2026
Dual benefits of neuromuscular training in adolescent volleyball players: knee injury prevention and athletic performance share a common mechanistic foundation: a structured narrative review.
Review in Frontiers in sports and active living, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Adolescent volleyball players face elevated knee injury risk. Anterior cruciate ligament (ACL) injuries and patellar tendinopathy are the two dominant conditions. Approximately 62% of ACL injuries occur during spike landings. During peak height velocity (PHV), patellar tendon strain reaches 7.6%-8.5%, approaching the microstructural damage threshold of 9.0%. This review evaluated whether neuromuscular training (NMT) reduces biomechanical injury risk and improves athletic performance. Multimodal NMT reduced overall injury rates by 40% and halved ACL injury risk (OR=0.54). The protective effect was strongest in females aged 14-18 (OR=0.28) and absent above age 18. NMT also improved vertical jump height (Cohen's d = 0.82) and dynamic stability (SMD = 0.63). Female players showed greater jump gains than males (ES = 1.3 vs. 0.5). Injury prevention and performance benefits share the same mechanistic foundation. Optimal dosing is 15-20 min per session, two to three times per week, for at least eight weeks. Maturity-stratified load management is essential for circa-PHV athletes. Volleyball-specific, maturity-indexed RCTs are needed to confirm these findings.
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