Prophylactic-Therapeutic System to Reduce the Risk of Injuries in Sports Initiation
DOI:
https://doi.org/10.29105/rce-fod.v21i2.207Keywords:
sports initiation, sports injuries, prophylactic-therapeutic system, expert validationAbstract
Sports injuries in athletes at the initiation stage affect performance, lead to premature withdrawal, and leave permanent sequelae. The aim of this study was to validate the prophylactic-therapeutic system for reducing the risk of injuries in sports initiation (SisProTLesD) using a three-level expert consultation method. A total of 22 experts (16 men, 6 women; mean age = 48.2 years, SD = 7.4) from Cuba, Mexico, and the United States participated, selected according to their competence coefficient (K ≥ 0.8). Three questionnaires with a five-point Likert scale were applied, assessing the relevance, applicability, and potential effectiveness of the system. Reliability was calculated using Cronbach's alpha, and consensus was determined with Kendall's concordance coefficient (W). The system includes a training-education axis, a six-phase interconnected prophylactic action cycle, and continuous epidemiological surveillance as a cross-cutting axis. A global consensus of 90.5% was achieved (W = 0.82; p < 0.01), with consensuses of 87.5%, 92.9%, and 91.7% for the three validation levels. The reliability of the instruments was high (α = 0.88–0.91). SisProTLesD constitutes a valid tool (in terms of content validity and relevance) for injury prophylaxis in sports initiation, demonstrating its applicability across different sports and grassroots contexts. Further evaluation of its effectiveness is recommended through longitudinal and quasi-experimental studies that measure its impact on reducing injury incidence.
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Abreu, L., Molina, N., & Palacio, D. M. (2022). Lesiones del sistema osteomioarticular en atletas escolares de Villa Clara. Revista Cubana de Medicina del Deporte y la Cultura Física, 17(3). https://revmedep.sld.cu/index.php/medep/article/view/557
Bahr, R., & Maehlum, S. (2007). Lesiones Deportivas/Sports Injuries: Diagnóstico, Tratamiento y Rehabilitación/Diagnostic, Treatment and Rehabilitation. Médica Panamericana.
Balderas, A. V., Cruz, C., Zapata, N., & Salazar, J. M. (2022). La validación por juicio de expertos como estrategia para medir la confiabilidad de un instrumento. TECTZAPIC: Revista Académico-Científica, 8(1), 9-18. https://www.eumed.net/es/revistas/tectzapic/8-1-junio22/instrumento DOI: https://doi.org/10.51896/tectzapic/IQCL5337
Barceló-Reyna, R., & Martín-Agüero, O. J. (2020). Lesiones más frecuentes en futbolistas en la etapa de iniciación. Mundo Fesc, 10(S1), 76-80. https://www.fesc.edu.co/Revistas/OJS/index.php/mundofesc/article/view/399 DOI: https://doi.org/10.61799/2216-0388.399
Barceló-Reyna, R., Noa-Cuadro, H., & Martín-Agüero, O. J. (2019). Incidencia de lesiones en la iniciación deportiva orientada al fútbol. Acción, 15. http://accion.uccfd.cu/index.php/a/article/view/75
Barceló, R. (2014). Estudio de las lesiones deportivas en atletas de alto rendimiento de la provincia Las Tunas en el año 2012. Lecturas: Educación Física y Deportes, 19(193). https://www.efdeportes.com/efd193/lesiones-deportivas-en-alto-rendimiento.htm
Barceló, R., Barceló, M. C., & Moreno, M. M. (2025). Apoyo plantar en futbolistas en etapa de iniciación. Implicaciones morfofuncionales para la profilaxis de lesiones. Lecturas: Educación Física y Deportes, 30(330). https://doi.org/10.46642/efd.v30i330.8366 DOI: https://doi.org/10.46642/efd.v30i330.8366
Barceló, R., Pérez, Y., & del Valle, A. (2018). La profilaxis de lesiones deportivas en ciclistas escolares. In Contextualización Investigativa y Uso Solidario del Conocimiento Capítulo: Cultura Física y Deporte (pp. 398-406). REDIPE. https://www.redipe.org/wp-content/uploads/2019/06/Libro-cuba-2017-parte-cultura.pdf
Barceló, R., & Rodríguez, A. (2017). La profilaxis de lesiones en las manos en atletas escolares de balonmano femenino. In Contextualización investigativa en el área de la Cultura Física y el Deporte en Cuba (pp. 567-577). Editorial REDIPE. https://redipe.org/pdf/Contextualizacion-investigativa-en-el-area-de-la-cultura-fisica-y-el-deporte-en-cuba.pdf
Barengo, N. C., Meneses-Echávez, J. F., Ramírez-Vélez, R., Cohen, D. D., Tovar, G., & Correa Bautista, J. E. (2014). The impact of the FIFA 11+ training program on injury prevention in football players: a systematic review. International journal of environmental research and public health, 11(11), 11986-12000. https://doi.org/10.3390/ijerph111111986 DOI: https://doi.org/10.3390/ijerph111111986
Berra, P. S., Vega, P., Valcarel, A., Aguilar, G. H., & Rossi, I. M. (2026). Lesiones asociadas al deporte en niños/niñas y adolescentes. Revista Argentina de Radiología, 90(2). https://doi.org/10.24875/RAR.24000046 DOI: https://doi.org/10.24875/RAR.24000046
Bertalanffy, L. (1968). Teoría General de Sistemas. Fundamentos, desarrollo, aplicaciones (J. A. (1989), Trans.). https://fad.unsa.edu.pe/bancayseguros/wp-content/uploads/sites/4/2019/03/Teoria-General-de-los-Sistemas.pdf
Bittencourt, N. F., Meeuwisse, W., Mendonça, L., Nettel-Aguirre, A., Ocarino, J., & Fonseca, S. (2016). Complex systems approach for sports injuries: moving from risk factor identification to injury pattern recognition—narrative review and new concept. British journal of sports medicine, 50(21), 1309-1314. https://doi.org/10.1136/bjsports-2015-095850 DOI: https://doi.org/10.1136/bjsports-2015-095850
Blázquez, D. (1986). Iniciación a los deportes de equipo. Del juego al deporte: de los 6 a los 10 años. INDE.
Cabero, J., & Barroso, J. M. (2013). La utilización del juicio de experto para la evaluación de TIC: el coeficiente de competencia experta. Bordón: Revista de pedagogía, 65(2), 25-38. https://recyt.fecyt.es/index.php/BORDON/article/view/brp.2013.65202/11419 DOI: https://doi.org/10.13042/brp.2013.65202
Çiğdem, Ö. (2025). Sports Injuries: Prevention And Management. En N. Gülşah (Ed.) Sports & Science 2025: Physical Activity and Healthy Living (pp. 107-140). Efe Academy Publishing.
Costa, L., Teles, J., & Fragoso, I. (2022). Sports injuries patterns in children and adolescents according to their sports participation level, age and maturation. BMC sports science, medicine and rehabilitation, 14(1), 35. https://doi.org/10.1186/s13102-022-00431-3 DOI: https://doi.org/10.1186/s13102-022-00431-3
Crossley, K. M., Whittaker, J. L., Patterson, B., Shill, I. J., Heming, E. E., Bullock, G. S., Dijkstra, H. P., Donaldson, A., McKay, C. D., & Mountjoy, M. (2025). Female, woman and/or girl Athlete Injury pRevention (FAIR) practical recommendations: International Olympic Committee (IOC) consensus meeting held in Lausanne, Switzerland, 2025. British journal of sports medicine, 59(22), 1546-1559. https://doi.org/10.1136/bjsports-2025-110889 DOI: https://doi.org/10.1136/bjsports-2025-110889
Dhahbi, W., Jebabli, N., Souaifi, M., Ceylan, H. İ., Ben Saad, H., Chamari, K., Pyne, D. B., & Chaabene, H. (2026). Application of Artificial Intelligence for Predicting Sports Injuries and Customizing Personalized Prevention Strategies: A Scoping Review. Bioengineering, 13(6), 692. https://doi.org/10.3390/bioengineering13060692 DOI: https://doi.org/10.3390/bioengineering13060692
Dong, G., Tan, X., Yuan, P., & Li, Y. (2026). Artificial intelligence and wearable sensors in sports injury risk prediction: current status and future perspectives: AI-wearable sports injury prediction. Annals of Medicine, 58(1), 1-16. https://doi.org/10.1080/07853890.2026.2658879 DOI: https://doi.org/10.1080/07853890.2026.2658879
Elosua, P., & Zumbo, B. D. (2008). Coeficientes de fiabilidad para escalas de respuesta categórica ordenada. Psicothema, 896-901. https://www.redalyc.org/pdf/727/72720458.pdf
Eslami, A., Sahebozamani, M., & Bahiraei, S. (2023). The effect of the FIFA 11+ kids Warm-up training program on lower limb injury prevention and football player performance (a systematic review). Journal of Sport Biomechanics, 9(1), 2-15. http://biomechanics.iauh.ac.ir/article-1-307-en.html DOI: https://doi.org/10.61186/JSportBiomech.9.1.2
Fernández, M., & Busto, J. M. (2009). Prevención de lesiones deportivas. Orthotips AMOT, 5(1), 93-105. https://www.medigraphic.com/pdfs/orthotips/ot-2009/ot091j.pdf
Ferreira, S., Lategan, L., & Verhagen, E. (2026). Development of an integrated injury prevention and rehabilitation model for rugby and long-distance running: A qualitative consensus approach. South African Journal of Sports Medicine, 38(1), v38i31a23613. https://doi.org/10.17159/2078-516X/2026/v38i1a23613 DOI: https://doi.org/10.17159/2078-516X/2026/v38i1a23613
Fonseca, S. T., Souza, T. R., Verhagen, E., Van Emmerik, R., Bittencourt, N. F., Mendonça, L. D., Andrade, A. G., Resende, R. A., & Ocarino, J. M. (2020). Sports injury forecasting and complexity: a synergetic approach. Sports medicine, 50(10), 1757-1770. https://doi.org/10.1007/s40279-020-01326-4 DOI: https://doi.org/10.1007/s40279-020-01326-4
Furie, K., Park, A. L., & Wong, S. E. (2023). Mental health and involuntary retirement from sports post-musculoskeletal injury in adult athletes: a systematic review. Current Reviews in Musculoskeletal Medicine, 16(5), 211-219. https://doi.org/10.1007/s12178-023-09830-6 DOI: https://doi.org/10.1007/s12178-023-09830-6
Hernández, R., Fernández, C., & Baptista, P. (2014). Metodología de la Investigación (6ta ed.). Mc Graw Hill Education.
Herrera, J. R., Calero, J. L., González, M. Á., Collazo, M. I., & Travieso, Y. (2022). El método de consulta a expertos en tres niveles de validación. Revista Habanera de Ciencias Médicas, 21(1), 1-12. https://www.redalyc.org/journal/1804/180473621013/180473621013.pdf
Hughes, T., O’Hara, J., Burton, A., London, N., & Emmonds, S. (2023). Evaluating the impact of injury prevention interventions in child and adolescent sports using the RE-AIM framework and CERT: A systematic review. Plos one, 18(7), e0289065. https://doi.org/10.1371/journal.pone.0289065 DOI: https://doi.org/10.1371/journal.pone.0289065
Khairani, A., Farhanah, S. N., Nurfauziah, E., Setiawan, M. A., & Aulia, D. (2025). The Impact of Sports Injuries on Athlete Performance. COMPETITOR: Jurnal Pendidikan Kepelatihan Olahraga, 17(2), 704-710. https://doi.org/10.26858/cpjok.v17i2.47 DOI: https://doi.org/10.26858/cpjok.v17i2.47
Knörr, J., & de Bergua, J. M. (2021). Lesiones deportivas en el adolescente. Revista de Formación Continuada de la Sociedad Española de Medicina de la Adolescencia, 9(3), 48-59. https://www.adolescere.es/revista/pdf/volumen-IX-n3-2021/2021-n3-48_59_Tema-de-revision-Lesiones-deportivas-en-el-adolescente.pdf
Larraín, C., & Salinas, M. (2021). Lesiones deportivas por sobreuso en niños y adolescentes. Revista Médica Clínica Las Condes, 32(3), 329-335. https://doi.org/10.1016/j.rmclc.2021.04.002 DOI: https://doi.org/10.1016/j.rmclc.2021.04.002
Liu, H., Liu, X., & Yin, L. (2025). Effects of multicomponent exercise injury prevention programs on adolescent team athletes (10–19 years old): a systematic review and meta-analysis. Frontiers in Pediatrics, 13, 1561993. https://doi.org/10.3389/fped.2025.1561993 DOI: https://doi.org/10.3389/fped.2025.1561993
Liveris, N. I. (2025). Applying systems thinking approaches to investigate the complex interrelationships of risk factors affecting acute non-contact lower limb injuries in team sports (PhD Academy Award). British journal of sports medicine, 59(9), 683-684. https://doi.org/10.1136/bjsports-2025-109742 DOI: https://doi.org/10.1136/bjsports-2025-109742
Liveris, N. I., Papageorgiou, G., Tsepis, E., Fousekis, K., Tsarbou, C., & Xergia, S. A. (2023). Towards the development of a system dynamics model for the prediction of lower extremity injuries. International Journal of Exercise Science, 16(3), 1052-1065. https://doi.org/10.70252/OJBI8280 DOI: https://doi.org/10.70252/OJBI8280
Lorenzo, Y. H. (2015). Estudio de las lesiones deportivas en ciclistas escolares de Las Tunas durante el ciclo de entrenamiento 2013-2014 [Tesis de licenciatura no publicada] Universidad de Las Tunas, Cuba.
Martín, O. J., Basulto, A. B., Montero, J. G., Rice, D. A., & Robert, L. (2016). Principio de profilaxis morfo-fisiológica para el entrenamiento deportivo. Realidades y perspectivas. Lecturas: Educación Física y Deportes(214), 1-10. https://www.efdeportes.com/efd214/profilaxis-para-el-entrenamiento-deportivo.htm
Martínez-Estupiñan, L. M., Santana-Lugones, J. L., Mata-Cuevas, R., & Pérez-Ventura, G. (2021). Sistema de acciones para la prevención de lesiones deportivas del soma en el niño atleta. Arrancada, 21(38), 196-207. https://hdl.handle.net/20.500.14330/CLA01000515146
Martínez, L. M., Santana, J. L., & Pérez, G. (2019). Lesiones deportivas del niño atleta. Análisis epidemiológico, tasas, severidad y reingreso (II). Revista Cubana de Medicina del Deporte y la Cultura Física, 14(2). https://revmedep.sld.cu/index.php/medep/article/view/32
Musat, C., Mereuta, C., Nechita, A., Tutunaru, D., Voipan, A., Voipan, D., & Nechita, L. (2024). Diagnostic Applications of AI in Sports: A Comprehensive Review of Injury Risk Prediction Methods. Diagnostics, 14(22), 2516. https://doi.org/10.3390/diagnostics14222516 DOI: https://doi.org/10.3390/diagnostics14222516
Olivares, J. (2024). Prevención de lesión de ligamento cruzado anterior en futbolistas: protocolo de campo e intervenciones eficientes [Tesis Doctoral en Biomedicina, Universidad de Granada]. Granada, España. https://digibug.ugr.es/bitstream/handle/10481/92453/94811.pdf?sequence=4#50#45
Peterson, L., Renstrom, P. A., & Lynch, S. (2024). Sports injuries: prevention, treatment and rehabilitation. Routledge. https://doi.org/10.4324/9781003056898 DOI: https://doi.org/10.4324/9781003056898
Pol, R., Hristovski, R., Medina, D., & Balague, N. (2019). From microscopic to macroscopic sports injuries. Applying the complex dynamic systems approach to sports medicine: a narrative review. British journal of sports medicine, 53(19), 1214-1220. https://doi.org/10.1136/bjsports-2016-097395 DOI: https://doi.org/10.1136/bjsports-2016-097395
Post, E. G., & Anderson, T. (2026). The Untapped Potential of Expert Elicitation in Sports Medicine Epidemiology. Sports Medicine-Open, 12(1), 8. https://doi.org/10.1186/s40798-026-00981-7 DOI: https://doi.org/10.1186/s40798-026-00981-7
Post, E. G., Anderson, T., Samson, O., Gidley, A. D., Triplett, A. N., Donaldson, A. T., Finnoff, J. T., & Adams, W. M. (2024). Development and implementation of an injury and illness surveillance system for team USA. Injury epidemiology, 11(1), 28. https://doi.org/10.1186/s40621-024-00514-4 DOI: https://doi.org/10.1186/s40621-024-00514-4
Ramírez, S. (1999). Teoría general de sistemas de Ludwig von Bertalanffy (Vol. 3). UNAM. https://ru.ceiich.unam.mx/handle/123456789/3409
Ramos, A. P., Schmidt, R., Migliorini, F., Maffulli, N., & Okubo, R. (2024). FIFA 11+ KIDS in the prevention of soccer injuries in children: a systematic review. Journal of orthopaedic surgery and research, 19(1), 413. https://doi.org/10.1186/s13018-024-04876-9 DOI: https://doi.org/10.1186/s13018-024-04876-9
Ríos, J., Pérez, Y., Solé, S., Montoya, C., Reyes, A. B., & Chávez, M. d. C. (2023). Design and Evaluation of Tools for the Psychological Prevention of Injuries in Baseball Pitchers. The Open Sports Sciences Journal, 16(1), 1-10. https://doi.org/10.2174/1875399X-v16-e230530-2022-40 DOI: https://doi.org/10.2174/1875399X-v16-e230530-2022-40
Rodríguez, L. R. (2014). Estudio de factores de riesgo asociados a lesiones deportivas en atletas de espada de la EIDE Carlos Leyva González [Tesis de licenciatura no publicada] Universidad de Las Tunas, Cuba.
Romero, D., & Tous, J. (2011). Prevención de lesiones en el deporte: Claves para un rendimiento deportivo óptimo. Médica Panamericana.
Sadigursky, D., Braid, J. A., De Lira, D. N. L., Machado, B. A. B., Carneiro, R. J. F., & Colavolpe, P. O. (2017). The FIFA 11+ injury prevention program for soccer players: a systematic review. BMC sports science, medicine and rehabilitation, 9(1), 18. https://doi.org/10.1186/s13102-017-0083-z DOI: https://doi.org/10.1186/s13102-017-0083-z
Saxon, L., Finch, C., & Bass, S. (1999). Sports participation, sports injuries and osteoarthritis. Sports medicine, 28(2), 123-135. https://link.springer.com/article/10.2165/00007256-199928020-00005 DOI: https://doi.org/10.2165/00007256-199928020-00005
Sprouse, B., Chandran, A., Rao, N., Boltz, A. J., Johnson, M., Hennis, P., & Varley, I. (2024). Injury and illness surveillance monitoring in team sports: a framework for all. Injury epidemiology, 11(1), 23. https://doi.org/10.1186/s40621-024-00504-6 DOI: https://doi.org/10.1186/s40621-024-00504-6
Tejero, S., & Martínez, B. (2025). Typology and severity of football injuries: Data from incidence studies. En M. de Hoyo (Ed) Physiological and Functional Assessment of Professional Football Players (pp. 195-206). Routledge. https://doi.org/10.4324/9781032637006 DOI: https://doi.org/10.4324/9781032637006-11
Vázquez, E. D. (2023). Teoría de sistemas: De Ludwig von Bertalanffy a Niklas Luhmann: From Ludwig von Bertalanffy to Niklas Luhmann. Miradas, 18(1), 195-206. https://doi.org/10.22517/25393812.25276 DOI: https://doi.org/10.22517/25393812.25276
Walker, B. (2025). The Anatomy of Sports Injuries: Your Illustrated Guide to Prevention, Diagnosis, and Treatment. Human Kinetics.
Zou, R. (2025). Exploring the role of artificial intelligence in sports injury prevention and rehabilitation. Scalable Computing: Practice and Experience, 26(1), 316-325. https://doi.org/10.12694/scpe.v26i1.3544 DOI: https://doi.org/10.12694/scpe.v26i1.3544
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