We recommend that progressive

resistance exercise should be implemented into clinical practice as a therapy for Parkinson’s disease, particularly when the aim is improving walking capacity in such people. eAddenda: Appendix 1, Figure 3 and Figure 5 available at Selleckchem PS 341 jop.physiotherapy.asn.au Support: CNPq and FAPEMIG (Brazilian Government Funding Agencies), and Pro Reitoria de Pesquisa-UFMG (technical support in editing the manuscript). “
“The beneficial health effect of a physically active lifestyle, eg, engaging in sports, is offset by the accompanying high risk of sports injuries. Sports injuries impose a high economic burden on society, and with about 265 million active players worldwide in 2006 (FIFA 2007), soccer makes a significant contribution to the sports injury problem. The financial selleck inhibitor loss due to soccer injuries in the professional English football leagues during the 1999-2000 season was

roughly estimated at ~€118 million (Woods et al 2002). In Switzerland, with 42 262 soccer injuries in 2003, the annual costs were estimated at ~€95 million augmented by the loss of more than 500 000 working days (Junge et al 2011). In the Netherlands, with a population of 16 million, there are 3.7 million sports injuries each year, with the greatest proportion (620 000 injuries) occurring in outdoor soccer (Consumer Safety Institute 2011). The largest share (75–85%) of all soccer injuries affect the lower extremities next (Consumer Safety Institute 2011). To prevent soccer injuries, training programs have been designed to improve strength, balance, and muscle control of the lower extremities. One of these is a structured injury prevention program

called The11, developed by the FIFA Medical and Research Centre (F-MARC) to reduce both injury risk and injury severity in soccer. The program consists of 10 exercises designed to improve stability, muscle strength, co-ordination and flexibility of the trunk, hip, and leg muscles, and advice to promote fair play ( Junge et al 2002). The training program reduced the number of injured adolescent male amateur soccer players (Junge et al 2002), but did not reduce the incidence of injury in adolescent female soccer players (Steffen et al 2008). One reason why no preventive effect was detected in the latter study may be What is already known on this topic: The structured injury prevention program known as The11 reduces soccer injuries in different populations but the effect on male amateur soccer players, the largest active soccer population, is still unknown. What this study adds: Despite not reducing the number of injuries, The11 nevertheless reduced significantly the overall costs associated with injuries. Savings occurred particularly in indirect nonhealthcare costs such as lost productivity. The cost savings may be the result of a preventive effect on knee injuries, which often have substantial costs due to lengthy rehabilitation and lost productivity.