Table 2

 Results of intervention studies to prevent softball injuries

First authors, year of publication (reference)Study designPopulationPrevention strategy or interventionStudy or prevention groups (subjects)Outcome riskInjury rate ratioQuality score (100 points maximum)
Janda et al, 198826Intervention Softball players on various teams by skill level Two seasonsMen and women, ages 18–55 years Recreational players Teams divided according to skill levelRogers Breakaway bases installed on playing fields; other fields kept standard stationary bases Teams assigned to playing fields on a random and rotating basisGames played with breakaway bases (n = 633) Games played with stationary bases (n = 627)Base sliding related injuries that required first aid treatment or higher Breakaway: 2/633 = 0.0031 = 1 injury every 316 games Stationary: 45/627 = 0.0718 = 1 injury every 14 gamesRR (stationary base: breakaway base) = 23.2 (p<0.001)Median = 38 Range 33–44
Janda et al, 199027Intervention Softball players on various teams by skill level Long term follow up of Janda 1988Men and women, ages 18–55 years Recreational players Teams divided according to skill levelRogers Breakaway bases installed on playing fields; other fields kept standard stationary bases Teams assigned to playing fields on a random and rotating basisGames all played with breakaway bases (n = 1035)Base sliding related injuries that required first aid treatment or higher Post intervention: 2/1035 = 0.0019 = 1 injury every 517 gamesCompared with rates reported in Janda 1988 (p<0.001Median = 14 Range 13–16
Sendre et al, 199428Intervention Two year period: 1990 and 1991Men and women, age 15–48 years Recreational softball leagues, intramural softball leagues, American legion and Colt leagues, women’s softball teamHollywood Impact Base (HIB) compared with a stationary base627 total games 472 games played with HIBs (33 153 total athlete exposures) and 155 games played with standard stationary bases (3999 total athlete exposures)Base sliding related injuries HIB = 0.00003 injuries/athlete exposure Stationary = 0.001 injuries/athlete exposureRR (stationary base: HIB) = 33.3 (p<0.05)Median = 21 Range 18–25