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Machine Learning Applications in Non-Contact Lower Limb Sports Injury Prediction: A Systematic Review.

Jin Yuan1, Quanwen Zeng1, Anjie Wang1

  • 1School of Physical Education, Anhui Polytechnic University, Wuhu, 241000, Anhui, China.

Journal of Sports Science & Medicine
|February 19, 2026
PubMed
Summary
This summary is machine-generated.

Machine learning models show promise for predicting non-contact lower limb sports injuries. Tree-based approaches, like decision trees, offer strong predictive performance for athlete injury risk assessment.

Keywords:
Predictive analyticspredictive modelsrehabilitationrisk assessmentrisk factorssports medicine

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Area of Science:

  • Sports Medicine
  • Biomechanical Engineering
  • Data Science in Sports

Background:

  • Non-contact lower limb injuries are common and impactful in athletes.
  • Predictive modeling is crucial for developing effective prevention and rehabilitation strategies.
  • Machine learning (ML) offers advanced capabilities for analyzing complex sports injury data.

Purpose of the Study:

  • To systematically review the current evidence on machine learning for predicting non-contact lower limb sports injuries.
  • To assess the performance and methodologies of ML models in athletic injury risk prediction.
  • To identify key trends and future directions in this research area.

Main Methods:

  • Systematic literature review following PRISMA 2020 guidelines.
  • Searched databases: Web of Science, PubMed, SPORTDiscus (EBSCO) on January 20, 2025.
  • Included 15 studies after screening 92, assessed risk of bias using PROBAST tool.

Main Results:

  • Adult athletes in basketball and football (soccer) were most studied.
  • Random Forest and logistic regression were common; tree-based methods showed strongest performance (6 studies).
  • Highest Area Under the Curve (AUC) of 0.91 achieved by a CHAID decision tree; sensitivity up to 0.92.

Conclusions:

  • Machine learning demonstrates significant potential for predicting non-contact lower limb injuries in athletes.
  • Model interpretability is increasingly important for clinical application.
  • Future research needs multi-source data integration and prospective validation for practical translation into precision injury prevention.