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Although injury prevention programs have been shown to help reduce leg and foot injuries in sports, less than 10% of high school coaches implement the programs as designed, according to a new survey.

Half of coaches are aware of the programs, but many believe they’re too complex or do not offer an advantage over existing practices, researchers found.

“There are a ton of different programs out there,” said lead author Marc F. Norcross of Oregon State University in Corvallis.

Read the full report here.