The impact of stretching on sports injury risk: A systematic review of the literature
The impact of stretching on sports injury risk: A systematic review of the literature
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DOI：
10.1249/01.mss.0000117134.83018.f7
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发表时间：
2004-03-01
期刊：
影响因子：
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通讯作者：
Kimsey, CD
中科院分区：
文献类型：
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作者：
Thacker, SB;Gilchrist, J;Kimsey, CD
目的：我们进行了一项系统的回顾，以评估拉伸作为预防运动损伤工具的有效性的证据，并提出研究和预防建议。研究方法：在没有语言限制的情况下，我们检索了电子数据库，包括MEDLINE（1966-2002）、Current Contents（1997-2002）、Biomedical Collection（1993-1999）、科克伦图书馆和SPORTDiscus，然后从检索到的论文中识别引文并联系该领域的专家。荟萃分析仅限于包括拉伸在内的干预措施的随机试验或队列研究。研究被排除，缺乏控制，其中伸展不能独立评估，或研究不包括体育或健身活动的主题。所有文章均由一位作者进行初步筛选。在识别出的361篇文章中，有6篇比较了拉伸与其他预防损伤的方法。数据由一位作者提取，然后由另外三位作者独立审查。数据质量由三位作者使用先前标准化的工具独立评估，评审员会面以协调解释中的实质性差异。我们根据意向治疗分析以及质量评分和研究设计的亚组分析计算加权合并比值比。结果如下：拉伸与总损伤的减少无显著相关性（OR = 0.93，CI 0.78-1.11），在亚组分析中也观察到类似结果。结论：没有足够的证据支持或停止运动前或运动后的常规拉伸，以防止竞技或娱乐运动员受伤。迫切需要进一步的研究，特别是进行良好的随机对照试验，以确定拉伸在运动中的适当作用。
Purpose: We conducted a systematic review to assess the evidence for the effectiveness of stretching as a tool to prevent injuries in sports and to make recommendations for research and prevention. Methods: Without language limitations, we searched electronic data bases, including MEDLINE (1966-2002), Current Contents (1997-2002), Biomedical Collection (1993-1999), the Cochrane Library, and SPORTDiscus, and then identified citations from papers retrieved and contacted experts in the field. Meta-analysis was limited to randomized trials or cohort studies for interventions that included stretching. Studies were excluded that lacked controls, in which stretching could not be assessed independently, or where studies did not include subjects in sporting or fitness activities. All articles were screened initially by one author. Six of 361 identified articles compared stretching with other methods to prevent injury. Data were abstracted by one author and then reviewed independently by three others. Data quality was assessed independently by three authors using a previously standardized instrument, and reviewers met to reconcile substantive differences in interpretation. We calculated weighted pooled odds ratios based on an intention-to-treat analysis as well as subgroup analyses by quality score and study design. Results: Stretching was not significantly associated with a reduction in total injuries (OR = 0.93, CI 0.78-1.11) and similar findings were seen in the subgroup analyses. Conclusion: There is not sufficient evidence to endorse or discontinue routine stretching before or after exercise to prevent injury among competitive or recreational athletes. Further research, especially well-conducted randomized controlled trials, is urgently needed to determine the proper role of stretching in sports.