Anterior cruciate ligament injuries in female athletes - Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention
Anterior cruciate ligament injuries in female athletes - Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention
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DOI：
10.1177/0363546505282619
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发表时间：
2006-03-01
影响因子：
4.8
通讯作者：
Myer, GD
中科院分区：
文献类型：
--
作者：
Hewett, TE;Ford, KR;Myer, GD
女性运动员前交叉韧带损伤的发生率比男性运动员高4到6倍，参与相同的着陆和旋转运动。前交叉韧带损伤的风险更大，再加上参与人数的几何增长（每十年翻一番），导致女性运动员前交叉韧带损伤的显著增加。前交叉韧带损伤的性别差异，加上有证据表明，这种严重的健康问题的基础是神经肌肉的性质，导致旨在防止损伤的神经肌肉干预措施的发展。对已发表文献的系统综述产生了6种已发表的针对女运动员前交叉韧带损伤预防的干预措施。6名女性运动员中有4名显著降低了膝关节损伤发生率，6名女性运动员中有3名显著降低了前交叉韧带损伤发生率。对这6项研究的荟萃分析表明，神经肌肉训练计划对女性运动员前交叉韧带损伤的发生率有显著影响（总体效果检验，Z = 4.31，P < .0001）。检查培训方案之间的相似性和差异，使我们能够深入了解更有效和更高效的干预措施的发展。这篇“当前概念”综述的目的是强调这些干预措施在降低前交叉韧带损伤率方面的相对有效性，并评估训练研究之间的共同训练成分。此外，这些干预措施的严格程度，实施的成本和难度，遵守这些干预措施，以及性能的好处进行了讨论。本综述总结了基于各种干预措施的共同组成部分的证据得出的结论，以讨论其降低前交叉韧带损伤风险的潜力，并评估其在更有效和更高效的干预方案中联合使用的潜力。
Female athletes have a 4 to 6 times higher incidence of anterior cruciate ligament injury than do male athletes participating in the same landing and pivoting sports. This greater risk of anterior cruciate ligament injury, coupled with a geometric increase in participation (doubling each decade), has led to a significant rise in anterior cruciate ligament injuries in female athletes. The gender gap in anterior cruciate ligament injury, combined with evidence that the underpinnings of this serious health problem are neuromuscular in nature, leads to the development of neuromuscular interventions designed to prevent injury. A systematic review of the published literature yielded 6 published interventions targeted toward anterior cruciate ligament injury prevention in female athletes. Four of 6 significantly reduced knee injury incidence, and 3 of 6 significantly reduced anterior cruciate ligament injury incidence in female athletes. A meta-analysis of these 6 studies demonstrates a significant effect of neuromuscular training programs on anterior cruciate ligament injury incidence in female athletes (test for overall effect, Z = 4.31, P < .0001). Examination of the similarities and differences between the training regimens gives insight into the development of more effective and efficient interventions. The purpose of this "Current Concepts" review is to highlight the relative effectiveness of these interventions in reducing anterior cruciate ligament injury rates and to evaluate the common training components between the training studies. In addition, the level of rigor of these interventions, the costs and the difficulty of implementation, the compliance with these interventions, and the performance benefits are discussed. This review summarizes conclusions based on evidence from the common components of the various interventions to discuss their potential to reduce anterior cruciate ligament injury risk and assess their potential for combined use in more effective and efficient intervention protocols.