Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis.
Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis.
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DOI：
10.1186/s13047-014-0055-4
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发表时间：
2014
影响因子：
2.9
通讯作者：
Barton CJ
中科院分区：
文献类型：
--
作者：
Neal BS;Griffiths IB;Dowling GJ;Murley GS;Munteanu SE;Franettovich Smith MM;Collins NJ;Barton CJ
足部姿势的静态测量通常被用作临床检查的一部分，以确定足部干预的必要性。这是基于前旋和旋足姿势可能是下肢损伤的危险因素或与之相关的前提。本系统综述和荟萃分析调查了足部姿势（静态测量）作为下肢过度使用损伤的潜在危险因素。2014年4月，使用Medline、CINAHL、Embase、SportDiscus进行了系统检索，以确定前瞻性队列研究，调查足部姿势和功能作为下肢过度使用损伤的危险因素。根据足部评估方法对符合条件的研究进行分类：(i)静态足部姿势评估；和/或（ii）动态足部功能评估。这篇综述介绍了评估静足姿势的研究。纳入研究的方法学质量由两名独立审稿人使用改编版本的流行病学评估工具（EAI）进行评估。在可能的情况下，效应用连续缩放数据的标准化平均差异（SMD）和标称缩放数据的风险比（RR）来表示。在损伤和结果被认为是同质的情况下进行meta分析。21项研究被纳入（总n = 6228； EAI为0.8 ~ 1.7 / 2.0）。有强有力的证据表明，足前旋姿势是内侧胫骨应激综合征（MTSS）发展的一个危险因素，尽管相关效应量很小（0.28至0.33），但证明足前旋姿势是髌股疼痛发展的一个危险因素的证据非常有限。未发现足内翻姿势与任何其他评估病理（即足/踝关节损伤、骨应激反应和非特异性下肢过度使用损伤）之间的关系。本系统综述确定了强有力的和非常有限的证据，表明内旋足姿势分别是MTSS和髌股疼痛的危险因素。静足姿势的评估应该包括在MTSS和髌股疼痛的多因素评估中，尽管只是作为潜在损伤风险概况的一部分。虽然所包括的措施在临床上是适用的，但需要进一步的研究来确定它们与动态足部功能的关系。本文的在线版本（doi:10.1186/s13047-014-0055-4）包含补充材料，仅供授权用户使用。
Static measures of foot posture are regularly used as part of a clinical examination to determine the need for foot level interventions. This is based on the premise that pronated and supinated foot postures may be risk factors for or associated with lower limb injury. This systematic review and meta-analysis investigates foot posture (measured statically) as a potential risk factor for lower limb overuse injuries. A systematic search was performed using Medline, CINAHL, Embase, SportDiscus in April 2014, to identify prospective cohort studies that investigated foot posture and function as a risk factor for lower limb overuse injury. Eligible studies were classified based on the method of foot assessment: (i) static foot posture assessment; and/or (ii) dynamic foot function assessment. This review presents studies evaluating static foot posture. The methodological quality of included studies was evaluated by two independent reviewers, using an adapted version of the Epidemiological Appraisal Instrument (EAI). Where possible, effects were expressed as standardised mean differences (SMD) for continuous scaled data, and risk ratios (RR) for nominal scaled data. Meta-analysis was performed where injuries and outcomes were considered homogenous. Twenty-one studies were included (total n = 6,228; EAI 0.8 to 1.7 out of 2.0). There was strong evidence that a pronated foot posture was a risk factor for medial tibial stress syndrome (MTSS) development and very limited evidence that a pronated foot posture was a risk factor for patellofemoral pain development, although associated effect sizes were small (0.28 to 0.33). No relationship was identified between a pronated foot posture and any other evaluated pathology (i.e. foot/ankle injury, bone stress reactions and non-specific lower limb overuse injury). This systematic review identified strong and very limited evidence of small effect that a pronated foot posture is a risk factor for MTSS and patellofemoral pain respectively. Evaluation of static foot posture should be included in a multifactorial assessment for both MTSS and patellofemoral pain, although only as a part of the potential injury risk profile. Whilst the included measures are clinically applicable, further studies are required to determine their relationship with dynamic foot function. The online version of this article (doi:10.1186/s13047-014-0055-4) contains supplementary material, which is available to authorized users.
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影响因子：
4.8
作者：
Buist, Ida;Bredeweg, Steef W.;Diercks, Ron L.
通讯作者：
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影响因子：
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作者：
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DOI：
10.1249/mss.0b013e31818b98e6
发表时间：
2009-03-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
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作者：
Hubbard, Tricia J.;Carpenter, Erica Mullis;Cordova, Mitchell L.
通讯作者：
Cordova, Mitchell L.
影响因子：
4.8
作者：
Kaufman, KR;Brodine, SK;Cullison, TR
通讯作者：
Cullison, TR