Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis.
Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis.
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运动员中pat骨肌病的可修改风险因素：系统评价和荟萃分析。
DOI：
10.1136/bjsports-2017-099000
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发表时间：
2018-12
影响因子：
18.4
通讯作者：
Grävare Silbernagel K
中科院分区：
文献类型：
--
作者：
Sprague AL;Smith AH;Knox P;Pohlig RT;Grävare Silbernagel K
进行系统评价和荟萃分析，以确定运动员髌腱病的 (1) 潜在可改变危险因素和 (2) 相关可改变因素。进行了系统评价和荟萃分析。使用纽卡斯尔-渥太华量表评估偏倚风险，并根据研究设计进行分组。对五项或更多研究报告的项目进行荟萃分析统计。为不适合荟萃分析的项目提供证据强度评级。 PubMed、Web of Science、Scopus 和 Cinahl 于 2017 年 11 月 14 日进行了检索。定量、原创研究报告了潜在的可改变风险因素或相关因素，将患有髌腱病的运动员与未受伤的运动员进行了比较。筛选了 862 条记录，纳入 31 篇文章（6 篇前瞻性文章，25 篇横断面文章）。缺乏任何潜在的可改变风险因素或相关因素的有力证据。有限或相互矛盾的证据表明，踝关节背屈运动范围减小、大腿后侧和股四头肌灵活性降低、跳跃训练量增加、每周打排球次数增多、反向运动跳跃 (CMJ) 高度增加以及活动量增加是潜在的可改变的危险因素。荟萃分析支持更大的活动量（Cohen’s d=0.22，95% CI：0.06-0.39，p=0.008）、更高的体重（0.36、0.17-0.55，p<0.001）和更大的 CMJ 高度（0.31、0.07-0.56，p=0.01）作为相关的可改变因素。缺乏任何潜在的可改变风险因素或相关因素的有力证据。支持水平较低的因素可能对设计预防计划感兴趣，但需要在高质量的前瞻性研究中进行进一步研究。
To perform a systematic review and meta-analysis identifying (1) potential modifiable risk factors and (2) associated modifiable factors for patellar tendinopathy in athletes. A systematic review and meta-analysis was conducted. Risk of bias was assessed using the Newcastle-Ottawa Scale and grouped based on study design. Meta-analytic statistics were performed for items reported by five or more studies. A strength of evidence rating is provided for items not appropriate for meta-analysis. PubMed, Web of Science, Scopus and Cinahl were searched on 14 November 2017. Quantitative, original research reporting potential modifiable risk factors or associated factors, comparing athletes with patellar tendinopathy to a group without the injury. 862 records were screened and 31 articles were included (6 prospective, 25 cross-sectional). There was a lack of strong evidence for any potential modifiable risk factor or associated factors. There was limited or conflicting evidence that decreased ankle dorsiflexion range-of-motion, decreased posterior thigh and quadriceps flexibility, greater volume of jump training, more volleyball sets played per week, greater counter-movement jump (CMJ) height, and greater activity volume are potential modifiable risk factors. Meta-analysis supported greater activity volume (Cohen’s d=0.22, 95% CI: 0.06–0.39, p=0.008), higher bodyweight (0.36, 0.17–0.55, p<0.001), and greater CMJ height (0.31, 0.07–0.56, p=0.01) as associated modifiable factors. There is a lack of strong evidence for any potential modifiable risk factors or associated factors. Factors with lower levels of support may be of interest in designing prevention programs but require further research in high-quality, prospective studies.
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影响因子：
0.7
作者：
Krauss, I.;Grau, S.;Horstmann, T.
通讯作者：
Horstmann, T.
影响因子：
4.1
作者：
HARMAN, EA;ROSENSTEIN, MT;ROSENSTEIN, RM
通讯作者：
ROSENSTEIN, RM
影响因子：
3.3
作者：
Hoch, Matthew C.;Farwell, Kelley E.;Weinhandl, Joshua T.
通讯作者：
Weinhandl, Joshua T.
影响因子：
1.9
作者：
Duval, S;Tweedie, R
通讯作者：
Tweedie, R
影响因子：
18.4
作者：
Cook, JL;Khan, KM;Bonar, SF
通讯作者：
Bonar, SF