Factors associated with outcome following exercise interventions for Achilles tendinopathy: A systematic review.
Factors associated with outcome following exercise interventions for Achilles tendinopathy: A systematic review.
复制标题
与跟腱病运动干预后的结果相关的因素：系统评价。
DOI：
10.1002/pri.1889
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Färnqvist K
中科院分区：
文献类型：
--
作者：
Färnqvist K
目的：本系统综述旨在综合目前关于跟腱病变(AT)运动治疗后影响预后的因素的现有证据。检索PubMed、Embase和Cochrane Library数据库(PubMed、Embase和Cochrane Library)。研究选择调查与AT运动干预后结果(如疼痛和功能问卷)相关的因素(如年龄、BMI)的研究。数据提取数据提取成标准化形式，包括患者人口统计学、人口样本、研究类型、与结果相关的因素和结果测量。数据合成计划在适当的情况下进行Meta分析。在不能汇集数据的地方，我们描述性地总结了研究结果。结果纳入了6项研究，调查了11个不同的因素；总体来说，证据的质量很差。有相互矛盾的证据表明，成像措施与签证-A结果的变化有关。这些包括由MRI确定的信号强度和肌腱大小，以及超声组织表征模式。三项研究发现，症状的持续时间与签证A的变化无关。此外，三项研究发现，年龄和一项研究发现，以前的体育活动水平与结果无关。有活动的基线疼痛、基线VISA-A、性别和BMI与特定的结果不一致。结论由于总体证据质量较差，尚不能得出确切的结论。充其量，没有一致的证据表明成像因素、基线疼痛和功能、BMI和性别与结果有一定的关联，但这些发现需要在更广泛的研究中得到证实。
ObjectiveThis systematic review aimed to synthesize current evidence on contributing factors influencing outcome following exercise management for Achilles tendinopathy (AT).Data SourcesDatabases (PubMed, Embase, and Cochrane Library) were searched from inception to February 2020.Study SelectionStudies investigating factors (e.g., age, BMI) associated with outcome (e.g., pain and function questionnaires) following exercise interventions for AT were included.Data ExtractionData were extracted into a standardized form, including patient demographics, population sample, study type, factors associated with outcome, and outcome measures.Data SynthesisMeta‐analysis was planned to be performed, where appropriate. Where data could not be pooled, we summarized the findings descriptively.ResultsSix studies investigating 11 different factors were included; overall the quality of evidence was poor. There was conflicting evidence that imaging measures had an association with a change in VISA‐A outcome. These included signal intensity and tendon size determined by MRI, and Ultrasound Tissue Characterization echopattern. Three studies found that duration of symptoms was not associated with a change in VISA‐A. Also, three studies found that age, and one study found that prior sporting activity level, were not associated with outcome. Baseline pain with activity, baseline VISA‐A, sex, and BMI were inconsistently associated with specific outcomes.ConclusionDue to the poor quality of evidence overall, no firm conclusions can be drawn. At best, there was inconsistent evidence that imaging factors, baseline pain and function, BMI, and sex showed some associations with outcomes, but these findings need to be confirmed in more extensive studies.
常规物理疗法和离心强化对插入跟腱病的影响。
影响因子：
1.7
作者：
Margaret Kedia;Michael Williams;Lisa Jain;Marie Barron;Nick P. Bird;B. Blackwell;D. Richardson;Susan N. Ishikawa;G. Murphy
通讯作者：
G. Murphy