PURPOSE:The aim of this study was to review information about risk factors for lower extremity running injuries in both short-distance (mean running distance ≤20 km/week and ≤10 km/session) and long-distance runners (mean running distance >20 km/week and >10 km/session). METHODS:Electronic databases were searched for articles published up to February 2019. Prospective cohort studies using multivariable analysis for the assessment of individual risk factors or risk models for the occurrence of lower extremity running injuries were included. Two reviewers independently selected studies for eligibility and assessed risk of bias with the Quality in Prognostic Studies Tool. The GRADE approach was used to assess the quality of the evidence. RESULTS:A total of 29 studies were included: 17 studies focused on short-distance runners, 11 studies focused on long-distance runners, and 1 study focused on both types of runners. A previous running-related injury was the strongest risk factor for an injury for long-distance runners, with moderate-quality evidence. Previous injuries not attributed to running was the strongest risk factor for an injury for short-distance runners, with high-quality evidence. Higher body mass index, higher age, sex (male), having no previous running experience, and lower running volume were strong risk factors, with moderate quality evidence, for short-distance runners. Low-quality evidence was found for all risk models as predictors of running-related injuries among short- and long-distance runners. CONCLUSION:Several risk factors for lower extremity injuries have been identified among short- and long-distance runners, but the quality of evidence for these risk factors for running-related injuries is limited. Running injuries seem to have a multifactorial origin both in short- and long-distance runners.

译文

目的:本研究的目的是回顾短距离(平均跑步距离≤20km /周和≤10 km / session)和长距离跑步者(平均跑步距离> 20 km /周和> 10 km /会话)。
方法:在电子数据库中搜索截至2019年2月发表的文章。该研究包括使用多变量分析进行的前瞻性队列研究,以评估个体危险因素或发生下肢跑步损伤的风险模型。两名审稿人独立选择了研究是否合格,并使用“预后研究质量”工具评估了偏倚风险。 GRADE方法用于评估证据的质量。
结果:总共包括29项研究:17项针对短距离跑步者的研究,11项针对长距离跑步者的研究,1项针对两种类型的跑步者的研究。有中等质量的证据,以前与跑步有关的伤害是长跑运动员受伤的最大危险因素。高质量的证据表明,以前不归因于跑步的伤害是短距离跑步者受伤的最大危险因素。较高的体重指数,较高的年龄,性别(男性),没有以前的跑步经验和较低的跑步量是短跑运动员的强烈危险因素,有中等质量的证据。在所有风险模型中,低质量的证据被认为是短距离和长距离跑步者跑步相关伤害的预测指标。
结论:在短距离和长距离跑步者中已经确定了下肢受伤的几个危险因素,但是这些与跑步相关的伤害的危险因素的证据质量有限。跑步伤害似乎是短距离和长距离跑步者的多方面原因。

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