Is an Exercise-Based Injury-Prevention Program Effective in Team Handball Players? A Systematic Review and Meta-Analysis.

IF 2.6 2区医学 Q1 SPORT SCIENCES

Journal of Athletic Training Pub Date : 2024-08-01 DOI:10.4085/1062-6050-0680.22

Aynollah Naderi, Fatemeh Shaabani, Mojtaba Keikha, Hans Degens

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引用次数: 0

Abstract

Objective: To assess the effectiveness of exercise-based injury-prevention programs in preventing sports injuries in team handball players.

Data sources: Scopus, PubMed, Web of Science, SPORTDiscus, and CINAHL from inception until April 2023.

Study selection: Studies were included if they were randomized controlled trials or prospective cohort studies, contained a population of competitive team handball players, included an intervention designed specifically to prevent or reduce the risk of team handball injuries, and reported injury incidence rates specific to team handball players. Two researchers independently evaluated studies for inclusion and assessed their methodological quality.

Data extraction: Study design, intervention details, participant characteristics, and the number of injuries in each group were extracted from each study by 2 independent researchers. The outcome of interest was the incidence rate of injury. Injury data were classified into 5 groups: shoulder injuries, lower extremity injuries, knee injuries, anterior cruciate ligament injuries, and ankle injuries. Extracted data were analyzed using a random-effects model to compute the overall effect estimates of injury-prevention programs in reducing the risk of injuries. Odds ratios (ORs) with 95% CIs were calculated based on the number of injuries in each group.

Data synthesis: Meta-analyses were conducted independently for each injury classification. Results indicated that prevention programs reduced the risk of shoulder injuries (OR = 0.60; 95% CI = 0.42, 0.85; P = .004), lower extremity injuries (OR = 0.59; 95% CI = 0.37, 0.95; P = .03), knee injuries (OR = 0.53; 95% CI = 0.35, 0.78; P = .002), anterior cruciate ligament injuries (OR = 0.66; 95% CI = 0.45, 0.96; P = .03), and ankle injuries (OR = 0.57; 95% CI = 0.40, 0.81; P = .002) in team handball players.

Conclusions: In team handball players, injury-prevention programs appear to effectively reduce the risk of shoulder, lower extremity, knee, ankle, and anterior cruciate ligament injuries.

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基于运动的手球运动员损伤预防计划有效吗？系统回顾与元分析》。

目的评估以运动为基础的伤害预防计划在预防手球团体运动员运动伤害方面的有效性：数据来源：Scopus、PubMed、Web of Science、SPORTDiscus 和 CINAHL（从开始到 2023 年 4 月）：纳入的研究必须是随机对照试验或前瞻性队列研究，包含竞技团队手球运动员群体，包含专门为预防或减少团队手球运动损伤风险而设计的干预措施，并报告了团队手球运动员的损伤发生率。两名研究人员独立评估了研究的纳入情况，并对其方法学质量进行了评估：数据提取：由两名独立研究人员从每项研究中提取研究设计、干预细节、参与者特征和每组受伤人数。关注的结果是受伤发生率。受伤数据分为 5 组：肩部受伤、下肢受伤、膝部受伤、前交叉韧带受伤和踝关节受伤。提取的数据采用随机效应模型进行分析，以计算伤害预防计划在降低伤害风险方面的总体效果估计值。根据每组受伤人数计算出了带有 95% CI 的比率（ORs）：对每种伤害分类进行了独立的元分析。结果表明，预防计划降低了肩部受伤（OR = 0.60; 95% CI = 0.42, 0.85; P = .004）、下肢受伤（OR = 0.59; 95% CI = 0.37, 0.95; P = .03）、膝部受伤（OR = 0.53；95% CI = 0.35，0.78；P = .002）、前交叉韧带损伤（OR = 0.66；95% CI = 0.45，0.96；P = .03）和踝关节损伤（OR = 0.57；95% CI = 0.40，0.81；P = .002）：对于团队手球运动员来说，伤害预防计划似乎能有效降低肩部、下肢、膝关节、踝关节和前十字韧带受伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Athletic Training 医学-运动科学

CiteScore

5.30

自引率

6.10%

发文量

106

审稿时长

6 months

期刊介绍： The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of health care for the physically active through education and research in prevention, evaluation, management and rehabilitation of injuries. The Journal of Athletic Training offers research you can use in daily practice. It keeps you abreast of scientific advancements that ultimately define professional standards of care - something you can''t be without if you''re responsible for the well-being of patients.