Prevalence of Sports Injuries Among Athletes With Disabilities: A Meta-analysis

IF 3.7 2区 医学 Q1 REHABILITATION
Tongnian Yang , Jie Ren
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Abstract

Objectives

To synthesize the prevalence and risk factors of sports injuries in athletes with disabilities through a meta-analysis.

Data Sources

Web of Science, PubMed, EBSCO, SpringerLink, China National Knowledge Infrastructure, and Wanfang Data.

Study Selection

We selected cross-sectional studies on the prevalence of sports injuries in athletes with disabilities published between 2006 and 2024.

Data Extraction

Two researchers independently performed literature screening, data extraction, and literature quality assessment. The Joanna Briggs Institute Prevalence Critical Appraisal Tool was selected for the study to assess the methodological quality of the included studies. Literature publication bias was assessed using funnel plots, Begg's, and Egger's tests in Stata 17.0 software.

Data Synthesis

A total of 20 studies were included (n=25,683). The meta-analysis revealed a 30.9% (95% CI, 26.9%-34.9%) prevalence of sports injuries in athletes with disabilities. Subgroup analyses showed a higher prevalence of acute traumatic injuries than chronic traumatic injuries and acute chronic traumatic injuries, a higher prevalence of upper extremity injuries than lower extremity injuries, trunk and head and neck injuries, and a higher prevalence of athletic injuries in sample sizes <1000 than in sample sizes ≥1000 (P<.001).

Conclusions

The prevalence of sports injuries in athletes with disabilities was 30.9%, with a higher prevalence of acute traumatic injuries and upper extremity injuries. Preventive measures for acute trauma and upper limb injuries include increasing cushioning coverage in site design, introducing dynamic electromyography (EMG) monitoring techniques, developing injury risk prediction systems, among others. In interpreting the results of these studies, the large heterogeneity among the source studies is taken into account, which may limit the generalizability of the pooled estimates. Future studies should use standardized injury surveillance protocols (eg, consensus definitions and exposure time reporting) and stratify analyses by disability type and sport to develop more targeted injury prevention strategies.
残疾运动员运动损伤的流行:一项荟萃分析。
目的:通过荟萃分析,综合残疾运动员运动损伤的患病率及危险因素。数据来源:Web of Science、PubMed、EBSCO、SpringerLink、中国知网、万方数据。研究选择:我们选择了2006年至2024年间发表的关于残疾运动员运动损伤患病率的横断面研究。资料提取:两位研究者独立进行文献筛选、资料提取和文献质量评估。本研究选择了乔安娜布里格斯研究所流行关键评估工具来评估纳入研究的方法学质量。在Stata 17.0软件中使用漏斗图、Begg’s和Egger’s检验评估文献发表偏倚。资料综合:共纳入20项研究(n=25683)。荟萃分析显示,残疾运动员的运动损伤发生率为30.9% [95% CI(26.9%, 34.9%)]。亚组分析显示,急性创伤性损伤的发生率高于慢性创伤性损伤和急性慢性创伤性损伤,上肢损伤的发生率高于下肢损伤、躯干和头颈部损伤,运动损伤的发生率在样本量< 1000的人群中高于样本量≥1000的人群(P < 0.001)。结论:残疾运动员运动损伤发生率为30.9%,其中急性外伤性损伤和上肢损伤发生率较高。急性创伤和上肢损伤的预防措施包括在场地设计中增加缓冲覆盖,引入动态肌电监测技术,开发损伤风险预测系统等。在解释这些研究的结果时,要考虑到源研究之间的巨大异质性,这可能会限制汇总估计的普遍性。未来的研究应该使用标准化的损伤监测方案(例如,共识定义,暴露时间报告),并根据残疾类型和运动进行分层分析,以制定更有针对性的损伤预防策略。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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