{"title":"Prevalence of Sports Injuries Among Athletes With Disabilities: A Meta-analysis","authors":"Tongnian Yang , Jie Ren","doi":"10.1016/j.apmr.2025.05.018","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To synthesize the prevalence and risk factors of sports injuries in athletes with disabilities through a meta-analysis.</div></div><div><h3>Data Sources</h3><div>Web of Science, PubMed, EBSCO, SpringerLink, China National Knowledge Infrastructure, and Wanfang Data.</div></div><div><h3>Study Selection</h3><div>We selected cross-sectional studies on the prevalence of sports injuries in athletes with disabilities published between 2006 and 2024.</div></div><div><h3>Data Extraction</h3><div>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.</div></div><div><h3>Data Synthesis</h3><div><span>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<span><span> than chronic traumatic injuries and acute chronic traumatic injuries, a higher prevalence of upper extremity injuries than lower extremity injuries, trunk and </span>head and neck injuries, and a higher prevalence of athletic injuries in sample sizes <1000 than in sample sizes ≥1000 (</span></span><em>P</em><.001).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 10","pages":"Pages 1603-1614"},"PeriodicalIF":3.7000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physical medicine and rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003999325007257","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
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.
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.