障碍赛存在肌肉骨骼、膝关节和前十字韧带损伤的风险，尤其是在高冲击力着地动作中和女性运动员：系统回顾

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-12-01 DOI:10.1016/j.asmr.2024.100986

Natasja J. Lessiohadi B.A. , James Pai M.S. , William B. Goodman B.S. , Nicholas E. Ganek B.A. , Ariel Kesick M.S. , Mia V. Rumps M.S. , Mary K. Mulcahey M.D.

{"title":"障碍赛存在肌肉骨骼、膝关节和前十字韧带损伤的风险，尤其是在高冲击力着地动作中和女性运动员：系统回顾","authors":"Natasja J. Lessiohadi B.A. , James Pai M.S. , William B. Goodman B.S. , Nicholas E. Ganek B.A. , Ariel Kesick M.S. , Mia V. Rumps M.S. , Mary K. Mulcahey M.D.","doi":"10.1016/j.asmr.2024.100986","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the incidence rate (IR) of anterior cruciate ligament (ACL) and associated musculoskeletal injuries in recreational and/or military-training obstacle course races (OCRs) and to determine whether there are any risk factors or features of OCRs impacting the rate of ACL injury in race participants.</div></div><div><h3>Methods</h3><div>This systematic review was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies were identified using the following electronic databases: PubMed, EMBASE, Cochrane, and Scopus. The inclusion criteria were studies that were published in English between 2000 and 2023 that included participants in recreational and/or military OCRs and categorized injuries relevant to the ACL, knee, and/or lower extremity and/or categorized ACL injury risk factors in context relevant to OCRs. Systematic reviews, narrative reviews, and non–peer-reviewed studies were excluded. For all studies meeting the inclusion criteria, the full text was reviewed. Analyses of the IR and male-female IR ratio were performed on data collected. IR by sex was compared using the 2-sample <em>t</em> test.</div></div><div><h3>Results</h3><div>The literature search yielded 2,896 studies for initial review; 16 studies met the inclusion criteria. Of these studies, 8 reported injury data and 2 provided specific ACL injury data; the remaining studies reported risk factors relevant to OCRs. The total IR of ACL injuries in OCRs was 0.45/1,000 athlete-exposures (AEs) ± 0.40/1,000 AEs. Female individuals had a higher IR than male individuals (1.51/1,000 AEs ± 1.42/1,000 AEs vs 0.29/1,000 AEs ± 0.23/1,000 AEs; IR ratio, 5.14 ± 1.95 [95% confidence interval, 1.23-9.05]; <em>P</em> = .001). Risk factors for ACL injury in OCRs included rubber-matting terrain and obstacles requiring high-impact landings and/or deceleration maneuvers.</div></div><div><h3>Conclusions</h3><div>OCRs require many high-impact and pivoting landings, thus presenting a notable risk of ACL and associated musculoskeletal injuries. The total IR of ACL injuries in OCRs was 0.45/1,000 AEs ± 0.40/1,000 AEs. The risk and IR of injury in OCRs are increased in female participants and on specific terrain (e.g., rubber matting).</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level II-IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100986"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Obstacle Course Races Present a Risk of Musculoskeletal, Knee, and Anterior Cruciate Ligament Injury, Especially in High-Impact Landing Maneuvers and Female Athletes: A Systematic Review\",\"authors\":\"Natasja J. Lessiohadi B.A. , James Pai M.S. , William B. Goodman B.S. , Nicholas E. Ganek B.A. , Ariel Kesick M.S. , Mia V. Rumps M.S. , Mary K. Mulcahey M.D.\",\"doi\":\"10.1016/j.asmr.2024.100986\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>To determine the incidence rate (IR) of anterior cruciate ligament (ACL) and associated musculoskeletal injuries in recreational and/or military-training obstacle course races (OCRs) and to determine whether there are any risk factors or features of OCRs impacting the rate of ACL injury in race participants.</div></div><div><h3>Methods</h3><div>This systematic review was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies were identified using the following electronic databases: PubMed, EMBASE, Cochrane, and Scopus. The inclusion criteria were studies that were published in English between 2000 and 2023 that included participants in recreational and/or military OCRs and categorized injuries relevant to the ACL, knee, and/or lower extremity and/or categorized ACL injury risk factors in context relevant to OCRs. Systematic reviews, narrative reviews, and non–peer-reviewed studies were excluded. For all studies meeting the inclusion criteria, the full text was reviewed. Analyses of the IR and male-female IR ratio were performed on data collected. IR by sex was compared using the 2-sample <em>t</em> test.</div></div><div><h3>Results</h3><div>The literature search yielded 2,896 studies for initial review; 16 studies met the inclusion criteria. Of these studies, 8 reported injury data and 2 provided specific ACL injury data; the remaining studies reported risk factors relevant to OCRs. The total IR of ACL injuries in OCRs was 0.45/1,000 athlete-exposures (AEs) ± 0.40/1,000 AEs. Female individuals had a higher IR than male individuals (1.51/1,000 AEs ± 1.42/1,000 AEs vs 0.29/1,000 AEs ± 0.23/1,000 AEs; IR ratio, 5.14 ± 1.95 [95% confidence interval, 1.23-9.05]; <em>P</em> = .001). Risk factors for ACL injury in OCRs included rubber-matting terrain and obstacles requiring high-impact landings and/or deceleration maneuvers.</div></div><div><h3>Conclusions</h3><div>OCRs require many high-impact and pivoting landings, thus presenting a notable risk of ACL and associated musculoskeletal injuries. The total IR of ACL injuries in OCRs was 0.45/1,000 AEs ± 0.40/1,000 AEs. The risk and IR of injury in OCRs are increased in female participants and on specific terrain (e.g., rubber matting).</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level II-IV studies.</div></div>\",\"PeriodicalId\":34631,\"journal\":{\"name\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"volume\":\"6 6\",\"pages\":\"Article 100986\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666061X24001135\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X24001135","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的测定休闲和/或军事训练障碍赛（ocr）中前交叉韧带（ACL）及相关肌肉骨骼损伤的发生率（IR），并确定是否存在影响比赛参与者前交叉韧带（ACL）损伤发生率的危险因素或ocr特征。方法本系统评价按照系统评价和荟萃分析指南的首选报告项目进行。研究通过以下电子数据库确定：PubMed、EMBASE、Cochrane和Scopus。纳入标准是2000年至2023年间以英文发表的研究，包括娱乐性和/或军用ocr的参与者，并分类与ACL，膝关节和/或下肢相关的损伤和/或分类与ocr相关的ACL损伤危险因素。排除了系统评价、叙述性评价和非同行评议的研究。对所有符合纳入标准的研究进行全文审查。对收集的数据进行红外光谱分析和男女红外光谱比分析。性别间IR比较采用双样本t检验。结果文献检索获得2896篇文献进行初步回顾；16项研究符合纳入标准。在这些研究中，8项报告了损伤数据，2项提供了具体的ACL损伤数据；其余的研究报告了与ocr相关的危险因素。ocr中ACL损伤的总IR为0.45/ 1000运动员暴露（ae）±0.40/ 1000 ae。女性个体IR高于男性个体（1.51/ 1000 ae±1.42/ 1000 ae vs 0.29/ 1000 ae±0.23/ 1000 ae）；红外比，5.14±1.95[95%可信区间，1.23-9.05]；P = .001)。ocr中ACL损伤的危险因素包括橡胶垫地形和需要高冲击力着陆和/或减速机动的障碍物。结论socrs需要多次高冲击和旋转着陆，因此具有ACL和相关肌肉骨骼损伤的显著风险。ocr中ACL损伤的总IR为0.45/ 1000 ae±0.40/ 1000 ae。女性参与者和特定地形（如橡胶垫）的ocr损伤风险和IR增加。证据水平：IV级，II-IV级研究的系统评价。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Obstacle Course Races Present a Risk of Musculoskeletal, Knee, and Anterior Cruciate Ligament Injury, Especially in High-Impact Landing Maneuvers and Female Athletes: A Systematic Review

Purpose

To determine the incidence rate (IR) of anterior cruciate ligament (ACL) and associated musculoskeletal injuries in recreational and/or military-training obstacle course races (OCRs) and to determine whether there are any risk factors or features of OCRs impacting the rate of ACL injury in race participants.

Methods

This systematic review was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies were identified using the following electronic databases: PubMed, EMBASE, Cochrane, and Scopus. The inclusion criteria were studies that were published in English between 2000 and 2023 that included participants in recreational and/or military OCRs and categorized injuries relevant to the ACL, knee, and/or lower extremity and/or categorized ACL injury risk factors in context relevant to OCRs. Systematic reviews, narrative reviews, and non–peer-reviewed studies were excluded. For all studies meeting the inclusion criteria, the full text was reviewed. Analyses of the IR and male-female IR ratio were performed on data collected. IR by sex was compared using the 2-sample t test.

Results

The literature search yielded 2,896 studies for initial review; 16 studies met the inclusion criteria. Of these studies, 8 reported injury data and 2 provided specific ACL injury data; the remaining studies reported risk factors relevant to OCRs. The total IR of ACL injuries in OCRs was 0.45/1,000 athlete-exposures (AEs) ± 0.40/1,000 AEs. Female individuals had a higher IR than male individuals (1.51/1,000 AEs ± 1.42/1,000 AEs vs 0.29/1,000 AEs ± 0.23/1,000 AEs; IR ratio, 5.14 ± 1.95 [95% confidence interval, 1.23-9.05]; P = .001). Risk factors for ACL injury in OCRs included rubber-matting terrain and obstacles requiring high-impact landings and/or deceleration maneuvers.

Conclusions

OCRs require many high-impact and pivoting landings, thus presenting a notable risk of ACL and associated musculoskeletal injuries. The total IR of ACL injuries in OCRs was 0.45/1,000 AEs ± 0.40/1,000 AEs. The risk and IR of injury in OCRs are increased in female participants and on specific terrain (e.g., rubber matting).