Javier Matias-Soto, Marta Infante-Cano, Cristina García-Muñoz, Saul Pineda-Escobar, Javier Martinez-Calderon
{"title":"按运动类型划分的脑震荡发生率：按性别、年龄组、比赛类型和比赛水平划分的脑震荡发生率：系统综述与 Meta 分析。","authors":"Javier Matias-Soto, Marta Infante-Cano, Cristina García-Muñoz, Saul Pineda-Escobar, Javier Martinez-Calderon","doi":"10.2519/jospt.2024.12677","DOIUrl":null,"url":null,"abstract":"<p><p><b>OBJECTIVES:</b> To (1) summarize pooled prevalence and incidence rates of concussion by type of sport and (2) synthesize the differences in prevalence or incidence rates of concussion by type of sports in terms of sex, age, type of session, and level of competition. <b>DESIGN:</b> An overview of systematic reviews with meta-analysis. <b>LITERATURE SEARCH:</b> CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library databases were searched. <b>STUDY SELECTION CRITERIA:</b> Systematic reviews with meta-analyses reporting pooled incidence or prevalence of sport-related concussion. <b>DATA SYNTHESIS:</b> AMSTAR 2 was used to assess the methodological quality of reviews. Overlap between reviews was calculated. <b>RESULTS:</b> Ten systematic reviews with meta-analysis were included, all evaluating incidence rates of concussion. There were no meta-analyses of concussion prevalence. Concussions seem to have a higher incidence in rugby, snowboarding, ice hockey, and American football. In reviews that explored sex-based differences across subgroups, there was a higher incidence rate of concussion in baseball-softball, basketball, and soccer in females compared to males. There were no age subgroups analyzed. The incidence of concussions was higher during games compared to practice in American football, ice hockey, rugby, and soccer. Amateur rugby had higher concussion rates compared to professional rugby. <b>CONCLUSIONS:</b> Rugby, snowboarding, ice hockey, and American football had the highest incidence rate of concussion when no other differences (eg, type of session) were considered. However, important methodological flaws were detected, such as the lack of use of the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system and subgroups for specific factors (eg, age groups). <i>J Orthop Sports Phys Ther 2024;54(11):1-9. Epub 15 October 2024. doi:10.2519/jospt.2024.12677</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"54 11","pages":"1-9"},"PeriodicalIF":6.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Concussion Incidence by Type of Sport: Differences by Sex, Age Groups, Type of Session, and Level of Play An Overview of Systematic Reviews With Meta-analysis.\",\"authors\":\"Javier Matias-Soto, Marta Infante-Cano, Cristina García-Muñoz, Saul Pineda-Escobar, Javier Martinez-Calderon\",\"doi\":\"10.2519/jospt.2024.12677\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>OBJECTIVES:</b> To (1) summarize pooled prevalence and incidence rates of concussion by type of sport and (2) synthesize the differences in prevalence or incidence rates of concussion by type of sports in terms of sex, age, type of session, and level of competition. <b>DESIGN:</b> An overview of systematic reviews with meta-analysis. <b>LITERATURE SEARCH:</b> CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library databases were searched. <b>STUDY SELECTION CRITERIA:</b> Systematic reviews with meta-analyses reporting pooled incidence or prevalence of sport-related concussion. <b>DATA SYNTHESIS:</b> AMSTAR 2 was used to assess the methodological quality of reviews. Overlap between reviews was calculated. <b>RESULTS:</b> Ten systematic reviews with meta-analysis were included, all evaluating incidence rates of concussion. There were no meta-analyses of concussion prevalence. Concussions seem to have a higher incidence in rugby, snowboarding, ice hockey, and American football. In reviews that explored sex-based differences across subgroups, there was a higher incidence rate of concussion in baseball-softball, basketball, and soccer in females compared to males. There were no age subgroups analyzed. The incidence of concussions was higher during games compared to practice in American football, ice hockey, rugby, and soccer. Amateur rugby had higher concussion rates compared to professional rugby. <b>CONCLUSIONS:</b> Rugby, snowboarding, ice hockey, and American football had the highest incidence rate of concussion when no other differences (eg, type of session) were considered. However, important methodological flaws were detected, such as the lack of use of the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system and subgroups for specific factors (eg, age groups). <i>J Orthop Sports Phys Ther 2024;54(11):1-9. 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Concussion Incidence by Type of Sport: Differences by Sex, Age Groups, Type of Session, and Level of Play An Overview of Systematic Reviews With Meta-analysis.
OBJECTIVES: To (1) summarize pooled prevalence and incidence rates of concussion by type of sport and (2) synthesize the differences in prevalence or incidence rates of concussion by type of sports in terms of sex, age, type of session, and level of competition. DESIGN: An overview of systematic reviews with meta-analysis. LITERATURE SEARCH: CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library databases were searched. STUDY SELECTION CRITERIA: Systematic reviews with meta-analyses reporting pooled incidence or prevalence of sport-related concussion. DATA SYNTHESIS: AMSTAR 2 was used to assess the methodological quality of reviews. Overlap between reviews was calculated. RESULTS: Ten systematic reviews with meta-analysis were included, all evaluating incidence rates of concussion. There were no meta-analyses of concussion prevalence. Concussions seem to have a higher incidence in rugby, snowboarding, ice hockey, and American football. In reviews that explored sex-based differences across subgroups, there was a higher incidence rate of concussion in baseball-softball, basketball, and soccer in females compared to males. There were no age subgroups analyzed. The incidence of concussions was higher during games compared to practice in American football, ice hockey, rugby, and soccer. Amateur rugby had higher concussion rates compared to professional rugby. CONCLUSIONS: Rugby, snowboarding, ice hockey, and American football had the highest incidence rate of concussion when no other differences (eg, type of session) were considered. However, important methodological flaws were detected, such as the lack of use of the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system and subgroups for specific factors (eg, age groups). J Orthop Sports Phys Ther 2024;54(11):1-9. Epub 15 October 2024. doi:10.2519/jospt.2024.12677.
期刊介绍：
The Journal of Orthopaedic & Sports Physical Therapy® (JOSPT®) publishes scientifically rigorous, clinically relevant content for physical therapists and others in the health care community to advance musculoskeletal and sports-related practice globally. To this end, JOSPT features the latest evidence-based research and clinical cases in musculoskeletal health, injury, and rehabilitation, including physical therapy, orthopaedics, sports medicine, and biomechanics.
With an impact factor of 3.090, JOSPT is among the highest ranked physical therapy journals in Clarivate Analytics''s Journal Citation Reports, Science Edition (2017). JOSPT stands eighth of 65 journals in the category of rehabilitation, twelfth of 77 journals in orthopedics, and fourteenth of 81 journals in sport sciences. JOSPT''s 5-year impact factor is 4.061.
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