Gabrielle Crowell, Jacob Adams, Ian Harmon, Tucker Morey, Rachel Long, Lisa Vopat, Bryan Vopat, Ashley Herda
{"title":"女性运动员在前交叉韧带重建康复研究中代表性不足：系统回顾。","authors":"Gabrielle Crowell, Jacob Adams, Ian Harmon, Tucker Morey, Rachel Long, Lisa Vopat, Bryan Vopat, Ashley Herda","doi":"10.1016/j.arthro.2024.10.051","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review the representation of female athletes in the current primary literature available on rehabilitation following anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Methods: </strong>A systematic review was conducted using PubMed to provide a comprehensive analysis of female representation in ACLR postop rehabilitation protocols. PRISMA guidelines were followed. Studies were analyzed based on nine factors: study population, athletic caliber, menstrual status, research theme, journal impact factor, sample size of male and female participants, time to return to sport (RTS), and graft failure rate. Population categories included males-only, females-only, mixed-sex, and male vs. female comparisons. Athletic caliber had six tiers. Menstrual status was categorized as natural, hormonal contraception, irregularities, mixed, or unclassified. Research themes were health-focused, performance-focused, or combined. Study impact was assessed via journal impact factor.</p><p><strong>Results: </strong>Thirty-three studies were included. Females comprised 3031/6798 (44.6%) of ACLR participants. No female-only studies were found; male-only studies accounted for 3/33 (9%), mixed-sex for 25/33 (69.7%), male vs. female sub-analysis for 3/33 (9%), and male vs. female features for 2/33 (6%). No studies investigated outcomes for the highest athletic levels. Menstrual status was not considered. No studies focused on performance outcomes; 25/33 (69.7%) had a health research focus. Females were underrepresented in studies evaluating RTS timeline and graft failure rate.</p><p><strong>Conclusion: </strong>Females face a 2-8 times higher risk of ACL injury but are underrepresented in ACLR postop rehabilitation studies, with only 44.6% participation compared to 55.4% for males. In nine studies, females comprised 30% or less of participants. Even studies including female athletes at near-equal rates failed to address menstrual status or sex hormones on injury and rehabilitation.</p><p><strong>Level of evidence: </strong>Level IV, Systematic Review of Level I - IV studies.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Female Athletes are Underrepresented in Anterior Cruciate Ligament Reconstruction Rehabilitation Studies: A Systematic Review.\",\"authors\":\"Gabrielle Crowell, Jacob Adams, Ian Harmon, Tucker Morey, Rachel Long, Lisa Vopat, Bryan Vopat, Ashley Herda\",\"doi\":\"10.1016/j.arthro.2024.10.051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To systematically review the representation of female athletes in the current primary literature available on rehabilitation following anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Methods: </strong>A systematic review was conducted using PubMed to provide a comprehensive analysis of female representation in ACLR postop rehabilitation protocols. PRISMA guidelines were followed. Studies were analyzed based on nine factors: study population, athletic caliber, menstrual status, research theme, journal impact factor, sample size of male and female participants, time to return to sport (RTS), and graft failure rate. Population categories included males-only, females-only, mixed-sex, and male vs. female comparisons. Athletic caliber had six tiers. Menstrual status was categorized as natural, hormonal contraception, irregularities, mixed, or unclassified. Research themes were health-focused, performance-focused, or combined. Study impact was assessed via journal impact factor.</p><p><strong>Results: </strong>Thirty-three studies were included. Females comprised 3031/6798 (44.6%) of ACLR participants. No female-only studies were found; male-only studies accounted for 3/33 (9%), mixed-sex for 25/33 (69.7%), male vs. female sub-analysis for 3/33 (9%), and male vs. female features for 2/33 (6%). No studies investigated outcomes for the highest athletic levels. Menstrual status was not considered. No studies focused on performance outcomes; 25/33 (69.7%) had a health research focus. Females were underrepresented in studies evaluating RTS timeline and graft failure rate.</p><p><strong>Conclusion: </strong>Females face a 2-8 times higher risk of ACL injury but are underrepresented in ACLR postop rehabilitation studies, with only 44.6% participation compared to 55.4% for males. In nine studies, females comprised 30% or less of participants. Even studies including female athletes at near-equal rates failed to address menstrual status or sex hormones on injury and rehabilitation.</p><p><strong>Level of evidence: </strong>Level IV, Systematic Review of Level I - IV studies.</p>\",\"PeriodicalId\":55459,\"journal\":{\"name\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2024-11-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.arthro.2024.10.051\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2024.10.051","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
目的：系统回顾目前有关前交叉韧带重建（ACLR）术后康复的主要文献中女性运动员的代表性：方法：使用 PubMed 进行系统性回顾，全面分析前交叉韧带重建术后康复方案中的女性比例。研究遵循了 PRISMA 指南。研究分析基于九个因素：研究人群、运动能力、月经状况、研究主题、期刊影响因子、男女参与者样本量、恢复运动时间（RTS）和移植物失败率。人群类别包括纯男性、纯女性、男女混合和男女比较。运动能力分为六级。月经状况分为自然月经、荷尔蒙避孕月经、不规则月经、混合月经或未分类月经。研究主题分为关注健康、关注表现或综合研究。研究影响通过期刊影响因子进行评估：结果：共纳入 33 项研究。在 ACLR 参与者中，女性占 3031/6798（44.6%）。没有发现纯女性研究；纯男性研究占3/33（9%），男女混合研究占25/33（69.7%），男性与女性子分析占3/33（9%），男性与女性特征分析占2/33（6%）。没有研究对最高运动水平的结果进行调查。未考虑月经状况。没有研究侧重于成绩结果；25/33（69.7%）的研究侧重于健康研究。在评估 RTS 时限和移植失败率的研究中，女性所占比例较低：结论：女性前交叉韧带损伤的风险是男性的2-8倍，但在前交叉韧带损伤术后康复研究中，女性参与的比例偏低，仅为44.6%，而男性为55.4%。在九项研究中，女性参与者占 30% 或更少。即使是包括女性运动员在内的接近同等比例的研究，也没有涉及月经状况或性激素对损伤和康复的影响：证据等级：IV 级，对 I - IV 级研究的系统综述。
Female Athletes are Underrepresented in Anterior Cruciate Ligament Reconstruction Rehabilitation Studies: A Systematic Review.
Purpose: To systematically review the representation of female athletes in the current primary literature available on rehabilitation following anterior cruciate ligament reconstruction (ACLR).
Methods: A systematic review was conducted using PubMed to provide a comprehensive analysis of female representation in ACLR postop rehabilitation protocols. PRISMA guidelines were followed. Studies were analyzed based on nine factors: study population, athletic caliber, menstrual status, research theme, journal impact factor, sample size of male and female participants, time to return to sport (RTS), and graft failure rate. Population categories included males-only, females-only, mixed-sex, and male vs. female comparisons. Athletic caliber had six tiers. Menstrual status was categorized as natural, hormonal contraception, irregularities, mixed, or unclassified. Research themes were health-focused, performance-focused, or combined. Study impact was assessed via journal impact factor.
Results: Thirty-three studies were included. Females comprised 3031/6798 (44.6%) of ACLR participants. No female-only studies were found; male-only studies accounted for 3/33 (9%), mixed-sex for 25/33 (69.7%), male vs. female sub-analysis for 3/33 (9%), and male vs. female features for 2/33 (6%). No studies investigated outcomes for the highest athletic levels. Menstrual status was not considered. No studies focused on performance outcomes; 25/33 (69.7%) had a health research focus. Females were underrepresented in studies evaluating RTS timeline and graft failure rate.
Conclusion: Females face a 2-8 times higher risk of ACL injury but are underrepresented in ACLR postop rehabilitation studies, with only 44.6% participation compared to 55.4% for males. In nine studies, females comprised 30% or less of participants. Even studies including female athletes at near-equal rates failed to address menstrual status or sex hormones on injury and rehabilitation.
Level of evidence: Level IV, Systematic Review of Level I - IV studies.
期刊介绍：
Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
