Gribble Phillip A, Delahunt Eamonn, Bleakley Christopher M, Caulfield Brian, Docherty Carrie L, Fong Daniel Tik-Pui, Fourchet François, Hertel Jay, Hiller Claire E, Kaminski Thomas W, McKeon Patrick O, Refshauge Kathryn M, van der Wees Philip, Vicenzino William, Wikstrom Erik A
The University of Toledo, OH.
J Athl Train. 2014 Jan-Feb;49(1):121-7. doi: 10.4085/1062-6050-49.1.14. Epub 2013 Dec 30.
While research on chronic ankle instability (CAI) and awareness of its impact on society and health care systems has grown substantially in the last 2 decades, the inconsistency in participant or patient selection criteria across studies presents a potential obstacle to addressing the problem properly. This major gap within the literature limits the ability to generalize this evidence to the target patient population. Therefore, there is a need to provide standards for patient or participant selection criteria in research focused on CAI with justifications using the best available evidence. The International Ankle Consortium provides this position paper to present and discuss an endorsed set of selection criteria for patients with CAI based on the best available evidence to be used in future research and study designs. These recommendations will enhance the validity of research conducted in this clinical population with the end goal of bringing the research evidence to the clinician and patient.
在过去20年里,虽然对慢性踝关节不稳(CAI)的研究以及对其对社会和医疗保健系统影响的认识有了大幅增长,但各研究中参与者或患者选择标准的不一致,给妥善解决这一问题带来了潜在障碍。文献中的这一重大空白限制了将该证据推广至目标患者群体的能力。因此,有必要为聚焦CAI的研究提供患者或参与者选择标准,并依据现有最佳证据给出理由。国际踝关节联盟发布本立场文件,旨在基于现有最佳证据,提出并讨论一套认可的CAI患者选择标准,供未来研究和研究设计使用。这些建议将提高针对该临床群体开展研究的有效性,最终目标是将研究证据带给临床医生和患者。