Schiftan Gabriella Sophie, Ross Lauren Ashleigh, Hahne Andrew John
Department of Physiotherapy, La Trobe University, Australia.
Department of Physiotherapy, La Trobe University, Australia.
J Sci Med Sport. 2015 May;18(3):238-44. doi: 10.1016/j.jsams.2014.04.005. Epub 2014 Apr 26.
To systematically summarise the evidence on the effectiveness of proprioceptive training in reducing the incidence and recurrence rates of ankle sprains in the sporting population.
A systematic review and meta-analysis of randomised controlled trials.
A computer-based literature search of MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro (to October 2013) was conducted. Methodological quality of individual studies was assessed using the PEDro scale. Meta-analysis was performed on eligible studies to produce a pooled estimate of the effectiveness of the intervention.
Seven moderate-to-high quality randomised controlled trials involving 3726 participants were included. Results of the meta-analysis combining all participants, irrespective of ankle injury history status, revealed a significant reduction of ankle sprain incidence when proprioceptive training was performed compared to a range of control interventions (relative risk=0.65, 95% CI 0.55-0.77). Results favouring the intervention remained significant for participants with a history of ankle sprain (relative risk=0.64, 95% CI 0.51-0.81). Results looking exclusively at primary prevention in those without a history were also statistically significant (relative risk=0.57, 95% CI 0.34 to 0.97), although the pooled effect was obtained from two non-significant trials.
Proprioceptive training programmes are effective at reducing the rate of ankle sprains in sporting participants, particularly those with a history of ankle sprain. Current evidence remains inconclusive on the benefits for primary prevention of ankle sprains.
系统总结关于本体感觉训练在降低运动员群体踝关节扭伤发生率和复发率方面有效性的证据。
对随机对照试验进行系统评价和荟萃分析。
通过计算机检索MEDLINE、EMBASE、CINAHL、SPORTDiscus和PEDro（截至2013年10月）。使用PEDro量表评估单个研究的方法学质量。对符合条件的研究进行荟萃分析，以得出干预措施有效性的汇总估计值。
纳入了7项涉及3726名参与者的中高质量随机对照试验。荟萃分析结果显示，无论踝关节损伤史状况如何，与一系列对照干预措施相比，进行本体感觉训练时踝关节扭伤发生率显著降低（相对危险度=0.65，95%可信区间0.55 - 0.77）。对于有踝关节扭伤史的参与者，支持该干预措施的结果仍然显著（相对危险度=0.64，95%可信区间0.51 - 0.81）。专门针对无踝关节扭伤史者进行一级预防的结果在统计学上也具有显著性（相对危险度=0.57，95%可信区间0.34至0.97），尽管汇总效应是从两项无显著性的试验中获得的。
本体感觉训练方案在降低运动员踝关节扭伤发生率方面是有效的，尤其是对有踝关节扭伤史的运动员。目前关于踝关节扭伤一级预防益处的证据仍不明确。
