Department of Physical Therapy, Universitat Internacional de Catalunya, Barcelona, Spain.
Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark Department of Health Science and Technology, Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark.
Br J Sports Med. 2015 Jun;49(12):785-91. doi: 10.1136/bjsports-2014-094162. Epub 2015 Feb 24.
BACKGROUND/AIM: Groin injuries are common in football and ice hockey, and previous groin injury is a strong risk factor for future groin injuries, which calls for primary prevention. The aim of this systematic review was to evaluate the effect of specific groin-injury prevention programmes in sports.
A comprehensive search was performed in May 2014 yielding 1747 potentially relevant references. Two independent assessors evaluated randomised controlled trials for inclusion, extracted data and performed quality assessments using Cochrane's risk of bias tool. Quantitative analyses were performed in Review Manager 5.3.
Seven trials were included: six on football players (four male and two female populations) and one on male handball players. In total there were 4191 participants with a total of 157 injuries. The primary analysis, including all participants, did not show a significant reduction in the number of groin injuries after completing a groin injury prevention programme (relative risk (RR) 0.81; 95% CI 0.60 to 1.09). Subgroup analysis based on type of sports, gender and type of prevention programme showed similar non-significant estimates with RR ranging from 0.48 to 0.81.
Meta-analysis revealed a potential clinically meaningful groin injury reduction of 19%, even though no statistical significant reduction in sport-related groin injuries could be documented.
PROSPERO registration ID CRD42014009614.
背景/目的：腹股沟损伤在足球和冰球中较为常见，既往腹股沟损伤是未来腹股沟损伤的强烈危险因素，这就需要进行初级预防。本系统综述的目的是评估特定的腹股沟损伤预防方案在运动中的效果。
于 2014 年 5 月进行了全面检索，产生了 1747 条可能相关的参考文献。两名独立评估者评估了随机对照试验的纳入情况、提取数据，并使用 Cochrane 偏倚风险工具进行了质量评估。在 Review Manager 5.3 中进行了定量分析。
纳入了 7 项试验：6 项针对足球运动员（4 项为男性，2 项为女性），1 项针对男性手球运动员。共有 4191 名参与者，共有 157 例损伤。包括所有参与者的主要分析并未显示完成腹股沟损伤预防计划后腹股沟损伤数量显著减少（相对风险 (RR) 0.81；95%置信区间 0.60 至 1.09）。基于运动类型、性别和预防计划类型的亚组分析显示出相似的非显著估计值，RR 范围为 0.48 至 0.81。
荟萃分析显示腹股沟损伤的潜在临床有意义减少了 19%，尽管在运动相关的腹股沟损伤方面未记录到统计学显著减少。
PROSPERO 注册 ID CRD42014009614。
