Kobayashi Takumi, Tanaka Masashi, Shida Masahiro
Sports Health. 2016 Mar-Apr;8(2):190-3. doi: 10.1177/1941738115623775.
Lateral ankle ligamentous sprain (LAS) is one of the most common injuries in recreational activities and competitive sports. Many studies have attempted to determine whether there are certain intrinsic factors that can predict LAS. However, no consensus has been reached on the predictive intrinsic factors.
To identify the intrinsic risk factors of LAS by meta-analysis from data in randomized control trials and prospective cohort studies.
A systematic computerized literature search of MEDLINE, CINAHL, ScienceDirect, SPORTDiscus, and Cochrane Register of Clinical Trials was performed.
A computerized literature search from inception to January 2015 resulted in 1133 studies of the LAS intrinsic risk factors written in English.
Systematic review.
Level 4.
The modified quality index was used to assess the quality of the design of the papers and the standardized mean difference was used as an index to pool included study outcomes.
Eight articles were included in this systematic review. Meta-analysis results showed that body mass index, slow eccentric inversion strength, fast concentric plantar flexion strength, passive inversion joint position sense, and peroneus brevis reaction time correlated with LAS.
Body mass index, slow eccentric inversion strength, fast concentric plantar flexion strength, passive inversion joint position sense, and the reaction time of the peroneus brevis were associated with significantly increased risk of LAS.
外侧踝关节韧带扭伤（LAS）是娱乐活动和竞技运动中最常见的损伤之一。许多研究试图确定是否存在某些内在因素可预测LAS。然而，关于预测性内在因素尚未达成共识。
通过对随机对照试验和前瞻性队列研究数据进行荟萃分析，确定LAS的内在危险因素。
对MEDLINE、CINAHL、ScienceDirect、SPORTDiscus和Cochrane临床试验注册库进行了系统的计算机文献检索。
从创刊至2015年1月进行的计算机文献检索产生了1133项用英文撰写的关于LAS内在危险因素的研究。
系统评价。
4级。
采用改良质量指数评估论文设计质量，采用标准化均数差作为汇总纳入研究结果的指标。
本系统评价纳入8篇文章。荟萃分析结果显示，体重指数、慢离心内翻力量、快向心跖屈力量、被动内翻关节位置觉和腓骨短肌反应时间与LAS相关。
体重指数、慢离心内翻力量、快向心跖屈力量、被动内翻关节位置觉和腓骨短肌反应时间与LAS风险显著增加相关。
