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特定基于运动的足球损伤预防方案对足球整体损伤率的影响:FIFA 11 和 11+ 方案的系统评价和荟萃分析。

Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football: a systematic review and meta-analysis of the FIFA 11 and 11+ programmes.

机构信息

Department of Orthopaedic Surgery, Sports Orthopedic Research Center-Copenhagen (SORC-C), Amager-Hvidovre Hospital, Copenhagen University, Hvidovre, Denmark.

Department of Physical Medicine and Rehabilitation-Copenhagen (PMR-C), Amager-Hvidovre Hospital, Copenhagen University, Hvidovre, Denmark.

出版信息

Br J Sports Med. 2017 Apr;51(7):562-571. doi: 10.1136/bjsports-2016-097066. Epub 2017 Jan 13.

DOI:10.1136/bjsports-2016-097066
PMID:28087568
Abstract

OBJECTIVE

To investigate the effect of FIFA injury prevention programmes in football (FIFA 11 and FIFA 11+).

DESIGN

Systematic review and meta-analysis.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES

Randomised controlled trials comparing the FIFA injury prevention programmes with a control (no or sham intervention) among football players.

DATA SOURCES

MEDLINE via PubMed, EMBASE via OVID, CINAHL via Ebsco, Web of Science, SportDiscus and Cochrane Central Register of Controlled Trials, from 2004 to 14 March 2016.

RESULTS

6 cluster-randomised controlled trials had assessed the effect of FIFA injury prevention programmes compared with controls on the overall football injury incidence in recreational/subelite football. These studies included 2 specific exercise-based injury prevention programmes: FIFA 11 (2 studies) and FIFA 11+ (4 studies). The primary analysis showed a reduction in the overall injury risk ratio of 0.75 (95% CI 0.57 to 0.98), p=0.04, in favour of the FIFA injury prevention programmes. Secondary analyses revealed that when pooling the 4 studies applying the FIFA 11+ prevention programme, a reduction in the overall injury risk ratio (incidence rate ratio (IRR) 0.61; 95% CI 0.48 to 0.77, p<0.001) was present in favour of the FIFA 11+ prevention programme. No reduction was present when pooling the 2 studies including the FIFA 11 prevention programme (IRR 0.99; 95% CI 0.80 to 1.23, p=0.940).

CONCLUSIONS

An injury-preventing effect of the FIFA injury prevention programmes compared with controls was shown in football. This effect was induced by the FIFA 11+ prevention programme which has a substantial injury-preventing effect by reducing football injuries by 39%, whereas a preventive effect of the FIFA 11 prevention programme could not be documented.

TRIAL REGISTRATION NUMBER

PROSPERO CRD42015024120.

摘要

目的

研究国际足球联合会(FIFA)预防损伤计划在足球中的效果(FIFA11 和 FIFA11+)。

设计

系统评价和荟萃分析。

研究入选标准

比较足球运动员中 FIFA 预防损伤计划与对照组(无或假干预)的随机对照试验。

数据来源

2004 年至 2016 年 3 月 14 日,通过 PubMed 检索 MEDLINE、通过 OVID 检索 EMBASE、通过 Ebsco 检索 CINAHL、通过 Web of Science、SportDiscus 和 Cochrane 对照试验中心注册库检索。

结果

6 项整群随机对照试验评估了 FIFA 预防损伤计划与对照组相比对业余/低级别足球整体足球损伤发生率的影响。这些研究包括 2 种特定的基于运动的损伤预防计划:FIFA11(2 项研究)和 FIFA11+(4 项研究)。主要分析显示,FIFA 预防损伤计划组的总体损伤风险比为 0.75(95%CI 0.57 至 0.98),P=0.04,有利于 FIFA 预防损伤计划。二次分析显示,当汇总应用 FIFA11+预防计划的 4 项研究时,总体损伤风险比(发生率比(IRR)0.61;95%CI 0.48 至 0.77,P<0.001)降低,有利于 FIFA11+预防计划。当汇总包含 FIFA11 预防计划的 2 项研究时,没有发现降低(IRR 0.99;95%CI 0.80 至 1.23,P=0.940)。

结论

与对照组相比,FIFA 预防损伤计划在足球中显示出预防损伤的效果。这种效果是由 FIFA11+预防计划引起的,该计划通过减少 39%的足球损伤来产生实质性的预防损伤效果,而 FIFA11 预防计划的预防效果无法被证明。

试验注册编号

PROSPERO CRD42015024120。

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