de Noronha Marcos, Lay Eleisha K, Mcphee Madelyn R, Mnatzaganian George, Nunes Guilherme S
J Sport Rehabil. 2019 May 1;28(4):373-380. doi: 10.1123/jsr.2017-0279. Epub 2019 Feb 4.
Ankle sprains are common injuries in sports, but it is unclear whether they are more likely to occur in a specific period of a sporting game. To systematically review the literature investigating when in a match ankle sprains most likely occurred. The databases CINAHL, EMBASE, MEDLINE, and SPORTDiscus were searched up to August 2016, with no restriction of date or language. The search targeted studies that presented data on the time of occurrence of ankle sprains during sports matches. Data from included studies were analyzed as a percentage of ankle sprain occurrence by halftime and by quarters. Meta-analyses were run using a random effects model. The quality assessment tool for quantitative studies was used to assess the article's quality. The searches identified 1142 studies, and 8 were included in this review. A total of 500 ankle sprains were reported during follow-up time, which ranged from 1 to 15 years, in 5 different sports (soccer, rugby, futsal, American football, and Gaelic football). The meta-analyses, including all 8 studies, showed that the proportion of ankle sprains during the first half (0.44; 95% confidence interval [CI], 0.38-0.50) was smaller than the second half (0.56; 95% CI, 0.50-0.62). For the analyses by quarters, the proportion of ankle sprains in the first quarter (0.14; 95% CI, 0.09-0.19) was considerably smaller than the second (0.28; 95% CI, 0.24-0.32), third (0.25; 95% CI, 0.17-0.34), and fourth (0.29; 95% CI, 0.22-0.36) quarters. The results of this review indicate that ankle sprains are more likely to occur later in the game during the second half or during the latter minutes of the first half.
踝关节扭伤是体育运动中的常见损伤，但尚不清楚它们是否更有可能发生在体育比赛的特定时间段。为了系统地回顾关于比赛中踝关节扭伤最可能发生时间的文献。检索了截至2016年8月的CINAHL、EMBASE、MEDLINE和SPORTDiscus数据库，没有日期或语言限制。检索目标是呈现体育比赛中踝关节扭伤发生时间数据的研究。纳入研究的数据按半场和季度分析为踝关节扭伤发生率的百分比。使用随机效应模型进行荟萃分析。定量研究的质量评估工具用于评估文章质量。检索共识别出1142项研究，本综述纳入了8项。在5种不同运动（足球、橄榄球、室内五人足球美式橄榄球和盖尔式足球）的1至15年随访期间，共报告了500例踝关节扭伤。包括所有8项研究的荟萃分析表明，上半场踝关节扭伤的比例（0.44；95%置信区间[CI]，0.38 - 0.50）低于下半场（0.56；95% CI，0.50 - 0.62）。按季度分析时，第一节踝关节扭伤的比例（0.14；95% CI，0.09 - 0.19）明显低于第二节（0.28；95% CI，0.24 - 0.32）、第三节（0.25；95% CI，0.17 - 0.34）和第四节（0.29；95% CI，0.22 - 0.36）。本综述结果表明踝关节扭伤更有可能发生在比赛的后半段或上半场的后几分钟。
