Muljadi Janisa Andrea, Chaijenkij Kornkit, Arirachakaran Alisara, Kongtharvonskul Jatupon
Mater Dei School, Bangkok, Thailand.
Orthopedic department, College of Sports Science and Technology, Mahidol University, Bangkok, Thailand.
BMC Sports Sci Med Rehabil. 2020 Jul 6;12:37. doi: 10.1186/s13102-020-00185-w. eCollection 2020.
Despite its high risk of injury, many people are still favor trampolining. However, currently there is no consensus as to which type of trampoline and which type of participant is more likely to have a trampoline related injury that will require surgical management.
This systematic review and meta-analysis aims to assess and compare the factors that cause trampoline injuries requiring surgical treatment. These include the place of the trampoline (park versus home), size of the trampoline (full versus mini), the age of the participant (child versus adult) and the sex of the participant (male versus female). The clinical outcomes measured are surgical management after trampoline injury. This systematic review was conducted according to the PRISMA guidelines.
Relevant studies that reported surgery after trampoline injury of either group were identified from Medline and Scopus from inception to May 14, 2019. Sixteen studies were included for the analysis of surgery after trampoline injury; a total of 4491 and 1121 patients were treated conservatively and surgically. The total surgery rate per patient was 31% (95% CI: 16, 46%) in all patients. The surgery rate was 0.3 (95% CI: 0.03, 0.58) and 0.06 (95% CI: 0.04, 0.09) in the full and mini size trampoline groups. There were 0.36 (95% CI: 0.06, 0.67) and 0.11 (95% CI: 0.0, 0.22) in the park and home trampoline groups. The surgery rates were 0.33 (95% CI: 0.14, 0.53), 0.24 (95% CI: 0.07, 0.11), 0.49 (95% CI: 0.47, 0.51) and 0.38 (95% CI: 0.22, 0.53) in children, adults, females and males respectively. Indirect meta-analysis shows that full size trampolines provided a 6.0 times higher risk of surgery (95% CI: 3.7, 9.7) when compared to mini size trampolines. Park trampolines had a higher risk of surgery of 2.17 (95% CI: 1.70, 2.78) when compared to home trampolines. In terms of age and sex of participants, there value was significantly higher at 1.65 (95% CI: 1.35, 2.01) and 1.54 (95% CI: 1.36, 1.74) in children compared to adults and females compared to males. From all the statistical data we summarized that the full size trampoline injuries have a 6 times higher risk of requiring surgery when compared to mini size trampoline injuries. Park trampoline use carries a 2 times higher risk of requiring surgery when compared to home trampoline use. In terms of age and sex of the participant, there is a 1.5 times significantly higher risk of injury in children compared to adults, and females when compared to males.
In trampoline related injuries, full size, park trampoline, children and females had higher surgery rates when compared to mini size, home trampoline, adult and male majority in indirect meta-analysis methods.
尽管蹦床运动受伤风险高，但仍有许多人热衷于此项运动。然而，目前对于哪种类型的蹦床以及哪种类型的参与者更易发生需要手术治疗的蹦床相关损伤尚无定论。
本系统评价和荟萃分析旨在评估和比较导致需要手术治疗的蹦床损伤的因素。这些因素包括蹦床的放置地点（公园与家中）、蹦床的尺寸（全尺寸与迷你尺寸）、参与者的年龄（儿童与成人）以及参与者的性别（男性与女性）。所测量的临床结局为蹦床损伤后的手术治疗情况。本系统评价按照PRISMA指南进行。
从Medline和Scopus数据库中检索到自创建至2019年5月14日期间报道两组中任何一组蹦床损伤后进行手术的相关研究。纳入16项研究用于分析蹦床损伤后的手术情况；共有4491例和1121例患者分别接受了保守治疗和手术治疗。所有患者的总手术率为31%（95%CI：16，46%）。全尺寸和迷你尺寸蹦床组的手术率分别为0.3（95%CI：0.03，0.58）和0.06（95%CI：0.04，0.09）。公园和家中蹦床组的手术率分别为0.36（95%CI：0.06，0.67）和0.11（95%CI：0.0，0.22）。儿童、成人、女性和男性的手术率分别为0.33（95%CI：0.14，0.53）、0.24（95%CI：0.07，0.11）、0.49（95%CI：0.47，0.51）和0.38（95%CI：0.22，0.53）。间接荟萃分析显示，与迷你尺寸蹦床相比，全尺寸蹦床导致手术的风险高6.0倍（95%CI：3.7，9.7）。与家中蹦床相比，公园蹦床导致手术的风险高2.17倍（95%CI：1.70，2.78）。就参与者的年龄和性别而言，与成人相比，儿童的该值显著更高，为1.65（95%CI：1.35，2.01）；与男性相比，女性的该值显著更高，为1.54（95%CI：1.36，1.74）。从所有统计数据中我们总结出，与迷你尺寸蹦床损伤相比，全尺寸蹦床损伤需要手术的风险高6倍。与在家中使用蹦床相比，在公园使用蹦床需要手术的风险高2倍。就参与者的年龄和性别而言，与成人相比，儿童受伤的风险显著高1.5倍，与男性相比，女性受伤的风险显著高1.5倍。
在蹦床相关损伤中，采用间接荟萃分析方法时，与迷你尺寸、家中蹦床、成人及以男性为主相比，全尺寸、公园蹦床、儿童及女性的手术率更高。
