Romero-Franco Natalia, Ortego-Mate María Del Carmen, Molina-Mula Jesús
Nursing and Physiotherapy Department, University of the Balearic Islands, Palma de Mallorca, Spain.
Nursing Department, University of Cantabria, Santander, Spain.
Orthop J Sports Med. 2020 Dec 9;8(12):2325967120966952. doi: 10.1177/2325967120966952. eCollection 2020 Dec.
Although knee kinematics during landing tasks has traditionally been considered to predict noncontact knee injuries, the predictive association between noncontact knee injuries and kinematic and kinetic variables remains unclear.
To systematically review the association between kinematic and kinetic variables from biomechanical evaluation during landing tasks and subsequent acute noncontact knee injuries in athletes.
Systematic review; Level of evidence, 2.
Databases used for searches were MEDLINE, LILACS, IBECS, CINAHL, SPORTDiscus, SCIELO, IME, ScienceDirect, and Cochrane from database inception to May 2020. Manual reference checks, articles published online ahead of print, and citation tracking were also considered. Eligibility criteria included prospective studies evaluating frontal and sagittal plane kinematics and kinetics of landing tasks and their association with subsequent acute noncontact knee injuries in athletes.
A total of 13 studies met the eligibility criteria, capturing 333 acute noncontact knee injuries in 8689 participants. A meta-analysis revealed no significant effects for any kinematic and kinetic variable with regard to subsequent noncontact knee injuries.
No kinetic or kinematic variables from landing tasks had a significant association with acute noncontact knee injuries. Therefore, the role and application of the landing assessment for predicting acute noncontact knee injuries are limited and unclear, particularly given the heterogeneity and risk of bias of studies to date.
尽管在着陆任务期间的膝关节运动学传统上被认为可预测非接触性膝关节损伤，但非接触性膝关节损伤与运动学和动力学变量之间的预测关联仍不明确。
系统评价着陆任务期间生物力学评估中的运动学和动力学变量与运动员随后发生的急性非接触性膝关节损伤之间的关联。
系统评价；证据等级，2级。
检索的数据库包括MEDLINE、LILACS、IBECS、CINAHL、SPORTDiscus、SCIELO、IME、ScienceDirect和Cochrane，检索时间从数据库建立至2020年5月。还考虑了手工参考文献核对、提前在线发表的文章以及引文跟踪。纳入标准包括前瞻性研究，评估着陆任务的额状面和矢状面运动学和动力学及其与运动员随后发生的急性非接触性膝关节损伤的关联。
共有13项研究符合纳入标准，8689名参与者中发生了333例急性非接触性膝关节损伤。荟萃分析显示，任何运动学和动力学变量对随后的非接触性膝关节损伤均无显著影响。
着陆任务中的动力学或运动学变量与急性非接触性膝关节损伤无显著关联。因此，着陆评估在预测急性非接触性膝关节损伤中的作用和应用有限且不明确，尤其是考虑到迄今为止研究的异质性和偏倚风险。
