Department of Physical Therapy & Rehabilitation Science, College of Health Sciences, Qatar University, Doha, Qatar.
Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Phys Ther Sport. 2021 Mar;48:43-53. doi: 10.1016/j.ptsp.2020.12.012. Epub 2020 Dec 16.
To evaluate the reporting of eligibility criteria and baseline participant characteristics in randomised controlled trials investigating the effects of exercise interventions in tendinopathy.
Randomised controlled trials investigating the effects of exercise therapy compared to a non-exercising intervention in upper and lower limb tendinopathy were included. Data extraction was categorised into the following domains: participant demographics, tendinopathy descriptors, general health, participant recruitment and eligibility criteria.
The review included the following tendinopathies: Achilles (n = 9), gluteal (n = 2), lateral elbow tendinopathy (n = 15), patellar (n = 3) plantar (n = 3), and rotator cuff (n = 13). Age, sex, duration of symptoms and symptom severity were commonly reported across the review, while prior history of tendinopathy was poorly reported (6/45). Variables such as physical activity level (17/45), sleep (0/45), psychological factors (2/45), medication at baseline (8/45), co morbid health complaints (10/45) and sociodemographic factors (11/45) were poorly reported across the included studies. Substantial variation existed between studies in the specific eligibility criteria used.
The findings of this systematic review demonstrate that participant characteristics are poorly reported in exercise trials in tendinopathy. To improve effectiveness of exercise interventions in tendinopathy, improved reporting of participant characteristics may allow better comparisons and targeted interventions for specific subgroups.
评估随机对照试验中关于运动干预对腱病影响的研究报告入选标准和基线参与者特征的情况。
纳入了调查运动疗法对比非运动干预对上肢和下肢腱病影响的随机对照试验。数据提取分为以下几个领域：参与者人口统计学特征、腱病描述、一般健康状况、参与者招募和入选标准。
本综述纳入了以下几种腱病：跟腱（n=9）、臀肌（n=2）、肘外侧肌腱病（n=15）、髌腱（n=3）、足底筋膜炎（n=3）和肩袖肌腱病（n=13）。年龄、性别、症状持续时间和症状严重程度在整个研究中经常被报道，而腱病既往史的报道较差（6/45）。其他变量，如活动水平（17/45）、睡眠（0/45）、心理因素（2/45）、基线用药情况（8/45）、合并健康问题（10/45）和社会人口统计学因素（11/45）在纳入的研究中报道较差。研究之间在使用的具体入选标准方面存在很大差异。
本系统评价的结果表明，腱病运动试验中参与者特征的报告较差。为了提高腱病运动干预的效果，更好地报告参与者特征可能允许更好地进行比较和针对特定亚组的靶向干预。
