Cooke Rosalyn, Rushton Alison, Martin James, Herrington Lee, Heneghan Nicola R
Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.
BMJ Open. 2020 Dec 22;10(12):e042975. doi: 10.1136/bmjopen-2020-042975.
Lower extremity injury (LEI) is highly prevalent and its occurrence increases the risk of future injury in athletic populations. Identifying athletes at risk of injury is the key to target injury-prevention programmes. Functional performance tests (FPT) assess an athlete's ability to produce and accept forces during movement tasks reflective of those experienced in sport, and are used to identify deficits in physical qualities or neuromuscular control. This review aims to identify FPT which have potential to predict LEI and assess their measurement properties associated with reliability, validity, responsiveness and practicability (interpretability and feasibility).
METHODS/ANALYSIS: This protocol will be reported using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol and the COnsensus-based Standards for the selection of health Measurement INstruments Methodology. The search strategy has two stages: stage 1 will identify lower limb FPT used in athletic populations; and stage 2 will assess the measurement properties of the identified FPT. A sensitive search strategy will use MEDLINE, EMBASE, CINHAL and SPORTdiscus databases; from inception to June 2020. Hand searching reference lists, key journals and grey literature will be completed. One reviewer will complete search 1 and data extraction. Two reviewers will complete the search, data extraction and risk-of-bias assessment for search 2. Evidence will be pooled or summarised by individual measurement property by each individual study and grouped by FPT. Meta-analysis using a random effects model with subgroup analysis will be performed where possible. Pooled or summarised results for each FPT in relation to each measurement property will be rated against the criteria for good measurement properties. Two reviewers will assess the overall body of evidence per measurement property per FPT using the modified Grading of Recommendations, Assessment, Development and Evaluation guidelines. This review will enable clinicians to make an informed choice when selecting FPT.
No ethical approval is required for this review and the results will be disseminated through peer-reviewed publications and submitted for conference presentation.
CRD42020188932.
下肢损伤（LEI）非常普遍，其发生会增加运动员群体未来受伤的风险。识别有受伤风险的运动员是制定针对性损伤预防计划的关键。功能表现测试（FPT）评估运动员在反映运动中所经历的运动任务期间产生和承受力的能力，并用于识别身体素质或神经肌肉控制方面的缺陷。本综述旨在识别具有预测下肢损伤潜力的功能表现测试，并评估其与可靠性、有效性、反应性和实用性（可解释性和可行性）相关的测量属性。
方法/分析：本方案将按照系统评价与Meta分析方案的首选报告项目以及基于共识的健康测量工具选择方法标准进行报告。检索策略分两个阶段：第一阶段将识别在运动员群体中使用的下肢功能表现测试；第二阶段将评估所识别的功能表现测试的测量属性。一种敏感的检索策略将使用MEDLINE、EMBASE、CINHAL和SPORTdiscus数据库；检索时间从建库至2020年6月。将完成对参考文献列表、关键期刊和灰色文献的手工检索。一名评审员将完成检索1和数据提取。两名评审员将完成检索2的检索、数据提取和偏倚风险评估。每项研究将根据个体测量属性汇总或总结证据，并按功能表现测试进行分组。在可能的情况下，将使用随机效应模型进行Meta分析，并进行亚组分析。将根据良好测量属性的标准对每项功能表现测试在各测量属性方面的汇总或总结结果进行评级。两名评审员将使用修改后的推荐分级、评估评估、制定和评价指南，对每项功能表现测试的每个测量属性的整体证据进行评估。本综述将使临床医生在选择功能表现测试时能够做出明智的选择。
本综述无需伦理批准，研究结果将通过同行评审出版物进行传播，并提交会议展示。
PROSPERO注册号：CRD42020188932。
