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.
Department of Sport and Exercise Sciences, Musculoskeletal Science and Sports Medicine Research Centre, Manchester Metropolitan University, Manchester, Greater Manchester, UK.
BMJ Open. 2021 Jan 8;11(1):e042525. doi: 10.1136/bmjopen-2020-042525.
Performing contractions with minimum force fluctuations is essential for everyday life as reduced force steadiness impacts on the precision of voluntary movements and functional ability. Several studies have investigated the effect of experimental or clinical musculoskeletal pain on force steadiness but with conflicting findings. The aim of this systematic review is to summarise the current literature to determine whether pain, whether it be clinical or experimental, influences force steadiness.
This protocol for a systematic review was informed and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols and the Cochrane Handbook for Systematic Reviews of Interventions. Key databases will be searched from inception to 31 August 2020, including MEDLINE, EMBASE, PubMed, CINAHL Plus, ZETOC and Web of Science. Grey literature and key journals will be also reviewed. Risk of bias will be assessed with the Newcastle-Ottawa tool, and the quality of the cumulative evidence assessed with the Grading of Recommendations, Assessment, Development and Evaluation guidelines. If homogeneity exists between groups of studies, meta-analysis will be conducted. Otherwise, a narrative synthesis approach and a vote-counting method will be used, while the results will be presented as net increases or decreases of force steadiness.
The findings will be presented at conferences and the review will be also submitted for publication in a refereed journal. No ethical approval was required.
CRD42020196479.
在日常生活中，以最小的力波动进行收缩至关重要，因为力稳定性的降低会影响自愿运动的精度和功能能力。已有多项研究调查了实验性或临床肌肉骨骼疼痛对力稳定性的影响，但结果存在矛盾。本系统评价的目的是总结当前文献，以确定疼痛（无论是临床还是实验性的）是否会影响力稳定性。
本系统评价方案按照系统评价和荟萃分析报告的首选报告项目以及干预措施系统评价 Cochrane 手册进行报告。将从建库开始至 2020 年 8 月 31 日搜索包括 MEDLINE、EMBASE、PubMed、CINAHL Plus、ZETOC 和 Web of Science 在内的主要数据库。还将对灰色文献和主要期刊进行审查。使用纽卡斯尔-渥太华量表评估偏倚风险，并使用推荐分级、评估、发展与评价指南评估累积证据的质量。如果研究组之间存在同质性，则进行荟萃分析。否则，将采用叙述性综合方法和计票方法，结果将表示为力稳定性的净增加或减少。
研究结果将在会议上展示，该综述也将提交给经过评审的期刊发表。无需伦理批准。
PROSPERO 注册号：CRD42020196479。
