Chen Junxia, Zhang Chunhe, Chen Sheng, Zhao Yuhua
P.E School, Hubei University, Wuhan City, Hubei Province, P.R. China.
PeerJ. 2021 Mar 25;9:e11089. doi: 10.7717/peerj.11089. eCollection 2021.
We explored functional correction training using the Functional Movement Screen (FMS™) tool. We also analyzed the effects of training on the injuries of athletes in a systematic review and meta-analysis of non-randomized clinical trials.
We collected twenty-four articles from PubMed, CENTRAL, Scopus, ProQuest, Web of Science, EBSCOhost, SPORTDiscus, Embase, WanFang, and CNKI that were published between January 1997 to September 2020. Articles were selected based on the following inclusion criteria: randomized and non-randomized controlled trials, studies with functional correction training screened by FMS™ as the independent variable, and studies with injury risk to the athlete as the dependent variable. Data conditions included the sample size, mean, standard deviation, total FMS™ scores, number of injuries, and asymmetry movement patterns after interventions in the experimental and control groups. Exclusion criteria included: conference abstracts, cross-sectional studies, articles with retrospective study design.
Twelve non-randomized trials were included in the meta-analysis. The injury risk ratio of athletes after functional correction training was 0.39 RR (95 CI [1.50-1.93]; = 15.53; < 0.0001; = 2.6%), indicating an improvement of athletes functional patterns.
Grade B evidence indicates that functional correction training based on FMS™ may improve the functional patterns of athletes and Grade D evidence indicates that it may reduce the risk of sports injury. However, the true effect is likely to be different from the estimate of the effect. Therefore, further studies are needed to explore the influence of functional correction training on the injury risks of athletes. Protocol registration: CRD42019145287.
我们使用功能性动作筛查（FMS™）工具探索了功能矫正训练。我们还在一项非随机临床试验的系统评价和荟萃分析中分析了训练对运动员损伤的影响。
我们从PubMed、CENTRAL、Scopus、ProQuest、Web of Science、EBSCOhost、SPORTDiscus、Embase、万方和知网收集了1997年1月至2020年9月发表的24篇文章。根据以下纳入标准选择文章：随机和非随机对照试验、以FMS™筛查的功能矫正训练为自变量的研究、以运动员损伤风险为因变量的研究。数据条件包括样本量、均值、标准差、FMS™总分、损伤数量以及实验组和对照组干预后的不对称运动模式。排除标准包括：会议摘要、横断面研究、具有回顾性研究设计的文章。
荟萃分析纳入了12项非随机试验。功能矫正训练后运动员的损伤风险比为0.39 RR（95%可信区间[1.50 - 1.93]；Z = 15.53；P < 0.0001；I² = 2.6%），表明运动员的功能模式有所改善。
B级证据表明基于FMS™的功能矫正训练可能改善运动员的功能模式，D级证据表明它可能降低运动损伤风险。然而，真实效果可能与效应估计值不同。因此，需要进一步研究来探索功能矫正训练对运动员损伤风险的影响。方案注册：CRD42019145287。
