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预防计划对军事人员伤害风险的影响:系统评价与荟萃分析。

Effects of prevention programmes on injury risk in military personnel: a systematic review with meta-analysis.

机构信息

Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Rio de Janeiro, Rio de Janeiro, Brazil

Programa de Pós-Graduação em Ciências do Exercício e do Esporte (PPGCEE), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

BMJ Mil Health. 2024 Nov 25;170(6):529-536. doi: 10.1136/bmjmilitary-2022-002098.

DOI:10.1136/bmjmilitary-2022-002098
PMID:35732343
Abstract

INTRODUCTION

Exercise programmes have been used to prevent injuries in military personnel, as they can reduce modifiable risk factors for injuries. Our aim was to review the literature to evaluate the effects of different exercise protocols on the prevention of injuries in military personnel.

METHODS

A systematic literature review examined the effects of different exercise protocols on the prevention of musculoskeletal injuries in the military. Several databases were explored to find experimental studies that investigated the effects of prevention programmes on the risk of injury. We have extracted from the studies: profile of participants, sample size, study design and characteristics of the control group (CG), the type of intervention and the relative risk (RR) in the experimental group and CG, with their significance levels. For data analysis, we used the RevMan V.5.3 software. The measure of RR was investigated. The risk of publication bias was analysed with Begg's test.

RESULTS

A total of 13 694 titles and studies were recovered from the databases and by manual search. After the removal of duplicate titles and studies that did not meet the eligibility criteria, 17 studies were selected. The protocols were composed of neuromuscular training, stretching, agility training or combined exercises. The meta-analysis showed that injury prevention exercise programmes reduced the risk of musculoskeletal injuries in military personnel by 14% (RR=0.86; 95% CI=0.76 to 0.98).

CONCLUSION

Injury prevention exercise programmes promoted a slight reduction in the risk of musculoskeletal injuries in military personnel.

LEVEL OF EVIDENCE

Very low.

TRIAL REGISTRATION NUMBER

CRD 42017077946.

摘要

简介

运动方案已被用于预防军事人员的伤害,因为它们可以减少伤害的可改变风险因素。我们的目的是回顾文献,评估不同的运动方案对预防军事人员伤害的效果。

方法

系统文献综述检查了不同运动方案对预防军事人员肌肉骨骼伤害的效果。探索了多个数据库,以找到研究预防方案对受伤风险影响的实验研究。我们从研究中提取了:参与者概况、样本量、研究设计和对照组(CG)的特征、干预类型以及实验组和 CG 的相对风险(RR)及其显著性水平。为了数据分析,我们使用了 RevMan V.5.3 软件。RR 的度量进行了研究。Begg 检验分析了发表偏倚的风险。

结果

从数据库和手动搜索中总共恢复了 13694 个标题和研究。在去除重复的标题和不符合入选标准的研究后,选择了 17 项研究。方案由神经肌肉训练、伸展、敏捷性训练或综合运动组成。荟萃分析表明,预防伤害的运动方案可使军事人员肌肉骨骼伤害的风险降低 14%(RR=0.86;95%CI=0.76 至 0.98)。

结论

预防伤害的运动方案可略微降低军事人员肌肉骨骼伤害的风险。

证据水平

非常低。

试验注册号

CRD42017077946。

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