跑步生物力学的改变与跑步损伤有关吗？系统评价与荟萃分析。
Are alterations in running biomechanics associated with running injuries? A systematic review with meta-analysis.
机构信息
Department of Physical Therapy, Movement & Rehabilitation Sciences, Northeastern University, Boston, MA, USA.
Staff Physician - Cleveland Clinic Florida, Weston, FL, USA.
出版信息
Braz J Phys Ther. 2023 Jul-Aug;27(4):100538. doi: 10.1016/j.bjpt.2023.100538. Epub 2023 Aug 23.
BACKGROUND
No systematic review has investigated the main biomechanical variables as predictors of running-related injuries.
OBJECTIVE
To investigate the main biomechanical variables associated with running-related injuries.
METHODS
Medline via PubMed, EMBASE, SPORTDiscus, Web of Science, and CINAHL were searched from inception until 1 November 2021. Each study included must have investigated the association of at least one biomechanical variable (kinetics, kinematics, electromyography, or pressure distribution) with running injuries. The meta-analysis was conducted, and a modified version of the Downs and Black Quality Index was used for methodological quality evaluation.
RESULTS
Across the 82 studies included, 5465 runners were investigated. The meta-analysis was conducted with 11 biomechanical variables from 51 articles (n=2395). The peak hip adduction angle was the sole biomechanical variable associated with running injury and was found to be higher in injured runners (0.57, 95% CI 0.21, 0.94) compared to uninjured runners. However, this result was highly influenced by two studies (out of five studies) conducted by the same group of authors.
CONCLUSION
Clinicians, coaches, and runners should be aware that minimal evidence supports that alterations of running biomechanics are associated with running-related injuries. Heterogeneity in evaluation conditions and inconsistency in the naming and definitions of biomechanical variables make definitive conclusions challenging.
SYSTEMATIC REVIEW REGISTRATION NUMBER
PROSPERO, CRD42017068839.
背景
目前尚无系统综述研究主要生物力学变量作为与跑步相关损伤的预测因子。
目的
研究与跑步相关损伤相关的主要生物力学变量。
方法
通过 PubMed 中的 Medline、EMBASE、SPORTDiscus、Web of Science 和 CINAHL 自成立以来至 2021 年 11 月 1 日进行了检索。每项研究都必须调查至少一个生物力学变量（动力学、运动学、肌电图或压力分布）与跑步损伤的关系。进行了荟萃分析，并使用 Downs 和 Black 质量指数的修订版进行了方法学质量评估。
结果
在所纳入的 82 项研究中，共调查了 5465 名跑步者。荟萃分析纳入了 51 篇文章的 11 个生物力学变量（n=2395）。峰值髋关节内收角度是唯一与跑步损伤相关的生物力学变量，受伤跑步者的髋关节内收角度较高（0.57，95%CI 0.21，0.94），与未受伤跑步者相比。然而，这一结果受到两项研究（五项研究中的两项）的高度影响，这两项研究由同一组作者进行。
结论
临床医生、教练和跑步者应该意识到，很少有证据表明跑步生物力学的改变与跑步相关的损伤有关。评估条件的异质性以及生物力学变量的命名和定义的不一致性使得难以得出明确的结论。
系统评价注册号
PROSPERO，CRD42017068839。
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