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多成分、基于运动的干预措施预防足球相关肌肉骨骼损伤的比较效果:一项系统评价和荟萃分析

Comparative Effectiveness of Multi-Component, Exercise-Based Interventions for Preventing Soccer-Related Musculoskeletal Injuries: A Systematic Review and Meta-Analysis.

作者信息

Wang Yucheng, Zhou Zhanyi, Gao Zixiang, Gu Yaodong

机构信息

Faculty of Sports Science, Ningbo University, Ningbo 315211, China.

Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada.

出版信息

Healthcare (Basel). 2025 Mar 29;13(7):765. doi: 10.3390/healthcare13070765.


DOI:10.3390/healthcare13070765
PMID:40218062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11988859/
Abstract

Soccer is a high-intensity sport characterized by a considerable incidence of injuries, particularly among professional male players, with injury rates ranging from 5.9 to 9.6 per 1000 player-hours. Lower limb injuries, including those affecting the knee, ankle, hip/groin, and hamstring muscles, are particularly prevalent. Additionally, a history of prior injuries may exacerbate the risk of recurrence. In response to these concerns, various injury prevention programs have been developed and implemented, targeting different genders and age groups. This systematic review and meta-analysis, conducted with the PRISMA guidelines, critically evaluated randomized RCTs across diverse genders and age groups to assess the efficacy of multi-component exercise-based injury prevention programs in reducing musculoskeletal injuries among soccer players. Comprehensive searches were conducted in ClinicalTrials.gov, CENTRAL, EMBASE, PubMed, Scopus, and Web of Science, with no language restrictions applied. A total of 15 RCTs met the predefined inclusion criteria. The intervention programs were found to be significantly effective in reducing lower limb injuries, with a pooled RR of 0.73 (95% CI: 0.63 to 0.84, = 0.035). Subgroup analyses further revealed a significant reduction in the incidence of hamstring, knee, and ankle injuries following the implementation of these programs. Multi-component exercise-based injury prevention programs demonstrate considerable efficacy in reducing musculoskeletal injuries in soccer players, spanning various age groups and genders. These findings underscore the potential of such programs in professional soccer injury management and highlight their importance in the development of comprehensive injury prevention strategies.

摘要

足球是一项高强度运动,受伤发生率相当高,尤其是在职业男性球员中,受伤率为每1000球员小时5.9至9.6次。下肢损伤,包括影响膝盖、脚踝、髋部/腹股沟和腘绳肌的损伤,尤为普遍。此外,既往受伤史可能会增加复发风险。针对这些问题,已经制定并实施了各种预防损伤计划,针对不同性别和年龄组。本系统评价和荟萃分析遵循PRISMA指南,对不同性别和年龄组的随机对照试验进行了严格评估,以评估基于多组分运动的预防损伤计划在减少足球运动员肌肉骨骼损伤方面的效果。在ClinicalTrials.gov、CENTRAL、EMBASE、PubMed、Scopus和Web of Science中进行了全面检索,不设语言限制。共有15项随机对照试验符合预先设定的纳入标准。发现干预计划在减少下肢损伤方面具有显著效果,合并相对危险度为0.73(95%置信区间:0.63至0.84,P = 0.035)。亚组分析进一步显示,实施这些计划后,腘绳肌、膝盖和脚踝损伤的发生率显著降低。基于多组分运动的预防损伤计划在减少不同年龄组和性别的足球运动员肌肉骨骼损伤方面显示出相当大的效果。这些发现强调了此类计划在职业足球损伤管理中的潜力,并突出了它们在制定全面预防损伤策略中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b6/11988859/fec7a3bbe9c7/healthcare-13-00765-g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b6/11988859/f79b64eb5c39/healthcare-13-00765-g001.jpg
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本文引用的文献

[1]
A systematic review and network meta-analysis on the effectiveness of exercise-based interventions for reducing the injury incidence in youth team-sport players. Part 1: an analysis by classical training components.

Ann Med. 2024-12

[2]
Effects of In-Season Strength Training on Physical Fitness and Injury Prevention in North African Elite Young Female Soccer Players.

Sports Med Open. 2024-9-2

[3]
Acute effects of Nordic hamstring exercise on hip and knee joints proprioception.

J Bodyw Mov Ther. 2024-7

[4]
Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022.

Br J Sports Med. 2023-6

[5]
Disaster Preparedness Amongst Emergency Pharmacists for the FIFA World Cup Qatar 2022™: A Cross-Sectional Survey.

Risk Manag Healthc Policy. 2023-4-4

[6]
Efficacy of Multi-Component Exercise-Based Injury Prevention Programs on Injury Risk Among Footballers of All Age Groups: A Systematic Review and Meta-analysis.

Sports Med. 2023-4

[7]
Neuromuscular Training Warm-up Prevents Acute Noncontact Lower Extremity Injuries in Children's Soccer: A Cluster Randomized Controlled Trial.

Orthop J Sports Med. 2021-4-28

[8]
Quadriceps and Hamstrings Strength Reference Values for Athletes With and Without Anterior Cruciate Ligament Reconstruction Who Play Popular Pivoting Sports, Including Soccer, Basketball, and Handball: A Scoping Review.

J Orthop Sports Phys Ther. 2022-3

[9]
Hamstring Strain Injury (HSI) Prevention in Professional and Semi-Professional Football Teams: A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health. 2021-8-4

[10]
Making football safer for women: a systematic review and meta-analysis of injury prevention programmes in 11 773 female football (soccer) players.

Br J Sports Med. 2020-4-6

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