Yang Tongnian, Ren Jie
School of Athletic Performance, Shanghai University of Sport, Shanghai, China.
China Table Tennis College, Shanghai University of Sport, Shanghai 200438, China.
Arch Phys Med Rehabil. 2025 Jun 7. doi: 10.1016/j.apmr.2025.05.018.
To synthesize the prevalence and risk factors of sports injuries in athletes with disabilities through a meta-analysis.
Web of Science, PubMed, EBSCO, SpringerLink, China National Knowledge Infrastructure, and Wanfang Data.
We selected cross-sectional studies on the prevalence of sports injuries in athletes with disabilities published between 2006 and 2024.
Two researchers independently performed literature screening, data extraction, and literature quality assessment. The Joanna Briggs Institute Prevalence Critical Appraisal Tool was selected for the study to assess the methodological quality of the included studies. Literature publication bias was assessed using funnel plots, Begg's, and Egger's tests in Stata 17.0 software.
A total of 20 studies were included (n=25,683). The meta-analysis revealed a 30.9% (95% CI, 26.9%-34.9%) prevalence of sports injuries in athletes with disabilities. Subgroup analyses showed a higher prevalence of acute traumatic injuries than chronic traumatic injuries and acute chronic traumatic injuries, a higher prevalence of upper extremity injuries than lower extremity injuries, trunk and head and neck injuries, and a higher prevalence of athletic injuries in sample sizes <1000 than in sample sizes ≥1000 (P<.001).
The prevalence of sports injuries in athletes with disabilities was 30.9%, with a higher prevalence of acute traumatic injuries and upper extremity injuries. Preventive measures for acute trauma and upper limb injuries include increasing cushioning coverage in site design, introducing dynamic electromyography (EMG) monitoring techniques, developing injury risk prediction systems, among others. In interpreting the results of these studies, the large heterogeneity among the source studies is taken into account, which may limit the generalizability of the pooled estimates. Future studies should use standardized injury surveillance protocols (eg, consensus definitions and exposure time reporting) and stratify analyses by disability type and sport to develop more targeted injury prevention strategies.
通过荟萃分析综合残疾运动员运动损伤的患病率及危险因素。
科学网、PubMed、EBSCO、SpringerLink、中国知网和万方数据。
我们选取了2006年至2024年发表的关于残疾运动员运动损伤患病率的横断面研究。
两名研究人员独立进行文献筛选、数据提取和文献质量评估。本研究选用乔安娜·布里格斯循证卫生保健中心患病率批判性评价工具来评估纳入研究的方法学质量。在Stata 17.0软件中使用漏斗图、Begg检验和Egger检验评估文献发表偏倚。
共纳入20项研究（n = 25,683）。荟萃分析显示，残疾运动员运动损伤的患病率为30.9%（95%CI，26.9% - 34.9%）。亚组分析表明，急性创伤性损伤的患病率高于慢性创伤性损伤和急性慢性创伤性损伤，上肢损伤的患病率高于下肢损伤、躯干及头颈部损伤，样本量<1000的运动损伤患病率高于样本量≥1000的情况（P<0.001）。
残疾运动员运动损伤的患病率为30.9%，急性创伤性损伤和上肢损伤的患病率较高。急性创伤和上肢损伤的预防措施包括在场地设计中增加缓冲覆盖、引入动态肌电图（EMG）监测技术、开发损伤风险预测系统等。在解释这些研究结果时，考虑到原始研究之间存在较大异质性，这可能会限制汇总估计值的普遍性。未来的研究应使用标准化的损伤监测方案（如共识定义和暴露时间报告），并按残疾类型和运动项目进行分层分析，以制定更具针对性的损伤预防策略。
