Prevention of sports injuries systematic review and meta-analysis of randomized controlled trials

Urheilu sisältää aina riskin vammautumisesta. Urheiluvamma vaikuttaa negatiivisesti urheilijan terveyteen ja vammojen hoito on kallista. Tutkimukset urheiluvammojen ennaltaehkäisystä ovat lisääntyneet huomattavasti viime vuosien aikana. Tämä pro gradu –tutkielma on systemaattinen kirjallisuuskat...

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Main Author: Leppänen, Mari
Other Authors: Liikuntatieteellinen tiedekunta, Faculty of Sport and Health Sciences, Terveystieteiden laitos, Department of Health Sciences, University of Jyväskylä, Jyväskylän yliopisto
Format: Master's thesis
Language:eng
Published: 2013
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/41407
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author Leppänen, Mari
author2 Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Terveystieteiden laitos Department of Health Sciences University of Jyväskylä Jyväskylän yliopisto
author_facet Leppänen, Mari Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Terveystieteiden laitos Department of Health Sciences University of Jyväskylä Jyväskylän yliopisto Leppänen, Mari Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Terveystieteiden laitos Department of Health Sciences University of Jyväskylä Jyväskylän yliopisto
author_sort Leppänen, Mari
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description Urheilu sisältää aina riskin vammautumisesta. Urheiluvamma vaikuttaa negatiivisesti urheilijan terveyteen ja vammojen hoito on kallista. Tutkimukset urheiluvammojen ennaltaehkäisystä ovat lisääntyneet huomattavasti viime vuosien aikana. Tämä pro gradu –tutkielma on systemaattinen kirjallisuuskatsaus ja meta-analyysi satunnaistetuista, kontrolloiduista tutkimuksista. Tutkimuksen tarkoituksena on tehdä yhteenveto urheiluvammojen ennaltaehkäisyyn tähtäävistä interventioista. Systemaattinen kirjallisuushaku tehtiin käyttämällä seuraavia hakusanoja: sports injuri/es, athletic injuri/es, prevention, preventive, randomized, controlled trial ja randomized controlled trial. Käytetyt tietokannat olivat: PubMed, MEDLINE, SPORTDiscus, the Cochrane Central Register of Controlled Trials, CINAHL, PEDro ja Web of Science. Löydettyjen artikkelien sekä olennaisten katsausartikkelien lähdeviitteet tarkastettiin käsihaulla. Tutkimuksille suoritettiin laadun arviointi. Laskelmat tehtiin the Cochrane Collaboration Review Manager –ohjelmistolla. Laskelmissa käytettiin vetosuhdetta (OR). Meta-analyysiin otettiin mukaan 59 tutkimusta, yhteensä 65 vertailua. Tukipohjalliset/iskua vaimentavat pohjalliset (OR 0.51, 95%CI 0.32–0.81), ulkoiset niveltuet (OR 0.40, 95%CI 0.30–0.53) ja harjoitusohjelmat (OR 0.55, 95%CI 0.46–0.66) olivat tehokkaita ennaltaehkäisemään urheiluvammoja. Venyttely (OR 0.92, 95%CI 0.80–1.06), modifioidut jalkineet (OR 1.23, 95%CI 0.81–1.87) ja ennaltaehkäisevät videot (OR 0.94, 95%CI 0.43–2.04) eivät vaikuttaneet vammariskiin. Tämä meta-analyysi osoitti, että urheiluvammoja voidaan ennaltaehkäistä erilaisilla pohjallisilla, ulkoisilla niveltuilla ja harjoitusohjelmilla. Hyödyntämällä tutkimuksen tuloksia käytännössä, voidaan saada merkittäviä tuloksia liikuntavammojen vähentämisessä. Meta-analyysin ongelmia olivat yksittäisten tutkimusten metodologiset heikkoudet, tutkimustulosten heikko yleistettävyys ja tutkimusten heterogeeniset tutkimusasetelmat. Tulevissa tutkimuksissa tulisi keskittyä suosittuihin, korkeariskisiin urheilulajeihin. Ennaltaehkäisevien harjoitusohjelmien vaikutusmekanismit ja hyödyllisimmät, vammoja ehkäisevät harjoitusmenetelmät tulisi pyrkiä selvittämään. Participation in sports includes a risk of injury. Injuries burden athlete’s health and health care system. The number of trials investigating prevention of sports injuries has increased over the past decade. This master’s thesis is a systematic review and meta-analysis of RCTs. The purpose of the study is to summarize the effects of sports injury prevention interventions. Systematic literature search was conducted using following keywords: sports injuri/es, athletic injuri/es, prevention, preventive, randomized, controlled trial and randomized controlled trial. Following databases were used: PubMed, MEDLINE, SPORTDiscus, the Cochrane Central Register of Controlled Trials, CINAHL, PEDro and Web of Science. The reference lists of retrieved articles and reviews were hand searched. Calculations were made with the Cochrane Collaboration Review Manager – software. Meta-analysis included 59 trials with 65 comparisons. Insoles (OR 0.51, 95%CI 0.32–0.81), external joint supports (OR 0.40, 95%CI 0.30–0.53) and training programs (OR 0.55, 95%CI 0.46–0.66) appeared to be effective to reduce the risk of sports injuries. Stretching (OR 0.92, 95%CI 0.80–1.06), modified shoes (OR 1.23, 95%CI 0.81–1.87) and preventive videos (OR 0.94, 95%CI 0.43–2.04) were not effective. This meta-analysis showed that certain interventions can reduce the risk of sports injuries. By taking preventive actions to practice, major benefits can be accomplished. There were limitations with quality of the trials, generalizability of the results and heterogeneity of the study designs. Future research should focus on commonly practiced, high-risk sports. The mechanisms behind effective methods and the most beneficial elements of preventive intervention need to be clarified.
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spellingShingle Leppänen, Mari Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials sports injuries athletic injuries prevention intervention randomized controlled trial Liikuntalääketiede Sport Medicine 5042 urheiluvammat ennaltaehkäisy urheilu liikuntavammat
title Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials
title_full Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials
title_fullStr Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials
title_full_unstemmed Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials
title_short Prevention of sports injuries
title_sort prevention of sports injuries systematic review and meta analysis of randomized controlled trials
title_sub systematic review and meta-analysis of randomized controlled trials
title_txtP Prevention of sports injuries : systematic review and meta-analysis of randomized controlled trials
topic sports injuries athletic injuries prevention intervention randomized controlled trial Liikuntalääketiede Sport Medicine 5042 urheiluvammat ennaltaehkäisy urheilu liikuntavammat
topic_facet 5042 Liikuntalääketiede Sport Medicine athletic injuries controlled trial ennaltaehkäisy intervention liikuntavammat prevention randomized sports injuries urheilu urheiluvammat
url https://jyx.jyu.fi/handle/123456789/41407 http://www.urn.fi/URN:NBN:fi:jyu-201305141638
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