Prevalence and incidence of injuries in para athletes: a systematic review with meta-analysis and GRADE recommendations
| Autor: | Evert Verhagen, Rafael Z. Pinto, Fernanda O. Madaleno, Renan Alves Resende, Larissa Santos Pinto Pinheiro, Maicon Rodrigues Albuquerque, Juliana Melo Ocarino, Marco Túlio de Mello, André Gustavo Pereira Andrade, Carla Patrícia da Mata, Andressa Silva |
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| Přispěvatelé: | Human Physiology and Sports Physiotherapy Research Group, Physiotherapy, Human Physiology and Anatomy |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Athletic Injuries/epidemiology Poison control Physical Therapy Sports Therapy and Rehabilitation Occupational safety and health 03 medical and health sciences 0302 clinical medicine Injury prevention Epidemiology Prevalence Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine biology business.industry Athletes Incidence Incidence (epidemiology) 030229 sport sciences General Medicine biology.organism_classification Para-Athletes Sample size determination Meta-analysis Athletic Injuries Physical therapy business |
| Zdroj: | Pinheiro, L S P, Ocarino, J M, Madaleno, F O, Verhagen, E, de Mello, M T, Albuquerque, M R, Andrade, A G P, da Mata, C P, Pinto, R Z, Silva, A & Resende, R A 2021, ' Prevalence and incidence of injuries in para athletes : A systematic review with meta-analysis and GRADE recommendations ', British journal of sports medicine, vol. 55, no. 23, 102823, pp. 1357-1365 . https://doi.org/10.1136/bjsports-2020-102823 |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | ObjectiveTo investigate prevalence, incidence and profile of musculoskeletal injuries in para athletes.DesignSystematic review.Data sourcesSearches were conducted in MEDLINE, EMBASE, AMED, SPORTSDiscus, CINAHL and hand searching.Eligibility criteriaStudies were considered if they reported prevalence or incidence of musculoskeletal injuries in para athletes. Study selection, data extraction and analysis followed the protocol. Meta-analyses were conducted to estimate the prevalence and incidence rate among studies and subgroup analyses investigated whether methodological quality and sample size of the studies influenced on the estimated injury prevalence and incidence. The Grading of Recommendations Assessment, Development and Evaluation system determined the strength of evidence.ResultsForty-two studies were included. The prevalence of musculoskeletal injuries was 40.8% (95% CI 32.5% to 49.8%). Because of imprecision, indirectness and inconsistency, the strength of evidence was very low quality. The incidence of musculoskeletal injuries was 14.3 injuries per 1000 athlete-days (95% CI 11.9 to 16.8). The strength of evidence was low quality because of imprecision and indirectness. The subgroup analyses revealed that the sample size influenced on estimated injury prevalence and methodological quality influenced on estimated incidence. Injuries were more prevalent in the shoulder, for non-ambulant para athletes, and in the lower limbs, for ambulant para athletes.Summary/conclusionPara athletes show high prevalence and incidence of musculoskeletal injuries. Current very low-quality and low-quality evidence suggests that future high-quality studies with systematic data collection, larger sample size and specificities of para athletes are likely to change estimates of injury prevalence and incidence in para athletes.PROSPERO registration numberCRD42020147982. |
| Databáze: | OpenAIRE |
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