SPORTS MEDICINE
The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial.
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(12):222 BMC Musculoskelet Disord. 2010 Apr 8;11:64.60 young male semi-elite male Australian Rules football players were randomized to receive a chiropractic manual therapy intervention or to the current best practice medical and sports science management during the football season. At the end of season, it was observed that the sports chiropractic manual therapy, in addition to the current best practice management, was effective in prevention of primary lower limb muscle strain injuries,but not hamstrings injuries or primary non-contact knee injuries.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
はい = 1
不確実＝0.5
無関係 = 0
いいえ = 0
報告基準評価では、著者が出版物内で試験の方法論的特徴や試験特性を報告する際の透明性を評価します。評価は以下の5つのカテゴリーに分類されます。
3/4
Randomization
4/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
3/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
Fragility Indexは、重要な所見の解釈を助けるツールで、結果の強さの尺度を提供します。Fragility Indexは、その所見が有意でなくなるために、二項対立の結果に追加する必要がある連続した事象の数を表します。数値が小さいほど弱い所見を表し、数値が大きいほど強い所見を表します。
なぜ今この研究が必要なのですか？
A total of 16% of players are injured per season in the Australian Football League, and hamstring injuries constitute the most frequent injury. A recent review of the literature recommended further investigation of newer approaches to prevent hamstring injuries. This study evaluates the role of chiropractic manual therapy interventions in the prevention of football injuries.
主な研究課題は何ですか？
In semi-elite male Australian football players, is a sports chiropractic manual therapy, in addition to the current best practice management, effective in preventing hamstring, knee, and lower limb injuries?
重要な知見は？
- At the completion of season, the intervention and the control group did not differ in the prevention of hamstring injuries (p=0.051)
- The intervention and the control group did not differ in the prevention of primary non-contact knee injury (p=0.051)
- There was a statistically significant difference between the two groups with respect to the prevention of primary lower-limb muscle strains (p=0.025)
- The intervention group experienced a positive change in overall (p=0.006), as well as in current low back pain (p=0.026).
- The intervention group experienced a positive change in functional limitation due to physical health (p=0.004), bodily pain (p=0.034), general health (p=0.027), and physical summary score (p=0.013).
最も覚えておくべきことは？
A sports chiropractic manual therapy together with the current best practice management was effective in the prevention of primary lower limb muscle strain injuries, but not hamstrings injuries or primary non-contact knee injuries. Furthermore, the players who received this intervention had a reduction in low back pain, as well as enhancements in some aspects of the physical components of health status.
それが私の患者ケアにどのように影響するか？
In treating semi-elite male Australian football players, an addition of sports chiropractic manual therapy to the current practice management should be considered in an effort to prevent lower-limb muscle strains.
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