Benefits of sports chiropractic manual therapy for football players .
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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)?
Sim = 1
Incerto = 0,5
Não relevante = 0
Não = 0
A Avaliação dos Critérios de Relato avalia a transparência com que os autores relatam as caraterísticas metodológicas e do ensaio na publicação. A avaliação está dividida em cinco categorias que são apresentadas de seguida.
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
O Índice de Fragilidade é uma ferramenta que auxilia na interpretação de achados significativos, fornecendo uma medida de força para um resultado. O Índice de Fragilidade representa o número de eventos consecutivos que precisam de ser adicionados a um resultado dicotómico para que o resultado deixe de ser significativo. Um número pequeno representa um resultado mais fraco e um número grande representa um resultado mais forte.
Porque é que este estudo era necessário agora?
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.
Qual era a principal questão de investigação?
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?
- 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).
De que é que me devo lembrar mais?
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.
Como é que isto afectará o tratamento dos meus doentes?
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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