SPORTS MEDICINE
Continued significant effect of physical training as treatment for overuse injury: 8- to 12-year outcome of a randomized clinical trial
This report has been verified
by one or more authors of the
original publication.
この研究はハイインパクトの可能性があります。
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最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。
これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(2):200 American Journal of Sports Medicine; 2011; 39(11): 2447-245147 patients with adductor-related groin pain were randomized to receive either active exercise treatment or passive treatment. The results of the 8 to 12 year follow-up indicated that active treatment continued to have a significant beneficial effect compared to passive treatment in treating adductor-related groin pain.
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。
4/4
Randomization
4/4
Outcome Measurements
4/4
Inclusion / Exclusion
2/4
Therapy Description
4/4
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？
Exercise-related injuries are challenging to manage, especially with their recurrence. Groin pain due to sporting activity is a common condition particularly in activities requiring running, fast changes of direction, repetitive kicking, and physical contact. The study tests the long-term effects of the exercise program on adductor related groin pain.
主な研究課題は何ですか？
Did active exercise therapy lead to better pain and return to sport outcomes in comparison to passive therapy to treat adductor-related groin pain in athletes at 8 to 12 year follow-up?
重要な知見は？
- The majority of athletes reduced their activity level by 8-10 year follow-up; however, there were no significant difference in the level of reduction for both groups (p=0.508)
- 50% of athletes in the active group reported excellent outcomes in comparison to 22% in the passive group (p=0.047)
- There was a trend towards a higher effect in the active treatment group (p=0.126)
最も覚えておくべきことは？
Active therapy for the treatment of adductor-related groin pain resulted in beneficial long term outcomes in comparison to passive treatment.
それが私の患者ケアにどのように影響するか？
Even though this study finds a beneficial effect of active treatment in the long-term, larger sample sizes are required for future research.
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