SPORTS MEDICINE
Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men's Soccer
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。
OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。
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(11):299 American Journal of Sports Medicine; 2011; 39(11): 2296-230350 Danish male professional and amateur soccer teams (n=942) were cluster randomized to receive either eccentric strengthening of the hamstring muscle using the Nordic hamstring muscle exercise (intervention) or the usual training program (control). The results after the 10-week program concluded that the control groups had significantly higher rates of acute hamstring injury in comparison to intervention. In addition, the control group had a significantly higher proportion of recurrent injury rates in comparison to intervention.
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
3/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
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?
Hamstring injury accounts for 12% to 16% of all soccer related injuries, making it the most prevalent injury. Eccentric hamstring strength training exercises have undergone a series of developments with an advantage of capability to be done in the field without the use of any equipment. The effect of eccentric hamstring strength training on hamstring injuries have been incongruous in the literature, and this study explores it further.
主な研究課題は何ですか?
Does eccentric strengthening of the hamstring muscle lead to lower rates of overall, new, and recurrent acute hamstring injuries after a 10 week sessions, in comparison to control in athletes of professional and amateur soccer teams?
重要な知見は?
- Overall acute hamstring injury rates were 3.8 per 100 player seasons in the intervention group in comparison to 13.1 per 100 player seasons in control (adjusted rate ratio= 0.293; 95% confidence interval, 0.150-0.572; P<0.001)
- New injury rates were 3.1 per 100 player seasons in the intervention group in comparison to 8.1 per 100 player seasons in the control (RR, 0.410; 95% CI, 0.180-0.933; P=0.034)
- Recurrent injury rates were 7.1 per 100 player seasons in the intervention group in comparison to 45.8 per 100 player seasons in the control (RR, 0.137; 95% CI, 0.037-0.509; P=0.003)
最も覚えておくべきことは?
The results indicate that eccentric training was effective in significantly decreasing the rate of acute hamstring injuries in soccer athletes.
それが私の患者ケアにどのように影響するか?
Based on the findings of this study, therapists should consider eccentric training to be a potentially viable exercise option.
免責事項
このページに記載されている内容は、情報提供のみを目的としたものであり、専門的な医療アドバイス、診断、治療の代わりとなるものではありません。治療が必要な場合は、必ず医師の診断を仰ぐか、最寄りの救急外来を受診してください。このページに記載されている内容に関して個人が表明した意見、信念、見解は、OrthoEvidenceの意見、信念、見解を反映するものではありません。
