Previous injuries and joint health identify soccer players at greater risk of injury .
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(2):226 Am J Sports Med. 2008 Jun;36(6):1052-60. Epub 2008 Apr 3508 male soccer players were classified as high or low risk (LR) for injury using a number of questionnaires assessing previous injuries and health status. High risk (HR) patients were randomized to control or targeted training to assess its effect on injury occurrence throughout the season. LR patients had the lowest incidence of injury, while there were no differences between the two HR groups, which may have been due to the low compliance with targeted training.
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)?
Sí = 1
Incierto = 0,5
No relevante = 0
No = 0
La evaluación de los criterios de información evalúa la transparencia con la que los autores informan de las características metodológicas y del ensayo dentro de la publicación. La evaluación se divide en cinco categorías que se presentan a continuación.
2/4
Randomization
3/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
3/5
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
El Índice de Fragilidad es una herramienta que ayuda en la interpretación de hallazgos significativos, proporcionando una medida de fuerza para un resultado. El Índice de Fragilidad representa el número de eventos consecutivos que es necesario añadir a un resultado dicotómico para que el hallazgo deje de ser significativo. Un número pequeño representa un hallazgo más débil y un número grande un hallazgo más fuerte.
¿Por qué se necesitaba ahora este estudio?
Injuries are a common occurrence in competitive sport and some individuals may be at greater risk than others due to previous injuries and health status. Identification of high risk individuals may allow for prevention of injuries by using target specific training to strengthen weakened areas. This study attempted to identify patients at greater risk of injury and assess if target training can reduce the incidence of injury.
¿Cuál era la pregunta principal de la investigación?
Does a targeted exercise program for soccer players at high risk of injury reduce injury rates during the course of one season?
- No difference in mean player exposure to match play was found between the HR intervention group and the controls (p>0.05).
- There were a total of 505 injuries reported during the course of the study sustained by 283 of the players
- There were 82 injuries in the LR 216 in the HR control and 207 in the HR intervention group. No difference was found between the HR intervention and control group and HR control in terms of incidence of injury (RR: 0.94 (95% CI: 0.77 to 1.13); p=0.90).
- Injury Incidence rate was lower in the LR control group when compared to both HR groups (p=0.029)
- 45.8% of LR control and 58.5% of HR control were injured throughout the season (p=0.029)
- Injury rates per 1000 playing hours were 1.3 for LR, 2.8 for HR control, and 2.6 for HR intervention. A significantly lower injury rate was found for patients in the LR control group than either of the HR groups (p<0.05).
¿Qué es lo que más debo recordar?
Patients who were classified as high risk based on pre randomization questionnaires were at a greater risk of injury than those classified as low risk. This finding indicated the successful identification of players at greater risk of injury using the questionnaires. There were no difference between the HR control and intervention groups; however minimal compliance with targeted training might have been a confounding factor.
¿Cómo afectará esto al cuidado de mis pacientes?
Players at greater risk of injury can be identified using specific questionnaires dealing with previous injuries. Further studies with greater compliance are required to investigate the effect of targeted training on injury incidence among those at high risk.
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