限制将运动员分为高风险或低风险组,以切断为基础. 一个临床评论
Justin M Losciale1,2, Linda K Truong1,2, Patrick Ward3
1Physical Therapy University of British Columbia.
International journal of sports physical therapy
|September 4, 2024
概括
在运动员受伤风险评估中依赖任意切断是无效的. 在临床试验中使用连续变量可以改善伤害风险预测,并为运动员提供个性化的预防策略.
科学领域:
- 运动医学 运动医学
- 运动科学 运动科学
- 伤害预防 预防伤害
背景情况:
- 运动员受伤风险评估对于体育医学专业人士来说至关重要但具有挑战性.
- 目前的查经常使用任意的切断界限来对运动员进行分类,这可能会限制预防的有效性.
研究的目的:
- 讨论与在运动员受伤风险评估中使用切断值相关的概念和技术问题.
- 倡导对临床试验和测量进行更好的解释.
主要方法:
- 本评论批判性地检查了伤害风险评估中的二分法切线与连续变量的使用.
- 它强调了数据驱动的,不可泛化的切断界限的局限性.
主要成果:
- 切断通常缺乏生物支持,导致信息丢失,降低预测准确度.
- 连续变量的二分化丢弃了有价值的数据,阻碍了准确的伤害风险预测.
结论:
- 研究人员和临床医生应该利用连续变量而不是单一的切断值来解释测试.
- 使用连续变量可以提高伤害风险预测的准确性,从而实现个性化缓解策略,并可能降低伤害率.
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