预防性干预中部骨应力综合征:系统性审查和元分析
Thairon Bazone Teixeira Marques1, Rhuan Pablo Sutil Rangel1, Lisandra Vanessa Martins1
1Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo, Brazil.
Gait & posture
|July 9, 2025
概括
神经肌肉训练和过度pronation内有效地预防中肌压力综合征 (MTSS). 根据目前的证据,对于MTSS预防,不建议使用吸震内.
科学领域:
- 运动医学 运动医学
- 运动科学 运动科学
- 生物力学 生物力学
背景情况:
- 中部骨压力综合征 (MTSS) 是运动员常见的疾病.
- 之前对MTSS预防干预措施的研究产生了有争议的结果.
研究的目的:
- 系统地审查和综合各种干预措施预防MTSS有效性的证据.
- 确定哪些预防策略对MTSS最有效.
主要方法:
- 随机临床试验的系统审查和元分析.
- 搜索了多个数据库 (CAPES,PubMed,科学网等) 在2023年12月之前进行相关研究.
- 包括12项涉及8197名参与者的研究;10项符合元分析的条件. 使用PEDro和GRADE评估偏差风险和证据确定性.
主要成果:
- 神经肌肉训练证明了MTSS预防的高确定性证据 (OR 0.13,95% CI 0.64).
- 过度pronation内显示了MTSS预防证据的中等确定性 (OR 0.10,95% CI 1.0).
- 吸震内,静态拉伸和特殊子没有显示出对MTSS的显著预防作用.
结论:
- 强烈建议进行神经肌肉训练,以预防MTSS.
- 过度pronation内也被推用于MTSS预防.
- 由于缺乏有效性,不建议用于MTSS预防的吸震内.
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