整合性神经肌肉训练预防下肢运动损伤的元分析  

Integrative neuromuscular training for injury prevention of lower extremity in athletes:a meta-analysis

作　　者：翟海亭 李成 夏吉祥 魏宏文[2] 秦爽[3] Zhai Haiting;Li Cheng;Xia Jixiang;Wei Hongwen;Qin Shuang(Naval Aviation University,Yantai 264000,Shandong Province,China;Beijing Sport University,Beijing 100084,China;Hunan University of Chinese Medicine,Changsha 410208,Hunan Province,China)

机构地区：[1]海军航空大学,山东省烟台市264000 [2]北京体育大学,北京市100084 [3]湖南中医药大学,湖南省长沙市410208

出　　处：《中国组织工程研究》2022年第15期2454-2460,共7页Chinese Journal of Tissue Engineering Research

基　　金：国家社科基金一般项目(198TY104),项目名称:以战斗力为导向的军队科学化体能训练实践应用研究。

摘　　要：目的:利用元分析评价整合性神经肌肉训练预防运动员下肢运动损伤的效果,进一步提出整合性神经肌肉训练预防下肢运动损伤的最佳训练方案。方法:在中国知网、万方数据库、PubMed、Web of Science、The Cochrane Library等数据库检索整合性神经肌肉训练对下肢运动损伤影响的文献,中文检索词为“整合性神经肌肉训练、神经肌肉训练、神经肌肉热身、预防、减少、运动损伤、下肢损伤”;英文检索词为“Integrative neuromuscular training、Neuromuscular training、Neuromuscular Warm-up、neuromuscular、prevent、reduces、lower limb injuries、Injury、sport injuries”,检索时间范围2000-01-01/2021-06-20。采用Review Manage 5.3对纳入文献进行元分析,对运动时间、运动频率、运动周期、样本量、性别5个变量进行亚组分析。采用随机效应模型合并整体效应量,对各研究的异质性、发表偏倚进行检验。结果:纳入14篇随机对照(RCT)文献,共计15932例受试者。①元分析显示整合性神经肌肉训练可以减少39%下肢运动损伤的风险比值(RR=0.61,95%CI:0.53-0.69);②亚组分析发现每次运动时间16-20 min的效果最好,运动频率在2-3次/周的效应量最明显,相比与其他周期,运动周期4-6个月的整合性神经肌肉训练预防效果最佳;③整合性神经肌肉训练对样本量控制在50-1000例,效应量较明显;④整合性神经肌肉训练预防男性下肢运动损伤效应量较明显。结论:①整合性神经肌肉训练可以有效预防运动员下肢运动损伤,受试者所在国家区域可以解释研究间的异质性;②进行运动时间为16-20 min,2-3次/周,运动周期4-6个月的整合性神经肌肉训练方案可以达到最优的预防效果。OBJECTIVE:To evaluate the effect of integrative neuromuscular training for injury prevention of lower extremity in athletes using meta-analysis method,to provide the optimal dose-response of integrative neuromuscular training to prevent injuries in athletes.METHODS:CNKI,WanFang,PubMed,Web of Science,and The Cochrane Library databases were searched for articles regarding effect of integrative neuromuscular training for injury prevention of lower extremity published from January 1,2000 to June 20,2021.The key words were“integrative neuromuscular training,neuromuscular training,neuromuscular warm-up,prevent,reduce,sports injury,lower limb injury”in Chinese,and“integrative neuromuscular training,neuromuscular training,neuromuscular warm-up,neuromuscular,prevent,reduces,lower limb injuries,injury,sport injuries”in English.The Review Manage 5.3 software was used to analyze the included articles.Subgroup analysis was performed in five variables,including training volume,frequency per week,period,sample size,and gender.Random effects model and global effect size were utilized to examine the heterogeneity and publication bias.RESULTS:Totally 14 randomized controlled trials were included,with 15932 subjects.(1)Meta-analysis results showed an overall risk reduction of 39%for the lower limbs(RR=0.61,95%CI:0.53-0.69).(2)Subgroup analysis found that training volume of 16-20 minutes,training frequencies of 2-3 times per week,interventions for 4-6 months revealed the largest risk reduction.(3)The sample size of 50-1000 produced better effects comparable to those with larger sample size.(4)Integrative neuromuscular training had a significant effect on the prevention of lower limb sports injury in males.CONCLUSION:(1)Integrative neuromuscular training can effectively prevent athletes'lower limb sports injuries.Heterogeneity between articles can be explained by the country of origin of the subjects.(2)Integrative neuromuscular training with exercise volume of 16-20 minutes,2-3 times per week for 4-6 months can achieve the o

关 键 词：整合性神经肌肉训练 预防下肢损伤 元分析 运动员 训练方案 

分 类 号：R455[医药卫生—运动医学] R318[医药卫生—治疗学]