PDF(Pubmed)
Abstract：
BACKGROUND: Although a common injury there is a lack of published primary data to inform clinical management of sports related brachial plexus injuries.
METHODS: A systematic search was completed in Medline, CINAHL, PubMed, SPORTDiscus and Web of Science databases and Google Scholar from inception to August 2023 according to the PRISMA-ScR guidelines. Methodological quality assessment of included articles was with the Joanna Briggs Institute tool. Studies providing primary data as to the rehabilitative management of diagnosed or suspected brachial plexus injuries sustained when playing contact sports were included.
RESULTS: Sixty-five studies were identified and screened, of which, 8 case reports were included, incorporating 10 participants with a mean age of 19.8 (±4.09) years. There was wide heterogeneity in injury severity, injury reporting, physical examination and imaging approaches documented. 9 of 10 participants returned to competitive sports, though follow-up periods also varied widely. Whilst return to play criteria varied between studies, the most consistent indicator was pain-free shoulder range of motion and strength.
CONCLUSIONS: There is a distinct lack of data available to inform evidence-based rehabilitation management of sports related brachial plexus injury. Only 8 individual case reports contain published data reporting on 10 athletes. Further reporting is critical to inform clinical management.
METHODS: A systematic search was completed in Medline, CINAHL, PubMed, SPORTDiscus and Web of Science databases and Google Scholar from inception to August 2023 according to the PRISMA-ScR guidelines. Methodological quality assessment of included articles was with the Joanna Briggs Institute tool. Studies providing primary data as to the rehabilitative management of diagnosed or suspected brachial plexus injuries sustained when playing contact sports were included.
RESULTS: Sixty-five studies were identified and screened, of which, 8 case reports were included, incorporating 10 participants with a mean age of 19.8 (±4.09) years. There was wide heterogeneity in injury severity, injury reporting, physical examination and imaging approaches documented. 9 of 10 participants returned to competitive sports, though follow-up periods also varied widely. Whilst return to play criteria varied between studies, the most consistent indicator was pain-free shoulder range of motion and strength.
CONCLUSIONS: There is a distinct lack of data available to inform evidence-based rehabilitation management of sports related brachial plexus injury. Only 8 individual case reports contain published data reporting on 10 athletes. Further reporting is critical to inform clinical management.
摘要：
背景：尽管常见的损伤，但缺乏已发表的主要数据来指导与运动相关的臂丛神经损伤的临床处理。
方法：在Medline完成了系统搜索，CINAHL,PubMed,根据PRISMA-ScR指南，SPORTDiscus和WebofScience数据库以及GoogleScholar从成立到2023年8月。纳入文章的方法学质量评估使用JoannaBriggs研究所工具。包括提供有关进行接触运动时被诊断或怀疑的臂丛神经损伤的康复管理的主要数据的研究。
结果：确定并筛选了65项研究，其中，包括8例病例报告，纳入10名平均年龄为19.8（±4.09）岁的参与者。损伤严重程度存在广泛的异质性，损伤报告,体检和成像方法记录在案。10名参与者中有9名重返竞技体育，虽然后续时期也有很大差异。虽然回归游戏的标准在不同的研究之间有所不同，最一致的指标是无痛肩关节活动范围和力量.
结论：对于运动性相关臂丛神经损伤的循证康复管理，明显缺乏相关数据。只有8份个案报告包含10名运动员的公开数据报告。进一步的报告对于告知临床管理至关重要。
方法：在Medline完成了系统搜索，CINAHL,PubMed,根据PRISMA-ScR指南，SPORTDiscus和WebofScience数据库以及GoogleScholar从成立到2023年8月。纳入文章的方法学质量评估使用JoannaBriggs研究所工具。包括提供有关进行接触运动时被诊断或怀疑的臂丛神经损伤的康复管理的主要数据的研究。
结果：确定并筛选了65项研究，其中，包括8例病例报告，纳入10名平均年龄为19.8（±4.09）岁的参与者。损伤严重程度存在广泛的异质性，损伤报告,体检和成像方法记录在案。10名参与者中有9名重返竞技体育，虽然后续时期也有很大差异。虽然回归游戏的标准在不同的研究之间有所不同，最一致的指标是无痛肩关节活动范围和力量.
结论：对于运动性相关臂丛神经损伤的循证康复管理，明显缺乏相关数据。只有8份个案报告包含10名运动员的公开数据报告。进一步的报告对于告知临床管理至关重要。
