■运动相关脑震荡(SRC)是由生物力学应力引起的创伤性脑损伤,并导致大脑中复杂的病理生理过程。体育界的一些人认为头饰(HG)可以防止SRC,和几个专业的澳大利亚体育组织,包括橄榄球,足球,还有足球俱乐部,推荐使用。
■这项研究的目的是确定HG是否能有效降低运动中SRC的患病率。
■使用以下数据库对1985年至2023年之间发表的相关研究进行了系统搜索:Cochrane图书馆,AMED,PubMed,WebofScience,和物理治疗证据数据库(PEDro)。
■仅包括研究HG降低SRC率有效性的随机对照试验(RCT)。
■随机对照试验的系统评价和荟萃分析。
■1a级。
■两名研究人员独立完成了标题和摘要搜索,并进行了全文评论。如果发现任何差异,则与第三位审查员协商以达成共识。采用PEDro量表评价纳入随机对照试验的质量。每个研究记录的数据包括作者,出版年份,玩家的类型和数量,研究设计,研究的持续时间,受伤率,合规性(%),运动/水平,和曝光时间。
■6311名球员和173,383个暴露小时的汇总结果显示,与对照组相比,实验组每暴露1000小时SRC减少0%,损伤风险比为1.03(95%CI,0.82-1.30;P=0.79)。
■本系统综述和荟萃分析表明,HG不会阻止足球和橄榄球运动员的SRC,因此,这项荟萃分析的结果目前不支持在足球或橄榄球中使用HG预防SRC。
UNASSIGNED: A sport-related concussion (SRC) is a traumatic brain injury that is caused by biomechanical stresses and results in a complex pathophysiological process in the brain. Some in the sporting community believe that headgear (HG) can prevent SRC, and several professional Australian sports organizations, including rugby, football, and soccer clubs, recommend its use.
UNASSIGNED: The purpose of this study is to determine whether HG is effective in lowering the prevalence of SRC in sports.
UNASSIGNED: A systematic search for related studies published between 1985 and 2023 was conducted using the following databases: Cochrane Library, AMED, PubMed, Web of Science, and Physiotherapy Evidence Database (PEDro).
UNASSIGNED: Only randomized controlled trials (RCTs) that investigated the effectiveness of HG in reducing SRC rate were included.
UNASSIGNED: Systematic
review and meta-analysis of RCTs.
UNASSIGNED: Level 1a.
UNASSIGNED: Two researchers independently completed the title and abstract search and performed full-text reviews. A third reviewer was consulted to reach a consensus if any discrepancies were noted. The PEDro scale was used to evaluate the quality of the included RCTs. Data recorded from each study included authors, year of publication, type and number of players, study design, duration of the study, injury rate, compliance (%), sports/level, and exposure hours.
UNASSIGNED: The pooled results of 6311 players and 173,383 exposure hours showed 0% SRC reduction per 1000 hours of exposure in the experimental group compared with the control group, with an injury risk ratio of 1.03 (95% CI, 0.82-1.30; P = 0.79).
UNASSIGNED: This systematic
review and meta-analysis demonstrates that HG does not prevent SRC among soccer and rugby players, and therefore the findings from this meta-analysis do not currently support the use of HG to prevent SRC in soccer or rugby.