Emannuel Alcides Bezerra Rocha, Sanderson Josć Costa de Assis, Dean Felipe Maciel Maia, Germanna de Medeiros Barbosa, Leonidas de Oliveira Neto, Rodrigo Scattone Silva
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引用次数: 0
Abstract
Background: The main cause for attrition of military training is musculoskeletal injuries to the knee, such as patellofemoral pain (PFP).
Objective: The purpose of this systematic review was to identify which factors increase the risk of occurrence of PFP in military personnel.
Study design: Systematic review with meta-analysis.
Data sources: Searches were performed in Medline/PubMed, CINAHL, Embase, SPORTDiscus, Web of Science, Scopus, and OpenGray.
Study selection: We included studies that were prospective cohorts including military personnel and had at least one variable assessing a risk factor for PFP.
Data extraction: Extraction was performed by the same two independent evaluators and the data was separated between the military personnel who developed PFP and those who did not.
Data synthesis: Meta-analyses were performed using standardized mean differences (SMD) and 95% confidence intervals (95%CI) and the levels of recommendation were determined.
Results: From 11 articles, this review grouped 7,518 military personnel, of which 572 developed PFP, characterizing a prevalence of 7.61%. We found moderate evidence that isokinetic knee extensor weakness predicts PFP in the military (SMD -0.69, 95%CI -1.02, -0.35). A higher frontal plane knee projection angle (FPKPA) during single-leg squat was also identified as a risk factor for PFP in this population (SMD 0.55, 95%CI 0.14, 0.97) with moderate level of evidence. We found moderate evidence that sex, body mass index, isometric knee extensors strength, and isokinetic knee flexors strength do not predict PFP in military personnel. Finally, there is strong evidence that age and body mass do not predict PFP in this population.
Conclusions: Deficits in isokinetic knee extensor strength and a greater FPKPA are risk factors for PFP in military personnel. Since these are modifiable factors, these aspects should be considered in injury prevention interventions in the military.
期刊介绍：
The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of health care for the physically active through education and research in prevention, evaluation, management and rehabilitation of injuries.
The Journal of Athletic Training offers research you can use in daily practice. It keeps you abreast of scientific advancements that ultimately define professional standards of care - something you can''t be without if you''re responsible for the well-being of patients.
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