髂动脉血流受限的耐力运动员的保守治疗和术后恢复运动:范围审查

IF 9.3 1区 医学 Q1 SPORT SCIENCES Sports Medicine Pub Date : 2024-09-13 DOI:10.1007/s40279-024-02105-1
Jem I. Arnold, Alishah Mawji, Kathryn Stene, David C. Taylor, Michael S. Koehle
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引用次数: 0

摘要

背景髂动脉血流受限(FLIA)是一种与运动相关的血管疾病,越来越多的职业自行车运动员和其他耐力运动员认识到这是一种职业风险。对于希望继续比赛的运动员来说,手术重建是最终的治疗方法。我们的目的是回顾有关 FLIA 保守治疗的现有文献,找出知识差距,并为重返赛场的运动员提出一个 RTS 框架。方法使用 Ovid-MEDLINE、PubMed、Embase 和 PEDro 数据库对与 FLIA 保守治疗相关的出版物进行了全面的文献回顾。按照 PRISMA-ScR 指南进行了范围界定审查。纳入了描述对患有 FLIA 的运动员进行保守治疗或术后治疗的原创英文同行评审出版物。此外,还参考了其他灰色文献和临床专业知识,为 RTS 指南提供信息。共提取了 11 类保守方法,并根据信息来源(讨论或结果陈述)和作者观点(积极、消极或混合)进行了定性分析。我们根据现有文献和临床经验,并借鉴运动医学研究的其他领域,提出了包括术前准备和术后康复在内的 RTS 指南。考虑到 RTS 对竞技运动员的重要性,我们提出了实用指南,以帮助临床医生和患者做出决策。未来应就 RTS 最佳实践达成共识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Conservative Management and Postoperative Return to Sport in Endurance Athletes with Flow Limitations in the Iliac Arteries: A Scoping Review

Background

Flow limitations in the iliac arteries (FLIA) is a sport-related vascular condition increasingly recognised as an occupational risk for professional cyclists and other endurance athletes. Surgical reconstruction is the definitive treatment for athletes wishing to continue competition. However, less information has been published regarding conservative management options and return-to-sport (RTS) guidelines.

Objective

Our aim was to review the existing literature on conservative treatment of FLIA, identify knowledge gaps and propose an RTS framework for athletes returning to competition.

Methods

A comprehensive literature review was performed using the Ovid-MEDLINE, PubMed, Embase and PEDro databases for publications relevant to conservative management of FLIA. A scoping review was conducted following PRISMA-ScR guidelines. Original, peer-reviewed publications in English describing conservative or postoperative management for athletes with FLIA were included. Additional grey literature and clinical expertise were consulted to inform RTS guidelines.

Results

Overall, 62 studies were included in this review. In total, 11 categories of conservative modalities were extracted and presented qualitatively in terms of the information source (discussion or results statements) and perspective of the authors (positive, negative or mixed). We have proposed RTS guidelines covering pre-operative preparation and postoperative rehabilitation based on the available literature, clinical experience, and drawing from other areas of sports medicine research.

Conclusion

There is insufficient literature evaluating the effectiveness of conservative management options for FLIA to establish best practices. Considering the importance of RTS for competitive athletes, we proposed practical guidelines to help with clinician and patient decision making. Future consensus should be sought for RTS best practices.

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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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