Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials

物理疗法 医学 心理干预 随机对照试验 物理医学与康复 奇纳 梅德林 再培训 外科 护理部 政治学 法学 国际贸易 业务
作者
James L N Alexander,Adam G. Culvenor,Richard R T Johnston,Allison M Ezzat,Christian J Barton
出处
期刊:British Journal of Sports Medicine [BMJ]
卷期号:56 (22): 1307-1319 被引量:8
标识
DOI:10.1136/bjsports-2022-105553
摘要

To evaluate the effectiveness of interventions to prevent and manage knee injuries in runners.Systematic review and meta-analysis.MEDLINE, EMBASE, CINAHL, Web of Science and SPORTDiscus up to May 2022.Randomised controlled trials (RCTs) with a primary aim of evaluating the effectiveness of intervention(s) to prevent or manage running-related knee injury.Thirty RCTs (18 prevention, 12 management) analysed multiple interventions in novice and recreational running populations. Low-certainty evidence (one trial, 320 participants) indicated that running technique retraining (to land softer) reduced the risk of knee injury compared with control treadmill running (risk ratio (RR) 0.32, 95% CI 0.16 to 0.63). Very low-certainty to low-certainty evidence from 17 other prevention trials (participant range: 24 -3287) indicated that various footwear options, multicomponent exercise therapy, graduated running programmes and online and in person injury prevention education programmes did not influence knee injury risk (RR range: 0.55-1.06). In runners with patellofemoral pain, very low-certainty to low-certainty evidence indicated that running technique retraining strategies, medial-wedged foot orthoses, multicomponent exercise therapy and osteopathic manipulation can reduce knee pain in the short-term (standardised mean difference range: -4.96 to -0.90).There is low-certainty evidence that running technique retraining to land softer may reduce knee injury risk by two-thirds. Very low-certainty to low-certainty evidence suggests that running-related patellofemoral pain may be effectively managed through a variety of active (eg, running technique retraining, multicomponent exercise therapy) and passive interventions (eg, foot orthoses, osteopathic manipulation).CRD42020150630.
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