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Giesche, Florian ; Stief, Felix ; Groneberg, David A. ; Wilke, Jan:
Effect of unplanned athletic movement on knee mechanics : a systematic review with multilevel meta-analysis.
In: British Journal of Sports Medicine.
Bd. 55
(2021)
Heft 23
.
- S. 1366-1378.
ISSN 1473-0480
DOI: https://doi.org/10.1136/bjsports-2021-103933
Abstract
OBJECTIVE
To compare the effects of pre-planned and unplanned movement tasks on knee biomechanics in uninjured individuals.
DESIGN
Systematic review with meta-analysis.
DATA SOURCES
Five databases (PubMed, Google Scholar, Cochrane Library, ScienceDirect and Web of Science) were searched from inception to November 2020. Cross-sectional, (randomised) controlled/non-controlled trials comparing knee angles/moments of pre-planned and unplanned single-leg landings/cuttings were included. Quality of evidence was assessed using the tool of the Grading of Recommendations Assessment, Development and Evaluation working group.
METHODS
A multilevel meta-analysis with a robust random-effects meta-regression model was used to pool the standardised mean differences (SMD) of knee mechanics between pre-planned and unplanned tasks. The influence of possible effect modifiers (eg, competitive performance level) was examined in a moderator analysis.
RESULTS
Twenty-five trials (485 participants) with good methodological quality (Downs and Black) were identified. Quality of evidence was downgraded due to potential risk of bias (eg, confounding). Moderate-quality evidence indicates that unplanned tasks evoked significantly higher external knee abduction (SMD: 0.34, 95% CI: 0.16 to 0.51, 14 studies) and tibial internal rotation moments (SMD: 0.51, 95% CI: 0.23 to 0.79, 11 studies). No significant between-condition differences were detected for sagittal plane mechanics (p>0.05). According to the moderator analysis, increased abduction moments particularly occurred in non-professional athletes (SMD: 0.55, 95% CI: 0.14 to 0.95, 5 studies).
CONCLUSION
Unplanned movement entails higher knee abduction and tibial internal rotation moments, which could predispose for knee injury. Exercise professionals designing injury-prevention protocols, especially for non-elite athletes, should consider the implementation of assessments and exercises requiring time-constrained decision-making.
PROSPERO REGISTRATION NUMBER
CRD42019140331.
Weitere Angaben
| Publikationsform: | Artikel in einer Zeitschrift |
|---|---|
| Begutachteter Beitrag: | Ja |
| Keywords: | athletes; biomechanical phenomena; exercise test; injury prevention; knee |
| Institutionen der Universität: | Fakultäten > Kulturwissenschaftliche Fakultät Fakultäten Fakultäten > Kulturwissenschaftliche Fakultät > Institut für Sportwissenschaft > Lehrstuhl Sportwissenschaft I - Neuromotorik und Bewegung > Lehrstuhl Sportwissenschaft I - Neuromotorik und Bewegung - Univ.-Prof. Dr. Dr. Jan Wilke |
| Titel an der UBT entstanden: | Nein |
| Themengebiete aus DDC: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
| Eingestellt am: | 12 Apr 2024 12:22 |
| Letzte Änderung: | 02 Mai 2024 06:40 |
| URI: | https://eref.uni-bayreuth.de/id/eprint/89196 |