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Is subsequent lower limb injury associated with previous injury? A systematic review and meta-analysis
- Source :
- British Journal of Sports Medicine. 51:1670-1678
- Publication Year :
- 2017
- Publisher :
- BMJ, 2017.
-
Abstract
- Background Previous injury is a strong risk factor for recurrent lower limb injury in athletic populations, yet the association between previous injury and a subsequent injury different in nature or location is rarely considered. Objective To systematically review data on the risk of sustaining a subsequent lower limb injury different in nature or location following a previous injury. Methods Eight medical databases were searched. Studies were eligible if they reported lower limb injury occurrence following any injury of a different anatomical site and/or of a different nature, assessed injury risk, contained athletic human participants and were written in English. Two reviewers independently applied the eligibility criteria and performed the risk of bias assessment. Meta-analysis was conducted using a random effects model. Results Twelve studies satisfied the eligibility criteria. Previous history of an ACL injury was associated with an increased risk of subsequent hamstring injury (three studies, RR=2.25, 95% CI 1.34 to 3.76), but a history of chronic groin injury was not associated with subsequent hamstring injury (three studies, RR=1.14, 95% CI 0.29 to 4.51). Previous lower limb muscular injury was associated with an increased risk of sustaining a lower limb muscular injury at a different site. A history of concussion and a variety of joint injuries were associated with an increased subsequent lower limb injury risk. Conclusions The fact that previous injury of any type may increase the risk for a range of lower limb subsequent injuries must be considered in the development of future tertiary prevention programmes. Systematic review registration number CRD42016039904 (PROSPERO).
- Subjects :
- medicine.medical_specialty
Soft Tissue Injuries
Physical Therapy, Sports Therapy and Rehabilitation
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Concussion
Epidemiology
medicine
Humans
Orthopedics and Sports Medicine
Risk factor
Hamstring injury
030222 orthopedics
business.industry
Anterior Cruciate Ligament Injuries
030229 sport sciences
General Medicine
medicine.disease
ACL injury
Meta-analysis
Athletic Injuries
Lower limb injury
Physical therapy
business
Leg Injuries
Tertiary Prevention
Subjects
Details
- ISSN :
- 14730480 and 03063674
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- British Journal of Sports Medicine
- Accession number :
- edsair.doi.dedup.....aac21709129c7c95c663df4e18b4f2bc