Prevenção de lesões em praticantes de corrida de longa distância

Abstract

To identify the best approach for injury prevention in long-distance runners. Design: This is a Systematic Review and Network Meta-Analysis. Methods: Screening, data extraction and assessment of risk of bias were performed by two reviewers independently. Network meta-analysis was performed using the Bayesian approach to injury risk analysis. The quality of evidence for each comparison was assessed using the GRADE network metaanalysis evidence analysis tool. Data source: Searches were performed in the Medline/Ovid, Embase, CENTRAL (The Cochrane Library), SPORTDiscus, Scopus, CINAHL and Web of Science databases. Eligibility criteria for study selection: Published randomized controlled trials that aimed to study the association between preventive approaches and the incidence of injury in runners of any distance and training level were included. Abstract publications and studies whose participants were military personnel or mountain runners were excluded. Results: Twenty-five randomized controlled trials with a total of 58 comparisons and 13,981 participants were included. Only three studies achieved a score range between 9 and 10 points, which is considered excellent on the PEDro scale. Compared with training progression by volume, no intervention for injury prevention showed superior efficacy. The analysis of the level of evidence according to GRADE was low or very low for comparisons between interventions. Conclusion: The evidence generated in this network meta-analysis did not find any effect on injury prevention in runners among the different intervention modalities. The evidence was considered low level according to the GRADE scale. New randomized controlled trials should be conducted in the future, aiming to evaluate the effects of multiple associated interventions and ensuring contrast between interventions in the comparator groups.