- Title
- Is subsequent lower limb injury associated with previous injury? A systematic review and meta-analysis
- Creator
- Toohey, Liam; Drew, Michael; Cook, Jill; Finch, Caroline; Gaida, Jamie
- Date
- 2017
- Type
- Text; Journal article; Review
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/164137
- Identifier
- vital:13030
- Identifier
-
https://doi.org/10.1136/bjsports-2017-097500
- Identifier
- ISBN:0306-3674
- 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). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
- Publisher
- BMJ Publishing Group
- Relation
- British Journal of Sports Medicine Vol. 51, no. 23 (2017), p. 1670-1678
- Rights
- Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
- Rights
- This metadata is freely available under a CCO license
- Subject
- 09 Engineering; 11 Medical and Health Sciences; 13 Education; Athletic injury; Epidemiology; Injury risk; Sports injury; Subsequent injury
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