Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis
Sport specialization is theorized to increase the risk of sustaining overuse musculoskeletal injuries. To complete a systematic review and meta-analysis of the literature to determine if sport specialization is associated with overuse musculoskeletal injuries. An electronic search was conducted usin...
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| Veröffentlicht in: | Pediatrics (Evanston) 2018-09, Vol.142 (3), p.1 |
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| creator | Bell, David R Post, Eric G Biese, Kevin Bay, Curtis Valovich McLeod, Tamara |
| description | Sport specialization is theorized to increase the risk of sustaining overuse musculoskeletal injuries.
To complete a systematic review and meta-analysis of the literature to determine if sport specialization is associated with overuse musculoskeletal injuries.
An electronic search was conducted using the search terms "specialization," "year-round," "overuse," "repetitive stress," "injury," "young," "pediatric," and "sports."
Studies were included if their population was ≤18 years of age, if they compared athletes with high or single-sport specialization with athletes with low or multisport specialization, and focused on overuse injuries.
Of the 12 articles that were identified for full-text review, 5 studies met all the inclusion criteria. Four studies provided adequate data for the meta-analysis. Quality scores on the modified Downs and Black scale ranged from 69% to 81%.
Athletes with high specialization were at an increased risk of sustaining an overuse injury compared with athletes with low (pooled relative risk [RR] ratio: 1.81; 95% confidence interval [CI]: 1.26-2.60) and moderate (pooled RR: 1.18; 95% CI: 1.05-1.33) specialization. Athletes with moderate specialization were at a higher risk of injury compared with athletes with low specialization (RR: 1.39 [95% CI: 1.04-1.87]).
Four of the 5 studies included in this systematic review were included in the meta-analysis because of the lack of access to the original data set for 1 article.
Sport specialization is associated with an increased risk of overuse musculoskeletal injuries (Strength of Recommendation Taxonomy grade: B). |
| doi_str_mv | 10.1542/peds.2018-0657 |
| format | Article |
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To complete a systematic review and meta-analysis of the literature to determine if sport specialization is associated with overuse musculoskeletal injuries.
An electronic search was conducted using the search terms "specialization," "year-round," "overuse," "repetitive stress," "injury," "young," "pediatric," and "sports."
Studies were included if their population was ≤18 years of age, if they compared athletes with high or single-sport specialization with athletes with low or multisport specialization, and focused on overuse injuries.
Of the 12 articles that were identified for full-text review, 5 studies met all the inclusion criteria. Four studies provided adequate data for the meta-analysis. Quality scores on the modified Downs and Black scale ranged from 69% to 81%.
Athletes with high specialization were at an increased risk of sustaining an overuse injury compared with athletes with low (pooled relative risk [RR] ratio: 1.81; 95% confidence interval [CI]: 1.26-2.60) and moderate (pooled RR: 1.18; 95% CI: 1.05-1.33) specialization. Athletes with moderate specialization were at a higher risk of injury compared with athletes with low specialization (RR: 1.39 [95% CI: 1.04-1.87]).
Four of the 5 studies included in this systematic review were included in the meta-analysis because of the lack of access to the original data set for 1 article.
Sport specialization is associated with an increased risk of overuse musculoskeletal injuries (Strength of Recommendation Taxonomy grade: B).</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2018-0657</identifier><identifier>PMID: 30135085</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Athletes ; Cumulative trauma disorders ; Data processing ; Health aspects ; Health risks ; Injury analysis ; Meta-analysis ; Musculoskeletal system ; Overuse injuries ; Pediatrics ; Repetition strain injury ; Repetitive stress injury ; Reviews ; Risk factors ; Specialization ; Sports injuries ; Systematic review ; Taxonomy</subject><ispartof>Pediatrics (Evanston), 2018-09, Vol.142 (3), p.1</ispartof><rights>Copyright © 2018 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Sep 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-193ed814548a42c5323c8955749e15f32f4d339e3fec9c04feb3d92cd78414883</citedby><cites>FETCH-LOGICAL-c401t-193ed814548a42c5323c8955749e15f32f4d339e3fec9c04feb3d92cd78414883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30135085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bell, David R</creatorcontrib><creatorcontrib>Post, Eric G</creatorcontrib><creatorcontrib>Biese, Kevin</creatorcontrib><creatorcontrib>Bay, Curtis</creatorcontrib><creatorcontrib>Valovich McLeod, Tamara</creatorcontrib><title>Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Sport specialization is theorized to increase the risk of sustaining overuse musculoskeletal injuries.
To complete a systematic review and meta-analysis of the literature to determine if sport specialization is associated with overuse musculoskeletal injuries.
An electronic search was conducted using the search terms "specialization," "year-round," "overuse," "repetitive stress," "injury," "young," "pediatric," and "sports."
Studies were included if their population was ≤18 years of age, if they compared athletes with high or single-sport specialization with athletes with low or multisport specialization, and focused on overuse injuries.
Of the 12 articles that were identified for full-text review, 5 studies met all the inclusion criteria. Four studies provided adequate data for the meta-analysis. Quality scores on the modified Downs and Black scale ranged from 69% to 81%.
Athletes with high specialization were at an increased risk of sustaining an overuse injury compared with athletes with low (pooled relative risk [RR] ratio: 1.81; 95% confidence interval [CI]: 1.26-2.60) and moderate (pooled RR: 1.18; 95% CI: 1.05-1.33) specialization. Athletes with moderate specialization were at a higher risk of injury compared with athletes with low specialization (RR: 1.39 [95% CI: 1.04-1.87]).
Four of the 5 studies included in this systematic review were included in the meta-analysis because of the lack of access to the original data set for 1 article.
Sport specialization is associated with an increased risk of overuse musculoskeletal injuries (Strength of Recommendation Taxonomy grade: B).</description><subject>Athletes</subject><subject>Cumulative trauma disorders</subject><subject>Data processing</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Injury analysis</subject><subject>Meta-analysis</subject><subject>Musculoskeletal system</subject><subject>Overuse injuries</subject><subject>Pediatrics</subject><subject>Repetition strain injury</subject><subject>Repetitive stress injury</subject><subject>Reviews</subject><subject>Risk factors</subject><subject>Specialization</subject><subject>Sports injuries</subject><subject>Systematic review</subject><subject>Taxonomy</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpd0b9vEzEYxnELgWhaWBmRJZYuF17_ytlsUURLpaJIDQgxWa7vveJwuTtsXyH963GU0oHJy8fWI38JecNgzpTk70ds0pwD0xUsVP2MzBgYXUleq-dkBiBYJQHUCTlNaQsAUtX8JTkRwIQCrWbk-2YcYqabEX1wXXhwOQw9dX1Db0L6SYeWru8xTgnpVb-dYsD0gS7pZp8y7or19AbvA_6m30L-QT9jdpXrXbdPIb0iL1rXJXz9eJ6Rrxcfv6w-Vdfry6vV8rryEliumBHYaCaV1E5yrwQXXhulammQqVbwVjZCGBQteuNBtngrGsN9U2vJpNbijJwf3x3j8GvClO0uJI9d53ocpmQ5GK6kZJwX-u4_uh2mWPYWxVj5HCMXUFR1VHeuQxt6P_QZ_2Q_dB3eoS3jV2u7VAvGQZUGxc-P3schpYitHWPYubi3DOwhkj1EsodI9hCpXHj7OGO63WHzxP9VEX8B9kqKsg</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Bell, David R</creator><creator>Post, Eric G</creator><creator>Biese, Kevin</creator><creator>Bay, Curtis</creator><creator>Valovich McLeod, Tamara</creator><general>American Academy of Pediatrics</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201809</creationdate><title>Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis</title><author>Bell, David R ; Post, Eric G ; Biese, Kevin ; Bay, Curtis ; Valovich McLeod, Tamara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-193ed814548a42c5323c8955749e15f32f4d339e3fec9c04feb3d92cd78414883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Athletes</topic><topic>Cumulative trauma disorders</topic><topic>Data processing</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>Injury analysis</topic><topic>Meta-analysis</topic><topic>Musculoskeletal system</topic><topic>Overuse injuries</topic><topic>Pediatrics</topic><topic>Repetition strain injury</topic><topic>Repetitive stress injury</topic><topic>Reviews</topic><topic>Risk factors</topic><topic>Specialization</topic><topic>Sports injuries</topic><topic>Systematic review</topic><topic>Taxonomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bell, David R</creatorcontrib><creatorcontrib>Post, Eric G</creatorcontrib><creatorcontrib>Biese, Kevin</creatorcontrib><creatorcontrib>Bay, Curtis</creatorcontrib><creatorcontrib>Valovich McLeod, Tamara</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bell, David R</au><au>Post, Eric G</au><au>Biese, Kevin</au><au>Bay, Curtis</au><au>Valovich McLeod, Tamara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2018-09</date><risdate>2018</risdate><volume>142</volume><issue>3</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>Sport specialization is theorized to increase the risk of sustaining overuse musculoskeletal injuries.
To complete a systematic review and meta-analysis of the literature to determine if sport specialization is associated with overuse musculoskeletal injuries.
An electronic search was conducted using the search terms "specialization," "year-round," "overuse," "repetitive stress," "injury," "young," "pediatric," and "sports."
Studies were included if their population was ≤18 years of age, if they compared athletes with high or single-sport specialization with athletes with low or multisport specialization, and focused on overuse injuries.
Of the 12 articles that were identified for full-text review, 5 studies met all the inclusion criteria. Four studies provided adequate data for the meta-analysis. Quality scores on the modified Downs and Black scale ranged from 69% to 81%.
Athletes with high specialization were at an increased risk of sustaining an overuse injury compared with athletes with low (pooled relative risk [RR] ratio: 1.81; 95% confidence interval [CI]: 1.26-2.60) and moderate (pooled RR: 1.18; 95% CI: 1.05-1.33) specialization. Athletes with moderate specialization were at a higher risk of injury compared with athletes with low specialization (RR: 1.39 [95% CI: 1.04-1.87]).
Four of the 5 studies included in this systematic review were included in the meta-analysis because of the lack of access to the original data set for 1 article.
Sport specialization is associated with an increased risk of overuse musculoskeletal injuries (Strength of Recommendation Taxonomy grade: B).</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>30135085</pmid><doi>10.1542/peds.2018-0657</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatrics (Evanston), 2018-09, Vol.142 (3), p.1 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Athletes Cumulative trauma disorders Data processing Health aspects Health risks Injury analysis Meta-analysis Musculoskeletal system Overuse injuries Pediatrics Repetition strain injury Repetitive stress injury Reviews Risk factors Specialization Sports injuries Systematic review Taxonomy |
| title | Sport Specialization and Risk of Overuse Injuries: A Systematic Review With Meta-analysis |
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