SynthesisThe Cochrane database of systematic reviews2000
Interventions for preventing and treating stress fractures and stress reactions of bone of the lower limbs in young adults.
Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Interventions for preventing and treating stress fractures and stress reactions of bone of the lower limbs in young adults.The Cochrane database of systematic reviews · 2005Pooled it
- Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023Article
- A Comprehensive Summary of Systematic Reviews on Sports Injury Prevention Strategies.Orthopaedic journal of sports medicine · 2021Review
- Concurrent Bilateral Anterior Tibial Stress Fractures and Vitamin D Deficiency in an Adolescent Female Athlete: Treatment With Early Surgical Intervention.Frontiers in pediatrics · 2019Article
- Update on stress fractures in female athletes: epidemiology, treatment, and prevention.Current reviews in musculoskeletal medicine · 2013Article
- Musculoskeletal disorders in physically active conscripts: a one-year follow-up study in the Finnish Defence Forces.BMC musculoskeletal disorders · 2009Article
- Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work.Sports medicine (Auckland, N.Z.) · 2001Review
- Acetabular Stress Fracture in a Healthy Male Amateur Endurance Runner. A Case Report.Journal of orthopaedic case reportsArticle
- Preventing and treating lower extremity stress reactions and fractures in adults.Journal of athletic trainingArticle
Corrections and comments
- Updated by
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStress reaction in bone, which may proceed to a fracture, is a significant problem in military recruits and in athletes, particularly long distance runners.
objectivesTo evaluate the evidence from controlled trials of treatments and programmes for prevention or management of lower limb stress fractures and stress reactions of bone in active young adults. SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group Trials Register, The Cochrane Library, MEDLINE, EMBASE, Current Contents, Dissertation Abstracts, Index to UK Theses and the bibliographies of identified articles. Date of last search: December 1997 SELECTION CRITERIA: Any randomised or quasi-randomised trial evaluating a programme or treatment to prevent or treat lower limb stress reactions of bone or stress fractures in active young adults. DATA COLLECTION AND ANALYSIS: Searching, a decision on inclusion or exclusion, methodological assessment, and data extraction were carried out according to a predetermined protocol included in the body of the review. Analysis using Review Manager software allowed pooling of data and calculation of Peto odds ratios and absolute risk reductions, each with 95% confidence intervals. MAIN
resultsThe use of "shock absorbing" insoles, evaluated in four trials, appears to reduce the incidence of stress fractures and stress reactions of bone (Peto odds ratio 0.47, 95% confidence interval 0. 30 to 0.76). Incomplete data from one trial indicated that reduction of running and jumping intensity may also be effective. The use of pneumatic braces in the rehabilitation of tibial stress fractures significantly reduces the time to recommencing training (weighted mean difference -42.6 days, 95% confidence interval -55.8 to -29.4 days). REVIEWER'S
conclusionsThe use of shock absorbing insoles in footwear reduces the incidence of stress fractures in athletes and military personnel. Rehabilitation after tibial stress fracture is aided by the use of pneumatic bracing.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.