Evidence map›Paper›PMID 36481573›Full record

SynthesisJournal of sport and health science2023

Biomechanics associated with tibial stress fracture in runners: A systematic review and meta-analysis.

Clare E Milner, Eric Foch, Joseph M Gonzales, Drew Petersen

Erratum issuedAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of sport and health science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Clare E MilnerDepartment of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PA 19102, USA. Electronic address: milner@drexel.edu.
Eric FochDepartment of Health Sciences, Central Washington University, Ellensburg, WA 98926, USA.
Joseph M GonzalesDepartment of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PA 19102, USA.
Drew PetersenDepartment of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PA 19102, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTibial stress fracture (TSF) is an overuse running injury with a long recovery period. While many running studies refer to biomechanical risk factors for TSF, only a few have compared biomechanics in runners with TSF to controls. The aim of this systematic review and meta-analysis was to evaluate biomechanics in runners with TSF compared to controls.

methodsElectronic databases PubMed, Web of Science, SPORTDiscus, Scopus, Cochrane, and CINAHL were searched. Risk of bias was assessed and meta-analysis conducted for variables reported in 3 or more studies.

resultsThe search retrieved 359 unique records, but only the 14 that compared runners with TSF to controls were included in the review. Most studies were retrospective, 2 were prospective, and most had a small sample size (5-30 per group). Many variables were not significantly different between groups. Meta-analysis of peak impact, active, and braking ground reaction forces found no significant differences between groups. Individual studies found larger tibial peak anterior tensile stress, peak posterior compressive stress, peak axial acceleration, peak rearfoot eversion, and hip adduction in the TSF group.

conclusionMeta-analysis indicated that discrete ground reaction force variables were not statistically significantly different in runners with TSF compared to controls. In individual included studies, many biomechanical variables were not statistically significantly different between groups. However, many were reported by only a single study, and sample sizes were small. We encourage additional studies with larger sample sizes of runners with TSF and controls and adequate statistical power to confirm or refute these findings.

Indexed as

Cumulative Trauma DisordersFractures, StressBiomechanical PhenomenaFootHumansProspective StudiesRetrospective StudiesBone stress injuryGaitKinematicsKineticsTibial acceleration

Identifiers

PMID36481573
PMCPMC10199137

What OpenQuestion holds

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Registered trials

None linked

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.