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Muscle, Ligaments and Tendons Journal

Quality assessment of muscle injury classification in sports: a systematic literature review

Original Article, 206 - 221
doi: 10.11138/mltj/2018.8.2.206
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Abstract
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Introduction: Muscular injuries are very common and lesion categorization is important for patient treatment and orientation. There is no study in literature that assessed methodological quality of classifications for muscle injury in sports. The objective of this study was to evaluate the quality of manuscripts that proposed a classification of muscular injury in sports.
Methods: A systematic search for articles in English, Spanish and Portuguese languages containing terms related to “muscle, skeletal/ injuries”, “athletic injuries”, “classification”, “diagnosis” and “etiology” were carried out. Articles included for evaluation proposed classifications of muscular injuries related to sports and were submitted to methodological quality appraisal from Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) protocol.
Results: 1606 articles were found. From those, 17 proposed an organized system with different sorts of muscular injury. The 17 studies were graded according to methodological quality, considering risk of bias and applicability of each classification.
Three studies presented very good results and one showed good results. The remaining articles presented a high or undetermined risk of bias and problems related to applicability.
Conclusion: There is a wide variety of methodological quality of classification studies. Most classifications system are only a theoretical model and therefore have important limitations. Level of evidence: IIIa.

Vol. 8 (No. 4) 2018 October/December

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