Abstract:
Background: Athletes suffer from many injuries
in their sports career which may be due to some
trauma or maybe atraumatic. Athletes involved
in the sports of long-running remains worried
about knee osteoarthritis (O.A) and a question
always remain in a debate that physical activity
is a risk of O.A and the athletes are running for
osteoarthritis. This systematic review was con
ducted to synthesize the evidence on the quan
titative association between participation in spe
cific sports and the occurrence of Knee OA. This
systematic review will also analyze the effect of
sports injuries on knee OA.
Methods: Three electronic databases including
PubMed, Scopus, and Springer link are selected
for gathering the information and the articles
for this study. This systematic review is based
on the randomized control trials (RCTs), cohort
and case-control studies published in the last 20
years (2000-2022) evaluating the symptomatic
or asymptomatic tibiofemoral knee osteoarthri
tis change. The quality for study methodology
was evaluated by using the Cochrane Effective
Practice and Organization of Care Risk of Bias
Tool and PRISMA checklist as a reference. Re
view manager, 5.4.1 Cochrane Collaboration
was used for analyzing the risk for bias of indi
vidual studies.
Results: A total of 508 articles were searched
and nine articles were selected to synthesized
the results of this systematic review. Total nine
articles are selected to conclude the results based
on the inclusion criteria. Graph 1 is showing the
study design and the number of included and
excluded articles. The results are synthesized
on the following levels using the PICOS model,
i) comparison of running sports and incidence
of knee osteoarthritis, ii) comparison of soccer,
gender, and incidence of knee osteoarthritis, iii)
comparison of anterior cruciate injury, the effect
of treatment and incidence of knee osteoarthri
tis, and iv) comparison of training and preven
tion of knee osteoarthritis incidence. Conclusion: Sports with more jumping, twisting, and knee injuries contribute to the prevalence of knee osteoarthritis. Knee osteoarthritis in athletes remains asymptomatic initially and it
manifested after 15 to 20 years after the start of pathogenesis due to some knee injury, especially
ACL and menisci injury.
