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Case reports of athletes affected by rhabdomyolysis: A systematic review
International Journal of Sports Science & Coaching ( IF 2.029 ) Pub Date : 2021-05-27 , DOI: 10.1177/17479541211018597
Guilherme Henrique Mattos Dantas 1, 2 , Rodolfo de Alkmim Moreira Nunes 1, 2 , Gustavo Casimiro Lopes 1, 3 , Eduardo Borba Neves 3 , Juliana Brandão Pinto de Castro 1, 2 , Rodrigo Gomes de Souza Vale 1, 2, 4
Affiliation  

Objective

To analyze intensity levels, modalities, types of physical activities, ambient temperature, and hydration levels during stimuli performed in training and competitionof studies that reported episodes of rhabdomyolysis in athletes.

Method

We conducted a systematic review following the PRISMA guidelines and registered on PROSPERO, as number CRD42020126107. MedLine (via PubMed), Cochrane, LILACS, SciELO, Web of Science, Scopus, CINAHL, SPORTDiscus, ScienceDirect, and PEDro databases were searched for case reports in which professional athletes, who had a technical team as support, were affected by rhabdomyolysis induced by the practice of physical activity. The descriptors and their synonyms “rhabdomyolysis”, “exercise”, and “athletes”, available in the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH), were used.

Results

After the screening process, 10 studies were includedand analyzed according to the CAse REport (CARE) guidelines.The sports of the case reports were soccer, football, swimming, wrestling, 24-hour cross-country skiing, and mixed martial arts (MMA).The age range of the athletes varied between 16 to 41 years old. The case reports described a total of 17 athletes (14 male and three female).The main aspects related to the diagnosis of rhabdomyolysis were ambient temperature, creatine kinase (CK) levels, the occurrence of renal impairment, and one or more signs of the classical triad (myalgia, dark urine, and muscle weakness).

Conclusion

It was observed difficulty in identifying concrete parameters to prevent and diagnose the rhabdomyolysis of premature form, however, controlling these variables may increase the chances of treatment success and decrease the risk of sequels.



中文翻译:

横纹肌溶解症运动员的病例报告:系统评价

客观的

为了分析在训练和竞赛中进行的刺激过程中进行的强度水平,方式,体育活动类型,环境温度和水合水平,这些研究报告了运动员的横纹肌溶解发作。

方法

我们按照PRISMA准则进行了系统的审查,并在PROSPERO上注册,注册号为CRD42020126107。搜索MedLine(通过PubMed),Cochrane,LILACS,SciELO,Web of Science,Scopus,CINAHL,SPORTDiscus,ScienceDirect和PEDro数据库,以查找病例报告,其中有技术队作为支持的专业运动员受到横纹肌溶解症的影响通过体育锻炼。使用了在健康科学描述符(DeCS)和医学主题词(MeSH)中可用的描述符及其同义词“横纹肌溶解”,“运动”和“运动员”。

结果

筛选过程后,根据CAse REport(CARE)指南纳入了10项研究并进行了分析。该病例报告的体育项目为足球,足球,游泳,摔跤,24小时越野滑雪和混合武术(MMA)运动员的年龄范围在16至41岁之间。病例报告描述了总共17名运动员(14名男性和3名女性)。与横纹肌溶解症的诊断有关的主要方面是环境温度,肌酸激酶(CK)水平,肾功能不全的发生以及一种或多种这种症状。经典三联征(肌痛,尿色深和肌肉无力)。

结论

观察到难以确定预防和诊断早产儿横纹肌溶解的具体参数,但是,控制这些变量可能增加治疗成功的机会并降低后遗症的风险。

更新日期:2021-05-27
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