TY - JOUR
T1 - Effectiveness of Olympic Combat Sports on Balance, Fall Risk or Falls in Older Adults
T2 - A Systematic Review
AU - Valdés-Badilla, Pablo
AU - Ramirez-Campillo, Rodrigo
AU - Herrera-Valenzuela, Tomás
AU - Branco, Braulio Henrique Magnani
AU - Guzmán-Muñoz, Eduardo
AU - Mendez-Rebolledo, Guillermo
AU - Concha-Cisternas, Yeny
AU - Hernandez-Martínez, Jordan
N1 - Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/1
Y1 - 2022/1
N2 - This systematic review and meta-analysis aimed to assess the available body of published peer-reviewed articles related to the effects of Olympic combat sports (OCS), compared with ac-tive/passive controls, on balance, fall risk, or falls in older adults. The TESTEX and GRADE scales assessed the methodological quality and certainty of the evidence. The protocol was registered in PROSPERO (code: CRD42020204034). From 1496 records, eight studies were included, involving 322 older adults (64% female; mean age = 71.1 years). The TESTEX scale revealed all studies with a score ≥ 60% (moderate-high quality). The GRADE scale indicated all studies with at least some concerns, up to a high risk of bias (i.e., was rated very low). Meta-analyses were planned, although the reduced number of studies precluded its incorporation in the final manuscript. Only two from six studies that assessed balance found improvements after OCS compared to controls. No differences were found between OCS vs. control groups for fall risk or falls. The available evidence does not allow a definitive recommendation for or against OCS interventions as an effective strategy to improve balance and reduce the fall risk or falls in older adults. Therefore, more high-quality studies are required to draw definitive conclusions.
AB - This systematic review and meta-analysis aimed to assess the available body of published peer-reviewed articles related to the effects of Olympic combat sports (OCS), compared with ac-tive/passive controls, on balance, fall risk, or falls in older adults. The TESTEX and GRADE scales assessed the methodological quality and certainty of the evidence. The protocol was registered in PROSPERO (code: CRD42020204034). From 1496 records, eight studies were included, involving 322 older adults (64% female; mean age = 71.1 years). The TESTEX scale revealed all studies with a score ≥ 60% (moderate-high quality). The GRADE scale indicated all studies with at least some concerns, up to a high risk of bias (i.e., was rated very low). Meta-analyses were planned, although the reduced number of studies precluded its incorporation in the final manuscript. Only two from six studies that assessed balance found improvements after OCS compared to controls. No differences were found between OCS vs. control groups for fall risk or falls. The available evidence does not allow a definitive recommendation for or against OCS interventions as an effective strategy to improve balance and reduce the fall risk or falls in older adults. Therefore, more high-quality studies are required to draw definitive conclusions.
KW - Accidental fall
KW - Aged
KW - Combat sports
KW - Martial arts
KW - Musculoskeletal and neural physiological phenomena
KW - Postural balance
UR - http://www.scopus.com/inward/record.url?scp=85122197402&partnerID=8YFLogxK
U2 - 10.3390/biology11010074
DO - 10.3390/biology11010074
M3 - Review article
AN - SCOPUS:85122197402
VL - 11
JO - Biology
JF - Biology
SN - 2079-7737
IS - 1
M1 - 74
ER -