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Revisão Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Is there enough evidence that mouthguards do not affect athletic performance? A systematic literature review

2018; Elsevier BV; Volume: 69; Issue: 1 Linguagem: Inglês

10.1111/idj.12406

ISSN

1875-595X

Autores

Gustavo Barbosa Ferreira, Ludmila Silva Guimarães, Cláudio Pinheiro Fernandes, Reinaldo Brito e Dias, Neide Pena Coto, Lívia Azeredo Alves Antunes, Leonardo Santos Antunes,

Tópico(s)

Injury Epidemiology and Prevention

Resumo

Background: Although there is evidence that mouthguards prevent orofacial trauma occurrence during sport practice, the influence of this device on athletic performance has not been systematically quantified. Objectives: We aim to systematically review the literature to determine the effect of mouthguards on athletic performance and if the type of mouthguard influences this overcome. Materials and methods: A comprehensive search was performed in the Systematic Electronic Databases: Pubmed, Scopus, Web of Science and the Cochrane Library from their inception to February 2017. The publications were grouped based on their outcome: (i) the use of mouthguards; or (ii) the type of mouthguards. We conducted descriptive analyses and quality assessments of the included studies. Results: The search identified 489 citations. After screening the studies, we identified 15 trials comprising a population of 312 athletes. According to the risk of bias evaluation, nine studies were considered 'high' risk of bias, and six 'low' risk of bias. Overall, custom-made mouthguards did not interfere or improve athletes' performance when compared with the control group (without mouthguard). Custom-made mouthguards showed the smallest range of changes in players' performance compared with other types of mouthguards. Conclusions: This systematic review provides evidence for sports professionals to advocate the use of custom-made mouthguards to prevent injury, and these devices do not impair performance. The scientific evidence should be interpreted carefully because there is a great variability in outcome measures and lack of important methodological details.

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