Pub Date : 2024-08-05DOI: 10.1016/j.ptsp.2024.08.002
Objectives
To describe the rate and type of netball injuries sustained during women's university-level tournament matches in South Africa.
Design
Descriptive epidemiological study.
Setting
Three editions of the women's Varsity Netball tournament (2021–23).
Participants
Student-athletes representing nine university women's teams.
Main outcome measures
Medical attention match injuries prospectively recorded by team medical staff. Injuries were classified according to the 2020 consensus statement, with the addition of “concussion” as a separate pathology type. The main outcomes are reported as incidence (injuries per 1000h; 95% confidence intervals - CIs), burden (days lost per 1000h; 95%CIs), and frequency (% of all injuries).
Results
Sixty-three injuries were recorded from 48 different players (58.8 per 1000h; 45.2–75.3) and the overall injury burden was 401 days per 1000h (364–440). Injury incidence by pathology type was highest for joint sprains (28.9 per 1000h), tendinopathies (7.5 per 1000h), and concussions (4.7 per 1000h). Joint sprains to the ankle accounted for 49% of the overall estimated days lost.
Conclusions
Ankle joint sprains should be the primary target of injury risk reduction programmes in highly trained netball players. Concussions were reported and efforts should be made to increase awareness among players, coaches and medical staff.
{"title":"Ankle, knee and concussion concerns: Unveiling injury patterns in highly trained South African netball players","authors":"","doi":"10.1016/j.ptsp.2024.08.002","DOIUrl":"10.1016/j.ptsp.2024.08.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the rate and type of netball injuries sustained during women's university-level tournament matches in South Africa.</p></div><div><h3>Design</h3><p>Descriptive epidemiological study.</p></div><div><h3>Setting</h3><p>Three editions of the women's Varsity Netball tournament (2021–23).</p></div><div><h3>Participants</h3><p>Student-athletes representing nine university women's teams.</p></div><div><h3>Main outcome measures</h3><p>Medical attention match injuries prospectively recorded by team medical staff. Injuries were classified according to the 2020 consensus statement, with the addition of “concussion” as a separate pathology type. The main outcomes are reported as incidence (injuries per 1000h; 95% confidence intervals - CIs), burden (days lost per 1000h; 95%CIs), and frequency (% of all injuries).</p></div><div><h3>Results</h3><p>Sixty-three injuries were recorded from 48 different players (58.8 per 1000h; 45.2–75.3) and the overall injury burden was 401 days per 1000h (364–440). Injury incidence by pathology type was highest for joint sprains (28.9 per 1000h), tendinopathies (7.5 per 1000h), and concussions (4.7 per 1000h). Joint sprains to the ankle accounted for 49% of the overall estimated days lost.</p></div><div><h3>Conclusions</h3><p>Ankle joint sprains should be the primary target of injury risk reduction programmes in highly trained netball players. Concussions were reported and efforts should be made to increase awareness among players, coaches and medical staff.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000804/pdfft?md5=c63c2d6550bae1332d58596893652f34&pid=1-s2.0-S1466853X24000804-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141993225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-03DOI: 10.1016/j.ptsp.2024.08.001
Objective
To explore the relationship between knee crepitus, quadriceps muscle thickness and isometric strength in individuals with patellofemoral pain (PFP).
Design
Cross-sectional.
Participants
Individuals with PFP.
Main outcome measures
Participants with PFP underwent assessments for presence, frequency and severity of knee crepitus. Real-time ultrasound images of the quadriceps muscles (rectus femoris, vastus medialis and lateralis) at rest and during contraction were obtained, muscle thickness was measured in both conditions. Maximal voluntary isometric contraction tests were performed to measure knee extensor strength. The relationship between knee crepitus and quadriceps muscle thickness and knee extensor strength was explored using logistic and linear regressions.
Results
Sixty individuals with PFP were included (age: 24; 60% women; 38% with crepitus). Knee crepitus severity was related to rectus femoris and vastus medialis thickness during rest (R2 = 0.19 and 0.09, respectively) and contraction (R2 = 0.16 and 0.07, respectively) and with vastus lateralis during contraction (R2 = 0.08). Isometric knee extensor strength was not related to knee crepitus presence, frequency, or severity.
Conclusion
Higher severity of knee crepitus is related to lower quadriceps muscle thickness in individuals with PFP. There is no relationship between the presence and frequency of knee crepitus with quadriceps muscle thickness or knee extensor strength.
{"title":"Is there a relationship between knee crepitus with quadriceps muscle thickness and strength in individuals with patellofemoral pain? A cross-sectional study","authors":"","doi":"10.1016/j.ptsp.2024.08.001","DOIUrl":"10.1016/j.ptsp.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the relationship between knee crepitus, quadriceps muscle thickness and isometric strength in individuals with patellofemoral pain (PFP).</p></div><div><h3>Design</h3><p>Cross-sectional.</p></div><div><h3>Participants</h3><p>Individuals with PFP.</p></div><div><h3>Main outcome measures</h3><p>Participants with PFP underwent assessments for presence, frequency and severity of knee crepitus. Real-time ultrasound images of the quadriceps muscles (rectus femoris, vastus medialis and lateralis) at rest and during contraction were obtained, muscle thickness was measured in both conditions. Maximal voluntary isometric contraction tests were performed to measure knee extensor strength. The relationship between knee crepitus and quadriceps muscle thickness and knee extensor strength was explored using logistic and linear regressions.</p></div><div><h3>Results</h3><p>Sixty individuals with PFP were included (age: 24; 60% women; 38% with crepitus). Knee crepitus severity was related to rectus femoris and vastus medialis thickness during rest (R<sup>2</sup> = 0.19 and 0.09, respectively) and contraction (R<sup>2</sup> = 0.16 and 0.07, respectively) and with vastus lateralis during contraction (R2 = 0.08). Isometric knee extensor strength was not related to knee crepitus presence, frequency, or severity.</p></div><div><h3>Conclusion</h3><p>Higher severity of knee crepitus is related to lower quadriceps muscle thickness in individuals with PFP. There is no relationship between the presence and frequency of knee crepitus with quadriceps muscle thickness or knee extensor strength.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000798/pdfft?md5=1951b691bd7cfd926a65e6babdb4670e&pid=1-s2.0-S1466853X24000798-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-02DOI: 10.1016/j.ptsp.2024.07.006
Objective
To investigate whether transversus abdominis activation (TrA), hip strength, and movement competency are associated with the incidence of musculoskeletal disorder episodes (MDEs) in dancers when controlling for confounding variables. The secondary objectives were to determine if there were differences between professional and preprofessional dancers for the aforementioned factors, as well as to determine if there were differences in TrA activation and hip strength between the dominant and non-dominant sides.
Design
Prospective cohort study.
Methods
118 dancers were recruited. The independent variables were collected at the beginning of the dance season: 1) TrA activation, 2) hip strength, and 3) movement competency. To assess the development of MDEs, a weekly electronic diary was used over a 38-week period. MDEs were compiled for each dancer's whole body and subdivided into total musculoskeletal disorder episodes (all body parts) and lower quadrant musculoskeletal disorder episodes (lower limb and lower back).
Results
Lower TrA, as well as higher hip abductor and external rotator strength, were associated with a lower incidence of MDEs. TrA activation (β = 0.260, p = 0.023) and hip external rotator strength (β = −0.537, p = 0.002) could significantly explain 25.4% of the variance of total MDEs, as well as 20.9% of the variance of lower quadrant musculoskeletal disorder episodes (β = 0.272, p = 0.016; β = −0.459, p = 0.011). No significant associations were found between movement competency and MDEs.
Conclusions
Higher hip strength could be a protective factor for MDEs among dancers. Further studies are needed to better understand the involvement of the transversus abdominis in MDEs.
{"title":"Understanding musculoskeletal disorders in dancers: The role of lumbopelvic muscles and movement competency","authors":"","doi":"10.1016/j.ptsp.2024.07.006","DOIUrl":"10.1016/j.ptsp.2024.07.006","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate whether transversus abdominis activation (TrA), hip strength, and movement competency are associated with the incidence of musculoskeletal disorder episodes (MDEs) in dancers when controlling for confounding variables. The secondary objectives were to determine if there were differences between professional and preprofessional dancers for the aforementioned factors, as well as to determine if there were differences in TrA activation and hip strength between the dominant and non-dominant sides.</p></div><div><h3>Design</h3><p>Prospective cohort study.</p></div><div><h3>Methods</h3><p>118 dancers were recruited. The independent variables were collected at the beginning of the dance season: 1) TrA activation, 2) hip strength, and 3) movement competency. To assess the development of MDEs, a weekly electronic diary was used over a 38-week period. MDEs were compiled for each dancer's whole body and subdivided into total musculoskeletal disorder episodes (all body parts) and lower quadrant musculoskeletal disorder episodes (lower limb and lower back).</p></div><div><h3>Results</h3><p>Lower TrA, as well as higher hip abductor and external rotator strength, were associated with a lower incidence of MDEs. TrA activation (β = 0.260, p = 0.023) and hip external rotator strength (β = −0.537, p = 0.002) could significantly explain 25.4% of the variance of total MDEs, as well as 20.9% of the variance of lower quadrant musculoskeletal disorder episodes (β = 0.272, p = 0.016; β = −0.459, p = 0.011). No significant associations were found between movement competency and MDEs.</p></div><div><h3>Conclusions</h3><p>Higher hip strength could be a protective factor for MDEs among dancers. Further studies are needed to better understand the involvement of the transversus abdominis in MDEs.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000774/pdfft?md5=691559885106afbdb3f37c14d9f66702&pid=1-s2.0-S1466853X24000774-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-27DOI: 10.1016/j.ptsp.2024.07.007
Objectives
To compare reach distances between the YBT-LQ and SEBT using the correct protocols as outlined by the developers. This will provide an accurate insight on the actual magnitude differences in reach distance between the movement screen tests and will safeguard practitioners on the subsequent use of these outcomes to inform clinical decision making.
Design
Observational.
Setting
Laboratory.
Participants
Participants included sixteen healthy female subjects from the university and amateur sports teams.
Main outcome
Reach distances in the anterior direction (ANT), posterior medial (PM) and posterior lateral (PL) between participants on the YBT-LQ and SEBT.
Results
The principal findings highlighted that a statistically significantly greater reach distance on the left and right side for the YBT-LQ compared to the SEBT in the ANT, PM, and PL directions (p < 0.0005).
Conclusion
The results of this study suggest that the YBT-LQ and SEBT are not comparable tests due to the differences in reach distance and methodological differences. Therefore, previous, and future research using the YBT-LQ and SEBT cannot be used interchangeably. Not following developed guidelines questions the applicability of the findings of reach distance scores to infer on performance and assessment of injury risk.
{"title":"Comparing reach distance between the Y-Balance Test-Lower Quarter and Star Excursion Balance Test: Are practitioners using the correct protocol?","authors":"","doi":"10.1016/j.ptsp.2024.07.007","DOIUrl":"10.1016/j.ptsp.2024.07.007","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare reach distances between the YBT-LQ and SEBT using the correct protocols as outlined by the developers. This will provide an accurate insight on the actual magnitude differences in reach distance between the movement screen tests and will safeguard practitioners on the subsequent use of these outcomes to inform clinical decision making.</p></div><div><h3>Design</h3><p>Observational.</p></div><div><h3>Setting</h3><p>Laboratory.</p></div><div><h3>Participants</h3><p>Participants included sixteen healthy female subjects from the university and amateur sports teams.</p></div><div><h3>Main outcome</h3><p>Reach distances in the anterior direction (ANT), posterior medial (PM) and posterior lateral (PL) between participants on the YBT-LQ and SEBT.</p></div><div><h3>Results</h3><p>The principal findings highlighted that a statistically significantly greater reach distance on the left and right side for the YBT-LQ compared to the SEBT in the ANT, PM, and PL directions (p < 0.0005).</p></div><div><h3>Conclusion</h3><p>The results of this study suggest that the YBT-LQ and SEBT are not comparable tests due to the differences in reach distance and methodological differences. Therefore, previous, and future research using the YBT-LQ and SEBT cannot be used interchangeably. Not following developed guidelines questions the applicability of the findings of reach distance scores to infer on performance and assessment of injury risk.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000786/pdfft?md5=41ccb0dc4224c253005bc907368427b9&pid=1-s2.0-S1466853X24000786-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-25DOI: 10.1016/j.ptsp.2024.07.005
Objective
The Landing Error Scoring System (LESS) is a movement analysis tool proposed to identify the risk of anterior cruciate ligament injuries, very useful for injury prevention. The aim of this study is to review the variants of the LESS, their normative scores and the differences according to sex and sport practiced.
Methods
PubMed, Scopus and ScienceDirect databases were searched from inception to October 19, 2023. Studies were eligible if the objective was finding normative or reference scores for the LESS, analyze the differences between sexes or sports, or used some variant of the test. Results were limited to available full-text articles published in English in peer-reviewed journals.
Results
Of the 360 articles identified, 20 were included for a full analysis (18,093 participants, age = 8–30 years, males = 70.6%). The military population was the most frequently analyzed (7 studies, n = 16,603). Results showed six variants of the LESS and average values ranged from 2.56 to 7.1. Males and females showed different pattern landing with errors in different planes.
Conclusions
Our findings highlight the need for more field studies on LESS reference scores, particularly for females and basketball or hockey players. Further research is required before conducting a systematic review and meta-analysis.
{"title":"Landing error scoring system: A scoping review about variants, reference values and differences according to sex and sport","authors":"","doi":"10.1016/j.ptsp.2024.07.005","DOIUrl":"10.1016/j.ptsp.2024.07.005","url":null,"abstract":"<div><h3>Objective</h3><p>The Landing Error Scoring System (LESS) is a movement analysis tool proposed to identify the risk of anterior cruciate ligament injuries, very useful for injury prevention. The aim of this study is to review the variants of the LESS, their normative scores and the differences according to sex and sport practiced.</p></div><div><h3>Methods</h3><p>PubMed, Scopus and ScienceDirect databases were searched from inception to October 19, 2023. Studies were eligible if the objective was finding normative or reference scores for the LESS, analyze the differences between sexes or sports, or used some variant of the test. Results were limited to available full-text articles published in English in peer-reviewed journals.</p></div><div><h3>Results</h3><p>Of the 360 articles identified, 20 were included for a full analysis (18,093 participants, age = 8–30 years, males = 70.6%). The military population was the most frequently analyzed (7 studies, n = 16,603). Results showed six variants of the LESS and average values ranged from 2.56 to 7.1. Males and females showed different pattern landing with errors in different planes.</p></div><div><h3>Conclusions</h3><p>Our findings highlight the need for more field studies on LESS reference scores, particularly for females and basketball or hockey players. Further research is required before conducting a systematic review and meta-analysis.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peak torque (strength) and rate of torque development (RTD; power) were measured for hip abduction, internal rotation, external rotation and extension using an isokinetic dynamometer, and belt-stabilized and tension dynamometry.
Results
For peak torque assessment, belt-stabilized and tension dynamometry showed good (Intraclass Correlation Coefficient [ICC] = 0.848–0.899) and good-to-excellent (ICC = 0.848–0.942) reliability, respectively. For RTD, belt-stabilized dynamometry showed fair reliability for abduction (ICC = 0.524) and good reliability for hip internal rotation, external rotation, and extension (ICC = 0.702–0.899). Tension dynamometry showed good reliability for all motions when measuring RTD (ICC = 0.737–0.897). Compared to isokinetic dynamometry, belt-stabilized and tension dynamometry showed good-to-excellent correlations for peak torque assessment (r = 0.503–0.870), and fair-to-good correlations for RTD (r = 0.438–0.674). Bland-Altman analysis showed that measures from belt-stabilized and tension dynamometry had clinically meaningful disagreement with isokinetic dynamometry.
Conclusion
Tension dynamometry is reliable for assessing hip strength and power in all assessed motions. Belt-stabilized dynamometry is reliable for assessing internal rotation, external rotation, and extension. Validity of both methods is questionable, considering the lack of agreement with isokinetic dynamometry.
{"title":"Reliability and validity of belt-stabilized and tension dynamometry for assessing hip strength and power in uninjured adults","authors":"","doi":"10.1016/j.ptsp.2024.07.004","DOIUrl":"10.1016/j.ptsp.2024.07.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the intra-rater reliability and validity of belt-stabilized and tension dynamometry to assess hip muscle strength and power.</p></div><div><h3>Design</h3><p>Repeated measures.</p></div><div><h3>Setting</h3><p>Biomechanics laboratory.</p></div><div><h3>Participants</h3><p>Seventeen uninjured adults (age = 22.0 ± 2.3y; 13 females).</p></div><div><h3>Main outcomes measures</h3><p>Peak torque (strength) and rate of torque development (RTD; power) were measured for hip abduction, internal rotation, external rotation and extension using an isokinetic dynamometer, and belt-stabilized and tension dynamometry.</p></div><div><h3>Results</h3><p>For peak torque assessment, belt-stabilized and tension dynamometry showed good (Intraclass Correlation Coefficient [ICC] = 0.848–0.899) and good-to-excellent (ICC = 0.848–0.942) reliability, respectively. For RTD, belt-stabilized dynamometry showed fair reliability for abduction (ICC = 0.524) and good reliability for hip internal rotation, external rotation, and extension (ICC = 0.702–0.899). Tension dynamometry showed good reliability for all motions when measuring RTD (ICC = 0.737–0.897). Compared to isokinetic dynamometry, belt-stabilized and tension dynamometry showed good-to-excellent correlations for peak torque assessment (r = 0.503–0.870), and fair-to-good correlations for RTD (r = 0.438–0.674). Bland-Altman analysis showed that measures from belt-stabilized and tension dynamometry had clinically meaningful disagreement with isokinetic dynamometry.</p></div><div><h3>Conclusion</h3><p>Tension dynamometry is reliable for assessing hip strength and power in all assessed motions. Belt-stabilized dynamometry is reliable for assessing internal rotation, external rotation, and extension. Validity of both methods is questionable, considering the lack of agreement with isokinetic dynamometry.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000750/pdfft?md5=a990bc457608b8b2ec1f74052dbe1781&pid=1-s2.0-S1466853X24000750-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141780563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-14DOI: 10.1016/j.ptsp.2024.07.003
Objective
To determine the effectiveness of psychological interventions in postoperative anterior cruciate ligament reconstruction (ACLR) compared to standard rehabilitation.
Methods
The databases searched were PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, PEDro, Cumulative Index to Nursing & Allied Health Literature, and EMBASE were searched from each database inception to May 2023 for published studies. The methodological quality was assessed with the Cochrane Risk of Bias Assessment (RoB 2.0) tool. The evidence quality was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.
Results
Six papers were included in the meta-analysis. Psychological intervention significantly improved Tampa Scale for Kinesiophobia at 3 months (Standard Mean Difference [SMD], −0.51. 95% Confidence Interval [CI], −0.85 to −0.17) and pain (Knee Injury and Osteoarthritis Outcome Score for Pain, Numeric Rating Scale, Visual Analog Scale) at 3 months (SMD, −0.92. 95%CI, −1.69 to −0.15) and at 6 months following ACLR (MD, −1.25. 95%CI, −1.82 to −0.68) when compared with the standard rehabilitation, according to very low-quality data. Self-efficacy and knee strength did not show significant differences.
Conclusion
Very low-quality evidence suggests that psychological intervention following ACLR yields better short-term outcomes compared to standard rehabilitation, with uncertainty about its clinically significant benefits over standard rehabilitation.
方法检索的数据库包括 PubMed、MEDLINE、Cochrane Central Register of Controlled Trials、PEDro、Cumulative Index to Nursing & Allied Health Literature 和 EMBASE，检索时间从每个数据库开始到 2023 年 5 月的已发表研究。方法学质量采用 Cochrane 偏倚风险评估（RoB 2.0）工具进行评估。采用 "建议、评估、发展和评价分级 "方法对证据质量进行评估。心理干预在 3 个月后明显改善了 Tampa 运动恐惧症量表（标准平均差 [SMD]，-0.51。95%置信区间[CI]，-0.85 至 -0.17）和疼痛（膝关节损伤和骨关节炎疼痛结果评分、数值评定量表、视觉模拟量表）（SMD，-0.92。95%CI，-1.69 至 -0.15），以及 ACLR 后 6 个月的情况（MD，-1.25。结论：极低质量的证据表明，与标准康复训练相比，前交叉韧带置换术后的心理干预能产生更好的短期疗效，但与标准康复训练相比，心理干预的临床显著疗效尚不确定。
{"title":"Effectiveness of psychological intervention following anterior cruciate ligament reconstruction: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.ptsp.2024.07.003","DOIUrl":"10.1016/j.ptsp.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the effectiveness of psychological interventions in postoperative anterior cruciate ligament reconstruction (ACLR) compared to standard rehabilitation.</p></div><div><h3>Methods</h3><p>The databases searched were PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, PEDro, Cumulative Index to Nursing & Allied Health Literature, and EMBASE were searched from each database inception to May 2023 for published studies. The methodological quality was assessed with the Cochrane Risk of Bias Assessment (RoB 2.0) tool. The evidence quality was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.</p></div><div><h3>Results</h3><p>Six papers were included in the meta-analysis. Psychological intervention significantly improved Tampa Scale for Kinesiophobia at 3 months (Standard Mean Difference [SMD], −0.51. 95% Confidence Interval [CI], −0.85 to −0.17) and pain (Knee Injury and Osteoarthritis Outcome Score for Pain, Numeric Rating Scale, Visual Analog Scale) at 3 months (SMD, −0.92. 95%CI, −1.69 to −0.15) and at 6 months following ACLR (MD, −1.25. 95%CI, −1.82 to −0.68) when compared with the standard rehabilitation, according to very low-quality data. Self-efficacy and knee strength did not show significant differences.</p></div><div><h3>Conclusion</h3><p>Very low-quality evidence suggests that psychological intervention following ACLR yields better short-term outcomes compared to standard rehabilitation, with uncertainty about its clinically significant benefits over standard rehabilitation.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-11DOI: 10.1016/j.ptsp.2024.07.002
Objective
To investigate dizziness, vestibular/oculomotor symptoms, and cervical spine proprioception among adults with/without a concussion history.
Methods
Adults ages 18–40 years with/without a concussion history completed: dizziness handicap inventory (DHI), visio-vestibular exam (VVE), and head repositioning accuracy (HRA, assesses cervical spine proprioception). Linear regression models were used to assess relationships between (1) concussion/no concussion history group and VVE, HRA, and DHI, and (2) DHI with HRA and VVE for the concussion history group.
Results
We enrolled 42 participants with concussion history (age = 26.5 4.5 years, 79% female, mean = 1.4 0.8 years post-concussion) and 46 without (age = 27.0 3.8 years, 74% female). Concussion history was associated with worse HRA ( = 1.23, 95% confidence interval [CI]: 0.77, 1.68; p < 0.001), more positive VVE subtests ( = 3.01, 95%CI: 2.32, 3.70; p < 0.001), and higher DHI scores ( = 9.79, 95%CI: 6.27, 13.32; p < 0.001) after covariate adjustment. For the concussion history group, number of positive VVE subtests was significantly associated with DHI score ( = 3.78, 95%CI: 2.30, 5.26; p < 0.001) after covariate adjustment, while HRA error was not ( = 1.10, 95%CI: −2.32, 4.51; p = 0.52).
Conclusions
Vestibular/oculomotor symptom provocation and cervical spine proprioception impairments may persist chronically (i.e., 3 years) after concussion. Assessing dizziness, vestibular/oculomotor and cervical spine function after concussion may inform patient-specific treatments to address ongoing dysfunction.
{"title":"Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history","authors":"","doi":"10.1016/j.ptsp.2024.07.002","DOIUrl":"10.1016/j.ptsp.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate dizziness, vestibular/oculomotor symptoms, and cervical spine proprioception among adults with/without a concussion history.</p></div><div><h3>Methods</h3><p>Adults ages 18–40 years with/without a concussion history completed: dizziness handicap inventory (DHI), visio-vestibular exam (VVE), and head repositioning accuracy (HRA, assesses cervical spine proprioception). Linear regression models were used to assess relationships between (1) concussion/no concussion history group and VVE, HRA, and DHI, and (2) DHI with HRA and VVE for the concussion history group.</p></div><div><h3>Results</h3><p>We enrolled 42 participants with concussion history (age = 26.5 <span><math><mrow><mo>±</mo></mrow></math></span> 4.5 years, 79% female, mean = 1.4<span><math><mrow><mo>±</mo></mrow></math></span> 0.8 years post-concussion) and 46 without (age = 27.0<span><math><mrow><mo>±</mo></mrow></math></span> 3.8 years, 74% female). Concussion history was associated with worse HRA (<span><math><mrow><mi>β</mi></mrow></math></span> = 1.23, 95% confidence interval [CI]: 0.77, 1.68; p < 0.001), more positive VVE subtests (<span><math><mrow><mi>β</mi></mrow></math></span> = 3.01, 95%CI: 2.32, 3.70; p < 0.001), and higher DHI scores (<span><math><mrow><mi>β</mi></mrow></math></span> = 9.79, 95%CI: 6.27, 13.32; p < 0.001) after covariate adjustment. For the concussion history group, number of positive VVE subtests was significantly associated with DHI score (<span><math><mrow><mi>β</mi></mrow></math></span> = 3.78, 95%CI: 2.30, 5.26; p < 0.001) after covariate adjustment, while HRA error was not (<span><math><mrow><mi>β</mi></mrow></math></span> = 1.10, 95%CI: −2.32, 4.51; p = 0.52).</p></div><div><h3>Conclusions</h3><p>Vestibular/oculomotor symptom provocation and cervical spine proprioception impairments may persist chronically (i.e., 3 years) after concussion. Assessing dizziness, vestibular/oculomotor and cervical spine function after concussion may inform patient-specific treatments to address ongoing dysfunction.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-08DOI: 10.1016/j.ptsp.2024.07.001
Mark C. Richardson , Paul Chesterton , Abigail Taylor , William Evans
Objective
Investigate the effect of surface on frontal plane knee angle, knee moment and muscle activity.
Design
Randomised cross over.
Setting
University Laboratory.
Methods
Twenty females performed single-leg hop-landings onto sand, grass and firm surfaces. Kinematic, kinetic and muscle activity data were obtained. Compatibility curves were used to visualise parameter estimates alongside P- values, and S-value transforms.
Results
Knee angle for firm-sand (mean difference = −2.2°; 95% compatibility interval (CI): −4.6 to 0.28, p = 0.083, s = 3.6) and firm-grass ( = −1.9; 95% CI: −4.3 to 0.5, p = 0.125, S = 3) yielded <4 bits of reputational information against the null hypothesis (H). 5 bits (p = 0.025) of information against H were observed for knee moment between firm-sand ( = 0.17 N m/kg-1. m-1; 95% CI: 0.02 to 0.31) with similar effects for firm-grass ( = 0.14 N m/kg-1. m-1; 95% CI: −0.02 to 0.29, p = 0.055, S = 4). Muscle activity across surfaces ranged from almost no (S = 1) reputational evidence against H (Quadriceps and Hamstrings) to 10–13 ‘bits’ against H for lateral gastrocnemius (lower on sand).
Conclusions
Our study provides valuable information for practitioners of the observed effect sizes for lower-limb landing mechanics across surfaces in asymptomatic females.
方法20名女性在沙地、草地和坚硬的地面上进行单腿跳起。获得运动学、动力学和肌肉活动数据。结果沙地上的膝关节角度（平均差 (d)‾ = -2.2°；95%相容性区间 (CI)：-4.6 至 0.28°）与沙地上的膝关节角度（平均差 (d)‾ = -2.2°；95%相容性区间 (CI)：-4.6 至 0.28°）相差很大：-4.6到0.28，P = 0.083，S = 3.6）和公司-草（d‾ = -1.9; 95% CI：-4.3到0.5，P = 0.125，S = 3）产生了<4比特的声誉信息，反对零假设（H）。在坚硬的沙地（d‾ = 0.17 N m/kg-1. m-1; 95% CI: 0.02 to 0.31）与坚硬的草地（d‾ = 0.14 N m/kg-1. m-1; 95% CI: -0.02 to 0.29, p = 0.055, S = 4）之间，观察到 5 比特（p = 0.025）针对 H 的膝关节力矩信息。不同表面的肌肉活动从几乎没有（S = 1）不利于 H 的声誉证据（股四头肌和腘绳肌）到 10-13 个 "位 "不利于 H 的外侧腓肠肌（在沙地上较低）不等。
{"title":"The effect of surface on knee landing mechanics and muscle activity during a single-leg landing task in recreationally active females","authors":"Mark C. Richardson , Paul Chesterton , Abigail Taylor , William Evans","doi":"10.1016/j.ptsp.2024.07.001","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>Investigate the effect of surface on frontal plane knee angle, knee moment and muscle activity.</p></div><div><h3>Design</h3><p>Randomised cross over.</p></div><div><h3>Setting</h3><p>University Laboratory.</p></div><div><h3>Methods</h3><p>Twenty females performed single-leg hop-landings onto sand, grass and firm surfaces. Kinematic, kinetic and muscle activity data were obtained. Compatibility curves were used to visualise parameter estimates alongside <em>P</em>- values, and S-value transforms.</p></div><div><h3>Results</h3><p>Knee angle for firm-sand (mean difference <span><math><mrow><mover><mrow><mo>(</mo><mi>d</mi><mo>)</mo></mrow><mo>‾</mo></mover></mrow></math></span> = −2.2°; 95% compatibility interval (CI): −4.6 to 0.28, p = 0.083, s = 3.6) and firm-grass (<span><math><mrow><mover><mrow><mi>d</mi><mspace></mspace></mrow><mo>‾</mo></mover></mrow></math></span> = −1.9; 95% CI: −4.3 to 0.5, p = 0.125, S = 3) yielded <4 bits of reputational information against the null hypothesis (H). 5 bits (p = 0.025) of information against H were observed for knee moment between firm-sand (<span><math><mrow><mover><mrow><mi>d</mi><mspace></mspace></mrow><mo>‾</mo></mover></mrow></math></span> = 0.17 N m/kg-1. m-1; 95% CI: 0.02 to 0.31) with similar effects for firm-grass (<span><math><mrow><mover><mrow><mi>d</mi><mspace></mspace></mrow><mo>‾</mo></mover></mrow></math></span> = 0.14 N m/kg-1. m-1; 95% CI: −0.02 to 0.29, p = 0.055, S = 4). Muscle activity across surfaces ranged from almost no (S = 1) reputational evidence against H (Quadriceps and Hamstrings) to 10–13 ‘bits’ against H for lateral gastrocnemius (lower on sand).</p></div><div><h3>Conclusions</h3><p>Our study provides valuable information for practitioners of the observed effect sizes for lower-limb landing mechanics across surfaces in asymptomatic females.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000725/pdfft?md5=3bcc8d9dc677a106486073d98a3fe5de&pid=1-s2.0-S1466853X24000725-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-03DOI: 10.1016/j.ptsp.2024.06.005
Objectives
To determine normal hip adduction- and abduction strength and range of motion (ROM) values for youth and adult female national team football players, and evaluate if increasing age, playing position and leg dominance were associated with these strength and ROM values.
Design
Cohort study.
Setting
National football center.
Participants
344 unique asymptomatic female football players.
Main outcome measures
Hip internal/external rotation (°), Bent Knee Fall Out test (cm), hip adduction/abduction strength(N) and ratio, and normalised hip adduction/abduction torque (Nm/kg).
Results
A total of 504 assessments were performed. A total of 107 players underwent two (n = 67), three (n = 27) or four (n = 13) assessments. Mean peak hip adduction strength was 39% greater in 20 + Y old players 170 (±53 N) than in 13Y old players 122 (±28 N). Normalised hip adduction torque was 9% greater: 2.5 (±0.8Nm/kg) versus 2.3 (±0.5Nm/kg). A positive association between age and all strength measurements was found, while a negative association between age and hip external rotation and total hip rotation was found. No clinically relevant differences were found for the associations between playing position, leg dominance and hip strength- and ROM values.
Conclusion
Normal values for hip strength and range of motion in youth and adult female national football players are presented that can be used as clinical reference values.
{"title":"Normal hip strength and range of motion values in youth and adult female national football teams: Data from 504 assessments","authors":"","doi":"10.1016/j.ptsp.2024.06.005","DOIUrl":"10.1016/j.ptsp.2024.06.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine normal hip adduction- and abduction strength and range of motion (ROM) values for youth and adult female national team football players, and evaluate if increasing age, playing position and leg dominance were associated with these strength and ROM values.</p></div><div><h3>Design</h3><p>Cohort study.</p></div><div><h3>Setting</h3><p>National football center.</p></div><div><h3>Participants</h3><p>344 unique asymptomatic female football players.</p></div><div><h3>Main outcome measures</h3><p>Hip internal/external rotation (°), Bent Knee Fall Out test (cm), hip adduction/abduction strength(N) and ratio, and normalised hip adduction/abduction torque (Nm/kg).</p></div><div><h3>Results</h3><p>A total of 504 assessments were performed. A total of 107 players underwent two (n = 67), three (n = 27) or four (n = 13) assessments. Mean peak hip adduction strength was 39% greater in 20 + Y old players 170 (±53 N) than in 13Y old players 122 (±28 N). Normalised hip adduction torque was 9% greater: 2.5 (±0.8Nm/kg) versus 2.3 (±0.5Nm/kg). A positive association between age and all strength measurements was found, while a negative association between age and hip external rotation and total hip rotation was found. No clinically relevant differences were found for the associations between playing position, leg dominance and hip strength- and ROM values.</p></div><div><h3>Conclusion</h3><p>Normal values for hip strength and range of motion in youth and adult female national football players are presented that can be used as clinical reference values.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000671/pdfft?md5=e5f4aeadaf0ff4431a45bfc9c8c7e332&pid=1-s2.0-S1466853X24000671-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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