Pub Date : 2024-07-02DOI: 10.1016/j.ptsp.2024.06.007
Sofia Ryman Augustsson , Timmy Gustafsson , Eva Ageberg
Objectives
To compile a battery of test including various aspects of physical fitness that could be used on the field and to assess whether any of these tests are associated with future traumatic knee injuries in youth female team sports athletes.
Design
Prospective cohort.
Setting
Sport setting.
Participants
Female athletes (n = 117, age 15–19 years), from Swedish sport high schools, active in soccer, handball, or floorball.
Main outcome measures
Differences in pre-injury tests values of 11 physical fitness tests in injured versus non-injured athletes, assessed as number of traumatic knee injuries over one season.
Results
28 athletes sustained 34 traumatic knee injuries. Athletes who sustained an injury had a shorter distance on the Yo-Yo IR1 test at baseline than those without an injury (mean difference −193 m, CI -293− −65 m). None of the other tests, assessed for muscular strength, endurance, power, flexibility and dynamic knee valgus, differed between injured and non-injured athletes.
Conclusions
Youth female athletes with lower intermittent endurance capacity, assessed with the Yo-Yo IR1, seemed to be at greater risk of traumatic knee injury. Neither hop performance, flexibility, dynamic knee valgus nor isolated strength tests at baseline could distinguish between injured and non-injured youth female athletes at follow-up.
{"title":"Can tests of physical fitness predict traumatic knee injury in youth female athletes? A prospective cohort study","authors":"Sofia Ryman Augustsson , Timmy Gustafsson , Eva Ageberg","doi":"10.1016/j.ptsp.2024.06.007","DOIUrl":"10.1016/j.ptsp.2024.06.007","url":null,"abstract":"<div><h3>Objectives</h3><p>To compile a battery of test including various aspects of physical fitness that could be used on the field and to assess whether any of these tests are associated with future traumatic knee injuries in youth female team sports athletes.</p></div><div><h3>Design</h3><p>Prospective cohort.</p></div><div><h3>Setting</h3><p>Sport setting.</p></div><div><h3>Participants</h3><p>Female athletes (n = 117, age 15–19 years), from Swedish sport high schools, active in soccer, handball, or floorball.</p></div><div><h3>Main outcome measures</h3><p>Differences in pre-injury tests values of 11 physical fitness tests in injured versus non-injured athletes, assessed as number of traumatic knee injuries over one season.</p></div><div><h3>Results</h3><p>28 athletes sustained 34 traumatic knee injuries. Athletes who sustained an injury had a shorter distance on the Yo-Yo IR1 test at baseline than those without an injury (mean difference −193 m, CI -293− −65 m). None of the other tests, assessed for muscular strength, endurance, power, flexibility and dynamic knee valgus, differed between injured and non-injured athletes.</p></div><div><h3>Conclusions</h3><p>Youth female athletes with lower intermittent endurance capacity, assessed with the Yo-Yo IR1, seemed to be at greater risk of traumatic knee injury. Neither hop performance, flexibility, dynamic knee valgus nor isolated strength tests at baseline could distinguish between injured and non-injured youth female athletes at follow-up.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000695/pdfft?md5=135078e998d154be8c3be633e4bcb40b&pid=1-s2.0-S1466853X24000695-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592477","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 : 2024-07-02DOI: 10.1016/j.ptsp.2024.06.008
Inaê de Oliveira , Karine J.V. Stoelben , Eduarda Santos Tulius , Vitória de Pereira Ferreira , Felipe P. Carpes
Objectives
To determine whether clinical screening tests can predict lower limb joint kinematics and kinetics outcomes eliciting anterior cruciate ligament (ACL) injury risk in single-leg landings.
Design
Cross-sectional study.
Setting
Laboratory research.
Participants
Twenty-six professional male futsal athletes.
Main outcome measures
Participants completed the Modified Star Excursion Balance Test (mSEBT), Lateral Step Down (LSD), Lunge, Hop tests, and isometric strength tests for clinical screening of lower extremity injury risk and performed single-leg landings to assess lower extremity 3D kinematics and kinetics outcomes.
Results
mSEBT, LSD, and isometric strength were the more important tests when constructing the prediction models. The predictive power of clinical tests for screening injury risk significantly increases when combined with strength measurements (p = 0.005, f2 = 0.595). We discerned 11 biomechanical predictions, six explicitly related to the sagittal plane's biomechanics. Some predictions were leg-dependent, with muscle strength tests predominantly predicting biomechanical outcomes of the preferred leg.
Conclusion
Combining clinical screening tests with strength measures enhances ACL injury risk factors prediction during single-leg landings. Clustering at least two tests improves prediction accuracy, aiding injury prevention planning and decision-making.
{"title":"Strength and clinical test combinations enhance predictions of sagittal and frontal plane biomechanics in single-leg landing","authors":"Inaê de Oliveira , Karine J.V. Stoelben , Eduarda Santos Tulius , Vitória de Pereira Ferreira , Felipe P. Carpes","doi":"10.1016/j.ptsp.2024.06.008","DOIUrl":"10.1016/j.ptsp.2024.06.008","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine whether clinical screening tests can predict lower limb joint kinematics and kinetics outcomes eliciting anterior cruciate ligament (ACL) injury risk in single-leg landings.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Setting</h3><p>Laboratory research.</p></div><div><h3>Participants</h3><p>Twenty-six professional male futsal athletes.</p></div><div><h3>Main outcome measures</h3><p>Participants completed the Modified Star Excursion Balance Test (mSEBT), Lateral Step Down (LSD), Lunge, Hop tests, and isometric strength tests for clinical screening of lower extremity injury risk and performed single-leg landings to assess lower extremity 3D kinematics and kinetics outcomes.</p></div><div><h3>Results</h3><p>mSEBT, LSD, and isometric strength were the more important tests when constructing the prediction models. The predictive power of clinical tests for screening injury risk significantly increases when combined with strength measurements (p = 0.005, f<sup>2</sup> = 0.595). We discerned 11 biomechanical predictions, six explicitly related to the sagittal plane's biomechanics. Some predictions were leg-dependent, with muscle strength tests predominantly predicting biomechanical outcomes of the preferred leg.</p></div><div><h3>Conclusion</h3><p>Combining clinical screening tests with strength measures enhances ACL injury risk factors prediction during single-leg landings. Clustering at least two tests improves prediction accuracy, aiding injury prevention planning and decision-making.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545727","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 : 2024-07-02DOI: 10.1016/j.ptsp.2024.06.004
Max C. Stuelcken , Claire E. Hiller , Liam Toohey
Objectives
To undertake a systematic analysis of 17 medical attention and time-loss lateral ankle ligament sprain (LALS) events from televised Australian professional netball games during the 2020–2023 seasons.
Design
Case series.
Methods
Three analysts independently assessed the video footage and then convened to review and discuss each case until a consensus was reached.
Results
When in possession (7 cases) a player was commonly performing an agility-based manoeuvre to break free from an opponent and reposition themselves to be a passing option (5/7 cases). When out of possession (10 cases) a player was either attempting to intercept a pass (6 cases) or marking an opponent (4 cases). Players tended to land on the anterior one-third of the plantar surface of the foot - forefoot or shoe tip (7 cases). Players often landed on either the ground (7 cases) or the opponent's shoe then the ground (8 cases). In 9 cases the ankle-foot was considered to be in a neutral alignment in the frontal plane at landing. At the estimated index frame the players' weight tended to be all on the foot on the injured side (11 cases) or favouring the foot on the injured side (5 cases). Inversion and adduction was a common injury mechanism. Plantar-flexion was rarely involved.
Conclusion
Landing on the anterior one-third of the plantar surface of the foot and subsequent weight transference onto the injured limb side was more important than ankle-foot inversion at initial ground contact. Exercises involving external perturbations that challenge the control of frontal and transverse plane ankle-foot motion and improve proprioception, neuromuscular control, and dynamic balance are warranted.
{"title":"Mechanisms of lateral ankle ligament sprains in professional netball: A systematic video analysis","authors":"Max C. Stuelcken , Claire E. Hiller , Liam Toohey","doi":"10.1016/j.ptsp.2024.06.004","DOIUrl":"10.1016/j.ptsp.2024.06.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To undertake a systematic analysis of 17 medical attention and time-loss lateral ankle ligament sprain (LALS) events from televised Australian professional netball games during the 2020–2023 seasons.</p></div><div><h3>Design</h3><p>Case series.</p></div><div><h3>Methods</h3><p>Three analysts independently assessed the video footage and then convened to review and discuss each case until a consensus was reached.</p></div><div><h3>Results</h3><p>When in possession (7 cases) a player was commonly performing an agility-based manoeuvre to break free from an opponent and reposition themselves to be a passing option (5/7 cases). When out of possession (10 cases) a player was either attempting to intercept a pass (6 cases) or marking an opponent (4 cases). Players tended to land on the anterior one-third of the plantar surface of the foot - forefoot or shoe tip (7 cases). Players often landed on either the ground (7 cases) or the opponent's shoe then the ground (8 cases). In 9 cases the ankle-foot was considered to be in a neutral alignment in the frontal plane at landing. At the estimated index frame the players' weight tended to be all on the foot on the injured side (11 cases) or favouring the foot on the injured side (5 cases). Inversion and adduction was a common injury mechanism. Plantar-flexion was rarely involved.</p></div><div><h3>Conclusion</h3><p>Landing on the anterior one-third of the plantar surface of the foot and subsequent weight transference onto the injured limb side was more important than ankle-foot inversion at initial ground contact. Exercises involving external perturbations that challenge the control of frontal and transverse plane ankle-foot motion and improve proprioception, neuromuscular control, and dynamic balance are warranted.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545726","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 : 2024-07-01DOI: 10.1016/j.ptsp.2024.06.009
Thomas Hansoulle , Jean-Louis Peters-Dickie , Philippe Mahaudens , Anh Phong Nguyen
Objective
To provide a systematic review and meta-analysis of the proportion of ankle sprains in running practices.
Design
Systematic review and meta-analysis.
Main outcome measures
We calculated the weighted summary proportion and conducted meta-analyses for runners, considering levels (elite/recreational) and disciplines (distance, track, cross-country, trail, and orienteering).
Results
32 studies were included in the systematic review and 19 were included in the meta-analysis with a level of quality ranging from poor to good. Proportion of ankle sprains in runners was 13.69% (95%CI = 7.40–21.54; I2 = 98.58%) in global, 12.20% (95%CI = 5.24–21.53; I2 = 89.31%) in elite, 19.40% (95%CI = 10.05–30.90; I2 = 99.09%) in recreational, 8.51% (95%CI = 4.22–14.12; I2 = 96.15%) in distance, 67.42% (95%CI = 0.50–82.85; I2 = 99.36%) in track, 27.07% (95%CI = 12.48–44.81; I2 = 97.97%) in cross-country, and 25.70% (95%CI = 19.87–32.14; I2 = 0.00) in orienteering.
Conclusions
Running practice results in significant proportion rate of ankle sprains. Recreational runners exhibit higher proportion than elite. Running disciplines, especially track, cross-country, and orienteering, influence reported ankle sprain rates, surpassing those of distance runners.
{"title":"Do we underestimate the frequency of ankle sprains in running? A systematic review and meta-analysis","authors":"Thomas Hansoulle , Jean-Louis Peters-Dickie , Philippe Mahaudens , Anh Phong Nguyen","doi":"10.1016/j.ptsp.2024.06.009","DOIUrl":"10.1016/j.ptsp.2024.06.009","url":null,"abstract":"<div><h3>Objective</h3><p>To provide a systematic review and meta-analysis of the proportion of ankle sprains in running practices.</p></div><div><h3>Design</h3><p>Systematic review and meta-analysis.</p></div><div><h3>Main outcome measures</h3><p>We calculated the weighted summary proportion and conducted meta-analyses for runners, considering levels (elite/recreational) and disciplines (distance, track, cross-country, trail, and orienteering).</p></div><div><h3>Results</h3><p>32 studies were included in the systematic review and 19 were included in the meta-analysis with a level of quality ranging from poor to good. Proportion of ankle sprains in runners was 13.69% (95%CI = 7.40–21.54; I<sup>2</sup> = 98.58%) in global, 12.20% (95%CI = 5.24–21.53; I<sup>2</sup> = 89.31%) in elite, 19.40% (95%CI = 10.05–30.90; I<sup>2</sup> = 99.09%) in recreational, 8.51% (95%CI = 4.22–14.12; I<sup>2</sup> = 96.15%) in distance, 67.42% (95%CI = 0.50–82.85; I<sup>2</sup> = 99.36%) in track, 27.07% (95%CI = 12.48–44.81; I<sup>2</sup> = 97.97%) in cross-country, and 25.70% (95%CI = 19.87–32.14; I<sup>2</sup> = 0.00) in orienteering.</p></div><div><h3>Conclusions</h3><p>Running practice results in significant proportion rate of ankle sprains. Recreational runners exhibit higher proportion than elite. Running disciplines, especially track, cross-country, and orienteering, influence reported ankle sprain rates, surpassing those of distance runners.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536292","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 : 2024-07-01DOI: 10.1016/j.ptsp.2024.06.003
Paul Chesterton , Matthew Wright , Nathan Liddle , Stacey Hardin , Skylar Richards , Garrison Draper
Objective
To evaluate non-contact injury prevention strategies of professional men's soccer clubs in elite North American league soccer. To understand the application, perceived effectiveness and barriers to implementation.
Design
Online cross-Sectional Study.
Setting
North American elite soccer teams.
Participants
96 medical and performance support staff of elite North American teams.
Main outcome measure
The survey consisted of 20 questions and captured 1) practitioners' demographics; 2) perceptions of risk factors; 3) the use of assessment and monitoring strategies; and 4) perceptions of the implementation of injury prevention programmes’.
Results
Injury prevention programmes were perceived as ‘effective’ (Median 4, Interquartile range 4-4) and reduced injury rates (n = 94, 98%, 95 CI% 93 to 99). A range of potential risk factors were rated as “very important” (4.58 ± 0.52 Likert scale points; mean ± standard deviation). A multi-disciplinary approach to the design, application and monitoring of programmes was generally adopted. Competing training priorities (n = 75, 78%, 95 CI% 69 to 85) and game schedules (n = 71, 74%, 95 CI% 64 to 82) were the most prevalent barriers to injury prevention implementation.
Conclusions
Injury prevention programmes were perceived as effective in reducing non-contact injuries. Managing the conflicting priorities between scheduling training, tactical and conditioning goals were considered the key barriers to desired implementation.
{"title":"Practitioners’ perspective of non-contact injury risk factors and injury prevention programming in professional North American male soccer","authors":"Paul Chesterton , Matthew Wright , Nathan Liddle , Stacey Hardin , Skylar Richards , Garrison Draper","doi":"10.1016/j.ptsp.2024.06.003","DOIUrl":"10.1016/j.ptsp.2024.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate non-contact injury prevention strategies of professional men's soccer clubs in elite North American league soccer. To understand the application, perceived effectiveness and barriers to implementation.</p></div><div><h3>Design</h3><p>Online cross-Sectional Study.</p></div><div><h3>Setting</h3><p>North American elite soccer teams.</p></div><div><h3>Participants</h3><p>96 medical and performance support staff of elite North American teams.</p></div><div><h3>Main outcome measure</h3><p>The survey consisted of 20 questions and captured 1) practitioners' demographics; 2) perceptions of risk factors; 3) the use of assessment and monitoring strategies; and 4) perceptions of the implementation of injury prevention programmes’.</p></div><div><h3>Results</h3><p>Injury prevention programmes were perceived as ‘effective’ (Median 4, Interquartile range 4-4) and reduced injury rates (n = 94, 98%, 95 CI% 93 to 99). A range of potential risk factors were rated as “very important” (4.58 ± 0.52 Likert scale points; mean ± standard deviation). A multi-disciplinary approach to the design, application and monitoring of programmes was generally adopted. Competing training priorities (n = 75, 78%, 95 CI% 69 to 85) and game schedules (n = 71, 74%, 95 CI% 64 to 82) were the most prevalent barriers to injury prevention implementation.</p></div><div><h3>Conclusions</h3><p>Injury prevention programmes were perceived as effective in reducing non-contact injuries. Managing the conflicting priorities between scheduling training, tactical and conditioning goals were considered the key barriers to desired implementation.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000658/pdfft?md5=49d353bbb5545a1047141787fe7d3680&pid=1-s2.0-S1466853X24000658-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474164","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 : 2024-07-01DOI: 10.1016/j.ptsp.2024.06.006
Brooke Jenner , Carmel Nottle , Julie L. Walters , Steven W. Saunders , Anthony S. Leicht , Robert G. Crowther
Background
Lower limb injury rates have increased dramatically in line with increased female sport participation levels. Muscle strength is a modifiable lower limb injury risk factor, guiding performance monitoring and rehabilitation.
Objectives
The aim of this study was to investigate the test-retest reliability of isokinetic and isometric lower limb peak torque to body mass of muscles acting on the hip, knee, and ankle in female team sport athletes. It was hypothesised the test-retest reliability would be good (intraclass correlation coefficients (ICC) ≥ 0.75).
Methods
Thirty-eight female athletes (Australian Rules Football = 18, netball = 12, soccer = 8) aged 16–35 years participated in this study. Participants performed isokinetic (60°/s and 120°/s) and isometric testing on a Biodex Isokinetic Dynamometer on three separate days.
Results
Poor to good reliability was demonstrated for all joint movements (ICC = 0.38–0.88) with small to moderate effect sizes (0.00–0.43) and typical errors (5.65–24.49).
Conclusion
Differences in peak torque to body mass were observed between sessions one and two and/or one and three, demonstrating a learning effect. Therefore, three testing sessions, and/or the inclusion of a familiarisation session, is recommended for future assessments in populations unfamiliar with dynamometry.
{"title":"Reliability of lower limb strength assessment in female team sport athletes","authors":"Brooke Jenner , Carmel Nottle , Julie L. Walters , Steven W. Saunders , Anthony S. Leicht , Robert G. Crowther","doi":"10.1016/j.ptsp.2024.06.006","DOIUrl":"10.1016/j.ptsp.2024.06.006","url":null,"abstract":"<div><h3>Background</h3><p>Lower limb injury rates have increased dramatically in line with increased female sport participation levels. Muscle strength is a modifiable lower limb injury risk factor, guiding performance monitoring and rehabilitation.</p></div><div><h3>Objectives</h3><p>The aim of this study was to investigate the test-retest reliability of isokinetic and isometric lower limb peak torque to body mass of muscles acting on the hip, knee, and ankle in female team sport athletes. It was hypothesised the test-retest reliability would be good (intraclass correlation coefficients (ICC) ≥ 0.75).</p></div><div><h3>Methods</h3><p>Thirty-eight female athletes (Australian Rules Football = 18, netball = 12, soccer = 8) aged 16–35 years participated in this study. Participants performed isokinetic (60°/s and 120°/s) and isometric testing on a Biodex Isokinetic Dynamometer on three separate days.</p></div><div><h3>Results</h3><p>Poor to good reliability was demonstrated for all joint movements (ICC = 0.38–0.88) with small to moderate effect sizes (0.00–0.43) and typical errors (5.65–24.49).</p></div><div><h3>Conclusion</h3><p>Differences in peak torque to body mass were observed between sessions one and two and/or one and three, demonstrating a learning effect. Therefore, three testing sessions, and/or the inclusion of a familiarisation session, is recommended for future assessments in populations unfamiliar with dynamometry.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000683/pdfft?md5=54e920a6ce0b0193fdf4a8ff7d8746ab&pid=1-s2.0-S1466853X24000683-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539111","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 : 2024-06-14DOI: 10.1016/j.ptsp.2024.06.001
Anna Cronström , Eva Ageberg , Charlotte K. Häger
Objective
To determine the relative contribution of each of the following aspects: demographics, physical function, and patient-reported outcome measures (PROMs), including both physical and psychological constructs, to return to sport (RTS) (any level) one-year post anterior cruciate ligament reconstruction (ACLR).
Design
Cross-sectional cohort study.
Methods
We included data for 143 participants (73 women, mean (SD) age 24 (5.8) years) ∼ one-year post-ACLR. Data comprised demographics, physical function (hop performance, hip and knee peak torque) and PROMs (Knee Osteoarthritis Outcome Score subscales, perceived stress, and ACL Return to Sport after Injury scale (ACL-RSI)). We then used a Z-normalized multivariable logistic regression model to establish the relative contribution of factors associated with RTS.
Results
Sixty-four (45%) of the participants had returned to sport at one year post-ACLR. In the regression model, greater hip abduction peak torque (OR = 1.70, 95% CI; 1.01 to 2.84) and greater psychological readiness to RTS (OR = 2.32, 95% CI; 1.30 to 4.12) were the only variables associated with RTS (R2 = 0.352).
Conclusions
The significant contribution of hip abduction strength and psychological readiness to RTS was still relatively small, suggesting other potential factors explaining RTS which may not be captured by common RTS criteria.
{"title":"Are demographics, physical function and psychological response associated with return to sport at one year following ACL-reconstruction?","authors":"Anna Cronström , Eva Ageberg , Charlotte K. Häger","doi":"10.1016/j.ptsp.2024.06.001","DOIUrl":"10.1016/j.ptsp.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the relative contribution of each of the following aspects: demographics, physical function, and patient-reported outcome measures (PROMs), including both physical and psychological constructs, to return to sport (RTS) (any level) one-year post anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Design</h3><p>Cross-sectional cohort study.</p></div><div><h3>Methods</h3><p>We included data for 143 participants (73 women, mean (SD) age 24 (5.8) years) ∼ one-year post-ACLR. Data comprised demographics, physical function (hop performance, hip and knee peak torque) and PROMs (Knee Osteoarthritis Outcome Score subscales, perceived stress, and ACL Return to Sport after Injury scale (ACL-RSI)). We then used a Z-normalized multivariable logistic regression model to establish the relative contribution of factors associated with RTS.</p></div><div><h3>Results</h3><p>Sixty-four (45%) of the participants had returned to sport at one year post-ACLR. In the regression model, greater hip abduction peak torque (OR = 1.70, 95% CI; 1.01 to 2.84) and greater psychological readiness to RTS (OR = 2.32, 95% CI; 1.30 to 4.12) were the only variables associated with RTS (R<sup>2</sup> = 0.352).</p></div><div><h3>Conclusions</h3><p>The significant contribution of hip abduction strength and psychological readiness to RTS was still relatively small, suggesting other potential factors explaining RTS which may not be captured by common RTS criteria.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000634/pdfft?md5=7994b1263a39eee0e39d2bb882af0983&pid=1-s2.0-S1466853X24000634-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409174","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 : 2024-06-14DOI: 10.1016/j.ptsp.2024.06.002
Anna J. Butcher , Sarah Ward , Tracey Clissold , Jim Richards , Kim Hébert-Losier
Objective
To establish the potential link between sex-specific maturation and biomechanical factors associated with ACL injury during dynamic tasks.
Design
Systematic review.
Literature search
Five databases (CINHAL®, Cochrane Library, PubMed®, Scopus®, and SPORTDiscus) were searched and monitored until 27 May 2024.
Study selection criteria
Cross-sectional, cohort, case-control, or interventional studies reporting one or more biomechanical variable linked with ACL injury and which assessed participants across two or more maturation phases were considered eligible.
Data synthesis
Studies were assessed for risk of bias using a modified version of the Newcastle Ottawa Scale and overall quality of evidence was rated using GRADE. Metrics and effect sizes were presented where available.
Results
Eighteen included studies examined 400 males, 1377 females, and 315 participants of undefined sex across various maturation phases. The methodological quality of most studies (n = 16) was considered good, and satisfactory for two. Knee abduction angle, knee abduction moment, knee flexion angle, and ground reaction forces were most commonly reported. Knee abduction angles and moments and knee flexion angles were greater in late and post-pubertal females than males and pre-pubertal females during both landing and cutting tasks. When normalised for body mass, ground reaction forces were generally greater in males compared to females overall and for less mature participants for both sexes. Overall quality of evidence was low or medium across the four biomechanical measures.
Conclusion
Sex-specific maturation considerations are important in the targeted development and implementation of ACL injury risk identification and prevention strategies.
{"title":"Maturation and biomechanical risk factors associated with anterior cruciate ligament injury: Is there a link? A systematic review","authors":"Anna J. Butcher , Sarah Ward , Tracey Clissold , Jim Richards , Kim Hébert-Losier","doi":"10.1016/j.ptsp.2024.06.002","DOIUrl":"10.1016/j.ptsp.2024.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To establish the potential link between sex-specific maturation and biomechanical factors associated with ACL injury during dynamic tasks.</p></div><div><h3>Design</h3><p>Systematic review.</p></div><div><h3>Literature search</h3><p>Five databases (CINHAL®, Cochrane Library, PubMed®, Scopus®, and SPORTDiscus) were searched and monitored until 27 May 2024.</p></div><div><h3>Study selection criteria</h3><p>Cross-sectional, cohort, case-control, or interventional studies reporting one or more biomechanical variable linked with ACL injury and which assessed participants across two or more maturation phases were considered eligible.</p></div><div><h3>Data synthesis</h3><p>Studies were assessed for risk of bias using a modified version of the Newcastle Ottawa Scale and overall quality of evidence was rated using GRADE. Metrics and effect sizes were presented where available.</p></div><div><h3>Results</h3><p>Eighteen included studies examined 400 males, 1377 females, and 315 participants of undefined sex across various maturation phases. The methodological quality of most studies (n = 16) was considered good, and satisfactory for two. Knee abduction angle, knee abduction moment, knee flexion angle, and ground reaction forces were most commonly reported. Knee abduction angles and moments and knee flexion angles were greater in late and post-pubertal females than males and pre-pubertal females during both landing and cutting tasks. When normalised for body mass, ground reaction forces were generally greater in males compared to females overall and for less mature participants for both sexes. Overall quality of evidence was low or medium across the four biomechanical measures.</p></div><div><h3>Conclusion</h3><p>Sex-specific maturation considerations are important in the targeted development and implementation of ACL injury risk identification and prevention strategies.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000646/pdfft?md5=d2d1b95e55d6e27e2c0d4f1726184a64&pid=1-s2.0-S1466853X24000646-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410794","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 : 2024-06-03DOI: 10.1016/j.ptsp.2024.05.003
Niamh Sheehan PT, BSc , Ryan Summersby PT, BSc , Chris Bleakley PT, PhD , Brian Caulfield PT, PhD , Mark Matthews PT, PhD , Natalie Klempel PhD , Sinead Holden PhD
Objective
The aim of this review is to synthesise qualitative studies examining adolescents' experience with pain and injury arising from sports participation.
Methods
This review was registered on Open Science Framework prior to data extraction. A systematic search of PubMed, Embase, and SPORTDiscus was conducted. Studies were appraised using the CASP (critical appraisal skills programme) checklist. Data was synthesised using a meta aggregation.
Study selection criteria
Inclusion criteria included studies related to adolescents aged 14–19yrs with sports related pain/injury, employed a qualitative design, full text publications in English.
Results
Sixteen studies of 216 participants were included. Studies investigated severe knee injuries, concussion, or other musculoskeletal injuries. Synthesised findings show that, regardless of injury type, adolescents experience a mix of positive (motivation to rehab and return to sport, optimism) and negative emotions (fear of re-injury, isolation, depressive responses) throughout recovery. Common coping strategies were to ignore symptoms, modify activity levels, or seek support.
Conclusion
Sports-related pain and injury has a multifaceted effect on the adolescent athlete. There is a pervasive fear of re-injury and social isolation, but the desire to return to sports is facilitated through motivation and support. Peer motivation effects the willingness of the adolescent to persist with rehabilitation.
{"title":"Adolescents' experience with sports-related pain and injury: A systematic review of qualitative research","authors":"Niamh Sheehan PT, BSc , Ryan Summersby PT, BSc , Chris Bleakley PT, PhD , Brian Caulfield PT, PhD , Mark Matthews PT, PhD , Natalie Klempel PhD , Sinead Holden PhD","doi":"10.1016/j.ptsp.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.05.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this review is to synthesise qualitative studies examining adolescents' experience with pain and injury arising from sports participation.</p></div><div><h3>Methods</h3><p>This review was registered on Open Science Framework prior to data extraction. A systematic search of PubMed, Embase, and SPORTDiscus was conducted. Studies were appraised using the CASP (critical appraisal skills programme) checklist. Data was synthesised using a meta aggregation.</p></div><div><h3>Study selection criteria</h3><p>Inclusion criteria included studies related to adolescents aged 14–19yrs with sports related pain/injury, employed a qualitative design, full text publications in English.</p></div><div><h3>Results</h3><p>Sixteen studies of 216 participants were included. Studies investigated severe knee injuries, concussion, or other musculoskeletal injuries. Synthesised findings show that, regardless of injury type, adolescents experience a mix of positive (motivation to rehab and return to sport, optimism) and negative emotions (fear of re-injury, isolation, depressive responses) throughout recovery. Common coping strategies were to ignore symptoms, modify activity levels, or seek support.</p></div><div><h3>Conclusion</h3><p>Sports-related pain and injury has a multifaceted effect on the adolescent athlete. There is a pervasive fear of re-injury and social isolation, but the desire to return to sports is facilitated through motivation and support. Peer motivation effects the willingness of the adolescent to persist with rehabilitation.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000543/pdfft?md5=187ead816c221ac580e155f38eb83225&pid=1-s2.0-S1466853X24000543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249554","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 : 2024-05-31DOI: 10.1016/j.ptsp.2024.05.005
Elliot M. Greenberg , Joshua Bram , Christopher J. DeFrancesco , Kevin Landrum , Alexandra Stevens , Theodore J. Ganley
Objectives
To compare the timeline for post-operative quadriceps and hamstrings strength recovery following anterior cruciate ligament reconstruction (ACLR) using either a quadriceps tendon (QT) or hamstring tendon (HT) autograft.
Methods
Patients (≤18 years) who underwent ACLR using autograft QT or HT were included. Isokinetic strength was extracted at 3, 6, and 12 months post-operatively. Effects of time and graft type on quadriceps or hamstring limb symmetry index (qLSI/hLSI) was assessed with two-way repeated measures ANOVA. Between group differences at each time point were assessed with unpaired t-tests. Chi-square and Kaplan-Meir analysis analyzed the proportions of subjects able to achieve ≥90% LSI.
Results
A total of 75 subjects (QT n = 38 HT n = 37,15.8 years) were included. There were significant differences in qLSI, with greater symmetry within the HT group at all time points. A higher proportion of subjects with HT grafts were able to achieve ≥90% qLSI within 12 months of surgery (81% vs 45%, p = 0.001).
Conclusion
Compared to those with HT autografts, adolescents with QT autografts demonstrate a prolonged timeline for quadriceps recovery. While mean strength values above 90% are achieved, a significantly lower percentage of QT patients are able to achieve 90% qLSI by 12 months post-op.
目的比较使用股四头肌肌腱（QT）或腘绳肌肌腱（HT）自体移植进行前交叉韧带重建（ACLR）术后股四头肌和腘绳肌力量恢复的时间表。在术后3、6和12个月提取等速肌力。采用双向重复测量方差分析评估时间和移植物类型对股四头肌或腘绳肌肢体对称性指数（qLSI/hLSI）的影响。每个时间点的组间差异采用非配对 t 检验进行评估。Chi-square和Kaplan-Meir分析法分析了能够达到≥90% LSI的受试者比例。结果共纳入75名受试者（QT n = 38 HT n = 37，15.8岁）。qLSI 存在明显差异，HT 组在所有时间点的对称性都更高。在接受 HT 移植的受试者中，有更高比例的受试者能在术后 12 个月内达到 QLSI≥90% 的水平（81% vs 45%，p = 0.001）。虽然平均力量值达到了 90% 以上，但 QT 患者在术后 12 个月内 qLSI 达到 90% 的比例明显较低。
{"title":"Pattern of strength recovery differences Exist in Adolescent athletes after anterior cruciate ligament reconstruction when using quadriceps versus Hamstring tendon autograft","authors":"Elliot M. Greenberg , Joshua Bram , Christopher J. DeFrancesco , Kevin Landrum , Alexandra Stevens , Theodore J. Ganley","doi":"10.1016/j.ptsp.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.05.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare the timeline for post-operative quadriceps and hamstrings strength recovery following anterior cruciate ligament reconstruction (ACLR) using either a quadriceps tendon (QT) or hamstring tendon (HT) autograft.</p></div><div><h3>Methods</h3><p>Patients (≤18 years) who underwent ACLR using autograft QT or HT were included. Isokinetic strength was extracted at 3, 6, and 12 months post-operatively. Effects of time and graft type on quadriceps or hamstring limb symmetry index (qLSI/hLSI) was assessed with two-way repeated measures ANOVA. Between group differences at each time point were assessed with unpaired t-tests. Chi-square and Kaplan-Meir analysis analyzed the proportions of subjects able to achieve ≥90% LSI.</p></div><div><h3>Results</h3><p>A total of 75 subjects (QT n = 38 HT n = 37,15.8 years) were included. There were significant differences in qLSI, with greater symmetry within the HT group at all time points. A higher proportion of subjects with HT grafts were able to achieve ≥90% qLSI within 12 months of surgery (81% vs 45%, p = 0.001).</p></div><div><h3>Conclusion</h3><p>Compared to those with HT autografts, adolescents with QT autografts demonstrate a prolonged timeline for quadriceps recovery. While mean strength values above 90% are achieved, a significantly lower percentage of QT patients are able to achieve 90% qLSI by 12 months post-op.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249553","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}
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