Pub Date : 2024-08-20DOI: 10.1016/j.ptsp.2024.08.004
Mirko Blättler , Mario Bizzini , Gianluca Schaub , Samara Monn , Simon Barrué-Belou , Katja Oberhofer , Nicola A. Maffiuletti
Objective
To examine the specificities and limitations of bilateral and unilateral tasks for the assessment of hip abductor and adductor strength with a commercially-available fixed-frame dynamometer.
Design
Correlational/validity study.
Methods
Maximal voluntary isometric strength of hip abductors and adductors was evaluated in 130 healthy participants using unilateral and bilateral tasks. Surface EMG activity of agonist and stabilizer muscles was concomitantly recorded in a subgroup of 15 participants.
Results
For both muscle groups, bilateral tasks resulted in higher strength values than unilateral tasks (∼25%; p < 0.001). The correlation between left- and right-side data was higher for bilateral than unilateral tasks (p < 0.05), thereby resulting in lower interlimb asymmetries (p < 0.001). Agonist EMG activity was lower for unilateral than bilateral tasks (p < 0.01). Stabilizer EMG activity (external abdominal oblique) was higher for unilateral than bilateral tasks (p < 0.05) on the ipsilateral and contralateral side for hip abductors and adductors, respectively.
Conclusions
A large (25%) and quasi-systematic bilateral facilitation of strength was observed for both hip abductors and adductors. Bilateral testing led to an underestimation of interlimb asymmetries, due to higher side equivalence than unilateral tasks. Unilateral testing resulted in lower agonist EMG activity and higher stabilizer activity than bilateral tasks, especially in weaker subjects.
{"title":"Assessment of hip abductor and adductor muscle strength with fixed-frame dynamometry: Considerations on the use of bilateral and unilateral tasks","authors":"Mirko Blättler , Mario Bizzini , Gianluca Schaub , Samara Monn , Simon Barrué-Belou , Katja Oberhofer , Nicola A. Maffiuletti","doi":"10.1016/j.ptsp.2024.08.004","DOIUrl":"10.1016/j.ptsp.2024.08.004","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the specificities and limitations of bilateral and unilateral tasks for the assessment of hip abductor and adductor strength with a commercially-available fixed-frame dynamometer.</p></div><div><h3>Design</h3><p>Correlational/validity study.</p></div><div><h3>Methods</h3><p>Maximal voluntary isometric strength of hip abductors and adductors was evaluated in 130 healthy participants using unilateral and bilateral tasks. Surface EMG activity of agonist and stabilizer muscles was concomitantly recorded in a subgroup of 15 participants.</p></div><div><h3>Results</h3><p>For both muscle groups, bilateral tasks resulted in higher strength values than unilateral tasks (∼25%; p < 0.001). The correlation between left- and right-side data was higher for bilateral than unilateral tasks (p < 0.05), thereby resulting in lower interlimb asymmetries (p < 0.001). Agonist EMG activity was lower for unilateral than bilateral tasks (p < 0.01). Stabilizer EMG activity (external abdominal oblique) was higher for unilateral than bilateral tasks (p < 0.05) on the ipsilateral and contralateral side for hip abductors and adductors, respectively.</p></div><div><h3>Conclusions</h3><p>A large (25%) and quasi-systematic bilateral facilitation of strength was observed for both hip abductors and adductors. Bilateral testing led to an underestimation of interlimb asymmetries, due to higher side equivalence than unilateral tasks. Unilateral testing resulted in lower agonist EMG activity and higher stabilizer activity than bilateral tasks, especially in weaker subjects.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 22-28"},"PeriodicalIF":2.2,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083386","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 : 2024-08-13DOI: 10.1016/j.ptsp.2024.08.003
Stuart R. Adams , Martin Wollin , Michael K. Drew , Liam A. Toohey , Chris Smith , Nattai Borges , Glen C. Livingston Jr , Adrian Schultz
Objectives
This study aimed to assess the effectiveness of a systems-based secondary injury prevention intervention aimed at early detection and management of hamstring strain injury (HSI) and time-loss groin injury in an Australian male professional football club.
Design
Prospective cohort study.
Setting
Australian male professional football club.
Participants
Data were collected from male professional football players (n = 73) from a single football club.
Main outcome measures
Unilateral knee flexion and side-lying hip adduction maximum voluntary isometric contractions were monitored routinely in-season, two days post-match (≥40 h [h]) during a three-season intervention period. Strength reductions greater than the tests’ minimal detectable change percentage prompted intervention. HSI and time-loss groin injury burdens were calculated per 1000 player hours and compared with those from an immediately preceding two-season control period, to assess the effectiveness of the intervention.
Results
Across the intervention period, there was a decrease in HSI (4.98 days absence/1000 h (19.8%) decrease) and time-loss groin injury burdens (0.57 days absence/1000 h (49.1%) decrease) when compared with the control period.
Conclusions
A systems-based secondary injury prevention intervention shows preliminary positive findings in reducing HSI and time-loss groin injury burdens within a male professional football club, compared with usual care only.
{"title":"Secondary injury prevention reduces hamstring strain and time-loss groin injury burdens in male professional football","authors":"Stuart R. Adams , Martin Wollin , Michael K. Drew , Liam A. Toohey , Chris Smith , Nattai Borges , Glen C. Livingston Jr , Adrian Schultz","doi":"10.1016/j.ptsp.2024.08.003","DOIUrl":"10.1016/j.ptsp.2024.08.003","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to assess the effectiveness of a systems-based secondary injury prevention intervention aimed at early detection and management of hamstring strain injury (HSI) and time-loss groin injury in an Australian male professional football club.</p></div><div><h3>Design</h3><p>Prospective cohort study.</p></div><div><h3>Setting</h3><p>Australian male professional football club.</p></div><div><h3>Participants</h3><p>Data were collected from male professional football players (<em>n</em> = 73) from a single football club.</p></div><div><h3>Main outcome measures</h3><p>Unilateral knee flexion and side-lying hip adduction maximum voluntary isometric contractions were monitored routinely in-season, two days post-match (≥40 h [h]) during a three-season intervention period. Strength reductions greater than the tests’ minimal detectable change percentage prompted intervention. HSI and time-loss groin injury burdens were calculated per 1000 player hours and compared with those from an immediately preceding two-season control period, to assess the effectiveness of the intervention.</p></div><div><h3>Results</h3><p>Across the intervention period, there was a decrease in HSI (4.98 days absence/1000 h (19.8%) decrease) and time-loss groin injury burdens (0.57 days absence/1000 h (49.1%) decrease) when compared with the control period.</p></div><div><h3>Conclusions</h3><p>A systems-based secondary injury prevention intervention shows preliminary positive findings in reducing HSI and time-loss groin injury burdens within a male professional football club, compared with usual care only.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 15-21"},"PeriodicalIF":2.2,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000877/pdfft?md5=8195507bed378981e9d90c0300a1580c&pid=1-s2.0-S1466853X24000877-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050120","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 : 2024-08-05DOI: 10.1016/j.ptsp.2024.08.002
Eirik Halvorsen Wik , Nicola Sewry , Wayne Derman , Martin Schwellnus , Maaike Eken
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":"Eirik Halvorsen Wik , Nicola Sewry , Wayne Derman , Martin Schwellnus , Maaike Eken","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":"70 ","pages":"Pages 1-6"},"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
Amanda Jakovacz , Fernanda Serighelli , Lauana Maria Miola , Guilherme de Conto Kuhn , Carlos Eduardo de Albuquerque , Alberito Rodrigo de Carvalho , Danilo De Oliveira Silva
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":"Amanda Jakovacz , Fernanda Serighelli , Lauana Maria Miola , Guilherme de Conto Kuhn , Carlos Eduardo de Albuquerque , Alberito Rodrigo de Carvalho , Danilo De Oliveira Silva","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":"69 ","pages":"Pages 76-83"},"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}
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":"Justine Benoit-Piau , Nathaly Gaudreault , Hugo Massé-Alarie , Christine Guptill , Sylvie Fortin , Mélanie Morin","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":"69 ","pages":"Pages 91-96"},"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
James G. Bodden, Robert A. Needham, Nachiappan Chockalingam
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":"James G. Bodden, Robert A. Needham, Nachiappan Chockalingam","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":"69 ","pages":"Pages 84-90"},"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
Maximiliano Ezequiel Arlettaz , Lucas Nahuel Dorsch , Paola Andrea Lucia Catalfamo-Formento
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":"Maximiliano Ezequiel Arlettaz , Lucas Nahuel Dorsch , Paola Andrea Lucia Catalfamo-Formento","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":"69 ","pages":"Pages 67-75"},"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":"Natanael P. Batista , Zuleiha I. Rachid , Danilo De Oliveira Silva , Neal R. Glaviano , Grant E. Norte , David M. Bazett-Jones","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":"69 ","pages":"Pages 59-66"},"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}
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":"Yuichi Isaji , Shota Uchino , Ryuta Inada , Hiroki Saito","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":"69 ","pages":"Pages 40-50"},"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
Katherine L. Smulligan , Patrick Carry , Andrew C. Smith , Carrie Esopenko , Christine M. Baugh , Julie C. Wilson , David R. Howell
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":"Katherine L. Smulligan , Patrick Carry , Andrew C. Smith , Carrie Esopenko , Christine M. Baugh , Julie C. Wilson , David R. Howell","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":"69 ","pages":"Pages 33-39"},"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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号