Physical Therapy in Sport最新文献_第5页

“Effects of ankle orthoses on postural balance and gait parameters in athletes with ankle injuries: A systematic review” 踝关节矫形器对踝关节损伤运动员姿势平衡和步态参数的影响：一项系统综述。

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-09-14 DOI: 10.1016/j.ptsp.2025.09.005

Zeinab Gasavi Nezhad , Majid Ansari , Mahmood Bahramizadeh

Objectives

Ankle injuries in athletes often impair balance and gait, affecting performance. Although ankle orthoses are used to improve stability, their effects on postural control and gait remain unclear. This review investigates the impact of ankle orthoses on balance and gait in injured athletes.

Methods

This systematic review, registered in PROSPERO (XXXXXX) and conducted following PRISMA 2020 guidelines, included interventional and observational studies up to April 30, 2025. Databases searched were PubMed, Scopus, Web of Science, and CINAHL. Two independent reviewers conducted screening, data extraction, and quality assessment using the EPHPP tool. Certainty of evidence was evaluated using GRADE, and results were narratively synthesized due to study heterogeneity.

Results

Thirty-three studies involving 736 athletes with ankle injuries were included. Semi-rigid orthoses improved postural balance and gait by reducing peak inversion angles (10–15 %) and enhancing dynamic stability. Soft braces improved dynamic stability, measured by tests such as the Star Excursion Balance Test. Rigid braces often limited joint motion and compromised performance. Overall, evidence certainty was low (GRADE rating) due to methodological limitations, especially in blinding and confounder control.

Conclusion

Semi-rigid ankle orthoses appear most effective in improving balance and gait post–ankle injury, with clinical relevance for sport-specific rehabilitation to enhance stability and reduce recurrence risks. High-quality randomized trials are needed to strengthen the evidence and guide sport-specific orthotic use.

目的：踝关节损伤经常损害运动员的平衡和步态，影响运动表现。虽然踝关节矫形器用于提高稳定性，但其对姿势控制和步态的影响尚不清楚。本文综述了踝关节矫形器对受伤运动员平衡和步态的影响。方法：该系统综述在PROSPERO （XXXXXX）注册，遵循PRISMA 2020指南进行，包括截至2025年4月30日的介入和观察性研究。检索的数据库包括PubMed、Scopus、Web of Science和CINAHL。两名独立审稿人使用EPHPP工具进行筛选、数据提取和质量评估。使用GRADE评估证据的确定性，由于研究的异质性，对结果进行叙述性综合。结果：纳入33项研究，涉及736名踝关节损伤运动员。半刚性矫形器通过减少峰值反转角（10- 15%）和增强动态稳定性来改善姿势平衡和步态。软支架提高了动态稳定性，通过诸如星偏移平衡测试等测试来测量。刚性支架通常会限制关节运动和降低性能。总体而言，由于方法学的限制，特别是在盲法和混杂因素控制方面，证据确定性较低（GRADE评级）。结论：半刚性踝关节矫形器在改善踝关节损伤后的平衡和步态方面最有效，与运动特异性康复具有临床相关性，可以增强稳定性并降低复发风险。需要高质量的随机试验来加强证据和指导特定运动矫形器的使用。

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引用次数: 0

Stakeholder perspectives on injury prevention training in girls' and women's elite football: A group concept mapping study involving coaches, physical performance coaches, physical therapists, medical doctors, and club management 利益相关者视角下的女子精英足球损伤预防训练：一项涉及教练、体能教练、理疗师、医生和俱乐部管理层的群体概念映射研究。

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-09-13 DOI: 10.1016/j.ptsp.2025.09.004

E. Bandak , K. Thorborg , T. Alkjær , M.K. Zebis , E.E. Wæhrens

Objectives

To identify factors influencing use of injury prevention training among stakeholders of Danish girls' and women's elite football teams.

Design

Cross-sectional Group Concept Mapping study using mixed-methods.

Setting

Girls' and women's elite football.

Participants

Head coaches, assistant coaches, physical performance coaches, physiotherapists, medical doctors, and management.

Results

Thirty-seven stakeholders brainstormed on: “What determines whether injury prevention training is conducted on your team?" followed by sorting and rating of statements. Subsequent multidimensional scaling and hierarchical cluster analysis followed by cluster map validation by stakeholders, resulted in a final model comprising eight themes influencing injury prevention training use in Danish girls' and women's elite football: (1) injury prevention is important, (2) prioritizing, (3) physical facilities, (4) players attitudes and understandings, (5) physical performance coach, (6) football coaches, (7) interdisciplinary cooperation, and (8) overall framework with “interdisciplinary cooperation” rated highest.

Conclusions

Stakeholders in Danish girls' and women's elite football identified interconnected factors influencing the use of injury prevention training, with “interdisciplinary cooperation” rated as most important. The findings reveal a complex interplay across structural, individual, team, and organizational levels, offering insights that can inform context-specific strategies to promote the implementation of evidence-based injury prevention training in Danish girls' and women's elite football.

目的：确定影响丹麦女孩和女子精英足球队利益相关者使用伤害预防训练的因素。设计：采用混合方法的横断面群体概念图研究。设置：女子和女子精英足球。参与者：主教练、助理教练、体能教练、理疗师、医生和管理层。结果：37名利益相关者就“是什么决定了你的团队是否进行伤害预防训练？”进行了头脑风暴，然后对陈述进行了分类和评级。随后的多维缩放和分层聚类分析，以及利益相关者的聚类图验证，产生了一个最终模型，该模型包括影响丹麦女子精英足球中伤害预防训练使用的八个主题：(1)损伤预防是重要的，(2)优先考虑的，(3)物理设施，(4)球员的态度和理解，(5)体能教练，(6)足球教练，(7)跨学科合作，(8)整体框架，其中“跨学科合作”得分最高。结论：丹麦女孩和女子精英足球的利益相关者确定了影响伤害预防训练使用的相互关联的因素，其中“跨学科合作”被评为最重要的。研究结果揭示了结构、个人、团队和组织层面的复杂相互作用，为促进丹麦女子精英足球中基于证据的伤害预防训练的实施提供了具体的策略。

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引用次数: 0

Time of administering return to sport testing following anterior cruciate ligament reconstruction: A systematic review 前交叉韧带重建后恢复运动试验的时间：系统回顾

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-09-02 DOI: 10.1016/j.ptsp.2025.09.001

Megan L. Pales Taylor , Hansel Ihn , Daniel M. Cushman , Stephan G. Bodkin

Objective

Recent evidence supports greater risk of reinjury with earlier return-to-sport. As early return-to-sport testing may promote clearance during times of elevated reinjury risk, the purpose of this study was to identify when return-to-sport testing is administered following ACL reconstruction.

Methods

A systematic review was conducted of studies where functional tests were administered post-ACL reconstruction to inform return-to-sport decisions. The meta-analysis was a pooled analysis using a random effects model. Time frequencies were obtained for approximate/serial timepoint studies.

Results

A total of 1,086 articles were identified, and 143 studies were included. Ninety-one descriptive studies with 131 cohorts resulted in 9,135 individuals for analysis and 52 studies with approximate/serial-timepoints stratified into 60 cohorts resulted in 4,575 individuals for analysis. The mean time of return-to-sport test administration was 7.30 [7.07, 7.53] months post-ACL reconstruction. The most frequent time of return-to-sport testing from approximate/serial timepoint studies were 6 and 12-months. Return-to-sport test time differed between study continent, where North American studies (6.78 ± 0.97) administered return-to-sport tests earlier than Asia (7.70 ± 0.98), Europe (8.12 ± 1.89), and Australia (11.35 ± 1.63, p's < 0.01).

Conclusion

Return-to-sport testing is administered approximately 7-months following ACL reconstruction, though large variability exists. Conducting return-to-sport assessments at early timepoints may promote sport clearance before evidence-based recommendations.

目的：最近的证据表明，越早恢复运动，再损伤的风险越大。由于早期恢复运动测试可以在再损伤风险升高时促进清除，本研究的目的是确定ACL重建后何时进行恢复运动测试。方法对acl重建后进行功能测试的研究进行系统回顾，为恢复运动决策提供信息。荟萃分析采用随机效应模型进行汇总分析。时间频率用于近似/连续时间点研究。结果共纳入文献1086篇，纳入研究143篇。91项描述性研究纳入131个队列，共纳入9135人进行分析；52项研究纳入60个队列，共纳入4575人进行分析，纳入近似/连续时间点。acl重建后恢复运动测试的平均时间为7.30[7.07,7.53]个月。从近似/连续时间点研究中，最常见的恢复运动测试时间为6个月和12个月。回归运动测试时间在各研究大洲之间存在差异，其中北美研究（6.78±0.97）实施回归运动测试的时间早于亚洲（7.70±0.98）、欧洲（8.12±1.89）和澳大利亚（11.35±1.63,p's < 0.01）。结论在ACL重建后约7个月进行恢复运动测试，但存在很大的差异。在早期时间点进行恢复运动评估可能会促进在循证建议之前进行运动清除。

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引用次数: 0

The impact of sport-related concussion history on neck strength in elite Australian rules football and rugby league athletes 运动相关的脑震荡历史对精英澳式足球和橄榄球联盟运动员颈部力量的影响

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-09-01 DOI: 10.1016/j.ptsp.2025.08.001

Akram Kavyani , Matthew Bourne , Morgan Williams , Ryan Timmins , Kerry Peek , Hunter Bennett , Marco Mastrorocco , Joel M. Garrett

Objectives

To investigate whether sport-related concussion (SRC) history (including recency and total numbers) is associated with maximal isometric neck strength in elite Australian rules football (ARF) and rugby league (ARL) athletes.

Design

Cross-sectional cohort study.

Setting

Elite ARF and ARL environments.

Participants

451 elite players (283 males, 168 females) from ARF (n = 300) and ARL (n = 151).

Main outcome measures

Maximal isometric strength of neck flexors, extensors, lateral flexors (N) and flexors/extensors (F/E) ratio; self-reported SRC history (recent [<12 months], total number).

Results

Neck strength did not differ between athletes with (n = 269) and without (n = 182) a history of SRC: flexors (p = 0.80), extensors (p = 0.52), left lateral flexors (p = 0.24), right lateral flexors (p = 0.26), and the F/E ratio (p = 0.92). Athletes with a recent SRC (n = 97) had slightly higher neck extensor strength (p = 0.005), although the effect was small. No differences were observed in flexors (p = 0.577), left (p = 0.066) or right lateral flexors (p = 0.356), or F/E ratio (p = 0.204). Number of prior SRCs showed no association: flexors (p = 0.974), extensors (p = 0.406), left (p = 0.120), right lateral flexors (p = 0.258), F/E ratio (p = 0.876).

Conclusions

SRC history, irrespective of its recency or total number, was not associated with impairments in maximal isometric neck strength.

目的探讨澳式足球（ARF）和橄榄球联盟（ARL）优秀运动员的运动相关脑震荡（SRC）史（包括最近发生次数和总次数）是否与最大等距颈部力量有关。设计横断面队列研究。设置精英ARF和ARL环境。参与者：来自ARF （n = 300）和ARL （n = 151）的451名精英选手（283名男性，168名女性）。主要观察指标：颈部屈肌、伸肌、侧屈肌(N)和屈肌/伸肌（F/E）比的最大等距强度；自述SRC病史（最近[<；12个月]，总数）。结果颈肌力在有（n = 269）和没有（n = 182） SRC病史的运动员之间没有差异：屈肌（p = 0.80）、伸肌（p = 0.52）、左侧屈肌（p = 0.24）、右侧屈肌（p = 0.26）和F/E比（p = 0.92）。近期发生SRC的运动员（n = 97）颈部伸肌强度略高（p = 0.005），尽管影响很小。屈肌（p = 0.577）、左屈肌（p = 0.066）、右屈肌（p = 0.356）、F/E比值（p = 0.204）均无差异。先前的SRCs数量：屈肌（p = 0.974）、伸肌（p = 0.406）、左屈肌（p = 0.120）、右屈肌（p = 0.258）、F/E比值（p = 0.876）无相关性。结论ssrc病史，无论其近期或总次数，与最大等距颈部力量损伤无关。

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引用次数: 0

Modification of the serratus anterior strength test to reduce confounding muscle activation: An EMG-based validation study 修改前锯肌力量测试以减少混杂肌激活：一项基于肌电图的验证研究

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-08-16 DOI: 10.1016/j.ptsp.2025.08.009

Christian Weber , Tobias Goetschi , Carl M. Zipser

Objectives

To compare the seated flexion strength test (FST) with two modifications incorporating shoulder external rotation and supine positioning, aiming to improve serratus anterior (SA) selectivity through reduced upper (UT) and lower trapezius (LT) interference.

Design

Cross-sectional validation study using surface electromyography (EMG) and handheld dynamometry.

Setting

University hospital musculoskeletal department.

Participants

Eighteen healthy adults.

Main outcome measures

EMG activation of SA, UT, LT and pectoralis major normalized to maximum voluntary contraction; activation ratios (UT/SA and LT/SA); force measurements with handheld dynamometer.

Results

Both modifications significantly reduced UT (p = 0.002) and LT activation (p = 0.010–0.049) compared to the FST without significantly reducing SA activity. The ratios (median UT/SA, LT/SA) showed a non-significant trend toward reduction in modification 1 (0.53, 0.57) and modification 2 (0.60, 0.41) compared to the FST (0.83, 0.71). Only modification 2 demonstrated excellent reliability (ICC 0.97, 95 % CI:0.92–0.99, MDC 14 %).

Conclusions

The modification 2 (supine positioning, shoulder external rotation, 45° tilted dynamometer) enhances SA isolation and demonstrates superior reliability compared to the FST. Therefore, it may improve clinical assessment of SA strength particularly when differentiating from UT and LT is of interest. Further research is needed before applying these findings to patient populations.

目的比较肩关节外旋和仰卧位两种调整后的坐式屈曲强度测试（FST），旨在通过减少上斜方肌（UT）和下斜方肌（LT）干扰来提高前锯肌（SA）的选择性。设计：采用表面肌电图（EMG）和手持式测力法进行横断面验证研究。大学医院肌肉骨骼科。参与者：18名健康成年人。主要观察指标：SA、UT、LT和胸大肌的g激活正常化至最大自主收缩；活化比（UT/SA和LT/SA）；力测量手持式测功机。结果与FST相比，两种修饰均显著降低了UT （p = 0.002）和LT活性（p = 0.010-0.049），但未显著降低SA活性。与FST（0.83, 0.71）相比，修改1（0.53,0.57）和修改2（0.60,0.41）的比值（中位UT/SA， LT/SA）呈非显著性降低趋势。只有修改2表现出优异的信度（ICC 0.97, 95% CI: 0.92-0.99, MDC 14%）。结论修正2（仰卧位、肩部外旋、45°倾斜测力仪）增强了SA隔离，与FST相比具有更高的可靠性。因此，它可以改善SA强度的临床评估，特别是当与UT和LT区分时。在将这些发现应用于患者群体之前，还需要进一步的研究。

{"title":"Modification of the serratus anterior strength test to reduce confounding muscle activation: An EMG-based validation study","authors":"Christian Weber , Tobias Goetschi , Carl M. Zipser","doi":"10.1016/j.ptsp.2025.08.009","DOIUrl":"10.1016/j.ptsp.2025.08.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the seated flexion strength test (FST) with two modifications incorporating shoulder external rotation and supine positioning, aiming to improve serratus anterior (SA) selectivity through reduced upper (UT) and lower trapezius (LT) interference.</div></div><div><h3>Design</h3><div>Cross-sectional validation study using surface electromyography (EMG) and handheld dynamometry.</div></div><div><h3>Setting</h3><div>University hospital musculoskeletal department.</div></div><div><h3>Participants</h3><div>Eighteen healthy adults.</div></div><div><h3>Main outcome measures</h3><div>EMG activation of SA, UT, LT and pectoralis major normalized to maximum voluntary contraction; activation ratios (UT/SA and LT/SA); force measurements with handheld dynamometer.</div></div><div><h3>Results</h3><div>Both modifications significantly reduced UT (p = 0.002) and LT activation (p = 0.010–0.049) compared to the FST without significantly reducing SA activity. The ratios (median UT/SA, LT/SA) showed a non-significant trend toward reduction in modification 1 (0.53, 0.57) and modification 2 (0.60, 0.41) compared to the FST (0.83, 0.71). Only modification 2 demonstrated excellent reliability (ICC 0.97, 95 % CI:0.92–0.99, MDC 14 %).</div></div><div><h3>Conclusions</h3><div>The modification 2 (supine positioning, shoulder external rotation, 45° tilted dynamometer) enhances SA isolation and demonstrates superior reliability compared to the FST. Therefore, it may improve clinical assessment of SA strength particularly when differentiating from UT and LT is of interest. Further research is needed before applying these findings to patient populations.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"75 ","pages":"Pages 128-134"},"PeriodicalIF":2.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864604","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}

引用次数: 0

Test-retest reliability, sensory weighting and clinical efficacy indicators of sensory organization test in chronic ankle instability 慢性踝关节不稳感觉组织试验重测信度、感觉权重及临床疗效指标

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-08-15 DOI: 10.1016/j.ptsp.2025.08.008

Yijie Li , Dongsen Liu , Hao Chang , Chunjiang Xu

Objectives

To examined: (1) the reliability, minimum detectable change (MDC) and Minimum clinically important difference (MCID) of sensory organization test (SOT) in chronic ankle instability (CAI) individuals. (2) sensory reweighting system changes in individuals with and without CAI.

Design

cross-sectional study.

Setting

University laboratory.

Participants

80 individuals with CAI and 68 individuals without CAI.

Main outcome measure

We examined the equilibrium scores based on 6 environmental conditions of the SOT and calculated the test-retest reliability, MDC₉₀ and MCID of the SOT in both groups. Additionally, we calculated the sensory weighting ratios among the somatosensory, vestibular, and vision systems based on specific SOT conditions.

Results

We observed the reliability (ICC) of SOT is 0.65–0.80 and 0.61–0.82 in the CAI and control group. The MDC₉₀ of each index of SOT is 4.50–9.29 and 2.78–9.54 in the CAI and control group. The MCID of each index of the SOT is 3.78–7.80 in the CAI group, and 2.34–8.01 in the control group.

Conclusions

The SOT indices demonstrated fair to good reliability. Researchers can use it as a stable balance measurement tool. Although no significant difference in somatosensory weighting was found between the two groups, somatosensory remained the primary source of feedback in postural control.

目的探讨：(1)慢性踝关节不稳（CAI）患者感觉组织测试（SOT）的可靠性、最小可检测变化（minimum detectable change， MDC）和最小临床重要差异（minimum clinical important difference， MCID）。(2)有CAI和无CAI个体感觉重加权系统的变化。Designcross-sectional研究。SettingUniversity实验室。受试者有CAI 80人，无CAI 68人。主要结果测量：我们根据6种环境条件对SOT的平衡得分进行检验，并计算两组SOT的重测信度、MDC90和mcd。此外，我们根据特定的SOT条件计算了体感、前庭和视觉系统之间的感觉权重比。结果CAI组和对照组的SOT信度（ICC）分别为0.65 ~ 0.80和0.61 ~ 0.82。CAI组和对照组SOT各指标的MDC90分别为4.50 ~ 9.29和2.78 ~ 9.54。CAI组SOT各指标的MCID为3.78 ~ 7.80，对照组为2.34 ~ 8.01。结论SOT指标具有较好的信度。研究人员可以使用它作为一个稳定的平衡测量工具。虽然两组之间体感权重没有显著差异，但体感仍然是姿势控制的主要反馈来源。

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引用次数: 0

Biopsychosocial profiles following ACL reconstruction: A latent class analysis of barriers to return-to-activity 前交叉韧带重建后的生物心理社会概况：对恢复活动障碍的潜在分类分析

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-08-13 DOI: 10.1016/j.ptsp.2025.08.004

Erich Petushek , Matthew S. Harkey , Kim Santiago , Alexander Stamm , Shelby Baez , Jed A. Diekfuss , Gregory D. Myer , Christopher Kuenze

Objective

Understanding of how biopsychosocial factors interrelate to affect recovery from ACL injuries is essential for improving patient outcomes. This research aimed to use Latent Class Analysis (LCA) to classify individuals post-ACL reconstruction into subgroups reflecting their particular biopsychosocial challenges to recovery.

Design

Cross-Sectional.

Methods

This multisite investigation included 134 ACLR patients approximately 6 months (5.6 months ± 1.8 SD) following surgery. The ACL Reasons scale, various Patient Reported Outcome (PRO), and performance-based measures were assessed. LCA was used to categorize patients into subgroups based on the ACL Reasons scale. Subgroups were then compared across demographic, PRO, and performance-based measures using one-way analysis of variance and chi-squared tests.

Results

LCA identified two distinct groups of patients who were less active after ACL reconstruction, characterized by varying levels of injury related fear, anxiety and depression. These groups reported lower outcomes and demonstrated reduced performance on hop tests in comparison to those who were as active as before their surgery.

Conclusion

Patients less active post-surgery fall into two categories: one hindered by injury-related fear and symptoms, the other by mostly symptoms alone. Tailored interventions could enhance recovery, with one group possibly benefiting from psychological support and the other from a focus on functional and symptomatic treatment.

目的了解生物心理社会因素如何影响前交叉韧带损伤的恢复，对改善患者预后至关重要。本研究旨在使用潜在分类分析（LCA）将acl重建后的个体分类为反映其特定的生物心理社会恢复挑战的亚组。方法对术后约6个月（5.6个月±1.8个标准差）的134例ACLR患者进行多地点调查。ACL原因量表、各种患者报告结果（PRO）和基于绩效的措施进行了评估。LCA根据ACL原因量表将患者分为亚组。然后使用单因素方差分析和卡方检验对亚组进行人口统计学、PRO和基于绩效的测量进行比较。结果slca确定了两组不同的ACL重建后活动较少的患者，其特征是不同程度的损伤相关恐惧、焦虑和抑郁。与手术前一样活跃的患者相比，这些组报告了较低的结果，并且在跳跃测试中表现出较低的表现。结论术后活动能力下降的患者分为两类：一类是受损伤相关恐惧和症状影响，另一类是主要受症状影响。量身定制的干预措施可以促进康复，其中一组可能受益于心理支持，而另一组则可能受益于功能和对症治疗。

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引用次数: 0

Menstrual cycle & Rehabilitation: Perceptions of sports physiotherapists and female recreational athletes 月经周期与康复：运动物理治疗师与女性休闲运动员的认知

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-08-13 DOI: 10.1016/j.ptsp.2025.08.002

Eline Peterse , Caroline Bolling

Objectives

We explored the perceptions of female recreational athletes and sports physiotherapists regarding the integration of the menstrual cycle (MC) in the physiotherapeutic process.

Design

Qualitative study.

Setting

Online semi-structured interviews.

Participants

Nine Dutch sports physiotherapists working in primary care settings and eight female recreational athletes.

Main outcome measures

Interviews were audio-recorded, transcribed, and analysed using thematic analysis.

Results

The relationship between rehabilitation and the MC was recognized despite the lack of knowledge, considering symptoms and effects, and acknowledged the potential need to adjust treatment. To talk about MC, participants perceived communication challenges, such as the taboo, the influence of the gender of the health professionals and reinforced the need to normalize the conversations. For MC to be integrated in practice, participants acknowledged the need for more knowledge and resources, a clear purpose when discussing and considering the MC in rehabilitation, and the need for research to guide practice.

Conclusion

The menstrual health of athletes is not yet integrated into the physiotherapeutic process, despite the recognized importance. Improving communication, knowledge, and research are key to making this topic more openly discussed and allowing more person-centred care, as any adaptation should be tailored to individual experiences and symptoms.

目的探讨女性休闲运动员和运动物理治疗师在生理治疗过程中对月经周期的认知。DesignQualitative研究。在线半结构化面试。参与者：在初级保健机构工作的9名荷兰运动物理治疗师和8名女性休闲运动员。主要结果测量访谈录音、转录，并使用专题分析进行分析。结果在缺乏相关知识的情况下，考虑到症状和效果，认识到康复与MC之间的关系，并承认可能需要调整治疗。在谈到MC时，参与者认识到沟通方面的挑战，如禁忌、卫生专业人员性别的影响，并强调需要使对话正常化。要将管委会融入实践，与会者认为需要更多的知识和资源，在讨论和考虑管委会在康复中的作用时需要有明确的目标，以及需要研究来指导实践。结论运动员的月经健康虽被公认为重要，但尚未融入到物理治疗过程中。改善沟通、知识和研究是使这一主题更公开讨论和允许更多以人为本的护理的关键，因为任何适应都应根据个人经历和症状进行调整。

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引用次数: 0

Reliability of VALD DynaMo dynamometer to assess upper and lower body isometric strength in healthy adults VALD DynaMo测功机评估健康成人上半身和下半身等长肌力的可靠性

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-08-13 DOI: 10.1016/j.ptsp.2025.08.005

Tyler J. Collings , Benjamin I. Goodlich , Andrea H. Hams , Matthew N. Bourne

Objectives

This study aimed to evaluate the intrarater within-day and between-day absolute agreement reliability of DynaMo Max and DynaMo Plus handheld dynamometers for upper and lower body isometric strength assessments compared to existing devices.

Design

Repeated measures study.

Setting

Two laboratory sessions, seven days apart.

Participants

Twenty healthy, recreationally active adults (40 % female; age = 29.1 ± 5.8 years).

Main outcome measures

Intraclass correlation coefficients (ICC), coefficient of variation, and Bland-Altman plots and 95 % limits of agreement for fourteen isometric strength tests.

Results

DynaMo Max exhibited excellent between-day and within-day reliability (ICC >0.90) for 21 of 24 (88 %) upper and lower body isometric strength tests. Tests using tension were more reliable than those using compression. DynaMo Plus demonstrated similar reliability to the Jamar Hydraulic device for grip strength, although limits of agreement were −7.4 to 7.7 kg. DynaMo Max measured peak IMTP force with high levels of agreement to the ForceDecks (R² = 0.99, −22 to 95 N).

Conclusions

DynaMo Plus and Max are reliable tools for isometric strength assessments of upper and lower body muscle groups. Tension tests are recommended over manually resisted compression tests. DynaMo Max and Plus are accurate and reliable options for IMTP and grip strength testing, respectively.

目的：本研究旨在评估DynaMo Max和DynaMo Plus手持式测力仪与现有设备相比，用于上半身和下半身等距力量评估的内部、日内和日间绝对一致性可靠性。设计重复测量研究。两组实验，间隔七天。参与者：20名健康、有娱乐活动的成年人（40%为女性，年龄= 29.1±5.8岁）。主要结果测量：14个等长强度试验的类内相关系数（ICC）、变异系数、Bland-Altman图和95%的一致性限。结果dynamo Max在24项（88%）上半身和下半身等距强度测试中有21项显示出出色的日间和日内可靠性（ICC >0.90）。使用张力的测试比使用压缩的测试更可靠。DynaMo Plus在握力方面与Jamar Hydraulic装置表现出相似的可靠性，但一致性的限制为- 7.4到7.7 kg。DynaMo Max测量的峰值IMTP力与forcedeck高度一致（R2 = 0.99， - 22至95 N）。结论dynamo Plus和Max是评估上半身和下半身肌肉群力量的可靠工具。拉力测试建议优于手动抗压测试。DynaMo Max和Plus分别是IMTP和握力测试的准确可靠的选择。

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引用次数: 0

Reliability of two-dimensional kinematics and performance in a battery of lateral hopping tasks in uninjured individuals 在未受伤个体的横向跳跃任务中二维运动学和性能的可靠性

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-08-12 DOI: 10.1016/j.ptsp.2025.08.006

Garrett Sasseville , Timothy Gilgallon , Julie Burland , Michael DiStefano , Neal R. Glaviano

Objectives

The purpose of this study was to assess the reliability of a series of lateral hops for both performance and lower extremity kinematics.

Design

Between-session reliability study.

Setting

University Laboratory.

Participants

20 subjects (11 male, 9 females) 25.14 ± 2.77 years, 72.97 ± 9.73 kg, and 169.44 ± 7.23 cm.

Main outcome measures

Participants completed four lateral hops, altering their takeoff and landing legs. We quantified hop distance and 2-dimensional frontal and sagittal plane kinematics at peak knee flexion. Testing was performed on two occasions, with a mean difference of 7 days apart. Interclass correlation coefficients and paired t-tests were performed to compare reliability and differences in outcome measures across the two sessions, p < .05.

Results

All four lateral hops had good to excellent reliability (ICC 0.84–0.91), with no statistical difference in hop distance between days, p > .05. Sagittal plane kinematics had good to excellent reliability (ICC 0.86–0.95) however frontal plane kinematics showed moderated to good reliability (ICC 0.54–0.90).

Conclusion

A battery of lateral hopping tasks has moderate to excellent reliability for both performance and kinematics, suggesting their use by clinicians and in clinical practice.

目的本研究的目的是评估一系列横向跳跃对表现和下肢运动学的可靠性。设计-会话间可靠性研究。SettingUniversity实验室。参与者20例，男11例，女9例，年龄25.14±2.77岁，体重72.97±9.73 kg，身高169.44±7.23 cm。参与者完成了四次横向跳跃，改变了他们的起降腿。我们量化了膝关节屈曲峰值时的跳跃距离和二维正矢状面运动学。测试进行了两次，平均间隔7天。采用类间相关系数和配对t检验比较两组间结果测量的信度和差异，p < 0.05。结果4个侧跳均具有良好至极好的信度（ICC 0.84 ~ 0.91），天间跳距差异无统计学意义（p > 0.05）。矢状面运动学具有良好到优异的可靠性（ICC 0.86-0.95），而正面平面运动学显示为良好的可靠性（ICC 0.54-0.90）。结论一系列的横向跳跃任务在性能和运动学方面都具有中等到优异的可靠性，值得临床医生和临床实践使用。

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