Physical Therapy in Sport最新文献_第5页

How does classification score affect falls in wheelchair basketball? A video-based cross-sectional study on the Italian national team during the European Para Championships 2023 分类得分如何影响轮椅篮球运动中的摔倒？对 2023 年欧洲残疾人锦标赛期间意大利国家队的视频横断面研究

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-04-09 DOI: 10.1016/j.ptsp.2024.03.006

Giacomo Farì , Francesco Quarta , Sara Clelia Longo , Laura Masiero , Vincenzo Ricci , Daniele Coraci , Laura Caforio , Marisa Megna , Maurizio Ranieri , Giustino Varrassi , Andrea Bernetti

Objectives

The aim of this study was to investigate the mechanism of falls in male elite wheelchair basketball (WB) players and to analyse the falls characteristics considering their classification score which ranges from 1.0 to 4.5 and it is related to their functional capacity and particularly to their volume of action.

Design

A cross-sectional video analysis was conducted using European para championships 2023official match videos.

Setting

Players of the sample team were divided into 2 groups according to their classification point: low-point players (LPP) and high-point players (HPP). Every occurred fall was systematically analysed focusing on falling related characteristics and game circumstances.

Participants

Twelve WB players of the Italian national team.

Main outcome

Number of falls and mechanism of falls.

Results

The results showed a higher number of falls for HPP and highlighted a statistically significant differences between LPP and HPP for the fall direction, the playing time and the first anatomical site in contact with the floor.

Conclusion

Results reported significant differences between LPP and HPP in terms of mechanism of fall. Further studies should focus on the development of new preventive training strategies tailored to WB players with different levels of impairments to reduce fall related injuries.

目的本研究旨在调查男子精英轮椅篮球（WB）运动员的摔倒机制，并根据他们的分类得分（1.0 到 4.5 分）分析摔倒特征，这与他们的功能能力，尤其是他们的运动量有关。主要结果摔倒次数和摔倒机制。结果结果显示高分球员摔倒次数较多，并突出显示低分球员和高分球员在摔倒方向、比赛时间和与地面接触的第一个解剖部位方面存在显著差异。进一步的研究应侧重于针对不同障碍程度的西布朗球员制定新的预防性训练策略，以减少与跌倒相关的伤害。

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引用次数: 0

Injury prevention in Brazilian women's football: Perceptions of physiotherapists and practices within elite clubs 巴西女子足球的损伤预防：理疗师的看法和精英俱乐部的做法

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-04-06 DOI: 10.1016/j.ptsp.2024.04.001

Karoline Baptista Vianna , Letícia Oscar Ribas , Lívia Gonçalves Rodrigues , Gabriela Bissani Gasparin , Luciana De Michelis Mendonça , Bruno Manfredini Baroni

Objectives

To describe the perceptions of physiotherapists and the injury prevention practices implemented within elite women's football clubs in Brazil.

Design

Cross-sectional study.

Setting

Online survey.

Participants

Head physiotherapists from 32 Brazilian elite clubs.

Main outcome measures

Structured questionnaire.

Results

Physiotherapists identified ACL rupture as the primary target for prevention. The top-five perceived injury risk factors included ‘early return to sport after injury’, ‘workload too high’, ‘previous injury’, ‘poor sleep/rest’, and ‘muscle strength/power deficit’. ‘Adoption of return to sport criteria’ was almost unanimously recognized as a very important preventive strategy. ‘Poor infrastructure’ was elected as the main barrier to implementing prevention programs. From a practical standpoint, at least two-third of clubs implemented multi-component exercise interventions for injury prevention. These interventions typically encompassed flexibility/mobility, balance/proprioception, lumbo-pelvic stability, and agility exercises, alongside exposure to sprinting. Strength training routines typically included traditional, functional, and eccentric exercises. Most teams also employed other prevention strategies, including adoption of return to sport criteria, internal workload monitoring, post-exercise recovery modalities, preseason risk factor screening, and application of rigid strapping tapes.

Conclusions

This study provided unprecedented insights into the physiotherapists' perceptions and injury prevention practices implemented within elite women's football clubs.

目的描述理疗师的看法以及在巴西精英女子足球俱乐部中实施的伤害预防措施。设计横断面研究。设置在线调查。参与者来自 32 家巴西精英俱乐部的理疗师。前五大受伤风险因素包括 "伤后过早恢复运动"、"工作量过大"、"以前受过伤"、"睡眠/休息不好 "和 "肌肉力量/力量不足"。采用恢复运动标准 "几乎被一致认为是一项非常重要的预防策略。基础设施薄弱 "被认为是实施预防计划的主要障碍。从实际角度来看，至少有三分之二的俱乐部实施了多成分运动干预来预防受伤。这些干预措施通常包括柔韧性/移动性、平衡/直觉、腰椎-骨盆稳定性和敏捷性练习，以及短跑。力量训练通常包括传统练习、功能练习和偏心练习。大多数球队还采用了其他预防策略，包括采用恢复运动标准、内部工作量监测、运动后恢复模式、季前赛风险因素筛查以及使用硬质绑带。

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引用次数: 0

Are we asking the right questions to people with Achilles tendinopathy? The best questions to distinguish mild versus severe disability to improve your clinical management 我们是否向跟腱病患者提出了正确的问题？区分轻度和重度残疾的最佳问题，以改善临床管理

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-04-05 DOI: 10.1016/j.ptsp.2024.03.005

Myles C. Murphy , Brady Green , Igor Sancho Amundarain , Robert-Jan de Vos , Ebonie K. Rio

Objective

Determine the capacity of individual items on the Tendinopathy Severity Assessment – Achilles (TENDINS-A), Foot and Ankle Outcome Score (FAOS), and Victorian Institute of Sports Assessment – Achilles (VISA-A) to differentiate patients with mild and severe tendon-related disability in order to provide clinicians the best questions when they are consulting patients with Achilles tendinopathy.

Design

Cross-sectional.

Participants

Seventy participants with Achilles tendinopathy (61.4% mid-portion only, 31.4% insertional only, 7.2% both).

Outcome measures

The discrimination index was determined for each TENDINS-A, FAOS, and VISA-A item to determine if items could discriminate between mild and severe disability. A Guttman analysis for polytomous items was conducted.

Results

All 62 tems from the TENDINS-A, FAOS, and VISA-A were ranked with the best items relating to pain with physical tendon loading, time for pain to settle following aggravating activities and time for the tendon to ‘warm-up’ following inactivity.

Conclusions

Pain with loading the Achilles tendon, time for pain to settle following aggravating activity, as well as time taken for the tendon symptoms to subside after prolonged sitting or sleeping are the best questions indicative of the severity of disability in patients with Achilles tendinopathy. These questions can assist clinicians with assessing baseline severity and monitoring treatment response.

目的确定跟腱病严重程度评估--跟腱（TENDINS-A）、足踝结果评分（FAOS）和维多利亚运动研究所评估--跟腱（VISA-A）中各个项目区分轻度和重度跟腱相关残疾患者的能力，以便为临床医生咨询跟腱病患者时提供最佳问题。结果测量对 TENDINS-A、FAOS 和 VISA-A 的每个项目都测定了辨别指数，以确定项目是否能区分轻度和重度残疾。结果TENDINS-A、FAOS和VISA-A的所有62个项目都进行了排序，其中与肌腱物理负荷时的疼痛、加重活动后疼痛平息的时间和非活动后肌腱 "热身 "的时间有关的项目最佳。结论跟腱负重疼痛、加重活动后疼痛缓解时间以及久坐或睡眠后肌腱症状消退时间是反映跟腱病患者残疾严重程度的最佳问题。这些问题可以帮助临床医生评估基线严重程度和监测治疗反应。

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引用次数: 0

The effect of the KNEE program for Netball players on the modified Star Excursion Balance Test – a randomized controlled trial 针对投球运动员的 KNEE 计划对改良的 "星际游移平衡测试 "的影响 - 随机对照试验

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-29 DOI: 10.1016/j.ptsp.2024.03.004

Jane Grayson , David Hillard , Alanna Antcliff , Cliffton Chan , Elizabeth Nightingale , Evangelos Pappas

Background

The aim was to investigate the effect of the KNEE program on postural control as measured by the modified Star Excursion Balance test (mSEBT) in Australian club level netball players.

Methods

Two netball teams from Netball NSW Premier-League were recruited and randomized to complete either the KNEE program or a traditional warm-up. Cumulative, anterior, posteromedial, and posterolateral directions of the mSEBT were measured for both limbs at baseline, 8-weeks, and 5-months. Linear mixed models were used to assess the effect of the intervention on mSEBT outcomes.

Results

When compared to a traditional warm-up, the KNEE program led to improvements in postural control in the PM direction of the mSEBT at 8 weeks (R: p = 0.005; L = 0.016) and 5 months (R: p = 0.006 and L: p = 0.026). For the cumulative score, there was a main effect of time with significant improvements between baseline and subsequent time points (p < 0.03), but there was no effect of group or interaction. No significant changes were found in ANT and PL directions.

Conclusion

The KNEE program when implemented as a warm-up prior to training and match-play can improve postural control in the PM direction which is integral to Netball.

方法招募了两支来自新南威尔士超级联赛网球队的运动员，并随机分配他们完成 KNEE 计划或传统热身。分别在基线、8 周和 5 个月时测量双肢 mSEBT 的累积、前方、后内侧和后外侧方向。结果与传统热身相比，KNEE 计划在 8 周（R：P = 0.005；L = 0.016）和 5 个月（R：P = 0.006 和 L：P = 0.026）时改善了 mSEBT PM 方向的姿势控制。在累积得分方面，时间具有主效应，在基线和随后的时间点之间有显著改善（p <0.03），但组别或交互作用没有效应。结论作为训练和比赛前的热身运动，KNEE 计划可以改善 PM 方向上的姿势控制，这对于投篮运动来说是不可或缺的。

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引用次数: 0

Development and validation of an overuse injury questionnaire for youth athletes: The Youth Overuse Injury Questionnaire 青少年运动员过度运动损伤问卷的开发与验证：青少年过度运动损伤问卷

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-21 DOI: 10.1016/j.ptsp.2024.03.003

Rachel Lau, Swarup Mukherjee

Objective

To develop and validate the Youth Overuse Injury Questionnaire (YOvIQ).

Design

A cross-sectional study.

Setting

Online platforms.

Participants

Two content experts (in sports injury epidemiology and in sports science and medicine) and seven end-users (youth volleyball athletes) provided feedback during development of the YOvIQ. 227 competitive youth athletes across 14 different sports assessed the psychometric properties of the YOvIQ.

Main outcome measures

Participants completed both YOvIQ and the Oslo Sports Trauma Research Centre Overuse Injury Questionnaire (OSTRC-O2) for anatomical areas of the shoulder, elbow, lower back, knee, and ankle/foot. Validity was assessed via convergent validity. Reliability was assessed using internal consistency estimation and interclass correlation coefficient.

Results

Following feedback from content experts, examples and quantitative symbolization were added to the options in YOvIQ, with positive feedback from end-users. Convergent validity between YOvIQ and the OSTRC-O2 was demonstrated with non-significant differences (P ≥ .05) and significant correlations (P < 0.001) for prevalence and severity scores. YOvIQ demonstrated internal consistency for prevalence (Cronbach's alpha coefficient >0.70) and moderate-to-good reliability for severity scores (ICC: 0.51 to 0.88) for shoulder, lower back, and knee.

Conclusions

The YOvIQ is a valid and reliable instrument to identify overuse injuries to the shoulder, lower back, and knee in youth athletes.

目标开发并验证青少年过度运动损伤问卷（YOvIQ）.设计横断面研究.设置在线平台.参与者两位内容专家（运动损伤流行病学专家和运动科学与医学专家）和七位最终用户（青少年排球运动员）在开发 YOvIQ 的过程中提供了反馈意见。主要结果测量参试者完成了 YOvIQ 和奥斯陆运动创伤研究中心过度运动损伤问卷 (OSTRC-O2) 的测试，测试部位包括肩部、肘部、腰部、膝部和脚踝/脚掌。效度通过收敛效度进行评估。结果根据内容专家的反馈，在 YOvIQ 的选项中增加了示例和量化符号，得到了最终用户的积极反馈。YOvIQ 和 OSTRC-O2 之间的收敛有效性得到了证实，两者之间的差异不显著（P ≥ .05），而流行度和严重度得分之间的相关性显著（P < 0.001）。YOvIQ在肩部、腰部和膝部的患病率（Cronbach's alpha系数>0.70）和严重程度评分（ICC：0.51至0.88）方面表现出了内部一致性和中等至良好的可靠性。结论YOvIQ是一种有效可靠的工具，可用于识别青少年运动员肩部、腰部和膝部的过度运动损伤。

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引用次数: 0

Interlimb kinetic asymmetries during the tuck jump assessment are more exposed following kinetic stabilization 动能稳定后，屈膝跳评估过程中的肢体间动能不对称现象更加明显

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-18 DOI: 10.1016/j.ptsp.2024.03.002

Lucy S. Kember , Gregory D. Myer , Rhodri S. Lloyd

Objective

To analyse interlimb kinetics and asymmetries during the tuck jump assessment (TJA), before and after kinetic stabilization, to identify injury risk in healthy female athletes.

Design

Cross-sectional study.

Setting

Laboratory.

Participants

Twenty-five healthy females (age 21.0 ± 1.83 yrs; height 1.68 ± 0.06 m; body mass 69.4 ± 10.7 kg).

Main outcome measures

Kinetics were measured during 10-s trials of the TJA and absolute asymmetries compared, before and after kinetic stabilization using paired sample t-tests. Statistical parametric mapping (SPM) compared vertical ground reaction force (VGRF) data for each limb during the jumping cycles before and after stabilization.

Results

Small to moderate increases in interlimb asymmetries were observed after stabilization for VGRF, relative vertical leg stiffness, average loading rate, total and propulsive impulse, peak braking and propulsive force (p < 0.05). SPM revealed significant interlimb differences between 77-98% and 83–99% of ground contact for the jumping cycles pre- and post-stabilization respectively.

Conclusions

Larger asymmetries were evident after kinetic stabilization, with increased VGRF in the non-dominant limb. We speculate that participants sacrificed interlimb landing symmetry to achieve kinetic stability, which may reflect a primal landing strategy that forgoes movement quality. Assessing lower limb biomechanics using the TJA should involve examining kinetic stability and interlimb kinetic asymmetries.

分析在动能稳定前后进行屈膝跳评估（TJA）时的肢体间动能和不对称情况，以确定健康女运动员的受伤风险。横断面研究。实验室。25 名健康女性（年龄 21.0 ± 1.83 岁；身高 1.68 ± 0.06 米；体重 69.4 ± 10.7 千克）。使用配对样本 t 检验法测量 TJA 10 秒试验期间的动力学，并比较动力学稳定前后的绝对不对称情况。统计参数绘图（SPM）比较了稳定前后跳跃周期中每个肢体的垂直地面反作用力（VGRF）数据。在稳定后，肢体间的垂直地面反作用力、腿部相对垂直刚度、平均加载率、总冲量和推进冲量、制动峰值和推进力的不对称程度都有小到中等程度的增加（< 0.05）。SPM 显示，在稳定前后的跳跃周期中，肢间接触地面的差异分别为 77-98% 和 83-99%。动能稳定后，非优势肢的 VGRF 增加，不对称现象更加明显。我们推测，参赛者牺牲了肢体间着地的对称性以获得运动稳定性，这可能反映了一种放弃运动质量的原始着地策略。使用 TJA 评估下肢生物力学应包括检查运动稳定性和肢体间运动不对称。

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引用次数: 0

The associations of physical parameters with the Closed Kinetic Chain Upper Extremity Stability Test, the Upper Quarter Y Balance Test, and the Upper Limb Rotation Test in professional overhead athletes 专业高空运动员的体能参数与闭合动能链上肢稳定性测试、上四分之一 Y 平衡测试和上肢旋转测试的关系

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-18 DOI: 10.1016/j.ptsp.2024.03.001

Fırat Kara , Gülbin Ergin Gedik , Ertan Şahinoğlu

Objective

To investigate the associations of glenohumeral internal (IR) and external rotation (ER), horizontal adduction (HA), and thoracic spine rotation ranges of motion (ROM), isometric muscle strength of the shoulder rotators, and trunk muscle endurance with the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), the Upper Quarter Y Balance Test (YBT-UQ), and the Upper Limb Rotation Test (ULRT) in overhead athletes.

Design

Cross-sectional study.

Settings

Laboratory.

Participants

One hundred twenty-one athletes were enrolled.

Main outcome measures

Independent variables were: IR, ER, HA, and thoracic spine rotation ROMs, isometric muscle strength of glenohumeral IR and ER muscles, and trunk muscle endurance. Dependent variables were: CKCUEST, YBT-UQ, ULRT.

Results

IR ROM of the nondominant side was associated with the CKCUEST, the YBT-UQ, and the ULRT. IR muscle strength of the dominant side was associated with the CKCUEST and the ULRT. Trunk flexor and lateral endurance of the dominant side were associated with the CKCUEST and the YBT-UQ, respectively.

Conclusions

Many of the physical parameters influencing scores on the CKCUEST and the YBT-UQ are different. Common parameters influence the CKCUEST and ULRT scores, yet more parameters influence the CKCUEST score. We suggest the combined use of the CKCUEST and the YBT-UQ in overhead athletes.

目的：研究肱骨内旋和外旋（IR）、水平内收（HA）和胸椎旋转运动范围（ROM）、肩部旋转肌等长肌力以及躯干肌肉耐力与闭合动能链上肢稳定性测试（CKCUEST）、上四分之一Y平衡测试（YBT-UQ）和上肢旋转测试（ULRT）在高空运动员中的相关性。横断面研究。实验室。共招募了 121 名运动员。独立变量为IR、ER、HA 和胸椎旋转 ROM、盂肱 IR 和 ER 肌肉的等长肌力以及躯干肌肉耐力。因变量为CKCUEST、YBT-UQ、ULRT。非优势侧的 IR ROM 与 CKCUEST、YBT-UQ 和 ULRT 相关。优势侧的红外肌力与 CKCUEST 和 ULRT 相关。优势侧的躯干屈肌和侧向耐力分别与 CKCUEST 和 YBT-UQ 相关。影响 CKCUEST 和 YBT-UQ 分数的身体参数是不同的。此外，影响 CKCUEST 分数的体力参数比影响 ULRT 分数的体力参数更多，也更不同。我们建议在高抬腿运动员中联合使用 CKCUEST 和 YBT-UQ。

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引用次数: 0

Asymmetric running is associated with pain during outdoor running in individuals with Achilles tendinopathy in the return-to-sport phase 不对称跑步与跟腱病变患者在恢复运动阶段进行户外跑步时的疼痛有关

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-06 DOI: 10.1016/j.ptsp.2024.02.006

Kayla D. Seymore , Patrick Corrigan , Haraldur B. Sigurðsson , Ryan T. Pohlig , Karin Grävare Silbernagel

Objectives

To determine the relationships between (1) Achilles tendon pain and loading symmetry, and (2) number of running bouts and symptom severity, during two weeks of outdoor running in individuals with Achilles tendinopathy.

Design

Prospective, observational study.

Setting

Biomechanics laboratory and outdoors.

Participants

Seventeen runners with Achilles tendinopathy in the return-to-sport phase of rehabilitation.

Main outcome measures

Symptom severity was recorded with the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Running bouts and Achilles tendon pain during runs were recorded with daily training logs. Ground contact time was collected during runs with wearable sensors. Linear mixed modeling determined if the relationship between Achilles tendon pain and ground contact time symmetry during running was moderated by consecutive run days. Multiple regression determined the relationship between number of running bouts and change in VISA-A scores over two weeks, adjusted for run distance.

Results

Greater ground contact time on the contralateral leg corresponded to increased ipsilateral tendon pain for each consecutive run day (b = −0.028, p < 0.001). Number of running bouts was not associated with 2-week changes in VISA-A scores (p = 0.672).

Conclusions

Pain during running is associated with injured leg off-loading patterns, and this relationship strengthened with greater number of consecutive run days. Number of running bouts was not related to short-term symptom severity.

主要结果测量症状严重程度通过维多利亚运动评估研究所-跟腱（VISA-A）问卷进行记录。通过每日训练日志记录跑步过程中的跑步次数和跟腱疼痛情况。跑步过程中的地面接触时间由可穿戴传感器收集。线性混合模型确定了跑步过程中跟腱疼痛与地面接触时间对称性之间的关系是否受连续跑步天数的影响。多元回归确定了跑步次数与两周内 VISA-A 评分变化之间的关系，并对跑步距离进行了调整。结果每连续跑步一天，对侧腿的地面接触时间越长，同侧肌腱疼痛就越严重（b = -0.028，p <0.001）。结论跑步过程中的疼痛与受伤腿的卸载模式有关，这种关系随着连续跑步天数的增加而加强。跑步次数与短期症状严重程度无关。

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引用次数: 0

Effects of high frequency strengthening on pain sensitivity and function in female runners with chronic patellofemoral pain 高频强化训练对患有慢性髌骨股骨痛的女性跑步者的疼痛敏感性和功能的影响

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-05 DOI: 10.1016/j.ptsp.2024.02.007

Brian J. Eckenrode , David M. Kietrys , Allison Brown , J. Scott Parrott , Brian Noehren

Objective

To investigate the effects of a high frequency strengthening program on function, pain, and pain sensitization in female runners with chronic patellofemoral pain (PFP).

Design

Cross-sectional study.

Setting

University laboratory.

Participants

Thirty female runners (mean age 32 ± 8.1 years) with chronic PFP completed an 8-week home strengthening program.

Main outcome measures

Variables assessed at baseline, 8-weeks, and 12 weeks included single leg step down test (SLSD), pain, Anterior Knee Pain Scale (AKPS), University of Wisconsin Running Injury and Recovery Index (UWRI), and quantitative sensory testing.

Results

There was large and statistically significant improvement at 8 and 12 weeks for average knee pain (η_p² = 0.334, p < 0.001), worst knee pain (η_p² = 0.351, p < 0.001), SLSD (η_p² = 0.161, p = 0.001), AKPS (η_p² = 0.463, p < 0.001), and UWRI (η_p² = 0.366, p < 0.001). A medium to large effect and statistically significant improvement in pressure pain threshold testing was found for all local and remote structures (η_p² range, 0.110 to 0.293, range p < 0.001 to p = 0.009) at 8 and 12 weeks.

Conclusions

There was a significant decrease in local and remote hyperalgesia via mechanical and thermal pain sensitivity testing in female runners with chronic PFP. There was a large effect and significant improvement in self-reported pain and function.

研究高频强化计划对患有慢性髌骨股骨痛（PFP）的女性跑步者的功能、疼痛和痛觉敏感性的影响。横断面研究。大学实验室。30 名患有慢性髌骨股骨痛的女性跑步者（平均年龄 32 ± 8.1 岁）完成了为期 8 周的家庭强化训练。基线、8 周和 12 周的评估变量包括单腿下台阶测试 (SLSD)、疼痛、膝关节前侧疼痛量表 (AKPS)、威斯康星大学跑步损伤和恢复指数 (UWRI) 以及定量感觉测试。在 8 周和 12 周时，膝关节平均疼痛 (η = 0.334，p < 0.001)、最严重膝关节疼痛 (η = 0.351，p < 0.001)、SLSD (η = 0.161，p = 0.001)、AKPS (η = 0.463，p < 0.001) 和 UWRI (η = 0.366，p < 0.001) 均有显著改善，并具有统计学意义。在 8 周和 12 周时，所有局部和远端结构的压痛阈值测试均有中至大的改善（η 范围为 0.110 至 0.293，p < 0.001 至 p = 0.009），并具有统计学意义。通过机械和热痛敏测试，慢性腰椎间盘突出症女性患者的局部和远端痛觉减退明显。自我报告的疼痛和功能改善效果显著。

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引用次数: 0

Is it time to develop specific return to running criteria for ACL rehabilitation? An international survey of physiotherapists criteria for return to running following ACL injury 是时候为前交叉韧带康复制定具体的恢复跑步标准了吗？物理治疗师对前交叉韧带损伤后恢复跑步标准的国际调查

IF 2.4 3区医学 Q1 Health Professions

Physical Therapy in Sport

Pub Date : 2024-03-01 DOI: 10.1016/j.ptsp.2024.02.005

Timothy A. Sayer , Nicky van Melick , Jerome Riera , Jeremy Jackson , Adam Bryant , Rob Bogie , Nicholas Cross , Pascal Edouard , Alexandre Rambaud

Objective

To determine return to running criteria currently used by physiotherapists following anterior cruciate ligament (ACL) injury.

Design

Self-reported online international survey.

Methods

An online survey of physiotherapists across Australia, the Netherlands and France.

Results

A total of 476 respondants participated in the survey across Australia (n = 153), the Netherlands (n = 162), and France (n = 161). For return to running criteria following a non-operative approach, the majority of respondents chose swelling (40.55%, n = 193/476), pain (38.24%, n = 182/476), knee extensor strength (34.34%, n = 163/476), single leg squat (31.93%, n = 152/476) and knee flexor strength (29.83%, n = 142/476). After ACL reconstruction, the highest responses were also swelling (41.18%, n = 196/476), pain (37.18%, n = 177/476), knee extensor strength (37.18%, n = 177/476) and single leg squat (33.19%, n = 158/476). From the identified themes the most common cutoff variables were pain between 0 and 3/10, swelling < grade 1+ and limb symmetry on strength and hop tests >70 %.

Conclusion

Physiotherapists in Australia, France, and the Netherlands use many different return to running criteria and most of them use more than one criterion. Despite this, there was little consensus on the cut-off physiotherapists use to apply these criteria.

确定前交叉韧带（ACL）损伤后理疗师目前使用的恢复跑步标准。自我报告在线国际调查。对澳大利亚、荷兰和法国的物理治疗师进行在线调查。澳大利亚（153人）、荷兰（162人）和法国（161人）共有476名受访者参与了调查。对于非手术治疗后恢复跑步的标准，大多数受访者选择肿胀（40.55%，n = 193/476）、疼痛（38.24%，n = 182/476）、膝关节伸肌力量（34.34%，n = 163/476）、单腿深蹲（31.93%，n = 152/476）和膝关节屈肌力量（29.83%，n = 142/476）。前交叉韧带重建后，反应最多的也是肿胀（41.18%，n = 196/476）、疼痛（37.18%，n = 177/476）、膝关节伸展力量（37.18%，n = 177/476）和单腿深蹲（33.19%，n = 158/476）。在已确定的主题中，最常见的临界变量是疼痛介于 0 和 3/10 之间、肿胀 < 1+ 级、力量和跳跃测试的肢体对称性 >70 %。澳大利亚、法国和荷兰的物理治疗师使用了许多不同的恢复跑步标准，其中大多数使用了一个以上的标准。尽管如此，物理治疗师们在应用这些标准时，对截断点的选择几乎没有达成共识。

{"title":"Is it time to develop specific return to running criteria for ACL rehabilitation? An international survey of physiotherapists criteria for return to running following ACL injury","authors":"Timothy A. Sayer , Nicky van Melick , Jerome Riera , Jeremy Jackson , Adam Bryant , Rob Bogie , Nicholas Cross , Pascal Edouard , Alexandre Rambaud","doi":"10.1016/j.ptsp.2024.02.005","DOIUrl":"10.1016/j.ptsp.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>To determine return to running criteria currently used by physiotherapists following anterior cruciate ligament (ACL) injury.</p></div><div><h3>Design</h3><p>Self-reported online international survey.</p></div><div><h3>Methods</h3><p>An online survey of physiotherapists across Australia, the Netherlands and France.</p></div><div><h3>Results</h3><p>A total of 476 respondants participated in the survey across Australia (n = 153), the Netherlands (n = 162), and France (n = 161). For return to running criteria following a non-operative approach, the majority of respondents chose swelling (40.55%, n = 193/476), pain (38.24%, n = 182/476), knee extensor strength (34.34%, n = 163/476), single leg squat (31.93%, n = 152/476) and knee flexor strength (29.83%, n = 142/476). After ACL reconstruction, the highest responses were also swelling (41.18%, n = 196/476), pain (37.18%, n = 177/476), knee extensor strength (37.18%, n = 177/476) and single leg squat (33.19%, n = 158/476). From the identified themes the most common cutoff variables were pain between 0 and 3/10, swelling < grade 1+ and limb symmetry on strength and hop tests >70 %.</p></div><div><h3>Conclusion</h3><p>Physiotherapists in Australia, France, and the Netherlands use many different return to running criteria and most of them use more than one criterion. Despite this, there was little consensus on the cut-off physiotherapists use to apply these criteria.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X2400035X/pdfft?md5=341cf0f2a28901202b1beef28e310e1e&pid=1-s2.0-S1466853X2400035X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140044878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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