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Perceptions and beliefs on sports injury prediction as an injury risk reduction strategy: An online survey on elite athletics (track and field) athletes, coaches, and health professionals 对运动损伤预测作为降低损伤风险策略的看法和信念:针对精英田径(田径)运动员、教练员和医疗专业人员的在线调查
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-22 DOI: 10.1016/j.ptsp.2024.01.007
Pierre-Eddy Dandrieux , Laurent Navarro , Joris Chapon , Jeanne Tondut , Michael Zyskowski , Karsten Hollander , Pascal Edouard

Objectives

To explore perceptions and beliefs of elite athletics (track and field) athletes, coaches, and health professionals, towards the use of injury prediction as an injury risk reduction strategy.

Design

Cross-sectional study.

Method

During the 2022 European Athletics Championships in Munich, registered athletes, coaches, and health professionals were asked to complete an online questionnaire on their perceptions and beliefs of injury prediction use as an injury risk reduction strategy. The perceived level of interest, intent to use, help, potential stress (psychological impact) and dissemination were assessed by a score from 0 to 100.

Results

We collected 54 responses from 17 countries. Elite athletics stakeholders expressed a perceived level of interest, intent to use, and help of injury prediction of (mean ± SD) 85 ± 16, 84 ± 16, and 85 ± 15, respectively. The perceived level of potential stress was 41 ± 33 (range from 0 to 100), with an important inter-individual variability in each elite athletics stakeholder's category.

Conclusions

This was the first study investigating the perceptions and beliefs of elite athletics stakeholders regarding the use of injury prediction as an injury risk reduction strategy. Regardless of the stakeholders, there was a high perceived level of interest, intent to use and help reported in this potential strategy.

目的探讨精英田径(田径)运动员、教练员和卫生专业人员对使用损伤预测作为降低损伤风险策略的看法和信念。方法在 2022 年慕尼黑欧洲田径锦标赛期间,要求注册运动员、教练员和卫生专业人员完成一份在线问卷,了解他们对使用损伤预测作为降低损伤风险策略的看法和信念。他们对伤害预测的兴趣、使用意向、帮助、潜在压力(心理影响)和传播的认知水平进行了从 0 到 100 分的评估。竞技体育精英利益相关者对损伤预测的兴趣度、使用意向和帮助程度的感知分别为(平均值±标准差)85±16、84±16 和 85±15。潜在压力感知水平为 41 ± 33(范围从 0 到 100),每个精英田径利益相关者类别的个体间差异很大。不论是哪种利益相关者,对这一潜在策略的兴趣、使用意向和帮助程度都很高。
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引用次数: 0
Epidemiology of bone injuries in elite athletics: A prospective 9-year cohort study 精英运动员骨伤的流行病学:为期 9 年的前瞻性队列研究
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-18 DOI: 10.1016/j.ptsp.2024.01.005
Shane Kelly , Anthony Waring , Ben Stone , Noel Pollock

Objectives

To describe bone injury patterns in elite track and field athletes. To investigate relationships between bone injury and athlete characteristics to inform future injury prevention strategies.

Design

Descriptive epidemiology study.

Setting

Elite athletics training centres across the United Kingdom and internationally, observed between 2012 and 2020.

Participants

207 Olympic programme senior track and field athletes.

Main outcome measures

Injury number, Incidence, Severity, Burden, Time Loss.

Results

There were 78 fractures during the study period. Gradual repetitive bone injuries were the most common type of injury mode. The foot, pelvis and the lumbar spine were the regions with the highest number of bone stress injuries. Stress fractures had a higher burden overall compared to stress reactions. Average return to full training was 67.4 days (±73.1) for stress reactions and 199 (±205.2) days for stress fractures. There was no relationship between bone injury type and age, sex, ethnicity, side dominance or event group.

Conclusion

Bone stress injuries in athletics have a high severity and burden warranting continued efforts to prevent their occurrence and optimize management. Age, sex, ethnicity, side dominance and event region do not have any relationship with bone injury occurrence and are therefore unlikely to increase risk in this cohort.

目标描述精英田径运动员的骨伤模式。调查骨伤与运动员特征之间的关系,为未来的伤病预防策略提供依据。结果研究期间共发生 78 例骨折。渐进性重复骨骼损伤是最常见的损伤类型。足部、骨盆和腰椎是骨应力损伤最多的部位。与应激反应相比,应力性骨折的总体负担更高。应力反应恢复全面训练的平均时间为 67.4 天(±73.1)天,应力性骨折恢复全面训练的平均时间为 199 天(±205.2)天。骨损伤类型与年龄、性别、种族、优势侧或项目组之间没有关系。年龄、性别、种族、优势侧和赛事组别与骨损伤的发生没有任何关系,因此不太可能增加该人群的风险。
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引用次数: 0
Coach perspectives on factors that influence the implementation of injury prevention programs in community netball: A qualitative study 教练对影响社区无挡板篮球伤害预防计划实施的因素的看法:定性研究
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-17 DOI: 10.1016/j.ptsp.2024.01.004
Michelle D. Smith, Natasha Shi Hui Wee

Objective

The Netball KNEE Program is an injury prevention program (IPP) developed by Netball Australia. It is promoted to coaches, but implementation is limited. This study explored community netball coaches’ perspectives on factors that influence IPP implementation, and ideas on how it could be improved.

Methods

Twenty-four coaches from 16 netball clubs participated in semi-structured interviews that asked about their beliefs about injury prevention, use of and confidence in delivering IPP, barriers and facilitators to implementation, and suggestions to ease IPP implementation. Interviews were analysed using inductive thematic analysis.

Results

Two themes were identified – Factors that influence IPP implementation (4 sub-themes), and Suggestions to improve IPP implementation (2 sub-themes). Coaches thought early development of injury prevention habits was important. Life roles, coaching experience and engagement with development courses influenced IPP delivery. Coaches expressed concerns about Netball KNEE program length and complexity and lack of implementation support. They suggested the need for a short simple IPP and engagement with health/exercise professionals for implementation.

Conclusions

This study engaged with stakeholders to identify barriers that need to be addressed to improve IPP implementation in netball. Coaches desired a short simple standardised IPP, and training from physiotherapists or exercise professionals on implementation.

目标澳大利亚网式篮球膝关节计划是由澳大利亚网式篮球协会制定的一项伤害预防计划(IPP)。该计划已向教练员推广,但实施情况有限。本研究探讨了社区篮球教练对影响 IPP 实施的因素的看法,以及如何改进 IPP 的想法。方法来自 16 个篮球俱乐部的 24 名教练参加了半结构式访谈,访谈内容包括他们对伤害预防的看法、使用 IPP 的情况和实施 IPP 的信心、实施 IPP 的障碍和促进因素,以及促进 IPP 实施的建议。结果确定了两个主题--影响 IPP 实施的因素(4 个子主题)和改进 IPP 实施的建议(2 个子主题)。教练认为早期养成预防受伤的习惯非常重要。生活角色、教练经验和参与发展课程影响了 IPP 的实施。教练们对 Netball KNEE 计划的长度和复杂性以及缺乏实施支持表示担忧。他们建议需要一个简短的 IPP,并与健康/运动专业人士合作实施。教练们希望有一个简短的标准化 IPP,并得到理疗师或运动专业人员的实施培训。
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引用次数: 0
The relationship of behavioral and psychological traits with pain sensitivity in females with patellofemoral pain: A cross-sectional study 女性髌骨股骨痛患者的行为和心理特征与疼痛敏感性的关系:横断面研究
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-17 DOI: 10.1016/j.ptsp.2024.01.003
Brian J. Eckenrode , David M. Kietrys , Allison Brown , J. Scott Parrott , Brian Noehren

Objective

The purpose of this study was to describe the relationship between behavioral and psychological traits with indicators of central sensitization in female runners with patellofemoral pain (PFP), and to determine if behavioral and psychological traits improve with strength training.

Design

Cross-sectional study.

Setting

University laboratory.

Participants

Twenty-eight active females (mean age 32 ± 8.1 years) with PFP completed testing at baseline, 8 weeks (post intervention), and 12 weeks.

Main outcome measures

Behavioral and psychological questionnaires included the General Anxiety Disorder-7, Patient Health Questionairre-9, Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia-11, and Central Sensitization Inventory. Quantitative sensory testing (QST) measures were also collected. After baseline testing, subjects were instructed in a hip and knee strengthening intervention to be completed twice daily over 8 weeks.

Results

A statistically significant improvement was found at 12 weeks for anxiety (p = .015; ηp (Boling et al., 2010) = 0.099) and kinesiophobia (p = .041; ηp (Boling et al., 2010) = 0.076). There was no significant improvement for depression, catastrophizing, or subjective central sensitization. No significant correlations were found between any of the behavioral and psychological questionnaires with baseline QST variables.

Conclusions

No relationship was found for behavioral and psychological characteristics with QST measures in female runners with persistent PFP.

本研究旨在描述患有髌骨股骨痛(PFP)的女性跑步者的行为和心理特征与中枢敏感化指标之间的关系,并确定行为和心理特征是否会随着力量训练而得到改善。主要结果测量行为和心理问卷包括一般焦虑症-7、患者健康问卷-9、疼痛灾难化量表、运动恐惧症坦帕量表-11 和中枢敏感性量表。此外,还收集了定量感觉测试(QST)的测量数据。基线测试后,受试者接受了髋关节和膝关节强化干预指导,每天两次,持续 8 周。结果 12 周后,受试者的焦虑(p = .015;ηp(Boling 等人,2010 年)= 0.099)和运动恐惧(p = .041;ηp(Boling 等人,2010 年)= 0.076)均有显著改善。抑郁、灾难化或主观中枢敏感性没有明显改善。任何行为和心理问卷与基线 QST 变量之间都没有发现明显的相关性。
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引用次数: 0
A international cross-sectional study examining knowledge and attitudes towards sport-related concussion in Touch 一项国际横断面研究,探讨对触地运动相关脑震荡的认识和态度
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-14 DOI: 10.1016/j.ptsp.2024.01.002
Samuel W. Oxford , Neil D. Clarke , Nick Dobbin

Objective

To determine the current level of knowledge and attitudes towards sport-related concussion (SRC) amongst key stakeholders in touch rugby.

Design

An international cross-sectional study. Participants n = 141 (male, n = 88; female, n = 53) from 15 Touch Associations.

Main outcome measure

Online questionnaire including non-validated sections captured participant characteristics, first aid training, previous concussion, awareness of SRC guidelines, combined with Rosenbaum Concussion Knowledge and Attitudes Survey. Distributed online to Touch athletes internationally. Concussion knowledge index (CKI) and attitude index (CAI) scores were calculated. A linear regression was performed to determine whether awareness of concussion, previous concussion and role affected CKI and CAI scores.

Results

Median CKI and CAI scores were 21 ± 2.0 and 67 ± 6.3, respectively, across all key stakeholders. 39% of participants reported a previous SRC and 32% of respondents were aware of concussion guidelines form their Association. Regression analysis showed minimal influence of key contextual information on CKI and CAI.

Conclusions

Findings suggest that key stakeholders in Touch have high to very high knowledge and safe attitudes towards SRC. However, there were some areas where further improvement could be targeted by those involved in Touch such as individual associations at the direction of the sport's governing body.

目标确定触式橄榄球主要利益相关者目前对运动相关脑震荡 (SRC) 的了解程度和态度。主要结果测量在线问卷包括未经验证的部分,其中包括参与者特征、急救培训、以往脑震荡情况、对 SRC 指南的认识,以及罗森鲍姆脑震荡知识和态度调查。在网上向全球接触运动员发放。计算了脑震荡知识指数(CKI)和态度指数(CAI)得分。结果在所有主要利益相关者中,CKI 和 CAI 的中位数分别为 21 ± 2.0 和 67 ± 6.3。39%的参与者表示曾参加过SRC,32%的受访者了解其所在协会的脑震荡指南。回归分析表明,关键背景信息对 CKI 和 CAI 的影响微乎其微。然而,在一些领域,触球运动的相关人员(如在运动管理机构指导下的各个协会)可以进一步改进。
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引用次数: 0
Rehabilitation exercise program after surgical treatment of patellar tendon rupture: A case report 髌腱断裂手术治疗后的康复锻炼计划:病例报告
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-04 DOI: 10.1016/j.ptsp.2024.01.001
Zhenghe Qiu, Haifeng Ma

Objective

This case report describes in detail a rehabilitation and exercise program following surgical treatment of patellar tendon rupture and offers postoperative therapeutic goals and recommendations, with the aim of expediting the resumption of activities of daily living and sports participation following the surgical procedure. In addition, this report analyzes the cause of the patellar tendon rupture in this case.

Design

Case report.

Participants

The patient, a 25-year-old male recreational athlete (height: 184 cm; weight: 80 kg; right-hand dominant), experienced a complete rupture of the patellar tendon upon landing on the left lower extremity during an unopposed dribble turn.

Rehabilitation exercise program

A well-structured rehabilitation program was implemented. Passive knee flexion range of motion (ROM) exceeded 90° at week 5 and was fully recovered at week 16. A second surgery was performed at week 19 to remove the decompression wires, and the patient progressively resumed basic physical and specialized training at 7 months post-surgery.

Main outcome measures

Morphometric and functional tests were performed to measure the effectiveness of rehabilitation throughout the postoperative process.

Conclusions

Early surgical repair and an immediate postoperative rehabilitation program have a positive impact on knee ROM, function, and muscle strength. The causes of the patellar tendon rupture in this patient included long-standing uncontrolled patellar tendinopathy, impaired mobility of the ankle and hip joints, poor landing technique, and muscle strength imbalances.

目的本病例报告详细描述了髌骨肌腱断裂手术治疗后的康复和锻炼计划,并提出了术后治疗目标和建议,旨在加快术后恢复日常生活和运动的速度。此外,本报告还分析了本病例中髌腱断裂的原因。设计病例报告。参与者患者是一名 25 岁的男性休闲运动员(身高:184 厘米;体重:80 公斤;右手优势),在一次无对抗运球转身中左下肢着地,导致髌腱完全断裂。被动膝关节屈曲活动范围(ROM)在第 5 周时超过 90°,在第 16 周时完全恢复。结论早期手术修复和术后即时康复计划对膝关节活动度、功能和肌力有积极影响。该患者髌骨肌腱断裂的原因包括长期未得到控制的髌骨肌腱病、踝关节和髋关节活动度受损、着地技术不佳以及肌肉力量失衡。
{"title":"Rehabilitation exercise program after surgical treatment of patellar tendon rupture: A case report","authors":"Zhenghe Qiu,&nbsp;Haifeng Ma","doi":"10.1016/j.ptsp.2024.01.001","DOIUrl":"10.1016/j.ptsp.2024.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>This case report describes in detail a rehabilitation and exercise program following surgical treatment of patellar tendon rupture<span> and offers postoperative therapeutic goals and recommendations, with the aim of expediting the resumption of activities of daily living and sports participation following the surgical procedure. In addition, this report analyzes the cause of the patellar tendon rupture in this case.</span></p></div><div><h3>Design</h3><p>Case report.</p></div><div><h3>Participants</h3><p>The patient, a 25-year-old male recreational athlete (height: 184 cm; weight: 80 kg; right-hand dominant), experienced a complete rupture of the patellar tendon upon landing on the left lower extremity during an unopposed dribble turn.</p></div><div><h3>Rehabilitation exercise program</h3><p>A well-structured rehabilitation program was implemented. Passive knee flexion range of motion (ROM) exceeded 90° at week 5 and was fully recovered at week 16. A second surgery was performed at week 19 to remove the decompression wires, and the patient progressively resumed basic physical and specialized training at 7 months post-surgery.</p></div><div><h3>Main outcome measures</h3><p>Morphometric and functional tests were performed to measure the effectiveness of rehabilitation throughout the postoperative process.</p></div><div><h3>Conclusions</h3><p>Early surgical repair and an immediate postoperative rehabilitation program have a positive impact on knee ROM, function, and muscle strength. The causes of the patellar tendon rupture in this patient included long-standing uncontrolled patellar tendinopathy, impaired mobility of the ankle and hip joints, poor landing technique, and muscle strength imbalances.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139376539","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
Clinical examination tests for adductor- and pubic-related groin pain in athletes with longstanding groin pain: Inter-examiner reliability and prevalence of positive tests 对长期腹股沟疼痛的运动员进行内收肌和耻骨相关腹股沟疼痛的临床检查测试:检查者之间的可靠性和阳性率
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-03 DOI: 10.1016/j.ptsp.2023.12.008
Willem M.P. Heijboer , Adam Weir , Zarko Vuckovic , Johannes L. Tol , Per Hölmich , Andreas Serner

Objectives

Evaluate the inter-examiner reliability of pain provocation tests for hip adductors (palpation, stretch and resistance) and for pubic symphysis (palpation) in athletes with longstanding groin pain, and to determine the prevalence of positive tests.

Design

Inter-examiner reliability.

Setting

Orthopaedic and sports medicine hospital.

Participants

Male athletes with longstanding groin pain.

Main outcome measures

Inter-examiner reliability, absolute/positive/negative agreement, and the mean prevalence of positive tests for athletes classified with adductor- and pubic-related groin pain were calculated.

Results

We included 44 male athletes with longstanding groin pain (61 symptomatic sides). The mean age was 29 years (±6) and 70% were soccer players. Inter-examiner reliability was slight to moderate for adductor palpation (Cohen's Kappa statistic(κ)) = 0.02–0.54) and pubic palpation (κ = 0.37–0.45); moderate for the adductor stretch test (κ = 0.50), and fair to substantial for adductor resistance tests (κ = 0.22–0.74). Palpation pain was most prevalent at the adductor longus origin (94%) in athletes classified with adductor-related groin pain.

Conclusion

The inter-examiner reliability of palpation tests varied from slight to moderate. The adductor stretch test had a moderate reliability, and adductor resistance tests a fair to substantial reliability. Adductor longus origin is the main site for palpation pain. Adductor palpation tests not related to the adductor longus have limited inter-examiner reliability. The adductor stretch test did not assist in classifying adductor-related groin pain.

目的 评价长期腹股沟疼痛运动员的髋关节内收肌(触诊、拉伸和阻力)和耻骨联合(触诊)疼痛诱发试验的考官间可靠性,并确定阳性试验的发生率。主要结果测量考官之间的可靠性、绝对/阳性/阴性一致性,以及计算内收肌和耻骨相关腹股沟疼痛运动员的平均阳性率。结果我们纳入了 44 名患有长期腹股沟疼痛的男性运动员(61 侧有症状)。平均年龄为 29 岁(±6),70% 为足球运动员。内收肌触诊(Cohen's Kappa statistic(κ)) = 0.02-0.54)和耻骨触诊(κ = 0.37-0.45)的检查者间可靠性为轻度至中度;内收肌拉伸测试(κ = 0.50)为中度;内收肌阻力测试(κ = 0.22-0.74)为中度至高度。在归类为内收肌相关腹股沟疼痛的运动员中,触痛最常见于内收肌长肌起源处(94%)。内收肌拉伸测试的可信度为中等,内收肌阻力测试的可信度为一般到相当高。内收肌起源是触痛的主要部位。与内收肌无关的内收肌触诊测试在检查者之间的可靠性有限。内收肌拉伸测试无助于对与内收肌相关的腹股沟疼痛进行分类。
{"title":"Clinical examination tests for adductor- and pubic-related groin pain in athletes with longstanding groin pain: Inter-examiner reliability and prevalence of positive tests","authors":"Willem M.P. Heijboer ,&nbsp;Adam Weir ,&nbsp;Zarko Vuckovic ,&nbsp;Johannes L. Tol ,&nbsp;Per Hölmich ,&nbsp;Andreas Serner","doi":"10.1016/j.ptsp.2023.12.008","DOIUrl":"10.1016/j.ptsp.2023.12.008","url":null,"abstract":"<div><h3>Objectives</h3><p>Evaluate the inter-examiner reliability of pain provocation tests for hip adductors (palpation, stretch and resistance) and for pubic symphysis (palpation) in athletes with longstanding groin pain, and to determine the prevalence of positive tests.</p></div><div><h3>Design</h3><p>Inter-examiner reliability.</p></div><div><h3>Setting</h3><p>Orthopaedic and sports medicine hospital.</p></div><div><h3>Participants</h3><p>Male athletes with longstanding groin pain.</p></div><div><h3>Main outcome measures</h3><p>Inter-examiner reliability, absolute/positive/negative agreement, and the mean prevalence of positive tests for athletes classified with adductor- and pubic-related groin pain were calculated.</p></div><div><h3>Results</h3><p>We included 44 male athletes with longstanding groin pain (61 symptomatic sides). The mean age was 29 years (±6) and 70% were soccer players. Inter-examiner reliability was slight to moderate for adductor palpation (Cohen's Kappa statistic(κ)) = 0.02–0.54) and pubic palpation (κ = 0.37–0.45); moderate for the adductor stretch test (κ = 0.50), and fair to substantial for adductor resistance tests (κ = 0.22–0.74). Palpation pain was most prevalent at the adductor longus origin (94%) in athletes classified with adductor-related groin pain.</p></div><div><h3>Conclusion</h3><p>The inter-examiner reliability of palpation tests varied from slight to moderate. The adductor stretch test had a moderate reliability, and adductor resistance tests a fair to substantial reliability. Adductor longus origin is the main site for palpation pain. Adductor palpation tests not related to the adductor longus have limited inter-examiner reliability. The adductor stretch test did not assist in classifying adductor-related groin pain.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X23001554/pdfft?md5=383c7f34e67934b2fd2d9436c87c1191&pid=1-s2.0-S1466853X23001554-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139375642","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}
引用次数: 0
Deficits in neurocognitive performance in patients with chronic ankle instability during a neurocognitive balance task – A retrospective case-control study 慢性踝关节不稳患者在神经认知平衡任务中的神经认知表现缺陷--一项回顾性病例对照研究
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-03 DOI: 10.1016/j.ptsp.2023.12.009
Alexandre Maricot , Hortense Corlùy , Kevin De Pauw , Elke Lathouwers , Romain Meeusen , Bart Roelands , Jo Verschueren , Bruno Tassignon

Objectives

To assess the neurocognitive performance while maintaining balance of patients experiencing CAI compared to healthy controls. In patients with CAI, the affected limb was also compared to the contralateral limb.

Design

A retrospective case-control study.

Setting

Laboratory study.

Participants

We included 27 patients with CAI and 21 healthy controls.

Methods

The study consisted of two sessions, namely familiarisation and experimentation, which were scheduled with a gap of at least one week between them. During the experimental trial, both groups performed the Y-Balance Test and Reactive Balance Test once on each limb.

Main outcome measures

The main outcome measures are accuracy and visuomotor response time (VMRT) calculated via video-analysis and with the Fitlight™-hardware and software respectively during the Reactive Balance Test (RBT).

Results

No data was excluded from the final analysis. Patients with CAI exhibited significantly lower accuracy than healthy controls, with a mean difference of 8.7% (±3.0)%. There were no differences for VMRT between groups. Additionally, no significant differences were observed between the affected and contralateral limb of the patient group for both accuracy and VMRT.

Conclusions

Patients with CAI showed lower accuracy, but similar VMRT compared to healthy controls during a neurocognitive balance task, indicating impaired neurocognitive function. Patients exhibit comparable speed to healthy individuals when completing neurocognitive balance tasks, yet they display a higher frequency of accuracy errors in accurately perceiving their environment and making decisions under time constraints. Future research should gain more insights in which other cognitive domains are affected in patients with CAI for a better grasp of this condition's underlying mechanism.

与健康对照组相比,评估 CAI 患者在保持平衡时的神经认知能力。方法该研究包括两个阶段,即熟悉和实验,两个阶段之间至少间隔一周。主要结果指标主要结果指标是在反应性平衡测试(RBT)中通过视频分析和 Fitlight™ 硬件及软件分别计算出的准确度和视觉运动反应时间(VMRT)。CAI 患者的准确度明显低于健康对照组,平均差异为 8.7% (±3.0)%。组间的 VMRT 没有差异。结论与健康对照组相比,CAI 患者在神经认知平衡任务中的准确率较低,但 VMRT 相似,这表明患者的神经认知功能受损。患者在完成神经认知平衡任务时表现出与健康人相当的速度,但他们在准确感知环境和在时间限制下做出决策时却表现出更高频率的准确性错误。未来的研究应更深入地了解 CAI 患者的其他认知领域会受到哪些影响,以便更好地掌握这种疾病的内在机制。
{"title":"Deficits in neurocognitive performance in patients with chronic ankle instability during a neurocognitive balance task – A retrospective case-control study","authors":"Alexandre Maricot ,&nbsp;Hortense Corlùy ,&nbsp;Kevin De Pauw ,&nbsp;Elke Lathouwers ,&nbsp;Romain Meeusen ,&nbsp;Bart Roelands ,&nbsp;Jo Verschueren ,&nbsp;Bruno Tassignon","doi":"10.1016/j.ptsp.2023.12.009","DOIUrl":"10.1016/j.ptsp.2023.12.009","url":null,"abstract":"<div><h3>Objectives</h3><p><span>To assess the neurocognitive performance while maintaining balance of patients experiencing CAI compared to healthy controls. In patients with CAI, the affected limb was also compared to the </span>contralateral limb.</p></div><div><h3>Design</h3><p>A retrospective case-control study.</p></div><div><h3>Setting</h3><p>Laboratory study.</p></div><div><h3>Participants</h3><p>We included 27 patients with CAI and 21 healthy controls.</p></div><div><h3>Methods</h3><p>The study consisted of two sessions, namely familiarisation and experimentation, which were scheduled with a gap of at least one week between them. During the experimental trial, both groups performed the Y-Balance Test and Reactive Balance Test once on each limb.</p></div><div><h3>Main outcome measures</h3><p>The main outcome measures are accuracy and visuomotor response time (VMRT) calculated via video-analysis and with the Fitlight™-hardware and software respectively during the Reactive Balance Test (RBT).</p></div><div><h3>Results</h3><p>No data was excluded from the final analysis. Patients with CAI exhibited significantly lower accuracy than healthy controls, with a mean difference of 8.7% (±3.0)%. There were no differences for VMRT between groups. Additionally, no significant differences were observed between the affected and contralateral limb of the patient group for both accuracy and VMRT.</p></div><div><h3>Conclusions</h3><p>Patients with CAI showed lower accuracy, but similar VMRT compared to healthy controls during a neurocognitive balance task, indicating impaired neurocognitive function. Patients exhibit comparable speed to healthy individuals when completing neurocognitive balance tasks, yet they display a higher frequency of accuracy errors in accurately perceiving their environment and making decisions under time constraints. Future research should gain more insights in which other cognitive domains are affected in patients with CAI for a better grasp of this condition's underlying mechanism.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139103476","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
Risk and protective factors for shoulder complaints in indoor volleyball players: A comprehensive systematic review 室内排球运动员肩部不适的风险和保护因素:全面系统回顾
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-01 DOI: 10.1016/j.ptsp.2023.12.011
Júlia Gonzalez Fayão , Denise Martineli Rossi , Anamaria Siriani de Oliveira

Objective

This systematic review aimed to answer the question: “What are the risk and protective factors for shoulder complaints (pain, injury, or problem) in indoor volleyball players?”.

Methods

Searches were conducted in electronic databases: PubMed/MEDLINE, Embase, CINAHL, and SPORTDiscus, as well as reference lists of the included studies. We included studies evaluating potential intrinsic and extrinsic factors associated with shoulder complaints in indoor volleyball players of any country, age, sex, and competitive level. The Quality in Prognosis Studies (QUIPS) tool was used to assess the risk of bias.

Results

The risk factors for shoulder complaints in volleyball players were identified through four prospective studies, which exhibited a moderate to low risk of bias. These factors included previous shoulder pain or injury, playing in outside and opposite positions, subacromial bursa thickening, and having an average external rotator (ER) isokinetic eccentric torque lower than the average internal rotator (IR) concentric torque. Protective factors were enhancing shoulder IR and ER isokinetic eccentric strength, being male sex, being older, and maintaining a concentric strength ratio ER/IR within the 0.60–0.75 range.

Conclusions

This systematic review highlights risk factors that clinicians and researchers should consider when assessing and tracking indoor volleyball players.

目标本系统综述旨在回答以下问题:"室内排球运动员肩部不适(疼痛、受伤或问题)的风险和保护因素是什么?"方法在电子数据库中进行检索:方法在以下电子数据库中进行搜索:PubMed/MEDLINE、Embase、CINAHL 和 SPORTDiscus,以及纳入研究的参考文献列表。我们纳入了评估与任何国家、年龄、性别和竞技水平的室内排球运动员肩部不适相关的潜在内在和外在因素的研究。结果通过四项前瞻性研究确定了排球运动员肩部不适的风险因素,这些研究的偏倚风险为中度至低度。这些因素包括以前的肩痛或肩伤、在外侧和对侧位置打球、肩峰下滑囊增厚、外旋肌(ER)的平均等速偏心扭矩低于内旋肌(IR)的平均同心扭矩。保护因素包括肩部 IR 和 ER 等速偏心力量增强、男性、年龄较大以及 ER/IR 同心力量比值保持在 0.60-0.75 范围内。结论:这篇系统综述强调了临床医生和研究人员在评估和跟踪室内排球运动员时应考虑的风险因素。
{"title":"Risk and protective factors for shoulder complaints in indoor volleyball players: A comprehensive systematic review","authors":"Júlia Gonzalez Fayão ,&nbsp;Denise Martineli Rossi ,&nbsp;Anamaria Siriani de Oliveira","doi":"10.1016/j.ptsp.2023.12.011","DOIUrl":"10.1016/j.ptsp.2023.12.011","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review aimed to answer the question: “What are the risk and protective factors for shoulder complaints (pain, injury, or problem) in indoor volleyball players?”.</p></div><div><h3>Methods</h3><p><span>Searches were conducted in electronic databases: PubMed/MEDLINE, Embase, </span>CINAHL<span>, and SPORTDiscus, as well as reference lists of the included studies. We included studies evaluating potential intrinsic and extrinsic factors associated with shoulder complaints in indoor volleyball players of any country, age, sex, and competitive level. The Quality in Prognosis Studies (QUIPS) tool was used to assess the risk of bias.</span></p></div><div><h3>Results</h3><p>The risk factors for shoulder complaints in volleyball players were identified through four prospective studies, which exhibited a moderate to low risk of bias. These factors included previous shoulder pain or injury, playing in outside and opposite positions, subacromial bursa thickening, and having an average external rotator (ER) isokinetic eccentric torque lower than the average internal rotator (IR) concentric torque. Protective factors were enhancing shoulder IR and ER isokinetic eccentric strength, being male sex, being older, and maintaining a concentric strength ratio ER/IR within the 0.60–0.75 range.</p></div><div><h3>Conclusions</h3><p>This systematic review highlights risk factors that clinicians and researchers should consider when assessing and tracking indoor volleyball players.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139078650","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
Comparison of finger flexion strength and muscular recovery of male lead sport climbers across climbing classes 比较不同攀岩级别男性攀岩运动员的手指屈伸力量和肌肉恢复能力
IF 2.4 3区 医学 Q1 Health Professions Pub Date : 2024-01-01 DOI: 10.1016/j.ptsp.2023.12.007
Somang Son , Yongsuk Seo , Jungjun Son , Somi Yun , Dae Taek Lee

Background/objective

The purpose of this study was to compare finger flexor strength (FS), finger flexor muscle recovery (FR), and forearm circumference (FC) across three different climbing classes in male lead sport climbers.

Methods

A total of 37 male lead sport climbers were classified into low (LC), intermediate (IC), and advanced classes (AC) categories according to the International Rock Climbing Research Association (IRCRA) Scale. All participants measured FS three times for both open grip (OG) and crimp grip (CG). Following FS measurement, the FR was observed immediately after the all-out training. The FC was measured twice using an inelastic tape.

Results

The FS differed significantly across climbing classes for both grip styles and hands, regardless of dominant hand, with the higher classes showing greater FS (all, p ≤ 0.001). FR was significantly higher in AC compared to IC and LC at 5 min (all, p ≤ 0.001), 10 min (all, p ≤ 0.005) and 15 min (all, p ≤ 0.005). The FC showed significant differences with climbing classes for both forearms.

Conclusion

Climbing classes are associated with differences in FS, with higher class corresponding to greater FS. Similarly, climbing classes are linked to FR and FC, with higher classes being associated with faster recovery and larger FC.

背景/目的:本研究的目的是比较男性攀岩运动员在三种不同攀岩级别中的手指屈肌力量(FS)、手指屈肌肌肉恢复能力(FR)和前臂围度(FC)。方法:根据国际攀岩研究协会(IRCRA)的量表,共有 37 名男性攀岩运动员被分为低级(LC)、中级(IC)和高级(AC)三个级别。所有参与者都对开放式握把(OG)和卷曲式握把(CG)进行了三次FS测量。测量 FS 后,立即观察全力训练后的 FR。结果不同攀岩级别的参赛选手在握姿和双手的FS上都有显著差异,与主导手无关,级别越高的参赛选手FS越高(所有数据,P≤0.001)。在 5 分钟(全部,p ≤ 0.001)、10 分钟(全部,p ≤ 0.005)和 15 分钟(全部,p ≤ 0.005)时,AC 的 FR 明显高于 IC 和 LC。结论攀爬等级与FS的差异有关,等级越高,FS越大。同样,攀岩等级也与FR和FC有关,等级越高,恢复越快,FC越大。
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引用次数: 0
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Physical Therapy in Sport
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