Physical Therapy in Sport最新文献_第8页

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 REHABILITATION

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 REHABILITATION

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 REHABILITATION

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 REHABILITATION

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 REHABILITATION

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":"67 ","pages":"Pages 19-24"},"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}

引用次数: 0

Relationship between exacerbating patellofemoral pain and dynamic knee valgus in females with patellofemoral pain after a patellofemoral joint loading protocol: A cross-sectional 髌骨股骨疼痛女性患者在髌骨股骨关节加载方案后，髌骨股骨疼痛加剧与膝关节动态外翻之间的关系：横断面

IF 2.4 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2024-02-19 DOI: 10.1016/j.ptsp.2024.02.003

Ali Yalfani , Fatemeh Ahadi , Mohamadreza Ahmadi , Azadeh Asgarpoor

Objective

The aim of the present study is to 1) the effect of exacerbating patellofemoral pain (PFP) on dynamic knee valgus (DKV) 2) the relationship between exacerbating PFP and DKV in females with patellofemoral pain.

Design

Cross-sectional study.

Methods

Sixty women with PFP were recruited from the orthopedic clinics. We evaluated pain intensity and DKV in two conditions without (condition 1) and with (condition 2) PFJ loading during the single-leg squat (SLS) task. The MANOVA test was used to compare pain intensity and DKV angle between the two conditions. Furthermore, the Pearson correlation was used to examine the correlation between pain intensity with DKV angle.

Results

The MANOVA analysis showed that pain intensity (P < 0.000, η2 = 0.623) and DKV angle (P < 0.000, η2 = 0.544) with a medium effect size significantly increased after PFJ loading. Furthermore, an excellent positive correlation was observed between an increase in pain intensity and DKV angle (P < 0.000, r = 0.840).

Conclusion

It seems that after the PFJ loading protocol and the subsequent pain exacerbation, the neuromuscular biomechanics of the lower limb are deficits. As a result, the stabilizing muscles activation decreases and increases the lower limb movement in the frontal plane.

本研究的目的是：1）加剧髌骨股骨痛（PFP）对膝关节动态外翻（DKV）的影响；2）髌骨股骨痛女性患者中加剧的 PFP 与 DKV 之间的关系。我们评估了在单腿深蹲（SLS）任务中无 PFJ 负荷（条件 1）和有 PFJ 负荷（条件 2）两种情况下的疼痛强度和 DKV。我们使用 MANOVA 检验来比较两种情况下的疼痛强度和 DKV 角度。结果 MANOVA 分析表明，PFJ 负荷后，疼痛强度（P < 0.000，η2 = 0.623）和 DKV 角度（P < 0.000，η2 = 0.544）显著增加，效应大小为中等。此外，还观察到疼痛强度增加与 DKV 角度（P < 0.000，r = 0.840）之间存在极好的正相关性。因此，稳定肌肉的激活减少，下肢在额平面的运动增加。

{"title":"Relationship between exacerbating patellofemoral pain and dynamic knee valgus in females with patellofemoral pain after a patellofemoral joint loading protocol: A cross-sectional","authors":"Ali Yalfani , Fatemeh Ahadi , Mohamadreza Ahmadi , Azadeh Asgarpoor","doi":"10.1016/j.ptsp.2024.02.003","DOIUrl":"10.1016/j.ptsp.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the present study is to 1) the effect of exacerbating patellofemoral pain (PFP) on dynamic knee valgus (DKV) 2) the relationship between exacerbating PFP and DKV in females with patellofemoral pain.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Methods</h3><p>Sixty women with PFP were recruited from the orthopedic clinics. We evaluated pain intensity and DKV in two conditions without (condition 1) and with (condition 2) PFJ loading during the single-leg squat (SLS) task. The MANOVA test was used to compare pain intensity and DKV angle between the two conditions. Furthermore, the Pearson correlation was used to examine the correlation between pain intensity with DKV angle.</p></div><div><h3>Results</h3><p>The MANOVA analysis showed that pain intensity (P < 0.000, η2 = 0.623) and DKV angle (P < 0.000, η2 = 0.544) with a medium effect size significantly increased after PFJ loading. Furthermore, an excellent positive correlation was observed between an increase in pain intensity and DKV angle (P < 0.000, r = 0.840).</p></div><div><h3>Conclusion</h3><p>It seems that after the PFJ loading protocol and the subsequent pain exacerbation, the neuromuscular biomechanics of the lower limb are deficits. As a result, the stabilizing muscles activation decreases and increases the lower limb movement in the frontal plane.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 13-18"},"PeriodicalIF":2.4,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925423","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

It's time to regulate – The importance of accurate surgical-grade tourniquet autoregulation in blood flow restriction exercise applications 是时候进行调节了 - 精确的外科级止血带自动调节在血流限制运动应用中的重要性

IF 2.4 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2024-02-18 DOI: 10.1016/j.ptsp.2024.02.001

L. Hughes , P.M. Swain , T. Lai , J.A. McEwen

Objective

Evaluate the efficacy of five common blood flow restriction (BFR) systems to accurately maintain and autoregulate BFR pressure in the tourniquet cuff near target pressure throughout exercise.

Design

Randomised crossover design.

Setting

Laboratory.

Participants

15 healthy individuals.

Outcome measures

1) Percentage of total BFR time that surgical-grade tourniquet autoregulation, defined as automatic and rapid self-regulation of cuff pressure to within ±15 mmHg of initial target pressure within 1 s in the presence of transient pressure changes associated with exercise, was provided; 2) pressure change in the BFR cuff throughout exercise, by comparing the initial target pressure to the measured pressure at completion of BFR exercise.

Results

One BFR system could provide surgical-grade tourniquet autoregulation for the whole duration (100 ± 0%) of the BFR exercise in all subjects. In two of the five BFR systems evaluated, measured cuff pressure at the end of exercise was not different (p < 0.05) to the initial target pressure.

Conclusions

Surgical-grade tourniquet autoregulation is important to consistently and reliably apply a targeted BFR pressure stimulus. This may allow BFR methodology and protocols to be accurately implemented and controlled so that the results can be more meaningfully compared, leading to the potential optimization of applications.

目的评价五种常见血流限制（BFR）系统在整个运动过程中准确维持止血带袖带中的 BFR 压力并使其自动调节至目标压力附近的功效。结果测量1）外科级止血带自动调节（定义为在与运动相关的瞬时压力变化情况下，在 1 秒内将袖带压力自动快速自我调节至初始目标压力的 ±15 mmHg 范围内）提供的 BFR 总时间百分比；2）通过比较初始目标压力和 BFR 运动结束时的测量压力，在整个运动过程中 BFR 袖带的压力变化。结果在所有受试者进行 BFR 运动的整个过程（100 ± 0%）中，有一种 BFR 系统可提供外科级止血带自动调节功能。结论外科级止血带自动调节对于持续可靠地应用目标 BFR 压力刺激非常重要。这有助于准确实施和控制 BFR 方法和方案，以便对结果进行更有意义的比较，从而优化应用。

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引用次数: 0

Epidemiology of injuries in elite female rink hockey players: A two season observational study 冰球场曲棍球女精英运动员的受伤流行病学：两个赛季的观察研究

IF 2.4 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2024-02-15 DOI: 10.1016/j.ptsp.2024.02.002

Marcos Quintana-Cepedal , Isaac Roces-Vila , Miguel del Valle , Hugo Olmedillas

Objectives

To record the time-loss injuries of female rink hockey players and describe the affected region, tissue, and onset of injury.

Design

Cross-sectional survey study.

Setting

First (Ok Liga) and Second (Plata) division clubs. Participants: 280 player-seasons.

Main outcome measures

Incidence of overall, training, and match injuries (number of injuries per 1000 h) from two seasons.

Results

A total of 229 injuries occurred in 56,438 h of exposure. The overall incidence was 4 injuries per 1000 h (4/1000 h), with a significantly higher rate of injuries during matches (15.2/1000 h) compared to training sessions (2.6/1000 h) (p < 0.001). Injuries affecting the lower limb were the most common (2.3/1000 h), followed by upper limb (1.2/1000 h), and head/trunk (0.6/1000 h). The tissue with the highest incidence of injury was the muscle/tendon (1.3/1000 h), followed by the ligament (0.8/1000 h). Around one in every three injuries (31%) affected either the thigh or hip/groin (73 injuries).

Conclusions

The injury incidence in elite female rink hockey is moderate and occurs mainly during match sessions. Preventative measurements should be implemented in rink hockey with a special concern for injuries affecting the thigh, and hip/groin.

目的记录女子冰球场曲棍球运动员的时间损失伤害，并描述受影响的区域、组织和受伤的起因。结果在 56,438 小时的接触中，共发生 229 次受伤。总体受伤率为每 1000 小时 4 例（4/1000 小时），比赛期间的受伤率（15.2/1000 小时）明显高于训练期间（2.6/1000 小时）（p < 0.001）。下肢受伤最为常见（2.3/1000 h），其次是上肢（1.2/1000 h）和头部/躯干（0.6/1000 h）。受伤发生率最高的组织是肌肉/肌腱（1.3/1000 小时），其次是韧带（0.8/1000 小时）。大约每三次受伤中就有一次（31%）影响到大腿或臀部/胫骨（73 次受伤）。应在冰球场曲棍球运动中采取预防措施，特别关注影响大腿和臀部/腹股沟的损伤。

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引用次数: 0

Comparison of physical therapy utilization, timing of return-to-sport test completion, and hop test performance by age and between sexes in youth athletes after anterior cruciate ligament reconstruction 前十字韧带重建后青少年运动员的物理治疗利用率、完成重返运动场测试的时间以及跳跃测试成绩的年龄和性别比较

IF 2.4 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2024-02-14 DOI: 10.1016/j.ptsp.2024.02.004

Lauren Butler , Elliot Greenberg , Nicholas Giampetruzzi , Meredith Link , Victor Prati , Adam Weaver , Michael Saper

Objective

To compare physical therapy (PT) utilization, timing of return-to-sport (RTS) test and hop test performance by age and between sexes in youth after anterior cruciate ligament reconstruction (ACLR).

Design

Multicenter retrospective cohort.

Methods

A retrospective review of adolescents after primary ACLR was conducted. Participants completed return-to-sport (RTS) tests including single-legged hop testing. PT frequency, average weekly visits, and timing of RTS test were calculated. T-tests assessed the effect of age and sex on average weekly PT visits and multivariable logistic regressions assessed odds of passing hop tests.

Results

289 participants were included (15.7 ± 1.9 years). There was no difference in average weekly PT visits (p = 0.321) or time to RTS test (p = 0.162) by age. There were significant differences in average weekly PT visits (p = 0.047) and mean time from surgery to RTS test (p = 0.048) between sexes with small effect sizes (d = 0.24 and d = 0.21, respectively). Age and sex had no effect on odds of passing hop tests (OR, 1.29; 95% CI, 0.71–2.35 and OR, 0.79; 95%CI, 0.43–1.45, respectively).

Conclusion

In a youth cohort, age and sex may have no clinically important effect on PT visit utilization, timing of RTS test or hop test performance.

目的比较前交叉韧带重建（ACLR）术后青少年的物理治疗（PT）使用情况、恢复运动（RTS）测试的时间以及不同年龄段和不同性别间的跳跃测试成绩。参与者完成恢复运动（RTS）测试，包括单腿跳跃测试。计算PT频率、每周平均访问次数和RTS测试时间。T检验评估了年龄和性别对每周平均PT次数的影响，多变量逻辑回归评估了通过跳跃测试的几率。不同年龄的患者每周平均参加运动训练的次数（p = 0.321）和通过 RTS 测试的时间（p = 0.162）没有差异。不同性别的患者每周平均进行 PT 检查的次数（p = 0.047）和从手术到 RTS 测试的平均时间（p = 0.048）存在明显差异，但影响大小较小（d = 0.24 和 d = 0.21，分别为 0.24 和 0.21）。年龄和性别对通过跳跃测试的几率没有影响（OR，1.29；95%CI，0.71-2.35 和 OR，0.79；95%CI，0.43-1.45）。

{"title":"Comparison of physical therapy utilization, timing of return-to-sport test completion, and hop test performance by age and between sexes in youth athletes after anterior cruciate ligament reconstruction","authors":"Lauren Butler , Elliot Greenberg , Nicholas Giampetruzzi , Meredith Link , Victor Prati , Adam Weaver , Michael Saper","doi":"10.1016/j.ptsp.2024.02.004","DOIUrl":"10.1016/j.ptsp.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To compare physical therapy (PT) utilization, timing of return-to-sport (RTS) test and hop test performance by age and between sexes in youth after anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Design</h3><p>Multicenter retrospective cohort.</p></div><div><h3>Methods</h3><p>A retrospective review of adolescents after primary ACLR was conducted. Participants completed return-to-sport (RTS) tests including single-legged hop testing. PT frequency, average weekly visits, and timing of RTS test were calculated. T-tests assessed the effect of age and sex on average weekly PT visits and multivariable logistic regressions assessed odds of passing hop tests.</p></div><div><h3>Results</h3><p>289 participants were included (15.7 ± 1.9 years). There was no difference in average weekly PT visits (p = 0.321) or time to RTS test (p = 0.162) by age. There were significant differences in average weekly PT visits (p = 0.047) and mean time from surgery to RTS test (p = 0.048) between sexes with small effect sizes (d = 0.24 and d = 0.21, respectively). Age and sex had no effect on odds of passing hop tests (OR, 1.29; 95% CI, 0.71–2.35 and OR, 0.79; 95%CI, 0.43–1.45, respectively).</p></div><div><h3>Conclusion</h3><p>In a youth cohort, age and sex may have no clinically important effect on PT visit utilization, timing of RTS test or hop test performance.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 1-6"},"PeriodicalIF":2.4,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139874730","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

Assessing the use of the frequency, etiology, direction, and severity classification system for shoulder instability in physical therapy research – A scoping review 评估肩关节不稳定的频率、病因、方向和严重程度分类系统在物理治疗研究中的应用--范围界定综述

IF 2.4 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2024-02-08 DOI: 10.1016/j.ptsp.2024.01.010

Rubén Fernández-Matías , Enrique Lluch-Girbés , Marcus Bateman , Néstor Requejo-Salinas

Objective

The aim of this study is to review the implementation of the Frequency, Etiology, Direction, and Severity (FEDS) classification for shoulder instability by the physical therapy scientific community since its publication in 2011.

Methods

A systematic search was conducted on January 10, 2024 in the MEDLINE, EMBASE, SPORTDiscus, Scopus, Web of Science, Cochrane, and SciELO databases, as well as Google Scholar. Studies investigating physical therapy interventions in people with shoulder instability, and reporting selection criteria for shoulder instability were considered eligible. A narrative synthesis was conducted.

Results

Twenty-six studies were included. None reported using the FEDS classification as eligibility criteria for shoulder instability. Only 42% of the studies provided data of all four criteria of the FEDS classification. The most reported criterion was direction (92%), followed by etiology (85%), severity (65%), and frequency (58%). The most common reported descriptor for profiling shoulder instability was “dislocation” (83.3%), followed by “first-time” (66.7%), “anterior” (62.5%), and “traumatic” (59.1%). Regarding other instability classifications, only one study (4%) used the Thomas & Matsen classification, and two (8%) the Stanmore classification.

Conclusions

The FEDS classification system has not been embraced enough by the physical therapy scientific community since its publication in 2011.

方法 2024 年 1 月 10 日在 MEDLINE、EMBASE、SPORTDiscus、Scopus、Web of Science、Cochrane 和 SciELO 数据库以及 Google Scholar 中进行了系统检索。对肩关节不稳定患者的物理治疗干预措施进行调查并报告肩关节不稳定选择标准的研究被认为符合条件。结果共纳入 26 项研究。没有一项研究报告使用 FEDS 分类作为肩关节不稳定的资格标准。只有 42% 的研究提供了 FEDS 分类所有四项标准的数据。报告最多的标准是方向（92%），其次是病因（85%）、严重程度（65%）和频率（58%）。报告最多的肩关节不稳定描述是 "脱位"（83.3%），其次是 "首次"（66.7%）、"前位"（62.5%）和 "外伤"（59.1%）。关于其他不稳定性分类，只有一项研究（4%）使用了托马斯& 马森分类法，两项研究（8%）使用了斯坦莫尔分类法。

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