Physical Therapy in Sport最新文献_第9页

Effect of a lumbopelvic stability training program on lower extremity kinematic parameters in low back pain developers during single-leg squat 单腿深蹲时腰骨盆稳定性训练项目对腰背痛患者下肢运动学参数的影响

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-22 DOI: 10.1016/j.ptsp.2025.04.007

Sama Azizmohammadi, Foad Seidi, Shahrzad Zandi

Objectives

Objective Altered movement patterns and lower extremity misalignment are key features in low back pain developers (LBPDs), leading to significant changes in functional movements such as squats. These changes may result in clinical low back pain (LBP) based on the kinesiopathology model. Core muscles are crucial for creating a stable platform for limb movement, but LBPDs typically have weak and poorly activated deep muscles, contributing to inefficient movement patterns. This study aims to assess the effect of a lumbopelvic stability program on lower extremity kinematics in LBPDs during single-leg squats (SLS).

Design

Pre-post study.

Setting

University dormitory gym.

Participants

Thirty female participants identified as LBPDs, divided into two groups of experimental (n = 15) and control (n = 15).

Main outcome measures

Kinematic variables, including hip and knee flexion and abduction, and ankle dorsiflexion and abduction (eversion), were measured during SLS using two-dimensional video analysis before and after the intervention.

Results

Significant differences were found in hip flexion (F = 13.36, p = 0.001), hip abduction (F = 73.42, p = 0.001), knee flexion (F = 23.65, p = 0.001), and knee abduction (F = 13.37, p = 0.001) post-intervention.

Conclusion

A 6-week lumbopelvic stability program improved hip and knee kinematics in LBPDs, highlighting the importance of core stability in optimizing movement and potentially preventing future LBP.

运动模式改变和下肢错位是腰痛发展者（lbpd）的主要特征，导致蹲起等功能性运动发生重大变化。根据运动病理学模型，这些变化可能导致临床腰痛。核心肌肉对于肢体运动的稳定平台至关重要，但lbpd通常具有薄弱且激活不良的深层肌肉，导致运动模式效率低下。本研究旨在评估腰盆腔稳定性训练对lbpd患者单腿深蹲（SLS）时下肢运动学的影响。DesignPre-post研究。设置大学宿舍体育馆参与者30名女性lbpd患者，分为实验组（n = 15）和对照组（n = 15）。主要结果测量：在SLS期间，通过干预前后的二维视频分析测量运动变量，包括髋关节和膝关节屈曲和外展，以及踝关节背屈和外展（外翻）。结果干预后两组患者髋关节屈曲（F = 13.36, p = 0.001）、髋关节外展（F = 73.42, p = 0.001）、膝关节屈曲（F = 23.65, p = 0.001）、膝关节外展（F = 13.37, p = 0.001）差异有统计学意义。结论：为期6周的腰盂稳定方案改善了lbpd患者的髋关节和膝关节运动学，突出了核心稳定性在优化运动和预防未来LBP中的重要性。

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引用次数: 0

Patellofemoral joint loads are lower when adolescents with patellofemoral pain run in flat, flexible shoes compared to traditional athletic shoes 与传统运动鞋相比，患有髌骨疼痛的青少年穿着扁平、灵活的鞋子跑步时，髌骨关节负荷较低

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-19 DOI: 10.1016/j.ptsp.2025.04.004

Natalie Mazzella , Danielle Trowell , Aaron Fox , Natalie Saunders , Bill Vicenzino , Jason Bonacci

Objectives

To examine peak and cumulative patellofemoral joint force when adolescents with patellofemoral pain run in a traditional athletic shoe, compared with a flat, flexible shoe.

Design

Cross-sectional.

Participants

Twenty-six adolescents with patellofemoral pain ran on an instrumented treadmill in a traditional athletic shoe and a flat, flexible shoe.

Main outcome measures

Cumulative and peak patellofemoral joint forces, knee flexion angle, knee extension and ankle plantarflexion moments, cadence, stride length and pain were compared between footwear conditions using paired t-tests.

Results

Peak patellofemoral joint reaction force was 11 % (p < 0.001) lower while running in the flat, flexible shoe (mean ± SD 3.62 ± 1.01 N/kg), compared to the athletic shoe (4.09 ± 0.97 N/kg). Cumulative patellofemoral joint force was 15 % (p < 0.001) lower while running in the flat, flexible shoe (195.09 ± 75.97 Bw.s/km), compared to the athletic shoe (231.54 ± 87.95 Bw.s/km). Peak knee flexion angle (p < 0.001) and knee extension moment (p = 0.001) were also lower when running in the flat, flexible shoe. There was no difference in peak ankle plantarflexion moment, running cadence, stride length, or pain between conditions.

Conclusions

Flat, flexible shoes may be a suitable intervention to lower cumulative patellofemoral joint loads during running in adolescents with patellofemoral pain.

目的观察青少年髌骨疼痛患者穿传统运动鞋跑步时髌骨关节力的峰值和累积情况，并与穿平型柔性跑鞋进行比较。参与者26名患有髌骨疼痛的青少年，穿着传统的运动鞋和一双扁平的柔性鞋，在带器械的跑步机上跑步。主要观察指标：采用配对t检验比较不同鞋履条件下的累积和峰值髌骨关节力、膝关节屈曲角度、膝关节伸展和踝关节屈曲力矩、节奏、步幅和疼痛。结果髌股关节反作用力为11% (p <；0.001)，与穿运动鞋（4.09±0.97 N/kg）相比，穿平底、柔性跑鞋（平均±SD 3.62±1.01 N/kg）更低（平均值±SD 3.62±1.01 N/kg）。累计髌股关节力为15% (p <；0.001)，与运动鞋（231.54±87.95 Bw.s/km）相比，穿柔性平底鞋跑步（195.09±75.97 Bw.s/km）要低。膝关节最大屈曲角(p <；0.001)和膝关节伸展力矩（p = 0.001）也更低，当跑在平的，灵活的鞋。在两种情况下，踝关节跖屈峰值时刻、跑步节奏、步幅或疼痛没有差异。结论平的、有弹性的鞋可能是降低青少年髌骨股痛患者跑步时髌骨股关节累积负荷的合适干预措施。

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引用次数: 0

Advanced applications of backward Design: Crafting holistic and athlete-centered injury rehabilitation plans 落后设计的先进应用：制定整体和以运动员为中心的损伤康复计划

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-18 DOI: 10.1016/j.ptsp.2025.04.006

Lionel Chia , Evangelos Pappas

There remains a pressing need to enhance sports rehabilitation practices due to several ongoing challenges like increasing re-injury rates. By encouraging practitioners to begin with the end in mind, a backward design approach can help create more comprehensive and sport-specific rehabilitation programs that better support athletes’ return-to-sport outcomes. However, there is a lack of clear and actionable guidance for applying backward design approaches in more advanced scenarios like when rehabilitating complex injuries in highly dynamic and unpredictable sporting contexts. Through three highly prevalent use cases, this article will address this critical gap by highlighting the modularity of backward design approaches, and offer practical and step-by-step strategies for practitioners looking for solutions in these contexts.

由于不断增加的再受伤率等挑战，加强运动康复实践仍然是迫切需要的。通过鼓励从业者以终为始，逆向设计方法可以帮助创建更全面、更具体的运动康复计划，更好地支持运动员重返运动。然而，对于在高动态和不可预测的运动环境中修复复杂损伤等更高级的场景中应用向后设计方法，缺乏明确和可操作的指导。通过三个非常普遍的用例，本文将通过强调向后设计方法的模块化来解决这个关键的差距，并为在这些环境中寻找解决方案的从业者提供实用的和逐步的策略。

引用次数: 0

Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up 无症状头顶运动员肩痛的发生：一项为期6个月随访的前瞻性队列研究

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-17 DOI: 10.1016/j.ptsp.2025.04.003

Leonardo Luiz Barretti Secchi , Paula Rezende Camargo , Laís Emanuelle Meira Alves , Luciana De Michelis Mendonça

Purpose

To identify interactions among variables of the upper limbs, trunk, and hip joint associated with shoulder pain occurrence in asymptomatic overhead athletes.

Design

prospective cohort study.

Setting

Sports club facilities.

Participants

Ninety-five adult asymptomatic overhead athletes from national first division teams, both sexes.

Main outcomes measures

Isometric strength of the shoulder ER muscles, serratus anterior, lower trapezius and hip abductors, HipSIT, shoulder internal rotation (IR) range of motion (ROM), low flexion test, closed kinetic chain upper extremity stability test (CKCUEST), seat medicine ball test (SMB-T), upper seat shot put test (USSP-T), upper quarter Y balance test [UQYBT] and leg lateral reach test (LLRT). Shoulder pain occurrence was registered during a 6-month follow-up.

Results

The model correctly classified 77.4 % of the athletes who did not develop shoulder pain and 100.0 % of those who developed shoulder pain. The accuracy was 89 % (95 %CI:83 %,96 %). Athletes with UQYBT score under 88.5 %, and isometric strength of the shoulder ER muscles above 0.780 N/kg did not develop shoulder pain (RR:0.02, 95 %CI:0.001,0.44). Athletes with UQYBT score above 88.5 % and USSP-T performance above 3.175m developed shoulder pain (RR:14.09, 95 %CI: 3.27,60.56).

Conclusion

Shoulder pain occurrence in overhead athletes was associated with interactions among UQYBT, isometric strength of the shoulder ER muscles, and USSP-T.

目的探讨无症状头顶运动员肩关节疼痛发生的相关上肢、躯干和髋关节变量之间的相互作用。设计前瞻性队列研究。体育俱乐部设施。参与者：95名来自国家一线队的成年无症状头顶运动员，男女不限。主要观察指标：肩ER肌、前锯肌、下斜方肌、髋外展肌、HipSIT、肩部内旋（IR）活动范围（ROM）、低屈曲试验、闭合动力链上肢稳定性试验（CKCUEST）、座位药球试验（SMB-T）、上座铅球试验（USSP-T）、上肢Y平衡试验（UQYBT）和腿外侧伸展试验（LLRT）。在6个月的随访中记录了肩痛的发生情况。结果该模型对77.4%未发生肩痛的运动员和100.0%发生肩痛的运动员进行了正确分类。准确率为89% （95% CI: 83%, 96%）。UQYBT评分低于88.5%、肩内质肌等长强度高于0.780 N/kg的运动员没有出现肩痛（RR:0.02, 95% CI:0.001,0.44）。UQYBT评分在88.5%以上，USSP-T成绩在3.175m以上的运动员发生肩痛（RR:14.09, 95% CI: 3.27,60.56）。结论肩顶运动员肩痛的发生与UQYBT、肩ER肌等长强度和USSP-T的相互作用有关。

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引用次数: 0

Young male players exhibit higher eccentric hamstring muscle fatigue than females and older males after a basketball match participation 年轻男性运动员在参加篮球比赛后表现出比女性和老年男性更高的偏心腿筋肌肉疲劳

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-14 DOI: 10.1016/j.ptsp.2025.04.002

Sebastiano Nutarelli , Alessandro Sangiorgio , Luca Gilardoni , Giacomo Moraca , Giuseppe Filardo

Objectives

Investigating hamstring eccentric strength before and after a basketball match.

Design

Cohort observational study.

Setting

Playing facilities of local basketball teams on official championship matches.

Participants

Forty-four healthy male and female 14-25-year-old basketball athletes.

Main outcome measures

Hamstring mean, absolute peak torque, and total work were measured during the execution of the Nordic hamstring exercise before and after a match. Anterior knee laxity was also measured.

Results

The results showed non-significant intersex pre- vs. post-match changes for all measured parameters. The 14-19-year-old male players showed a significantly lower post-match mean hamstring peak torque than their 20-25-year-old peers (p = 0.013). Hamstring strength correlated with age in males with the younger players significantly weaker post-match than the older athletes. Younger vs. older males experienced a mean eccentric hamstring peak torque decrease of 16.4 ± 38.18 Nm (−5.6 %) vs. an increase of 27.55 ± 41.87 Nm (11.8 % - Spearman R = 0.408), an absolute eccentric hamstring peak torque reduction of 13.32 ± 35.45 Nm (−4 %) vs. an improvement of 31.5 ± 43.83 Nm (11.6 % - R = 0.434), and a hamstring work decline of 1474.5 ± 1370.83 J (−19.2 %) vs. an increment of 560.32 ± 1584.28 J (13.2 % - R = 0.627) respectively.

Conclusions

Younger male basketball players were more fatigued post-match compared to their older same-sex peers.

目的探讨篮球比赛前后腘绳肌偏心力量的变化。设计队列观察性研究。当地篮球队正式冠军赛的比赛设施。参与者：44名14-25岁的健康男女篮球运动员。主要结果测量：在比赛前后进行北欧腿筋训练时，测量腿筋平均值、绝对峰值扭矩和总功。还测量了膝关节前侧的松弛度。结果所有测量参数均显示双性人配对前后无显著差异。14-19岁男性运动员的赛后平均腿筋峰值扭矩明显低于20-25岁的同龄人（p = 0.013）。男性腿筋力量与年龄相关，年轻运动员赛后明显弱于年长运动员。年轻和年长的男性经历了意味着古怪肌腱最大转矩下降16.4±38.18 Nm(−5.6%)与增加27.55±41.87 Nm(11.8% -斯皮尔曼R = 0.408),绝对的偏心肌腱峰值扭矩减少13.32±35.45 Nm(−4%)和31.5±43.83 Nm的改善(11.6% - R = 0.434),和腿筋工作下降1474.5±1370.83 J(−19.2%)和560.32±1584.28 J的增量分别为(13.2%,R = 0.627)。结论年轻男性篮球运动员的赛后疲劳程度高于年龄较大的同龄男性篮球运动员。

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引用次数: 0

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-11 DOI: 10.1016/j.ptsp.2025.04.001

Charlotte Anker-Petersen , Mikkel Bek Clausen , Birgit Juul-Kristensen , Per Hölmich , Kristian Thorborg

Objectives

To describe the pain prevalence and its regional body distribution in TeamGym gymnasts, and secondly, to compare pain prevalence during a period with normal training load with a period with reduced training load.

Design

Cross-sectional study.

Setting

Data from (1) a period with normal training load (Aug–Dec 2020), and (2) a period with reduced training load (COVID-19 restrictions, Jan–June 2021) were included.

Participants

TeamGym gymnasts aged 10–30 years.

Main outcome measures

Self-reported history of pain/discomfort.

Results

In total, 65 % of the invited gymnasts completed the survey at both time points, which included 579 gymnasts. The pain prevalence due to gymnastics was 80 % with the most prevalent pain regions being knee (20 % [95 %CI 18.1; 21.8]), wrist (17 % [95 %CI 15.5; 19.0]) and foot (16 % [95 %CI 14.4; 17.8]). Gradual pain onset was described in 42 % of all cases. During the reduced training period, the number of painful regions decreased by 26 %, but regional body pain distribution remained unchanged.

Conclusions

Four of five gymnasts experienced pain/discomfort during a normal five-month training period. Knee, wrist and foot were the most common painful regions with gradual pain onset as the most frequently reported. Reduced training load decreased the absolute pain prevalence, but regional body distribution was unaffected.

目的了解TeamGym体操运动员的疼痛发生率及其区域分布；其次，比较正常训练负荷和减少训练负荷期间的疼痛发生率。DesignCross-sectional研究。本研究纳入了(1)正常训练负荷时期（2020年8月至12月）和(2)训练负荷减少时期（2021年1月至6月，COVID-19限制）的数据。参与者为10-30岁的蒸汽体操运动员。主要结果测量：自述疼痛/不适史。结果579名入选体操运动员在两个时间点的调查完成率均为65%。由于体操引起的疼痛发生率为80%，最常见的疼痛区域是膝盖(20% [95% CI 18.1；21.8])，手腕(17% [95% CI 15.5；19.0])和足(16% [95% CI 14.4；17.8])。所有病例中有42%描述为逐渐疼痛发作。在减少训练时间期间，疼痛区域的数量减少了26%，但区域身体疼痛分布保持不变。结论：5个体操运动员中有4个在正常的5个月训练期间经历过疼痛/不适。膝关节、腕部和足部是最常见的疼痛区域，并以逐渐疼痛为主。减少训练负荷降低了绝对疼痛发生率，但区域身体分布不受影响。

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引用次数: 0

The prevalence and incidence of hip and groin injury in female field invasion team sports: A systematic review 女性野战团体运动中髋关节和腹股沟损伤的患病率和发生率：系统回顾

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-02 DOI: 10.1016/j.ptsp.2025.03.011

Shauna Jordan , Clare Lodge , Ulrik McCarthy-Persson , Helen P. French , Catherine Blake

Objectives

Hip and groin injury is more common in male athletes, but no systematic review has examined its prevalence and incidence in female field invasion team sport.

Methods

Six databases were searched independently by two authors who selected eligible studies, assessed risk of bias and extracted data. Studies reporting the prevalence and/or incidence of hip and groin injury were included. Proportional meta-analyses provided pooled estimates and the Grading of Recommendations Assessment, Development and Evaluation system determined the strength of evidence.

Results

Twenty-five articles were selected for inclusion. The prevalence of time loss hip and groin injury ranged from 0 to 74 % (4.42 %, 1.91, 9.91), while non-time loss cases ranged from 1 to 35 % (9.54 %, 1.15, 48.91). Time loss cases represented 0–17 % of total injuries (4.10 %, 2.54, 6.56). The strength of the evidence for pooled estimates was very low due to inconsistency and publication bias. Incidence rates ranged from 0.3 to 1.02 per 1000 athlete-hours. Adductor-related injury was the most frequently reported diagnosis.

Conclusion

Hip and groin injury in female field sports is common but rates vary due to heterogeneity across studies. Standardised definitions and methodological approaches must be employed in future studies to facilitate data pooling and better quantify the injury burden in this cohort.

目的髋部和腹股沟损伤在男性运动员中更为常见，但在女性田径性团体运动中其患病率和发生率尚未有系统的综述。方法由两位作者独立检索6个数据库，选择符合条件的研究，评估偏倚风险并提取数据。研究报告了髋关节和腹股沟损伤的患病率和/或发生率。比例荟萃分析提供了汇总估计，建议分级评估、发展和评估系统确定了证据的强度。结果入选文献25篇。时间损失性髋关节和腹股沟损伤发生率为0 ~ 74%(4.42%,1.91,9.91)，非时间损失性损伤发生率为1 ~ 35%（9.54%,1.15,48.91）。时间损失病例占总伤害的0 - 17%（4.10%,2.54%,6.56%）。由于不一致和发表偏倚，合并估计的证据强度非常低。发病率从每1000个运动员小时0.3到1.02不等。内收肌相关损伤是最常见的诊断。结论女性田径运动中髋关节和腹股沟损伤是常见的，但由于研究的异质性，发生率有所不同。在未来的研究中必须采用标准化的定义和方法，以促进数据汇集，并更好地量化该队列中的伤害负担。

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引用次数: 0

Effects of differing platform orientations on forefoot and hindfoot kinematics in chronic ankle instability during single leg landing 不同的平台方向对慢性踝关节单腿着地时前脚和后脚运动学的影响

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-04-01 DOI: 10.1016/j.ptsp.2025.03.012

Anthony Laigo , Takanori Kikumoto , Tomoya Takabayashi , Takahiro Watanabe , Yudai Kikuchi , Masayoshi Kubo

Objectives

To investigate how modifiable landing platforms influence intra-foot movement during single-leg landings, comparing forefoot and hindfoot kinematics between individuals with chronic ankle instability (CAI) and controls to inform segment-focused rehabilitation strategies.

Design

Cross-sectional.

Setting

Biomechanics laboratory.

Participants

20 university students, 12 with CAI, 8 controls.

Main outcome measures

Participants performed single-leg landing on platforms with three orientations (inverted, plantarflexed-everted-abducted and dorsiflexed-inverted-adducted), and four inclinations (10°, 12°, 14°, 16°). These configurations were based on prior studies and safety limits. Net frontal-plane movement of the forefoot and hindfoot was calculated across a 400ms window.

Results

The CAI group showed significantly greater forefoot inversion (η² = 0.32; p < 0.01) and non-significant group difference in hindfoot eversion (ƞ² = 0.183; p = 0.06). Orientation and inclination had large effects on forefoot motion (η² = 0.56 and 0.80, respectively; p < 0.001). A significant group × segment interaction (η² = 0.24; p < 0.001) indicated contrasting movement between the forefoot and hindfoot in CAI, not observed in controls.

Conclusion

Individuals with CAI demonstrated a less adaptive, segment-specific landing strategy. Findings support the use of modifiable platforms and multi-segment foot models to guide targeted interventions addressing forefoot compensation and improving segmental control during landing.

目的通过比较慢性踝关节不稳定（CAI）患者和对照组患者的前足和后足运动学，研究可改变的着地平台如何影响单腿着地时的足内运动，从而为以足部为重点的康复策略提供依据。主要结果测量参与者在三种方向（倒置、跖屈-倒立-内收和背屈-倒立-内收）和四种倾角（10°、12°、14°、16°）的平台上进行单脚着地。这些配置是根据先前的研究和安全限制确定的。结果 CAI 组的前足内翻（η2 = 0.32; p < 0.01）明显大于 CAI 组，后足外翻（ƞ2 = 0.183; p = 0.06）的组间差异不明显。方向和倾斜度对前脚掌运动有很大影响（η2 = 0.56 和 0.80，p <0.001）。明显的组别 × 区段交互作用（η2 = 0.24; p <0.001）表明 CAI 患者的前脚掌和后脚掌之间的运动形成了鲜明对比，而对照组中没有观察到这一现象。研究结果支持使用可修改的平台和多节足模型来指导有针对性的干预措施，以解决前足补偿问题并改善着地过程中的节段控制。

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引用次数: 0

Hip-focused strengthening and task-specific movement training for an individual with chronic, recurrent femoroacetabular impingement syndrome 针对慢性复发性股髋撞击综合征患者的髋关节强化和特定任务运动训练

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-03-27 DOI: 10.1016/j.ptsp.2025.03.010

Lee T. Atkins , Kelsey Ede , Megan Reid , Daniel Chan

Objectives

Examine the effects of hip-focused strengthening and task-specific movement training for a female who has undergone multiple surgical procedures yet continues to experience chronic, recurrent FAIS-related symptoms.

Study design

Case Report.

Methods

A 23-year-old active female with an eleven-year history of FAIS and two previous surgical procedures recently experienced a third recurrence of symptoms brought on by increased physical activity levels. The patient performed progressive exercises focused on improving hip extension, abduction, and external rotation strength. The patient also received task-specific movement training aimed at minimizing hip adduction and internal rotation during movement that provoked her symptoms.

Results

Following treatment, the patient's self-reported hip pain during movement improved 2.2 points and was abolished during four of the five activities examined. The patient exhibited strength gains for the hip extensors (22 %), abductors (36 %), and external rotators (20 %). The patient exhibited decreased hip adduction during all activities (mean difference = 10.6°) and decreased hip internal rotation during three of the five activities (mean difference = 3.7°).

Conclusion

This case report highlights the effects of hip-focused strengthening and task-specific movement training for a patient with longstanding FAIS and multiple surgical procedures.

目的：研究髋关节强化和特定任务运动训练对一名女性患者的效果，该患者经历了多次外科手术，但仍有慢性复发性fais相关症状。研究设计——案例报告。方法一名23岁的活跃女性，有11年的FAIS病史和两次手术史，最近因运动水平增加而第三次复发。患者进行了渐进式锻炼，重点是改善髋关节伸展、外展和外旋强度。患者还接受了特定任务的运动训练，旨在减少引起症状的运动期间髋关节内收和内旋。结果：治疗后，患者自我报告的运动时髋关节疼痛改善了2.2分，在5项活动中有4项消除了疼痛。患者表现出髋伸肌（22%）、外展肌（36%）和外旋肌（20%）的力量增加。患者在所有活动中表现出髋关节内收减少（平均差值为10.6°），在五项活动中的三项活动中表现出髋关节内旋减少（平均差值为3.7°）。结论：本病例报告强调了针对长期FAIS患者和多次手术的髋关节强化和特定任务运动训练的效果。

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引用次数: 0

Assessing musculoskeletal complaints in para-athletes: A systematic review and critical appraisal of available Patient-Reported Outcome Measures 评估残疾人运动员的肌肉骨骼疾患：对现有患者报告结果措施的系统回顾和批判性评估

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-03-25 DOI: 10.1016/j.ptsp.2025.03.007

Nil Jodar-Boixet , Cristina Torres-Pascual , Rafel Donat-Roca , Kristian Thorborg , Anna Prats-Puig , Ernest Esteve

Objective

To identify the available Patient-reported Outcome Measures (PROMs) for assessing musculoskeletal complaints in para-athletes and to evaluate their psychometric properties, ultimately providing recommendations for their use.

Methods

PubMed, Embase, Scopus, Cochrane Library, Web of Science, ProQuest, and COSMIN Database were searched until October 2024. Full report studies evaluating psychometric properties of PROMs in para-sport participants with musculoskeletal pain were included. The methodology followed the Consensus-based Standards for selection of Health Measurement Instruments (COSMIN) and PRISMA-COSMIN for OMIs 2024 Guidelines.

Results

Six articles reported information on Wheelchair User's Shoulder Pain Index (WUSPI); Shoulder Pain Scale for Wheelchair Basketball (SPS-WB); and, Shoulder Pain Index for Wheelchair Basketball (SPI-WB). Content validity was inconsistent for WUSPI and SPS-WB. Structural validity was indeterminate for SPS-WB. Internal consistency was sufficient for SPS-WB but indeterminate for WUSPI and SPI-WB. Reliability was sufficient for WUSPI and SPI-WB. Convergent validity was sufficient for WUSPI but indeterminate for SPS-WB and SPI-WB. Discriminative validity was insufficient for WUSPI and SPI-WB and indeterminate for SPS-WB.

Conclusions

Evidence on PROMs for musculoskeletal complaints in para-sports focuses on shoulder pain in wheelchair basketball, showing low to very low-quality evidence. The WUSPI and SPS-WB can be used considering their limitations.

目的确定可用的患者报告结果测量（PROMs）来评估残疾人运动员的肌肉骨骼疾患，并评估其心理测量特性，最终为其使用提供建议。方法截至2024年10月检索spubmed、Embase、Scopus、Cochrane Library、Web of Science、ProQuest和COSMIN数据库。完整的报告研究评估了肌肉骨骼疼痛的残疾人运动参与者的PROMs的心理测量特性。该方法遵循基于共识的健康测量仪器选择标准（COSMIN）和oms 2024年指南的PRISMA-COSMIN。结果6篇文献报道轮椅使用者肩痛指数（WUSPI）；轮椅篮球肩痛量表（SPS-WB）轮椅篮球肩痛指数（SPI-WB）。WUSPI与SPS-WB的内容效度不一致。SPS-WB的结构效度不确定。SPS-WB内部一致性足够，但WUSPI和SPI-WB内部一致性不确定。WUSPI和SPI-WB的可靠性是足够的。WUSPI的收敛效度足够，而SPS-WB和SPI-WB的收敛效度不确定。WUSPI和SPI-WB的判别效度不足，SPS-WB的判别效度不确定。结论残疾人运动中肌肉骨骼疾患的证据主要集中在轮椅篮球的肩部疼痛，证据质量低至极低。考虑到WUSPI和SPS-WB的局限性，可以使用它们。

{"title":"Assessing musculoskeletal complaints in para-athletes: A systematic review and critical appraisal of available Patient-Reported Outcome Measures","authors":"Nil Jodar-Boixet , Cristina Torres-Pascual , Rafel Donat-Roca , Kristian Thorborg , Anna Prats-Puig , Ernest Esteve","doi":"10.1016/j.ptsp.2025.03.007","DOIUrl":"10.1016/j.ptsp.2025.03.007","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the available Patient-reported Outcome Measures (PROMs) for assessing musculoskeletal complaints in para-athletes and to evaluate their psychometric properties, ultimately providing recommendations for their use.</div></div><div><h3>Methods</h3><div>PubMed, Embase, Scopus, Cochrane Library, Web of Science, ProQuest, and COSMIN Database were searched until October 2024. Full report studies evaluating psychometric properties of PROMs in para-sport participants with musculoskeletal pain were included. The methodology followed the Consensus-based Standards for selection of Health Measurement Instruments (COSMIN) and PRISMA-COSMIN for OMIs 2024 Guidelines.</div></div><div><h3>Results</h3><div>Six articles reported information on Wheelchair User's Shoulder Pain Index (WUSPI); Shoulder Pain Scale for Wheelchair Basketball (SPS-WB); and, Shoulder Pain Index for Wheelchair Basketball (SPI-WB). Content validity was inconsistent for WUSPI and SPS-WB. Structural validity was indeterminate for SPS-WB. Internal consistency was sufficient for SPS-WB but indeterminate for WUSPI and SPI-WB. Reliability was sufficient for WUSPI and SPI-WB. Convergent validity was sufficient for WUSPI but indeterminate for SPS-WB and SPI-WB. Discriminative validity was insufficient for WUSPI and SPI-WB and indeterminate for SPS-WB.</div></div><div><h3>Conclusions</h3><div>Evidence on PROMs for musculoskeletal complaints in para-sports focuses on shoulder pain in wheelchair basketball, showing low to very low-quality evidence. The WUSPI and SPS-WB can be used considering their limitations.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 121-132"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786286","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}

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