Are Functional Performance Test Scores Better When Compared to Baseline or Contralateral Limb Scores Following LE Injury in Adolescent Athletes?

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-05-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.116272
Edward Jones, Jessica Jochum, Hannah Corn, Michaela O'Brien, Melissa Parks, Jamal Armoush, Amanda Annee
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Abstract

Background: Functional performance tests (FPT) have been used with athletes following an injury to determine readiness to return-to-play (RTP), usually using limb symmetry indices to the contralateral limb or a baseline score. There is not a consensus as to which criterion scores are best compared.

Hypothesis/purpose: This study aimed to compare common functional performance test scores from injured athletes at the time of release to RTP to both preseason baseline scores and to the contralateral limb. It was hypothesized that using baseline scores for comparison would be more responsive to residual deficits following injury than using the contralateral limb.

Study design: Prospective longitudinal cohort study.

Methods: High school athletes (n=395) from all varsity sports completed a battery of FPTs including the Y-Balance Test (YBT), single limb hop tests and T-Test for agility (TT) during their preseason to establish baseline data. Injured athletes (n=19) were re-tested using all FTP's again at the time of RTP. Paired t-tests were used to detect if significant (p\<0.05) residual deficits were present at time of RTP when compared to baseline and to contralateral scores on FPTs.

Results: Differences in YBT scores were found in the anterior direction only (p=0.021) when comparing RTP to preseason, but there were no differences when compared to RTP data for the contralateral limb. Differences were detected with the single leg hop test (p = 0.001) when comparing the RTP to preseason and were also detected in both the single leg hop (p= 0.001) and triple hop (p=0.018) when compared to the contralateral limb. Differences in TT scores were detected when comparing RTP to preseason for cutting first with both the unaffected (p = 0.019) and affected (p = 0.014) limbs.

Conclusions: The YBT in the anterior direction and the TT are better able to detect residual deficits when comparing RTP to preseason scores. Hop tests are better able to detect deficits when compared to the contralateral limb. These results could make preseason testing more efficient when creating a reference for determining RTP readiness following lower extremity injury.

青少年运动员 LE 损伤后的功能表现测试得分与基线或对侧肢体得分相比是否更好?
背景:功能表现测试(FPT)一直用于受伤后的运动员,以确定其是否准备好重返赛场(RTP),通常使用与对侧肢体的肢体对称性指数或基线分数。假设/目的:本研究旨在将受伤运动员在恢复比赛前的常用功能表现测试得分与季前基线得分和对侧肢体得分进行比较。假设使用基线分数进行比较比使用对侧肢体更能反映受伤后的残余缺陷:研究设计:前瞻性纵向队列研究。方法:来自所有校队运动项目的高中运动员(n=395)在季前赛期间完成了一系列 FPT,包括 Y 平衡测试(YBT)、单肢跳跃测试和敏捷性 T 测试(TT),以建立基线数据。受伤运动员(19 人)在康复训练计划时再次接受所有 FTP 测试。使用配对 t 检验来检测是否具有显著性(p/结果):在将 RTP 与季前赛进行比较时,发现 YBT 分数仅在前侧方向存在差异(p=0.021),但与对侧肢体的 RTP 数据进行比较时则无差异。当将 RTP 与季前赛进行比较时,发现单腿跳跃测试存在差异(p=0.001),当与对侧肢体进行比较时,发现单腿跳跃(p=0.001)和三跳(p=0.018)也存在差异。当将 RTP 与季前赛进行比较时,发现未受影响肢体(p=0.019)和受影响肢体(p=0.014)在切第一刀时的 TT 分数存在差异:结论:在比较 RTP 和季前赛得分时,前向 YBT 和 TT 能够更好地检测残余缺陷。与对侧肢体相比,跳跃测试能更好地检测出缺陷。这些结果可使季前测试在为确定下肢损伤后的 RTP 准备情况提供参考时更加有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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