Clinical Journal of Sport Medicine最新文献

{"title":"Clinically Important Improvements Observed in Patient-Reported Outcomes 2 Years After Exercise Therapy for Patients With Isolated Supraspinatus Tendon Tears.","authors":"Adam J Popchak, Janina Kaarre, Luke T Mattar, Clair N Smith, Volker Musahl, Richard E Debski, James J Irrgang","doi":"10.1097/JSM.0000000000001387","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001387","url":null,"abstract":"<p><strong>Objective: </strong>To describe and predict patient-reported outcomes (PROs) and to investigate differences between individuals with a rotator cuff tear who were and were not successfully treated with a 12-week exercise therapy program.</p><p><strong>Design: </strong>Prospective observational cohort.</p><p><strong>Setting: </strong>Orthopedic sports medicine clinical practice settings and departments of orthopedic surgery, physical therapy, and bioengineering at the University of Pittsburgh.</p><p><strong>Participants: </strong>Eighty-two individuals, age ≥40 years with a symptomatic isolated supraspinatus tear.</p><p><strong>Interventions: </strong>Individualized 12-week exercise therapy program and longitudinal follow-ups at 3, 6, 12, and 24 months.</p><p><strong>Main outcome measures: </strong>(1) PROs: Western Ontario Rotator Cuff (WORC) index (WORC) & Numeric Pain Rating Scale (NPRS), (2) shoulder range of motion (ROM) and strength, (3) rotator cuff tear size and location, (4) glenohumeral kinematics.</p><p><strong>Results: </strong>Significant improvements in both PROs were observed at all time points when compared with baseline. At the 24-month follow-up, improvement greater than the minimally clinically important difference was noted for 78% of individuals for the WORC and 55% for the NPRS. Baseline predictors for 24-month change in WORC and an overall successful outcome were identified and included the baseline WORC score and the side-to-side difference in ROM for external rotation at 90 degrees abduction.</p><p><strong>Conclusions: </strong>Individuals with symptomatic, isolated supraspinatus tears, managed with exercise therapy, experienced clinically important improvements in self-reported disability and more than half experienced a similar improvement in pain, at a 2-year follow-up. Baseline patient-reported outcomes measures and side-to-side differences passive ROM predicted 24-month success after exercise therapy. These findings may be useful in plan-of-care decision making.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641965","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}

{"title":"Long-Term Neuropsychological Outcome and Effect of Cognitive Reserve in Retired Athletes.","authors":"Bonnie-Kate Dewar, James Murray, Hugo Pedder, Michael Turner","doi":"10.1097/JSM.0000000000001381","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001381","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the long-term neuropsychological outcome in retired, predominantly equestrian, athletes with a history of concussion and determine whether there is a protective role of cognitive reserve in the expression of cognitive impairment.</p><p><strong>Design: </strong>The neuropsychological functioning of retired athletes with a history of concussion was compared with controls.</p><p><strong>Setting: </strong>Private research clinic as part of the ICHIRF study.</p><p><strong>Participants: </strong>Male and female retired athletes and controls.</p><p><strong>Interventions: </strong>Participants were administered a battery of standardized neuropsychological tests.</p><p><strong>Main outcome measure: </strong>A principal components analysis regression was conducted, adjusted for participant characteristics. Premorbid function was used as an index of cognitive reserve.</p><p><strong>Results: </strong>Three components were identified that explained >95% of the variance in 14 neuropsychology tests; the first component (PC1) explained 87% of the variance. A regression model on PC1 identified an association between concussion and PC1, with lower scores in concussed participants with lower premorbid function.</p><p><strong>Conclusions: </strong>A history of concussion is associated with lower neuropsychological performance, and this is more pronounced in individuals with lower premorbid functioning, an indicator of cognitive reserve.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641966","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}

{"title":"Prognostic Utility of Immediate Memory and Delayed Recall Assessments for Adolescent Concussion.","authors":"Mani Singh, Katherine L Smulligan, Mathew J Wingerson, Samantha Magliato, Julie C Wilson, David Howell","doi":"10.1097/JSM.0000000000001379","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001379","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prognostic utility of 10-word immediate memory and delayed recall assessments at an initial post-concussion evaluation for predicting persisting post-concussion symptom (PPCS) development.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Participants: </strong>Adolescents (N = 160) seen for concussion at a sports medicine center between June 2018 and November 2019.</p><p><strong>Independent variables: </strong>We categorized participants based on their symptom recovery time, as PPCS (symptoms >28 days) and no PPCS (symptoms ≤28 days).</p><p><strong>Main outcomes: </strong>Patients completed 10-word immediate memory and delayed recall assessments at the time of their initial evaluation. We grouped patients based on timing of their initial visit: 1 to 7 days post-concussion versus 8 to 21 days post-concussion and calculated their symptom duration (time from injury until symptom resolution).</p><p><strong>Results: </strong>For patients seen 1 to 7 days post-concussion (N = 69; 14.4 ± 2.4 years; 41% female), those who developed PPCS (N = 19, 28%) had significantly worse immediate memory (6.2 ± 1.8 vs 7.2 ± 1.7 words correct; P = 0.04; Cohen d = 0.55) and delayed recall (3.6 ± 1.8 vs 5.5 ± 2.2 words correct; P = 0.002; Cohen d = 0.87) performance compared with those who did not develop PPCS. For patients seen 8 to 21 days post-concussion (N = 91; 14.1 ± 2.6 years; 53% female), there were no significant differences between those who developed PPCS (N = 45, 49%) and did not on immediate memory (7.2 ± 1.7 vs 6.7 ± 2.1 words correct; P = 0.21; Cohen d = 0.26) or delayed recall (5.2 ± 2.3 vs 5.4 ± 2.1 words correct; P = 0.61; Cohen d = 0.11) performance.</p><p><strong>Conclusions: </strong>The 10-word immediate memory and delayed recall assessments have prognostic utility for PPCS when administered within the first week post-concussion and may help clinicians identify those at greatest risk of developing PPCS.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483406","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}

{"title":"Parsonage-Turner Syndrome After Bacterial Pharyngitis in Childhood With Resulting Glenohumeral Joint Subluxation in Adulthood.","authors":"Sosi Dzhugarian, Griffin Elbert","doi":"10.1097/JSM.0000000000001378","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001378","url":null,"abstract":"<p><strong>Abstract: </strong>Parsonage-Turner syndrome (PTS), also known as neuralgic amyotrophy, presents with unilateral shoulder pain, followed by weakness. Associated sensory symptoms such as numbness may also occur. Contrary to the traditional thought that the condition typically self-resolves within weeks or gradually reaches full recovery with conservative management, more recent reports have revealed that a large portion of affected individuals experience persistent symptoms. We present an unusual case in which the patient developed PTS associated with streptococcal pharyngitis as a child, and his shoulder symptoms did not recover despite ongoing physical therapy. By young adulthood, he developed high-grade glenohumeral joint subluxation on the verge of full dislocation. Furthermore, imaging demonstrated the possibility of a reverse Hill-Sachs deformity. In addition to resumption of physical therapy, the patient has been referred to a tertiary care center to determine whether tendon transfer is a viable treatment option.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474059","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}

{"title":"From the Field to the Screen: A Scoping Review of Video Analysis as a Tool for Understanding Thigh Muscle-Tendon Injuries in Football.","authors":"Stefano Palermi, Filippo Vittadini, Carles Pedret, Marco Vecchiato, Francesco Della Villa, Alessandro Corsini, Aleksi Jokela, Lasse Lempainen","doi":"10.1097/JSM.0000000000001377","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001377","url":null,"abstract":"<p><strong>Objective: </strong>Muscle-tendon injuries are critical setbacks in professional football, significantly affecting player availability and team performance. Understanding these injury mechanisms through video analysis is crucial for developing effective prevention and rehabilitation strategies that enhance player welfare and optimize performance. This review aimed to synthesize data from articles that used video analysis to explore mechanisms of thigh muscle-tendon injuries in football.</p><p><strong>Data source: </strong>A comprehensive literature search was conducted from 2010 to 2025 using a scoping review methodology. The quality of the included studies was assessed using the Quality Appraisal for Sports Injury Video Analysis Studies (QA-SIVAS) scale.</p><p><strong>Main results: </strong>The review of 10 studies identified that noncontact and indirect contact mechanisms are predominantly responsible for severe thigh muscle-tendon injuries in football. Common injury scenarios involved sprinting-induced strains and kicking actions, highlighting the significant role of eccentric loading and rapid biomechanical changes.</p><p><strong>Conclusions: </strong>Video analysis has emerged as a vital tool in sports medicine, providing deep insights into the complex mechanisms of thigh muscle-tendon injuries in football. The continuous improvement of analytical methods, including the adoption of advanced technologies such as artificial intelligence, is imperative for refining prevention and rehabilitation protocols.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474058","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}

{"title":"Plyometric Training in Musculoskeletal Disorders: A Scoping Review.","authors":"Simone Ballerini, Alessandro Schneebeli, Karl New","doi":"10.1097/JSM.0000000000001375","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001375","url":null,"abstract":"<p><strong>Objective: </strong>Plyometric training (PT) uses the stretch-shortening cycle to enhance force production, commonly used in athletic training and increasingly explored in musculoskeletal (MSK) rehabilitation. However, consensus on its efficacy in MSK rehabilitation remains elusive. The aim of this scoping review is to synthesize current evidence and identify research gaps.</p><p><strong>Data sources: </strong>A systematic search was conducted until July 2023 using the Population-Concept-Context model through EMBASE, Medline (PubMed), Cochrane Central, CINHAL, Scopus, PEDro, and SportDiscus. A 5-step scoping review model was used, including defining the research question, identifying and selecting relevant studies, data synthesis, and reporting. Two authors independently screened titles and full texts. Data extraction categorized studies for analysis. The Preferred Reporting Items for Systematic Reviews guidelines ensured methodological transparency.</p><p><strong>Main results: </strong>The search yielded 25 relevant studies out of 4069 potentially eligible ones, including 16 primary studies, 5 reviews, and 4 clinical commentaries. Positive outcomes were noted in primary studies addressing lower and upper extremity MSK issues through supervised interventions. Reviews highlighted PT's efficacy in conditions such as shoulder multidirectional instability, anterior cruciate ligament (ACL) reconstruction, and ankle sprains. However, 1 study reported no significant benefits from PT in ACL injury rehabilitation.</p><p><strong>Conclusions: </strong>This review indicates potential benefits of PT in MSK disorder rehabilitation, while highlighting the need for methodologically rigorous primary research.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282685","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}

{"title":"Influences of Age, Sex, and Heart Rate on Corrected QT Interval Values Calculated by Using Bazett and Fridericia Formulas in Children and Young Adolescent Athletes.","authors":"Uxua Idiazabal-Ayesa, Fernando de la Guía-Galipienso, María Sanz-de la Garza, Robinson Ramírez-Vélez, Patricia Martínez-Olorón, Diego Reyero-Díez, Fabian Sanchis-Gomar","doi":"10.1097/JSM.0000000000001374","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001374","url":null,"abstract":"<p><strong>Objective: </strong>To analyze QT characteristics in children and adolescent athletes (11-16 years) using the Bazett and Fridericia formulas and compare the results by age, sex, and heart rate (HR).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Sports federations in the Spanish autonomous community of La Rioja.</p><p><strong>Participants: </strong>3672 federated athletes aged 11 to 16 years.</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measures: </strong>We analyzed the 12-lead resting ECGs performed as part of the baseline screening program of sports federations. Mean corrected QT (QTc) values and percentiles were calculated using the Bazett (QTcB = QT/RR1/2) and Fridericia formulas (QTcF = QT/RR1/3). These values were compared according to age, sex, and HR.</p><p><strong>Results: </strong>Most athletes (99%) showed a normal QTc. Only four adolescent boys had values above 460 ms (with Bazett >455 ms) using the Fridericia formula. One athlete had a significantly prolonged QTc with both formulas. Using the Bazett formula, significant differences in QTc were observed by sex (longer in adolescent girls), age (longer in 11-12 year olds), and HR (increases with higher HR). Still, with the Fridericia formula, no significant differences were observed in this age group, but differences were observed by sex. For HR, substantial differences were observed when comparing the 60 to 90 bpm range with the low and high intervals, with no differences found between bradycardia and tachycardia subgroups.</p><p><strong>Conclusions: </strong>Our study shows that using the Bazett and Fridericia formula to measure QTc is recommended for cardiovascular screening in young athletic populations. The values obtained can serve as a reference for the early detection of long QT syndrome in ECGs performed in this population.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198399","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}

{"title":"Sports Medicine Physicians' Comfort and Confidence in Caring for Adaptive Athletes: A Mixed-Methods Exploratory Study.","authors":"Victoria Heasley, Melinda Earnest-Stanley, Chalee Engelhard, Annie Haley, Taryn Johnson, Wei-Wen Hsu, Renee Loftspring","doi":"10.1097/JSM.0000000000001372","DOIUrl":"10.1097/JSM.0000000000001372","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to explore the perceived ability of sports medicine physicians to effectively treat and manage the preventative and rehabilitative care of adaptive athletes.</p><p><strong>Design: </strong>Exploratory mixed-methods, survey-based study.</p><p><strong>Setting: </strong>Online, United States.</p><p><strong>Participants: </strong>The survey was conducted using a sample of 2728 physicians. A total of 286 responded to the invitation and the response rate was 10% (286 of 2728). One hundred thirty (45.5%) of 286 physicians completed the survey.</p><p><strong>Interventions: </strong>Survey.</p><p><strong>Main outcome measures: </strong>Knowledge of adaptive athlete care and perceived confidence.</p><p><strong>Results: </strong>Most respondents were willing to accept adaptive athletes into their clinical practice, and there were no significant associations between their willingness and if (χ 2 = 5.487, P = 0.139) or at what point (χ 2 = 4.463, P = 0.878) they received education about adaptive athletes. Those who received education about adaptive athletes during training reported feeling moderately to very confident in caring for adaptive athletes in an outpatient setting (χ 2 = 36.906, P < 0.001). When considering the areas of knowledge lacking to appropriately manage a competitive adaptive athlete, multiple areas named as deficits were identified. Themes centered on increasing hands-on experience, understanding of the adaptive athlete's disability and its impact on participation in adaptive sports, the physical demand of adaptive sports, and equipment.</p><p><strong>Conclusions: </strong>Our results indicate that most physicians are willing to accept adaptive athletes into their practice; however, they acknowledge more education and training is needed to feel comfortable and confident when working with this population. Further educational interventions are needed to ensure equitable care for adaptive athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157118","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}

{"title":"Reliability of the Subjective Evaluation of Patient Biomechanics and Motor Control During an Anterior Cruciate Ligament Return-to-Sport Assessment.","authors":"Michael G Doran, Tyler D Bolley, Jessica A Kellum, Darlene Yao, Carol A Janney, John A Grant","doi":"10.1097/JSM.0000000000001376","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001376","url":null,"abstract":"<p><strong>Objective: </strong>To determine the inter- and intrarater reliability of physical therapists and athletic trainers to rate the subjective biomechanical and motor control risk factors exhibited by patients undergoing a structured postoperative anterior cruciate ligament (ACL) return-to-sport (RTS) assessment.</p><p><strong>Design: </strong>Interrater and intrarater reliability.</p><p><strong>Setting: </strong>University sports medicine clinic.</p><p><strong>Patients: </strong>Thirty adult patients with ACL reconstruction who underwent a standardized ACL RTS assessment.</p><p><strong>Intervention: </strong>Video data demonstrating the performance of the ACL RTS assessments were distributed to 4 skilled raters. The limb performance of each test was evaluated for hip/pelvic stability, knee flexion, varus/valgus, shock absorption, trunk stability, power, and body control on a 3-point scale. For each patient, the scores (1-3) for each subjective component were added to attain a total subjective score for each of the 17 tests.</p><p><strong>Main outcome measures: </strong>Total scores for each of the tests were used to calculate interrater and intrarater reliability for all 4 raters.</p><p><strong>Results: </strong>Most of the tests demonstrated substantial agreement across the 4 raters with interclass coefficients ranging from 0.61 to 0.77. The posteromedial and posterolateral components of the Y Balance test had lower coefficients (0.57-0.61). Although the leg press had near perfect agreement (0.81-0.86), hamstrings and hip abduction strength had moderate agreement (0.33-0.68).</p><p><strong>Conclusions: </strong>This study has demonstrated the substantial agreement of a subjective rating system to evaluate the biomechanical and motor control risk patterns of patients after ACL reconstruction undergoing a standardized return-to-sport assessment. Multiple raters were able to substantially agree on the patients' risk profile across 14 of the 17 different tests of physical function. Further work is required to improve the interrater reliability of the Y balance test and hamstrings/hip strength evaluations.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198400","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}

{"title":"Strength and Flexibility Self-Assessment and Subsequent Training Injuries Among Runners of the New York City Marathon.","authors":"Brett G Toresdahl, Polly De Mille, Jamie Egbert, Pamela Geisel, Jordan D Metzl, Mark A Fontana","doi":"10.1097/JSM.0000000000001370","DOIUrl":"10.1097/JSM.0000000000001370","url":null,"abstract":"<p><strong>Objective: </strong>To identify strength and flexibility measures that are associated with the risk of running-related overuse injuries.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Setting: </strong>Secondary analysis of a previously reported cohort of runners.</p><p><strong>Participants: </strong>Runners registered for the 2019 New York City Marathon.</p><p><strong>Independent variables: </strong>Participants were asked to complete a baseline strength and flexibility self-assessment 16 weeks before the marathon date.</p><p><strong>Main outcome measure: </strong>Participants were asked to respond to surveys on running-related injuries occurring within 4-week \"training quarters\" at 16, 8, 4, and 1 week(s) before the marathon date.</p><p><strong>Results: </strong>Of the n = 867 runners included in our final analytic sample, 36.1% sustained a running-related overuse injury while preparing for the marathon. The only significant difference in odds and/or hazard of injury was found in the single-leg glute bridge test. Participants who reported that they could hold a single-leg glute bridge on their weaker side for 20 to 29 seconds had 64% lower risk of running-related overuse injury (aHR: 0.36; 95% CI, 0.18-0.72; P = 0.0036) than those who could only hold for 0 to 9 seconds on their weaker side. In addition, participants who reported that they could hold a single-leg glute bridge on their weaker side for 30 seconds or more had 49% lower risk of running-related overuse injury (aHR: 0.51; 95% CI, 0.29-0.92; P = 0.0245).</p><p><strong>Conclusions: </strong>Strength training programs, particularly targeting hip abductors and related muscle groups, may provide benefits for distance runners, though more rigorous research is needed.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"471-477"},"PeriodicalIF":2.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126902","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}