Physical Therapy in Sport最新文献

Monitoring hip adductor strength in professional women's football players over a season: A prospective study 监测职业女子足球运动员一个赛季的髋关节内收肌力量：前瞻性研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-01 DOI: 10.1016/j.ptsp.2024.10.005

Gabriel dos Santos Oliveira, Gabriela Bissani Gasparin, Vinícius de Borba Capaverde, Letícia Oscar Ribas, João Breno Araujo Ribeiro Alvares, Bruno Manfredini Baroni

{"title":"Monitoring hip adductor strength in professional women's football players over a season: A prospective study","authors":"Gabriel dos Santos Oliveira, Gabriela Bissani Gasparin, Vinícius de Borba Capaverde, Letícia Oscar Ribas, João Breno Araujo Ribeiro Alvares, Bruno Manfredini Baroni","doi":"10.1016/j.ptsp.2024.10.005","DOIUrl":"10.1016/j.ptsp.2024.10.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the changes in hip adductor strength of professional women's football players over a season.</div></div><div><h3>Design</h3><div>One-season prospective study.</div></div><div><h3>Setting</h3><div>Facilities of a national first division club.</div></div><div><h3>Participants</h3><div>Professional women's football players.</div></div><div><h3>Main outcome measures</h3><div>Maximum hip adductor isometric strength in the long-lever and short-lever positions at four timepoints: early preseason, early season, mid-season, and end-season.</div></div><div><h3>Results</h3><div>Twenty-two players completed the study. Hip adductor strength values in early preseason (134 ± 29 N in the long-lever position and 317 ± 68 N in the short-lever position) were significantly lower than in the early season (171 ± 29 N and 363 ± 54 N) and mid-season (163 ± 23 N and 369 ± 53 N). By the end of the season (150 ± 19 N and 345 ± 39 N), strength values had significantly declined from both early and mid-season levels. Visual inspection of individual athletes' strength evolution over time reveals heterogeneous responses, with some players showing trajectories opposite to the group at specific time points.</div></div><div><h3>Conclusions</h3><div>Hip adductor strength increased from the preseason to the start of the women's football national league, remained stable during the first half of the league, but slightly declined in the second half. The heterogeneous responses among athletes underscore the importance of individualized monitoring throughout the season.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 110-115"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552944","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

The application of a return-to-performance pathway for a professional footballer recovering from a surgical repair of an isolated lateral collateral knee ligament rupture. A case report 一名职业足球运动员因孤立性膝外侧副韧带断裂进行了手术修复，在恢复过程中应用了 "重返赛场路径"。病例报告

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-01 DOI: 10.1016/j.ptsp.2024.09.003

Andrew Mitchell , Andy Schofield

{"title":"The application of a return-to-performance pathway for a professional footballer recovering from a surgical repair of an isolated lateral collateral knee ligament rupture. A case report","authors":"Andrew Mitchell , Andy Schofield","doi":"10.1016/j.ptsp.2024.09.003","DOIUrl":"10.1016/j.ptsp.2024.09.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Isolated rupture of the lateral collateral ligament (LCL) of the knee is extremely rare in professional football, and there is a paucity of literature describing the rehabilitation for this injury. This case report demonstrates the use of a return-to-performance (RTP<sub>erf</sub>) pathway that is time-independent, has clear criteria, and progressive phases to help inform decisions made by a multidisciplinary team (MDT).</div></div><div><h3>Methods</h3><div>A 25-year-old professional footballer sustained an isolated LCL rupture following a tackle by an opposing player, forcing his knee into excessive varus motion. Five days after the injury, the player underwent surgical repair of the LCL before commencing an RTP<sub>erf</sub> pathway.</div></div><div><h3>Results</h3><div>The player returned to team training 12 weeks after surgery before successfully returning to play (RTP<sub>lay</sub>) at 13.5 weeks. The player completed full RTP<sub>erf</sub> at 16 weeks and continued to play with no evidence of instability or pain.</div></div><div><h3>Conclusion</h3><div>This case report outlines how an RTP<sub>erf</sub> pathway can be successfully used to guide the management of isolated LCL ruptures of the knee.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 116-126"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578128","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 short term recovery in patients with midportion Achilles tendinopathy with varying degrees of kinesiophobia treated with the Silbernagel protocol: A prospective single cohort analysis 采用西尔伯纳格尔方案治疗患有不同程度运动障碍的跟腱中段病变患者的短期恢复情况比较：前瞻性单一队列分析。

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-10-17 DOI: 10.1016/j.ptsp.2024.10.004

Hayley Powell Smitheman , Shawn L. Hanlon , Mari Lundberg , Ryan T. Pohlig , Karin Grävare Silbernagel

{"title":"Comparison of short term recovery in patients with midportion Achilles tendinopathy with varying degrees of kinesiophobia treated with the Silbernagel protocol: A prospective single cohort analysis","authors":"Hayley Powell Smitheman , Shawn L. Hanlon , Mari Lundberg , Ryan T. Pohlig , Karin Grävare Silbernagel","doi":"10.1016/j.ptsp.2024.10.004","DOIUrl":"10.1016/j.ptsp.2024.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>To assess short term recovery between individuals with Achilles tendinopathy with varying degrees of kinesiophobia when treated with the Silbernagel protocol. Secondarily to investigate short term change in degree of kinesiophobia.</div></div><div><h3>Design</h3><div>Prospective single cohort analysis.</div></div><div><h3>Setting</h3><div>University/Clinical.</div></div><div><h3>Participants</h3><div>116 participants with midportion Achilles tendinopathy were grouped from their baseline Tampa Scale of Kinesiophobia (TSK) score: Low (≤33), Medium (34–41), and High (≥42).</div></div><div><h3>Main outcome measures</h3><div>Symptom severity, Achilles tendon structure, and function were assessed at baseline and 8-weeks following initiation of the Silbernagel protocol. Differences in recovery between TSK groups were analyzed.</div></div><div><h3>Results</h3><div>No group by time interactions were observed for symptoms, structure, or function. A significant interaction of group by time was observed for TSK score. The Medium (n = 66) and High (n = 28) TSK groups significantly decreased TSK score after 8 weeks by 2.4 and 4.4 points respectively while the Low TSK group (n = 22) did not change.</div></div><div><h3>Conclusion</h3><div>There were no differences in short term recovery of symptoms, Achilles tendon structure, and function in individuals with midportion Achilles tendinopathy treated with the Silbernagel protocol regardless of baseline degree of kinesiophobia. Those with moderate and high levels of kinesiophobia at baseline decreased TSK score in the short term.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 101-109"},"PeriodicalIF":2.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515575","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

Quantifying the difference between male and female agility in football players: A cross-sectional study 量化足球运动员男女敏捷性的差异：横断面研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-10-12 DOI: 10.1016/j.ptsp.2024.10.002

Varsha Chattanta, Nitesh Verma, Pooja Mehra

{"title":"Quantifying the difference between male and female agility in football players: A cross-sectional study","authors":"Varsha Chattanta, Nitesh Verma, Pooja Mehra","doi":"10.1016/j.ptsp.2024.10.002","DOIUrl":"10.1016/j.ptsp.2024.10.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to establish a normative reference value for the agility T-test and Illinois test in football players, on the basis of sex and playing position.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Himachal Pradesh Football Association and Maharishi Markandeshwar Medical College and Hospital-Himachal Pradesh.</div></div><div><h3>Participants</h3><div>138 football players including 69 male and 69 female players aged 18–25 years were included.</div></div><div><h3>Main outcome measures</h3><div>Illinois and agility T-test.</div></div><div><h3>Results</h3><div>Normative values of male and female player's are established for agility T-test 10.06 ± 0.87; 11.27 ± 0.84 and for Illinois test were 15.56 ± 0.80; 17.75 ± 1.37 s, respectively. Mann Whitney U- test was used to compare the agility of both sexes and showed a significant difference (p-value <0.001) in male and female players. Intra-rater reliability was checked for between trials and revealed excellent reliability with greatest single measure ICC (0.972) and average measure ICC (0.936) for Illinois test and single measure ICC (0.891) and average measure ICC (0.903) for agility T-test.</div></div><div><h3>Conclusion</h3><div>Both agility tests concluded that female players are statistically and clinically less agile than male players. Similar results were found when agility was compared according to playing position. On the basis of sex, midfielders are more agile compared with other playing position.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 90-94"},"PeriodicalIF":2.2,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442335","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

The relationship between Beighton score and biomechanical risk factors among adolescent, female volleyball players 青少年女子排球运动员的比顿评分与生物力学风险因素之间的关系

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-10-09 DOI: 10.1016/j.ptsp.2024.10.003

Sarp Sahin , Ashley Erdman , James McGinley , Alex Loewen , Henry B. Ellis , Chuck Wyatt , Jacob C. Jones , Shane M. Miller , Philip L. Wilson , Sophia Ulman

{"title":"The relationship between Beighton score and biomechanical risk factors among adolescent, female volleyball players","authors":"Sarp Sahin , Ashley Erdman , James McGinley , Alex Loewen , Henry B. Ellis , Chuck Wyatt , Jacob C. Jones , Shane M. Miller , Philip L. Wilson , Sophia Ulman","doi":"10.1016/j.ptsp.2024.10.003","DOIUrl":"10.1016/j.ptsp.2024.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the relationship between Beighton score and biomechanical risk factors, such as knee valgus, in female, adolescent volleyball players.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Biomechanics laboratory.</div></div><div><h3>Participants</h3><div>25 adolescent, club-level female volleyball athletes (14.5 ± 1.8 years) were tested between September 2021–November 2021.</div></div><div><h3>Main outcome measures</h3><div>Participants were asked to perform a double-leg vertical jump (DLVJ), a single-leg squat (SLS), and a single-leg drop landing (SLDL). Peak coronal plane angles during the DLVJ, SLS, and SLDL were computed. Spearman correlations were performed to identify significant relationships between Beighton score and biomechanical variables.</div></div><div><h3>Results</h3><div>Peak knee valgus was found to be moderately correlated to Beighton score during the DLVJ-Land (<em>r</em> = 0.487, <em>p</em> = 0.014), SLDL (<em>r</em> = 0.478, <em>p</em> = 0.016), and SLS (<em>r</em> = 0.439, <em>p</em> = 0.028) tasks.</div></div><div><h3>Conclusions</h3><div>Overall, adolescent volleyball players with higher Beighton scores tended to exhibit a greater peak knee valgus, suggesting that such athletes could benefit from a targeted neuromuscular training or injury prevention program.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 84-89"},"PeriodicalIF":2.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433899","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

Experiences of a controlled early exercise intervention following a sport-related concussion: A qualitative study of rugby union student-athletes 运动相关脑震荡后早期运动干预的经验：对橄榄球联盟学生运动员的定性研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-10-05 DOI: 10.1016/j.ptsp.2024.10.001

Jack Hardwicke , Dominic Malcolm , Kerry Glendon

{"title":"Experiences of a controlled early exercise intervention following a sport-related concussion: A qualitative study of rugby union student-athletes","authors":"Jack Hardwicke , Dominic Malcolm , Kerry Glendon","doi":"10.1016/j.ptsp.2024.10.001","DOIUrl":"10.1016/j.ptsp.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Early aerobic exercise is associated with improved outcomes following recovery from sport-related concussion (SRC) and is now recommended in guidance for clinicians managing athletes return-to-play.</div></div><div><h3>Objectives</h3><div>To explore student-athlete experiences of a novel early aerobic exercise intervention.</div></div><div><h3>Design</h3><div>Qualitative study using semi-structured interviews.</div></div><div><h3>Setting</h3><div>Loughborough University, UK.</div></div><div><h3>Participants</h3><div>Ten rugby union university aged student-athletes (6 men) that had been medically diagnosed with an SRC sustained playing rugby.</div></div><div><h3>Results</h3><div>Three themes divided into eight supporting subthemes were generated. Main findings were: 1) <em>Experience</em>: despite some apprehension over the novel approach, most had a positive experience, 2) <em>Adherence</em>: Participants suggested reasonably good overall adherence to the prescribed exercises but intrinsic and extrinsic factors for non-adherence were identified, 3) <em>Outcomes</em>: the intervention was perceived to help rehabilitation, improve confidence, support retention of athletic identity and, for some, influenced more cautious attitudes toward brain health.</div></div><div><h3>Conclusions</h3><div>The novel early exercise intervention was reasonably well received and adhered to. Unintended benefits included supporting retainment of athletic identity and encouraging precautious health behaviours. As early exercise protocols are refined, these findings will help inform the design and delivery of future interventions, particularly in relation to intensity and diversity of exercises and supporting education.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 95-100"},"PeriodicalIF":2.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445520","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

Attitudes and practices of Australian healthcare and sports workers on the use of ankle supports for management and prevention of lateral ankle sprains: A cross-sectional survey 澳大利亚医护人员和体育工作者对使用踝关节支撑治疗和预防外侧踝关节扭伤的态度和做法：横断面调查

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-09-27 DOI: 10.1016/j.ptsp.2024.09.004

Tomas Megalaa, Alycia Fong Yan, Paula R. Beckenkamp, Claire E. Hiller

{"title":"Attitudes and practices of Australian healthcare and sports workers on the use of ankle supports for management and prevention of lateral ankle sprains: A cross-sectional survey","authors":"Tomas Megalaa, Alycia Fong Yan, Paula R. Beckenkamp, Claire E. Hiller","doi":"10.1016/j.ptsp.2024.09.004","DOIUrl":"10.1016/j.ptsp.2024.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>Explore attitudes and practices of Australian professionals using ankle taping or bracing for the management and prevention of lateral ankle sprains.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Anonymous online survey.</div></div><div><h3>Participants</h3><div>Australian healthcare or athletic workers, registered with an official governing body, involved in the management and/or prevention of lateral ankle sprains.</div></div><div><h3>Main outcome measures</h3><div>Quantitative data was collected from 20 close-ended questions. Qualitative data from 14 open-ended questions were categorized into topics using inductive thematic analysis. Data was analysed using descriptive statistics and presented in figures and tabular format.</div></div><div><h3>Results</h3><div>A total 160 respondents answered the survey; the majority were podiatrists (42.5%), physiotherapists (23%), or sports/athletic trainers (13.8%). Ankle supports were overwhelmingly recommended and considered to be effective in the management (95% and 89% bracing and taping, respectively) and prevention (96% and 92% bracing and taping, respectively) of lateral ankle sprains. For management, semi-rigid brace with straps (26%) and figure eight taping technique (42%) were the most frequently used. For prevention, the most commonly used were soft brace with straps (30%) and the figure eight taping technique (37%).</div></div><div><h3>Conclusions</h3><div>Australian professionals expressed a positive attitude towards using ankle supports in the management and prevention of lateral ankle sprains.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 75-83"},"PeriodicalIF":2.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359294","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

The association between hip adductor and extensor strength, and hip-related patient-reported outcomes in patients with longstanding hip and groin pain: An exploratory cross-sectional study 长期髋关节和腹股沟疼痛患者的髋关节内收肌和外展肌力量与髋关节相关患者报告结果之间的关联：一项探索性横断面研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-09-18 DOI: 10.1016/j.ptsp.2024.09.002

Anders Pålsson, Jenny Älmqvist Nae

{"title":"The association between hip adductor and extensor strength, and hip-related patient-reported outcomes in patients with longstanding hip and groin pain: An exploratory cross-sectional study","authors":"Anders Pålsson, Jenny Älmqvist Nae","doi":"10.1016/j.ptsp.2024.09.002","DOIUrl":"10.1016/j.ptsp.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to assess the association between hip muscle strength and hip-related patient-reported outcome measures (PROMs) in patients with longstanding hip and groin pain (LHGP).</div></div><div><h3>Design</h3><div>Cross-sectional design.</div></div><div><h3>Setting</h3><div>Orthopedic care.</div></div><div><h3>Participants</h3><div>Eighty-one patients with LHGP were consecutively recruited.</div></div><div><h3>Main outcome measures</h3><div>Hip muscle strength was measured in adduction and extension. Hip-related PROMs was measured with the Copenhagen Hip and Groin Outcome Score (HAGOS) which includes six subscales (Symptoms, Pain, Activity in Daily Living (ADL), Physical Function in Sports and Recreation (Sport/Rec), Participation in Physical Activities (PA), and Quality of Life (QoL). Linear regression examined the association between hip muscle strength and each HAGOS subscale.</div></div><div><h3>Results</h3><div>Greater isometric hip muscle strength in adduction was associated with better HAGOS score for Pain and ADL (p ≤ 0.037), but not for Symptoms, Sport/Rec, PA, or QoL (p ≥ 0.154). Greater isometric hip muscle strength in extension was associated with better HAGOS score for Symptoms, Pain, and ADL (p ≤ 0.034), but not for Sport/Rec, PA, or QoL (p ≥ 0.084).</div></div><div><h3>Conclusions</h3><div>In patients with LHGP, greater isometric hip muscle strength seems to be associated with less symptoms and pain, and better function in ADL. No association was found for Sport/Rec, PA, or QoL.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 61-66"},"PeriodicalIF":2.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24001056/pdfft?md5=320b49fded9c8daaf551c19858ceb800&pid=1-s2.0-S1466853X24001056-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309519","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

Acute effects of the short-foot exercise in runners with medial tibial stress syndrome: A quasi-experimental study 短足运动对胫骨内侧应力综合征患者的急性影响：准实验研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-09-16 DOI: 10.1016/j.ptsp.2024.09.001

Mauricio Barramuño-Medina , Pablo Aravena-Sagardia , Pablo Valdés-Badilla , Germán Gálvez-García , Sergio Jiménez-Torres , Wilson Pastén-Hidalgo

{"title":"Acute effects of the short-foot exercise in runners with medial tibial stress syndrome: A quasi-experimental study","authors":"Mauricio Barramuño-Medina , Pablo Aravena-Sagardia , Pablo Valdés-Badilla , Germán Gálvez-García , Sergio Jiménez-Torres , Wilson Pastén-Hidalgo","doi":"10.1016/j.ptsp.2024.09.001","DOIUrl":"10.1016/j.ptsp.2024.09.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Analyze whether there are immediate changes in peak soleus activation and peak hindfoot eversion after short-foot exercise (SFE) in runners with medial tibial stress syndrome (MTSS). Secondarily, establish differences in peak soleus activation and peak hindfoot eversion between asymptomatic individuals and those presenting MTSS.</div></div><div><h3>Design</h3><div>Quasi-experimental study.</div></div><div><h3>Setting</h3><div>University Laboratory.</div></div><div><h3>Participants</h3><div>Thirty-two runners participated: 16 with MTSS and 16 in the no-pain group (NPG).</div></div><div><h3>Main outcome measures</h3><div>Soleus activation was measured using electromyography, and hindfoot eversion via 3D kinematic analysis. Participants performed SFE, and running data were collected at 9,12 and 15 km/h pre- and post-intervention.</div></div><div><h3>Results</h3><div>SFE reduced peak soleus activation at 9 (<em>p</em> = 0.017) and 15 km/h (<em>p</em> = 0.019) for the MTSS group and at 15 km/h (<em>p</em> < 0.001) for the NPG, suggesting improved neuromuscular efficiency and potentially reduced tibial stress. SFE did not significantly affect peak hindfoot eversion. Significant correlations were found between ankle dorsiflexion range of motion and muscle activation (r = 0.585 to 0.849, <em>p</em> < 0.05). These findings suggest SFE could improve neuromuscular efficiency and reduce tibial stress, and highlights ankle flexibility's role in muscle activation.</div></div><div><h3>Conclusions</h3><div>SFE significantly reduces soleus activation, potentially improving neuromuscular efficiency and decreasing tibial stress.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 67-74"},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314492","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

Longitudinal assessment of knee joint proprioception using weight-bearing and non-weight-bearing tests throughout rehabilitation after anterior cruciate ligament reconstruction 在前十字韧带重建术后的整个康复过程中，使用负重和非负重测试对膝关节本体感觉进行纵向评估

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-09-02 DOI: 10.1016/j.ptsp.2024.08.009

Adam Grinberg, Andrew Strong, Charlotte K. Häger

{"title":"Longitudinal assessment of knee joint proprioception using weight-bearing and non-weight-bearing tests throughout rehabilitation after anterior cruciate ligament reconstruction","authors":"Adam Grinberg, Andrew Strong, Charlotte K. Häger","doi":"10.1016/j.ptsp.2024.08.009","DOIUrl":"10.1016/j.ptsp.2024.08.009","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate active knee joint position sense (JPS) throughout rehabilitation after anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Design</h3><p>Longitudinal.</p></div><div><h3>Setting</h3><p>Motion laboratory.</p></div><div><h3>Participants</h3><p>Twenty-two individuals post-ACLR and 22 activity-matched non-injured controls performed weight-bearing and non-weight-bearing knee JPS tests. The ACLR participants performed at three functional timepoints: T1, able to perform single-leg sit-to-stand; T2, able to hop maximally; T3, cleared for return to sports. Controls performed on one occasion.</p></div><div><h3>Main outcome measures</h3><p>Constant, absolute, variable errors (CE, AE, VE) and interlimb symmetry estimates (100% signifying perfect symmetry), for 40° and 65° knee flexion target angles.</p></div><div><h3>Results</h3><p>For the weight-bearing 40° condition, CE and AE of the ACLR knee significantly increased from T1 to T2 (P = 0.010) and T1 to T3 (P = 0.002). Consequently, interlimb asymmetry for AE significantly increased from T1 (AE<sub>sym%</sub> = 101.2% ± 55.4%) to T3 (AE<sub>sym%</sub> = 139.7% ± 54.8%). Compared to controls, AE for the ACLR knee was significantly smaller at T1 (P = 0.016). No other significant differences were observed.</p></div><div><h3>Conclusions</h3><p>Smaller JPS errors at early rehabilitation while weight-bearing may have been due to heightened quadriceps activation and increased γ motor neuron sensitivity, compensating for deficient ACL mechanoreceptors. In contrast, non-weight-bearing testing did not reveal changes over time. Clinicians are advised to consider these distinctions when assessing proprioception at different rehabilitation stages.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"70 ","pages":"Pages 53-60"},"PeriodicalIF":2.2,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24001032/pdfft?md5=72aced5313823934651bfb60b8710310&pid=1-s2.0-S1466853X24001032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232408","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