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Effect of a lumbopelvic stability training program on lower extremity kinematic parameters in low back pain developers during single-leg squat
IF 2.2 3区 医学
Physical Therapy in Sport Pub Date : 2025-04-22 DOI: 10.1016/j.ptsp.2025.04.007
Sama Azizmohammadi, Foad Seidi, Shahrzad Zandi
{"title":"Effect of a lumbopelvic stability training program on lower extremity kinematic parameters in low back pain developers during single-leg squat","authors":"Sama Azizmohammadi,&nbsp;Foad Seidi,&nbsp;Shahrzad Zandi","doi":"10.1016/j.ptsp.2025.04.007","DOIUrl":"10.1016/j.ptsp.2025.04.007","url":null,"abstract":"<div><h3>Objectives</h3><div>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).</div></div><div><h3>Design</h3><div>Pre-post study.</div></div><div><h3>Setting</h3><div>University dormitory gym.</div></div><div><h3>Participants</h3><div>Thirty female participants identified as LBPDs, divided into two groups of experimental (n = 15) and control (n = 15).</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 181-191"},"PeriodicalIF":2.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877516","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
Patellofemoral joint loads are lower when adolescents with patellofemoral pain run in flat, flexible shoes compared to traditional athletic shoes
IF 2.2 3区 医学
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
{"title":"Patellofemoral joint loads are lower when adolescents with patellofemoral pain run in flat, flexible shoes compared to traditional athletic shoes","authors":"Natalie Mazzella ,&nbsp;Danielle Trowell ,&nbsp;Aaron Fox ,&nbsp;Natalie Saunders ,&nbsp;Bill Vicenzino ,&nbsp;Jason Bonacci","doi":"10.1016/j.ptsp.2025.04.004","DOIUrl":"10.1016/j.ptsp.2025.04.004","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Participants</h3><div>Twenty-six adolescents with patellofemoral pain ran on an instrumented treadmill in a traditional athletic shoe and a flat, flexible shoe.</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>Peak patellofemoral joint reaction force was 11 % (p &lt; 0.001) lower while running in the flat, flexible shoe (mean <em>±</em> SD 3.62 <em>±</em> 1.01 N/kg), compared to the athletic shoe (4.09 <em>±</em> 0.97 N/kg). Cumulative patellofemoral joint force was 15 % (p &lt; 0.001) lower while running in the flat, flexible shoe (195.09 <em>±</em> 75.97 Bw.s/km), compared to the athletic shoe (231.54 <em>±</em> 87.95 Bw.s/km). Peak knee flexion angle (p &lt; 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.</div></div><div><h3>Conclusions</h3><div>Flat, flexible shoes may be a suitable intervention to lower cumulative patellofemoral joint loads during running in adolescents with patellofemoral pain.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 165-170"},"PeriodicalIF":2.2,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863619","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
Advanced applications of backward Design: Crafting holistic and athlete-centered injury rehabilitation plans
IF 2.2 3区 医学
Physical Therapy in Sport Pub Date : 2025-04-18 DOI: 10.1016/j.ptsp.2025.04.006
Lionel Chia , Evangelos Pappas
{"title":"Advanced applications of backward Design: Crafting holistic and athlete-centered injury rehabilitation plans","authors":"Lionel Chia ,&nbsp;Evangelos Pappas","doi":"10.1016/j.ptsp.2025.04.006","DOIUrl":"10.1016/j.ptsp.2025.04.006","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 152-155"},"PeriodicalIF":2.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860618","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
Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up
IF 2.2 3区 医学
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
{"title":"Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up","authors":"Leonardo Luiz Barretti Secchi ,&nbsp;Paula Rezende Camargo ,&nbsp;Laís Emanuelle Meira Alves ,&nbsp;Luciana De Michelis Mendonça","doi":"10.1016/j.ptsp.2025.04.003","DOIUrl":"10.1016/j.ptsp.2025.04.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify interactions among variables of the upper limbs, trunk, and hip joint associated with shoulder pain occurrence in asymptomatic overhead athletes.</div></div><div><h3>Design</h3><div>prospective cohort study.</div></div><div><h3>Setting</h3><div>Sports club facilities.</div></div><div><h3>Participants</h3><div>Ninety-five adult asymptomatic overhead athletes from national first division teams, both sexes.</div></div><div><h3>Main outcomes measures</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>Shoulder pain occurrence in overhead athletes was associated with interactions among UQYBT, isometric strength of the shoulder ER muscles, and USSP-T.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 156-164"},"PeriodicalIF":2.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860619","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
Young male players exhibit higher eccentric hamstring muscle fatigue than females and older males after a basketball match participation
IF 2.2 3区 医学
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
{"title":"Young male players exhibit higher eccentric hamstring muscle fatigue than females and older males after a basketball match participation","authors":"Sebastiano Nutarelli ,&nbsp;Alessandro Sangiorgio ,&nbsp;Luca Gilardoni ,&nbsp;Giacomo Moraca ,&nbsp;Giuseppe Filardo","doi":"10.1016/j.ptsp.2025.04.002","DOIUrl":"10.1016/j.ptsp.2025.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Investigating hamstring eccentric strength before and after a basketball match.</div></div><div><h3>Design</h3><div>Cohort observational study.</div></div><div><h3>Setting</h3><div>Playing facilities of local basketball teams on official championship matches.</div></div><div><h3>Participants</h3><div>Forty-four healthy male and female 14-25-year-old basketball athletes.</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>Younger male basketball players were more fatigued post-match compared to their older same-sex peers.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 171-180"},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868963","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
Sports-related pain prevalence in TeamGym during normal and reduced training periods: A survey of 579 Danish gymnasts
IF 2.2 3区 医学
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
{"title":"Sports-related pain prevalence in TeamGym during normal and reduced training periods: A survey of 579 Danish gymnasts","authors":"Charlotte Anker-Petersen ,&nbsp;Mikkel Bek Clausen ,&nbsp;Birgit Juul-Kristensen ,&nbsp;Per Hölmich ,&nbsp;Kristian Thorborg","doi":"10.1016/j.ptsp.2025.04.001","DOIUrl":"10.1016/j.ptsp.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>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.</div></div><div><h3>Participants</h3><div>TeamGym gymnasts aged 10–30 years.</div></div><div><h3>Main outcome measures</h3><div>Self-reported history of pain/discomfort.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 144-151"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839015","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 prevalence and incidence of hip and groin injury in female field invasion team sports: A systematic review
IF 2.2 3区 医学
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
{"title":"The prevalence and incidence of hip and groin injury in female field invasion team sports: A systematic review","authors":"Shauna Jordan ,&nbsp;Clare Lodge ,&nbsp;Ulrik McCarthy-Persson ,&nbsp;Helen P. French ,&nbsp;Catherine Blake","doi":"10.1016/j.ptsp.2025.03.011","DOIUrl":"10.1016/j.ptsp.2025.03.011","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 133-143"},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816357","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
Effects of differing platform orientations on forefoot and hindfoot kinematics in chronic ankle instability during single leg landing
IF 2.2 3区 医学
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
{"title":"Effects of differing platform orientations on forefoot and hindfoot kinematics in chronic ankle instability during single leg landing","authors":"Anthony Laigo ,&nbsp;Takanori Kikumoto ,&nbsp;Tomoya Takabayashi ,&nbsp;Takahiro Watanabe ,&nbsp;Yudai Kikuchi ,&nbsp;Masayoshi Kubo","doi":"10.1016/j.ptsp.2025.03.012","DOIUrl":"10.1016/j.ptsp.2025.03.012","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Setting</h3><div>Biomechanics laboratory.</div></div><div><h3>Participants</h3><div>20 university students, 12 with CAI, 8 controls.</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>The CAI group showed significantly greater forefoot inversion (η<sup>2</sup> = 0.32; p &lt; 0.01) and non-significant group difference in hindfoot eversion (ƞ<sup>2</sup> = 0.183; p = 0.06). Orientation and inclination had large effects on forefoot motion (η<sup>2</sup> = 0.56 and 0.80, respectively; p &lt; 0.001). A significant group × segment interaction (η<sup>2</sup> = 0.24; p &lt; 0.001) indicated contrasting movement between the forefoot and hindfoot in CAI, not observed in controls.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 114-120"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783645","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
Hip-focused strengthening and task-specific movement training for an individual with chronic, recurrent femoroacetabular impingement syndrome
IF 2.2 3区 医学
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
{"title":"Hip-focused strengthening and task-specific movement training for an individual with chronic, recurrent femoroacetabular impingement syndrome","authors":"Lee T. Atkins ,&nbsp;Kelsey Ede ,&nbsp;Megan Reid ,&nbsp;Daniel Chan","doi":"10.1016/j.ptsp.2025.03.010","DOIUrl":"10.1016/j.ptsp.2025.03.010","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>Case Report.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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°).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 107-113"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760648","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 musculoskeletal complaints in para-athletes: A systematic review and critical appraisal of available Patient-Reported Outcome Measures
IF 2.2 3区 医学
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
{"title":"Assessing musculoskeletal complaints in para-athletes: A systematic review and critical appraisal of available Patient-Reported Outcome Measures","authors":"Nil Jodar-Boixet ,&nbsp;Cristina Torres-Pascual ,&nbsp;Rafel Donat-Roca ,&nbsp;Kristian Thorborg ,&nbsp;Anna Prats-Puig ,&nbsp;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}
引用次数: 0
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