David J. Kempfert , Lucy H. Clacher , Nicholas C. Clark
{"title":"Relationship between single-leg balance, single-leg hop, and agility running performance in female field hockey players: Implications for lower extremity injury prevention screening","authors":"David J. Kempfert , Lucy H. Clacher , Nicholas C. Clark","doi":"10.1016/j.ptsp.2025.06.002","DOIUrl":"10.1016/j.ptsp.2025.06.002","url":null,"abstract":"<div><h3>Objectives</h3><div>In field hockey, there is limited information regarding lower extremity (LE) injury prevention screening protocols. To help inform the design of field hockey LE injury prevention screening protocols, the purpose of this study was to investigate whether static and dynamic single-leg balance (SLB), single-leg hop (SLH), and agility running tasks with unilateral limb-loading bias capture similar or different aspects of LE motor performance.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Setting</h3><div>Indoor training facility.</div></div><div><h3>Participants</h3><div>Thirty adult female players.</div></div><div><h3>Main outcome measures</h3><div>For the right and left LE, Pearson's correlations (<em>r</em>) and the coefficient of determination (<em>r</em><sup>2</sup>) assessed between-task relationships and shared variance, respectively, for: eyes-closed SLB, Star Excursion Balance Test – anterior reach, triple-hop-for-distance, 6-m-hop-for-time, modified pro-agility test.</div></div><div><h3>Results</h3><div>Across all correlations, 50% were not statistically-significant. Statistically-significant (<em>P</em> < 0.05) relationships were returned for the right LE (<em>r</em> = −0.69 to 0.42, <em>r</em><sup>2</sup> = 0.17 to 0.48) and left LE (<em>r</em> = −0.62 to 0.53, <em>r</em><sup>2</sup> = 0.17 to 0.38). Overall, between-task shared variance was ≤48.0%.</div></div><div><h3>Conclusions</h3><div>Because between-task shared variance was ≤48.0%, static and dynamic SLB, SLH, and agility running tasks with unilateral limb-loading bias each assess different aspects of LE motor performance. Therefore, practitioners should incorporate a range of LE motor performance tasks when designing field hockey LE injury prevention screening protocols.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 118-126"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518477","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}
Cheryl Shu Ming Chia , Sai-Chuen Fu , Violet Man-Chi Ko , Xin He , Xueyou Zhang , Yinghui Hua , Patrick Shu-Hang Yung , Samuel Ka-Kin Ling
{"title":"Investigating peroneus muscle quality in ankle stability: A comparative analysis between chronic ankle instability patients and healthy controls","authors":"Cheryl Shu Ming Chia , Sai-Chuen Fu , Violet Man-Chi Ko , Xin He , Xueyou Zhang , Yinghui Hua , Patrick Shu-Hang Yung , Samuel Ka-Kin Ling","doi":"10.1016/j.ptsp.2025.06.001","DOIUrl":"10.1016/j.ptsp.2025.06.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare peroneal muscle quality between individuals with chronic ankle instability (CAI) and healthy controls, and to examine their relationship with ankle stability.</div></div><div><h3>Design</h3><div>Case-control study.</div></div><div><h3>Setting</h3><div>Sports Medicine research laboratory.</div></div><div><h3>Methods</h3><div>Sixty-five participants (35 with unilateral CAI, 30 healthy controls) were assessed. Peroneal muscle size, echogenicity, and passive stiffness were measured using ultrasound imaging and eversion strength was assessed with a hand-held dynamometer. Ankle stability was evaluated using the Y Balance Test (YBT), lateral step-down, and single-leg stance tests.</div></div><div><h3>Results</h3><div>Compared to controls, individuals with CAI showed significantly lower eversion strength, higher muscle echogenicity, and increased passive stiffness. In the CAI group, greater stiffness and reduced strength were associated with higher centre of pressure displacement during single-leg stance. Higher eversion strength was associated with increased YBT scores across all participants. Echogenicity was not directly associated with stability functions.</div></div><div><h3>Conclusion</h3><div>Deficits in peroneal muscle quality, involving echogenicity, strength and stiffness, are demonstrated in the CAI population. These factors are associated with impaired instability among CAI individuals. Interventions targeting peroneal muscle quality may improve balance and reduce the risk of recurrent ankle injuries in this population.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 104-117"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518511","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}
Benjamin Ben Zaki , Marc Julia , Gauthier Desmyttere , Stéphane Perrey , Gilles Dusfour
{"title":"Altered landing strategy during vertical jump tasks in elite volleyball players with patellar tendinopathy","authors":"Benjamin Ben Zaki , Marc Julia , Gauthier Desmyttere , Stéphane Perrey , Gilles Dusfour","doi":"10.1016/j.ptsp.2025.05.011","DOIUrl":"10.1016/j.ptsp.2025.05.011","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the biomechanical strategies during the landing phase of vertical jumps in volleyball players with or without patellar tendinopathy.</div></div><div><h3>Design</h3><div>Cross-sectional observational study.</div></div><div><h3>Setting</h3><div>Field-based study.</div></div><div><h3>Participants</h3><div>Twenty-three elite volleyball players, 9 of whom where symptomatic for patellar tendinopathy (PT; Victorian Institute of Sport Assessment-Patella (VISA-P) score ≤80).</div></div><div><h3>Main outcome measures</h3><div>Participants performed 4 types of vertical jumps: squat jump (SJ), countermovement jump without/with hands (CMJNH/CMJWH), and drop jump (DJ). Landing biomechanics were recorded using inertial measurement units and force platforms.</div></div><div><h3>Results</h3><div>The PT group exhibited greater maximal knee flexion angles during CMJNH and DJ (p = 0.02 and p = 0.02; Hedges' g = −0.92 and −1.01, respectively), along with increased knee sagittal plane range of motion across CMJNH, CMJWH, and DJ (p = 0.007, p = 0.04, and p = 0.05; Hedges' g = −1.16, −0.85, and −0.88, respectively). Additionally, the PT group demonstrated higher rates of velocity decrease during CMJWH and DJ (p = 0.015 and p = 0.005; Hedges’ g = −0.97 and −1.17, respectively).</div></div><div><h3>Conclusions</h3><div>This study highlighted key knee joint kinematics differences in PT athletes during jump landing. Future applications may include early detection of the pathology, before functional impairments develop.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 96-103"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222770","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}
Hansung Lee , Michael Ambrose , Xavier D. Thompson , Kevin M. Cross , Casey Moler , F. Winston Gwathmey , Brian C. Werner , Charles Su , Christopher Kuenze
{"title":"Comparison of patient-reported and objective functional measures during the early rehabilitative phase in patients with primary versus revision ACL reconstruction","authors":"Hansung Lee , Michael Ambrose , Xavier D. Thompson , Kevin M. Cross , Casey Moler , F. Winston Gwathmey , Brian C. Werner , Charles Su , Christopher Kuenze","doi":"10.1016/j.ptsp.2025.05.010","DOIUrl":"10.1016/j.ptsp.2025.05.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Few studies have determined how individuals who undergo a second ACL reconstruction (ACLR) perform in terms of objective and patient-reported outcomes in the early rehabilitation period compared to individuals who undergo primary ACLR. This study investigated the difference in strength and functional outcomes 3–5 months postoperatively in revision ACLR patients compared to primary ACLR patients.</div></div><div><h3>Design</h3><div>Cross-Sectional Retrospective Chart Review.</div></div><div><h3>Setting</h3><div>Single university-based orthopaedic practice.</div></div><div><h3>Participants</h3><div>143 patients who underwent ACLR (121 primary, 22 revision)</div></div><div><h3>Main outcome measures</h3><div>Isokinetic knee extension and flexion strength at 60°/s and 180°/s, the IKDC, KOOS, and ACL-RSI 4.2 ± 0.7 months after ACLR.</div></div><div><h3>Results</h3><div>After controlling for age, sex, graft source, and time since surgery, there were no significant group differences for ACL-RSI (p = 0.771), IKDC (p = 0.950), and KOOS subscale scores (p = 0.335–0.740). Similarly, there were no significant group differences in isokinetic knee extension peak torque at 60°/s and 180°/s (p = 0.155, p = 0.147) and knee flexion peak torque 60°/s and 180°/s (p = 0.279, p = 0.325). Group LSIs were comparable for isokinetic knee extension and knee flexion.</div></div><div><h3>Conclusion</h3><div>Three to five months postoperatively, revision ACLR patients performed similarly in terms of thigh strength, limb symmetry, and patient-reported function compared to primary ACLR patients.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 88-95"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212702","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}
Diulian Muniz Medeiros, Bruno de Quadros Robaina, Vanda Virgínia Wolf Rigotti, Bruno Manfredini Baroni
{"title":"Resistance training with linear periodization is superior to the ‘3x10 reps protocol’ after anterior cruciate ligament reconstruction: a randomized controlled trial","authors":"Diulian Muniz Medeiros, Bruno de Quadros Robaina, Vanda Virgínia Wolf Rigotti, Bruno Manfredini Baroni","doi":"10.1016/j.ptsp.2025.05.009","DOIUrl":"10.1016/j.ptsp.2025.05.009","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effects of linear periodization (LP) resistance training after anterior cruciate ligament reconstruction (ACLR).</div></div><div><h3>Setting</h3><div>Physiotherapy clinic.</div></div><div><h3>Participants</h3><div>Male recreational athletes who underwent ACLR.</div></div><div><h3>Main outcome measures</h3><div>Knee extensor and flexor isometric strength, hop tests performance, patient-reported function (International Knee Documentation Committee, IKDC), and psychological readiness (Anterior Cruciate Ligament – Return to Sport after Injury, ACL-RSI).</div></div><div><h3>Results</h3><div>Twenty-two participants (mean age 27 ± 6 years) were randomized to either a LP program or the traditional '3x10 reps protocol'. The LP group demonstrated greater knee extensor strength gains compared to the 3x10 group (p = 0.03): 51 % (95 %CI, 28 to 73) <em>vs.</em> 26 % (95 %CI, 11 to 40). No statistically significant difference (p = 0.11) in knee flexor strength gains was observed between the LP group (45 %; 95 % CI, 18 to 71) and the 3x10 group (23 %; 95 % CI, 7 to 39). Six months after ACLR, the LP group exhibited a greater knee extensor limb symmetry index (97 ± 10 % <em>vs.</em> 85 ± 11 %, p < 0.01) and higher ACL-RSI scores (68 ± 18 vs. 53 ± 14, p = 0.04). No significant between-group differences were found in hop performance or IKDC scores (p > 0.05).</div></div><div><h3>Conclusion</h3><div>A resistance training program incorporating block-structured LP is more effective than the traditional ‘3x10 reps protocol’ in enhancing knee extensor strength and psychological readiness during ACLR rehabilitation.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 75-82"},"PeriodicalIF":2.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146919","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}
Abbis Jaffri , Rachel Koldenhoven , Alexandra Lempke , Joseph Park , Joe Hart , Jay Hertel , Susan Saliba
{"title":"Intrinsic foot muscles size and quality changes after impairment-based rehabilitation in patients with chronic ankle instability","authors":"Abbis Jaffri , Rachel Koldenhoven , Alexandra Lempke , Joseph Park , Joe Hart , Jay Hertel , Susan Saliba","doi":"10.1016/j.ptsp.2025.05.008","DOIUrl":"10.1016/j.ptsp.2025.05.008","url":null,"abstract":"<div><h3>Objective</h3><div>To determine IFMs size and quality using US imaging following rehabilitation in patients with CAI.</div></div><div><h3>Design</h3><div>Prospective cohort study.</div></div><div><h3>Settings</h3><div>University Laboratory.</div></div><div><h3>Participants</h3><div>26 patients with CAI (age:21.9 ± 3.5 yrs; 18F, 8M) completed 8 clinician-supervised rehabilitation sessions over a 4-week period.</div></div><div><h3>Main outcome measures</h3><div>US imaging assessed IFM cross-sectional area (CSA) in seated and standing positions for both trained and untrained legs before and after the intervention. Muscle quality was evaluated using grey scale analysis for echogenicity.</div></div><div><h3>Results</h3><div>Significant (P < 0.01) increases in normalized CSA were observed for AbH and FDB in both seated and standing positions. Significant improvements (P < 0.05) were also seen in the untrained leg during standing. No significant changes were found in seated positions or in echogenicity for AbH (P = 0.26) and FDB (P = 0.052) for the trained leg.</div></div><div><h3>Conclusion</h3><div>IFM CSA increased post-rehabilitation, with some cross-over effects in the untrained leg. There was a certain cross-over effect observed. The muscle quality measures didn't change for the IFMs before and after rehabilitation. The IFMs strengthening should be included in CAI rehabilitation programs. There is a definite increase in size after rehabilitation. However, for quality changes there may be a need of longer rehabilitation programs.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 51-57"},"PeriodicalIF":2.2,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124201","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}
Nili Steinberg , Liav Elbaz , Alon Eliakim , Dan Nemet , Shelly Bar-Sella , Smadar Peleg , Gali Dar
{"title":"Prevalence and physical features associated with tendon, bone, and joint pain in young artistic, acrobatic, and rhythmic female gymnasts","authors":"Nili Steinberg , Liav Elbaz , Alon Eliakim , Dan Nemet , Shelly Bar-Sella , Smadar Peleg , Gali Dar","doi":"10.1016/j.ptsp.2025.05.007","DOIUrl":"10.1016/j.ptsp.2025.05.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the prevalence of tendon, bone, and joint pain, and to examine the physical features associated with pain, in young artistic, acrobatic, and rhythmic female gymnasts.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Participants</h3><div>274 gymnasts, aged 9–16 years.</div></div><div><h3>Main outcome</h3><div>All gymnasts were clinically assessed for joint, bone, and tendon pain and for training-impact, anthropometric-measures, bone-properties, muscle-strength, and joint range-of-motion (ROM).</div></div><div><h3>Results</h3><div>Pain was identified in 69.7 % of the participants. Artistic gymnasts suffered a higher prevalence of tendon and bone pain compared to rhythmic gymnasts (p = 0.011 and p = 0.005, respectively). Logistic-regression showed that greater BMI% and lower plantar-flexor strength were associated with <em>tendon pain</em>; greater BMI%, increased age, menarche, reduced tibial-strength, and reduced muscle strength with <em>bone pain</em>; and, increased age, reduced muscle strength and increased ROM with <em>joint pain</em> (p < 0.05). A reduced risk of tendon and joint pain was found in rhythmic and acrobatic gymnasts compared to artistic gymnasts, and reduced risk of bone pain when practicing rhythmic gymnastics compared to artistic gymnastics (p < 0.05).</div></div><div><h3>Conclusions</h3><div>Young female gymnasts are at a high risk of developing pain during training. Physical features are specific to pain categories and to gymnastics disciplines. Clinically, young gymnasts should be routinely screened for physical features and for injuries.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 39-50"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106746","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}
Guilherme S. Nunes , Isabela Cortiana Machado Valle , Daniela Rigo , Luis Ulisses Signori , Fábio Juner Lanferdini , Carlos Bolli Mota , Matheus Weide Solner
{"title":"People with patellofemoral pain have task-dependent postural control alterations","authors":"Guilherme S. Nunes , Isabela Cortiana Machado Valle , Daniela Rigo , Luis Ulisses Signori , Fábio Juner Lanferdini , Carlos Bolli Mota , Matheus Weide Solner","doi":"10.1016/j.ptsp.2025.05.006","DOIUrl":"10.1016/j.ptsp.2025.05.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare postural control between people with and without patellofemoral pain (PFP) during the Star Excursion Balance Test (SEBT), single-legged stance, single-legged squat, and single-legged landing tasks.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Settings</h3><div>Laboratory.</div></div><div><h3>Participants</h3><div>Forty-four participants (22 with PFP and 22 controls).</div></div><div><h3>Main outcomes measures</h3><div>Postural control was evaluated by measuring reach distance in three directions during the SEBT, and center of pressure (CoP) behavior during the single-legged tasks.</div></div><div><h3>Results</h3><div>The PFP group demonstrated a larger CoP ellipse area during the single-legged squat (effect size [ES] = 0.82, p < 0.01) and landing tasks (ES = 0.70, p < 0.05) compared to controls. Additionally, the PFP group showed alterations in anteroposterior CoP behavior during the single-legged squat compared to controls, including increased displacement (ES = 0.78, p < 0.01), trajectory length (ES = 0.62, p < 0.05), and velocity (ES = 0.61, p < 0.03). No significant differences were found between groups for any distance in the SEBT or for CoP variables during the single-legged stance.</div></div><div><h3>Conclusions</h3><div>People with PFP exhibit postural control alterations during more dynamic tasks, such as single-legged squats and landings. However, no alteration during static tasks like single-leg stance or during any SEBT direction were observed.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 58-64"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134169","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}
Julie P. Burland , Ryan Nguyen , Michael Sarnelli , Matthew Sampson , Jacob Carlson , Lauren Sheldon , Cory M. Edgar , Laurie L. Devaney , Lindsay J. DiStefano , Neal R. Glaviano
{"title":"Evaluating the relationship between the landing error scoring system and single leg squat in ROTC cadets","authors":"Julie P. Burland , Ryan Nguyen , Michael Sarnelli , Matthew Sampson , Jacob Carlson , Lauren Sheldon , Cory M. Edgar , Laurie L. Devaney , Lindsay J. DiStefano , Neal R. Glaviano","doi":"10.1016/j.ptsp.2025.05.005","DOIUrl":"10.1016/j.ptsp.2025.05.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the correlation between the Landing Error Scoring System (LESS) and single leg squat (SLS) in assessing neuromuscular control deficits in Reserve Officers' Training Corps (ROTC) Cadets.</div></div><div><h3>Design</h3><div>Cross-sectional observational study.</div></div><div><h3>Setting</h3><div>University gymnasium.</div></div><div><h3>Participants</h3><div>Fifty-six ROTC members (Age, 20.16 ± 1.7 years; sex, 20 females, 36 males; height, 68.78 ± 3.32 inches; mass, 73.65 ± 12.98 kg; dominant limb length; 89.83 ± 5.1 cm) completed 3 jump-landings and 5 SLS trials.</div></div><div><h3>Main outcome measures</h3><div>The jump-landing and SLS were recorded using PhysiMax markerless motion capture, and errors in the frontal and sagittal planes were automatically graded on a dichotomous scale.</div></div><div><h3>Results</h3><div>Average LESS scores were 5.36 ± 2.93 errors, while SLS errors were 3.93 ± 1.03 (left) and 4.30 ± 1.73 errors (right). No significant associations were found between LESS and SLS errors, including medial knee displacement errors in frontal plane or any sagittal plane errors.</div></div><div><h3>Conclusions</h3><div>The LESS and SLS likely capture different aspects of neuromuscular control due to task differences. Clinicians should utilize both screening methods to identify high-risk movements.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 25-31"},"PeriodicalIF":2.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069241","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}
Camilla Zeitlin , Matthew Shepherd , Simon David Lack , Bradley Stephen Neal
{"title":"Blood flow restriction training compared to conventional training in people with knee pain: a systematic review with meta-analysis","authors":"Camilla Zeitlin , Matthew Shepherd , Simon David Lack , Bradley Stephen Neal","doi":"10.1016/j.ptsp.2025.05.004","DOIUrl":"10.1016/j.ptsp.2025.05.004","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate the efficacy of blood flow restriction training (BFRT) in people with knee conditions.</div></div><div><h3>Methods</h3><div>We searched Medline, Web of Science, and Sport DISCUS from inception until October 2023, seeking randomised controlled trials (RCTs) involving participants with any knee condition and BFRT in at least one intervention arm. We used a random-effects model meta-analysis to pool methodologically homogeneous data and the Grading of Recommendations, Assessment, Development, and Evaluations approach to categorise certainty of evidence.</div></div><div><h3>Results</h3><div>15 RCTs involving 418 participants were eligible, investigating people post-anterior cruciate ligament reconstruction (n = 7) and cartilage surgery (n = 2), or with knee osteoarthritis (n = 3) and patellofemoral pain (n = 3). There is very low certainty evidence that adding BFRT to resistance training is superior to resistance training for pain outcomes (small SMD 0.47, 95 % CI 0.09, 0.85). There is very low certainty evidence that adding BFRT to resistance training is equivalent to resistance training for function and strength outcomes.</div></div><div><h3>Conclusions</h3><div>BFRT offers a significant effect on short-term pain that is of questionable clinical relevance, and no significant effects on function or quadriceps strength. Future high-quality RCTs are required to appropriately explore clinical efficacy, and clinicians should exercise caution in offering BFRT to people with knee conditions.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 65-74"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137830","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}