Physical Therapy in Sport最新文献

{"title":"Persistent altered knee loading in patients with meniscectomy: A systematic review and meta-analysis","authors":"Kyle T. Falvey,&nbsp;Chad M. Kinshaw,&nbsp;Gordon L. Warren,&nbsp;Liang-Ching Tsai","doi":"10.1016/j.ptsp.2023.10.005","DOIUrl":"10.1016/j.ptsp.2023.10.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the changes in knee flexion moment (KFM) and knee adduction<span> moment (KAM) during weight-bearing activities following meniscectomy.</span></p></div><div><h3>Design</h3><p>Meta-Analysis.</p></div><div><h3>Setting</h3><p>Laboratory.</p></div><div><h3>Participants</h3><p>332 meniscectomy patients and 137 healthy controls (from 13 qualified studies)</p></div><div><h3>Main outcome measures</h3><p>Cohen's d effect sizes (ESs) were calculated to compare KAM and KFM values of the surgical legs to the non-surgical and to healthy control legs.</p></div><div><h3>Results</h3><p>When compared to healthy controls, meniscectomy patients' surgical legs demonstrated a significantly greater KAM (ES = 0.310; <em>P</em> = 0.002) but no significant difference in KFM (ES = −0.182; <em>P</em> = 0.051). When compared to the patients' non-surgical legs, however, the surgical legs showed no difference in KAM (ES = −0.024; <em>P</em> = 0.716) but a significantly lower KFM (ES = −0.422; <em>P</em> &lt; 0.001). High heterogeneity among study ESs was observed in patients’ between-limb comparison for KAM (Q-value = 20.08, <em>P =</em> 0.005; I² = 65.1%) and KFM (Q-value = 43.96, <em>P</em> &lt; 0.001; I² = 79.5%). However, no significant differences in study ESs (all <em>P</em> &gt; 0.102) of KFM and KAM were identified when comparing studies with various times post-surgery, weight-bearing tasks, walking speeds, or patient demographics.</p></div><div><h3>Conclusion</h3><p>Elevated KAM and reduced/asymmetrical KFM observed in meniscectomy patients may contribute to the increased risk of knee OA. Rehabilitation should focus on movement education to restore between-limb KFM symmetry and reduce KAM bilaterally post-meniscectomy.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"65 ","pages":"Pages 14-22"},"PeriodicalIF":2.4,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509643","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":"Clinical practice and barriers among Swiss physiotherapists treating patients with anterior cruciate ligament reconstruction: A survey of pre-operative rehabilitation to return to sport","authors":"Mathieu Pulver ,&nbsp;Roger Hilfiker ,&nbsp;Mario Bizzini ,&nbsp;Nicolas Mathieu ,&nbsp;Stephan Meyer ,&nbsp;Lara Allet","doi":"10.1016/j.ptsp.2023.10.007","DOIUrl":"10.1016/j.ptsp.2023.10.007","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate current clinical practice of Swiss physiotherapists treating patients with anterior cruciate ligament reconstruction (ACLR) from pre-operative rehabilitation until return to sport (RTS). We assessed optimisation strategies in daily practice and the perceived barriers to these optimisations, and evaluated whether there was a relevant difference in clinical practice for physiotherapists with post-graduate certification in sports physiotherapy or deep clinical experience and those without such experience.</p></div><div><h3>Design</h3><p>Cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online survey platform.</p></div><div><h3>Participants</h3><p>Swiss physiotherapists.</p></div><div><h3>Main outcome measures</h3><p>The survey comprised six sections: participant information, pre-operative rehabilitation, post-operative rehabilitation, RTS, re-injury prevention, and optimisation strategies and barriers.</p></div><div><h3>Results</h3><p>A minority of physiotherapists treated ACLR patients pre-operatively. Overall, 91% included quadriceps open kinetic chain exercise in their treatment, 37% used patient-reported outcomes measures (PROMs) and 39% considered psychological criteria when making decisions about RTS. Most physiotherapists (67%) felt limited due to the time available, the number of prescriptions and the tariffication system.</p></div><div><h3>Conclusion</h3><p>This study highlights areas within ACLR rehabilitation practice in Switzerland that could be improve. Improvements in understanding of the barriers to implementation of best evidence in practice and a redefinition of the clinical process around ACLR rehabilitation in Switzerland are necessary.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"65 ","pages":"Pages 38-48"},"PeriodicalIF":2.4,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X23001335/pdfft?md5=4820bf9d4e6031eb9d407dcaf808b858&pid=1-s2.0-S1466853X23001335-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135515932","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}

{"title":"Training for shorter ultra-trail races results in a higher injury rate, a more diverse injury profile, and more severe injuries: 2022 Mac ultra races","authors":"Carel Viljoen ,&nbsp;Eileen du Toit ,&nbsp;Tyla van Niekerk ,&nbsp;Sylvester Mashaba ,&nbsp;Zinhle Ndaba ,&nbsp;Michelle Verster ,&nbsp;Andre Bellingan ,&nbsp;Dimakatso Ramagole ,&nbsp;Audrey Jansen van Rensburg ,&nbsp;Tanita Botha ,&nbsp;Dina C. Janse van Rensburg","doi":"10.1016/j.ptsp.2023.10.004","DOIUrl":"10.1016/j.ptsp.2023.10.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Determine and compare the epidemiology, clinical characteristics, and injury severity among race entrants training towards different ultra-trail race distances.</p></div><div><h3>Design</h3><p>Retrospective cross-sectional study.</p></div><div><h3>Setting</h3><p>The six months training period before the 2022 Mac Ultra races (46 km, 80 km, 161 km and 322 km).</p></div><div><h3>Participants</h3><p>Of the 245 race entrants, 162 (66% of Mac ultra-trail runners) consented to analyse their data.</p></div><div><h3>Outcome measures</h3><p>Injury rate (injuries per 1000 h of running), point prevalence (% of currently injured participants), injury severity (time loss), and the frequency (n, %) of injuries reported during pre-race medical screening in the six months before the race. Using inferential statistics, we compared the injury rates between the different race distance categories (46 km, 80 km, 161 km, 322 km). All tests were performed at a 5% level of significance.</p></div><div><h3>Results</h3><p>We reported a statistically significantly higher injury rate among 46 km study participants (3.09 injuries per 1000 h) compared to the injury rates reported among 80 km (0.68 injuries per 1000 h; p = 0.001) and 161 km (1.09 injuries per 1000 h; p = 0.028) participants. The lower limb (89%) was the most injured anatomical region, with only 46 km study participants reporting upper limb, trunk, and head injuries<span> (11%). Muscle/tendon was the most reported injured tissue type (56%), with muscle injuries (31%) the most reported pathology type. Shorter distance ultra-trail runners reported the highest injury severity.</span></p></div><div><h3>Conclusion</h3><p>Ultra-trail runners training towards shorter ultra-trail distance races presented with a higher injury rate, more diverse injury profile, and a higher injury severity.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"65 ","pages":"Pages 7-13"},"PeriodicalIF":2.4,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135412276","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":"Anterior cruciate ligament injury occurrence, return to sport and subsequent injury in the Australian High Performance Sports System: A 5-year retrospective analysis","authors":"Joshua D. Rigg ,&nbsp;Nirmala Kanthi Panagodage Perera ,&nbsp;Liam A. Toohey ,&nbsp;Jennifer Cooke ,&nbsp;David Hughes","doi":"10.1016/j.ptsp.2023.10.001","DOIUrl":"https://doi.org/10.1016/j.ptsp.2023.10.001","url":null,"abstract":"<div><h3>Objectives</h3><p><span>To report anterior cruciate ligament (ACL) injury occurrence, return to sport (RTS) timeframes and </span>ACL subsequent injuries recorded in the Australian High Performance Sports System according to athlete sex.</p></div><div><h3>Methods</h3><p>ACL injury data of injured athletes were prospectively collected by the treating sports and exercise physicians and physiotherapists within the Australian High Performance Sports System between January 1, 2015 and May 31, 2020. RTS time frames for ACL injuries and the proportion of subsequent ACL injuries were calculated. The RTS time was compared between sexes, age groups and ACL injury categories using the Mann-Whitney <em>U</em> test and the Kruskal-Wallis test.</p></div><div><h3>Results</h3><p>A total of 132 ACL injuries were reported in 108 athletes (77 female, 31 male). ACL injuries accounted for 6.4% of all reported knee injuries, with almost half (48.5%) of the ACL injuries reported to occur during training. Median RTS time was 369 days (IQR = 273–487), with RTS times reducing with increasing age (<em>X</em>²<span> (Zbrojkiewicz et al., 2018) = 11.781, p = 0.008). The presence of concurrent knee pathology did not significantly affect the RTS timeframes. ACL injuries were most frequently reported in netball, winter sports, basketball, field hockey and gymnastics. One quarter of the ACL reported (n = 34, 25.8%) were subsequent to a prior ACL injury, with the majority of these injuries occurring to the ipsilateral knee (n = 26) as opposed to contralateral knee (n = 6).</span></p></div><div><h3>Conclusions</h3><p>Despite ACL injuries accounting for a small proportion of all knee injuries reported in the Australian High Performance Sports System, more than a quarter are subsequent to a previous ACL injury. Shorter RTS times were observed in older athletes; however, considerable periods of time-loss occur as a consequence of ACL injuries. Effective primary prevention, rehabilitation processes, and ongoing tertiary prevention strategies are warranted in this population.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 140-146"},"PeriodicalIF":2.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92103007","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":"Frontal plane pelvic kinematics during high velocity running: Association with hamstring injury history","authors":"Cameron A. Nurse ,&nbsp;Cara L. Lewis ,&nbsp;Sandra J. Shefelbine","doi":"10.1016/j.ptsp.2023.10.002","DOIUrl":"10.1016/j.ptsp.2023.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Hamstring injuries are the most prevalent non-contact soft tissue injury in sports, with a larger portion of injuries being recurrent. The sagittal plane running kinematics correlated to hamstring injury history has been well documented. However, analysis of frontal plane kinematics allows for observation of stability and symmetry. This study aimed to examine the frontal plane running kinematics of elite collegiate level sprinters, with and without previous hamstring injury, compared to healthy counterparts.</p></div><div><h3>Methods</h3><p><span>Thirty-nine participants performed three 50-m sprints, with three inertial measurement unit sensors placed on the pelvis: one on each iliac crest and one on the </span>sacrum. Participants were classified based on sex, competitive status, and injury history. To investigate differences based on group classification, the data were used to analyze mediolateral motion (relative magnitude of mediolateral acceleration) and asymmetry (difference in acceleration between right and left iliac crests) during each stance phase throughout the run.</p></div><div><h3>Results</h3><p>Injured sprinters displayed significantly greater mediolateral motion and asymmetry during stances than healthy counterparts.</p></div><div><h3>Conclusions</h3><p>This study demonstrates that frontal plane running stance dynamics are different in athletes with previous hamstring injury than healthy athletes. These athletes may benefit from rehabilitation strategies targeting postural control and stability during dynamic tasks.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 133-139"},"PeriodicalIF":2.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61567098","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":"Within-session and between-session effects of auditory biofeedback training on center of pressure location during gait in patients with chronic ankle instability","authors":"Luke Donovan ,&nbsp;Danielle M. Torp ,&nbsp;Abbey C. Thomas","doi":"10.1016/j.ptsp.2023.04.009","DOIUrl":"10.1016/j.ptsp.2023.04.009","url":null,"abstract":"<div><h3>Objectives</h3><p>To establish preliminary gait training dosage parameters for patients with chronic ankle instability (CAI) by determining the within-session and between-session effects of auditory biofeedback training on center of pressure (COP) location during gait.</p></div><div><h3>Design</h3><p>Observational Longitudinal.</p></div><div><h3>Setting</h3><p>Laboratory.</p></div><div><h3>Participants</h3><p>19 participants with CAI, 8 participants who did not receive auditory biofeedback (NoFeedback group) and 11 participants who did receive auditory biofeedback (AuditoryFeedback group) over an 8-session 2-week intervention.</p></div><div><h3>Main outcome measures</h3><p>COP location was measured at the start and at each 5-min interval during treadmill walking across all eight 30-min training sessions.</p></div><div><h3>Results</h3><p>The AuditoryFeedback group had significant within-session lateral-to-medial shifts in COP location during only session-1 at the 15-min (45% of stance; peak mean difference = 4.6 mm), 20-min (35% and 45%; 4.2 mm), and 30-min time intervals (35% and 45%; 4.1 mm). Furthermore, the AuditoryFeedback group had significant between-session lateral-to-medial shifts in COP location at session-5 (35–55% of stance; 4.2 mm), session-7 (35%–95%; 6.7 mm), and session-8 (35%–95%; 7.7 mm). The NoFeedback group had no significant changes in COP location within-sessions or between-sessions.</p></div><div><h3>Conclusions</h3><p>Participants with CAI who received auditory biofeedback during gait needed an average of 15-min during session-1 to meaningfully shift their COP location medially and 4-sessions before retaining the adapted gait pattern.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 156-162"},"PeriodicalIF":2.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9425119","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":"The association between knee muscle performance and clinical outcomes of knee function 1–4 years after a sport-related knee joint injury","authors":"Justin M. Losciale ,&nbsp;Linda K. Truong ,&nbsp;Kexin Zhang ,&nbsp;Thomas Scarr ,&nbsp;Hui Xie ,&nbsp;Linda C. Li ,&nbsp;Cameron Mitchell ,&nbsp;Michael A. Hunt ,&nbsp;Jackie L. Whittaker","doi":"10.1016/j.ptsp.2023.10.003","DOIUrl":"10.1016/j.ptsp.2023.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>Estimate the association between index leg knee muscle strength and rate of torque development (RTD), and self-reported and performance-based (i.e., hop) knee function in persons 1–4 years after a sport-related knee joint injury.</p></div><div><h3>Methods</h3><p><span>Data were collected at baseline of a clinical trial<span>. Assessments included the Knee injury and Osteoarthritis Outcome Score Sport &amp; Recreation subscale (KOOS</span></span>_sport), 6-m timed hop (TH), and peak concentric isokinetic knee extensor and flexor torque and isometric RTD. Associations between peak torque and RTD with KOOS_sport and TH were assessed using multivariable regression with nonlinear transformations.</p></div><div><h3>Results</h3><p>53 participants (64.2% female) were included. Knee extensor peak torque was nonlinearly related to TH time, with a strong inverse relationship at lower torque values that changed as torque increased. Results were inconsistent for flexor peak torque, extensor RTD and flexor RTD, with inconsistencies in relationship shape and estimates of association between primary and sensitivity analyses. There was no association between strength/RTD and KOOS_sport.</p></div><div><h3>Conclusion</h3><p>There was a nonlinear relationship between knee extensor strength and hop function, with lower strength being associated with a stronger relationship. As strength values increased, the relationship attenuated. Knee extensor and flexor strength, or RTD, were not associated with self-reported function.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 147-155"},"PeriodicalIF":2.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490697","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":"Accelerometer-assessed physical activity patterns during the first two years after a non-surgically treated ACL injury","authors":"Sofi Sonesson ,&nbsp;Roman Peter Kuster ,&nbsp;Joanna Kvist","doi":"10.1016/j.ptsp.2023.09.011","DOIUrl":"10.1016/j.ptsp.2023.09.011","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe physical activity patterns and analyze changes during the first two years after a non-surgically treated ACL injury, and to assess correlations between accelerometer-assessed physical activity and self-reported knee function and knee-related quality of life.</p></div><div><h3>Design</h3><p>Prospective cohort study.</p></div><div><h3>Participants</h3><p>128 patients (61 females, 25.2 ± 7.1 years) with acute ACL injury.</p></div><div><h3>Main outcome measures</h3><p>Physical activity patterns were measured with accelerometry. Self-reported knee function was assessed using the International Knee Documentation Committee Subjective Knee Form, and knee-related quality of life was assessed using the Anterior Cruciate Ligament Quality of Life questionnaire.</p></div><div><h3>Results</h3><p>Moderate to vigorous physical activity (MVPA) and steps per day increased from baseline to 3 months (p &lt; .001), with no further increase from 3 to 24 months (p &gt; .05). Time in MVPA did not correlate to patient-reported outcome measures at 3, 6, 12, or 24 months (p &gt; .05).</p></div><div><h3>Conclusions</h3><p>Physical activity increased from acute phase to 3 months after non-surgically treated ACL injury, but almost one in four patients did not reach recommended levels of physical activity. Physical activity did not correlate with knee function or quality of life. Patients may need improved support to return to physical activity after ACL injury.</p></div><div><h3>Level of evidence</h3><p>Level II.</p></div><div><h3>Trial registration</h3><p>NCT02931084.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 123-132"},"PeriodicalIF":2.4,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686806","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":"Calf muscle abilities are related to sprint performance in male Rugby Union players","authors":"Kim Hébert-Losier ,&nbsp;Te Manawa Ngawhika ,&nbsp;Carlos Balsalobre-Fernandez ,&nbsp;Seth O'Neill","doi":"10.1016/j.ptsp.2023.09.001","DOIUrl":"10.1016/j.ptsp.2023.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the strength of the relationship between plantarflexor power and strength-endurance metrics and 10-m sprint times in male Rugby Union players. A secondary aim was to examine the strength of the relationship within calf muscle metrics.</p></div><div><h3>Design</h3><p>Observational cross-sectional correlational.</p></div><div><h3>Setting</h3><p>Field-based.</p></div><div><h3>Participants</h3><p>Sixteen male Rugby Union players in the National Provincial Championship.</p></div><div><h3>Main outcome measures</h3><p>Participants completed three single-leg calf muscle tests: bodyweight power, weighted power, and strength-endurance. Data were recorded using the Calf Raise application. Three-to-four days later, average and best 10-m sprint performances were collected using timing lights.</p></div><div><h3>Results</h3><p>There were <em>large</em> significant correlations between 10-m sprint performances (average and best times) and calf muscle power (weighted) and strength-endurance (total displacement and work) metrics (<em>r</em> = −0.503 to −0.628). There were <em>large</em> significant correlations between bodyweight and weighted power, weighted power and strength-endurance (total displacement and work), and most strength-endurance metrics (<em>r</em> = 0.520 to 0.943).</p></div><div><h3>Conclusions</h3><p>Our findings emphasise the importance of triceps surae muscle power and strength-endurance for maximal-effort accelerations and sprint performances in Rugby Union. Our data indicate that weighted power and total work from strength-endurance tests are the most useful metrics for further investigation in the context of short sprints and acceleration.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 117-122"},"PeriodicalIF":2.4,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224298","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":"The efficacy of neuromuscular training, with minimal or no equipment, on performance of youth athletes: A systematic review with meta-analysis","authors":"Marina R. Muller ,&nbsp;Ítalo R. Lemes ,&nbsp;Michelle S.de C. Silva ,&nbsp;Nayara S. Silva ,&nbsp;Arely G.M. Hernández ,&nbsp;Rafael Z. Pinto","doi":"10.1016/j.ptsp.2023.09.010","DOIUrl":"10.1016/j.ptsp.2023.09.010","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the effects of neuromuscular training, with minimal or no equipment, on physical performance of youth athletes.</p></div><div><h3>Design</h3><p>Systematic review with meta-analysis.</p></div><div><h3>Methods</h3><p><span>MEDLINE, EMBASE, CENTRAL, </span>CINAHL<span>, PEDro<span> and SportDiscuss from inception to March/2022. Selection Criteria: youth athletes (15–24years), from Olympic team sports; used neuromuscular training 2–3 times/week for, at least, 6 weeks; had a control group/usual training group; physical performance as outcomes; randomized controlled trial. Data Synthesis: Pooled estimate of standardized mean difference (SMD), and 95% confidence interval (95%CI).</span></span></p></div><div><h3>Results</h3><p>Thirty-four studies (1111 participants) were included. Results showed that neuromuscular training improved power (SMD: 0.84 [95%CI: 0.58, 1.10]; <em>n</em> = 805; I² = 64%), speed (SMD: −1.12 [95%CI: −1.68, −0.57]; <em>n</em> = 688; I² = 90%) and agility (SMD: −1.21 [95%CI: −1.60, −0.83]; <em>n</em> = 571; I² = 76%) compared to control group, but showed no difference between groups for muscle strength (Quadriceps SMD: 0.34 [95%CI: −0.02, 0.69]; <em>n</em> = 132; I² = 0%, Hamstrings: SMD: 0.64 [95%CI: −0.04, 1.33]; <em>n</em> = 132; I² = 71%), balance and flexibility.</p></div><div><h3>Conclusion</h3><p>Clinically, neuromuscular training with minimal equipment may be useful for teams with limited resources to improve mainly athletes’ power and agility, including those interventions that were designed to injury prevention. Future high-quality studies are likely to change these estimates.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"64 ","pages":"Pages 104-116"},"PeriodicalIF":2.4,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224307","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}