{"title":"Development and validation of an overuse injury questionnaire for youth athletes: The Youth Overuse Injury Questionnaire","authors":"Rachel Lau, Swarup Mukherjee","doi":"10.1016/j.ptsp.2024.03.003","DOIUrl":"10.1016/j.ptsp.2024.03.003","url":null,"abstract":"<div><h3>Objective</h3><p>To develop and validate the Youth Overuse Injury Questionnaire (YOvIQ).</p></div><div><h3>Design</h3><p>A cross-sectional study.</p></div><div><h3>Setting</h3><p>Online platforms.</p></div><div><h3>Participants</h3><p>Two content experts (in sports injury epidemiology and in sports science and medicine) and seven end-users (youth volleyball athletes) provided feedback during development of the YOvIQ. 227 competitive youth athletes across 14 different sports assessed the psychometric properties of the YOvIQ.</p></div><div><h3>Main outcome measures</h3><p>Participants completed both YOvIQ and the Oslo Sports Trauma Research Centre Overuse Injury Questionnaire (OSTRC-O2) for anatomical areas of the shoulder, elbow, lower back, knee, and ankle/foot. Validity was assessed via convergent validity. Reliability was assessed using internal consistency estimation and interclass correlation coefficient.</p></div><div><h3>Results</h3><p>Following feedback from content experts, examples and quantitative symbolization were added to the options in YOvIQ, with positive feedback from end-users. Convergent validity between YOvIQ and the OSTRC-O2 was demonstrated with non-significant differences (<em>P</em> ≥ .05) and significant correlations (<em>P</em> < 0.001) for prevalence and severity scores. YOvIQ demonstrated internal consistency for prevalence (Cronbach's alpha coefficient >0.70) and moderate-to-good reliability for severity scores (ICC: 0.51 to 0.88) for shoulder, lower back, and knee.</p></div><div><h3>Conclusions</h3><p>The YOvIQ is a valid and reliable instrument to identify overuse injuries to the shoulder, lower back, and knee in youth athletes.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 47-53"},"PeriodicalIF":2.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282345","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}
Lucy S. Kember , Gregory D. Myer , Rhodri S. Lloyd
{"title":"Interlimb kinetic asymmetries during the tuck jump assessment are more exposed following kinetic stabilization","authors":"Lucy S. Kember , Gregory D. Myer , Rhodri S. Lloyd","doi":"10.1016/j.ptsp.2024.03.002","DOIUrl":"10.1016/j.ptsp.2024.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse interlimb kinetics and asymmetries during the tuck jump assessment (TJA), before and after kinetic stabilization, to identify injury risk in healthy female athletes.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Setting</h3><p>Laboratory.</p></div><div><h3>Participants</h3><p>Twenty-five healthy females (age 21.0 ± 1.83 yrs; height 1.68 ± 0.06 m; body mass 69.4 ± 10.7 kg).</p></div><div><h3>Main outcome measures</h3><p>Kinetics were measured during 10-s trials of the TJA and absolute asymmetries compared, before and after kinetic stabilization using paired sample t-tests. Statistical parametric mapping (SPM) compared vertical ground reaction force (VGRF) data for each limb during the jumping cycles before and after stabilization.</p></div><div><h3>Results</h3><p>Small to moderate increases in interlimb asymmetries were observed after stabilization for VGRF, relative vertical leg stiffness, average loading rate, total and propulsive impulse, peak braking and propulsive force (<em>p</em> < 0.05). SPM revealed significant interlimb differences between 77-98% and 83–99% of ground contact for the jumping cycles pre- and post-stabilization respectively.</p></div><div><h3>Conclusions</h3><p>Larger asymmetries were evident after kinetic stabilization, with increased VGRF in the non-dominant limb. We speculate that participants sacrificed interlimb landing symmetry to achieve kinetic stability, which may reflect a primal landing strategy that forgoes movement quality. Assessing lower limb biomechanics using the TJA should involve examining kinetic stability and interlimb kinetic asymmetries.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 61-67"},"PeriodicalIF":2.4,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000397/pdfft?md5=d42ee11331fb20c38d9437f22ce5c43e&pid=1-s2.0-S1466853X24000397-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140168429","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":"The associations of physical parameters with the Closed Kinetic Chain Upper Extremity Stability Test, the Upper Quarter Y Balance Test, and the Upper Limb Rotation Test in professional overhead athletes","authors":"Fırat Kara , Gülbin Ergin Gedik , Ertan Şahinoğlu","doi":"10.1016/j.ptsp.2024.03.001","DOIUrl":"10.1016/j.ptsp.2024.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the associations of glenohumeral internal (IR) and external rotation (ER), horizontal adduction (HA), and thoracic spine rotation ranges of motion (ROM), isometric muscle strength of the shoulder rotators, and trunk muscle endurance with the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), the Upper Quarter Y Balance Test (YBT-UQ), and the Upper Limb Rotation Test (ULRT) in overhead athletes.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Settings</h3><p>Laboratory.</p></div><div><h3>Participants</h3><p>One hundred twenty-one athletes were enrolled.</p></div><div><h3>Main outcome measures</h3><p>Independent variables were: IR, ER, HA, and thoracic spine rotation ROMs, isometric muscle strength of glenohumeral IR and ER muscles, and trunk muscle endurance. Dependent variables were: CKCUEST, YBT-UQ, ULRT.</p></div><div><h3>Results</h3><p>IR ROM of the nondominant side was associated with the CKCUEST, the YBT-UQ, and the ULRT. IR muscle strength of the dominant side was associated with the CKCUEST and the ULRT. Trunk flexor and lateral endurance of the dominant side were associated with the CKCUEST and the YBT-UQ, respectively.</p></div><div><h3>Conclusions</h3><p>Many of the physical parameters influencing scores on the CKCUEST and the YBT-UQ are different. Common parameters influence the CKCUEST and ULRT scores, yet more parameters influence the CKCUEST score. We suggest the combined use of the CKCUEST and the YBT-UQ in overhead athletes.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 90-103"},"PeriodicalIF":2.4,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140167460","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}
Kayla D. Seymore , Patrick Corrigan , Haraldur B. Sigurðsson , Ryan T. Pohlig , Karin Grävare Silbernagel
{"title":"Asymmetric running is associated with pain during outdoor running in individuals with Achilles tendinopathy in the return-to-sport phase","authors":"Kayla D. Seymore , Patrick Corrigan , Haraldur B. Sigurðsson , Ryan T. Pohlig , Karin Grävare Silbernagel","doi":"10.1016/j.ptsp.2024.02.006","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.02.006","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the relationships between (1) Achilles tendon pain and loading symmetry, and (2) number of running bouts and symptom severity, during two weeks of outdoor running in individuals with Achilles tendinopathy.</p></div><div><h3>Design</h3><p>Prospective, observational study.</p></div><div><h3>Setting</h3><p>Biomechanics laboratory and outdoors.</p></div><div><h3>Participants</h3><p>Seventeen runners with Achilles tendinopathy in the return-to-sport phase of rehabilitation.</p></div><div><h3>Main outcome measures</h3><p>Symptom severity was recorded with the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Running bouts and Achilles tendon pain during runs were recorded with daily training logs. Ground contact time was collected during runs with wearable sensors. Linear mixed modeling determined if the relationship between Achilles tendon pain and ground contact time symmetry during running was moderated by consecutive run days. Multiple regression determined the relationship between number of running bouts and change in VISA-A scores over two weeks, adjusted for run distance.</p></div><div><h3>Results</h3><p>Greater ground contact time on the contralateral leg corresponded to increased ipsilateral tendon pain for each consecutive run day (b = −0.028, p < 0.001). Number of running bouts was not associated with 2-week changes in VISA-A scores (p = 0.672).</p></div><div><h3>Conclusions</h3><p>Pain during running is associated with injured leg off-loading patterns, and this relationship strengthened with greater number of consecutive run days. Number of running bouts was not related to short-term symptom severity.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 25-30"},"PeriodicalIF":2.4,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140067260","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}
Brian J. Eckenrode , David M. Kietrys , Allison Brown , J. Scott Parrott , Brian Noehren
{"title":"Effects of high frequency strengthening on pain sensitivity and function in female runners with chronic patellofemoral pain","authors":"Brian J. Eckenrode , David M. Kietrys , Allison Brown , J. Scott Parrott , Brian Noehren","doi":"10.1016/j.ptsp.2024.02.007","DOIUrl":"10.1016/j.ptsp.2024.02.007","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the effects of a high frequency strengthening program on function, pain, and pain sensitization in female runners with chronic patellofemoral pain (PFP).</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Setting</h3><p>University laboratory.</p></div><div><h3>Participants</h3><p>Thirty female runners (mean age 32 ± 8.1 years) with chronic PFP completed an 8-week home strengthening program.</p></div><div><h3>Main outcome measures</h3><p>Variables assessed at baseline, 8-weeks, and 12 weeks included single leg step down test (SLSD), pain, Anterior Knee Pain Scale (AKPS), University of Wisconsin Running Injury and Recovery Index (UWRI), and quantitative sensory testing.</p></div><div><h3>Results</h3><p>There was large and statistically significant improvement at 8 and 12 weeks for average knee pain (η<sub>p</sub><sup>2</sup> = 0.334, p < 0.001), worst knee pain (η<sub>p</sub><sup>2</sup> = 0.351, p < 0.001), SLSD (η<sub>p</sub><sup>2</sup> = 0.161, p = 0.001), AKPS (η<sub>p</sub><sup>2</sup> = 0.463, p < 0.001), and UWRI (η<sub>p</sub><sup>2</sup> = 0.366, p < 0.001). A medium to large effect and statistically significant improvement in pressure pain threshold testing was found for all local and remote structures (η<sub>p</sub><sup>2</sup> range, 0.110 to 0.293, range p < 0.001 to p = 0.009) at 8 and 12 weeks.</p></div><div><h3>Conclusions</h3><p>There was a significant decrease in local and remote hyperalgesia via mechanical and thermal pain sensitivity testing in female runners with chronic PFP. There was a large effect and significant improvement in self-reported pain and function.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 31-40"},"PeriodicalIF":2.4,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140044882","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}
Timothy A. Sayer , Nicky van Melick , Jerome Riera , Jeremy Jackson , Adam Bryant , Rob Bogie , Nicholas Cross , Pascal Edouard , Alexandre Rambaud
{"title":"Is it time to develop specific return to running criteria for ACL rehabilitation? An international survey of physiotherapists criteria for return to running following ACL injury","authors":"Timothy A. Sayer , Nicky van Melick , Jerome Riera , Jeremy Jackson , Adam Bryant , Rob Bogie , Nicholas Cross , Pascal Edouard , Alexandre Rambaud","doi":"10.1016/j.ptsp.2024.02.005","DOIUrl":"10.1016/j.ptsp.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>To determine return to running criteria currently used by physiotherapists following anterior cruciate ligament (ACL) injury.</p></div><div><h3>Design</h3><p>Self-reported online international survey.</p></div><div><h3>Methods</h3><p>An online survey of physiotherapists across Australia, the Netherlands and France.</p></div><div><h3>Results</h3><p>A total of 476 respondants participated in the survey across Australia (n = 153), the Netherlands (n = 162), and France (n = 161). For return to running criteria following a non-operative approach, the majority of respondents chose swelling (40.55%, n = 193/476), pain (38.24%, n = 182/476), knee extensor strength (34.34%, n = 163/476), single leg squat (31.93%, n = 152/476) and knee flexor strength (29.83%, n = 142/476). After ACL reconstruction, the highest responses were also swelling (41.18%, n = 196/476), pain (37.18%, n = 177/476), knee extensor strength (37.18%, n = 177/476) and single leg squat (33.19%, n = 158/476). From the identified themes the most common cutoff variables were pain between 0 and 3/10, swelling < grade 1+ and limb symmetry on strength and hop tests >70 %.</p></div><div><h3>Conclusion</h3><p>Physiotherapists in Australia, France, and the Netherlands use many different return to running criteria and most of them use more than one criterion. Despite this, there was little consensus on the cut-off physiotherapists use to apply these criteria.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 19-24"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X2400035X/pdfft?md5=341cf0f2a28901202b1beef28e310e1e&pid=1-s2.0-S1466853X2400035X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140044878","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":"Relationship between exacerbating patellofemoral pain and dynamic knee valgus in females with patellofemoral pain after a patellofemoral joint loading protocol: A cross-sectional","authors":"Ali Yalfani , Fatemeh Ahadi , Mohamadreza Ahmadi , Azadeh Asgarpoor","doi":"10.1016/j.ptsp.2024.02.003","DOIUrl":"10.1016/j.ptsp.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the present study is to 1) the effect of exacerbating patellofemoral pain (PFP) on dynamic knee valgus (DKV) 2) the relationship between exacerbating PFP and DKV in females with patellofemoral pain.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Methods</h3><p>Sixty women with PFP were recruited from the orthopedic clinics. We evaluated pain intensity and DKV in two conditions without (condition 1) and with (condition 2) PFJ loading during the single-leg squat (SLS) task. The MANOVA test was used to compare pain intensity and DKV angle between the two conditions. Furthermore, the Pearson correlation was used to examine the correlation between pain intensity with DKV angle.</p></div><div><h3>Results</h3><p>The MANOVA analysis showed that pain intensity (P < 0.000, η2 = 0.623) and DKV angle (P < 0.000, η2 = 0.544) with a medium effect size significantly increased after PFJ loading. Furthermore, an excellent positive correlation was observed between an increase in pain intensity and DKV angle (P < 0.000, r = 0.840).</p></div><div><h3>Conclusion</h3><p>It seems that after the PFJ loading protocol and the subsequent pain exacerbation, the neuromuscular biomechanics of the lower limb are deficits. As a result, the stabilizing muscles activation decreases and increases the lower limb movement in the frontal plane.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 13-18"},"PeriodicalIF":2.4,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925423","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":"It's time to regulate – The importance of accurate surgical-grade tourniquet autoregulation in blood flow restriction exercise applications","authors":"L. Hughes , P.M. Swain , T. Lai , J.A. McEwen","doi":"10.1016/j.ptsp.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate the efficacy of five common blood flow restriction (BFR) systems to accurately maintain and autoregulate BFR pressure in the tourniquet cuff near target pressure throughout exercise.</p></div><div><h3>Design</h3><p>Randomised crossover design.</p></div><div><h3>Setting</h3><p>Laboratory.</p></div><div><h3>Participants</h3><p>15 healthy individuals.</p></div><div><h3>Outcome measures</h3><p>1) Percentage of total BFR time that surgical-grade tourniquet autoregulation, defined as automatic and rapid self-regulation of cuff pressure to within ±15 mmHg of initial target pressure within 1 s in the presence of transient pressure changes associated with exercise, was provided; 2) pressure change in the BFR cuff throughout exercise, by comparing the initial target pressure to the measured pressure at completion of BFR exercise.</p></div><div><h3>Results</h3><p>One BFR system could provide surgical-grade tourniquet autoregulation for the whole duration (100 ± 0%) of the BFR exercise in all subjects. In two of the five BFR systems evaluated, measured cuff pressure at the end of exercise was not different (p < 0.05) to the initial target pressure.</p></div><div><h3>Conclusions</h3><p>Surgical-grade tourniquet autoregulation is important to consistently and reliably apply a targeted BFR pressure stimulus. This may allow BFR methodology and protocols to be accurately implemented and controlled so that the results can be more meaningfully compared, leading to the potential optimization of applications.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 41-46"},"PeriodicalIF":2.4,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140163871","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}
Marcos Quintana-Cepedal , Isaac Roces-Vila , Miguel del Valle , Hugo Olmedillas
{"title":"Epidemiology of injuries in elite female rink hockey players: A two season observational study","authors":"Marcos Quintana-Cepedal , Isaac Roces-Vila , Miguel del Valle , Hugo Olmedillas","doi":"10.1016/j.ptsp.2024.02.002","DOIUrl":"10.1016/j.ptsp.2024.02.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To record the time-loss injuries of female rink hockey players and describe the affected region, tissue, and onset of injury.</p></div><div><h3>Design</h3><p>Cross-sectional survey study.</p></div><div><h3>Setting</h3><p>First (Ok Liga) and Second (Plata) division clubs. Participants: 280 player-seasons.</p></div><div><h3>Main outcome measures</h3><p>Incidence of overall, training, and match injuries (number of injuries per 1000 h) from two seasons.</p></div><div><h3>Results</h3><p>A total of 229 injuries occurred in 56,438 h of exposure. The overall incidence was 4 injuries per 1000 h (4/1000 h), with a significantly higher rate of injuries during matches (15.2/1000 h) compared to training sessions (2.6/1000 h) (p < 0.001). Injuries affecting the lower limb were the most common (2.3/1000 h), followed by upper limb (1.2/1000 h), and head/trunk (0.6/1000 h). The tissue with the highest incidence of injury was the muscle/tendon (1.3/1000 h), followed by the ligament (0.8/1000 h). Around one in every three injuries (31%) affected either the thigh or hip/groin (73 injuries).</p></div><div><h3>Conclusions</h3><p>The injury incidence in elite female rink hockey is moderate and occurs mainly during match sessions. Preventative measurements should be implemented in rink hockey with a special concern for injuries affecting the thigh, and hip/groin.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 7-12"},"PeriodicalIF":2.4,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139826238","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}
Lauren Butler , Elliot Greenberg , Nicholas Giampetruzzi , Meredith Link , Victor Prati , Adam Weaver , Michael Saper
{"title":"Comparison of physical therapy utilization, timing of return-to-sport test completion, and hop test performance by age and between sexes in youth athletes after anterior cruciate ligament reconstruction","authors":"Lauren Butler , Elliot Greenberg , Nicholas Giampetruzzi , Meredith Link , Victor Prati , Adam Weaver , Michael Saper","doi":"10.1016/j.ptsp.2024.02.004","DOIUrl":"10.1016/j.ptsp.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To compare physical therapy (PT) utilization, timing of return-to-sport (RTS) test and hop test performance by age and between sexes in youth after anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Design</h3><p>Multicenter retrospective cohort.</p></div><div><h3>Methods</h3><p>A retrospective review of adolescents after primary ACLR was conducted. Participants completed return-to-sport (RTS) tests including single-legged hop testing. PT frequency, average weekly visits, and timing of RTS test were calculated. T-tests assessed the effect of age and sex on average weekly PT visits and multivariable logistic regressions assessed odds of passing hop tests.</p></div><div><h3>Results</h3><p>289 participants were included (15.7 ± 1.9 years). There was no difference in average weekly PT visits (p = 0.321) or time to RTS test (p = 0.162) by age. There were significant differences in average weekly PT visits (p = 0.047) and mean time from surgery to RTS test (p = 0.048) between sexes with small effect sizes (d = 0.24 and d = 0.21, respectively). Age and sex had no effect on odds of passing hop tests (OR, 1.29; 95% CI, 0.71–2.35 and OR, 0.79; 95%CI, 0.43–1.45, respectively).</p></div><div><h3>Conclusion</h3><p>In a youth cohort, age and sex may have no clinically important effect on PT visit utilization, timing of RTS test or hop test performance.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 1-6"},"PeriodicalIF":2.4,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139874730","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}