Justin L. Rush , Dustin R. Grooms , Julie P. Burland , Amanda M. Murray , David M. Bazett-Jones , Grant E. Norte
{"title":"Examining neurocognitive profiles and single-limb landing mechanics following anterior cruciate ligament reconstruction","authors":"Justin L. Rush , Dustin R. Grooms , Julie P. Burland , Amanda M. Murray , David M. Bazett-Jones , Grant E. Norte","doi":"10.1016/j.ptsp.2025.05.001","DOIUrl":"10.1016/j.ptsp.2025.05.001","url":null,"abstract":"<div><h3>Objectives</h3><div>1) Determine the relationship between neurocognitive performance and single-limb landing biomechanics 2.) Compare neurocognitive performance between individuals with anterior cruciate ligament reconstruction (ACLR) and uninjured controls.</div></div><div><h3>Design</h3><div>Cross-Sectional.</div></div><div><h3>Setting</h3><div>Laboratory.</div></div><div><h3>Participants</h3><div>Eighteen participants with ACLR and 18 matched uninjured controls.</div></div><div><h3>Main outcome measures</h3><div>Immediate Post-Concussion Assessment and Cognitive Testing: Visual Memory, Visual-Motor and Reaction Time Composite Scores. Single-limb landing biomechanics: peak knee flexion angles, peak internal knee adduction moments, and peak ground reaction forces.</div></div><div><h3>Results</h3><div>There were no statistically significant correlations between neurocognitive performance and single-limb landing biomechanics. Individuals with ACLR and uninjured controls exhibited similar neurocognitive performance (all <em>p</em> > .05).</div></div><div><h3>Conclusions</h3><div>The lack of associations between single-limb landing biomechanics and neurocognitive performance may suggest that computerized neurocognitive assessments are not sensitive enough to identify individuals demonstrating biomechanical loading patterns associated with ACL injury. Neurocognitive-motor assessments that specifically challenge knee motor control may be more appropriate to discern high and low neurocognitive profiles.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 18-24"},"PeriodicalIF":2.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942811","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":"Competitive swimming and shoulder adaptations: The role of stroke specialty in adolescent swimmers","authors":"Sercan Yilli, Elif Turgut","doi":"10.1016/j.ptsp.2025.04.008","DOIUrl":"10.1016/j.ptsp.2025.04.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine sport-specific adaptations and the influence of stroke specialization on the shoulder complex among adolescent competitive swimmers.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Athletic facilities.</div></div><div><h3>Participants</h3><div>76 adolescents (14.3 ± 1.3 years), including 28 non-swimmers (Control Group, CG) and 48 competitive swimmers (Swimmers Group, SWG).</div></div><div><h3>Main outcome measures</h3><div>Strength of glenohumeral (GH) and scapular muscles (SM), GH joint mobility (GH ROMs), proprioception, pectoralis minor length (PML), and posterior shoulder tightness (PST) were evaluated. The Kerlan-Jobe Orthopaedic Clinic (KJOC) Score was used to evaluate shoulder function in the SWG. A tested shoulder physical performance parameters were compared between the groups.</div></div><div><h3>Results</h3><div>Comparisons showed that all GH, SM strength measures and PML were higher in the SWG (p < 0.05). GH ER/IR ratio was lower in SWG (MD = 0.8–0.11 N, p < 0.05). GH ROM comparisons revealed decreased IR and increased ER and total rotational ROM in the SWG (p < 0.05). No differences in proprioception or PST were found (p > 0.05). Additionally, no significant differences were observed when all parameters were compared among SWG subgroups based on stroke specialization (p > 0.05).</div></div><div><h3>Conclusions</h3><div>Adolescent competitive swimmers exhibited sport-specific, but not stroke-specific, adaptations in the shoulder complex.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 1-8"},"PeriodicalIF":2.2,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906042","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":"A novel method of assessing proprioception in the foot-ankle joint complex after lateral ankle sprain","authors":"Takahiro Watanabe , Eiichi Kuroyanagi , Hinata Furusawa , Masahiro Tsutsumi , Shintarou Kudo","doi":"10.1016/j.ptsp.2025.04.009","DOIUrl":"10.1016/j.ptsp.2025.04.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the validity of a novel method for assessing intra-foot proprioception impaired by chronic ankle instability (CAI) and its association with perceived ankle instability, and to include a conventional joint position reproduction (JPR).</div></div><div><h3>Design</h3><div>Case-control study.</div></div><div><h3>Setting</h3><div>University laboratory.</div></div><div><h3>Participants</h3><div>Eleven controls and 19 individuals with CAI.</div></div><div><h3>Main outcome measures</h3><div>A circumduction reproduction test was developed to evaluate proprioception by measuring absolute errors between eyes-opened and closed conditions during ankle circumduction movement, consisting of inversion and eversion phases. Errors in hallux marker trajectory and intra-foot joint relative angles were analyzed. Additionally, the JPR was administered to comparison with the novel method.</div></div><div><h3>Results</h3><div>During the eversion phase, the CAI group had significantly more errors in the X and Y component than the control group. The Pearson's r between the X component and IdFAI was 0.354 (p = 0.054). The X component correlated with the movement of the rearfoot, midfoot and forefoot, with correlations of r > 0.4. However, the JPR did not detect differences between two groups (p > 0.05).</div></div><div><h3>Conclusions</h3><div>The circumduction reproduction test has discriminant validity for distinguishing between two groups and may provide an advantage over JPR.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 192-197"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895531","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":"One exercise session a day keeps the physio away: effect of a newly designed daily exercise programme on injury prevention in youth football - A randomised controlled trial","authors":"Matteo Brunelli , Giulia Brunelli , Cassie Wilson , Eamonn Delahunt , Sebastiano Nutarelli","doi":"10.1016/j.ptsp.2025.04.005","DOIUrl":"10.1016/j.ptsp.2025.04.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the effect of a newly conceived daily injury prevention programme with FIFA11+ on injury incidence and severity in academy football players.</div></div><div><h3>Design</h3><div>Randomised controlled trial.</div></div><div><h3>Setting</h3><div>Football academy.</div></div><div><h3>Participants</h3><div>Ninety-three male academy football players were randomly assigned to either the control group (FIFA11+ or FIFA11+ Kids) or the intervention group (new injury prevention programme).</div></div><div><h3>Main outcome measures</h3><div>Injury incidence rate (per 1000 hours) and severity (days lost).</div></div><div><h3>Results</h3><div>Over 6 months, the control group recorded 45 injuries (incidence rate = 9.07/1000 hours), while the intervention group recorded 50 injuries (incidence rate = 10.10/1000 hours). The median number of days lost was 16 [95% confidence interval: 11, 27] in the control group and 15 [95% confidence interval: 7, 23] in the intervention group. No significant differences were found in injury incidence or severity between the two groups.</div></div><div><h3>Conclusions</h3><div>The newly conceived injury prevention programme was as effective as the FIFA11+ in reducing injury incidence and severity, thus representing an easy-to-implement injury prevention programme for football academies.</div></div><div><h3>Trial registration</h3><div>The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12623000359639) retrospectively, as it was initially conducted for academic purposes, negating the requirement for prospective registration.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 9-17"},"PeriodicalIF":2.2,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936943","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":"Effect of a lumbopelvic stability training program on lower extremity kinematic parameters in low back pain developers during single-leg squat","authors":"Sama Azizmohammadi, Foad Seidi, 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}
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 , Danielle Trowell , Aaron Fox , Natalie Saunders , Bill Vicenzino , 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 < 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 < 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 < 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}
{"title":"Advanced applications of backward Design: Crafting holistic and athlete-centered injury rehabilitation plans","authors":"Lionel Chia , 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}
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 , Paula Rezende Camargo , Laís Emanuelle Meira Alves , 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}
{"title":"Young male players exhibit higher eccentric hamstring muscle fatigue than females and older males after a basketball match participation","authors":"Sebastiano Nutarelli , Alessandro Sangiorgio , Luca Gilardoni , Giacomo Moraca , 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}
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 , Mikkel Bek Clausen , Birgit Juul-Kristensen , Per Hölmich , 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}