Physical Therapy in Sport最新文献_第3页

Blood flow restriction training compared to conventional training in people with knee pain: a systematic review with meta-analysis 限制血流训练与常规训练在膝关节疼痛患者中的比较：一项荟萃分析的系统综述

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-05-08 DOI: 10.1016/j.ptsp.2025.05.004

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}

引用次数: 0

Association between psychological readiness to return to sport and self-reported function in adolescents after shoulder stabilization 青少年肩部稳定后重返运动的心理准备与自我报告的功能之间的关系

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-05-08 DOI: 10.1016/j.ptsp.2025.05.002

Adam P. Weaver , Michael Saper , Matthew Brown , Allison Crepeau , Dylan P. Roman

{"title":"Association between psychological readiness to return to sport and self-reported function in adolescents after shoulder stabilization","authors":"Adam P. Weaver , Michael Saper , Matthew Brown , Allison Crepeau , Dylan P. Roman","doi":"10.1016/j.ptsp.2025.05.002","DOIUrl":"10.1016/j.ptsp.2025.05.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine differences in psychological readiness and self-reported function based on pre-operative risk factors at time of return to sport (RTS) after adolescent shoulder stabilization. Our secondary purpose was to assess the relationship between pre-operative shoulder instability history and psychological readiness at time of RTS testing.</div></div><div><h3>Design</h3><div>Multi center retrospective cross-sectional study.</div></div><div><h3>Setting</h3><div>Pediatric hospital.</div></div><div><h3>Participants</h3><div>52 participants (65 % male; 16.5 ± 1.3 years old; 5.9 ± 1.0 months post-surgery).</div></div><div><h3>Main outcome measures</h3><div>Shoulder Instability Return to Sport after Injury scale (SI-RSI), Quick-Disabilities of Arm, Shoulder, Hand (QuickDASH), number of pre-operative instability episodes.</div></div><div><h3>Results</h3><div>Median SI-RSI score was 75.4 IQR (62.5–88.3) at time of RTS testing. Females reported significantly lower SI-RSI scores compared to males (65.0, IQR: 50.9–79.2 vs 77.9, IQR: 65.7–90.1; p = 0.034). There were no significant differences in SI-RSI scores in patients with greater than 3 instability events compared to patients with 1 or 2 instability events (p = 0.866). SI-RSI and QuickDASH scores displayed a moderate negative correlation (r = −0.51, p = 0.001).</div></div><div><h3>Conclusion</h3><div>Males and females after shoulder stabilization surgery report differences in psychological readiness at time of RTS. Pre-operative instability history was not related to SI-RSI scores at time of RTS testing, but SI-RSI scores are related to subjective function.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 83-87"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Activities of the intrinsic muscles of the foot and lower leg during a single-leg stance and drop landing in individuals with chronic ankle instability 慢性踝关节不稳定患者单腿站立和落地时足部和小腿固有肌肉的活动

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-05-08 DOI: 10.1016/j.ptsp.2025.05.003

Takumi Okunuki , Ryusei Yamaguchi , Kazuki Wakamiya , Toshihiro Maemichi , Zijian Liu , Yuki Ogawa , Yusuke Kobayashi , Hideaki Nagamoto , Takuma Hoshiba , Tsukasa Kumai

{"title":"Activities of the intrinsic muscles of the foot and lower leg during a single-leg stance and drop landing in individuals with chronic ankle instability","authors":"Takumi Okunuki , Ryusei Yamaguchi , Kazuki Wakamiya , Toshihiro Maemichi , Zijian Liu , Yuki Ogawa , Yusuke Kobayashi , Hideaki Nagamoto , Takuma Hoshiba , Tsukasa Kumai","doi":"10.1016/j.ptsp.2025.05.003","DOIUrl":"10.1016/j.ptsp.2025.05.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to compare intrinsic foot muscle activity during single-leg standing and single-leg drop landing between participants with and without chronic ankle instability.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Setting</h3><div>Laboratory.</div></div><div><h3>Participants</h3><div>Twelve participants with chronic ankle instability and eleven control participants.</div></div><div><h3>Main outcome measures</h3><div>The main outcomes were the muscle activities of the abductor hallucis, abductor digiti minimi, peroneus longus, and soleus muscles and the center of pressure during single-leg standing and single-leg drop landing.</div></div><div><h3>Results</h3><div>Participants with chronic ankle stability showed increased soleus muscle activity during single-leg standing with eyes closed and after single-led drop landing compared with that of controls. In the chronic ankle instability group, lower Cumberland Ankle Instability Tool scores were associated with reduced abductor digit minimi muscle activity during landing. No significant differences were found in other outcomes.</div></div><div><h3>Conclusions</h3><div>Reduced abductor digit minimi muscle activity may be associated with greater severity of chronic ankle instability. Increased soleus muscle activity in individuals with chronic ankle instability may serve as a compensatory mechanism for other impairments during single-leg standing with eyes closed and single-leg drop landing tasks.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"74 ","pages":"Pages 32-38"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining neurocognitive profiles and single-limb landing mechanics following anterior cruciate ligament reconstruction

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-05-05 DOI: 10.1016/j.ptsp.2025.05.001

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}

引用次数: 0

Competitive swimming and shoulder adaptations: The role of stroke specialty in adolescent swimmers 竞技游泳和肩部适应：中风专长在青少年游泳运动员中的作用

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-05-03 DOI: 10.1016/j.ptsp.2025.04.008

Sercan Yilli, Elif Turgut

{"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}

引用次数: 0

A novel method of assessing proprioception in the foot-ankle joint complex after lateral ankle sprain 一种评估外侧踝关节扭伤后足-踝关节复合体本体感觉的新方法

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-05-01 DOI: 10.1016/j.ptsp.2025.04.009

Takahiro Watanabe , Eiichi Kuroyanagi , Hinata Furusawa , Masahiro Tsutsumi , Shintarou Kudo

{"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}

引用次数: 0

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 一天一次的锻炼使身体远离：一项新设计的日常锻炼计划对青少年足球受伤预防的影响-一项随机对照试验

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-25 DOI: 10.1016/j.ptsp.2025.04.005

Matteo Brunelli , Giulia Brunelli , Cassie Wilson , Eamonn Delahunt , Sebastiano Nutarelli

{"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}

引用次数: 0

Effect of a lumbopelvic stability training program on lower extremity kinematic parameters in low back pain developers during single-leg squat 单腿深蹲时腰骨盆稳定性训练项目对腰背痛患者下肢运动学参数的影响

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-22 DOI: 10.1016/j.ptsp.2025.04.007

Sama Azizmohammadi, Foad Seidi, Shahrzad Zandi

{"title":"Effect of a lumbopelvic stability training program on lower extremity kinematic parameters in low back pain developers during single-leg squat","authors":"Sama Azizmohammadi, 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}

引用次数: 0

Patellofemoral joint loads are lower when adolescents with patellofemoral pain run in flat, flexible shoes compared to traditional athletic shoes 与传统运动鞋相比，患有髌骨疼痛的青少年穿着扁平、灵活的鞋子跑步时，髌骨关节负荷较低

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-19 DOI: 10.1016/j.ptsp.2025.04.004

Natalie Mazzella , Danielle Trowell , Aaron Fox , Natalie Saunders , Bill Vicenzino , Jason Bonacci

{"title":"Patellofemoral joint loads are lower when adolescents with patellofemoral pain run in flat, flexible shoes compared to traditional athletic shoes","authors":"Natalie Mazzella , 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}

引用次数: 0

Advanced applications of backward Design: Crafting holistic and athlete-centered injury rehabilitation plans 落后设计的先进应用：制定整体和以运动员为中心的损伤康复计划

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-18 DOI: 10.1016/j.ptsp.2025.04.006

Lionel Chia , Evangelos Pappas

引用次数: 0