Physical Therapy in Sport最新文献

{"title":"A pilot study on the effects of multimodal cervical exercise training on clinical concussion risk factors in female athletes","authors":"Brooke J. Thompson,&nbsp;Lauren J. Lattimer","doi":"10.1016/j.ptsp.2025.01.003","DOIUrl":"10.1016/j.ptsp.2025.01.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The primary objective of the current study was to examine whether a 7-week multi-modal cervical training intervention was effective in improving sport related concussion risk factors in female varsity athletes.</div></div><div><h3>Design</h3><div>A quantitative experimental research design involving a prospective exercise intervention.</div></div><div><h3>Methods</h3><div>Seventeen female athletes (age 19.5 ± 1.42 years) attended two data collection sessions (i.e., baseline and post-testing) involving assessments in anthropometrics, isometric and dynamic neck strength, and balance control. The intervention group (n = 8) participated in a seven-week multi-modal neuromuscular training program for the cervical musculature. The control group (n = 9) was not provided with external training aside from what was performed within their sports team which was not cervical spine specific.</div></div><div><h3>Results</h3><div>The intervention group experienced significant improvements in neck-girth, flexor-extensor strength ratio, cervical muscular endurance, isometric and dynamic strength, and balance control.</div></div><div><h3>Conclusion</h3><div>The findings suggest that the intervention was effective in improving clinical measures related to concussion risk. Prior research suggests that improved size, strength, endurance, symmetry, and postural control, improve an athlete's ability to stabilize the head. This improved stability may cause athletes to have reduced motion of the head following a concussive load, consequently reducing SRC risk but should be investigated further.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 39-45"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143270464","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 comparison of force generation in isometric hip adductor strength exercises: Introducing the weighted isometric Copenhagen Adduction exercise","authors":"Ciaran O' Connor ,&nbsp;Eddie Coyle ,&nbsp;Martin Mc Intyre ,&nbsp;Eamonn Delahunt ,&nbsp;Kristian Thorborg","doi":"10.1016/j.ptsp.2025.01.002","DOIUrl":"10.1016/j.ptsp.2025.01.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare maximal isometric force generation between hip adductor long-lever squeeze, the Copenhagen Adduction (CA) exercise with body-mass only, and the weighted isometric CA exercise, in rugby union players.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Club training facility.</div></div><div><h3>Participants</h3><div>Forty-four male, rugby union players.</div></div><div><h3>Main outcome measures</h3><div>Maximum isometric hip adduction squeeze strength in the long-lever testing position, in addition to maximum isometric force data in the isometric CA exercise, and the weighted isometric CA exercise with increasing load.</div></div><div><h3>Results</h3><div>Significantly greater (<em>p</em> ≤ 0.05) torque (Nm/kg) was observed in athletes when performing a weighted isometric CA exercise with: 105% body-mass (0.22Nm/kg, +6.8%), 110% body-mass (0.44Nm/kg, +13.1%), 120% body-mass (0.80Nm/kg, +22.6%), 130% body-mass (1.16Nm/kg, +31.3%), 140% body-mass (1.58Nm/kg, +40.8%) and 150% body mass (1.96Nm/kg, +48.3%), in comparison to the isometric CA exercise, with large effect size (ES = 1.372–5.196). Significantly greater torque was also observed when compared to the isometric hip adduction long-lever squeeze exercise, with large effect size (ES = 2.022–4.091). Twenty-nine athletes reached one maximum isometric repetition in weighted isometric CAs at either 130% body-mass (n = 16) or 140% body-mass (n = 13).</div></div><div><h3>Conclusions</h3><div>The weighted isometric Copenhagen Adduction exercise demonstrates greater force output than the isometric CA and the long-lever squeeze.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 46-52"},"PeriodicalIF":2.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372515","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":"Hip adduction and abduction strength values in NCAA Division I American football players: Strength values and a comparison across position groups","authors":"Ciaran O’ Connor ,&nbsp;Eric Renaghan ,&nbsp;Adam Bennett ,&nbsp;Luis Ferrer ,&nbsp;Raina Damodaran ,&nbsp;Patrick Geraghty ,&nbsp;Luis A. Feigenbaum","doi":"10.1016/j.ptsp.2025.01.004","DOIUrl":"10.1016/j.ptsp.2025.01.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To report hip adduction, abduction, and adduction:abduction strength ratio values in NCAA Division I American football players, and to compare strength values across position groups.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>University training facility.</div></div><div><h3>Participants</h3><div>85 male football players.</div></div><div><h3>Main outcome measures</h3><div>Isometric hip adduction and abduction strength values in the 0° hip-flexion long-lever and 0° hip-flexion short-lever testing positions, using a ForceFrame.</div></div><div><h3>Results</h3><div>Hip strength values are presented across two testing positions. ANOVA revealed significant differences (<em>p</em> ≤ 0.05) in hip strength between position groups, with medium-to-large effect size (n² = 0.116–0.284). Skill-position and mid-position players demonstrated significantly greater hip adduction and abduction relative strength in both testing positions, when compared to lineman-position players. In addition, skill-position and mid-position players demonstrated significantly greater hip adduction:abduction strength ratios (0.19–0.20, 24–25%) in the long-lever testing position, when compared to lineman-position players, with large effect size (n² = 0.178). No significant differences in strength were observed between skill-position and mid-position players. Hip adduction:abduction strength ratios ranged from 0.68 to 0.88 in the long-lever testing position and 1.05 to 1.09 in the short-lever testing position.</div></div><div><h3>Conclusion</h3><div>Significant differences in relative strength exist between position groups of NCAA Division-I football players, in hip adduction, abduction and adduction:abduction ratio.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 32-38"},"PeriodicalIF":2.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137155","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 influence of patient gender on exercise prescription in ACL reconstruction rehabilitation","authors":"Lauren Butler ,&nbsp;Ashley Erdman ,&nbsp;Elliot Greenberg ,&nbsp;Joseph Janosky ,&nbsp;Matthew Bailey ,&nbsp;Alexa Martinez ,&nbsp;Gregory D. Myer ,&nbsp;Sophia Ulman","doi":"10.1016/j.ptsp.2025.01.001","DOIUrl":"10.1016/j.ptsp.2025.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>To assess differences in physical therapists’ exercise prescription and confidence in return-to-sport readiness between girl and boy patients undergoing rehabilitation post-ACLR.</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Methods</h3><div>115 physical therapist responses were collected in an electronic survey. Demographics were captured and therapists were asked to assess the appropriateness of exercises and intensity of prescription for case vignettes of an adolescent boy and girl at four different phases of post-ACLR rehabilitation. Wilcoxon signed-rank tests were performed for paired comparisons among physical therapists’ responses to the boy and girl vignettes.</div></div><div><h3>Results</h3><div>Physical therapists' exercise prescription and confidence in return-to-sport readiness differed for the boy and girl vignettes post-ACLR, specifically during the return-to-sport phase. When exercise was performed with perceived ideal form, physical therapists indicated it was more appropriate to maintain or progress the exercise for girls and had more confidence in girls' ability to return-to-sport. When the exercise was performed with perceived poor form, physical therapists indicated it was more appropriate to maintain or progress the exercise for boys and had more confidence in boys’ ability to return-to-sport.</div></div><div><h3>Conclusion</h3><div>A patient's gender may influence exercise prescription and return-to-sport expectations of physical therapists, which may contribute to disparities in patient outcomes between genders post-ACLR.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 25-31"},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043977","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":"Postural control strategies in individuals with and without chronic ankle instability during the reach phase of the posteromedial direction of the star excursion balance test","authors":"Shojiro Nozu ,&nbsp;Kristin A. Johnson ,&nbsp;Tadamitsu Matsuda ,&nbsp;Yuji Takazawa","doi":"10.1016/j.ptsp.2024.12.008","DOIUrl":"10.1016/j.ptsp.2024.12.008","url":null,"abstract":"<div><h3>Objective</h3><div>To compare center of mass (COM) and center of pressure (COP) displacement, joint angles, and muscle activity for the ankle, knee, and hip during the posteromedial (PM) reach direction of the Star Excursion Balance Test between individuals with chronic ankle instability (CAI) and healthy individuals.</div></div><div><h3>Design</h3><div>Cross-sectional Study.</div></div><div><h3>Setting</h3><div>Biomechanics laboratory.</div></div><div><h3>Participants</h3><div>Fifteen individuals with CAI (age: 20.0 ± 1.2 y) and 20 healthy individuals (age: 20.6 ± 0.8 y).</div></div><div><h3>Main outcome measures</h3><div>The maximum reach distance (MRD). The COM and COP displacement, and ankle, knee, and hip joint angles of the stance limb during the PM reach task measured via a 3D motion analysis system. Electromyography (EMG) was also recorded during the task from the tibialis anterior (TA), soleus, peroneus longus, vastus medialis (VM), biceps femoris, and gluteus medius muscles.</div></div><div><h3>Results</h3><div>MRD of the CAI group was shorter than the healthy group (P = 0.005). The CAI group showed higher COM positioning (P = 0.007), less knee flexion (P = 0.009), and lower muscle activity in TA (P = 0.04), and VM (P = 0.007) during performance of the PM reach as compared to the healthy group.</div></div><div><h3>Conclusions</h3><div>These findings suggest that individuals with CAI demonstrate altered postural control strategies during PM reach performance, likely contributing to a shorter MRD.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 18-24"},"PeriodicalIF":2.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960596","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":"Is limb asymmetry an intrinsic risk factor for time-loss groin injury in professional male soccer players?","authors":"Aynkaran Vigneswaran ,&nbsp;Andreas Serner ,&nbsp;Abdulaziz Farooq ,&nbsp;Courtney Kipps ,&nbsp;Andrea Britt Mosler","doi":"10.1016/j.ptsp.2024.11.008","DOIUrl":"10.1016/j.ptsp.2024.11.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To provide normative values for between-limb asymmetry of hip strength and range of motion (ROM) in professional male soccer players and evaluate the relationship between these asymmetries and groin injury.</div></div><div><h3>Design</h3><div>Secondary analysis of a prospective cohort study.</div></div><div><h3>Methods</h3><div>A total of 438 professional male soccer players underwent musculoskeletal screening, injury and exposure surveillance over two consecutive seasons. Between-limb asymmetry for two hip strength (eccentric adduction and abduction) and six ROM measures were calculated, and normal asymmetry considered within 1 standard deviation (SD) of the mean. Cox proportional hazard regression analysis estimated the association between asymmetry and time-loss groin injury.</div></div><div><h3>Results</h3><div>Normal asymmetry ranged between 0.3% and 27.3% across strength and ROM variables. No association was found between groin injuries and asymmetry in eccentric hip adduction (HR = 0.99, 95%CI = 0.98–1.00; p = 0.167) or abduction strength (HR = 1.00, 95%CI = 0.99–1.01; p = 0.745). For five of the six ROM measures, no association with groin injuries were determined. A statistically significant, though likely clinically irrelevant, association was found between groin injury and dominant leg total hip rotation ROM (HR = 1.03, 95% CI = 1.00–1.05; p = 0.040).</div></div><div><h3>Conclusion</h3><div>Normal hip strength and ROM asymmetry ranged between −27 and +20%. No clinically relevant associations were found between asymmetry in hip strength or ROM and time-loss groin injuries.</div></div><div><h3>Level of evidence</h3><div>2.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 53-60"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793088","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":"Exploring the use of digital technology for injury prevention and self-management among recreational runners","authors":"Kathleen Walker,&nbsp;Nicola Phillips,&nbsp;Liba Sheeran","doi":"10.1016/j.ptsp.2024.12.004","DOIUrl":"10.1016/j.ptsp.2024.12.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Explore digital technology use among recreational runners in Wales and assess attitudes toward a proposed digital intervention for running-related injury (RRI) prevention and self-management.</div></div><div><h3>Design</h3><div>Exploratory survey.</div></div><div><h3>Setting</h3><div>Online questionnaire, closed questions distributed to runners over a 7 week period.</div></div><div><h3>Participants</h3><div>Recreational runners living in Wales (N = 232).</div></div><div><h3>Main outcome measures</h3><div>Data analysed descriptively. Inferential analysis conducted via IBM SPSS v25. Pearson's Chi square and logistic regression applied to assess effects of age, sex, and weekly mileage on technology use.</div></div><div><h3>Results</h3><div>97% of participants reported using digital technology to monitor training, primarily through running watches (45.1%) and smartphone apps (37.6%). Pearson's chi square indicated that younger (18–24 years) and less experienced runners (3 months–2 years) were more likely to use multiple apps. Runners felt these technologies did not offer realistic advice for RRI prevention or self-management. Most runners (84.5%) were interested in the proposed intervention. Runners wanted to see injury advice, exercises to improve running and a diagnostic feature within the proposed intervention.</div></div><div><h3>Conclusion</h3><div>Digital technologies are widely used by recreational runners but are not perceived as useful for injury prevention/self-management. There is therefore an opportunity to develop tailored, evidence-based digital interventions for RRI prevention and self-management.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 85-91"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904668","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 effect of anti-pronation and anti-supination taping on neuromuscular control in recreational athletes with Achilles Tendinopathy: A randomized controlled cross-over trial","authors":"Tongzhou Zhang ,&nbsp;Yilin Zhao ,&nbsp;Roger Adams ,&nbsp;Peter Malliaras ,&nbsp;Jeremy Witchalls ,&nbsp;Weijie Fu ,&nbsp;Jia Han","doi":"10.1016/j.ptsp.2024.12.006","DOIUrl":"10.1016/j.ptsp.2024.12.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the effects of different directions of athletic taping on neuromuscular control of the lower limb in recreational athletes with Achilles tendinopathy (AT).</div></div><div><h3>Design</h3><div>Crossover Study.</div></div><div><h3>Setting</h3><div>Functional assessment laboratory.</div></div><div><h3>Participants</h3><div>Thirty recreational athletes with AT.</div></div><div><h3>Main outcome measures</h3><div>Participants were randomly treated with anti-pronation taping, anti-supination taping, or no-taping. Under different taping conditions, neuromuscular tests were performed in random order: ankle proprioception Active Movement Extent Discrimination Assessment (AMEDA), Weight-Bearing Lunge Test (WBLT), single leg hop test, figure-of-eight hop test and Lower Extremity Functional Test (LEFT).</div></div><div><h3>Results</h3><div>Compared with no-taping, both anti-pronation taping and anti-supination taping significantly improved AMEDA proprioception test scores (p &lt; 0.001,η_p² = 0.466), figure-of-eight hop performance (p &lt; 0.001,η_p² = 0.307), unilateral LEFT scores (p &lt; 0.001,η_p² = 0.448), and may reduce risk of lower limb injury in recreational athletes with AT (p &lt; 0.001,η_p² = 0.432). Taping significantly reduced WBLT values (p &lt; 0.001,η_p² = 0.259) but had no significant effect on single leg hop test scores (p = 0.139). Importantly, no difference between the two taping conditions was observed.</div></div><div><h3>Conclusions</h3><div>Both directions of athletic taping were equally effective in improving ankle proprioception, lower extremity functional performance, and reducing the risk of injury in athletes with AT, but had no significant effect on lower limb explosive strength and were associated with significantly reduced ankle dorsiflexion.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 92-99"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924229","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":"Rehabilitation and assessment practices following anterior cruciate ligament injury: A survey of Australian physiotherapists","authors":"Peter K. Edwards ,&nbsp;Katrina Leembruggen ,&nbsp;Chelsea Peers ,&nbsp;Martin Lindahl ,&nbsp;Yee Xi Law ,&nbsp;Mick Hughes ,&nbsp;Mark Gibson ,&nbsp;Jay R. Ebert","doi":"10.1016/j.ptsp.2024.12.001","DOIUrl":"10.1016/j.ptsp.2024.12.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the current beliefs and practices among Australian physiotherapists regarding the management of anterior cruciate ligament (ACL) injuries.</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Setting</h3><div>Online survey.</div></div><div><h3>Participants</h3><div>Australian physiotherapists.</div></div><div><h3>Outcome measures</h3><div>The survey assessed beliefs and practices regarding non-operative management, ACL reconstruction, pre- and post-operative rehabilitation, and return to sport (RTS) criteria. Frequencies and percentages summarized survey responses, and chi-square or Fisher's exact tests assessed whether beliefs and practices were influenced by experience (≤6 years or &gt;6 years) and annual caseload (&lt;6 or ≥6 patients).</div></div><div><h3>Results</h3><div>In total, 419 physiotherapists were included, with 367 completing the survey in its entirety. Most physiotherapists (86.8%) consider non-surgical management alternatives for patients. Two-thirds (59.8%) recommend a minimum of 9–12 months before RTS, emphasizing recovery of knee strength (93.9%) and psychological readiness (93.9%). Of those who assessed strength, 32.5% use manual muscle testing, and 37.4% assess strength from hop testing. The 63.5% of respondents who reported barriers to implementing best practice ACL management, cited lack of resources (69.1%) and patient non-compliance (67.8%) as the most common reasons.</div></div><div><h3>Conclusion</h3><div>This survey of Australian physiotherapists showed alignment with evidence-based ACL guidelines but highlighted differences from international practices and variations by experience and caseload.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 69-77"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814965","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":"Knee proprioception four months after anterior cruciate ligament reconstruction: Impact of limb dominance, anterolateral procedure, and association with readiness to return to sport","authors":"Joffrey Drigny ,&nbsp;Marine Rolland ,&nbsp;Marion Remilly ,&nbsp;Henri Guermont ,&nbsp;Emmanuel Reboursière ,&nbsp;Christophe Hulet ,&nbsp;Antoine Gauthier","doi":"10.1016/j.ptsp.2024.11.005","DOIUrl":"10.1016/j.ptsp.2024.11.005","url":null,"abstract":"<div><h3>Background</h3><div>Knee proprioception may be compromised after anterior cruciate ligament reconstruction (ACLR), but associated factors and impact remain unclear. This study evaluated knee proprioception 4 months after primary ACLR, compared with healthy controls, and explored the impacts of leg dominance, anterolateral procedures (AEAPs), and their association with psychological readiness to return to sports.</div></div><div><h3>Methods</h3><div>This prospective cohort study included 30 ACLR participants and 20 healthy controls. Isokinetic testing measured knee strength and proprioception, using passive joint position sense (JPS1: detection, JPS2: repositioning) and kinesthesia (threshold to detection of passive motion). At 8 months, ACLR participants completed the ACL-RSI scale to assess psychological readiness to return to sports.</div></div><div><h3>Results</h3><div>At 4 months postoperative, kinesthesia was better in the operated limb than the non-operated limb (p = 0.008), but position sense did not differ significantly. There were no significant differences in kinesthesia or position sense between ACLR participants and controls. The operated limb had worse JPS2 if the ACLR was on the non-dominant side. Proprioception was unaffected by AEAPs, and only repositioning showed a moderate, non-significant correlation with ACL-RSI (r = −0.377).</div></div><div><h3>Conclusion</h3><div>At 4 months post-ACLR, kinesthesia improved in the operated leg; dominance influenced position sense, highlighting the need for personalized rehabilitation.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 61-68"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803950","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}