Maximiliano Ezequiel Arlettaz , Lucas Nahuel Dorsch , Paola Andrea Lucia Catalfamo-Formento
{"title":"Landing error scoring system: A scoping review about variants, reference values and differences according to sex and sport","authors":"Maximiliano Ezequiel Arlettaz , Lucas Nahuel Dorsch , Paola Andrea Lucia Catalfamo-Formento","doi":"10.1016/j.ptsp.2024.07.005","DOIUrl":"10.1016/j.ptsp.2024.07.005","url":null,"abstract":"<div><h3>Objective</h3><p>The Landing Error Scoring System (LESS) is a movement analysis tool proposed to identify the risk of anterior cruciate ligament injuries, very useful for injury prevention. The aim of this study is to review the variants of the LESS, their normative scores and the differences according to sex and sport practiced.</p></div><div><h3>Methods</h3><p>PubMed, Scopus and ScienceDirect databases were searched from inception to October 19, 2023. Studies were eligible if the objective was finding normative or reference scores for the LESS, analyze the differences between sexes or sports, or used some variant of the test. Results were limited to available full-text articles published in English in peer-reviewed journals.</p></div><div><h3>Results</h3><p>Of the 360 articles identified, 20 were included for a full analysis (18,093 participants, age = 8–30 years, males = 70.6%). The military population was the most frequently analyzed (7 studies, n = 16,603). Results showed six variants of the LESS and average values ranged from 2.56 to 7.1. Males and females showed different pattern landing with errors in different planes.</p></div><div><h3>Conclusions</h3><p>Our findings highlight the need for more field studies on LESS reference scores, particularly for females and basketball or hockey players. Further research is required before conducting a systematic review and meta-analysis.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 67-75"},"PeriodicalIF":2.2,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846865","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}
Natanael P. Batista , Zuleiha I. Rachid , Danilo De Oliveira Silva , Neal R. Glaviano , Grant E. Norte , David M. Bazett-Jones
{"title":"Reliability and validity of belt-stabilized and tension dynamometry for assessing hip strength and power in uninjured adults","authors":"Natanael P. Batista , Zuleiha I. Rachid , Danilo De Oliveira Silva , Neal R. Glaviano , Grant E. Norte , David M. Bazett-Jones","doi":"10.1016/j.ptsp.2024.07.004","DOIUrl":"10.1016/j.ptsp.2024.07.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the intra-rater reliability and validity of belt-stabilized and tension dynamometry to assess hip muscle strength and power.</p></div><div><h3>Design</h3><p>Repeated measures.</p></div><div><h3>Setting</h3><p>Biomechanics laboratory.</p></div><div><h3>Participants</h3><p>Seventeen uninjured adults (age = 22.0 ± 2.3y; 13 females).</p></div><div><h3>Main outcomes measures</h3><p>Peak torque (strength) and rate of torque development (RTD; power) were measured for hip abduction, internal rotation, external rotation and extension using an isokinetic dynamometer, and belt-stabilized and tension dynamometry.</p></div><div><h3>Results</h3><p>For peak torque assessment, belt-stabilized and tension dynamometry showed good (Intraclass Correlation Coefficient [ICC] = 0.848–0.899) and good-to-excellent (ICC = 0.848–0.942) reliability, respectively. For RTD, belt-stabilized dynamometry showed fair reliability for abduction (ICC = 0.524) and good reliability for hip internal rotation, external rotation, and extension (ICC = 0.702–0.899). Tension dynamometry showed good reliability for all motions when measuring RTD (ICC = 0.737–0.897). Compared to isokinetic dynamometry, belt-stabilized and tension dynamometry showed good-to-excellent correlations for peak torque assessment (r = 0.503–0.870), and fair-to-good correlations for RTD (r = 0.438–0.674). Bland-Altman analysis showed that measures from belt-stabilized and tension dynamometry had clinically meaningful disagreement with isokinetic dynamometry.</p></div><div><h3>Conclusion</h3><p>Tension dynamometry is reliable for assessing hip strength and power in all assessed motions. Belt-stabilized dynamometry is reliable for assessing internal rotation, external rotation, and extension. Validity of both methods is questionable, considering the lack of agreement with isokinetic dynamometry.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 59-66"},"PeriodicalIF":2.2,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000750/pdfft?md5=a990bc457608b8b2ec1f74052dbe1781&pid=1-s2.0-S1466853X24000750-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141780563","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":"Effectiveness of psychological intervention following anterior cruciate ligament reconstruction: A systematic review and meta-analysis","authors":"Yuichi Isaji , Shota Uchino , Ryuta Inada , Hiroki Saito","doi":"10.1016/j.ptsp.2024.07.003","DOIUrl":"10.1016/j.ptsp.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the effectiveness of psychological interventions in postoperative anterior cruciate ligament reconstruction (ACLR) compared to standard rehabilitation.</p></div><div><h3>Methods</h3><p>The databases searched were PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, PEDro, Cumulative Index to Nursing & Allied Health Literature, and EMBASE were searched from each database inception to May 2023 for published studies. The methodological quality was assessed with the Cochrane Risk of Bias Assessment (RoB 2.0) tool. The evidence quality was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.</p></div><div><h3>Results</h3><p>Six papers were included in the meta-analysis. Psychological intervention significantly improved Tampa Scale for Kinesiophobia at 3 months (Standard Mean Difference [SMD], −0.51. 95% Confidence Interval [CI], −0.85 to −0.17) and pain (Knee Injury and Osteoarthritis Outcome Score for Pain, Numeric Rating Scale, Visual Analog Scale) at 3 months (SMD, −0.92. 95%CI, −1.69 to −0.15) and at 6 months following ACLR (MD, −1.25. 95%CI, −1.82 to −0.68) when compared with the standard rehabilitation, according to very low-quality data. Self-efficacy and knee strength did not show significant differences.</p></div><div><h3>Conclusion</h3><p>Very low-quality evidence suggests that psychological intervention following ACLR yields better short-term outcomes compared to standard rehabilitation, with uncertainty about its clinically significant benefits over standard rehabilitation.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 40-50"},"PeriodicalIF":2.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636837","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}
Katherine L. Smulligan , Patrick Carry , Andrew C. Smith , Carrie Esopenko , Christine M. Baugh , Julie C. Wilson , David R. Howell
{"title":"Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history","authors":"Katherine L. Smulligan , Patrick Carry , Andrew C. Smith , Carrie Esopenko , Christine M. Baugh , Julie C. Wilson , David R. Howell","doi":"10.1016/j.ptsp.2024.07.002","DOIUrl":"10.1016/j.ptsp.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate dizziness, vestibular/oculomotor symptoms, and cervical spine proprioception among adults with/without a concussion history.</p></div><div><h3>Methods</h3><p>Adults ages 18–40 years with/without a concussion history completed: dizziness handicap inventory (DHI), visio-vestibular exam (VVE), and head repositioning accuracy (HRA, assesses cervical spine proprioception). Linear regression models were used to assess relationships between (1) concussion/no concussion history group and VVE, HRA, and DHI, and (2) DHI with HRA and VVE for the concussion history group.</p></div><div><h3>Results</h3><p>We enrolled 42 participants with concussion history (age = 26.5 <span><math><mrow><mo>±</mo></mrow></math></span> 4.5 years, 79% female, mean = 1.4<span><math><mrow><mo>±</mo></mrow></math></span> 0.8 years post-concussion) and 46 without (age = 27.0<span><math><mrow><mo>±</mo></mrow></math></span> 3.8 years, 74% female). Concussion history was associated with worse HRA (<span><math><mrow><mi>β</mi></mrow></math></span> = 1.23, 95% confidence interval [CI]: 0.77, 1.68; p < 0.001), more positive VVE subtests (<span><math><mrow><mi>β</mi></mrow></math></span> = 3.01, 95%CI: 2.32, 3.70; p < 0.001), and higher DHI scores (<span><math><mrow><mi>β</mi></mrow></math></span> = 9.79, 95%CI: 6.27, 13.32; p < 0.001) after covariate adjustment. For the concussion history group, number of positive VVE subtests was significantly associated with DHI score (<span><math><mrow><mi>β</mi></mrow></math></span> = 3.78, 95%CI: 2.30, 5.26; p < 0.001) after covariate adjustment, while HRA error was not (<span><math><mrow><mi>β</mi></mrow></math></span> = 1.10, 95%CI: −2.32, 4.51; p = 0.52).</p></div><div><h3>Conclusions</h3><p>Vestibular/oculomotor symptom provocation and cervical spine proprioception impairments may persist chronically (i.e., 3 years) after concussion. Assessing dizziness, vestibular/oculomotor and cervical spine function after concussion may inform patient-specific treatments to address ongoing dysfunction.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 33-39"},"PeriodicalIF":2.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623066","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}
Mark C. Richardson , Paul Chesterton , Abigail Taylor , William Evans
{"title":"The effect of surface on knee landing mechanics and muscle activity during a single-leg landing task in recreationally active females","authors":"Mark C. Richardson , Paul Chesterton , Abigail Taylor , William Evans","doi":"10.1016/j.ptsp.2024.07.001","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>Investigate the effect of surface on frontal plane knee angle, knee moment and muscle activity.</p></div><div><h3>Design</h3><p>Randomised cross over.</p></div><div><h3>Setting</h3><p>University Laboratory.</p></div><div><h3>Methods</h3><p>Twenty females performed single-leg hop-landings onto sand, grass and firm surfaces. Kinematic, kinetic and muscle activity data were obtained. Compatibility curves were used to visualise parameter estimates alongside <em>P</em>- values, and S-value transforms.</p></div><div><h3>Results</h3><p>Knee angle for firm-sand (mean difference <span><math><mrow><mover><mrow><mo>(</mo><mi>d</mi><mo>)</mo></mrow><mo>‾</mo></mover></mrow></math></span> = −2.2°; 95% compatibility interval (CI): −4.6 to 0.28, p = 0.083, s = 3.6) and firm-grass (<span><math><mrow><mover><mrow><mi>d</mi><mspace></mspace></mrow><mo>‾</mo></mover></mrow></math></span> = −1.9; 95% CI: −4.3 to 0.5, p = 0.125, S = 3) yielded <4 bits of reputational information against the null hypothesis (H). 5 bits (p = 0.025) of information against H were observed for knee moment between firm-sand (<span><math><mrow><mover><mrow><mi>d</mi><mspace></mspace></mrow><mo>‾</mo></mover></mrow></math></span> = 0.17 N m/kg-1. m-1; 95% CI: 0.02 to 0.31) with similar effects for firm-grass (<span><math><mrow><mover><mrow><mi>d</mi><mspace></mspace></mrow><mo>‾</mo></mover></mrow></math></span> = 0.14 N m/kg-1. m-1; 95% CI: −0.02 to 0.29, p = 0.055, S = 4). Muscle activity across surfaces ranged from almost no (S = 1) reputational evidence against H (Quadriceps and Hamstrings) to 10–13 ‘bits’ against H for lateral gastrocnemius (lower on sand).</p></div><div><h3>Conclusions</h3><p>Our study provides valuable information for practitioners of the observed effect sizes for lower-limb landing mechanics across surfaces in asymptomatic females.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 22-32"},"PeriodicalIF":2.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000725/pdfft?md5=3bcc8d9dc677a106486073d98a3fe5de&pid=1-s2.0-S1466853X24000725-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593806","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}
Willem M.P. Heijboer , Karin M. Thijs , Adam Weir , Andreas Serner , Johannes L. Tol , Edwin A. Goedhart , Floor P. Groot
{"title":"Normal hip strength and range of motion values in youth and adult female national football teams: Data from 504 assessments","authors":"Willem M.P. Heijboer , Karin M. Thijs , Adam Weir , Andreas Serner , Johannes L. Tol , Edwin A. Goedhart , Floor P. Groot","doi":"10.1016/j.ptsp.2024.06.005","DOIUrl":"10.1016/j.ptsp.2024.06.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine normal hip adduction- and abduction strength and range of motion (ROM) values for youth and adult female national team football players, and evaluate if increasing age, playing position and leg dominance were associated with these strength and ROM values.</p></div><div><h3>Design</h3><p>Cohort study.</p></div><div><h3>Setting</h3><p>National football center.</p></div><div><h3>Participants</h3><p>344 unique asymptomatic female football players.</p></div><div><h3>Main outcome measures</h3><p>Hip internal/external rotation (°), Bent Knee Fall Out test (cm), hip adduction/abduction strength(N) and ratio, and normalised hip adduction/abduction torque (Nm/kg).</p></div><div><h3>Results</h3><p>A total of 504 assessments were performed. A total of 107 players underwent two (n = 67), three (n = 27) or four (n = 13) assessments. Mean peak hip adduction strength was 39% greater in 20 + Y old players 170 (±53 N) than in 13Y old players 122 (±28 N). Normalised hip adduction torque was 9% greater: 2.5 (±0.8Nm/kg) versus 2.3 (±0.5Nm/kg). A positive association between age and all strength measurements was found, while a negative association between age and hip external rotation and total hip rotation was found. No clinically relevant differences were found for the associations between playing position, leg dominance and hip strength- and ROM values.</p></div><div><h3>Conclusion</h3><p>Normal values for hip strength and range of motion in youth and adult female national football players are presented that can be used as clinical reference values.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 51-58"},"PeriodicalIF":2.2,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000671/pdfft?md5=e5f4aeadaf0ff4431a45bfc9c8c7e332&pid=1-s2.0-S1466853X24000671-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691143","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}
Sofia Ryman Augustsson , Timmy Gustafsson , Eva Ageberg
{"title":"Can tests of physical fitness predict traumatic knee injury in youth female athletes? A prospective cohort study","authors":"Sofia Ryman Augustsson , Timmy Gustafsson , Eva Ageberg","doi":"10.1016/j.ptsp.2024.06.007","DOIUrl":"10.1016/j.ptsp.2024.06.007","url":null,"abstract":"<div><h3>Objectives</h3><p>To compile a battery of test including various aspects of physical fitness that could be used on the field and to assess whether any of these tests are associated with future traumatic knee injuries in youth female team sports athletes.</p></div><div><h3>Design</h3><p>Prospective cohort.</p></div><div><h3>Setting</h3><p>Sport setting.</p></div><div><h3>Participants</h3><p>Female athletes (n = 117, age 15–19 years), from Swedish sport high schools, active in soccer, handball, or floorball.</p></div><div><h3>Main outcome measures</h3><p>Differences in pre-injury tests values of 11 physical fitness tests in injured versus non-injured athletes, assessed as number of traumatic knee injuries over one season.</p></div><div><h3>Results</h3><p>28 athletes sustained 34 traumatic knee injuries. Athletes who sustained an injury had a shorter distance on the Yo-Yo IR1 test at baseline than those without an injury (mean difference −193 m, CI -293− −65 m). None of the other tests, assessed for muscular strength, endurance, power, flexibility and dynamic knee valgus, differed between injured and non-injured athletes.</p></div><div><h3>Conclusions</h3><p>Youth female athletes with lower intermittent endurance capacity, assessed with the Yo-Yo IR1, seemed to be at greater risk of traumatic knee injury. Neither hop performance, flexibility, dynamic knee valgus nor isolated strength tests at baseline could distinguish between injured and non-injured youth female athletes at follow-up.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 15-21"},"PeriodicalIF":2.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000695/pdfft?md5=135078e998d154be8c3be633e4bcb40b&pid=1-s2.0-S1466853X24000695-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592477","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}
Inaê de Oliveira , Karine J.V. Stoelben , Eduarda Santos Tulius , Vitória de Pereira Ferreira , Felipe P. Carpes
{"title":"Strength and clinical test combinations enhance predictions of sagittal and frontal plane biomechanics in single-leg landing","authors":"Inaê de Oliveira , Karine J.V. Stoelben , Eduarda Santos Tulius , Vitória de Pereira Ferreira , Felipe P. Carpes","doi":"10.1016/j.ptsp.2024.06.008","DOIUrl":"10.1016/j.ptsp.2024.06.008","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine whether clinical screening tests can predict lower limb joint kinematics and kinetics outcomes eliciting anterior cruciate ligament (ACL) injury risk in single-leg landings.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Setting</h3><p>Laboratory research.</p></div><div><h3>Participants</h3><p>Twenty-six professional male futsal athletes.</p></div><div><h3>Main outcome measures</h3><p>Participants completed the Modified Star Excursion Balance Test (mSEBT), Lateral Step Down (LSD), Lunge, Hop tests, and isometric strength tests for clinical screening of lower extremity injury risk and performed single-leg landings to assess lower extremity 3D kinematics and kinetics outcomes.</p></div><div><h3>Results</h3><p>mSEBT, LSD, and isometric strength were the more important tests when constructing the prediction models. The predictive power of clinical tests for screening injury risk significantly increases when combined with strength measurements (p = 0.005, f<sup>2</sup> = 0.595). We discerned 11 biomechanical predictions, six explicitly related to the sagittal plane's biomechanics. Some predictions were leg-dependent, with muscle strength tests predominantly predicting biomechanical outcomes of the preferred leg.</p></div><div><h3>Conclusion</h3><p>Combining clinical screening tests with strength measures enhances ACL injury risk factors prediction during single-leg landings. Clustering at least two tests improves prediction accuracy, aiding injury prevention planning and decision-making.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545727","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":"Mechanisms of lateral ankle ligament sprains in professional netball: A systematic video analysis","authors":"Max C. Stuelcken , Claire E. Hiller , Liam Toohey","doi":"10.1016/j.ptsp.2024.06.004","DOIUrl":"10.1016/j.ptsp.2024.06.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To undertake a systematic analysis of 17 medical attention and time-loss lateral ankle ligament sprain (LALS) events from televised Australian professional netball games during the 2020–2023 seasons.</p></div><div><h3>Design</h3><p>Case series.</p></div><div><h3>Methods</h3><p>Three analysts independently assessed the video footage and then convened to review and discuss each case until a consensus was reached.</p></div><div><h3>Results</h3><p>When in possession (7 cases) a player was commonly performing an agility-based manoeuvre to break free from an opponent and reposition themselves to be a passing option (5/7 cases). When out of possession (10 cases) a player was either attempting to intercept a pass (6 cases) or marking an opponent (4 cases). Players tended to land on the anterior one-third of the plantar surface of the foot - forefoot or shoe tip (7 cases). Players often landed on either the ground (7 cases) or the opponent's shoe then the ground (8 cases). In 9 cases the ankle-foot was considered to be in a neutral alignment in the frontal plane at landing. At the estimated index frame the players' weight tended to be all on the foot on the injured side (11 cases) or favouring the foot on the injured side (5 cases). Inversion and adduction was a common injury mechanism. Plantar-flexion was rarely involved.</p></div><div><h3>Conclusion</h3><p>Landing on the anterior one-third of the plantar surface of the foot and subsequent weight transference onto the injured limb side was more important than ankle-foot inversion at initial ground contact. Exercises involving external perturbations that challenge the control of frontal and transverse plane ankle-foot motion and improve proprioception, neuromuscular control, and dynamic balance are warranted.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 8-14"},"PeriodicalIF":2.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545726","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}
Thomas Hansoulle , Jean-Louis Peters-Dickie , Philippe Mahaudens , Anh Phong Nguyen
{"title":"Do we underestimate the frequency of ankle sprains in running? A systematic review and meta-analysis","authors":"Thomas Hansoulle , Jean-Louis Peters-Dickie , Philippe Mahaudens , Anh Phong Nguyen","doi":"10.1016/j.ptsp.2024.06.009","DOIUrl":"10.1016/j.ptsp.2024.06.009","url":null,"abstract":"<div><h3>Objective</h3><p>To provide a systematic review and meta-analysis of the proportion of ankle sprains in running practices.</p></div><div><h3>Design</h3><p>Systematic review and meta-analysis.</p></div><div><h3>Main outcome measures</h3><p>We calculated the weighted summary proportion and conducted meta-analyses for runners, considering levels (elite/recreational) and disciplines (distance, track, cross-country, trail, and orienteering).</p></div><div><h3>Results</h3><p>32 studies were included in the systematic review and 19 were included in the meta-analysis with a level of quality ranging from poor to good. Proportion of ankle sprains in runners was 13.69% (95%CI = 7.40–21.54; I<sup>2</sup> = 98.58%) in global, 12.20% (95%CI = 5.24–21.53; I<sup>2</sup> = 89.31%) in elite, 19.40% (95%CI = 10.05–30.90; I<sup>2</sup> = 99.09%) in recreational, 8.51% (95%CI = 4.22–14.12; I<sup>2</sup> = 96.15%) in distance, 67.42% (95%CI = 0.50–82.85; I<sup>2</sup> = 99.36%) in track, 27.07% (95%CI = 12.48–44.81; I<sup>2</sup> = 97.97%) in cross-country, and 25.70% (95%CI = 19.87–32.14; I<sup>2</sup> = 0.00) in orienteering.</p></div><div><h3>Conclusions</h3><p>Running practice results in significant proportion rate of ankle sprains. Recreational runners exhibit higher proportion than elite. Running disciplines, especially track, cross-country, and orienteering, influence reported ankle sprain rates, surpassing those of distance runners.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 60-70"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536292","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}