Physical Therapy in Sport最新文献_第4页

Strength, mobility, and functional outcomes 2.5 months after hip arthroscopy for femoroacetabular impingement syndrome: A Cross-sectional Study 股髋臼撞击综合征髋关节镜术后2.5个月的力量、活动能力和功能结局：一项横断面研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-01-01 DOI: 10.1016/j.ptsp.2024.11.006

Joévin Burnel , Thomas Chamu , Nicolas Bonin , Joachim Van Cant , Benoit Pairot De Fontenay

{"title":"Strength, mobility, and functional outcomes 2.5 months after hip arthroscopy for femoroacetabular impingement syndrome: A Cross-sectional Study","authors":"Joévin Burnel , Thomas Chamu , Nicolas Bonin , Joachim Van Cant , Benoit Pairot De Fontenay","doi":"10.1016/j.ptsp.2024.11.006","DOIUrl":"10.1016/j.ptsp.2024.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>Short-term deficits after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) remain poorly understood. We assessed muscle strength, hip range of motion, and functional task performance 2.5 months after surgery and analyzed their association with self-reported function.</div></div><div><h3>Design</h3><div>Cross sectional study.</div></div><div><h3>Participants</h3><div>52 patients.</div></div><div><h3>Main outcome measures</h3><div>Maximal isometric strength (hip flexion with both straight and flexed hip/knee, abduction and external rotation), hip range of motion (flexion, external and internal rotation), and functional tasks (bipodal/unipodal squat, bilateral vertical jump, single-leg distance hop). Between-limb differences were analyzed using paired t-tests, and the Limb Symmetry Index (LSI) was calculated.</div></div><div><h3>Results</h3><div>The operated hip showed lower hip flexion strength (LSI = 88.4%; ES = −0.549; p < 0.001) and reduced range of motion (LSI = 75.4–92.4%; ES = −0.479 to −1.02; all p < 0.01) compared to the non-operated hip. Functional task performance did not differ between operated and non-operated hips (all p > 0.05).</div></div><div><h3>Conclusion</h3><div>Patients showed alterations in hip flexion strength and range of motion post-surgery, but functional task performance was unaffected. Targeted assessment and intervention may be needed to improve outcomes after surgery for FAIS.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 43-52"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793091","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

Self-reported injury in ultra-endurance participants with a focus on knee injuries: An exploratory cross-sectional comparative study of running, cycling, and triathlon 超耐力参与者自我报告的损伤，重点是膝盖损伤：跑步、自行车和铁人三项的探索性横断面比较研究。

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-01-01 DOI: 10.1016/j.ptsp.2024.12.003

Zoe Weir , Jade Allen , Holly Davidge , Andrew Hulton , Jeanette M. Thom , Harry M. Roberts

{"title":"Self-reported injury in ultra-endurance participants with a focus on knee injuries: An exploratory cross-sectional comparative study of running, cycling, and triathlon","authors":"Zoe Weir , Jade Allen , Holly Davidge , Andrew Hulton , Jeanette M. Thom , Harry M. Roberts","doi":"10.1016/j.ptsp.2024.12.003","DOIUrl":"10.1016/j.ptsp.2024.12.003","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the frequency and location of reported injuries among ultra-endurance participants competing in different sports.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Method</h3><div>Ultra-endurance runners, cyclists and triathletes were recruited via a social media advertisement to participate in a web-based questionnaire. The questionnaire asked for information on demographics, competition history, training characteristics, and self-reported injury. Descriptive analyses and prevalence rates were calculated to determine differences between sports.</div></div><div><h3>Results</h3><div>Of the 258 participants (age:46 ± 11 years; 33% female), 129 (50%) self-reported an injury within the past 12 months. Despite high frequency of reported injury, only 10% of injuries resulted in ‘severe’ pain and 7% resulted in stopping participation. The lower extremity, and specifically the knee, ankle and foot, were the most common injury locations. Prevalence ratios for injury over the past 12 months was similar across running, cycling, and triathlon, with no statistically significant differences. However, cyclists demonstrated a significantly higher prevalence of knee injuries since starting ultra-endurance participant compared to runners after adjusting for covariates (PR: 1.62; 95% CI: 1.15–2.28, p = 0.006).</div></div><div><h3>Conclusions</h3><div>Ultra-endurance participants self-report a considerable number of lower extremity injuries, yet this is similar across sports, and both the level of pain and impact on performance impact is generally low.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 78-84"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901550","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}

引用次数: 0

Isometric and isokinetic hip strength in males with chronic ankle instability and its relationship with dynamic balance and self-reported instability

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-12-31 DOI: 10.1016/j.ptsp.2024.12.007

Maciej Olszewski , Joanna Golec , Bartosz Zając , Piotr Krężałek

{"title":"Isometric and isokinetic hip strength in males with chronic ankle instability and its relationship with dynamic balance and self-reported instability","authors":"Maciej Olszewski , Joanna Golec , Bartosz Zając , Piotr Krężałek","doi":"10.1016/j.ptsp.2024.12.007","DOIUrl":"10.1016/j.ptsp.2024.12.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate isometric and isokinetic hip strength as well as dynamic balance in males with chronic ankle instability (CAI) and explore potential associations between hip strength, dynamic balance, and self-reported instability.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>University laboratory.</div></div><div><h3>Participants</h3><div>Fifty male participants (25 with CAI and 25 healthy controls).</div></div><div><h3>Main outcome measures</h3><div>Hip isometric and isokinetic torque normalized to body weight, Lower Quarter Y-balance Test (YBT-LQ), the Polish version of The Cumberland Ankle Instability Tool (CAIT-PL).</div></div><div><h3>Results</h3><div>Significant differences were observed only in the hip isometric abductors/adductors strength ratio (p = 0.034, ES = 0.65), which was lower in the CAI group. CAI participants showed reduced dynamic balance in posterolateral reach (p = 0.006, ES = 0.92) and composite score of YBT-LQ (p = 0.012, ES = 0.91). There was a moderate positive correlation between dynamic balance and hip abductors strength during posteromedial (r = 0.40, p = 0.049) and posterolateral (r = 0.40, p = 0.048) YBT-LQ reaches, and isometric hip abductors strength moderately positively correlated with self-reported instability (r = 0.46, p = 0.021) in the CAI group.</div></div><div><h3>Conclusion</h3><div>Males with CAI exhibit deficits in frontal plane hip isometric strength, specifically in the hip abductor/adductor ratio, while no deficits were observed in isokinetic strength. The relationships between hip abductors strength, dynamic balance, and self-reported ankle instability may suggest the importance of hip abductors isometric strength for functional outcomes in CAI-patients.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 9-17"},"PeriodicalIF":2.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137154","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}

引用次数: 0

Reliability of the Athletic Shoulder test in asymptomatic and symptomatic overhead racquet athletes

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-12-24 DOI: 10.1016/j.ptsp.2024.12.005

Michelle Schellekens, Filip Struyf, Noa Verheyen, Jonas Pittoors, Claudia Cavaggion

{"title":"Reliability of the Athletic Shoulder test in asymptomatic and symptomatic overhead racquet athletes","authors":"Michelle Schellekens, Filip Struyf, Noa Verheyen, Jonas Pittoors, Claudia Cavaggion","doi":"10.1016/j.ptsp.2024.12.005","DOIUrl":"10.1016/j.ptsp.2024.12.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Assessing intra- and inter-rater reliability of the Athletic Shoulder (ASH) test using a force plate in asymptomatic and symptomatic overhead racquet athletes.</div></div><div><h3>Design</h3><div>Within-session, intra- and inter-rater reliability.</div></div><div><h3>Setting</h3><div>Physiotherapy practice in Belgium.</div></div><div><h3>Participants</h3><div>Forty-two overhead racquet athletes (21 asymptomatic, 21 symptomatic with shoulder complaints), all playing tennis, badminton, and/or padel for at least 4 h weekly.</div></div><div><h3>Main outcome measures</h3><div>Intra- and inter-rater reliability (intraclass correlation coefficients), standard errors of measurement, minimum detectable change, and agreement (Bland-Altman plots).</div></div><div><h3>Results</h3><div>The ASH test demonstrated excellent intra-rater reliability among asymptomatic (ICC 0.93–0.98) and symptomatic athletes (ICC 0.91–0.98) in all positions (I,Y,T). Inter-rater reliability ranged from good to excellent (asymptomatic: ICC 0.80–0.95, symptomatic: ICC 0.79–0.91).</div></div><div><h3>Conclusions</h3><div>The ASH test demonstrated excellent reliability for single-rater use, supporting its utility for assessing isometric strength in overhead racquet athletes, with or without shoulder complaints. In the asymptomatic group, excellent inter-rater reliability was observed in the Y and T positions. In the symptomatic group, only the non-dominant T position showed excellent inter-rater reliability, making consistent use of a single rater preferable in this population. Future applications may aid injury rehabilitation and return-to-play protocols in sports medicine.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 86-94"},"PeriodicalIF":2.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429435","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

What do coaches want? Exploring the preferences of youth rugby union coaches for education in the implementation of injury prevention programmes 教练想要什么？探讨青少年橄榄球联盟教练在实施伤害预防计划方面的教育偏好。

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-12-21 DOI: 10.1016/j.ptsp.2024.12.002

Lauren Guilfoyle , Tom Comyns , Kieran O’Sullivan , Ian C. Kenny

{"title":"What do coaches want? Exploring the preferences of youth rugby union coaches for education in the implementation of injury prevention programmes","authors":"Lauren Guilfoyle , Tom Comyns , Kieran O’Sullivan , Ian C. Kenny","doi":"10.1016/j.ptsp.2024.12.002","DOIUrl":"10.1016/j.ptsp.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>To explore youth Rugby Union coaches’ preferences for education and support in the implementation of injury prevention programmes (IPPs).</div></div><div><h3>Methods</h3><div>Twelve Rugby Union coaches involved with youth teams participated in five online focus groups. Conventional content analysis was used to determine preferences initially from transcripts, and thereafter main categories, generic categories and sub-categories.</div></div><div><h3>Results</h3><div>Coach preferences were organised into three main categories: ‘formal/non-formal learning', ‘informal learning’, and ‘intrapersonal considerations’. The generic categories of ‘logistics’, ‘content’ and ‘resources’ featured substantially in coach preferences for education. Coaches prefer live structured group workshops in the pre-season period, which focus on the development of implicit knowledge. To do this, coaches prefer practical opportunities for coaching within the education session. In support of this education, coaches want resources (both physical and video) which assist in session planning.</div></div><div><h3>Conclusions</h3><div>The preferences of youth Rugby Union coaches towards <span>IPP</span> education and support are similar to that of other coaching domains. A live practical workshop held in the pre-season is preferred, although facilitator preferences varied. A mismatch is evident between coach preferences for IPP education and what is currently being offered through NGB coach education therefore further exploration of NGB perspectives is warranted.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 1-8"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934148","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

Season changes in performance of upper limbs and trunk in para swimmers 残疾人游泳运动员上肢和躯干表现的季节变化

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-24 DOI: 10.1016/j.ptsp.2024.11.007

Geronimo José Bouzas Sanchis , Renan Alves Resende , Paula de Farias Fernandes Martins , Samuel Silva , Marco Túlio de Mello , Yasser Alakhdar Mohmara , Andressa Silva

{"title":"Season changes in performance of upper limbs and trunk in para swimmers","authors":"Geronimo José Bouzas Sanchis , Renan Alves Resende , Paula de Farias Fernandes Martins , Samuel Silva , Marco Túlio de Mello , Yasser Alakhdar Mohmara , Andressa Silva","doi":"10.1016/j.ptsp.2024.11.007","DOIUrl":"10.1016/j.ptsp.2024.11.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate upper limb performance, trunk extensor endurance, and serratus anterior strength in para swimmers over a sports season.</div></div><div><h3>Design</h3><div>A cohort study conducted over eleven months.</div></div><div><h3>Settings</h3><div>Three assessments were performed at pre-season, mid-season, and post-season, evaluating the CKCUEST, Sorensen Test, and isometric strength of the serratus anterior.</div></div><div><h3>Participants</h3><div>Twelve para swimmers from a sports center.</div></div><div><h3>Main outcome measures</h3><div>Generalized Mixed Models were used to assess seasonal changes and the influence of sex, age, type of impairment, and season phase. Coefficients of variation for each variable were calculated along with 95% confidence intervals (CIs), with a 5% significance level.</div></div><div><h3>Results</h3><div>Sorensen Test values decreased during the season (C: 22.0; CI: 33.9 to −10.4; p < 0.01). A serratus anterior isometric strength difference was observed post-season between para athletes with motor impairments and those with visual/intellectual impairments on the dominant side (C: 3.3; CI: 6.2 to −0.5; p = 0.02).</div></div><div><h3>Conclusion</h3><div>Sorensen Test values declined in mid-season, and para athletes with motor impairments showed lower serratus anterior strength in post-season. CKCUEST values remained stable throughout the season.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 31-35"},"PeriodicalIF":2.2,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745586","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

Changes in daily sedentary time, in adolescents with long-standing knee pain, during a management strategy including activity modification: An ancillary analysis of two clinical trials 在采取包括活动调整在内的管理策略期间，患有长期膝关节疼痛的青少年每天久坐时间的变化：两项临床试验的辅助分析

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-16 DOI: 10.1016/j.ptsp.2024.11.003

Magnus Bye Blumenfeld , Christian Lund Straszek , Sinead Holden , Kristian Thorborg , Michael Skovdal Rathleff

{"title":"Changes in daily sedentary time, in adolescents with long-standing knee pain, during a management strategy including activity modification: An ancillary analysis of two clinical trials","authors":"Magnus Bye Blumenfeld , Christian Lund Straszek , Sinead Holden , Kristian Thorborg , Michael Skovdal Rathleff","doi":"10.1016/j.ptsp.2024.11.003","DOIUrl":"10.1016/j.ptsp.2024.11.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim was to investigate changes in sedentary time during an activity modification strategy for sports-active adolescents with patellofemoral pain (PFP) and Osgood-Schlatter (OSD).</div></div><div><h3>Design</h3><div>Explorative ancillary analysis of two different prospective clinical trials with two different endpoint timelines.</div></div><div><h3>Methods</h3><div>202 adolescents with either PFP or OSD were included. ActiGraph GT3X + objectively measured sedentary time before, during, and after adolescents were instructed to modify sports participation, requiring a minimum of 4 days with 10 h of wear time. Daily sedentary time was calculated from ≥10 min of consecutive bouts.</div></div><div><h3>Results</h3><div>138 adolescents with PFP and 47 with OSD were eligible for inclusion. Adolescents with PFP had a non-significant increase of 14min/day change in sedentary time from baseline to during the activity modification. Adolescents with OSD had non-significant increases of 9min/day and 0min/day in sedentary time from baseline to immediately following the activity modification period and at the 12 weeks follow-up. There was variability in the individual adolescents’ sedentary time during the intervention.</div></div><div><h3>Conclusion</h3><div>Activity modification in adolescents with PFP or OSD was associated with none, or only small systematic changes in sedentary time.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 25-30"},"PeriodicalIF":2.2,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722272","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}

引用次数: 0

Incidence, severity, and risk factors for injuries in female trail runners – A retrospective cross-sectional study 女性越野跑运动员受伤的发生率、严重程度和风险因素 - 一项回顾性横断面研究。

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-14 DOI: 10.1016/j.ptsp.2024.11.004

Morven Goodrum , Carel Viljoen , Kelly Kaulback

{"title":"Incidence, severity, and risk factors for injuries in female trail runners – A retrospective cross-sectional study","authors":"Morven Goodrum , Carel Viljoen , Kelly Kaulback","doi":"10.1016/j.ptsp.2024.11.004","DOIUrl":"10.1016/j.ptsp.2024.11.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the incidence, severity, and nature of injuries sustained by female trail runners and investigate selected training variables as risk factors for injuries.</div></div><div><h3>Design</h3><div>Cross-sectional, retrospective cohort study.</div></div><div><h3>Setting</h3><div>Online questionnaire (Jisc Online Surveys).</div></div><div><h3>Participants</h3><div>Female trail runners (n = 62) aged 39.1 ± 12.4 years.</div></div><div><h3>Main outcome measures</h3><div>Training metrics (average weekly number of running sessions, mileage (km), session duration (mins), pace (min/km), ascent (m) and descent (m), number of running doubles per week, number of cross training doubles per week, type of cross training), incidence, severity and nature of trail running injuries sustained in the previous 12 months.</div></div><div><h3>Results</h3><div>The injury incidence was 14.3 injuries per 1000 h and mean severity score (OSTRC- H) was 80.95 ± 21.74. The main anatomical region affected was the lower limb (63.4%), primarily the ankle (13.9%), knee (13.0%) and lower leg (12.2%). The most common injury was tendinopathy (25.2%). A higher number of injuries sustained in the previous 12 months was weakly associated with a higher average duration of other (not trail) weekly running sessions (p = 0.017).</div></div><div><h3>Conclusions</h3><div>Findings from this study could inform future injury prevention and treatment strategies. Prospective, longitudinal data on injuries in female trail runners is needed.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684096","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}

引用次数: 0

Optimising physiotherapist delivery fidelity of exercise and physical activity advice for achilles tendinopathy: A prospective repeated-measures observational study 优化理疗师对跟腱病的运动和体育锻炼建议的忠实度：前瞻性重复测量观察研究。

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-14 DOI: 10.1016/j.ptsp.2024.11.002

Rebecca Phillips , Fernando Sousa , Sanam Tavakkoli Oskouei , Melanie Farlie , Dylan Morrissey , Peter Malliaras

{"title":"Optimising physiotherapist delivery fidelity of exercise and physical activity advice for achilles tendinopathy: A prospective repeated-measures observational study","authors":"Rebecca Phillips , Fernando Sousa , Sanam Tavakkoli Oskouei , Melanie Farlie , Dylan Morrissey , Peter Malliaras","doi":"10.1016/j.ptsp.2024.11.002","DOIUrl":"10.1016/j.ptsp.2024.11.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess physiotherapist delivery fidelity and identify factors optimising delivery fidelity of an intervention based on recommended guidelines for Achilles tendinopathy.</div></div><div><h3>Design</h3><div>A prospective repeated-measures observational study of physiotherapist delivery fidelity with carefully defined exercise and physical activity advice.</div></div><div><h3>Setting</h3><div>An inter-disciplinary clinic in Melbourne, Australia, embedded in a randomised controlled trial.</div></div><div><h3>Participants</h3><div>Two physiotherapists delivering the intervention to five participants each, at three timepoints.</div></div><div><h3>Intervention</h3><div>All participants were expected to receive the same intervention. Feedback at timepoint one, guided boost-training to optimise delivery fidelity.</div></div><div><h3>Main outcome measures</h3><div>Proportion of exercise and physical activity advice components delivered as intended (high ≥80%; moderate 51–79%; low≤50%), with relationships between variables analysed using chi-square tests.</div></div><div><h3>Results</h3><div>Physiotherapist delivery fidelity improved significantly between timepoint one and two (χ<sup>2</sup> = 83.3, p < 0.001), then sustained at timepoint three. At timepoint one, seven (70%) of intervention components were delivered with high fidelity, one (10%) with moderate fidelity and two (20%) with low fidelity. At timepoint two, after boost-training, nine (90%) were delivered with high fidelity and one (10%) with moderate fidelity. At timepoint three, all intervention components (100%) were delivered with high fidelity by both physiotherapists.</div></div><div><h3>Conclusion</h3><div>Physiotherapist delivery fidelity can be optimised with feedback, collaboration and boost-training.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 8-15"},"PeriodicalIF":2.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690168","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}

引用次数: 0

Reliability of isokinetic dynamometer for isometric assessment of ankle plantar flexor strength 等速测功机对踝关节足底屈肌强度等距评估的可靠性

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2024-11-09 DOI: 10.1016/j.ptsp.2024.11.001

Fanny-May Santy , Anthony Pernoud , Simon Barrué-Belou , François Fourchet , Hugo Bothorel , Pierre Samozino

{"title":"Reliability of isokinetic dynamometer for isometric assessment of ankle plantar flexor strength","authors":"Fanny-May Santy , Anthony Pernoud , Simon Barrué-Belou , François Fourchet , Hugo Bothorel , Pierre Samozino","doi":"10.1016/j.ptsp.2024.11.001","DOIUrl":"10.1016/j.ptsp.2024.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate isokinetic dynamometer reliability for isometric assessment of plantar flexor (PF) strength.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Setting</h3><div>Testing by the same physiotherapist twice during a first session (repeatability) and once during a second session (reproducibility).</div></div><div><h3>Participants</h3><div>Twenty-two healthy subjects (44 ankles, 11 men/11 women).</div></div><div><h3>Main outcome measures</h3><div>Isometric PF peak torque, with and without body mass normalization, at 0° and +20° of plantar flexion. Measurement reliability was evaluated using intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimal detectable change (MDC).</div></div><div><h3>Results</h3><div>Without normalization, measurement repeatability was excellent at 0° of plantar flexion (ICC, 0.94; SEM, 6.6%; MDC, 18.4%) compared with good repeatability at +20° (ICC, 0.85; SEM, 11.1%; MDC 30.6%). Measurement repeatability following normalization was good at 0° (ICC, 0.88; SEM, 5.2%; MDC, 14.4%) and +20° (ICC, 0.79; SEM, 10.2%; MDC, 28.1%). While reproducibility was good at 0° with normalization (ICC, 0.84; SEM, 5.9%; MDC, 16.3%) or excellent without (ICC 0.92; SEM 7.5%; MDC, 20.8%), it was moderate at +20° with normalization (ICC 0.71; SEM 11.3%; MDC, 31.3%) or good without (ICC 0.78; SEM 13.0%; MDC, 36.1%).</div></div><div><h3>Conclusion</h3><div>The reliability of PF maximal isometric strength is good/excellent at 0° of plantar flexion but moderate/good at +20°.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"71 ","pages":"Pages 36-42"},"PeriodicalIF":2.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759487","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}

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