Physical Therapy in Sport最新文献_第4页

The Victorian Institute of Sport Assessment – Achilles is fundamentally flawed and unfit for clinical practice or research: A Rasch Measurement Theory Analysis using COSMIN recommendations 维多利亚运动评估研究所-阿基里斯从根本上是有缺陷的，不适合临床实践或研究：使用COSMIN建议的皮疹测量理论分析

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-04 DOI: 10.1016/j.ptsp.2025.03.002

Nigel Travers , Myles C. Murphy , Benedict M. Wand , Paul Kirwan , Mervyn Travers , James Debenham , William Gibson , Dana Hince

{"title":"The Victorian Institute of Sport Assessment – Achilles is fundamentally flawed and unfit for clinical practice or research: A Rasch Measurement Theory Analysis using COSMIN recommendations","authors":"Nigel Travers , Myles C. Murphy , Benedict M. Wand , Paul Kirwan , Mervyn Travers , James Debenham , William Gibson , Dana Hince","doi":"10.1016/j.ptsp.2025.03.002","DOIUrl":"10.1016/j.ptsp.2025.03.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Evaluate structural validity, hypothesis testing and measurement invariance of the Victorian Institute of Sport Assessment–Achilles (VISA-A) using Rasch analysis to determine if it can be recommended to measure Achilles tendinopathy severity.</div></div><div><h3>Methods</h3><div>We performed an evaluation of the VISA-A measurement properties using Rasch Measurement Theory by pooling individual participant data from previously conducted studies (n = 217). Structural validity was assessed via threshold/category mean order; adequate item fit; unidimensionality; local dependence; internal consistency. Hypothesis testing was assessed via divergent validity. Measurement invariance assessed via differential item functioning.</div></div><div><h3>Results</h3><div>The VISA-A has inadequate construct validity. This is evident from issues with item 8 and insufficient threshold order, item fit, borderline internal consistency and measurement invariance, with item response being influenced by both age and BMI.</div></div><div><h3>Conclusion</h3><div>The VISA-A has inadequate structural validity, borderline internal consistency and poor measurement invariance. Thus, the VISA-A does not meet with COSMIN criteria for construct validity due to issues with structural validity and measurement invariance. Thus, the VISA-A cannot be recommended for use, and should not be used in clinical practice or research. However, if the VISA-A has been used, analysis using only items 1–6, with responses collapsed into a 4-point scale provides the best structural validity.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 68-76"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643470","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

Measuring eccentric hip adductor strength during the Copenhagen adduction exercise: A proof-of-concept and test re-test reliability study 哥本哈根内收训练中测量偏心髋内收肌力量：概念验证和测试再测试可靠性研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-03 DOI: 10.1016/j.ptsp.2025.03.001

Jack T. Hickey , Cian Lennon , Michael Gillick , Liam Sweeney

{"title":"Measuring eccentric hip adductor strength during the Copenhagen adduction exercise: A proof-of-concept and test re-test reliability study","authors":"Jack T. Hickey , Cian Lennon , Michael Gillick , Liam Sweeney","doi":"10.1016/j.ptsp.2025.03.001","DOIUrl":"10.1016/j.ptsp.2025.03.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe a novel method for measuring eccentric hip adductor (EHAD) strength during the Copenhagen adduction exercise (CAE) and investigate the test re-test reliability of this measure.</div></div><div><h3>Design</h3><div>Test re-test reliability study.</div></div><div><h3>Participants</h3><div>Twenty male athletes aged 24 ± 6 years participated in two data collection sessions 7 ± 2 days apart.</div></div><div><h3>Main outcome measures</h3><div>During each data collection session, participants performed three maximal effort repetitions of the CAE with their leg supported by an ankle strap hung from a fixed barbell. We attached a commercially available load cell in-series with the ankle strap to measure peak force in Newtons (N) during the eccentric lowering phase of the CAE. The intraclass correlation coefficient (ICC), standard error of measurement (SEM), SEM as a percentage of the mean (SEM%) and minimal detectable change at a 95% confidence interval (MDC<sub>95</sub>) were calculated for this measure of EHAD strength.</div></div><div><h3>Results</h3><div>Test re-test reliability was good for EHAD strength measured during the CAE on dominant (ICC = 0.84; SEM% = 3.6%; MDC<sub>95</sub> = 33 N) and non-dominant (ICC = 0.87; SEM% = 3.3%; MDC<sub>95</sub> = 29 N) legs.</div></div><div><h3>Conclusions</h3><div>This study provides proof-of-concept that EHAD strength can be measured during the CAE with good test re-test reliability.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 34-38"},"PeriodicalIF":2.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563545","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

Less pain, same gain? A randomized controlled trial comparing assisted- versus non-assisted Nordic Hamstring exercise training in elite youth football players 更少的痛苦，同样的收获？一个随机对照试验比较辅助与非辅助北欧腿筋运动训练的精英青年足球运动员

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-03 DOI: 10.1016/j.ptsp.2025.02.007

Lasse Ishøi , Simon Meincke , Anders P. Lund , Anders Stenholm , Matt DeLang , Kasper Thornton , Kristian Thorborg

{"title":"Less pain, same gain? A randomized controlled trial comparing assisted- versus non-assisted Nordic Hamstring exercise training in elite youth football players","authors":"Lasse Ishøi , Simon Meincke , Anders P. Lund , Anders Stenholm , Matt DeLang , Kasper Thornton , Kristian Thorborg","doi":"10.1016/j.ptsp.2025.02.007","DOIUrl":"10.1016/j.ptsp.2025.02.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The Nordic Hamstring exercise (NHE) increases hamstring strength, but muscle soreness and excessive fatigue may hinder adoption. The assisted NHE (A-NHE), with an elastic band around the chest lowering the force in the eccentric lowering phase, may be a less demanding alternative. We investigated the effectiveness of A-NHE versus NHE on hamstring strength, muscle soreness, and perceived exertion.</div></div><div><h3>Methods</h3><div>We randomized 31 youth elite football players (under-14 and -15) from a single professional football academy to either NHE or A-NHE, who performed the same supervised 8-week program. The A-NHE was performed with an elastic band, progressing from heavy to light assistance. A blinded tester assessed Nordic hamstring strength, while hamstring muscle soreness and perceived exertion were assessed during each session.</div></div><div><h3>Results</h3><div>Intention-to-treat analysis showed no group by time interaction (p = 0.61) for Nordic hamstring strength. Both groups improved significantly (A-NHE mean difference: 3.7 kg, 95% CI [2.1; 5.3]; NHE mean difference: 3.2 kg, 95% CI [1.2; 5.2]) corresponding to approximately 20%. The NHE group reported significantly higher hamstring muscle soreness (beta = 1.77, p < 0.01) and perceived exertion (beta = 1.54, p < 0.01).</div></div><div><h3>Conclusion</h3><div>Eight weeks of assisted-versus regular Nordic Hamstring training led to similar strength gains, but with lower hamstring muscle soreness and perceived exertion.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 39-47"},"PeriodicalIF":2.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576901","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

Exercise-induced hypoalgesia following blood flow restricted exercise 血流受限运动后的运动诱导痛觉减退

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-01 DOI: 10.1016/j.ptsp.2025.02.011

Christopher E. Proppe , Paola M. Rivera , Sean M. Lubiak , David H. Fukuda , Abigail W. Anderson , Hansen A. Mansy , Ethan C. Hill

{"title":"Exercise-induced hypoalgesia following blood flow restricted exercise","authors":"Christopher E. Proppe , Paola M. Rivera , Sean M. Lubiak , David H. Fukuda , Abigail W. Anderson , Hansen A. Mansy , Ethan C. Hill","doi":"10.1016/j.ptsp.2025.02.011","DOIUrl":"10.1016/j.ptsp.2025.02.011","url":null,"abstract":"<div><h3>Objectives</h3><div>Assess the repeatability of exercise-induced hypoalgesia (EIH) following low-load resistance exercise with blood flow restriction (LL + BFR) and the magnitude of EIH following LL + BFR, high-load resistance exercise, and a control intervention 1-h after exercise.</div></div><div><h3>Design</h3><div>Crossover design.</div></div><div><h3>Setting</h3><div>University laboratory.</div></div><div><h3>Participants</h3><div>15 females, 15 males.</div></div><div><h3>Main outcome measures</h3><div>Pain pressure threshold and tolerance of the rectus femoris, gastrocnemius, and biceps brachii pre-exercise and 0-, 15-, 30-, 45-, and 60-min post-exercise.</div></div><div><h3>Results</h3><div>There was no significant (<em>p</em> = 0.211–0.741) difference in pain pressure threshold or tolerance between LL + BFR1 and LL + BFR2 suggesting that EIH following LL + BFR is repeatable. LL + BFR elicited a significant (<em>p</em> = 0.001–0.043) increase in local pain pressure threshold (1.57 ± 1.21–0.98 ± 1.48 Δkgf) and tolerance (1.98 ± 2.65–0.83 ± 2.15 Δkgf) up to 1-h post-exercise. High-load resistance exercise elicited a significant (<em>p</em> = 0.003–0.034) increase in pain pressure threshold 0-min post-exercise (1.69 ± 1.74 Δkgf) and tolerance 0- and 15-min post-exercise (2.31 ± 2.44 Δkgf; 0.56 ± 1.83 Δkgf, respectively) then returned to pre-exercise levels. LL + BFR elicited a significant (<em>p</em> = 0.025–0.046) increase in systemic pain pressure tolerance (0.77 ± 0.88 Δkgf) of the gastrocnemius as well as pain pressure threshold (0.53 ± 0.54 Δkgf) and tolerance (0.49 ± 1.02 Δkgf) of the biceps brachii, when collapsed across Time.</div></div><div><h3>Conclusions</h3><div>LL + BFR may be a repeatable, effective pain management intervention that can produce prolonged EIH.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 17-24"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563543","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

Kinesiophobia is associated with lower extremity landing biomechanics in individuals with ACL reconstruction 前交叉韧带重建患者的运动恐惧与下肢着地生物力学有关

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-01 DOI: 10.1016/j.ptsp.2025.02.006

Alyssa Volz , Justin L. Rush , David M. Bazett-Jones , Amanda M. Murray , Grant E. Norte

{"title":"Kinesiophobia is associated with lower extremity landing biomechanics in individuals with ACL reconstruction","authors":"Alyssa Volz , Justin L. Rush , David M. Bazett-Jones , Amanda M. Murray , Grant E. Norte","doi":"10.1016/j.ptsp.2025.02.006","DOIUrl":"10.1016/j.ptsp.2025.02.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate relationships between patient-reported outcomes and lower extremity biomechanics associated with risk for second ACL injury among individuals with ACL reconstruction (ACLR).</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Research laboratory.</div></div><div><h3>Participants</h3><div>20 individuals with primary, unilateral ACLR (10 female, age = 20.1 ± 2.0 years, median time from surgery = 29.6 [IQR = 9.1–53.3] months).</div></div><div><h3>Main outcome measures</h3><div>Participants completed the International Knee Documentation Committee Subjective Knee Evaluation, Tampa Scale of Kinesiophobia (TSK-11), and Veterans RAND 12-Item Health Survey. Three-dimensional biomechanics were evaluated at peak vertical ground reaction force (vGRF) and as peak kinematic and kinetics within the first 100 ms of landing from a drop vertical jump.</div></div><div><h3>Results</h3><div>Higher TSK-11 scores associated with lesser hip flexion angles (<em>r</em> = −.723, <em>P</em> < .001), lesser knee flexion angles <em>(r</em> = .561, <em>P</em> = .010), and greater internal knee abduction moments (ρ = −.606, <em>P</em> = .005) at peak vGRF. These relationships remained significant when correcting for multiple tests and controlling for time from surgery and biological sex.</div></div><div><h3>Conclusions</h3><div>Kinesiophobia, but not self-reported knee function or health-related quality of life, is associated with aberrant landing biomechanics when the largest magnitudes of vertical force were applied to the knee. Individuals with greater kinesiophobia may adopt a stiffer landing profile with increased medial knee compartment loading, potentially increasing risk for second ACL injury.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 109-115"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511508","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

The effects of subsequent soccer-specific tasks on sidestep cutting kinematics and kinetics 随后的足球特定任务对侧步切割运动学和动力学的影响

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-02-28 DOI: 10.1016/j.ptsp.2025.02.010

Tatsuya Kono , Wataru Yamazaki , Yoshitsugu Tanino

{"title":"The effects of subsequent soccer-specific tasks on sidestep cutting kinematics and kinetics","authors":"Tatsuya Kono , Wataru Yamazaki , Yoshitsugu Tanino","doi":"10.1016/j.ptsp.2025.02.010","DOIUrl":"10.1016/j.ptsp.2025.02.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Sidestep cutting (SSC), a common method in soccer, frequently causes anterior cruciate ligament (ACL) injury. This study examined the effects of a soccer-specific movement task performed after a SSC on the kinematics and kinetics of the SSC.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>The participants performed SSC with a 90° change of direction in the following three conditions: running straight after SSC (Normal condition), kicking the ball after SSC (Kick condition), and jumping and heading after SSC (Heading condition).</div></div><div><h3>Participants</h3><div>Twenty healthy adult males with experience in soccer participated in this study.</div></div><div><h3>Main outcome measures</h3><div>Three-dimensional knee angles, moments, and ground reaction force (GRF) characteristics during the SSC were compared across conditions.</div></div><div><h3>Results</h3><div>The knee valgus angle at foot contact and peak knee valgus moment of the supporting leg during <span>SSC</span> were significantly greater in the Normal condition compared to the Heading condition. Significant differences in GRF characteristics were mainly observed in braking impulse, propulsion impulse, and peak posterior GRF between conditions.</div></div><div><h3>Conclusions</h3><div>The <span>SSC</span> movement strategy should be a form that supports the efficient accomplishment of the subsequent task. Moreover, the Normal condition resulted in a posture more prone to non-contact ACL injury than the Heading condition.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 9-16"},"PeriodicalIF":2.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549402","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

Analysis of musculoskeletal injuries in elite female soccer players: Cohort study in one Brazilian team 优秀女足运动员肌肉骨骼损伤分析：一支巴西队的队列研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-02-27 DOI: 10.1016/j.ptsp.2025.02.009

Isadora GA Mariano , Laís Emanuelle M Alves , Eduester L Rodrigues , Bruna R Azevedo , Ana Luiza O Castro , Luciana D Mendonça

{"title":"Analysis of musculoskeletal injuries in elite female soccer players: Cohort study in one Brazilian team","authors":"Isadora GA Mariano , Laís Emanuelle M Alves , Eduester L Rodrigues , Bruna R Azevedo , Ana Luiza O Castro , Luciana D Mendonça","doi":"10.1016/j.ptsp.2025.02.009","DOIUrl":"10.1016/j.ptsp.2025.02.009","url":null,"abstract":"<div><h3>Purpose</h3><div>The objectives of this study were to identify if preseason assessment variables predict lower limb musculoskeletal injuries in female soccer players and to compare characteristics between injured and non-injured athletes.</div></div><div><h3>Design</h3><div>4-month retrospective cohort study.</div></div><div><h3>Setting</h3><div>An elite women's soccer team from Brazil.</div></div><div><h3>Participants</h3><div>Twenty-seven female soccer players.</div></div><div><h3>Main outcomes measures</h3><div>Lower limb length and asymmetry, hamstring flexibility, isokinetic strength of the hamstrings and quadriceps, single hop, lunge test, mSEBT, Thomas, trunk mobility, hip adductor strength, Bent-knee fall-out for testing hip range of motion, lateral trunk flexor endurance, Hip Sit, and single-leg and countermovement jump were recorded at baseline. Logistic regression analyses were performed to identify predictors for the occurrence of lower limb musculoskeletal injuries.</div></div><div><h3>Results</h3><div>The logistic regression showed a significant model for lower limb musculoskeletal injuries. Trunk mobility, Hip Sit test, and were associated with injury (p = 0.016; R<sup>2</sup> = 0,589). The model correctly classified 84.8% of cases (84.6% sensitivity and 85% specificity). The area under the receiver operating characteristic curve was 0.68 (95% CI: 0.53, 0.83; <em>P</em> < 0.024) demonstrating acceptable discriminative ability.</div></div><div><h3>Conclusion</h3><div>The model showed that trunk mobility, Hip Sit, and Bent-knee fall-out were predictors of lower limb musculoskeletal injuries in female soccer players.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 25-33"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563544","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

Effects of augmented feedback on landing mechanics after anterior cruciate ligament reconstruction in collegiate females compared to healthy controls 与健康对照相比，增强反馈对女大学生前交叉韧带重建后着陆力学的影响

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-02-26 DOI: 10.1016/j.ptsp.2025.02.008

Pedro Zavala , Becky Heinert , Grace Rudek , Drew N. Rutherford , J.W. Matheson , Thomas W. Kernozek

{"title":"Effects of augmented feedback on landing mechanics after anterior cruciate ligament reconstruction in collegiate females compared to healthy controls","authors":"Pedro Zavala , Becky Heinert , Grace Rudek , Drew N. Rutherford , J.W. Matheson , Thomas W. Kernozek","doi":"10.1016/j.ptsp.2025.02.008","DOIUrl":"10.1016/j.ptsp.2025.02.008","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze if immediate visual and verbal feedback influenced landing mechanics during single and dual-task conditions in recreationally active females with a history of anterior cruciate ligament reconstruction (ACLr) compared to healthy controls.</div></div><div><h3>Design</h3><div>Cross-sectional cohort study.</div></div><div><h3>Setting</h3><div>Motion Laboratory.</div></div><div><h3>Participants</h3><div>33 college-aged females with two to five years status post-ACLr and 33 matched health controls.</div></div><div><h3>Materials and methods</h3><div>30 Drop landings were performed over one single session with immediate post-trial feedback followed by a retention trial on peak vGRF and symmetry.</div></div><div><h3>Main outcome measures</h3><div>Vertical ground reaction forces (vGRFs) during drop landing from a 50-cm platform and loading rate (LR) normalized to body weight.</div></div><div><h3>Results</h3><div>For peak vGRF, there was a time effect from baseline, post-test, and transfer task trials. Based on baseline, post-test, and transfer tasks, there was a significant group-by-time interaction between the ACLr and a healthy group. For peak vGRF asymmetry, there was no time effect from baseline, post-test, and transfer task trials. There was a significant group effect for peak vGRF asymmetry. Total LR did not show a time effect from baseline, post-test, and transfer task. The ACLr group demonstrated higher LR compared to the health group.</div></div><div><h3>Conclusions</h3><div>Results demonstrated a reduction in peak vGRF and asymmetry in vGRF during drop landings with the inclusion of augmented feedback. The ACLr group demonstrated higher LR than the control group. Rehabilitation specialists may be able to incorporate targeted feedback as an intervention to help resolve landing asymmetries following ACLr.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 1-8"},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528850","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 open kinetic chain exercises during the first weeks of anterior cruciate ligament reconstruction rehabilitation: A systematic review and meta-analysis 开放动力链运动在前交叉韧带重建康复第一周的效果：系统回顾和荟萃分析

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-02-15 DOI: 10.1016/j.ptsp.2025.02.005

Vincent Fontanier, Marion Vergonjeanne, Pauline Eon, Arnaud Bruchard, David Laplaud

{"title":"Effect of open kinetic chain exercises during the first weeks of anterior cruciate ligament reconstruction rehabilitation: A systematic review and meta-analysis","authors":"Vincent Fontanier, Marion Vergonjeanne, Pauline Eon, Arnaud Bruchard, David Laplaud","doi":"10.1016/j.ptsp.2025.02.005","DOIUrl":"10.1016/j.ptsp.2025.02.005","url":null,"abstract":"<div><h3>Background</h3><div>Closed kinetic chain (CKC) exercises are the gold standard for rehabilitation after anterior cruciate ligament reconstruction (ACL-R). Open kinetic chain (OKC) exercises may provide benefits, but their use in the early stages remains controversial.</div></div><div><h3>Objective</h3><div>To determine the effect of OKC exercises during the first weeks of rehabilitation after ACL-R.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted according to PRISMA guidelines from inception to April 2024. The methodological quality of the included studies was assessed using the ROBINS I and RoB-2 tools. The changes in outcomes from pre-to post-intervention were quantified using standardized mean differences.</div></div><div><h3>Results</h3><div>Overall, the methodological quality was low and the population, intervention, comparison, outcome, time (PICOT) criteria were heterogeneous. However, OKC was found to have beneficial effects on patient reported outcomes (PROMs), strength, function, and return to play, especially when performed at least four weeks after surgery in rehabilitation programs that began with CKC exercises.</div></div><div><h3>Conclusion</h3><div>The evidence suggests that OKC exercises may provide benefits and no adverse effects in the early stages of rehabilitation after ACL-R, particularly when initiated after CKC exercises. These findings are consistent with current clinical practice guideline recommendations for the inclusion of OKC in rehabilitation programs.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 95-108"},"PeriodicalIF":2.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465047","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

Shoulder injuries in amateur soccer players. An exploratory cross-sectional survey 业余足球运动员肩伤的研究。探索性横断面调查

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-02-10 DOI: 10.1016/j.ptsp.2025.02.004

Paola Bagnoli , Francesco Ferrarello , Fabio Pini , Duccio Rossi , Matteo Paci

{"title":"Shoulder injuries in amateur soccer players. An exploratory cross-sectional survey","authors":"Paola Bagnoli , Francesco Ferrarello , Fabio Pini , Duccio Rossi , Matteo Paci","doi":"10.1016/j.ptsp.2025.02.004","DOIUrl":"10.1016/j.ptsp.2025.02.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the prevalence, incidence of players reporting shoulder injuries in a non-probability sample of Italian amateur soccer players. We also wanted to explore the characteristics of injuries, predictive factors and differences between men's and women's leagues.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Anonymous online survey.</div></div><div><h3>Participants</h3><div>Adult athletes playing on a first team of the Italian National Amateur Soccer League.</div></div><div><h3>Main outcome measures</h3><div>Period prevalence, incidence, and characteristics of players reporting shoulder injuries over a soccer season.</div></div><div><h3>Results</h3><div>Fifty-one out of 431 respondents reported shoulder injuries. The pooled period prevalence was 12.0% (95%CI [9, 15]), with an incidence of .46 (95%CI [.35, .60]) injured/1000 h of players exposure. Goalkeepers were more likely to be injured than outfield players (OR 5.15, 95%CI [2.27, 11.25]). The injury type stated was mainly contusion (<em>n</em> = 22, 43.1%). Among those reporting injuries, thirty-four (66.6%) respondents stated 0–7 days as time loss from sport activity, with no significant difference due to role (<em>p=</em>.161)</div></div><div><h3>Conclusions</h3><div>Shoulder injuries have a relatively low impact on the participation of adult amateur players in soccer activities. Technical and medical staff need to monitor players after an injury to the shoulder in order to provide appropriate training, prevention of complications and educational programs.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"72 ","pages":"Pages 77-85"},"PeriodicalIF":2.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420766","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}

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