Physical Therapy in Sport最新文献_第4页

Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up 无症状头顶运动员肩痛的发生：一项为期6个月随访的前瞻性队列研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-17 DOI: 10.1016/j.ptsp.2025.04.003

Leonardo Luiz Barretti Secchi , Paula Rezende Camargo , Laís Emanuelle Meira Alves , Luciana De Michelis Mendonça

{"title":"Shoulder pain occurrence in asymptomatic overhead athletes: a prospective cohort study with a 6-month follow-up","authors":"Leonardo Luiz Barretti Secchi , Paula Rezende Camargo , Laís Emanuelle Meira Alves , Luciana De Michelis Mendonça","doi":"10.1016/j.ptsp.2025.04.003","DOIUrl":"10.1016/j.ptsp.2025.04.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify interactions among variables of the upper limbs, trunk, and hip joint associated with shoulder pain occurrence in asymptomatic overhead athletes.</div></div><div><h3>Design</h3><div>prospective cohort study.</div></div><div><h3>Setting</h3><div>Sports club facilities.</div></div><div><h3>Participants</h3><div>Ninety-five adult asymptomatic overhead athletes from national first division teams, both sexes.</div></div><div><h3>Main outcomes measures</h3><div>Isometric strength of the shoulder ER muscles, serratus anterior, lower trapezius and hip abductors, HipSIT, shoulder internal rotation (IR) range of motion (ROM), low flexion test, closed kinetic chain upper extremity stability test (CKCUEST), seat medicine ball test (SMB-T), upper seat shot put test (USSP-T), upper quarter Y balance test [UQYBT] and leg lateral reach test (LLRT). Shoulder pain occurrence was registered during a 6-month follow-up.</div></div><div><h3>Results</h3><div>The model correctly classified 77.4 % of the athletes who did not develop shoulder pain and 100.0 % of those who developed shoulder pain. The accuracy was 89 % (95 %CI:83 %,96 %). Athletes with UQYBT score under 88.5 %, and isometric strength of the shoulder ER muscles above 0.780 N/kg did not develop shoulder pain (RR:0.02, 95 %CI:0.001,0.44). Athletes with UQYBT score above 88.5 % and USSP-T performance above 3.175m developed shoulder pain (RR:14.09, 95 %CI: 3.27,60.56).</div></div><div><h3>Conclusion</h3><div>Shoulder pain occurrence in overhead athletes was associated with interactions among UQYBT, isometric strength of the shoulder ER muscles, and USSP-T.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 156-164"},"PeriodicalIF":2.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860619","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

Young male players exhibit higher eccentric hamstring muscle fatigue than females and older males after a basketball match participation 年轻男性运动员在参加篮球比赛后表现出比女性和老年男性更高的偏心腿筋肌肉疲劳

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-14 DOI: 10.1016/j.ptsp.2025.04.002

Sebastiano Nutarelli , Alessandro Sangiorgio , Luca Gilardoni , Giacomo Moraca , Giuseppe Filardo

{"title":"Young male players exhibit higher eccentric hamstring muscle fatigue than females and older males after a basketball match participation","authors":"Sebastiano Nutarelli , Alessandro Sangiorgio , Luca Gilardoni , Giacomo Moraca , Giuseppe Filardo","doi":"10.1016/j.ptsp.2025.04.002","DOIUrl":"10.1016/j.ptsp.2025.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Investigating hamstring eccentric strength before and after a basketball match.</div></div><div><h3>Design</h3><div>Cohort observational study.</div></div><div><h3>Setting</h3><div>Playing facilities of local basketball teams on official championship matches.</div></div><div><h3>Participants</h3><div>Forty-four healthy male and female 14-25-year-old basketball athletes.</div></div><div><h3>Main outcome measures</h3><div>Hamstring mean, absolute peak torque, and total work were measured during the execution of the Nordic hamstring exercise before and after a match. Anterior knee laxity was also measured.</div></div><div><h3>Results</h3><div>The results showed non-significant intersex pre- vs. post-match changes for all measured parameters. The 14-19-year-old male players showed a significantly lower post-match mean hamstring peak torque than their 20-25-year-old peers (p = 0.013). Hamstring strength correlated with age in males with the younger players significantly weaker post-match than the older athletes. Younger vs. older males experienced a mean eccentric hamstring peak torque decrease of 16.4 ± 38.18 Nm (−5.6 %) vs. an increase of 27.55 ± 41.87 Nm (11.8 % - Spearman R = 0.408), an absolute eccentric hamstring peak torque reduction of 13.32 ± 35.45 Nm (−4 %) vs. an improvement of 31.5 ± 43.83 Nm (11.6 % - R = 0.434), and a hamstring work decline of 1474.5 ± 1370.83 J (−19.2 %) vs. an increment of 560.32 ± 1584.28 J (13.2 % - R = 0.627) respectively.</div></div><div><h3>Conclusions</h3><div>Younger male basketball players were more fatigued post-match compared to their older same-sex peers.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 171-180"},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868963","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

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-11 DOI: 10.1016/j.ptsp.2025.04.001

Charlotte Anker-Petersen , Mikkel Bek Clausen , Birgit Juul-Kristensen , Per Hölmich , Kristian Thorborg

{"title":"Sports-related pain prevalence in TeamGym during normal and reduced training periods: A survey of 579 Danish gymnasts","authors":"Charlotte Anker-Petersen , Mikkel Bek Clausen , Birgit Juul-Kristensen , Per Hölmich , Kristian Thorborg","doi":"10.1016/j.ptsp.2025.04.001","DOIUrl":"10.1016/j.ptsp.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the pain prevalence and its regional body distribution in TeamGym gymnasts, and secondly, to compare pain prevalence during a period with normal training load with a period with reduced training load.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Data from (1) a period with normal training load (Aug–Dec 2020), and (2) a period with reduced training load (COVID-19 restrictions, Jan–June 2021) were included.</div></div><div><h3>Participants</h3><div>TeamGym gymnasts aged 10–30 years.</div></div><div><h3>Main outcome measures</h3><div>Self-reported history of pain/discomfort.</div></div><div><h3>Results</h3><div>In total, 65 % of the invited gymnasts completed the survey at both time points, which included 579 gymnasts. The pain prevalence due to gymnastics was 80 % with the most prevalent pain regions being knee (20 % [95 %CI 18.1; 21.8]), wrist (17 % [95 %CI 15.5; 19.0]) and foot (16 % [95 %CI 14.4; 17.8]). Gradual pain onset was described in 42 % of all cases. During the reduced training period, the number of painful regions decreased by 26 %, but regional body pain distribution remained unchanged.</div></div><div><h3>Conclusions</h3><div>Four of five gymnasts experienced pain/discomfort during a normal five-month training period. Knee, wrist and foot were the most common painful regions with gradual pain onset as the most frequently reported. Reduced training load decreased the absolute pain prevalence, but regional body distribution was unaffected.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 144-151"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839015","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 prevalence and incidence of hip and groin injury in female field invasion team sports: A systematic review 女性野战团体运动中髋关节和腹股沟损伤的患病率和发生率：系统回顾

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-02 DOI: 10.1016/j.ptsp.2025.03.011

Shauna Jordan , Clare Lodge , Ulrik McCarthy-Persson , Helen P. French , Catherine Blake

{"title":"The prevalence and incidence of hip and groin injury in female field invasion team sports: A systematic review","authors":"Shauna Jordan , Clare Lodge , Ulrik McCarthy-Persson , Helen P. French , Catherine Blake","doi":"10.1016/j.ptsp.2025.03.011","DOIUrl":"10.1016/j.ptsp.2025.03.011","url":null,"abstract":"<div><h3>Objectives</h3><div>Hip and groin injury is more common in male athletes, but no systematic review has examined its prevalence and incidence in female field invasion team sport.</div></div><div><h3>Methods</h3><div>Six databases were searched independently by two authors who selected eligible studies, assessed risk of bias and extracted data. Studies reporting the prevalence and/or incidence of hip and groin injury were included. Proportional meta-analyses provided pooled estimates and the Grading of Recommendations Assessment, Development and Evaluation system determined the strength of evidence.</div></div><div><h3>Results</h3><div>Twenty-five articles were selected for inclusion. The prevalence of time loss hip and groin injury ranged from 0 to 74 % (4.42 %, 1.91, 9.91), while non-time loss cases ranged from 1 to 35 % (9.54 %, 1.15, 48.91). Time loss cases represented 0–17 % of total injuries (4.10 %, 2.54, 6.56). The strength of the evidence for pooled estimates was very low due to inconsistency and publication bias. Incidence rates ranged from 0.3 to 1.02 per 1000 athlete-hours. Adductor-related injury was the most frequently reported diagnosis.</div></div><div><h3>Conclusion</h3><div>Hip and groin injury in female field sports is common but rates vary due to heterogeneity across studies. Standardised definitions and methodological approaches must be employed in future studies to facilitate data pooling and better quantify the injury burden in this cohort.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 133-143"},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816357","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 differing platform orientations on forefoot and hindfoot kinematics in chronic ankle instability during single leg landing 不同的平台方向对慢性踝关节单腿着地时前脚和后脚运动学的影响

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-04-01 DOI: 10.1016/j.ptsp.2025.03.012

Anthony Laigo , Takanori Kikumoto , Tomoya Takabayashi , Takahiro Watanabe , Yudai Kikuchi , Masayoshi Kubo

{"title":"Effects of differing platform orientations on forefoot and hindfoot kinematics in chronic ankle instability during single leg landing","authors":"Anthony Laigo , Takanori Kikumoto , Tomoya Takabayashi , Takahiro Watanabe , Yudai Kikuchi , Masayoshi Kubo","doi":"10.1016/j.ptsp.2025.03.012","DOIUrl":"10.1016/j.ptsp.2025.03.012","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate how modifiable landing platforms influence intra-foot movement during single-leg landings, comparing forefoot and hindfoot kinematics between individuals with chronic ankle instability (CAI) and controls to inform segment-focused rehabilitation strategies.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Setting</h3><div>Biomechanics laboratory.</div></div><div><h3>Participants</h3><div>20 university students, 12 with CAI, 8 controls.</div></div><div><h3>Main outcome measures</h3><div>Participants performed single-leg landing on platforms with three orientations (inverted, plantarflexed-everted-abducted and dorsiflexed-inverted-adducted), and four inclinations (10°, 12°, 14°, 16°). These configurations were based on prior studies and safety limits. Net frontal-plane movement of the forefoot and hindfoot was calculated across a 400ms window.</div></div><div><h3>Results</h3><div>The CAI group showed significantly greater forefoot inversion (η<sup>2</sup> = 0.32; p < 0.01) and non-significant group difference in hindfoot eversion (ƞ<sup>2</sup> = 0.183; p = 0.06). Orientation and inclination had large effects on forefoot motion (η<sup>2</sup> = 0.56 and 0.80, respectively; p < 0.001). A significant group × segment interaction (η<sup>2</sup> = 0.24; p < 0.001) indicated contrasting movement between the forefoot and hindfoot in CAI, not observed in controls.</div></div><div><h3>Conclusion</h3><div>Individuals with CAI demonstrated a less adaptive, segment-specific landing strategy. Findings support the use of modifiable platforms and multi-segment foot models to guide targeted interventions addressing forefoot compensation and improving segmental control during landing.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 114-120"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783645","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

Hip-focused strengthening and task-specific movement training for an individual with chronic, recurrent femoroacetabular impingement syndrome 针对慢性复发性股髋撞击综合征患者的髋关节强化和特定任务运动训练

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-27 DOI: 10.1016/j.ptsp.2025.03.010

Lee T. Atkins , Kelsey Ede , Megan Reid , Daniel Chan

{"title":"Hip-focused strengthening and task-specific movement training for an individual with chronic, recurrent femoroacetabular impingement syndrome","authors":"Lee T. Atkins , Kelsey Ede , Megan Reid , Daniel Chan","doi":"10.1016/j.ptsp.2025.03.010","DOIUrl":"10.1016/j.ptsp.2025.03.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Examine the effects of hip-focused strengthening and task-specific movement training for a female who has undergone multiple surgical procedures yet continues to experience chronic, recurrent FAIS-related symptoms.</div></div><div><h3>Study design</h3><div>Case Report.</div></div><div><h3>Methods</h3><div>A 23-year-old active female with an eleven-year history of FAIS and two previous surgical procedures recently experienced a third recurrence of symptoms brought on by increased physical activity levels. The patient performed progressive exercises focused on improving hip extension, abduction, and external rotation strength. The patient also received task-specific movement training aimed at minimizing hip adduction and internal rotation during movement that provoked her symptoms.</div></div><div><h3>Results</h3><div>Following treatment, the patient's self-reported hip pain during movement improved 2.2 points and was abolished during four of the five activities examined. The patient exhibited strength gains for the hip extensors (22 %), abductors (36 %), and external rotators (20 %). The patient exhibited decreased hip adduction during all activities (mean difference = 10.6°) and decreased hip internal rotation during three of the five activities (mean difference = 3.7°).</div></div><div><h3>Conclusion</h3><div>This case report highlights the effects of hip-focused strengthening and task-specific movement training for a patient with longstanding FAIS and multiple surgical procedures.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 107-113"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760648","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

Assessing musculoskeletal complaints in para-athletes: A systematic review and critical appraisal of available Patient-Reported Outcome Measures 评估残疾人运动员的肌肉骨骼疾患：对现有患者报告结果措施的系统回顾和批判性评估

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-25 DOI: 10.1016/j.ptsp.2025.03.007

Nil Jodar-Boixet , Cristina Torres-Pascual , Rafel Donat-Roca , Kristian Thorborg , Anna Prats-Puig , Ernest Esteve

{"title":"Assessing musculoskeletal complaints in para-athletes: A systematic review and critical appraisal of available Patient-Reported Outcome Measures","authors":"Nil Jodar-Boixet , Cristina Torres-Pascual , Rafel Donat-Roca , Kristian Thorborg , Anna Prats-Puig , Ernest Esteve","doi":"10.1016/j.ptsp.2025.03.007","DOIUrl":"10.1016/j.ptsp.2025.03.007","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the available Patient-reported Outcome Measures (PROMs) for assessing musculoskeletal complaints in para-athletes and to evaluate their psychometric properties, ultimately providing recommendations for their use.</div></div><div><h3>Methods</h3><div>PubMed, Embase, Scopus, Cochrane Library, Web of Science, ProQuest, and COSMIN Database were searched until October 2024. Full report studies evaluating psychometric properties of PROMs in para-sport participants with musculoskeletal pain were included. The methodology followed the Consensus-based Standards for selection of Health Measurement Instruments (COSMIN) and PRISMA-COSMIN for OMIs 2024 Guidelines.</div></div><div><h3>Results</h3><div>Six articles reported information on Wheelchair User's Shoulder Pain Index (WUSPI); Shoulder Pain Scale for Wheelchair Basketball (SPS-WB); and, Shoulder Pain Index for Wheelchair Basketball (SPI-WB). Content validity was inconsistent for WUSPI and SPS-WB. Structural validity was indeterminate for SPS-WB. Internal consistency was sufficient for SPS-WB but indeterminate for WUSPI and SPI-WB. Reliability was sufficient for WUSPI and SPI-WB. Convergent validity was sufficient for WUSPI but indeterminate for SPS-WB and SPI-WB. Discriminative validity was insufficient for WUSPI and SPI-WB and indeterminate for SPS-WB.</div></div><div><h3>Conclusions</h3><div>Evidence on PROMs for musculoskeletal complaints in para-sports focuses on shoulder pain in wheelchair basketball, showing low to very low-quality evidence. The WUSPI and SPS-WB can be used considering their limitations.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 121-132"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786286","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

Prevalence and severity of injuries and illnesses among university handball players: A prospective cohort study 大学手球运动员受伤和疾病的患病率和严重程度：一项前瞻性队列研究

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-24 DOI: 10.1016/j.ptsp.2025.03.009

Ayaka Takegami , Sonoko Mashimo , Suguru Ichihara , Satoru Nishida , Akira Ito , Hideaki Waki , Satoshi Hosoi , Naruto Yoshida

{"title":"Prevalence and severity of injuries and illnesses among university handball players: A prospective cohort study","authors":"Ayaka Takegami , Sonoko Mashimo , Suguru Ichihara , Satoru Nishida , Akira Ito , Hideaki Waki , Satoshi Hosoi , Naruto Yoshida","doi":"10.1016/j.ptsp.2025.03.009","DOIUrl":"10.1016/j.ptsp.2025.03.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To clarify the prevalence and severity of injuries and illnesses in university handball players.</div></div><div><h3>Design</h3><div>Prospective cohort study.</div></div><div><h3>Setting</h3><div>Survey-based online questionnaire.</div></div><div><h3>Participants</h3><div>231 university handball players (109 males and 122 females) over 38 weeks.</div></div><div><h3>Main outcome measures</h3><div>Each participant completed the Japanese version of the Oslo Sports Trauma Research Center Questionnaire on Health Problems every Sunday. The main outcome measures were the average weekly prevalence of injuries and illnesses, duration, average weekly severity scores rated on a scale of 0–100 based on answers to four key questions, and cumulative severity scores.</div></div><div><h3>Results</h3><div>The average weekly prevalence was 27.4 % (95 % CI: 25.6–29.1 %) for injuries and 2.2 % (95 % CI: 1.6–2.8 %) for illnesses. Among injuries, traumatic injuries had higher average weekly severity scores (50.0 vs 32.0, p < 0.05) and cumulative severity scores per case (65.0 vs 42.0, p < 0.05) than overuse injuries. Conversely, overuse injuries lasted approximately 10 days longer than traumatic injuries (18 days vs 10 days, p < 0.05). Traumatic knee injuries and overuse shoulder injuries ranked the highest in prevalence, duration, and cumulative severity scores.</div></div><div><h3>Conclusions</h3><div>We found that, although overuse injuries were less severe than traumatic injuries, they interfered with handball activities for extended periods.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 100-106"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748055","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

Targeting the hip and/or knee extensors during the back squat in males and females: A repeated measures decision tree analysis using the relative difference in trunk and tibia inclination and knee flexion angle 针对男性和女性后蹲时髋关节和/或膝关节伸肌：使用躯干和胫骨倾斜和膝关节屈曲角度的相对差异进行重复测量决策树分析

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-24 DOI: 10.1016/j.ptsp.2025.03.008

Rachel K. Straub, Adam J. Barrack, Jordan Cannon, Christopher M. Powers

{"title":"Targeting the hip and/or knee extensors during the back squat in males and females: A repeated measures decision tree analysis using the relative difference in trunk and tibia inclination and knee flexion angle","authors":"Rachel K. Straub, Adam J. Barrack, Jordan Cannon, Christopher M. Powers","doi":"10.1016/j.ptsp.2025.03.008","DOIUrl":"10.1016/j.ptsp.2025.03.008","url":null,"abstract":"<div><h3>Objective</h3><div>To determine what combination of relative trunk and tibia inclination and knee flexion biases the hip and knee extensors during the squat.</div></div><div><h3>Design</h3><div>Repeated measures.</div></div><div><h3>Setting</h3><div>University research laboratory.</div></div><div><h3>Participants</h3><div>16 healthy individuals.</div></div><div><h3>Main Outcome Measures</h3><div>The average hip/knee extensor moment ratio (HKR) was calculated during squat descent, and trunk-tibia inclination difference and knee flexion angle at peak knee flexion. A regression tree for repeated measures determined what combination of trunk-tibia inclination difference and knee flexion angle predicted HKR.</div></div><div><h3>Results</h3><div>HKR was predicted by trunk-tibia inclination difference (primary predictor) and knee flexion (secondary predictor). Four squatting strategies emerged: knee extensor bias (average HKR = 0.3), neutral bias (average HKR = 0.9), hip extensor bias (average HKR = 1.5), and high hip extensor bias (average HKR = 2.2). When trunk inclination exceeded tibia inclination ( ≥ 2.2°), hip-biased squatting was evident. Squat depth affected only hip-biased squatting: high hip extensor bias at moderate depths (<96° knee flexion), and a less pronounced hip bias at greater depths ( ≥ 96° knee flexion).</div></div><div><h3>Conclusions</h3><div>Our results provide a framework to bias the squat exercise based on intent. To maximize or minimize hip relative to knee extensor demands, clinicians should be cognizant of the trunk inclination relative to tibia inclination and the influence of knee flexion.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 94-99"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724242","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

Effectiveness of adding Dynamic Tape® to progressive tendon-load exercise program in patients with patellar tendinopathy: A randomized controlled trial 动态胶带®加入进行性肌腱负荷锻炼计划对髌骨肌腱病变患者的有效性：一项随机对照试验。

IF 2.2 3区医学

Physical Therapy in Sport Pub Date : 2025-03-13 DOI: 10.1016/j.ptsp.2025.03.005

Shalimá Figueiredo Chaves Coelho Ferreira, Marcio Almeida Bezerra, Rodrigo Ribeiro de Oliveira, Pedro Olavo de Paula Lima

{"title":"Effectiveness of adding Dynamic Tape® to progressive tendon-load exercise program in patients with patellar tendinopathy: A randomized controlled trial","authors":"Shalimá Figueiredo Chaves Coelho Ferreira, Marcio Almeida Bezerra, Rodrigo Ribeiro de Oliveira, Pedro Olavo de Paula Lima","doi":"10.1016/j.ptsp.2025.03.005","DOIUrl":"10.1016/j.ptsp.2025.03.005","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of adding Dynamic Tape® to a progressive load exercise program in patients with patellar tendinopathy.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>University research.</div></div><div><h3>Participants</h3><div>Forty-eight subjects with patellar tendinopathy.</div></div><div><h3>Methods</h3><div>Participants were divided into two groups: dynamic group, which received progressive load exercises and Dynamic Tape®, and sham group, which received progressive load exercises and sham taping. The intervention was conducted three times per week over 12 weeks.</div></div><div><h3>Main outcome measures</h3><div>The pain during decline squatting was assessed using a visual analog scale. The severity of patellar tendinopathy was measured using the Victorian Institute of Sport Assessment-Patella (VISA-P).</div></div><div><h3>Results</h3><div>There was no effect of group-time interaction for the pain (Z = 0.844, p = 0.472) or severity (Z = 1.275, p = 0.286) of patellar tendinopathy. Reduced pain and severity were observed over time (p < 0.05), however there was no between-group differences (p > 0.05).</div></div><div><h3>Conclusion</h3><div>Dynamic Tape® does not provide additional benefits when combined with a progressive load exercise program for reducing pain and severity in patellar tendinopathy.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"73 ","pages":"Pages 86-93"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675052","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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