Journal of Sport Rehabilitation最新文献

{"title":"Reliability, Standard Error of Measurement, Minimal Detectable Change, and Known-Group Validity of Modified Closed Kinetic Chain Upper-Extremity Stability Test in Swimmers.","authors":"Gabriel Alves Dos Santos, Danyelle Leite Furtado de Araújo, Antônia Yasmin Correia Chaves, Carlos Augusto do Amaral Araújo Filho, Raquel Lins de Sousa Lima, Germanna Medeiros Barbosa, Valeria Mayaly Alves de Oliveira, Danilo Harudy Kamonseki","doi":"10.1123/jsr.2025-0038","DOIUrl":"https://doi.org/10.1123/jsr.2025-0038","url":null,"abstract":"<p><strong>Context: </strong>Upper-extremity physical performance tests are essential to assess the functional status of athletes. The Closed Kinetic Chain Upper-Extremity Stability Test (CKCUEST) is widely used in sports. However, the psychometric properties of its modified version (MCKCUEST) in swimmers are unknown. We aimed to assess the reliability, standard error of measurement (SEM), minimal detectable change (MDC), and known-group validity of the MCKCUEST in swimmers.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>We included swimmers of both sexes, aged 12 to 60 years, with and without shoulder pain. Two assessments were conducted with an average interval of 10.37 (3.15) days between them. The MCKCUEST scores were reported as number of touches, normalized score, and power score. Reliability of the MCKCUEST was evaluated using the intraclass correlation coefficient (ICC) (3, 3), SEM, and MDC95. For known-group validity, we compared MCKCUEST scores between swimmers with and without shoulder pain.</p><p><strong>Results: </strong>Fifty swimmers participated in this study (54% men; 42% with shoulder pain). The MCKCUEST demonstrated excellent reliability (ICC = .90 to .98). The SEM ranged from 1.4 to 1.9 for touches, 5.36 to 7.4 for the power score, and 0.59 to 1.62 for the normalized score. The MDC95 ranged from 4.0 to 5.3 for touches, 11.0 to 20.4 for the power score, and 1.64 to 4.49 for the normalized score. For known-group validity, the asymptomatic group achieved a greater number of touches (mean difference [MD]: 4.5; 95% CI, 0.6-8.4), power score (MD: 23.2; 95% CI, 2.1-44.3), and normalized score (MD: 2.3; 95% CI, 0.03-4.5) than the shoulder pain group.</p><p><strong>Conclusion: </strong>The MCKCUEST demonstrated excellent reliability for assessing swimmers and adequate known-group validity. The SEM and MDC values observed across all scoring methods were relatively small, indicating low measurement error and the ability of the test to detect meaningful changes in performance over time.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diaphragm Thickness and Excursion in Nonspecific Low Back Pain: A Critically Appraised Topic.","authors":"Brittany Braun, Eleni Petrou, Jennifer Ostrowski","doi":"10.1123/jsr.2024-0466","DOIUrl":"https://doi.org/10.1123/jsr.2024-0466","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Low back pain is a common musculoskeletal condition, with nonspecific low back pain (NS-LBP) accounting for the majority of cases. NS-LBP lacks a definitive pathological cause, complicating diagnosis and management. Emerging research has identified diaphragm dysfunction, including alterations in thickness and excursion, as a potential factor contributing to NS-LBP. Ultrasound is a noninvasive tool used to measure these diaphragm characteristics and explore their association with NS-LBP.</p><p><strong>Clinical question: </strong>In patients with NS-LBP, is there a difference in diaphragm thickness and excursion (as measured by ultrasound) compared with healthy controls?</p><p><strong>Summary of key findings: </strong>A systematic search yielded 4 high-quality case-control studies assessing diaphragm function in patients with NS-LBP. All 4 studies demonstrated significantly reduced diaphragm thickness in patients with NS-LBP compared with healthy controls. Findings on diaphragm excursion were inconsistent, with 1 study reporting significant differences while 3 showed no differences between groups. Reduced diaphragm thickness and slower changes in thickness were consistently associated with impaired spinal stabilization.</p><p><strong>Clinical bottom line: </strong>The evidence indicates a consistent difference in diaphragm thickness between individuals with NS-LBP and healthy controls, suggesting a potential role of diaphragm dysfunction in the pathophysiology of NS-LBP. However, inconsistent findings on diaphragm excursion warrant further investigation.</p><p><strong>Strength of recommendation: </strong>Based on the Strength of Recommendation Taxonomy, the clinical bottom line is based on grade A evidence for diaphragm thickness while diaphragm excursion is grade B.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Neuromuscular Training: Preliminary Findings Using an Injury Prevention Program for Physically Active Adults.","authors":"Katherine L Smulligan, Samantha N Magliato, Mathew J Wingerson, Vipul Lugade, Julie C Wilson, David R Howell","doi":"10.1123/jsr.2025-0115","DOIUrl":"https://doi.org/10.1123/jsr.2025-0115","url":null,"abstract":"<p><strong>Context: </strong>Neuromuscular training (NMT) is an effective injury prevention strategy but may have barriers to in-person delivery. Our objective was to examine injury incidence in the year following NMT intervention delivered virtually and to identify functional test performance associated with subsequent injuries.</p><p><strong>Design: </strong>Secondary analysis of randomized controlled trial.</p><p><strong>Methods: </strong>We recruited 40 physically active adults aged 18-40 years. Functional testing included simple (stimulus-response) and clinical (drop stick) reaction time (RT), single- and dual-task tandem gait, vestibular/oculomotor function, and cervical spine proprioception (head repositioning accuracy). Participants were randomized to virtual NMT or control groups. Virtual NMT was an 8-week program delivered via smartphone application, consisting of 3 self-guided sessions/wk. The main outcome was subsequent injuries sustained in the year following study completion.</p><p><strong>Results: </strong>Forty participants were randomized to intervention (n = 20) or control (n = 20). Thirty-five (87.5%) completed the intervention period. Twenty-four (69%) completed the 1-year follow-up injury survey (age = 26.0 [3.4] y, 71% female; n = 11 intervention and n = 13 control). Five participants reported a subsequent injury, and 19 did not. There was no proportional difference in subsequent injuries between the intervention (27.3%) and control groups (15.4%; P = .63). However, those who sustained subsequent injuries demonstrated significantly slower clinical RT (260.2 [18.7] vs 238.4 [17.3] ms, P = .02, Hedge g = 1.2) and greater head repositioning accuracy error (4.9 [1.8] vs 3.4 [0.8] degrees, P = .007, Hedge g = 1.5). Although not statistically significant, those who sustained injuries demonstrated slower tandem gait (single task: 17.0 [4.2] vs 14.7 [2.4] s, P = .12; dual task: 20.8 [6.2] vs 17.5 [4.1] s, P = .17) and more positive vestibular/oculomotor tests (2.0 [2.3] vs 0.7 [0.95], P = .06) compared to those who did not. Simple RT was similar between groups (467 [64.7] vs 457 [53.5] ms, P = 0.78).</p><p><strong>Conclusions: </strong>We did not observe a proportional difference in subsequent injuries between virtual NMT and control groups among uninjured adults. However, slower clinical RT and worse cervical spine proprioception may help identify individuals with an increased risk of injuries.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Reliability of 2 Visual-Cognitive Dual-Task Agility Assessments for Return to Sport.","authors":"Ava L Schwartz, Kylie A McGlone, Grant E Norte, Randi M Richardson, Moein Koohestani, Gaston Dudley, Matt S Stock, Meredith Chaput","doi":"10.1123/jsr.2024-0440","DOIUrl":"https://doi.org/10.1123/jsr.2024-0440","url":null,"abstract":"<p><strong>Context: </strong>Return to sport assessments after lower-extremity injury/surgery focus on anticipated movement. However, sport requires unanticipated movements with intense visual-cognitive processing. Thus, our purpose was to test the reliability of 2 agility tests augmented with visual-cognitive dual tasks that simulate the attentional demands of sport to improve the ecological validity of return to sport assessments.</p><p><strong>Design: </strong>Test-retest reliability.</p><p><strong>Methods: </strong>Twenty-six individuals (17 females, 23.1 [1.8] y, 170.9 [10.2] cm, 71.4 [14.5] kg, Tegner Activity Scale 5.1 [0.7]) participated in 2 study visits, 14 days apart. Each visit, participants completed a (1) Traditional 5-10-5 Shuttle, (2) Reactive 5-10-5 Shuttle (RS), (3) Traditional Agility T-test (AT), and (4) Visual-Cognitive Reactive Agility T test (VCR-AT) in randomized order. Outcomes for the 5-10-5 Shuttles, included fastest reaction time (RS only), split time, and total time. Fastest total time was quantified for the Agility T-tests. Test-retest reliability was established with intraclass correlation coefficients (ICC3,1) using 2-way mixed effects models and 95% confidence intervals. Paired-samples t-tests assessed performance differences between traditional and visual-cognitive conditions (alpha = .05). Dual-task effect (DTE) was expressed by the percent change in performance when a cognitive challenge was added.</p><p><strong>Results: </strong>Traditional 5-10-5 Shuttle split (ICC3,1 = .97 [.94 to .98]) and total time (ICC3,1 = .99 [.96 to .99]) demonstrated excellent reliability. RS split (ICC3,1 = .96 [.86 to .98]) and total time (ICC3,1 = .96 [.88 to .98]) demonstrated good-to-excellent reliability. RS reaction time (ICC3,1 = .75 [.45 to .89]) demonstrated poor-to-moderate reliability. The RS resulted in slower split (DTE = -24.24%, P < .001) and total time (DTE = -13.31%, P < .001) than the Traditional 5-10-5 Shuttle. AT and VCR-AT total time both demonstrated excellent reliability (AT: ICC3,1 = .97 [.92 to .99]; VCR-AT: ICC3,1 = .97 [.95 to .99]). The VCR-AT resulted in a slower total time (DTE = -1.51%, P = .119) than the AT.</p><p><strong>Conclusions: </strong>Augmented agility assessments demonstrated good-to-excellent test-retest reliability for all outcomes except RS reaction time. A visual-cognitive dual-task significantly impaired physical performance for the 5-10-5 shuttle but not the Agility T-test. Augmenting agility assessments with visual-cognitive dual tasks is reliable and may improve the ecological lens of return to sport assessments.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aquatic Exercise Enhances Functional Movement and Sensorimotor Performance in Athletes With Chronic Ankle Instability: A Randomized Controlled Trial.","authors":"Saeed Zarei, Sajad Bagherian, Mohammad Rabiei","doi":"10.1123/jsr.2024-0469","DOIUrl":"https://doi.org/10.1123/jsr.2024-0469","url":null,"abstract":"<p><strong>Context: </strong>Chronic ankle instability (CAI) is prevalent among athletes and is associated with impaired sensorimotor function, reduced dynamic stability, and limited functional movement, increasing the risk of reinjury. Aquatic exercise offers a low-impact alternative to land-based rehabilitation by reducing joint loading and promoting neuromuscular adaptations. This study evaluated the effectiveness of an 8-week aquatic exercise program on functional outcomes in athletes with CAI.</p><p><strong>Design: </strong>Randomized controlled trial with preintervention and postintervention assessments.</p><p><strong>Methods: </strong>Forty male athletes (aged 18-30) with clinically diagnosed CAI were randomly assigned to an intervention group (n = 20) which completed an 8-week aquatic exercise program or a control group (n = 20) which continued regular activity without structured rehabilitation. The intervention included 3 weekly aquatic sessions targeting balance, proprioception, and strength. Primary outcomes were functional movement (Functional Movement Screen), dynamic balance (Y-Balance Test), and self-reported ankle function (Cumberland Ankle Instability Tool, Identification of Functional Ankle Instability, Foot and Ankle Ability Measure, Foot and Ankle Ability Measure-Sport). Secondary outcomes included static balance, dorsiflexion range of motion, proprioception, and jumping performance. Repeated-measures analysis of variance and nonparametric tests were used, with P < .05 as significance.</p><p><strong>Results: </strong>The intervention group showed significant improvements in Functional Movement Screen scores, dynamic balance (P < .001), dorsiflexion range of motion (+19.6%, P < .001), and self-reported ankle function (up to +46.9%, P < .001). Jumping performance significantly improved, with reduced completion times in the side-hop (-18.1%) and 8-line hop (-12.9%) tests, and increased distance in the triple-hop test (+8.5%; all P < .01). Static balance improved in eyes-open condition (P < .001). No significant change occurred in proprioception (P = .506). The control group showed no significant improvements.</p><p><strong>Conclusions: </strong>An 8-week aquatic exercise program significantly improves functional movement, balance, flexibility, jumping ability, and self-reported ankle function in athletes with CAI. These findings support aquatic therapy as a clinically effective, low-impact rehabilitation option for restoring sensorimotor performance and sport readiness.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Muscle Energy Techniques and Joint Manipulations in Functional Improvements and Pain Reduction in Patients With Sacroiliac Joint Pain: A Critically Appraised Topic.","authors":"Zoe Laferriere, Nicole Mondelli, Matthew J Rivera","doi":"10.1123/jsr.2024-0323","DOIUrl":"https://doi.org/10.1123/jsr.2024-0323","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Sacroiliac joint (SIJ) pain is a type of low back pain, affecting roughly 15% to 30% of patient cases. Pain management is essential for improving function and quality of life in these patients. However, due to the complexity of the anatomy and the innervations surrounding the SIJ, there is limited consensus on the most effective treatment for SIJ pain, resulting in variable approaches to pain management. Common interventions for SIJ pain include muscle energy techniques (MET) and joint manipulations, both are known for their ability to improve function and reduce pain.</p><p><strong>Clinical question: </strong>In adults with SIJ pain, are joint manipulations or METs more effective in improving function AND reducing pain?</p><p><strong>Summary of key findings: </strong>Both MET and joint manipulations are effective in treating SIJ pain. The current literature revealed a lack of evidence regarding the sole utilization of MET or manipulation in being more effective in improving function and reducing pain in adults with SIJ pain.</p><p><strong>Clinical bottom line: </strong>The evidence indicates that both MET and joint manipulations effectively reduce pain and improve function in patients with SIJ pain. However, the literature does not consistently favor one method over the other. Using the Oxford Center for Evidence-Based Medicine 2011 Levels of Evidence 2 studies are level 2 and on study is level 3, suggesting that both treatments can be beneficial.</p><p><strong>Strength of recommendation: </strong>According to the Strength of Recommendation Taxonomy, a grade of C is recommended, indicating that there is fair evidence that is inconclusive but suggests that both treatments can be beneficial.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altered Ground Reaction Force and Dynamic Stability During a Single-Leg Stabilization Task in Female Athletes With Lateral Ankle Sprain History and Dysfunctional Breathing Patterns.","authors":"Masafumi Terada, Yuka Shimozawa, Takashi Sugiyama, Yuki Kusagawa, Takahiro Tanaka, Miyuki Hori, Toshiyuki Kurihara, Tadao Isaka","doi":"10.1123/jsr.2025-0026","DOIUrl":"https://doi.org/10.1123/jsr.2025-0026","url":null,"abstract":"<p><strong>Context: </strong>Female athletes frequently experience lateral ankle sprains (LAS) during unilateral jump-landing activities and face a significant risk of recurrent ankle injury. LAS has been associated with reduced diaphragm contractility and altered breathing mechanics. The diaphragm and breathing mechanics are crucial for mitigating landing impact, which is typically impaired in individuals with LAS. Given this connection, innovative rehabilitation approaches that address dysfunctional breathing mechanics may be warranted. To date, no research has investigated associations between breathing mechanics and landing kinetics in adolescent female athletes with LAS. This study aimed to compare ground reaction force (GRF) and dynamic stability during a single-leg stabilization task between female athletes with a history of LAS who exhibited diaphragmatic breathing patterns and those who had dysfunctional breathing patterns.</p><p><strong>Design: </strong>Case-control study.</p><p><strong>Methods: </strong>Two hundred eighty-three competitive female athletes with a previous history of LAS were recruited from middle school, high school, and Division I college teams. The Hi-Lo test was utilized to categorize participants as dysfunctional breathers or diaphragmatic breathers according to their breathing patterns. Each participant completed 3 trials of a single-leg drop-landing task. Normalized peak vertical and posterior GRF data were extracted, and the average loading rate was calculated from the normalized vertical GRF. The norm of the horizontal component of the GRF was used to calculate time to stabilization.</p><p><strong>Results: </strong>Forty female athletes with LAS history (14.1%) were classified as diaphragmatic breathers, and 243 (85.9%) were classified as dysfunctional breathers. Female athletes with LAS history who exhibited dysfunctional breathing patterns demonstrated a greater peak posterior GRF (P = .01) and longer time to stabilization (P = .04) compared with those who had diaphragmatic breathing patterns.</p><p><strong>Conclusions: </strong>Dysfunctional breathing patterns may contribute to decreased dynamic stability and force attenuation capabilities during single-leg landing tasks following LAS. Assessing the biomechanical dimension of breathing patterns may help clinicians identify patient-specific impairments in individuals with LAS, particularly those with deficits in dynamic postural stability and force attenuation.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trunk Neuromuscular Function in People With Knee Disorders: A Systematic Review With Meta-Analysis and Gap Map.","authors":"Júlia C P da Silva, Théo M B da Silva, Lionel Chia, David M Bazett-Jones, Evangelos Pappas, Fábio M de Azevedo, Ronaldo V Briani, Marina C Waiteman","doi":"10.1123/jsr.2024-0443","DOIUrl":"https://doi.org/10.1123/jsr.2024-0443","url":null,"abstract":"<p><strong>Context: </strong>Altered trunk kinematics have been reported in people with knee disorders and may be driven by neuromuscular deficits in the trunk muscles. Yet, no study has synthesized the evidence for trunk neuromuscular function in people with knee disorders compared with those injury-free.</p><p><strong>Objective: </strong>To compare trunk neuromuscular function between people with and without knee disorders.</p><p><strong>Evidence acquisition: </strong>We searched 5 databases from inception to September 2024 for observational studies comparing trunk muscle strength, endurance, stability, and electromyography- or ultrasound-derived measures in people with and without knee disorders. Meta-analyses were conducted for each knee disorder when possible. Outcome-level certainty was assessed using Grading of Recommendations Assessment, Development, and Evaluation, and an evidence gap map was created.</p><p><strong>Evidence synthesis: </strong>Twenty-three studies met the inclusion criteria across 4 knee disorders (ie, patellofemoral pain, ACL deficiency and reconstruction and knee osteoarthritis. People with patellofemoral pain presented with lower lateral trunk flexion strength and endurance (standardized mean differences, -0.48 to -0.54; 95% CI, -0.80 to -0.25) and lower anterior flexion and extension endurance (standardized mean differences, -1.19 to -1.47; 95% CI, -2.69 to -0.26), but no differences for erector spinae onset timing and external oblique amplitude activation during stepping and squatting tasks, compared with controls. We identified very limited evidence for studies investigating ACL deficiency/reconstruction and knee osteoarthritis populations.</p><p><strong>Conclusion: </strong>The lower lateral trunk strength and endurance, as well as lower trunk anterior and extension endurance in people with patellofemoral pain are consistent with previously reported alterations in trunk/lower limb frontal plane kinematics in this population. Further studies investigating trunk neuromuscular function are warranted to identify specific targets that may optimize rehabilitation of people with knee injuries or osteoarthritis.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive-Motor Function and Anterior Cruciate Ligament Injury Risk: Exploring Relationships Between Clinical and Lab-Based Assessments.","authors":"Fatemeh Aflatounian, Patrick D Fischer, James N Becker, Keith A Hutchison, Janet E Simon, Dustin R Grooms, Scott M Monfort","doi":"10.1123/jsr.2024-0382","DOIUrl":"https://doi.org/10.1123/jsr.2024-0382","url":null,"abstract":"<p><p>Assessing cognitive-motor function following anterior cruciate ligament reconstruction may enable a more comprehensive assessment of readiness to return to sport. The primary purpose of this study was determining the relationship between measures of clinical cognitive-motor interference and laboratory-based second injury relevant biomechanics through a cross-sectional study.</p><p><strong>Methods: </strong>Thirty-six individuals following anterior cruciate ligament reconstruction (26 females/10 males, 19.8 [1.8] y; 1.7 [0.1] m; 69.6 [12.8] kg, Tegner activity level 6.8 [1.8], 1.5 [0.6] y post anterior cruciate ligament reconstruction) participated in the study. We assessed 2 clinically feasible tests of cognitive-motor function: single (ST) and dual tasks (DT) for triple hop and medial-side hop. Laboratory-based tests involved motion capture assessment of jump landings from a 30-cm box followed immediately by a secondary jump. Conditions included, ST (anticipated secondary jump direction) and DT (unanticipated secondary jump direction). Primary outcome variables included DT change (DTC) of second anterior cruciate ligament injury predictors (limb asymmetry in knee extensor moment at initial contact, range of knee abduction angle for the involved limb, and uninvolved hip rotation net moment impulse). Correlations were used to identify associations between lab- (biomechanics) and clinic-derived (hop distance) outcomes. Secondary analyses with other risk-associated knee mechanics and patient-reported outcome measures were also performed.</p><p><strong>Results: </strong>No significant correlations were found between DTC clinical variables and DTC second anterior cruciate ligament predictors. However, significant relationships were observed between clinical and lab outcomes when considering ST or DT in isolation, such as ST range of knee abduction angle for the involved limb correlating with ST for triple hop for both limbs (Inv: r = -.436, Padj = .04; Uninv: r = -.453, Padj = .04).</p><p><strong>Conclusions: </strong>Associations between cognitive-motor interference (ie, DTC) in clinical and lab tests were not found, but significant fair strength correlations appeared between clinical and lab variables when examining ST and DT performance, separately. Future prospective studies are needed to determine the predictive value of cognitive-motor function for injury rehabilitation decision making.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Dry Needling the Quadriceps or Gluteal Muscle Groups in the Multimodal Management of Patellofemoral Pain: A Critically Appraised Topic.","authors":"Alex Chiavetta, Shelby Gonser, Matt O'Sullivan, Matthew J Rivera","doi":"10.1123/jsr.2024-0282","DOIUrl":"https://doi.org/10.1123/jsr.2024-0282","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Patellofemoral pain (PFP) places a large burden on patients and the larger health care system. Current best evidence suggests an impairment-driven approach to managing PFP. Deep-dry needling (DDN) is a potentially advantageous manual therapy for patients with PFP due to the proposed benefits, including improved blood flow and oxygen saturation, improved range of motion, and improved muscle extensibility and function. However, current best practices do not recommend the utilization of DDN in the management of PFP and fail to evaluate DDN as part of multimodal treatment, and only evaluate DDN of the quadriceps muscle group. This critically appraised topic evaluates the literature on inclusion of DDN as part of the multimodal treatment of PFP exploring multiple muscle groups impacting PFP.</p><p><strong>Clinical question: </strong>In patients with PFP, does the inclusion of dry needling within a multimodal treatment program result in improved patient outcomes?</p><p><strong>Summary of key findings: </strong>Fifteen articles were screened for inclusion criteria and 3 randomized controlled trials were accepted for inclusion. All 3 articles evaluated Dry Needling + Exercise versus Exercise. One of these articles evaluated Dry Needling of the quadriceps muscle group, and the other 2 evaluated Dry Needling of the posterolateral hip musculature. The studies that evaluated the posterolateral hip musculature found significant improvements in patient-reported outcomes over the control group. The study that evaluated the quadriceps muscle group found no added benefit of including Dry Needling with conventional exercise programs.</p><p><strong>Clinical bottom line: </strong>There is limited level 1b evidence to support the utilization of DDN within the multimodal management of PFP. Current literature supports DDN of posterolateral hip musculature over DDN of the quadriceps muscle group. Management of PFP should be guided by an impairment-driven approach.</p><p><strong>Strength of recommendation: </strong>SORT Grade of B based on limited level 1b evidence.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}