Journal of Sport Rehabilitation最新文献

{"title":"Effects of Neuromuscular Electrical Stimulation Waveforms and Occlusion Pressures on Elicited Force and Microvascular Oxygenation.","authors":"Trent E Cayot, James W Bellew, Estefania Zapata-Rodriguez, Justin Rutherford, Sofia Simpson, Sam Somesan, Trevor Edgerton, Dawson Labaw, Joe Northam, Caleb Bowling","doi":"10.1123/jsr.2024-0064","DOIUrl":"https://doi.org/10.1123/jsr.2024-0064","url":null,"abstract":"<p><strong>Context: </strong>Interest in the effects of concurrently using neuromuscular electrical stimulation (NMES) and blood flow restriction (BFR) to improve muscle strength has risen, but limited studies and inconsistent findings have led to more questions. The 2 current projects aimed to systematically investigate how NMES waveform shape and BFR occlusion pressure acutely influence electrically elicited force (EEF) and tissue oxygen saturation (StO2) of the knee extensors.</p><p><strong>Design: </strong>A single-session repeated-measures design was followed.</p><p><strong>Methods: </strong>EEF and StO2 were measured in 2 different groups of 15 participants during 3 sets of NMES contractions. Ten NMES contractions per set were performed with 5 minutes of passive interset recovery. In the first project, different NMES waveforms (RUS, Russian burst-modulated alternating current; VMS, biphasic pulsed current; and VMS-Burst, burst-modulated biphasic pulsed current) were administered for each set, while BFR was applied at 60% limb occlusion pressure (LOP). During the second projet, VMS was administered, while a different BFR occlusion pressure (0% LOP, 40% LOP, and 80% LOP) was used during each set. Two-way repeated-measures analysis of variance examined if repetition and/or NMES waveform (first project) or BFR occlusion pressure (second project) significantly affected (P < .05) EEF or StO2.</p><p><strong>Results: </strong>VMS (12% [7%] MVIF) and VMS-Burst (13% [10%] MVIF) led to higher EFF compared with RUS (6% [5%] MVIF) with 60% LOP; 80% LOP (20% [14%] MVIF) led to lower EEF compared with 0% LOP (29% [17%] MVIF) with VMS. No significant differences in StO2 were observed between NMES waveforms or BFR occlusion pressures.</p><p><strong>Conclusions: </strong>If a clinician wanted to concurrently use NMES and BFR, the acute findings of the current projects would suggest the use of VMS or VMS-Burst with lower BFR occlusion pressure (40% LOP). However, further investigation into how these parameters would influence muscle strength subsequent to a training/rehabilitation intervention should be performed.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808413","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":"Sponge Mats, but not Taekwondo Mats, Reduce Landing Impact From Heights of 0.45, 0.90, and 1.35 m in Taekwondo Gyeokpa Players.","authors":"Jeongeun Moon, Geon-Tak Kim, Jihong Park","doi":"10.1123/jsr.2023-0359","DOIUrl":"https://doi.org/10.1123/jsr.2023-0359","url":null,"abstract":"<p><strong>Context: </strong>This study compared landing impact between 3 landing heights on 3 landing surfaces by quantifying vertical ground reaction force (vGRF) profile and knee joint angle.</p><p><strong>Design: </strong>Crossover.</p><p><strong>Methods: </strong>Nineteen healthy male college Taekwondo (TKD) Gyeokpa players (age: 20.7 [2.6] y, height: 1.73 [0.05] m, mass: 65.5 [7.1] kg, and athletic careers: 5.9 [3.2] y) performed 2-leg landings from 3 different heights (0.45, 0.90, and 1.35 m) on 3 different surfaces (uncovered force plates on the ground, a 2-cm thick TKD or a 14-cm thick sponge mat over the force plates). Peak vGRF, time to peak vGRF, and knee joint angle in the dominant leg were analyzed using analysis of variance and functional data analysis (α = .05).</p><p><strong>Results: </strong>There was a height by surface interaction in peak vGRF (F4,144 = 2.54, P = .04) and time to peak vGRF (F4,144 = 7.62, P < .0001), but not for knee joint angle (F4,144 = 0.51, P = .73). Increased peak vGRF and shortened time to peak vGRF were observed as landing height increased on each landing surface (P < .0001 for all tests). Functional data analysis revealed that landing on the TKD mat increased vGRF by 0.4× body weight (P < .0001) at a landing height of 0.90 m or higher, whereas landing on the sponge mat reduced vGRF (<0.9× body weight), delayed time to reach peak vGRF (<30 ms, P < .0001), and maintained knee flexion angle (<10.3°, P < .01), compared with landing on the ground.</p><p><strong>Conclusions: </strong>The TKD mat was ineffective in reducing the landing impact as similar landing biomechanics were observed between landing on the ground and the TKD mat. We recommend the use of the sponge mat to reduce landing impact as it attenuated vGRF, delayed time to reach peak vGRF, and maintained sagittal plane landing posture, as compared with landing on the ground and the TKD mat.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808421","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 Movement Competency Screen Shows Improved Injury Predictive Ability Compared With the Functional Movement Screen in Ballet and Contemporary Dance Populations: A Critically Appraised Topic.","authors":"Evyn Callahan, L Colby Mangum","doi":"10.1123/jsr.2024-0194","DOIUrl":"https://doi.org/10.1123/jsr.2024-0194","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Ballet dancers exhibit a high risk of musculoskeletal injuries with around 75% of all injuries attributed to overuse injuries. The high prevalence of chronic injuries suggests contributions caused by abnormal biomechanics in combination with repetitive stress common to ballet. Traditional sports settings implement movement screening tools including the Movement Competency Screen (MCS) and functional movement screen (FMS) to identify factors predisposing athletes to injury. However, unique training demands and movement patterns of ballet and contemporary pose challenges for fundamental movement screenings. Identifying relationships between movement screening scores and injury incidence in dancers may allow for early injury risk factors detection and injury prevention programs implementation to reduce overall injury rate.</p><p><strong>Clinical question: </strong>Does implementation of the MCS improve prediction of injury incidence compared with use of the FMS™ in collegiate, preprofessional, and professional ballet, and contemporary dancers?</p><p><strong>Summary of key findings: </strong>Three studies met the inclusion criteria for critical appraisal. One study utilized the MCS while the other 2 implemented the FMS™ to assess ballet and modern dancers. These studies concluded the MCS may predict injury when implemented as a preseason screening in ballet and contemporary. The FMS™ did not demonstrate predictive capability for injuries in ballet and contemporary dancers.</p><p><strong>Clinical bottom line: </strong>While the MCS shows injury prediction potential, a dance-specific movement screening more accurately representing dance-related movement patterns may improve validity in this population. Continuation and standardization of dance injury research is imperative to understand movement compensations predisposing individuals to injury and injury prevention measures.</p><p><strong>Recommendation: </strong>Grade B evidence suggests potential predictive ability of the MCS in identifying dance-related injury, while no association exists between the FMS™ and dance injuries. Additional research regarding dance-specific movement application to functional screenings shows potential for accurate and reliable injury prediction methods for ballet and modern dancers.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808434","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":"Resilience and Well-Being Over the Course of an National Collegiate Athletic Association Division I Gymnastics Season.","authors":"Sarah-Margaret Williams, Shelby E Baez, Demitria Derrico, Hunter Robinson, Killian Coyne, Hailee Settle, Kate N Jochimsen","doi":"10.1123/jsr.2023-0379","DOIUrl":"https://doi.org/10.1123/jsr.2023-0379","url":null,"abstract":"<p><strong>Context: </strong>Awareness regarding the importance of mental health in athletes has been increasing in recent years. Mental health has been investigated in relation to injury recovery and performance; however, less evidence has examined changes in mental health throughout a competitive season.</p><p><strong>Objectives: </strong>This study aimed to: (1) evaluate the psychological factors of resilience and well-being over a National Collegiate Athletic Association Division I gymnastics season and examine changes over 4 time points: preseason, start of the competitive season, midseason, and postseason and (2) examine the relationships between these psychological measures at these 4 time points. We hypothesized that resilience and well-being would remain stable, and higher resilience would be related to a greater sense of well-being at all time points.</p><p><strong>Design: </strong>This study utilized a retrospective chart review.</p><p><strong>Setting: </strong>This study is conducted in a college setting.</p><p><strong>Patients or other participants: </strong>Study participants were 17 Division I female gymnasts.</p><p><strong>Methods: </strong>A retrospective chart review was conducted to evaluate the Brief Resilience Scale and 5-item World Health Organization Well-Being Index, which gymnasts had completed biweekly from preseason to postseason. Descriptive statistics were reported, a 1-way repeated measures analysis of variance was used to examine changes across 4 time points, and Pearson product-moment correlations were used to examine the relationships between Brief Resilience Scale and 5-item World Health Organization Well-Being Index scores.</p><p><strong>Results: </strong>Brief Resilience Scale and 5-item World Health Organization Well-Being Index scores did not change throughout the season (P = .62, .52). No relationship between the variables was identified at the start of preseason or midseason (P > .17). However, at the start of the competitive season and postseason, resilience was positively correlated with well-being (r = .65, P = .006; r = .82, P = .006).</p><p><strong>Conclusions: </strong>Higher resilience and well-being are related in Division I female gymnasts but do not fluctuate throughout the season. Sports medicine staff and coaches should be aware that there is room to improve resilience and well-being, making additional supports warranted, including coping skills and resilience training interventions.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-5"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808418","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":"\"Martyr or Moaner:\" A Qualitative Study of Elite Ladies Gaelic Football and Camogie Players' Perceptions of Injury Surveillance.","authors":"Marese Gilhooly, Roisin Cahalan, Kieran O'Sullivan, Catherine Norton","doi":"10.1123/jsr.2024-0181","DOIUrl":"https://doi.org/10.1123/jsr.2024-0181","url":null,"abstract":"<p><strong>Context: </strong>Ladies Gaelic Football (LGF) is the fastest growing female sport in Europe and camogie is among the most popular female team sports in Ireland. Intercounty is considered the elite level, with high physical and technical demands that inevitably involve a risk of injury. At the elite level, an injury incidence as high or higher as professional sports such as rugby and soccer has been reported. Inadequate injury surveillance (IS) can be a barrier to effective injury prevention. This study aimed to (i) explore perspectives on IS and (ii) examine perceived barriers and facilitators to injury reporting of elite LGF and camogie players.</p><p><strong>Design: </strong>Qualitative descriptive study.</p><p><strong>Methods: </strong>Six focus groups were conducted with elite LGF (n = 11) and camogie (n = 10) players representing a range of divisions and intercounty panels. Participants outlined their understanding of IS and described IS practices within their teams. Participants completed a written task, noting and discussing perceived barriers and facilitators to injury reporting. Focus groups were audio recorded, transcribed, and analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Participants' report of current IS practices for their team echoed closely their interpretation of IS, as the reporting of injury to health care professionals (HCPs) and broader team personnel. Injury reporting was influenced by factors related to the player, the organization, and the environment including player mindset, access to HCPs and club culture.</p><p><strong>Conclusion: </strong>Enhanced and consistent access to appropriate HCPs is deemed key to monitoring and managing injuries. HCPs are central to fostering a culture of openness and trust, critical to facilitate the timely reporting and management of injuries in elite LGF and camogie. The influence of HCPs is powerful in players' perceptions of barriers and facilitators to reporting and future work should capture their thoughts.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":1.3,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780909","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":"Road to Tokyo Paralympic Games: Impact of the COVID-19 Pandemic on the Mood States of Brazilian Para Athletes.","authors":"Geiziane Leite Rodrigues Melo, Rodrigo Rodrigues Gomes Costa, Maria Regina Ferreira Brandão, Luis Felipe Castelli Correia de Campos, Ciro Winckler","doi":"10.1123/jsr.2023-0263","DOIUrl":"https://doi.org/10.1123/jsr.2023-0263","url":null,"abstract":"<p><strong>Context: </strong>The COVID-19 pandemic had a significant impact on the world of sports due to the imposed quarantine and the postponement of regional, national, and international sporting events, which affected physical, socioeconomic, and psychological aspects of athletes. Thus, the present study aimed to evaluate changes in the mood state profile of Brazilian Para athletes at 2 different time points during the COVID-19 pandemic, specifically during their qualification for the Tokyo Paralympic Games.</p><p><strong>Design: </strong>This study used a longitudinal study design.</p><p><strong>Methods: </strong>The study included 83 Brazilian Para athletes from 14 sports, with a mean age of 34.64 (9.27) years, who were evaluated at 2 moments (March 2020 and April 2021) during the qualification period for the \"Road to Tokyo Paralympic Games.\" The online survey included questions about disability, sport, and experience; the 24-item Brunel Mood Scale questionnaire; and a question about the athlete's perception of whether or not they had a chance of qualifying for the Tokyo Paralympics in April 2021.</p><p><strong>Results: </strong>Para athletes had significantly higher vigor scores in 2021 than in 2020, with a medium effect size (z = -3.454, P < .001). In addition, Para athletes who perceived themselves as nonqualified for the Tokyo 2021 Paralympics Games had higher scores for depression (U = 409,000, z = -2397, P = .017) and tension (U = 425,000, z = -2194, P = .017) in 2021 when compared with those who perceived that they had qualified. There were no differences between men and women.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic significantly negatively impacted the mood of Brazilian Para athletes, especially those who perceived themselves as nonqualified for the Tokyo Paralympic Games. Para athletes in team sports exhibited higher potential symptoms of depression compared with those in individual sports.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752106","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":"Two-Stage Surgical Treatment of Combined Lumbar Spine Stenosis in a Professional Football Player.","authors":"Dmitriy Dzukaev, Anton Borzenkov, Georgiy Malyakin, Islam Muzyshev, Yuri Kuklin, Alina Reutova, Eduard Bezuglov","doi":"10.1123/jsr.2024-0073","DOIUrl":"https://doi.org/10.1123/jsr.2024-0073","url":null,"abstract":"<p><strong>Introduction: </strong>Playing football (American soccer) at the elite level places extremely high demands on the spine. The choice of treatment for lumbar spinal canal stenosis combined with spondylolysis and anterolisthesis is challenging for surgeons, physicians, and clinicians.</p><p><strong>Case presentation: </strong>A 28-year-old elite football player from the leading Russian football club is the focus of this case study. Patient complained of constant low back pain radiating to the posterior surface of the right thigh and limited mobility in the lumbar spine.</p><p><strong>Diagnosis: </strong>The patient was diagnosed with degenerative stenosis of the spinal canal at the L5 to S1 level, L4 to L5 disc herniation, spondylolysis, and anterolisthesis of L5 vertebra.</p><p><strong>Management and outcomes: </strong>Two-stage surgery of combined lumbar spine pathology was performed in May 2021. The first stage of surgical treatment included the spinal and foraminal canals decompression at the L4 to L5 and L5 to S1 levels, as well as posterior fusion with rigid pedicle screws. The second stage involved the subsequent replacement of the rigid to dynamic semirigid rods as signs of the bone defect healing appeared. The athlete returned to team training 6 months after the first stage of surgery and was able to play football at the elite level without restrictions 1 year after the first stage and just 30 days following the second stage of surgical treatment. The athlete continues his career as of the last manuscript's revision.</p><p><strong>Conclusions: </strong>This method holds potential as an effective approach in the treatment of combined lumbar spine pathology among elite athletes.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734384","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":"Eccentric Force and Regional Biceps Femoris Muscle Excitation During Conventional and 80° Hip-Flexed Nordic Curl.","authors":"Arthur Ferreira Esquírio, Maressa da Rocha, Maria de Cássia Macedo, Kariny Realino Ferreira, Mayra Evelise Dos Santos, Michelle Almeida Barbosa, Alexandre Carvalho Barbosa","doi":"10.1123/jsr.2024-0003","DOIUrl":"https://doi.org/10.1123/jsr.2024-0003","url":null,"abstract":"<p><strong>Context: </strong>Hamstring injuries are prevalent in high-intensity sports. The lesion often occurs with concomitant knee extension and hip flexion. The Nordic curl has been suggested to prevent such injury, mainly due to its eccentric hamstring activation.</p><p><strong>Objective: </strong>The objective of this study is to assess the eccentric force output and the regional biceps femoris excitation (proximal, mid, and distal) during conventional and 80° of hip flexion of Nordic curl.</p><p><strong>Methods: </strong>Thirty-nine participants (17 men: 22.6 [2.03] y, 1.71 [0.09] m, 73.6 [13.3] kg; and 22 women: 24.4 [6.02] y; 1.64 [0.08] m; 62.2 [10.5] kg) were included in the study. Hamstring strength was analyzed through a load cell and muscle activation assessed with an electromyographer in 3 muscle portions (proximal, mid, and distal). Mixed factorial analysis of variance was used to rate the differences.</p><p><strong>Results: </strong>The conventional Nordic curl showed higher muscle activation compared with the hip-flexed Nordic curl (P = .001). No differences were observed in other factorial analysis.</p><p><strong>Conclusions: </strong>The findings suggest that conventional Nordic curl induces higher biceps femoris muscle excitation across compared with 80° hip-flexed Nordic curl. No differences were noted in muscle strength. The same force output with distinct levels of muscle activation may provide a progression system to implement hamstring training for injury prevention or even for exercise routine.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734383","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":"Bibliometric Analysis of Studies on The Rehabilitation of Disabled Athletes Through Visual Mapping.","authors":"Muhammed Yildiz","doi":"10.1123/jsr.2024-0112","DOIUrl":"https://doi.org/10.1123/jsr.2024-0112","url":null,"abstract":"<p><strong>Context: </strong>The rehabilitation of disabled athletes is a critical area of research aimed at improving athletes' performance and well-being. This bibliometric analysis examines scientific studies related to the rehabilitation of disabled athletes, focusing on trends, authors, publications and interdisciplinary collaborations.</p><p><strong>Objective: </strong>This study seeks to provide quantitative and qualitative insights into the trends, interdisciplinary collaborations, and significant contributions in the rehabilitation of disabled athletes.</p><p><strong>Design: </strong>Bibliometric analysis of 660 scientific publications related to the rehabilitation of disabled athletes, from 1975 to 2023.</p><p><strong>Setting: </strong>The analysis reveals that research in this field is multidisciplinary, encompassing sports, medicine, rehabilitation and education. Studies focused on disabled athletes and their rehabilitation.</p><p><strong>Intervention: </strong>Rehabilitation plays a vital role in disabled athletes' lives, aiding in injury recovery and enhancing overall health and performance.</p><p><strong>Results: </strong>The United States leads in research output. Collaborative networks among authors are evident, indicating joint research efforts. Identification of research trends, prominent authors  Bartosz Molik and Natalia Morgulec-Adamowicz), collaborative networks and common keywords (e.g., adaptive sports, disability, rehabilitation). Keywords such as adaptive sports, disability and rehabilitation are frequently mentioned, reflecting the focus of research.</p><p><strong>Conclusions: </strong>The rehabilitation of disabled athletes is a growing field with significant contributions from researchers worldwide. Collaborative efforts and interdisciplinary approaches are essential for advancing knowledge and improving the lives of disabled athletes.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734382","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":"Psychosocial Factors on Athlete Return to Sport Readiness After Anterior Cruciate Ligament Reconstruction: A Critically Appraised Topic.","authors":"Kala Robinson, Melissa K Kossman","doi":"10.1123/jsr.2024-0034","DOIUrl":"https://doi.org/10.1123/jsr.2024-0034","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Anterior cruciate ligament (ACL) injuries are a common injury experienced by athletes and often involve lengthy and invasive treatments. Given the literature that exists supporting psychosocial response to injury, it is important to understand how these factors influence the recovery process ultimately influencing readiness to return to play.</p><p><strong>Clinical question: </strong>What is the impact of psychosocial factors on athlete readiness to return to sport participation post-ACL reconstruction (ACLR)?</p><p><strong>Summary of key findings: </strong>All studies found that psychosocial factors, including athletic identity, motivation, anxiety, control, and fear, impacted perceived readiness to return to play. Several studies found various levels of influence in both a positive (eg, motivation and resilience) and negative (eg, fear and anxiety) direction. Furthermore, despite presenting more psychosocial barriers than physical, these factors do not appear to influence actual physical recovery.</p><p><strong>Clinical bottom line: </strong>Psychosocial factors have both direct and indirect effects, positive and negative, on an athlete's perceived readiness to return to the play. ACLR rehabilitation protocols are well developed, well established, and known to be effective; however, athletes still do not feel ready to return, and there are physical and mental risks associated with that uncertainty. Therefore, psychosocial factors are important to include and prioritize as part of the ACLR recovery process to ensure athletes are physically and psychosocially ready to return to play.</p><p><strong>Strength of recommendation: </strong>Grade B evidence exists that psychosocial factors positively and negatively impact physical recovery and perceptions of recovery on return-to-play post-ACLR.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693839","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}