Journal of Sport Rehabilitation最新文献

{"title":"Discrimination Between Mechanical and Functional Ankle Instability, and Copers: A Questionnaire-Based Analysis.","authors":"Dong Wook Lee, Se Jong Kim, Jiho Kang, Kyeongtak Song, Sae Yong Lee","doi":"10.1123/jsr.2025-0070","DOIUrl":"https://doi.org/10.1123/jsr.2025-0070","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to differentiate subgroups of chronic ankle instability (CAI), including mechanical ankle instability (structural damage), functional ankle instability (FAI: neuromuscular deficits), Copers (individuals who recovered functional stability without recurrent symptoms), and controls (healthy individuals), using a validated questionnaire set (Cumberland ankle instability tool [CAIT], identification of functional ankle instability [IdFAI], ankle instability instrument [AII], foot and ankle ability measurement [FAAM]/Activities of Daily Living, FAAM/Sports). Additionally, we sought to present a standardized scoring system to classify CAI, Copers, and control participants.</p><p><strong>Design: </strong>Case-control study.</p><p><strong>Methods: </strong>A total of 104 people participated in the study, including 26 mechanical ankle instability, 26 functional ankle instability, 26 Copers, and 26 healthy controls. The Kruskal-Wallis test was used for analysis, and the Mann-Whitney test was used for post hoc tests. The cutoff value for each group was confirmed using the receiver operating characteristic curve.</p><p><strong>Results: </strong>Analyses comparing the CAI, Copers, and control groups revealed significant differences in CAIT (P < .001), IdFAI (P < .001), AII (P < .001), FAAM/Activities of Daily Living (P < .001), and FAAM/Sports (P < .001). The cutoff values for each group were confirmed for CAIT, IdFAI, AII, FAAM/Activities of Daily Living, and FAAM/Sports. For CAIT, it was 0 to 8.5 mechanical ankle instability, 8.6 to 23 for functional ankle instability, 24 to 29.5 for Copers, and 29.6 to 30 for control.</p><p><strong>Conclusion: </strong>These findings support using CAIT, IdFAI, and AII to classify CAI subtypes and identify Copers. Questionnaire-based cutoff values may assist rehabilitation planning and clinical decision-making. A CAIT score below 8.5 may indicate surgical consideration, supported by comprehensive clinical assessment.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823106","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":"Stroboscopic Glasses in Rehabilitation Improve Force Accuracy and Reduce Visual Reliance in Chronic Ankle Instability.","authors":"Minsub Oh, Seunguk Han, Hyunwook Lee, J Ty Hopkins","doi":"10.1123/jsr.2024-0436","DOIUrl":"https://doi.org/10.1123/jsr.2024-0436","url":null,"abstract":"<p><strong>Context: </strong>Individuals with chronic ankle instability (CAI) have deficits in force accuracy in evertors and hip abductors due to impaired neuromuscular control. Individuals with CAI rely more on visual information during force accuracy following lateral ankle sprain. To identify the effects of using stroboscopic glasses following a 4-week rehabilitation on force accuracy of ankle evertors, invertors, and hip abductors and visual reliance in individuals with CAI.</p><p><strong>Design: </strong>Randomized controlled clinical trial.</p><p><strong>Methods: </strong>A total of 50 CAI individuals were assigned to a strobe or control group. The strobe group wore stroboscopic glasses during rehabilitation, while the control group did not. Force accuracy was measured at 10% and 20% of maximum voluntary isometric contraction (MVIC). Romberg ratios were calculated as strobe vision/eyes open to identify visual reliance.</p><p><strong>Results: </strong>The strobe group showed a greater force accuracy in 10% of evertors MVIC under the strobe vision than the control group. The strobe group showed a greater force accuracy in 10% of evertors MVIC under the strobe vision than with the eyes open. The strobe group showed an improved Romberg ratio in 10% of evertors MVIC between the pretest and posttest.</p><p><strong>Conclusion: </strong>Stroboscopic glasses may offer clinicians a new means to reduce visual reliance, allowing them to utilize the somatosensory system more effectively around the foot/ankle complex. This may indicate reweighting of sensory systems in CAI individuals during rehabilitation.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823107","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":"Multidisciplinary Approach to Injury Rehabilitation: The Division I College Athlete Perspective.","authors":"Lindsey Leatherman, Samuel Zizzi","doi":"10.1123/jsr.2024-0298","DOIUrl":"https://doi.org/10.1123/jsr.2024-0298","url":null,"abstract":"<p><strong>Context: </strong>Sport injuries continue to be unavoidable disruptions in student-athletes' athletic careers. Researchers continue to emphasize the importance of an interprofessional approach to rehabilitation to help athletes manage the adverse psychological and emotional reactions to injury.</p><p><strong>Objective: </strong>To extend and replicate the research of Clement and Arvinen-Barrow by incorporating perspectives of Division I US student-athletes. The current study describes 321 NCAA Division I college athletes' experiences of receiving interprofessional care during injury rehabilitation and second, to explore perceptions of, and access to, sport psychology professionals during rehabilitation.</p><p><strong>Design: </strong>A multimethod, cross-sectional survey where participants were asked to complete a multidisciplinary team categorization tool (eg, primary vs secondary), a modified version of the Social Support Survey, open-ended questions, injury details, and demographic variables.</p><p><strong>Methods: </strong>After several rounds of email and in-person recruitment lasting approximately 3 months, 321 Division I student-athletes across 16 NCAA conferences participated in the cross-sectional study.</p><p><strong>Results: </strong>Athletes most commonly placed athletic trainers, athletic coaches, and strength and conditioning coaches on the primary rehabilitation team. Additionally, athletic coaches, strength and conditioning coaches, and teammates were most frequently identified as secondary rehabilitation team members.</p><p><strong>Conclusions: </strong>Overall, mental health support was the most commonly identified item related to missing services. For those that did work with one of these professionals, the main themes that emerged were helpfulness of a safe space and feeling supported beyond sport. This study provided support for the use of the multidisciplinary model of sport injury rehabilitation within the context of college athletics.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805158","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 Impact of Postural Parameters on Upper Limb Performance: Interaction With Training Years and Gender Covariate.","authors":"Bayram Bilgi, Utku Berberoğlu, Hidayet Beyhan, İrem Düzgün","doi":"10.1123/jsr.2024-0454","DOIUrl":"https://doi.org/10.1123/jsr.2024-0454","url":null,"abstract":"<p><strong>Context: </strong>This study investigates the main effects of axial spine posture, gender (as a dummy variable), and training years, along with the interaction of training years with postural parameters, on upper-extremity functional performance in overhead athletes.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A total of 135 athletes participated in the study, including 57 healthy male and 78 female athletes. Photographic posture analysis and functional performance tests were utilized to assess static posture parameters and the athletic performance respectively. Multiple linear regression analysis was conducted to explore statistically significant variables and estimate their coefficients, examining the relationships among static posture alignment variables, years of training, their interaction with postural variables, and gender as a control variable, with performance metrics as the outcome.</p><p><strong>Results: </strong>The findings revealed significant effect of gender in Upper Quarter Y Balance Test Dominant (B = 4.36, P < .05), Closed Kinetic Chain Upper-Extremity Stability Test (B = 2.77, P < .05), and both Unilateral Seated Shot-Put Test Dominant (B = 173.46, P < .05) and nondominant sides (B = 148.00, P < .05), with males outperforming females. Nondominant C7 tragus alignment interacting with training years significantly predicted Upper Quarter Y Balance Test Dominant (B = 0.20, P < .01) and Unilateral Seated Shot-Put Test Dominant (B = 0.98, P < .05) and Nondominant (B = 0.89, P < .05) performance, while thoracic kyphosis interacting with training years significantly affected the Unilateral Seated Shot-Put Test Nondominant side (B = -0.24, P < .05).</p><p><strong>Conclusions: </strong>Gender-related differences in lumbar lordosis and thoracic kyphosis suggest biomechanical variations impacting postural control and injury risk. Training-induced spinal adaptations highlight the role of sport-specific loading. These findings support the need for personalized training programs tailored to gender and training history to optimize performance and reduce injury risk, with future research recommended to include dynamic postural assessments for a deeper understanding of posture-performance relationships.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805159","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":"Erratum. Association of Hamstring Length With Speed, Strength, and Endurance Among Recreational Long-Distance Runners: A Cross-Sectional Study.","authors":"","doi":"10.1123/jsr.2025-0284","DOIUrl":"https://doi.org/10.1123/jsr.2025-0284","url":null,"abstract":"","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1"},"PeriodicalIF":1.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795935","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":"Erratum. Effect of Platelet-Rich Plasma Injection in Hamstring Injury: A Systematic Review and Meta-Analysis.","authors":"","doi":"10.1123/jsr.2025-0264","DOIUrl":"https://doi.org/10.1123/jsr.2025-0264","url":null,"abstract":"","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1"},"PeriodicalIF":1.3,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700220","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":"Effects of Aquatic Therapy on Gait Symmetry and Muscle Properties Following Anterior Cruciate Ligament Reconstruction: A Pilot Randomized Controlled Trial.","authors":"Zekun Liu, Xin Zhang, Shuyuan Yan, Chi Zhang, Donghui Chen, Ting Zhang, Xiang Liu, Yang Sun, Ligang Cui, Shilun Hou, Lin Song","doi":"10.1123/jsr.2024-0128","DOIUrl":"https://doi.org/10.1123/jsr.2024-0128","url":null,"abstract":"<p><p>The objective of this pilot study was to compare the effects of aquatic therapy and land-based rehabilitation on gait symmetry and muscle properties following anterior cruciate ligament reconstruction (ACLR). The study comprised 20 postoperative ACLR patients in a pilot randomized controlled trial. Participants were divided into 2 groups: an aquatic therapy group (n = 10) and a land-based rehabilitation group (n = 10). Both rehabilitation programs were tailored to individual patient needs. Gait parameters were assessed using a high-speed camera before and after the intervention, while muscle tone and stiffness were measured using MyotonPRO. The study findings reveal a significant difference in step length symmetry between the 2 groups postintervention. Within-group analysis showcased noteworthy improvements in the aquatic therapy group, including enhanced single-support phase duration symmetry, reduced vastus lateralis muscle tone on the affected side, and enhanced hamstring muscle tone on the affected side. Conversely, the land-based rehabilitation group demonstrated significant increases in stiffness solely within the affected vastus lateralis. The study suggests aquatic therapy as a viable postoperative option following ACLR. While land-based rehabilitation has its benefits, aquatic therapy shows superior effectiveness in normalizing gait symmetry and restoring muscle properties.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700219","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 Reality-Based Assessment of Static Postural Control Among Individuals With Chronic Ankle Instability, Copers, and Controls.","authors":"Minsub Oh, Hyunwook Lee, Seunguk Han, Jon Tyson Hopkins","doi":"10.1123/jsr.2024-0369","DOIUrl":"https://doi.org/10.1123/jsr.2024-0369","url":null,"abstract":"<p><strong>Context: </strong>Individuals with chronic ankle instability (CAI) have deficits in postural control. Previous studies assessing postural control have been limited by minimal environmental perturbations. The purpose of this study is to identify the effects of virtual reality (VR)-based perturbation on static postural control among CAI individuals, copers, and healthy controls.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A total of 60 participants (20 individuals with CAI, 20 copers, and 20 healthy controls) performed 3 trials of a single-leg stance for 10 seconds with eyes open and eyes closed (EC) and VR. Static postural control was analyzed by 2-way analysis of variance.</p><p><strong>Results: </strong>CAI individuals showed worse static postural control in the center of the pressure mediolateral range and ellipse area under VR than copers and healthy controls. Copers showed better static postural control in the center of pressure mediolateral range and in the ellipse area under VR and EC than individuals with CAI and healthy controls. Both VR and EC resulted in worse static postural control than eyes open across the 3 groups. However, there were no differences in static postural control between VR and EC within each group. CAI individuals demonstrated worse static postural control under VR than copers and healthy controls, whereas copers exhibited better postural stability under VR than CAI individuals and healthy controls.</p><p><strong>Conclusions: </strong>VR may serve as a means for understanding differences in postural control mechanisms in individuals with CAI and copers.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660921","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":"Reducing Fear and Kinesiophobia in a Patient With Recurrent Shoulder Instability and Failed Stabilization Surgeries: A Case Report.","authors":"Margie Olds","doi":"10.1123/jsr.2024-0344","DOIUrl":"https://doi.org/10.1123/jsr.2024-0344","url":null,"abstract":"<p><strong>Context: </strong>Kinesiophobia, defined as the fear of reinjury and movement, is a risk factor for recurrent shoulder instability and remains unchanged unless specifically treated in clinical practice. Fear of reinjury is a reason for athletes not returning to sport after shoulder instability or stabilization surgery. Although physical rehabilitation is commonly used to address deficits in strength and range of motion after shoulder stabilization surgery, there are few documented clinical strategies to address kinesiophobia in athletes after shoulder stabilization surgery.</p><p><strong>Case presentation: </strong>This case report outlines the postoperative rehabilitation of a 23-year-old male who had undergone repeat Latarjet stabilization surgery, following previous failed Latarjet and arthroscopic stabilization surgeries and multiple episodes of instability. He presented with increased levels of kinesiophobia and decreased range of motion and strength following his Latarjet surgery.</p><p><strong>Management and outcomes: </strong>As an adjunct to his physical rehabilitation, graded exposure to fear-eliciting images was used to decrease kinesiophobia and was measured with the Tampa Scale of Kinesiophobia 11-item questionnaire. Usual physical rehabilitation included progressive range of motion and strength exercises. Kinesiophobia decreased with a change in Tampa Scale of Kinesiophobia-11 scores from 33/44 (moderate kinesiophobia) to 24/44 (low kinesiophobia) during his rehabilitation, which is greater than the minimal detectable change of the Tampa Scale of Kinesiophobia-11 (5.6-5.9). The secondary outcome of shoulder strength improved to within 5% of the opposite side below shoulder height, although strength deficits remained overhead. Range of movement also improved; specifically, external rotation in neutral increased from 5° to 40°.</p><p><strong>Conclusions: </strong>Motor imagery techniques such as graded exposure to fear eliciting images may be used in clinical practice as an adjunct to physical rehabilitation to decrease kinesiophobia in people with shoulder instability. Clinical rehabilitation could address the physical and psychological impact of shoulder instability using graded imagery. Future research could explore the use of fear-eliciting images on physiological and clinical outcomes.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638582","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":"Test Properties of the Lower Quarter Y-Balance Test: Effect of Verbal Instructions and Focus Techniques.","authors":"Busra Pakoz, Derya Durguncu, Irem Duzgun, Elif Turgut","doi":"10.1123/jsr.2024-0401","DOIUrl":"https://doi.org/10.1123/jsr.2024-0401","url":null,"abstract":"<p><strong>Context: </strong>Studies have yet to demonstrate how attentional focus strategies affect dynamic balance in the Lower Quarter Y-Balance Test and its testing properties. This study aimed to examine the effects of verbal instructions and focus techniques on dynamic balance performance during the Lower Quarter Y-Balance Test and to assess the reliability of these techniques.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>The study involved 52 healthy individuals (mean age: 23.1 y, mean body mass index: 22.3 kg/m2). Standard, internal focus, and external focus instructions were randomly applied during Lower Quarter Y-Balance Test. Test-retest evaluations conducted within 3 to 5 days.</p><p><strong>Results: </strong>Analysis of variance revealed a significant difference only in the anterior direction among instructions (F2,102 = 6.851, P = .002). External focus instruction in the anterior direction produced slightly higher results than both standard (mean difference% = 2.91, P = .005) and internal focus instruction (mean difference% = 2.91, P = .005), though this change was relatively small. Intraclass correlation coefficient values indicated excellent reliability (intraclass correlation coefficient: .87-.93) for all directions with internal and external focus instructions, except for the posteromedial direction and composite score with standard instructions (intraclass correlation coefficient: .70-.77).</p><p><strong>Conclusions: </strong>The findings imply that including external focus instructions in dynamic balance evaluations can positively impact performance results as well as the reliability of the assessments. This enhancement in reliability may facilitate better-informed decisions in clinical and athletic settings.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-5"},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638583","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}