Journal of Sport Rehabilitation最新文献

{"title":"Effects of Neurocognitive Multitask Activities on a Novel Lower Extremity Functional Performance Test.","authors":"Sidney M Stoddard, Logan Hill, Bryan L Riemann, George J Davies","doi":"10.1123/jsr.2024-0433","DOIUrl":"https://doi.org/10.1123/jsr.2024-0433","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effects of incorporating (1) a neurocognitive reactive component and (2) a neurocognitive multitask component on performance degradation of a single-limb hop functional performance test.</p><p><strong>Design: </strong>Randomized within-subject design of 32 healthy young adults.</p><p><strong>Methods: </strong>Participants performed 3 randomly assigned variations of the single-limb T-Drill Hop Test (TDHT). The time to complete each test was recorded. The reactive TDHT (R-TDHT) consisted of the TDHT with a flashing light, indicating the \"T\" intersection hop direction. The neurocognitive reactive-recall TDHT (RR-TDHT) incorporated the R-TDHT and required participants to observe 5 flashing light colors. Participants then recalled the colors in order at test completion. Each test was performed on the dominant and nondominant lower extremities in a randomly assigned order. Within-group differences in completion time between tests were calculated using a test by limb analysis of variance.</p><p><strong>Results: </strong>Test complexity prompted similar completion time changes between the limbs (P = .718, ηp2=.011). The R-TDHT (P = .001, d = .12) and RR-TDHT (P < .001, d = 0.24) completion times were significantly longer than the TDHT, and the RR-TDHT completion time was significantly longer (P < .001, d = 0.11) than the R-TDHT. The completion time differences between TDHT and R-TDHT and between R-TDHT and RR-TDHT were statistically identical (P = .770, d = 0.05). There was no statistically significant completion time difference between the dominant and nondominant limbs (P = .420, d = 0.06).</p><p><strong>Conclusion: </strong>The inclusion of a neurocognitive reactive activity and a multitask neurocognitive reactive-recall activity to a functional performance test significantly increased the test completion time compared with the functional performance test alone. The addition of a neurocognitive reactive component or a multitask neurocognitive reactive-recall component to the TDHT provides an effective means of improving the ecological validity of the current lower extremity functional performance test.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042052","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":"Sex-Specific Associations Between Body Mass Index and Knee Flexion Kinematics and Kinetics in Individuals With Anterior Cruciate Ligament Reconstruction.","authors":"Maxwell D Smith, Skylar C Holmes, Caitlyn E Heredia, Eric J Shumski, Derek N Pamukoff","doi":"10.1123/jsr.2024-0167","DOIUrl":"https://doi.org/10.1123/jsr.2024-0167","url":null,"abstract":"<p><strong>Context: </strong>Anterior cruciate ligament reconstruction (ACLR) is a common surgical procedure after injury. However, ACLR contributes to aberrant biomechanical movement patterns that influence secondary injury or joint degeneration. Higher body size may influence gait and landing biomechanics differently between males and females. The purpose of this study was to investigate the influence of sex on the association between body mass index (BMI) and knee biomechanics long-term after ACLR recovery.</p><p><strong>Design: </strong>Sixteen female (BMI: 27.7 [5.4]) and 14 male (BMI: 24.2 [5.5]) participants who had a history of ACLR performed walking and drop vertical jump tasks.</p><p><strong>Methods: </strong>The knee-flexion angle (KFA), external knee flexion moment, knee abduction moment (landing), and knee adduction moment (gait) were measured using 3D motion capture. Body fat percentage was assessed using a BOD POD. Moderated regression evaluated the influence of sex on the association between BMI and biomechanical outcomes after adjusting for body fat percentage.</p><p><strong>Results: </strong>There was a significant interaction between sex and BMI on the KFA at heel contact (P = .01), peak KFA (P = .04), and peak external knee flexion moment (P = .05) during gait and on the KFA at ground contact during landing (P = .04). Higher BMI was associated with smaller KFAs at heel contact (P = .03), smaller peak KFAs during gait (P = .02), and smaller external knee flexion moments (P = .01) but only in females. Similarly, a higher BMI was associated with a smaller KFA at ground contact during landing (P = .03) but only in females. There was no sex by BMI interaction on the knee adduction moment during gait (P = .657) or on the knee abduction moment during landing (P = .643). Moreover, sex and BMI were not independent predictors of the knee adduction moment during gait or the knee abduction moment during landing (all P > .05).</p><p><strong>Conclusions: </strong>The association between sex and BMI may have implications for posttraumatic knee osteoarthritis and ACL reinjury, and female sex and high BMI should be considered when designing individualized rehabilitation programs. These findings suggest that females with high BMI may benefit from interventions to improve knee flexion during landing and gait.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993922","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":"Evaluating Deltoid Muscle Activation During Manual Wheelchair Propulsion in Parabadminton: Racket Effects and Intensity Levels.","authors":"Saulo F M Oliveira, José Igor V Oliveira, Túlio L B Fernandes, Marcelo C Haiachi, Hanno Felder","doi":"10.1123/jsr.2024-0151","DOIUrl":"https://doi.org/10.1123/jsr.2024-0151","url":null,"abstract":"<p><p>To compare the activation patterns of the shoulder muscles between 2 effort conditions, 8 participants without physical or motor impairment performed the Parabadminton-specific adapted shuttle run test in wheelchairs composed of 3 minutes moderately and intensely, under 2 counterbalanced conditions: with and without the racket. The electromyographic peak data of the anterior deltoid muscle (AD) and posterior deltoid muscle (PD) were collected and normalized by the maximum voluntary isometric contraction previously evaluated. The Wilcoxon test was used to compare conditions (P < .05). The AD showed lower activation during intense effort with the racket (153.76 vs 80.58; P < .05). It was observed that during effort with the racket, there was greater activation of the 2 portions of the deltoid during intense effort (AD: 50.36 vs 67.71; PD: 119.75 vs 148.09). Similarly, when analyzing the condition without a racket, greater activations for both portions of the deltoid muscle were observed for intense effort (AD: 46.70 vs 132.16; PD: 100.04 vs 191.51). It is observed that the use of rackets in Parabadminton in a wheelchair can decrease the pace of recruitment of muscle fibers of AD and PD.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042053","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 Relationship Between the Kinetic Parameters, Electromyography Activity, and Kinesiophobia Among Copers, Chronic Ankle Instability, and Healthy Subjects During Gait Initiation: A Cross-Sectional Study.","authors":"Marzieh Mortezanejad, Zahra Ebrahimabadi, Abbas Rahimi, Fatemeh Ehsani, Ali Maleki, Alireza Akbarzadeh Baghban","doi":"10.1123/jsr.2024-0210","DOIUrl":"https://doi.org/10.1123/jsr.2024-0210","url":null,"abstract":"<p><strong>Context: </strong>Following a lateral ankle sprain, chronic ankle instability (CAI) subjects show recurrent episodes of giving way, while copers do not exhibit giving way and overcome the challenging condition of postural control. During gait initiation (GI), individuals with CAI reveal shorter center of pressure (COP) displacement and earlier muscle activity compared with healthy controls. Copers have not been previously compared with healthy controls and individuals with CAI during GI.</p><p><strong>Design: </strong>The study design was cross-sectional.</p><p><strong>Method: </strong>Sixty participants (20 CAI, 20 copers, and 20 healthy controls) with a right (dominant) limb injury participated in the study based on inclusion and exclusion criteria. The short form of the Tampa Scale of Kinesiophobia was filled out. Participants performed GI with the nonaffected leg on the force plate that was synchronized with Electromyography Megawin for 2 strides. GI was divided into 3 phases based on COP excursion (S1, S2, and S3). Onset time and electromyography activity of both soleus and tibialis anterior muscles were analyzed along with maximum and mean excursion and velocity of COP excursion in the anterior-posterior and medial-lateral directions and the total phases of GI.</p><p><strong>Results: </strong>The results indicated that the copers had a significantly higher peak of COP excursion in the medial-lateral direction during S2 (P = .029), S3 (P = .018), and total phases (P = .018) of GI compared with the individuals with CAI. Additionally, individuals with CAI showed earlier activation of the right soleus compared with healthy controls (P = .022). There was a significant difference in short form of the Tampa Scale of Kinesiophobia scores between individuals with CAI and other groups (P < .001).</p><p><strong>Conclusion: </strong>The findings demonstrated that individuals with CAI had earlier soleus activation and supraspinal alteration compared with controls. Copers who had lower Tampa Scale of Kinesiophobia scores exhibited an increased peak of COP excursion in the medial-lateral direction during GI compared with individuals with CAI.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038481","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":"Kinesiophobia Associates With Physical Performance in Patients With ACL Reconstruction: A Critically Appraised Topic.","authors":"Shlok Bandodkar, Moein Koohestani, Ava Schwartz, Meredith Chaput, Grant Norte","doi":"10.1123/jsr.2024-0371","DOIUrl":"10.1123/jsr.2024-0371","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Anterior cruciate ligament (ACL) injuries remain one of the most common and debilitating injuries that physically active individuals experience. Pain-related fear of movement and/or reinjury, or kinesiophobia, is the most frequently cited reason for not returning to sport after ACL reconstruction. Understanding how kinesiophobia may impact recovery of physical performance is essential to guide targeted rehabilitation.</p><p><strong>Clinical question: </strong>Does kinesiophobia associate with physical performance in patients with a history of ACL reconstruction?</p><p><strong>Summary of key findings: </strong>Five cross-sectional studies investigating bivariate relationships between kinesiophobia and metrics of physical performance among individuals with a history of primary, unilateral ACL reconstruction were included. From a strength perspective, greater kinesiophobia associated with lesser isometric knee flexion torque (n = 1, negligible association) but did not associate with isokinetic or isometric knee extension torque (n = 2). In terms of functional movement, greater kinesiophobia associated with asymmetric single-leg step-down performance (n = 1, high association) and shorter single-leg hop distance (n = 1, negligible association). Biomechanically, greater kinesiophobia associated with worse drop jump landing, characterized by greater frontal plane motion and lesser sagittal plane motion at the hip and knee joints (n = 1, low to high association).</p><p><strong>Clinical bottom line: </strong>Very low-quality evidence suggests a muscle-specific association between kinesiophobia and strength. Low- to moderate-quality evidence suggests that greater kinesiophobia associates with worse functional movement and landing biomechanics.</p><p><strong>Strength of recommendation: </strong>Considering the consistency and level of evidence among the included studies, we offer the following grades for each construct of physical performance evaluated: strength, D; functional movement, B; and biomechanics, B.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"773-779"},"PeriodicalIF":1.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044850","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":"Perceptions of Elite Young Male Football Players Regarding Injury Risk Factors and Prevention Strategies.","authors":"Roberto Carlos Rebolledo-Cobos, Carlos Rolong-Donado, Bruno Manfredini Baroni","doi":"10.1123/jsr.2024-0379","DOIUrl":"https://doi.org/10.1123/jsr.2024-0379","url":null,"abstract":"<p><strong>Context: </strong>Football players aged 15-20 years experience injury incidence rates similar to those of professionals, with players injured in this age group being significantly less likely to reach the professional level. Understanding the factors that influence young footballers' acceptance, adoption, and compliance with injury prevention programs is crucial. Therefore, this study aimed to describe the perceptions of male football players from premier league academies regarding injury risk factors and prevention strategies.</p><p><strong>Design: </strong>Cross-sectional observational study.</p><p><strong>Methods: </strong>An online survey was used to explore perceptions of injury risk factors and prevention strategies among young football players (under-17 and under-20 teams) from premier league academies.</p><p><strong>Results: </strong>A total of 504 footballers (mean age: 18 [2] y) across 9 academies in 8 different cities participated in this study. No risk factor was elected as very important by at least half of participants. The top 5 injury risk factors elected by players were \"poor hydration,\" \"inadequate warm-up,\" \"poor rest/sleep,\" \"inadequate diet,\" and \"poor strength/power.\" At least 1 quarter of participants considered \"genetics,\" \"advanced age,\" \"attention level,\" \"wheatear conditions,\" and \"alcohol consumption\" as irrelevant factors for injury. There was no consensus for any prevention strategy. Fourteen strategies were ranked as efficient by at least 3 quarters of participants. The top 5 prevention strategies elected by players were \"warm-up before training/matches,\" \"functional training,\" \"hydration before and during training/matches,\" \"flexibility training,\" and \"workload monitoring.\" Lower than a half of participants endorsed \"ankle braces\" and \"thermal shorts\" for injury prevention.</p><p><strong>Conclusions: </strong>The results of this study offer valuable insights into the perceptions of elite young football players regarding injury risk factors and the effectiveness of preventive strategies. These perceptions are essential for understanding how athletes view injury prevention approaches in their daily routines.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043341","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":"Movement Assessments as Predictors for Initial Anterior Cruciate Ligament Injury: A Critically Appraised Topic.","authors":"Destinee Johnson, Rebecca Maldonado, Erin Lally","doi":"10.1123/jsr.2024-0362","DOIUrl":"10.1123/jsr.2024-0362","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Anterior cruciate ligament (ACL) injury risk may increase when certain movements are noted during landings. Initial ACL injury produces poor long-term outcomes for patients. Movement assessments may help predict risk of initial ACL injuries.</p><p><strong>Clinical question: </strong>Are movement assessments predictive of initial ACL injuries in college/high school athletes?</p><p><strong>Summary of key findings: </strong>Six articles met the inclusion criteria. Some movement assessments did not predict ACL injury. However, the functional movement screen composite score of 14 or less and landing error scoring system scores of 5 or greater were found to be associated with an increased risk of an ACL injury. Knee valgus angles of ≥6.5 cm were associated with future knee injury but only had fair predictive validity.</p><p><strong>Clinical bottom line: </strong>There are conflicting results on whether movement assessments can accurately predict primary ACL injuries. However, clinicians can consider the use of the functional movement screen composite score (14 or less) and the landing error scoring system score (5 or greater) as both may predict a future ACL injury. More research is needed to uncover movement assessments that better predict ACL injury.</p><p><strong>Strength of recommendation: </strong>A grade B recommendation can be given that movement assessments may be used for screening for initial ACL injury.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"767-772"},"PeriodicalIF":1.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050035","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":"Injury Epidemiology and Preventative Strategies in Triathletes: A Study of the 2022 Season.","authors":"Jeffrey J Parr, Felix Twum, Susan R Dobson, Helen M Ziegler, Traci Hayes","doi":"10.1123/jsr.2023-0320","DOIUrl":"https://doi.org/10.1123/jsr.2023-0320","url":null,"abstract":"<p><strong>Context: </strong>Triathlons are a popular endurance sport with an elevated injury risk. Prevalence for injuries in triathletes varies greatly and is thought to be related to racing distance. The most common injuries in triathletes occur in the lower-extremities and are considered overuse in nature. The primary purpose of this study was to examine injury patterns and prevalence among triathletes during the 2022 season.</p><p><strong>Design: </strong>This study adopts an epidemiological approach using a retrospective survey to better understand the prevalence, nature, and patterns of injuries among triathletes.</p><p><strong>Methods: </strong>A live online questionnaire was developed that collected information about demographics, triathlon racing, and injury epidemiology. The survey was posted to social media and emailed to large triathlon clubs and international federations at the beginning of 2023 and was left open for 75 days.</p><p><strong>Results: </strong>Two hundred nineteen triathletes reported at least 1 injury, with 58.5% classified as overuse. Eighty-one percent were reported as triathlon related. The most frequent area of injury was to the lower-extremity (73.8%). Triathletes sought advice from a health care provider 64.6% of the time. Eighty-seven percent of triathletes had to miss or modify training because of their injury. Those triathletes not reporting injury indicated that strength training (72.2%) and stretching/foam rolling (64.9%) were believed to help prevent injury.</p><p><strong>Conclusion: </strong>The risk of injury while training for a triathlon is significant and can be severe enough to require modifications to the training program. The most vulnerable area for injury is the lower-extremities, and such injuries are usually caused by overuse. To reduce the risk of injury, there is a need to examine preventive strategies further and determine their effectiveness.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022733","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":"Wearing Compression Socks During Running Does Not Change Physiological, Running Performance, and Perceptual Outcomes: A Systematic Review With Meta-Analysis.","authors":"Gustavo F Telles, Larissa R Souto, Marcella F Pazzinatto, Fernanda Serighelli, Leandro A C Nogueira, Danilo De Oliveira Silva","doi":"10.1123/jsr.2024-0410","DOIUrl":"https://doi.org/10.1123/jsr.2024-0410","url":null,"abstract":"<p><strong>Background: </strong>Compression socks are a popular feature for runners and are widely advertised by the industry. Limited high-quality evidence has summarized the effects of compression socks during running. We aimed to investigate the effects of wearing compression socks compared with placebo or regular socks during running on physiological parameters, running performance, and perceptual outcomes.</p><p><strong>Methods: </strong>The protocol was registered at PROSPERO (CRD42022330437). Five databases (MEDLINE, Embase, CINAHL, SPORTDiscus, and Web of Science) were searched. Clinical trials exploring the effect of compression socks during running on physiological parameters, performance, and perceptual outcomes were included. The Cochrane risk of bias 2 tool was used to assess the risk of bias.</p><p><strong>Results: </strong>We included 28 trials (600 runners), with 16 trials (284 runners) contributing to meta-analysis. For physiological outcomes (eg, heart rate mean difference [95% CI = 0.82 [-0.39 to 2.03] and blood lactate concentration mean difference [95% CI] = 0.30 [-0.39 to 0.98]), pooled analysis indicated low to moderate-certainty evidence that compression socks do not differ from regular socks. For running performance (eg, running speed mean difference [95% CI] = -0.24 [-0.79 to 0.31] and time to exhaustion standardized mean difference [95% CI] = -0.26 [-0.65 to 0.13]), pooled analysis indicated very low to low-certainty evidence that compression socks do not differ from regular socks. For perceptual outcomes (eg, perceived exertion standardized mean difference [95% CI] = 0.06 [-0.17 to 0.29] and lower limb muscle soreness standardized mean difference [95% CI] = 0.08 [-0.35 to 0.51]), pooled analysis indicated very low to moderate-certainty evidence that compression socks do not differ from regular socks.</p><p><strong>Conclusion: </strong>There is very low to moderate-certainty evidence that wearing compression socks during running does not benefit physiological, running performance, or perceptual outcomes compared with regular socks.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":1.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024497","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":"Physiotherapists Approach in Lateral Ankle Sprain Rehabilitation: A Survey Study.","authors":"Jente Wagemans, Bart Dingenen, Stefan Clockaerts, Chris Bleakley","doi":"10.1123/jsr.2024-0442","DOIUrl":"10.1123/jsr.2024-0442","url":null,"abstract":"<p><strong>Background: </strong>To investigate how physiotherapists approach lateral ankle sprain (LAS) rehabilitation and their rationale for exercise progression. We also sought to determine typical exercise dosage prescribed and the extent to which they rely on objective outcomes for guiding rehabilitation progression and return-to-sports decisions.</p><p><strong>Methods: </strong>We distributed an online survey using Qualtrics. The survey comprised a combination of 23 open and 8 closed questions to capture data on: participant demographics and clinical experience, typical caseload, LAS rehabilitation dosage, with clinical vignettes used to determine the time taken to reach key rehabilitation milestones, use of objective markers to inform rehabilitation progress, and progression to each milestone. Data were analyzed descriptively; open questions were inventoried and categorized. Proportions were then calculated per category.</p><p><strong>Results: </strong>Ninety-six physiotherapists from Belgium, the Netherlands, and the United Kingdom responded to the survey, of which 23 completed all sections. On average, less than half (46%) of the responding therapists use objective measurements to guide rehabilitation progress. The estimated time to reach key clinical milestones is equivocal among participating physiotherapists. Most physiotherapists use pain and ankle impairments (eg, range of motion and muscle strength) to guide rehabilitation progress.</p><p><strong>Conclusion: </strong>This study indicates that progress in LAS rehabilitation is determined subjectively and that not the entire spectrum of impairments is assessed. Physiotherapists should implement more objective measures throughout LAS rehabilitation.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774659","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}