Journal of Sport Rehabilitation最新文献

{"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":"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":"310-317"},"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":"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":"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":"255-263"},"PeriodicalIF":1.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387484/pdf/","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":"OA","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":"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":"80-86"},"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}

{"title":"Multidisciplinary Approach to Injury Rehabilitation: The Division I College Athlete Perspective.","authors":"Lindsey Leatherman, Samuel Zizzi","doi":"10.1123/jsr.2024-0298","DOIUrl":"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":"230-238"},"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":"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":"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":"897-903"},"PeriodicalIF":1.5,"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":"The Test-Retest Reliability of Multiple Patient-Reported and Clinician-Based Outcomes in People With a History of Anterior Cruciate Ligament Reconstruction.","authors":"Johanna M Hoch, Rachel R Kleis, Matthew C Hoch, Dee Dlugonski, Shelby E Baez","doi":"10.1123/jsr.2024-0313","DOIUrl":"10.1123/jsr.2024-0313","url":null,"abstract":"<p><strong>Context: </strong>People with a history of anterior cruciate ligament reconstruction (ACLR) often have continued impairments, limitations, and restrictions after completion of formal rehabilitation. Clinician-based outcomes (CBOs) and patient-based outcomes are measures that can be used to determine patient status. However, the test-retest reliability of these measures in people with a history of ACLR should be determined.</p><p><strong>Design: </strong>A repeated-measures, test-retest reliability design.</p><p><strong>Methods: </strong>Participants (5.3 [2.7] y since ACLR) reported to the lab on 2 separate testing occasions separated by 1 week. Participants completed all PROs followed by all CBOs. All assessments were randomized between participants to avoid an order effect. Intraclass correlation coefficients, minimal detectable change, and standard error of measure were calculated for each outcome.</p><p><strong>Results: </strong>All PROs and CBOs had clinically acceptable reliability except the Knee Injury Osteoarthritis Outcome Score-Activities of Daily Living (intraclass correlation coefficients = .43), Knee Self-Efficacy Scale-Sport (intraclass correlation coefficients = .46), and Balance Error Scoring System eyes closed (firm and foam), which demonstrated poor reliability.</p><p><strong>Conclusion: </strong>Commonly utilized PROs and CBOs to measure treatment effectiveness acutely after ACLR and throughout rehabilitation had acceptable test-retest reliability. These measures should be used to determine the effectiveness of targeted intervention strategies to improve lingering impairments, limitations, and restrictions in people with a history of ACLR.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"74-79"},"PeriodicalIF":1.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235788","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":"Cross-Education Effects of Unilateral Knee-Extensor Strength Training in Patients With Knee Osteoarthritis: A Critically Appraised Topic.","authors":"Martin Alfuth, Sabine Penka, Wilhelm Bloch","doi":"10.1123/jsr.2024-0368","DOIUrl":"10.1123/jsr.2024-0368","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Knee-extensor strength training is commonly used in patients with knee osteoarthritis (KOA) to improve muscle function, mobility, and quality of life. For typical complaints that result in significant movement limitation or even immobilization, unilateral knee-extensor strength training of the unaffected or less affected limb to induce a cross-education (CE) effect in the contralateral affected limb may be a possible but understudied treatment option.</p><p><strong>Focused clinical question: </strong>Does unilateral knee-extensor strength training lead to CE effects in the contralateral affected limb in patients with KOA?</p><p><strong>Summary of key findings: </strong>Results from 2 randomized controlled/clinical trials (level 1b) and 1 quasi-experimental study (level 2) provided limited grade B evidence for the CE effect of unilateral knee-extensor strength training to improve maximal knee-extensor strength of the affected limb in patients with KOA.</p><p><strong>Clinical bottom line: </strong>Based on the current literature, unilateral knee-extensor strength training induces a significant CE effect in the contralateral affected limb by increasing maximal knee-extensor muscle strength in patients with KOA, but there is no consensus on the exact nature of the adaptations and whether different types of muscle contractions during training are superior to each other.</p><p><strong>Strength of recommendation: </strong>Due to limited evidence (grade B), the true CE effect of unilateral knee-extensor strength training of the unaffected or less affected limb to improve maximal knee-extensor strength of the contralateral affected limb in patients with KOA remains unclear and needs further investigation.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"911-918"},"PeriodicalIF":1.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175239","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":"Measuring Arterial Occlusion Pressure Using Pulse Wave and Continuous Wave Doppler Ultrasound and 2 Methods of Cuff Inflation.","authors":"Pat R Vehrs, Shay Richards, Joshua Allen, Rachel Barrett, Tyler Burbank, Ryan B Lacey, Josh R Nielsen, Gilbert W Fellingham","doi":"10.1123/jsr.2024-0169","DOIUrl":"10.1123/jsr.2024-0169","url":null,"abstract":"<p><strong>Context: </strong>It is recommended that arterial occlusion pressure (AOP) should be measured prior to the use of blood flow restriction training. Previous studies have not compared measures of AOP when using 2 methods of cuff inflation commonly reported in the literature.</p><p><strong>Design: </strong>A cross-sectional observational study was used to compare the measurement of brachial artery AOP as measured using pulse wave Doppler ultrasound (PWDOP) and continuous wave Doppler ultrasound (CWDOP) devices when inflating the cuff with a research/clinical-grade Hokanson (HOK) rapid cuff inflation system and manually (MAN) with a hand pump and gauge.</p><p><strong>Methods: </strong>We made simultaneous measures of brachial artery AOP in 20 males and 21 females using PWDOP and CWDOP devices when using HOK and MAN cuff inflation methods. Data were analyzed with a linear mixed model analysis of variance and Bland-Altman plots.</p><p><strong>Results: </strong>There was not a significant main effect for the overall differences in AOP as measured using PWDOP (121.7 ± 14.7 mmHg) and CWDOP (121.3 ± 14.5 mmHg; P = .3641). There was a significant overall main effect for AOP measured using the HOK (122.7 ± 14.6 mmHg) and MAN (120.3 ± 14.6 mmHg) cuff inflation methods (P < .0001) and between males (128.2 ± 13.7 mmHg) and females (115.2 ± 12.5 mmHg; P = .0034). Bland-Altman plots revealed minimal bias and reasonable limits of agreement between PWDOP and CWDOP measures of AOP when using HOK (0.8 mmHg; 95% CI, -4.7 to 3.0 mmHg) and MAN (0.4 mmHg; 95% CI, -5.3 to 4.5 mmHg) cuff inflation methods.</p><p><strong>Conclusions: </strong>The cessation of an audible pulse using CWDOP is in agreement with the complete obstruction of the arterial blood flow observed using PWDOP. Although statistically significant, small differences in PWDOP and CWDOP measures of AOP when using HOK and MAN cuff inflation methods are of little practical significance. A hand-held CWDOP device and a handpump/gauge can be used to measure AOP.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"780-784"},"PeriodicalIF":1.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055903","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 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":"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":"904-910"},"PeriodicalIF":1.5,"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":"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":"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":"14-23"},"PeriodicalIF":1.5,"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}