Journal of Sport Rehabilitation最新文献

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Clinician Knowledge of Anterior Cruciate Ligament Reconstruction Rehabilitation Practices: A Preliminary Survey Study. 临床医生对前交叉韧带重建康复实践的认识:初步调查研究。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2025-01-11 DOI: 10.1123/jsr.2023-0413
Xavier D Thompson, Gabrielle M DelBiondo, Joe M Hart
{"title":"Clinician Knowledge of Anterior Cruciate Ligament Reconstruction Rehabilitation Practices: A Preliminary Survey Study.","authors":"Xavier D Thompson, Gabrielle M DelBiondo, Joe M Hart","doi":"10.1123/jsr.2023-0413","DOIUrl":"https://doi.org/10.1123/jsr.2023-0413","url":null,"abstract":"<p><strong>Context: </strong>After completing rehabilitation, patients face a high risk of subsequent injury following anterior cruciate ligament reconstruction. It is important to identify potential barriers to patient success including clinician knowledge. The purpose of this study was to assess clinician knowledge of research related to anterior cruciate ligament reconstruction rehabilitation.</p><p><strong>Design: </strong>This was a survey study using snowball sampling.</p><p><strong>Methods: </strong>Survey development began with the creation of a construct map and contained varying levels of advanced concepts, level I indicating the most basic and level V the most complex. The survey was distributed to advertise to target population. A total of 60 participants (24 athletic trainers, 33 physical therapists, and 3 dual credentialed) completed the study.</p><p><strong>Results: </strong>Overall, participants displayed moderate to high levels of knowledge (79.7%-93.5% correct), apart from the implementation of motor learning principles.</p><p><strong>Conclusions: </strong>Clinician knowledge may not be the primary barrier to patient success, but the implementation of this knowledge should be explored in relation to patient outcomes. Future research should examine a larger cohort to examine differences between clinician types.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973007","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}
引用次数: 0
What Is in a Name? Depression and Anxiety Symptoms in Collegiate Athletes With and Without a History of Concussion. 名字的含义是什么?有无脑震荡史的大学生运动员的抑郁和焦虑症状
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2025-01-11 Print Date: 2025-03-01 DOI: 10.1123/jsr.2024-0107
Hilary S Dunbar, Catherine C Donahue, Luzita Vela, Jason Freeman, Jacob E Resch
{"title":"What Is in a Name? Depression and Anxiety Symptoms in Collegiate Athletes With and Without a History of Concussion.","authors":"Hilary S Dunbar, Catherine C Donahue, Luzita Vela, Jason Freeman, Jacob E Resch","doi":"10.1123/jsr.2024-0107","DOIUrl":"10.1123/jsr.2024-0107","url":null,"abstract":"<p><strong>Context: </strong>Athletes with a history of concussion (CON) have been demonstrated to have heightened levels of anxiety and depression that may continue well beyond the resolution of concussion symptoms. The global events of 2020 resulted in elevated levels of anxiety and depression in the general population, which may have unequally presented in collegiate athletes with (CON) than those without a history of concussion (NoCON). Using a deception design, our survey-based study compared levels of anxiety and depression in CON and NoCON collegiate athletes in response to the pandemic and social injustices. We hypothesized that the CON group would have significantly elevated anxiety and depression as compared to the NoCON group in response to events of 2020.</p><p><strong>Design and methods: </strong>Collegiate athletes (N = 106) during the academic 2020-2021 academic year were divided into CON and NoCON groups based on their preinjury (baseline) concussion assessment. Participants completed the Social Readjustment Rating Scale (SSRS), Center for Epidemiologic Studies Depression Scale (CES-D), and Generalized Anxiety Disorder Scale-7 (GAD-7) via an electronic survey pertaining to the events of 2020. The term \"concussion\" was not used in any study materials which was the basis for our deception-based design. An analysis of covariance was used to compare group CES-D and GAD-7 outcome scores while controlling for the SSRS outcome score.</p><p><strong>Results: </strong>Our survey response rate was 14.2% (48/337 [77.1% female]) and 10.1% (58/580 [67.2% female]), for the NoCON and CON groups, respectively. The NoCON group had significantly (F1 = 5.82, P = .018, ηp2=.06) higher anxiety (8.3 [5.89]) as compared to the CON group (5.5 [2.85]). The NoCON group also had significantly (F1 = 13.7, P < .001, ηp2=.12) higher levels of depression (21.0 [12.52]) as compared to the CON group (16.07 [9.10]).</p><p><strong>Discussion: </strong>Our deception-based study revealed NoCON participants had elevated and clinically relevant mood states as compared to CON participants in response to the events of 2020.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"317-327"},"PeriodicalIF":1.3,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973010","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}
引用次数: 0
Time to Rehabilitation in Pediatric Concussion Patients Influences Recovery Outcomes. 儿童脑震荡患者康复时间影响康复结果
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-24 Print Date: 2025-03-01 DOI: 10.1123/jsr.2024-0094
Abel S Mathew, Alison E Datoc, Daniel M Choi, Chris R Tak, John P Abt
{"title":"Time to Rehabilitation in Pediatric Concussion Patients Influences Recovery Outcomes.","authors":"Abel S Mathew, Alison E Datoc, Daniel M Choi, Chris R Tak, John P Abt","doi":"10.1123/jsr.2024-0094","DOIUrl":"10.1123/jsr.2024-0094","url":null,"abstract":"<p><strong>Context: </strong>Targeted and directed rehabilitation with a healthcare provider can be an effective approach in the treatment of concussion, particularly for patients with protracted recovery, high symptom reporting, cervicogenic dysfunction, musculoskeletal involvement, and/or vestibular/oculomotor dysfunction. While many environmental and intrinsic medical history factors may influence concussion recovery, little is known about whether an individual's recovery trajectory can be influenced by the amount of time taken to receive rehabilitation. The purpose of this study was to evaluate recovery trajectories of concussion patients requiring targeted multimodal rehabilitation after a specialty concussion clinic visit within ≤3 days, 4 to 7 days, and >7 days. We also sought to evaluate risk factors for protracted recovery.</p><p><strong>Design and methods: </strong>The study involved a retrospective chart review of 103 patients (mean age = 13.78 [2.89]; 55% female) who, after their initial specialty concussion clinic visit, received rehabilitation in ≤3 days, 4 to 7 days, and >7 days. Patients were evaluated at a pediatric specialty concussion clinic between April 2021 and December 2023, and diagnosed with concussion by a specialist (primary care sports medicine physician, nurse practitioner, and/or neuropsychologist), referred for rehabilitation via physical therapy services, completed more than one rehabilitation session, and received medical clearance to initiate the return-to-sport protocol. Groups were compared based on relevant clinical factors, Vestibular Ocular Motor Screening, neurocognitive testing (Trails B-A), Post-Concussion Symptom Scale, days from injury to concussion evaluation, days from concussion evaluation to rehabilitation, number of rehabilitation sessions, recovery days after rehabilitation, and total recovery days (ie, days from injury to medical clearance to initiate return-to-sport protocol). Data analysis included chi-square, correlations, 1-way analysis of variance, and general linear regression. Adjusted odds ratios for protracted recovery were derived from a logistic regression model.</p><p><strong>Discussion: </strong>Days from injury to concussion evaluation (P < .001), days from concussion evaluation to rehabilitation (P = .006), and Trails B-A (P = .009), were significant predictors of total recovery time among pediatric concussion patients who required multimodal rehabilitation. Risk of protracted recovery increased by 34% each day from injury to concussion evaluation a patient did not receive treatment (Nagelkerke Pseudo R2 = .45; P < .001). Previous studies have also shown that time to concussion evaluation is an important prognostic indicator of recovery. Correspondingly, prompt referral to concussion care and rehabilitation for patients with a need for multimodal rehabilitation can improve recovery outcomes.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"297-307"},"PeriodicalIF":1.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886390","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}
引用次数: 0
Challenges and Research Opportunities for Integrating Quantitative Electroencephalography Into Sports Concussion Rehabilitation. 定量脑电图纳入运动脑震荡康复的挑战与研究机遇。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-24 Print Date: 2025-03-01 DOI: 10.1123/jsr.2024-0103
Patrick S Ledwidge, Lindsey C Hartland, Kirstiana Brickman, Scott O Burkhart, John P Abt
{"title":"Challenges and Research Opportunities for Integrating Quantitative Electroencephalography Into Sports Concussion Rehabilitation.","authors":"Patrick S Ledwidge, Lindsey C Hartland, Kirstiana Brickman, Scott O Burkhart, John P Abt","doi":"10.1123/jsr.2024-0103","DOIUrl":"10.1123/jsr.2024-0103","url":null,"abstract":"<p><p>Although concussion management and return to play/learn decision making focuses on reducing symptoms, there is growing interest in objective physiological approaches to treatment. Clinical and technological advancements have aided concussion management; however, the scientific study of the neurophysiology of concussion has not translated into its standard of care. This expert commentary is motivated by novel clinical applications of electroencephalographic-based neurofeedback approaches (eg, quantitative electroencephalography [QEEG]) for treating traumatic brain injury and emerging research interest in its translation for treating concussion. QEEG's low-cost relative to other brain recording/imaging techniques and precedent in clinical and medical care makes it a potential tool for concussion rehabilitation. Although uncommon, licensed and certified clinicians and medical professionals are implementing QEEG neurofeedback for concussion management within their score of practice. These approaches are not widely adopted nor recommended by professional medical societies, likely because of a limited evidence base of well-designed studies with available standard protocols. Thus, the potential efficacy of QEEG neurofeedback for treating persistent symptoms or cognitive dysfunction after sports-related concussion is unknown. This commentary will update the concussion clinician-scientist on the emerging research, techniques, and disagreements pertaining to the translation of QEEG neurofeedback for concussion management, particularly in the treatment of persistent cognitive difficulties. This commentary will also introduce to readers the fundamentals of how the electroencephalogram may be acquired, measured, and implemented during QEEG neurofeedback. An evidence base of supportive findings from well-designed studies, including those that are retrospective, outcomes-based, and, ultimately, placebo/sham-controlled is recommended prior to considering more widespread adoption of QEEG neurofeedback approaches for treating persistent symptoms or cognitive deficits after sports-related concussion. We review the considerable barriers to this research and clinical implementation, and conclude with opportunities for future research, which will be necessary for establishing the quality and efficacy of QEEG neurofeedback for concussion care.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"278-286"},"PeriodicalIF":1.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886388","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}
引用次数: 0
Utilization of Interval Throwing Programs: Analysis of Athletic Trainer, Physical Therapist, and Physician Perspectives. 间歇投掷项目的利用:运动教练、物理治疗师和内科医生的观点分析。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-20 DOI: 10.1123/jsr.2024-0171
Aaron Sciascia, W Jeffrey Grantham, Austin Stone, Corey Tremble, Tim Uhl, Christopher Camp, W Ben Kibler
{"title":"Utilization of Interval Throwing Programs: Analysis of Athletic Trainer, Physical Therapist, and Physician Perspectives.","authors":"Aaron Sciascia, W Jeffrey Grantham, Austin Stone, Corey Tremble, Tim Uhl, Christopher Camp, W Ben Kibler","doi":"10.1123/jsr.2024-0171","DOIUrl":"https://doi.org/10.1123/jsr.2024-0171","url":null,"abstract":"<p><strong>Context: </strong>A common component within rehabilitation recommendations for baseball pitchers is employment of an interval throwing program. However, there is a lack of a consistent set of advocated guidelines for program content and implementation for athletes at the professional and collegiate levels.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A survey was developed to obtain clinician views regarding the composition and implementation of interval throwing programs for baseball pitchers. The survey was divided into demographic information and sections on criteria to begin throwing programs, frequency of throwing, soreness management, warm-up components, program components and regulation of a program, and criteria to achieve permitting live throwing. Clinicians including physicians, physical therapists, and certified athletic trainers who evaluate and treat musculoskeletal injuries among baseball pitchers at the professional-level and/or collegiate-level clinician received the survey. Responses were tabulated and compared between the professional-level clinician and collegiate-level clinician groups using chi-square analyses with statistical significance set at P ≤ .05.</p><p><strong>Results: </strong>The survey was completed by 166 clinicians (collegiate level = 81, professional-level clinician = 85). There were no statistical differences between groups for allowing warm-up throws, program regulation, maximum distance allowed, managing soreness, or criteria to achieve before permitting live throwing. Between-group differences included criteria to begin a program (≤.03), warm-up distance (P ≤ .02), nonthrowing warm-up methods (P ≤ .04), non-warm-up distance (P ≤ .01), using ratings of perceived exertion (P < .01), throwing frequency (P < .01), and program components (P ≤ .04).</p><p><strong>Conclusions: </strong>Responses appear to mirror interval throwing program designs previously reported in the literature but there are modifications and additions utilized by clinicians at different playing levels.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":1.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873382","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}
引用次数: 0
Multimodal Rehabilitation Including Strengthening Exercise Is Effective in Improving Fear-Avoidance Beliefs in Individuals With Patellofemoral Pain: A Critically Appraised Topic. 包括强化运动在内的多模式康复在改善髌股疼痛患者的恐惧回避信念方面是有效的:一个批判性评价的话题。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-20 DOI: 10.1123/jsr.2024-0043
Sarah Meade, Sungwan Kim, Neal R Glaviano
{"title":"Multimodal Rehabilitation Including Strengthening Exercise Is Effective in Improving Fear-Avoidance Beliefs in Individuals With Patellofemoral Pain: A Critically Appraised Topic.","authors":"Sarah Meade, Sungwan Kim, Neal R Glaviano","doi":"10.1123/jsr.2024-0043","DOIUrl":"https://doi.org/10.1123/jsr.2024-0043","url":null,"abstract":"<p><strong>Clinical scenario: </strong>Individuals with patellofemoral pain (PFP) present with a variety of neuromuscular and psychological deficits, with the \"gold-standard\" for treatment being rehabilitation programs with strengthening-based exercises. While such interventions primarily target pain and function measures, it is unknown whether psychological measures such as fear-avoidance beliefs (FABs) are also affected.</p><p><strong>Clinical question: </strong>Is rehabilitation including strengthening exercises effective in improving FABs in individuals with PFP?</p><p><strong>Summary of key findings: </strong>Three studies met the inclusion criteria and were included in the appraisal. All studies found that rehabilitation including strengthening exercises was effective in improving FABs for physical activity, though such improvements were modest. One study found that supplementing a one-time psychological intervention to rehabilitation including strengthening exercises resulted in greater improvements in FABs than with rehabilitation including strengthening exercises alone. Two studies found associations between changes in FABs and changes in pain and/or function outcomes.</p><p><strong>Clinical bottom line: </strong>There is consistent evidence that the incorporation of rehabilitation with strengthening exercises is effective in improving FABs in individuals with PFP, though such improvements are modest. Furthermore, supplementation with psychological interventions to rehabilitation including strengthening exercises may produce larger improvements in FABs, particularly in patients with an elevated FABs phenotype. As a result of improving FABs, patient outcomes of pain and function may be improved, though future research is needed. Therefore, at this time, we recommend that rehabilitation, including strengthening exercises with supplemental psychological interventions be prescribed for the treatment of PFP particularly in subgroups with elevated FABs, to improve patient outcomes.</p><p><strong>Strength of recommendation: </strong>Collectively, the body of evidence included to answer the clinical question aligns with the strength of recommendation of A based on the Strength of Recommendation Taxonomy.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873373","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}
引用次数: 0
Preseason Functional Movement Screen But Not Y-Balance Test Scores Predict Musculoskeletal Injury in Elite Female Fast-Pitch Softball Athletes. 季前赛功能运动筛检而非y -平衡测试分数预测优秀女子快球运动员肌肉骨骼损伤。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-20 DOI: 10.1123/jsr.2024-0010
Xiujing Zhao, Veronika Pribyslavska, HoYeol Yu, Eric M Scudamore
{"title":"Preseason Functional Movement Screen But Not Y-Balance Test Scores Predict Musculoskeletal Injury in Elite Female Fast-Pitch Softball Athletes.","authors":"Xiujing Zhao, Veronika Pribyslavska, HoYeol Yu, Eric M Scudamore","doi":"10.1123/jsr.2024-0010","DOIUrl":"https://doi.org/10.1123/jsr.2024-0010","url":null,"abstract":"<p><strong>Context: </strong>Functional movement screen (FMS) and Y-balance test (YBT) are used to predict the risk of musculoskeletal injuries. FMS and YBT tools in relation to injury in elite female softball athletes have not been examined.</p><p><strong>Objectives: </strong>This study aims to (1) compare the differences in FMS, Y-Balance upper quarter (YBT-UQ), and lower quarter (YBT-LQ) scores between injured and noninjured group and (2) determine the ability of FMS and YBT scores to predict the odds of musculoskeletal injury in elite fast-pitch female softball athletes.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Methods: </strong>Thirty-eight athletes (age = 22.9 [2.6] y, height = 170.2 [5.2] cm, mass = 65.5 [7.2] kg) completed preseason FMS and YBT assessments. Injury data were collected throughout one full season, categorized based on the location of the injury, and then recorded as a binary variable (ie, injured and noninjured groups). FMS, YBT-UQ, and YBT-LQ scores were compared between injured and noninjured groups. Binary logistic regression was used to predict the occurrence of injury among softball athletes.</p><p><strong>Results: </strong>FMS scores were significantly lower for the injured group compared with the FMS scores belonging to the noninjured group (P ≤ .001; d = 1.52). Lower FMS composite scores predicted injury (Wald(df = 1) = 6.755; odds ratio = 0.231; P = .009; 95% confidence interval, 0.076-0.697). No between-group differences existed in YBT-UQ (P = .67; d = 0.14) and YBT-LQ (P = .16; d = 0.50) composite scores between the injured and the noninjured groups. YBT-UQ (Wald(df = 1) = 2.300; odds ratio = 0.893; P = .129; 95% confidence interval, 0.772-1.033) and YBT-LQ (Wald(df = 1) = 0.145; odds ratio = 1.024; P = .703; 95% confidence interval, 0.906-1.157) were not significant predictors of injury.</p><p><strong>Conclusions: </strong>FMS appears to be a valuable screening tool for assessing musculoskeletal injury risk in elite fast-pitch female softball athletes.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873378","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}
引用次数: 0
Multimodal Assessment Battery and Heart Rate Variability Enhance Clinical Utility of Buffalo Concussion Treadmill Test. 多模式评估电池和心率变异性增强水牛脑震荡跑步机试验的临床应用。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-17 Print Date: 2025-03-01 DOI: 10.1123/jsr.2024-0119
Daniel Miner, Michael Shiraishi, Pamela Gibbons, Rahul Soangra, Brent Harper
{"title":"Multimodal Assessment Battery and Heart Rate Variability Enhance Clinical Utility of Buffalo Concussion Treadmill Test.","authors":"Daniel Miner, Michael Shiraishi, Pamela Gibbons, Rahul Soangra, Brent Harper","doi":"10.1123/jsr.2024-0119","DOIUrl":"10.1123/jsr.2024-0119","url":null,"abstract":"<p><strong>Context: </strong>The Buffalo Concussion Treadmill Test (BCTT) for exercise intolerance following concussion may highlight underlying autonomic dysfunction. Autonomic function at rest and with exertion may be predictive of neurocognitive performance for individuals with sports-related concussion. The purpose of this study is to explore the feasibility and utility of combining multimodal assessments with heart rate variability (HRV) measures during the BCTT for individuals with a remote history of concussion.</p><p><strong>Design: </strong>Prospective cohort study design, pretest/posttest.</p><p><strong>Methods: </strong>Participants included 5 males and 5 females (N = 10, age: 25.2 [3.3] y old, height: 173.2 [11.2] cm, mass: 73.4 [13.7] kg, body mass index: 24.5 [3.9], time since last concussion of 6.3 [4.5] y). All participants completed the multimodal assessment battery including: Concentration Reverse Digits (6 digits), Stroop Incongruent, and King-Devick Test under single- (seated) and dual-task conditions (walking on treadmill at 2.0 mph, 0% incline). Heart rate and HRV was collected at rest, during the BCTT, and during postexercise recovery. HRV data were processed and analyzed based on established protocols. Paired t tests were performed for pre- and postmeasurements separately for single- and dual-task tests of the multimodal assessment battery and HRV indices.</p><p><strong>Results: </strong>During the BCTT, HRV indices reflective of peripheral nervous system activity demonstrated a significant reduction with concomitant increase in HRV indices of sympathetic nervous system activity (P < .05). Recovery in these HRV indices toward baseline was observed during postexercise recovery. Neurocognitive performance on the Stroop task significantly improved with exercise (P < .05).</p><p><strong>Conclusion: </strong>Implementation of multimodal assessments to evaluate physiological and neurocognitive responses to exercise in individuals with history of sports-related concussion is feasible. Addition of these objective measures may decrease reliance on self-reporting of exercise-induced symptom exacerbation, enabling clinicians to identify individuals whose neurocognitive performance or physiologic response to exercise on the BCTT deviates from the expected.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"225-241"},"PeriodicalIF":1.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866055","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}
引用次数: 0
Impact of Core Training on Functional Movement Screen Scores in Athletes: A Critically Appraised Topic. 核心训练对运动员功能运动筛选分数的影响:一个批判性评价的话题。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-13 DOI: 10.1123/jsr.2024-0204
Camila Niebla, Rebecca Carson, L Colby Mangum
{"title":"Impact of Core Training on Functional Movement Screen Scores in Athletes: A Critically Appraised Topic.","authors":"Camila Niebla, Rebecca Carson, L Colby Mangum","doi":"10.1123/jsr.2024-0204","DOIUrl":"https://doi.org/10.1123/jsr.2024-0204","url":null,"abstract":"<p><strong>Clinical scenario: </strong>The Functional Movement Screen (FMS) is used to assess movement patterns and the risk of injury of active individuals. Current studies have found positive relationships with core training and injury prevention as well as lower limb stability, which can help improve FMS scores.</p><p><strong>Clinical question: </strong>Does the implementation of a core training program have an impact on FMS scores in healthy active adults who participate in sport?</p><p><strong>Summary of key findings: </strong>Literature was searched for articles that included core-focused exercises and implementation of the FMS. This resulted in 25 studies being returned, only 23 of which were published in the last 10 years. Only 7 focused on the change in FMS scores after implementation of core training. Three of these studies were included in the analysis due to the specialized athlete population. All 3 studies found that using a core training program led to significantly higher FMS scores postintervention.</p><p><strong>Clinical bottom line: </strong>There is clear evidence that core training increases FMS scores in athletes. It is important for health care providers treating athletes to consider core training to improve functional movement patterns or FMS scores in sport-specific populations.</p><p><strong>Strength of recommendation: </strong>Overall, there are moderate to high levels of evidence that support a grade B recommendation for core training improvements on FMS scores in athletes.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822679","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}
引用次数: 0
2025 at the Intersection of DEI and Sport Rehabilitation. 2025年在DEI和运动康复的交汇处。
IF 1.3 4区 医学
Journal of Sport Rehabilitation Pub Date : 2024-12-13 Print Date: 2025-01-01 DOI: 10.1123/jsr.2024-0453
Eduardo Esteban Bustamante, Lyndsey M Hornbuckle, Kellie C Huxel Bliven, NiCole R Keith
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