Sports Health-A Multidisciplinary Approach最新文献

{"title":"Evaluating the Association Between Vastus Medialis Oblique Characteristics and Patellar Instability: A Comprehensive Case-Control Study.","authors":"Eran Beit Ner, Oded Rabau, Ahmad Essa, Ofir Vinograd, Roy Asaaf, Ron Gilat, Yoram Anekstein","doi":"10.1177/19417381241300159","DOIUrl":"10.1177/19417381241300159","url":null,"abstract":"<p><strong>Background: </strong>The contribution of vastus medialis oblique muscle (VMO) weakness or dysfunction to patellofemoral pain syndrome is well recognized, yet its role in lateral patellar instability and recurrent patellar dislocations remains unclear. This study investigates the association between VMO characteristics and patellar instability.</p><p><strong>Hypothesis: </strong>Altered VMO structure, characterized by differences in muscle elevation and cross-sectional area (CSA), is associated with patellar instability.</p><p><strong>Study design: </strong>A case-control study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>The study included 204 participants, matched on a 1:1 ratio by age and sex, from a local hospital registry from 2005 to 2020. VMO measurements were taken via magnetic resonance imaging, and included muscle elevation, CSA, fiber angulation, and CSA-to-thigh circumference ratio. Univariate analysis, and multivariable regression model with adjustment for potential confounders were constructed. In addition, a secondary analysis was performed to evaluate the variations in VMO characteristics and mass across primary and recurrent patellar instability groups.</p><p><strong>Results: </strong>Patients with patellar instability demonstrated significant differences in VMO characteristics compared with controls, including increased muscle elevation (13 mm vs 5.9 mm; <i>P</i> < 0.01), increased muscle fiber angulation (42.5° vs 35.3°; <i>P</i> < 0.01), reduced CSA (716 mm² vs 902 mm²; <i>P</i> < 0.01), and a lower CSA-to-thigh circumference ratio (0.05 vs 0.07; <i>P</i> < 0.01). These findings remained significant in the multivariable adjusted model. Moreover, the secondary analysis revealed that both primary and recurrent instability patients had similar VMO characteristics alterations compared with controls, with slightly more pronounced reductions in VMO CSA in those sustaining recurrent instability episodes.</p><p><strong>Conclusion: </strong>This study confirms a statistically significant association between altered VMO characteristics and patellar instability, emphasizing the importance of considering VMO characteristics in the evaluation and management of patients with patellar instability.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"1044-1052"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports-Related Concussions and Closed Head Injuries in Pediatric Female Soccer Athletes: A 10-year Analysis of National Injury Data.","authors":"Jennifer Yu, Avanish Yendluri, Julian V Javier, Kareem S Mohamed, Dennis M Bienstock, Christon Darden, Salvatore Capotosto, Arianna L Gianakos, Rachel M Frank, Robert L Parisien","doi":"10.1177/19417381251360017","DOIUrl":"https://doi.org/10.1177/19417381251360017","url":null,"abstract":"<p><strong>Background: </strong>Female athletes are underrepresented in sports injury research, particularly regarding sports-related concussions (SRCs) and closed head injuries (CHIs). This study analyzes injury mechanisms in pediatric female soccer players to better address risks in this population.</p><p><strong>Hypothesis: </strong>It was hypothesized that soccer-related SRCs/CHIs in pediatric female players are most commonly caused by ball contact and direct player collisions, with a decrease in incidence over time due to improved safety measuresStudy Design:Descriptive epidemiological.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was queried for soccer-related SRCs/CHIs in girls aged 2 to 18 years from 2014 to 2023. Injury narratives were reviewed to identify mechanisms. National estimates (NEs) were calculated using NEISS statistical weights, and linear regression evaluated trends over time.</p><p><strong>Results: </strong>SRCs/CHIs comprised 16.1% of soccer-related injuries in females aged 2 to 18 years, with 84,519 nationally estimated injuries (2946 NEISS cases). Players aged 14 to 18 years accounted for 63.8% of cases. The most common mechanism was being hit by a soccer ball kicked by another player (35.0%). Player contact, including head-to-head collisions and rough play, caused 25.2% of injuries. For goalies, being kicked or kneed in the head was the leading mechanism (34.6%). A significant decrease in injuries was observed over time (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Female pediatric soccer head injuries decreased significantly from 2014 to 2023, with most injuries caused by ball contact or player collisions. These findings support implementing safety initiatives, such as headgear, concussion education, and gameplay modifications, to reduce injury risks based on the mechanisms identified.</p><p><strong>Clinical relevance: </strong>This study highlights the need for safety measures that can be applied broadly across age groups to mitigate soccer-related head injuries in pediatric female athletes.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251360017"},"PeriodicalIF":2.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Are the Consequences of Hamstring Injuries on Soccer Players' Match Running Performance? A Systematic Review.","authors":"Javier Raya-González, Jose Carlos Ponce-Bordón, Tomás García-Calvo, Jorge Polo-Tejada, Borja Sanabria-Pino, David Lobo-Triviño","doi":"10.1177/19417381251350919","DOIUrl":"10.1177/19417381251350919","url":null,"abstract":"<p><strong>Context: </strong>When soccer players reach high speeds, the hamstring complex is exposed to injury, with sprinting being the mechanism for 70% of injuries suffered in this muscle group.</p><p><strong>Objective: </strong>To examine and summarize the impact of hamstring injuries on match running performance in elite male soccer players.</p><p><strong>Data sources: </strong>An electronic database search (Web of Science, Scopus, SportDiscus, and PubMed) was conducted (until December 12, 2023).</p><p><strong>Study selection: </strong>Potential studies were searched by using the following keywords: \"monitoring,\" \"quantification,\" \"hamstring injuries,\" \"injuries,\" \"recovery,\" \"rehab,\" and \"return to play.\" The next criteria were also added: professional male soccer, studies reported pre- to postinjury values, included data from matches.</p><p><strong>Study design: </strong>Systematic review.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Data extraction: </strong>A total of 4082 papers were reviewed and after 2 screening phases, only 5 papers were selected.</p><p><strong>Results: </strong>A total of 169 hamstring injuries were analyzed (from 18 to 72 in each included study), and a total of 136 matches were included (from 10 to 81 in each included study). This review showed that high-speed running (HSR) distance was the variable reported most frequently. Overall, a decrease in match running performance was found after hamstring injuries compared with baseline values.</p><p><strong>Conclusion: </strong>Hamstring injuries impact negatively on soccer players' physical performance, particularly in variables related to HSR. These findings have implications for practitioners regarding the management of player participation after returning to play in terms of volume (ie, minutes), but should be taken with caution due to the limited number of studies included in the present systematic review.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251350919"},"PeriodicalIF":2.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Hamstring Flexibility Training, Rest, and Retraining on Extensibility and Sagittal Spine Disposition in Dancers: A Randomized Controlled Trial.","authors":"Raquel Vaquero-Cristóbal, Irene Cervantes-López-Arza, Mario Albaladejo-Saura, Pedro A López-Miñarro, Francisco Esparza-Ros","doi":"10.1177/19417381251360749","DOIUrl":"10.1177/19417381251360749","url":null,"abstract":"<p><strong>Background: </strong>Hamstring extensibility is essential for performing several technical movements present in dance.</p><p><strong>Aim: </strong>The aim of this study was to analyze the changes produced by a specific hamstring stretching program, on the hamstring extensibility, sagittal spine curvatures, and pelvic posture during a period of training, rest, and retraining, of female dancers at a High Conservatory of Dance.</p><p><strong>Hypothesis: </strong>The implementation of a stretching program will increase hamstring extensibility and improve sagittal spine disposition of female students of the High Conservatory of Dance.</p><p><strong>Study design: </strong>A randomized controlled trial (RCT) was conducted for a single-blind intervention, including a pretest, retest 1, retest 2, and retest 3, and 2 sample groups.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 57 female dancers (24.63 ± 5.98 years old) completed the study. The experimental group (EG) performed a training period based on hamstring extensibility training for 7 weeks, followed by an 18-day rest period, and a 3-week retraining period. In the training period and retraining period, the EG performed hamstring extensibility training, including 3 sets of 20 seconds of 4 different exercises (240 seconds per session of effective stretching), with a frequency of 4 sessions/week. Hamstring extensibility was measured using the active and passive single leg raise (ASLR and PSLR) tests and the sit-and-reach (SR) test. Sagittal spinal curvatures and pelvic tilt in relaxed standing position, SR, and MacRae and Wright (MW) tests were assessed. The control group (CG) continued with their regular dance training sessions.</p><p><strong>Results: </strong>The EG showed significantly higher scores in the SLR and SR tests (<i>P</i> < 0.01) after training and retraining; a significant increase in the anterior pelvic tilt in the SR and MW tests after the training (<i>P</i> < 0.01); and a significant increase in the thoracic curvature in the MW test after the training (<i>P</i> < 0.01). In general, during the rest period, significant changes were not observed in EG (<i>P</i> > 0.05). Regarding the CG, a significant decrease in the PSLR right leg value was found during the rest period, with a significant increase after the retraining, with just the practice of dance and without performing the stretching intervention (<i>P</i> < 0.01). Furthermore, a greater increase in hamstring extensibility was found in the EG compared with the CG after the training and retraining (<i>P</i> = 0.04 to <i>P</i> < 0.01), whereas a greater increase was also found in anterior pelvic tilt in the SR and MW test during the training (<i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>A 7-week training period consisting of 4 hamstring extensibility exercises and 3-week retraining period, with an 18-day rest period, effectively improved hamstring extensibility and pel","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251360749"},"PeriodicalIF":2.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized Controlled Trials Evaluating LET and ALL for Anterolateral Rotatory Instability in ACLR Are Fragile: A Systematic Review.","authors":"Avanish Yendluri, Christopher Gonzalez, Niklas H Koehne, Auston R Locke, Adriano Cuadros, David E Kantrowitz, Dennis M Bienstock, Michael J Alaia, Brian R Waterman, Xinning Li, Robert L Parisien","doi":"10.1177/19417381251360013","DOIUrl":"10.1177/19417381251360013","url":null,"abstract":"<p><strong>Context: </strong>Lateral extra-articular tenodesis (LET) and anterolateral ligament (ALL) reconstruction have been adopted by some surgeons as augmentations during anterior cruciate ligament reconstruction (ACLR) to improve anterolateral rotatory instability.</p><p><strong>Objective: </strong>The objective of this study was to assess the statistical robustness of outcomes reported in randomized controlled trials (RCTs) assessing the clinical significance of LET and ALL reconstruction in ACLR.</p><p><strong>Methods: </strong>PubMed, Embase, and MEDLINE were systematically searched. RCTs published January 1, 2010 to December 31, 2024 assessing LET and ALL reconstruction during ACLR were included. Fragility index (FI) or reverse FI (rFI) was calculated for each outcome, representing the number of event reversals required to alter statistical significance for significant and nonsignificant outcomes, respectively. The fragility quotient (FQ) was determined by dividing the FI or rFI by sample size.</p><p><strong>Level of evidence: </strong>Level 1.</p><p><strong>Results: </strong>Of 112 RCTs screened for inclusion, 17 were included for analysis, resulting in 51 total outcomes. The median FI across the 51 outcomes was 4 [interquartile range (IQR), 2-7] with an associated median FQ of 0.031 (IQR, 0.014-0.049). Statistically significant outcomes were more fragile (median FI, 3.5; median FQ, 0.015) than statistically nonsignificant outcomes (median rFI, 5; median FQ, 0.038). In 60.8% of all outcomes (31 of 51), the number of patients lost to follow-up was greater than the outcome's respective FI or rFI. In the 7 RCTs assessing LET, the median FQ was 0.015 (IQR, 0.012-0.042) across 23 outcomes. In the 10 RCTs assessing ALL, the median FQ was 0.035 (IQR, 0.019-0.051) across 28 outcomes. Graft failure, pivot shift, and Lachman/anterior laxity were the most common outcome categories reported, with median FQs of 0.017, 0.035, and 0.048, respectively.</p><p><strong>Conclusion: </strong>Outcomes reported in RCTs for LET and ALL reconstruction as augments of ACLR are statistically fragile, emphasizing the need for additional robust and adequately powered RCTs to better understand the impact of anterolateral augmentation on ACLR outcomes.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251360013"},"PeriodicalIF":2.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, Validity and Reliability of the Avoidance of Sports Activities Photo Scale (ASAP-Shoulder-Scale) in Athletes With Shoulder Pain.","authors":"Elif Turgut, Birgul Dingirdan, Busra Pakoz, Kubra Caylan Gurses, Pinar Kuyulu Haksal, Anamaria Siriani de Oliveira","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Fear-avoidance beliefs and kinesiophobia can contribute to shoulder pain-related avoidance behavior. In athletes, symptoms may only become apparent during training and competition. To identify shoulder pain-related avoidance behaviors, a standardized screening tool is needed.</p><p><strong>Hypothesis: </strong>Avoidance of Sports Activities Photo Scale (ASAP-Shoulder-Scale) will demonstrate strong psychometric properties.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 162 athletes with shoulder pain were recruited for this study. The ASAP-Shoulder-Scale was developed through an item bank compiled from the International Classification of Functioning, Disability and Health (ICF), with consensus reached by an expert panel. Intraclass correlation coefficients (ICC) were calculated to assess test-retest reliability, along with the standard error of measurement (SEM) and minimal detectable change (MDC). For validation purposes, the Avoidance Daily Activities Photo Scale (ADAP), Shoulder Pain and Disability Index (SPADI), Kerlan-Jobe Orthopaedic-Clinic Shoulder-Elbow Score (KJOC), Tampa Scale for Kinesiophobia (TSK), Pain-Catastrophizing Scale (PCS), and Fear-Avoidance Beliefs Questionnaire (FABQ) were used.</p><p><strong>Results: </strong>A total of 102 preselected activities were evaluated. The scale consisted of 8 activities, with 16 photographic representations that attained 80.0% agreement by the expert panel and demonstrated excellent reliability (ICC, 0.88) with a Cronbach's alpha value of 0.95, a SEM of 20.1 points, and a MDC of 55.8 points. The ASAP-Shoulder-Scale showed significant correlations with ADAP, SPADI, TSK, PCD, and FABQ scores, with correlation coefficients ranging between 0.183 and 0.750 (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The ASAP-Shoulder-Scale is a reliable and valid instrument for assessing avoidance behavior in athletes with shoulder pain.</p><p><strong>Clinical relevance: </strong>ASAP-Shoulder-Scale is a novel score to feasibly guide clinicians to monitor avoidance behavior during sports activities. A difference of more than 55.8 points can be accepted as a clinically relevant improvement.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251359957"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fracture Epidemiology in Skateboarding vs. Snowboarding.","authors":"Viktor Schmidt, Mats Wadsten, Anders Brüggemann, Yasmin D Hailer, Olof Wolf","doi":"10.1177/19417381251353773","DOIUrl":"10.1177/19417381251353773","url":null,"abstract":"<p><strong>Background: </strong>Boarding sports, such as skateboarding and snowboarding, are associated with a significant risk of fractures. This study provides a comprehensive overview of the epidemiology, fracture locations, and treatment approaches for skateboarding and snowboarding-related fractures using data from the Swedish Fracture Register.</p><p><strong>Purpose: </strong>To provide a comprehensive overview of the epidemiology, fracture locations, and treatment modalities for fractures incurred during skateboarding and snowboarding.</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>This observational study included all patients registered in the Swedish Fracture Register who sustained fractures while snowboarding or skateboarding from January 2015 to December 2023. Variables studied were age, sex, trauma energy level, seasonal variation, fracture location (body part), and treatment modality.</p><p><strong>Results: </strong>A total of 5155 patients (28% women) with 5446 fractures were included. Adults (≥16 years old) comprised 58% of all patients. The cohort experienced an approximately equal number of fractures from skateboarding (55%) and snowboarding (45%). A greater propensity for high-energy trauma injuries was observed among snowboarders and males. The mean age was similar in both groups, slightly above 20 years. Upper extremity fractures were the most common in both sports. However, discrepancies were noted: lower extremity fractures were more common in skateboarders, whereas injuries to the spine and pelvis were about 8 times more common in snowboarders. Specific injury patterns, such as the \"snowboarder's fracture\" and \"skateboard elbow,\" appear unique to each sport.</p><p><strong>Conclusion: </strong>While skateboarding and snowboarding share similarities, notable differences exist in lower extremity and spinal fractures. Furthermore, specific fracture patterns are characteristic of each sport. Understanding these differences is crucial for developing targeted prevention strategies and improving safety measures.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251353773"},"PeriodicalIF":2.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VOMS Baseline Versus Postinjury: A Comparison of a Standardized Novel Prototype and a Virtual Reality Application in Sport-Related Concussion.","authors":"Philip Pavilionis, Madison Fenner, Kristen G Quigley, Isayas Berhe Adhanom, Ryan N Moran, Monique Passalacqua, Brian Szekely, Nicholas G Murray","doi":"10.1177/19417381251355959","DOIUrl":"10.1177/19417381251355959","url":null,"abstract":"<p><strong>Background: </strong>The novel prototype (PRO) or virtual reality (VR) are viable methods of standardization to reduce administration variability during the Vestibular Ocular Motor Screening (VOMS) test. Little is known regarding how sport-related concussion (SRC) responds to VOMS in VR.</p><p><strong>Hypothesis: </strong>There will be no difference between PRO and VR total symptom provocation change score (TSPCS), individual subtest symptoms, and near point convergence (NPC) distance within the first 72 hours after SRC.</p><p><strong>Study design: </strong>Cohort study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>At baseline, 394 Division I student-athletes (female, 154; average age, 20.8 ± 1.4 years) completed VOMS using PRO, and 511 (female, 223; average age, 20.9 ± 6.6 years) using VR. Within 72 hours of an SRC, 29 participants (female, 18; 20.6 ± 1.4 years) completed VOMS using PRO and 22 (female, 10; 21.1 ± 1.3 years) using VR. Participants reported subjective symptoms of headache, dizziness, nausea, and fogginess before the test began and after each VOMS subtest in VR. Mann-Whitney <i>U</i> tests assessed differences in TSPCS, NPC distance, and subtest symptoms between PRO and VR at baseline and postinjury (PI). Baseline to PI for each modality was also examined.</p><p><strong>Results: </strong>No significant difference was observed for TSPCS (PRO PI, 10.2 ± 11.3; VR PI, 10.5 ± 12.9; <i>P</i> = 0.51) and NPC distance (PRO PI, 5.30 ± 6.1 cm; VR PI, 2.80 ± 0.51 cm; <i>P</i> = 0.75) for PRO versus VR at PI. This trend continued with all subtests.</p><p><strong>Conclusion: </strong>In this Division I collegiate population, symptom provocation during the VOMS in VR is not different than with PRO at PI; however, this comparison was underpowered as no a priori sample size calculation was conducted.</p><p><strong>Clinical relevance: </strong>VR does not provoke additional symptoms PI. VR may be used as a viable method for VOMS test standardization and delivery.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251355959"},"PeriodicalIF":2.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Athletes Who Test Positive on Multiple Domains of the Vestibular-Ocular Motor Screen Take Longer to Return to Play.","authors":"Bobby Jean Lee, J Craig Garrison, Shiho Goto, Joseph Hannon, Kalyssa Creed, Damond Blueitt, Caitlin Nadolny","doi":"10.1177/19417381251359954","DOIUrl":"10.1177/19417381251359954","url":null,"abstract":"<p><strong>Background: </strong>The Vestibular-Ocular Motor Screen (VOMS) is a validated tool that is used to assess symptom provocation with vestibular and ocular testing following sport-related concussion (SRC). It is unknown if the involvement of multiple domains on the VOMS effects time to return to play (RTP) following SRC.</p><p><strong>Hypothesis: </strong>Athletes who tested positive on >3 domains of the VOMS would take longer to RTP than athletes who tested positive on ≤3 domains of the VOMS.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 928 athletes were enrolled from a concussion clinic. The median VOMS score was used to divide these athletes into 2 groups, those who tested positive on ≤3 domains (LOW) and those who tested positive on >3 domains (HIGH). Independent <i>t</i>-tests were used to assess for differences in time to RTP between groups. A simple linear regression was carried out to assess the influence of positive testing on the VOMS domains at the time of first evaluation on time to RTP.</p><p><strong>Results: </strong>Independent <i>t</i>-tests demonstrated a significant difference in time to RTP between the LOW and HIGH groups, with the LOW group returning to play an average of 12.81 days sooner than the HIGH group. The simple linear regression showed that approximately 10.8% of the time to RTP after SRC could be explained by the number of domains that test positive at initial evaluation.</p><p><strong>Conclusion: </strong>Athletes who test positive on >3 domains of the VOMS take longer to RTP than athletes who test positive on ≤3 domains of the VOMS at the time of initial evaluation.</p><p><strong>Clinical relevance: </strong>The VOMS may be utilized to help determine which athletes may take longer to RTP based on the number of domains that are affected after SRC.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251359954"},"PeriodicalIF":2.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Changes in Thigh Muscle Concentric Strength Associated With Changes in Leg Function After a Youth Sport-Related Knee Injury?","authors":"Justin M Losciale, Christina Y Le, Linda K Truong, Garrett S Bullock, Cameron J Mitchell, Michael A Hunt, Jackie L Whittaker","doi":"10.1177/19417381251352524","DOIUrl":"10.1177/19417381251352524","url":null,"abstract":"<p><strong>Background: </strong>Assess the association between changes in injured leg knee extension and flexion strength (peak torque) and self-reported and performance-based measures of leg function after a variety of youth sport-related, time-loss knee injuries.</p><p><strong>Hypothesis: </strong>There will be a relationship between changes in knee muscle strength and changes in measures of leg function in youth after a sport-related knee injury.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Level of evidence: </strong>Level 2.</p><p><strong>Methods: </strong>This was a secondary analysis of the Alberta Youth Prevention of Early Osteoarthritis (PrEOA) Cohort study (Edmonton) that included youth (11-19 years old) who had experienced a medical attention, time-loss, sport-related knee injury in the previous 4 months. Injured leg knee extensor and flexor concentric peak torque (isokinetic; 90 deg/s), triple hop distance, modified Y-balance test (YBT), and Knee injury and Osteoarthritis Outcome Score Sport subscale (KOOS_sport) were assessed at baseline (≤4 months postinjury) and 6 and 12 months later. Adjusted associations between 6- and 12-month change in strength and functional measures were assessed using multivariable regression (95% CI).</p><p><strong>Results: </strong>Based on data from 106 participants (16.2 ± 1.8 years old), a 1 Nm increase in knee extensor strength (6-12 months) was associated with a 0.9 cm (95% CI, -0.5, 2.3) increase in hop distance. Similarly, every 1 Nm increase in knee flexor strength (6-12 months) was associated with a 0.3 cm (95% CI, -1.1, 1.7) increase in hop distance. Across other models, a 1 Nm increase in extensor or flexor strength was associated with a 0- to 0.3-point increase in KOOS_sport score.</p><p><strong>Conclusion: </strong>There was minimal-to-no longitudinal relationship between changes in knee extensor or flexor strength and changes in triple hop or YBT performance, or self-reported function within the first year after a youth sport-related knee injury.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251352524"},"PeriodicalIF":2.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}