| 1. |
- Arundale, Amelia, et al.
(författare)
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TUCK JUMP SCORE IS NOT RELATED TO HOPPING PERFORMANCE OR PATIENT-REPORTED OUTCOME MEASURES IN FEMALE SOCCER PLAYERS
- 2020
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Ingår i: INTERNATIONAL JOURNAL OF SPORTS PHYSICAL THERAPY. - : AMER PHYSICAL THERAPY ASSOC. - 2159-2896. ; 15:3, s. 395-406
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Tidskriftsartikel (refereegranskat)abstract
- Background: The tuck jump assessment was developed to identify players at risk for anterior cruciate ligament (ACL) injuries or gauge a players progress through rehabilitation after ACL reconstruction. A tuck jump score of >= 6 out of 10 has been labeled poor and thought to identify players with high risk landing patterns. Purpose: The purpose of this exploratory study was to examine if there was a relationship between tuck jump score, particularly tuck jump scores >= 6, hopping performance, and patient-reported outcome measures in female soccer players with ACL reconstruction (ACLR) and knee-healthy controls. Study Design: Secondary analysis of prospective cohort study Methods: Female soccer players (117 after ACLR, 117 knee-healthy) performed the single hop for distance, tuck jump assessment, and drop vertical jump (DVJ). All players were categorized based on as having a total tuck jump score >= 6 or < 6. Analyzing all players together, Spearmans rank correlations assessed if there were relationships between total tuck jump score or tuck jump scores >= 6 and single-legged hop limb symmetry or DVJ measures. Players with an ACLR also filled out the International Knee Documentation Committee 2000 Subjective Knee Form and the Knee injury Osteoarthritis Outcome Score. Spearmans rank correlations assessed if there were relationships between total tuck jump score or tuck jump scores >= 6 and patient-reported outcome measures. Results: The mean tuck jump scores was 4.8 +/- 1.8 (tuck jump score >= 6, 6.7 +/- 0.9, tuck jump score < 6, 3.7 +/- 1.1) with 87 (37%) athletes having tuck jump score >= 6. There were no significant relationships between tuck jump score or tuck jump score >= 6 and hopping performance or patient-reported outcome measures. Conclusion: The results of this current study indicate that tuck jump scores, including tuck jump scores >= 6, may not be related to functional or patient-reported outcome measures. Further work is needed to examine the clinical utility of the tuck jump assessment.
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| 2. |
- Augustsson, Jesper, 1964-
(författare)
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A new clinical muscle function test for assessment of hip external rotation strength : Augustsson Strength Test
- 2016
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Ingår i: The International Journal of Sports Physical Therapy. - 2159-2896. ; 11:4, s. 520-526
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Tidskriftsartikel (refereegranskat)abstract
- IntroductionDynamic clinical tests of hip strength applicable on patients, non–athletes and athletes alike, are lacking. The aim of this study was therefore to develop and evaluate the reliability of a dynamic muscle function test of hip external rotation strength, using a novel device. A second aim was to determine if gender differences exist in absolute and relative hip strength using the new test.MethodsFifty–three healthy sport science students (34 women and 19 men) were tested for hip external rotation strength using a device that consisted of a strap connected in series with an elastic resistance band loop, and a measuring tape connected in parallel with the elastic resistance band. The test was carried out with the subject side lying, positioned in 45 ° of hip flexion and the knees flexed to 90 ° with the device firmly fastened proximally across the knees. The subject then exerted maximal concentric hip external rotation force against the device thereby extending the elastic resistance band. The displacement achieved by the subject was documented by the tape measure and the corresponding force production was calculated. Both right and left hip strength was measured. Fifteen of the subjects were tested on repeated occasions to evaluate test–retest reliability.ResultsNo significant test–retest differences were observed. Intra–class correlation coefficients ranged 0.93–0.94 and coefficients of variation 2.76–4.60%. In absolute values, men were significantly stronger in hip external rotation than women (right side 13.2 vs 11.0 kg, p = 0.001, left side 13.2 vs 11.5 kg, p = 0.002). There were no significant differences in hip external rotation strength normalized for body weight (BW) between men and women (right side 0.17 kg/BW vs 0.17 kg/BW, p = 0.675, left side 0.17 kg/BW vs 0.18 kg/BW, p = 0.156).ConclusionsThe new muscle function test showed high reliability and thus could be useful for measuring dynamic hip external rotation strength in patients, non–athletes and athletes. The test is practical and easy to perform in any setting and could therefore provide additional information to the common clinical hip examination, in the rehabilitation or research setting, as well as when conducting on–the–field testing in sports.Level of evidence3
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| 3. |
- Bengtsson, Victor, et al.
(författare)
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Thoracolumbar and Lumbopelvic Spinal Alignment During the Barbell Back Squat : A Comparison Between Men and Women
- 2023
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Ingår i: International Journal of Sports Physical Therapy. - : International Journal of Sports Physical Therapy. - 2159-2896. ; 18:4, s. 820-830
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Tidskriftsartikel (refereegranskat)abstract
- Background: Maintaining neutral spinal alignment is considered important when performing the barbell back squat exercise. Since male and female lifters may differ in injury location it is important to examine whether they differ in spinal alignment during the back squat.Objectives: The study aimed to quantify the spinal alignment in the upper and lower lumbar spine during the barbell back squat exercise in male and female lifters. Secondary aims were to compare alignment during the back squat to standing habitual lumbar spine alignment and determine whether male and female lifters differ in these aspects.Study design: Observational, Cross-sectional.Methods: Competitive power- and weightlifters were recruited and performed three repetitions of the barbell back squat exercise using a load equivalent to 70% of their one-repetition maximum. Spinal alignment and range of motion were measured using inertial measurement units placed on the thoracic, lumbar and sacral spine. Data was presented descriptively and comparisons between men and women as well as spinal alignment in four different positions were done with a factorial repeated measures analysis of variance.Results: Twenty-three (14 males, 9 females) were included. During execution of the squat, spinal alignment adjustments in the lumbar spine were made in all three planes of movement, compared to the start position, in both male and female lifters. Compared to their standing habitual posture, all lifters adjusted their upper lumbar spine to a less lordotic position when in the start position of the back squat (standing upright with the barbell on their back). Only male lifters assumed a less lordotic alignment in their lower lumbar spine in the start position compared their habitual posture.Conclusions: Adjustments of spinal alignment, predominantly in the sagittal plane, are made during execution of the back squat in both male and female lifters. Further, lifters adopt a less lordotic alignment with a heavy barbell on their upper back, more so in male than female lifters. In conclusion, it seems that spinal alignment changes noticeably during the barbell back squat.Level of evidence: 3
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| 4. |
- Bengtsson, Victor, et al.
(författare)
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Thoracolumbar and lumbopelvic spinal alignment during the deadlift exercise : a comparison between men and women
- 2022
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Ingår i: International Journal of Sports Physical Therapy. - : North American Sports Medicine Institute. - 2159-2896. ; 17:6, s. 1063-1074
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Tidskriftsartikel (refereegranskat)abstract
- Background: A neutral spinal alignment is considered important during the execution of the deadlift exercise to decrease the risk of injury. Since male and female powerlifters experience pain in different parts of their backs, it is important to examine whether men and women differ in spinal alignment during the deadlift.Objectives: The purpose of this study was to quantify the spinal alignment in the upper (thoracolumbar, T11-L2) and lower (lumbopelvic, L2-S2) lumbar spine during the deadlift exercise in male and female lifters. Secondary aims were to compare lumbar spine alignment during the deadlift to standing habitual posture, and determine whether male and female lifters differ in these aspects.Study Design: Observational, Cross-sectional.Methods: Twenty-four (14 men, 10 women) lifters performed three repetitions of the deadlift exercise using 70% of their respective one-repetition maximum. Spinal alignment and spinal range of motion were measured using three inertial measurement units placed on the thoracic, lumbar and sacral spine. Data from three different positions were analyzed; habitual posture in standing, and start and stop positions of the deadlift, i.e. bottom and finish position respectively.Results: During the deadlift, spinal adjustments were evident in all three planes of movement. From standing habitual posture to the start position the lumbar lordosis decreased 13° in the upper and 20° in the lower lumbar spine. From start position to stop position the total range of motion in the sagittal plane was 11° in the upper and 22° in the lower lumbar spine. The decreased lumbar lordosis from standing habitual posture to the start position was significantly greater among men.Conclusions: Men and women adjust their spinal alignment in all three planes of movement when performing a deadlift and men seem to make greater adjustments from their standing habitual posture to start position in the sagittal plane. Level of Evidence 3.
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| 5. |
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| 6. |
- Estberger, August, et al.
(författare)
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Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions
- 2023
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Ingår i: International Journal of Sports Physical Therapy. - : International Journal of Sports Physical Therapy. - 2159-2896. ; 18:1, s. 38-54
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Forskningsöversikt (refereegranskat)abstract
- Hip-related pain is an umbrella term encompassing pain from non-arthritic hip joint pathologies, such as femoroacetabular impingement syndrome, hip dysplasia, and labral tears. Exercise therapy is commonly recommended for these conditions, but the reporting completeness of these interventions is currently unclear. Purpose The aim of this systematic review was to assess the reporting completeness of exercise therapy protocols for people with hip-related pain. Study design Systematic review according to PRISMA guidelines. Materials and Methods A systematic search was conducted, searching the MEDLINE, CINAHL, and Cochrane databases. The search results were independently screened by two researchers. Inclusion criteria were studies using exercise therapy in people with non-arthritic hip-related pain. Two independent researchers used the Cochrane risk of bias tool version 2 to analyze risk of bias, and the Consensus on Exercise Reporting Template (CERT) checklist and score (1-19) to synthesize reporting completeness. Results Fifty-two studies used exercise therapy for hip-related pain, but only 23 were included in the synthesis as 29 studies had no description of the intervention. CERT scores ranged from 1 to 17 (median 12, IQR 5-15). The most well-described items were tailoring (87%), and the least well-described items were motivation strategies (9%) and starting level (13%). Studies used exercise therapy alone (n=13), or in combination with hip arthroscopy (n=10). Conclusion Only 23 of 52 eligible studies reported sufficient details to be included in the CERT synthesis. The median CERT score was 12 (IQR 5-15), with no study reaching the maximum score of 19. Lack of reporting makes it difficult to replicate interventions in future research, and to draw conclusions on efficacy and dose-response to exercise therapy for hip-related pain.
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| 7. |
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| 8. |
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| 9. |
- Ivarsson, Angelica, et al.
(författare)
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Agreement Between Isokinetic Dynamometer and Hand-held Isometric Dynamometer as Measures to Detect Lower Limb Asymmetry in Muscle Torque After Anterior Cruciate Ligament Reconstruction
- 2022
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Ingår i: International Journal of Sports Physical Therapy. - : International Journal of Sports Physical Therapy. - 2159-2896. ; 17:7, s. 1307-1317
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Tidskriftsartikel (refereegranskat)abstract
- Two commonly used instruments to assess muscle strength after anterior cruciate ligament reconstruction are the isokinetic dynamometer, which measures isokinetic torque and the hand-held dynamometer, which measures isometric torque. Isokinetic dynamometers are considered superior to other instruments but may not be commonly used in clinical settings. Hand-held dynamometers are small, portable, and more clinically applicable devices. Purpose The purpose of this study was to assess agreement between a hand-held dynamometer and an isokinetic dynamometer, used to assess lower limb symmetry in knee muscle torque one year after anterior cruciate ligament (ACL) reconstruction. Study design Cross-sectional measurement study Methods Seventy-two participants who had undergone ACL reconstruction (35 men, 37 women; age= 25.8 ± 5.4 years) were included. Isokinetic muscle torque in knee flexion and extension was measured with an isokinetic dynamometer. Isometric flexion and extension knee muscle torque was measured with a hand-held dynamometer. Bland & Altman plots and Cohen’s Kappa coefficient were used to assess agreement between measurements obtained from the instruments. Result Bland & Altman plots showed wide limits of agreement between the instruments for both flexion and extension limb symmetry index. Cohen´s Kappa coefficient revealed a poor to slight agreement between the extension limb symmetry index values (0.136) and a fair agreement for flexion limb symmetry index values (0.236). Cross-tabulations showed that the hand-held dynamometer detected a significantly larger number of participants with abnormal flexion torque limb symmetry index compared to the isokinetic dynamometer. Conclusion The wide limits of agreements and Cohen’s Kappa coefficients values revealed insufficient agreement between the measurements taken with the two instruments,.
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| 10. |
- Piussi, Ramana, 1988, et al.
(författare)
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No Effect of Return to Sport Test Batteries with and without Psychological PROs on the Risk of a Second ACL Injury: A Critical Assessment of Four Different Test Batteries.
- 2023
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Ingår i: International journal of sports physical therapy. - 2159-2896. ; 18:4, s. 874-886
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Tidskriftsartikel (refereegranskat)abstract
- Patients report psychological barriers as important when returning to sport, however, psychological outcome measures are seldom included in return to sport (RTS) assessment. There is a need for clinical trials to integrate psychological patient-reported outcomes (PROs) in return to sport batteries assessing patients treated with ACL reconstruction.The aim of this study was to determine the association between passing clinical tests of muscle function and psychological PROs and sustaining a second ACL injury in patients who RTS after primary ACL reconstruction.Retrospective Cohort study.Patients' sex, age, height and weight, and the results of strength and hop tests, as well as answers to PRO's (including Tegner activity scale, the ACL Return to Sport after Injury scale (ACL-RSI) as well as the Quality of Life (QoL) subscale of the Knee injury and Osteoarthritis Outcome Score [KOOS]), were extracted from a rehabilitation-specific registry. Four different test batteries comprising muscle function tests and PROs were created to assess whether patients were ready to RTS. Passing each of the test batteries (yes/no) was used as an independent variable. A multivariable Cox proportional hazard model analysis was performed, with sustaining a second ACL injury (either ipsi- or contralateral; yes/no) within two years of RTS as the dependent variable.A total of 419 patients (male, n=214; 51%) were included, of which 51 (12.2%) suffered a second ACL injury within the first two years after RTS. There were no differences in passing rates in the different RTS test batteries comprising muscle function tests and PROs for patients who suffered a second ACL injury compared to patients who did not.No association between passing the RTS clinical tests batteries comprising muscle function and psychological PROs used, and the risk of a second ACL injury could be found.3©The Author(s).
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| 11. |
- Piussi, Ramana, et al.
(författare)
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Psychological Patient-reported Outcomes Cannot Predict a Second Anterior Cruciate Ligament Injury in Patients who Return to Sports after an Anterior Cruciate Ligament Reconstruction.
- 2022
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Ingår i: International journal of sports physical therapy. - : International Journal of Sports Physical Therapy. - 2159-2896. ; 17:7, s. 1340-1350
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Tidskriftsartikel (refereegranskat)abstract
- Psychological patient-reported outcomes (PROs) are recommended for use in test batteries to aid in decision-making, regarding whether patients are well prepared to return to sports (RTS) after anterior cruciate ligament (ACL) reconstruction. However, the values that should be regarded as "pass" or "fail" are still unclear.This study aimed to identify cut-off values for three commonly used psychological PROs that could differentiate patients who suffer a second ACL injury from patients who do not within two years of RTS in patients after ACL reconstruction with respect to recovery of symmetrical quadriceps strength.Diagnostic/prognostic study.Demographic data, isokinetic strength test data for quadriceps, as well as results for the ACL-Return to Sport after Injury scale (ACL-RSI), Knee Injury and Osteoarthritis Outcome Score (KOOS) Quality of Life, and Function in Sport and Recreation sub-scales, and the 18-item version of the Knee Self-Efficacy Scale (K-SES18) were extracted from a registry. Receiver operating characteristic (ROC) curves were calculated for each PRO. Accuracy of the cut-offs was presented with two summary measures for the ROC: the area under the curve (AUC) and Youden index.In total, 641 (355 men, 61%) patients (24.8 [SD 7.6] year old at ACL reconstruction) were included. The cut-off values were not able to differentiate patients who suffered a second ACL injury up to 24 months after RTS and ACL reconstruction from patients who did not. Additionally, achieving symmetrical quadriceps strength did not improve the cut-off psychometric properties.Since cut-off values could not differentiate between patients who suffered a second ACL injury and those who did not, clinicians should not rely only on cut-off values or a single PRO of those analyzed in this study when making decisions on which patients are at risk of experiencing a second ACL injury when returning to sports after ACL reconstruction.Level 3.
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| 12. |
- Schneiders, Anthony G, et al.
(författare)
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Functional movement screenTM normative values in a young, active population
- 2011
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Ingår i: International journal of sports physical therapy. - 2159-2896. ; 6:2, s. 75-82
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Functional Movement ScreenTM (FMSTM) is a screening instrument which evaluates selective fundamental movement patterns to determine potential injury risk. However, despite its global use, there are currently no normative values available for the FMSTM. Objectives: To establish normative values for the FMSTM in a population of active, healthy individuals. Secondary aims were to investigate whether performance differed between males and females, between those with and without a previous history of injury, and to establish real-time inter-rater reliability of the FMSTM. Methods: Two hundred and nine (108 females and 101 males) physically active individuals, aged between 18 and 40 years, with no recent (<6 weeks) history of musculoskeletal injury were recruited. All participants performed the FMSTM and were scored using the previously established standardized FMSTM criteria. A representative sub-group participant sample (28%) determined inter rater reliability. Results: The mean composite FMSTM score was 15.7 with a 95% confidence interval between 15.4 and 15.9 out of a possible total of 21. There was no statistically significant difference in scores between females and males (t 207= .979, p = .329), or those who reported a previous injury and those who did not (t207 = .688, p= .492). Inter-rater reliability (ICC 3,1) for the composite FMSTM score was .971, demonstrating excellent reliability. Inter-rater reliability (Kappa) for individual test components of the FMSTM demonstrated substantial to excellent agreement (0.70 — 1.0). Discussion and Conclusion: This cross-sectional study provides FMSTM reference values for young, activeindividuals, which will assist in the interpretation of individual scores when screening athletes for musculoskeletal injury and performance factors.
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| 13. |
- Spörndly-Nees, Søren, et al.
(författare)
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The navicular position test - a reliable measure of the navicular bone position during rest and loading.
- 2011
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Ingår i: International journal of sports physical therapy. - 2159-2896. ; 6:3, s. 199-205
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Lower limb injuries are a large problem in athletes. However, there is a paucity of knowledge on the relationship between alignment of the medial longitudinal arch (MLA) of the foot and development of such injuries. A reliable and valid test to quantify foot type is needed to be able to investigate the relationship between arch type and injury likelihood. Feiss Line is a valid clinical measure of the MLA. However, no study has investigated the reliability of the test.OBJECTIVES: The purpose was to describe a modified version of the Feiss Line test and to determine the intra- and inter-tester reliability of this new foot alignment test. To emphasize the purpose of the modified test, the authors have named it The Navicular Position Test.METHODS: Intra- and inter-tester reliability were evaluated of The Navicular Position Test with the use of ICC (interclass correlation coefficient) and Bland-Altman limits of agreement on 43 healthy, young, subjects.RESULTS: Inter-tester mean difference -0.35 degrees [-1.32; 0.62] p = 0.47. Bland-Altman limits of agreement -6.55 to 5.85 degrees, ICC = 0.94. Intra-tester mean difference 0.47 degrees [-0.57; 1.50] p = 0.37. Bland-Altman limits of agreement -6.15 to 7.08 degrees, ICC = 0.91.DISCUSSION: The present data support The Navicular Position Test as a reliable test of the navicular bone position during rest and loading measured in a simple test set-up.CONCLUSION: The Navicular Position Test was shown to have a high intraday-, intra- and inter-tester reliability. When cut off values to categorize the MLA into planus, rectus, or cavus feet, has been determined and presented, the test could be used in prospective observational studies investigating the role of the arch type on the development of various lower limb injuries.
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| 14. |
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| 15. |
- Tigerstrand Grevnerts, Hanna, et al.
(författare)
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PATIENTS FOCUS ON PERFORMANCE OF PHYSICAL ACTIVITY, KNEE STABILITY AND ADVICE FROM CLINICIANS WHEN MAKING DECISIONS CONCERNING THE TREATMENT OF THEIR ANTERIOR CRUCIATE LIGAMENT INJURY
- 2020
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Ingår i: INTERNATIONAL JOURNAL OF SPORTS PHYSICAL THERAPY. - : AMER PHYSICAL THERAPY ASSOC. - 2159-2896. ; 15:3, s. 441-450
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Tidskriftsartikel (refereegranskat)abstract
- Background: When deciding medical treatment, patients perspectives are important. There is limited knowledge about patients views when choosing non-operative treatment or anterior cruciate ligament (ACL) reconstruction (ACLR) after ACL injury. Purpose: To describe reasons that influenced patients decisions for non-operative treatment or ACLR after ACL injury. Study Design: Cross-sectional study. Methods: This study recruited a total of 223 patients (50% men), aged 28 +/- 8 years who had sustained ACL injury, either unilateral or bilateral. Subjects were, at different time points after injury, asked to fill out a questionnaire about their choice of treatment, where an ACLR treatment decision was made, some responded before and some after the ACLR treatment. A rating of the strength of 10 predetermined reasons in their choice of treatment graded as 0 (no reason) to 3 (very strong reason), was done. Results: Patients with unilateral ACL injury treated with ACLR (110 patients) rated "inability to perform physical activity at the same level as before the injury due to impaired knee function" (96%), "fear of increased symptoms during activity" (87%) and "giving way episodes" (83%) as strong or very strong reasons in their treatment decision. Patients with bilateral ACL injury treated with ACLR (109 knees) rated similar reasons as patients with unilateral ACLR and also "low confidence in the ability to perform at the preinjury activity level without ACLR" (80%) as strong or very strong reasons. Patients with unilateral ACL injury treated non-operatively (96 patients) rated "advice from clinician" (69%) as a strong or very strong reason. Patients with bilateral ACL injury treated non-operatively (25 knees) rated "absence of giving way episodes" (62%), and "no feeling of instability" (62%) as strong or very strong reasons. Conclusion: Inability to perform physical activity, fear of increased symptoms, and giving way episodes were reasons that patients with ACL injury considered when making decisions about ACLR. When choosing non-operative treatment, patients considered the absence of instability or giving way symptoms, being able to perform physical activity, and advice from clinicians.
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| 16. |
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| 17. |
- Wörner, Tobias, et al.
(författare)
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HIP AND GROIN PROBLEMS IN THE PREVIOUS SEASON ARE ASSOCIATED WITH IMPAIRED FUNCTION IN THE BEGINNING OF THE NEW SEASON AMONG PROFESSIONAL FEMALE ICE HOCKEY PLAYERS - A CROSS SECTIONAL STUDY
- 2020
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Ingår i: Internation Journal of Sports Physical Therapy. - : International Journal of Sports Physical Therapy. - 2159-2896. ; 15:5, s. 763-769
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Tidskriftsartikel (refereegranskat)abstract
- Background: Hip and groin problems are common in ice hockey but studies on professional female players are sparse. The available literature describes hip and groin problems by reporting incidence of time-loss injuries and may thereby underestimate the scope of these problems, which are often due to overuse and may not lead to absence from ice hockey participation.Purpose: The purpose of this study was to describe the seasonal prevalence and severity of hip and groin problems in professional female ice hockey players. A further aim was to examine the relation between previous problems and self-reported function in the beginning of the new season.Study design: Cross-sectional study.Methods: Female ice hockey players from the highest league in Sweden [n=69 (19 goalkeepers, 18 defenders, 30 forwards)], responded to an online survey, retrospectively assessing the prevalence of hip and groin problems (time loss and non-time loss) and their duration during the previous season. Furthermore, players reported current self-reported function on the Copenhagen Hip and Groin Outcome Score (HAGOS).Results: Two thirds of the players experienced hip and groin problems during the previous season [62.3% (N=43)]. A quarter of the players experienced a hip and groin problem leading to time loss [26.1% (N=18)]. The majority of problems were of short (1-2 weeks) or medium (3-5 weeks) duration [29% (N=20) of players, respectively], while longstanding problems ( ≥ 6 weeks) were rare [4,4% (N=3)]. Players that retrospectively reported hip and groin problems during the previous season reported statistically significant impairments on all HAGOS subscales in the beginning of the new season (p ≤ 0.011).Conclusion: Hip and groin problems are prevalent in professional female ice hockey players, experienced by 62% during the previous season with resulting time-loss in 26.1%. Reported problems were rarely of longstanding nature, but players who reported problems in the previous season had significantly impaired hip and groin function in the beginning of the new season. Even though results of this study are based on retrospective player reports this may be a first step toward a greater understanding of the true burden of hip and groin players in professional female ice hockey players.
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