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Shi X, Cao Z, Ganderton C, Tirosh O, Adams R, Ei-Ansary D, Han J. Ankle proprioception in table tennis players: Expertise and sport-specific dual task effects. J Sci Med Sport 2023; 26:429-433. [PMID: 37419713 DOI: 10.1016/j.jsams.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 06/14/2023] [Accepted: 06/19/2023] [Indexed: 07/09/2023]
Abstract
OBJECTIVES To compare ankle proprioception between professional adolescent table tennis players at national and regional levels and age-matched non-athletes, and, in a nominally upper-limb sport, to explore the relationships between single- and dual-task ankle proprioception, years of training and sport-specific performance. DESIGN Cross-sectional observational study. METHODS Fifty-five participants (29 professional adolescent table tennis players and 26 non-athletic peers) volunteered. Ankle proprioception was first assessed using the active movement extent discrimination apparatus (AMEDA-single) for all; yet only the players were then re-assessed while executing a secondary ball-hitting task (AMEDA-dual). The mean Area Under the Receiver Operating Characteristic Curve was calculated as the proprioceptive score, and years of training and hitting rate were recorded. RESULTS National-level players had significantly better ankle proprioception as shown by higher AMEDA-single scores than the other groups (all p < 0.05). Ankle proprioceptive performance was significantly impaired while ball-hitting (F1,28 = 58.89, p ≤ 0.001, ηp2 = 0.69). National-level players outperformed the regional-level significantly on the AMEDA-dual task (F1,27 = 21.4, p ≤ 0.001, ηp2 = 0.44). Further, ankle proprioceptive performance was related to expertise, in that both AMEDA-single and AMEDA-dual proprioceptive scores were correlated with years of training and ball-hitting rate (r from 0.40 to 0.54, all p < 0.05). CONCLUSIONS Ankle proprioception is a promising measure that may be used to identify different ability levels among adolescent table tennis players. Superior ankle proprioception may arise from rigorous training and contribute to stroke accuracy. Dual-task proprioceptive assessment suggests how elite table tennis players perform differently from lower-ranked players in complex and changeable sports circumstances.
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Affiliation(s)
- Xiaojian Shi
- School of Exercise and Health, Shanghai University of Sport, China; School of Health Science, Swinburne University of Technology, Australia.
| | - Ziwei Cao
- China Table Tennis College, Shanghai University of Sport, China
| | - Charlotte Ganderton
- School of Health Science, Swinburne University of Technology, Australia; School of Biomedical Science and Health, Royal Melbourne Institute of Technology University, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China
| | - Oren Tirosh
- School of Exercise and Health, Shanghai University of Sport, China; School of Health Science, Swinburne University of Technology, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China
| | - Roger Adams
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; Research Institute for Sport and Exercise, University of Canberra, Australia
| | - Doa Ei-Ansary
- School of Biomedical Science and Health, Royal Melbourne Institute of Technology University, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; Department of Surgery, School of Medicine, University of Melbourne, Australia
| | - Jia Han
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; Research Institute for Sport and Exercise, University of Canberra, Australia.
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Janse van Rensburg DC, Bryant G, Kearney S, Singh P, Devos A, Jansen van Rensburg A, Schwellnus MP, Botha T. The epidemiology of injury and illness at the Vitality Netball World Cup 2019: an observational study. PHYSICIAN SPORTSMED 2022; 50:359-368. [PMID: 34030597 DOI: 10.1080/00913847.2021.1932632] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Netball is a physical game with sudden direction changes, decelerations, jumping and landing, stop/start maneuvers and restrictive footwork rules exposing players to injury. Close contact play and shared facilities during tournaments, increase illness risk.Objective: To describe incidence, period prevalence, types and severity of injuries and illnesses during the 10-day Vitality Netball World Cup 2019 (NWC).Methods: All players from 16 teams consented (n = 192). Medical staff recorded injuries (840 exposure hours), illnesses (1440 player-days) and time-loss. Main outcome measures included incidence (I) calculated as injury/1000 player-hours and illness/1000 player-days, period prevalence (PP) and severity (time-loss) of all match injuries and illnesses. RESULTS 39 players sustained 46 match injuries (I = 54.76; PP = 20.31%). Lower limb injuries (I = 29.76), specifically the ankle (I = 13.10) were most common with lateral ankle ligament sprains the highest (I = 17.39). Contact injuries (I = 40.48) significantly exceeded non-contact injuries (I = 14.29; p = 0.0124). Center players sustained most injuries (n = 12; 26%; I = 14.29), followed by goalkeepers (n = 10; 22%; I = 11.90) and goal defenders (n = 8; 17%; I = 9.52). Injuries occurred in almost 50% of matches, and 67% did not result in time-loss. Time-loss injuries (n = 14; 33%) were most frequent in the lower limb (n = 10; 71%) specifically involved lateral ankle ligaments (n = 4; 29%), attributable to contact (n = 11; 79%) and mostly implicated center players and goal defenders (n = 4 each; 29% each). 11 players contracted 11 illnesses (I = 7.64; PP = 5.72%) with respiratory tract illness contributing 36%. Most illnesses did not result in time-loss (91%). CONCLUSION This is the first study reporting injury and illness during an NWC. Contact was the main mechanism of injury, and 2/3 of injuries did not result in time-loss. The ankle is most commonly injured and center players sustain most injuries. Non-respiratory system disease was most frequent, but upper respiratory tract infection remains the most common diagnosis. Targeted surveillance studies using similar methodology are required to develop injury and illness preventative strategies in elite netball.
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Affiliation(s)
- Dina Christa Janse van Rensburg
- Section Sports Medicine & Sport Exercise Medicine Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.,Medical Board Member, International Netball Federation, Manchester, UK
| | - Grace Bryant
- Sports Medicine, University of Sydney, Sydney, Australia.,Medical Board, International Netball Federation, Manchester, UK
| | - Sharon Kearney
- Medical Board Member, International Netball Federation, Manchester, UK.,Medical Board, International Netball Federation, Manchester, UK.,Sports Medicine, University of Pretoria, Pretoria, South Africa
| | - Praimanand Singh
- Medical Board Member, International Netball Federation, Manchester, UK.,Sports Medicine and Consultant, Emergency Medicine at the University, West Indies
| | - Arnold Devos
- Principal Consultant, Background Signal P/L, Australia, Australia
| | - Audrey Jansen van Rensburg
- Section Sports Medicine & Sport Exercise Medicine Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Martin P Schwellnus
- Section Sports Medicine & Sport Exercise Medicine Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.,International Olympic Committee (IOC) Research Centre, Pretoria, South Africa
| | - Tanita Botha
- Department of Statistics, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa
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Senol D, Erdem C, Canbolat M, Toy S, Karatas T, Baykara RA, Ozbag D, Akyurek G. Comparison of the effects of conventional physiotherapy and proprioception exercises on pain and ankle proprioception in patients with lumbar radiculopathy. J Back Musculoskelet Rehabil 2022; 35:421-428. [PMID: 34308899 DOI: 10.3233/bmr-200361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Lumbar radiculopathy is characterized by a significant amount of backache causing loss of workforce and is a significant health problem frequently seen in the general population. OBJECTIVE The purpose of this study was to compare the effects of conventional physiotherapy (CT) and proprioception exercises (PE) on ankle proprioception and lumbar pain between patients with lumbar radiculopathy and a healthy control group. METHODS In this randomized clinical trial, 89 patients referred to the Physical Medicine and Rehabilitation outpatient clinic were selected through convenience sampling. They were randomly assigned to three groups: CT (n= 27), PE (n= 31), CT&PE (n= 31). Thirty healthy volunteers were included in the study as the control group. Proprioception measurements were made with an isokinetic dynamometer at 10∘ dorsiflexion (DF), 11∘, and 25∘ plantarflexion (PF) angles. Lumbar pain was assessed by using the Numerical Pain Rating Scale (NPRS). The data were analyzed by IBM SPSS Statistics version 22.0 via the Kruskal-Wallis and Mann-Whitney U tests. RESULTS There was a statistically significant difference between the groups in terms of ankle proprioception and NPRS measurements in post-treatment evaluations (p< 0.05). Statistically significant differences were found between CT and PE groups and CT&PE and control groups. There was no statistically significant difference in comparing CT and PE groups and CT&PE and control groups within themselves (p> 0.05). CONCLUSION The combined use of CT and PE is an effective method that can be used in the clinic to reduce angular differences in ankle proprioception which is one of the primary factors of balance and coordination and lumbar pain.
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Affiliation(s)
- Deniz Senol
- Department of Anatomy, Faculty of Medicine, Duzce University, Duzce, Turkey
| | - Cumali Erdem
- Department of Physical Medicine and Rehabilitation, Malatya Training and Research Hospital, Malatya, Turkey
| | - Mustafa Canbolat
- Department of Anatomy, Faculty of Medicine, İnönü University, Malatya, Turkey
| | - Seyma Toy
- Department of Anatomy, Faculty of Medicine, Karabuk University, Karabuk, Turkey
| | - Turgay Karatas
- Department of Anatomy, Faculty of Medicine, İnönü University, Malatya, Turkey
| | - Rabia Aydogan Baykara
- Department of Physical Medicine and Rehabilitation, Malatya Training and Research Hospital, Malatya, Turkey
| | - Davut Ozbag
- Department of Anatomy, Faculty of Medicine, İnönü University, Malatya, Turkey
| | - Gokcen Akyurek
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
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Olivares-Jabalera J, Fílter-Ruger A, Dos’Santos T, Afonso J, Della Villa F, Morente-Sánchez J, Soto-Hermoso VM, Requena B. Exercise-Based Training Strategies to Reduce the Incidence or Mitigate the Risk Factors of Anterior Cruciate Ligament Injury in Adult Football (Soccer) Players: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:13351. [PMID: 34948963 PMCID: PMC8704173 DOI: 10.3390/ijerph182413351] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 12/03/2021] [Accepted: 12/14/2021] [Indexed: 01/12/2023]
Abstract
Anterior cruciate ligament (ACL) is one of the most concerning injuries for football players. The aim of this review is to investigate the effects of exercise-based interventions targeting at reducing ACL injury rate or mitigating risk factors of ACL injury in adult football players. Following PRISMA guidelines, a systematic search was conducted in CINAHL, Cochrane Library, PubMed, Scopus, SPORTDiscus and Web of Science. Studies assessing the effect of exercise-based interventions in ACL injury incidence or modifiable risk factors in adult football players were included. 29 studies evaluating 4502 male and 1589 female players were included (15 RCT, 8 NRCT, 6 single-arm): 14 included warm-up, 7 resistance training, 4 mixed training, 3 balance, 1 core stability and 1 technique modification interventions. 6 out of 29 studies investigated the effect of interventions on ACL injury incidence, while the remaining 23 investigated their effect on risk factors. Only 21% and 13% studies evaluating risk of injury variables reported reliability measures and/or smallest worthwhile change data. Warm-up, core stability, balance and technique modification appear effective and feasible interventions to be included in football teams. However, the use of more ecologically valid tests and individually tailored interventions targeting specific ACL injury mechanisms are required.
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Affiliation(s)
- Jesús Olivares-Jabalera
- HUMAN Lab, Sport and Health University Research Institute (iMUDS), University of Granada, 18016 Granada, Spain; (V.M.S.-H.); (B.R.)
- FSI Sport Research Lab, 18016 Granada, Spain; (A.F.-R.); (T.D.); (J.M.-S.)
| | | | - Thomas Dos’Santos
- FSI Sport Research Lab, 18016 Granada, Spain; (A.F.-R.); (T.D.); (J.M.-S.)
- Department of Sport and Exercise Sciences, Musculoskeletal Science and Sports Medicine Research Centre, All Saints Building, Manchester Campus John Dalton Building, Manchester Campus, Manchester Metropolitan University, Manchester M15 6BH, UK
- Manchester Institute of Sport 2.01, Manchester Metropolitan University, Manchester M1 7EL, UK
| | - Jose Afonso
- Centre for Research, Education, Innovation and Intervention in Sport, Faculty of Sports of the University of Porto, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal;
| | - Francesco Della Villa
- Education and Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, 40132 Bologna, Italy;
| | | | - Víctor Manuel Soto-Hermoso
- HUMAN Lab, Sport and Health University Research Institute (iMUDS), University of Granada, 18016 Granada, Spain; (V.M.S.-H.); (B.R.)
| | - Bernardo Requena
- HUMAN Lab, Sport and Health University Research Institute (iMUDS), University of Granada, 18016 Granada, Spain; (V.M.S.-H.); (B.R.)
- FSI Sport Research Lab, 18016 Granada, Spain; (A.F.-R.); (T.D.); (J.M.-S.)
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Effects of Intensity Modulated Total-Body Circuit Training Combined with Soccer Training on Physical Fitness in Prepubertal Boys after a 6-Month Intervention. J Hum Kinet 2021; 80:207-222. [PMID: 34868430 PMCID: PMC8607770 DOI: 10.2478/hukin-2021-0102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The purpose of this study was to examine the effects of a 6-month high- or moderate-intensity total-body circuit training (CT) program on physical fitness in prepubertal soccer players. Sixty-seven prepubertal boys with a mean age of 11.2 ± 0.7 years completed the study. Participants from a soccer academy were randomly assigned either to a high-intensity CT group (HCT, n = 22) or a moderate-intensity CT group (MCT, n = 24). A control group (CON, n = 21) comprised age-matched individuals who were not involved in any regular training regime. CT protocols were included in the experimental group’s training sessions 3 times per week over 24 weeks as part of their usual weekly training regime. Based on the HR zone method, CT protocols included high- or moderate-intensity (85–95% HRmax or 75–85% HRmax) series of 3 different sets of upper- and lower-body strength exercises with articular and muscular mobilization, all culminated with 40-m sprints. Physical fitness was evaluated by the Eurofit test which included the flamingo balance (FLB), plate tapping (PLT), sit-and-reach (SAR), standing broad jump (SBJ), handgrip (HG), sit-ups (SUP), bent arm hang (BAH), 10×5 m shuttle run (SHR), and the Physical Working Capacity test (PWC170). The two-way ANOVA indicated group×time interaction effects for 5 components: the largest was for the SBJ (F2,63 = 42.895, p < 0.001, η2 = 0.577), and the lowest for the SHR (F2,63 = 5.006, p < 0.01, η2 = 0.137) indicating better improvements in the HCT compared to the MCT group. Furthermore, for HCT and MCT groups the highest pre- to post-intervention percentage changes were for the FLB and the SAR, while in the CON group the changes of all physical fitness components were not significant (p < 0.05). In conclusion, the intensity-controlled total-body CT protocol incorporated into a standard soccer training program is effective for enhancement in physical fitness performance in prepubertal soccer players.
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Schüttler D, Hamm W, Krammer S, Steffen J, Deuster E, Lauseker M, Egger F, Meyer T, Brunner S. Staying on the ball during COVID-19 pandemic: impact on training modalities in football players. J Sports Med Phys Fitness 2021; 62:595-601. [PMID: 33871243 DOI: 10.23736/s0022-4707.21.12256-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND COVID-19 pandemic has affected worldwide sports competitions and training in both amateur and professional leagues. We thus aimed to investigate changes in different training modalities in elite and amateur football players following COVID-19 lockdown in March 2020. METHODS In this cross-sectional study we applied a Likert scale-based questionnaire with 20 items to quantify and classify time spent at standard training methods in 47 professional and 54 amateur football players from 12 Austrian clubs before and during lockdown. Additionally, McLean score was calculated to assess perceived training fatigue. RESULTS Weekly amount of training time at endurance exercises (cycling) increased in both professional (37.5 [IQR 46.5] min/week vs. 187.5 [IQR 127.5] min/week, p<0.001), and amateur players (0.0 [IQR 45.0] min/week vs. 37.5 [IQR 112.5] min/week, p=0.015) during COVID-19 lockdown. Time on diverse muscle strengthening workouts was significantly elevated in both cohorts. Total training time at ball declined for professionals (from 472.5 [IQR 150] min/week to 15.0 [IQR 112.5] min/week, p<0.001) and amateurs (from 337.5 [IQR 285] min/week to 0.0 [IQR 37.5] min/week, p<0.001). Videoguided training was intensified in both groups (p<0.001 each). Location shifted from football fields and gyms to home and outdoors. Overall McLean score remained unchanged in amateurs (p=0.42) while elite players showed a trend towards an increase (p=0.056). CONCLUSIONS COVID-19 lockdown compromised football training, especially training concepts with ball. Consequently, resulting changes in exercise loads and muscular burden might impact susceptibility for injuries and impair performances especially in amateur players, especially as they lacked training supervision and professional training plans. Minimum effective dose of training workload in order to maintain endurance- and neuromuscular-related performance parameters should be prescribed.
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Affiliation(s)
- Dominik Schüttler
- Department of Medicine I, University Hospital, LMU Munich, Munich, Germany - .,German Center for Cardiovascular Research (DZHK), Partner Site Munich, Munich Heart Alliance (MHA), Munich, Germany - .,Institute of Surgical Research at the Walter-Brendel-Centre of Experimental Medicine, University Hospital, LMU Munich, Munich, Germany -
| | - Wolfgang Hamm
- Department of Medicine I, University Hospital, LMU Munich, Munich, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Munich, Munich Heart Alliance (MHA), Munich, Germany
| | - Simone Krammer
- Department of Medicine I, University Hospital, LMU Munich, Munich, Germany
| | - Julius Steffen
- Department of Medicine I, University Hospital, LMU Munich, Munich, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Munich, Munich Heart Alliance (MHA), Munich, Germany
| | - Eileen Deuster
- Institute for Didactics and Medical Education in Medicine (DAM), University Hospital Munich, Ludwig-Maximilians-University Munich (LMU), Munich, Germany
| | - Michael Lauseker
- Faculty of Medicine, Institute for Medical Information Processing, Biometry, and Epidemiology, Ludwig-Maximilians-University Munich (LMU), Munich, Germany
| | - Florian Egger
- Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Tim Meyer
- Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Stefan Brunner
- Department of Medicine I, University Hospital, LMU Munich, Munich, Germany
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Acute effects of different balance exercise types on selected measures of physical fitness in youth female volleyball players. BMC Sports Sci Med Rehabil 2021; 13:29. [PMID: 33743814 PMCID: PMC7981889 DOI: 10.1186/s13102-021-00249-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 02/22/2021] [Indexed: 11/10/2022]
Abstract
BACKGROUND Earlier studies have shown that balance training (BT) has the potential to induce performance enhancements in selected components of physical fitness (i.e., balance, muscle strength, power, speed). While there is ample evidence on the long-term effects of BT on components of physical fitness in youth, less is known on the short-term or acute effects of single BT sessions on selected measures of physical fitness. OBJECTIVE To examine the acute effects of different balance exercise types on balance, change-of-direction (CoD) speed, and jump performance in youth female volleyball players. METHODS Eleven female players aged 14 years participated in this study. Three types of balance exercises (i.e., anterior, posterolateral, rotational type) were conducted in randomized order. For each exercise, 3 sets including 5 repetitions were performed. Before and after the performance of the balance exercises, participants were tested for their static balance (center of pressure surface area [CoP SA] and velocity [CoP V]) on foam and firm surfaces, CoD speed (T-Half test), and vertical jump height (countermovement jump [CMJ] height). A 3 (condition: anterior, mediolateral, rotational balance exercise type) × 2 (time: pre, post) analysis of variance was computed with repeated measures on time. RESULTS Findings showed no significant condition × time interactions for all outcome measures (p > 0.05). However, there were small main effects of time for CoP SA on firm and foam surfaces (both d = 0.38; all p < 0.05) with no effect for CoP V on both surface conditions (p > 0.05). For CoD speed, findings showed a large main effect of time (d = 0.91; p < 0.001). However, for CMJ height, no main effect of time was observed (p > 0.05). CONCLUSIONS Overall, our results indicated small-to-large changes in balance and CoD speed performances but not in CMJ height in youth female volleyball players, regardless of the balance exercise type. Accordingly, it is recommended to regularly integrate balance exercises before the performance of sport-specific training to optimize performance development in youth female volleyball players. TRIAL REGISTRATION This study does not report results related to health care interventions using human participants and therefore it was not prospectively registered.
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The Effects of Low-Intensity Multimodal Proprioceptive Exercise on Cognitive Function in Older Adults. J Phys Act Health 2020; 18:2-7. [PMID: 33260144 DOI: 10.1123/jpah.2020-0134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 08/25/2020] [Accepted: 10/04/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Physical activity provides a number of physical and psychological benefits. Multimodal proprioceptive exercise represents a useful balance-based exercise with the potential to reduce falls in older adults. Previous research has also indicated cognitive benefits following multimodal proprioceptive exercise in young and older adults. This study aimed to assess cognition and mood following 2 types of physical activity (multimodal proprioception vs yoga) compared with control (classroom-based) in healthy older adults. METHOD Nineteen older adults (Mage = 65, sex = 9 males) participated in this randomized controlled crossover trial. Participants completed a 20-minute multimodal proprioceptive exercise class, 20-minute yoga session, and 20-minute classroom-based control. Numeric working memory and mood were assessed before and immediately following each of the interventions. RESULTS The multimodal proprioceptive intervention significantly reduced numeric working memory reaction time versus the yoga (P = .043) and control (P = .023) group. There were no differences found for accuracy or mood. CONCLUSIONS These results indicate that multimodal proprioceptive exercise is worthy of further investigation as an alternative mode of exercise alongside the more traditional aerobic and strength-based exercise for healthy older adults.
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Read PJ, Oliver JL, Myer GD, Farooq A, Croix MDS, Lloyd RS. Utility of the anterior reach Y-BALANCE test as an injury risk screening tool in elite male youth soccer players. Phys Ther Sport 2020; 45:103-110. [PMID: 32726731 PMCID: PMC9892799 DOI: 10.1016/j.ptsp.2020.06.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 06/02/2020] [Accepted: 06/04/2020] [Indexed: 02/04/2023]
Abstract
OBJECTIVES Examine growth and maturation trends in dynamic balance using the anterior reach Y-Balance test, and its utility as an injury risk screening tool. DESIGN Cross sectional and prospective cohort. SETTING Elite male youth soccer players. PARTICIPANTS 346 players grouped as pre, circa or post peak height velocity (PHV). MAIN OUTCOME MEASURES Pre-season anterior reach absolute and relative Y-Balance test scores and seasonal prospective lower extremity injury monitoring. RESULTS Absolute reach distances were greatest post-PHV (p < 0.05). Relative to leg length, pre-PHV achieved the highest scores and increased between-limb differences. Significant associations between injury and anterior reach scores were present in pre (OR: 0.94, CI: 0.91-0.98, p < 0.05) and circa-PHV (OR: 1.05, 95% CI: 1.05-1.10, p < 0.05). Increased age (OR: 1.49, 95% CI: 1.04-2.13, p < 0.05) and height (OR: 1.06, 95% CI: 0.99-1.13, p = 0.82) were risk factors post-PHV. No differences in injury occurrence were shown between players with absolute reach difference >4 cm in any group. CONCLUSIONS Anterior reach scores increased injury risk, but associations were small and inconsistent. The Y-Balance should be used with caution as a screening tool in this cohort.
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Affiliation(s)
- Paul J. Read
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK,School of Sport and Exercise, University of Gloucestershire, Gloucester, UK,Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar,Corresponding author. Sports City Street, Doha, 29222, Qatar. (P.J. Read)
| | - Jon L. Oliver
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK,Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand
| | - Gregory D. Myer
- Division of Sports Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA,Department of Pediatrics and Orthopaedic Surgery, College of Medicine, College of Medicine, University of Cincinnati, Cincinnati, OH, USA,The Micheli Center for Sports Injury Prevention, Boston, MA, USA
| | - Abdulaziz Farooq
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Mark De Ste Croix
- School of Sport and Exercise, University of Gloucestershire, Gloucester, UK
| | - Rhodri S. Lloyd
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK,Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand,Centre for Sport Science and Human Performance, Waikato Institute of Technology, Hamilton, New Zealand
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10
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Using Behavioral Skills Training With Video Feedback to Prevent Risk of Injury in Youth Female Soccer Athletes. Behav Anal Pract 2020; 13:811-819. [PMID: 33269191 DOI: 10.1007/s40617-020-00473-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Female athletes are at a greater risk for anterior cruciate ligament (ACL) injuries than males. Current training programs for ACL injury reduction focus on muscle strengthening, appropriate movement patterns, and balance training. However, there is limited research on effective strategies to teach youth female soccer athletes how to properly perform desired movements associated with a decreased risk of ACL injuries. Behavioral skills training (BST) programs have been shown to be effective in teaching a wide variety of skills, but research on applications to sports is limited. This study evaluated a BST package for teaching a stepwise agility program to 3 youth female soccer athletes that consisted of verbal instructions, modeling, rehearsal, and feedback, which included video replay. Results showed a significant improvement in the number of steps the participants performed correctly relative to baseline, as well as maintenance of skills at follow-up. Implications for coaches and athletes, as well as limitations and directions for future research, are discussed.
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11
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Onofrei RR, Amaricai E, Petroman R, Surducan D, Suciu O. Preseason Dynamic Balance Performance in Healthy Elite Male Soccer Players. Am J Mens Health 2020; 13:1557988319831920. [PMID: 30776956 PMCID: PMC6775551 DOI: 10.1177/1557988319831920] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Lower limb musculoskeletal injuries in sports are linked with balance abnormalities and altered postural control. Dynamic balance screening should be performed in order to identify athletes at risk. The purpose of the study was to evaluate the preseason dynamic balance performance and side-to-side asymmetry of healthy elite male soccer players, using modified Star Excursion Balance Test (mSEBT). Seventy-three elite soccer players (23.8 ± 5.4 years) were evaluated using the mSEBT. Normalized reach distances, side-to-side asymmetries, and composite scores were determined. The composite scores were 93.33% ± 8.99% for dominant leg and 93.36% ± 9.23% for nondominant leg. No significant differences were found between dominant and nondominant limb in any direction. The mSEBT is an easy-to-use tool to measure the dynamic balance performance in elite athletes. It can be applied successfully during preseason physical examinations. Future studies are needed to establish predictive cutoff points in order to increase mSEBT use in screening soccer players for dynamic balance abnormalities and identify those at risk for noncontact lower limb injuries.
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Affiliation(s)
- Roxana-Ramona Onofrei
- 1 Department of Rehabilitation, Physical Medicine and Rheumatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.,2 "Pius Brinzeu" Emergency County Hospital Timisoara, Romania
| | - Elena Amaricai
- 1 Department of Rehabilitation, Physical Medicine and Rheumatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.,3 "Luis Turcanu" Emergency Children's Hospital Timisoara, Romania
| | - Radu Petroman
- 1 Department of Rehabilitation, Physical Medicine and Rheumatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.,2 "Pius Brinzeu" Emergency County Hospital Timisoara, Romania
| | - Dan Surducan
- 1 Department of Rehabilitation, Physical Medicine and Rheumatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Oana Suciu
- 1 Department of Rehabilitation, Physical Medicine and Rheumatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
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Gebel A, Prieske O, Behm DG, Granacher U. Effects of Balance Training on Physical Fitness in Youth and Young Athletes: A Narrative Review. Strength Cond J 2020. [DOI: 10.1519/ssc.0000000000000548] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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13
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Scudamore EM, Stevens SL, Fuller DK, Coons JM, Morgan DW. Use of Functional Movement Screen Scores to Predict Dynamic Balance in Physically Active Men and Women. J Strength Cond Res 2019; 33:1848-1854. [PMID: 30216249 DOI: 10.1519/jsc.0000000000002829] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Scudamore, EM, Stevens, SL, Fuller, DK, Coons, JM, and Morgan, DW. Use of functional movement screen scores to predict dynamic balance in physically active men and women. J Strength Cond Res 33(7): 1848-1854, 2019-The primary focus of this study was to determine whether scores obtained from the Functional Movement Screen (FMS) can predict dynamic balance in young, healthy adults. Thirty-four physically active participants completed the FMS, and balance was assessed using measures of composite reach (CR) distance and overall stability indices (OSI) derived from Y Balance and Biodex Balance System testing, respectively. Results indicated that higher overall FMS scores were associated with better CR and OSI, and participants with FMS composite scores greater than 14 exhibited better CR compared to those with composite scores less than or equal to 14. In addition, lasso penalized regression demonstrated that (a) scores of 2 on the deep squat and 3 on the trunk stability push-up movements predicted a greater CR and (b) higher shoulder mobility scores and a rotary stability score of 3 predicted better OSI. We conclude that dynamic balance in young, active men and women can be predicted by specific FMS item scores.
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Affiliation(s)
- Eric M Scudamore
- Department of Health, Physical Education, and Sport Sciences, Arkansas State University, Jonesboro, Arkansas
| | - Sandra L Stevens
- Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, Tennessee
| | - Dana K Fuller
- Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, Tennessee
| | - John M Coons
- Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, Tennessee
| | - Don W Morgan
- Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, Tennessee
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14
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Gebel A, Lesinski M, Behm DG, Granacher U. Effects and Dose-Response Relationship of Balance Training on Balance Performance in Youth: A Systematic Review and Meta-Analysis. Sports Med 2019; 48:2067-2089. [PMID: 29736728 DOI: 10.1007/s40279-018-0926-0] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Effects and dose-response relationships of balance training on measures of balance are well-documented for healthy young and old adults. However, this has not been systematically studied in youth. OBJECTIVES The objectives of this systematic review and meta-analysis were to quantify effects of balance training (BT) on measures of static and dynamic balance in healthy children and adolescents. Additionally, dose-response relations for BT modalities (e.g. training period, frequency, volume) were quantified through the analysis of controlled trials. DATA SOURCES A computerized systematic literature search was conducted in the electronic databases PubMed and Web of Science from January 1986 until June 2017 to identify articles related to BT in healthy trained and untrained children and adolescents. STUDY ELIGIBILITY CRITERIA A systematic approach was used to evaluate articles that examined the effects of BT on balance outcomes in youth. Controlled trials with pre- and post-measures were included if they examined healthy youth with a mean age of 6-19 years and assessed at least one measure of balance (i.e. static/dynamic steady-state balance, reactive balance, proactive balance) with behavioural (e.g. time during single-leg stance) or biomechanical (e.g. centre of pressure displacements during single-leg stance) test methods. STUDY APPRAISAL AND SYNTHESIS METHODS The included studies were coded for the following criteria: training modalities (i.e. training period, frequency, volume), balance outcomes (i.e. static and dynamic balance) as well as chronological age, sex (male vs. female), training status (trained vs. untrained), setting (school vs. club), and testing method (biomechanical vs. physical fitness test). Weighted mean standardized mean differences (SMDwm) were calculated using a random-effects model to compute overall intervention effects relative to active and passive control groups. Between-study heterogeneity was assessed using I2 and χ2 statistics. A multivariate random effects meta-regression was computed to explain the influence of key training modalities (i.e. training period, training frequency, total number of training sessions, duration of training sessions, and total duration of training per week) on the effectiveness of BT on measures of balance performance. Further, subgroup univariate analyses were computed for each training modality. Additionally, dose-response relationships were characterized independently by interpreting the modality specific magnitude of effect sizes. Methodological quality of the included studies was rated with the help of the Physiotherapy Evidence Database (PEDro) Scale. RESULTS Overall, our literature search revealed 198 hits of which 17 studies were eligible for inclusion in this systematic review and meta-analysis. Irrespective of age, sex, training status, sport discipline and training method, moderate to large BT-related effects were found for measures of static (SMDwm = 0.71) and dynamic (SMDwm = 1.03) balance in youth. However, our subgroup analyses did not reveal any statistically significant effects of the moderator variables age, sex, training status, setting and testing method on overall balance (i.e. aggregation of static and dynamic balance). BT-related effects in adolescents were moderate to large for measures of static (SMDwm = 0.61) and dynamic (SMDwm = 0.86) balance. With regard to the dose-response relationships, findings from the multivariate random effects meta-regression revealed that none of the examined training modalities predicted the effects of BT on balance performance in adolescents (R2 = 0.00). In addition, results from univariate analysis have to be interpreted with caution because training modalities were computed as single factors irrespective of potential between-modality interactions. For training period, 12 weeks of training achieved the largest effect (SMDwm = 1.40). For training frequency, the largest effect was found for two sessions per week (SMDwm = 1.29). For total number of training sessions, the largest effect was observed for 24-36 sessions (SMDwm = 1.58). For the modality duration of a single training session, 4-15 min reached the largest effect (SMDwm = 1.03). Finally, for the modality training per week, a total duration of 31-60 min per week (SMDwm = 1.33) provided the largest effects on overall balance in adolescents. Methodological quality of the studies was rated as moderate with a median PEDro score of 6.0. LIMITATIONS Dose-response relationships were calculated independently for training modalities (i.e. modality specific) and not interdependently. Training intensity was not considered for the calculation of dose-response relationships because the included studies did not report this training modality. Further, the number of included studies allowed the characterization of dose-response relationships in adolescents for overall balance only. In addition, our analyses revealed a considerable between-study heterogeneity (I2 = 66-83%). The results of this meta-analysis have to be interpreted with caution due to their preliminary status. CONCLUSIONS BT is a highly effective means to improve balance performance with moderate to large effects on static and dynamic balance in healthy youth irrespective of age, sex, training status, setting and testing method. The examined training modalities did not have a moderating effect on balance performance in healthy adolescents. Thus, we conclude that an additional but so far unidentified training modality may have a major effect on balance performance that was not assessed in our analysis. Training intensity could be a promising candidate. However, future studies are needed to find appropriate methods to assess BT intensity.
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Affiliation(s)
- Arnd Gebel
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Am Neuen Palais 10, Building 12, 14469, Potsdam, Germany
| | - Melanie Lesinski
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Am Neuen Palais 10, Building 12, 14469, Potsdam, Germany
| | - David G Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John's, NF, Canada
| | - Urs Granacher
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Am Neuen Palais 10, Building 12, 14469, Potsdam, Germany.
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Gebel A, Lüder B, Granacher U. Effects of Increasing Balance Task Difficulty on Postural Sway and Muscle Activity in Healthy Adolescents. Front Physiol 2019; 10:1135. [PMID: 31551811 PMCID: PMC6733969 DOI: 10.3389/fphys.2019.01135] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 08/16/2019] [Indexed: 12/12/2022] Open
Abstract
Evidence-based prescriptions for balance training in youth have recently been established. However, there is currently no standardized means available to assess and quantify balance task difficulty (BTD). Therefore, the objectives of this study were to examine the effects of graded BTD on postural sway, lower limb muscle activity and coactivation in adolescents. Thirteen healthy high-school students aged 16 to 17 volunteered to participate in this cross-sectional study. Testing involved participants to stand on a commercially available balance board with an adjustable pivot that allowed six levels of increasing task difficulty. Postural sway [i.e., total center of pressure (CoP) displacements] and lower limb muscle activity were recorded simultaneously during each trial. Surface electromyography (EMG) was applied in muscles encompassing the ankle (m. tibialis anterior, medial gastrocnemius, peroneus longus) and knee joint (m. vastus medialis, biceps femoris). The coactivation index (CAI) was calculated for ankle and thigh muscles. Repeated measures analyses of variance revealed a significant main effect of BTD with increasing task difficulty for postural sway (p < 0.001; d = 6.36), muscle activity (p < 0.001; 2.19 < d < 4.88), and CAI (p < 0.001; 1.32 < d < 1.41). Multiple regression analyses showed that m. tibialis anterior activity best explained overall CoP displacements with 32.5% explained variance (p < 0.001). The observed increases in postural sway, lower limb muscle activity, and coactivation indicate increasing postural demands while standing on the balance board. Thus, the examined board can be implemented in balance training to progressively increase BTD in healthy adolescents.
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Affiliation(s)
- Arnd Gebel
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
| | - Benjamin Lüder
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
| | - Urs Granacher
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
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16
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Boraczyński MT, Sozański HA, Boraczyński TW. Effects of a 12-Month Complex Proprioceptive-Coordinative Training Program on Soccer Performance in Prepubertal Boys Aged 10-11 Years. J Strength Cond Res 2019; 33:1380-1393. [PMID: 28368953 DOI: 10.1519/jsc.0000000000001878] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Boraczyński, MT, Sozański, HA, and Boraczyński, TW. Effects of a 12-month complex proprioceptive-coordinative training program on soccer performance in prepubertal boys aged 10-11 years. J Strength Cond Res 33(5): 1380-1393, 2019-The aim was to examine the effects of a series of on-field proprioceptive-coordinative (P-C) exercises on motor performance (MP) in prepubertal soccer players. Fifty-three male soccer players aged 10.1-11.8 years were randomized among 2 experimental programs receiving P-C training (P-CT; n = 26) or regular training (RT; n = 27). A control group (C; n = 22) consisted of age-matched (10.3-11.9 years) cohorts not involved in any regular physical activity. Both experimental groups completed an identical 12-month comprehensive soccer program except training in P-CT was modified to substitute small-sided conditioning games with 24 multimode P-C exercises with modulated exercise intensity (every 8-9 weeks based on predicted maximal heart rate [HRmax]). Pre-, peri-, and posttraining measures included anthropometry and 5 tests assessing soccer-specific MP: movement rhythm (turning the ball backwards-T1), motor adaptation (running with the ball around poles-T2), spatial orientation (running to sequentially numbered balls-T3), balance (single-leg static balance-T4), and kinesthetic differentiation of movement (landing the ball on a 2 × 2 m sector-T5). Repeated-measures analysis of variance revealed no significance between-group differences for age, anthropometry, and body-fat percentage at baseline. Significant main effects for group (P-CT vs. RT) were found in all tests (T1-T5) and main effects for time (group P-CT) in T3-T5, whereas a significant group × time interaction was observed only in T4 (F = 2.98, p = 0.0204). Post hoc tests indicated that P-CT attained significantly better results than RT at peritraining (by 26.4%; p < 0.01) and posttraining (by 31.9%, p < 0.01). Modulated exercise intensity had little effect on soccer performance (T1-T3, T5). Based on the results, it is recommended that the training of young soccer players be supplemented with the bilateral balance exercises and games used in the study. Furthermore, the suitability of monitoring HR in P-C exercises targeting the analyzed MP skills is questionable.
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Affiliation(s)
- Michał T Boraczyński
- Department of Physical Education, Józef Rusiecki Olsztyn University College, Olsztyn, Poland
| | - Henryk A Sozański
- Department of Theory of Sport, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
| | - Tomasz W Boraczyński
- Department of Physical Education, Józef Rusiecki Olsztyn University College, Olsztyn, Poland
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17
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Vriend I, Gouttebarge V, Finch CF, van Mechelen W, Verhagen EALM. Intervention Strategies Used in Sport Injury Prevention Studies: A Systematic Review Identifying Studies Applying the Haddon Matrix. Sports Med 2018; 47:2027-2043. [PMID: 28303544 PMCID: PMC5603636 DOI: 10.1007/s40279-017-0718-y] [Citation(s) in RCA: 55] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND Prevention of sport injuries is crucial to maximise the health and societal benefits of a physically active lifestyle. To strengthen the translation and implementation of the available evidence base on effective preventive measures, a range of potentially relevant strategies should be considered. OBJECTIVE Our aim was to identify and categorise intervention strategies for the prevention of acute sport injuries evaluated in the scientific literature, applying the Haddon matrix, and identify potential knowledge gaps. METHODS Five electronic databases were searched (PubMed, EMBASE, SPORTDiscus, CINAHL, Cochrane) for studies that evaluated the effect of interventions on the occurrence of acute sport injuries. Studies were required to include a control group/condition, prospective data collection, and a quantitative injury outcome measure. RESULTS A total of 155 studies were included, mostly randomised controlled trials (43%). The majority of studies (55%) focussed on strategies requiring a behavioural change on the part of athletes. Studies predominantly evaluated the preventive effect of various training programmes targeted at the 'pre-event' phase (n = 73) and the use of equipment to avoid injury in the 'event phase' (n = 29). A limited number of studies evaluated the preventive effect of strategies geared at rules and regulations (n = 14), and contextual modifications (n = 18). Studies specifically aimed at preventing re-injuries were a minority (n = 8), and were mostly related to ankle sprains (n = 5). CONCLUSIONS Valuable insight into the extent of the evidence base of sport injury prevention studies was obtained for 20 potential intervention strategies. This approach can be used to monitor potential gaps in the knowledge base on sport injury prevention.
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Affiliation(s)
- Ingrid Vriend
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health and Safety in Sports, IOC Research Center, AMC/VUmc, Amsterdam, The Netherlands.,Consumer Safety Institute VeiligheidNL, Amsterdam, The Netherlands
| | - Vincent Gouttebarge
- Amsterdam Collaboration on Health and Safety in Sports, IOC Research Center, AMC/VUmc, Amsterdam, The Netherlands.,Consumer Safety Institute VeiligheidNL, Amsterdam, The Netherlands.,Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Caroline F Finch
- Australian Collaboration for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Australia
| | - Willem van Mechelen
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health and Safety in Sports, IOC Research Center, AMC/VUmc, Amsterdam, The Netherlands.,School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Australia.,Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Evert A L M Verhagen
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. .,Amsterdam Collaboration on Health and Safety in Sports, IOC Research Center, AMC/VUmc, Amsterdam, The Netherlands. .,Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. .,Australian Collaboration for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Australia.
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18
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The Effects of Maturation on Measures of Asymmetry During Neuromuscular Control Tests in Elite Male Youth Soccer Players. Pediatr Exerc Sci 2018; 30:168-175. [PMID: 28787266 PMCID: PMC6538932 DOI: 10.1123/pes.2017-0081] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
PURPOSE Asymmetry is a risk factor for male youth soccer players. There is a paucity of data confirming the presence of asymmetry using practically viable screening tasks in players at different stages of maturation. METHODS A cross-sectional sample (N = 347) of elite male youth soccer players who were either pre-, circa-, or post-peak height velocity (PHV) completed the following assessments: single-leg Y-Balance anterior reach, single-leg hop for distance, single-leg 75% hop and stick, and single-leg countermovement jumps. RESULTS Single-leg countermovement jumps landing force asymmetry was higher in both circa- and post-PHV groups (P < .001; d = 0.41-0.43). Single-leg 75% hop and stick landing force asymmetries were also highest in circa-PHV players, but between-group comparisons were not statistically significant and effect sizes were small. Single-leg hop for distance and single-leg Y-Balance anterior reach asymmetries reduced with maturation; however, no group differences were significant, with small to trivial effect sizes (d ≤ 0.25). CONCLUSION Stage of maturation did not have a profound effect on asymmetry. Between-limb differences in functional performance seem to be established in early childhood; thus, targeted interventions to reduce this injury risk factor should commence in pre-PHV athletes and be maintained throughout childhood and adolescence to ensure asymmetry does not increase.
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19
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Steib S, Rahlf AL, Pfeifer K, Zech A. Dose-Response Relationship of Neuromuscular Training for Injury Prevention in Youth Athletes: A Meta-Analysis. Front Physiol 2017; 8:920. [PMID: 29184511 PMCID: PMC5694483 DOI: 10.3389/fphys.2017.00920] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Accepted: 10/30/2017] [Indexed: 11/28/2022] Open
Abstract
Background: Youth athletes with intensive sports participation are at an increased risk of sustaining injuries. Neuromuscular training programs reduce sports-related injury risk in this population, however, the dose-response relationship is largely unknown. Thus, the aim of this meta-analysis was to identify the optimal frequency, volume, duration, and period of neuromuscular training to prevent injuries in youth athletes. Methods: Computerized database searches (PubMed, Scopus, SPORTDiscus, The Cochrane Library, PEDro) were conducted in January 2017, with search terms related to youth sports, neuromuscular training, and injury prevention. Eligible trials (i) evaluated a neuromuscular training program; (ii) included youth athletes of 21 years or younger; (iii) had an analytical design (RCTs, quasi-experimental, cohort studies); (iv) contained original data; (v) and provided injury data. Two reviewers independently extracted data and assessed quality of eligible studies. Injury rate ratios (IRRs) for lower extremity injuries were pooled meta-analytically, and moderator analyses examined the effect of training frequency, duration, volume, and period. Results: Data from 16 trials yielded an overall risk reduction of 42% with neuromuscular training (IRR = 0.58, 95%CI 0.47–0.72). Training frequencies of two (IRR = 0.50; 95%CI 0.29–0.86) or three times (IRR = 0.40; 95%CI 0.31–0.53) per week revealed the largest risk reduction, and a weekly training volume of more than 30 min tended to be more effective compared to lower volumes. Programs with 10–15 min (IRR = 0.55; 95%CI 0.42–0.72) session duration produced effects comparable to those with longer session duration (IRR = 0.60; 95%CI 0.46–0.76). Interventions lasting more than 6 months were not superior to shorter programs. Conclusion: This meta-analysis revealed that NMT performed in short bouts of 10–15 min, two to three times per week, with a weekly training volume of 30–60 min had the largest preventive effect for lower extremity injuries in youth athletes. These effects can be achieved within 20–60 sessions and training periods of <6 months. The present results are derived from a relatively small number of studies with heterogeneous methodological quality and should be treated with caution. The study was a priori registered at PROSPERO (CRD42016053473).
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Affiliation(s)
- Simon Steib
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - Anna L Rahlf
- Institute of Sport Science, Friedrich-Schiller-University of Jena, Jena, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - Astrid Zech
- Institute of Sport Science, Friedrich-Schiller-University of Jena, Jena, Germany
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Ondra L, Nátěsta P, Bizovská L, Kuboňová E, Svoboda Z. Effect of in-season neuromuscular and proprioceptive training on postural stability in male youth basketball players. ACTA GYMNICA 2017. [DOI: 10.5507/ag.2017.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
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Neuromuscular Risk Factors for Knee and Ankle Ligament Injuries in Male Youth Soccer Players. Sports Med 2017; 46:1059-66. [PMID: 26856339 DOI: 10.1007/s40279-016-0479-z] [Citation(s) in RCA: 80] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Injuries reported in male youth soccer players most commonly occur in the lower extremities, and include a high proportion of ligament sprains at the ankle and knee with a lower proportion of overuse injuries. There is currently a paucity of available literature that examines age- and sex-specific injury risk factors for such injuries within youth soccer players. Epidemiological data have reported movements that lead to non-contact ligament injury include running, twisting and turning, over-reaching and landing. Altered neuromuscular control during these actions has been suggested as a key mechanism in females and adult populations; however, data available in male soccer players is sparse. The focus of this article is to review the available literature and elucidate prevalent risk factors pertaining to male youth soccer players which may contribute to their relative risk of injury.
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Dunsky A, Barzilay I, Fox O. Effect of a specialized injury prevention program on static balance, dynamic balance and kicking accuracy of young soccer players. World J Orthop 2017; 8:317-321. [PMID: 28473959 PMCID: PMC5396016 DOI: 10.5312/wjo.v8.i4.317] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 11/26/2016] [Accepted: 02/13/2017] [Indexed: 02/06/2023] Open
Abstract
AIM To study the effect of balance intervention program using the “FIFA 11+” program on static and dynamic balance and kicking accuracy of young soccer players.
METHODS Twenty young soccer players were allocated to experimental (n = 10) or control (n = 10) groups. The experimental group performed the “FIFA 11+” program three times a week for six weeks. The control group performed their normal warm-up routine. The primary outcomes were measured pre and post intervention, and assessed kicking accuracy, static balance and dynamic balance.
RESULTS No differences were found in kicking accuracy following intervention, for both groups, however, static balance improved significantly among the experimental group with significant interaction with the control group, and with high effect size. In addition, the dynamic balance of the left leg of the experimental group, with medium effect size for interaction between groups.
CONCLUSION The large effect size of balance improvement that was observed following six weeks of intervention sessions, implies that soccer trainers and coaches should consider the inclusion of “FIFA 11+” as components of programs aimed at improving balance ability/control in young soccer players, as improvement in balance abilities may prevent injuries.
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Ghareeb DM, McLaine AJ, Wojcik JR, Boyd JM. Effects of Two Warm-up Programs on Balance and Isokinetic Strength in Male High School Soccer Players. J Strength Cond Res 2017; 31:372-379. [PMID: 27243911 DOI: 10.1519/jsc.0000000000001509] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Ghareeb, DM, McLaine, AJ, Wojcik, JR, and Boyd, JM. Effects of two warm-up programs on balance and isokinetic strength in male high school soccer players. J Strength Cond Res 31(2): 372-379, 2017-One of the most common warm-up programs used to prevent injury in soccer, FIFA11+, integrates aerobic, strength, and balance. The purpose of this study was to compare FIFA11+ to a new warm-up program (NWP) on balance and isokinetic strength of the quadriceps and hamstrings at 60, 180, and 300°·s in male high school soccer players. Participants at one school (n = 17) performed the NWP before practice for 6 weeks during one soccer season, whereas participants at another school (n = 17) performed FIFA11+. There were no differences at baseline. At posttest, players in NWP significantly improved (p < 0.01) in Overall Stability Index Balance, Anterior/Posterior Index Balance, and Medial Lateral Index with large effect sizes (ES) > 1.3. No changes were seen in FIFA11+. Isokinetic strength peak torque increased at 60°·s in the quadriceps and hamstrings in dominant and nondominant legs in NWP (p < 0.01, ES, 0.59-1.02) and in hamstrings in FIFA11+ (p ≤ 0.05, ES, 0.32-0.40). At 180°·s, NWP improved peak torque (p < 0.01, ES, 0.74-0.90) except hamstrings in the nondominant leg, whereas FIFA11+ showed improvements across all muscle groups (p < 0.01), but with smaller ES, 0.25-0.84. Both programs improved isokinetic peak torque at 300°·s except hamstrings in the nondominant leg in NWP, although ES were higher in NWP (ES, 0.60-1.03) than FIFA11+ (ES, 0.31-0.42). The NWP seems to be effective for soccer conditioning by improving balance and isokinetic strength.
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Affiliation(s)
- Dana M Ghareeb
- Department of Physical Education, Sport, & Human Performance, Winthrop University, Rock Hill, South Carolina
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El-Gohary TM, Khaled OA, Ibrahim SR, Alshenqiti AM, Ibrahim MI. Effect of proprioception cross training on repositioning accuracy and balance among healthy individuals. J Phys Ther Sci 2016; 28:3178-3182. [PMID: 27942145 PMCID: PMC5140825 DOI: 10.1589/jpts.28.3178] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2016] [Accepted: 07/29/2016] [Indexed: 12/27/2022] Open
Abstract
[Purpose] To investigate possible cross effects of proprioception training on
proprioception repositioning accuracy of the knee joint and on balance in healthy
subjects. [Subjects and Methods] Sixty healthy college students and faculty members from
faculty of physical therapy, Cairo University were recruited to participate. Participants
were randomly assigned to training group (n=30) and control group (n=30). The training
group received proprioceptive training program only for the dominant leg while the control
group did not receive any kind of training. Outcome measures were twofold: (1)
proprioception repositioning accuracy quantified through the active repositioning test for
the non-dominant knee; and (2) balance stability indices determined through using Biodex
balance system. Measurements were recorded before and after 8 weeks of proprioception
training. [Results] There were significant decrease in the error of repositioning accuracy
and the stability indices including anterposterior stability index, mediolateral stability
index, and overall stability index of training group, measured post training, compared
with control group. [Conclusion] Proprioception training has significant cross training
effects on proprioception repositioning accuracy of the knee joint and on balance among
healthy subjects.
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Affiliation(s)
- Tarek Mohamed El-Gohary
- Department of Physical Therapy, College of Medical Rehabilitation, Taibah University, Saudi Arabia; Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt
| | - Osama Ahmed Khaled
- Department of Physical Therapy, College of Medical Rehabilitation, Taibah University, Saudi Arabia; Department of Basic Science, Faculty of Physical Therapy, Cairo University, Egypt
| | - Sameh R Ibrahim
- Department of Physical Therapy, College of Medical Rehabilitation, Taibah University, Saudi Arabia; Department of Basic Science, Faculty of Physical Therapy, Cairo University, Egypt
| | - Abdullah M Alshenqiti
- Department of Physical Therapy, College of Medical Rehabilitation, Taibah University, Saudi Arabia
| | - Mahmoud I Ibrahim
- Department of Orthopedic, Faculty of Physical Therapy, Cairo University, Egypt
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Vriend I, Gouttebarge V, van Mechelen W, Verhagen EALM. Neuromuscular training is effective to prevent ankle sprains in a sporting population: a meta-analysis translating evidence into optimal prevention strategies. J ISAKOS 2016. [DOI: 10.1136/jisakos-2016-000062] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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de Vries AJ, van den Akker-Scheek I, Diercks RL, Zwerver J, van der Worp H. The effect of a patellar strap on knee joint proprioception in healthy participants and athletes with patellar tendinopathy. J Sci Med Sport 2016; 19:278-82. [DOI: 10.1016/j.jsams.2015.04.016] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Revised: 04/20/2015] [Accepted: 04/30/2015] [Indexed: 11/24/2022]
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Rössler R, Donath L, Verhagen E, Junge A, Schweizer T, Faude O. Exercise-based injury prevention in child and adolescent sport: a systematic review and meta-analysis. Sports Med 2015; 44:1733-48. [PMID: 25129698 DOI: 10.1007/s40279-014-0234-2] [Citation(s) in RCA: 137] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND The promotion of sport and physical activity (PA) for children is widely recommended to support a healthy lifestyle, but being engaged in sport bears the risk of sustaining injuries. Injuries, in turn, can lead to a reduction in current and future involvement in PA and, therefore, may negatively affect future health as well as quality of life. Thus, sports injury prevention is of particular importance in youth. OBJECTIVE The aim of this systematic review was to quantify the effectiveness of exercise-based injury prevention programs in child and adolescent sport in general, and with respect to different characteristics of the target group, injury prevention program, and outcome variables. DATA SOURCES An Internet-based literature search was conducted in six databases (CINAHL, Cochrane, EMBASE, ISI Web of Science, PubMed, SPORTDiscus) using the following search terms with Boolean conjunction: (sport injur* OR athletic injur* OR sport accident*) AND (prevent* OR prophylaxis OR avoidance) AND (child* OR adolescent OR youth). STUDY SELECTION Randomized controlled trials and controlled intervention studies in organized sport, published in English in a peer-reviewed journal, analyzing the effects of an exercise-based injury prevention program in athletes younger than 19 years of age. DATA EXTRACTION Two reviewers evaluated eligibility and methodological quality. Main outcome extracted was the rate ratio (RR). Statistical analyses were conducted using the inverse-variance random effects model. RESULTS Twenty-one trials, conducted on a total of 27,561 athletes (median age 16.7 years [range 10.7-17.8]), were included. The overall RR was 0.54 (95% CI 0.45-0.67) [p < 0.001]. Girls profited more from injury prevention than boys (p = 0.05). Both prevention programs with a focus on specific injuries (RR 0.48 [95% CI 0.37-0.63]) and those aiming at all injuries (RR 0.62 [95% CI 0.48-0.81]) showed significant reduction effects. Pre-season and in-season interventions were similarly beneficial (p = 0.93). Studies on programs that include jumping/plyometric exercises showed a significant better (p = 0.002) injury preventive effect (RR 0.45 [95% CI 0.35-0.57], Z = 6.35, p < 0.001) than studies without such exercises (RR 0.74 [95% CI 0.61-0.90], Z = 3.03, p = 0.002). CONCLUSIONS The results provide good evidence and clearly demonstrate beneficial effects of exercise-based injury prevention programs in youth sports as they can result in statistically significant and practically relevant injury reduction. In particular, multimodal programs including jumping/plyometric exercises can be recommended. However, there is a considerable lack of data for children (under 14 years of age) and for individual sports in general. Future research should include these groups and focus on the effect of specific exercises and compliance.
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Affiliation(s)
- Roland Rössler
- Department of Sport, Exercise and Health, University of Basel, Birsstrasse 320 B, CH-4052, Basel, Switzerland,
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Emery CA, Roy TO, Whittaker JL, Nettel-Aguirre A, van Mechelen W. Neuromuscular training injury prevention strategies in youth sport: a systematic review and meta-analysis. Br J Sports Med 2015; 49:865-70. [DOI: 10.1136/bjsports-2015-094639] [Citation(s) in RCA: 144] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Alloway RG, Alloway TP. THE WORKING MEMORY BENEFITS OF PROPRIOCEPTIVELY DEMANDING TRAINING: A PILOT STUDY (.). Percept Mot Skills 2015; 120:766-75. [PMID: 26029969 DOI: 10.2466/22.pms.120v18x1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this study was to investigate the effect of proprioception on working memory. It was also of interest whether an acute and highly intensive period of exercise would yield working memory gains. The training group completed a series of proprioceptively demanding exercises. There were also control classroom and yoga groups. Working memory was measured using a backward digit recall test. The data indicated that active, healthy adults who undertook acute, proprioceptively demanding training improved working memory scores compared to the classroom and yoga groups. One possible reason that the training yielded significant working memory gains could be that the training was proprioceptively dynamic, requiring proprioception and at least one other factor-such as locomotion or navigation-at the same time, which may have contributed to the improvements in working memory performance.
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Dose-Response Relationships of Balance Training in Healthy Young Adults: A Systematic Review and Meta-Analysis. Sports Med 2014; 45:557-76. [DOI: 10.1007/s40279-014-0284-5] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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ter Stege MHP, Dallinga JM, Benjaminse A, Lemmink KAPM. Effect of Interventions on Potential, Modifiable Risk Factors for Knee Injury in Team Ball Sports: A Systematic Review. Sports Med 2014; 44:1403-26. [DOI: 10.1007/s40279-014-0216-4] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Perrott MA, Pizzari T, Cook J. Lumbopelvic exercise reduces lower limb muscle strain injury in recreational athletes. PHYSICAL THERAPY REVIEWS 2013. [DOI: 10.1179/1743288x12y.0000000055] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Ricotti L, Rigosa J, Niosi A, Menciassi A. Analysis of balance, rapidity, force and reaction times of soccer players at different levels of competition. PLoS One 2013; 8:e77264. [PMID: 24130870 PMCID: PMC3795057 DOI: 10.1371/journal.pone.0077264] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Accepted: 08/30/2013] [Indexed: 11/25/2022] Open
Abstract
In the present study we analyzed 12 physical parameters, namely force, static and dynamic balance (both quantified by means of 4 parameters each), rapidity, visual reaction times and acoustic reaction times, over 185 subjects. 170 of them played soccer in teams enrolled in all the ten different Italian soccer leagues. Results show that 6 parameters (out of the 12 analyzed) permit to identify and discriminate top-level players, among those showing the same training frequency. The other parameters are strictly related to training frequency or do not discriminate among players or control subjects (non-athletes), such as visual and acoustic reaction times. Principal component analysis permits to identify 4 clusters of subjects with similar performances, thus representing a useful instrument to characterize the overall ability of players in terms of athletic characteristics, on the basis of their location on the principal component parameters plane.
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Affiliation(s)
- Leonardo Ricotti
- The BioRobotics Institute, Scuola Superiore Sant’Anna, Pontedera (Pisa), Italy
- * E-mail:
| | - Jacopo Rigosa
- The BioRobotics Institute, Scuola Superiore Sant’Anna, Pontedera (Pisa), Italy
| | - Alberto Niosi
- The BioRobotics Institute, Scuola Superiore Sant’Anna, Pontedera (Pisa), Italy
| | - Arianna Menciassi
- The BioRobotics Institute, Scuola Superiore Sant’Anna, Pontedera (Pisa), Italy
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Evaluation of static and dynamic postural balance in children with juvenile idiopathic arthritis. Pediatr Phys Ther 2013; 25:150-7; discussion 157. [PMID: 23542191 DOI: 10.1097/pep.0b013e31828a2978] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE To evaluate balance in children with lower limb involvement due to juvenile idiopathic arthritis (JIA). METHODS Twenty-five children with JIA manifesting lower extremity arthritis within the previous year and 36 children who were healthy (aged 8-18 years) were assessed by using the Biodex Balance System (BBS) (Biodex, Shirley, New York). Single-leg static balance (BBS level 12) and bilateral static and dynamic balance (BBS levels 2 and 7) were measured. Lower extremity strength, disease activity, function, and pain were also assessed. RESULTS : Ten subjects with JIA (40%) could not complete single-leg balance testing, while all controls did (P < .0001). Bilateral dynamic balance was impaired only at BBS level 2 (most unstable). Lower extremity weakness correlated with poor balance. CONCLUSION A significant proportion of children with leg arthritis have impaired balance. Proprioceptive exercises may emerge as an important therapy in the treatment of lower extremity arthritis.
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Grace Gaerlan M, Alpert PT, Cross C, Louis M, Kowalski S. Postural balance in young adults: The role of visual, vestibular and somatosensory systems. ACTA ACUST UNITED AC 2012; 24:375-81. [DOI: 10.1111/j.1745-7599.2012.00699.x] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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HÜBSCHER MARKUS, ZECH ASTRID, PFEIFER KLAUS, HÄNSEL FRANK, VOGT LUTZ, BANZER WINFRIED. Neuromuscular Training for Sports Injury Prevention. Med Sci Sports Exerc 2010; 42:413-21. [DOI: 10.1249/mss.0b013e3181b88d37] [Citation(s) in RCA: 216] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Laudner KG, Koschnitzky MM. Ankle Muscle Activation When Using the Both Sides Utilized (BOSU) Balance Trainer. J Strength Cond Res 2010; 24:218-22. [DOI: 10.1519/jsc.0b013e3181c490d4] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Frisch A, Croisier JL, Urhausen A, Seil R, Theisen D. Injuries, risk factors and prevention initiatives in youth sport. Br Med Bull 2009; 92:95-121. [PMID: 19783530 DOI: 10.1093/bmb/ldp034] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND Sports injuries in young athletes are a public health issue which deserves special attention. Effective prevention can be achieved with training programmes originating from the field of physical therapy and medicine. SOURCES OF DATA A systematic literature search on injury prevention in youth sport was performed in the MEDLINE database. AREAS OF AGREEMENT For prevention programmes to reduce sports injuries, critical factors must be considered, such as training content, duration and frequency, as well as athlete compliance. AREAS OF CONTROVERSY Home-based programmes could be inferior to supervised training, but are efficient if compliance is high. So far prevention programmes have focused on team sports and their efficiency in individual sports remains to be proven. GROWING POINTS Active prevention programmes focusing specifically on the upper extremity are scarce. Initiatives enhancing the awareness of trainers, athletes and therapists about risk factors and systematic prevention measures should be encouraged.
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Affiliation(s)
- Anne Frisch
- Sports Medicine Research Laboratory, Public Research Centre for Health, L-1445 Strassen, Grand-Duchy of Luxembourg
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Owen JL, Campbell S, Falkner SJ, Bialkowski C, Ward AT. Is there evidence that proprioception or balance training can prevent anterior cruciate ligament (ACL) injuries in athletes without previous ACL injury? Phys Ther 2006; 86:1436-40. [PMID: 17012647 DOI: 10.2522/ptj.20050329] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Jessica L Owen
- Division of Physical Therapy, School of Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada
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