Context: Single- versus double-leg landing events occur the majority of the time in a netball match. Landings are involved in large proportions of netball noncontact knee injury events. Of all landing-induced anterior cruciate ligament injuries, most occur during single-leg landings. Knowledge of whether different single-leg functional performance tests capture the same or different aspects of lower-limb motor performance will therefore inform clinicians’ reasoning processes and assist in netball noncontact knee injury prevention screening. Objective: To determine the correlation between the triple hop for distance (THD), single hop for distance (SHD), and vertical hop (VH) for the right and left lower limbs in adult female netball players. Design: Cross-sectional. Setting: Local community netball club. Participants: A total of 23 players (age 28.7 [6.2] y; height 171.6 [7.0] cm; mass 68.2 [9.8] kg). Interventions: There were 3 measured trials (right and left) for THD, SHD, and VH, respectively. Main Outcome Measures: Mean hop distance (percentage of leg length [%LL]), Pearson intertest correlation (r), and coefficient of determination (r 2). Results: Values (right and left; mean [SD]) were as follows: THD, 508.5 (71.8) %LL and 510.9 (56.7) %LL; SHD, 183.4 (24.6) %LL and 183.0 (21.5) %LL; and VH, 21.3 (5.2) %LL and 20.6 (5.0) %LL. All correlations were significant (P ≤ .05), r/r 2 values (right and left) were THD–SHD, .91/.83 and .87/.76; THD–VH, .59/.35 and .51/.26; and SHD–VH, .50/.25 and .37/.17. A very large proportion of variance (76%–83%) was shared between the THD and SHD. A small proportion of variance was shared between the THD and VH (25%–35%) and SHD and VH (17%–25%). Conclusion: The THD and SHD capture highly similar aspects of lower-limb motor performance. In contrast, the VH captures aspects of lower-limb motor performance different to the THD or SHD. Either the THD or the SHD can be chosen for use within netball knee injury prevention screening protocols according to which is reasoned as most appropriate at a specific point in time. The VH, however, should be employed consistently alongside rather than in place of the THD or SHD.
Nicholas C. Clark and Elaine M. Mullally
Emilie N. Miley, Ashley J. Reeves, Madeline P. Casanova, Nickolai J.P. Martonick, Jayme Baker, and Russell T. Baker
Context: Total Motion Release® (TMR®) is a novel treatment paradigm used to restore asymmetries in the body (eg, pain, tightness, limited range of motion). Six primary movements, known as the Fab 6, are performed by the patient and scored using a 0 to 100 scale. Clinicians currently utilize the TMR® scale to modify treatment, assess patient progress, and measure treatment effectiveness; however, the reliability of the TMR® scale has not been determined. It is imperative to assess scale reliability and establish minimal detectable change (MDC) values to guide clinical practice. Objective: To assess the reliability of the TMR® scale and establish MDC values for each motion in healthy individuals in a group setting. Design: Retrospective analysis of group TMR® assessments. Setting: University classroom. Participants: A convenience sample of 61 students (23 males and 38 females; 25.48 [5.73] y), with (n = 31) and without (n = 30) previous exposure to TMR®. Intervention: The TMR® Fab 6 movements were tested at 2 time points, 2 hours apart. A clinician with previous training in TMR® led participant groups through both sessions while participants recorded individual motion scores using the 0 to 100 TMR® scale. Test–retest reliability was calculated using an intraclass correlation coefficient (2,1) for inexperienced, experienced, and combined student groups. Standard error of measurement and MDC values were also assessed for each intraclass correlation coefficient. Outcome Measure: Self-reported scores on the TMR® scale. Results: Test–retest reliability ranged from 0.57 to 0.95 across the Fab 6 movements, standard error of measurement values ranged from 4.85 to 11.77, and MDC values ranged from 13.45 to 32.62. Conclusion: The results indicate moderate to excellent reliability across the Fab 6 movements and a range of MDC values. Although this study is the first step in assessing the reliability of the TMR® scale for clinical practice, caution is warranted until further research is completed to establish reliability and MDC values of the TMR® scale in various settings to better guide patient care.
Sarah Deck, Brianna DeSantis, Despina Kouali, and Craig Hall
In team sports, it has been found that team mistakes were reported as a stressor by both males and females, and at every playing level (e.g., club, university, national). The purpose of this study was to examine the impact of partners’ play on performance, emotions, and coping of doubles racquet sport athletes. Seventeen one-on-one semistructured interviews were conducted over the course of 6 months. Inductive and deductive analysis produced the main themes of overall impact on performance (i.e., positive, negative, or no impact), negative emotions (i.e., anger), positive emotions (i.e., excitement), emotion-focused coping (i.e., acceptance), and problem-focused coping (i.e., team strategy). These athletes acknowledge that how their partner plays significantly affects not only their emotions but also their own play and their choice of coping strategies. Future research should try to understand which forms of coping reduce the impact of partners’ play.
Shanie A.L. Jayasinghe, Rui Wang, Rani Gebara, Subir Biswas, and Rajiv Ranganathan
Impairment of arm movements poststroke often results in the use of compensatory trunk movements to complete motor tasks. These compensatory movements have been mostly observed in tightly controlled conditions, with very few studies examining them in more naturalistic settings. In this study, the authors quantified the presence of compensatory movements during a set of continuous reaching and manipulation tasks performed with both the paretic and nonparetic arm (in 9 chronic stroke survivors) or the dominant arm (in 20 neurologically unimpaired control participants). Kinematic data were collected using motion capture to assess trunk and elbow movement. The authors found that trunk displacement and rotation were significantly higher when using the paretic versus nonparetic arm (P = .03). In contrast, elbow angular displacement was significantly lower in the paretic versus nonparetic arm (P = .01). The reaching tasks required significantly higher trunk compensation and elbow movement than the manipulation tasks. These results reflect increased reliance on compensatory trunk movements poststroke, even in everyday functional tasks, which may be a target for home rehabilitation programs. This study provides a novel contribution to the rehabilitation literature by examining the presence of compensatory movements in naturalistic reaching and manipulation tasks.
Brendan L. Pinto, Daniel Viggiani, and Jack P. Callaghan
The lumbar extensor spinae (LES) has an oblique orientation with respect to the compressive axis of the lumbar spine, allowing it to counteract anterior shear forces. This mechanical advantage is lost as spine flexion angle increases. The LES orientation can also alter over time as obliquity decreases with age and is associated with decreased strength and low back pain. However, it is unknown if LES orientation is impacted by recent exposures causing adaptations over shorter timescales. Hence, the effects of a 10-minute sustained spine flexion exposure on LES orientation, thickness, and activity were investigated. Three different submaximally flexed spine postures were observed before and after the exposure. At baseline, orientation (P < .001) and thickness (P = .004) decreased with increasingly flexed postures. After the exposure, obliquity further decreased at low (pairwise comparison P < .001) and moderately (pairwise comparison P = .008) flexed postures. Low back creep occurred, but LES thickness did not change, indicating that decreases in orientation were not solely due to changes in muscle length at a given posture. Activation did not change to counteract decreases in obliquity. These changes encompass a reduced ability to offset anterior shear forces, thus increasing the potential risk of anterior shear-related injury or pain after low back creep-generating exposures.