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Reliability of a Clinical Test for Measuring Eccentric Knee Flexor Strength Using a Handheld Dynamometer

Gabriel dos Santos Oliveira, João Breno de Araujo Ribeiro-Alvares, Felipe Xavier de Lima-e-Silva, Rodrigo Rodrigues, Marco Aurélio Vaz, and Bruno Manfredini Baroni

rehabilitation, 7 it is not uncommon for players to return to play with residual strength deficits following an HSI. 8 Therefore, eccentric knee flexor strength assessments have a key role in both prevention and rehabilitation of HSI. Isokinetic dynamometry is the gold standard method to assess eccentric knee

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The Association Between the Single Leg Hop Test and Lower-Extremity Injuries in Female Athletes: A Critically Appraised Topic

Paige Guild, Monica R. Lininger, and Meghan Warren

recommendations for injury prevention initiatives . J Athl Train . 2007 ; 42 ( 2 ): 311 – 319 . PubMed ID: 17710181 17710181 2. Kerr ZY , Marshall SW , Dompier TP , Corlette J , Klossner DA , Gilchrist J . College sports-related injuries—United States, 2009–10 through 2013–14 academic years

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Infrared Thermography Protocol on Reducing the Incidence of Soccer Injuries

Pedro Gómez-Carmona, Ismael Fernández-Cuevas, Manuel Sillero-Quintana, Javier Arnaiz-Lastras, and Archit Navandar

volume and intensity, 3 players are exposed to an increased risk of noncontact injuries, accounting for 17% of all injuries. 2 Noncontact injuries account for 59% of all lower-extremity injuries, 1 and this number appears to be increasing. This suggests that injury prevention programs could be applied

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Understanding Injury and Injury Prevention in Para Sport Athletes

Shana E. Harrington, Sean McQueeney, and Marcus Fearing

which impairment groups they provide sporting opportunities for in their classification rules. 6 Injury and injury prevention data are well researched and abundant among able-bodied athletes, leading to high-quality evidence and protocols aimed at reducing injury prevalence and impact on participation

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Proprioceptive Training on Dynamic Neuromuscular Control in Fencers: A Clinical Trial

Gabriela Souza de Vasconcelos, Anelize Cini, and Cláudia Silveira Lima

prevention of ankle sprains. 27 , 29 This is probably due to the fact that the SEBT evaluates the different ankle muscle groups, since each direction presents a different muscular demand. It is possible to identify a greater demand for the plantar flexor muscles, in the anterior direction, in the lateral

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Perceived Barriers to and Facilitators of an Injury Prevention Program Among Professional Male Ice Hockey Players and Staff Members

Romana Brunner, Mario Bizzini, Nicola A. Maffiuletti, and Karin Niedermann

, 10 Only one study showed the effectiveness of a preseason exercise program to prevent adductor muscle strains in professional ice hockey players. Nevertheless there is still a lack of injury prevention research in ice hockey. 9 To successfully implement injury prevention programs it is important to

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Horseback Riding-Related Injuries in Portugal and Prevention Strategies

Luísa V. Pinto, Filipa C. Gouveia, Joana F. Ramalho, Sara R. Silva, and Joana R. Silva

injuries occur, so that preventive measures can be put in practice. This study characterizes HR-related injuries in Portuguese riders, identifies factors associated with injury, and proposes injury prevention strategies. To the best of our knowledge, no other study has evaluated HR-related injuries in

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Eccentric Exercises Reduce Hamstring Strains in Elite Adult Male Soccer Players: A Critically Appraised Topic

Ian B. Shadle and Paul A. Cacolice

Clinical Scenario:

Hamstring strains are a common sport-related injury, which may limit athletic performance for an extended period of time. These injuries are common in the soccer setting. As such, it is important to determine an appropriate prevention program to minimize the risk of such an injury for these athletes. Eccentric hamstring training may be an effective and practical hamstring strain prevention strategy.

Clinical Question:

What is the effect of eccentric exercises on hamstring strain prevention in adult male soccer players?

Summary of Key Findings:

Current literature was searched for studies of level 2 evidence or higher that investigated the effect of eccentric exercises in preventing hamstring strains in adult male soccer players. Three articles returned from the literature search met the inclusion criteria. A fourth article looked at differences in strength gains between eccentric and concentric hamstring strengthening exercises, but did not record hamstring strain incidence. A fifth article, a systematic review, met all the criteria except for the correct population. Of the 3 studies, 2 were randomized control trails and 1 was a cohort study.

Clinical Bottom Line:

There is robust supportive evidence that eccentric hamstring exercises can prevent a hamstring injury to an elite adult male soccer player. Therefore, it is recommended that athletic trainers and other sports medicine providers evaluate current practices relating to reducing hamstring strains and consider implementing eccentric exercise based prevention programs.

Strength of Recommendation:

All evidence was attained from articles with a level of evidence 2b or higher, based on the Center for Evidence-Based Medicine (CEBM) criteria, stating that eccentric exercises can decrease hamstring strains.

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Prehabilitation for Recreational Runners: Motivators, Influencers, and Barriers to Injury Prevention Strategies for Running-Related Injury

Linda Linton, Morag Barr, and Stephanie Valentin

common reason for discontinuing the sport, particularly among novice runners. 6 Moreover, runners who sustain a RRI are less likely to engage in other types of activity 7 and thus could be at risk of lowering their general physical activity. Therefore, injury prevention strategies in runners are needed

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Effect of a 6-Week Strengthening Program on Shoulder and Scapular-Stabilizer Strength and Scapular Kinematics in Division I Collegiate Swimmers

Elizabeth E. Hibberd, Sakiko Oyama, Jeffrey T. Spang, William Prentice, and Joseph B. Myers

Context:

Shoulder injuries are common in swimmers because of the demands of the sport. Muscle imbalances frequently exist due to the biomechanics of the sport, which predispose swimmers to injury. To date, an effective shoulder-injury-prevention program for competitive swimmers has not been established.

Objective:

To assess the effectiveness of a 6-wk strengthening and stretching intervention program on improving glenohumeral and scapular muscle strength and scapular kinematics in collegiate swimmers.

Design:

Randomized control trial.

Setting:

University biomechanics research laboratory.

Participants:

Forty-four Division I collegiate swimmers.

Interventions:

The intervention program was completed 3 times per week for 6 wk. The program included strengthening exercises completed using resistance tubing—scapular retraction (Ts), scapular retraction with upward rotation (Ys), scapular retraction with downward rotation (Ws), shoulder flexion, low rows, throwing acceleration and deceleration, scapular punches, shoulder internal rotation at 90° abduction, and external rotation at 90° abduction—and 2 stretching exercises: corner stretch and sleeper stretch.

Main Outcome Measurements:

Scapular kinematics and glenohumeral and scapular muscle strength assessed preintervention and postintervention.

Results:

There were no significant between-groups differences in strength variables at pre/post tests, although shoulder-extension and internal-rotation strength significantly increased in all subjects regardless of group assignment. Scapular kinematic data revealed increased scapular internal rotation, protraction, and elevation in all subjects at posttesting but no significant effect of group on the individual kinematic variables.

Conclusions:

The current strengthening and stretching program was not effective in altering strength and scapular kinematic variables but may serve as a framework for future programs. Adding more stretching exercises, eliminating exercises that overlap with weight-room training and swim training, and timing of implementation may yield a more beneficial program for collegiate swimmers.