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Jereme Wilroy and Elizabeth Hibberd

, 24 To date, there is limited empirical evidence that describes these characteristics in wheelchair athletes, as well as identifying an evidence-based effective injury prevention program that focuses on improving these characteristics in order to decrease the risk of injury. Therefore, the purpose of

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Emily M. Hartley, Matthew C. Hoch and Robert J. Cramer

extremity injuries through various screening assessments and corresponding interventions are warranted to reduce the healthcare burden of these conditions. Exercise-related injury prevention programs (ERIPPs) have been established to prevent the occurrence of lower extremity injuries. These programs have

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Laura Miele, Carl W. Nissen, Kevin Fitzsimmons, Trudy Lerer and Garry Lapidus

Injury prevention programs have a positive effect on performance and the reduction of risk in most studies and reviews. However, not all teams and coaches utilize them. In order to better understand this, a 19-item survey was conducted to assess high school coaches’ perceptions, attitudes, and current practices regarding knee injury prevention among adolescent athletes during a mandatory Connecticut certification/re-certification course. The results of the survey show that high school coaches report a wide variability in their attitudes and utilization of training programs related to knee injury prevention. Coaches reported several barriers to employing the programs; the leading issue being time. Future education and outreach efforts should address the barriers in order to increase use of injury prevention training.

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Rennae Williams Stowe

This review presents a framework for understanding the role of social support in athletic injury prevention and recovery. The stress-injury model is presented, which is the theoretical basis for many studies on psychosocial factors related to injury in sport. In addition, we discuss the definition of social support, types and sources of social support for the athlete, and strategies supporting others can use to show their support. Finally, using social support as a rehabilitation strategy and gender differences will be presented.

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Derwin King-Chung Chan and Martin S. Hagger

The present study investigated the transcontextual process of motivation in sport injury prevention. We examined whether general causality orientation, perceived autonomy support from coaches (PAS), self-determined motivation (SD-Mtv), and basic need satisfaction in a sport context predicted SD-Mtv, beliefs, and adherence with respect to sport injury prevention. Elite athletes (N = 533) completed self-report measures of the predictors (Week 1) and the dependent variables (Week 2). Variance-based structural equation modeling supported hypotheses: SD-Mtv in a sport context was significantly predicted by PAS and basic need satisfaction and was positively associated with SD-Mtv for sport injury prevention when controlling for general causality orientation. SD-Mtv for sport injury prevention was a significant predictor of adherence to injury-preventive behaviors and beliefs regarding safety in sport. In conclusion, the transcontextual mechanism of motivation may explain the process by which distal motivational factors in sport direct the formation of proximal motivation, beliefs, and behaviors of sport injury prevention.

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Konstantinos Fousekis, Evdokia Billis, Charalampos Matzaroglou, Konstantinos Mylonas, Constantinos Koutsojannis and Elias Tsepis

Context:

Elastic bandages are commonly used in sports to treat and prevent sport injuries.

Objective:

To conduct a systematic review assessing the effectiveness of elastic bandaging in orthopedic- and sports-injury prevention and rehabilitation.

Evidence Acquisition:

The researchers searched the electronic databases MEDLINE, CINAHL, SPORTDiscus, EMBASE, and Physiotherapy Evidence Database (PEDro) with keywords elastic bandaging in combination, respectively, with first aid, sports injuries, orthopedic injuries, and sports injuries prevention and rehabilitation. Research studies were selected based on the use of the term elastic bandaging in the abstract. Final selection was made by applying inclusion and exclusion criteria to the full text. Studies were included if they were peer-reviewed clinical trials written in English on the effects of elastic bandaging for orthopedic-injury prevention and rehabilitation.

Evidence Synthesis:

Twelve studies met the criteria and were included in the final analysis. Data collected included number of participants, condition being treated, treatment used, control group, outcome measures, and results. Studies were critically analyzed using the PEDro scale.

Conclusions:

The studies in this review fell into 2 categories: studies in athletes (n = 2) and nonathletes (n = 10). All included trials had moderate to high quality, scoring ≥5 on the PEDro scale. The PEDro scores for the studies in athletes and nonathletes ranged from 5 to 6 out of 10 and from 5 to 8 out of 10, respectively. The quality of studies was mixed, ranging from higher- to moderate-quality methodological clinical trials. Overall, elastic bandaging can assist proprioceptive function of knee and ankle joint. Because of the moderate methodological quality and insufficient number of clinical trials, further effects of elastic bandaging could not be confirmed.

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Michelle L. Weber, Kenneth C. Lam and Tamara C. Valovich McLeod

Clinical Question:

In youth and adolescent athletes, are jumping/plyometric exercises more effective than balance exercises in preventing sport-related injuries?

Objective:

The aim of this article is to examine the meta-analysis by Rössler et al.1 as it relates to the clinical question.

Conclusion:

Evidence in this meta-analysis suggests that injury prevention programs provide beneficial effects in injury reduction for youth and adolescent athletes. Prevention programs that contained jumping or plyometric exercises and were targeted toward females appeared to be especially beneficial for decreasing injury risk.

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Derwin K.C. Chan, Andreas Ivarsson, Andreas Stenling, Sophie X. Yang, Nikos L.D. Chatzisarantis and Martin S. Hagger

Consistency tendency is characterized by the propensity for participants responding to subsequent items in a survey consistent with their responses to previous items. This method effect might contaminate the results of sport psychology surveys using cross-sectional design. We present a randomized controlled crossover study examining the effect of consistency tendency on the motivational pathway (i.e., autonomy support → autonomous motivation → intention) of self-determination theory in the context of sport injury prevention. Athletes from Sweden (N = 341) responded to the survey printed in either low interitem distance (IID; consistency tendency likely) or high IID (consistency tendency suppressed) on two separate occasions, with a one-week interim period. Participants were randomly allocated into two groups, and they received the survey of different IID at each occasion. Bayesian structural equation modeling showed that low IID condition had stronger parameter estimates than high IID condition, but the differences were not statistically significant.

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Jeffrey Paszkewicz, Tristen Webb, Brian Waters, Cailee Welch McCarty and Bonnie Van Lunen

Clinical Scenario:

There is a high incidence of anterior cruciate ligament (ACL) injury in adolescents participating in pivoting sports such as soccer, basketball, and handball. Most ACL injuries in athletes are noncontact injuries, with a mechanism of sudden deceleration, change in direction, or landing from a jump. These mechanisms coupled with an increase in contraction of the quadriceps have been shown as risk factors for ACL injuries. Injuries to the ACL may require surgery, a long rehabilitation, and the potential for reinjury. Studies have shown reductions in lower extremity injury rates using training protocols that focus on landing mechanics, balance training, strength training, and/or agility training. There has been some thought that starting preventive training programs with adolescent athletes may be the most effective approach to reducing adolescent ACL injuries.

Focused Clinical Question:

Can lower extremity injury-prevention programs effectively reduce ACL injury rates in adolescent athletes?

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Sara Koski

Column-editor : Robert I. Moss