Prediction of Injury by Limited and Asymmetrical Fundamental Movement Patterns in American Football Players

2014 ◽  
Vol 23 (2) ◽  
pp. 88-94 ◽  
Author(s):  
Kyle B. Kiesel ◽  
Robert J. Butler ◽  
Philip J. Plisky

Context:Previous injury is the strongest risk factor for future injury in sports. It has been proposed that motor-control changes such as movement limitation and asymmetry associated with injury and pain may be perpetuated as part of an individual's movement strategy. Motor control of fundamental 1-×-body-weight tasks can reliably and efficiently be measured in the field.Objective:To determine whether the motor control of fundamental movement patterns and pattern asymmetry have a relationship with time-loss injury over the course of the preseason in professional football.Design:Injury-risk study.Setting:American professional football facilities.Participants:238 American professional football players.Intervention:To measure the motor control of 1-×-body-weight fundamental movement patterns, Functional Movement Screen scores were obtained before the start of training camp. The previously established cutoff score of ≤14 and the presence of any asymmetries on the FMS were examined using relative risk to determine if a relationship exists with time-loss injury.Main Outcome Measure:Time-loss musculoskeletal injury defined as any time loss from practice or competition due to musculoskeletal injury.Results:Players who scored ≤14 exhibited a relative risk of 1.87 (CI95 1.20–2.96). Similarly, players with at least 1 asymmetry displayed a relative risk of 1.80 (CI95 1.11–2.74). The combination of scoring below the threshold and exhibiting a movement asymmetry was highly specific for injury, with a specificity of .87 (CI95 .84–.90).Conclusion:The results of this study suggest that fundamental movement patterns and pattern asymmetry are identifiable risk factors for time-loss injury during the preseason in professional football players.

2015 ◽  
Vol 24 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Meghan Warren ◽  
Craig A. Smith ◽  
Nicole J. Chimera

Context:The Functional Movement Screen (FMS) evaluates performance in 7 fundamental movement patterns using a 4-point scale. Previous studies have reported increased injury risk with a composite score (CS) of 14/21 or less; these studies were limited to specific sports and injury definition.Objective:To examine the association between FMS CS and movement pattern scores and acute noncontact and overuse musculoskeletal injuries in division I college athletes. An exploratory objective was to assess the association between injury and FMS movement pattern asymmetry.Design:Prospective cohort.Setting:College athletic facilities.Participants:167 injury-free, college basketball, football, volleyball, cross country, track and field, swimming/diving, soccer, golf, and tennis athletes (males = 89).Intervention:The FMS was administered during preparticipation examination.Main Outcome Measure:Noncontact or overuse injuries that required intervention from the athletic trainer during the sport season.Results:FMS CS was not different between those injured (n = 74; 14.3 ± 2.5) and those not (14.1 ± 2.4; P = .57). No point on the ROC curve maximized sensitivity and specificity; therefore previously published cut-point was used for analysis with injury (≤14 [n = 92]). After adjustment, no statistically significant association between FMS CS and injury (odds ratio [OR] = 1.01, 95% CI 0.53–1.91) existed. Lunge was the only movement pattern that was associated with injury; those scoring 2 were less likely to have an injury vs those who scored 3 (OR = 0.21, 95% CI 0.08–0.59). There was also no association between FMS movement pattern asymmetry and injury.Conclusion:FMS CS, movement patterns, and asymmetry were poor predictors of noncontact and overuse injury in this cohort of division I athletes.


2021 ◽  
pp. bjsports-2020-103159
Author(s):  
Jan Ekstrand ◽  
Armin Spreco ◽  
Håkan Bengtsson ◽  
Roald Bahr

BackgroundThe UEFA Elite Club Injury Study is the largest and longest running injury surveillance programme in football.ObjectiveTo analyse the 18-season time trends in injury rates among male professional football players.Methods3302 players comprising 49 teams (19 countries) were followed from 2000–2001 through 2018–2019. Team medical staff recorded individual player exposure and time-loss injuries.ResultsA total of 11 820 time-loss injuries were recorded during 1 784 281 hours of exposure. Injury incidence fell gradually during the 18-year study period, 3% per season for both training injuries (95% CI 1% to 4% decrease, p=0.002) and match injuries (95% CI 2% to 3% decrease, p<0.001). Ligament injury incidence decreased 5% per season during training (95% CI 3% to 7% decrease, p<0.001) and 4% per season during match play (95% CI 3% to 6% decrease, p<0.001), while the rate of muscle injuries remained constant. The incidence of reinjuries decreased by 5% per season during both training (95% CI 2% to 8% decrease, p=0.001) and matches (95% CI 3% to 7% decrease, p<0.001). Squad availability increased by 0.7% per season for training sessions (95% CI 0.5% to 0.8% increase, p<0.001) and 0.2% per season for matches (95% CI 0.1% to 0.3% increase, p=0.001).ConclusionsOver 18 years: (1) injury incidence decreased in training and matches, (2) reinjury rates decreased, and (3) player availability for training and match play increased.


2015 ◽  
Vol 102 (1) ◽  
pp. 34-42 ◽  
Author(s):  
David Zalai ◽  
G. Panics ◽  
P. Bobak ◽  
I. Csáki ◽  
P. Hamar

2017 ◽  
Vol 31 (8) ◽  
pp. 2155-2161 ◽  
Author(s):  
Rodrigo Aquino ◽  
Guilherme H. Munhoz Martins ◽  
Luiz H. Palucci Vieira ◽  
Rafael P. Menezes

Author(s):  
Theodore Dassios ◽  
Emma E Williams ◽  
Ann Hickey ◽  
Catey Bunce ◽  
Anne Greenough

ObjectivesTo report the current incidence of bronchopulmonary dysplasia (BPD) and to compare changes in weight and head circumference between infants who developed BPD and infants who did not.DesignRetrospective, whole-population study.SettingAll neonatal units in England between 2014 and 2018.PatientsAll liveborn infants born <28 completed weeks of gestation.InterventionsThe change in weight z-score (ΔWz) was calculated by subtracting the birthweight z-score from the weight z-score at 36 weeks postmenstrual age (PMA) and at discharge. The change in head circumference z-score (ΔHz) was calculated by subtracting the birth head circumference z-score from the head circumference z-score at discharge.Main outcome measureBPD was defined as the need for any respiratory support at 36 weeks PMA.Results11 806 infants were included in the analysis. The incidence of BPD was 57.5%, and 18.9% of the infants died before 36 weeks PMA. The median (IQR) ΔWz from birth to 36 weeks PMA was significantly smaller in infants who developed BPD (−0.69 (−1.28 to −0.14), n=6105) than in those who did not develop BPD (−0.89 (−1.40 to −0.33), n=2390; adjusted p<0.001). The median (IQR) ΔHz from birth to discharge was significantly smaller in infants who developed BPD (−0.33 (−1.69 to 0.71)) than in those who did not develop BPD (−0.61 (−1.85 to 0.35); adjusted p<0.001).ConclusionsPostnatal growth was better in infants diagnosed with BPD compared with infants without BPD possibly due to more aggressive nutrition strategies.


2021 ◽  
Vol 47 ◽  
pp. 140-146
Author(s):  
César Augusto Bueno ◽  
João Breno de Araujo Ribeiro-Alvares ◽  
Gabriel dos Santos Oliveira ◽  
Rafael Grazioli ◽  
Filipe Veeck ◽  
...  

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P127-P128
Author(s):  
Robert L Harris ◽  
Grundy Alan ◽  
Tunde A Odutoye

Objectives Radiological balloon dilatation of lower oesophageal strictures is common practice. Other than some early reports from our own centre, there is little published regarding radiological dilatation of pharyngeal and upper oesophageal strictures and less still on radiological balloon dilatation of post-total laryngectomy and pharyngolaryngectomy neo-pharyngeal strictures. Standard practise is bouginage under general anaesthaesia. The objective of this study is to assess the efficacy of radiological balloon dilatation for the treatment of dysphagia secondary to neopharyngeal strictures in patients who have undergone laryngectomy. Methods A tertiary care centre case series of 20 consecutive patients (17 males and 3 females aged 40 to 84) with pharyngeal stricture and dysphagia post-total laryngectomy or pharyngolaryngectomy who underwent balloon dilatation of the stricture under radiological guidance. Maintenance of swallowing was the main outcome measure. Results 5 patients gained relief of their dysphagia with 1 balloon dilatation only. 9 patients required more than 1 dilatation to maintain swallowing. 2 patients had balloon dilatation procedures and stent insertion for palliative relief of dysphagia from known recurrent malignant disease. 3 patients failed to maintain swallowing with repeat dilatations. No patients suffered any significant complications such as perforation. Conclusions Balloon dilatation is minimally invasive and less traumatic than rigid pharyngoscopy with bouginage dilatation. It is well tolerated. It may be repeated frequently and can successfully relieve strictures of the pharynx in patients who have undergone total laryngectomy or pharyngolaryngectomy.


1994 ◽  
Vol 22 (6) ◽  
pp. 841-845 ◽  
Author(s):  
David J. Raab ◽  
David A. Fischer ◽  
Donald C. Quick

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