Y-Balance Test Performance After a Competitive Field Hockey Season: A Pretest-Posttest Study

2017 ◽  
Vol 26 (5) ◽  
Author(s):  
Matthew C. Hoch ◽  
Lauren A. Welsch ◽  
Emily M. Hartley ◽  
Cameron J. Powden ◽  
Johanna M. Hoch

Context: The Y-Balance Test (YBT) is a dynamic balance assessment used as a preseason musculoskeletal screen to determine injury risk. While the YBT has demonstrated excellent test-retest reliability, it is unknown if YBT performance changes following participation in a competitive athletic season. Objective: Determine if a competitive athletic season affects YBT performance in field hockey players. Design: Pretest-posttest. Setting: Laboratory. Participants: 20 NCAA Division I women's field hockey players (age = 19.55 ± 1.30 y; height = 165.10 ± 5.277 cm; mass = 62.62 ± 4.64 kg) from a single team volunteered. Participants had to be free from injury throughout the entire study and participate in all athletic activities. Interventions: Participants completed data collection sessions prior to (preseason) and following the athletic season (postseason). Between data collections, participants competed in the fall competitive field hockey season, which was ~3 months in duration. During data collection, participants completed the YBT bilaterally. Main Outcome Measures: The independent variable was time (preseason, postseason) and the dependent variables were normalized reach distances (anterior, posteromedial, posterolateral, composite) and between-limb symmetry for each reach direction. Differences between preseason and postseason were examined using paired t tests (P ≤ .05) as well as Bland-Altman limits of agreement. Results: 4 players sustained a lower extremity injury during the season and were excluded from analysis. There were no significant differences between preseason and postseason reach distances for any reach directions on either limb (P ≥ .31) or in the between-limb symmetries (P ≥ .52). The limits of agreement analyses determined there was a low mean bias across measurements (≤1.67%); however, the 95% confidence intervals indicated there was high variability within the posterior reach directions over time (±4.75 to ± 14.83%). Conclusion: No changes in YBT performance were identified following a competitive field hockey season in Division I female athletes. However, the variability within the posterior reach directions over time may contribute to the limited use of these directions for injury risk stratification.

2020 ◽  
Vol 34 (4) ◽  
pp. 975-981
Author(s):  
Alan J. Walker ◽  
Bridget A. McFadden ◽  
David J. Sanders ◽  
Brittany N. Bozzini ◽  
Sean P. Conway ◽  
...  

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712199516
Author(s):  
Joel Mason ◽  
Kai Wellmann ◽  
Andreas Groll ◽  
Klaus-Michael Braumann ◽  
Astrid Junge ◽  
...  

Background: Identifying factors that contribute to the occurrence of injury is an important step in designing training programs to minimize the risk of injury. However, despite high injury rates, variables contributing to injury in field hockey players remain relatively unexplored. Purpose: To identify factors that may predict injury in professional and youth field hockey players. Study Design: Cohort study; Level of evidence, 2. Method: Professional and youth hockey players completed preseason neuromuscular performance testing and were monitored for injuries, training, and game exposure throughout the subsequent 12-month indoor and outdoor hockey season. Least absolute shrinkage and selection operator analysis was conducted to identify injury risk factors. Receiver operating characteristic curves were then calculated to determine the individual predictive accuracy of the identified variables. Results: A total of 83 players (mean ± SD age, 20.7 ± 4.9 years; 34.9% female) with complete performance, injury, and exposure data were included for data analysis. Almost half of players (44.6%) sustained a time-loss injury during the season, and 73% of these injuries occurred in the lower limb. Playing more games and having an older age, asymmetrical and poor dynamic postural control, and better explosive performance were identified as jointly influencing the risk of injury. When considered individually, number of games played throughout the season was the most accurate predictor of injury risk (area under the curve [AUC] = 0.74; P < .001), while asymmetrical and poor dynamic postural control (AUCs = 0.61-0.65; P = .01-.04) and better explosive athletic performance (AUCs = 0.65-0.67; P < .01) were identified as moderate individual predictors of sustaining a general or lower limb injury. Conclusion: A number of modifiable factors were individually and jointly associated with an increased injury risk in field hockey players, providing initial evidence for the design of targeted and sport-specific training programs to mitigate the risk of injury.


2015 ◽  
Vol 10 (4) ◽  
pp. 476-481 ◽  
Author(s):  
Jason D. Vescovi ◽  
Devon H. Frayne

Purpose:To examine locomotor demands and metabolic-power characteristics of National Collegiate Athletic Association (NCAA) field hockey matches.Methods:Using a cross-sectional design, global positioning system (GPS) technology tracked Division I field hockey players from 6 teams during 1 regular-season match (68 player observations). An ANOVA compared locomotor demands and metabolic-power characteristics among positions. Paired t tests compared dependent variables between halves.Results:Defenders played 5−6 min more than midfielders, whereas midfielders played 6−7 min more than forwards. Defenders covered less relative distance (98 m/min) than forwards and midfielders (110−111 m/min), as well as more low-intensity running than forwards and less high-intensity running than midfielders. Lower mean metabolic power (9.3 W/kg) was observed for defenders than forwards and midfielders (10.4 W/kg). There was no difference in playing time between halves; however, all 3 positions had a reduction in relative distance (7−9%) and mean metabolic power (8−9%) during the second half.Conclusions:Despite more playing time, defenders covered less relative distance and had lower mean metabolic power than other positions. Moderate-intensity, high-intensity, and sprint distance were similar between positions, highlighting the greater relative demands on forwards because they tended to have the least amount of playing time. The reduction of key metrics during the second half was similar among positions and warrants further investigation. These initial results can be used to design position-specific drills or create small-sided games that replicate match demands for NCAA athletes, thus helping establish strategies for developing physiological ability of players at this level.


2019 ◽  
Vol 33 (11) ◽  
pp. 3123-3128 ◽  
Author(s):  
Sandro Bartolomei ◽  
Federico Nigro ◽  
Luca Gubellini ◽  
Simone Ciacci ◽  
Franco Merni ◽  
...  

1999 ◽  
Vol 31 (Supplement) ◽  
pp. S147
Author(s):  
M. Reinders ◽  
B. C. Nindl ◽  
S. W. Etzweiler ◽  
W. J. Kraemer

2006 ◽  
Vol 62 (3) ◽  
Author(s):  
M. Wege ◽  
M. M. Bester ◽  
L. C. Crous

Low back pain (LBP) is a common complaint among field hockey players.  Only a few of the risk factors for LBP have however been assessed on these players.  These include trunk strength and lumbosacral range of motion.  The aim of the literature review was therefore to investigate the reports of LBP among elite female field hockey players, focusing on risk factors for LBP, biomechanical aspects of field hockey, muscle imbalance and the role of the gluteus maximus (GM) muscle in the development of LBP.  The literature indicated a strong link between LBP and GM weakness.  More recent research supports this concept and clearly stated that female athletes with GM weakness are at risk for the development of LBP.  Considering that the biomechanical aspects and unique requirements of field hockey indicate hip extensor involvement, as well as the association between LBP and GM weakness, further investigation is warranted into the hip extensor muscles of field hockey players.


Author(s):  
Joel Mason ◽  
Anna Lina Rahlf ◽  
Andreas Groll ◽  
Kai Wellmann ◽  
Astrid Junge ◽  
...  

AbstractFixture congestion increases injury risk in football, but how it impacts other sports is unclear. The aim of this study was to identify associations between match density and injury incidence in field hockey players. Injury data from a prospective cohort study of professional and youth players was analysed in two ways. Inter-match intervals were clustered into<2424-hours, 3–7-days, and 13 + days, and injury rate ratios (IRR) were calculated to identify differences between clusters in match injuries. Separately, a Lasso-penalised Poisson regression model was used to determine the association between match load across the previous 24-hours, 3-days, 7-days and 14-days, and match and training injuries. Injury rates in matches within 24-hours of the previous match were mostly significantly higher when compared to matches after 3–7-days (IRRs: 3.78; 6.77, P = 0.003; 0.005). While a higher match exposure in the preceding 24-hour and 3-day periods was associated with higher combined match and training injury rates (β̂ = 0.0001; 0.0018), a higher match exposure in the previous 7-and 14-day periods was associated with a reduced injury rate (β̂ = –0.0001; –0.0005). Due to the increased injury risk in matches 3-days and especially 24-hours following the previous fixture, match distribution should be cautiously planned.


Medicine ◽  
2021 ◽  
Vol 100 (43) ◽  
pp. e27643
Author(s):  
Taegyu Kim ◽  
Jong-Chul Park ◽  
Jae-Myoung Park ◽  
Hokyung Choi

2008 ◽  
Vol 18 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Vinciya Pandian ◽  
Thai Tran Nguyen ◽  
Marek Mirski ◽  
Nasir Islam Bhatti

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.


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