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Ferreira MHL, Araujo GAS, De-La-Cruz-Torres B. Effectiveness of Percutaneous Needle Electrolysis to Reduce Pain in Tendinopathies: A Systematic Review With Meta-Analysis. J Sport Rehabil 2024; 33:307-316. [PMID: 38897578 DOI: 10.1123/jsr.2024-0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 02/28/2024] [Accepted: 04/11/2024] [Indexed: 06/21/2024]
Abstract
CONTEXT Tendon injuries are common disorders in both workers and athletes, potentially impacting performance in both conditions. This is why the search for effective treatments is continuing. OBJECTIVE(S) The objective of this study was to analyze whether the ultrasound-guided percutaneous needle electrolysis technique may be considered a procedure to reduce pain caused by tendinosis. EVIDENCE ACQUISITION The search strategy included the PubMed, SCOPUS, CINAHL, Physiotherapy Evidence Database, SciELO, and ScienceDirect up to the date of February 25, 2024. Randomized clinical trials that assessed pain caused by tendinosis using the Visual Analog Scale and Numeric Rating Scale were included. The studies were evaluated for quality using the Cochrane Risk of Bias 2, and the evidence strength was assessed by the GRADEpro GDT. EVIDENCE SYNTHESIS Out of the 534 studies found, 8 were included in the review. A random-effects meta-analysis and standardized mean differences (SMD) were conducted. The ultrasound-guided percutaneous needle electrolysis proved to be effective in reducing pain caused by tendinosis in the overall outcome (SMD = -0.97; 95% CI, -1.26 to -0.68; I2 = 58%; low certainty of evidence) and in the short-term (SMD = -0.83, 95% CI, -1.29 to -0.38; I2 = 65%; low certainty of evidence), midterm (SMD = -1.28; 95% CI, -1.65 to -0.91; I2 = 0%; moderate certainty of evidence), and long-term (SMD = -0.94; 95% CI, -1.62 to -0.26; I2 = 71%; low certainty of evidence) subgroups. CONCLUSION(S) The application of the ultrasound-guided percutaneous needle electrolysis technique for reducing pain caused by tendinosis appears to be effective. However, due to the heterogeneity found (partially explained), more studies are needed to define the appropriate dosimetry, specific populations that may benefit more from the technique, and possible adverse events.
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Spyrou K, Armendáriz MLP, Alcaraz PE, Carrasco RH, Udayanga MAS, Freitas TT. Does Total Playing Time Affect the Neuromuscular, Physiological, and Subjective Recovery of Futsal Players during a Congested Period? Sports (Basel) 2024; 12:139. [PMID: 38787008 PMCID: PMC11125896 DOI: 10.3390/sports12050139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 05/13/2024] [Accepted: 05/16/2024] [Indexed: 05/25/2024] Open
Abstract
The aims of this study were to analyze the effects of a congested period (three games in four days) on countermovement (CMJ) jump-landing metrics, heart rate variability (HRV), and total recovery quality (TQR) score in under-19 male futsal players, and to detect the differences between those who played for more minutes (HIGHMIN) and less minutes (LOWMIN). Fourteen youth futsal players (age: 17.5 ± 0.5 years; body mass: 70.2 ± 8.5 kg; height: 1.80 ± 0.1 m) participated. HRV, TQR questionnaire, and CMJ metrics (i.e., CMJ height, relative peak power (PPREL), eccentric and concentric impulse, braking time, and time to peak force) were registered. A linear mixed model and effect sizes (ESs) were used to assess the differences between groups and days. Considering the total sample, a significant decrease was found in the PPREL and TQR score (p = 0.001-0.013 and ES = 0.28-0.99) on Days 2, 3, and 4 when compared to Day 1. HIGHMIN group presented a significant decrease in PPREL on Day 3 (p = 0.004; ES: 0.62; 95% CI: 0.39-2.65) when compared to Day 1, and in the TRQ score on Day 3 (p = 0.002; ES: 1.98; 95% CI: 0.18-2.46) and 4 (p = 0.003; ES: 2.25; 95% CI: 0.52-3.38) when compared to Day 1. Non-significant differences were found for the rest of the metrics and in the group LOWMIN. In summary, neuromuscular performance (i.e., CMJ PPREL) and subjective recovery were impaired in players with higher playing minutes during a match-congested period when compared to those with less on-court time.
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Affiliation(s)
- Konstantinos Spyrou
- UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain; (M.L.P.A.); (P.E.A.); (T.T.F.)
- Facultad de Deporte, UCAM Universidad Católica de Murcia, 30830 Murcia, Spain
- Strength and Conditioning Society, 30008 Murcia, Spain
| | - María L. Pérez Armendáriz
- UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain; (M.L.P.A.); (P.E.A.); (T.T.F.)
| | - Pedro E. Alcaraz
- UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain; (M.L.P.A.); (P.E.A.); (T.T.F.)
- Facultad de Deporte, UCAM Universidad Católica de Murcia, 30830 Murcia, Spain
- Strength and Conditioning Society, 30008 Murcia, Spain
| | | | - M. A. Sajith Udayanga
- Department of Sports Science, University of Sri Jayewardenepura, Colombo 10250, Sri Lanka;
| | - Tomás T. Freitas
- UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain; (M.L.P.A.); (P.E.A.); (T.T.F.)
- Facultad de Deporte, UCAM Universidad Católica de Murcia, 30830 Murcia, Spain
- Strength and Conditioning Society, 30008 Murcia, Spain
- NAR Nucleus of High Performance in Sport, São Paulo 04753-070, Brazil
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Marques C, Rebelo M, Crisóstomo R, Honório S, Duarte-Mendes P, Petrica J, Serrano J. Descriptive analysis of injury types and incidence during futsal preseason across different competitive levels. Front Sports Act Living 2024; 6:1363006. [PMID: 38516534 PMCID: PMC10954807 DOI: 10.3389/fspor.2024.1363006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Accepted: 02/26/2024] [Indexed: 03/23/2024] Open
Abstract
Introduction This study aimed to verify the typology and incidence of injury by comparing the different competitive levels of futsal during the preseason. Methods The sample consisted of 68 senior male futsal players (24.26 ± 4.63 years). Data were collected using an injury recording grid that examined the affected body part, anatomical region, type of injury, mechanism, and severity. Results It was found that the elite group has the lowest incidence rate of injury (4.8 injuries per 1,000 h of exposure) compared to the sub-elite (11.8 injuries per 1,000 h of exposure) and amateur groups (13.9 injuries per 1,000 h of exposure). However, at this level, there is the highest percentage of injury occurrence (38.5%), the lower limb was the most affected part of the body (30.8%), and ligament (23.1%) and muscle (15.4%) injuries are the most prevalent. The most frequent mechanism of injury was non-traumatic (30.8%), and the majority were moderate injuries in the elite (23.1%) and sub-elite (17.9%) groups and severe injuries in the amateur group (12.5%). Discussion The amateur futsal players had the highest incidence of injury during the preseason period compared to the other competitive levels. Still, it was at the elite level where the highest percentage of injuries occurred, most of them non-traumatic and of ligament origin, primarily affecting the ankle region. The results highlight the importance of adopting specific injury prevention programs for ligament and muscle injuries during the preseason phase, regardless of the competitive level.
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Affiliation(s)
- Catarina Marques
- Department of Sportsand Well-Being, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
| | - Miguel Rebelo
- Department of Sportsand Well-Being, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport Physical activity and health Research & INovation cenTer (SPRINT), Castelo Branco, Portugal
| | - Rute Crisóstomo
- AGE.COMM- Interdisciplinary Research Unit, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
| | - Samuel Honório
- Department of Sportsand Well-Being, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport Physical activity and health Research & INovation cenTer (SPRINT), Castelo Branco, Portugal
| | - Pedro Duarte-Mendes
- Department of Sportsand Well-Being, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport Physical activity and health Research & INovation cenTer (SPRINT), Castelo Branco, Portugal
| | - João Petrica
- Department of Sportsand Well-Being, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport Physical activity and health Research & INovation cenTer (SPRINT), Castelo Branco, Portugal
| | - João Serrano
- Department of Sportsand Well-Being, Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, Castelo Branco, Portugal
- Sport Physical activity and health Research & INovation cenTer (SPRINT), Castelo Branco, Portugal
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Barreira J, da Silva Junior JEP, de Souza CP. Research on women's futsal: a scoping review. SCI MED FOOTBALL 2024:1-13. [PMID: 38314677 DOI: 10.1080/24733938.2024.2310503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 01/17/2024] [Indexed: 02/06/2024]
Abstract
The aim of this study was to conduct a comprehensive scoping literature review to provide an overview of the current state of research within women's futsal. We searched four electronic databases (SPORTDiscus, PubMed, Scopus, and Web of Science) up to December 2023. Inclusion criteria comprised original research published in peer-reviewed journals, available in English, Spanish, or Portuguese. The focus was on studies investigating women in futsal, encompassing both players and those in leadership positions, regardless of their age or skill level. The analysis included the authorship (location), population characteristics (number of participants, level of play, and age), themes explored, and primary findings. A total of 692 records were found, but only 175 met the selection criteria. The results highlighted a recent attention in the scientific literature, with the first publications emerging in 2005 and a notable increase since 2016. Strength and Conditioning topics constituted the most frequently explored area, comprising 32% of the studies. Notably, no studies focusing on coaching or management aspects were identified. In terms of the participant population, most studies concentrated on high-level (33%) and senior (84%) players. Few studies have investigated practitioners with disabilities or women in other positions such as coaches or managers. Most of the studies were conducted by Brazilian researchers (60%), indicating the need for investigations in different socio-cultural contexts. The recent academic attention and the upcoming inaugural edition of the FIFA Futsal Women's World CupTM in 2025 reinforce the need for further studies on women's futsal. This review contributes by identifying the scientific gaps that can be explored by future investigations.
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Affiliation(s)
- Júlia Barreira
- Faculdade de Educação Física, Universidade Estadual de Campinas, Campinas, Brazil
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Rafagnin CZ, Ferreira ADS, Telles GF, Lemos de Carvalho T, Alexandre DJDA, Nogueira LAC. Anterior component of Y-Balance test is correlated to ankle dorsiflexion range of motion in futsal players: A cross-sectional study. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2023; 28:e2028. [PMID: 37325995 DOI: 10.1002/pri.2028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 05/15/2023] [Accepted: 06/05/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND AND PURPOSE Restricted dorsiflexion range of motion (DFROM) could impact dynamic balance in sports. This study aimed to investigate the relationship between dorsiflexion range of motion and the Y-Balance Test (YBT) in elite futsal players. METHODS Sixty-one asymptomatic male futsal players (mean age 26.57 (5.64) years, a mean body mass index of 25.40 (2.69) kg/m2 ) were included. DFROM was measured by the weight-bearing lunge test (WBLT). DFROM data were obtained using smartphone-based motion capture. The Pearson correlation coefficient verified the correlation between the variables. RESULTS Dominant and nondominant leg ankle DFROM was significantly correlated with the anterior component of YBT (r = 0.27 and 0.51, respectively). The posteromedial component and the composite score of the YBT were also significantly correlated with nondominant leg ankle DFROM (r = 0.31 and 0.34, respectively)]. The other measures were not statistically significant. DFROM explained between 7% and 24% of the variation of the distances reached in the YBT. CONCLUSION Dorsiflexion range of motion measured by weight bearing lunge test is positively correlated with dynamic balance in futsal players.
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Affiliation(s)
- Camilo Zumbi Rafagnin
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | - Arthur de Sá Ferreira
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | - Gustavo Felicio Telles
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | - Thiago Lemos de Carvalho
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | | | - Leandro Alberto Calazans Nogueira
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
- Physiotherapy Department, Federal Institute of Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil
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de Pablo B, Sugimoto D, Arboix-Alio J, Rodas G, Casals M. Analysis of injuries during the 2019 Rink Hockey World Championship. PHYSICIAN SPORTSMED 2023; 51:442-448. [PMID: 36166621 DOI: 10.1080/00913847.2022.2129502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 09/21/2022] [Indexed: 10/14/2022]
Abstract
OBJECTIVES The purpose of this study is to describe the incidence and characteristics of injuries at the 2019 Rink Hockey World Championship. METHODS A cross-sectional study was performed among rink hockey athletes from three National Teams (Argentina, Portugal, and Spain). All injuries were reported by the medical staff of each National Team during the preparation period and the competition in the 2019 World Championship (Barcelona, Spain). Injury rate was calculated as the number of injuries per 1000 hours of player-hours of exposure. RESULTS A total of 91 players (n = 61, 67% male; and n = 30, 33% female) participated in the study: 31 Senior Male (34%), 30 Senior Female (33%), and 30 Under-19 Male (33%). A total of 54 games were played by 9 teams from 3 countries, comprising of 4562 and 4380 hours of total athletic game and training exposure recorded, respectively. Fifty-one injuries (20 injuries with time-loss and 31 medical attention -injuries with no time-loss) were reported. The overall injury incidence rate was 11.2/1000 hours (95% CI, 8.5-14.7). The injury incidence during games (27.5; 95% CI, 11.6-65.2) was higher than the injury incidence during training sessions (3.4; 95% CI, 2-5.7). The incidence rate for game for the entire study period was 8.19 times higher (95% CI, 2.61-21.36) than that for training. The global injury burden was 45.4 days/1000 hours for a total exposure time. Acute was the most frequently documented onset and the non-contact was the most common mechanism. The most frequently reported injuries were head contusion (n = 5, 25%), followed by thigh injuries (n = 3, 15%). CONCLUSIONS The injury incidence reported in a Rink Hockey international competition was 11.2/1000 hours. The risk of injury was higher during games than during training. Prevention strategies for injuries in these kinds of championships may be worth discussing. The craniofacial injuries were the most frequently reported.
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Affiliation(s)
- Bernat de Pablo
- Emergency Department, Hospital Universitari Mutua Terrassa, Barcelona, Spain
- Medical Department, Futbol Club Barcelona, Barça Innovation Hub, Barcelona, Spain
- Doctoral Program in Medicine and Biomedical Sciences, University of Vic - Central University of Catalonia (UVic-UCC), Barcelona, Spain
| | - Dai Sugimoto
- Faculty of Sport Sciences, Waseda University, Tokyo, Japan
- Sports Medicine Unit, The Micheli Center for Sports Injury Prevention, Waltham, MA, USA
| | - Jordi Arboix-Alio
- Department of Sports Science, Ramon Llull University, Fpcee Blanquerna, Barcelona, Spain
| | - Gil Rodas
- Medical Department, Futbol Club Barcelona, Barça Innovation Hub, Barcelona, Spain
- Sports Medicine Unit, Hospital Clinic & Hospital Sant Joan de Déu, Barcelona, Spain
| | - Martí Casals
- Sport and Physical Activity Studies Centre, Faculty of Medicine, Universitat de Vic - Universitat Central de Catalunya, Vic, Catalunya, Spain
- Sport Performance Analysis Research Group (SPARG), University of Vic - Central University of Catalonia, Vic, Barcelona, Spain
- National Institute of Physical Education of Catalonia (INEFC), University of Barcelona (UB), Barcelona, Spain
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Lopes M, Martins F, Brito J, Figueiredo P, Tomás R, Ribeiro F, Travassos B. Epidemiology of Injuries in Elite Male Futsal Players. Clin J Sport Med 2023; 33:527-532. [PMID: 37185914 DOI: 10.1097/jsm.0000000000001142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 02/21/2023] [Indexed: 05/17/2023]
Abstract
OBJECTIVE This study aimed to describe and characterize injuries sustained by elite male futsal players in Portugal. DESIGN Prospective cohort study. SETTING Top-tier Portuguese league in the 2019 to 2020 season. PARTICIPANTS One hundred sixty-seven players from 9 elite/international-level (tier 4) futsal teams. INDEPENDENT VARIABLES The location, type, body side, body part, mechanism of injury, severity, occurrence, days lost, training, and match exposure were collected. MAIN OUTCOME MEASURES Injury incidence, prevalence, and burden. RESULTS The study was conducted during an 8-month season. A total of 133 injuries were recorded, and 92 (67.6%) players sustained injuries. The overall time-loss injury incidence was 4.5 injuries per 1000 hours of exposure. Injury incidence during matches was higher than during training sessions (25.9 vs 3.0 per 1000 hours of exposure, respectively). Average time loss was 9 days, and moderate injuries were the most frequent (44%), followed by mild injuries (24%). Injury burden was 73.8 days lost per 1000 hours of total player exposure. Sprains/ligament (29%) and muscle rupture/tear/strains (32%) were the most common injuries. The groin (19%), thigh (17%), knee (19%), and ankle (15%) were the most affected body areas. Noncontact injuries were the most reported mechanism (65%), and 24% were overuse injuries. CONCLUSIONS This study showed that elite/international-level (tier 4) male futsal players are more prone to noncontact injuries, primarily affecting the lower limbs. The incidence during match play increased by 9-fold compared with training sessions.
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Affiliation(s)
- Mário Lopes
- Institute of Biomedicine, School of Health Sciences, University of Aveiro, Aveiro, Portugal
| | | | - João Brito
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal
| | - Pedro Figueiredo
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal
- Physical Education Department, College of Education, United Arab Emirates University, Al Ain, United Arab Emirates
- Research Centre in Sports, Health and Human Development, CIDESD, Vila Real, Portugal; and
| | - Rita Tomás
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal
| | - Fernando Ribeiro
- Institute of Biomedicine, School of Health Sciences, University of Aveiro, Aveiro, Portugal
| | - Bruno Travassos
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal
- Research Centre in Sports, Health and Human Development, CIDESD, Vila Real, Portugal; and
- Department of Sport Sciences, University of Beira Interior, Covilhã, Portugal
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Relationship between maximal strength and hamstring-to-quadriceps ratios in balanced and unbalanced legs in futsal athletes. SPORT SCIENCES FOR HEALTH 2023. [DOI: 10.1007/s11332-023-01046-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Farvardin F, Almonroeder TG, Letafatkar A, Thomas AC, Ataabadi PA. The Effects of Increasing Cognitive Load on Support Limb Kicking Mechanics in Male Futsal Players. J Mot Behav 2021; 54:438-446. [PMID: 34866551 DOI: 10.1080/00222895.2021.2010639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Our objective was to examine the effects of cognitive load on support limb mechanics during a futsal kicking task. Twenty-one male futsal players completed kicks of a stationary ball without a secondary task (baseline), as well as kicks where cognitive load was increased by including a secondary cognitive task (dual-task) and requiring tracking of ball movement before the kick (pass). The athletes demonstrated less hip and knee flexion, higher loading rates, greater frontal and sagittal plane knee loading, and greater knee abduction for the dual-task condition, vs. baseline. They also demonstrated less knee flexion, higher loading rates, greater sagittal plane knee loading, and greater knee abduction for the pass condition, vs. baseline. It appears that cognitive load influences kicking mechanics.
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Affiliation(s)
- Flora Farvardin
- Department of Sport Injury and Corrective Exercise, Kharazmi University, Tehran, Iran
| | | | - Amir Letafatkar
- Department of Sport Injury and Corrective Exercise, Kharazmi University, Tehran, Iran
| | - Abbey C Thomas
- Kinesiology, University of North Carolina at Charlotte, Charlotte, NC, USA
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Response to Comment On: "Injury Profile in Women's Football: A Systematic Review and Meta‑Analysis". Sports Med 2021; 51:2667-2670. [PMID: 34449052 DOI: 10.1007/s40279-021-01532-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2021] [Indexed: 10/20/2022]
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Ruiz-Pérez I, López-Valenciano A, Hernández-Sánchez S, Puerta-Callejón JM, De Ste Croix M, Sainz de Baranda P, Ayala F. A Field-Based Approach to Determine Soft Tissue Injury Risk in Elite Futsal Using Novel Machine Learning Techniques. Front Psychol 2021; 12:610210. [PMID: 33613389 PMCID: PMC7892460 DOI: 10.3389/fpsyg.2021.610210] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 01/14/2021] [Indexed: 12/19/2022] Open
Abstract
Lower extremity non-contact soft tissue (LE-ST) injuries are prevalent in elite futsal. The purpose of this study was to develop robust screening models based on pre-season measures obtained from questionnaires and field-based tests to prospectively predict LE-ST injuries after having applied a range of supervised Machine Learning techniques. One hundred and thirty-nine elite futsal players underwent a pre-season screening evaluation that included individual characteristics; measures related to sleep quality, athlete burnout, psychological characteristics related to sport performance and self-reported perception of chronic ankle instability. A number of neuromuscular performance measures obtained through three field-based tests [isometric hip strength, dynamic postural control (Y-Balance) and lower extremity joints range of motion (ROM-Sport battery)] were also recorded. Injury incidence was monitored over one competitive season. There were 25 LE-ST injuries. Only those groups of measures from two of the field-based tests (ROM-Sport battery and Y-Balance), as independent data sets, were able to build robust models [area under the receiver operating characteristic curve (AUC) score ≥0.7] to identify elite futsal players at risk of sustaining a LE-ST injury. Unlike the measures obtained from the five questionnaires selected, the neuromuscular performance measures did build robust prediction models (AUC score ≥0.7). The inclusion in the same data set of the measures recorded from all the questionnaires and field-based tests did not result in models with significantly higher performance scores. The model generated by the UnderBagging technique with a cost-sensitive SMO as the base classifier and using only four ROM measures reported the best prediction performance scores (AUC = 0.767, true positive rate = 65.9% and true negative rate = 62%). The models developed might help coaches, physical trainers and medical practitioners in the decision-making process for injury prevention in futsal.
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Affiliation(s)
- Iñaki Ruiz-Pérez
- Department of Sport Sciences, Sports Research Centre, Miguel Hernández University of Elche, Elche, Spain
| | | | - Sergio Hernández-Sánchez
- Department of Pathology and Surgery, Physiotherapy Area, Miguel Hernandez University of Elche, Alicante, Spain
| | | | - Mark De Ste Croix
- School of Sport and Exercise, University of Gloucestershire, Gloucester, United Kingdom
| | - Pilar Sainz de Baranda
- Department of Physical Activity and Sport, Faculty of Sports Sciences, University of Murcia, Murcia, Spain
| | - Francisco Ayala
- Ramón y Cajal Postdoctoral Fellowship, Department of Physical Activity and Sport, Faculty of Sports Sciences, University of Murcia, Murcia, Spain
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