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Home / Physical Exam Risk Factors for Lower Extremity Injury in High School Athletes a Systematic Review

Physical Exam Risk Factors for Lower Extremity Injury in High School Athletes a Systematic Review

Review

. 2016 November;26(6):435-444.

doi: 10.1097/JSM.0000000000000284.

Concrete Exam Take a chance Factors for Lower Extremity Injury in High School Athletes: A Systematic Review

Affiliations

  • PMID: 26978166
  • PMCID: PMC5122462
  • DOI: 10.1097/JSM.0000000000000284

Free PMC article

Review

Concrete Exam Risk Factors for Lower Extremity Injury in Loftier Schoolhouse Athletes: A Systematic Review

James A Onate  et al. Clin J Sport Med. 2016 Nov .

Gratuitous PMC article

Abstract

Objective: A stated goal of the preparticipation physical evaluation (PPE) is to reduce musculoskeletal injury, yet the musculoskeletal portion of the PPE is reportedly of questionable apply in assessing lower extremity injury gamble in high school-aged athletes. The objectives of this study are: (1) identify clinical cess tools demonstrated to finer make up one's mind lower extremity injury risk in a prospective setting, and (ii) critically assess the methodological quality of prospective lower extremity risk cess studies that use these tools.

Data sources: A systematic search was performed in PubMed, CINAHL, UptoDate, Google Scholar, Cochrane Reviews, and SportDiscus. Inclusion criteria were prospective injury risk assessment studies involving athletes primarily ages 13 to nineteen that used screening methods that did not require highly specialized equipment. Methodological quality was evaluated with a modified physiotherapy evidence database (PEDro) calibration.

Primary results: Nine studies were included. The hateful modified PEDro score was 6.0/10 (SD, 1.5). Multidirectional residual (odds ratio [OR], 3.0; CI, 1.5-6.1; P < 0.05) and physical maturation status (P < 0.05) were predictive of overall injury risk, knee hyperextension was predictive of anterior cruciate ligament injury (OR, v.0; CI, 1.ii-xviii.4; P < 0.05), hip external:internal rotator strength ratio of patellofemoral hurting syndrome (P = 0.02), and foot posture index of ankle sprain (r = -0.339, P = 0.008).

Conclusions: Minimal prospective show supports or refutes the use of the functional musculoskeletal exam portion of the electric current PPE to assess lower extremity injury gamble in loftier schoolhouse athletes. Express evidence does support inclusion of multidirectional balance assessment and physical maturation status in a musculoskeletal exam as both are generalizable take chances factors for lower extremity injury.

Conflict of interest statement

The authors report no conflicts of interest.

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Source: https://pubmed.ncbi.nlm.nih.gov/26978166/