Functional performance tests identify lateral ankle sprain risk: A prospective pilot study in adolescent soccer players

Ko, Jupil; Rosen, Adam B.; Brown, Cathleen N.

doi:10.1111/sms.13279

Cited by 23 publications

(25 citation statements)

References 26 publications

(87 reference statements)

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“…Based on our present study's findings and recent reports, we suggest that the YBT-LQ test ability as a sole indicator for injury is limited in collegiate American Football players, and that other screening tests should also be assessed. Additional performance measures, such as the single leg jump, single leg hop, or FMS, may need to be combined in a multivariable model that shows the value of the YBT-LQ [21,[33][34][35]. Alternatively, the YBT-LQ may be a useful screening tool for some injuries such as lateral ankle sprain, but not all non-contact LQ injuries [26,35].…”

Section: Discussionmentioning

confidence: 99%

Y-Balance Test Performance Does Not Determine Non-Contact Lower Quadrant Injury in Collegiate American Football Players

Luedke

Geisthardt

Rauh

2020

Sports

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Collegiate American football has a high rate of injury. The Lower Quarter Y-Balance Test (YBT-LQ), a dynamic assessment of lower extremity strength, mobility, and balance, has been purported to identify athletes at risk for injury in different sports including football. Previous studies examining the association between YBT-LQ and injury have reported varied findings; therefore, the purpose of this study was to assess if preseason YBT-LQ performance predicted whether football players would sustain a non-contact lower extremity or low back (lower quarter (LQ)) injury during the season. Fifty-nine male collegiate American football players (age 20.8 ± 1.3 y, height 1.8 ± 0.1 m, body mass 94.6 ± 14.2 kg) completed a survey of training and injury history and had their YBT-LQ performance assessed at the start of the season. Athletic training staff tracked the occurrence of non-contact LQ injuries during the season. There were no significant relationships found between preseason YBT-LQ values and incidence of non-contact LQ injury in this population of collegiate American football players. This study is consistent with recent reports that have not found a significant association between preseason YBT-LQ values and LQ injury. These results suggest that, in isolation, the YBT-LQ may have limited utility as a screening test for non-contact injury in collegiate football players.

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Section: Discussionmentioning

confidence: 99%

Y-Balance Test Performance Does Not Determine Non-Contact Lower Quadrant Injury in Collegiate American Football Players

Luedke

Geisthardt

Rauh

2020

Sports

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“…Ko et al 20 investigated dynamic balance as a risk factor for ankle injuries in adolescent male and female soccer players and found, an almost significant, fourfold increased odds for ankle injury in subjects with lower SEBT-ANT scores (<64%). This is in agreement with the overall results in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, ORs were calculated using GEE analysis (with >mean as the reference group) with ankle injury history and gender as a confounder in the model. The average score of the study sample was used as a cut-off point to exclude the possibility that a predefined cut-off point from the literature introduced a bias in the study, as the literature shows that of the SEBT protocol is often conducted in different ways21 and different optimal cut-off points are found in different athletic populations (eg, 84% of leg length in basketball players17 and 64% of leg length in soccer players20). Again, a secondary analysis was conducted with the exclusion of subjects where the first injury did not involve the ankle.…”

Section: Methodsmentioning

confidence: 99%

“…In the literature, one of the most significant risk factors for ankle injuries is dynamic balance of the ankle 10–12. A common and practical method to assess dynamic balance of the ankle is the Star Excursion Balance Test (SEBT) 13–20. The literature shows that, in athletic populations, low scores on the anterior component of the SEBT (SEBT-ANT) are associated with an increased risk for lower extremity injuries in general13 17 18 and ankle injuries in particular 16 20…”

Section: Introductionmentioning

confidence: 99%

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Dynamic balance and ankle injury odds: a prospective study in 196 Dutch physical education teacher education students

2019

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ObjectiveThe aim of this study was to investigate whether dynamic balance, measured with the anterior component of the Star Excursion Balance Test (SEBT-ANT), is a risk factor for ankle injuries in physical education teacher education (PETE) students.Design and settingA prospective monocentre study in first-year PETE students.ParticipantsA total of 196 subjects, of which 137 men (70%) and 59 women (30%).Outcome measuresThis study consisted of measures of the SEBT-ANT at baseline (September 2015) and an injury registration procedure during a follow-up period (September 2015–June 2016). The association between the SEBT-ANT score and subsequent ankle injury was analysed with generalised estimating equations analysis at the leg level.ResultsMen and women had an average SEBT-ANT score of, respectively, 65.1% and 67.7% of leg length. In 20 (15%) subjects, the first injured body site involved the ankle. Across all participants, a below average SEBT-ANT score was not associated with increased ankle injury odds (OR OR=2.43, 95% CI: 0.94 to 6.29, p=0.07). In men, a below average SEBT-ANT score indicated sevenfold increased odds for ankle injury (OR=7.06, 95% CI: 1.43 to 34.92, p=0.02). In women, this relationship was not significant (OR=0.72, 95% CI: 0.19 to 2.71, p=0.62).ConclusionsBelow average normalised SEBT-ANT scores were associated with sevenfold likelihood for ankle injuries in men. In contrast, no relationship was found for the SEBT-ANT score and ankle injuries in woman. These results may provide directions for the implementation of screening tools, as part of an injury prevention programme, to identify male PETE students with an increased likelihood for ankle injuries.

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“…However, some inferences about objective criteria can be drawn based on how the agreed upon domains relate to known modifiable risk factors for LAS. For example, hop testing, 38 limited dorsiflexion range of motion, 39,40 poor strength/strength asymmetries, [40][41][42] and poor static, 40,[43][44][45][46] and dynamic postural control 38,47,48 have all been identified as modifiable risk factors for LAS. These risk factors significantly overlap with the recommended domains found in the current investigation.…”

Section: Research Team Credentialsmentioning

confidence: 99%

Lack of Consensus on Return-to-Sport Criteria Following Lateral Ankle Sprain: A Systematic Review of Expert Opinions

Wikstrom¹,

Mueller²,

Cain³

2020

Journal of Sport Rehabilitation

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Context: Lateral ankle sprains (LAS) have one of the highest recurrence rates of all musculoskeletal injuries. An emphasis on rapid return to sport (RTS) following LAS likely increases reinjury risk. Unfortunately, no set of objective RTS criteria exist for LAS, forcing practitioners to rely on their own opinion of when a patient is ready to RTS. Purpose: To determine if there was consensus among published expert opinions that could help inform an initial set of RTS criteria for LAS that could be investigated in future research. Evidence Acquisition: PubMed, CINHL, and SPORTDiscus databases were searched from inception until October 2018 using a combination of keywords. Studies were included if they listed specific RTS criteria for LAS. No assessment of methodological quality was conducted because all included papers were expert opinion papers (level 5 evidence). Extracted data included the recommended domains (eg, range of motion, balance, sport-specific movement, etc) to be assessed, specific assessments for each listed domain, and thresholds (eg, 80% of the uninjured limb) to be used to determine RTS. Consensus and partial agreement were defined, a priori, as ≥75% and 50% to 75% agreement, respectively. Evidence Synthesis: Eight domains were identified within 11 included studies. Consensus was reached regarding the need to assess sport-specific movement (n = 9, 90.9%). Partial agreement was reached for the need to assess static balance (n = 7, 63.6%). The domains of pain and swelling, patient reported outcomes, range of motion, and strength were also partially agreed on (n = 6, 54.5%). No agreement was reached on specific assessments of cutoff thresholds. Conclusions: Given consensus and partial agreement results, RTS decisions following LAS should be based on sport-specific movement, static balance, patient reported outcomes, range of motion, and strength. Future research needs to determine assessments and cutoff thresholds within these domains to minimize recurrent LAS risk.

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Functional performance tests identify lateral ankle sprain risk: A prospective pilot study in adolescent soccer players

Cited by 23 publications

References 26 publications

Y-Balance Test Performance Does Not Determine Non-Contact Lower Quadrant Injury in Collegiate American Football Players

Y-Balance Test Performance Does Not Determine Non-Contact Lower Quadrant Injury in Collegiate American Football Players

Dynamic balance and ankle injury odds: a prospective study in 196 Dutch physical education teacher education students

Lack of Consensus on Return-to-Sport Criteria Following Lateral Ankle Sprain: A Systematic Review of Expert Opinions

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