Unexpected-Disturbance Program for Rehabilitation of High-Performance Athletes

Teichmann, J; Suwarganda, Edin; Lendewig, Claudia; Wilson, Barry D.; Yeo, Wee Kian; Aziz, Ramlan Abdul; Schmidtbleicher, Dietmar

doi:10.1123/jsr.2014-0280

Cited by 7 publications

(7 citation statements)

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“… 23 , 29 Malaysian national athletes showed significant improvements in their 20 m sprint results before RTS during their final rehabilitation phase. 42 The sprint improvement effect size was large for males athletes and moderate for females athletes ( d = 1.06, d = 0.58, respectively; P < 0.05). 42 …”

Section: Resultsmentioning

confidence: 86%

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Anterior Cruciate Ligament Reconstruction Return-to-Sport Decision-Making: A Scoping Review

Golberg

Sommerfeldt

Pinkoski

et al. 2023

Sports Health: A Multidisciplinary Approach

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Context: Clinical guidelines support the use of testing batteries to assess athlete readiness for return to sport (RTS) and risk of reinjury after anterior cruciate ligament (ACL) reconstruction (ACL-R). There is no consensus on the composition of the testing batteries. Test selection is based mainly on commonality in research, personal preference, and equipment availability. Including athletic performance assessments (APA) used in the athlete’s sport may assist RTS decision-making for stakeholders. Objective: To determine whether APA for speed, agility, strength, or cardiovascular endurance are (1) used in ACL-R RTS literature and (2) indicative of RTS or reinjury rates. Data Sources: A systematic search was performed in MEDLINE, EMBASE, CINAHL, SPORTDiscus, Scopus, Web of Science, and ProQuest Dissertations and Theses Global. Study Selection: Eligibility criteria were as follows: (1) athletes between 6 months and 2 years post-ACL-R, (2) commonly used APA, (3) peer-reviewed primary study with original published data. Study Design: Scoping Review. Level of Evidence: Level 4. Data Extraction: A total of 17 studies included 24 instances of APA with a high degree of heterogeneity for both tests and protocols. Results: Agility makes up 75% of the APA. Only 17.6% of studies reported RTS or reinjury rates, none of which reported a significant relationship between these rates and APA outcomes. Conclusion: Speed, strength, and cardiovascular endurance tests are underrepresented in ACL-R RTS literature. Compared with healthy controls, deficits in APA results for ACL-R athletes were common; however, many studies reported significant improvements in results for ACL-R athletes over time. There is some evidence that well-trained ACL-R athletes can match the performance of uninjured athletes in high-level sports.

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Section: Resultsmentioning

confidence: 86%

“… 42 The sprint improvement effect size was large for males athletes and moderate for females athletes ( d = 1.06, d = 0.58, respectively; P < 0.05). 42 …”

Section: Resultsmentioning

confidence: 86%

Anterior Cruciate Ligament Reconstruction Return-to-Sport Decision-Making: A Scoping Review

Golberg

Sommerfeldt

Pinkoski

et al. 2023

Sports Health: A Multidisciplinary Approach

View full text Add to dashboard Cite

show abstract

“…We believe that these interventions could assist with overcoming kinesiophobia and fear of reinjury given previous research with elite athletes. 2…”

Section: Discussionmentioning

confidence: 99%

“…An unexpected disturbance program (UDP) has previously been reported to improve outcomes in both uninjured 1 and injured athletes. 2 In both instances, a positive impact on explosive actions was apparent. In the injured population, perceived confidence improved (ie, kinesiophobia decreased).…”

mentioning

confidence: 95%

Effectiveness of an Unexpected Disturbance Program in the Early Stage of Rehabilitation in Athletes With Unilateral Knee Ligament Injury

Teichmann¹,

Tan²,

Hébert‐Losier³

et al. 2021

Journal of Sport Rehabilitation

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Context: Sensorimotor, proprioceptive, and neuromuscular programs are critical for the successful rehabilitation of injured athletes, and these decrease reinjury rates. Objective: To investigate the effects of an unexpected disturbance program (UDP) on balance and unilateral strength metrics in athletes with unilateral knee ligament injury. Design: A 3-week parallel-group experimental design consisting of 9 rehabilitation sessions. Setting: National Sports Institute. Participants: Twenty-one national-level athletes (age 21.4 [4.4] y, body mass 63.9 [10.8] kg, height 169.0 [10.2] cm) who had sustained a unilateral knee ligament injury. Intervention: An UDP program designed to evoke rapid sensorimotor responses was compared with traditional training and a nonexercise control group. Main Outcome Measures: Unilateral total, anteroposterior, and mediolateral sway with eyes open and closed and unilateral isometric strength. Results: Traditional exercises tended to outperform the UDP when unilateral balance testing was performed with eyes open; however, balance improvement following UDP tended to be greater in the eyes-closed condition. Significant strength gains in both the injured and uninjured legs were only observed following the UDP. This increase in unilateral isometric strength was 23.4 and 35.1 kg greater than the strength improvements seen in the traditional rehabilitation and control groups (P < .05). Conclusions: UDP could improve neural aspects of rehabilitation to improve rehabilitation outcomes by improving strength, sensorimotor function, and proprioception. Given the complementary adaptations, an UDP could provide an effective adjunct to traditional rehabilitation protocols and improve return-to-play outcomes.

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“…As well posture and postural control are considered as significant indicators for motion control, latter gives information how resistant the body is towards injury-induced influences [34][35][36]. Furthermore, it is assumed that good postural control is a preventive factor of fall prophylaxis [37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Injury Occurrence in Male Handball Players and its Impact on Physical Constitution

et al. 2020

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In male handball, limited knowledge exists about the body posture and postural control in correlation to their injury occurrence and their impact on physical constitution. 91 male handball players participated and were asked about playing position and years, NSAIDs intake, sustained injuries and therapy duration. A three-dimensional back scanner and a pressure measuring plate were used. Shoulder injuries cause a differing scapular height and increase the vertebrae rotation in correlation to playing years. Lower limb injuries lead to a decrease on the Centre of Pressure (CoP) with growing game experience. Wing players show the lowest injury risk. Lower limb and shoulder girdle are mostly affected regarding the incidence of injuries. Pivot players suffer most injuries in the lower limb area (59%), whereas wing players mostly have shoulder injuries (19%). Being injured, 21% of the players continue playing, 79% pause for a minimum of six months (25%). No correlation can be determined between level of profession, use of NSAIDs and body posture or postural control. Playing position, employment situation or NSAIDs have no influence on type of injury, body posture or postural control. While shoulder injuries can be recognized in the vertebrae area, lower limb injuries can affect the CoP.

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Unexpected-Disturbance Program for Rehabilitation of High-Performance Athletes

Cited by 7 publications

References 0 publications

Anterior Cruciate Ligament Reconstruction Return-to-Sport Decision-Making: A Scoping Review

Anterior Cruciate Ligament Reconstruction Return-to-Sport Decision-Making: A Scoping Review

Effectiveness of an Unexpected Disturbance Program in the Early Stage of Rehabilitation in Athletes With Unilateral Knee Ligament Injury

Injury Occurrence in Male Handball Players and its Impact on Physical Constitution

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