Match high-speed running distances are often suppressed after return from hamstring strain injury in professional footballers
- Whiteley, Rodney, Massey, Andrew, Gabbett, Tim, Blanch, Peter, Cameron, Matthew, Conlan, Greta, Ford, Matthew, Williams, Morgan
- Authors: Whiteley, Rodney , Massey, Andrew , Gabbett, Tim , Blanch, Peter , Cameron, Matthew , Conlan, Greta , Ford, Matthew , Williams, Morgan
- Date: 2021
- Type: Text , Journal article
- Relation: Sports Health Vol. 13, no. 3 (2021), p. 290-295
- Full Text:
- Reviewed:
- Description: Background: High-speed running is commonly implicated in the genesis of hamstring injury. The success of hamstring injury management is typically quantified by the duration of time loss or reinjury rate. These metrics do not consider any loss in performance after returning to play from hamstring injury. It is not known to what extent high-speed running is altered on return to play after such injury. Hypothesis: Match high-speed running distance will change after returning from hamstring injury. Study Design: Non-randomized cohort. Level of Evidence: Level 3. Methods: Match high-speed running distance in highest level professional football (soccer, Rugby League, Rugby Union, and Australian Rules) were examined for a minimum of 5 games prior and subsequent to hamstring strain injury for individual differences using a linear regression models approach. A total of 22 injuries in 15 players were available for analysis. Results: Preinjury cumulative high-speed running distances were strongly correlated for each individual (r2 = 0.92-1.0 P < 0.0001). Pre- and postinjury high-speed running data were available for a median of 15 matches (range, 6-15). Variance from the preinjury high-speed running distance was significantly less (P = 0.0005) than the post injury values suggesting a suppression of high-speed running distance after returning from injury. On return to play, 7 of the 15 players showed a sustained absolute reduction in preinjury high-speed running distance, 7 showed no change, and 1 player (only) showed an increase. Analysis of subsequent (second and third injury) return to play showed no differences to return from the index injury. Conclusion: Return to play was not associated with return to high-speed running performance for nearly half of the players examined, although the same number showed no difference. Persisting deficits in match high-speed running may exist for many players after hamstring strain injury. Clinical Relevance: Returning to play does not mean returning to (high-speed running) performance for nearly half of the high-level professional football players examined in this study. This suggests that successful return to play metrics should be expanded from simple time taken and recurrence to include performance.
- Authors: Whiteley, Rodney , Massey, Andrew , Gabbett, Tim , Blanch, Peter , Cameron, Matthew , Conlan, Greta , Ford, Matthew , Williams, Morgan
- Date: 2021
- Type: Text , Journal article
- Relation: Sports Health Vol. 13, no. 3 (2021), p. 290-295
- Full Text:
- Reviewed:
- Description: Background: High-speed running is commonly implicated in the genesis of hamstring injury. The success of hamstring injury management is typically quantified by the duration of time loss or reinjury rate. These metrics do not consider any loss in performance after returning to play from hamstring injury. It is not known to what extent high-speed running is altered on return to play after such injury. Hypothesis: Match high-speed running distance will change after returning from hamstring injury. Study Design: Non-randomized cohort. Level of Evidence: Level 3. Methods: Match high-speed running distance in highest level professional football (soccer, Rugby League, Rugby Union, and Australian Rules) were examined for a minimum of 5 games prior and subsequent to hamstring strain injury for individual differences using a linear regression models approach. A total of 22 injuries in 15 players were available for analysis. Results: Preinjury cumulative high-speed running distances were strongly correlated for each individual (r2 = 0.92-1.0 P < 0.0001). Pre- and postinjury high-speed running data were available for a median of 15 matches (range, 6-15). Variance from the preinjury high-speed running distance was significantly less (P = 0.0005) than the post injury values suggesting a suppression of high-speed running distance after returning from injury. On return to play, 7 of the 15 players showed a sustained absolute reduction in preinjury high-speed running distance, 7 showed no change, and 1 player (only) showed an increase. Analysis of subsequent (second and third injury) return to play showed no differences to return from the index injury. Conclusion: Return to play was not associated with return to high-speed running performance for nearly half of the players examined, although the same number showed no difference. Persisting deficits in match high-speed running may exist for many players after hamstring strain injury. Clinical Relevance: Returning to play does not mean returning to (high-speed running) performance for nearly half of the high-level professional football players examined in this study. This suggests that successful return to play metrics should be expanded from simple time taken and recurrence to include performance.
The effect of swimming volume and intensity on changes in supraspinatus tendon thickness
- Porter, Kirsten, Talpey, Scott, Pascoe, Deborah, Blanch, Peter, Walker, Helen, Shield, Anthony
- Authors: Porter, Kirsten , Talpey, Scott , Pascoe, Deborah , Blanch, Peter , Walker, Helen , Shield, Anthony
- Date: 2021
- Type: Text , Journal article
- Relation: Physical Therapy in Sport Vol. 47, no. (2021), p. 173-177
- Full Text:
- Reviewed:
- Description: Objectives: To compare the change in supraspinatus tendon thickness (STT) following a high volume (HV) and high intensity (HI) swimming practice in shoulders of elite swimmers. Design: Cohort Study. Setting: Non-clinical, state swim team training facility. Participants: A convenience sample of eight non-injured state and national level swimmers from a regional swim team were recruited for this study. Main outcome measures: Ultrasound measures of STT were collected in response to the two swimming practice sessions. Measures were taken prior to each swim practice; immediately after practice; 6-hours post practice and 24-hours post practice. Results: A significant increase in STT resulted from both the HI and HV (p < 0.05) practice immediately post practice. For the HI practice, the STT remained significantly thicker than pre-practice measures at the 6-hour post practice test (p < 0.05) however no longer significant 24-hours post practice. The difference in the change in STT between the HI and HV practice was significantly different immediately post practice and 6-hours post practice (p < 0.05) however no longer significant 24-hour post practice. Conclusion: Ultrasound measures of STT following different swimming volumes and intensities may provide information on shoulder tendon loads. © 2020 Elsevier Ltd
- Authors: Porter, Kirsten , Talpey, Scott , Pascoe, Deborah , Blanch, Peter , Walker, Helen , Shield, Anthony
- Date: 2021
- Type: Text , Journal article
- Relation: Physical Therapy in Sport Vol. 47, no. (2021), p. 173-177
- Full Text:
- Reviewed:
- Description: Objectives: To compare the change in supraspinatus tendon thickness (STT) following a high volume (HV) and high intensity (HI) swimming practice in shoulders of elite swimmers. Design: Cohort Study. Setting: Non-clinical, state swim team training facility. Participants: A convenience sample of eight non-injured state and national level swimmers from a regional swim team were recruited for this study. Main outcome measures: Ultrasound measures of STT were collected in response to the two swimming practice sessions. Measures were taken prior to each swim practice; immediately after practice; 6-hours post practice and 24-hours post practice. Results: A significant increase in STT resulted from both the HI and HV (p < 0.05) practice immediately post practice. For the HI practice, the STT remained significantly thicker than pre-practice measures at the 6-hour post practice test (p < 0.05) however no longer significant 24-hours post practice. The difference in the change in STT between the HI and HV practice was significantly different immediately post practice and 6-hours post practice (p < 0.05) however no longer significant 24-hour post practice. Conclusion: Ultrasound measures of STT following different swimming volumes and intensities may provide information on shoulder tendon loads. © 2020 Elsevier Ltd
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