- Email: [email protected]
Biomechanical profile of street runners rated by Functional Movement Screen
Abstracts / Physical Therapy in Sport 18 (2016) e1ee10
Objective: To analyze the response to hip stabilizer muscle activation in street runners with PFPS through the application of elastic tape therapy. Methods: We evaluated street runners between the ages of 18 and 45, who run at least 5km/week and had been suffering from pain for at least 3 months. We excluded those who had an allergic reaction to the bandage and those who could not use the bandage during the stipulated period. The volunteers had been assessed in relation to their measurements, experience of pain and training routine, their medius muscle (GM) and biceps femoris muscle (BF) had also been tested with surface electromyography through pre-determined performance tests. Opaque, sealed envelopes were used to ensure randomization when assigning the participants to either the treatment or the placebo group. The participants of both groups wore a bandage for 6 weeks (1 per week). However for the participants of the placebo group we applied a different anatomical path without tension, eliminating all the therapeutic elements. The volunteers were reassessed following the trial. Results: The sample comprised of 15 street runners, 9 in the placebo group and 6 received actual therapy. Comparing the groups without pre and post intervention, there was no significant difference following the 6 weeks of taping therapy for the activation of GM and BF in either the placebo or treatment group. In relation to pain, there was a significant improvement both in the placebo group (P ¼ 0.00) and in the treatment group (P ¼ 0.03). Conclusion: Elastic tape therapy did not result in any improvement in the activation of hip muscles in street runners with patellofemoral pain syndrome. Although there was no motor activation of the muscles, both groups have shown improvements as regards to pain, demonstrating that there is a sensory effect of the bandage, which makes physical activity easier. References: 1. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. Journal of Orthopaedic & Sports Physical Therapy 2010;40(2):42e51. doi: 10.2519/jospt.2010.3337. ~es E, Bryk FF, Lucareli PRG, Carvalho 2. Fukuda TY, Rossetto FM, Magalha NAA. Short-Term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical Trial. Journal of Orthopaedic & Sports Physical Therapy 2010; 40 (11): 736-742. doi: 10.2519. ^utica: conceito estimulaça ~o tegumentar. 3. Morini, NJ. Bandagem terape Roca, 2012. p. 184. 4. Barton CJ, Lack S, Malliaras P, Morrisey D. Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med 2013;47:207-214. doi: 10.1136/bjsports-2012-090953. 5. Lins CAA, Neto FL, Amorin ABC, Macedo L B, Brasileiro JS. Kinesio Taping® does not alter neuromuscular performance of femoral quadríceps or lower limb function in healthy subjects: randomized, blind, controlled, clinical trial. Manual Therapy 2013; 18:41e45. INTERRATER RELIABILITY OF FUNCTIONAL MOVEMENT (FMS™) IN VOLLEYBALL AND BASKETBALL ATHLETES
SCREEN
Gabriela Oliveira Druck 1, Camila de Oliveira Neves Pinheiro 1, Igna Luciara Raffaelli Albino 1, Joseani Ceccato 2, Fabiana Cristina Silva 1. 1 IPA Methodist ~o, Brazil emio Nautico Unia University, Brazil; 2 Gr^ Abstract Background: The determination of athletes’ capacity and physical conditioning for engagement in competitive activities require a rigorous evaluation of the abilities requested for each sport. The Functional Movement Screening (FMS™), recently described by Cook et al, is highlighted nowadays for being a simple and easily applied tool, enabling a global evaluation of the individual, analyzing a set of fundamental movements, which are necessary for the engagement in more (complex functions such as) sports practice. The FMS is composed of a series of seven tests that requires balance, mobility and stability and are scored on an ordinary scale with four categories, reaching a maximum total score of 21 points. However, there are few studies that seek to examine the reliability of such tool. Therefore, this study aims to establish the reliability and reproducibility of the Functional Movement Screening, by means of correlation of the results of the total scores, by two different raters.
e7
Methods: Cross-sectional study consisted of 39 male and female volunteer ^mio N ~o, 17 (43.6%) basketball and 22 (56.4%) athletes from Gre autico Unia volleyball, mean age 19.2 ± 2.5 years. All participants signed an informed consent. Two different raters assessed each athlete individually. To evaluate the differences on raters’ total scores, the t-student test for paired samples was used. Interrater reliability was analyzed using the intraclass correlation coefficient (ICC). The level of significance was 5% (p 0.05) and SPSS version 21.0 was used. Results: The mean score on the FMS for rater 1 was 14.6 (±2.8) and for rater 2 was 14.6 (±2.7), showing no significant differences between raters (p ¼ 0.520). To determine the reliability of the interrater scoring of the FMS an intraclass correlation coefficient was used. The data analyses showed excellent agreement between raters total scores (ICC ¼ 0.98; IC 95% ¼ 0.97 a 0.99). Conclusion: The results obtained in this study shown that FMS™ is a highly reliable assessment tool and can be safely used in volleyball and basketball athletes. Key words: FMS, Athletes, Movement, Physiotherapy References: 1. Cook G, Burton L, Hoogenboom B. (2006). Pre-participation screening: the use of fundamental movements as an assessment of function e part 1. N Am J Sports Phys Ther, 1(2):62e72. 2. Cook G, Burton L, Hoogenboom B. (2006). Pre-participation screening: the use of fundamental movements as an assessment of function epart 2. N Am J Sports Phys Ther, 1(3):132e139. 3. Letafatkar A, Hadadnezhad M, Shojaedin S, Mohamadi E. (2014). Relationship between functional movement screening score and history of injury. Int J Sports Phys Ther, 9(1):21e27. 4. Minick KI, Kiesel KB, Burton L, Taylor A, Plisky P, Butler RJ. (2010). Inter rater reliability of the functional movement screen. J Strength Cond Res, 24(2):479e486. 5. Gribble PA, Brigle J, Pietro Simone BG, Pfile KR, Webster KA. (2013). Intra rater reliability of the functional movement screen. J Strength Cond Res, 27(4):978e981. BIOMECHANICAL PROFILE OF FUNCTIONAL MOVEMENT SCREEN
STREET
RUNNERS
RATED
BY
rcio Almeida Bezerra 2, Gabriel Peixoto Figueire ^do Chaves 1, Ma Shalima 2 ~ Leao Almeida , Rodrigo Ribeiro de Oliveira 2, Pedro Olavo de Paula , Lima 2. 1 League of Physical Therapy in Sports, Federal University of Ceara , Brazil Brazil; 2 Department of Physical Therapy, Federal University of Ceara Background: Running has been one of the main choices of physical activity in people seeking an active lifestyle. Despite being a beneficial activity used to reduce risk factors of cardiovascular disorders, this practice is also linked to a high injury risk. Functional Movement Screen (FMS) is a functional evaluating tool that aims to assess and rate quality of movement of subjects in high or poor quality using qualitative data. Objective: The purpose of this research was to compare biomechanical characteristics between two groups rated by FMS. Methods: Runners of both genders (n ¼ 32) were classified by FMS score and splited into two groups: 14 or higher score (G 14) (n ¼ 16) and lower than 14 score (G < 14) (n ¼ 16). One single examiner was trained and applied the test in all participants. All runners underwent other tests, such as flexibility on sit-and-reach test, dynamic postural stability on Biodex® Balance System (BBS®), muscle strength on isokinetic dynamometer (Biodex®), knee dynamic valgus by two-leg drop vertical jump (VDJ) and myoelectric response time of the transversus abdominis and long fibular muscles through surface electromyography. All data were analyzed with SPSS with a significance level of 5%. Results: In flexibility assessment, G 14 exhibited 30.72 ± 8.35 cm and G < 14, 25.57 ± 9.31 cm (p ¼ 0.121). Symmetric Index (SI) of global stability was 3.26 ± 26.79% in G 14 and 31.72 ± 52.69% in G < 14 (p ¼ 0.025). The mean knee extensor strength SI at 60 /s of G 14 was 11.56 ± 10.96% and 8.12 ± 7.32 for G < 14 (p ¼ 0.885); knee flexor strength of G 14 was 12.15 ± 11.71% and 3.05 ± 17.69% for G < 14 (p ¼ 0.207). The mean knee extensor SI at 300º/s of G 14 was 0.71 ± 8.88% and 3.05 ± 17.09% for G < 14 (p ¼ 0.454); knee flexor of G 14 was 0.19 ± 10.09 and 3.30 ± 19.37
e8
Abstracts / Physical Therapy in Sport 18 (2016) e1ee10
for G < 14 (p ¼ 0.526). Agonist/antagonist SI at 60º/s for G 14 was 1.61 ± 36.12% and 3.28 ± 22.24% for G < 14 (p ¼ 0.876), while at 300º/s, it was 2.09 ± 13.09% for G 14 and 4.04 ± 32.88% for G < 14 (p ¼ 0.493). In VDJ, 40% of subjects in G 14 showed good control, while G < 14 had 42.8% (c2 ¼ 0.509; p ¼ 0.775). In the transversus abdominis muscles feed forward test, 80% of G 14 had later contractions while it was 87.5% in G < 14 (c2 ¼ 0.654; p ¼ 0.570). Assessment of the fibularis longus response time in G 14 had 43.8% subjects with later contractions and 21.4% in G < 14 (c2 ¼ 0.260; p ¼ 0.196). Inline lunge and active straight-leg raise tests showed no significant difference between the groups (p > 0.05). Conclusion: Overall, there were no biomechanical differences between the groups classified by FMS. In addition, inline lunge and active straightleg raise tests did not exhibit a direct influence on runners rating. Keywords: Perception
Electromyography,
Kinesiology,
Running,
Movement
References: Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014;9(4):549e563. Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function e part 1. Int J Sports Phys Ther. 2014;9(3):396e409. HESPANHOL JUNIOR LC, Costa LOP, Lopes AD. Previous injuries and some training characteristics predict running-related injuries in recreational runners: a prospective cohort study. Journal of Physiotherapy 2013;59:263e269 Poppel D, Scholten-Peeters G, Middelkoop M, Verhagen A. Prevalence, incidence and course of lower extremity injuries in runners during a 12-month follow-up period. Scandinavian journal of medicine & science in sports. 2013 Kiesel, K., Plisky, P. J., & Voight, M. L. (2007). Can serious injury in professional football be predicted by a preseason functional movement screen?. North American journal of sports physical therapy: NAJSPT, 2(3), 147. EFFECTS OF HIGH-VELOCITY LOW-AMPLITUDE MANIPULATION (THRUST) IN ATHLETIC PERFORMANCE: A SYSTEMATIC REVIEW
performed in the included articles: judo, handball, Basketball and athletics. The methodological quality of studies was low, with an average value of 5.6 on the PEDro Scale. It was found two articles for each outcome, but in none of them was presented differences between the experimental and control groups considering the CI. Conclusion: Although thrust is widely used in sports in order to improve performance, current evidence does not support the use of this intervention. However, the study findings should be taken with caution since this research happens to be based on pilot studies. To carry out clinical trials with greater methodological rigor and a greater number of volunteers is warranted if it is to allow for more consistent inferences about the effects of thrust on athletes’ performance. Keywords: Musculoskeletal manipulations, Sports performance, Athletes, Systematic review. Referencias: Botelho, M.B., and Andrade B.B (2012). Effect of cervical spine manipulative therapy on judo athletes' grip strength. Journal of Manipulative Physiological Therapeutics. 35(1):38e44. Hedlund, S., Nilsson, H., Lenz, M., Sundberg, T. (2014). Effect of Chiropractic Manipulation on Vertical Jump Height in Young Female Athletes with Talocrural Joint Dysfunction: A Single-Blind Randomized Clinical Pilot Trial Journal of Manipulative Physiological Therapeutics. 37(2):116e123. Humphries, K.M., Ward, J., Coats, J., Nobert, J., Amonette, W., Dyess, S. (2013) Immediate effects of lower cervical spine manipulation on handgrip strength and free-throw accuracy of asymptomatic basketball players: a pilot study. Journal of Chiropractic Medicine. 12(3):153e159. € rndahl, L. (2008). Effect of chiropractic treatSandell, J., Palmgren, P.J., Bjo ment on hip extension ability and running velocity among young male running athletes. Journal of Chiropractic Medicine. 7(2):39e47. Shrier, I., Macdonald, D., Uchacz, G. (2006). A pilot study on the effects of pre-event manipulation on jump height and running velocity. British Journal of Sports Medicine. 40(11):947e949. INTRARATER RELIABILITY AND REPRODUCIBILITY OF FUNCTIONAL MOVEMENT SCREEN e FMS™ IN VOLLEYBALL AND BASKETBALL ATHLETES
udia Thais Pereira Mikhail Santos Cerqueira 1, Rafael Moreira Sales 1, Cla Pinto 2, Gabriel Mesquita 1, Bruno Gonçalves Dias Moreno 3, Alberto ~o De Moura Filho 1. 1 Department of Physical Therapy, Federal Galva University of Pernambuco, Recife, Pernambuco, Brazil; 2 Integrative Medicine Institute Professor Fernando Figueira, Recife, Pernambuco, Brazil; 3 Physical Therapy School, Adamantinenses Integrated College, Adamantina, ~o Paulo, Brazil Sa
Igna Luciara Raffaelli Albino 1, Camila de Oliveira Neves Pinheiro 1, Gabriela Oliveira Druck 1, Joseani Ceccato 2, Fabiana Cristina Silva 3. 1 Graduated in Physical Education and undergraduate student of Physical Therapy at IPA Methodist University, Brazil; 2 Physiotherapist, MSc in Rehabilitation Sciences, Brazil; 3 Physiotherapist, MSc in Epidemiology and Professor at IPA Methodist University, Brazil
Abstract Background: The high demand level has encouraged the search for strategies to enhance sport performance. In this context, manual therapy through High Velocity and Low Amplitude (THRUST) has been employed in many sports. Despite the adhesion of manual therapists in clinical practice, there were no systematic reviews on this topic. Objectives: To evaluate the effects of THRUST on the performance of athletes in relation to the outcomes handgrip strength, jump height and running speed. Methods: A Systematic Review was performed in databases MEDLINE / PUBMED, LILACS, CINAHL, PEDro, WEB OF SCIENCE, CENTRAL and SCOPUS by two independent researchers. The terms ‘Sports’, ‘Sports Medicine’, ‘Athletes’, ‘Athletic Performance’, ‘Athletic Injuries’, ‘Manipulation’, ‘Osteopathic, Manipulation’, ‘Chiropractic, Manipulation’, ‘Spinal’, ‘Manipulation Orthopedic’, ‘Musculoskeletal Manipulations’ and ‘Randomized Controlled Trial’ were used in isolation or in combination. The methodological quality of the studies was assessed by two independent researchers using the PEDro scale of 10 points. Randomized controlled trials were eligible whose participants were professionals or recreational athletes and had THRUST as intervention. THRUST effects were determined by the mean difference and confidence interval (CI). The data analysis was done in the descriptive form due to the heterogeneity found among studies. Results: 259 studies were found, of which only five (with a total of 95 individuals) were included. There was some variability among the sports
Introduction: Functional Movement Screening e FMS™ was developed to assess the individual globally using a set of essential movements in sports. Despite the great interest in FMS™, there are few studies that evaluate the reliability and reproducibility of intra-rater results for different sports in Brazil. The aim of the study was to examine the reproducibility and reliability of the FMS™ through test and re-test. Method: Cross-sectional study consisted of 39 volunteer athletes, male ^mio Na utico Unia ~o, 17 (43.6%) basketball and 22 and female, from Gre (56.4%) volleyball, with a mean age 19.2 ± 2.5 years. Two different raters assessed (The intervention was performed by two assessors, who tested) each athlete individually and retested them (a maximum of) in a two weeks maximum interval. Intrarater reliability was analyzed using the tstudent test for paired samples was used, the correlation between the two measurements of the intra-rater correlation coefficient was applied. The level of significance was 5% (p 0.05) and SPSS version 21.0 was used. Results: For observer 1, the average total FMS score was 14.1 (±2.4) and retest was 14.6 (±2.8), with no significant difference between measurements (p ¼ 0.114). The agreement between the two measurements, assessed using the intra-class correlation coefficient was excellent (ICC ¼ 0.89; IC ¼ 95% ¼ 0.78 to 0.94). For observer 2, the average total score of FMS in the test was 14.5 (±2.3) and retest was 14.6 (±2.7), with no significant difference between measurements (p ¼ 0.668). Both raters demonstrated excellent agreement between the two measurements, analyzed by intra-class correlation coefficient (ICC ¼ 0.84; IC ¼ 95% ¼ 0.70 to 0.92).
Objective: To analyze the response to hip stabilizer muscle activation in street runners with PFPS through the application of elastic tape therapy. Methods: We evaluated street runners between the ages of 18 and 45, who run at least 5km/week and had been suffering from pain for at least 3 months. We excluded those who had an allergic reaction to the bandage and those who could not use the bandage during the stipulated period. The volunteers had been assessed in relation to their measurements, experience of pain and training routine, their medius muscle (GM) and biceps femoris muscle (BF) had also been tested with surface electromyography through pre-determined performance tests. Opaque, sealed envelopes were used to ensure randomization when assigning the participants to either the treatment or the placebo group. The participants of both groups wore a bandage for 6 weeks (1 per week). However for the participants of the placebo group we applied a different anatomical path without tension, eliminating all the therapeutic elements. The volunteers were reassessed following the trial. Results: The sample comprised of 15 street runners, 9 in the placebo group and 6 received actual therapy. Comparing the groups without pre and post intervention, there was no significant difference following the 6 weeks of taping therapy for the activation of GM and BF in either the placebo or treatment group. In relation to pain, there was a significant improvement both in the placebo group (P ¼ 0.00) and in the treatment group (P ¼ 0.03). Conclusion: Elastic tape therapy did not result in any improvement in the activation of hip muscles in street runners with patellofemoral pain syndrome. Although there was no motor activation of the muscles, both groups have shown improvements as regards to pain, demonstrating that there is a sensory effect of the bandage, which makes physical activity easier. References: 1. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. Journal of Orthopaedic & Sports Physical Therapy 2010;40(2):42e51. doi: 10.2519/jospt.2010.3337. ~es E, Bryk FF, Lucareli PRG, Carvalho 2. Fukuda TY, Rossetto FM, Magalha NAA. Short-Term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical Trial. Journal of Orthopaedic & Sports Physical Therapy 2010; 40 (11): 736-742. doi: 10.2519. ^utica: conceito estimulaça ~o tegumentar. 3. Morini, NJ. Bandagem terape Roca, 2012. p. 184. 4. Barton CJ, Lack S, Malliaras P, Morrisey D. Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med 2013;47:207-214. doi: 10.1136/bjsports-2012-090953. 5. Lins CAA, Neto FL, Amorin ABC, Macedo L B, Brasileiro JS. Kinesio Taping® does not alter neuromuscular performance of femoral quadríceps or lower limb function in healthy subjects: randomized, blind, controlled, clinical trial. Manual Therapy 2013; 18:41e45. INTERRATER RELIABILITY OF FUNCTIONAL MOVEMENT (FMS™) IN VOLLEYBALL AND BASKETBALL ATHLETES
SCREEN
Gabriela Oliveira Druck 1, Camila de Oliveira Neves Pinheiro 1, Igna Luciara Raffaelli Albino 1, Joseani Ceccato 2, Fabiana Cristina Silva 1. 1 IPA Methodist ~o, Brazil emio Nautico Unia University, Brazil; 2 Gr^ Abstract Background: The determination of athletes’ capacity and physical conditioning for engagement in competitive activities require a rigorous evaluation of the abilities requested for each sport. The Functional Movement Screening (FMS™), recently described by Cook et al, is highlighted nowadays for being a simple and easily applied tool, enabling a global evaluation of the individual, analyzing a set of fundamental movements, which are necessary for the engagement in more (complex functions such as) sports practice. The FMS is composed of a series of seven tests that requires balance, mobility and stability and are scored on an ordinary scale with four categories, reaching a maximum total score of 21 points. However, there are few studies that seek to examine the reliability of such tool. Therefore, this study aims to establish the reliability and reproducibility of the Functional Movement Screening, by means of correlation of the results of the total scores, by two different raters.
e7
Methods: Cross-sectional study consisted of 39 male and female volunteer ^mio N ~o, 17 (43.6%) basketball and 22 (56.4%) athletes from Gre autico Unia volleyball, mean age 19.2 ± 2.5 years. All participants signed an informed consent. Two different raters assessed each athlete individually. To evaluate the differences on raters’ total scores, the t-student test for paired samples was used. Interrater reliability was analyzed using the intraclass correlation coefficient (ICC). The level of significance was 5% (p 0.05) and SPSS version 21.0 was used. Results: The mean score on the FMS for rater 1 was 14.6 (±2.8) and for rater 2 was 14.6 (±2.7), showing no significant differences between raters (p ¼ 0.520). To determine the reliability of the interrater scoring of the FMS an intraclass correlation coefficient was used. The data analyses showed excellent agreement between raters total scores (ICC ¼ 0.98; IC 95% ¼ 0.97 a 0.99). Conclusion: The results obtained in this study shown that FMS™ is a highly reliable assessment tool and can be safely used in volleyball and basketball athletes. Key words: FMS, Athletes, Movement, Physiotherapy References: 1. Cook G, Burton L, Hoogenboom B. (2006). Pre-participation screening: the use of fundamental movements as an assessment of function e part 1. N Am J Sports Phys Ther, 1(2):62e72. 2. Cook G, Burton L, Hoogenboom B. (2006). Pre-participation screening: the use of fundamental movements as an assessment of function epart 2. N Am J Sports Phys Ther, 1(3):132e139. 3. Letafatkar A, Hadadnezhad M, Shojaedin S, Mohamadi E. (2014). Relationship between functional movement screening score and history of injury. Int J Sports Phys Ther, 9(1):21e27. 4. Minick KI, Kiesel KB, Burton L, Taylor A, Plisky P, Butler RJ. (2010). Inter rater reliability of the functional movement screen. J Strength Cond Res, 24(2):479e486. 5. Gribble PA, Brigle J, Pietro Simone BG, Pfile KR, Webster KA. (2013). Intra rater reliability of the functional movement screen. J Strength Cond Res, 27(4):978e981. BIOMECHANICAL PROFILE OF FUNCTIONAL MOVEMENT SCREEN
STREET
RUNNERS
RATED
BY
rcio Almeida Bezerra 2, Gabriel Peixoto Figueire ^do Chaves 1, Ma Shalima 2 ~ Leao Almeida , Rodrigo Ribeiro de Oliveira 2, Pedro Olavo de Paula , Lima 2. 1 League of Physical Therapy in Sports, Federal University of Ceara , Brazil Brazil; 2 Department of Physical Therapy, Federal University of Ceara Background: Running has been one of the main choices of physical activity in people seeking an active lifestyle. Despite being a beneficial activity used to reduce risk factors of cardiovascular disorders, this practice is also linked to a high injury risk. Functional Movement Screen (FMS) is a functional evaluating tool that aims to assess and rate quality of movement of subjects in high or poor quality using qualitative data. Objective: The purpose of this research was to compare biomechanical characteristics between two groups rated by FMS. Methods: Runners of both genders (n ¼ 32) were classified by FMS score and splited into two groups: 14 or higher score (G 14) (n ¼ 16) and lower than 14 score (G < 14) (n ¼ 16). One single examiner was trained and applied the test in all participants. All runners underwent other tests, such as flexibility on sit-and-reach test, dynamic postural stability on Biodex® Balance System (BBS®), muscle strength on isokinetic dynamometer (Biodex®), knee dynamic valgus by two-leg drop vertical jump (VDJ) and myoelectric response time of the transversus abdominis and long fibular muscles through surface electromyography. All data were analyzed with SPSS with a significance level of 5%. Results: In flexibility assessment, G 14 exhibited 30.72 ± 8.35 cm and G < 14, 25.57 ± 9.31 cm (p ¼ 0.121). Symmetric Index (SI) of global stability was 3.26 ± 26.79% in G 14 and 31.72 ± 52.69% in G < 14 (p ¼ 0.025). The mean knee extensor strength SI at 60 /s of G 14 was 11.56 ± 10.96% and 8.12 ± 7.32 for G < 14 (p ¼ 0.885); knee flexor strength of G 14 was 12.15 ± 11.71% and 3.05 ± 17.69% for G < 14 (p ¼ 0.207). The mean knee extensor SI at 300º/s of G 14 was 0.71 ± 8.88% and 3.05 ± 17.09% for G < 14 (p ¼ 0.454); knee flexor of G 14 was 0.19 ± 10.09 and 3.30 ± 19.37
e8
Abstracts / Physical Therapy in Sport 18 (2016) e1ee10
for G < 14 (p ¼ 0.526). Agonist/antagonist SI at 60º/s for G 14 was 1.61 ± 36.12% and 3.28 ± 22.24% for G < 14 (p ¼ 0.876), while at 300º/s, it was 2.09 ± 13.09% for G 14 and 4.04 ± 32.88% for G < 14 (p ¼ 0.493). In VDJ, 40% of subjects in G 14 showed good control, while G < 14 had 42.8% (c2 ¼ 0.509; p ¼ 0.775). In the transversus abdominis muscles feed forward test, 80% of G 14 had later contractions while it was 87.5% in G < 14 (c2 ¼ 0.654; p ¼ 0.570). Assessment of the fibularis longus response time in G 14 had 43.8% subjects with later contractions and 21.4% in G < 14 (c2 ¼ 0.260; p ¼ 0.196). Inline lunge and active straight-leg raise tests showed no significant difference between the groups (p > 0.05). Conclusion: Overall, there were no biomechanical differences between the groups classified by FMS. In addition, inline lunge and active straightleg raise tests did not exhibit a direct influence on runners rating. Keywords: Perception
Electromyography,
Kinesiology,
Running,
Movement
References: Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014;9(4):549e563. Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function e part 1. Int J Sports Phys Ther. 2014;9(3):396e409. HESPANHOL JUNIOR LC, Costa LOP, Lopes AD. Previous injuries and some training characteristics predict running-related injuries in recreational runners: a prospective cohort study. Journal of Physiotherapy 2013;59:263e269 Poppel D, Scholten-Peeters G, Middelkoop M, Verhagen A. Prevalence, incidence and course of lower extremity injuries in runners during a 12-month follow-up period. Scandinavian journal of medicine & science in sports. 2013 Kiesel, K., Plisky, P. J., & Voight, M. L. (2007). Can serious injury in professional football be predicted by a preseason functional movement screen?. North American journal of sports physical therapy: NAJSPT, 2(3), 147. EFFECTS OF HIGH-VELOCITY LOW-AMPLITUDE MANIPULATION (THRUST) IN ATHLETIC PERFORMANCE: A SYSTEMATIC REVIEW
performed in the included articles: judo, handball, Basketball and athletics. The methodological quality of studies was low, with an average value of 5.6 on the PEDro Scale. It was found two articles for each outcome, but in none of them was presented differences between the experimental and control groups considering the CI. Conclusion: Although thrust is widely used in sports in order to improve performance, current evidence does not support the use of this intervention. However, the study findings should be taken with caution since this research happens to be based on pilot studies. To carry out clinical trials with greater methodological rigor and a greater number of volunteers is warranted if it is to allow for more consistent inferences about the effects of thrust on athletes’ performance. Keywords: Musculoskeletal manipulations, Sports performance, Athletes, Systematic review. Referencias: Botelho, M.B., and Andrade B.B (2012). Effect of cervical spine manipulative therapy on judo athletes' grip strength. Journal of Manipulative Physiological Therapeutics. 35(1):38e44. Hedlund, S., Nilsson, H., Lenz, M., Sundberg, T. (2014). Effect of Chiropractic Manipulation on Vertical Jump Height in Young Female Athletes with Talocrural Joint Dysfunction: A Single-Blind Randomized Clinical Pilot Trial Journal of Manipulative Physiological Therapeutics. 37(2):116e123. Humphries, K.M., Ward, J., Coats, J., Nobert, J., Amonette, W., Dyess, S. (2013) Immediate effects of lower cervical spine manipulation on handgrip strength and free-throw accuracy of asymptomatic basketball players: a pilot study. Journal of Chiropractic Medicine. 12(3):153e159. € rndahl, L. (2008). Effect of chiropractic treatSandell, J., Palmgren, P.J., Bjo ment on hip extension ability and running velocity among young male running athletes. Journal of Chiropractic Medicine. 7(2):39e47. Shrier, I., Macdonald, D., Uchacz, G. (2006). A pilot study on the effects of pre-event manipulation on jump height and running velocity. British Journal of Sports Medicine. 40(11):947e949. INTRARATER RELIABILITY AND REPRODUCIBILITY OF FUNCTIONAL MOVEMENT SCREEN e FMS™ IN VOLLEYBALL AND BASKETBALL ATHLETES
udia Thais Pereira Mikhail Santos Cerqueira 1, Rafael Moreira Sales 1, Cla Pinto 2, Gabriel Mesquita 1, Bruno Gonçalves Dias Moreno 3, Alberto ~o De Moura Filho 1. 1 Department of Physical Therapy, Federal Galva University of Pernambuco, Recife, Pernambuco, Brazil; 2 Integrative Medicine Institute Professor Fernando Figueira, Recife, Pernambuco, Brazil; 3 Physical Therapy School, Adamantinenses Integrated College, Adamantina, ~o Paulo, Brazil Sa
Igna Luciara Raffaelli Albino 1, Camila de Oliveira Neves Pinheiro 1, Gabriela Oliveira Druck 1, Joseani Ceccato 2, Fabiana Cristina Silva 3. 1 Graduated in Physical Education and undergraduate student of Physical Therapy at IPA Methodist University, Brazil; 2 Physiotherapist, MSc in Rehabilitation Sciences, Brazil; 3 Physiotherapist, MSc in Epidemiology and Professor at IPA Methodist University, Brazil
Abstract Background: The high demand level has encouraged the search for strategies to enhance sport performance. In this context, manual therapy through High Velocity and Low Amplitude (THRUST) has been employed in many sports. Despite the adhesion of manual therapists in clinical practice, there were no systematic reviews on this topic. Objectives: To evaluate the effects of THRUST on the performance of athletes in relation to the outcomes handgrip strength, jump height and running speed. Methods: A Systematic Review was performed in databases MEDLINE / PUBMED, LILACS, CINAHL, PEDro, WEB OF SCIENCE, CENTRAL and SCOPUS by two independent researchers. The terms ‘Sports’, ‘Sports Medicine’, ‘Athletes’, ‘Athletic Performance’, ‘Athletic Injuries’, ‘Manipulation’, ‘Osteopathic, Manipulation’, ‘Chiropractic, Manipulation’, ‘Spinal’, ‘Manipulation Orthopedic’, ‘Musculoskeletal Manipulations’ and ‘Randomized Controlled Trial’ were used in isolation or in combination. The methodological quality of the studies was assessed by two independent researchers using the PEDro scale of 10 points. Randomized controlled trials were eligible whose participants were professionals or recreational athletes and had THRUST as intervention. THRUST effects were determined by the mean difference and confidence interval (CI). The data analysis was done in the descriptive form due to the heterogeneity found among studies. Results: 259 studies were found, of which only five (with a total of 95 individuals) were included. There was some variability among the sports
Introduction: Functional Movement Screening e FMS™ was developed to assess the individual globally using a set of essential movements in sports. Despite the great interest in FMS™, there are few studies that evaluate the reliability and reproducibility of intra-rater results for different sports in Brazil. The aim of the study was to examine the reproducibility and reliability of the FMS™ through test and re-test. Method: Cross-sectional study consisted of 39 volunteer athletes, male ^mio Na utico Unia ~o, 17 (43.6%) basketball and 22 and female, from Gre (56.4%) volleyball, with a mean age 19.2 ± 2.5 years. Two different raters assessed (The intervention was performed by two assessors, who tested) each athlete individually and retested them (a maximum of) in a two weeks maximum interval. Intrarater reliability was analyzed using the tstudent test for paired samples was used, the correlation between the two measurements of the intra-rater correlation coefficient was applied. The level of significance was 5% (p 0.05) and SPSS version 21.0 was used. Results: For observer 1, the average total FMS score was 14.1 (±2.4) and retest was 14.6 (±2.8), with no significant difference between measurements (p ¼ 0.114). The agreement between the two measurements, assessed using the intra-class correlation coefficient was excellent (ICC ¼ 0.89; IC ¼ 95% ¼ 0.78 to 0.94). For observer 2, the average total score of FMS in the test was 14.5 (±2.3) and retest was 14.6 (±2.7), with no significant difference between measurements (p ¼ 0.668). Both raters demonstrated excellent agreement between the two measurements, analyzed by intra-class correlation coefficient (ICC ¼ 0.84; IC ¼ 95% ¼ 0.70 to 0.92).