Improving physical performance tests: time to include a psychologist

Kazman, Josh B.; Motte, Sarah de la; Gribbin, Timothy C.; Galecki, Jeffrey M.; Deuster, Patricia A.; O’Connor, Francis G.

doi:10.1136/bjsports-2015-095407

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Further, the predictive ability of the specific screening test cut-off value must be validated in multiple populations. 9 To date, movement quality tests lack the foundation of rigorous development and validation (eg, psychometrics) common in other fields, 35 and there is a lack of high-quality evidence demonstrating a strong relationship between any single movement quality outcome and injury. As movement quality tests were not specifically developed as diagnostic tools, but rather to identify deficits that inform clinical interventions from a mechanistic perspective, this is perhaps not surprising.…”

Section: Discussionmentioning

confidence: 99%

“…Further recommendations include ensuring consistency in injury definition among studies attempting to determine the relationship between a movement quality outcome and subsequent injury that aligns with international consensus 45 and the development of movement quality screening tools according to psychometric principles. 35 Implementation of these recommendations will assist in the advancement of injury prediction and prevention.…”

Section: Recommendationsmentioning

confidence: 99%

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Predicting sport and occupational lower extremity injury risk through movement quality screening: a systematic review

et al. 2016

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Background Identification of risk factors for lower extremity (LE) injury in sport and military/first-responder occupations is required to inform injury prevention strategies. Objective To determine if poor movement quality is associated with LE injury in sport and military/first-responder occupations. Material and methods Five electronic databases were systematically searched. Studies selected included: original data; analytic design; movement quality outcome (qualitative rating of functional compensation, asymmetry, impairment or efficiency of movement control); LE injury sustained with sport or military/first-responder occupation. The PRISMA guidelines were followed. Two independent authors assessed the quality [Downs and Black (DB) criteria] and level of evidence (Oxford Centre of Evidence-Based Medicine model). Results Of 4361 potential studies, 17 were included. The majority were low quality cohort studies (level 4 evidence). Median DB score was 11/33 (range 3–15). Heterogeneity in methodology and injury definition precluded meta-analyses. The Functional Movement Screen was the most common outcome investigated (15/17 studies). Four studies considered interrelationships between risk factors, seven reported diagnostic accuracy and none tested an intervention program targeting individuals identified as high-risk. There is inconsistent evidence that poor movement quality is associated with increased risk of LE injury in sport and military/first-responder occupations. Conclusions Future research should focus on high quality cohort studies to identify the most relevant movement quality outcomes for predicting injury risk followed by developing and evaluating pre-participation screening and LE injury prevention programs through high quality randomized controlled trials targeting individuals at greater risk of injury based upon screening tests with validated test properties.

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Section: Discussionmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

Predicting sport and occupational lower extremity injury risk through movement quality screening: a systematic review

et al. 2016

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“…The methodology of Kazman et al (2016) [21] was used to systematically describe the development of the reactive balance test (RBT). This implied a stepwise description of the 1) definitions and exploration throughout the theoretical constructs of balance and adaptability, followed by the 2) development of test items which lead to the creation of the final test protocol.…”

Section: Methodsmentioning

confidence: 99%

Bringing context to balance: development of a reactive balance test within the injury prevention and return to sport domain

et al. 2019

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Background Balance tests are commonly used in clinical practice with applicability in injury prevention and return to sport decisions. While most sports injuries occur in a changing environment where reacting to a non-planned stimulus is of great importance, these balance tests only evaluate pre-planned movements without taking these dynamics environmental aspects into account. Therefore, the goal of this paper was to develop a clinician-friendly test that respects these contextual interactions and to describe the test protocol of an adapted Y-balance test that includes environmental perception and decision-making. Methods Within the theoretical construct of balance and adaptability, balance errors were selected as outcome measures for balance ability and, visuomotor reaction time and accuracy are selected as outcome measures for adaptability. A reactive balance task was developed and described using the Y-balance test for the balance component, while the FitLight training system TM was chosen for the environmental perception and decision-making component of the test. Results This paper describes the test protocol of a reactive balance test as an adapted Y-balance test. The LED-lights of the FitLight training systemTM are placed at 80% of the maximal reach distance for each axis along the Y-Balance test kitTM. To induce cognitive load within the visuomotor task, colours were fixed to a corresponding axis, and both the order of the visual stimuli as the interstimulus time were randomised to integrate environmental perception and decision-making. Conclusion The reactive balance test is a functional test that allows clinicians to score balance ability and athlete adaptability easily.

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Improving physical performance tests: time to include a psychologist

Cited by 2 publications

References 4 publications

Predicting sport and occupational lower extremity injury risk through movement quality screening: a systematic review

Predicting sport and occupational lower extremity injury risk through movement quality screening: a systematic review

Bringing context to balance: development of a reactive balance test within the injury prevention and return to sport domain

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