The identification of risk factors for ankle sprains sustained during netball participation

Attenborough, Alison S.; Sinclair, Peter J.; Sharp, Tristan; Greene, Andrew; Stuelcken, Max; Smith, Richard M.; Hiller, Claire E.

doi:10.1016/j.ptsp.2016.06.009

Cited by 51 publications

(82 citation statements)

References 35 publications

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“…Of the 44 studies included, the most frequently studied team ball sport was soccer (represented in 24 studies; 55%) [ 61 – 84 ], followed by basketball (represented in 14 studies, 32%) [ 64 , 65 , 71 , 73 , 83 , 85 – 93 ], and volleyball (represented in 7 studies, 16%) [ 64 , 71 , 83 , 89 – 91 , 94 ]. Other team ball sports investigated included handball [ 81 , 90 , 95 , 96 ], netball [ 97 – 100 ], softball [ 101 – 103 ], field hockey [ 61 , 65 ], lacrosse [ 61 ], and rugby union [ 104 ]. Almost one quarter (23%) of the studies included multiple team ball sport players in their study population.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies examined the relationship between physical fitness characteristics and lower leg/ankle/foot injuries by univariate analyses. All studies were prospective (levels I and II) in design and defined injury as either time-loss [ 75 , 94 , 97 ], medical attention [ 61 ], or combined time-loss and medical attention definitions [ 72 ]. Lower leg/ankle/foot injuries encompassed any injury to the ankle or leg/foot [ 75 ], noncontact injuries to the ankle/foot [ 94 ], or diagnosis of an ankle sprain [ 61 , 72 , 97 ].…”

Section: Resultsmentioning

confidence: 99%

“…Sports represented in study populations included volleyball, soccer, field hockey, lacrosse, and netball. Two studies were identified as having high ROB [ 72 , 97 ].…”

Section: Resultsmentioning

confidence: 99%

“… Coding: n / N = number of significant associated relationships divided by total number of relationships investigated. The number of relationships is reported with the study reference number in brackets Data removed from univariate analyses data synthesis due to poor methodological quality and/or high risk of bias included the following: body composition measures (3 relationships [ 72 ], 2 relationships [ 97 ]), flexibility measures (1 relationship [ 97 ]), balance measures (5 relationships [ 97 ]), and power measures (1 relationship [ 97 ]). Data removed from multivariate analyses’ data synthesis due to poor methodological quality and/or high risk of bias included: flexibility measures (2 relationships [ 93 ]) and muscular strength measures (16 relationships [ 93 ]) …”

Section: Resultsmentioning

confidence: 99%

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The relationship between physical fitness attributes and sports injury in female, team ball sport players: a systematic review

et al. 2020

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Background Understanding the relationships between physical fitness characteristics and sports injury may assist with the development of injury minimisation programs. The purpose of this systematic review was to investigate the association between physical fitness attributes and sports injury in female, team ball sport players. Methods Four scientific databases (MEDLINE, EMBASE, SPORTDiscus, Scopus) and reference lists of relevant research were searched for eligible studies up to September 2, 2019. Full-text articles examining the relationship between physical fitness and sports injury in female, team ball sport players were included. A modified Downs and Black checklist was used to assess methodological quality. Data synthesis determined summary conclusions based on the number of significant relationships divided by the total relationships investigated and reported as a percentage. Level of certainty was identified for summary conclusions based on level of evidence. Sub-analyses regarding competition level, age, and single injury types were also conducted. Results A total of 44 studies were included. Data synthesis revealed no associations (low to moderate certainty) between body composition (1/9; 11%), flexibility (18–20%), and balance (2/8; 25%) and ‘any injury’ classification. No associations (mostly of moderate certainty) were found between flexibility (0–27%), muscular strength (0–27%), and body composition (14–33%) and various body region injury classifications, whereas mixed summary conclusions were shown for balance (0-48%). Many associations between physical fitness and sports injury were deemed ‘unknown’ or with an insufficient level of certainty. Sub-analyses revealed no association between strength and noncontact ACL injuries (0/5; 0%) or ankle sprains (0/12; 0%), and between flexibility and ankle sprains (1/5; 20%); however, insufficient certainty of these results exists. Clear associations were concluded between balance and lower body injuries in female, non-elite (10/16; 63%) and junior (9/12; 75%) team ball sport players, with moderate and insufficient certainty of these results, respectively. Conclusion Limited evidence is available to demonstrate relationships between physical fitness and sports injury in female, team ball sport players. High-quality evidence investigating the multifactorial nature of sports injury, including the interactions physical fitness qualities have with other injury determinants, is needed to better understand the role of physical fitness in minimising sports injuries in female, team ball sport players. Trial Registration CRD42017077374 (PROSPERO on September 14, 2017).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Sports represented in study populations included volleyball, soccer, field hockey, lacrosse, and netball. Two studies were identified as having high ROB [ 72 , 97 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The relationship between physical fitness attributes and sports injury in female, team ball sport players: a systematic review

et al. 2020

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“…6 Understanding the mechanisms behind balance impairments is important because poor balance, which is a modifiable risk factor, places one at up to 4 times greater risk of ankle injury. 14 Impaired balance in patients with CAI can be improved after balance training. 6,[15][16][17] Whereas multiple balancetraining programs have been developed, researchers have recommended that the sensorimotor system be progressively challenged to develop motor ''solutions'' to new motor ''problems'' by increasing the difficulty of motor tasks after movement proficiency is demonstrated.…”

mentioning

confidence: 99%

Cortical Measures of Motor Planning and Balance Training in Patients With Chronic Ankle Instability

Burcal

Jeon

Gonzales

et al. 2019

Journal of Athletic Training

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Context Motor planning, a prerequisite for goal-driven movement, is a complex process that occurs in the cortex. Evidence has suggested that motor planning is altered in patients with chronic ankle instability (CAI). We know balance training can improve balance, but we do not know if it also improves motor planning. Such changes in cortical activity can be assessed using electroencephalography. Objective To evaluate changes in cortical measures of motor planning after balance training in patients with CAI. Design Controlled laboratory study. Setting Research laboratory. Patients or Other Participants Fifteen patients with CAI (age = 20.80 ± 2.37 years, height = 169.47 ± 7.95 cm, mass = 70.45 ± 19.25 kg). Intervention(s) A 4-week progression-based balance-training program. Main Outcome Measure(s) Motor planning was assessed via electroencephalography before a lateral-stepping task. We calculated event-related spectral perturbations in the θ (4–8 Hz), α (8–12 Hz), β (14–25 Hz), and γ (30–50 Hz) bands. The change in power (in decibels) was calculated in each band for the 500 milliseconds before the onset of the lateral-stepping movement. Additional outcomes were the Foot and Ankle Ability Measure (FAAM)–Activities of Daily Living and Sport subscales; the anterior-, posteromedial-, and posterolateral-reach directions of the Star Excursion Balance Test; and static balance. Patients completed 3 test sessions: baseline, 24- to 48-hour posttest, and 1-week posttest. Repeated-measures analyses of variance were used to assess changes over time. The α level was set at .05. Results The FAAM–Activities of Daily Living subscale score was improved at both posttests (P < .05), and the FAAM-Sport subscale score was improved at the 1-week posttest (P = .008). Balance was better in all 3 directions of the Star Excursion Balance Test at both posttest sessions (P < .001). After balance training, no differences were identified in cortical activity at either posttest session (P > .05). Conclusions No improvements were identified in electroencephalography measures of motor planning during lateral stepping in patients with CAI. Improved balance suggested that sensorimotor adaptations occurred, but they may not have transferred to the lateral-stepping task or they may have been mediated via other processes in patients with CAI.

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Assessments of Sensorimotor Deficits Used in Randomized Clinical Trials With Individuals With Ankle Sprains and Chronic Ankle Instability: A Scoping Review

Nozu

Takemura

Sole

2020

PM&R

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The main purpose of this scoping review was to summarize the most common tasks and outcome measures in randomized control trials (RCTs) used to assess sensorimotor function following ankle sprain and chronic ankle instability (CAI). We also aimed to summarize the description of inclusion criteria used in articles. We searched for RCTs published between 2008 and 2018 using the following databases: MEDLINE, PubMed, SPORTDiscus, and Web of Science. Eligible studies included participants of either sex who had had at least one ankle sprain with/without subsequent CAI. All articles assessed sensorimotor function. The tasks, outcome measures, and inclusion criteria were categorized, and frequencies of use in each category were calculated. Of 272 publications, 31 met the eligibility criteria. The most common task was single‐limb stance (58% of 31). The most common outcome measure was the posterior‐medial reach distance of the Star Excursion Balance Test (SEBT) (13 of 16 articles, 81%). Different inclusion criteria for a history of ankle sprains or CAI were used. A wide range of sensorimotor assessments and inclusion criteria was used among studies involving individuals with a history of ankle sprain with or without CAI, which could make it difficult to compare and generalize study results. This scoping review provides a baseline for planning future studies exploring outcome measures to assess sensorimotor function of individuals with a history of ankle sprain with or without CAI.

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The identification of risk factors for ankle sprains sustained during netball participation

Abstract: The identified risk factor can be easily measured and should be considered for preseason injury risk profiling of netball players. Netball players may benefit from training programs aimed at improving single leg balance.

Cited by 51 publications

References 35 publications

The relationship between physical fitness attributes and sports injury in female, team ball sport players: a systematic review

The relationship between physical fitness attributes and sports injury in female, team ball sport players: a systematic review

Cortical Measures of Motor Planning and Balance Training in Patients With Chronic Ankle Instability

Assessments of Sensorimotor Deficits Used in Randomized Clinical Trials With Individuals With Ankle Sprains and Chronic Ankle Instability: A Scoping Review

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