Musculoskeletal examination in young athletes and non-athletes:the Finnish Health Promoting Sports Club (FHPSC) study
| Autor: | Urho M. Kujala, Kerttu Toivo, Pekka Kannus, Raija Korpelainen, Jari Parkkari, Tommi Vasankari, Olli J. Heinonen, Lauri Alanko, Jari Villberg, Sami Kokko, Kai Savonen, Harri Selänne, Lasse Kannas |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Physical Therapy Sports Therapy and Rehabilitation Squat musculoskeletal examinations 03 medical and health sciences 0302 clinical medicine nuoret Musculoskeletal examination medicine motor control the Finnish Health Promoting Sports Club study Orthopedics and Sports Medicine 030212 general & internal medicine movement/physiology Movement control ryhti Core (anatomy) biology postural balance/physiology Athletes business.industry mittaus Motor control kehonhallinta 030229 sport sciences biology.organism_classification FHPSC study testing observer variation Test (assessment) musculoskeletal examination adolescent Physical therapy movement control non-athletes Original Article Club athlete reproducibility of results business lihaskunto periodic health evaluation urheilijat |
| Zdroj: | BMJ Open Sport — Exercise Medicine |
| Popis: | ObjectivesTo determine the inter-rater repeatability of a musculoskeletal examination and to compare findings between adolescent athletes and non-athletes in Finland.MethodsIn this cross-sectional study, a musculoskeletal examination assessing posture, mobility and movement control was carried out by a sports and exercise medicine physician on 399 athletes aged 14–17 years and 177 non-athletes. Within 2 weeks another sports and exercise medicine physician repeated the examination for 41 adolescents to test the inter-rater repeatability.ResultsIn total, 10 of the 11 tests performed had at least moderate inter-rater reliability (κ ≥0.4 or percentage agreement >80%). Athletes more often than non-athletes had one shoulder protruded (8.0% vs 4.0%, OR 2.81, 95% CI 1.16 to 6.81). Forty-six per cent of athletes had good knee control in the two-legged vertical drop jump test compared with 32% of non-athletes (OR 1.99, 95% CI 1.29 to 3.06). Athletes had better core muscle control with 86.3% being able to remain in the correct plank position for 30 s compared with 68.6% of non-athletes (OR 2.70, 95% CI 1.67 to 4.36). In the deep squat test, good lumbar spine control was maintained only by 35.8% of athletes and 38.4% of non-athletes.ConclusionA basic musculoskeletal examination is sufficiently reliable to be performed by trained physicians as a part of a periodic health evaluation. Shortfalls in mobility, posture and movement control are common in both athletes and non-athletes. These deficits could have been caused by sedentary behaviour, monotonous training, or both. |
| Databáze: | OpenAIRE |
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