Bakgrund: Främre korsbandsskador är en av de vanligaste idrottsskadorna, speciellt bland idrottande kvinnor. Uppkomstmekanismerna bakom främre korsbandsskador är många och skadan inträffar oftast i samband med snabba riktningsförändringar, inbromsningar eller landningar. Efter en främre korsbandsskada ökar risken för återfall samt utveckling av artros. Att förebygga denna skada är av vikt då det ofta innebär negativa konsekvenser för individen och dess idrottskarriär.  Syfte: Att genom en systematisk litteraturstudie granska studier som använt neuromuskulär träning (NMT) som preventionsåtgärd för främre korsbandsskador hos idrottande kvinnor samt utvärdera ifall någon kombination av NMT visats ha bättre effekt än annan.  Metod: Litteratursökningen genomfördes i databaserna Pubmed samt Web of Science. Randomiserade kontrollerade studier (RCT) granskades enskilt samt gemensamt av författarna enligt PEDro-skalan. Tillförlitligheten av resultatet bedömdes enskilt med hjälp av GRADEstud innan gemensam bedömning genomfördes.  Resultat: Litteratursökningen resulterade i 524 träffar, dessa granskades i relation till PICO vilket resulterade i åtta inkluderade artiklar. Samtliga artiklar bedömdes ha hög kvalitet. Gällande incidensen av främre korsbandsskador presenterade endast två studier en signifikant mellangruppsskillnad. Samtliga studier redovisade en generellt minskad incidens av främre korsbandsskador, förutom en studie. Tillförlitligheten av det sammanvägda resultatet bedömdes som begränsad (++) på grund av bristande samstämmighet samt precision. Konklusion: Denna litteraturstudie bidrar inte med ett vetenskapligt underlag som tyder på att NMT bör rekommenderas för kvinnliga idrottare för att förebygga främre korsbandsskador. Ingen slutsats kan dras gällande vilken kombination av neuromuskulära övningar som kan anses mer effektiva än andra. / Background: Anterior cruciate ligament (ACL) injury is one of the most common knee injuries among female athletes. There are multiple risk factors and the injury normally occurs with quick change of direction, decelerations or landings. The risk of reinjury and developing arthritis increases considerably after a first injury. Preventing this injury is important considering the negative effects an injured athlete and their sports career will experience.  Objective: Through a systematic review, determine the effectiveness of neuromuscular training (NMT) in preventing anterior cruciate ligament injuries among athletic females. Also, explore if any specific combination of NMT exercises does have a superior outcome. Method: A literature search was made in the databases Pubmed and Web of Science. Randomised controlled studies (RCT) were reviewed separately and then jointly by the authors according to PEDro, and for assessment of reliability, with GRADEstud.  Results: The literature search resulted in 524 articles and they all were assessed by PICO. A final number of eight articles were included and were assessed to be of good quality and the level of evidence was considered limited (++). Solely two studies presented a significant result. All studies except one, presented a reduced incidence of ACL injury.  Conclusion: This systematic review does not provide a result which implies that NMT is an effective preventative measure for the incidence of ACL injuries among female athletes. No conclusion could be drawn if any combination of NMT exercises was more effective.

No description available.

Bakgrund: I Sverige uppkommer varje år runt 100 000 idrottsskador som kräver vård. Idrottsskador förekommer i stor utsträckning inom truppgymnastik, den största disciplinen inom svensk gymnastik. Fysioterapeutens roll i rehabilitering av idrottsskador syftar till att stödja läkningsprocessen men också till att försöka minimera de negativa följderna som en eventuell skadefrånvaro kan innebära, ur ett såväl fysiologiskt som psykosocialt perspektiv. Det finns i studieförfattarnas vetskap inga studier om truppgymnasters upplevelse av rehabiliteringsprocessen trots att detta är en idrott med helt unika krav. Syfte: Syftet med studien var att undersöka truppgymnasters upplevelser av rehabiliteringsprocessen för återgång till idrott efter skada. Metod: Kvalitativ deskriptiv design med semistrukturerade intervjuer. Sex tidigare skadade truppgymnaster som var aktiva på SM-nivå inkluderades i studien. Kvalitativ innehållsanalys med induktiv ansats användes som analysmetod. Resultat: Analysen resulterade i arton underkategorier indelade i fem kategorier: Tankar och känslor under rehabiliteringstiden, Utmanande faktorer vid genomförandet av rehabiliteringen, Omständigheter som påverkade genomförandet av rehabiliteringen positivt, Fysioterapeutens förmågor och insatser och Stödet från den sociala omgivningen. Slutsats: Resultatet i den här studien pekar på att såväl fysiska, psykologiska som sociala faktorer kan påverka upplevelsen av rehabiliteringsprocessen hos skadade truppgymnaster. / Background: Approximately 100 000 sport injuries that require medical care, occur in Sweden every year. Sport injuries are common in teamgym, the gymnastics discipline with the largest number of members in Sweden. In rehabilitation the physiotherapist´s role is to support the healing process and minimize negative consequences following injury absence, considering both physical and psychosocial aspects. According to the authors knowledge no study exists that examine teamgymnasts’ experience of the rehabilitation process, even though the sport has unique demands.  Aim: To explore teamgymnasts’ experience of the rehabilitation process in returning to sport after injury. Method: Qualitative descriptive design. Semistructured interviews were conducted. Six previously injured teamgymnasts competing at national level were included. Qualitative content analysis with inductive approach was used to analyze the data. Results: The analysis resulted in 18 subcategories devided into five categories: Cognitions and emotions during rehabilitation, Challenging factors during the performance of rehabilitation, Circumstances that positively influenced the performance of rehabilitation, Abilities and contributions of the physiotherapist, Support from the social environment.  Conclusion: The results of this study indicate that both physical and psychosocial factors may influence the experience of the rehabilitation process among injured teamgymnasts.

No description available.

No description available.

Background: The risk of future injury appears to be influenced by agonist fascicle length (FL), joint range of motion (ROM) and eccentric strength. Biomechanical observations of the torque-angle-relationship further reveal a strong dependence on these factors. In practice, a longer FL improves sprinting performance and lowers injury risk. Classical stretching is a popular and evidenced-based training for enhancing ROM but does not have any effects on FL and injury risk. However, recent studies show that eccentric-only training (ECC) improves both flexibility and strength, and effectively lowers risk of injury. Objectives: To review the evidence on benefits of ECC for flexibility and strength. Methods: COCHRANE, PUBMED, SCOPUS, SPOLIT, and SPONET were searched for laboratory trials that compare ECC to at least one comparison group. Studies were eligible if they examined both strength and flexibility metrics in a healthy sample (<65 years) and met criteria for controlled or randomized clinical trials (CCT, RCT). 18 studies have been included and successfully rated using the PEDro scale. Results: 16 of 18 studies show strong evidence of strength and flexibility enhancements for the lower limb. While improvements between ECC and concentric training (CONC) were similar for eccentric (+19 ± 10% vs. +19 ± 11%) and isometric strength (+16 ± 10% vs. +13 ± 6%), CONC showed larger improvements for concentric strength (+9 ± 6% vs. +16 ± 7%). While for ROM ECC showed improvements (+9 ± 7%), no results could be found for CONC. The overall effectiveness of ECC seems to be higher than of CONC. Conclusion: There is clear evidence that ECC is an effective method for changes in muscle architecture, leading to both flexibility and strength improvements for the lower limb. Due to limited data no shoulder study could be included. Further research is needed for the upper body joints with a focus on functional and structural adaptions.

No description available.

Background: Career ending injuries are known to cause negative psychosocial and behavioural outcomes in retired athletes. However, there has been a limited amount of quantitative studies to complement mostly qualitative research. Furthermore, qualitative studies have typically assessed the effects of athletic identity, mental health/mood disturbances, loss, coping mechanisms and social support with minimal research regarding physical body transitions and body-esteem throughout the retirement process. Thus, the purpose of this thesis was to investigate the relationship between affective, behavioural, and cognitive outcomes and athletic retirement (voluntary, involuntary) among elite and competitive athletes. Method: A retrospective mixed method (questionnaire and interview) study was utilized to examine how participants interpreted their experience during the transitional process into retirement. Inclusion criteria consisted of male and female, elite and competitive athletes who have voluntarily or involuntarily (career ending injury) retired, ages 18 and above. Exclusion criteria included non-athletes/recreational athletes, athletes who were able to return to play or retired due to illness, health problems or deselection as well as who were less than 18 years of age. Posters were advertised in sports clubs, fitness centers, sports centers, physiotherapy offices and universities as well as on social media (Facebook and Instagram). The main outcome measures are as follows:1) Athletic Identity Measurement Scale (AIMS); 2) Mood and Feelings Questionnaire (MFQ), 3) Mental Health and 4) COPE Inventory. Semi-structured interviews were conducted with participants from both retirement (voluntary and involuntary) groups. All interviews (telephone, zoom) were recorded, transcribed verbatim and a thematic analysis was implemented to further determine the various themes and subthemes. An independent t-test explored the impacts of body dimensions and coping mechanisms on retirement type. Then a factorial ANOVA was conducted to examine the effects of the dependent variables (mental health, mood disturbances and coping mechanisms) on the main analysis (retirement) and the exploratory (strength of athletic identity) analysis. Results: 50 (26 involuntary and 24 voluntary) questionnaires and eight (four voluntary and four involuntary) interviews were completed by the participants. Results from the quantitative data revealed a borderline main effect of retirement type on both mental health and mood disturbances. An exploratory analysis found retirees who weakly identified with the athletic role were less likely to experience severe mood disturbances and demonstrated higher levels of mental health than retirees who strongly identified with the athletic role. Information from qualitative data suggested participants who involuntarily retired and possessed a strong athletic identity experienced higher levels of mood disturbances (depression, frustrations, loss etc.), lower levels of mental health, identity loss, physical discomfort, negative effects of mind and body dualism as well as utilized maladaptive coping techniques than their counterpart who voluntarily retired or weakly identified with the athletic role. Conclusion: Both retirement types are subjected to various athletic and non-athletic demands and psychosocial effects of athletic retirement however, what sets them apart from experiencing a successful or unsuccessful transition into retirement is the intensity and severity of their emotional reaction to their retirement. Limitations of said study included a decrease in sample size, memory recall bias, the participant’s own bias, limited diversity of the sample population as well as the inability to verify the findings from the interviews. The following study can be implemented to aid researchers, retired or soon to be retired athletes, coaches and athletic personnel to comprehend the diverse areas of athletic retirement. Future research should aim to investigate the impacts of mood disorders, the utilization of psychologist or mental performance consultant during the retirement process as well as the effects of body dimensions in retired athletes. Lastly, a longitudinal study should be employed to examine the athlete’s emotional response and reaction throughout retirement (time of injury, during physiotherapy, post- surgery and recovery). / Graduate

No description available.

As demand for additional athletic fields continues to increase, the City of San Luis Obispo is struggling to meet the recreation needs of the community. This project evaluated the feasibility of a joint use partnerships with Cal Poly San Luis Obispo for the shared use of the University’s underutilized Sports Complex, and made recommendations of strategies to address the City’s recreation needs. This project reviewed current and professional academic literature on successful approaches to joint use partnerships; conducted case study analyses on two Cal Poly facilities; and worked with City and University officials to examine the issues associated with establishing joint use agreements between state universities and local municipalities. Because little research currently exists to inform joint use partnerships between these two entities, the opportunities for exploration are many. Of particular interest are the fields of local and state policy and financing methods.