Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain
# Background Unlike other sports, the relationship between performance deficits and pain/injury in lacrosse players has not been well-investigated. # Purpose The purposes of this study were to: 1) determine whether age and sex differences exist in dynamic physical function tests and drop jump per...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2024-09-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.122323 |
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| author | Zane Thompson Joseph G. Wasser Kevin R. Vincent Heather K. Vincent |
| author_facet | Zane Thompson Joseph G. Wasser Kevin R. Vincent Heather K. Vincent |
| author_sort | Zane Thompson |
| collection | DOAJ |
| description | # Background
Unlike other sports, the relationship between performance deficits and pain/injury in lacrosse players has not been well-investigated.
# Purpose
The purposes of this study were to: 1) determine whether age and sex differences exist in dynamic physical function tests and drop jump performance among lacrosse players, and 2) determine whether pre-seasonal physical function scores predict onset of either lower extremity or low back pain over time.
# Study Design
Prospective observational study.
# Methods
Lacrosse players (N=128) were stratified into three groups: 12-14.9 yrs, 15-18 yrs and >18 yrs. Thomas test (hip flexibility), Ober's test (iliotibial band tightness), and Ely's test (rectus femoris tightness) were performed. Landing Error Scoring System (LESS) scores were collected while players performed drop jumps. Sagittal and frontal plane movement from 2D video during single and double legged squats was assessed. Musculoskeletal pain symptoms or injury were tracked for six months. Age bracket, sex and physical function scores were entered into logistic regression models to determine risk factors that predicted onset of lower extremity pain and low back pain onset.
# Results
LESS scores and single-leg squat movement quality test scores were lowest in the 12-14.9 yr groups and highest in the >18 yr group (all p<0.05). Single leg squat performance score increased the odds risk (OR) for lower extremity pain (OR=2.62 \[95% CI 1.06-6.48], p=.038) and LESS scores elevated risk for low back pain onset over six months (OR = 2.09 \[95% CI 1.07- 4.06], p= .031).
# Conclusions
LESS scores and single legged squat performance may help identify lacrosse players at risk for musculoskeletal pain or injury onset. Detecting these pertinent biomechanical errors and subsequently developing proper training programs could help prevent lower extremity and low back pain onset.
# Level of Evidence
III |
| format | Article |
| id | doaj-art-e9e60963904a46feb68687f5ccca9075 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-e9e60963904a46feb68687f5ccca90752025-02-11T20:29:45ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-09-01199Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal PainZane ThompsonJoseph G. WasserKevin R. VincentHeather K. Vincent# Background Unlike other sports, the relationship between performance deficits and pain/injury in lacrosse players has not been well-investigated. # Purpose The purposes of this study were to: 1) determine whether age and sex differences exist in dynamic physical function tests and drop jump performance among lacrosse players, and 2) determine whether pre-seasonal physical function scores predict onset of either lower extremity or low back pain over time. # Study Design Prospective observational study. # Methods Lacrosse players (N=128) were stratified into three groups: 12-14.9 yrs, 15-18 yrs and >18 yrs. Thomas test (hip flexibility), Ober's test (iliotibial band tightness), and Ely's test (rectus femoris tightness) were performed. Landing Error Scoring System (LESS) scores were collected while players performed drop jumps. Sagittal and frontal plane movement from 2D video during single and double legged squats was assessed. Musculoskeletal pain symptoms or injury were tracked for six months. Age bracket, sex and physical function scores were entered into logistic regression models to determine risk factors that predicted onset of lower extremity pain and low back pain onset. # Results LESS scores and single-leg squat movement quality test scores were lowest in the 12-14.9 yr groups and highest in the >18 yr group (all p<0.05). Single leg squat performance score increased the odds risk (OR) for lower extremity pain (OR=2.62 \[95% CI 1.06-6.48], p=.038) and LESS scores elevated risk for low back pain onset over six months (OR = 2.09 \[95% CI 1.07- 4.06], p= .031). # Conclusions LESS scores and single legged squat performance may help identify lacrosse players at risk for musculoskeletal pain or injury onset. Detecting these pertinent biomechanical errors and subsequently developing proper training programs could help prevent lower extremity and low back pain onset. # Level of Evidence IIIhttps://doi.org/10.26603/001c.122323 |
| spellingShingle | Zane Thompson Joseph G. Wasser Kevin R. Vincent Heather K. Vincent Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain International Journal of Sports Physical Therapy |
| title | Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain |
| title_full | Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain |
| title_fullStr | Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain |
| title_full_unstemmed | Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain |
| title_short | Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain |
| title_sort | dynamic functional ability in lacrosse players in relation to development of sport related onset of musculoskeletal pain |
| url | https://doi.org/10.26603/001c.122323 |
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