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1.
    
PurposeTo examine tibial acceleration and muscle activation during overground (OG), motorised treadmill (MT) and non-motorised treadmill conditions (NMT) when walking, jogging and running at matched velocities.MethodsAn accelerometer recorded acceleration at the mid-tibia and surface EMG electrodes recorded rectus femoris (RF), semitendinosus (ST), tibialis anterior (TA) and soleus (SL) muscle activation during OG, MT and NMT locomotion whilst walking, jogging and running.ResultsThe NMT produced large reductions in tibial acceleration when compared with OG and MT conditions across walking, jogging and running conditions. RF EMG was small-moderately higher in the NMT condition when compared with the OG and MT conditions across walking, jogging and running conditions. ST EMG showed large and very large increases in the NMT when compared to OG and MT conditions during walking whilst SL EMG found large increases on the NMT when compared to OG and MT conditions during running. The NMT condition generated very large increases in step frequency when compared to OG and MT conditions during walking, with large and very large decreases during jogging and very large decreases during running.ConclusionsThe NMT generates large reductions in tibial acceleration, moderate to very large increases in muscular activation and large to very large decreases in cycle time when compared to OG and MT locomotion. Whilst this may decrease the osteogenic potential of NMT locomotion, there may be uses for NMTs during rehabilitation for lower limb injuries.  相似文献   

2.
3.
Validation and comparison of ActiGraph activity monitors   总被引:2,自引:0,他引:2  
Objective: To compare activity counts from the ActiGraph GT3X to those from the ActiGraph GT1M during treadmill walking/running. A secondary aim was to develop tri-axial vector magnitude (VM3) cut-points to classify physical activity (PA) intensity. Methods: Fifty participants wore the GT3X and the GT1M on the non-dominant hip and exercised at 4 treadmill speeds (4.8, 6.4, 9.7, and 12 km h−1). Vertical (VT) and antero-posterior (AP) activity counts (counts min−1) as well as the vector magnitudes of the two axes (VM2) from both monitors were tested for significant differences using two-way ANOVA's. Bland–Altman plots were used to assess agreement between activity counts from the GT3X and GT1M. Linear regression analysis between VM3 counts min−1 and oxygen consumption data was conducted to develop VM3 cut-points for moderate, hard and very hard PA. Results: There were no significant inter-monitor differences in VT activity counts at any speed. AP and VM2 activity counts from the GT1M were significantly higher (p < 0.01) than those from the GT3X at 4.8, 9.7 and 12 km h−1. High inter-monitor agreement was found for VT activity counts but not for AP and VM2 activity counts. VM3 cut-points for moderate, hard, and very hard PA intensities were 2690–6166, 6167–9642, >9642 counts min−1. Conclusion: Due to the lack of congruence between the AP and VM2 activity counts from the GT1M and the GT3X, comparisons of data obtained with these two monitors should be avoided when using more than just the VT axis. VM3 cut-points may be used to classify PA in future studies.  相似文献   

4.
    
BackgroundThe Styrd Power Meter is gaining special interest for on-field gait analyses due to its low-cost and general availability. However, the reliability and validity of the Stryd during walking on positive slopes using different backpack loads have never been investigated.Research questionIs the Stryd Power Meter reliable and valid for quantifying gait mechanics during walking on positive inclines and during level walking incorporating load carriage?MethodsSeventeen participants from a police force rescue team performed 8 submaximal walking trials for 5-min at 3.6 km·h−1 during different positive slope (1%, 10% and 20%) and backpack load (0%, 10%, 20%, 30% and 40% of body mass) conditions. Two Stryd devices were utilized for reliability analyses. Validity of cadence and ground contact time (GCT) were analyzed against a gold standard device (Optojump).ResultsThe Stryd demonstrated acceptable reliability [mean bias: < 2.5%; effect size (ES): < 0.25; standard error of the mean: < 1.7%; r: > 0.76] for power, cadence, and GCT. Validity measures (mean bias: <0.8%; ES: <0.07; r: >0.96; Lin’s Concordance Coefficient: 0.96; Mean Absolute Percent Error: <1%) for cadence were also found to be acceptable. The Stryd overestimated (P < 0.001; ES: >5.1) GCT in all the walking conditions. A significant systematic positive bias (P < 0.022; r = 0.56–0.76) was found in 7 conditions.Significance: The Stryd Power Meter appears to produce reliable measurements for power output, cadence and GCT. The Stryd produced valid measurements for cadence during walking on positive slopes and during level walking with a loaded backpack. However, the Stryd is not valid for measuring GCT during these walking conditions. This study adds novel data regarding the reliability and validity of this device and might be of particular interest for scientists, practitioners, and first responders seeking reliable devices to quantify gait mechanics during walking.  相似文献   

5.

Objectives

The purpose of this study was to examine the match-to-match variation of match-running in elite female soccer players utilising GPS, using full-match and rolling period analyses.

Design

Longitudinal study.

Methods

Elite female soccer players (n = 45) from the same national team were observed during 55 international fixtures across 5 years (2012–2016). Data was analysed using a custom built MS Excel spreadsheet as full-matches and using a rolling 5-min analysis period, for all players who played 90-min matches (files = 172). Variation was examined using co-efficient of variation and 90% confidence limits, calculated following log transformation.

Results

Total distance per minute exhibited the smallest variation when both the full-match and peak 5-min running periods were examined (CV = 6.8–7.2%). Sprint-efforts were the most variable during a full-match (CV = 53%), whilst high-speed running per minute exhibited the greatest variation in the post-peak 5-min period (CV = 143%). Peak running periods were observed as slightly more variable than full-match analyses, with the post-peak period very-highly variable. Variability of accelerations (CV = 17%) and Player Load (CV = 14%) was lower than that of high-speed actions. Positional differences were also present, with centre backs exhibiting the greatest variation in high-speed movements (CV = 41–65%).

Conclusions

Practitioners and researchers should account for within player variability when examining match performances. Identification of peak running periods should be used to assist worst case scenarios. Whilst micro-sensor technology should be further examined as to its viable use within match-analyses.  相似文献   

6.
胸腰椎纵向撞击伤机制及影响因素探讨   总被引:1,自引:0,他引:1  
目的 研究纵向撞击下胸腰椎的损伤阈值及其影响因素。 方法 将T12~L2和L2~L5脊柱标本各分为3组,分别施以3个能量段的撞击。撞击前后分别拍X线片和CT扫描。 结果 撞击力峰值和撞击速度随撞击能量的增加而提高,力的作用时间减少,冲量值不变。撞击后标本的最大加速度、最大速度及位移均增大。X线及CT示在低能量撞击后个别标本骨折,中能量撞击全部骨折,高能量撞击产生爆裂性骨折。 结论 撞击能量、撞击速度、撞击力峰值及标本撞的加速度、速度及最大位移可作为评价胸腰椎标本损伤与否及损伤程度的指标。  相似文献   

7.
《Gait & posture》2014,39(1):26-31
Impact testing is undertaken to quantify the shock absorption characteristics of footwear. The current widely reported mechanical testing method mimics the heel impact in running and therefore applies excessive energy to walking footwear. The purpose of this study was to modify the ASTM protocol F1614 (Procedure A) to better represent walking gait. This was achieved by collecting kinematic and kinetic data while participants walked in four different styles of walking footwear (trainer, oxford shoe, flip-flop and triple-density sandal). The quantified heel-velocity and effective mass at ground-impact were then replicated in a mechanical protocol. The kinematic data identified different impact characteristics in the footwear styles. Significantly faster heel velocity towards the floor was recorded walking in the toe-post sandals (flip-flop and triple-density sandal) compared with other conditions (e.g. flip-flop: 0.36 ± 0.05 m s−1 versus trainer: 0.18 ± 0.06 m s−1). The mechanical protocol was adapted by altering the mass and drop height specific to the data captured for each shoe (e.g. flip-flop: drop height 7 mm, mass 16.2 kg). As expected, the adapted mechanical protocol produced significantly lower peak force and accelerometer values than the ASTM protocol (p < .001). The mean difference between the human and adapted protocol was 12.7 ± 17.5% (p < .001) for peak acceleration and 25.2 ± 17.7% (p = .786) for peak force. This paper demonstrates that altered mechanical test protocols can more closely replicate loading on the lower limb in walking. This therefore suggests that testing of material properties of footbeds not only needs to be gait style specific (e.g. running versus walking), but also footwear style specific.  相似文献   

8.
    
BackgroundDifferent supports for hydration can influence total body mass and affect running biomechanics.Research questionDo different hydration supports affect the perceived exertion and comfort, stride kinematics, and impact accelerations during running?MethodsThis was a crossover study design. Thirteen trail runners completed a treadmill running test divided into four different durations and randomized hydration supports conditions, lasting 8 min each at moderate intensity: A) waist bag (0.84 kg); B) medium load backpack (0.84 kg); C) full load backpack (3.40 kg); and D) a control condition without water support. Impact accelerations were measured for 30 s in 4, 6, and 8 min. The rate of perceived exertion and heart rate were registered on minutes 4 and 8. At the last minute of each condition, comfort perception was registeredResults and significanceNo condition affected the stride kinematics. Full load backpack condition reduced head acceleration peak (−0.21 g; p = 0.04; ES=0.4) and head acceleration magnitude (−0.23 g; p = 0.03; ES=0.4), and increased shock attenuation (3.08 g; p = 0.04; ES=0.3). It also elicited higher perceived exertion (p < 0.05; ES>0.8) being considered heavier (p < 0.01; ES > 1.1). The waist bag condition was more comfortable in terms of noise (p = 0.006; ES=1.3) and humidity/heat (p = 0.001; ES=0.8). The waist bag was the most comfortable support. On the other hand, the full backpack elicited lower comfort and was the only generating compensatory adjustments. These results may help to improve design of full load backpack aiming at comfort for runners.  相似文献   

9.
    
Investigating the impact of incremental load magnitude on running joint power and kinematics is important for understanding the energy cost burden and potential injury-causative mechanisms associated with load carriage. It was hypothesized that incremental load magnitude would result in phase-specific, joint power and kinematic changes within the stance phase of running, and that these relationships would vary at different running velocities. Thirty-one participants performed running while carrying three load magnitudes (0%, 10%, 20% body weight), at three velocities (3, 4, 5 m/s). Lower limb trajectories and ground reaction forces were captured, and global optimization was used to derive the variables. The relationships between load magnitude and joint power and angle vectors, at each running velocity, were analyzed using Statistical Parametric Mapping Canonical Correlation Analysis. Incremental load magnitude was positively correlated to joint power in the second half of stance. Increasing load magnitude was also positively correlated with alterations in three dimensional ankle angles during mid-stance (4.0 and 5.0 m/s), knee angles at mid-stance (at 5.0 m/s), and hip angles during toe-off (at all velocities). Post hoc analyses indicated that at faster running velocities (4.0 and 5.0 m/s), increasing load magnitude appeared to alter power contribution in a distal-to-proximal (ankle  hip) joint sequence from mid-stance to toe-off. In addition, kinematic changes due to increasing load influenced both sagittal and non-sagittal plane lower limb joint angles. This study provides a list of plausible factors that may influence running energy cost and injury risk during load carriage running.  相似文献   

10.
This study aimed to investigate attentional demand during single-leg landing after a jump. The experiment was set up as dual-task test. Twelve healthy male participants were instructed to make a two-leg jump with right-leg landing as softly as possible. The flight time of the jump was set to 300 ms through sufficient practice. As a cognitive task, the participants were asked to push the right or left custom-made button as soon as a go-signal was presented. The timing when the go-signal presented varied from 0 to 300 ms from the take-off. Catch trials in which the go-signal was not presented were randomly inserted. The results showed that the maximum vertical ground reaction force after touchdown was greater under the dual-task condition than in the single-task condition. Increase in the maximum vertical ground reaction force was consistent regardless of the timing of presenting the go-signal, and the same effect was observed in the catch trials. These results indicate that the effect of dual tasking was caused by attentional allocation to the choice reaction time task. Athletes may be exposed a large ground reaction forces during landing while performing cognitive tasks.  相似文献   

11.

Objectives

To determine the effects of different body armour types, carried loads, and walking speeds on trunk and lower-limb joint biomechanics.

Design

Within-subjects repeated measures to determine the effects of different body armour types, carried loads, and walking speeds on trunk and lower-limb joint biomechanics.

Methods

Twenty soldiers (29.5 ± 7.1yrs) completed a treadmill walking protocol in an unloaded (baseline) condition and wearing a control, Tiered Body Armour System (TBAS) and five different armour types (cARM1-2, pARM1) with two load configurations (15 and 30 kg) for a total of eight armour × load ensembles. In each ensemble, participants walked for 10 min at 1.53 m s?1 and 1.81 m s?1 speeds. Whole-body marker kinematics and ground reaction forces were used, along with a scaled anatomic model, to determine peak lower-limb joint angles, net joint moments, and negative knee work. Peak parameters were compared between armour types, walking speeds, and carried loads using repeated measures ANOVAs.

Results

Peak plantarflexion and hip abduction moments were reduced when wearing cARM1 (p = 0.040, p = 0.045) and cARM2 (p = 0.045, p = 0.003) compared to TBAS, while carrying 30 kg and/or walking fast. This suggests positive benefits of load distribution at higher task demands. Joint moments increased when participants carried greater load and/or walked faster, and the combined effects of carried load and walking speed were mostly additive.

Conclusions

Primarily hip-borne load carriage does not negatively alter joint kinetics, and some positive adaptations occurred during tasks with higher demands. These results can inform equipment design and physical training programs for load carriage.  相似文献   

12.

Objectives

It is commonplace to consider accelerometer load and any resultant neuromuscular fatigue in training programs. With these data becoming accepted in sport alongside wellness questionnaires this study aimed to investigate if a deeper analysis of the accelerometry data can provide actionable insight into training-induced disruptions.

Design

Accelerometer data from Collegiate American Football athletes (n = 63) were collected during training and matches across a regular season.

Methods

These data were processed to: identify instances of high speed running, extract step waveforms from those sections, and determine the variability of those waveforms via a within- and between-section co-efficient of multiple determination. Athletes completed wellness questionnaires prior to sessions that were used to flag areas of muscle soreness as well as fatigue, or disturbed sleep quality. Linear mixed models were used to assess associations between inter stride variability and flags in wellness/soreness markers.

Results

An increase in acute (7d) load saw an increased stride variability in these athletes. Feeling less fatigued and/or lower muscle soreness was associated with higher stride variability.

Conclusions

The assessment of variability has the potential to identify athletes who are displaying physical symptoms that would indicate the need to modify training.  相似文献   

13.

Objectives

To determine injury risk-workload associations in collegiate American Football.

Design

Retrospective analysis.

Methods

Workload and injury data was recorded from 52 players during a full NCAA football season. Acute, chronic, and a range of acute:chronic workload ratios (ACWR: 7:14, 7:21 and 7:28 day) calculated using rolling and exponentially weighted moving averages (EWMA) were plotted against non-contact injuries (regardless of time lost or not) sustained within 3- and 7-days. Injury risks were also determined relative to position and experience.

Results

105 non-contact injuries (18 game- and 87 training-related) were observed with almost 40% sustained during the pre-season. 7–21 day EWMA ACWR’s with a 3-day injury lag were most closely associated with injury (R2 = 0.54). Relative injury risks were >3× greater with high compared to moderate and low ratios and magnified when combined with low 21-day chronic workloads (injury probability = 92.1%). Injury risks were similar across positions. ‘Juniors’ presented likely and possibly increased overall injury risk compared to ‘Freshman’ (RR: 1.94, CI 1.07–3.52) and ‘Seniors’ (RR: 1.7, CI 0.92–3.14), yet no specific ACWR – experience or – position interactions were identified.

Conclusions

High injury rates during college football pre-season training may be associated with high acute loads. In-season injury risks were greatest with high ACWR and evident even when including (more common and less serious) non-time loss injuries. Substantially increased injury risks when low 21-day chronic workloads and concurrently high EWMA ACWR highlights the importance of load management for individuals with chronic game- (non-involved on game day) and or training (following injury) absences.  相似文献   

14.

Objectives

To determine the incidence of illness, and identify the relationship between sleep, training load and illness in nationally competitive Australian football athletes. Second, to assess multivariate effect between training load and/or sleep variables.

Design

Cohort study.

Methods

Retrospective analyses of prospectively collected cohort data were conducted on forty-four male athletes over a 46-week season. The primary outcome was illness incidence, recorded daily by medical doctors. Independent variables were acute, chronic and acute:chronic ratios of: sleep quality, sleep quantity, internal training load and external training load defined as: total running distance, high speed running distance and sprint distance. Generalised estimating equations using Poisson (count) models were fit to examine both univariate and multivariate associations between independent variables and illness incidence.

Results

67 incidences of illness were recorded, with an incidence rate of 11 illnesses per 1000 running hours. Univariate analysis showed acute and chronic sleep hours and quality, as well as acute sprint and total running distance to be significantly associated with illness. Multivariate analysis identified that only acute sleep quantity was significantly, negatively associated with illness incidence (OR 0.49, CI 0.25–0.94) once all univariate significant variables were controlled for. There was no relationship between external training load and illness when sleep metrics were controlled for.

Conclusions

In a cohort of Australian football athletes, whose load was well monitored, reduced sleep quantity was associated with increased incidence of illness within the next 7 days. Monitoring sleep parameters may assist in identifying individuals at risk of illness.  相似文献   

15.
Signals from skin-mounted accelerometers may contain measurement error when compared to those obtained from bone-mounted sensors. While this error may be minimized through various techniques, additional error may arise as a result of accelerometer removal from the skin and subsequent replacement. The purpose of this experiment was to determine if skin-mounted accelerometer signals remain similar before and after sensor replacement when sensors are stimulated within a consistent vibration environment. The spines of five porcine and five human cadavers were vibrated non-invasively and the resulting response measured using accelerometers glued to the skin overlying the vertebrae of interest (T-9 in porcine cadavers, L2-L4 in human cadavers). Accelerometers were removed, then replaced, to their perceived original positions. Accelerometer signals showed high repeatability within an original placement, however, once replaced, pre- and post-replacement signals were statistically dissimilar in all cadavers tested. Specifically, the similarity of pre- and post-replacement signals was poor for different skin types (porcine and human) and did not improve with accelerometer proximity to the vibration source. From these data, we conclude that accelerometers adhered to the skin overtop spinous processes are able to obtain highly repeatable signals for a given placement, however, signals change significantly after sensor replacement. When skin-mounted accelerometers are used in gait and other studies, investigators should consider performing test/re-test analyses to ensure that sensor data are not affected if sensor replacement is required by design or by accident.  相似文献   

16.
    
ObjectivesRecord femoral accelerations using a smartphone accelerometer attached to the distal thigh during single-legged (SLS) and bilateral squats, and each squat condition occurred under two visual conditions: 1) normal vision and 2) visual perturbation with stroboscopic glasses.DesignRepeated-measures cross-over with counter-balanced order for four total conditions.SettingLaboratory.Participants22 females and 16 males without lower extremity pathologies.Main outcome measures2D video assessment of frontal plane projection angle, composite amplitude index of smartphone accelerometer measurements, and bivariate correlations between these two outcomes.ResultsA significant interaction was found for stance x vision as the difference occurred within the SLS stance condition between the visual conditions (Normal: 9.85 ± 0.06; Stroboscopic: 9.86 ± 0.07; p = 0.008 with an adjusted alpha of 0.25). Femoral accelerations were not associated (r = −0.07) with 2D video assessment of frontal plane projection angle.ConclusionsSimilar to other studies using smartphone accelerometry to assess movement quality, we found that the device could detect movement variation via femoral accelerations during SLS with visual perturbation in healthy individuals.  相似文献   

17.
No universally accepted ActiGraph accelerometer cutpoints for quantifying moderate-to-vigorous physical activity (MVPA) exist. Estimates of MVPA from one set of cutpoints cannot be directly compared to MVPA estimates using different cutpoints, even when the same outcome units are reported (MVPA min d–1). The purpose of this study was to illustrate the utility of an equating system that translates reported MVPA estimates from one set of cutpoints into another, to better inform public health policy. Secondary data analysis. ActiGraph data from a large preschool project (N = 419, 3–6-yr-olds, CHAMPS) was used to conduct the analyses. Conversions were made among five different published MVPA cutpoints for children: Pate (PT), Sirard (SR), Puyau (PY), Van Cauwengerghe (VC), and Freedson Equation (FR). A 10-fold cross-validation procedure was used to develop prediction equations using MVPA estimated from each of the five sets of cutpoints as the dependent variable, with estimated MVPA from one of the other four sets of cutpoints (e.g., PT MVPA predicted from FR MVPA). The mean levels of MVPA for the total sample ranged from 22.5 (PY) to 269.0 (FR) min d−1. Across the prediction models (5 total), the median proportion of variance explained (R2) was 0.76 (range 0.48–0.97). The median absolute percent error was 17.2% (range 6.3–38.4%). The prediction equations developed here allow for direct comparisons between studies employing different ActiGraph cutpoints in preschool-age children. These prediction equations give public health researchers and policy makers a more concise picture of physical activity levels of preschool-aged children.  相似文献   

18.
    
《Gait & posture》2014,39(4):688-693
The activPAL accelerometer is a commonly used device for the assessment of physical activity in cross-sectional and intervention research. These devices are usually attached directly to the skin; however, recent studies report problems such as skin irritation associated with this attachment method and therefore adequate alternate methods are needed. The aim of this study was to validate the use of an elasticised pouch to secure an activPAL3c (PAL Technologies, Glasgow, UK) accelerometer for the assessment of sedentary and physical activity behaviours during laboratory and free-living conditions. Twenty-eight healthy adults wore two activPAL3c accelerometers, one secured in an elasticised pouch, and one directly attached to the skin, on the anterior surface of the right thigh during laboratory-based walking at a self-selected pace, treadmill walking at 0.89 m s−1, 1.56 m s−1 and running at 2.2 m s−1, and during free-living conditions. Paired samples t-tests and intraclass correlation coefficients were used to investigate the difference and agreement between accelerometer outputs. No statistically significant difference in step count between pouch-mounted and skin-mounted activPAL3c accelerometers was evident during walking at any speed under laboratory conditions. No statistically significant difference in step count, upright time, sitting time or postural transitions was found between pouch-mounted and skin-mounted activPAL3c accelerometers during free-living conditions. Intraclass correlation coefficients showed a high to very high level of agreement between pouch-mounted and skin-mounted activPAL3c accelerometers for each outcome variable. The use of an elasticised pouch to secure the activPAL3c accelerometer appears to be a valid method of attachment and may offer advantages over direct skin mounting.  相似文献   

19.
《Gait & posture》2015,41(4):688-693
The activPAL accelerometer is a commonly used device for the assessment of physical activity in cross-sectional and intervention research. These devices are usually attached directly to the skin; however, recent studies report problems such as skin irritation associated with this attachment method and therefore adequate alternate methods are needed. The aim of this study was to validate the use of an elasticised pouch to secure an activPAL3c (PAL Technologies, Glasgow, UK) accelerometer for the assessment of sedentary and physical activity behaviours during laboratory and free-living conditions. Twenty-eight healthy adults wore two activPAL3c accelerometers, one secured in an elasticised pouch, and one directly attached to the skin, on the anterior surface of the right thigh during laboratory-based walking at a self-selected pace, treadmill walking at 0.89 m s−1, 1.56 m s−1 and running at 2.2 m s−1, and during free-living conditions. Paired samples t-tests and intraclass correlation coefficients were used to investigate the difference and agreement between accelerometer outputs. No statistically significant difference in step count between pouch-mounted and skin-mounted activPAL3c accelerometers was evident during walking at any speed under laboratory conditions. No statistically significant difference in step count, upright time, sitting time or postural transitions was found between pouch-mounted and skin-mounted activPAL3c accelerometers during free-living conditions. Intraclass correlation coefficients showed a high to very high level of agreement between pouch-mounted and skin-mounted activPAL3c accelerometers for each outcome variable. The use of an elasticised pouch to secure the activPAL3c accelerometer appears to be a valid method of attachment and may offer advantages over direct skin mounting.  相似文献   

20.
    
BackgroundHamstring strain injuries are the most common type of injury in elite football and are associated with a high risk of reinjury, particularly those involving the intramuscular tendon (IMT). Limited information is available regarding the rehabilitation and return to sport (RTS) processes following such injuries. This case study describes the clinical presentation of an elite football player following IMT hamstring injury, their on- and off-pitch rehabilitation alongside performance monitoring throughout RTS and beyond.Case scenarioAn elite football player suffered a grade 2c hamstring injury during an English Premier League (EPL) match. The player underwent early post-injury management, alongside progressive off-pitch physical preparation. The ‘control-chaos continuum’ was used as a framework for on-pitch rehabilitation to prepare the player for a return to full team training and competition. Objective and subjective markers of the player's response to progressive on- and off-pitch loading were monitored throughout RTS and beyond.OutcomesThe player returned to on-pitch rehabilitation after 11 days, to full team training having achieved weekly pre-injury chronic running load outputs after 35 days and played in the EPL 40 days post-injury. The player did not suffer reinjury for the rest of the EPL season.ConclusionAn understanding the unique structural and mechanical properties of the IMT, alongside expected RTS timeframes are important to inform rehabilitation and decision-making processes post-injury. Performance and frequent load-response monitoring throughout RTS and beyond, in conjunction with practitioner experience and effective communication are critical in facilitating effective RTS and reduce risk of reinjury following IMT injury.  相似文献   

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