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📑JSR is a peer-reviewed, sport medicine & rehabilitation journal
👨🏻‍💻Editor-in-Chief @drdanilo_silva
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What happens after the final whistle?

Co-designed with elite athletes, HER-Aus asked 199 retired Australian female athletes about their health after sport. Co-author Dr Daniel Friedman on what they found, and why 81% would do it all again.

Paper is free access to everyone. More from this conversation soon. 🤩 

Daniel J. Friedman, Dr David Hughes AM, Jane S. Thornton, Richard Saw, Michael Girdwood, Kimberley R Wells, Andrea Bruder, Samantha Adler, Eva Pila, PhD, Kay Crossley AM. We Thought You’d Never Ask: Insights From the Health of Elite Retired Australian Female Athletes Survey. Journal of Sport Rehabilitation. 2026; Ahead of Print. https://doi.org/10.1123/jsr.2026-0031

#femaleathletehealth #sportsmedicine #womeninsport #safesport #JSportRehabilitation by @jsportrehab
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a day ago
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Introducing The Journal of Sports Rehabilitation Editor's Choice Series where a JSR editor highlights a few papers from the latest issue!📖

This time, two anterior cruciate ligament (ACL) studies approaching recovery from different perspectives, one quantitative, one qualitative.  Together, they show that recovery isn't only in the knee.

Watch this video more or read both in the current issue of JSR! Link is in the bio.

#JSportRehabilitation #ACL #editorschoice #JSR by @jsportrehab
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a month ago
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💪 Exercise selection may influence both shoulder mechanics and disability in people with secondary subacromial impingement syndrome.

🎯 In this randomized controlled trial, 54 young adults completed 6 weeks of progressive resistance exercises targeting shoulder internal and external rotation, resisted arm abduction, or maintained their usual daily activities.

🔑 Rotation exercises increased acromiohumeral distance during 45° and 60° of active arm elevation compared with both abduction exercises and usual activities. Participants performing rotation exercises also reported less upper-limb disability than those performing abduction exercises.

🏋️ These findings suggest that shoulder rehabilitation may initially prioritize resisted internal and external rotation before progressing to greater loading of the arm abductors. However, the study did not assess whether these effects were maintained beyond the 6-week intervention.

📖 Delkhoush CT, Arzani P, Paknazar F, Pakdaman M, Farokhi ZS. Optimizing Shoulder Exercise Selection: Arm Rotation Versus Abduction Exercises for Increasing Acromiohumeral Distance in Secondary Subacromial Impingement—A Randomized Controlled Trial. Journal of Sport Rehabilitation. 2026; Ahead of Print. https://doi.org/10.1123/jsr.2025-0060
#JSRClinicalTakeaway #ShoulderRehabilitation  #JSportsRehabilitation by @jsportrehab
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a month ago
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💪 Assessing scapular movement can be challenging. Visual assessment provides limited information, while laboratory-based three-dimensional motion analysis is often expensive and difficult to use in routine clinical practice. Wearable inertial sensors may offer a more portable alternative, but their measurements need to be reliable.

🎯 Oliveira and colleagues evaluated the reliability of inertial sensors in 52 adults with unilateral subacromial pain syndrome lasting at least three months and clinically identified scapular dyskinesis.

🔑 Within-day reliability was excellent across all scapular movements and arm-elevation angles. Between-day (48–72 hours) reliability ranged from moderate to good and was generally stronger for the dominant limb and at lower arm-elevation angles. Measurement error increased in some conditions, particularly at higher elevation angles and during arm lowering.

💡 When monitoring progress, clinicians should consider the minimal detectable change for the specific movement and testing condition. For example, scapular upward rotation at 60° on the dominant side needed to change by more than approximately 3.5° to be considered likely to exceed measurement error.

These findings support inertial sensors as a promising clinical tool for monitoring scapular kinematics, but only when sensor placement and testing procedures are carefully standardised. The findings should not yet be generalised to overhead athletes, postoperative populations or sport-specific tasks.

📖 Oliveira FAS, Santos LRH, Silva HA, et al. Reliability of Inertial Sensors for Measuring Scapular Kinematics in Individuals With Shoulder Pain and Scapular Dyskinesis. Journal of Sport Rehabilitation. 2026.
Read the article: https://doi.org/10.1123/jsr.2026-0055
#JSRWeeklyNews #ShoulderPain #WearableSensors #Biomechanics #JSportsRehabilitation by @jsportrehab
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🏃 Staying physically active does not necessarily mean returning to sport after ACL reconstruction.

🎯 In this exploratory cross-sectional study, Bailey and colleagues examined return to sport and physical activity in 184 young adults with ongoing knee symptoms, 9 to 36 months after ACL reconstruction. The researchers also explored whether demographic characteristics, single-forward hop performance and quadriceps strength were associated with return to sport.

🔑 Among participants who played sport before their ACL injury, only 18% had returned to their preinjury sport and 24% to any sport. However, the median number of weekly physical activity sessions remained at four, suggesting that many participants stayed active but changed how they were active.

💡 Achieving ≥90% single-forward hop symmetry was associated with nearly four times greater odds of returning to preinjury sport and three times greater odds of returning to any sport. Quadriceps strength symmetry was not associated with return-to-sport outcomes.

These exploratory associations do not establish that improving hop symmetry will cause a return to sport, but they highlight the potential value of assessing functional performance in young adults with persistent symptoms after ACL reconstruction.

📖 Bailey CM, Culvenor AG, Scholes MJ, et al. Return-to-Sport and Physical Activity Outcomes in Young Adults With Ongoing Knee Symptoms After Anterior Cruciate Ligament Reconstruction From the SUPER-Knee Trial. Journal of Sport Rehabilitation. 2026;35:580–590.
🔗 https://doi.org/10.1123/jsr.2025-0363
#JSRMethodsInMotion #ACLReconstruction #ReturnToSport #KneeRehabilitation #JSportsRehabilitation by @jsportrehab
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a month ago
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🤕 What does long-term recovery feel like after a traumatic knee injury?

🎯 Tayfur and colleagues conducted semistructured, one-on-one interviews with 19 individuals (9 females and 10 males) who were around 34 years old and approximately 7 years post-injury.

🔑 Three themes characterized recovery as a nonlinear journey involving changes in physical function, behaviour, and identity:
1️⃣ An unreliable limb: Participants initially described feeling disconnected from their injured limb and unable to trust or control it. Even long-term improvements were often perceived as fragile.
2️⃣ The pendulum of recovery: Participants described moving between progress and setbacks while balancing symptoms, motivation, and barriers that made sustained rehabilitation and physical activity challenging.
3️⃣ The forever knee: Recovery involved accepting that the knee, and their relationship with physical activity, had permanently changed. Participants described mourning their preinjury identity and developing a new normal based on “good enough” function and sustainable exercise routines.

💡 Long-term recovery after traumatic knee injury extends beyond restoring muscle function. Clinicians and athletic trainers should consider how physical symptoms, confidence, behaviour, and identity interact, and support patients in developing meaningful and sustainable ways to remain active.

📖 Tayfur B, Morrissey D, Miller SC. “Ever Since My Injury, I Feel Like Every Day Is Leg Day”: A Qualitative Study on Long-Term Neuromuscular Recovery After Traumatic Knee Injury. Journal of Sport Rehabilitation. 2026.
🔗 https://doi.org/10.1123/jsr.2025-0387

#JSRResearchInsights #KneeInjury #NeuromuscularRecovery #JSportsRehabilitation #QualitativeResearch by @jsportrehab
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a month ago
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🏃 Running may be a feasible form of exercise for people with Multiple Sclerosis, even with low to moderate disability.

🎯 Smith and colleagues followed 29 regular runners with Multiple Sclerosis over 4 weeks to describe their running participation and explore associations with fatigue, disability, cognition, and quality of life. Participants with low to moderate disability demonstrated a broad range of running ability, averaging 2–13 km and 16–95 minutes per run, with most running outdoors across concrete, grass, and trail surfaces.

🔑 The findings suggest that regular running is feasible for people with Multiple Sclerosis and low to moderate disability, even in the presence of differences in fatigue, cognition, and disability. Associations between greater running distance and lower fatigue and better quality of life were observed, but did not remain statistically significant after correction for multiple comparisons. These findings support an individualized approach to running participation while highlighting the need for further research.

📖 Smith M, Flavell C, van Eijk L, McGuckin T. Running Participation in People With Multiple Sclerosis: A Prospective Observational Cohort Study. Journal of Sport Rehabilitation. 2026.
Read the article: doi.org/10.1123/jsr.2026-0027
#JSRWeeklyNews #MultipleSclerosis #Running #JSportsRehabilitation #QualityofLife by @jsportrehab
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2 months ago
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🦵🏼Accurate assessment of ankle evertor strength is essential for rehabilitation and return-to-sport decisions after lateral ankle sprain.

🎯 Aguilaniu and colleagues synthesised evidence from 23 studies evaluating instrument-based methods for ankle evertor strength assessment. Reliability was sufficient in 83% of extracted values, whereas measurement error was sufficient in only 34%.

🔍Although concentric isokinetic testing at 30°/s and 120°/s is most frequently reported, isokinetic dynamometry during isometric testing (0°/s) shows the most favorable combination of reliability and measurement error. Isokinetic dynamometry, particularly during isometric testing, demonstrated the most consistent reliability and lowest measurement error.

🔑 These findings support isokinetic dynamometry as the most consistent method, while hand-held dynamometers may provide a reliable clinical alternative for isometric testing. Importantly, contraction velocity, knee position, verbal encouragement, and stabilization influenced measurement error or interrater reliability, highlighting the need for standardized testing protocols.

📖 Aguilaniu A, Grosdent S, Schwartz C, Martens G, Croisier JL, Durieux N. Reliability and Measurement Error of Instrument-Based Methods to Assess Ankle Evertor Strength: A Systematic Review. Journal of Sport Rehabilitation. 2026;35:544–562.
#JSREvidenceReview #AnkleStrenght #Dynamometry #JSportRehabilitation by @jsportrehab
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2 months ago
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🦶 Balance training is commonly used to address postural-control deficits in people with chronic ankle instability, but can its effects be enhanced through brain stimulation?

🧠 In this double-blind pilot randomized controlled trial, 19 adults with chronic ankle instability completed progressive balance training alongside either active or sham transcranial direct current stimulation.
Training was delivered three times per week for 4 weeks.

⚖️ Active transcranial direct current stimulation provided no clear additional benefit for most balance, neural-excitability, or patient-reported outcomes. However, this pilot study was not powered to detect between group differences. 

📊Exploratory effects in selected measures warrant investigation in a larger, adequately powered trial.

📖 Kim J, Needle A, Lee J, et al. Transcranial Direct Current Stimulation Combined With Balance Training for Chronic Ankle Instability: A Double-Blind, Pilot Randomized Controlled Trial. Journal of Sport Rehabilitation. 2026; Ahead of Print. https://doi.org/10.1123/jsr.2025-0321

#JSRClinicalTakeaway #ChronicAnkleInstability #AnkleRehabilitation #JSportsRehabilitation #tDCS by @jsportrehab
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2 months ago
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🏀 Many ACL injuries in basketball occur during rapid changes of direction, making cutting mechanics an important consideration when assessing female athletes.

🎯 Andreyo and colleagues compared movement quality during planned and unplanned 45° cutting tasks in 60 female collegiate basketball players. Two-dimensional video and the Cutting Movement Assessment Score were used to identify observable movement errors.

🔑 Contrary to what might be expected, athletes demonstrated approximately one additional movement error during planned cuts compared with unplanned cuts. This difference remained after adjusting for approach velocity. However, athletes approached the unplanned task more slowly, potentially giving them more time to prepare and adjust their posture. Movement quality did not differ clearly between Division 2 and Division 3 players.

💡 Planned and unplanned cutting tasks may reveal different movement strategies. Clinicians should consider assessing both conditions while standardising approach velocity and stimulus timing—otherwise, differences attributed to the athlete may partly reflect how the test was designed.

Higher Cutting Movement Assessment Scores indicate more observable movement errors, but validated injury-risk thresholds and clinically important differences have not yet been established.

📖 Andreyo E, Unverzagt C, Dos’Santos T, Dawes JJ. Movement Quality Assessment During Planned and Unplanned Change-of-Direction Maneuvers Among Female Basketball Players. Journal of Sport Rehabilitation. 2026.
Read the article: link in the bio
#JSRWeeklyNews #FemaleBasketball #ACLInjury  #JSportsRehabilitation by @jsportrehab
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2 months ago
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🎾 What injuries are most common among high school tennis players?

🎯 In this retrospective cohort study, Upshaw and colleagues analysed 294 injuries across 89,585 athlete-exposures, reported by athletic trainers from 147 United States high schools.

🔑 Girls had a 55% higher overall injury rate than boys and more than twice the rate of ankle injuries. Hand/wrist injuries were the most common injury location for both girls and boys, while contusions were the most frequent diagnosis.

📌 Injury rates were similar during practices and matches. However, injuries sustained during matches were more likely to result in time away from tennis.

💡 These findings can help clinicians and athletic trainers prioritise injury-prevention and monitoring strategies across both practices and competitions, with particular attention to ankle injuries among girls and hand/wrist injuries in all players.

📖 Upshaw J, Wally MK, Williams A, et al. Epidemiology of Injuries in High School Tennis Players. Journal of Sport Rehabilitation. 2026.
 🔗 Link in the bio

#JSRResearchInsights #TennisInjuries #YouthAthletes #JSportsRehabilitation by @jsportrehab
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2 months ago
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⚾ Chronic low back pain is common in baseball, where repeated pitching and batting expose the trunk and hips to substantial rotational and compressive loads.

🎯 Nakao and colleagues examined 118 collegiate baseball players across all playing positions. Twenty-nine had chronic low back pain, defined as pain lasting at least three months, while 89 reported no low back pain.

🔍 The researchers assessed body composition, trunk flexibility, hip range of motion, trunk strength, baseball-related training loads, fear of movement, and central sensitisation-related symptoms.

🔑 Players with chronic low back pain presented with reduced standing trunk flexion and lead-leg hip internal rotation. Clinically, even small mobility differences were relevant: each 1 cm less trunk flexion was associated with approximately 6% higher odds of chronic low back pain, while each 1° less lead-leg hip internal rotation was associated with approximately 7% higher odds. These players also reported greater fear of movement and more central sensitisation-related symptoms.

💡 When assessing a baseball player with chronic low back pain, look beyond the lumbar spine: consider trunk flexion, lead-hip rotation, fear of movement, and the broader pain experience. As this was a cross-sectional study, these findings identify relevant clinical features—not proven causes or treatment targets.

📖 Nakao H, Fukaya T, Ohsugi H, et al. Physical Factors Associated With Chronic Low Back Pain in Collegiate Baseball Players: A Cross-Sectional Study. Journal of Sport Rehabilitation. 2026.

Read the article: link in the bio

#JSRWeeklyNews #Baseball #LowBackPain #JSportsRehabilitation by @jsportrehab
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2 months ago
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