PTCohortInternational journal of sports physical therapy2024

Dynamic Functional Ability in Lacrosse Players in Relation to Development of Sport-Related Onset of Musculoskeletal Pain.

Zane Thompson, Joseph G Wasser, Kevin R Vincent and 1 others

PMID 39229452

WHAT IT FOUND

Among 128 lacrosse players, the youngest group made more errors on single-leg squats and drop jumps.

Over six months, more drop-jump errors were linked to low back pain, and worse single-leg squat scores to lower-extremity pain.

Key findings

01Younger players had the highest drop-jump landing error scores and worse single-leg squat scores than the oldest group.

02Higher single-leg squat error scores were associated with lower-extremity pain onset, and higher drop-jump error scores were associated with low back pain onset.

03Male players had worse left-leg single-leg squat and double-leg squat scores than female players.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study was observational, so it cannot show that movement scores caused pain onset or that improving those scores would prevent pain. Pain was counted only when it occurred during lacrosse and led the player to seek medical care, so pain that did not prompt care was not included. Age was self-reported. The sample had relatively fewer younger female participants. Only a small set of physical function tests was measured, and other neuromuscular screening tools were not assessed. Previous training exposure was not documented robustly. Previous concussion history was not considered. Follow-up was six months, not a full athletic career. The prediction models had Nagelkerke R2 values of 0.171 and 0.261, so they did not account for all variation in pain onset.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that improving single-leg squat or drop-jump scores will prevent lacrosse pain. The study only followed players and found that higher error scores were associated with later pain onset; it did not test an intervention, and it could not separate cause and effect.

Read it on PubMed →