Association of pre-season musculoskeletal screening and functional testing with sports injuries in elite female basketball players

Laimonas Šiupšinskas, Toma Garbenytė-Apolinskienė, Saulė Salatkaitė, Rimtautas Gudas, Vytenis Trumpickas, Laimonas Šiupšinskas, Toma Garbenytė-Apolinskienė, Saulė Salatkaitė, Rimtautas Gudas, Vytenis Trumpickas

Abstract

Basketball is one of the most popular sports in Lithuania, and participation in women's basketball is on the rise. Pre-participation examinations, including musculoskeletal screening and functional performance testing, is an essential part of a multidisciplinary approach to prevent future injuries. Because the lower extremities are the most commonly-injured body area in basketball players. Assessing fundamental movement qualities is of utmost importance. The aim of our study was to determine if functional tests can predict sports injuries in elite female basketball players. A total of 351 records for professional female basketball players were screened during 2013-2016 season. We analysed functional characteristics before the season and used functional performance tests for injury risk assessment: the Functional Movement Screen (FMS), the lower quarter Y Balance test (YBT-LQ) and the Landing Error Scoring System (LESS). Data from 169 players' records were analysed: 77 of them made it to the end of season without injury, making up the non-injured group, while 92 of them suffered lower limb sport injuries during the sport season (injury group). Student's t-test and the Mann-Whitney U-test were used to determine differences between groups. The most commonly encountered sports injuries in our population were those of knee 40.2% and ankle 38%. The injury group had a lower total FMS score (p = 0.0001) and higher total LESS score (p = 0.028) than non-injury group. The dynamic balance of lower limbs was similar in both groups. Imperfect functional movement patterns and poor jump-landing biomechanics during pre-season screening were associated with lower extremity injuries in elite female basketball players. Impairments of dynamic stability in the lower extremities were not associated with injury rates in our population. A combination of functional tests can be used for injury risk evaluation in female basketball players.

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Study design.

References

    1. International Basketball Federation. Quick facts. Accesed June 4. Available at, (2018).
    1. Bird SP, Markwick WJ. Musculoskeletal screening and functional testing: considerations for basketball athletes. Int. J. Sports Phys. Ther. 2016;11(5):784–802.
    1. Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am. J. Sports Med. 1995;23:694–701. doi: 10.1177/036354659502300611.
    1. Bahr, R., Kannus, P. & van Mechelen, W. Epidemiology and prevention of sports injuries. Textbook of sports medicine. Basic science and clinical aspects of sports injury and physical activity. Black Science (ed. Kjaer, M. et al.) 299–314 (Oxford, 2003).
    1. Leppänen M, Pasanen K, Kujala UM, Parkkari J. Overuse injuries in youth basketball and floorball. J. Sports Med. 2015;6:173–179.
    1. Adirim TA, Barouh A. Common orthopaedic injuries in young athletes. Current Paediatrics. 2006;16(3):205–210. doi: 10.1016/j.cupe.2006.03.001.
    1. Dick R, Hertel J, Grossman J, Marshall SW. Descriptive epidemiology of collegiate men’s basketball injuries: National collegiate athletic association injury surveillance system, 1988–1909 through 2003–2004. J. Athl. Train. 2007;42(2):194–201.
    1. Agel J, et al. Descriptive epidemiology of collegiate women’s basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J. Athl. Train. 2007;42:202–210.
    1. Myklebust G, et al. A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand. J. Med. Sci. Sports. 1998;8:149–53. doi: 10.1111/j.1600-0838.1998.tb00185.x.
    1. Nessler T. Using movement assessment to improve performance and reduce injury risk. Int. J. Athl. Ther. Train. 2013;18:8–12. doi: 10.1123/ijatt.18.2.8.
    1. Zelisko JA, Noble HB, Porter MA. Comparison of men’s and women’s professional basketball injuries. Am. J. Sports Med. 1982;105:297–299. doi: 10.1177/036354658201000507.
    1. Conley KM, et al. National Athletic Trainers’ Association position statement: Preparticipation physical examinations and disqualifying conditions. J. Athl. Train. 2014;49:102–120. doi: 10.4085/1062-6050-48.6.05.
    1. Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function—part 1. N. Am. J. Sports Phys. Ther. 2006;1:62–72.
    1. Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function—part 2. N. Am. J. Sports. Phys. Ther. 2006;1:132–9.
    1. Kibler WB, et al. A musculoskeletal approach to the preparticipation physical examination: Preventing injury and improving performance. Am. J. Sports Med. 1989;17:525–531. doi: 10.1177/036354658901700413.
    1. Hegedus EJ, Cook CE. Return to play and physical performance tests: evidence-based, rough guess or charade? Br. J. Sports Med. 2015;49:1288–1289. doi: 10.1136/bjsports-2015-094796.
    1. McCunn R, Aus der Fünten K, Fullagar HH, McKeown I, Meyer T. Reliability and Association with Injury of Movement Screens: A Critical Review. Sports Med. 2016;46:763–781. doi: 10.1007/s40279-015-0453-1.
    1. Hayen A, Dennis RJ, Finch CF. Determining the intra- and inter-observer reliability of screening tools used in sports injury research. J. Sci. Med. Sport. 2007;10:201–10. doi: 10.1016/j.jsams.2006.09.002.
    1. McCall A, et al. Injury risk factors, screening tests and preventative strategies: a systematic review of the evidence that underpins the perceptions and practices of 44 football (soccer) teams from various premier leagues. Br. J. Sports Med. 2015;49:583–9. doi: 10.1136/bjsports-2014-094104.
    1. McCall A, et al. Risk factors, testing and preventative strategies for non-contact injuries in professional football: current perceptions and practices of 44 teams from various premier leagues. Br. J. Sports Med. 2014;48:1352–7. doi: 10.1136/bjsports-2014-093439.
    1. Fousekis K, Tsepis E, Vagenas G. Lower limb strength in professional soccer players: profile, asymmetry, and training age. J. Sports Sci. Med. 2010;9:364–373.
    1. Pyne, D. B. et al. Basketball Players. Physiological Tests for Elite Athletes (eds Tanner, R. & Gore, C.) 273–287 (Champaign 2013).
    1. Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of a functional movement screening tool to determine injury risk in female collegiate athletes. N. Am. J. Sports Phys. Ther. 2010;5:47–54.
    1. Dorrel BS, Long T, Shaffer S, Myer GD. Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations: A Systematic Review and Meta-analysis. Sports health. 2015;7:532–537. doi: 10.1177/1941738115607445.
    1. Schneiders AG, Davidsson A, Hörman E, Sullivan SJ. Functional Movement ScreenTM Normative Values in a Young, Active Population. Int. J. Sports Phys. Ther. 2011;6:75–82.
    1. Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star excursion balance test as a predictor of lower extremity injury in high school basketball players. J. Orthop. Sports Phys. Ther. 2006;36:911–919. doi: 10.2519/jospt.2006.2244.
    1. Plisky PJ, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. N. Am. J. Sports Phys. Ther. 2009;4(2):92–99.
    1. Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J. Athl. Train. 2012;47:339–357. doi: 10.4085/1062-6050-47.3.08.
    1. Lehr ME, et al. Field-expedient screening and injury risk algorithm categories as predictors of noncontact lower extremity injury. Scand. J. Med. Sci. Sports. 2013;23:225–232. doi: 10.1111/sms.12062.
    1. Padua A, et al. The Landing Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing biomechanics. Am. J. Sports Med. 2009;10:1996–2002. doi: 10.1177/0363546509343200.
    1. DiStefano LJ, Padua DA, DiStefano MJ, Marshall SW. Influence of age, sex, technique and exercise program on movement patterns after an anterior cruciate ligament injury prevention program in youth soccer players. Am. J. Sports Med. 2009;37:495–505. doi: 10.1177/0363546508327542.
    1. Padua DA, et al. The Landing Error Scoring System as a Screening Tool for an Anterior Cruciate Ligament Injury–Prevention Program in Elite-Youth Soccer Athletes. J. Athl. Train. 2015;50:589–595. doi: 10.4085/1062-6050-50.1.10.
    1. Engebretsen L, et al. Sports injuries and illnesses during the London. Br. J. Sports Med. 2013;47:407–414. doi: 10.1136/bjsports-2013-092380.
    1. Engebretsen L, et al. Extending in-competition Athletics injury and illness surveillance with pre-participation risk factor screening: A pilot study. Phys. Ther. Sport. 2015;16:98–106. doi: 10.1016/j.ptsp.2014.05.003.
    1. Dallinga JM, Benjaminse A, Lemmink KA. Which screening tools can predict injury to the lower extremities in team sports? Sports Med. 2012;42:791–815. doi: 10.1007/BF03262295.
    1. Taylor JB, Ford KR, Nguyen A, Terry NL, Hegedus EJ. Prevention of Lower Extremity Injuries in Basketball: A Systematic Review and Meta-Analysis. Sports Health. 2015;7(5):392–398. doi: 10.1177/1941738115593441.
    1. Prodromos CC, Han Y, Rogowski J, Joyce B, Shi K. A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy. 2007;23:1320–1325. doi: 10.1016/j.arthro.2007.07.003.
    1. Butler RJ, Southers C, Gorman PP, Kiesel KB, Plisky PJ. Differences in soccer players’ dynamic balance across levels of competition. J. Athl. Train. 2012;47(6):616–20. doi: 10.4085/1062-6050-47.5.14.
    1. Hegedus EJ, et al. Clinician-friendly lower extremity physical performance tests in athletes: a systematic review of measurement properties and correlation with injury. Part 2—the tests for the hip, thigh, foot and ankle including the star excursion balance test. J. Sports Med. 2015;49:649–656.
    1. Myklebust G, et al. Registration of cruciate ligament injuries in Norwegian top level team handball. A prospective study covering two seasons. Scand. J. Med. Sci. Sports. 1997;7:289–92. doi: 10.1111/j.1600-0838.1997.tb00155.x.
    1. Bakken A, et al. The functional movement test 9+ is a poor screening test for lower extremity injuries in professional male football players: a 2-year prospective cohort study. Br. J. Sports Med. 2017;52:1047–1053. doi: 10.1136/bjsports-2016-097307.
    1. Bardenett SM, et al. Functional Movement Screen Normative Values and Validity in High School Athletes: Can the FmsTM Be Used As a Predictor of Injury? Int. J. Sports Phys. Ther. 2015;10:303–8.
    1. Dorrel B, Long T, Shaffer S, Myer GD. The Functional Movement Screen as a Predictor of Injury in National Collegiate Athletic Association Division II athletes. J.Athl. Train. 2018;53(1):29–34. doi: 10.4085/1062-6050-528-15.
    1. Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason Functional Movement Screen? N. Am. J. Sports Phys. Ther. 2007;2:147–158.
    1. O’Connor FG, Deuster PA, Davis J, Pappas CG, Knapik JJ. Functional movement screening: Predicting injuries in officer candidates. Med. Sci. Sports Exerc. 2011;43:2224–2230. doi: 10.1249/MSS.0b013e318223522d.
    1. Butler RJ, et al. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013;46:11–17.
    1. Edouard P, et al. Extending in-competition Athletics injury and illness surveillance with pre-participation risk factor screening: A pilot study. Phys. Ther. Sport. 2015;16:98–106. doi: 10.1016/j.ptsp.2014.05.003.
    1. Coughlan GF, et al. A comparison between performance on selected directions of the star excursion balance test and the Y balance test. J. Athl. Train. 2012;47:366–371. doi: 10.4085/1062-6050-47.4.03.
    1. Hewett TE, et al. Preparticipation physical examination using a box drop vertical jump test in young athletes. Clin. J. Sport Med. 2006;16:298–304. doi: 10.1097/00042752-200607000-00003.

Source: PubMed

3
Abonner