Background: Knee and hip osteoarthritis (OA) among older adults account for substantial disability and extensive healthcare use. Effective pain coping strategies help to deal with OA. This study aims to determine the long-term relationship between pain coping style and the course of healthcare use in patients with knee and/or hip OA over 10 years. Methods: Baseline and 10-year follow-up data of 861 Dutch participants with early knee and/or hip OA from the Cohort Hip and Cohort Knee (CHECK) cohort were used. The amount of healthcare use (HCU) and pain coping style were measured. Generalized Estimating Equations were used, adjusted for relevant confounders. Results: At baseline, 86.5% of the patients had an active pain coping style. Having an active pain coping style was significantly (p = 0.022) associated with an increase of 16.5% (95% CI, 2.0–32.7) in the number of used healthcare services over 10 years. Conclusion: Patients with early knee and/or hip OA with an active pain coping style use significantly more different healthcare services over 10 years, as opposed to those with a passive pain coping style. Further research should focus on altered treatment (e.g., focus on self-management) in patients with an active coping style, to reduce HCU.
DOCUMENT
: Knee injuries commonly occur in later stages of competition indicating that fatigue may influence dynamic knee stability. Force sense (FS) is a submodality of proprioception influenced by muscle mechanoreceptors, and, if negatively affected by fatigue, may results in less effective neuromuscular control. OBJECTIVES: To determine the effects of peripheral fatigue on FS of the quadriceps and hamstrings. DESIGN: Quasi-experimental study design. PARTICIPANTS: Twenty healthy and physically active females and males (age: 23.4±2.7 years, mass: 69.5±10.9kg, height: 169.7±9.4cm) participated. INTERVENTIONS: Fatigue was induced during a protocol with two sets of 40 repetitions, and the last set truncated at 90 repetitions or stopped if torque production dropped below 25% of peak torque. MAIN OUTCOME MEASURES: FS of the hamstrings and quadriceps was tested on separate days before and after three sets of isokinetic knee flexion and extension to fatigue by examining the ability to produce a target isometric torque (15% MVIC) with and without visual feedback (FS Error). Electromyographic data of the tested musculature were collected in order to calculate and determine median frequency shift. T-tests and Wilcoxon Signed Rank tests were conducted to examine pre-fatigue and post-fatigue FS Error for flexion and extension. RESULTS: Despite verification of fatigue via torque production decrement and shift in median frequency, no significant differences were observed in FS Error for either knee flexion (pre=0.54±2.28 N·m; post=0.47±1.62 N·m) or extension (pre=-0.28±2.69 N·m; post=-0.21±1.78 N·m) pre-fatigue compared to the post-fatigue condition. CONCLUSIONS: Although previous research has demonstrated that peripheral fatigue negatively affects TTDPM, it did not affect FS as measured in this study. The peripheral fatigue protocol may have a greater effect on the mechanoreceptors responsible for TTDPM than those responsible for FS. Further investigation into the effects of fatigue across various modes of proprioception is warranted.
DOCUMENT
The aim of this study is to investigate the predictivevalue of landing stability and technique togain insight into risk factors for ankle and kneeinjuries in indoor team sport players. Seventyfivemale and female basketball, volleyball orkorfball players were screened by measuringlanding stability after a single-leg jump landingand landing technique during a repeated countermovement jump by detailed 3-dimensional kinematicsand kinetics. During the season 11 acuteankle injuries were reported along with 6 acuteand 7 overuse knee injuries by the teams’ physicaltherapist. Logistic regression analysis showedless landing stability in the forward and diagonaljump direction (OR 1.01–1.10, p ≤ 0.05) in playerswho sustained an acute ankle injury. Furthermorelanding technique with a greater ankle dorsiflexionmoment increased the risk for acuteankle injury (OR 2.16, p ≤ 0.05). A smaller kneeflexion moment and greater vertical groundreaction force increased the risk of an overuseknee injury (OR 0.29 and 1.13 respectively,p ≤ 0.05). Less one-legged landing stability andsuboptimal landing technique were shown inplayers sustaining an acute ankle and overuseknee injury compared to healthy players. Determiningboth landing stability and technique mayfurther guide injury prevention programs.
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In societies where physical activity levels are declining, stimulating sports participation in youth is vital. While sports offer numerous benefits, injuries in youth are at an all-time high with potential long-term consequences. Particularly, women football's popularity surge has led to a rise in knee injuries, notably anterior cruciate ligament (ACL) injuries, with severe long-term effects. Urgent societal attention is warranted, supported by media coverage and calls for action by professional players. This project aims to evaluate the potential of novel artificial intelligence-based technology to enhance player monitoring for injury risk, and to integrate these monitoring pathways into regular training practice. Its success may pave the way for broader applications across different sports and injuries. Implementation of results from lab-based research into practice is hindered by the lack of skills and technology needed to perform the required measurements. There is a critical need for non-invasive systems used during regular training practice and allowing longitudinal monitoring. Markerless motion capture technology has recently been developed and has created new potential for field-based data collection in sport settings. This technology eliminates the need for marker/sensor placement on the participant and can be employed on-site, capturing movement patterns during training. Since a common AI algorithm for data processing is used, minimal technical knowledge by the operator is required. The experienced PLAYSAFE consortium will exploit this technology to monitor 300 young female football players over the course of 1 season. The successful implementation of non-invasive monitoring of football players’ movement patterns during regular practice is the primary objective of this project. In addition, the study will generate key insights into risk factors associated with ACL injury. Through this approach, PLAYSAFE aims to reduce the burden of ACL injuries in female football players.
