Disability In Athletes Research Articles

Ultrasound of Groin Pain in the Athlete.

Groin pain is a common cause of disability in athletes. Imaging is crucial in a clinical diagnosis, given the multiple associated etiologies. The main sites of groin pain are the adductors, iliopsoas muscles, inguinal ring, hip joint, and pubic symphysis. Although magnetic resonance imaging is the gold standard to image groin pain, ultrasound (US) offers excellent accuracy in pinpointing muscle injuries, inguinal disruption, and hernias. US requires a detailed knowledge of anatomical landmarks; imaging pitfalls, and pathologic patterns. We review the complex anatomy of the groin region, the sonographic appearance of the involved structures, and the strengths and weaknesses of US.

Comparing assessment methods of low back pain related disability in student circus artists: A cross-sectional study

BACKGROUND: Student circus artists put constant stress on their back. However, the presence of low back pain (LBP) and related disability in this population remains unclear. OBJECTIVES: To 1) examine LBP history in circus artists and compare related disability scores using the Oswestry Disability Index (ODI) and the Athlete Disability Index (ADI), and 2) examine the correlation between LBP-related disability scores, pain intensity and pain catastrophizing. METHODS: Thirty-three circus students completed an online survey on demographics, training history, and LBP. Participants reporting LBP filled the ODI, ADI, numerical pain rating scale (NPRS), and Pain Catastrophizing Scale (PCS). Descriptive statistics and Pearson’s correlation coefficients were used to assess the correlations between the ODI, ADI, NPRS, and PCS. RESULTS: There was a significant positive correlation between the ODI and ADI (r= 0.77, p< 0.001) and between the NPRS and ADI (r= 0.52, p= 0.03), but no correlation between NPRS and ODI. While the PCS scores were significantly correlated with the NPRS ((r= 0.71; p< 0.001) and the ADI (r= 0.51; p= 0.032), no correlation was observed between the PCS and ODI scores (p= 0.088). Based on the ODI scores, 94.44% of the artists reporting LBP were classified with mild disability, 5.56% moderate, and 0% severe disability as compared to 66.67%, 27.78% and 5.55% with the ADI, respectively. CONCLUSION: Our study highlights the potential of the ADI as an effective tool for assessing LBP-related disability in circus artists, supported by a strong correlation with the NPRS.

Effectiveness of dry needling on pain & disability in athletes with iliotibial band tightness- a clinical trial

IntroductionDry needling (DN) for Myofascial trigger points (MTrP's) can be done on superficial or deep tissue levels for the management of a range of neuromusculoskeletal pain disorders. There is still much to learn about dry needling, despite the fact that it has been demonstrated to be useful for a variety of illnesses. The aim of the current study was to determine the effectiveness of DN with stretching on pain and disability in the treatment of athletes with iliotibial band (ITB) tightness. DesignA Clinical Trial. MethodsFor this study, 38 athletes both male and female, aged between 18 to 28 years, with tight iliotibial bands were divided into two groups: DN (n = 19) [Mean age (Years) 21.11 ± 2.96, Height (Cm) 171.16 ± 8.97, Weight (Kg) 63.73 ± 14.12, BMI (Kg/m2) 21.68 ± 3.53] and control group (n = 19) [Mean age 20.26 ± 2.37 (Years), Height (Cm) 166.31 ± 7.97, Weight (Kg) 56.02 ± 9.49, BMI (Kg/m2) 20.17 ± 2.39] who received ITB stretching. As outcome measures both before and after the treatment, the Visual Analogue Scale (VAS) and the Lower Extremity Functional Scale (LEFS) were used. ResultsThe difference in pain and functional scale was assessed using paired and unpaired t-tests. Post-treatment, individuals who received DN showed statistically greater improvements in pain (p = 0.000) and disability (p = 0.001) than those who received stretching. ConclusionAccording to this trial's findings, three sessions of DN with stretching are more effective at reducing pain and enhancing iliotibial band functionality.

The Association among Physical Activity, Sociodemographic, Trunk Muscles Thickness and Low Back Pain-Related Disability in Amateur Soccer Players: An Observational Study

Abstract Objective Although low back pain (LBP) is one of the most common musculoskeletal disorders, there is limited evidence assessing which factors contribute LBP severity in amateur athletes. We aimed to analyze relationships between sociodemographic, clinical, lifestyle and lumbar multifidus (LM) at L4 and L5 levels, rectus abdominis (RA), external and internal obliques (EO and IO) and transversus abdominis (TrA) muscles thickness assessed with ultrasound imaging (US) variables with lumbar disability in amateur athletes with LBP and lumbar disc herniation. Methods Eighty-two male amateur soccer athletes were analyzed. Demographic data, internal hip rotation, finger-floor distance, pain intensity, number of LBP episodes within the last year, metabolic equivalent of tasks for physical activity, sitting time, muscle thickness and disability caused by LBP were collected. Results Pain intensity showed significant associations with LBP recurrence, disability, sedentarism, trunk and hip flexibility, vigorous physical activity and TrA, EO and RA muscles thickness (p<0.05). Similarly, disability was associated with number of LBP episodes, vigorous activity, sitting time, finger floor distance, and RA, EO and IO muscles thickness (p<0.05). TrA thickness and internal hip rotation were not associated with lumbar disability (p>0.05). Conclusion LBP intensity and pain-related disability were significantly associated with LBP episodes, vigorous activity, sitting time, finger floor distance, and thickness of abdominal muscles were associated with pain intensity and disability. However, lumbar multifidus thickness at rest, ankle dorsiflexion and walking time were not associated with clinical severity.

Surgical approaches to the capitellum: a comparative anatomic study

Osteochondritis dissecans (OCD) of the humeral capitellum is an important cause of elbow disability in young athletes. Large and unstable lesions sometimes require joint reconstruction with osteochondral autograft. Several approaches have been described to expose the capitellum for the purpose of treating OCD. The posterior anconeus-splitting approach and the lateral approach with or without release of the lateral ligamentous complex are the most frequently used for this indication. The surface accessible by these approaches has not been widely studied. This study compared the extent of the articular surface of the capitellum that could be exposed with the Kocher approach (without ligament release) vs. the posterior anconeus-splitting approach. A secondary outcome was the measurement of any additional area that could be reached with lateral ulnar collateral ligament release (Wrightington approach). The 3 approaches were performed on 8 adult cadaveric elbows: first, the Kocher approach; then, the anconeus-splitting approach; and finally, the Wrightington approach. The visible articular surface was marked out after completion of each approach. The mean articular surface of the capitellum was 708 mm2 (range, 573-830 mm2). The mean visible articular surface was 49% (range, 43%-60%) of the total surface with the Kocher approach, 74% (range, 61%-90%) with the posterior anconeus-splitting approach, and 93% (range, 91%-97%) with the Wrightington approach. Although the Kocher approach provided access to the anterior part of the capitellum, the anconeus-splitting approach showed adequate exposure to the posterior three-quarters of the articular surface and overlapped the most posterior part of the Kocher approach. A combination of the 2 lateral ulnar collateral ligament-preserving approaches allowed access to 100% of the joint surface. Most OCD lesions are located in the posterior area of the capitellum and can therefore be reached with the anconeus-splitting approach. When OCD lesions are located anteriorly, the Kocher approach without ligament release is efficient. A combination of these 2 approaches enabled the entirety of the joint surface to be viewed.

Low back pain functional disability and associated factors: A cross-sectional study in Peruvian amateur athletes

Background: Low Back Pain Functional Disability is one of the most critical physical limitations found in athletes, even leading to their temporary or permanent retirement. In this sense, this research aimed to evaluate the frequency of lumbar functional disability and its associated factors. Methods: We designed transversal research and evaluated athletes from the Peruvian Sports Institute (IPD) of Ica in athletics, basketball, and table tennis. We administered a file to obtain demographic and epidemiological data. We identified low back pain with the DN4 instrument (Douleur Neuropathique 4 Questions) and lumbar functional disability with the athlete's disability index. Results: We evaluated 130 amateur athletes (table tennis=30, basketball=50, and athletics=50), with an average age of 23.9±8.2 years, and constituted 63.9% of men. 30% (CI95: 22.3-38.7%) of the population presented lumbar functional disability (moderate 56.4%, severe 30.8%, and very high 12.8%). Factors associated with lumbar functional disability were age (PR: 1.05, CI95: 1.01-1.09), female sex (PR: 2.21, CI95: 1.08-4.50) and neuropathic pain (PR: 0.35, CI95: 0.16-0.80). Conclusions: The frequency of lumbar functional disability is high among athletes who practice table tennis, basketball, and athletics. It is crucial to strengthen fitness programs accompanied by a periodic medical evaluation that allows the timely identification of injuries and potential functional disability due to low back pain.

Spinal Pain Prevalence and Characteristics among Male Athletes with Disabilities

Introduction: Chronic pain is a serious secondary problem for many individuals with disabilities.
 Materials and Methods: A total of 231 disabled athletes invited to compete in a multi- sport national sports tournament for para-athletes in Ahvaz, Iran, participated in the study to be investigated whether spinal pain (SP) prevalence and characteristics are different among different sports and disabilities. Athletes’ demographic information, SP prevalence, characteristics, and disability using the athlete disability index questionnaire were obtained. SP prevalence, characteristics, and factors affecting SP intensity and disability caused by low back pain (LBP) were determined as primary outcome measures before data collection.
 Results: The mean (95% confidence intervals) disability percentage and LBP intensity score were 22.2% (19.2-25.3) and 2.14(1.84-2.47) of 10, respectively. The highest LBP intensity was among physical fitness participants and patients with spinal lesions. Weightlifting athletes and athletes with arm movement limitations had the highest disability. The mean (95% confidence intervals) neck pain intensity score was 2.16(1.80-2.54).
 Conclusion: A high prevalence of SP was observed among most disabilities and sports. Although its intensity is rarely severe among a population of any disability or sports, it is undeniably disabling among the vulnerable population of para-athletes.

Core body temperature responses during competitive sporting events: A narrative review.

Due to the lack of research in real-world sports competitions, the International Olympic Committee, in 2012, called for data characterising athletes' sport and event-specific thermal profiles. Studies clearly demonstrate that elite athletes often attain a core body temperature (Tc) ≥ 40°C without heat-related medical issues during competition. However, practitioners, researchers and ethical review boards continue to cite a Tc ≥ 40°C (and lower) as a threshold where athlete health is impacted (an assumption from laboratory studies). Therefore, this narrative review aims to: (i) summarise and review published data on Tc responses during competitive sport and identify key considerations for practitioners; (ii) establish the incidence of athletes experiencing a Tc ≥ 40°C in competitive sport alongside the incidence of heat illness/heat stroke (EHI/EHS) symptoms; and (iii) discuss the evolution of Tc measurement during competition. The Tc response is primarily based on the physical demands of the sport, environmental conditions, competitive level, and athlete disability. In the reviewed research, 11.9% of athletes presented a Tc ≥ 40°C, with only 2.8% of these experiencing EHI/EHS symptoms, whilst a high Tc ≥ 40°C (n = 172; Tc range 40-41.5°C) occurred across a range of sports and environmental conditions (including some temperate environments). Endurance athletes experienced a Tc ≥ 40°C more than intermittent athletes, but EHI/EHS was similar. This review demonstrates that a Tc ≥ 40°C is not a consistently meaningful risk factor of EHI/EHS symptomology in this sample; therefore, Tc monitoring alongside secondary measures (i.e. general cognitive disturbance and gait disruption) should be incorporated to reduce heat-related injuries during competition.

Upper extremities functional disability and pain intensity in female volleyball athletes: crosssectional study

Upper extremities functional disability and pain intensity in female volleyball athletes: crosssectional study

Previous concussions increase the risk of mental health disability in college athletes

Mental health concerns, particularly anxiety and depression, are leading causes of disability in young adults. Identifying pre-existing conditions that place individuals at-risk for mental health disability may enable healthcare providers to increase patient outcomes with early interventions and condition management. Read more JCTRes.com

Low Molecular Weight Hyaluronic Acid (500-730 Kda) Injections in Tendinopathies-A Narrative Review.

Tendinopathies are common causes of pain and disability in general population and athletes. Conservative treatment is largely preferred, and eccentric exercise or other modalities of therapeutic exercises are recommended. However, this approach requests several weeks of consecutive treatment and could be discouraging. In the last years, injections of different formulations were evaluated to accelerate functional recovery in combination with usual therapy. Hyaluronic acid (HA) preparations were proposed, in particular LMW-HA (500–730 kDa) for its unique molecular characteristics in favored extracellular matrix homeostasis and tenocyte viability. The purpose of our review is to evaluate the state-of-the-art about the role of 500–730 kDa in tendinopathies considering both preclinical and clinical findings and encourage further research on this emerging topic.

Negotiating Multiple Identities of Brazilian Paralympians

In this article, I draw on the personal narratives of 41 Brazilian Paralympic athletes who competed in the 2016 Rio Paralympic Games to explore their multiple identities shaped within and outside sport and how they negotiated those self-representations. Parathletes’ narratives gave a sense of who they are, how they live their lives, and what their struggles, hopes, and aspirations are within and outside sport. The available studies in disability sport and the representation of disabled athletes have largely failed to examine the stories of these individuals and address their unique realities and perspectives. Five major themes emerged from the interview analysis regarding the parathletes’ self-representation: athletic identity, gender identity, disability identity, national identity, and activist identity. These accounts also revealed how these individuals negotiated their multiple identities in different settings and the tensions they experienced in their social interactions. The Rio Paralympics presented such a new interaction setting for the Brazilian parathletes who competed on such a grand scale at home for the first time and provided multiple examples in the athletes’ accounts of their identities.

Concurrent Validity and Reliability of a Handheld Dynamometer in Measuring Isometric Shoulder Rotational Strength.

Measuring isometric shoulder rotational strength is clinically important for evaluating motor disability in athletes with shoulder injuries. Recent evidence suggests that handheld dynamometry may provide a low-cost and portable method for the clinical assessment of isometric shoulder strength. To investigate the concurrent validity and the intrarater and interrater reliability of handheld dynamometry for measuring isometric shoulder rotational strength. Cross-sectional study. Biomechanics laboratory. Thirty-nine young, healthy participants. The peak isometric strength of the internal rotators and external rotators, measured by handheld dynamometry (in newton) and isokinetic dynamometry (in newton meter). Maximal isometric shoulder rotational strength was measured as participants lay supine with 90° shoulder abduction, neutral rotation, 90° elbow flexion, and forearm pronation. Measurements were performed independently by 2 different physiotherapists and in 3 different sessions to evaluate interrater and intrarater reliability. The data obtained by handheld dynamometry were compared with those obtained by isokinetic testing to evaluate concurrent validity. The intraclass correlation coefficients for interrater reliability in measuring maximum isometric shoulder external and internal rotation strength were .914 (95% confidence interval [CI], .842-.954) and .842 (95% CI, .720-.914), respectively. The intrarater reliability values of the method for measuring maximal shoulder external and internal rotation strength were 0.865 (95% CI, 0.757-0.927) and 0.901 (95% CI, 0.820-0.947), respectively. The Pearson correlation coefficients between the handheld and isokinetic dynamometer measurements were .792 (95% CI, .575-.905) for external rotation strength and .664 (95% CI, .419-.839) for internal rotation strength. The handheld dynamometer showed good to excellent reliability and moderate to good validity in measuring maximum isometric shoulder rotational strength. Therefore, handheld dynamometry could be acceptable for health and sports professionals in field situations to evaluate maximum isometric shoulder rotational strength.

Athletes diagnosed with anterior and posterior shoulder instability display different chief complaints and disability.

Anterior shoulder instability is a common complaint of young athletes. Posterior instability in this population is less well understood, and the standard of care has not been defined. The purpose of the study is to compare index frequency, treatment choice, and athlete disability following an incident of anterior or posterior shoulder instability in high school and collegiate athletes. A total of 58 high school and collegiate athletes (n=30 athletes with anterior instability; n=28 athletes with posterior instability) were included. Athletes suffering from a traumatic sport-related shoulder instability episode during a team-sponsored practice or game were identified by their school athletic trainer. Athletes were referred to the sports medicine physician or orthopedic surgeon for diagnosis and initial treatment choice (operative vs. nonoperative). Athletes diagnosed with traumatic anterior or posterior instability who completed the full course of treatment and provided pre- and post-treatment patient-reported outcome measures were included in the study. The frequency of shoulder instability was compared by direction, mechanism of injury (MOI), and treatment choice through χ2 analyses. A repeated measures analysis of variance was used to compare the functional outcomes by treatment type and direction of instability (α=0.05). Athletes diagnosed with anterior instability were more likely to report a chief complaint of instability (70%), whereas those diagnosed with posterior instability reported a primary complaint of pain interfering with function (96%) (P = .001). The primary MOI classified as a contact event was similar between anterior and posterior instability groups (77% vs. 54%, P = .06) as well as the decision to proceed with surgery (60% vs. 72%, P = .31). In patients with nonoperative care, athletes with anterior instability had significantly more initial disability than those with posterior instability (32±6.1 vs. 58±8.1, P = .001). Pre- and post-treatment Penn Shoulder Scores for athletes treated with early surgery were similar (P > .05). There were no differences in functional outcomes at discharge in those treated nonoperatively regardless of direction of instability (P = .24); however, change in Penn score was significantly greater in those with anterior (61±18.7) than those with posterior (27 ± 25.2) instability (P = .002). Athletes with anterior instability appear to have different mechanisms and complaints than those with posterior instability. Among those that receive nonoperative treatment, athletes with anterior instability have significantly greater initial disability and change in disability than those with posterior disability during course of care.

The prevalence and severity of lower back pain in South African university rowers.

Low back pain (LBP) is a condition prevalent among rowers due to the repetitive and physically demanding nature of rowing. Information concerning LBP among university-level rowers is, however, outdated and not widely available. To determine the prevalence, severity and disabilities of LBP among university-level rowers in South Africa. An online questionnaire, including the Athlete Disability Index (ADI) Questionnaire, was distributed to nine South African university rowing clubs. One-hundred participants aged between 18 to 30 years completed the online questionnaires. Eighty-seven rowers admitted to sustaining LBP either at the time of the study or previously in their university rowing career. These rowers (n=87) completed the Athlete Disability Index (ADI) Questionnaire which provided a moderate LBP disability score (ADI score: 8.1±6.0; ADI %: 24.7%±18.1). Rowers who had been rowing for a longer duration reported a higher severity of LBP (p=0.001). There was no statistically significant difference for LBP prevalence (p=0.584), or severity (p=0.445) between the sexes. A small significant correlation between age and the ADI score (r=0.25, p= 0.021) was reported. The high prevalence and moderate severity highlight the significance of LBP among university rowers. This study illustrates the prevalence of LBP with moderate severity among university rowers. Future research on LBP risk factors and aetiology is recommended to decrease the negative impact of this condition.

Wheelchair Athlete Concussion Baseline Data: A Pilot Retrospective Analysis.

The aim of the study was to investigate whether a disabled athlete's underlying disability and concussion history impact the score on baseline testing from a disability modified Graded Symptoms Checklist, Standardized Assessment of Concussion, and Wheelchair Error Scoring System. This is a retrospective chart review of the 81 veteran wheelchair sports athletes who had baseline concussion evaluations. Demographic data including qualifying disability for the National Veterans Wheelchair Games, scores from the modified Graded Symptoms Checklist, Standardized Assessment of Concussion, and Wheelchair Error Scoring System were analyzed. Forty-three percent of wheelchair athletes reported a history of a concussion. Individuals with a history of a concussion displayed more symptoms on the modified Graded Symptoms Checklist (38.8 vs. 24.71, P = 0.0378) as did those who had a qualifying disability in the brain disorder category (54.87 vs. amputees 24.07 and spinal cord disorders 24.9, P = 0.0015). There was no difference in Standardized Assessment of Concussion examination or Wheelchair Error Scoring System scores based on concussion history or qualifying disability. Baseline symptom scores from a modified Graded Symptoms Checklist were higher in participants with a history of concussion, independent of their underlying disability, and higher if the athlete's disability was a brain disorder including multiple sclerosis and cerebral vascular accident. Scores on the Standardized Assessment of Concussion examination and Wheelchair Error Scoring System were not affected by the athlete's disability or concussion history. Baseline testing is integral for disabled athletes, especially those with underlying brain disorders and history of concussion.

117 Update: Dantrolene Sodium Suspension (250 Mg/5mL) in Patients with Exertional Heat Stroke

Exertional heat stroke (EHS) is a rare, sudden and unpredictable hyperthermic, hypermetabolic crisis that may affect anyone performing intense physical activity. EHS is one of the most severe forms of heat illness and a leading cause of death and disability in athletes, outdoor workers and military personnel. EHS is marked by severe hyperthermia (core body temp. ≥40°C) and CNS dysfunction (eg, seizures, coma, abnormal behavior). The sporadic, unpredictable and life-threatening nature of EHS limits the ability to conduct prospective controlled clinical trials. Current treatment is limited to efficient body cooling which is infrequently available and inconsistently administered. Up to 1/3 of survivors may have long-term neurologic sequelae despite rapid body cooling. The objective was to evaluate the efficacy and safety of dantrolene sodium for injectable suspension (Ryanodex®) (DSS) for the treatment of EHS, administered as an adjunct to body cooling (BC). We conducted two comparable clinical studies evaluating DSS+BC compared to BC alone in patients with EHS. Study 1 (ITT N=34, mITT N=24) and Study 2 (ITT N=17) were randomized, controlled, 2-arm parallel studies. Patients had a core temp. ≥40°C, impaired level of consciousness (LOC)(GCS score <13) and tachycardia. The primary efficacy endpoint in both studies was the cumulative incidence of recovery of LOC defined as a GCS score ≥13 at or prior to 90 minutes post-randomization. Safety and tolerability were assessed. As reported at the 2017 ACEP Research Forum, the mITT population in Study 1 excluded patients who were intubated at baseline (precluding full assessment of GCS). Study 2 ran from August 2018 to August 2019. These multicenter studies were conducted in a real-world emergency medicine setting in the same hospitals. Due to the limitations enrolling EHS patients and given the comparability of the studies, an integrated analysis of efficacy was warranted. Study 1 and Study 2 demonstrated consistent, clinically meaningful results. Demographics and baseline characteristics in the integrated analysis were balanced between the DSS+BC (n=19) and BC only (n=22) groups regarding age (median 45 vs 43.5 yrs.), baseline GCS (mean 7.1 vs 6.2) and baseline rectal temp. (mean 41.6 vs 41.3°C). 51% were male. A statistically significant number of patients in the DSS+BC group met the primary endpoint vs BC alone (47.4% vs 18.2%, p=0.0452). Safety and tolerability findings were comparable in both groups and consistent with the known safety profile in the approved indication. Conducting clinical studies for EHS is challenging due to its rare, unpredictable and life-threatening nature. We conducted two comparable studies showing consistent and clinically meaningful benefit from the addition of DSS to BC. Approximately twice as many DSS treated subjects in each study achieved the primary endpoint. The integrated analysis of efficacy demonstrates that DSS added to BC results in a clinically meaningful and statistically significant improvement of neurologic impairment in subjects with EHS within 90 minutes of administration.

Behavioral Disorders in Physically Challenged Individual Sports Youth Athletes

The researchers aimed at identifying the effect of behavioral disorders in physically challenged individual sports athletes and the level of its effect on their life. The researchers used the descriptive method on (80) physically challenged individual sport athletes. The researchers designed a scale for behavioral disorders for physically challenged that consisted of four fields. The data was collected and treated to conclude that most athletes have mild behavioral disorders. In addition to that, the researchers concluded that athletic competitions and disability are major reasons for these disorders.

Five-Year Outcomes After Arthroscopic Surgery for Femoroacetabular Impingement Syndrome in Elite Athletes

Background: Femoroacetabular impingement syndrome (FAIS) is a common cause of hip pain and disability in athletes. Arthroscopic treatment for FAIS is well-established; however, the long-term results in elite athletes are limited. Purpose: To evaluate outcomes 5 years after arthroscopic treatment for FAIS in elite athletes. Study Design: Case series; Level of evidence, 4. Methods: Elite athletes undergoing arthroscopic treatment for FAIS with a minimum 5-year follow-up were included. They were prospectively followed up with patient-reported outcome measures. An elite athlete was defined as having a Hip Sports Activity Scale (HSAS) level of 7 or 8 before the onset of symptoms. Preoperatively and 5 years after surgery, all athletes completed a web-based questionnaire, including the Copenhagen Hip and Groin Outcome Score (comprising 6 subscales), the EQ-5D and EQ-VAS (European Quality of Life–5 Dimensions Questionnaire and European Quality of Life–Visual Analog Scale), iHOT-12 (International Hip Outcome Tool), a visual analog scale for hip function, and the HSAS. Moreover, patients reported their overall satisfaction with their hip function. Preoperative measurements were compared with the 5-year follow-up. Results: A total of 64 elite athletes (52 men, 12 women) with a mean ± SD age of 24 ± 6 years were included. On average, patients reported a statistically significant and clinically relevant improvement from preoperative patient-reported outcome measures to the 5-year follow-up (P < .0003), Copenhagen Hip and Groin Outcome Score subscales (symptoms, 51.7 vs 71.9; pain, 61.0 vs 81.1; function of daily living, 67.1 vs 83.6; function in sports and recreation, 40.0 vs 71.5; participation in physical activity, 25.0 vs 67.4; hip and groin–related quality of life, 34.4 vs 68.0), EQ-5D (0.60 vs 0.83), EQ-VAS (66.1 vs 76.7), and iHOT-12 (40.0 vs 68.8). At the 5-year follow-up, 90.5% reported satisfaction with their overall hip function. In total, 54% still participated in competitive sports (HSAS, 5-8) at follow-up, while 77% had decreased their level. Older patients and patients with longer duration of symptoms reported a significantly lower level of sports activity (HSAS, 0-4; P < .009). Conclusion: Arthroscopic treatment for FAIS in elite athletes results in a statistically significant and clinically relevant improvement regarding symptoms, hip function, quality of life, and pain 5 years after surgery. Approximately half of the cohort was still in competitive sports at follow-up, yet 77% had decreased their level of sports. Nine of 10 patients were satisfied with their surgery.

Validity and Reliability of the Foot and Ankle Ability Measure Turkish Version for Athletes

The clinical assessment of sport-related lower extremity injuries plays important role in diagnosis and therapeutic strategies as well as return to activity. The Foot and Ankle Ability Measure (FAAM) is a valid and reliable self-reported outcome instrument used to detect foot and ankle disorders. The purpose of this study is to translate, cross-culturally adapt and validate the FAAM questionnaire for use in Turkish-speaking athletes who have foot and ankle disorders. Fifty-one basketball, soccer and volleyball athletes volunteered to participate. Test–retest reliability analyses revealed good and excellent reliability (intraclass correlation coefficient (ICC) = 0.83–0.92). Concurrent validity was tested between the FAAM-T subscores and both the visual analog scale for pain/activity limitations and functional performance tests, yielding moderate to high correlations (r = −0.522 to −0.869, p &lt; .05). The results of this study showed that the FAAM-T is a reliable and valid questionnaire for self-reported assessment of pain and disability in athletes suffering from foot and ankle disorders.