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[Purpose] The purpose of this study was to determine a preventive strategy for ankle sprain injury through a questionnaire survey of coaches of junior high school basketball teams. [Participants and Methods] The questionnaire comprised questions concerning coaches’ characteristics, prevention-related content, and collaboration with medical staff. We distributed the questionnaire to 108 coaches, of which 48 (41.7%) responded. [Results] The results revealed that none of the participant coaches had ever collaborated with medical staff. [Conclusion] Additional effort from medical staff is needed to hold seminars and contact coaches of junior high school teams in order to conduct an injury prevention program.

This study of a randomized controlled trial aimed to clarify the effect of functional movement screen (FMS) training on the FMS score and the number of injuries in high-school baseball players. Accordingly, 71 high-school baseball players (age: 15–17 years) were randomized into an intervention group (n = 37; FMS training 4 times per week for 12 weeks on the ground of each team) or a control group (n = 34; team practice without limits). No significant differences were observed in terms of the participant characteristics of the two groups. The FMS score of the intervention group significantly increased after 12 weeks of training compared with the control group. However, there was no difference between the groups in terms of the FMS score after 24 weeks. Injuries in the intervention group were significantly reduced after 24 weeks. The time lost due to noncontact injuries (12 weeks/follow-up) was 56.5 h/113 h in the intervention group and 33 h/325.5 h in the control group. Injuries were found all over the body. Based on these results, FMS training was proven to reduce injury in high-school baseball players. Although continued training is required to improve FMS scores, the number of injuries decreased after training.

[Purpose] The purpose of this study was to identify factors inhibiting improvement in the quality of life after total knee arthroplasty in patients with rheumatoid arthritis. [Participants and Methods] This was a pilot case-control study. The sample comprised of five participants with rheumatoid arthritis and 11 participants with osteoarthritis, who underwent total knee arthroplasty. We compared the groups in terms of physical function, walking ability, Japanese Knee Osteoarthritis Measure, and Life-Space Assessment. Measurements were taken before surgery and at four weeks and five months post-surgery. All patients underwent rehabilitation for five months postoperatively, first as inpatients, and then as outpatients after discharge. [Results] In the period from 4 weeks to 5 months post-surgery, physical function improved similarly in both groups in terms of muscle strength and walking ability. Despite the patients with rheumatoid arthritis being younger, their self-health assessment score by the Japanese Knee Osteoarthritis Measure and measures of life-space mobility by Life-Space Assessment were lower. [Conclusion] It is important to consider exercise therapy, and gait instruction to alleviate anxiety about health status and improve the quality of life and life-space mobility in patients with rheumatoid arthritis who undergo total knee arthroplasty.

Shoulder range of motion (ROM) adaptation is common observed among volleyball players, but studies on the shoulder joint function of adolescent athletes are lacking. This study aimed to clarify the prevalence of glenohumeral internal rotation deficit (GIRD) among adolescent players and differences in ROM based on sex. A questionnaire survey and ROM measurements of the shoulder joint and trunk using a plastic goniometer were conducted on 123 volleyball players (63 males and 60 females; mean age, 15.8 years). The prevalence of GIRD was investigated for internal rotation differences of >10° and total rotation motion of

[Purpose] To determine the relationship between low back pain and a range of demographic, environmental, and injury history factors to identify potential factors for the management of low back pain. [Participants and Methods] The participants were 123 elite high school male and female volleyball players. They answered an extensive questionnaire regarding demographic details, low back pain in the previous year, volleyball-specific movements, previous regional injuries, and years of volleyball experience. Questionnaire responses were analyzed. Data were analyzed using a multivariate logistic regression analysis using the presence and absence of low back pain within 1 year as the explanatory variable. [Results] Of the 123 volleyball players, 48.0% reported low back pain. The volleyball-specific movements that induced pain were diverse (e.g., spike, serve, and pass) with no common factor. The factors associated with low back pain were an ankle injury within the previous year and years of volleyball experience. [Conclusion] The associations found in this survey indicate that particular attention should be given to more experienced players with a history of ankle injury to manage low back pain in high school volleyball players.

Low back pain (LBP) is a common injury in high school volleyball players. We hypothesized that a prevention program could decrease the incidence of LBP in high school volleyball players. This study was an in-season cluster-randomized controlled trial.We block-randomized 8 high school volleyball teams comprising 70 players aged 15 to 17 years into the intervention (4 teams, 34 players) and control (4 teams, 36 players) groups. The intervention program consisted of 9 physical function tests as well as 1 or 2 self-selected preventive exercises, including dynamic thoracic mobility, trunk stabilization exercises, and static stretching, performed during warm-up. Both groups were followed up for 4 weeks, during which the incidence of LBP was recorded. Physical function tests (back endurance; spinal and back flexibility; active or passive shoulder and trunk range of motion; ankle joint mobility; and iliopsoas, quadriceps, and hamstrings flexibility) were conducted before and after the intervention.The intervention group had a significantly lower incidence of LBP (8.8%) than the control group (33.3%) (relative risk, 3.78; 95% confidence interval, 1.17-12.23; P = .017, 1 - β = 0.99). Lumbar extension accounted for nearly 70% of LBP incidences. Most players in the intervention group demonstrated improved physical function associated with the exercises.The semi-customized prevention program decreased the incidence of LBP and enhanced the physical function parameter in high school volleyball players.

Background: In recent years, the functional movement screen (FMS) and FMS training have attracted attention as a means of preventing injury, but no studies have examined the effect of such training in high-school baseball players. The aim of this study was to clarify the effect of FMS training on FMS score, physical function and baseball performance in high-school baseball players. Methods: Subjects in this randomized controlled clinical trial were high-school male baseball players assigned to either an FMS training group (intervention group) or a control group. The intervention group performed FMS training 4 times per week for 12 weeks. FMS ability, physical function, and baseball performance were measured prior to the intervention, 8, 12, and 24 weeks after the intervention in the subjects’ school environment. Results: A total of 71 baseball players aged 15 to 17 years were recruited and assigned to either an intervention group (n = 37) or control group (n = 34). There was no significant difference in the characteristics of participants between the 2 groups. Most FMS scores improved to 12 weeks after continued training. In the intervention group compared with the control group, deep squat, hurdle step, inline lunge, active straight leg raise, trunk stability push-up and rotary stability FMS score, total FMS score and eyes closed single leg stance time significantly increased after 8 weeks of training. While hurdle step, inline lunge, active straight leg raise, trunk stability push-up, total FMS score, and eyes closed single leg stance time significantly increased, pitching ball speed significantly decreased at the end of the 12 week training period. Eyes closed single leg stance time and feeling of fatigue significantly improved 12 weeks after training. The number of subjects who scored less than 14 for the total FMS score in the intervention group compared with control group were significantly less after 8 and 12 weeks of FMS training. Conclusion: FMS training for 8 weeks contributes to improving FMS scores for high-school baseball players, but FMS scores go down if FMS training is not continued. Trial registration: University Hospital Medical Information Network Center, Tokyo, Japan: UMIN000027553. Registered on May 30, 2017.

Low back pain (LBP) is a typical symptom in volleyball players, yet associated physical function factors have not been identified. This study purpose is to determine the relationship between LBP and physical function factors in order to identify potential factors for the management of LBP. Participants were 123 male and female volleyball players of 15- to 17-year-olds who, completed a questionnaire regarding demographic details, presence of LBP, and years of volleyball experience. Participants were divided into 2 groups based on the presence of current LBP and evaluated on physical function tests. The results of the questionnaire response and physical function test were compared between the 2 groups. Data were analyzed using a multivariate logistic regression analysis with presence and absence of current LBP as the explanatory variable. 11.4% of all participants reported current LBP. Physical function factors associated with current LBP were a positive modified Thomas test, years of volleyball experience and reduced range of motion of shoulder horizontal abduction on the dominant hand side. The associations between physical function factors and LBP found in this survey suggest that attention should be given to more experienced players with decreased flexibility of hip and shoulder flexors on the dominant side in order to manage LBP in high school volleyball players.

Introduction/Background In recent years, the Functional Movement Screen (FMS™) has been used for the prevention of disability. Some studies have reported that corrective exercise to improve FMS score is an effective method of preventing injuries (Bodden et al., 2015; Justin et al., 2017). However, measurement instrument to assess FMS™ are not available in high school's. The purpose of this research is to clarify the effectiveness of corrective exercises without specific FMS measurement instruments on FMS score, physical function, and throwing performance in high school baseball players. Material and method High school baseball players were randomly assigned to two groups; 37 in the training group and 34 in the control group. All subjects were evaluated for FMS score, eyes closed single leg stance time, subjective fatigue, as well as pitching ball speed and control at the beginning of the intervention and at 2-months follow-up. Baseball players in training group conducted the corrective exercises 4 times per week for 2 months. Results When comparing the 2 groups group, pitching ball control significantly decreased in the training group compared to prior to the intervention. After 2 months, deep squat, hurdle step, inline lunge, active straight-leg raise, trunk stability pushup, rotary stability, total score of FMS, and pitching ball control showed significant better results in the training group compared to the control group. Conclusion Results of this study showed that corrective exercises improved asymmetries, trunk stability, movement pattern, proprioception, total FMS score, and pitching ball control without using special instruments following a 2-months training period. Corrective exercises to improve FMS are effective even in high school baseball players without using special measurement instruments.

Introduction/Background In recent years, neuromuscular training (NMT) using a balance board has become a common form of exercise to prevent ankle sprain. Previous studies of effectiveness of this approach have focused on adults, and there are few studies investigating junior high school students. The purpose of this study was to clarify the effect of the NMT using a balance board upon ankle injury in junior high school basketball players. Material and method Hundred and six junior high school basketball players without concurrent injuries were recruited. All players were randomly assigned with 40 allocated to a control group and 66 to a NME group. Subjects in the NME group completed an ankle injury prevention program including single calf rising, single leg squat, dribble with single leg, handling with single leg and pass with single leg on the floor for 2 weeks and those on the balance board for the following 6 weeks. Ankle injury rates were calculated and compared by occurrence of injury's per 1000 practice hours in the control and NME groups. Results The number of ankle inversion injuries were 17 in the control group and 13 in the NME group. Ankle injury rate per 1,000 hours revealed 4.43 in the control and 1.99 in NME group, respectively. Serious injuries, judged by single calf raise, where time loss to sport exceeded 1-week were 4 in the control group and 1 in the NME group. Average time loss in days in the control group (1.98 ± 0.59) was significantly greater than that in the NME group (1.37 ± 0.17). Conclusion Our study showed that NMT using a balance board reduced the occurrence of ankle sprain in junior high school basketball players. In addition, NMT may have contributed to a reduction in the severity of ankle injury.