Monitoring lower limb biomechanical asymmetry and psychological measures in athletic populations - A scoping review
Article
Keogh, J., Waddington, E., Masood, Z., Mahmood, S., Palanisamy, A., Ruder, M., Karsan, S., Bishop, C., Jordan, M., Heisz, J. and Kobsar, D. 2023. Monitoring lower limb biomechanical asymmetry and psychological measures in athletic populations - A scoping review. Scandinavian Journal of Medicine & Science in Sports. 33 (11), pp. 2125-2148. https://doi.org/10.1111/sms.14460
Type | Article |
---|---|
Title | Monitoring lower limb biomechanical asymmetry and psychological measures in athletic populations - A scoping review |
Authors | Keogh, J., Waddington, E., Masood, Z., Mahmood, S., Palanisamy, A., Ruder, M., Karsan, S., Bishop, C., Jordan, M., Heisz, J. and Kobsar, D. |
Abstract | Background: Lower limb biomechanics, including asymmetry, are frequently monitored to determine sport performance level and injury risk. However, contributing factors extend beyond biomechanical and asymmetry measures to include psychological, sociological, and environmental factors. Unfortunately, inadequate research has been conducted using holistic bio-psycho-social models to characterize sport performance and injury risk. Therefore, this scoping review summarized the research landscape of studies concurrently assessing measures of lower limb biomechanics, asymmetry, and introspective psychological state (e.g., pain, fatigue, perceived exertion, stress, etc.) in healthy, competitive athletes. Methods: A systematic search of Medline, Embase, CINAHL, SPORT Discus, and Web of Science Core Collections was designed and conducted in accordance with PRISMA guidelines. 51 articles were included in this review. Results: Significant relationships between biomechanics (k = 22 studies) or asymmetry (k = 20 studies) and introspective state were found. Increased self-reported pain was associated with decreased range of motion, strength, and increased lower limb asymmetry. Higher ratings of perceived exertion were related to increased lower limb asymmetry, self-reported muscle soreness, and worse jump performance. Few studies (k = 4) monitored athletes longitudinally throughout one or more competitive season(s). Conclusion: This review highlights the need for concurrent analysis of introspective, psychological state, and biomechanical asymmetry measures along with longitudinal research to understand the contributing factors to sport performance and injury risk from bio-psycho-social modeling. In doing so, this framework of bio-psycho-social preventive and prognostic patient-centered practices may provide an actionable means of optimizing health, well-being, and sport performance in competitive athletes. |
Keywords | Injury Risk; Limb Symmetry; Sport Performance; Sport Psychology |
Sustainable Development Goals | 3 Good health and well-being |
Middlesex University Theme | Health & Wellbeing |
Publisher | Wiley |
Journal | Scandinavian Journal of Medicine & Science in Sports |
ISSN | 0905-7188 |
Electronic | 1600-0838 |
Publication dates | |
Online | 07 Aug 2023 |
Nov 2023 | |
Publication process dates | |
Submitted | 11 Mar 2023 |
Accepted | 18 Jul 2023 |
Deposited | 21 Sep 2023 |
Output status | Published |
Publisher's version | License |
Copyright Statement | © 2023 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd. |
Digital Object Identifier (DOI) | https://doi.org/10.1111/sms.14460 |
Language | English |
https://repository.mdx.ac.uk/item/8w093
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