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Does somatic dysfunction lead to lower extremity injuries in the high school soccer player?

Journal: Clinical Journal of Sport Medicine Date: 2019/03, 29(2):Pages: 151. doi: Subito , type of study: observational study

Full text    (https://journals.lww.com/cjsportsmed/Citation/2019/03000/2019_AMSSM_Oral_Research_Poster_Presentations.2.aspx)

Keywords:

high school [3]
accident prevention [2]
ankle injury [2]
knee injury [2]
osteopathic manipulative treatment [2973]
OMT [2951]
fibula head [1]
soccer player [2]
observational study [126]

Abstract:

Purpose: Determine if specific areas and patterns of somatic dysfunction put the high school soccer athlete at increased risk for lower extremity injuries. If an increased risk exists, Osteopathic Manipulative Treatment (OMT) can serve as another potential injury prevention program. Methods: Prospective Observational Cohort Study. Twenty-six Male and 2 Female participants recruited from 2 high schools between 14 and 18 years of age were followed throughout an entire soccer season. Before the first game and then on 2 separate occasions throughout the season, Osteopathic Examinations took place by 2 Osteopathic physicians to determine specific areas and patterns of somatic dysfunction. Results: Both female participants suffered ankle injuries, while 5 of the male participants suffered knee injuries. Right on Right Sacral Torsion and Posterior Fibular Head demonstrated a statistically significant relationship with lower extremity injuries. Anterior and Posterior rotation of the pelvis as well as Superior Shear of the pelvis did not have a statistically significant relationship. Compensated and Uncompensated Patterns of the Spine, Anterior Fibular head, Left on Left Sacral Torsion, Unilateral Sacral Flexion and Unilateral Sacral Extension were the other somatic dysfunction findings that did not have a statistically significant relationship with lower extremity injuries. Conclusions: Right on Right Sacral Torsion and Posterior Fibular Head were 2 specific somatic dysfunction diagnoses that were significantly associated with lower extremity injuries in the high school soccer player. Significant Limitations of the study included the small number of participants and discrepancy between the amount of female and male athletes. Significance: Understanding the areas of somatic dysfunction that are significantly associated with lower extremity injuries can help guide injury prevention efforts through the utilization of pre-participation Osteopathic Manipulative Treatment.


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