Search Results (405)

Background: Evidence on acute endocrine responses to K-1 kickboxing is limited. This pilot study assessed pre-to-post changes in GH, IGF-1 and insulin after a single K-1 bout and explored relationships with training experience (TE), final heart rate (HRFINAL) and perceived exertion (RPE). Methods: Elite male K-1 athletes (n = 10) completed an interclub, referee-supervised three-round bout (3 × 2 min). Venous blood was sampled pre-fight and +2 min. GH, IGF-1 and insulin were assayed (ELISA). Paired t-tests and Pearson’s r quantified changes and associations. Results: GH rose from 1.20 ± 2.05 to 11.27 ± 8.82 ng/mL (p = 0.007; d = 1.85), and insulin from 5.95 ± 1.56 to 12.95 ± 5.95 µU/mL (p = 0.002; d = 1.86); IGF-1 showed no change (200.90 ± 55.89 to 203.00 ± 54.10 ng/mL; p = 0.497). ΔGH and Δinsulin correlated positively with HRFINAL (rp = 0.89 and 0.88, both p < 0.001) and RPE (rp = 0.70 and 0.68; p = 0.024 and 0.031), and negatively with TE (rp = −0.72 and −0.68; p = 0.019 and 0.031). Conclusions: A single K-1 fight elicited large acute increases in GH and insulin but not IGF-1 at +2 min. HRFINAL and RPE tracked response magnitude, while more experienced athletes showed smaller deltas. Findings are preliminary and limited by a small sample, elite-only cohort, in an interclub setting, with immediate sampling and absence of a control group. Full article

Background/Objectives: Race-based cardiac screening criteria in sports cardiology, including the “Black athlete’s heart” concept, assume biological distinctions that may not reflect physiological reality. This systematic review evaluates whether geographic ancestry provides more clinically relevant predictors of cardiac adaptation than racial categorization. Methods: PubMed was searched (January 2005–July 2025) for studies examining cardiac adaptations in athletes by ethnicity. Data extraction captured demographics, geographic origin, cardiac assessments, and outcomes. Narrative synthesis was employed due to methodological heterogeneity. Results: Forty-seven studies (n = 66,130) revealed substantial within-race heterogeneity. The “Black athlete repolarization variant” prevalence ranged from 1.8% (Brazilian) to 30% (Ghanaian) Black athletes. Left ventricular wall thickness >12 mm (normal <11 mm) occurred in 7.1% of Black versus 0.4% of White athletes, yet varied significantly within Black populations—10.8 ± 1.2 mm in Sub-Saharan versus 9.4 ± 1.1 mm in African-American athletes (p < 0.001). Relative wall thickness ≥0.44 (normal ≤0.42) was presented in 43% of West/Middle African, 23% of East African, and 7% of White athletes. T-wave inversion showed four-fold variation within Black populations (3.6–8.5% West African versus 0.5–2.0% African-American/Caribbean). Current International Criteria demonstrated inequitable specificity: 3.3% false-positive rate in Black versus 1.4% in White athletes. Conclusions: Geographic ancestry explains more cardiac variation than racial categories, supporting contemporary understanding of race as a sociopolitical construct. The persistent diagnostic disparities in ECG screening specificity highlight the need for reform. Transitioning toward protocols incorporating continental origin, anthropometric factors, and social determinants of health—while eliminating terminology like “Black athlete’s heart”—represents an important step toward achieving equity in cardiovascular care for diverse athletic populations. Full article

Background: After a warm-up and before the start of sports competition, athletes often take a break. During this break, the effects of the warm-up (e.g., capillary vasodilation) may diminish. The aim of this study was to compare cardiorespiratory responses during high-intensity physical exercise, either preceded or not preceded by post-warm-up breathing, using an additional respiratory dead space volume mask (ARDSv). Methods: The study included 20 trained cyclists. Each participant completed two 3 min tests at an intensity of 110% of their maximal power, determined during a progressive test. A standardised warm-up preceded each 3 min test. Following the warm-up, there was an 8 min passive rest period. During this break, participants either breathed using ARDSv or breathed normally (non-ARDSv). The volume of the ARDSv mask was 1000 mL. Cardiorespiratory parameters were measured during the tests, including mean: oxygen uptake (VO₂av), respiratory exchange ratio (RERav), respiratory rate (RRav), tidal volume (TVav), stroke volume (SVav), and rating of perceived exertion (RPE). Results: VO₂peak was higher in participants breathing using ARDSv compared to non-ARDSv (4.22 ± 0.40 [CI: 4.03–4.41] vs. 3.98 ± 0.42 [CI: 3.79–4.18]; p = 0.002; t = 3.56; d = 0.585). Additionally, RERav (1.08 ± 0.06 [CI: 1.06–1.11] vs. 1.13 ± 0.06 [CI: 1.11–1.16]; p = 0.008; t = 2.96; d = 0.833) and RPE (18.0 ± 1.7 [CI: 17.3–18.8] vs. 18.9 ± 1.1 [CI: 18.4–19.4]; p = 0.009; Z = 2.61; r = 0.583) were lower in participants breathing using ARDSv compared to non-ARDSv. Conclusions: Breathing using ARDSv between warm-up and high-intensity exercise increases oxygen uptake and reduces perceived exertion, likely through peripheral mechanisms. These effects suggest practical applications in competitive sports and provide directions for further mechanistic research. Full article

Background/Objectives: This study aimed to establish a method for evaluating the pathology of lateral elbow tendinopathy (LET) using ultrasonography. Methods: The LET group consisted of 47 patients with 50 elbows, and the control group consisted of 50 healthy adults with 50 elbows. The variables used for the pathological classification of LET included the peak systolic velocity (PSV) of the radial recurrent artery (RRA), fiber orientation intensity, numeric rating scale (NRS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, and duration of symptoms. Classification was performed using principal component and cluster analyses. Results: The PSV of the RRA was significantly higher in the LET group (19.10 ± 4.63 cm/s) than in the control group (16.04 ± 2.96 cm/s). The fiber orientation intensity was significantly lower in the LET group (1.62 ± 0.15) than in the control group (1.73 ± 0.12). LET can be classified into three clusters. Cluster 1 showed decreased fiber orientation and moderate NRS and DASH scores. Cluster 2 demonstrated increased PSV of the RRA and severe NRS and DASH scores. Cluster 3 maintained a normal PSV of the RRA and fiber orientation, with mild NRS and DASH scores. No statistically significant differences were noted in the duration of symptoms between clusters. However, symptom duration tended to be longer in Clusters 1, 2, and 3. Conclusions: This study suggests that LET can be classified into mild, inflammatory, and degenerative phases. Full article

Background: Functional performance interlimb asymmetry may increase the risk of ankle sprains during basic military training. We aimed to (1) evaluate interlimb balance, agility, and ankle instability asymmetry in soldiers in infantry training as a risk factor for acute ankle sprains; (2) evaluate the effect of ankle sprains and sprain prevention exercise program on performance asymmetry. Methods: Newly inducted infantry soldiers were recruited from two induction cycles (intervention [INT] n = 365, control [CON] n = 421). Participants were assessed at the beginning of infantry basic training (T0) and after four months (T1) for anthropometrics, balance, agility, and perceived ankle instability, and were monitored for ankle sprains (SPRAIN/NO-SPRAIN). The INT group performed an ankle sprain prevention program 5 days/week × 5 min/day. Results: at T0 there were differences in interlimb asymmetry in Cumberland Ankle Instability Tool (CAIT) in SPRAIN soldiers in both groups (p-value < 0.001), and differences between the groups in Hexagon, Y-Balance Test (YBT) and CAIT (p-values 0.007, 0.002, 0.002, respectively). There was a decrease in interlimb asymmetry in Hexagon and YBT for SPRAIN soldiers in the INT group, and an increase in CAIT asymmetry in SPRAIN soldiers in both groups. Stepwise logistic regression did not find predictors for ankle sprains during training. Conclusions: The intervention program reduced interlimb asymmetry in balance and agility for soldiers who sprained their ankle during training. In these soldiers, CAIT asymmetry increased during training regardless of the intervention. Ankle sprain intervention programs should be implemented to reduce interlimb asymmetries in functional abilities and reduce the risk of injury. Full article

Background: Hand function is critical for daily living, occupational performance, and sports. Optimal training approaches for healthy adults remain unclear. Objective: To evaluate the effects of hand-focused strength and proprioceptive training on grip strength, pinch strength, manual dexterity, maximum voluntary contraction, joint position sense, and force sense in healthy younger and older adults. Methods: PubMed, Google Scholar, Semantic Scholar, Web of Science, Cochrane CENTRAL and registers were searched until July 2025 for randomized controlled trials (RCTs) involving adults (≥18 years) without upper limb dysfunction. Studies with clinical populations, single-session interventions, or lacking pre–post outcome data were excluded. Risk of bias was assessed using the Cochrane RoB 2 tool. Random-effects meta-analyses (Hedges’ g) pooled pre–post change score differences for each outcome; subgroup analyses examined age, training type, and comparator. Results: Twenty-two RCTs (n = 1017 participants; 19–78 years) met the inclusion criteria. Strength and proprioceptive training produced a small-to-moderate improvement in grip strength (g = 0.44, 95% CI [0.23–0.64], 95%PI [–0.09, 0.96]) and a large improvement in manual dexterity (g = 1.11, 95% CI [0.52–1.71], 95%PI [–0.01, 2.23]). Effects on pinch strength were positive but non-significant (g = 0.63, 95% CI [–0.09–1.35], 95%PI [–1.38, 2.63]) and showed substantial heterogeneity. Moderator analyses indicated greater effects in older adults (g = 0.97) compared to younger adults (g = 0.18). Strength-only protocols showed significant effects, while combined protocols yielded smaller, non-significant effects; however, the difference between them was not statistically significant. Effects were also larger when compared with passive controls than with untrained hands. Limitations: Evidence quality was limited by high risk of bias, measurement variability, and small study numbers for some outcomes. Conclusions: Strength-focused hand training, particularly in older adults, yields meaningful improvements in grip strength and dexterity. Further high-quality RCTs are needed for under-studied outcomes. Full article

Background/Objectives. Despite growing interest in capacitive-resistive electric transfer TECAR) and Vibration therapy (VT), their comparative effectiveness in sports recovery remains unclear. This study aimed to evaluate and contrast the short-term effects of TECAR and VT on neuromuscular recovery following eccentric muscle fatigue, relative to passive rest, in active young adults. We hypothesized that both interventions would accelerate recovery and potentially reduce injury risk. Methods. Forty-one participants were randomized into two groups: TECAR therapy (Group 1) and VT (Group 2). Neuromuscular function was assessed at baseline, post-exercise, and post-intervention using tensiomyography (TMG) and electromyography (EMG). Results. Both groups showed a significant increase in EMG MDF intercept after exercise. Post-intervention, VT induced a further rise in this parameter, whereas TECAR stabilized values without significant change. In the contralateral resting limb, increases persisted after exercise and passive recovery. Between-limb differences were significant only in the TECAR group. TMG analysis revealed a non-significant but large-effect increase in contraction delay (Td) post-exercise, followed by significant reductions after both interventions. In the left limb, Td changes were not significant. For maximal displacement (Dm), both VMO and VLO muscles demonstrated a significant decrease post-exercise and a marked recovery after both therapies. Other TMG parameters (Ts, Tc, Tr) showed no significant changes. Conclusions. Both TECAR and VT effectively enhanced neuromuscular recovery after eccentric exercise. TECAR demonstrated a modest but consistent advantage, particularly in normalizing muscle recruitment and restoring mechanical properties, making it suitable in contexts requiring rapid recovery. VT, however, remains a more accessible and cost-effective modality. These findings support the application of both techniques in sports recovery, while highlighting the need for further research in professional athletes and diverse exercise settings to optimize regeneration strategies and reduce injury risk. Full article

Background/Objectives: Volleyball is one of the most common sports that require dynamic movements. Back pain is one of the most prevalent medical conditions. The Functional Movement Screen (FMS) is used to analyze motor skills, assess movement quality, and target preventive strategies. Therefore, we analyzed the differences in FMS scores among volleyball players with and without back pain. Methods: We recruited 79 athletes (23 [29.1%] females; age 28.8 ± 6.4 years, BMI 24.5 ± 3.0 kg/m²). Participants were required to be at least 18 years old and have at least 1 year of experience in training for volleyball. We stratified the population between individuals with and without back pain. All the subjects performed the FMS, which consisted of seven exercises. Participants with back pain additionally completed the Oswestry Disability Index (ODI) questionnaire. Results: In total, 31 (39.2%) athletes reported that they currently experienced back pain, and 67 (84.8%) reported that they had ever experienced back pain regardless of the degree. The population achieved an ODI score of 3.9 ± 6.1. In total, 20 (66.7%) participants rated their back pain as mild, and only 1 (3.2%) athlete graded back pain as severe. There were no significant differences in each exercise during the FMS between males with and without back pain (p = 0.07–0.97; p_adjusted = 0.56–1.00) or females without and with back pain (p = 0.30–0.90). Back pain did not influence total FMS scores in males (t(54) = 1.72, p = 0.09, p_adjusted = 0.72) and females (t(21) = −0.09, p = 0.93, p_adjusted = 1.00). Conclusions: Back pain is a common medical condition among volleyball players and most often has a mild course. Despite no functional score differences, the high prevalence of back pain suggests the need for prevention. Full article

Background: Football has a high injury risk due to speed and contact, and injury patterns may vary by playing position. Positional roles affect physical and physiological demands and may influence injury characteristics. Although this has been examined in professionals, data from amateur players are scarce. This study examined the incidence, type, and severity of injuries among amateur footballers in Greece with respect to playing position. Methods: A retrospective epidemiological study analyzed musculoskeletal injuries in 222 amateur male football players during the 2022–2023 season. Data were collected via a CHERRIES-compliant online survey (SurveyMonkey^®) from May to July 2023. Eligible participants were active male athletes aged ≥18 years competing in amateur Greek leagues. Injuries were defined according to the FIFA–UEFA consensus and expressed as incidence rates per 1000 h of exposure. Statistical analyses used SPSS v25 with significance at p < 0.05. Results: Among players (mean age: 25.3 ± 5.7 years), injury prevalence ranged from 65.1% (DFs) to 79.3% (GKs) with no significant association between playing position and injury risk (p = 0.379). Injury incidence ranged from 4.5 to 5.7 per 1000 h, highest among MFs. Incidence rates ranged between 1.33 and 2.74 injuries/1000 h in matches versus 1.33 to 2.09/1000 h in training, with DFs, FWs, and MFs more prone to match injuries, whereas GKs had slightly higher training rates; however, the number of injuries did not significantly differ between games and training across positions (χ² = 5.21, p = 0.517). Muscle strains and lower-limb injuries predominated. Injury severity differed significantly by position (p = 0.001), but injury type and mechanism did not. Conclusions: GKs and MFs showed the highest prevalence and incidence, but position was not linked to overall risk. Severity differences highlight the need for position-specific prevention strategies. Full article

Objectives: Tibial anterior cruciate ligament avulsion fractures (TAFs) are avulsions of the anterior cruciate ligament (ACL) from its insertion at the tibial intercondylar eminence that share the same trauma mechanism as ACL tears. TAFs were initially considered to be a pediatric equivalent to adult ACL ruptures due to the weaker insertion of the ACL on the immature tibial spine. Recent literature suggests that adult TAFs may be more common than previously thought. The incidence, possible concomitant injuries, and other differences between pediatric and adult TAFs remain a topic of ongoing debate in the literature. This systematic review provides a descriptive synthesis of the symptoms, biomechanics, and treatment outcomes of TAFs in pediatric and adult populations. This study highlights notable trends but avoids formal comparisons or meta-analysis due to heterogeneity in the literature. Methods: A systematic review was conducted on human-related studies involving tibial anterior cruciate ligament avulsion fractures, identified in PubMed^®® and EMBASE^®® databases between 2000 and 2024. Studies in English or German were included, while editorials, reviews, experimental studies, and papers with insufficient data were excluded. Data were extracted on patient demographics, trauma mechanisms, fracture classification, diagnostic modalities, treatment approaches, and clinical outcomes. Specific outcome parameters included: incidence and type of postoperative complications, return to sport rate, revision surgeries, hardware removal rates, and duration of follow-up. Due to heterogeneity in reporting, a descriptive synthesis approach was used rather than a meta-analysis. Results: The systematic search identified 3938 publications, with 2707 articles screened after duplicate removal. A total of 56 studies met the inclusion criteria. A total of 677 tibial avulsion fractures (TAF) were analyzed, with 208 (30.4%) pediatric and 469 (69.6%) adult patients. Type III fractures were most common in both groups (pediatric: 63.9%, adult: 63.4%). Concomitant injuries were more frequent in adults (35.6%) than children (8.2%). Arthroscopic surgery was the predominant technique (pediatric: 79.1%, adult: 87.8%). Fixation methods differed: pediatric cases more often used screws (40.5%) and sutures (38.2%), while adults favored sutures (49.7%) and suture anchors (23.1%). Complications were more frequent in pediatric patients (35.1% vs. 17.1%). Conclusions: TAFs show age-related differences in injury patterns and outcomes. Pediatric cases are mostly sports-related, while adult cases are commonly due to road traffic accidents. Concomitant injuries are more frequent in adults, whereas pediatric patients experience higher rates of arthrofibrosis and instability. Adults are more prone to malunion and non-union. These findings support the need for age-specific diagnostic and treatment strategies. Full article

Background/Objectives: Baseball pitchers accumulate extreme upper extremity forces during the repetitive, high-velocity motion of throwing, which can lead to shoulder dysfunction and overuse injuries. Although scapular dyskinesis has been linked to various shoulder pathologies, there is a lack of evidence on the specific scapular patterns predisposing pitchers to injury. Methods: A total of 85 professional pitchers from a single professional baseball organization participated in the entirety of this study. All subjects had their scapular positions and motion patterns measured via a digital goniometer prior to the beginning of a competitive season. Scapular upward/downward rotation, anterior/posterior tilt, and internal/external rotation were assessed with the shoulder at rest and during elevation to 120° in the scapular plane. Overuse injuries of the shoulder/elbow sustained during the subsequent competitive season were documented by the team’s medical staff, with statistical comparisons between the injured (n = 34) and non-injured (n = 51) group for each scapular measure. Results: Pitchers who sustained shoulder/elbow injuries demonstrated significantly more scapular anterior tilt during humeral elevation compared to those without an injury (p = 0.04). The difference in anterior tilt between the two groups was 3.8° and had a medium effect size, suggesting clinical relevance. No significant between-group differences were found in any other scapular positions or motions (p > 0.22). Conclusions: Pitchers with increased scapular anterior tilt were more likely to sustain a shoulder/elbow injury, highlighting this kinematic feature as a potential risk factor. This finding suggests that anterior tilt might contribute to soft tissue strain, increasing injury susceptibility in pitchers. Full article

Background/Objectives: The aim of this study was to investigate the natural course of a whiplash-associated disorder (WAD) in a Lithuanian population with low awareness of the condition. Methods: In this controlled observational study, 45 participants, enrolled during the acute period after motor vehicle accident, and 50 matched controls were followed up at 8 months. Clinical evaluation of WAD grades was combined with self-scored questionnaires for pain, WAD symptoms, disability, emotional state, and cognitive impairment. The Quebec Task Force Questionnaire was used to assess persistence or development of new symptoms at follow-up. Demographic and sick leave data were collected. Results: The WAD group showed a significant improvement in clinical signs and self-rated scores for pain and disability after 8 months and became largely comparable to the control group. However, only 13 out of 45 WAD participants were symptom-free at follow-up. Persistent neck pain and dizziness/unsteadiness as well as newly developed cognitive complaints were more frequent in the WAD group compared to controls, each reported by around a third of individuals. Logistic regression showed that new cognitive symptoms could be predicted by nausea/vomiting in the acute period and persisting neck pain at follow-up. None of the participants remained on sick leave at follow-up. Conclusions: In a country with low awareness of WAD, a larger proportion of individuals remain symptomatic months after acute whiplash injury but maintain their ability to work. The emergence of new cognitive complaints may suggest concomitant central nervous system involvement. Full article

Background/Objectives: Post-activation performance enhancement (PAPE) is an acute neuromuscular phenomenon influenced by training status, yet evidence regarding its response to isometric conditioning activity (ICA) across different athletic populations remains inconclusive. This study investigated the acute effects of ICA on countermovement jump (CMJ) performance in trained (T) versus highly trained (HT) male participants. Methods: A total of 32 participants (T: n = 16; HT: n = 16) completed two randomized sessions: a control condition (CTRL) and an isometric protocol (ICA; three sets of three maximal isometric back squat contractions, 3 s each). CMJ height was assessed at baseline and at 3-, 6- and 9-min post-intervention using a force platform. Repeated-measures ANOVA examined interactions between time, condition, and training status. Results: A significant improvement in jump height was observed only in the HT-ISO group at 3 min post-ICA (mean difference: +3.0 ± 2.3 cm; p < 0.005; d = 0.65). No significant changes were detected in the T group across conditions. Peak power and modified reactive strength index showed no significant differences, though effect trends favored the HT group. Conclusions: ICA elicits short-term PAPE effects in highly trained, but not moderately trained, individuals. These findings underscore the importance of tailoring warm-up protocols to the athlete’s training level for optimal performance enhancement. Full article

Background: Across many sports, injuries to the upper extremity (UE) are prevalent due to falls on an outstretched hand (FOOSH) and overuse. This retrospective analysis aimed to characterize sports-related UE injuries in the United States (US) over the past decade, examining injury frequency, affected body part, diagnosis, and hospital disposition across age, sex, and sport. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for sports injuries presented to US emergency departments (EDs) from 1 January 2014 to 31 December 2023. Patient demographics, injury site, diagnosis, and disposition were recorded. Annual injury trends were evaluated by linear regression. All statistical analysis was conducted using SPSS (version 30.0) software. Results: There were 1,330,108 nationally estimated (NE) UE sports injuries (47,371 NEISS Cases) that were presented to US EDs from 2014 to 2023. Linear regression revealed a significant decrease in annual injuries across the study period (β = −0.63, R² = 0.40 p = 0.05). For many sports, including football, basketball, soccer, baseball, softball, wrestling, volleyball, hockey, and rugby, rates of UE injury decreased significantly during the study period. Fractures were the predominant diagnosis across all age groups, observed among 99.3% of patients. Football was the most common sport associated with UE injury in elementary to high school-age children, with basketball becoming more common in patients from 19 to 50 years old. Tennis-related injuries were the most common for patients above 50 years old. Across all sports, the most commonly injured body parts were fingers (33.5%), wrists (20.3%), and lower arms (17.3%). Notably, shoulder injuries accounted for 99.1% of all wrestling cases and 71.5% of all lacrosse injuries included in this study. Conclusions: Sports-related UE injuries decreased significantly from 2014 to 2023, with notable declines during the COVID-19 pandemic. The injuries included in this study varied depending on sport, age, and sex, allowing for the recommendation of specific interventions. While few injuries led to hospitalization, those that did typically involved lower arm injuries; further efforts to reduce these injuries will reduce the burden placed on US hospitals. Full article

Background/Objectives: Despite a substantial duration of recovery following the modified Broström procedure (MBP), many individuals do not entirely recover their preinjury sports performance. Return to sports (RTS) can be affected by multiple elements apart from a patient’s motivation. This study aimed to investigate the factors influencing RTS after anatomical ligament repair for chronic ankle instability. Methods: Sixty-two patients aged under 35 who underwent the MBP were regularly monitored for up to 3 years. Of these, 51 patients (82.3%) returned to their preinjury level of sports activity (return group), while 11 patients (17.7%) complained of partial or significant limitations (non-return group). Clinical outcomes were measured by the Foot and Ankle Outcome Score (FAOS) and the Foot and Ankle Ability Measure (FAAM). Mechanical stability was examined through physical examination and stress radiography. Peroneal strength was evaluated with an isokinetic dynamometer. Static and dynamic postural control abilities were tested using Biodex posturography. Results: Significant group differences were found in FAOS pain (94.7 points in the return group vs. 85.1 points in the non-return group; p = 0.004) and sports (91.2 vs. 78.8 points; p < 0.001) subscales. In the FAAM, the sports activity subscale also showed significant disparities (90.5 vs. 77.4 points, p < 0.001). Mechanical instability recurred in 2 patients (3.9%) in the return group and 4 patients (36.4%) in the non-return group, indicating a significant difference (p < 0.001). No notable differences were identified in stress radiography values or peroneal strength measurements. Posturographic evaluation showed that static postural control ability (overall stability index) did not differ significantly between the groups (1.22 in the return group vs. 1.43 in the non-return group); however, dynamic postural control ability differed substantially (1.41 vs. 2.33, p = 0.002). Conclusions: Residual pain, recurrence of mechanical instability, and insufficient recovery of dynamic postural control ability were associated with the return to preinjury level of sports activity after the MBP. Comprehensive rehabilitation protocols should address these factors to facilitate optimal postoperative sports participation. Full article