Person: Sainz de Baranda Andújar, Pilar
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Sainz de Baranda Andújar, Pilar
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Universidad de Murcia. Departamento de Actividad Física y Deporte
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- PublicationOpen AccessAssessment of the range of movement of the lower limb in sport: advantages of the ROM-SPORT I battery(MDPI, 2020-10-19) De Ste Croix, Mark; Ayala Rodríguez, Francisco; Cejudo Palomo, Antonio; Sainz de Baranda Andújar, Pilar; Santonja Medina, Fernando; Cirugía, Pediatría y Obstetricia y GinecologíaRange of movement (ROM) assessment is an important strategy to increase physical-technical performance and minimize the risk of sports-related injuries. Currently, there is no consensus regarding which ROM assessment method is the most appropriate. The main objective of this study was to perform a systematic review of the test batteries available for the assessment of lower limb ROM; additionally, we compare the ROM-SPORT I battery with those previously reported in the literature. The systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. The identification of publications was made by using the databases SciELO, Medline, Scopus, PubMed, and Web of Science. Based on the inclusion criteria, sixteen publications were selected and analyzed. The ROM-SPORT I battery is the most valid of the analyzed methods. This battery evaluates the ROM of eleven lower limb movements. The inclinometer with a telescopic arm and a box is a simpler, more comfortable, and faster procedure than others. The Lumbosant support and use of two examiners are essential to avoid compensatory movements to obtain reliable measurements during ROM assessment. The ROM-SPORT I is a field-based battery of tests that may be used by sports professionals, clinics, and researchers in applied settings to accurately assess and monitor lower extremity ROM.
- PublicationOpen AccessEffects of age and maturation on lower extremity range of motion in male youth soccer players(2022-05) De Ste Croix, Mark; Ayala Rodríguez, Francisco; Robles Palazón, Francisco Javier; Sainz de Baranda Andújar, Pilar; Santonja Medina, Fernando; Cejudo Palomo, Antonio; Actividad Física y DeporteRestricted joint range of motion (ROM) has been considered as a primary risk factor for some sport-related injuries. Consequently, pre-participation assessment of lower extremity joints ROM could help identify youth soccer players at high risk of injury and to aid in the design of tailored age and maturational specific training interventions. The purpose of this study was to analyze and compare the influence of chronological age and maturational stage on several lower extremity ROM measures, as well as to describe the lower extremity ROM profile using a comprehensive approach in youth soccer players. A total of 286 male youth soccer players ROM was assessed including: passive hip (extension [PHE], adduction with hip flexed 90º [PHADHF90º], flexion with knee flexed [PHFKF] and extended [PHFKE], abduction with hip neutral [PHABD] and flexed 90º [PHABDHF90º], external [PHER] and internal [PHIR] rotation), knee (flexion [PKF]) and ankle (dorsiflexion with knee flexed [ADFKF] and extended [ADFKE]) ROMs. Between-group differences were analyzed using a one-way ANOVA and magnitude-based decisions. The results only report statistically significant (p < 0.05; d > 0.5) and clinically relevant differences (> 8º) for the PKF ROM between U12 vs. U19, and Pre-PHV vs. Post-PHV groups. Furthermore, approximately 40%, 35% and 20% of players displayed restrictions in their PHFKE, PKF, and ADFKF ROM values, respectively. These findings emphasize the necessity of prescribing (across all age groups and periods of growth and maturation) compensatory measures in daily soccer training, and these exercises should be equally applied to both limbs with the aim of improving PHFKE, PKF and ADFKF ROM values.
- PublicationOpen AccessLow range of shoulders horizontal abduction predisposes for shoulder pain in competitive young swimmers(Frontiers Media, 2019-03-06) Carlos Gámez, Juan; Cejudo Palomo, Antonio; Sánchez Castillo, Sheila; Sainz de Baranda Andújar, Pilar; Santonja Medina, Fernando; Cirugía, Pediatría y Obstetricia y GinecologíaThe prevalence of shoulder pain (SP) among competitive swimmers is high, and may profoundly restrict their ability to compete. This prospective cohort study investigated the association between 3 blocks of performance factors (anthropometric characteristics, sport experience and training regimen) and the presence of SP. The aims of the present study were: (a): to determine the profile of shoulder flexibility in young swimmers, (b) to analyze whether a restricted range of movement (ROM) could be a predictor of subsequent SP in young swimmers. 24 competitive young swimmers were measured in the 2016 pre-season. Measures of passive maximal shoulder extension (SE), flexion (SF), horizontal abduction (SHAB), abduction (SAB), horizontal adduction (SHADD), external (SER) and internal (SIR) rotation ROMs were taken. SP was prospectively monitored during the subsequent season using questionnaires. The data was analyzed via a binary logistic regression and ROC curves were calculated. At the follow-up, 16 swimmers (50%) had developed unilateral SP. Only reduced SHAB ROM was associated with SP [SP group 36.6◦ vs. pain-free group 41.5◦ ; p = 0.005, d = −0.96 (moderate effect sizes)]. Using the coordinates of the curves, the angle of SHAB ROM that most accurately identified individuals at risk of developing SP was determined to be 39◦ (sensibility 0.656 and 0.375 specificity). Swimmers with limited ROM (≤39◦ ) have 3.6 times higher risk of developing SP than swimmers with normal ROM (>39◦ ). This study clearly shows that low range of SHAB is a risk factor for developing SP in competitive young swimmers. In the studied data, a SHAB range of 39◦ was found to be the most appropriate cut-off point for prognostic screening.
- PublicationOpen AccessStraight Leg Raise Test: Influence of Lumbosant© and Assistant Examiner in Hip, Pelvis Tilt and Lumbar Lordosis(MDPI, 2020-06-02) Santonja Renedo, Sara; Ferrer, Vicente; Pastor, Antonio; Collazo Diéguez, Mónica; Rodríguez Ferrán, Olga; Andújar, Pilar; Ayala Rodríguez, Francisco; Santonja Medina, Fernando; Cejudo Palomo, Antonio; Sainz de Baranda Andújar, Pilar; Cirugía, Pediatría y Obstetricia y GinecologíaThe passive straight leg raise (PSLR) test is widely used to assess hamstring extensibility. However, to accurately measure hamstring extensibility throughout PSLR, appropriate stabilization of the pelvis must be provided in order to minimize the possible influence of any compensatory movement in the scores reached. The main purpose of this study was to demonstrate the degree of influence of the Lumbosant© and an assistant examiner in hamstring extensibility in healthy young adults. A secondary objective was to verify the variability of the posterior pelvic tilt movement. Hamstring muscle extensibility was measured using the traditional (only an examiner) and new (using a low-back protection support Lumbosant© and two trained [principal and assistant] examiners) PSLR procedures. Correlation coefficients were expressed using r values, accompanying descriptors and 90% confidence intervals. Variance explained was expressed via the R2 statistic. To examine possible differences, the Mann-Whitney U-test was conducted. Additionally, Cohen’s d was calculated for all results, and the magnitudes of the effect were interpreted and statistical significance set at p < 0.05. A stepwise multiple regression analysis was performed to examine the relationship between scores and values. The final score that was determined with the new PSLR is significantly lower (13◦ approximately) than the one obtained through the traditional procedure (75.3 ± 14.4◦ vs. 89.2 ± 20.8◦ ; d = −0.777 [moderate]). The data presented in this study suggest that the PSLR may overestimate hamstring extensibility unless lumbopelvic movement is controlled. Therefore, we recommend the use of Lumbosant© and an auxiliary examiner to obtain more accurate hamstring extensibility scores.
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