Evidence map›Paper›PMID 29955377›Full record

ArticleBMJ open sport & exercise medicine2018

Musculoskeletal examination in young athletes and non-athletes: the Finnish Health Promoting Sports Club (FHPSC) study.

Kerttu Toivo, Pekka Kannus, Sami Kokko, Lauri Alanko, Olli J Heinonen, Raija Korpelainen, Kai Savonen, Harri Selänne, Tommi Vasankari, Lasse Kannas and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Kerttu ToivoTampere Research Center of Sports Medicine, Tampere, Finland.
Pekka KannusTampere Research Center of Sports Medicine, Tampere, Finland.
Sami KokkoFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Lauri AlankoClinic for Sports and Exercise Medicine, Helsinki, Finland.
Olli J HeinonenPaavo Nurmi Centre & Unit of Health and Physical Activity, University of Turku, Turku, Finland.
Raija KorpelainenDepartment of Sports and Exercise Clinic, Oulu Deaconess Institute, Oulu, Finland.
Kai SavonenKuopio Research Institute of Exercise Medicine, Kuopio, Finland.
Harri SelänneDepartment of Psychology, University of Jyväskylä, Jyväskylä, Finland.
Tommi VasankariUKK Institute for Health Promotion Research, Tampere, Finland.
Lasse KannasFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Urho M KujalaFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Jari VillbergFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Jari ParkkariTampere Research Center of Sports Medicine, Tampere, Finland.
University of Jyväskylä · FIUrho Kaleva Kekkonen Institute · FIKuopio University Hospital · FIOulu Deaconess Institute · FIPaavo Nurmen Säätiö · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the inter-rater repeatability of a musculoskeletal examination and to compare findings between adolescent athletes and non-athletes in Finland.

methodsIn this cross-sectional study, a musculoskeletal examination assessing posture, mobility and movement control was carried out by a sports and exercise medicine physician on 399 athletes aged 14-17 years and 177 non-athletes. Within 2 weeks another sports and exercise medicine physician repeated the examination for 41 adolescents to test the inter-rater repeatability.

resultsIn total, 10 of the 11 tests performed had at least moderate inter-rater reliability (κ ≥0.4 or percentage agreement >80%). Athletes more often than non-athletes had one shoulder protruded (8.0% vs 4.0%, OR 2.81, 95% CI 1.16 to 6.81). Forty-six per cent of athletes had good knee control in the two-legged vertical drop jump test compared with 32% of non-athletes (OR 1.99, 95% CI 1.29 to 3.06). Athletes had better core muscle control with 86.3% being able to remain in the correct plank position for 30 s compared with 68.6% of non-athletes (OR 2.70, 95% CI 1.67 to 4.36). In the deep squat test, good lumbar spine control was maintained only by 35.8% of athletes and 38.4% of non-athletes.

conclusionA basic musculoskeletal examination is sufficiently reliable to be performed by trained physicians as a part of a periodic health evaluation. Shortfalls in mobility, posture and movement control are common in both athletes and non-athletes. These deficits could have been caused by sedentary behaviour, monotonous training, or both.

Indexed as

adolescentathletemotor controlmovement controlmovement/physiologymusculoskeletal examinationobserver variationperiodic health evaluationpostural balance/physiologyreproducibility of resultstesting

Identifiers

PMID29955377
PMCPMC6018865
OpenAlexW2805742463

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.