Evidence map›Paper›PMID 31903400›Full record

ReviewOrthopaedic journal of sports medicine2019

Effect of Fatigue Protocols on Upper Extremity Neuromuscular Function and Implications for Ulnar Collateral Ligament Injury Prevention.

Toufic R Jildeh, Kelechi R Okoroha, Joseph S Tramer, Jorge Chahla, Benedict U Nwachukwu, Shawn Annin, Vasilios Moutzouros, Charles Bush-Joseph, Nikhil Verma

Open access · goldAbstract readReview
In one paragraph

Review in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
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

9 authors at 4 institutions in 1 country.

Toufic R JildehDepartment of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Kelechi R OkorohaDepartment of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Joseph S TramerDepartment of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Jorge ChahlaRush University Medical Center, Chicago, Illinois, USA.
Benedict U NwachukwuHospital for Special Surgery, New York, New York, USA.
Shawn AnninSchool of Medicine, Wayne State University, Detroit, Michigan, USA.
Vasilios MoutzourosDepartment of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Charles Bush-JosephRush University Medical Center, Chicago, Illinois, USA.
Nikhil VermaRush University Medical Center, Chicago, Illinois, USA.
Henry Ford Hospital · USRush University Medical Center · USHospital for Special Surgery · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the incidence of overuse injuries to the medial elbow in overhead athletes continues to rise, recent evidence suggests a link between these injuries and alterations in biomechanics produced by athlete fatigue. Previous studies have evaluated the effect of fatigue on elbow injuries using a wide array of fatigue protocols/athletic tasks, and, as a consequence, the results have been heterogeneous. PURPOSE: To determine whether there is a uniform alteration in neuromuscular function or biomechanics as the overhead athlete fatigues. Furthermore, this study sought to determine whether player fatigue should be accounted for in ulnar collateral ligament (UCL) injury prevention programs. STUDY

designSystematic review.

methodsA systematic review of the literature using PubMed and MEDLINE databases was performed. Keywords included

resultsA total of 35 studies involving 644 athletes (90 females, 554 males; mean age, 20.2 years) met the inclusion criteria. General fatigue protocols were used in 2 investigations, peripheral protocols were used in all 35 studies, and 5 different athletic tasks were studied (simulated baseball game, overhead throwing, high-effort swimming, simulated tennis game, and overhead serving). There was a uniform decrease in muscle force production and proprioception in athletes after completing a fatigue protocol. However, there was no consistency among studies when evaluating other important upper limb biomechanical factors. The fatigue protocols did not consistently produce statistically significant changes in elbow torque, pitching biomechanics, or ball velocity.

conclusionA uniform decrease in muscle force production and proprioception was found after fatigue protocols; however, a majority of fatigue protocols published in the current literature are inconsistently measured and produce heterogeneous results. Therefore, currently, no recommendations can be made for changes in UCL injury prevention training programs to account for potential effects of fatigue. The effect of muscle force production and proprioception on upper extremity injuries should be evaluated in future studies.

Indexed as

fatigueoverhead athletesimulated gametorque

Identifiers

PMID31903400
PMCPMC6933549
OpenAlexW2997146712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.