Normative functional performance values in high school athletes: The functional pre-participation evaluation project

James A. Onate, Cambrie Starkel, Daniel R. Clifton, Thomas M. Best, James Borchers, Ajit Chaudhari, R. Dawn Comstock, Nelson Cortes, Dustin R. Grooms, Jay Hertel, Timothy Hewett, Meghan Maume Miller, Xueliang Pan, Eric Schussler, Bonnie L. Van Lunen

Research output: Contribution to journalArticle

Abstract

Context: The fourth edition of the Preparticipation Physical Evaluation recommends functional testing for the musculoskeletal portion of the examination; however, normative data across sex and grade level are limited. Establishing normative data can provide clinicians reference points with which to compare their patients, potentially aiding in the development of future injuryrisk assessments and injury-mitigation programs. Objective: To establish normative functional performance and limb-symmetry data for high school-Aged male and female athletes in the United States. Design: Cross-sectional study. Setting: Athletic training facilities and gymnasiums across the United States. Patients or Other Participants: A total of 3951 male and female athletes who participated on high school-sponsored basketball, football, lacrosse, or soccer teams enrolled in this nationwide study. Main Outcome Measure(s): Functional performance testing consisted of 3 evaluations. Ankle-joint range of motion, balance, and lower extremity muscular power and landing control were assessed via the weight-bearing ankle-dorsiflexion-lunge, singlelegged anterior-reach, and anterior single-legged hop-for-distance (SLHOP) tests, respectively. We used 2-way analyses of variance and v2 analyses to examine the effects of sex and grade level on ankle-dorsiflexion-lunge, single-legged anterior-reach, and SLHOP test performance and symmetry. Results: The SLHOP performance differed between sexes (males = 187.8% 6 33.1% of limb length, females = 157.5% 6 27.8% of limb length; t = 30.3, P , .001). A Cohen d value of 0.97 indicated a large effect of sex on SLHOP performance. We observed differences for SLHOP and ankle-dorsiflexion-lunge performance among grade levels, but these differences were not clinically meaningful. Conclusions: We demonstrated differences in normative data for lower extremity functional performance during preparticipation physical evaluations across sex and grade levels. The results of this study will allow clinicians to compare sex-and gradespecific functional performances and implement approaches for preventing musculoskeletal injuries in high school-Aged athletes.

Original languageEnglish (US)
Pages (from-to)35-42
Number of pages8
JournalJournal of Athletic Training
Volume53
Issue number1
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

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Humulus
Athletes
Ankle
Extremities
Lower Extremity
Analysis of Variance
Racquet Sports
Basketball
Soccer
Ankle Joint
Football
Wounds and Injuries
Weight-Bearing
Articular Range of Motion
Sports
Cross-Sectional Studies
Outcome Assessment (Health Care)

Keywords

  • Adolescent Athletes
  • Limb Symmetry
  • Preparticipation Examination

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Onate, J. A., Starkel, C., Clifton, D. R., Best, T. M., Borchers, J., Chaudhari, A., ... Van Lunen, B. L. (2018). Normative functional performance values in high school athletes: The functional pre-participation evaluation project. Journal of Athletic Training, 53(1), 35-42. https://doi.org/10.4085/1062-6050-458.16

Normative functional performance values in high school athletes : The functional pre-participation evaluation project. / Onate, James A.; Starkel, Cambrie; Clifton, Daniel R.; Best, Thomas M.; Borchers, James; Chaudhari, Ajit; Dawn Comstock, R.; Cortes, Nelson; Grooms, Dustin R.; Hertel, Jay; Hewett, Timothy; Miller, Meghan Maume; Pan, Xueliang; Schussler, Eric; Van Lunen, Bonnie L.

In: Journal of Athletic Training, Vol. 53, No. 1, 01.01.2018, p. 35-42.

Research output: Contribution to journalArticle

Onate, JA, Starkel, C, Clifton, DR, Best, TM, Borchers, J, Chaudhari, A, Dawn Comstock, R, Cortes, N, Grooms, DR, Hertel, J, Hewett, T, Miller, MM, Pan, X, Schussler, E & Van Lunen, BL 2018, 'Normative functional performance values in high school athletes: The functional pre-participation evaluation project', Journal of Athletic Training, vol. 53, no. 1, pp. 35-42. https://doi.org/10.4085/1062-6050-458.16
Onate, James A. ; Starkel, Cambrie ; Clifton, Daniel R. ; Best, Thomas M. ; Borchers, James ; Chaudhari, Ajit ; Dawn Comstock, R. ; Cortes, Nelson ; Grooms, Dustin R. ; Hertel, Jay ; Hewett, Timothy ; Miller, Meghan Maume ; Pan, Xueliang ; Schussler, Eric ; Van Lunen, Bonnie L. / Normative functional performance values in high school athletes : The functional pre-participation evaluation project. In: Journal of Athletic Training. 2018 ; Vol. 53, No. 1. pp. 35-42.
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