Exercise Descriptors That Determine Muscle Strength Gains Are Missing From Reported Anterior Cruciate Ligament Reconstruction Rehabilitation Programs: A Scoping Review of 117 Exercises in 41 Studies.

OBJECTIVE: To (1) describe which strength training exercise descriptors are reported in anterior cruciate ligament reconstruction (ACLR) rehabilitation research, and (2) compare the current standards of reporting ACLR strength training exercise descriptors to international best-practice strength training guidelines. DESIGN: Scoping review. LITERATURE SEARCH: We searched the MEDLINE, PsycINFO, CINAHL, SPORTDiscus, Academic Search, ERIC, Health Source: Nursing, Health Source: Consumer, MasterFILE, and Africa-Wide Information databases. STUDY SELECTION CRITERIA: We included level I to IV studies of ACLR rehabilitation programs with 1 or more reported strength training exercise descriptors. We used a predefined list of 19 exercise descriptors, based on the American College of Sports Medicine (ACSM) exercise recommendations, the Consensus on Exercise Reporting Template (CERT), and the Toigo and Boutellier exercise descriptor framework. DATA SYNTHESIS: Completeness and the standard of reporting exercise descriptors in ACLR rehabilitation programs were assessed by means of international best-practice strength training standards. RESULTS: We extracted data on 117 exercises from 41 studies. A median of 7 of the 19 possible exercise descriptors were reported (range, 3-16). Reporting of specific exercise descriptors varied across studies, from 95% (name of the strength training exercise) to 5% (exercise aim, exercise order). On average, 46%, 35%, and 43% of the exercise descriptors included in the ACSM, CERT, and Toigo and Boutellier guidelines were reported, respectively. CONCLUSION: Key exercise descriptors for muscle strength gains are not reported in studies on ACLR rehabilitation. Only the exercise name, number of exercises, frequency, and experimental period were reported in most of the studies. J Orthop Sports Phys Ther 2022;52(2):100-112. Epub 16 Nov 2021. doi:10.2519/jospt.2022.10651.

Positional In-Match Running Demands of University Rugby Players in South Africa.

The implementation of the Varsity Cup rugby competition among South African universities has sparked interest in university rugby cultures around the country. The Varsity Cup has established itself as one of the most important rugby competitions for full-time students. The development of specific conditioning programs for rugby players requires a thorough understanding of the game and the unique demands of playing positions. Therefore, the study aimed to investigate the in-match running demands of South African university rugby players by using GPS during match play for primary and secondary positional groups. Rugby players (n = 40) from two universities were assessed during match play (n = 17) over a competitive season by using GPS. Players were grouped into two primary positional groups, forwards (n = 22) and backs (n = 18), and five secondary positional groups, tight forwards (n = 14), loose forwards (n = 8), half backs (n = 5), inside backs (n = 6), and outside backs (n = 7). The GPS analysis provided the following match-play movements: total distance, high-speed meters, maximum velocity, match intensity, the number of accelerations and decelerations, and velocity zone. Halfbacks recorded the highest total distance (6620.9 ± 784.4 m; p = 0.02) and match intensity (77.7 ± 11.6 m/min; p = 0.01). Outside backs recorded the highest maximum velocity (8.385 ± 1.242 m/s; p = 0.00). Loose forwards registered the highest number of accelerations (385.5 ± 122.1) and decelerations (378.7 ± 108.1). Backs and their specific subgroups play at and within high velocity thresholds, significantly higher (p = 0.01) than that of the forwards. Forwards tend to be involved in a higher amount of accelerations and decelerations during match play, suggesting that forward play is at close quarters to the opposition. During university rugby matches, the backs covered greater distances and speeds than the forwards, whereas the forwards achieved more accelerations and decelerations than backs. Results from the study can assist Varsity Cup strength and conditioning coaches to prepare players for the position-specific demands of the competition.