{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T05:49:02Z","timestamp":1770270542858,"version":"3.49.0"},"reference-count":24,"publisher":"Human Kinetics","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Clinical Scenario<\/jats:bold>:<\/jats:italic>Physical activity is vital for human health. Musculoskeletal injury may inhibit adults from participating in physical activity, and this amount may be less than adults without a history of musculoskeletal injury.<jats:italic><jats:bold>Clinical Question<\/jats:bold>:<\/jats:italic>Do individuals with a history of ankle or knee musculoskeletal injury participate in less objectively measured physical activity compared with healthy controls?<jats:italic><jats:bold>Summary of Key Findings<\/jats:bold>:<\/jats:italic>Four studies were included. Two studies concluded patients who have undergone an anterior cruciate ligament reconstruction (ACLR) spent less time in moderate to vigorous physical activity levels when compared with healthy controls, but still achieved the daily recommended amount of physical activity. One study determined that participants with CAI took fewer steps per day compared with the control group. The fourth study determined patients with patellofemoral pain were less physically active than healthy controls as they took fewer steps per day and spent less time participating in mild and high activity.<jats:italic><jats:bold>Clinical Bottom Line<\/jats:bold>:<\/jats:italic>There is consistent, high quality evidence that demonstrates individuals with a history of ankle or knee musculoskeletal injury participate in less objectively measured physical activity compared with healthy individuals.<jats:italic><jats:bold>Strength of Recommendation<\/jats:bold>:<\/jats:italic>Due to nature of study designs of the included articles in this critically appraised topic, we recommend a grade of 3B.<\/jats:p>","DOI":"10.1123\/jsr.2018-0486","type":"journal-article","created":{"date-parts":[[2019,5,16]],"date-time":"2019-05-16T13:26:30Z","timestamp":1558013190000},"page":"243-247","source":"Crossref","is-referenced-by-count":9,"title":["The Relationship Between Musculoskeletal Injury and Objectively Measured Physical Activity Levels: A Critically Appraised Topic"],"prefix":"10.1123","volume":"29","author":[{"given":"Amy R.","family":"Barchek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelby E.","family":"Baez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew C.","family":"Hoch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna M.","family":"Hoch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"key":"ref01","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1249\/mss.0b013e3180616b27","article-title":"Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association","volume":"39","author":"Haskell","year":"2007","journal-title":"Med Sci Sports Exerc"},{"key":"ref211","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198509000-00007","article-title":"Rating systems in the evaluation of knee ligament injuries","volume":"198","author":"Tegner","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"742","DOI":"10.4085\/1062-6050-50.3.05","article-title":"Physical activity levels in college students with chronic ankle instability","volume":"50","author":"Hubbard-Turner","year":"2015","journal-title":"J Athl Train"},{"key":"ref221","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/03635465010290021601","article-title":"Development and evaluation of an activity rating scale for disorders of the knee","volume":"29","author":"Marx","year":"2001","journal-title":"Am J Sports Med"},{"key":"ref191","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1123\/jsr.2017-0186","article-title":"Relationship between physical activity and clinical outcomes after ACL reconstruction","volume":"28","author":"Kuenze","year":"2019","journal-title":"J Sport Rehabil"},{"key":"ref121","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/j.1469-7580.2008.01013.x","article-title":"Exercise and osteoarthritis","volume":"214","author":"Hunter","year":"2009","journal-title":"J Anat"},{"key":"ref181","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1177\/0363546517698940","article-title":"Objectively measured physical activity in patients after anterior cruciate ligament reconstruction","volume":"45","author":"Bell","year":"2017","journal-title":"Am J Sports Med"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198509000-00007","article-title":"Rating systems in the evaluation of knee ligament injuries","volume":"198","author":"Tegner","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/1479-5868-8-79","article-title":"How many steps\/day are enough? 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