Frontiers in Sports and Active Living最新文献

{"title":"Anatomy, aetiology, clinical presentation, classification, diagnosis, and non-surgical management of triangular fibrocartilage complex tears: a narrative review.","authors":"Peng Liu, Tianyu Zhou","doi":"10.3389/fspor.2026.1695616","DOIUrl":"10.3389/fspor.2026.1695616","url":null,"abstract":"<p><strong>Background: </strong>Triangular fibrocartilage complex (TFCC) injuries are a common source of ulnar-sided wrist pain and functional impairment, particularly in athletes and individuals engaged in upper-limb-dominant or wrist-loading activities. Despite their prevalence, standardised, non-surgical treatment pathways remain underdeveloped.</p><p><strong>Hypothesis/purpose: </strong>This narrative review aims to critically synthesise and discuss current evidence on the non-surgical management of TFCC injuries in physically active adults.</p><p><strong>Study design: </strong>Narrative review.</p><p><strong>Methods: </strong>A structured literature search was performed in PubMed, Scopus, Web of Science, and the Cochrane Library for English-language studies published from January 2015 to May 2025. The identified studies focusing on the non-surgical management of TFCC injuries were screened and included.</p><p><strong>Results: </strong>Current evidence suggests a range of non-surgical interventions for pain reduction and functional improvement in TFCC injuries across different clinical presentations, including rest, splinting, physical therapy, NSAIDs, corticosteroid injections, and progressive functional rehabilitation. Adjunctive modalities such as extracorporeal shock wave therapy and platelet-rich plasma injections also show potential benefits. However, important gaps persist in TFCC classification-specific treatment recommendations, the standardisation of rehabilitation protocols, and the integration of emerging therapies.</p><p><strong>Conclusion: </strong>This review synthesises current evidence on the non-surgical management of TFCC injuries. Recognising differences in injury mechanism, particularly between acute trauma-related and repetitive overuse-related degenerative presentations, it proposes a structured, phase-based rehabilitation framework for TFCC lesions with an intact distal radioulnar joint. The framework emphasises presentation-specific early management, progressive tissue loading, and functional reintegration.</p><p><strong>Clinical relevance: </strong>This review provides clinicians with a conceptual, non-surgical framework to guide the management of TFCC injuries, aiming to support pain reduction and functional recovery in physically active adults.</p><p><strong>What is known about this subject: </strong>While surgical options for TFCC injuries are well established, standardised non-surgical pathways remain underdeveloped and diagnosis can be challenging due to overlapping presentations.</p><p><strong>What this study adds to existing knowledge: </strong>This review summarises current evidence on non-surgical TFCC management, including conventional and emerging therapies, and outlines a stage-based approach derived from available literature and clinical reasoning to support individualised non-surgical care.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1695616"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Exploring the multidisciplinary roles of sports events.","authors":"Maria João Custódio, Fernando Perna, Azila Azmi, Luís Carvalhinho, Elsa Pereira","doi":"10.3389/fspor.2026.1954895","DOIUrl":"https://doi.org/10.3389/fspor.2026.1954895","url":null,"abstract":"","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1954895"},"PeriodicalIF":3.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of transcranial direct current stimulation on basketball shooting accuracy: a systematic review and meta-analysis.","authors":"Yue Li, Xiao Lu Yuan, Shuairan Li, Jie Lin Yang","doi":"10.3389/fspor.2026.1881913","DOIUrl":"https://doi.org/10.3389/fspor.2026.1881913","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Transcranial direct current stimulation (tDCS), a form of transcranial electrical stimulation, has been investigated as a method to enhance motor performance in sports. However, findings regarding its effects specifically on basketball shooting accuracy remain inconsistent. This systematic review and meta-analysis aimed to clarify the effects of tDCS on basketball shooting performance by synthesizing evidence from randomized controlled trials (RCTs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Following PRISMA guidelines and a pre-registered protocol (PROSPERO CRD420251066350), a comprehensive literature search was conducted across PubMed, Web of Science, EBSCO, Scopus, and CNKI. Search terms included \"transcranial direct current stimulation,\" \"tDCS,\" \"basketball,\" and \"shooting accuracy.\" Eligible studies were RCTs evaluating tDCS (anodal or cathodal) vs. sham stimulation in basketball players and reporting shooting accuracy outcomes. Two reviewers independently screened studies, extracted data, and assessed risk of bias. Meta-analysis was performed using a fixed-effect model when appropriate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The pooled analysis revealed a moderate, statistically significant effect of tDCS on improving basketball shooting accuracy [pooled standardized mean difference [SMD] = 0.67, 95% confidence interval [CI] [0.43, 0.92], &lt;i&gt;p&lt;/i&gt; &lt; 0.001]. There was no significant heterogeneity among studies (&lt;i&gt;Q&lt;/i&gt; test &lt;i&gt;p&lt;/i&gt; = 0.288  , &lt;i&gt;I&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; = 17.9%), indicating no detectable between-study heterogeneity. All included studies reported improvements in shooting performance favoring tDCS over sham, though effect sizes varied. Subgroup analyses showed that the positive effect of tDCS showed beneficial effects across different shooting tasks (free throws vs. field goals), participant characteristics (including age, sex, and skill level), and stimulation parameters (current intensity: 1-2 mA; single-session vs. multi-session protocols), with no subgroup differences reaching statistical significance. Risk-of-bias assessment indicated that most studies were of moderate quality, with some limitations related to blinding and sample size.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This meta-analysis presents a novel quantitative synthesis of existing trial evidence examining the effects of tDCS on basketball shooting performance. These preliminary findings suggest that tDCS warrants further investigation as a potential neuromodulation technique for shooting-precision training; however, given the generally small sample sizes and short follow-up durations characterizing the current evidence base, any practical application remains premature. Future research incorporating larger, ecologically valid, and longer-term study designs is needed to confirm the durability of tDCS-related benefits and to establish optimal stimulation protocols before this approach can be responsibly translated into athletic training practice.&lt;/p&gt;&lt;p&gt;&lt;","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1881913"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle amnesia: a hypothesized framework for motor-pattern accessibility in exercise rehabilitation after inactivity, injury and illness.","authors":"Giorgos K Sakkas, Christina Karatzaferi","doi":"10.3389/fspor.2026.1926470","DOIUrl":"10.3389/fspor.2026.1926470","url":null,"abstract":"<p><p>After inactivity, injury or illness, people may regain part of their strength, range of motion or load tolerance before they recover fluent movement. Clinicians may observe an athlete, patient or older adult who can generate force but returns to walking, squatting, standing, running or sport with a guarded, variable or inefficient movement strategy that appears disproportionate to remaining impairment. This Perspective presents a theoretical framework and proposes the term Muscle Amnesia as a cautious practical label for a history-, use- and context-sensitive reduction in access to a previously acquired task solution. The term is not intended to imply literal memory loss within muscle tissue, to replace established concepts or to create a new diagnosis. Rather, it names a candidate clinical-behavioural construct in which altered exposure, compensatory practice, pain, threat, fatigue, context change and reduced task practice may shift motor-pattern selection. The aim of this article is to define the construct, distinguish it from detraining, learned non-use, pain-adapted movement, skill decay and maladaptive compensation, and propose preliminary candidate criteria and research designs. We argue that exercise rehabilitation should examine not only physical capacity, but also whether capacity is organized into task-relevant movement. The framework remains hypothetical and requires qualitative, experimental and clinical validation.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1926470"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's participation in the Paralympic Games (1960-2024): a longitudinal and bibliometric analysis of global trends and scientific production.","authors":"Renato De Donato, Chiara Milanese, Nicole Lorenzet, Federico Schena, Valentina Cavedon","doi":"10.3389/fspor.2026.1834488","DOIUrl":"10.3389/fspor.2026.1834488","url":null,"abstract":"<p><strong>Background: </strong>Women's participation in the Paralympic Games has expanded over time, yet this growth has been non-linear and uneven across regions, disciplines, and editions. At the same time, scientific research on women in Paralympic and parasports contexts remains limited and geographically concentrated. Studies that provide a comprehensive, long-term, sex-disaggregated reconstruction of participation across both Summer and Winter editions, together with an examination of its relationship to the geography of scientific production, are scarce.</p><p><strong>Methods: </strong>This study reconstructs sex-disaggregated participation in the Summer Paralympic Games (1960-2024) and Winter Paralympic Games (1976-2022) using official data provided by the International Paralympic Committee (IPC), harmonized with National Paralympic Committee data. Longitudinal trends and cross-national patterns are examined through descriptive and comparative analyses. Exploratory non-parametric analyses were used to assess longitudinal trends and macro-regional differences in demographic-normalized participation. As a complementary component, a systematic search of the Web of Science Core Collection (completed 31 October 2025) identified 71 relevant publications, which were analyzed using bibliometric techniques.</p><p><strong>Results: </strong>Women's participation in the Summer Paralympics follows a non-linear trajectory, reaching near parity at Paris 2024 (44.4%), whereas participation in the Winter Games remains consistently lower, with only modest long-term growth and no comparable movement toward parity (18%-25%). Two study-specific descriptive indicators, i.e., the Weighted Equity Index and the Normalized Female Participation Index, were used to summarize cross-national differences in internal delegation balance and demographic-normalized participation intensity. The bibliometric analysis documents a small but expanding body of literature that is geographically concentrated.</p><p><strong>Conclusion: </strong>These findings suggest a persistent misalignment between the increasing presence of women in the Paralympic Games and the comparatively limited and uneven development of scientific research on this population. The study provides a comprehensive longitudinal mapping of women's participation and offers an empirical basis for future research and policy aimed at improving equity in Paralympic sports.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1834488"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring adapted water polo: a feasibility study on improving psychosocial recovery in women post-breast cancer treatment.","authors":"S Cuvelier, C Goetgheluck-Villaron, C Zemmour, S Bernasconi, A Tallet, A Arthur, P Dantin, P Viens, M Cohen, S Calvin","doi":"10.3389/fspor.2026.1910555","DOIUrl":"10.3389/fspor.2026.1910555","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the feasibility and acceptability of an adapted water polo programme (Aqua polo) for women following breast cancer treatment. Exploratory secondary objectives were to examine changes in cancer-related fatigue (CRF), quality of life, post-traumatic growth, physical function and participants' psychosocial experiences. The intervention was conducted in a municipal swimming pool within a renowned local club, as part of a community-based research collaboration between a cancer center and a sport psychology laboratory.</p><p><strong>Methods: </strong>A 16-week intervention was implemented, with participants engaging in structured weekly sessions to evaluate both physical and psychosocial outcomes. Fifteen participants took part in weekly 2-hour Aqua polo sessions, supervised by a multidisciplinary team. A mixed-methods approach was used to assess feasibility (session adherence), physical improvements (aerobic capacity, muscle mass), and psychosocial dimensions, including CRF (R-PFS), quality of life (QLQ BR23), post-traumatic growth (PTG-I), and relational dynamics within the sporting environment (through semi-structured interviews). Quantitative data were analyzed using descriptive statistics and mixed linear models; qualitative interviews were coded inductively using grounded theory principles and NVivo software.</p><p><strong>Results: </strong>The programme achieved a high adherence rate, with 87% of participants attending at least 60% of the sessions. Exploratory analyses showed increases in aerobic capacity (<i>p</i> = 0.009), muscle mass (<i>p</i> = 0.01) and quality of life (<i>p</i> = 0.04), whereas no significant changes were observed in cancer-related fatigue. Participants described positive psychosocial experiences, including greater self-confidence, renewed competence and improved body image. Qualitative findings highlighted the importance of social interactions, team cohesion and the coach-athlete relationship in fostering engagement and perceived psychosocial recovery.</p><p><strong>Conclusion: </strong>This feasibility study demonstrates that an adapted water polo programme is feasible and well accepted by women following breast cancer treatment. Exploratory findings suggest potential benefits for physical function and psychosocial well-being, while supporting the development of future adequately powered controlled studies evaluating team-based aquatic interventions in cancer rehabilitation.</p><p><strong>Clinical trial registration: </strong>https://clinicaltrials.gov/study/NCT04235946, identifier: NCT04235946. French national registry identifier: ID-RCB 2019-A03003-54.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1910555"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of different gait patterns on knee joint biomechanics and dynamic stability during stair ascent in healthy adults.","authors":"Gangzheng Yi, Lian Duan, Yang Sun, Yuan Gao, Dapeng Wang","doi":"10.3389/fspor.2026.1924813","DOIUrl":"10.3389/fspor.2026.1924813","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effects of different stair-ascent gait patterns on knee joint biomechanics and dynamic postural stability.</p><p><strong>Methods: </strong>This cross-sectional, repeated-measures laboratory study was approved by the Ethics Committee of Qinhuangdao First Hospital [approval no. (2025K-135-01)]. Experimental procedures were conducted at Qinhuangdao First Hospital, and data analysis was performed at Yanshan University, which served as the collaborating institution for study design and statistical processing. Participants were recruited between 03 December 2024 and 18 December 2024. Fourteen healthy young males (mean age: 19.8 years; mean body mass: 72.2 kg) were enrolled and instructed to ascend stairs using two distinct gait patterns: a regular step-by-step (alternating) pattern, in which one step height was ascended per gait cycle, and a double-step (skip-step) pattern, in which two step heights were ascended per cycle by skipping one intervening step. Kinematic and kinetic data were synchronously recorded using a Qualisys infrared motion-capture system and a Kistler force platform. As each participant performed both conditions, all statistical comparisons were conducted using paired-sample *t*-tests. Dynamic stability and knee loading were quantified by the margin of stability (MOS) and patellofemoral joint stress (PFJS), respectively.</p><p><strong>Results: </strong>Throughout the gait cycle, no significant difference was observed MOSml between the two gait patterns (<i>P</i> = 0.318). In the anterior-posterior (AP) direction, however, the MOS for both patterns remained negative and decreased over time, with the double-step pattern yielding significantly lower MOSap values compared with the regular step-by-step pattern (<i>P</i> = 0.002). At the instant of left foot-off, significant differences were detected between patterns in right knee joint angle, right knee joint moment, net joint moment, effective quadriceps muscle lever arm, quadriceps force (QF), angle between the quadriceps tendon and patellar ligament, patellofemoral joint force (PFJF), PFJS, and patellofemoral contact area (all <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>In healthy young males, the double-step stair-ascent pattern was associated with reduced anterior-posterior dynamic stability, reflecting a decreased anterior-posterior stability margin. This pattern was also associated with elevated PFJS, reflecting greater compressive loading of the knee joint. Because of the cross-sectional design, these findings represent observed associations rather than causal mechanisms. Accordingly, lower-limb strengthening exercises and modifications to stair-climbing strategy may constitute reasonable hypotheses for mitigating stability decline and mechanical loading; however, these should be tested in future studies before being translated into clinical recommendations.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1924813"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GWAS-based polygenic profiling across broad sport categories: shared and category-specific genetic associations with athlete status and polygenic differences from population controls.","authors":"M V Terekhov, G A Abushinova, A A Mamchur, M V Bruttan, I K Dzhumaniiazova, M V Ivanov, A V Zholinsky, A I Kadykova, N S Gladyshev, R V Deev, L R Matkava, M N Pilipenko, S I Mitrofanov, A A Ivashechkin, E D Maralova, V S Yudin, V V Makarov, A A Keskinov, D A Kashtanova, S M Yudin, V I Skvortsova","doi":"10.3389/fspor.2026.1813231","DOIUrl":"https://doi.org/10.3389/fspor.2026.1813231","url":null,"abstract":"<p><p>Distinct physical demands across sports categories suggest a potential genetic component underlying an athlete's suitability for specific disciplines. To examine this hypothesis, the study analyzed a cohort of 3,676 professional athletes from a range of sports categories, including combat sports (<i>n</i> = 875), multi-sports (<i>n</i> = 102), speed- and power-based sports (<i>n</i> = 146), coordination-based sports (<i>n</i> = 630), game-oriented sports (<i>n</i> = 1,143), and cyclic sports (<i>n</i> = 780). Six genome-wide association studies were conducted to identify genetic variants associated with each sports category, with a general population sample of 21,516 participants as the control group. Comparison of the findings revealed both common and distinct genetic markers across the different sports categories. The findings of each study were used to build polygenic score models to identify the genetic differences between each athlete group and the control. In the internal held-out test set, the models demonstrated varying discriminative abilities, with ROC AUC values of 0.67 for coordination-based sports, 0.75 for combat sports, 0.77 for speed- and power-based sports, 0.82 for multi-sports, 0.68 for game-oriented sports, and 0.67 for cyclic sports. Subsequent validation on a fully independent external sample confirmed the discriminative capacity of the scores for combat sports (0.69), cyclic sports (0.66), coordination-based sports (0.64), and game-oriented sports (0.62), whereas the models for multi-sports (0.53) and speed- and power-based sports (0.38) did not validate externally and were excluded from further analyses. In this study, we present a genetic profiling framework based on exploratory polygenic score modeling that serves as a tool to capture genetic associations with broad sport categories rather than to predict individual athletic success. Additionally, long-term effects of the detected genetic variants were analyzed in a cohort of 2,914 older adults (age ≥ 90 years), in whom polygenic scores for coordination-based, cyclic, and game-oriented sports were higher than in the general population sample. Due to the study's cross-sectional design, these findings are reported as associations with a long-living phenotype, rather than a prediction of lifespan.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1813231"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NSAID use as a shared decision-making variable in musculoskeletal rehabilitation and strength and conditioning: a perspective.","authors":"Longji Li, Haojie Long, Lifeng Zhang","doi":"10.3389/fspor.2026.1912725","DOIUrl":"10.3389/fspor.2026.1912725","url":null,"abstract":"<p><p>Pain relief is often considered a key indicator of musculoskeletal rehabilitation and load progression in physical training. However, nonsteroidal anti-inflammatory drugs (NSAIDs) can alter pain perception and symptom expression, posing new interpretive challenges to symptom-based clinical judgment. During NSAID use, decreased pain and improved training completion do not necessarily indicate a synchronous recovery of tissue load tolerance. Adjusting load solely based on immediate symptom changes may lead to an overestimation of rehabilitation progress. This article explores the potential impact of NSAID use on rehabilitation decisions from the perspectives of symptom interpretation and load management. Pharmacological status should be considered a crucial variable influencing clinical reasoning, rather than merely background information in the medical history. Based on the shared decision-making principle, this article proposes the DICE framework (Document, Interpret, Coordinate, Educate), which integrates NSAID-related information into rehabilitation and load-management decisions by standardizing medication information recording, interpreting symptom changes in conjunction with medication context, promoting multidisciplinary team collaboration, and strengthening medication education. This framework is intended to support more consistent symptom interpretation, more informed load progression decisions, and improved communication within rehabilitation teams. This article argues that NSAID use should be incorporated into a dynamic assessment system for rehabilitation and training decisions to more accurately differentiate changes in symptom control, functional recovery, and load tolerance, thereby supporting safer, more transparent, and patient-centered rehabilitation practices.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1912725"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency profiles of muscle-strengthening exercise identified using three national surveillance measures in a convenience sample of adults.","authors":"Christina Johnson, Joshua Haworth, Elise Brown","doi":"10.3389/fspor.2026.1864851","DOIUrl":"https://doi.org/10.3389/fspor.2026.1864851","url":null,"abstract":"<p><p>Muscle-strengthening exercise (MSE) is crucial for health, with current guidelines recommending engaging in MSE at least two times per week. In the US, the National Health and Nutrition Examination Survey (NHANES), National Health Interview Survey (NHIS), and Behavioral Risk Factor Surveillance System (BRFSS) assess MSE frequency, however, research on frequency-based adherence is limited. The purpose of this study is to identify and describe subgroups of MSE participation based on frequency responses to NHANES, NHIS, and BRFSS MSE survey items. In this cross-sectional analysis, a convenience sample of participants (<i>n</i> = 118 [male = 54, female = 64], mean age [±standard deviation] = 27.0 ± 10.7 years) completed an MSE questionnaire at two time points approximately one week apart that included MSE frequency items from the NHANES, NHIS, and BRFSS. Latent profile analysis (LPA) was conducted on data from the first time point to identify latent MSE frequency subgroups, while bootstrap likelihood ratio tests (BLRT; <i>B</i> = 5,000) were utilized to help determine the optimal number of profiles. The LPA indicated a three-profile solution as the best overall fit based on the difference in Bayesian information criterion, strong relative entropy (0.980), and adequate profile distribution (<i>p</i>1 = 28.8%, <i>p</i>2 = 50.0%, <i>p</i>3 = 21.2%). The BLRT supported the three-profile solution, with the addition of a third profile significantly improving fit compared to the two-profile model (<i>p</i> < 0.001). Profiles were labeled based on the average times per week of MSE. They included, (1) Minimal Participation With No Guideline Adherence (0.23 ± 0.43 times per week), (2) Moderate Participation With Guideline Adherence (3.30 ± 0.74 times per week), and (3) High Participation With Guideline Adherence (5.53 ± 0.66 times per week). Three distinct MSE frequency profiles were identified in this convenience sample, with 71.2% of participants classified into guideline-adherent profiles, substantially higher than national estimates of <30%. Within this sample, the identification of two guideline-adherent frequency profiles suggests that binary classification may mask variability in MSE frequency among individuals meeting current guidelines. These findings should be validated in nationally representative samples.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"8 ","pages":"1864851"},"PeriodicalIF":3.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}