Journal of science and medicine in sport最新文献

{"title":"Effects of exercise on sleep quality in women — A systematic review and meta-analysis","authors":"Yunheng Qiao ,&nbsp;Chen Wang ,&nbsp;Qin Chen ,&nbsp;Peizhen Zhang","doi":"10.1016/j.jsams.2024.11.015","DOIUrl":"10.1016/j.jsams.2024.11.015","url":null,"abstract":"<div><h3>Objectives</h3><div>Insomnia affects at least one-third of the global population and is more common in women. Exercise has been reported to improve sleep quality and subsequent use of hypnotics. Therefore, we performed a meta-analysis to assess the effect of exercise on sleep quality in adult women.</div></div><div><h3>Design</h3><div>This meta-analysis systematically assessed the effects of exercise on women's sleep quality using a random-effects model.</div></div><div><h3>Methods</h3><div>We searched seven databases for randomised controlled trials examining the effect of exercise on sleep quality in women. Inclusion criteria were women aged 18 or older with insomnia symptoms, exercise used as an intervention, and the Pittsburgh Sleep Quality Index or Insomnia Severity Index as outcome measures. We excluded studies using other treatments, those involving cancer patients or pregnant women, and those with unclear, unanalysable data. A random-effects model was used for meta-analysis, with outcomes expressed as the weighted mean difference and 95 % confidence interval. Risk of bias was assessed using Cochrane Handbook criteria.</div></div><div><h3>Results</h3><div>The meta-analysis included 16 studies. The results indicated that exercise significantly reduced the Pittsburgh Sleep Quality Index total score. Exercise implemented for &lt;<!--> <!-->12 weeks was more effective in improving sleep quality and daytime dysfunction, whilst interventions ≥<!--> <!-->12 weeks reduced the use of sleep medication.</div></div><div><h3>Conclusions</h3><div>Exercise training can significantly improve sleep quality in adult women, as measured by the Pittsburgh Sleep Quality Index. Therefore, exercise can be crucial in promoting health, especially as a non-pharmacological treatment. When more studies will be available in the future, it will be possible to further explore the impact of age, type of exercise, and time of exercise.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 274-281"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuromuscular fatigue in English Premier League academy football players: Within- and cross-season responses","authors":"Matt Springham ,&nbsp;Nav Singh ,&nbsp;Perry Stewart ,&nbsp;Ian Jones ,&nbsp;Charlie Sherwood ,&nbsp;Dominic May ,&nbsp;Jamie Salter ,&nbsp;Anthony J. Strudwick ,&nbsp;Joseph W. Shaw","doi":"10.1016/j.jsams.2024.12.004","DOIUrl":"10.1016/j.jsams.2024.12.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the within- and cross-season neuromuscular fatigue responses in English Premier League U-18 academy football players.</div></div><div><h3>Design</h3><div>Twenty-five players from the same team completed weekly countermovement jump and isometric adductor and posterior chain strength tests for a full competitive season.</div></div><div><h3>Methods</h3><div>Global positioning system measures of training and match total, high-metabolic load and sprint distance were recorded daily and converted into exponentially weighted moving average seven- and twenty-eight-day values.</div></div><div><h3>Results</h3><div>TD₂₈ (<em>p</em> &lt; .001), HML₂₈ (<em>p</em> &lt; .001), and SD₂₈ (<em>p</em> = .002) shared negative relationships with countermovement jump height, but there was no main cross-season effect (<em>p</em> = .137). TD₂₈ (<em>p</em> = .016) and HML₂₈ (<em>p</em> = .012) positively related to isometric posterior chain strength but there was no effect of SD₂₈ (<em>p</em> = .653), SD₇ (<em>p</em> = .549), TD₇ (<em>p</em> = .080) or HML₇ (<em>p</em> = .104). Cross season, isometric posterior chain strength followed a curvilinear response whereby performance increased across the beginning of the season and decreased towards the end of the season (<em>p</em> = .003). There was no effect of training load or time on isometric adductor strength performance (<em>p</em> &gt; .094).</div></div><div><h3>Conclusions</h3><div>Neuromuscular status, signalled by countermovement jump height changes fluctuates across the season in response to sustained changes in training and match load, but there is no evidence of a main cross-season linear effect. Total training and match volume exert moderating effects on the internal training load dose, and in-turn, important moderating effects on neuromuscular fatigue, particularly when composed of high volumes of high-intensity and sprint distances. The posterior chain might be particularly susceptible to fatigue towards the end of the season.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 324-330"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal dose and type of exercise to improve motor symptoms in adults with Parkinson's disease: A network meta-analysis","authors":"Junyu Wang ,&nbsp;Yuan Yuan ,&nbsp;Ting Xie ,&nbsp;Ligong Zhang ,&nbsp;Hong Xu ,&nbsp;Shu-Cheng Lin ,&nbsp;Yong Yang ,&nbsp;Dong Zhu ,&nbsp;Jie Zhuang","doi":"10.1016/j.jsams.2025.01.003","DOIUrl":"10.1016/j.jsams.2025.01.003","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the dose-response relationship between different exercise types and the alleviation of motor symptoms in Parkinson’s Disease patients.</div></div><div><h3>Design</h3><div>A systematic review and network meta-analysis were conducted to compare the effects of 12 exercise types on motor symptoms in Parkinson’s Disease patients using randomized controlled trials.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across PubMed, Medline, Embase, PsycINFO, Cochrane Library, and Web of Science until September 10, 2024. A total of 81 trials involving 4596 patients were included. Mean differences with 95 % credible intervals were calculated, and evidence quality was assessed using Confidence in Network Meta-Analysis. The Minimum Clinically Important Difference was used to assess clinical efficacy.</div></div><div><h3>Results</h3><div>The optimal exercise dose for overall motor symptom improvement was 1300 MET-min/week (mean difference: −<!--> <!-->6.07, 95 % credible intervals: −<!--> <!-->8.10 to −<!--> <!-->4.01). Dance at 850 MET-min/week provided the greatest improvement (mean difference: −<!--> <!-->11.18, 95 % credible intervals: −<!--> <!-->16.01 to −<!--> <!-->6.22). Significant improvements were seen with doses as low as 60–100 MET-min/week for body weight support training, dance, resistance training, and sensory exercise. The Minimum Clinically Important Difference was achieved with doses exceeding 670 MET-min/week for overall exercise, and at lower doses for specific types: aerobic exercise (1100 MET-min/week), body weight support (420 MET-min/week), and dance (230 MET-min/week).</div></div><div><h3>Conclusions</h3><div>The optimal exercise dose for alleviating motor symptoms in Parkinson’s Disease patients is 1300 MET-min/week, with dance being most effective at 850 MET-min/week. These findings provide evidence-based recommendations for Parkinson’s Disease management.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 282-291"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balance assessment with smartphone devices in para-footballers with cerebral palsy","authors":"M. Isabel Cornejo ,&nbsp;Alba Roldan ,&nbsp;David Barbado ,&nbsp;Raúl Reina","doi":"10.1016/j.jsams.2024.12.009","DOIUrl":"10.1016/j.jsams.2024.12.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore whether the mean lumbar acceleration is a feasible tool for determining minimum eligibility criteria to compete in cerebral palsy football, differentiating between new sports classes, and to assess the effect of foot contacts on balance evaluation and class distinction.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>A total of 146 male cerebral palsy footballers classified into FT1 (n=34), FT2 (n=87), and FT3 (n=25), alongside 12 non-impaired athletes as a control group, participated. Two trials of one-leg standing, performed with the more and less affected legs, were measured using a smartphone-based accelerometer.</div></div><div><h3>Results</h3><div>Reliability was moderate-to-excellent (ICC3,1 &gt; 0.70; SEM &lt; 20 %). Significant differences were observed between legs for footballers with cerebral palsy but not for the control group. Mean lumbar acceleration and the number of foot contacts showed significant differences between footballers with cerebral palsy and controls, with pairwise comparisons revealing distinctions between classes. Receiver operating characteristic curves demonstrated high sensitivity and specificity for distinguishing the control group from FT3 using the most affected leg (1.00 [excellent]), with a cutoff score of 0.115 m/s² achieving very high sensitivity and specificity.</div></div><div><h3>Conclusions</h3><div>Mean lumbar acceleration appears to be a suitable metric for assessing minimum impairment criteria for eligibility in para-sports for ambulant athletes with cerebral palsy. However, foot contacts during one-leg standing tests may mask true balance performance in individuals with more severe impairments, which could affect class distinction.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 337-342"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of the acute response of the asymptomatic Achilles tendon to exercise using diagnostic ultrasound. A systematic review of cohort studies","authors":"Harry J. Roesch ,&nbsp;Helen Banwell ,&nbsp;Mark Jones ,&nbsp;Steve Saunders ,&nbsp;Steve Milanese","doi":"10.1016/j.jsams.2024.11.005","DOIUrl":"10.1016/j.jsams.2024.11.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the acute effects of exercise on the morphology, mechanical properties and blood flow of the Achilles tendon, as measured with ultrasound.</div></div><div><h3>Design</h3><div>Systematic review of cohort studies.</div></div><div><h3>Methods</h3><div>Seven electronic research databases were systematically searched for exercise intervention-based studies reporting morphology, mechanical properties and blood flow of the Achilles tendon, as measured with ultrasound.</div></div><div><h3>Results</h3><div>Searches revealed 2460 possible articles and 35 satisfied the inclusion criteria. There is evidence that eccentric heel drops resulted in a reduction in the diameter and cross-sectional area of the tendon whilst running/stretch-shortening cycle activities did not result in a change. The latter did not affect tendon mechanical properties. Tendon blood flow was consistently increased in response to exercise.</div></div><div><h3>Conclusions</h3><div>The acute response of the Achilles tendon to exercise showed an increase in blood flow and a reduction in diameter following heel drop exercises. Exercise modes were relevant since eccentric and isometric loading resulted in a greater response in the tendon. Activities like running and hopping placing specific demands on the tendon's spring function resulted in a minimal change in tendon morphology and no change in mechanical properties.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 313-323"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating challenges of breast implant rupture in a rugby player: Challenges and risk assessment","authors":"Anmol Khanna ,&nbsp;B. Sandeep ,&nbsp;Mohammad Jomaa ,&nbsp;Donald Kuah","doi":"10.1016/j.jsams.2024.12.001","DOIUrl":"10.1016/j.jsams.2024.12.001","url":null,"abstract":"<div><div>Sports physicians need to be aware of potential complications related to breast implants in athletes. Problems with breast implants can affect an athlete's physical health, overall mental well-being and performance. This case report explores the challenges sports physicians face in diagnosing and managing breast implant ruptures in athletes. It outlines the complexities of identifying ruptures, conducting appropriate screenings, and determining fitness to play following chest injuries sustained during sports. This publication also offers practical guidance on addressing these challenges and emphasises the importance of comprehensive evaluation, proactive screening, and a multidisciplinary approach to management.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 270-273"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brachial arterial adaptations in college baseball players: Differences between pitchers and fielders","authors":"Keisei Kosaki ,&nbsp;Shoya Mori ,&nbsp;Kayoko Kon ,&nbsp;Takashi Kawamura ,&nbsp;Seiji Maeda","doi":"10.1016/j.jsams.2024.12.008","DOIUrl":"10.1016/j.jsams.2024.12.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Although exercise-induced vascular adaptations have been extensively reported in racket sports athletes, the applicability of these findings to athletes in other overhead sports is unclear. This study aimed to investigate exercise-induced vascular adaptations in college male baseball players. Furthermore, since the training frequency of the upper arm may differ by baseball playing position, this study also focused on playing position-specific differences in brachial arterial adaptations.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Seventy-five baseball players and 23 sedentary young men aged 18–23 years participated in this study. The participants' brachial artery diameter, blood flow velocity, and blood flow volume were measured using an ultrasonic diagnostic imaging system. Brachial hemodynamic measurements of both hands were obtained randomly in a seated resting position.</div></div><div><h3>Results</h3><div>Baseball players demonstrated significantly greater brachial lean mass, circumference, arterial diameter, and blood flow volume than sedentary control participants. Statistically significant differences in brachial artery diameters between the non-dominant and dominant arms were observed only in the baseball pitcher group. Furthermore, body surface area- and brachial lean mass-corrected artery diameters in the dominant arm were also significantly larger than those in the non-dominant arm in the baseball pitcher group. A simple correlation analysis revealed a positive association between brachial lean mass/circumference and arterial diameter in all participants.</div></div><div><h3>Conclusions</h3><div>These findings suggest asymmetrical exercise-induced vascular adaptations in the brachial artery of baseball players, particularly pitchers, indicating the potential role of playing position-specific demands in vascular remodeling. Understanding these adaptations may inform training strategies and help prevent injuries in baseball players.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 331-336"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A threshold model to determine the association between race rides and fall risk for early career (apprentice) jockeys","authors":"Kylie A. Legg ,&nbsp;Darryl J. Cochrane ,&nbsp;Erica K. Gee ,&nbsp;Chris W. Rogers","doi":"10.1016/j.jsams.2024.10.009","DOIUrl":"10.1016/j.jsams.2024.10.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify descriptors associated with success in apprentice jockeys and to determine optimum numbers of jockeys for safer race riding.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>Incidence-rates for jockey falls and success (wins per 1,000 race-starts), time and number of races spent at different apprentice levels were calculated for 807 apprentice and professional jockeys over 19 years of Thoroughbred flat racing in New Zealand (n = 524,551 race-starts). Survival analysis was used to compare career progression for jockeys that fell and those that did not, and individual seasonal fall incidence-rates were modelled.</div></div><div><h3>Results</h3><div>Apprentices had the highest fall incidence-rate in their first year of race riding (2.4, interquartile range 1.7–3.2 vs 1.1, interquartile range 1.0–1.2, p &lt; 0.05) and a lower success incidence-rate compared to non-apprentice jockeys (71, interquartile range 67–75 vs 97 interquartile range 96–98, p &lt; 0.05). Jockeys who fell during their apprenticeship rode in more race rides to progress towards professional status than those who did not. There was an inverse power relationship between fall incidence-rate and race rides per season for jockeys, with the inflection point at 33 rides per season. Half (48 %) of the jockeys rode fewer than 33 rides per season.</div></div><div><h3>Conclusions</h3><div>There is a surplus number of jockeys, riding at high fall risk, produced than is required by the number of race riding opportunities. Greater investment into the fitness, education and selection of a smaller cohort of dedicated apprentices, may be beneficial to reduce the risk of early career fall or injury in jockeys and requires further investigation.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 292-297"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients follow four clusters of participation in physical exercise after an ACL injury. Results from the NACOX cohort study","authors":"Melanie Svensson ,&nbsp;Örjan Dahlström ,&nbsp;Marita L. Harringe ,&nbsp;Joanna Kvist","doi":"10.1016/j.jsams.2024.10.010","DOIUrl":"10.1016/j.jsams.2024.10.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore how participation in physical exercise (PE) changes over time after an anterior cruciate ligament (ACL) injury. Additionally, to identify factors associated with participation in PE by analyzing longitudinal data.</div></div><div><h3>Design</h3><div>An explorative analysis of the NACOX study, a prospective multicenter cohort study.</div></div><div><h3>Methods</h3><div>Patients with an acute ACL injury aged 15–40 years were followed for three years. The patients regularly reported participation in PE, knee function, new injuries, and surgeries. State sequence analysis and Hierarchical Cluster Analysis were used to analyze participation in PE. Clusters were compared using an analysis of variances, the Chi-square test, and Fischer's exact test.</div></div><div><h3>Results</h3><div>The study included 275 patients, 52 % female, with a mean age of 25 years. Four clusters were identified, varying from low to high participation in PE after an ACL injury. Clusters differed regarding the number of ACL reconstructions (ACLR) (p = 0.03); time from injury to ACLR (p = 0.03); patient-reported knee function at the follow-ups at 3 months (p = 0.02), 6 months (p = 0.02), and 12 months (p = 0.02) after injury; PE level before injury (p &lt; 0.001); and number of new injuries and surgeries (other than ACLR) (p = 0.001).</div></div><div><h3>Conclusions</h3><div>Four clusters, varying from low to high participation in PE after an ACL injury were identified. The results provide valuable insight into factors associated with different levels of participation in PE, which can be helpful for healthcare personnel working with ACL rehabilitation.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 298-304"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does involvement of the anterior syndesmosis affect the functional outcome of acute ligamentous ankle injuries?","authors":"Thomas P.A. Baltes ,&nbsp;Omar Al-Sayrafi ,&nbsp;Maryam R. Al-Naimi ,&nbsp;Mirna Anadani ,&nbsp;Mohsen Abassi ,&nbsp;Rod Whiteley ,&nbsp;Pieter D'Hooghe ,&nbsp;Gino M.M.J. Kerkhoffs ,&nbsp;Johannes L. Tol","doi":"10.1016/j.jsams.2024.11.007","DOIUrl":"10.1016/j.jsams.2024.11.007","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare patient-reported outcomes between acute ligamentous ankle injuries 1) without anterior syndesmosis involvement and 2) with anterior syndesmosis involvement (without clinical instability).</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>Between September 2016 and December 2020 all athletes (≥<!--> <!-->18) with an acute ankle injury presenting within 7 days post-injury were screened for eligibility. Athletes were excluded if imaging demonstrated a frank fracture or 3T magnetic resonance imaging could not be acquired within 10 days post-injury. Athletes with unstable syndesmosis injuries or athletes who underwent surgery within 1-year post-injury were excluded. Athletes underwent criteria-based rehabilitation and functional outcomes (Karlsson &amp; Peterson score, Foot and Ankle Outcome Score) were assessed at 6 weeks, 6 months, and 1 year.</div></div><div><h3>Results</h3><div>A total of 94 athletes were included. In 28 athletes (30 %) the anterior syndesmosis was injured. In the first six weeks post-injury, median Karlsson &amp; Peterson score improved from 37 (interquartile range 20.5–49) to 80 (interquartile range 70–90) for the group without involvement versus 35 (interquartile range 25–62) to 82 (interquartile range 72–87) for the group with involvement. FAOS sports improved similarly in both groups. No statistically significant between group differences in functional outcome scores were observed at six weeks, six months and 1 year follow-up.</div></div><div><h3>Conclusions</h3><div>In athletes, acute ligamentous ankle injuries with involvement of the anterior syndesmosis ligament (without clinical instability) are not associated with worse functional outcome at 6 weeks, 6 months, and 1-year post-injury compared to acute ligamentous ankle injuries without involvement.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 305-312"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}