BMJ Open Sport & Exercise Medicine最新文献

{"title":"Examining the relationship between different physical activities and health and well-being in middle-aged and older men: an isotemporal substitution analysis.","authors":"Henry T Blake, Alyson J Crozier, Jonathan D Buckley, Brad J Stenner","doi":"10.1136/bmjsem-2023-001875","DOIUrl":"10.1136/bmjsem-2023-001875","url":null,"abstract":"<p><strong>Background: </strong>Well-being declines during men's middle years, and while physical activity (PA) can have a positive influence, the type of PA that provides the greatest benefit is not clear. This cross-sectional study explored how participation in different types of PA is associated with the well-being and self-rated health of middle-aged and older men.</p><p><strong>Methods: </strong>A representative sample of South Australian adults completed a survey which assessed time spent in a variety of physical activities and self-rated health, life worth, life satisfaction and previous day happiness and anxiety. This study focused on a subsample of men≥35 years of age (n=1019). Partition and isotemporal substitution analyses were used to explore relationships between different types of PA and self-rated health and well-being outcomes.</p><p><strong>Results: </strong>Weekly PA was positively associated with all outcomes among middle-aged men (35-64 years), but only with self-rated health and life satisfaction in older men (65+ years). Substituting out 30 mins of team sport participation with cycling, fitness/gym-based activities or other recreational activities was associated with higher self-rated health in middle-aged men. In older men, substituting 30 mins of dance with most other types of PA was related with greater self-rated health and life worth.</p><p><strong>Conclusions: </strong>Total weekly PA was consistently related to the self-rated health and well-being of middle-aged men, but less so among older men. Despite some substitution effects for self-rated health, for the most part well-being was not influenced by activity substitution, particularly among middle-aged men.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001875"},"PeriodicalIF":3.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120890","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":"Physical activity modification over time according to socioeconomic position: results from the EPIC-Italy cohort study.","authors":"Matteo Franco, Luigi Facchini, Carlotta Sacerdote, Giovanna Masala, Luca Manfredi, Lucia Dansero, Benedetta Bendinelli, Melania Assedi, Valentina Vitale, Valeria Pala, Saverio Caini, Fulvio Ricceri","doi":"10.1136/bmjsem-2024-001957","DOIUrl":"10.1136/bmjsem-2024-001957","url":null,"abstract":"<p><strong>Objectives: </strong>Our study aimed to investigate how physical activity (PA) changes over an 11-year follow-up among adults from different socioeconomic positions (SEP) near retirement age. Moreover, an analysis of different PA types is considered.</p><p><strong>Methods: </strong>We used data from the EPIC-Italy cohort. We evaluated PA using the Cambridge Physical Activity Index (CPAI) and the metabolic equivalent of tasks (MET) per hour of activity for recreational PA and household PA. Educational level was assessed using the Relative Index of Inequality (RII). Occupational classes were classified according to LIFEPATH Consortium knowledge. Logistic regression was used to analyse PA among SEP and changes during follow-up. Analyses were also conducted separately for sex.</p><p><strong>Results: </strong>The higher educated were more prevalent in the higher quartile of recreational PA than the lower educated both at baseline and follow-up (37% vs 28% and 37% vs 27%, respectively). At the baseline, the lower educated had a higher risk of being physically inactive than the higher educated based on recreational PA (overall OR: 1.50, 95% CI 1.40 to 1.60). Manual workers did not show a higher risk of less PA than professionals/managers (overall OR: 1.03, 95% CI 0.91 to 1.16).At follow-up, the lower educated and manual workers showed a higher risk of being physically inactive (lower educated OR: 1.46, 95% CI 1.37 to 1.56; manual worker OR: 1.33, 95% CI 1.18 to 1.50). The analyses of changes in PA showed that those who were less educated or manual workers had a higher risk of worsening their PA during the follow-up period, particularly women in recreational PA and men in CPAI measurement.</p><p><strong>Conclusion: </strong>Individuals who had a disadvantaged SEP showed a higher risk of performing less PA over time.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001957"},"PeriodicalIF":3.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120903","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":"Real-world implementation of the Copenhagen Adduction Exercise: what do football teams modify and why?","authors":"Torstein Dalen-Lorentsen, James O'Brien, Joar Harøy","doi":"10.1136/bmjsem-2024-001982","DOIUrl":"10.1136/bmjsem-2024-001982","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the use and modification of the Copenhagen Adduction Exercise in football (soccer) teams, including the reasons for modification and alternate injury-prevention strategies.</p><p><strong>Methods: </strong>In this cross-sectional study, staff members from a convenience sample of 50 male elite, academy and amateur football teams in Norway, Germany and Austria completed an online questionnaire focussing on the implementation of the Copenhagen Adduction Exercise. Fourteen of the staff members also completed an interview.</p><p><strong>Results: </strong>Forty-two teams (84%) reported using the Copenhagen Adduction Exercise, but the majority (65%) had modified the original programme. Modifications included changes to sets, repetitions, progressions and frequency and were particularly common among elite teams. The main reasons for modifications were managing overall player load, experiences and beliefs and individualisation. Despite modifications, all teams followed the basic principles of the original programme.</p><p><strong>Conclusion: </strong>The adoption of the Copenhagen Adduction Exercise by football teams is high, but the vast majority of teams modify the programme. Despite these modifications, the basic principles of the programme are maintained.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001982"},"PeriodicalIF":3.9,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11344511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056897","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":"DOSage of Exercise for chronic low back pain disorders (DOSE): protocol for a systematic review with dose-response network meta-analysis.","authors":"Nitin Kumar Arora, Lars Donath, Patrick J Owen, Clint T Miller, Svenja Kaczorowski, Tobias Saueressig, Hugo Pedder, Niamh L Mundell, Scott D Tagliaferri, Ashish Diwan, Xiaolong Chen, Xiaohui Zhao, Eva-Maria Huessler, Katja Ehrenbrusthoff, Jon J Ford, Andrew J Hahne, Ludwig Hammel, Heike Norda, Daniel L Belavy","doi":"10.1136/bmjsem-2024-002108","DOIUrl":"10.1136/bmjsem-2024-002108","url":null,"abstract":"<p><p>Chronic low back disorders are the leading cause of direct and indirect healthcare burden globally. Exercise training improves pain intensity, mental health and physical function. However, the optimal prescription variables are unknown. We aim to compare the efficacy of various exercise dosages for chronic low back disorders to identify the optimal prescription variables. Six databases (Medline, SPORTDiscus, CINAHL, PsycINFO, EMBASE and CENTRAL), trial registries (ClinicalTrials.gov and WHO International Clinical Trials Registry Platform) and reference lists of prior systematic reviews will be searched, and we will conduct forward and backward citation tracking. We will include peer-reviewed randomised controlled trials (individual, cluster or cross-over trials) published in English or German language comparing exercise training to other exercise training or non-exercise training interventions (conservative, non-surgical, non-pharmacological, non-invasive treatments, placebo, sham, usual/standard care, no-treatment control, waitlist control) in adults with chronic low back disorders. Outcomes will include pain intensity, disability, mental health, adverse events, adherence rate, dropout rate and work capacity. Version 2 of the Cochrane risk-of-bias tool will be employed. The dose will be categorised as cumulative dose (total and weekly minutes of exercise training) and individual dose prescription variables (intervention duration, session duration, frequency and intensity). Dose-response model-based network meta-analysis will be used to assess the comparative efficacy of different exercise doses to determine a dose-response relationship. The certainty of evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation. Information about optimal exercise training dosage will help in enhancing treatment outcomes.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002108"},"PeriodicalIF":3.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005569","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":"Swedish elite athletes' experiences of psychotherapy for mental health concerns provided by licensed psychologists and psychotherapists: a qualitative study.","authors":"Carolina Lundqvist, Jonas Wig, David P Schary","doi":"10.1136/bmjsem-2024-002044","DOIUrl":"10.1136/bmjsem-2024-002044","url":null,"abstract":"<p><p>This study explores elite athletes' experiences of psychotherapy administered by Swedish licensed psychologists or psychotherapists with and without specialisation in elite sports, addressing the research question: What do elite athletes experience as important for psychotherapy effectiveness when seeking treatment from a licensed clinical psychologist or psychotherapist? Five elite athletes (self-assigned women=4, self-assigned men=1; age range: 20-34 years) from three sports (fencing: n=2, handball: n=2, triathlon: n=1) volunteered to participate in interviews. All athletes had worked with more than one licensed psychologists/psychotherapist, either through a regional healthcare or an elite sports specialised clinic while being national or international elite sports level athletes. Data were inductively analysed by the use of reflexive thematic analysis. Trust and professionalism to the psychologist/psychotherapist were generated as an overarching theme. Themes created during data analysis included the psychologist/psychotherapist's (a) understanding of elite sports and of both the person and the athlete, (b) psychotherapeutic behaviours or skills (ie, holistic problem assessment, communication, empathy, validation, confidentiality, therapeutic alliance, goal-oriented content and ability to tailor psychotherapy to the athlete) and (c) conditions for psychotherapy (time, accessibility and appropriate support). Participants expressed difficulties in differentiating between qualified and unqualified mental health support providers. Mental health services originating within the sport context were perceived to improve accessibility and the possibility of regular sessions. Mental health services provided outside the immediate sporting context, with the psychologist/psychotherapist not being overly involved in sports, was however perceived to enable a more objective and holistic assessment of both non-sport and sport-related concerns impacting on athlete mental health. We conclude that sports organisations must facilitate athletes' access to psychological treatment, and additionally ensure that practitioners working with psychotherapy have professional expertise and are appropriately qualified. Sports organisations should also systematically evaluate mental health services to ensure quality and that they are up to date with best practices.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002044"},"PeriodicalIF":3.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005534","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":"Activity levels across the intensity spectrum in athletes: a systematic review protocol.","authors":"Jacob John Capin, Nicola D Ridgers, Jena Heck Street, Alissa Fial, Grant R Tomkinson","doi":"10.1136/bmjsem-2024-002148","DOIUrl":"10.1136/bmjsem-2024-002148","url":null,"abstract":"<p><p>Physical activity (PA) promotes better cardiometabolic health, physical function, brain health and longevity. In contrast, prolonged sedentary behaviour (SB) is a risk factor for many chronic diseases and poor health. Limited research has evaluated or synthesised how competitive sports participation influences PA across the lifespan. Some evidence suggests, ironically, that former competitive athletes may be insufficiently active and current athletes may be highly sedentary away from sport. This study describes the protocol for a systematic review and meta-analysis on activity levels across the intensity spectrum in athletes, addressing the primary research question: is sports participation significantly associated with PA and/or SB among current and former competitive athletes? PubMed, Embase, Cochrane Database of Systematic Reviews, Web of Science and SPORTDiscus databases will be searched. Two reviewers will independently screen titles/abstracts and full texts of selected abstracts. Data will be extracted regarding the study population, sport played, PA measures and protocols, outcomes of interest and findings. Primary outcomes will include step counts, daily activity across the intensity spectrum (ie, sedentary, light, moderate and vigorous PA), metabolic equivalent of task and whole-day energy expenditure. Secondary outcomes will include additional accelerometry measures of PA, activity patterns and self-reported PA. The risk of bias will be assessed using the National Institutes of Health Study Quality Assessment Tools. Extracted data will be presented using narrative synthesis and tabular presentation. Meta-analyses will be conducted to determine outcomes with sufficient data.<b>PROSPERO registration number:</b> CRD42024469267.https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=469267.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002148"},"PeriodicalIF":3.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005567","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":"High prevalence of harmful drinking habits and gambling among professional rugby players: mental health symptoms and lifestyle risks among New Zealand Super Rugby players-a cross-sectional survey.","authors":"Theodore Dorfling, Mark L Fulcher","doi":"10.1136/bmjsem-2024-002002","DOIUrl":"10.1136/bmjsem-2024-002002","url":null,"abstract":"<p><strong>Objectives: </strong>Determining the prevalence of mental health and lifestyle risk factors (smoking, alcohol consumption, recreational drug use, gambling, family violence and anger management) in New Zealand (NZ) male professional rugby players.</p><p><strong>Study design: </strong>Cross-sectional survey of mental health symptoms and lifestyle risk factors in male professional rugby players in NZ.</p><p><strong>Methods: </strong>Players from all five NZ men's Super Rugby Franchises were invited to complete an online questionnaire (SportCHAT) measuring demographic status and mental health symptoms. Descriptive and interferential statistical analyses were used to identify the most prevalent mental health and lifestyle risk factors.</p><p><strong>Results: </strong>105 players participated in the study (response rate 52.5%). 51.4% of players were either at moderate or high risk for alcohol-related harm (defined as potential health, social, legal or financial problems linked to alcohol consumption). In comparison, 4.8% reported recreational drug use and 5% reported smoking tobacco. Twenty players (19%) reported engaging in gambling, with five of these reporting problematic gambling. 21% of players reported symptoms of depression, but none reached the 'mild depression' threshold of the Patient Health Questionnaire for Depression. Younger players (aged 20-29) were more likely to report symptoms of depression than older players (aged 30-39). The prevalence of anxiety symptoms was 17.1%. 66.7% of these players reported minimal symptoms (GAD-7 score 0-4) and 33.3% reported mild symptoms (GAD-7 score 5-9). Family violence was reported by 2.9% of respondents, while 12.4% reported issues with anger management. There were no significant differences between ethnic groups.</p><p><strong>Conclusion: </strong>There is a higher prevalence of alcohol misuse and gambling, but lower reported rates of depression and anxiety symptoms in this cohort when compared with the general population.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002002"},"PeriodicalIF":3.9,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005570","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":"Beach Sprints Rowing: Injury and Illness Prevalence at the 2022 World Championships.","authors":"Joseph Michael DeLeo, Kathryn Ackerman, Evert Verhagen, Andrew C Fry, Fiona Wilson","doi":"10.1136/bmjsem-2024-001940","DOIUrl":"10.1136/bmjsem-2024-001940","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>Injury and illness surveillance helps establish the infrastructure to provide adequate medical support at regattas and is the foundation for developing prevention strategies.</p><p><strong>Objectives: </strong>To assess the prevalence and characteristics of injuries in the 4 weeks before the start of the 2022 World Rowing Beach Sprints Finals (WRBSF) (the '<i>Prevalence Survey'</i>) and describe the incidence and nature of new-onset injuries and illnesses incurred during the WRBSF (the '<i>Incidence Survey'</i>).</p><p><strong>Methods: </strong>Athletes completed: (1) a prevalence survey recording injuries the 4 weeks before the WRBSF and (2) a recording of injuries and illnesses that occurred during the 3-day regatta.</p><p><strong>Results: </strong>Fifty-nine of 152 eligible WRBSF athletes completed the prevalence injury survey. Twenty-three (38.9%) reported experiencing at least one injury within the 4 weeks before the WRBSF. The most prevalent anatomical injury sites were the forearm (11.86%), lumbar spine (10.17%), knee (8.47%), ankle (6.78%) and hand/fingers (6.78%). During the competition, only two illness occurrences were reported; both were respiratory infections. Two athletes reported injuries: a hamstring strain and a concussion.</p><p><strong>Conclusion: </strong>Rowers presenting to the WRBSF described injuries leading up to the event that were similar to those common in classic rowing. Rowers at the event suffered injuries of the lower limb that were different from classic rowing and may be related to the addition of running to this event. An event concussion should be considered as a more likely injury in this type of rowing and future events should be prepared to manage such an injury.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001940"},"PeriodicalIF":3.9,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005568","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":"Qualitative and quantitative return-to-sport test battery and second anterior cruciate ligament injury risk factors.","authors":"Lauren Butler, Alexa Martinez, Mina Entessari, Gabriel Cardenas, Margaret Wright, Dai Sugimoto","doi":"10.1136/bmjsem-2024-002000","DOIUrl":"10.1136/bmjsem-2024-002000","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Objective: </strong>To determine risk factors for second anterior cruciate ligament (ACL) injury following primary ACL reconstruction (ACLR) using return-to-sport (RTS) tests consisting of qualitative and quantitative measures in young athletes.</p><p><strong>Methods: </strong>A case-control study design was used, and a retrospective review of adolescent athletes after primary ACLR was performed. All athletes completed an RTS test consisting of qualitative and quantitative assessments and psychological assessments with the Tampa Scale of Kinesiophobia. Athlete demographics, surgical characteristics and sports participation were also examined. A binary logistic regression was performed to verify an independent association between risk factors and second ACL injury using adjusted OR (aORs), 95% CI and p<0.05.</p><p><strong>Results: </strong>In 72 eligible athletes, 12 (16.7%) suffered a second ACL injury. The mean Tegner activity level was 8.4+1.1, and the mean time from ACLR to RTS test completion was 10.4+2.9 months. One variable that showed the lowest p-value in the preliminary analysis was entered into the binary logistic regression model, which resulted in that qualitative assessment of knee valgus during the sidestep cut was associated with second ACL injury (aOR=4.64, 95% CI: 1.18 to 18.23, p=0.03).</p><p><strong>Conclusion: </strong>Athletes who demonstrated excessive dynamic knee valgus on the involved limb during the sidestep cut were approximately 4.6 times more likely to suffer a second ACL injury.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002000"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894603","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":"\"I don't know the correct way to describe it\": neuropathic pain experiences among athletes with spinal cord injury.","authors":"Kendra Todd, John Kramer, Kenedy Olsen, Kathleen Martin Ginis","doi":"10.1136/bmjsem-2023-001828","DOIUrl":"10.1136/bmjsem-2023-001828","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain among athletes is often misinterpreted as tissue damage resulting from sport. While researchers have started to examine neuropathic pain among athletes with spinal cord injury (SCI), there is a need to develop a deeper understanding of their neuropathic pain symptoms and experiences, to support the development of evidence-based pain management protocols.</p><p><strong>Objectives: </strong>The primary purpose of this study was to describe neuropathic pain experienced by athletes with SCI. A secondary purpose was to compare athletes' neuropathic pain symptoms when measured by two different clinical pain assessment tools and describe their experiences when trying to communicate their neuropathic pain.</p><p><strong>Methods: </strong>47 athletes with SCI completed the International Spinal Cord Injury Pain Basic Data Set (V.2.0), Douleur Neuropathique 4 (DN4), and two open-ended pain questions over the telephone.</p><p><strong>Results: </strong>66% of participants reported experiencing moderate-intensity neuropathic pain (M_{pain intensity}=5.32±1.78) and mild-to-moderate pain interference with activities of daily living (M_{pain interference}=3.55±2.11) and sleep (M_{pain interference}4.68±2.92). Overall, participants reported significantly more neuropathic pain symptoms in response to DN4 questions (M=4.62±1.38) versus open-ended pain questions (M=2.13±1.08), p<0.001. Participants reported difficulty with identifying neuropathic pain, describing their pain symptoms and identifying pain locations.</p><p><strong>Conclusion: </strong>Athletes with SCI reported moderate-intensity neuropathic pain. However, they struggled with communicating their neuropathic pain without being prompted with a list of symptoms. To guide the development of effective pain management strategies among athletes with SCI, future research should focus on developing knowledge products to improve awareness of common neuropathic pain descriptors among athletes with SCI and sports medicine personnel.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001828"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894597","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}