BMJ Open Sport & Exercise Medicine最新文献

{"title":"Effectiveness of a sport-specific exercise programme for overhead athletes with unilateral subacromial shoulder pain: a study protocol of a randomised controlled trial.","authors":"Fabien Guérineau, Jaime Almazán-Polo, Ángel González-de-la-Flor","doi":"10.1136/bmjsem-2025-002523","DOIUrl":"https://doi.org/10.1136/bmjsem-2025-002523","url":null,"abstract":"<p><p>Subacromial shoulder pain is one of the most common musculoskeletal conditions affecting overhead athletes, particularly those engaged in high-intensity training modalities such as CrossFit. The prevalence of shoulder injuries in this population continues to rise due to increased participation, repetitive overhead movements, and biomechanical stress on the rotator cuff and scapular stabilisers. While various rehabilitation approaches exist, no consensus exists on the most effective exercise intervention for improving shoulder function and pain outcomes in athletes with subacromial shoulder pain. Current rehabilitation protocols for overhead athletes lack specificity, failing to address the sport-specific demands and movement patterns that may contribute to persistent pain and dysfunction. This study compares the effectiveness of a sport-specific exercise programme versus a scapular stability programme in improving clinical and functional outcomes in CrossFit athletes with subacromial shoulder pain. This study follows a randomised controlled trial (RCT) design, adhering to Consolidated Standards of Reporting Trials and Standard Protocol Items: Recommendations for Interventional Trials guidelines for intervention-based trials. Outcome assessments will include validated patient-reported outcome measures, objective strength and mobility tests, and biomechanical performance metrics. Participants will be recruited from sports clinics and CrossFit training centres across Madrid, ensuring a representative sample of athletes experiencing shoulder pain.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002523"},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651434","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":"Planetary Health: why not empower the Sports and Exercise Medicine community to play the game of life well?","authors":"Bruno Lemarchand, Laurie Marrauld, Pierre-Eddy Dandrieux, Marine Sarfati, Pascal Edouard","doi":"10.1136/bmjsem-2024-002409","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-002409","url":null,"abstract":"<p><p>Human activities affect the planet by altering natural cycles. They contribute to climate change and pollution, posing challenges to ecosystems, biodiversity, human well-being and health. There is a need to consider Planetary Health, which is described as a solutions-oriented, transdisciplinary field and social movement focused on analysing and addressing the impacts of human disruptions to the Earth's natural systems on human health and all life on Earth. This viewpoint discusses the responsibilities, choices, potential roles and practical initiatives concerning Planetary Health for the Sports and Exercise Medicine (SEM) community. Practices in both medicine and sport impact the environment. We can shift our human and SEM activities and adopt a Planetary Health approach. Our role as the SEM community is to protect and promote the health of athletes and populations. This also involves caring for the environment, given the close link between environmental and human health. Therefore, as an SEM community, we are concerned about the health of our ecosystems and the importance of respecting planetary boundaries. Our scientific expertise, inspirational leadership and ethics should encourage us to raise awareness and become exemplary torchbearers. We must embrace the challenge of addressing humanity's planetary crises to rise to the occasion, uphold our values and strengthen our connection with nature: 'faster, higher, stronger-all together'.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002409"},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651448","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":"Barriers and facilitators of exercise behaviour for frail older adults in nursing homes: protocol for a qualitative study in China.","authors":"Kejimu Sunzi, Lina Yin, Yadi Li, Xin Zhou, Cheng Lei","doi":"10.1136/bmjsem-2025-002457","DOIUrl":"https://doi.org/10.1136/bmjsem-2025-002457","url":null,"abstract":"<p><p>Exercise is significant for older adults to improve their poor health outcomes. It can delay weakness, enhance the quality of muscle and body balance, and prevent adverse events. However, the factors that hinder or promote exercise among frail nursing home residents are unclear. Few studies have investigated the exercise-related experiences and coping strategies of frail older adults, and it is necessary to further understand the overall situation among older adults. Therefore, this study aims to obtain information about the impact of exercise-related barriers and facilitators on the daily life of frail older adults and how they cope with this condition. Qualitative research design uses a phenomenological framework. Older adults participating in the study will be invited to describe their life experiences with exercise-related barriers and facilitators, the impact on their daily lives and the strategies they use to cope with the condition. This study will use purposeful sampling to ensure the sample provides informative cases representative of frail older adults with exercise-related barriers and facilitators. Face-to-face, personal and semi-structured interviews will be conducted in nursing homes in Sichuan, China. A trained qualitative researcher will conduct interviews. Transcripts will be analysed using NVivo V.10 qualitative software, and themes will be synthesised to highlight the critical issues raised by frail older adults about the exercise process. Understanding the awareness of frail older adults on exercise management care will help improve the existing health services in this area. This research data will be used in future research to develop a validated survey, which can be used by medical staff working in nursing homes to understand and strengthen the health service provision of frail older adults.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002457"},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651415","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":"Reconceptualisation of sport and quality of life in young athletes following anterior cruciate ligament reconstruction: understanding the experiences behind the numbers through a prospective mixed-methods study.","authors":"Hana Marmura, Olivia Morassutti, Dianne M Bryant, Alan M J Getgood, Fiona Webster","doi":"10.1136/bmjsem-2024-002107","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-002107","url":null,"abstract":"<p><p>To explore the theory of response shift in young athletes undergoing anterior cruciate ligament (ACL) reconstruction (ACLR) by investigating athletes' conceptualisation of quality of life (QOL) across time following ACL injury. A mixed-methods study was conducted to understand young athletes' perceived QOL through qualitative investigation of participant perspectives and quantitative self-reported QOL ratings. 20 young athletes were purposively sampled for semi-structured interviews at two timepoints: preoperatively following ACL injury, and 1 year after ACLR. During the interviews, participants also reported their QOL on a visual analogue scale from 0 to 100. Transcripts were coded by two independent researchers. Descriptive quantitative analyses of QOL ratings and thematic analysis of qualitative data were conducted to identify mechanisms of response shift. Self-reported ratings of QOL indicated a recalibration response shift. When recalled preoperative scores were used in place of actual preoperative ratings, improvement in self-reported QOL was larger (median change: 13, range -6 to 62 vs median change: 29, range 5 to 75, respectively). Postoperatively, three processes of reprioritisation related to sport were identified within 16 interviews 1 year after surgery: (1) early transition away from sport as a priority, (2) expected transition away from sport as a priority and (3) sport preserved as a priority. Athletes' perception of overall QOL was influenced by the use of various coping strategies and engagement in self-reflection. QOL does not mean the same things to athletes before and after ACLR, and conceptualisations of QOL are influenced by complex factors. True change in patient-reported outcomes cannot be validly measured if the definitions of constructs are changing. We propose the SPARQ ACL Model of Sport Prioritisation and Athlete Reconceptualisation of Quality of life following ACL injury and reconstruction to help understand these changes.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002107"},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651449","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":"Physiological outcomes of physical activity interventions in persistent postconcussive symptoms: a scoping review protocol.","authors":"Bayan Dehghani, Jyotpal Singh, Chase J Ellingson, J Patrick Neary","doi":"10.1136/bmjsem-2025-002529","DOIUrl":"https://doi.org/10.1136/bmjsem-2025-002529","url":null,"abstract":"<p><p>There are limited therapeutic options for patients with persistent postconcussive symptoms (PPCSs). Most PPCS assessments focus on subjective measures of progression and symptom monitoring. While early exercise interventions for rehabilitation are now considered best practice for acute concussion, no comprehensive review exists on how physical activity objectively and physiologically affects outcomes in PPCS. This scoping review protocol outlines the methods to identify the efficacy of therapeutic exercise interventions for PPCS, emphasising their impact on physiological parameters, including cardiovascular autonomic responses and cerebral autoregulation. Using the Patient, Intervention, Comparison and Outcome (PICO) framework, we will include all studies presenting original data. Narrative summaries will provide clinicians. An initial search in Medline/EMBASE/PubMed, Cochrane Library, PsycINFO, Web of Science and Scopus will be completed. Key parameters from each study will be extracted, tabulated and discussed in a narrative inquiry. The study references will be reviewed for additional studies meeting the inclusion criteria. Future research applications from the findings will be emphasised. After completion of the review, the results will be stratified by type of physical activity as the intervention, emphasising the physiological outcomes. Mapping these findings will allow us to identify the key research priorities for future studies. Findings will be shared with PPCS practitioners and local/national committees and submitted for conferences and publications.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002529"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651447","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":"Cocreating a programme to prevent injuries and improve performance in Australian Police Force recruits: a study protocol.","authors":"Myles C Murphy, Andrea B Mosler, Jonathan Hodgson, Sophia Nimphius, Evert Verhagen, Joanne Kemp, Alex Donaldson, Debra Langridge, Vanessa R Sutton, Kay M Crossley, Clare L Ardern, Carolyn A Emery, Mary A Kennedy, Simone Radavelli-Bagatini, Martin Hägglund, Brady Green, G Gregory Haff, Garth Allen, Andrea Bruder","doi":"10.1136/bmjsem-2025-002531","DOIUrl":"10.1136/bmjsem-2025-002531","url":null,"abstract":"<p><p>A healthy police force is a key component of a well-functioning society, yet 1 in 20 law enforcement recruits drop out of the recruit training programme due to injury. This drop-out rate has substantial economic and workforce ramifications. In the Western Australia Police Force, one in five recruits suffers a musculoskeletal injury during the recruit training programme, causing time-loss from work. We will now identify the critical elements of an injury prevention intervention and investigate the needs, experiences and suggested solutions to address potential implementation challenges. Our objective is to co-create an intervention with content and context experts, specifically for Western Australia Police Force recruits, to reduce injury prevalence, incidence rates and burden. A mixed-method participatory action research approach will guide intervention cocreation. Phase 1 will include concept mapping and phase 2 will include focus groups. This research will develop an intervention that the Western Australia Police Force can deliver to reduce injury prevalence, incidence rates and burden among recruits. The effectiveness of the intervention in reducing injury burden, economic burden and implementation will be evaluated.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002531"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651417","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":"Injury prevalence among Brazilian Jiu-Jitsu practitioners globally: a cross-sectional study in 881 participants.","authors":"Pablo Martin Stegerhoek, Boris Brajovic, Paul Kuijer, Mirwais Mehrab","doi":"10.1136/bmjsem-2024-002322","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-002322","url":null,"abstract":"<p><strong>Objectives: </strong>Brazilian Jiu-Jitsu (BJJ) is a rapidly growing combat sport characterised by ground fighting and submission techniques. There are limited data regarding BJJ injuries. This study described the incidence and characteristics of injuries in BJJ practitioners.</p><p><strong>Methods: </strong>This retrospective survey targeted BJJ practitioners globally who trained at least once per week. The survey was distributed online and via posters at multiple Dutch BJJ competitions. Data collection took place from 15 February 2024 to 17 March 2024. We collected training, competition and injury data from the past 12 months. Complaints that required medical attention caused time loss (≥1 week) or led to training modification (≥2 weeks) were defined as an injury.</p><p><strong>Results: </strong>Of 881 participants, 817 (90%) were male, and the average age was 30.8 years (SD 8.6). Injury information was provided on a total of 888 injuries. The injury incidence was 5.5 (95% CI 4.9 to 6.1) per 1000 hours in training and 55.9 (95% CI 38.8 to 73.0) injuries per 1000 matches, with a higher rate observed among participants with a higher belt level. Most injuries (n=789, 89%) occurred during training, mainly (n=620, 79%) during sparring. The knees (n=223, 25%) and shoulders (n=114, 13%) were the most affected body regions.</p><p><strong>Conclusions: </strong>This study found an injury incidence of 5.5 per 1000 hours of training and 55.9 per 1000 matches for BJJ practitioners. Future preventative practices should focus on the free sparring part of training to be most effective. Future studies should also monitor BJJ practitioners prospectively to understand injury aetiology better.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002322"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651383","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":"Correction: Multimodal intervention based on physical exercise, mindfulness, behaviour change and education to improve pain and health in patients with chronic primary low back pain: a study protocol of the HEALTHYBACK randomised controlled trial.","authors":"","doi":"10.1136/bmjsem-2024-002188corr1","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-002188corr1","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1136/bmjsem-2024-002188.].</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002188corr1"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651426","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 an app-based physical training for long- and post-COVID treatment (A PILOT) study: protocol for a multicentre randomised controlled trial.","authors":"Sarah Isabel Krieg, Lynn Matits, Lennart Mentz, Johannes Kirsten, Birgit Friedmann-Bette, Andreas Niess, Peter Deibert, Philipp Maier, Michèle Natale, Gunnar Erz, Daniel Alexander Bizjak, Jana Schellenberg","doi":"10.1136/bmjsem-2025-002540","DOIUrl":"10.1136/bmjsem-2025-002540","url":null,"abstract":"<p><p>Long- and post-COVID syndrome (PCS) affect at least 65 million individuals globally, with an estimated incidence of 10% among over 651 million documented cases of SARS-CoV-2 infection. PCS impacts nearly every organ system, posing significant challenges for healthcare systems and patients. Despite this, effective guidelines for multimodal training or rehabilitation remain absent. The app-based physical intervention for long- and post-COVID treatment (A PILOT) study is a prospective, multicentre, two-armed, randomised controlled trial to evaluate the effectiveness of an app-based multimodal training intervention in patients with PCS. 100 participants will be randomly assigned to an intervention group (IG) or a control group (CG). Over 2 months, the IG will follow a standardised app-based intervention programme incorporating breathing exercises, endurance and strength training and progressive muscle relaxation. The CG will adhere to general WHO exercise recommendations during the waiting period and gain access to the app after the study concludes. Comprehensive assessments, including physical examinations, blood tests, psychological questionnaires, transthoracic echocardiography, electrocardiography and cardiopulmonary exercise testing, will be conducted pre- and post-intervention. The primary endpoints are the effects of app-based multimodal training on physical performance, neurocognitive function and health-related quality of life. Secondary endpoints include mental health outcomes (eg, depression, perceived stress, sleep quality and daytime sleepiness), echocardiographic and anthropometric measures and alterations in inflammatory markers and metabolites of the kynurenine pathway. This study aims to provide critical insights into structured app-based programmes, potentially establishing a framework for improving recovery in PCS patients.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002540"},"PeriodicalIF":3.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587465","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":"Comparison of Omron and ActiGraph monitors in estimating daily step counts and time spent in moderate to vigorous physical activity in free-living adults.","authors":"Hiroko Shimura, Shinpei Okada, Kazushi Maruo, Kaori Daimaru, Naoki Deguchi, Yoshinori Fujiwara, Hiroyuki Sasai","doi":"10.1136/bmjsem-2024-002402","DOIUrl":"10.1136/bmjsem-2024-002402","url":null,"abstract":"<p><strong>Objective: </strong>This study compared the Omron Active style Pro HJA-750C (OM) and the ActiGraph wGT3X-BT (AG) in estimating daily physical activity-step counts and time spent in moderate to vigorous physical activity (MVPA)-in free-living adults.</p><p><strong>Methods: </strong>Japanese adults without gait abnormalities wore both devices during waking hours for seven consecutive days. Data were aggregated into daily steps and MVPA. A valid day required ≥10 hours of AG wear time with ≥100 and <50 000 accumulated steps from both devices. Agreement was assessed using Bland-Altman plots with multilevel analysis.</p><p><strong>Results: </strong>The final dataset included 129 participants (age 23-89 years, 50.4% women), totalling 887 observations (5-7 daily observations/participant). OM estimated an overall mean of 7456 (SE 253) steps/day and 68.9 (SE 2.8) min/day in MVPA. Bland-Altman plots showed that OM estimated -56 steps/day (95% limits of agreement (LoA) = -1599; 1486) and +23 min/day (LoA = -17; 63) in MVPA compared with AG. Differences tended to increase with higher mean estimates for both step counts and MVPA.</p><p><strong>Conclusion: </strong>OM estimated substantially more daily time spent in MVPA but showed similar daily step counts compared with AG. Differences were larger with higher activity levels.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002402"},"PeriodicalIF":3.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587463","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}