BMC Sports Science Medicine and Rehabilitation最新文献

{"title":"The effectiveness of a high-intensity interval exercise on cardiometabolic health and quality of life in older adults: a systematic review and meta-analysis.","authors":"Havva Sert, Merve Gulbahar Eren, Busra Gurcay, Ferhat Koc","doi":"10.1186/s13102-025-01176-5","DOIUrl":"10.1186/s13102-025-01176-5","url":null,"abstract":"<p><strong>Background: </strong>High-intensity interval training (HIIT) is an effective exercise for improving physical and psychological function. However, there is an ongoing debate about the effects of HIIT on older adults. This study aimed to examine the effects of HIIT on cardiometabolic health and quality of life in older adults and to provide evidence-based information on the effectiveness of this type of exercise by performing a meta-analysis of randomized controlled trials.</p><p><strong>Methods: </strong>The ScienceDirect, PubMed, Web of Science, Scopus, Cochrane CENTRAL, CINAHL, and Pedro databases were used to search for all studies conducted up to December 1, 2024. Data were analyzed using Cochrane Review Manager (RevMan) [version 5.4.1] software. Quality of life data was analyzed using standardized mean difference (SMD), while mean difference (MD) was calculated for continuous variables such as heart (bpm), V̇O₂peak (mL·kg⁻¹·min⁻¹), 6MWT (m), and gait speed (m/s). In cases where high heterogeneity was observed, the random-effects model was preferred, and in cases where low heterogeneity was observed, the fixed-effects model was preferred.</p><p><strong>Results: </strong>This meta-analysis was performed using data from 11 studies. HIIT intervention groups had statistically significant increases in 6MWT (z = 3.24; 95% CI = [24.56, 78.67]; p = 0.0002), V̇O₂peak (z = 3.74; 95% CI = [1.38, 4.42]; p = 0.0002), and quality of life (z = 2.66; 95% CI = [0.40, 2.63]; p = 0.008) compared to the control groups. However, the meta-analysis indicated that HIIT resulted in non-significant changes in gait speed (z = 1.43; 95% Cl = [-0.04, 0.28]; p = 0.15).</p><p><strong>Conclusions: </strong>This meta-analysis revealed that HIIT interventions in older adults positively affect cardiometabolic health parameters (6MWT, V̇O₂peak) and quality of life. Conducting HIIT as a supportive treatment component with health professionals such as physicians, physiotherapists, and nurses within the framework of a multidisciplinary team approach may contribute to improving the health of older adults.</p><p><strong>Trial registration: </strong>The study was registered on the International Prospective Registry of Systematic Reviews-PROSPERO database (CRD42023481425) on November 20, 2023.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"128"},"PeriodicalIF":2.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rationale and design of an exercise intervention for patients with cancer cachexia: protocol for a one-year follow-up prospective study (2CAPA).","authors":"Romane Peyrachon, Cindy Richard, Brigitte Gelein, Astrid Lièvre, Nathalie André, Karl Chaory, Amélie Rébillard","doi":"10.1186/s13102-025-01173-8","DOIUrl":"10.1186/s13102-025-01173-8","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of cancer with cachexia is rising sharply. More than 80% of digestive cancer patients are affected by cancer cachexia. Cachexia leads to weight loss, and reduces quality of life, cancer treatment response and survival. Exercise could counteract the deleterious effects of cachexia. The 2CAPA study aims to assess the effectiveness of a 12-week exercise program on various symptoms associated with cancer cachexia, including food intake, body composition, physical fitness, physical activity levels, Health-Related QoL (HRQoL) and fatigue. Additionally, it seeks to examine compliance with the exercise program, identify barriers to regular exercise and determine how compliance influences physical and psychological effects. Furthermore, we will determine the maintenance of physical activity levels and the effects post-program for one year follow-up on cachexia-related symptoms.</p><p><strong>Methods: </strong>This study will include 31 cancer patients with cachexia. Participants will receive a supervised exercise program lasting 12-weeks with two sessions per week combining endurance and resistance training. Our outcomes include food intake, anthropometric parameters, physical performances, and physical activity levels, HRQoL, and fatigue, at baseline, at the end of the 12-week exercise program, and at 3-, 6- and 12- months post-intervention. Outcomes will be compared between cancer patients with cachexia and a control group of 31 non-cachectic patients.</p><p><strong>Conclusion: </strong>This study is the first prospective, monocenter, real-life investigation designed to assess the efficacy of a supervised 12-week exercise program on physical and psychological cachexia-related symptoms at the end of the program and then during a one-year follow-up. Moreover, our study will identify compliance and barriers to regular exercise for patients with cachexia. Our results will contribute to the management of cachexia-associated with cancer and provide recommendations to ensure that the program achieves the greatest possible effects and the greatest possible compliance.</p><p><strong>Ethics and dissemination: </strong>This study was reviewed and approved by Ethics Committee of Rennes (N°2023-039). The findings will be disseminated to the scientific and medical community via publications in peer-reviewed journals and conference presentations.</p><p><strong>Trial registration number: </strong>NCT06323733, 21/03/2024.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"129"},"PeriodicalIF":2.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of an 8-week integrated neuromuscular training on strength, speed, and agility in military personnel: a randomized controlled trial.","authors":"Panfeng Liu, Yang Liu, Xinxin Hao, Nanjun Cheng, Jian Kang, Zhou Xiao, Ping He, Jiexing Yan","doi":"10.1186/s13102-025-01172-9","DOIUrl":"10.1186/s13102-025-01172-9","url":null,"abstract":"<p><strong>Objective: </strong>To assess the combined effects of integrated neuromuscular training (INT) and traditional physical training on enhancing the strength, speed, and agility of military personnel.</p><p><strong>Methods: </strong>A total of 20 military cadets (aged 18-22 years, predominantly male) were randomly assigned to either an INT group or a traditional physical training group. The intervention lasted for 8 weeks, with three sessions per week, each lasting 70-90 min. Countermovement jumps, 100 m sprints, and agility tests, were conducted at three time points: pre-intervention, 4 weeks post-intervention, and 8 weeks post-intervention for both groups. Maximum strength measurements, including bench press and squat, were compared at two time points: pre-intervention and post-intervention.</p><p><strong>Results: </strong>There were no significant baseline differences in gender, age, height, weight, and BMI between the two groups (p > 0.05). The results indicated that the INT group demonstrated significant improvements in countermovement jumps (7.1 cm increase), 100 m sprints (0.88 s reduction), and IAT (1.15 s reduction) at pre-intervention, 4 weeks post-intervention, and 8 weeks post-intervention (p < 0.05), whereas the traditional physical training group showed no significant differences between 4 weeks and 8 weeks post-intervention (p > 0.05). Inter-group comparisons revealed significant differences in 1RM bench press and squat values between the two groups (p < 0.05), and intra-group comparisons showed that the INT group had significantly greater improvements in 1RM bench press and squat compared to the traditional physical training group (p < 0.05).</p><p><strong>Conclusion: </strong>Our findings suggest that an 8-week INT program leads to significantly greater improvements in strength, speed, and agility compared to traditional physical training, making it a promising approach for military conditioning programs.</p><p><strong>Trial registration: </strong>NCT06663371, Registration Date: 29/10/2024.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"127"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Athlete monitoring in handball (ATHMON HB): a survey of current practice in professional women's and men's handball.","authors":"Alexander-Stephan Henze, Jakob Burger, Lynn Matits, Hannes Degenhardt, Kai Fehske, Johannes Kirsten, Sebastian Viktor Waldemar Schulz","doi":"10.1186/s13102-025-01177-4","DOIUrl":"10.1186/s13102-025-01177-4","url":null,"abstract":"<p><strong>Background: </strong>Athlete monitoring is becoming increasingly important in elite team sports to optimize performance and prevent injuries and other athletic health problems. A variety of objective and subjective measures are available to monitor external and internal load, well-being, and readiness to train or compete. A comprehensive Athlete Monitoring System (AMS) should include a meaningful combination of these methods and provide analysis and graphical presentation with decision support for coaches. The selection of monitoring methods to establish an AMS is influenced not only by sport-specific considerations, but also by the resources available. Our study aimed to describe the current practice of athlete monitoring in professional handball, and to examine potential gender differences.</p><p><strong>Methods: </strong>A total of 104 women's (n = 44) and men's (n = 60) handball teams competing in the first two national leagues in Germany and Switzerland were invited to participate in an online survey (May-August 2024). The questionnaire used for this cross-sectional study was designed by an interdisciplinary team and consisted of a maximum of 28 questions. The Mann-Whitney U test was used to test for gender differences on the extent of athlete monitoring in the following sub-areas: Injuries and illness surveillance (IIS); external and internal load; well-being and readiness.</p><p><strong>Results: </strong>The minimum response rate was 34.6% (19 men's teams, 17 women's teams). An IIS was performed in 75.0% of the responding teams. A total of 19 teams (52.8%) conducted further athlete monitoring, in 84.2% of cases with a comprehensive AMS, which most commonly included player tracking (13 out of 15 teams using external load measures) and the Session-Rating of Perceived Exertion-method (11 out of 19 teams using internal load measures), and customized well-being questionnaires (10 out of 18 teams using well-being measures). Men's teams engage in significantly more IIS (94.7% men's teams vs. 52.9% women's teams, p =.019, δ = -0.356), player tracking (52.6% men's teams vs. 11.8% women's teams, p =.003, δ = -0.415) and internal load monitoring (63.2% men's teams vs. 29.4% women's teams, p =.015, δ = -0.387). Notably, 88.9% of teams are interested in implementing or developing an AMS.</p><p><strong>Conclusions: </strong>Our findings indicate that the majority of handball teams already use some form of IIS, and more than half of these teams have implemented an AMS, with men's teams using significantly more player tracking, internal load and well-being measures. The apparent high level of interest in athlete monitoring highlights the importance of data-driven approaches to managing player health and performance, although selection bias must be considered. This information is valuable for practitioners seeking to implement or expand AMS in handball.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"126"},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sport-specific relationship problems: Turkish adaptation of an evaluation method.","authors":"Sabriye Ercan, Esma Arslan, Elif Şahi N, Esra Şahi N, Aydan Örsçeli K, Gökhan Büyüklüoğlu, Nihan Büyüklüoğlu, Hasan Kaya","doi":"10.1186/s13102-025-01170-x","DOIUrl":"10.1186/s13102-025-01170-x","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to adapt the Student Athlete Relationship Instrument (SARI) scales (Family, Coaches, Teammates, Peers) that evaluate student-athletes' relationships with their environment in a standardized manner into Turkish, ensuring their validity and reliability.</p><p><strong>Methods: </strong>The study included athletes aged 14 and older who are proficient in reading and writing Turkish and actively engaged in regular sports activities. Following the necessary approvals, the scales were translated into Turkish by independent experts, ensuring content validity. A total of 403 athletes participated in validity and reliability analyses. The suitability of the scales for factor analysis was assessed using the Kaiser-Meyer-Olkin (KMO) measure and Bartlett's test of sphericity. Exploratory factor analysis using the principal components method was conducted to examine construct validity. Reliability was assessed through internal consistency analysis, utilizing Cronbach's alpha coefficient.</p><p><strong>Results: </strong>The study examined the psychometric properties of the family, coach, teammate, and peer subscales, with a focus on reliability and validity. The scales demonstrated strong internal consistency and suitability for factor analysis, as evidenced by supportive measures of sampling adequacy and factor structure. These findings indicate that the subscales are robust tools for assessing the intended constructs in their respective domains.</p><p><strong>Conclusions: </strong>The SARI has been adapted into Turkish, confirming its validity and reliability for Turkish-speaking athletes. These scales provide a resource for health professionals to identify relational dynamics impacting athletic performance.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"125"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intermediary role of mental toughness beliefs on the relationship between pain self-efficacy and fear avoidance in Elite injured athletes.","authors":"Samah Tawil, Veronica Kassis, Theresa Bassil, Karim Farhat, Elie Hourani, Lara Massoud, Charbel Najem","doi":"10.1186/s13102-025-01171-w","DOIUrl":"10.1186/s13102-025-01171-w","url":null,"abstract":"<p><strong>Introduction: </strong>Athletes adopt different coping mechanisms with injury. Differences and links between fear avoidance (FA), pain self-efficacy (PSE), and mental toughness (MT) might affect injury outcomes.</p><p><strong>Aim: </strong>To examine the relationship between Fear Avoidance, Pain Self-Efficacy and Mental Toughness in injured elite and competitive athletes in Lebanon.</p><p><strong>Methods: </strong>This is a cross-sectional study that included 172 athletes. Different questionnaires were used to determine the three pre-mentioned concepts. FA, PSE, and MT were measured using AFAQ-Athletic Fear Avoidance Questionnaire, PSEQ-Pain Self-Efficacy Questionnaire, and SMTQ-Sports Mental Toughness Questionnaire respectively. The data was collected and analyzed using IBM SPSS software.</p><p><strong>Results: </strong>Athletes who practiced boxing reported the highest SMTQ score. Age and training hours predicted higher scores in mental toughness while athletes returning to practice within the last month showed higher PSEQ scores. A negative relationship was found between SMTQ and AFAQ (r = -0.47, p < 0.001) as well as between PSEQ and AFAQ (r = -0.44, p < 0.001). However, a positive relationship was seen between SMTQ and PSEQ (r = 0.36, p < 0.001).</p><p><strong>Conclusion: </strong>By incorporating insight into FA, PSE, and MT, sports professionals may enhance their ability to assess both physical and psychological predicaments of injured athletes.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"124"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in postural stability induced by a ball-and-board game designed from a systems perspective.","authors":"Anaëlle Cheillan, João Milho, Pedro Passos","doi":"10.1186/s13102-025-01110-9","DOIUrl":"https://doi.org/10.1186/s13102-025-01110-9","url":null,"abstract":"<p><strong>Background: </strong>Postural behavior can be understood from a systems perspective, emerging from complex interactions within the agent's body system and the agent-environment system, where inherent variability enables adaptive and functional solutions to balance perturbations. Recent studies have recommended that lower limbs rehabilitation programs should be addressed from a systems perspective for both clinical assessment and intervention. In this context, we designed a ball-and-board game that fosters interactions between the lower limbs and between the agents through informational and mechanical couplings. The present paper aims to investigate whether such a game - designed from a systems perspective - has an impact on an agent's postural stability - using variability measures - also derived from a systems perspective.</p><p><strong>Methods: </strong>Twenty-four novice participants were randomly assigned to twelve dyads to perform our game, which consists in a joint-action task where two participants stand on an unstable surface (BOSU) while jointly manipulating a board on which a ball rolls along a circular target. Body and ball's three-dimensional movements were obtained using an 8-camera motion capture system. Postural stability was assessed using both linear and nonlinear measures, which respectively capture the amount and structure of variability in the center of mass' kinematics. Additional between-subject analyses were conducted to study relationships between postural stability and task performance.</p><p><strong>Results: </strong>Despite the heterogeneous postural pathway of the participants, significant postural changes occurred with practice (i.e., decreased standard deviation and increased sample entropy of postural oscillation variability) in the anteroposterior plane, which is also the plane of motion where the knee joint is predominantly engaged through flexion-extension movements. Participants with higher performance were characterized by a greater complexity in their postural oscillations (i.e., greater sample entropy), allowing an increased ability to resist to perturbations that threaten postural stability.</p><p><strong>Conclusions: </strong>The amount of variability in postural oscillations evolved heterogeneously across participants, which suggests a broad exploration of different postural solutions and therefore an enhanced adaptability to balance perturbations. This adaptability was particularly evident in participants with higher performance, whose postural oscillations exhibited a less periodic, and thus more complex, variability structure. In conclusion, our game led to a postural reorganization that encourages us to test it in clinical settings.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"123"},"PeriodicalIF":2.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difference in subjective sleep quality and related lifestyle habits of student-athletes according to chronotype: a cross-sectional study.","authors":"Takafumi Monma, Goichiro Yoshida, Eiji Fujita, Maki Yamane, Kayoko Ando, Naomi Omi, Hiroyuki Sagayama, Fumi Takeda","doi":"10.1186/s13102-025-01151-0","DOIUrl":"10.1186/s13102-025-01151-0","url":null,"abstract":"<p><strong>Background: </strong>Sleep plays a vital role in the recovery of athletes, yet many student-athletes struggle with poor sleep quality. The literature has reported that chronotypes, which reflect different circadian phases, are related to poor sleep quality and lifestyle habits. However, there is a lack of findings specific to student-athletes. This study aimed to investigate differences in subjective sleep quality and related lifestyle habits among student-athletes based on their chronotype.</p><p><strong>Methods: </strong>Student-athletes were defined as university athletic club members. A cross-sectional web-based survey collected data from 665 student-athletes at three Japanese universities (male: 70.7%; mean age: 19.7 ± 0.8 years). Chronotypes were assessed using the Morningness-Eveningness Questionnaire, while subjective sleep quality was measured using the Pittsburgh Sleep Quality Index. Lifestyle habits included skipping breakfast, taking caffeinated drinks, using a smartphone/cellphone after lights out, and morning practice. Subjective sleep quality and these lifestyle habits were compared among chronotypes using one-way analysis of covariance (ANCOVA), along with binomial and ordinal logistic regression analyses, adjusted for sex and age.</p><p><strong>Results: </strong>The chronotype distribution was 15.9% eveningness, 72.9% intermediate, and 11.1% morningness. Individuals with later chronotypes had a higher prevalence of poor sleep quality. Additionally, a higher percentage of those with later chronotypes skipped breakfast and used a smartphone/cellphone after lights out. A lower percentage of later chronotypes also participated in morning practice ≥ 4 days/week. However, morning practice ≥ 4 days/week was associated with poor subjective sleep quality only among student-athletes with an evening chronotype, not among those with intermediate or morning chronotype.</p><p><strong>Conclusion: </strong>Addressing poor lifestyle habits and promoting earlier chronotypes may be crucial for improving subjective sleep quality in student-athletes with an evening chronotype.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"122"},"PeriodicalIF":2.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knee functional outcomes and quadriceps hypotrophy after ACL reconstruction: a prospective observational study.","authors":"Nagma Sheenam, Ravi Gaur, Nitesh Manohar Gonnade, Abhinav Dixit, Abins T K, Chinchu K","doi":"10.1186/s13102-025-01055-z","DOIUrl":"https://doi.org/10.1186/s13102-025-01055-z","url":null,"abstract":"<p><strong>Background: </strong>ACL injuries are common among athletes and individuals experiencing trauma, leading to instability and functional impairments. Post-ACL reconstruction, patients often face challenges like pain and reduced knee function, impacting their daily lives and sports participation. The aim of this study was to describe knee functional outcomes of patients with ACL tears over three months through three subsequent visits.</p><p><strong>Methods: </strong>This prospective observational study involved patients with ACL tears who were assessed pre-ACLR and at 1 and 3 months post-ACLR. Measures included Tegner Activity Scale, IKDC Subjective Knee Evaluation, Lysholm Knee Scoring Scale, pain scales, quadriceps thickness via ultrasound, and Rectus femoris and Vastus lateralis muscle activation via surface electromyography.</p><p><strong>Results: </strong>A total of 98 patients were included in the study. Significant improvements were observed in Tegner Activity Scale scores (p < 0.001), IKDC scores (p < 0.001), Lysholm scores (p < 0.001), and pain scores (p < 0.001) over the study period. Ultrasonography and surface electromyography revealed ongoing quadriceps muscle hypotrophy and reduced neuromuscular function, highlighting the need for targeted rehabilitation.</p><p><strong>Conclusion: </strong>Structured rehabilitation post-ACL reconstruction significantly improves functional outcomes and reduces pain. Challenges like muscle hypotrophy and decreased activation post-surgery emphasize the need for targeted rehabilitation strategies in the initial stages of recovery. Tailored programs focusing on these early deficits are crucial for optimizing recovery trajectories, enhancing knee stability, and preventing long-term complications. Immediate attention to these issues can help refine rehabilitation protocols, ensuring more effective outcomes as patients progress through their recovery. Further research should also focus on the long-term sustainability of these improvements.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"120"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High prevalence of subclinical energy availability and poor diet quality among paralympic basketball athletes.","authors":"Murat Urhan, Ceren Akanalçı, Özge Küçükerdönmez, Ezgi Karataş, Rana Nagihan Akder, Mesut Nalçakan, Reci Meseri","doi":"10.1186/s13102-025-01139-w","DOIUrl":"https://doi.org/10.1186/s13102-025-01139-w","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the pre-season nutritional status, diet quality, and energy availability levels of Paralympic athletes competing in wheelchair basketball.</p><p><strong>Methods: </strong>Thirty-two male paralympic athletes, aged 18-63 years, from the Turkish Wheelchair Basketball League participated in the study. Body composition was assessed using dual-energy X-ray absorptiometry (DEXA), while resting metabolic rate (RMR) was measured through indirect calorimetry. Seven-day dietary intake and physical activity records were also collected. Diet quality was analyzed using the Healthy Eating Index- 2020 (HEI- 2020), and energy availability levels were calculated based on the collected data.</p><p><strong>Results: </strong>The findings revealed that 81.8% of the athletes exhibited poor diet quality. On average, the athletes dietary carbohydrate intake was 2.75 ± 1.22 g/kg/day, while their protein intake was 1.04 ± 0.49 g/kg/day. The proportion of energy derived from dietary fat was 38.81 ± 6.7%, with 13.39 ± 2.99% coming from saturated fat. Intake levels of thiamine, folate, vitamin A, calcium, potassium, magnesium, and zinc were found to be inadequate. The average energy level among paralympic athletes was 37.41 ± 11.01 kcal/kg FFM/day, with 21.2% classified as having low energy availability levels and 57.5% as having subclinical energy availability levels. The athletes demonstrated a negative energy balance (- 560.02 ± 593.43 kcal/day), which was more pronounced on training days (- 889.04 ± 683.84 kcal/day).</p><p><strong>Conclusions: </strong>These results suggest that paralympic athletes had insufficient dietary intake of energy, macronutrients, and micronutrients, alongside a high prevalence of low and subclinical energy availability levels. Developing nutrition recommendations tailored specifically for paralympic athletes, combined with implementing nutrition education programs led by qualified dietitians, could play a crucial role in safeguarding and improving their health, enhancing training adaptations, and optimizing athletic performance.</p>","PeriodicalId":48585,"journal":{"name":"BMC Sports Science Medicine and Rehabilitation","volume":"17 1","pages":"121"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}