Benoit Pairot-de-Fontenay , Jean-Sébastien Roy , Richard Willy
{"title":"Simple clinical measures quantify knee loading symmetry during running after anterior cruciate ligament reconstruction","authors":"Benoit Pairot-de-Fontenay , Jean-Sébastien Roy , Richard Willy","doi":"10.1016/j.ptsp.2025.10.003","DOIUrl":"10.1016/j.ptsp.2025.10.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Knee loading asymmetry is commonly observed during running after anterior cruciate reconstruction (ACL-R). We sought to determine whether clinically measurable asymmetries could predict knee loading symmetry (LSI) during running after ACL-R.</div></div><div><h3>Design</h3><div>Longitudinal laboratory study.</div></div><div><h3>Setting</h3><div>Three-dimensional running biomechanics.</div></div><div><h3>Participants</h3><div>24 participants post-ACL-R and 24 healthy, matched controls.</div></div><div><h3>Main outcome measures</h3><div>LSI of knee loading variables (patellofemoral and tibiofemoral joint reaction force [PFJRF/TFJRF], and knee negative work) were assessed alongside clinically measurable variables (stance time, peak knee flexion angle, knee flexion excursion and foot strike angle). Assessments were conducted at baseline (D1) in both groups, with the ACL-R group also assessed after a 14-day return-to-run program (D14).</div></div><div><h3>Results</h3><div>Peak knee flexion angle LSI significantly predicted PFJRF and TFJRF peak and average loading rate LSIs (all p < 0.01). Knee flexion excursion LSI predicted knee negative work LSI (p < 0.001). The R<sup>2</sup> for the predictive equations for PFJRF Average loading rate, PFJRF Peak, TFJRF Peak, TFJRF Average loading rate and Knee negative work were 0.69, 0.75, 0.73, 0.58 and 0.41, respectively.</div></div><div><h3>Conclusions</h3><div>Knee joint loading symmetry during running following ACL-R can be estimated using clinically accessible variables. Among these, peak knee flexion angle symmetry emerged as the most promising predictor.</div></div><div><h3>Level of evidence</h3><div>Longitudinal observational study, level III.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 154-160"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nigel Travers , Myles C. Murphy , Benedict M. Wand , Paul Kirwan , Mervyn Travers , James Debenham , William Gibson , Dana Hince
{"title":"Corrigendum to “The Victorian Institute of Sport Assessment – Achilles is fundamentally flawed and unfit for clinical practice or research: A Rasch Measurement Theory Analysis using COSMIN recommendations” [Physical Therapy in Sport 73 (2025) Pages 68-76]","authors":"Nigel Travers , Myles C. Murphy , Benedict M. Wand , Paul Kirwan , Mervyn Travers , James Debenham , William Gibson , Dana Hince","doi":"10.1016/j.ptsp.2025.09.002","DOIUrl":"10.1016/j.ptsp.2025.09.002","url":null,"abstract":"","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Page 110"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of neurocognitive training on pain, proprioception, injury anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability- randomized controlled trial","authors":"Ebru Tekin , Fatma Unver","doi":"10.1016/j.ptsp.2025.10.001","DOIUrl":"10.1016/j.ptsp.2025.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Considering the rapid motor-cognitive changes and increased risk of injury in preadolescent athletes, this study investigated the effects of neurocognitive training (NT) on pain, proprioception, injury-related anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability (CAI).</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>Sports training facilities in Balıkesir, Türkiye.</div></div><div><h3>Participants</h3><div>Thirty preadolescent athletes with CAI (mean age 11.10 ± 1.06 years) were randomly assigned to an NT group (n = 15) or a control group (n = 13).</div></div><div><h3>Main outcome measures</h3><div>The Identification of Functional Ankle Instability (IdFAI), Cumberland Ankle Instability Tool (CAIT), pain severity, proprioception (dorsiflexion/plantarflexion), injury-related anxiety, Y Balance Test (YBT), Side Hop Test, Reactive Balance Test (RBT), and Upper Extremity Choice Reaction Time Test were evaluated pre- and post-intervention.</div></div><div><h3>Results</h3><div>The NT group demonstrated significant improvements in IdFAI (p < 0.001), CAIT (p = 0.004), dorsiflexion (p = 0.003) and plantarflexion proprioception (p = 0.018), injury-related anxiety (p = 0.013), YBT anterior reach (p = 0.048), RBT reaction time (p = 0.030), and accuracy (p = 0.003). The control group showed improvement only in plantarflexion proprioception (p = 0.028), with an increase in post-training pain (p = 0.030).</div></div><div><h3>Conclusions</h3><div>NT reduced ankle instability symptoms and injury-related anxiety while improving proprioception and neurocognitive performance. NT may enhance functional adaptation by addressing sport-specific cognitive-motor demands.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 134-146"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Timothy Horn , Stuart Campbell , Geoff Scott , Andrew Dunn , Fares Haddad
{"title":"A clinical case report on biceps femoris T-junction surgical repair & rehabilitation of an international footballer","authors":"Timothy Horn , Stuart Campbell , Geoff Scott , Andrew Dunn , Fares Haddad","doi":"10.1016/j.ptsp.2025.10.042","DOIUrl":"10.1016/j.ptsp.2025.10.042","url":null,"abstract":"<div><div>This clinical case study details the management of an international footballer who sustained a high-grade biceps femoris T junction tendon injury. Following surgical repair of the tendon, the player completed a phased return to training rehabilitation programme that was designed to progressively expose load and function from a strengthening, physical conditioning and technical performance aspect. This case report outlines the phases and subsequent aims in conjunction with shared decision-making processes that assisted to ensure a successful rehabilitation. This case report considers the alignment of “normal” training load and volume as a comparative marker as well as additional comparative physical profiling metrics to further inform suitability to return to training. This case report further outlines the importance of individualised rehabilitation as well as longitudinal monitoring upon returning to training to reduce further risk of (re)injury and return to performance.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 161-168"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Fältström , Martin Hägglund , Andreas Ivarsson , Joanna Kvist
{"title":"Personality traits and perfectionism in female and male soccer players with or without primary anterior cruciate ligament reconstruction: a cross-sectional study","authors":"Anne Fältström , Martin Hägglund , Andreas Ivarsson , Joanna Kvist","doi":"10.1016/j.ptsp.2025.09.015","DOIUrl":"10.1016/j.ptsp.2025.09.015","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate differences in personality traits in female and male soccer players with or without primary anterior cruciate ligament reconstruction (ACLR) and between female and male players with ACLR.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Participants</h3><div>188 female and 58 male players two years after ACLR and 119 female and 107 male knee-healthy players.</div></div><div><h3>Main outcome measures</h3><div>The Swedish universities Scales of Personality and the Sport Multidimensional Perfectionism Scale questionnaires.</div></div><div><h3>Results</h3><div>Females with ACLR did not differ from females without ACLR in any personality trait. Males with ACLR scored slightly higher than males without ACLR for <em>stress susceptibility</em> (50.9 ± 9.0 vs 47.8 ± 8.0) and <em>lack of assertiveness</em> (50.3 ± 8.9 vs 46.6 ± 9.4), and slightly lower in <em>adventure seeking</em> (51.9 ± 8.3 vs 55.1 ± 8.0), <em>personal standards</em> (3.3 ± 0.9 vs 3.7 ± 0.7), <em>concern over mistakes</em> (2.6 ± 0.9 vs 2.9 ± 0.8), and <em>perceived coach pressure</em> (2.0 ± 0.9 vs 2.4 ± 0.9) (<em>p</em> < 0.05, small‒medium effect sizes). Females with ACLR scored higher than males with ACLR for <em>psychic anxiety</em> and <em>social desirability</em> and lower for <em>detachment</em>, <em>physical trait aggression</em> and <em>perceived parental</em> and <em>coach pressure</em> (<em>p</em> < 0.05, small‒medium effect sizes).</div></div><div><h3>Conclusion</h3><div>Personality traits do not differ between females and small differences in males with or without ACLR. Sex differences exist in personality in soccer players, but the clinical importance is unclear.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 120-126"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Megan L. Pales Taylor , Hansel Ihn , Daniel M. Cushman , Stephan G. Bodkin
{"title":"Time of administering return to sport testing following anterior cruciate ligament reconstruction: A systematic review","authors":"Megan L. Pales Taylor , Hansel Ihn , Daniel M. Cushman , Stephan G. Bodkin","doi":"10.1016/j.ptsp.2025.09.001","DOIUrl":"10.1016/j.ptsp.2025.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>Recent evidence supports greater risk of reinjury with earlier return-to-sport. As early return-to-sport testing may promote clearance during times of elevated reinjury risk, the purpose of this study was to identify when return-to-sport testing is administered following ACL reconstruction.</div></div><div><h3>Methods</h3><div>A systematic review was conducted of studies where functional tests were administered post-ACL reconstruction to inform return-to-sport decisions. The meta-analysis was a pooled analysis using a random effects model. Time frequencies were obtained for approximate/serial timepoint studies.</div></div><div><h3>Results</h3><div>A total of 1,086 articles were identified, and 143 studies were included. Ninety-one descriptive studies with 131 cohorts resulted in 9,135 individuals for analysis and 52 studies with approximate/serial-timepoints stratified into 60 cohorts resulted in 4,575 individuals for analysis. The mean time of return-to-sport test administration was 7.30 [7.07, 7.53] months post-ACL reconstruction. The most frequent time of return-to-sport testing from approximate/serial timepoint studies were 6 and 12-months. Return-to-sport test time differed between study continent, where North American studies (6.78 ± 0.97) administered return-to-sport tests earlier than Asia (7.70 ± 0.98), Europe (8.12 ± 1.89), and Australia (11.35 ± 1.63, p's < 0.01).</div></div><div><h3>Conclusion</h3><div>Return-to-sport testing is administered approximately 7-months following ACL reconstruction, though large variability exists. Conducting return-to-sport assessments at early timepoints may promote sport clearance before evidence-based recommendations.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145005357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immediate effect of a combined neuromuscular electrical stimulation and eccentric load session on acute muscle swelling of the abductor hallucis","authors":"Kengo Fukuda , Naotaka Nagamune , Kazunori Okamura , Tomohiro Ikeda , Shusaku Kanai","doi":"10.1016/j.ptsp.2025.10.002","DOIUrl":"10.1016/j.ptsp.2025.10.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the immediate effects and safety of neuromuscular electrical stimulation combined with eccentric load (NMES + EL) sessions on acute muscle swelling (i.e., transient increase in muscle size) in the abductor hallucis (ABH).</div></div><div><h3>Design</h3><div>Randomized, controlled, single-blind trial.</div></div><div><h3>Setting</h3><div>University laboratory setting.</div></div><div><h3>Participants</h3><div>Forty-five healthy adults were randomly assigned to NMES + EL (n = 13), NMES (n = 14), or control (n = 15) groups.</div></div><div><h3>Main outcome measures</h3><div>Cross-sectional area (CSA) and echo <em>intensity</em> of the ABH were measured by ultrasonography before and after a single 15-min intervention. Muscle soreness was assessed using the Common Terminology Criteria for Adverse Events.</div></div><div><h3>Results</h3><div>The NMES + EL group showed a significant increase in the CSA of the ABH after the intervention (7.89 %, <em>P</em> < 0.01, Cohen's d = 0.95), with no significant increase in echo intensity or adverse events compared with the other groups. Severe muscle soreness or adverse events were not observed.</div></div><div><h3>Conclusions</h3><div>A single NMES + EL session induced acute muscle swelling in the ABH without increasing muscle soreness or adverse effects. This method may be a safe and effective way to strengthen the intrinsic foot muscles.</div></div><div><h3>Trial registration number</h3><div>UMIN000050882.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 147-153"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine L. Smulligan , Madison L. Brna , Veronica Hogg-Cornejo , Sarah Petersen , Emily Sweeney , Rachel Meyers , David R. Howell , Aubrey M. Armento
{"title":"Low energy availability risk and in-season injuries among female adolescent athletes: A prospective cohort study over a school-season","authors":"Katherine L. Smulligan , Madison L. Brna , Veronica Hogg-Cornejo , Sarah Petersen , Emily Sweeney , Rachel Meyers , David R. Howell , Aubrey M. Armento","doi":"10.1016/j.ptsp.2025.09.011","DOIUrl":"10.1016/j.ptsp.2025.09.011","url":null,"abstract":"<div><h3>Objective</h3><div>To prospectively examine the association between pre-season low energy availability (LEA) risk and injury rates among female adolescents during the subsequent athletic season.</div></div><div><h3>Design</h3><div>Prospective cohort.</div></div><div><h3>Setting</h3><div>Academic research laboratory.</div></div><div><h3>Participants</h3><div>Adolescent female athletes ages 13–18 years.</div></div><div><h3>Main outcome measures</h3><div>The Low Energy Availability in Females Questionnaire (LEAF-Q) was completed at a pre-season evaluation including questions related to LEA-indicators (injury history, gastrointestinal symptoms, menstrual function). LEAF-Q scores ≥8 indicate high LEA risk. Participants then completed weekly surveys assessing subsequent injuries sustained throughout the 9-week athletic season. We calculated an injury rate ratio using Poisson regression with LEAF-Q scores <8 or ≥8 as the predictor, number of sport-related time-loss injuries as the outcome, adjusting for covariates.</div></div><div><h3>Results</h3><div>Fifty-nine participants completed the study (age = 15.9 ± 1.43). Twelve participants sustained 14 injuries during the season. Most injuries were musculoskeletal (93 %; N = 13). Those with LEAF-Q scores ≥8 had a higher injury rate per athletic exposure vs LEAF-Q scores <8 (rate ratio = 3.41; 95 % confidence interval: 1.12–11.4; p = 0.03).</div></div><div><h3>Conclusion</h3><div>Female adolescents at high LEA risk were more likely to sustain an injury than those at low LEA risk during a 9-week season. Pre-season LEA screening may identify individuals at risk for sustaining an in-season, sport-related injury.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 37-43"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeppe Markussen Bergum , Ida Lindman , Josefin Abrahamson , Daniel Ramskov , Rasmus O. Nielsen
{"title":"Runners with osteoarthritis sustain more injuries than healthy runners: An observational cohort study","authors":"Jeppe Markussen Bergum , Ida Lindman , Josefin Abrahamson , Daniel Ramskov , Rasmus O. Nielsen","doi":"10.1016/j.ptsp.2025.09.008","DOIUrl":"10.1016/j.ptsp.2025.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>Examine whether runners with specific diseases, including osteoarthritis, osteoporosis, rheumatoid arthritis, diabetes, multiple sclerosis (MS), cancer, or multiple diseases, sustain more running-related injuries (RRI) compared with healthy runners in the Garmin-RUNSAFE Running Health Study.</div></div><div><h3>Design</h3><div>18-month cohort study.</div></div><div><h3>Setting/participants</h3><div>Participants were runners ≥18 years, proficient in English, and using a Garmin watch. Exposure included having one of the following diseases: osteoarthritis, osteoporosis, rheumatoid arthritis, diabetes type 1 or 2, multiple sclerosis (MS), cancer, or multiple diseases.</div></div><div><h3>Main outcome measures</h3><div>Outcome was sustaining an RRI and was reported through weekly questionnaires. Appropriate censoring methods were applied for discontinued participation. Time-to-event analysis assessed after 1000 km running.</div></div><div><h3>Results</h3><div>Of 7038 included runners, 6207 had no disease and 831 had at least one of the specified diseases. After 1000 km, 64.4 % of runners with a disease and 56.7 % of healthy runners sustained an RRI, yielding a cumulative incidence risk difference (cIRD) of 8.0 % (95 %CI: 4.0–12.0 %). Among separate diseases, a significant risk difference was observed between the osteoarthritis group and the healthy group, with a cIRD of 14.7 % (95 %CI: 9.0–20.4 %).</div></div><div><h3>Conclusions</h3><div>A significantly higher incidence of running-related injuries was observed among adult runners reporting a disease. Runners with osteoarthritis is a particularly vulnerable sub-group.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 44-49"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Bandak , K. Thorborg , T. Alkjær , M.K. Zebis , E.E. Wæhrens
{"title":"Stakeholder perspectives on injury prevention training in girls' and women's elite football: A group concept mapping study involving coaches, physical performance coaches, physical therapists, medical doctors, and club management","authors":"E. Bandak , K. Thorborg , T. Alkjær , M.K. Zebis , E.E. Wæhrens","doi":"10.1016/j.ptsp.2025.09.004","DOIUrl":"10.1016/j.ptsp.2025.09.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify factors influencing use of injury prevention training among stakeholders of Danish girls' and women's elite football teams.</div></div><div><h3>Design</h3><div>Cross-sectional Group Concept Mapping study using mixed-methods.</div></div><div><h3>Setting</h3><div>Girls' and women's elite football.</div></div><div><h3>Participants</h3><div>Head coaches, assistant coaches, physical performance coaches, physiotherapists, medical doctors, and management.</div></div><div><h3>Results</h3><div>Thirty-seven stakeholders brainstormed on: “<em>What determines whether injury prevention training is conducted on your team?\"</em> followed by sorting and rating of statements. Subsequent multidimensional scaling and hierarchical cluster analysis followed by cluster map validation by stakeholders, resulted in a final model comprising eight themes influencing injury prevention training use in Danish girls' and women's elite football: (1) injury prevention is important, (2) prioritizing, (3) physical facilities, (4) players attitudes and understandings, (5) physical performance coach, (6) football coaches, (7) interdisciplinary cooperation, and (8) overall framework with “interdisciplinary cooperation” rated highest.</div></div><div><h3>Conclusions</h3><div>Stakeholders in Danish girls' and women's elite football identified interconnected factors influencing the use of injury prevention training, with “interdisciplinary cooperation” rated as most important. The findings reveal a complex interplay across structural, individual, team, and organizational levels, offering insights that can inform context-specific strategies to promote the implementation of evidence-based injury prevention training in Danish girls' and women's elite football.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 75-82"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}