Physician and Sportsmedicine最新文献

{"title":"Time-course responses following sports-related concussion: a multi-modality study.","authors":"Alan J Pearce, Kane Middleton, Anthea Clarke","doi":"10.1080/00913847.2025.2541579","DOIUrl":"10.1080/00913847.2025.2541579","url":null,"abstract":"<p><strong>Objectives: </strong>Using a repeated-measures design, we investigated reported symptoms, oculomotor, and neurophysiological responses for up to 26 days following a sports-related concussion.</p><p><strong>Methods: </strong>Over the course of one season, 115 athletes (mean age 26.2 ± 5.4 years) from one football team (f = 28, <i>m</i> = 37) and one ice hockey team (f = 21, <i>m</i> = 29) were assessed for self-reported symptoms and severity of symptoms, cognitive testing for 10-word recall and digit backwards. Oculomotor performance was assessed using eye-pursuits. Neurophysiology was assessed using transcranial magnetic stimulation. Baseline data were collected during pre-season for all athletes and, when a concussion was identified during the season, additional data were collected at 2-, 12-, 19-, and 26-days post-injury.</p><p><strong>Results: </strong>Twenty-two players suffered concussion injuries (f = 9, <i>m</i> = 13). Significant increases in symptoms were reported at 2 days (<i>p</i> < 0.001) and 12 days (<i>p</i> = 0.017). Severity of symptoms was significantly increased at 48 hours only (<i>p</i> = 0.002). Significant decrements in performance for 10-word recall (<i>p</i> = 0.003), digit backwards (<i>p</i> = 0.011), and eye-pursuit (<i>p</i> = 0.009) were observed at 48 hours in comparison to baseline. Transcranial magnetic stimulation revealed significantly increased cortical inhibition at 48 hours (<i>p</i> = 0.024), 12 days (<i>p</i> = 0.009), and 19 days (<i>p</i> = 0.028) compared to baseline. No differences were seen between females and males for any variables or timepoints.</p><p><strong>Conclusion: </strong>Players with SRC show acute changes in cortical inhibition, resolving by 26 days after injury, which follows a longer time-course for recovery compared to symptoms, cognitive tests, and oculomotor eye-pursuits. These results suggest that measuring the recovery of athletes with SRC warrants further investigation using physiological testing to accompany clinical measures in the determination of a player's readiness to return to play.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"11-19"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury epidemiology in cyclocross. A preliminary study.","authors":"Thomas Fallon, Neil Fischer, Neil Heron","doi":"10.1080/00913847.2025.2588650","DOIUrl":"10.1080/00913847.2025.2588650","url":null,"abstract":"<p><strong>Background: </strong>Cyclocross is a growing discipline in competitive cycling, yet there is a lack of epidemiological data on injury patterns within the discipline. This study aimed to describe the incidence, type, location and mechanisms of injuries sustained during a national-level cyclocross event, using standardized injury surveillance methodology.</p><p><strong>Methods: </strong>A prospective observational study was conducted at the 2025 British National Cyclocross Championships. Medical staff recorded injuries using the IOC consensus statement on injury and illness reporting, with adaptations from the UCI cycling-specific injury surveillance framework. Injury incidence was calculated per 1000 athlete-hours, and injury characteristics were analyzed by sex, mechanism, and severity.</p><p><strong>Results: </strong>Overall, 6.7% of 534 cyclists sustained an injury during the event. The overall injury incidence was 98.62 injuries per 1,000 athlete-hours (95% CI: 69.07-136.53). Most injuries (91.9%) were acute. Lacerations (38%) and joint sprains (17%) were the most common diagnoses, with the knee (43%) being the most frequently affected body part. The mean injury severity was 6.83 ± 15.44 days. The primary mechanism of injury was contact with the ground or course features (56.8%). While males sustained more injuries, females experienced significantly longer time-loss per injury (mean 22.5 days vs. 4.88 days; <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Cyclocross is associated with a high rate of predominantly moderate acute injuries, differing from injury patterns seen in road or mountain biking. These findings highlight the need for discipline-specific injury prevention strategies and further research, particularly into sex-based differences and risk mitigation during technical sections of races.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"75-81"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of injury and associated injury risk factors in South African provincial women's rugby players.","authors":"Lenel Bellingan, Carel Viljoen, Nicola Sewry","doi":"10.1080/00913847.2025.2580923","DOIUrl":"10.1080/00913847.2025.2580923","url":null,"abstract":"<p><strong>Objective: </strong>To establish match injury rates, characteristics, severity, burden, and associated risk factors in South African provincial women's rugby players.</p><p><strong>Method: </strong>A secondary data analysis of injury data collected prospectively during the 2023 Women's Premier Division competition in South Africa. Match injuries were analyzed, and a modified version of the rugby consensus injury definition was used. The injury incidence rate was calculated as injuries/1000 player match hours. Univariate analysis was used, and injury incidence risk was calculated where applicable. Statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The injury incidence rate for all injuries was 207.1/1000 player match hours (95% CIs 153.8 to 260.5), and for time-loss injuries 25.0/1000 player match hours (95% CIs 6.5 to 43.5). The mean severity was 22.3 days. The lower limb and muscle/tendon injuries were the most commonly injured anatomical regions and injury types. Contact injuries had a significantly higher injury incidence rate than non-contact injuries (<i>p</i> < 0.001). The injury incidence risk was significantly higher for forwards compared to backs (<i>p</i> = 0.019).</p><p><strong>Conclusion: </strong>The overall match injury incidence rate was comparable to other studies on women's rugby. Contact injuries, lower limb, and muscle/tendon injuries are associated with a significantly higher injury incidence rate.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"28-36"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a pre-screening tool for early detection of low bone mineral density in female athletes (PreST-LBMD).","authors":"Sayaka Nose-Ogura, Osamu Yoshino, Sakiko Kinoshita, Hiroe Nakamura-Kamoto, Katsuyuki Tabei, Takayuki Komatsu, Ayano Hamai, Kengo Iida, Takako Koshimizu, Haruo Nakayama, Hiroto Fujiya, Tomohiro Manabe, Fumihiro Yamasawa, João Gabriel Segato Kruse, Miki Kaneko, Miyuki Harada, Osamu Hiraike, Haruki Musha, Ken Kiyono, Yutaka Osuga, Kohei Nakajima","doi":"10.1080/00913847.2025.2586448","DOIUrl":"10.1080/00913847.2025.2586448","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of low bone mineral density (BMD) among female athletes is higher than that among their male counterparts up to 40%. Low BMD increases the risk of stress fractures.</p><p><strong>Purpose: </strong>To examine factors associated with low BMD in female athletes, and to develop, test, and evaluate a Pre-screening Tool for Early Detection of Low BMD in Female Athletes (PreST-LBMD).</p><p><strong>Method: </strong>The development and validation groups (381 and 233 subjects, respectively) underwent a medical interview and a BMD test at the lumbar spine using dual-energy X-ray absorptiometry (DXA). A Z-score < -1 was classified as low BMD. After extracting factors associated with low BMD from univariate logistic regression and multivariate least absolute shrinkage and selection operator (LASSO) regression analyses, each variable was scored based on the β coefficients from LASSO regression to create the PreST-LBMD. The development model was validated using receiver operating characteristic (ROC) curves. Furthermore, using external validation data, sensitivity, negative predictive value (NPV), and area under the curve (AUC) were calculated to evaluate the performance of PreST-LBMD.</p><p><strong>Result: </strong>Factors associated with low BMD included age at menarche, amenorrhea for more than 1 year during the teenage years, current duration of amenorrhea, body mass index, history of stress fractures, and exercise load. The calculated cutoff value for a high likelihood of low BMD was 3 points, with a sensitivity of 0.83 (0.79-0.88), a negative predictive value of 0.85 (0.81-0.90), and an area under the curve of 0.74 (0.67-0.81).</p><p><strong>Conclusion: </strong> We successfully developed the PreST-LBMD, which showed promising results identifying female athletes with low BMD. Those scoring ≥3 should be assessed by DXA and evaluated for the likelihood of low BMD by the athlete's health and performance team.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"63-74"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and psychometric evaluation of the Mental Health Disorders Screening Instrument for Athletes in a Turkish sample.","authors":"Sabriye Ercan, Gökhan Büyüklüoğlu, Nihan Büyüklüoğlu, Yeliz Ay Yıldız, Buket Sevindik Aktaş, Aydan Örsçelik","doi":"10.1080/00913847.2025.2592532","DOIUrl":"10.1080/00913847.2025.2592532","url":null,"abstract":"<p><strong>Objectives: </strong>Screening instruments suitable for the early detection of mental health issues in athletes are limited. The aim of this study is to adapt the Mental Health Disorders Screening Instrument for Athletes (MHDSIA) into Turkish and evaluate its psychometric properties.</p><p><strong>Methods: </strong>The adaptation process followed COSMIN guidelines. Language adaptation was performed using a forward-backward translation method, and content validity was evaluated with expert opinions. This cross-sectional methodological study included 251 volunteer athletes. Exploratory factor analysis and confirmatory factor analyses were employed for construct validity, and reliability was examined with the Cronbach's alpha coefficient. Criterion validity was tested against the Symptom Checklist 90-Revised (SCL-90-R), and sensitivity and specificity were evaluated via Receiver Operating Characteristic (ROC) curve analysis.</p><p><strong>Results: </strong>The Turkish version of the MHDSIA demonstrated high internal consistency (Cronbach's Alpha = 0.864) and satisfactory content validity (I-CVI = 0.857-1.000; S-CVI = 0.969). EFA supported a single-factor structure, which was confirmed by CFA, with adequate goodness-of-fit indices (e.g. RMSEA = 0.074). The ROC analysis showed an AUC of 0.774 (<i>p</i> < 0.001), with an optimal cutoff point identified as 32, yielding sensitivity of 78.4% and specificity of 67.5%.</p><p><strong>Conclusion: </strong>The Turkish version of the MHDSIA was determined to be a valid and reliable screening instrument, and it has been demonstrated that it can be used as an effective method for assessing the mental health of athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"82-90"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to contact criteria and assessment methods following traumatic anterior glenohumeral joint dislocations in rugby union players: a Delphi consensus study.","authors":"A Grethe Geldenhuys, Stephen Roche, Sharief Hendricks, Theresa Burgess","doi":"10.1080/00913847.2025.2583052","DOIUrl":"10.1080/00913847.2025.2583052","url":null,"abstract":"<p><strong>Objectives: </strong>Traumatic anterior glenohumeral joint dislocations are associated with prolonged time loss and high rates of reinjury in rugby. This is particularly common during contact events. There is a lack of clear guidance to facilitate return to contact decisions following these injuries in rugby. The aim of the study was to identify and reach consensus (≥70% agreement) regarding return to contact criteria and assessment methods following traumatic anterior glenohumeral joint dislocations in rugby union players.</p><p><strong>Methods: </strong>A three-round Delphi consensus study was conducted.</p><p><strong>Results: </strong>Thirty-three health and sport practitioners participated in Round 1. Round 2 and 3 were completed by 28 and 26 practitioners respectively. Thirty criteria reached consensus for inclusion. These criteria included time frames, subjective ratings (including pain, apprehension, and player readiness) and clinical criteria (including clinical stability). Functional criteria such as range of motion, muscle function and proprioception of the glenohumeral joint, and fitness were also recommended for inclusion. In addition, assessment of rugby specific skills were recommended. Modalities reaching consensus to evaluate subjective criteria such as pain included Visual Analogue Scale ratings, specific questions, and palpation. The anterior apprehension and relocation test was recommended for clinical stability, whereas observation of functional movements was recommended to evaluate shoulder function.</p><p><strong>Conclusion: </strong>A comprehensive range of clinical, functional, subjective, and sport specific criteria and assessment methods should be considered alongside time frames to guide return to contact decisions following traumatic anterior glenohumeral joint dislocations in rugby union players.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"48-62"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preseason injury epidemiology and associated injury risk factors among South African junior provincial rugby players: a prospective cohort study.","authors":"Kyle Meyer, Daniel Garnett, Dina C Janse van Rensburg, Lizelle Fletcher, Carel Viljoen","doi":"10.1080/00913847.2025.2583051","DOIUrl":"10.1080/00913847.2025.2583051","url":null,"abstract":"<p><strong>Background: </strong>The preseason period in rugby plays a key role in athlete preparation for the demands of the sport during the in-competition period. Epidemiological data pertaining to rugby have focused mainly on senior elite professional with little evidence available for junior elite professionals, and even less during the preseason period. This may limit the ability of stakeholders in the sport to understand the effects of injury on participants during the preseason period.</p><p><strong>Objective: </strong>To determine the epidemiology, clinical characteristics, and associated risk factors for injury among elite male junior provincial rugby players in South Africa during a 14-week preseason period.</p><p><strong>Design: </strong>A prospective cohort study.</p><p><strong>Methods: </strong>Data collection procedures were in-line with consensus statements in sports and rugby. Prospective injury data related to 53 male participants were collected. Descriptive statistics was used to describe clinical characteristics of injury, cross-tabulations were created to investigate risk factor associations, and logistic regression was used to model the risk factors.</p><p><strong>Results: </strong>The overall injury prevalence was 75.5%. The incidence of match play injuries (149.26/1000 h) were higher than training injuries (23.32/1000 h). Injuries to the lower limb (48.8%) and muscle/tendon injuries (48.2%) were most commonly reported injuries by anatomical region and tissue type during the preseason period. When controlling for age and playing position, baseline injury was associated with a higher risk of sustaining a subsequent injury during preseason. Age, baseline injury, and playing position showed no statistically significant association with injury risk.</p><p><strong>Conclusion: </strong>A high number of training and match play injury incidence were recorded for elite male junior provincial rugby players. Baseline injury was associated with a higher risk of sustaining a subsequent injury during preseason when controlling for playing position and age.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"37-47"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disordered eating within elite male adolescent rugby: a cross-sectional study of the eating habits and attitudes in male academy rugby union players.","authors":"Jack Doyle, John Morgan, Anthony Papathomas, Pippa Hugo, Daniel Hind, Samuel Birks","doi":"10.1080/00913847.2025.2550235","DOIUrl":"10.1080/00913847.2025.2550235","url":null,"abstract":"<p><strong>Background: </strong>Due to a range of pressures associated with high-performance environments, elite athletes are at increased risk of eating disorders and disordered eating. Most prevalence studies focus on female athletes in lean or esthetic sports, with males, particularly those competing in power sports, seldom considered. This study addresses this gap by exploring disordered eating in elite male adolescent rugby union players.</p><p><strong>Methods: </strong>We distributed an online survey to male rugby players aged 16-18 through RFU-affiliated academies. The survey contained three sections: general demographics; the Eating Disorder Examination Questionnaire (EDE-Q); and knowledge of eating disorders.</p><p><strong>Results: </strong>From 107 responses, 14% had a global EDE-Q score that met the clinical cut off of 1.68 for males displaying symptoms of an eating disorder. An increased Body Mass Index (BMI) was statistically significantly associated with a positive increase in global EDE-Q score. Props demonstrated the highest global EDE-Q scores. The desire to change body size was also statistically associated with increased global EDE-Q scores. Most participants admitted poor knowledge of eating disorders and where to access help to manage them by giving a score of 2 on a 1-5 Likert scale ranging from no knowledge to very knowledgeable.</p><p><strong>Conclusions: </strong>Overall, 14% of the elite adolescent male rugby participants in this study met the clinical cut off EDE-Q global score, suggesting that there may be a higher prevalence of disordered eating behaviors and attitudes compared to the general population. Increased BMI and certain positions are associated with more disordered eating behaviors and attitudes. There is also a lack of confidence in knowledge about EDs and where to access help, therefore greater education and awareness about this issue is warranted. More research is required to further explore the reasons for the increase in disordered eating behaviors and attitudes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"20-27"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical manifestations of different viral respiratory infections in athletes: implications for risk assessment and return-to-sport - AWARE VII study in 116 cases.","authors":"Marcel Jooste, Nicola Sewry, Maarit Valtonen, Marlise Dyer, Esme Jordaan, Martin Schwellnus","doi":"10.1080/00913847.2025.2518748","DOIUrl":"10.1080/00913847.2025.2518748","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of this study were to describe the etiology of acute respiratory infections (ARinf) in athletic individuals, and to identify differences in the clinical presentation, evidence of possible multi-organ involvement, and illness classification between common pathogen groups.</p><p><strong>Methods: </strong>One-hundred-and-sixteen cases of confirmed ARinf in athletic individuals were evaluated ≤ 5 days of the onset of an ARinf. Nasopharyngeal swab multiplex PCR testing was performed to identify a causative pathogen. Symptomatology, clinical examination findings, results of selected blood tests, and the clinical syndrome and illness severity classifications were compared between four common pathogen groups.</p><p><strong>Results: </strong>The etiologies of ARinf in this cohort were: rhinovirus = 34(29%), influenza = 17(15%), SARS-CoV-2 = 15(13%), common coronavirus = 13(11%), 'unidentified' = 16(14%), 'dual pathogen' = 9(8%), and 'other' = 12(10%). Clinical presentation differed among the four common pathogen groups as follows: Influenza had more <i>total symptoms</i>, <i>lower respiratory & regional</i> symptoms, and <i>systemic & non-respiratory</i> symptoms than rhinovirus (<i>p</i> ≤ 0.002) and common coronavirus (<i>p</i> < 0.05). Influenza and SARS-CoV-2 had higher <i>total symptoms</i> and <i>systemic & non-respiratory</i> symptom severity scores than rhinovirus (<i>p</i> ≤ 0.0006 and <i>p</i> < 0.03 respectively) and common coronavirus (<i>p</i> ≤ 0.03 and <i>p</i> = 0.02 respectively). Evidence of <i>other non-respiratory organ involvement</i> on clinical examination was highest for influenza (53%). Illness classification for pathogen groups differed: common coronavirus had the highest percentage (%) of <i>rhinitis-like ('common cold')</i> illnesses (69%), and influenza had the highest % of '<i>flu-like'</i> illnesses (82%). Influenza had the highest % of <i>severe</i> illnesses (88%) and common coronavirus the lowest (31%). 41% of rhinovirus presented with severe illness.</p><p><strong>Conclusion: </strong>Influenza and SARS-CoV-2 had greater number and severity of symptoms than rhinovirus and common coronavirus. Among the four common pathogen groups, influenza had the highest percentage of abnormal clinical examination and serological findings and severe illnesses. Knowledge of the causative pathogen and the clinical presentation may add value to the risk assessment and guide clinical decision-making in return-to-sport following ARinf in athletic individuals.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concussion recovery: dual-task performance and prioritization.","authors":"Barry A Munkasy, Kristin Bockelman, Jody L Langdon, Thomas A Buckley","doi":"10.1080/00913847.2025.2597172","DOIUrl":"10.1080/00913847.2025.2597172","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to assess a clinically feasible DT protocol consisting of the Balance Error Scoring System (BESS) and Standard Assessment of Concussion (SAC) administered simultaneously during and beyond clinically determined concussion recovery.</p><p><strong>Method: </strong>We recruited 28 collegiate student-athletes (14 post-concussion, 14 control) who performed a DT BESS and SAC assessment at three timepoints: 1) clinical recovery, 2) return to play (RTP) day, and 3) 30 days post-concussion. Scores on each component were assessed with a linear mixed model ANOVA with repeated measures and task prioritization was assessed with a Chi-Square.</p><p><strong>Results: </strong>There was not a significant group by time interaction for the BESS (<i>F</i>: 0.48, <i>p</i> = 0.625, <i>ή</i>² = 0.018) or SAC (<i>F</i>: 1.927, <i>p</i> = 0.156, <i>ή</i>² = 0.069), but there was a significant difference in task prioritization at RTP (<i>χ</i>²: 13.4, <i>p</i> = 0.010).</p><p><strong>Conclusion: </strong>While group performance did not differ over time, the concussion participants had a range of task prioritizations at RTP, including mutual interference, which could help identify athletes with incomplete neurological recovery.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"91-99"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}