British Journal of Sports Medicine最新文献

{"title":"Development and validation of the Wisconsin Sport Specialization Questionnaire (WISSQ) for older adolescent athletes.","authors":"Stephanie A Kliethermes,Evan O Nelson,Kevin M Biese,Margaret Alison Brooks,Roger Brown,Timothy McGuine,Madison N Renner,Traci R Snedden,Emily Srygler,Andrew Watson,David R Bell","doi":"10.1136/bjsports-2024-108453","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108453","url":null,"abstract":"OBJECTIVEThe proliferation of youth sport specialisation may be concerning for the overall health of adolescent athletes, but no validated tool to measure specialisation exists. We aimed to assess the measurement properties and validate the Wisconsin Sport Specialization Questionnaire (WISSQ) in older adolescent athletes.METHODSUsing previously developed sport specialisation items with established content validity, questionnaires were administered to 14-18-year-old athletes residing in both regional and national settings, who were participating in organised sport. Confirmatory factor analyses and Rasch partial credit modelling independently assessed structural and concurrent validity and reliability in both datasets. The best-fitting national model was then fit onto the regional data to further assess the stability of the measurement properties.RESULTSThe regional and national data included 474 (77% female, 86% non-Hispanic White) and 564 (38% female, 63% non-Hispanic White) athletes, respectively. Twelve of 25 items were retained in three domains (n=4 social, n=5 motivation, n=3 physical). One item cross-loaded on both the motivation and physical domains. The adapted regional (comparative fit index (CFI), 0.97; Tucker-Lewis index (TLI), 0.97; root mean square error of approximation (RMSEA), 0.04) and national (CFI, 0.99; TLI, 0.99; RMSEA, 0.05) datasets achieved good model fit. Internal consistency among the three subdomains ranged from Ω=0.78-0.88 (national) to Ω=0.73-0.83 (regional). All items contributed appropriately to measuring the construct of sport specialisation in the regional (infit/outfit: 0.77-1.16) and national (infit/outfit: 0.74-1.16) datasets.CONCLUSIONSWe present the first validated tool to measure youth sport specialisation while considering physical, motivational and social characteristics of sport participation. The WISSQ is a valid, reliable assessment of sport specialisation in older adolescent athletes.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"7 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infographic. School-based factors promoting physical activity participation for children and adolescents with disabilities.","authors":"Yuyang Deng,Xuecheng Li,Jiafu Huang,Justin A Haegele,Brett Smith,Chunxiao Li","doi":"10.1136/bjsports-2025-109933","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109933","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"7 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infographic. Faculty of Sport and Exercise Medicine (FSEM) position statement: mouthguards for the prevention of orofacial trauma in sport.","authors":"Lynsey Abbey Joslin,Irfan Ahmed,Julie Gallagher,Ian Needleman,Paul Ashley,Asma Aloui,John Patrick Haughey,Peter Fine,Alan Rankin,Gofrane Abdellaoui,Rachel Bower","doi":"10.1136/bjsports-2025-109762","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109762","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"14 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causal inference in physical activity epidemiology research: an opportunity for better evidence.","authors":"Ding Ding,Jakob Tarp,Edward Giovannucci,Philip James Clare","doi":"10.1136/bjsports-2024-109102","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109102","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"39 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Tackling' safety through a systems thinking approach: building safety culture within sport.","authors":"Sharief Hendricks,Mitch Naughton,Paul M Salmon,Stephen W West,Lara Paul,Ben Jones,James Craig Brown,Marelise Badenhorst,Kathryn Dane,Isla Jordan Shill,Carolyn A Emery,Scott McLean","doi":"10.1136/bjsports-2025-110123","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110123","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"26 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact, diagnostic imaging and prognosis of Achilles tendinopathy (PhD Academy Award).","authors":"Tjerk Sleeswijk Visser","doi":"10.1136/bjsports-2024-109608","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109608","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sport-specific concomitant injuries, return-to-sport rates and second anterior cruciate ligament (ACL) injuries in adolescents with ACL reconstruction.","authors":"Philipp W Winkler,Baldur Thorolfsson,Ramana Piussi,Thorkell Snaebjörnsson,Rebecca Hamrin Senorski,Jon Karlsson,Kristian Samuelsson,Eric Hamrin Senorski","doi":"10.1136/bjsports-2024-108694","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108694","url":null,"abstract":"OBJECTIVETo evaluate differences in sport-specific concomitant injuries, return-to-sport (RTS), second ACL injuries and Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales after adolescent ACL reconstruction (ACLR) across popular sports.METHODSThis prospective cohort study included patients aged 10-18 years at ACLR. Demographic and injury-related data and KOOS subscales before ACLR and at the 1 and 2 years follow-ups were obtained. A survey to assess sport-specific outcomes and RTS was sent to eligible patients. Group comparisons were performed between the most popular sports and between females and males.RESULTSOverall, 1392 patients with a mean age of 16.4±1.4 years at ACLR were included. The mean time between ACLR and survey completion was 9.7±4.2 years. The most prevalent type of sport was soccer, followed by handball, floor hockey/field hockey, basketball and other sports. Concomitant injuries (71%) and second ACL injuries (30%; 20% ipsilateral, 13% contralateral) were common across all sports. No significant differences were found in ipsilateral second ACL injuries across sexes and sports. 24% of patients competed at an elite level sport (highest national level of junior sport or higher) for some period after ACLR. 8% of patients did not RTS at all, with females significantly more often without RTS than males (9% vs 4%, p=0.041). Significant improvements were observed in KOOS subscales from baseline to the 1 and 2 years follow-ups for all sports.CONCLUSIONConcomitant injuries are frequently observed after ACL injury in adolescents, with nearly one-third suffering a second ACL injury. While significant improvements in KOOS subscales and return to high-level sports can be expected, better injury prevention is needed after ACLR.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"56 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking chronic plantar heel pain management: moving beyond mechanical models.","authors":"Matheus Vieira Rosa,André Setti Persiane,Liu Chiao Yi","doi":"10.1136/bjsports-2024-109348","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109348","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"41 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainable fitness through virtual reality: how my use of virtual reality helped lead to a healthier lifestyle","authors":"Thomas Saliba","doi":"10.1136/bjsports-2025-110053","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110053","url":null,"abstract":"As a junior doctor in my fourth year of radiology training, work plays an outsized role in my life—and there never seem to be enough hours in the day to complete all my tasks. For a long time, I survived on oven pizza and regularly skipped exercise, lacking the time, energy, motivation—or often all three. Over 4 years of specialisation, I had fallen into a routine where engaging in physical activity was a luxury, leading to my becoming unfit and, subsequently gaining nearly 10 kg. I know I’m not alone in this struggle.1 Since COVID-19 20% of adults and 80% of adolescents worldwide are reported to be physically inactive, despite the widely known benefits that physical activity brings.2 This is especially concerning given that young adulthood is when many of our lifelong habits are formed, with these habits becoming increasingly difficult to change later on.1 The reasons for this lack of activity are numerous, including social influences, values, negative attitudes towards physical activity.2 However, one major factor is simply a lack of motivation due to physical activity being seen as boring and hard work.2 Subsequently, rates of being overweight or obese among young adults like myself have been rising steadily over the past 50 years.1 Like 83% of workers in the USA and many in other Western countries, my job involves sitting in front of a computer with little need for physical activity.3 This sedentary lifestyle is associated with a higher risk of cardiovascular disease, among other health problems.4 Furthermore, people are less likely to engage in physical activity after a long day of work, further compounding the problem.2 To justify …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"121 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143841097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathy: a Delphi consensus study","authors":"Peter Malliaras, Karin Gravare Silbernagel, Robert-Jan de Vos, Jaryd Bourke, Igor Sancho, Shawn L Hanlon, Anne-Sofie Agergaard, Roald Bahr, Natália Franco Netto Bittencourt, Marcelo Bordalo, Annelie Brorsson, Victoria Tzortziou Brown, Tanusha Cardoso, Sally Child, Ruth L Chimenti, Emma Cowley, Pieter D’Hooghe, Wayne Derman, Jonathan T Finnoff, Siu Ngor Fu, Jill Halstead, Bruce Hamilton, Katarina Maria Nilsson-Helander, Per Hölmich, Jonathan Houghton, Alicia M James, Kornelia Kulig, Amanda Lau, Samuel Ling, Nicola Maffulli, Lorenzo Masci, Sue Mayes, Sean Mc Auliffe, Carol McCrum, Dylan Morrissey, Shannon E Munteanu, Myles Calder Murphy, Richard Newsham-West, Seth O’Neill, Nat Padhiar, Theodora Papadopoulou, Jonathan D Rees, Ebonie Kendra Rio, Diego Ruffino, Alex Scott, Suzy Speirs, Yang Sun, Kristian Thorborg, Larissa Trease, Jan A N Verhaar, Evi Wezenbeek, Sue White, Jennifer A Zellers, S Zhang, Vasileios Korakakis, Bill Vicenzino","doi":"10.1136/bjsports-2024-109185","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109185","url":null,"abstract":"The absence of agreed methods to diagnose Achilles tendinopathy impedes research and clinical practice. This gap results in heterogeneous and/or poorly described study samples, making it challenging to apply findings in clinical practice. The aim of this Delphi study was to define consensus on (1) diagnostic domains; (2) differential diagnoses; and (3) conditions requiring further medical attention, when assessing for Achilles tendinopathy. We conducted a sequential three-stage process which included: (1) identifying diagnostic domains, differential diagnoses and conditions requiring further medical attention based on existing scoping reviews and clinical practice guidelines; (2) developing Delphi survey questions; and (3) administering a five-round Delphi online survey. Consensus was defined as ≥70% agreement. 52 participants completed the surveys. Four diagnostic domains were deemed essential and reached consensus (pain location (93%); pain during activity (97%); tests that provoke pain (87%); palpation to assess pain (83%)). 15 differential diagnoses reached consensus: 2 for both midportion and insertional (partial tear (80%); posterior ankle impingement (78%)), 6 for midportion (plantaris tendinopathy (84%); tibialis posterior or flexor hallucis longus tendinopathy/tenosynovitis (72%); flexor digitorum longus tendinopathy (77%); accessory soleus muscle (74%); paratendinopathy (86%); sural nerve neuropathy (81%)) and 7 for insertional (superficial (88%) and retrocalcaneal bursitis (86%); Haglund’s/calcaneal exostosis (80%), intratendinous calcifications (73%); Sever’s disease (78%); calcaneal stress reaction/fracture (80%); subtalar/ankle pain (71%)). Six conditions requiring further medical attention reached consensus: (Achilles tendon rupture (83%); systemic inflammatory joint disease (86%); metabolic syndrome (75%); familial hypercholesterolaemia (77%); endocrine and hormonal disorders (80%); drug reactions (77%)). This consensus identified essential diagnostic domains, differential diagnoses and conditions requiring further medical attention that should be considered when assessing for Achilles tendinopathy.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"60 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143841288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}