British Journal of Sports Medicine最新文献

{"title":"Returning women to sport and exercise: overcoming challenges across life stages","authors":"Christopher James Holland, Kirsten Wing, Hollie Charles, Ashley Jones","doi":"10.1136/bjsports-2025-110308","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110308","url":null,"abstract":"Sport, exercise and physical activity are vital for women’s health and well-being, yet returning to these activities following injury, postpartum and through ageing can be challenging.1–3 There has been an ongoing fight for women to be treated the same as men, including the battle for equal pay, respect, access and media coverage. However, there is a growing demand, fuelled by an increase in the understanding of the psychological, sociological and physiological characteristics of women, to acknowledge gender differences, so that women can be more effectively supported, and disparities in physical activity between genders can be mitigated. As the popularity of women’s sport increases, the incidence of injury has become more apparent. In sex comparable sports, female injury rates are significantly higher than their male counterparts.4 5 There is still a lack of understanding of the causes of increased injury rates in female athletes, although some have argued that these injury risk calculations may …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"38 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312208","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. Translating the international Delphi consensus on bone stress injuries into clinical practice","authors":"Tim Hoenig, Karsten Hollander, Kristin L Popp, Michael Fredericson, Emily A Kraus, Stuart J Warden, Adam S Tenforde","doi":"10.1136/bjsports-2025-109695","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109695","url":null,"abstract":"Bone stress injuries (BSIs) are common overuse injuries affecting an athlete’s ability to participate in sport. Advancements in understanding the pathophysiology, risk factors and management strategies related to BSIs can improve clinical care. This infographic informs clinicians on how to translate the latest research findings from an international Delphi consensus on BSIs in athletes1 into clinical practice, including optimal strategies for the evaluation and treatment of BSIs with the goal of reducing risk of further injury. Plain radiography, computed tomography (CT) and bone scintigraphy are forms of imaging with low sensitivity and/or specificity for confirming the presence and severity of a BSI and involve health concerns of exposure to ionising radiation. Most panellists agree that magnetic resonance imaging (MRI) is the gold standard for detecting and grading severity of BSI. …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"16 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328990","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":"Isometric exercise training and resting arterial blood pressure: implications for patients with heart failure with preserved ejection fraction (PhD Academy Award).","authors":"Jamie Edwards","doi":"10.1136/bjsports-2025-110214","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110214","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"15 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328787","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":"Free, culturally responsive and trauma-informed physical activity service for people experiencing social disadvantage in Sydney, Australia: the ‘Addi Moves’ initiative","authors":"Chiara Mastrogiovanni, Uzma Choudhry, Oscar Lederman, Grace McKeon, Kemi Wright, Jackie Curtis, Rachel Morell, Kala Miranda, Scott Teasdale, Gülşah Kurt, Sabuj Kanti Mistry, Philip B Ward, Rosanna Barbero, Simon Rosenbaum","doi":"10.1136/bjsports-2025-110249","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110249","url":null,"abstract":"People experiencing social disadvantage (eg, financial hardship) are at risk of poor health.1 Physical activity is an evidence-based strategy to improve physical and mental health,2 and free, tailored programs may enhance participation in underserved populations.3 Founded in 2022, Addi Moves is a free, culturally responsive and trauma-informed physical activity service for individuals experiencing or who have experienced trauma or disadvantage, including mental illness, gender-based violence, food insecurity, homelessness or displacement. Accredited exercise physiologists4 deliver tailored sessions to meet the unique needs of service users. Addi Moves operates within the Addison Road Community Organisation (‘Addi Road’) in Sydney, Australia— a hub for 40 organisations including a food pantry providing free and discounted groceries to ~8500 people weekly. Service users are referred by affiliated organisations. Addi Moves has received programme and research support from Mindgardens Neuroscience Network, New South Wales (NSW) Ministry of Health Refugee Flexible Fund and the National Health and Medical Research Council. Key strategies guiding Addi Moves are described below. An initial co-design process engaged people …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"12 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311844","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":"Role of video review for sport-related concussion identification: a systematic review","authors":"Dominic Charles Townsend, Abigail Saker, Katie Scandrett, Matthew Green, Michael Brownlow, Paddy Riley, Mark Gillett, Antonio Belli","doi":"10.1136/bjsports-2024-109603","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109603","url":null,"abstract":"Objective To determine the frequency and diagnostic utility of visible signs identified through video review for sport-related concussion detection and to evaluate the role of injury mechanism in predicting concussions. Design Systematic review. Data sources MEDLINE, SPORTDiscus, Web of Science and Cochrane Library from 2001 to June 2024. Eligibility criteria Original, peer-reviewed studies focusing on sport-related concussion, where video review identified visible signs or the mechanism of injury relevant to clinical decision-making. Studies were included irrespective of study design but had to be published in English and use a clinical diagnosis or consensus definition of sport-related concussion as a reference standard. Results Out of 1001 records screened, 29 studies involving 3281 sport-related concussions were included for quantitative synthesis. Only eight studies had a low risk of bias. All studies used clinical diagnosis as a reference standard; 26 were conducted in professional competitions, with two studies including female athletes. The most frequently observed visible sign was ‘slow to get up’ (37.6%), followed by ‘motor incoordination’ (26.7%). Sensitivity of visible signs was generally low (<50%), while specificity was high (>90%) across most studies. Four studies across three sports examined mechanism of injury characteristics, identifying common themes, such as high speed of impact, potentially associated with sport-related concussion occurrence. Inter-rater and intrarater reliability varied, with indications of higher reliability among expert raters. Conclusions Expert video review can reliably identify visible signs of sport-related concussion. However, due to their low frequency and limited diagnostic sensitivity, the diagnosis of sport-related concussion should be supported by a multimodal assessment. All data relevant to the study are included in the article or uploaded as supplementary information.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"70 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311845","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":"ICRS-FIFA-Aspetar consensus on the management of knee cartilage injuries in football players: part 1 - appropriateness of surgery in different clinical scenarios using the RAND/UCLA appropriateness method.","authors":"Elizaveta Kon, Emmanuel Papakostas, Luca Andriolo, Andreas Serner, Andrew Massey, Peter Verdonk, Peter Angele, Claudia Arias, Camila Cohen Kaleka, Ramon Cugat, Pieter D'Hooghe, Francesco Della Villa, Cristiano Eirale, Christoph Erggelet, João Espregueira-Mendes, Christian Fink, Celeste Geertsema, Liesel Geertsema, Cassandra A Lee, Bert Mandelbaum, Norimasa Nakamura, David A Parker, Kristof Sas, Bertrand Sonnery-Cottet, Willem van der Merwe, Andy Williams, Stefano Zaffagnini, Bashir Ahmed Zikria, Giuseppe Filardo","doi":"10.1136/bjsports-2024-108960","DOIUrl":"10.1136/bjsports-2024-108960","url":null,"abstract":"<p><p>Knee cartilage lesions are frequent in football players, but evidence for surgical treatment is lacking. The aim of this International Cartilage Regeneration & Joint Preservation Society, Fédération Internationale de Football Association, and Aspetar (ICRS-FIFA-Aspetar) consensus was to develop specific expert-based, patient-specific practical recommendations on the appropriateness of non-surgical or surgical treatments for symptomatic knee cartilage lesions in competitive football players. The RAND/UCLA appropriateness method was used, and 17 voting experts provided recommendations on the appropriateness of surgical treatment in 96 different clinical scenarios defined on 6 variables: cartilage injury onset, lesion location, defect size, bone involvement, player symptom level and preference towards higher priority of a quick return to play or long-term results. Surgical treatment of a cartilage lesion was considered appropriate in 32% of the scenarios, in 21% inappropriate, while in 47% of the scenarios, the appropriateness was considered uncertain. The parameters with the highest appropriateness for the surgical treatment of a cartilage lesion in a football player were the inability to play (75.0% of appropriate scenarios), a lesion sized 2 cm² or bigger (47.9% of appropriate scenarios) and the preference of the player for long-term results (41.7% of appropriate scenarios). In this ICRS-FIFA-Aspetar expert consensus, surgical treatment for cartilage injuries in competitive football players was considered appropriate only in one-third of the clinical scenarios, and the choice was mainly driven by the level of symptoms. Surgical preference was also influenced by larger lesions, lesions of the condyles and trochlea with subchondral bone involvement and player's preference towards long-term results.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"902-911"},"PeriodicalIF":11.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405820","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":"Power Training in Older People with Multiple Sclerosis - the PoTOMS trial (PhD Academy Award).","authors":"Tobias Gaemelke","doi":"10.1136/bjsports-2025-110015","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110015","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"21 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295857","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":"Expanding role of sleep in physical activity research and recommendations for lifelong health.","authors":"Charlie Zhong,Sidney M Donzella,Lauren Bates-Fraser,Alpa Patel,Erika Rees-Punia","doi":"10.1136/bjsports-2025-110343","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110343","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"20 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295742","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":"Pelvic organ prolapse and physical activity: directions for future research","authors":"Mark T Elliott, Gayathri Delanerolle, Sohier Elneil","doi":"10.1136/bjsports-2024-109257","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109257","url":null,"abstract":"The global prevalence of pelvic organ prolapse (PoP) varies widely, but it is estimated that up to 40% of women will experience some degree of PoP in their lifetime. The likelihood of developing PoP increases with age, multiparity, obesity, chronic cough and certain occupational or lifestyle factors.1 Women with PoP often report a fear of engaging in physical activity (PA), driven by concerns that it may exacerbate symptoms or accelerate prolapse progression.2 Surveys indicate that nearly one in three women with PoP cite their symptoms as a barrier to exercise, leading to reduced participation in both structured and recreational PA.2 3 Despite these concerns, the impact of PA on PoP remains unclear due to inconsistencies in research findings. Some studies suggest that high-impact activities may worsen symptoms, while others report no association or potential benefits of moderate exercise.4 5 The lack of definitive guidance leads many women to limit their PA unnecessarily, increasing the risk of sedentary behaviour and associated comorbidities such as cardiovascular disease and osteoporosis.4 5 Furthermore, surgical interventions such as mesh implants have introduced additional complications, with many women experiencing chronic pain that further reduces PA participation.6 The aim of this discussion is to highlight the key gaps that remain from previous research that limit understanding of the relationship between PA and PoP, and to recommend future research directions that are required to enable women to make informed decisions on …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"609 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278440","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":"Using real-time data capture strategies and within-subject studies to better understand the physical activity health paradox","authors":"Genevieve F Dunton, Britni R Belcher","doi":"10.1136/bjsports-2024-108363","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108363","url":null,"abstract":"Growing evidence suggests that although leisure time physical activity (LTPA) (ie, performed for sports and recreation) leads to positive cardiovascular disease (CVD) outcomes, occupational physical activity (OPA) (ie, activity occurring at work) may not decrease the risk of CVD morbidity and mortality. The potentially contradictory health effects of LTPA and OPA are referred to as the physical activity health paradox.1 OPA and LTPA occur in different contexts and settings that may differentially contribute to cardiometabolic health risk. LTPA typically consists of a wider range of body movements performed at levels that are sufficiently intense to improve cardiorespiratory fitness and metabolism, is performed voluntarily, and often occurs over shorter durations with adequate recovery time in between episodes. On the other hand, OPA typically includes static loading, lifting heavy objects, repetitive or painful body movements and postures, long durations (>8 hours) with low control, and inadequate periods of recovery in between episodes, which may attenuate health benefits or possibly increase health risks. For many minority and low-income populations, occupations such as cleaning, retail, cooking and elder/childcare constitute a common setting for OPA in the USA and other developed nations. Although individuals from socioeconomically disadvantaged backgrounds are physically active for large portions of each day performing these types of occupations, they remain in relatively poor health compared with their higher-income counterparts.2 OPA may represent a cause of health disparities that is not well understood. Minority and …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278441","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}