Mariana Romano de Lira, Ney Meziat-Filho, Gabriela Zuelli Martins Silva, Julia Castro, Jessica Fernandez, Rinaldo Roberto de Jesus Guirro, Roger Berg, Thais Cristina Chaves
{"title":"Efficacy of cognitive functional therapy for pain intensity and disability in patients with non-specific chronic low back pain: a randomised sham-controlled trial","authors":"Mariana Romano de Lira, Ney Meziat-Filho, Gabriela Zuelli Martins Silva, Julia Castro, Jessica Fernandez, Rinaldo Roberto de Jesus Guirro, Roger Berg, Thais Cristina Chaves","doi":"10.1136/bjsports-2024-109012","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109012","url":null,"abstract":"Objective This study investigated the efficacy of cognitive functional therapy (CFT) versus a sham procedure for pain intensity and disability for patients with non-specific chronic low back pain (CLBP). Methods This is a randomised sham-controlled trial conducted in a primary care public health service. A total of 152 participants were randomly assigned to the CFT group (n=76) and the sham group (n=76). The CFT group received six 1 hour individualised sessions; the sham procedure group received six individual sessions of neutral talking+detuned photobiomodulation (low-level laser therapy) equipment. Both groups received an education booklet with information on strategies for CLBP self-management. Primary outcomes were pain intensity and disability at 6 weeks. Participants were assessed preintervention, postintervention (at 6 weeks), and 3 and 6 months after randomisation. Results We obtained primary outcome data from 97.4% (n=74) of participants in the CFT group and 98.7% (n=75) from the sham group. The CFT group showed greater effects in pain intensity (mean difference (MD)=−1.8; 95% CI −2.5 to −1.1) and disability (MD=−9.9; 95% CI −13.2 to −6.5) postintervention compared with the sham group. The effect remained at the 3-month and 6-month follow-ups. Conclusions CFT showed sustained clinical efficacy compared with a sham procedure for treating pain intensity and disability in patients with CLBP. Trial registration number This trial was registered in ClinicalTrials.gov, [NCT04518891][1] and was previously published <https://pubmed.ncbi.nlm.nih.gov/35788240/>. Data are available upon reasonable request. The study protocol, participant consent and information forms, de-identified individual participant data, the data dictionary and statistical code can be made available by request to the corresponding author. [1]: /lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04518891&atom=%2Fbjsports%2Fearly%2F2025%2F03%2F05%2Fbjsports-2024-109012.atom","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"58 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143570400","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}
Ben Singh, Hunter Bennett, Aaron Miatke, Dorothea Dumuid, Rachel Curtis, Ty Ferguson, Jacinta Brinsley, Kimberley Szeto, Jasmine M Petersen, Claire Gough, Emily Eglitis, Catherine EM Simpson, Christina L Ekegren, Ashleigh E Smith, Kirk I Erickson, Carol Maher
{"title":"Effectiveness of exercise for improving cognition, memory and executive function: a systematic umbrella review and meta-meta-analysis","authors":"Ben Singh, Hunter Bennett, Aaron Miatke, Dorothea Dumuid, Rachel Curtis, Ty Ferguson, Jacinta Brinsley, Kimberley Szeto, Jasmine M Petersen, Claire Gough, Emily Eglitis, Catherine EM Simpson, Christina L Ekegren, Ashleigh E Smith, Kirk I Erickson, Carol Maher","doi":"10.1136/bjsports-2024-108589","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108589","url":null,"abstract":"Objective To evaluate systematic reviews of randomised controlled trials (RCTs) on the effects of exercise on general cognition, memory and executive function across all populations and ages. Methods Systematic reviews and meta-analyses of RCTs evaluating the effects of exercise on general cognition, memory and executive function were eligible. Data extraction and risk of bias scoring were conducted in duplicate. The A MeaSurement Tool to Assess systematic Reviews (AMSTAR-2) was used to assess the risk of bias. Effect sizes were pooled using random effects models and reported as standardised mean differences (SMD). Subgroup analyses were conducted for participant and intervention characteristics. General cognition, memory and executive function. Data sources CINAHL, The Cochrane Library, Embase, MEDLINE via OVID, Emcare, ProQuest Central, ProQuest Nursing and Allied Health Source, PsycINFO, Scopus, Sport Discus and Web of Science. Results 133 systematic reviews (2,724 RCTs and 258 279 participants) were included. Exercise significantly improved general cognition (SMD=0.42), memory (SMD=0.26) and executive function (SMD=0.24). Memory and executive function improvements from exercise were greater for children and adolescents than for adults and older adults. Those with attention-deficit/hyperactivity disorder exhibited greater improvement in executive function than other populations. Effects were generally larger for low- and moderate-intensity interventions. Shorter interventions (1–3 months) and exergames (video games that require physical movement) had the largest effects on general cognition and memory. Findings remained statistically significant after excluding reviews rated as low and critically low quality. Conclusions These findings provide strong evidence that exercise, even light intensity, benefits general cognition, memory and executive function across all populations, reinforcing exercise as an essential, inclusive recommendation for optimising cognitive health. Trial registration number PROSPERO ID: CRD42023468991. All data relevant to the study are included in the article or uploaded as supplementary information. All data generated or analysed during this study are included in this published article and its supplementary information files.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"67 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143570395","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}
David Andrew O’Brian, Joshua Mattock, Jo Gibson, Evangelos Pappas
{"title":"Rehabilitation after arthroscopic shoulder stabilisation: are we letting patients down by being too conservative?","authors":"David Andrew O’Brian, Joshua Mattock, Jo Gibson, Evangelos Pappas","doi":"10.1136/bjsports-2024-109290","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109290","url":null,"abstract":"The glenohumeral joint is the most commonly dislocated joint in the body,1 primarily due to sports-related injuries, with up to 15% of contact athletes having experienced shoulder dislocation.2 Surgical stabilisation is a common treatment after dislocation, particularly in young males, as it reduces the risk of recurrent instability.3 Over 20,000 shoulder stabilisation procedures are performed annually in the USA, with increasing incidence over time.4 In Finland, a similar trend has been observed, with the incidence of stabilisation surgery increasing by 177% from 1997 to 2014, particularly among young and middle-aged adults.5 Despite the effectiveness of soft tissue surgical stabilisation, one-fourth of people undergoing surgery never return to their pre-injury sport and activities, and one-third report ongoing instability.6 While numerous functional, psychological and surgical factors contribute to these findings, >50% of cases have been attributed to shoulder-related causes (instability, apprehension, reduced athletic performance and pain).7 Patients experience a significant reduction in functional strength, range of motion (ROM) and neuromuscular control 4–6 months post-operatively,8 a critical period for returning to work and sport. These problems are modifiable and could be addressed by improved, evidence-based and criterion-based post-surgical rehabilitation protocols. This commentary explores the potential value of accelerated rehabilitation after arthroscopic shoulder stabilisation. The most recent consensus on a specific rehabilitation protocol after arthroscopic Bankart repair (ABR) was reached by the American Society of Shoulder …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"49 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143570397","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}
Edward B Runquist, Oluwasanmi O Adenaiye, Mojdeh Sarzaeim, Jeffery Milroy, David Wyrick, Yetsa A Tuakli-Wosornu
{"title":"Associations of abusive supervision among collegiate athletes from equity-deserving groups","authors":"Edward B Runquist, Oluwasanmi O Adenaiye, Mojdeh Sarzaeim, Jeffery Milroy, David Wyrick, Yetsa A Tuakli-Wosornu","doi":"10.1136/bjsports-2024-108282","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108282","url":null,"abstract":"Objective To examine differences in abusive/supportive coach supervision experienced by collegiate athletes across race/ethnicity, gender, sexual orientation and disability; determine the impact of coach characteristics on abusive supervision prevalence; and explore outcomes related to team culture, athlete autonomy, perceived coach leadership skills and perceived concern for athletes’ well-being. Methods Cross-sectional analysis of the 2021–2022 National Collegiate Athletic Association (NCAA) myPlaybook survey on 3317 athletes (aged ≥18 years). The survey captured self-reported demographics, sport type (team vs individual, lean vs non-lean) and multiple validated measures reflecting abusive/supportive coaching styles. Structural equation modelling identified associations while controlling for confounders. Results Overall, 18.6% (n=618) of athletes reported some form of abusive supervision. After adjusting for covariates, participating in team sport (OR=1.10, 95% CI 1.03 to 1.17) and having a disability (OR=1.17, 95% CI 1.04 to 1.31) were associated with higher odds of reporting abusive supervision. No significant differences were found based on athlete race/ethnicity, gender identity or sexual orientation. Coaches demonstrating attentiveness to athletes’ needs (OR=0.82, 95% CI 0.73 to 0.92) and respect for their input (OR=0.89, 95% CI 0.80 to 1.00) had lower odds of reported abusive supervision. Conclusion Nearly one-fifth of this NCAA cohort experienced abusive coach supervision. Disability and team sport participation were significantly associated with increased reports, whereas race/ethnicity, gender identity or sexual orientation showed no significant differences. In disabled and team sport athletes, sustained verbal/non-verbal abuse had a negative impact on athletes’ perception of team culture, autonomy, coaches’ leadership skills and coaches’ concern for their well-being. Coaching and leadership styles remain critical educational targets for providing safe sport environments for all athletes. 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":"9 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538388","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}
Michael Girdwood, Adam G Culvenor, Ebonie K Rio, Brooke E Patterson, Melissa Haberfield, Jamon Couch, Benjamin Mentiplay, Michael Hedger, Kay M Crossley
{"title":"Tale of quadriceps and hamstring muscle strength after ACL reconstruction: a systematic review with longitudinal and multivariate meta-analysis.","authors":"Michael Girdwood, Adam G Culvenor, Ebonie K Rio, Brooke E Patterson, Melissa Haberfield, Jamon Couch, Benjamin Mentiplay, Michael Hedger, Kay M Crossley","doi":"10.1136/bjsports-2023-107977","DOIUrl":"10.1136/bjsports-2023-107977","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate how knee extensor and flexor strength change over time after anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Design: </strong>Systematic review with longitudinal meta-analysis.</p><p><strong>Data sources: </strong>Medline, Embase, CINAHL, Scopus, Cochrane CENTRAL and SPORTDiscus to 28 February 2023.</p><p><strong>Eligibility criteria: </strong>Studies of primary ACLR (n≥50), with mean participant age 18-40 years, reporting a quantitative measure of knee extensor or flexor strength were eligible. Muscle strength had to be reported for the ACL limb and compared with: (1) the contralateral limb (within-person); and/or (2) an uninjured control limb (between-person).</p><p><strong>Results: </strong>We included 232 studies of 34 220 participants. Knee extensor and flexor strength showed sharp initial improvement postoperatively before tailing off at approximately 12-18 months post surgery with minimal change thereafter. Knee extensor strength was reduced by more than 10% compared with the contralateral limb and approximately 20% compared with uninjured controls at 1 year for slow concentric, fast concentric and isometric contractions. Knee flexor strength showed smaller deficits but was still 5%-7% lower than the contralateral limb at 1 year for slow concentric, fast concentric and isometric contractions. Between-person comparisons showed larger deficits than within-person comparisons.</p><p><strong>Conclusion: </strong>Knee extensor muscle strength is meaningfully reduced (>10%) at 1 year, with limited improvement after this time up to and beyond 5 years post surgery. Many people likely experience persistent and potentially long-term strength deficits after ACLR. Comparison within person (to the contralateral limb) likely underestimates strength deficits in contrast to uninjured controls.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"423-434"},"PeriodicalIF":11.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399467","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":"Effect of intravenous iron therapy on exercise performance, fatigue scores and mood states in iron-deficient recreationally active females of reproductive age: a double-blind, randomised control trial (IRONWOMAN Trial)","authors":"Cory Dugan, Peter Peeling, Paige Buissink, Beth MacLean, Jayne Lim, Pradeep Jayasuriya, Toby Richards","doi":"10.1136/bjsports-2024-108240","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108240","url":null,"abstract":"Objectives Non-anaemic iron deficiency (IDNA) is highly prevalent in exercising females. Although iron therapy can be used to correct this issue, its impact on exercise performance is equivocal. Our aim was to assess the efficacy of intravenous iron therapy on exercise performance, fatigue, mood states, and quality of life in recreationally active IDNA females of reproductive age. Methods Twenty-six recreationally active IDNA females were randomised to either an intravenous iron treatment (IRON) group or placebo (PLA). Prior to, 4 days and 4 weeks following intervention, participants completed a variety of assessments to determine changes in exercise performance, haemoglobin mass, blood iron status and haematology, fatigue levels, mood states and quality of life. Results Intravenous iron therapy significantly improved serum ferritin, serum iron and transferrin saturation (p<0.05), with a highly variable individual response. No differences were observed between groups’ peak oxygen consumption (V̇O2Peak), lactate threshold or haemoglobin mass. Running economy improved in IRON from baseline to 4 weeks (p<0.05), which was also different to PLA at 4 weeks (p<0.05). Fatigue scores improved in IRON but not PLA after 4 weeks (p<0.05). Mood states and quality of life remained unchanged in both groups over the trial. Conclusion In recreationally active IDNA females, intravenous iron therapy corrects iron status and improves both exercise economy and fatigue scores after 4 weeks. Trial registration number ACTRN12620001357943. Data are available upon reasonable request. To adhere to ICMJE guidelines, a data sharing plan is included with trial registration (ACTRN12620001357943). Data will be made available following the published date for the purposes of generating empirical knowledge through research collaboration, for example, systematic reviews and meta-analyses (inclusive of individual patient data meta-analyses). Requests to obtain data can be made by emailing the principal investigator (cory.dugan@research.uwa.edu.au).","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"35 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538389","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}
Hye Chang Rhim, Mani Singh, Nicola Maffulli, Amol Saxena, Carlos Leal, Ludger Gerdesmeyer, Kristina Quirologico, John P Furia, Johannes Zwerver, Chun-De Liao, Daniel Moya, Shih-Wei Huang, David M Robinson, Johnny Jarnagin, Joseph Ruiz, Kayle E Noble-Taylor, Hazem Alkhawashki, Brice W Blatz, Joanne Borg-Stein, Lauren Borowski, Jay Bowen, Michael Chin, Robert M Conenello, Michael Fredericson, Brian W Fullem, Karin Gravare Silbernagel, Karsten Hollander, Elena J Jelsing, Paul Langer, Kenneth Mautner, Adele Meron, Robert Monaco, Rowan V Paul, Sara Raiser, James W Ratcliff, Steven Sampson, Wolfgang Schaden, Jay Spector, Wei Sun, Isaac P Syrop, Kenji Takahashi, Benedict Tan, James F Wyss, Dan Zin, Jennifer Soo Hoo, Adam S Tenforde
{"title":"Recommendations for use of extracorporeal shockwave therapy in sports medicine: an international modified Delphi study","authors":"Hye Chang Rhim, Mani Singh, Nicola Maffulli, Amol Saxena, Carlos Leal, Ludger Gerdesmeyer, Kristina Quirologico, John P Furia, Johannes Zwerver, Chun-De Liao, Daniel Moya, Shih-Wei Huang, David M Robinson, Johnny Jarnagin, Joseph Ruiz, Kayle E Noble-Taylor, Hazem Alkhawashki, Brice W Blatz, Joanne Borg-Stein, Lauren Borowski, Jay Bowen, Michael Chin, Robert M Conenello, Michael Fredericson, Brian W Fullem, Karin Gravare Silbernagel, Karsten Hollander, Elena J Jelsing, Paul Langer, Kenneth Mautner, Adele Meron, Robert Monaco, Rowan V Paul, Sara Raiser, James W Ratcliff, Steven Sampson, Wolfgang Schaden, Jay Spector, Wei Sun, Isaac P Syrop, Kenji Takahashi, Benedict Tan, James F Wyss, Dan Zin, Jennifer Soo Hoo, Adam S Tenforde","doi":"10.1136/bjsports-2024-109082","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109082","url":null,"abstract":"Objectives While extracorporeal shockwave therapy (ESWT) may be an efficacious adjunctive treatment option for musculoskeletal injuries, current research is limited by significant heterogeneity within treatment protocols. This study aims to establish international expert consensus recommendations on ESWT terminology, parameters, procedural considerations, contraindications and side effects in the application of ESWT to sports injuries. Methods A systematic literature search was performed on the use of ESWT for musculoskeletal and sports medicine injuries to identify potential panellists, followed by the development of a steering committee-led questionnaire. A three-stage, modified Delphi questionnaire was provided to a panel of 41 international clinical and research experts across 13 countries. Panellists had the opportunity to suggest edits to existing statements or recommend additional statements in Round 1. Consensus was defined as≥75% agreement. Results All 41 panellists completed Rounds 1, 2 and 3. Consensus was reached on 69/118 statements (58.5%), including recommendations on terminology and fundamental concepts, indications for use, procedural aspects for tendinopathy and bone pathologies, treatment correlations with imaging, periprocedural and postprocedural considerations, absolute and relative contraindications and potential side effects. Of the 49 statements that did not reach consensus, 17/49 (34.7%) were related to procedural aspects of bone pathology. Conclusion This international panel presents recommendations on ESWT terminology, indications and treatment considerations to guide ESWT use and decision-making by sports medicine clinicians. While our panel supported the use of ESWT in the treatment of bone pathologies, certain procedural aspects of ESWT specific to these injuries did not reach consensus and require further investigation. All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"190 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538390","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":"Health professionals as champions of movement—promoting physical activity for a healthier world","authors":"Jacalyn Anne Marie Moore, Christopher Napier","doi":"10.1136/bjsports-2025-109736","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109736","url":null,"abstract":"On behalf of Sport Physiotherapy Canada (SPC)/Physiothérapie du Sport du Canada, we are pleased to welcome you to the March 2025 edition of the British Journal of Sports Medicine (BJSM). Nous sommes heureux de vous accueillir à l’édition du mou de mars 2025 du BJSM . BJSM’s vision is to foster a healthier world by bridging the divide between sports medicine and public health, and this edition represents a tremendous step towards this intent. Exercise and physical activity remain the most effective strategies for preventing chronic diseases and improving overall health1. Fostering lifelong engagement in physical activity not only supports physical health but also enhances cognitive function and emotional well-being, underscoring the importance of an active lifestyle. In this edition, Weeldreyer et al highlight this relationship in a systematic review that examines the link between physical activity and mortality (see page 339) , while Veerman et al explore the influence of physical activity on life expectancy (see page 333) . O’Donovan et al explore the critical role of physical activity in improving brain health, highlighting how sports participation and general physical activity can reduce the risk of …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"431 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451531","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}
Thomas G Bowman, Richard J Boergers, Shane V Caswell, Darryl Conway, William J Mills, Margot Putukian, Mandy Merritt, Jason D Vescovi, Edward Strapp, Kellie Loehr, Jennifer Monnin, Rebecca Vozzo, Robert Hatch, Caroline Wesley Siler, Samantha E Scarneo-Miller
{"title":"Prehospital care of suspected spine-injured lacrosse athletes: a systematic search, evidence review, and consensus recommendations.","authors":"Thomas G Bowman, Richard J Boergers, Shane V Caswell, Darryl Conway, William J Mills, Margot Putukian, Mandy Merritt, Jason D Vescovi, Edward Strapp, Kellie Loehr, Jennifer Monnin, Rebecca Vozzo, Robert Hatch, Caroline Wesley Siler, Samantha E Scarneo-Miller","doi":"10.1136/bjsports-2024-108951","DOIUrl":"10.1136/bjsports-2024-108951","url":null,"abstract":"<p><p>Lacrosse has experienced significant growth in popularity worldwide and will return to the Summer Olympic Games in 2028. While there are published consensus recommendations for prehospital care of athletes with suspected spine injuries, there are currently no recommendations specific to lacrosse athletes with and without circulation, airway, or breathing (CAB) compromise. The document aims to determine evidence- and consensus-based best practices and provide implementation recommendations to guide healthcare professionals in the prehospital care of suspected spine-injured lacrosse athletes. We comprised a consensus group of 15 individuals with diverse clinical, research, and administrative experiences to ensure broad representation across lacrosse competition levels. Peer-reviewed scientific and medical research literature was systematically searched for articles on spine injury in lacrosse participants to derive evidence-based recommendations. Following a modified Delphi approach with three rounds of voting, the author panel developed ten consensus-based best practices and implementation recommendations related to the care of potentially spine-injured lacrosse athletes with and without CAB compromise. In addition, recommendations are provided to guide the implementation of key preparations before lacrosse participation, such as developing and distributing an emergency action plan, lacrosse-specific policies and procedures, and cardiopulmonary resuscitation and automated external defibrillator requirements. All recommendations obtained acceptable levels of agreeability, feasibility, and clarity from at least 80% of the panel. The recommendations provide prehospital care guidance for healthcare professionals and event organisers aimed at improving patient outcomes following suspected spine injury.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373730","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 physical exercise in improving pulmonary function: a radiomic perspective (PhD Academy Award)","authors":"Xinyuan Ge","doi":"10.1136/bjsports-2025-109718","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109718","url":null,"abstract":"The primary focus of my PhD research was to investigate the relationship between physical exercise and lung function, with a particular emphasis on imaging radiomic features derived from quantitative CT (qCT). My study aimed to uncover how different levels and intensities of physical exercise influence lung structural and functional parameters, as quantified by advanced radiomic analysis. Specifically, I evaluated the interplay between exercise-related parameters (eg, metabolic equivalent tasks, MET-min/week) and lung texture-based radiomic features, analysing their predictive value in chronic pulmonary disease progression and functional decline in lung capacity (figure 1). Figure 1 Design of the study. FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; GLCM, grey-level co-occurrence matrix; GLDM, grey-level dependence matrix; GLRLM, grey-level run length matrix; GLSZM, grey-level size zone matrix; MET, metabolic equivalent value; NGTDM, neighbourhood grey tone difference matrix; VO2, volume of oxygen. Radiomic features have been demonstrated to be powerful predictors of lung diseases and pulmonary function.1–3 At the same time, physical exercise is well …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"7 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517866","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}