British Journal of Sports Medicine最新文献

{"title":"Infographic. Video analysis of muscle strains in sport: qualitative and quantitative situational characteristics across muscle groups.","authors":"Thomas Gronwald, Luca Sophie Finnern, Jan Wilke, Steffen Willwacher, Kati Pasanen, Karsten Hollander, Dimitris Dalos, Goetz H Welsch, Tron Krosshaug, Pascal Edouard, Tim Hoenig","doi":"10.1136/bjsports-2026-111709","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111709","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856091","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":"Incidence of injury and illness at the Paris 2024 Paralympic Games: post-pandemic trends and sport-specific risks.","authors":"Wayne Derman, Phoebe Runciman, Maaike Eken, Pieter-Henk Boer, Cheri Blauwet, Emmanouil Bogdos, Sarah Farhoud, Guzel Idrisova, Jan Lexell, Fariba Mohammadi, Marcelo Patricio, Raul Smith, Martin Schwellnus, Nick Webborn, Philippe Levan","doi":"10.1136/bjsports-2025-111086","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111086","url":null,"abstract":"<p><strong>Objective: </strong>To describe the epidemiology of injuries and illnesses at the Paris 2024 Paralympic Games.</p><p><strong>Methods: </strong>Injuries and illnesses were recorded daily via a web-based injury and illness surveillance system and local organising committee medical facilities. Adjusted incidences (injuries/illnesses per 1000 athlete days; 95% CIs), injury prevalence (IP; %) and injury burden (days lost per 1000 athlete days; 95% CIs) are reported.</p><p><strong>Results: </strong>In total, 4450 athletes (1978 female; 2472 male) from 163 National Paralympic Committees were monitored prospectively during the 14-day Games period (62300 athlete days). A total of 535 injuries (IP=10.9%) were reported in 485 athletes, with an incidence of 8.6 (7.9-9.4). Taekwondo (27.3 (20.7-35.8)), football 5-a-side (22.3 (14.4-37.7)) and sitting volleyball (19.9 (14.8-26.7)) showed higher incidences of injury compared to other sports (p<0.001). Injury burden was 8.5 (6.5-11.1) and 19.1% of injuries resulting in time loss from training/competition. The highest burden was observed in taekwondo (64.3 (35.9-115.2)) and football 5-a-side (23.4 (6.2-88.3)). A total of 520 illnesses were reported in 467 athletes (IP=10.5%), with an incidence of 8.3 (7.6-9.1). Illness incidence for female athletes (10.6 (9.4-11.9)) was higher than recorded for male athletes (6.6 (5.7-7.5)); p<0.001 and higher in triathlon (18.2 (12.6-26.7)) compared to other sports (p<0.05).</p><p><strong>Conclusion: </strong>The incidence and burden of injury in taekwondo and football 5-a-side were significantly higher compared with other sports at the Paris 2024 Paralympic Games. The highest incidence of illness was observed in triathlon and female athletes had a higher illness incidence than male athletes.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856034","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":"Supported implementation enhances injury prevention programme (Prep-to-Play) use in women and girls playing Australian Football: a pragmatic type III hybrid implementation-effectiveness stepped wedge cluster randomised trial.","authors":"Brooke E Patterson, Nicole M White, Sallie M Cowan, Matthew G King, Alex Donaldson, Melissa J Haberfield, Andrea B Mosler, Andrea M Bruder, Christian J Barton, Steven M McPhail, Adam G Culvenor, Karla Hemming, Martin Hägglund, Natasha A Lannin, Ilana N Ackerman, Michelle M Dowsey, Michael Makdissi, Shona Sundaraj, Nicole Livingstone, Jane Fitzpatrick, Jamie Crain, Sarah J Lampard, Karina L Chilman, Libby J Gracias, Elizabeth Birch, Christian Bonello, Kay M Crossley","doi":"10.1136/bjsports-2025-110894","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110894","url":null,"abstract":"<p><strong>Objectives: </strong>Evaluate the effect of supported implementation on a co-created injury prevention programme (Prep-to-Play) use and injury incidence and evaluate the dose response relationship between adherence and injury incidence.</p><p><strong>Methods: </strong>In this hybrid implementation-effectiveness stepped wedge cluster randomised trial, 165 women's/girls' Australian Football teams (2481 players) were randomly allocated to transition from unsupported to supported implementation at one of five time points during 2021/2022. Supported implementation included in-person workshops and support visits for coaches/team leaders. Unsupported implementation was access to online resources. Prep-to-Play includes warm-up, contact and strength activities. Primary (Prep-to-Play use) and secondary (concussion, anterior cruciate ligament (ACL)) outcomes were reported weekly. Weekly Prep-to-Play use (yes/no) was defined as using ≥75% of programme elements, ≥two-thirds of sessions each week. Analyses compared outcomes between supported and unsupported phases, adjusted for clustering, period, age group, competition level and region.</p><p><strong>Results: </strong>Average weekly Prep-to-Play use by teams was 13.1% (95% CI 11.5% to 14.9%) in the unsupported and 29.7% (95% CI 27.6% to 31.9%) in supported phase (OR 3.7 95% CI 2.4 to 5.7). The concussion and ACL injury incidence (per 1000 game hours) was 6.80 (95% CI 5.75 to 8.05) and 1.36 (95% CI 0.98 to 1.89) in unsupported, and 3.50 (95% CI 2.72 to 4.52) and 0.69 (95% CI 0.44 to 1.15) in supported, respectively, but the effect of supported implementation on injury incidence was unclear (concussion: incidence rate ratios (IRR) 1.36; 95% CI 0.74 to 2.49; ACL: IRR 2.27 (0.56 to 9.12). Higher Prep-to-Play adherence was associated with fewer total injuries (IRR: 0.95 95% CI 0.92 to 0.99).</p><p><strong>Conclusions: </strong>Supported implementation via in-person workshops and support visits was associated with greater Prep-to-Play use compared with unsupported implementation, and greater adherence was associated with fewer injuries.</p><p><strong>Trial registration number: </strong>NCT04856241.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833999","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":"Mini Symptom Index Tool plus modified Vestibular-Ocular Motor Screening (mSIT Plus) for acute concussion identification: findings from the NCAA-DoD CARE Consortium.","authors":"Lauren Teresa Rooks, Paul F Pasquina, Steven Broglio, Thomas McAllister, Michael McCrea, Nicholas Port","doi":"10.1136/bjsports-2025-110330","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110330","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to (1) rigorously evaluate the Sport Concussion Assessment Tool (SCAT) 22-item symptom list and improve the area under the curve (AUC), sensitivity and specificity by creating the mini Symptom Index Tool (mSIT) and (2) identify the added utility of other examinations to include with the mSIT.</p><p><strong>Methods: </strong>Prospective cohort study, with nested subsets, of collegiate athletics and military service academies. 59 901 athletes and cadets were enrolled in the National Collegiate Athletic Association-Department of Defense Concussion Assessment Research and Education (CARE) Consortium; 5075 diagnosed with a concussion. These analyses used the SCAT symptom survey, Standardised Assessment of Concussion, modified Balance Error Scoring System, modified Vestibular/Ocular Motor Screening (mVOMS), Immediate Post-Concussion Assessment and Cognitive Testing, King-Devick, Clinical Reaction Time and numerous neuropsychological tests in concussed versus non-concussed individuals within 48 hours of injury.</p><p><strong>Results: </strong>Individual symptoms in the symptom survey demonstrated a variety of Cohen's d effect sizes, the largest being pressure in head (d=2.59), do not feel right (d=2.51) and headache (d=2.85). The largest effect sizes of the examinations were Symptom Severity Score (d=2.09) and mVOMS (d=3.41). The proposed mSIT is the sum of the 7-point Likert symptom scores for headache, pressure in head, do not feel right, sensitivity to light, dizziness and sensitivity to noise (range 0-36). The AUC/sensitivity/specificity of SCAT symptom severity index was 0.88/85 %/76%, whereas mSIT was 0.94/87 %/88%. The only concussion test/examination which added utility to mSIT was mVOMS with an AUC/sensitivity/specificity of 0.94/88 %/92% when used in combination. The proposed clinical cut-off score is ≥2 for mSIT and ≥2 for mVOMS. All other examinations in CARE were non-additive in acute concussion identification.</p><p><strong>Conclusion: </strong>For a shorter concussion evaluation, the 6-question mSIT is recommended, improving the AUC from 0.88 to 0.94 with 2% better sensitivity and 12% better specificity compared with the 22-item SCAT Symptom Severity Score. Adding mVOMS further marginally enhances these metrics and can be completed within 2-3 min (mSIT Plus).</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833854","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":"Sit-to-stand test emerges as a powerful prognostic factor of future health outcomes: different versions, measurement properties and future perspectives.","authors":"Jose Castro-Piñero, Julian Alcazar, Magdalena Cuenca-García, Beatriz Fernandez-Gamez, Ignacio Ara, Francisco B Ortega","doi":"10.1136/bjsports-2026-111739","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111739","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833852","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":"Advancing the management of patellar tendinopathy (PhD Academy Award).","authors":"Jie Deng","doi":"10.1136/bjsports-2026-111689","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111689","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833942","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":"The Society of Sports Therapists and the BBC Children in Need Thousand Mile Challenge.","authors":"Kate Williams, Christopher James Holland","doi":"10.1136/bjsports-2026-112055","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112055","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834046","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":"From research to practice: barriers to implementation of psychologically informed practice in the sports setting.","authors":"Kate N Jochimsen, Gary Johnson, Tyler Cope, Jason M Beneciuk, Geoffrey Dover, Laura S Pietrosimone, James Doorley, Chris J Main, Trevor A Lentz, Shelby Baez","doi":"10.1136/bjsports-2025-111071","DOIUrl":"10.1136/bjsports-2025-111071","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"687-688"},"PeriodicalIF":16.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of physical activity patterns on major adverse cardiovascular events in adults with hypertension.","authors":"Matthew Ahmadi, Angelo Sabag, Raaj Kishore Biswas, Borja Del Pozo Cruz, Clara Chow, John O'Sullivan, Thijs Eijsvogels, Emmanuel Stamatakis","doi":"10.1136/bjsports-2025-109894","DOIUrl":"10.1136/bjsports-2025-109894","url":null,"abstract":"<p><strong>Objective: </strong>Physical activity (PA) is generally cardioprotective, but the relationship between PA intensity and bout length and major adverse cardiovascular events (MACEs) in adults with hypertension remains unclear.</p><p><strong>Methods: </strong>Participants of the UK Biobank wearables substudy with a clinical diagnosis of hypertension were included. Short bouts of moderate intensity PA were classified as lasting up to 3 min and for vigorous intensity up to 1 min. Long bouts of moderate intensity PA were classified as lasting >5 min and for vigorous intensity >2 min. MACEs were defined as the composite of cardiovascular disease mortality and incidence of stroke, myocardial infarction and heart failure. We used Cox proportional hazards regression and Fine-Gray subdistribution for MACE and subtype analyses.</p><p><strong>Results: </strong>During an average follow-up of 7.9 (±1.1) years among 38 960 participants (58.1% female; average age 62.1 (±7.7) years), there were 1416 MACE, including 397 stroke, 508 myocardial infarction and 363 heart failure events. Both short and long bouts of moderate intensity PA were associated with lower MACE risk, with subtype analyses showing longer bouts may enhance protective associations. For vigorous intensity PA, amounts accrued through short bouts exhibited a consistent association with lower MACE risk (HR=0.62 (95% CI 0.51 to 0.76) for 22 min/week), while amounts accrued through long bouts were associated with a higher risk of stroke, with a steep gradient of higher risk with longer durations (HR=2.06 (95% CI 1.38 to 3.07) for 44 min/week up to 2.80 (95% CI 1.72 to 4.56) for 64 min/week).</p><p><strong>Conclusions: </strong>Short and long bouts of moderate intensity PA were associated with a lower risk of overall MACE, with evidence suggesting that longer bouts may enhance this protective association. For vigorous intensity PA, short bouts showed strong associations with lower overall MACE risk, while long bouts were associated with a 2-3 fold higher stroke risk, with a dose-response pattern evident across higher durations. Our results highlight the benefits and risks of PA bout length and intensity in adults with hypertension.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"696-705"},"PeriodicalIF":16.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147509755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical changes and recovery following a half-marathon: implications for training and injury prevention in recreational runners (PhD Academy Award).","authors":"Wenjin Wang, Wolfgang Potthast","doi":"10.1136/bjsports-2025-111445","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111445","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833938","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}