British Journal of Sports Medicine最新文献

{"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}

{"title":"Call to integrate long tail and dark data for the advancement of sports medicine research","authors":"Natalie Kupperman, Neal Magee, Christopher Kuenze","doi":"10.1136/bjsports-2024-108890","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108890","url":null,"abstract":"The proliferation of observational and interventional research in the fields of sports medicine and orthopaedics has resulted in a rapid expansion of available knowledge. However, as the volume of evidence has increased, so has the number of independent investigators leading to the collection and storage of small, granular datasets by individual labs during routine research.1 There are growing concerns within sports medicine and related fields that the complex nature of the current scientific environment may limit the efficiency of data aggregation and that variation in the structure of individual datasets may limit the application of rigorous quantitative methods when answering challenging clinical or practical questions.2 3 Therefore, this editorial aims to introduce the concepts of long tail data and dark data in sports medicine research and describe the implications of both data types for advancing the field. The concepts of long tail data and dark data are becoming increasingly relevant in sports medicine and orthopaedics research. Long tail data refers to the vast amount of small, specialised datasets that exist outside of mainstream, large-scale studies.2 4 These datasets, often collected by individual researchers or small labs, contain valuable information but may be overlooked due to their small size, perceived lack of significance, or correlation with other datasets. For example, in patient-outcomes research, data becomes fragmented between studies or sites depending on when follow-up and final visits take place during the course of care, and also from the structure and frequency of physical assessment sessions typically implemented in preparation for clearance to return to activity. Furthermore, when data is collected as part of patient care, changing measures to align with collaborating institutions or recent research can be onerous and disrupt the workflows of clinicians. Dark data, a subset of long tail data, encompasses the information collected during research …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"74 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143841289","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 sit-to-stand muscle power in healthy ageing: assessing validity, clinical relevance, decline and interventions in older adults with and without chronic conditions (PhD Academy Award)","authors":"Ivan Baltasar-Fernandez","doi":"10.1136/bjsports-2024-109594","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109594","url":null,"abstract":"This PhD thesis aimed: (i) to assess the validity of the sit-to-stand (STS) muscle power test and compare it with other equations available in the literature; (ii) to investigate the functional implications of having low relative STS power (ie, normalised by body mass) in older individuals with and without Parkinson’s disease (PD); (iii) to assess longitudinal changes in relative STS power and its contributing factors, providing clinically relevant cut-off points for low relative STS power; and (iv) to evaluate the short-term and residual effects of power-oriented resistance training (RT) combined with high-intensity interval training (HIIT) in frail older adults and in those with chronic obstructive pulmonary disease (COPD). Muscle power, a critical component of the neuromuscular system, declines more rapidly than muscle mass and strength with ageing and is a stronger predictor of adverse health outcomes, including frailty, disability, and falls. However, the lack of feasible and valid tests, normative values and cut-off points has so far prevented its evaluation in the clinical setting. Given the WHO’s emphasis on healthy ageing and maintaining functional ability, it is essential to identify and implement effective strategies to assess and enhance muscle power, thereby supporting independence and well-being in older populations. Thus, the validity and clinical relevance of the STS muscle power test deserved to be investigated. My PhD thesis comprised eight studies, including cross-sectional (studies 1–4), an 8-year longitudinal (study 5) and interventional (studies 6–8) designs. Participants included 2183 community-dwelling older adults (>65 years), 46 age- and sex-matched individuals with and without PD (>60 years), 59 older adults with frailty (>70 years) and 21 older adults with COPD (>65 years). Relative STS power was evaluated using the STS muscle …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"108 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805651","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}