British Journal of Sports Medicine最新文献

{"title":"Diagnostic ultrasound of muscle injuries: what the sports medicine clinician should know.","authors":"Stefano Palermi,Alberto Scavone,Mattia Anzà,Emanuele Gregorace,Marco Vecchiato,Marcelo Bordalo,Bruce B Forster,Jon A Jacobson,Chris Myers,Iñigo Iriarte,Carles Pedret","doi":"10.1136/bjsports-2025-110255","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110255","url":null,"abstract":"Muscle injuries are among the most prevalent musculoskeletal conditions in athletes, contributing significantly to morbidity and time lost from competition. The use of ultrasound (US) is advantageous in assessing these injuries due to its low cost, accessibility, portability, dynamic real-time capabilities and utility in prognosis and rehabilitation planning. This state-of-the-art review offers a comprehensive synthesis of current evidence on the anatomical, technical and clinical aspects of diagnostic US in evaluating sports-related muscle injuries. Key topics include the differentiation between direct and indirect injury mechanisms, classification systems, prognostic indicators and common complications such as fibrosis, haematoma and myositis ossificans. Emphasis is placed on a practical, stepwise approach to US examination and reporting, incorporating anatomical detail and functional assessment to support individualised return-to-play decisions. Despite certain limitations, the US remains a cornerstone imaging modality in sports medicine. Emerging technologies, including advanced imaging techniques, hold promise for enhancing diagnostic accuracy and optimising clinical outcomes.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"100 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083528","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":"Gender- and/or sex-specific considerations for sport-related injury: a concept mapping approach for the Female, woman and/or girl Athlete Injury pRevention (FAIR) consensus.","authors":"Kay M Crossley,Melissa J Haberfield,Andrew G Ross,Libby J Gracias,Andrea M Bruder,Jackie L Whittaker,Araba Chintoh,Jane S Thornton,Margie H Davenport,Margo Mountjoy,Melanie Hayman,Brooke E Patterson,Cheri A Blauwet,Evert Verhagen,Carla van den Berg,Carole Akinyi Okoth,Caroline Bolling,Dina Christina Christa Janse van Rensburg,Ellen Casey,Naama W Constantini,Nana Akua Achiaa Adom-Aboagye,Rita Tomás,Yuka Tsukahara,Carolyn A Emery,H Paul Dijkstra,Alex Donaldson","doi":"10.1136/bjsports-2025-109946","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109946","url":null,"abstract":"OBJECTIVEThis study aimed to gather and represent experts' perspectives on the gender- and/or sex-specific factors relevant to injury risk for female/woman/girl athletes.METHODSMixed-methods concept mapping study. Sixty-six experts including cisgendered (1) athlete/coach/carers, (2) clinicians, (3) sports science/high-performance professional, (4) administrators and (5) researchers brainstormed statements to a prompt ('What gender-specific and/or sex-specific factors do you think contribute to injury risk among female, woman and girl athletes?') before thematically sorting and rating the statements/factors for importance and modifiability (5-point Likert scales).RESULTSTen clusters were constructed from 101 unique statements/factors. The clusters (number of statements) include: (1) Inequitable organisational funding and support (n=17); (2) Athletes' lack of, and access to, resources (n=7); (3) Lack of knowledge and expertise among support staff (n=6); (4) Lack of evidence for, and implementation of gender and sex-appropriate injury prevention (n=20); (5) Sex-related factors (n=14); (6) Gendered health (n=8); (7) Gendered expectations to conform to athletic ideals and norms (n=10); (8) Gendered harassment (interpersonal violence) and social biases (n=9); (9) Gendered sport environment (7); (10) Gendered communication (n=3). Lack of knowledge and expertise among support staff was deemed the most important and modifiable cluster to address gender- and/or sex-specific factors relevant to injury prevention for female/woman/girl athletes.CONCLUSIONTen gender- and/or sex-specific clusters, ranging from organisational to biological considerations and societal influences, were defined that could impact female/woman/girl athlete injury risk factors. Advancing stronger evidence for gender and sex appropriate injury prevention is urgently needed.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"28 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071728","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":"'I'm outside, and I'm going to hurt you': the dark side of stalking in sport.","authors":"E Kavanagh,Margo Mountjoy,Lauranna Teunissen,Bram Constandt","doi":"10.1136/bjsports-2025-109995","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109995","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"17 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071802","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":"Interpreting the ECG in Asian athletes: time for more scrutiny?","authors":"Aik Khien Victor Tan,Tee Joo Yeo","doi":"10.1136/bjsports-2024-108614","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108614","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"35 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071768","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":"Epidemiology and prevention of football-related injuries in youth male football players: development of the 'FUNBALL' programme (PhD Academy Award).","authors":"Rilind Obërtinca","doi":"10.1136/bjsports-2025-110557","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110557","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"27 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071860","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":"Influences on the mental health and well-being of retired professional athletes from high contact team sports: a mixed methods systematic review.","authors":"Jordan D Vella,Elise R Facer-Childs,Jessica Ogden,Sarah Liddle,Alyssa Engelman,Ilan Volchek,Kylie King","doi":"10.1136/bjsports-2024-108953","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108953","url":null,"abstract":"OBJECTIVETo report the prevalence of mental health symptoms and influencing factors in retired professional high contact team sport (HCTS) athletes.DESIGNMixed-methods systematic review.DATA SOURCESPsycINFO, Embase, Medline, SPORTDiscus and Scopus were searched in July 2023 and March 2025.ELIGIBILITY CRITERIA FOR SELECTING STUDIESStudies that investigated mental health and/or influencing factors within retired professional HCTS athletes were included. Studies that were non-peer-reviewed, could not obtain full text, used secondary data or focused on non-elite/individual/low-contact sports were excluded.RESULTS85 studies were included in the final review, comprising 53 996 participants (females; n=247, 0.46%) from six sports (Australian Football League, Canadian Football League, football/soccer, ice hockey, National Football League and rugby). Prevalence ranges varied for each condition; smoking (0.9%-16%), depression (3%-49%), anxiety (4.3%-42%), cannabis use (5%-15.7%), adverse alcohol use (6.4%-68.8%), opioid use (7%-23.6%), stress (8.7%-26.9%), illicit drug use (10%-63.2%), anxiety/depression (10.2%-39%) and adverse nutritional behaviour (23.8%-64.5%). Of the studies including M and SD of validated scales, scores for depression, anxiety and sleep disturbance were equivalent to population norms, whereas mild or higher scores were reported for stress and adverse alcohol use. Concussion, pain, injury, neurological factors and declined physical function were shown to have a negative influence on mental health. Both negative and positive influences were observed for: athletic identity, psychosocial support, retirement autonomy, life events, osteoarthritis, retirement and cognitive function. 48% of studies had good methodological quality; however, most studies were cross-sectional, relied on self-report measures and lacked follow-up data and female athletes.CONCLUSIONRetired HCTS athletes experience high levels of psychological distress and adverse alcohol use, but depression, anxiety and sleep disturbance were similar to population norms. These results call for greater support measures for retired athletes.PROSPERO REGISTRATION NUMBERCRD42023449114.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"33 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031939","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":"Goal setting in youth sport: are we unintentionally contributing to dropout?","authors":"Scott G Goddard,Lindsey J Reece,Stewart Anthony Vella,Christian Swann","doi":"10.1136/bjsports-2025-110061","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110061","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"70 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031940","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":"Could not prescribing exercise for depression be psychiatric malpractice?","authors":"Nicholas Fabiano, David Puder, Brendon Stubbs","doi":"10.1136/bjsports-2025-110405","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110405","url":null,"abstract":"The prevalence of depression is increasing, with 290 185 742 people with a documented depression globally in 2019.1 People with depression experience a significantly increased risk of numerous physical diseases, such as obesity, diabetes, high blood pressure and heart failure, among others.2 Traditionally, the primary treatment modalities for depression include antidepressants and psychotherapy. While effective in some instances, a considerable portion of the population (30%–50%) does not respond to these treatments. Further, these interventions do not target and may instead exacerbate physical ailments in some instances.3 There has been increasing recognition of the use of exercise as a treatment for depression. Recent meta-analyses have demonstrated that exercise has anti-depressant effects comparable to those of medications or psychotherapy, with simultaneous multisystem benefits to one’s physical health.4 5 Beyond depressive symptoms, exercise has established efficacy in preventing and managing a plethora of physical comorbidities, many of which disproportionately affect people with depression.6 Exercise has also demonstrated potential to reduce suicide attempts in those with depression.7 As such, exercise has been adopted as a first-line treatment in guidelines for depression globally with good acceptability and safety.6 8 Despite this, clinically, exercise is uncommonly prescribed or prioritised in the psychiatric setting.9 In a survey of mental health professionals, most (92%) stated that they had received no formal training in exercise prescription.9 While medication was …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"44 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017160","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":"Why does it work? Proposed biomedical effect mechanisms of exercise-based injury prevention programmes in football (soccer) and handball: a scoping review of 104 studies","authors":"Christian Moen, Grethe Myklebust, Emilie Munkvold, Martin Hägglund, Roald Bahr, Merete Møller, Christian Thue Bjørndal, Hege Grindem","doi":"10.1136/bjsports-2025-109802","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109802","url":null,"abstract":"Objective To describe the proposed biomedical effect mechanisms in research on exercise-based injury prevention programmes in football (soccer) and handball. Design Scoping review of randomised controlled trials (RCT), cohort studies and case studies. Data sources MEDLINE via PubMed, SPORTDiscus and Web of Science databases were searched from 2000 to 2024. Eligibility criteria Studies were included if they described exercise-based injury prevention programmes in football (soccer) or handball and provided a biomedical rationale or proposition of effect mechanisms. Peer-reviewed studies of all ages and both sexes at elite, subelite or amateur level were eligible. Results We included 104 studies (78 RCTs, 25 cohort studies, 1 case study) with sample sizes ranging from 10 to 4556 participants. Most studies (83%) were published after 2010, and interventions were reported to have an effect in 82% of the studies. Four main themes emerged describing the proposed effect mechanisms: neuromuscular control (47%), strength (39%), range of motion (11%) and physical fitness (3%). Definitions of key terms related to the intervention were provided in only 19% of studies, measurements of specific biomedical effect mechanisms were conducted in just 59% of studies. Conclusion Neuromuscular control and strength were the predominant proposed effect mechanisms for injury prevention programmes in football and handball. To better establish effect mechanisms of exercise-based interventions, future research should consistently define key terms related to the interventions and strive to identify and test causal mechanisms to optimise injury prevention programmes. 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":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025627","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":"Exercising to optimise healthspan: from evidence to community implementation","authors":"Justin Carrard, Arno Schmidt-Trucksäss","doi":"10.1136/bjsports-2025-110730","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110730","url":null,"abstract":"The convergence of geroscience and physical activity research has sharpened the focus on healthspan—the years of life lived in good health, free from functional limitations, chronic disease or disability.1 As illustrated in figure 1, this period extends until an initial decline in functional capacity. While medical advances may extend lifespan, they can also prolong the period of disease and disability. In contrast, optimising healthspan aims to maintain or enhance functional abilities, thereby compressing the duration of morbidity in later life. This shift not only improves the quality of life for individuals but can also reduce the healthcare and social care burden on families and society. Figure 1 Optimising the healthspan. The healthspan, illustrated as the green-to-orange phase, represents the years lived free from functional limitations, chronic disease or disability (A). Curative medicine may extend life (B), but optimal healthspan is achieved by preserving function (C). Adapted from Seals et al ,1 reproduced with permission from Wagner et al .19 Ageing is associated with declines in aerobic capacity, muscle strength and mitochondrial function, all strongly linked to disability and mortality.2–5 Conversely, individuals who maintain adequate cardiorespiratory fitness not only live longer but also spend fewer years with disease.6 7 Longevity is not just about years lived, but …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"69 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017162","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}