British Journal of Sports Medicine最新文献

{"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}

{"title":"Global cardiac screening practices among youth and adult football players: the FIFA cardiac screening survey","authors":"Florian Egger, Andreas Serner, Carolina Franco Wilke, Katharina Grimm, Andrew Massey, Tim Meyer, Aaron L Baggish","doi":"10.1136/bjsports-2025-109949","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109949","url":null,"abstract":"Objective To investigate global cardiac screening practices among elite male and female football players. Methods We surveyed all 211 FIFA Member Associations (MAs) between February and July 2024 using a 21-point questionnaire. Results A total of 165/211 (78%) MAs completed the survey. Cardiac screening was recommended or mandated by 81% (134/165) of responding MAs, with a variation between FIFA Confederations ranging from 33% (3/9 of MAs within the Oceania Football Confederation) to 100% (10/10 MAs within the South American Football Confederation). The majority of MAs use a protocol inclusive of at least medical history, physical examination and 12-lead ECG for adult male (123/134, 92%), adult female (119/134, 89%), youth male (112/134, 84%) and youth female (108/134, 81%) players. The inclusion of echocardiography was more common among adult male (91/134, 68%) and female (84/134, 63%) players compared with youth male (59/134, 44%) and youth female players (59/134, 44%). Among youth players, the age at initial cardiac screening (median age (IQR)=14 (4) years, range: 6–17 years) and the interval of serial screening were highly variable. Conclusion Routine cardiac screening is widely, but not uniformly, applied across football associations globally. There is considerable variation in cardiac screening practices based on geography and player age, suggesting that standardised global recommendations for cardiac screening in both adult and youth football are needed. No data are available.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"39 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017163","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":"Modifiable risk factors for lower-extremity injury: a systematic review and meta-analysis for the Female, Woman and Girl Athlete Injury Prevention (FAIR) consensus","authors":"Jackie L Whittaker, Anu M Räisänen, Chelsea Martin, Jean-Michel Galarneau, Maitland Martin, Justin M Losciale, Garrett S Bullock, Marc-Olivier Dubé, Mario Bizzini, Matthew N Bourne, H Paul Dijkstra, Michael Girdwood, K Alix Hayden, Martin Hägglund, Shreya McLeod, Nonhlanhla Sharon Mkumbuzi, Andrea Britt Mosler, Myles Calder Murphy, Grethe Myklebust, Merete Møller, Juliana Melo Ocarino, Oluwatoyosi B A Owoeye, Debbie Palmer, Kati Pasanen, Ebonie Kendra Rio, Kristian Thorborg, Marienke van Middelkoop, Evert Verhagen, Stuart J Warden, Matthew Whalan, Kay M Crossley, Carolyn A Emery","doi":"10.1136/bjsports-2025-109902","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109902","url":null,"abstract":"Objective Examine potentially modifiable risk factors (MRFs) for female/woman/girl athletes’ lower-extremity injuries. Design Systematic review with meta- or semiquantitative analyses and Grading of Recommendations, Assessment, Development and Evaluation. Data sources MEDLINE, CINAHL, APA PsycINFO, Cochrane Systematic Review Database, CENTRAL, SPORTDiscus, EMBASE, ERIC searched 30 October or 23 November 2023. Eligibility Primary data studies with comparison group(s) assessing the association of MRFs for sport-related lower-extremity injury(s) with ≥1 female/woman/girl per study group. Results Across 195 studies (n=115; 58.9% female/woman/girl-specific estimates) including 1 525 662 participants (2.4% females/women/girls), eight injury outcomes were assessed (n=75 general lower-extremity, n=3 groin, n=6 hip, n=17 thigh, n=88 knee, n=17 lower-leg, n=27 ankle, n=9 foot). Sixty-six MRF categories were identified. Substantial heterogeneity in MRFs and injury outcomes exists, with high risk of bias present in 37.4% of studies. Considering female/woman/girl specific estimates, we performed meta-analyses for 10 MRFs (body mass, x (BMI), weekly training distance, muscle strength, artificial turf, off-season plyometric training, readiness to return-to-sport, single-leg hop asymmetry, vertical drop jump peak knee flexion angle and ground reaction force) and semiquantitative analyses for 26 MRFs for a variety of injuries. Meta-analyses suggest no association between any lower-extremity strength outcome (g=0.01, 95% CI −0.11 to 0.14; I2=37.3%; very low certainty evidence) or artificial turf (Incidence Rate Ratio=0.97, 95% CI 0.88 to 1.07; I2=2.4%; low certainty evidence) and various lower-extremity injuries. Higher body mass (g=0.19, 95% CI 0.00 to 0.38; I2=71.7%) and/or BMI (g=0.22, 95% CI 0.09 to 0.36; I2=37.0%) are associated with several lower-extremity injuries (very low certainty evidence). Conclusion This review synthesises a large body of exploratory research, exposes important knowledge gaps and provides a foundation for understanding MRFs for female/woman/girl athlete lower-extremity injuries. PROSPERO registration number PROSPERO CRD42024486715. Data are available upon reasonable request. Deidentified data can be made available upon reasonable request to the corresponding author. Please email the corresponding author with a written proposal outlining the specific research aims and analysis plan and why these specific data are needed. A formal data-sharing agreement between institutions will be required.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"48 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995417","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":"Domain-specific physical activity and mental health: an updated systematic review and multilevel meta-analysis in a combined sample of 3.3 million people","authors":"Megan Teychenne, Geovan M Sousa, Thea Baker, Caitlin Liddelow, Mark Babic, Aiden J Chauntry, Madeleine France-Ratcliffe, Justin Guagliano, Hannah E Christie, Ella M Tremaine, Bridget Booker, Davide Gargioli, Daniel J Bannell, Ran Bao, Cristy Brooks, David R Lubans, Christian Swann, Stewart A Vella, Chris Lonsdale, Alexandre Bergamo dos Santos, Rhiannon L White","doi":"10.1136/bjsports-2025-109806","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109806","url":null,"abstract":"Objective To update, synthesise and provide meta-analytical evidence of the associations between domain-specific physical activity (PA) and mental health and mental ill-health outcomes. Design Systematic review and multilevel meta-analysis. Data sources In March 2024, we systematically searched five databases. Eligibility criteria Methods employed replicated those of a previous review in 2017. All studies examining associations between domain-specific PA and specified mental health outcomes were included. Results 372 studies met inclusion criteria and 361 were included in the meta-analysis. Across the 372 studies (combined sample size of 3 323 711), 338 examined leisure-time PA, 54 work-related PA, 72 transport-related PA, 44 household PA, 5 school sport and 8 physical education. Multilevel meta-analyses showed that leisure-time PA (r=0.205, 95% CI 0.157 to 0.253), transport-related PA (r=0.138, 95% CI 0.042 to 0.231) and household PA (r=0.096, 95% CI 0.025 to 0.165) were positively associated with mental health . Leisure-time PA (r=−0.149, 95% CI −0.189 to –0.11) and school sport (r=−0.096, 95% CI −0.115 to –0.077) were inversely associated with mental ill health . However, work-related PA (r=0.134 95% CI 0.069 to 0.199) was positively associated with mental ill health . Conclusion The direction of the association between PA and mental health/mental ill health is dependent on the domain in which PA occurs. Promoting PA for leisure purposes is likely to yield the greatest benefits for both promoting mental health and preventing mental ill health. As such, leisure-time PA should be prioritised in messaging, guidelines and interventions/programmes designed to support mental health through PA. PROSPERO registration number CRD42024510303. Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information. Data are viewable in [online supplemental file 5][1]. All other data are available upon reasonable request. [1]: #DC5","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"31 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930324","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":"Forward together","authors":"John Bjørneboe, Torstein Dalen-Lorentsen","doi":"10.1136/bjsports-2025-110705","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110705","url":null,"abstract":"We are delighted to present the annual issue of the Norwegian Sports and Exercise Medicine Society in the British Journal of Sports Medicine. This year, we proudly embrace the slogan of the Oslo Sports Trauma Research Center’s (OSTRC) 25th anniversary conference: ‘25 Years of Protecting Athlete Health: Forward Together’. With over 350 participants, the conference was a tremendous success, highlighting advancements in sports injury and illness prevention over the past quarter century and exploring how we can collaboratively move forward. As emerging researchers in sports medicine, we are honoured to stand on the shoulders of giants, OSTRC founders Professor Roald Bahr and Professor Lars Engebretsen. This issue reflects key themes from the discussions held in Svolvær. One crucial theme in this issue is …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"117 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144928557","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":"Physical activity and healthy ageing in the era of chronic conditions","authors":"Katherine Rose Marino, Isabel S Moore","doi":"10.1136/bjsports-2025-110567","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110567","url":null,"abstract":"We are honoured to welcome you to the September 2025 issue of the British Journal of Sports Medicine ( BJSM ). Advances in medicine and public health initiatives have resulted in a health paradox: populations are living longer than ever before and the burden of chronic conditions such as cardiovascular disease, metabolic disorders, osteoarthritis and neurodegenerative illnesses continues to increase.1 In this issue of BJSM , the use of physical activity within this paradox will be examined, as we consider how physical activity can reduce and manage chronic illness, ultimately supporting healthy ageing in pursuit of both quantity and quality of life. Several articles in this edition focus on individuals with chronic conditions: the editorials ‘ The Role of Exercise in Axial Spondyloarthritis: An important intervention in routine care ’ (see page 1201) , and ‘The Role of Exercise in Atrial Fibrillation Management ’ (see page 1197) advocate for the use and promotion of physical activity in individuals with such chronic health conditions. The insights into physical activity in atrial fibrillation are expanded …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"27 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899205","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":"Football for health: the emerging football community enhancing well-being across the UK","authors":"Bako Nouri","doi":"10.1136/bjsports-2025-110587","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110587","url":null,"abstract":"For clinicians seeking an effective and low-cost form of exercise to support their patients’ well-being, the Footy Addicts platform presents a unique and compelling opportunity. With over 300 000 adults already registered across the UK—many from socioeconomically disadvantaged communities—this growing initiative has the potential to foster both physical activity and social connection. Football is the most popular and widely played sport worldwide and has long been established as beneficial for all aspects of well-being. Physically, it promotes cardiovascular fitness, builds muscular strength and supports the development and maintenance of a strong musculoskeletal system. Mentally, it improves resilience, focus and provides stress relief. Socially, it fosters friendships and involves leadership, teamwork and communication. The various health benefits of football are evident in the existing literature. A systematic review and meta-analysis published in 2019 found that participating in recreational football resulted in significant improvements in blood pressure, resting heart rate, fat mass and low-density lipoprotein cholesterol levels.1 A more recent meta-analysis, published in 2024, found that football also had a favourable effect on body composition, cardiorespiratory fitness, fasting blood glucose and bone strength.2 In patients with pre-diabetes or type 2 diabetes, recreational football practice led to improvements in fasting glucose, cholesterol, …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"14 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144928554","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":"Prediction of secondary ACL injury in female athletes using 2D video-based measurements obtained during dynamic tasks: a retrospective case–control study","authors":"Rachel K Straub, Christopher M Powers","doi":"10.1136/bjsports-2025-109886","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109886","url":null,"abstract":"Objective To determine if two-dimensional (2D) video-based angular measurements obtained during dynamic tasks predict secondary anterior cruciate ligament (ACL) injury in female athletes post-ACL reconstruction (ACLR). Methods Female athletes post-ACLR underwent 2D video assessment during six tasks (step down, drop jump, lateral shuffle, deceleration, triple hop and side-step-cut) before returning to sport. Reinjury status was determined via survey after returning to sport (N=345). Non-contact ACL reinjuries (n=23) were matched to non-injured athletes (n=57). Five 2D video-based surrogates of known risk factors for primary ACL injury (trunk-tibia angle, thigh angle, trunk lean, pelvis tilt, frontal plane projection angle (FPPA)) were measured from 2D videos across tasks. Reinjury cut-offs for the 2D angles were determined using receiver operating characteristic curves, and composite scores were calculated for each 2D surrogate, with higher scores indicating a high-risk movement across more tasks. Logistic regression, adjusted for confounders, assessed ACL reinjury risk for each composite score. Stepwise regression identified the strongest 2D predictor. Results Four of five 2D surrogate composite scores independently predicted ACL reinjury after adjusting for confounders. For each additional task in which an athlete demonstrated a high-risk movement, the odds of reinjury increased: trunk-tibia angle composite score (representing increased knee extensor relative to hip extensor moments; OR 1.75; 95% CI 1.24 to 2.47; p=0.001), thigh angle composite score (representing increased vertical ground reaction forces; OR 1.69, 95% CI 1.14 to 2.50, p=0.01), FPPA composite score (representing increased knee valgus moments; OR 2.29, 95% CI 1.13 to 4.65, p=0.02) and pelvis tilt composite score (representing increased pelvis drop; OR 1.85, 95% CI 1.16 to 2.95, p=0.01). The trunk-tibia angle composite score was selected as the strongest predictor. Conclusions 2D surrogates of known three-dimensional risk factors for primary ACL injury can predict secondary ACL injury. These findings support developing a movement assessment using 2D video-based measurements to inform return to sport decisions and identify at-risk athletes following ACLR. Data are available on reasonable request. Data are available on reasonable request from the corresponding author.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"14 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144924032","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":"Prevention strategies and modifiable risk factors for spine, chest, abdominal and/or pelvic injury and pain: a systematic review and meta-analysis for the Female, woman and girl Athlete Injury pRevention (FAIR) consensus","authors":"Jackie L Whittaker, Jenna M Schulz, Jean-Michel Galarneau, Isabel S Moore, Kathryn E Ackerman, Miranda Butler, Kathryn Dane, Marc-Olivier Dubé, Marcella Ferraz Pazzinatto, Christina D Gomez, K Alix Hayden, Hana Marmura, Rami Mizuta, Andrea Britt Mosler, Geoff Schneider, Kathryn J Schneider, Saurab Sharma, Larissa Trease, Fiona Wilson, Jane S Thornton, Kay M Crossley, Carolyn A Emery","doi":"10.1136/bjsports-2025-109900","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109900","url":null,"abstract":"Objective Investigate prevention interventions and potential modifiable risk factors (MRFs) for female/woman/girl athletes’ spine, chest, abdominal or pelvic injury and/or pain. Design Systematic review with meta-analyses, semiquantitative analyses and Grading of Recommendations Assessment, Development and Evaluation. Data sources MEDLINE, CINAHL, APA PsycINFO, CDSR, CENTRAL, SPORTDiscus, EMBASE, ERIC. Eligibility Primary data studies with comparison group(s) assessing the association of prevention interventions and/or MRFs for spine, chest, abdominal and/or pelvic injury/pain with ≥1 female/woman/girl athlete in each study group. Results Across 105 studies (n=11 interventions, n=92 MRFs, n=2 both, n=35 female/woman/girl-specific estimates) including 59 833 participants (23.7% females/women/girls) 9 injury/pain outcomes were assessed (n=74 low-back, n=14 back, n=13 neck, n=5 pelvis, n=3 thoracic, n=3 abdominal, n=3 trunk, n=2 rib, n=1 breast). Three prevention strategies (exercise, equipment, rule-change) and 22 MRFs were identified. High risk of confounding bias (Downs and Black quality assessment tool) was present in 92% and 63% of intervention and MRF studies, respectively. Considering female/woman/girl estimates, we performed meta-analyses (standardised mean-difference) on 4 MRFs (body mass, body mass index (BMI), weekly training hours, spinal flexion) for low-back pain (LBP) and semiquantitative analyses for one intervention (exercise), and 3 MRFs (yearly training load, hip motion, hip strength) for LBP. Very low-certainty evidence suggests no difference in body mass (g=0.28, 95% CI −0.06 to 0.62; I2=67.7%), BMI (g=0.22, 95% CI −0.25 to 0.69; I2=68.2%), weekly training hours (g=0.15, 95% CI −0.29 to 0.58; I2=45.6%) or spinal flexion (g=0.27, 95% CI −0.23 to 0.76; I2=40.4%) between female/women/girls athletes with and without LBP. Conclusions There is limited knowledge about prevention interventions or MRFs for female/women/girl athletes’ spine, chest, abdominal and/or pelvic injury/pain. PROSPERO registration number CRD42024479654. Data are available on reasonable request. Deidentified data can be made available on reasonable request to the corresponding author. Please email the corresponding author with a written proposal outlining the specific research aims and analysis plan and why these specific data are needed. A formal data-sharing agreement between institutions will be required.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"6 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144924021","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 movement rate and brain-muscle coupling during high-speed knee movement in hamstring injuries in football (PhD Academy Award)","authors":"José Pedro Correia","doi":"10.1136/bjsports-2025-110499","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110499","url":null,"abstract":"My PhD provided knowledge on the motor control of fast lower limb movements and determined the role of movement rate and the associated brain and muscle activity on football hamstring strain injuries. I measured movement rate, as well as brain and muscle activity, during a maximum-speed repetitive knee flexion-extension task in footballers with and without hamstring strain injury history. To determine whether the differences found were segment-specific, leg and finger movement rate were also compared. Hamstring strain injuries impose an increasing burden on football players and clubs.1 Despite abundant research on hamstring strain injuries, there is a clear lack of evidence on the features of brain activity and brain-muscle coupling in footballers with hamstring strain injury history, especially during high-speed knee movements, which represent a frequent hamstring strain injury mechanism in football.2 As neurophysiological changes have been reported in association with other injuries (eg, ligament injuries),3 hamstring strain injury may drive similar adaptations. The need for further research on hamstring strain injury-related central nervous system adaptations has been highlighted in the latest London International consensus on hamstring injuries.4 Determining the existence of these adaptations contributes to our understanding of the pathophysiology of hamstring strain injuries and their management. The current knowledge on the motor control of fast limb movements was compiled through a narrative review.5 Correct performance in the designed high-speed …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915618","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}