Katherine F Wilford, Maria Jesus Mena-Iturriaga, Macarena Paz Wainer-Baracatt, Margaret Vugrin, Troy L Hooper, Toby Brooks, C Roger James, Shinye Kim, Gesine H Seeber, Phillip S Sizer
{"title":"Sociocultural constructs and sensorimotor control: a scoping review examining implications for anterior cruciate injury","authors":"Katherine F Wilford, Maria Jesus Mena-Iturriaga, Macarena Paz Wainer-Baracatt, Margaret Vugrin, Troy L Hooper, Toby Brooks, C Roger James, Shinye Kim, Gesine H Seeber, Phillip S Sizer","doi":"10.1136/bjsports-2024-108617","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108617","url":null,"abstract":"Objective There is a need to explore the many factors that may have a more subtle influence on, or relationship with, sensorimotor control as it pertains to anterior cruciate ligament injury risk. Due to well-established sex/gender-related differences in sensorimotor control, a close examination of key sociocultural constructs is warranted. This scoping review examined the connection between sociocultural constructs and sensorimotor control. Design Scoping review. Data sources The following databases were searched: PubMed, Embase, Scopus, CINAHL Complete, Academic Search Complete, Pre-Prints Database and Rehabilitation Reference Center from inception to September 2023. Additionally, relevant grey literature was identified. Eligibility criteria for selecting studies Two blinded reviewers independently performed screening, study selection and data extraction. Original references in English, Spanish and German reporting on sociocultural constructs and motor task performance were included. Results Data were extracted from 68 included articles. Stereotype threat, gender and race have been examined more than other sociocultural constructs. Sensorimotor control was assessed in upper and lower quarter tasks and physical activity (PA). Task assessment methods varied, often focusing on task completion or completion speed. It is evident that sociocultural constructs influence sensorimotor control, but the exact mechanism remains unclear. Conclusion Sociocultural constructs can influence sensorimotor control and PA. Future research should further explore this connection as it relates to biomechanical profiles associated with increased injury risk. Additionally, sociocultural construct inventory scores could be added to existing injury screening programmes to create a more gendered approach to risk mitigation. No data are available.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"27 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473447","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":"Applying systems thinking approaches to investigate the complex interrelationships of risk factors affecting acute non-contact lower limb injuries in team sports (PhD Academy Award)","authors":"Nikolaos I Liveris","doi":"10.1136/bjsports-2025-109742","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109742","url":null,"abstract":"The primary purpose of my PhD is to employ systems thinking and system dynamics methodologies to investigate the complex interrelationships among injury risk factors affecting acute non-contact lower-limb injuries, with a particular focus on hamstring injuries. First, I used qualitative Causal Loop Modelling (CLD) to evaluate the ‘bigger picture’ of intrinsic and extrinsic risk factors’ interrelationships that lead to hamstring injury. Second, I employed Partial Least Squares Structural Equation Modelling (PLS-SEM) to quantitatively assess the intrinsic risk factors’ interrelationships and their effects on (1) hamstring injuries and (2) the frequency of all acute non-contact lower limb injuries. As sports injuries, such as hamstring injuries, remain a significant problem,1 the existing evidence provides unclear conclusions regarding the linear association between isolated risk factors and sports injuries.2 For this reason, recent studies have proposed incorporating methodologies that assess the dynamic and complex interrelationships between risk factors and their effects on injury.2 3 However, until now, few studies have investigated sports injuries from a systems-thinking perspective.2 3 Systems-thinking methods such as system dynamics can enhance our understanding of the embedded complexity of sports injuries and provide better solutions for injury prevention.4 First, I conducted a qualitative study to formulate a …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"14 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473449","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":"Unlocking potential: how sport and exercise medicine clinicians can identify and empower neurodiverse athletes","authors":"Dusty Marie Narducci","doi":"10.1136/bjsports-2024-109026","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109026","url":null,"abstract":"Have you ever encountered an athlete who suddenly shouts out or someone who seems disengaged? What was your initial reaction? Did you assume the athlete was being offensive or underperforming that day? Or did you wonder whether they might be neurodiverse? Neurodiversity refers to the natural variations in the human brain that influence how people process information, communicate and engage with their surroundings.1 It includes a range of clinical diagnoses (figure 1A) and emphasises that these conditions are normal variations of the human brain, rather than deficits.1 2 Neurodiverse athletes (NdA) often thrive in sports, leveraging their exceptional skills in attention to detail, pattern recognition, intense focus and heightened sensory awareness. Despite these strengths, they encounter distinct challenges that may not be well understood by sports and exercise medicine (SEM) clinicians, coaches, athlete staff and sporting organisations.2 This editorial aims to empower SEM clinicians to effectively identify and support NdA, particularly individuals with autism spectrum disorder (ASD). Figure 1 Comprehensive support for neurodiverse athletes. Identifying NdA presents several challenges due to stigma, vague definitions under the ’Neurodiversity’ spectrum, scant research, inadequate screening processes and limited access to specialised care through athletic programmes.1 2 The terms Asperger’s syndrome and ‘high-functioning autism’ have fallen out of use. Instead, the preferred terminology is ASD, categorised into three levels according to the amount of support needed, which fits under the broader context of neurodiversity3–5 (figure 1B). NdA may find it challenging to interpret social cues, resulting in misunderstandings or communication difficulties with teammates and athletic personnel. This can lead to feelings of isolation or unintentional exclusion from team bonding activities.6 Additionally, they might feel pressured to conform to neurotypical athlete (NtA) interaction styles, causing stress and forcing them to ‘mask’ their true selves, a …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"128 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473448","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}
Lennert Veerman, Jakob Tarp, Ruth Wijaya, Mary Njeri Wanjau, Holger Möller, Fiona Haigh, Peta Lucas, Andrew Milat
{"title":"Physical activity and life expectancy: a life-table analysis.","authors":"Lennert Veerman, Jakob Tarp, Ruth Wijaya, Mary Njeri Wanjau, Holger Möller, Fiona Haigh, Peta Lucas, Andrew Milat","doi":"10.1136/bjsports-2024-108125","DOIUrl":"10.1136/bjsports-2024-108125","url":null,"abstract":"<p><strong>Objective: </strong>Low physical activity (PA) levels are associated with increased mortality. Improved measurement has resulted in stronger proven associations between PA and mortality, but this has not yet translated to improved estimates of the disease burden attributable to low PA. This study estimated how much low PA reduces life expectancy, and how much life expectancy could be improved by increasing PA levels for both populations and individuals.</p><p><strong>Methods: </strong>We applied a predictive model based on device-measured PA risk estimates and a life-table model analysis, using a life-table of the 2019 US population based on 2017 mortality data from the National Centre for Health Statistics. The participants included were 40+ years with PA levels based on data from the 2003-2006 National Health and Nutritional Examination Survey. The main outcome was life expectancy based on PA levels.</p><p><strong>Results: </strong>If all individuals were as active as the top 25% of the population, Americans over the age of 40 could live an extra 5.3 years (95% uncertainty interval 3.7 to 6.8 years) on average. The greatest gain in lifetime per hour of walking was seen for individuals in the lowest activity quartile where an additional hour's walk could add 376.3 min (~6.3 hours) of life expectancy (95% uncertainty interval 321.5 to 428.5 min).</p><p><strong>Conclusion: </strong>Higher PA levels provide a substantial increase in population life expectancy. Increased investment in PA promotion and creating PA promoting living environments can promote healthy longevity.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"333-338"},"PeriodicalIF":11.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615180","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}
Alex V Rowlands, Mark W Orme, Benjamin D Maylor, Andrew P Kingsnorth, Joe Henson, Jonathan Goldney, Melanie Davies, Cameron Razieh, Kamlesh Khunti, Francesco Zaccardi, Thomas Yates
{"title":"Quantifying the relative intensity of free-living physical activity: differences across age, association with mortality and clinical interpretation—an observational study","authors":"Alex V Rowlands, Mark W Orme, Benjamin D Maylor, Andrew P Kingsnorth, Joe Henson, Jonathan Goldney, Melanie Davies, Cameron Razieh, Kamlesh Khunti, Francesco Zaccardi, Thomas Yates","doi":"10.1136/bjsports-2024-108792","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108792","url":null,"abstract":"Objectives To describe age-related differences in the absolute and relative intensity of physical activity (PA) and associations with mortality. Methods UK Biobank participants with accelerometer-assessed PA (m g ) and fitness data (N=11 463; age: 43–76 years) were included. The intensity distribution of PA was expressed in absolute and relative terms. The outcome was mortality. Results PA volume (average acceleration) and absolute intensity were lower with increasing age (~−0.03 to −0.04 SD of mean value across all ages per year; p<0.001) but differences in relative intensity by age were markedly smaller in women (−0.003 SD; p<0.184) and men (−0.012 SD; p<0.001). Absolute intensity was higher in men, but relative intensity higher in women (p<0.001). Over a median (IQR) follow-up of 8.1 (7.5–8.6) years, 121 (2.4 per 1000-person-years) deaths occurred in women and 203 (5.0 per 1000-person-years) in men. Lower risk of mortality was observed for increasing absolute or relative intensity in women, but for absolute intensity only in men. In men, the lowest risk (HR 0.62, 95% CI 0.43, 0.91) was observed in those with high absolute intensity (80th centile), but low relative intensity (20th centile). Conversely, in women, the lowest risk was associated with high levels (80th centile) of both absolute and relative intensity (HR 0.59, 95% CI 0.41, 0.86). Conclusion Absolute PA intensity dropped with age, while relative intensity was fairly stable. Associations between PA intensity and mortality suggest that prescribing intensity in absolute terms appears appropriate for men, while either absolute or relative terms may be appropriate for women. Data may be obtained from a third party and are not publicly available. UK Biobank analyses were conducted using the UK Biobank Resource under Application 33266. The database supporting the conclusions of this article is available from UK Biobank project site, subject to registration and application process. Further details can be found at [https://www.ukbiobank.ac.uk][1]. Code availability: Accelerometer data were processed using the open-source R-package GGIR (version 2.3-0, [http://cran.r-project.org][2][www][3]. The relative intensity gradient was generated using open-source code available at [www.github.com/Maylor8/Relative-Intensity-Gradient][4]). Radar plots were generated in R using open-source code available at: [github.com/Maylor8/RadarPlotGenerator][3]. [1]: https://www.ukbiobank.ac.uk/ [2]: http://cran.r-project.org/ [3]: http://www.github.com/Maylor8/RadarPlotGenerator [4]: http://www.github.com/Maylor8/Relative-Intensity-Gradient","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"16 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143462887","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}
Miguel Peralta, Marcelo Nascimento, Gerson Ferrari, Élvio R. Gouveia, Adilson Marques
{"title":"Depression, reduced physical activity and the risk of heart disease: a prospective cohort of European middle-aged and older adults","authors":"Miguel Peralta, Marcelo Nascimento, Gerson Ferrari, Élvio R. Gouveia, Adilson Marques","doi":"10.1136/bjsports-2024-108780","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108780","url":null,"abstract":"Objective To assess the impact of depression and physical activity (PA) of different intensities on the incidence of heart disease. Methods A prospective cohort study with 20 645 European middle-aged and older adults (mean baseline age 63 years; 55.1% women; median follow-up 9.5 years) was conducted using data from the Survey of Health, Ageing and Retirement in Europe. The EURO-D 12-item scale assessed depression. Moderate-intensity and vigorous-intensity PA and heart disease diagnoses were self-reported. We classified participants into the following four groups: (1) depression plus low PA, (2) no depression plus low PA, (3) depression plus moderate/high PA, (4) no depression plus moderate/high PA. Hazard ratio (HR) and 95% confidence interval (CI) were estimated using Cox proportional hazards models adjusted for confounders. Results Compared with having depression and low PA levels, adjusted HR for heart disease similarly decreased for participants with depression and moderate/high PA (moderate-intensity PA: HR=0.63, 95% CI=0.50, 0.78; vigorous-intensity PA: HR=0.69, 95% CI=0.53, 0.89) and participants without depression and low PA (moderate-intensity PA: HR=0.64, 95% CI=0.50, 0.82; vigorous-intensity PA: HR=0.68, 95% CI=0.58, 0.80). The greatest risk reduction was found in participants without depression and moderate/high PA (moderate-intensity PA: HR=0.46, 95% CI=0.37, 0.55; vigorous-intensity PA: HR=0.48, 95% CI=0.40, 0.58). Conclusion Moderate-intensity and vigorous-intensity PA seems to counteract the increased risk for heart disease associated with depression. This highlights the importance of PA as a possible intervention strategy aiming to manage the risk of heart disease among people with depression. Data are available upon reasonable request. The SHARE databases were assessed by registering and accepting the SHARE Research Data Center at <https://share-eric.eu/data/data-access> as long as the data is used for scientific purposes.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"50 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143462484","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}
Stewart Anthony Vella, Caitlin Liddelow, Simon M Rice, Richard Keegan, Kate Hall, Mark A Jones, David Revalds Lubans, Samantha McLeod, Anthony David Okely, Lisa S Olive, Rosemary Purcell, Lindsey J Reece, Simon Rosenbaum, Matthew J Schweickle, Kelsey Singh, Damien Stewart, Leisl Stimpson, Jordan T Sutcliffe, Megan Teychenne, Courtney C Walton, Christian Swann
{"title":"Development of Australian mental health guidelines for community sport","authors":"Stewart Anthony Vella, Caitlin Liddelow, Simon M Rice, Richard Keegan, Kate Hall, Mark A Jones, David Revalds Lubans, Samantha McLeod, Anthony David Okely, Lisa S Olive, Rosemary Purcell, Lindsey J Reece, Simon Rosenbaum, Matthew J Schweickle, Kelsey Singh, Damien Stewart, Leisl Stimpson, Jordan T Sutcliffe, Megan Teychenne, Courtney C Walton, Christian Swann","doi":"10.1136/bjsports-2024-108749","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108749","url":null,"abstract":"Objective The need for clear and actionable guidelines for the promotion and protection of mental health in organised community sport has previously been identified. This study aimed to provide guidelines to promote and protect mental health in organised community sport in Australia. Methods Guideline development was informed by (1) systematic reviews of the evidence pertaining to existing mental health guidelines in sport and mental health interventions in community sport; (2) an expert Delphi consensus study and (3) key stakeholder input via focus groups. A Guideline Development Committee comprising experts and key stakeholder representatives articulated nine distinct guidelines. Results These guidelines address the areas of: mental health literacy training; mental health support pathways and processes; responding to mental health emergencies; responding to major events that may impact mental health; having a mental health plan in place; reducing stigmatising attitudes; appointing a dedicated mental health champion; coach education and promoting well-being within the organisation. Conclusions We provide guidance for promoting and protecting mental health in community sport. Monitoring uptake and measuring the effectiveness of the guidelines are important areas of future work to advance positive mental health for everybody involved in community sport. Data are available upon reasonable request. Not applicable.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451478","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}
Leonardo Azevedo Alvares, Marcus Vl Dos Santos Quaresma, Fernanda Patti Nakamoto, Lívia Marcela Santos, Lucas Soglio Navarro, Giovanna Soglio Navarro, Bruno Marcos Mazoca Orozco, Beatriz Meconi Cardoso Sá, Gabriel Barasnevicius Achkar, Camila Guazzelli Marques, Renata Cleia Claudino Barbosa, Raphael Einsfeld Simões Ferreira
{"title":"Body composition, exercise-related performance parameters and associated health factors of transgender women, cisgender women and cisgender men volleyball players.","authors":"Leonardo Azevedo Alvares, Marcus Vl Dos Santos Quaresma, Fernanda Patti Nakamoto, Lívia Marcela Santos, Lucas Soglio Navarro, Giovanna Soglio Navarro, Bruno Marcos Mazoca Orozco, Beatriz Meconi Cardoso Sá, Gabriel Barasnevicius Achkar, Camila Guazzelli Marques, Renata Cleia Claudino Barbosa, Raphael Einsfeld Simões Ferreira","doi":"10.1136/bjsports-2024-108601","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108601","url":null,"abstract":"<p><strong>Objective: </strong>The inclusion of transgender athletes in competitive sports has promoted significant dialogue and controversy among exercise-related professionals. The objective of this study was to investigate body composition, exercise-related performance parameters and associated health-related factors of transgender women (TW), cisgender women (CW) and cisgender men (CM) amateur volleyball players.</p><p><strong>Methods: </strong>This was a cross-sectional study comprising TW, CW and CM amateur volleyball players eligible with the following characteristics: 'gender incongruent' (for TW only); age between 18 and 35 years; body mass index (BMI) between 18.0 and 29.9 kg/m<sup>2</sup>; 'very active' according to the International Physical Activity Questionnaire, and engaged in regular volleyball training for at least 1 year. All participants were assessed for body composition, blood biomarkers, handgrip strength, countermovement jump height (CMJ), squat jump height (SQJ) and maximum oxygen consumption (V̇O<sub>2max</sub>).</p><p><strong>Results: </strong>69 amateur volleyball players were initially evaluated, but only 23 met the inclusion criteria and were included in the study (7 TW, 8 CW and 8 CM). Age (p=0.07) and BMI (p=0.26) were similar between groups. Estradiol (p=0.47), total testosterone (p=1.00) and haemoglobin (p=1.00) levels did not differ between TW and CW. However, analysis not adjusted by confounding variables showed that CM presented higher testosterone levels (p<0.001), haemoglobin levels (p=0.03), lean body mass (p=0.03), handgrip strength (p<0.001), CMJ (p<0.001), SQJ (p=0.012) and V̇O<sub>2max</sub> (mL/min) (p=0.001) compared with TW. When adjusted by confounding variables, all p values were <0.05, except for SQJ (p=0.062).</p><p><strong>Conclusion: </strong>TW athletes displayed similar exercise performance and biomarkers compared with CW but lower results compared with CM.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448044","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}
Elizaveta Kon, Emmanuel Papakostas, Luca Andriolo, Andreas Serner, Andrew Massey, Peter Verdonk, Peter Angele, Claudia Arias, Camila Cohen Kaleka, Ramon Cugat, Pieter D'Hooghe, Francesco Della Villa, Cristiano Eirale, Christoph Erggelet, João Espregueira-Mendes, Christian Fink, Celeste Geertsema, Liesel Geertsema, Cassandra A Lee, Bert Mandelbaum, Norimasa Nakamura, David A Parker, Kristof Sas, Bertrand Sonnery-Cottet, Willem van der Merwe, Andy Williams, Stefano Zaffagnini, Bashir Ahmed Zikria, Giuseppe Filardo
{"title":"ICRS-FIFA-Aspetar consensus on the management of knee cartilage injuries in football players: part 1 - appropriateness of surgery in different clinical scenarios using the RAND/UCLA appropriateness method.","authors":"Elizaveta Kon, Emmanuel Papakostas, Luca Andriolo, Andreas Serner, Andrew Massey, Peter Verdonk, Peter Angele, Claudia Arias, Camila Cohen Kaleka, Ramon Cugat, Pieter D'Hooghe, Francesco Della Villa, Cristiano Eirale, Christoph Erggelet, João Espregueira-Mendes, Christian Fink, Celeste Geertsema, Liesel Geertsema, Cassandra A Lee, Bert Mandelbaum, Norimasa Nakamura, David A Parker, Kristof Sas, Bertrand Sonnery-Cottet, Willem van der Merwe, Andy Williams, Stefano Zaffagnini, Bashir Ahmed Zikria, Giuseppe Filardo","doi":"10.1136/bjsports-2024-108960","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108960","url":null,"abstract":"<p><p>Knee cartilage lesions are frequent in football players, but evidence for surgical treatment is lacking. The aim of this International Cartilage Regeneration & Joint Preservation Society, Fédération Internationale de Football Association, and Aspetar (ICRS-FIFA-Aspetar) consensus was to develop specific expert-based, patient-specific practical recommendations on the appropriateness of non-surgical or surgical treatments for symptomatic knee cartilage lesions in competitive football players. The RAND/UCLA appropriateness method was used, and 17 voting experts provided recommendations on the appropriateness of surgical treatment in 96 different clinical scenarios defined on 6 variables: cartilage injury onset, lesion location, defect size, bone involvement, player symptom level and preference towards higher priority of a quick return to play or long-term results. Surgical treatment of a cartilage lesion was considered appropriate in 32% of the scenarios, in 21% inappropriate, while in 47% of the scenarios, the appropriateness was considered uncertain. The parameters with the highest appropriateness for the surgical treatment of a cartilage lesion in a football player were the inability to play (75.0% of appropriate scenarios), a lesion sized 2 cm<sup>2</sup> or bigger (47.9% of appropriate scenarios) and the preference of the player for long-term results (41.7% of appropriate scenarios). In this ICRS-FIFA-Aspetar expert consensus, surgical treatment for cartilage injuries in competitive football players was considered appropriate only in one-third of the clinical scenarios, and the choice was mainly driven by the level of symptoms. Surgical preference was also influenced by larger lesions, lesions of the condyles and trochlea with subchondral bone involvement and player's preference towards long-term results.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405820","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}
Tim Rees, Mark R Beauchamp, Mark Stevens, Matthew Low, Thomas W Wainwright
{"title":"Group-mediated exercise for chronic conditions: an urgent need for implementation and scale-up.","authors":"Tim Rees, Mark R Beauchamp, Mark Stevens, Matthew Low, Thomas W Wainwright","doi":"10.1136/bjsports-2024-109318","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109318","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398293","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}