British Journal of Sports Medicine最新文献

{"title":"From participation to prevention – the expanding role of physical activity in lifelong health","authors":"Erika Rees-Punia, Kate N Jochimsen","doi":"10.1136/bjsports-2025-110341","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110341","url":null,"abstract":"This edition of BJSM focuses on physical activity across the continuum: from promotion and participation to its role in disease prevention. Here, we consider physical inactivity as a risk factor for various physical and mental health outcomes, and we also think of physical activity as an outcome itself. There are multiple ways we can examine physical inactivity and promote physical activity throughout the lifespan. We can ‘zoom in’ to develop comprehensive, personalised approaches that target individual-level barriers to physical activity. Alternatively, we can ‘zoom out’ to analyse broader trends and system-level factors influencing physical activity engagement across diverse communities, varying disease states and subpopulations. Throughout this issue, you will read from author teams taking both approaches with the same goal—helping us remain active so that we may thrive throughout every stage of life. The health benefits of exercise are well documented, yet population-level participation in physical activity remains low across all stages of life. The infographic by Li et al challenges us to think about access and inclusivity in the promotion of physical activity in children and adolescents with disabilities (see page 1021) . The authors make many suggestions, including increasing the time children and adolescents spend moving their …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"25 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'The right advice': a qualitative study examining enablers and barriers to recreational running and beliefs about knee health following knee surgery.","authors":"James L N Alexander, Allison M Ezzat, Adam G Culvenor, Danilo De Oliveira Silva, Melissa Haberfield, Jean-François Esculier, Christian J Barton","doi":"10.1136/bjsports-2024-108838","DOIUrl":"10.1136/bjsports-2024-108838","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the experiences, knowledge and beliefs of recreational runners with a history of knee surgery regarding (i) enablers and barriers to running participation, (ii) the association of running and knee joint health, and (iii) perceived benefits and motivations for running.</p><p><strong>Methods: </strong>17 runners (≥3 times/week, ≥10 km/week) with a history of knee surgery (7±7 years post-surgery, 9 women, age 36±8 years) participated in one-on-one semi-structured interviews. Interviews were recorded, transcribed verbatim and analysed using reflexive thematic analysis. Trustworthiness was built by following established qualitative research guidelines and by participant validation of findings in the final analysis stages.</p><p><strong>Results: </strong>We identified 9 themes (5 subthemes) for aim (i); 3 themes (10 subthemes) for aim (ii); and 2 themes (4 subthemes) for aim (iii). Positive health professional support including education, exercise rehabilitation and a tailored return-to-run plan enabled participants to return to running following surgery. Effective load management either independently or with coach assistance, and consistent strength training were considered key to maintaining participation. Barriers to running following surgery included unhelpful health professional encounters, persistent knee symptoms and muscle weakness, new running-related injuries, anxiety and fear about reinjury, and difficulty finding time. Participants had varying beliefs about running and knee joint health, although most believed that running benefited long-term knee health. Improved mental health and social connection were the most common motivators to run.</p><p><strong>Conclusion: </strong>Our qualitative findings may inform strategies to support adults to commence, or return to, and maintain running participation following knee surgery.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"981-991"},"PeriodicalIF":11.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infographic. Translating the international Delphi consensus on bone stress injuries into clinical practice","authors":"Tim Hoenig, Karsten Hollander, Kristin L Popp, Michael Fredericson, Emily A Kraus, Stuart J Warden, Adam S Tenforde","doi":"10.1136/bjsports-2025-109695","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109695","url":null,"abstract":"Bone stress injuries (BSIs) are common overuse injuries affecting an athlete’s ability to participate in sport. Advancements in understanding the pathophysiology, risk factors and management strategies related to BSIs can improve clinical care. This infographic informs clinicians on how to translate the latest research findings from an international Delphi consensus on BSIs in athletes1 into clinical practice, including optimal strategies for the evaluation and treatment of BSIs with the goal of reducing risk of further injury. Plain radiography, computed tomography (CT) and bone scintigraphy are forms of imaging with low sensitivity and/or specificity for confirming the presence and severity of a BSI and involve health concerns of exposure to ionising radiation. Most panellists agree that magnetic resonance imaging (MRI) is the gold standard for detecting and grading severity of BSI. …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"16 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328990","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":"Isometric exercise training and resting arterial blood pressure: implications for patients with heart failure with preserved ejection fraction (PhD Academy Award).","authors":"Jamie Edwards","doi":"10.1136/bjsports-2025-110214","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110214","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"15 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328787","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":"Free, culturally responsive and trauma-informed physical activity service for people experiencing social disadvantage in Sydney, Australia: the ‘Addi Moves’ initiative","authors":"Chiara Mastrogiovanni, Uzma Choudhry, Oscar Lederman, Grace McKeon, Kemi Wright, Jackie Curtis, Rachel Morell, Kala Miranda, Scott Teasdale, Gülşah Kurt, Sabuj Kanti Mistry, Philip B Ward, Rosanna Barbero, Simon Rosenbaum","doi":"10.1136/bjsports-2025-110249","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110249","url":null,"abstract":"People experiencing social disadvantage (eg, financial hardship) are at risk of poor health.1 Physical activity is an evidence-based strategy to improve physical and mental health,2 and free, tailored programs may enhance participation in underserved populations.3 Founded in 2022, Addi Moves is a free, culturally responsive and trauma-informed physical activity service for individuals experiencing or who have experienced trauma or disadvantage, including mental illness, gender-based violence, food insecurity, homelessness or displacement. Accredited exercise physiologists4 deliver tailored sessions to meet the unique needs of service users. Addi Moves operates within the Addison Road Community Organisation (‘Addi Road’) in Sydney, Australia— a hub for 40 organisations including a food pantry providing free and discounted groceries to ~8500 people weekly. Service users are referred by affiliated organisations. Addi Moves has received programme and research support from Mindgardens Neuroscience Network, New South Wales (NSW) Ministry of Health Refugee Flexible Fund and the National Health and Medical Research Council. Key strategies guiding Addi Moves are described below. An initial co-design process engaged people …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"12 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311844","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 video review for sport-related concussion identification: a systematic review","authors":"Dominic Charles Townsend, Abigail Saker, Katie Scandrett, Matthew Green, Michael Brownlow, Paddy Riley, Mark Gillett, Antonio Belli","doi":"10.1136/bjsports-2024-109603","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109603","url":null,"abstract":"Objective To determine the frequency and diagnostic utility of visible signs identified through video review for sport-related concussion detection and to evaluate the role of injury mechanism in predicting concussions. Design Systematic review. Data sources MEDLINE, SPORTDiscus, Web of Science and Cochrane Library from 2001 to June 2024. Eligibility criteria Original, peer-reviewed studies focusing on sport-related concussion, where video review identified visible signs or the mechanism of injury relevant to clinical decision-making. Studies were included irrespective of study design but had to be published in English and use a clinical diagnosis or consensus definition of sport-related concussion as a reference standard. Results Out of 1001 records screened, 29 studies involving 3281 sport-related concussions were included for quantitative synthesis. Only eight studies had a low risk of bias. All studies used clinical diagnosis as a reference standard; 26 were conducted in professional competitions, with two studies including female athletes. The most frequently observed visible sign was ‘slow to get up’ (37.6%), followed by ‘motor incoordination’ (26.7%). Sensitivity of visible signs was generally low (<50%), while specificity was high (>90%) across most studies. Four studies across three sports examined mechanism of injury characteristics, identifying common themes, such as high speed of impact, potentially associated with sport-related concussion occurrence. Inter-rater and intrarater reliability varied, with indications of higher reliability among expert raters. Conclusions Expert video review can reliably identify visible signs of sport-related concussion. However, due to their low frequency and limited diagnostic sensitivity, the diagnosis of sport-related concussion should be supported by a multimodal assessment. 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":"70 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311845","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":"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":"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 cm² 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":"902-911"},"PeriodicalIF":11.6,"publicationDate":"2025-06-18","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}

{"title":"Power Training in Older People with Multiple Sclerosis - the PoTOMS trial (PhD Academy Award).","authors":"Tobias Gaemelke","doi":"10.1136/bjsports-2025-110015","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110015","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"21 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295857","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":"Expanding role of sleep in physical activity research and recommendations for lifelong health.","authors":"Charlie Zhong,Sidney M Donzella,Lauren Bates-Fraser,Alpa Patel,Erika Rees-Punia","doi":"10.1136/bjsports-2025-110343","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110343","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"20 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295742","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":"Pelvic organ prolapse and physical activity: directions for future research","authors":"Mark T Elliott, Gayathri Delanerolle, Sohier Elneil","doi":"10.1136/bjsports-2024-109257","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109257","url":null,"abstract":"The global prevalence of pelvic organ prolapse (PoP) varies widely, but it is estimated that up to 40% of women will experience some degree of PoP in their lifetime. The likelihood of developing PoP increases with age, multiparity, obesity, chronic cough and certain occupational or lifestyle factors.1 Women with PoP often report a fear of engaging in physical activity (PA), driven by concerns that it may exacerbate symptoms or accelerate prolapse progression.2 Surveys indicate that nearly one in three women with PoP cite their symptoms as a barrier to exercise, leading to reduced participation in both structured and recreational PA.2 3 Despite these concerns, the impact of PA on PoP remains unclear due to inconsistencies in research findings. Some studies suggest that high-impact activities may worsen symptoms, while others report no association or potential benefits of moderate exercise.4 5 The lack of definitive guidance leads many women to limit their PA unnecessarily, increasing the risk of sedentary behaviour and associated comorbidities such as cardiovascular disease and osteoporosis.4 5 Furthermore, surgical interventions such as mesh implants have introduced additional complications, with many women experiencing chronic pain that further reduces PA participation.6 The aim of this discussion is to highlight the key gaps that remain from previous research that limit understanding of the relationship between PA and PoP, and to recommend future research directions that are required to enable women to make informed decisions on …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"609 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278440","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}