British Journal of Sports Medicine最新文献

{"title":"Firing up the rehabilitation: a holistic approach emphasising complex practice environments to change exercise behaviour","authors":"Manuela Karloh, Thiago Matias","doi":"10.1136/bjsports-2024-108080","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108080","url":null,"abstract":"Rehabilitation, covering areas such as injury, cardiac, pulmonary and mental health, is evolving toward patient-centred care.1 However, motivating patients to maintain exercise habits remains challenging,2 with a disconnect between programme design, behavioural change theories and professionals’ ability to apply behavioural change techniques.3 The aim of this editorial is to emphasise the need for rehabilitation programmes that move beyond traditional treatments by integrating holistic, patient-centred approaches. This includes fostering emotional, psychological and social growth alongside physical recovery. Social-structural and interpersonal barriers hinder adherence to exercise maintenance. A lack of psychological and social support significantly impacts adherence to exercise interventions, both during and after rehabilitation, which is essential for initiating and sustaining health-related behaviours.2 4 5 Habitual behaviours, deeply ingrained and automatic, inhibit new interventions, highlighting the need for targeted, context-specific strategies.4 Enhancing the expertise of rehabilitation professionals to use theoretical models promoting holistic approaches can help break down entrenched beliefs and foster new cultural understandings about rehabilitation.6 Compliance has been an issue in physiotherapy since the 1970s.7 The role of rehabilitation in patients’ lives should not be reduced to just ‘medicine’. Such programmes ought to integrate into a patient’s life, seeking not just health (mostly physical)8 results but also personal growth, emotional enhancement and positive social connections. The motivation for individuals to adhere to a rehabilitation programme, ensuring exercise maintenance, should not be dictated only by fear of health deterioration, physical performance or other external factors. These external motivations …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"51 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974748","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":"Infographic. Having pelvic health conversations within sports settings","authors":"Jodie G Dakic, E Jean C Hay-Smith, Kuan-Yin Lin, Jill L Cook, Helena C Frawley","doi":"10.1136/bjsports-2024-108673","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108673","url":null,"abstract":"Symptoms of pelvic floor (PF) dysfunction are highly prevalent in female athletes at all levels of sports participation.1 One in three women across all sports experience symptoms such as leaking urine, wind or stool including up to 80% of women participating in high-impact sports or heavy lifting.1 2 In female para-athletes, 28% across all sports experience urinary incontinence.3 One in two women who experience symptoms of PF dysfunction during sport or exercise stop participating in the form of activity.4 Women also report PF symptoms that substantially impact training and performance including reducing training load, avoiding high-impact activities and distraction during competition.2 4 Health and exercise professionals are ideally placed to raise awareness of pelvic health and provide opportunities for symptom disclosure. However, approximately 75% of Australian health and exercise professionals do not screen female athletes for symptoms of PF dysfunction as part of their current practice.5 Among women attending fitness clubs in Oslo, only 8% had received any information on PF muscle training during 12 months …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"68 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974750","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":"Two minutes was always enough time to finish eating a Pop Tart…until it wasn’t: my experience with cardiac arrest in high school chemistry class","authors":"Linton Beck, Stephen Beck, Rejyna Beck, English C Flack","doi":"10.1136/bjsports-2024-109519","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109519","url":null,"abstract":"For everyone ambling into high school chemistry on the morning of 20 April 2022, the day seemed as life-changing as you would expect from a group of teenagers preparing for an hour-long stoichiometry lesson. I was a sophomore student at Station Camp High School in Gallatin, Tennessee. Like every morning, the bell would ring, students would take their seats and our teacher (Coach Bartlett) would begin class. It is interesting how we define seemingly meaningless times in our lives. We even have phrases like ‘killing time’ to characterise these throwaway moments. I looked down at my watch. I had plenty of time to eat my strawberry Pop Tart before class started. Coach Bartlett worked hard to challenge students but was also flexible and laid-back enough to let students eat in his classroom before class. This was important for me; as a varsity track and cross-country runner, I typically ran around 65 kilometres a week. Regional championships were coming up, and I had a good shot at helping my team place by running in the 1600 m and 3200 m races. I was satisfied with my personal best mile time of 04:55 and 5K time of 17:50 but was looking forward to shaving a few more seconds off my times. The difference between good and great is only a matter of seconds. Munching on my much-needed calorie source, I glanced down …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"75 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974746","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":"Unleashing the champion mindset among Melaka’s para athletes of the Malaysia Games","authors":"Ahmad Fadhly Arham, Nor Sabrena Norizan, Rani Diana Othman","doi":"10.1136/bjsports-2024-109060","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109060","url":null,"abstract":"Sukan Para Malaysia (Para Sukma) is a multisport event for disabled athletes in Malaysia, established in 1982. Initially called the National Games for Disabled Members of Malaysia, it became the Malaysian Paralympic Games in 1998 and was renamed Sukan Para Malaysia in 2018. The event now occurs biennially, alongside the Malaysian Games, in the same host state. In 2024, Melaka will participate with 83 contingents, including 63 athletes and 20 officials, competing in various sports such as archery, swimming, tenpin bowling, chess, badminton, table tennis, powerlifting, athletics, boccia and lawn bowls. Athletes represent diverse disabilities, including physical, intellectual and visual impairments. Based on previous achievements, Melaka aims to secure nine gold medals this year. Table 1 provides the breakdown of the Melaka’s Para Contingent 2024. View this table: Table 1 The breakdown of Melaka Para Contingent 2024 To ensure that the athletes are mentally ready for this year’s competition, the Department of Youth and Sports of Melaka (KBS), together with the Sports and Recreation Association of Disabled People of the State of Melaka (PESRON), has organised a 1-day team-building programme for all participating athletes and officials. This team-building session aims to frame the champion mindset and encourage inclusivity and team spirit among participating athletes with disabilities. Even though only 31 athletes and 6 coaches attended the programme, the presence of all managers and facilitators from the KBS, PESRON and the organiser has facilitated the programme’s effectiveness. This was the first time those athletes had been exposed to mental training. As Anuar and Bahar1 contended, visualisation techniques among disabled athletes are still underexplored. During the mind-setting session, all athletes and …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"10 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of resistance training on cardiometabolic health-related indices in patients with type 2 diabetes and overweight/obesity: a systematic review and meta-analysis of randomised controlled trials","authors":"Sameer Badri Al-Mhanna, Barry A Franklin, John M Jakicic, Emmanuel Stamatakis, Linda S Pescatello, Deborah Riebe, Walter R Thompson, James Skinner, Sheri R Colberg, Nouf H Alkhamees, Bodor Bin Sheeha, Mehmet Gülü, Abdullah F Alghannam, Alexios Batrakoulis","doi":"10.1136/bjsports-2024-108947","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108947","url":null,"abstract":"Objective To evaluate the effects of resistance training on cardiometabolic health-related outcomes in patients with type 2 diabetes mellitus (T2DM) and overweight/obesity. Design Systematic review and meta-analysis of randomised controlled trials (RCTs). Data sources PubMed, Web of Science, Scopus, Science Direct, Cochrane Library and Google Scholar databases were searched from inception up to May 2024. The search strategy included the following keywords: diabetes, resistance exercise and strength training. Eligibility criteria for selecting studies RCTs published in English comparing resistance training alone with non-exercising standard treatment. Participants were adults diagnosed with T2DM and concurrent overweight/obesity (body mass index (BMI) ≥25 kg/m2). Results A total of 18 RCTs qualified involving 1180 patients (48.6/51.4 female/male ratio; 63.3±7.0 years; 29.3±4.3 kg/m2). Waist circumference (standardised mean differences (SMD) −0.85 cm, 95% CI −1.66 to −0.04), waist-to-hip ratio (SMD −0.72, 95% CI −1.30 to −0.15), high-density lipoprotein cholesterol (SMD +0.40 mg/dL, 95% CI 0.07 to −0.72), triglycerides (SMD −0.54 mg/dL, 95% CI −1.06 to −0.02), fasting blood glucose (SMD −0.65 mmol/L, 95% CI −1.19 to −0.12), fasting insulin (SMD −0.74 uIU/mL, 95% CI −1.12 to −0.36) and glycated haemoglobin (SMD −0.32%, 95% CI −0.63 to −0.01) improved compared with standard treatment. The risk of bias was low to unclear, and the quality of evidence was very low to moderate. Conclusions Resistance training as a standalone exercise intervention in the management and treatment of T2DM with concurrent overweight/obesity is associated with many cardiometabolic benefits when compared with standard treatment without exercise. PROSPERO registration number CRD42022355612. Data are available upon reasonable request. Data are available on reasonable request by contacting the corresponding author.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"133 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142936197","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":"Association between recorded physical activity and cancer progression or mortality in individuals diagnosed with cancer in South Africa","authors":"Ntokozo Mabena, Nivash Rugbeer, Sandra Lehmann, Georgia Torres, Deepak Patel, Mosima Mabunda, Mike Greyling, Jane S Thornton, Yun-Hee Choi, Saverio Stranges, Jon S Patricios","doi":"10.1136/bjsports-2024-108813","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108813","url":null,"abstract":"Objectives This study aimed to determine the association between progression and mortality in individuals with stage 1 cancer and their recorded physical activity before the diagnosis of the cancer. Methods We included 28 248 members with stage 1 cancers enrolled in an oncology programme in South Africa. Physical activity was recorded using fitness devices, logged gym sessions and participation in organised fitness events. Levels of physical activity over the 12 months before cancer diagnosis were categorised as no physical activity, low physical activity (an average of <60 min/week) and moderate to high physical activity (≥60 min/week). Measured outcomes were time to progression, time to death and all cause mortality. Results Physically active members showed lower rates of cancer progression and lower rates of death from all causes. The HR for progression to higher stages or death was 0.84 (95% CI 0.79 to 0.89), comparing low activity with no physical activity, and 0.73 (95% CI 0.70 to 0.77), comparing medium to high physical activity with no physical activity. The HR for all cause mortality was 0.67 (95% CI 0.61 to 0.74), comparing low physical activity with no activity, and 0.53 (95% CI 0.50 to 0.58), comparing medium to high physical activity with no physical activity. Conclusions Individuals engaging in any level of recorded physical activity showed a reduced risk of cancer progression or mortality than those not physically active. There was a further reduction among individuals with moderate to high levels of physical activity compared with those with lower levels. No data are available.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"84 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142936177","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":"Understanding the role of the triceps surae muscle-tendon unit during rehabilitation from Achilles tendinopathy (PhD academy award)","authors":"Ine Mylle","doi":"10.1136/bjsports-2024-109443","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109443","url":null,"abstract":"My PhD aimed to gain insights in the relationship between triceps surae muscle force-sharing, Achilles tendon properties, and changes in pain, tendon structure and functioning during rehabilitation in patients with Achilles tendinopathy. The long-term aim of this work was to identify new outcomes that could optimise and improve rehabilitation strategies. We identified differences in force-sharing between patients with Achilles tendinopathy and healthy controls, assessed Achilles tendon property changes over time, compared responders from non-responders throughout rehabilitation and investigated the impact of incorporating Achilles (sub)tendon characteristics into musculoskeletal models. ### Why did I do it? The Achilles tendon is connected to, and loaded through force production of the three triceps surae muscle forces: the soleus (SOL), the gastrocnemius lateralis (GL) and medialis (GM). Tendon remodelling occurs due to repetitive, high or unusual loads as internal tendon strains will increase, leading to microtrauma, where the arrangement of collagen fibres within the tendon gets disorganised. This common overuse injury, known as Achilles tendinopathy, affects both competitive and recreational athletes. Various structural and functional changes in the tendinopathic tendon are observed compared with healthy tendons, for example, increased volume and cross-sectional area, and decreased stiffness, …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"25 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142935102","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":"Ultrasound as a predictor of time-loss injury for the patellar tendon, Achilles tendon and plantar fascia in division I collegiate athletes","authors":"Daniel M Cushman, Derek Stokes, Leyen Vu, Blake Corcoran, Michael Fredericson, Sarah F Eby, Masaru Teramoto","doi":"10.1136/bjsports-2024-109066","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109066","url":null,"abstract":"Objectives Tendinopathy and fasciopathy are common conditions that can result in time-loss injury in athletes. This study aimed to determine if preseason sonographic abnormalities of the patellar tendon, Achilles tendon and plantar fascia are associated with future time-loss injuries in collegiate athletes. Methods National Collegiate Athletic Association Division I athletes from three institutions participated in this 3-year prospective, observational study. Each athlete completed a questionnaire, self-reporting current and prior symptoms and underwent an ultrasound examination of bilateral patellar tendons, Achilles tendons and plantar fasciae during annual preseason examinations. Ultrasound evaluations assessed for tendon and fascia thickening, hypoechogenicity and neovascularisation. Athletes were monitored for time-loss injury over the subsequent year. Results A total of 695 athletes across 18 sporting disciplines (61.1% female, age 20.0±1.6, body mass index 23.1±2.9 kg/m2) were analysed over 3 years. Sonographic abnormalities were identified in 36.6%, 7.5% and 2.8% of the patellar tendons, Achilles tendons and plantar fasciae, respectively. Injuries were reported in 3.3%, 1.6% and 0.7% of these structures with an adjusted relative risk of injury increased by 8.9 (95% CI 3.7, 21.4), 18.8 (95% CI 7.2, 48.8) and 21.0 (95% CI 6.4, 68.1) times in those with preseason ultrasound abnormalities (p<0.001). The presence of an ultrasound abnormality was more predictive of future injury than self-report of a prior injury or pain in the area at the time of the scan. Conclusion Preseason sonographic abnormalities of the patellar tendon, Achilles tendon or plantar fascia are associated with a higher risk of developing time-loss injuries in collegiate athletes. Data are available on reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"117 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142935100","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":"Injury risk factors and their priority for mitigation in women’s netball: a systematic review and Delphi consensus","authors":"Sarah Whitehead, Lois Mackay, Ben Jones, Omar Heyward, Aaron S Fox, Lucy Jane Chesson, Sean Scantlebury, Dina Christina (Christa) Janse van Rensburg","doi":"10.1136/bjsports-2024-108756","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108756","url":null,"abstract":"This study aimed to establish consensus on injury risk factors in netball via a combined systematic review and Delphi method approach. A systematic search of databases (PubMed, Scopus, MEDLINE, SPORTDiscus and CINAHL) was conducted from inception until June 2023. Twenty-four risk factors were extracted from 17 studies and combined with a three-round Delphi approach to achieve consensus. In round one, experts listed perceived risk factors for injury in netball which were combined with the risk factors identified via the systematic review. In round two and round three, experts rated their level of agreement with each risk factor on a 5-point Likert scale (1, strongly disagree to 5, strongly agree). Consensus was defined as ≥80% agreement (with<10% in disagreement). In round three, experts also rated the priority for mitigating the risk factor (1, very low to 5, very high). Nineteen experts participated in round one and round two, and 16 participated in round three (response rate 84%). One-hundred and nine risk factors for injury were identified by the systematic review and experts combined. Sixty-one risk factors reached consensus, categorised into five groups: ‘individual characteristics’ (n=22), ‘lifestyle’ (n=11), ‘training and competition’ (n=14), ‘sport science and medical provision’ (n=6) and ‘facilities and equipment’ (n=8). ‘Poor landing technique/mechanics’ had a median (IQR) mitigation priority rating of 5 (1), while all others had median ratings of 3–4.5. This study identifies a range of risk factors for injury, provides focus areas for injury prevention and highlights the importance of a multidisciplinary approach to injury mitigation in netball.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"34 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142925018","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":"Infographic. Muscle-strengthening exercise for older adults: a critical strategy for maintaining health and independence.","authors":"Vitor Antonio Assis Alves Siqueira, Eurico Nestor Wilhelm, Emerson Sebastião","doi":"10.1136/bjsports-2024-109204","DOIUrl":"10.1136/bjsports-2024-109204","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"133-134"},"PeriodicalIF":11.6,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458499","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}