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Time-to-event analysis for sports injury research part 2: time-varying outcomes.
CONCLUSION: Time-to-event analyses can handle time-varying outcomes, competing risk and multiple subsequent injuries. Although powerful, time-to-event has important requirements: researchers are encouraged to carefully consider prior to any data collection that five injuries per exposure state or transition is needed to avoid conducting statistical analyses on time-to-event data leading to biased results. This requirement becomes particularly difficult to accommodate when a stratified analysis is required as the number of variables increases exponentially for each additional strata included. In future sports injury researc...
Source: British Journal of Sports Medicine - November 9, 2018 Category: Sports Medicine Authors: Nielsen RO, Bertelsen ML, Ramskov D, Møller M, Hulme A, Theisen D, Finch CF, Fortington LV, Mansournia MA, Parner ET Tags: Br J Sports Med Source Type: research
Pre-participation health evaluation in adolescent athletes competing at Youth Olympic Games: proposal for a tailored protocol.
CONCLUSIONS: The Youth Pre-Participation Health Evaluation proved to be effective in identifying a wide range of disorders, allowing prompt treatment, appropriate surveillance and avoidance of potential long-term consequences, in a significant proportion (12%) of adolescent Italian Olympic athletes.
PMID: 30448781 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - November 17, 2018 Category: Sports Medicine Authors: Adami PE, Squeo MR, Quattrini FM, Di Paolo FM, Pisicchio C, Di Giacinto B, Lemme E, Maestrini V, Pelliccia A Tags: Br J Sports Med Source Type: research
How strong is the evidence that conservative treatment reduces pain and improves function in individuals with patellar tendinopathy? A systematic review of randomised controlled trials including GRADE recommendations.
CONCLUSION: Our estimates of treatment effect have only low to very low certainty evidence to support them. This field of sports medicine/sports physiotherapy urgently needs larger, high-quality studies with pain and function among the potential primary outcomes.
PMID: 31171514 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - June 5, 2019 Category: Sports Medicine Authors: Mendonça LM, Leite H, Zwerver J, Henschke N, Branco G, Oliveira VC Tags: Br J Sports Med Source Type: research
The Italian preparticipation evaluation programme: diagnostic yield, rate of disqualification and cost analysis.
CONCLUSION: PPE according to the Italian model identified a range of diseases in 2.0% of apparently healthy athletes at an average cost of €79.
PMID: 31315826 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - July 16, 2019 Category: Sports Medicine Authors: Vessella T, Zorzi A, Merlo L, Pegoraro C, Giorgiano F, Trevisanato M, Viel M, Formentini P, Corrado D, Sarto P Tags: Br J Sports Med Source Type: research
Concussed athletes walk slower than non-concussed athletes during cognitive-motor dual-task assessments but not during single-task assessments 2 months after sports concussion: a systematic review and meta-analysis using individual participant data.
CONCLUSIONS: Our IPD evidence synthesis identifies that, when evaluated using a dual-task assessment, individuals who had incurred a sports concussion exhibited impairments in gait that persisted beyond reported standard clinical recovery timelines of 7-10 days. Dual-task assessment (with motion capture) may be a useful clinical assessment to evaluate recovery after sports concussion.
PROTOCOL PRE-REGISTRATION: This systematic review was prospectively registered in PROSPERO CRD42017064861.
PMID: 31331944 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - July 21, 2019 Category: Sports Medicine Authors: Büttner F, Howell DR, Ardern CL, Doherty C, Blake C, Ryan J, Catena R, Chou LS, Fino P, Rochefort C, Sveistrup H, Parker T, Delahunt E Tags: Br J Sports Med Source Type: research
Return to play after surgery for isolated unstable syndesmotic ankle injuries (West Point grade IIB and III) in 110 male professional football players: a retrospective cohort study.
CONCLUSION: In this cohort of professional football players, surgical stabilisation of isolated unstable syndesmosis injuries (West Point grade ≥IIB) allowed for relatively quick return to play. High grade injury (West Point grade III), concomitant cartilage injury and greater age were associated with longer return to play times.
LEVEL OF EVIDENCE: Longitudinal observational cohort study (level II).
PMID: 31473593 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - August 30, 2019 Category: Sports Medicine Authors: D'Hooghe P, Grassi A, Alkhelaifi K, Calder J, Baltes TPA, Zaffagnini S, Ekstrand J Tags: Br J Sports Med Source Type: research
Recommended musculoskeletal and sports ultrasound terminology: a Delphi-based consensus statement
The current lack of agreement regarding standardised terminology in musculoskeletal and sports ultrasound presents challenges in education, clinical practice and research. This consensus was developed to provide a reference to improve clarity and consistency in communication. A multidisciplinary expert panel was convened consisting of 18 members representing multiple specialty societies identified as key stakeholders in musculoskeletal and sports ultrasound. A Delphi process was used to reach consensus, which was defined as group level agreement of >80%. Content was organised into seven general topics including: (1) gen...
Source: British Journal of Sports Medicine - March 3, 2022 Category: Sports Medicine Authors: Hall, M. M., Allen, G. M., Allison, S., Craig, J., DeAngelis, J. P., Delzell, P. B., Finnoff, J. T., Frank, R. M., Gupta, A., Hoffman, D., Jacobson, J. A., Narouze, S., Nazarian, L., Onishi, K., Ray, J. W., Sconfienza, L. M., Smith, J., Tagliafico, A. Tags: Editor's choice, BJSM Consensus statement Source Type: research
Expanding sports injury prevention to include trauma and adversity
Optimal healing requires a commitment from all clinicians to be willing to connect with patients in new and vulnerable ways. (Athlete who experienced emotional and sexual abuse as a child1) Injuries are at the heart of sports medicine (SM), and athletes’ well-being is every SM clinician’s responsibility. Athletes experiencing interpersonal violence (eg, psychological, physical and sexual harassment and abuse, as well as neglect) in sport deserve equal access to the evidence-based care afforded those experiencing accidental sports injuries.1 2 Though many SM practitioners have not been trained in interpersonal v...
Source: British Journal of Sports Medicine - July 15, 2022 Category: Sports Medicine Authors: Tuakli-Wosornu, Y. A., Grimm, K., MacLeod, J. G. Tags: BJSM Editorial Source Type: research
Moving the needle: a call to action for sports injury and illness prevention researchers to embrace knowledge translation principles
What is the point of evidence if you cannot use it in the real world? This editorial is a call to action to reduce current knowledge-to-practice gaps and to emphasise the need for dissemination and implementation research in the field of sports injury and illness prevention. Why is dissemination and implementation research needed? A challenging question exists for effective injury and illness prevention programmes: ‘Why is it that so many interventions in sports injury and illness prevention are not used by end users despite available evidence?’ For example, why do youth sport coaches not implement neuromuscula...
Source: British Journal of Sports Medicine - October 17, 2022 Category: Sports Medicine Authors: Owoeye, O. B. A. Tags: BJSM Editorial Source Type: research
See, hear and empower women: it is time to 'walk the walk to eliminate manels in sport and exercise medicine/physiotherapy
The ‘manel’—all-male panel1—in sport and exercise medicine/physiotherapy is a powerful and visible symbol of gender inequality.2 The ‘manel’ normalises the absence of women leaders (role models),3 erodes women’s confidence and ambition2 and stunts the depth and development of sport and exercise medicine/physiotherapy.3 To combat this, the British Journal of Sports Medicine (BJSM) developed its conference ‘stamp of approval’,4 which requires more than 40% women faculty and scientific committee members. Perhaps the best example of a ‘manel’ elimination strateg...
Source: British Journal of Sports Medicine - February 16, 2023 Category: Sports Medicine Authors: Crossley, K. M., Litzy, K., Whittaker, J. L. Tags: BJSM Editorial Source Type: research
Reckoning with race in sports cardiology: a call to action
It is widely understood that race is a social and not biological construct,1 and racial disparities significantly impact cardiovascular health outcomes. Understanding the effects of social determinants of health, racial essentialism and discrimination on cardiovascular outcomes is crucial to improve health equity and requires a critical examination of race-based clinical practices. The nascent field of sports cardiology is no exception to this charge. Racial disparities in sudden cardiac death (SCD) risk among athletes and race-based differences in athletic ECG interpretation both require further discussion in this context...
Source: British Journal of Sports Medicine - July 20, 2023 Category: Sports Medicine Authors: Grant, A., Krishnan, S., Chukumerije, M., Guseh, J. S., Kim, J. H. Tags: BJSM Editorial Source Type: research
Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis.
CONCLUSIONS: All investigated potential risk factors for shoulder injury in overhead sports had limited evidence, and most were non-modifiable (eg, sex). There is also limited evidence for the effect of shoulder injury prevention measures in overhead sports.
PROSPERO TRIAL REGISTRATION NUMBER: CRD42015026850.
PMID: 29581141 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - March 26, 2018 Category: Sports Medicine Authors: Asker M, Brooke HL, Waldén M, Tranaeus U, Johansson F, Skillgate E, Holm LW Tags: Br J Sports Med Source Type: research
Under-researched populations and topics in sport and exercise medicine (SEM)
In this South African Sports Medicine Association (SASMA) edition of BJSM, we spotlight work on under-researched populations and topics in sport and exercise medicine (SEM). These populations include youth sport, para athletes, women’s sport, and trans and gender non-conforming (TGNC) athletes. The topics include lesser-understood concussion risk factors such as personal protective equipment, COVID-19 and how para football players perceive concussion. We also include topics on the internal consistency of mental health tools in youth sport, and the challenges of working in SEM—from undergraduate medical training...
Source: British Journal of Sports Medicine - May 2, 2023 Category: Sports Medicine Authors: Hendricks, S., Isaacs, N., Naidoo, D., Paul, L. Tags: BJSM Warm up Source Type: research
How effective is the integration of Sport and Exercise Medicine in the English National Health Service for sport related injury treatment and health management?
CONCLUSIONS: This study highlights the importance of more fully integrating SEM services into public healthcare as a way of improving the organisational capacity of healthcare in treating SRI and ensuring that citizens comply with state interventions which orchestrate health management through raising physical activity levels across the population.
PMID: 29877672 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - June 8, 2018 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis.
CONCLUSION: The included studies were generally well designed and executed, had high compliance rates, were safe, and attained consistently favourable results across four different acute and overuse injury outcomes despite considerable differences in populations and interventions. Increasing strength training volume and intensity were associated with sports injury risk reduction. Three characteristically different approaches to prevention mechanisms were identified and incorporated into contemporary strength training recommendations.
PMID: 30131332 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - August 21, 2018 Category: Sports Medicine Authors: Lauersen JB, Andersen TE, Andersen LB Tags: Br J Sports Med Source Type: research
