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    6153 results match your criteria British Journal of Sports Medicine [Journal]

    1 OF 124

    Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients.
    Br J Sports Med 2018 Mar 17. Epub 2018 Mar 17.
    Sports Medicine Research Department, Sports Surgery Clinic, Dublin, Ireland.
    Background: Clinical assessments and rehabilitation in athletic groin pain (AGP) have focused on specific anatomical structures and uniplanar impairments rather than whole body movement.

    Objective: To examine the effectiveness of rehabilitation that targeted intersegmental control in patients with AGP and to investigate post rehabilitation changes in cutting biomechanics.

    Methods: Two hundred and five patients with AGP were rehabilitated focusing on clinical assessment of intersegmental control, linear running and change of direction mechanics in this prospective case series. Read More

    Return to pivoting sport after ACL reconstruction: association with osteoarthritis and knee function at the 15-year follow-up.
    Br J Sports Med 2018 Mar 17. Epub 2018 Mar 17.
    Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway.
    Objectives: To examine the associations between return to pivoting sport following ACL reconstruction (ACLR) and knee osteoarthritis (OA), and self-reported knee symptoms, function and quality of life after 15 years.

    Methods: Study sample included 258 participants with ACLR 15 years previously. Return to pivoting sport (handball, soccer and basketball) data were collected by interviews, and symptomatic OA was defined as Kellgren and Lawrence grade ≥2 plus almost daily knee pain in the last month. Read More

    What interventions can improve quality of life or psychosocial factors of individuals with knee osteoarthritis? A systematic review with meta-analysis of primary outcomes from randomised controlled trials.
    Br J Sports Med 2018 Mar 16. Epub 2018 Mar 16.
    School of Science and Technology, Laboratory of Biomechanics and Motor Control (LABCOM), São Paulo State University, Presidente Prudente, Brazil.
    Objective: To systematically review evidence of primary outcomes from randomised controlled trials (RCTs) examining the effect of treatment strategies on quality of life (QoL) or psychosocial factors in individuals with knee osteoarthritis (OA).

    Design: Systematic review with meta-analysis.

    Data Sources: Medline, Embase, SPORTDiscus, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Web of Science were searched from inception to November 2017. Read More

    Therapeutic effects of aerobic and resistance exercises for cancer survivors: a systematic review of meta-analyses of clinical trials.
    Br J Sports Med 2018 Mar 16. Epub 2018 Mar 16.
    Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia.
    Objective: To systematically appraise and summarise meta-analyses investigating the effect of exercise compared with a control condition on health outcomes in cancer survivors.

    Design: Umbrella review of intervention systematic reviews.

    Data Sources: Web of Science, Scopus, Cochrane Library, CINAHL and MEDLINE databases were searched using a predefined search strategy. Read More

    National Football League Head, Neck and Spine Committee's Concussion Diagnosis and Management Protocol: 2017-18 season.
    Br J Sports Med 2018 Mar 16. Epub 2018 Mar 16.
    Department of Health and Safety, National Football League, New York City, New York, USA.
    One of the National Football League's (NFL) Head, Neck and Spine Committee's principal goals is to create a 'best practice' protocol for concussion diagnosis and management for its players. The science related to concussion diagnosis and management continues to evolve, thus the protocol has evolved contemporaneously. The Fifth International Conference on Concussion in Sport was held in Berlin in 2016, and guidelines for sports concussion diagnosis and management were revised and refined. Read More

    Is physical activity a cause of longevity? It is not as straightforward as some would believe. A critical analysis.
    Br J Sports Med 2018 Mar 15. Epub 2018 Mar 15.
    Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
    There are discrepant findings between (A) observational follow-ups and (B) interventional studies that investigate possible causal association between high physical activity and low mortality. Participation in vigorous physical activity at a specific time-point is an indicator of good fitness and health, and is associated with a reduced risk of death. However, neither randomised controlled trials nor experimental animal studies have provided conclusive evidence to show that physical activity started during adulthood extends lifespan. Read More

    IOC consensus statement: dietary supplements and the high-performance athlete.
    Br J Sports Med 2018 Apr 14;52(7):439-455. Epub 2018 Mar 14.
    Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.
    Nutrition usually makes a small but potentially valuable contribution to successful performance in elite athletes, and dietary supplements can make a minor contribution to this nutrition programme. Nonetheless, supplement use is widespread at all levels of sport. Products described as supplements target different issues, including (1) the management of micronutrient deficiencies, (2) supply of convenient forms of energy and macronutrients, and (3) provision of direct benefits to performance or (4) indirect benefits such as supporting intense training regimens. Read More

    What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis.
    Br J Sports Med 2018 Mar 14. Epub 2018 Mar 14.
    La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
    Background: Intra-articular hip pathologies are thought to be associated with the development of hip and groin pain. A better understanding of the relationship between symptoms and imaging findings may improve the management of individuals with intra-articular hip pathologies.

    Objective: To undertake a systematic review and meta-analysis to determine the prevalence of intra-articular hip pathologies in individuals with and without pain. Read More

    Sports-related injuries in New Zealand: National Insurance (Accident Compensation Corporation) claims for five sporting codes from 2012 to 2016.
    Br J Sports Med 2018 Mar 12. Epub 2018 Mar 12.
    Department of Sport Performance, Australian College of Physical Education, Sydney, New South Wales, Australia.
    Objectives: To provide epidemiological data and related costs for sport-related injuries of five sporting codes (cricket, netball, rugby league, rugby union and football) in New Zealand for moderate-to-serious and serious injury claims.

    Methods: A retrospective analytical review using detailed descriptive epidemiological data obtained from the Accident Compensation Corporation (ACC) for 2012-2016.

    Results: Over the 5 years of study data, rugby union recorded the most moderate-to-serious injury entitlement claims (25 226) and costs (New Zealand dollars (NZD$)267 359 440 (£139 084 749)) resulting in the highest mean cost (NZD$10 484 (£5454)) per moderate-to-serious injury entitlement claim. Read More

    On average, a professional rugby union player is more likely than not to sustain a concussion after 25 matches.
    Br J Sports Med 2018 Mar 12. Epub 2018 Mar 12.
    Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
    Objectives: To investigate concussion injury rates, the likelihood of sustaining concussion relative to the number of rugby union matches and the risk of subsequent injury following concussion.

    Methods: A four-season (2012/2013-2015/2016) prospective cohort study of injuries in professional level (club and international) rugby union. Incidence (injuries/1000 player-match-hours), severity (days lost per injury) and number of professional matches conferring a large risk of concussion were determined. Read More

    Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation.
    Br J Sports Med 2018 Mar 10. Epub 2018 Mar 10.
    Master's and Doctoral Program in Physical Therapy, Universidade Cidade de Sao Paulo, São Paulo, Brazil.
    Objectives: To evaluate the effectiveness and cost-utility of the addition of different doses of Pilates to an advice for non-specific chronic low back pain (NSCLBP) from a societal perspective.

    Design: Randomised controlled trial with economic evaluation.

    Setting: Physiotherapy clinic in São Paulo, Brazil. Read More

    ACL rupture is a single leg injury but a double leg problem: too much focus on 'symmetry' alone and that's not enough!
    Br J Sports Med 2018 Mar 8. Epub 2018 Mar 8.
    Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    The authors present their thoughts on the focus on targeting asymmetry in rehabilitation after ACL reconstruction, which they think may not be rich enough to identify deficits. Read More

    "What's my risk of sustaining an ACL injury while playing sports?" A systematic review with meta-analysis.
    Br J Sports Med 2018 Mar 7. Epub 2018 Mar 7.
    Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Objective: To estimate the incidence proportion (IP) and incidence rate (IR) for ACL injury in athletes.

    Design: Systematic review with meta-analysis DATA SOURCES: The PubMed, CINAHL and SPORTDiscus electronic databases were searched from inception to 20 January 2017.

    Eligibility Criteria For Selecting Studies: Studies were included if they reported total number of participants/population by sex, total number of ACL injuries by sex and total person-time by sex. Read More

    Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline.
    Br J Sports Med 2018 Mar 7. Epub 2018 Mar 7.
    Department of Orthopedic Surgery, Orthopaedic Research Center Amsterdam, Amsterdam Movement Sciences, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
    This guideline aimed to advance current understandings regarding the diagnosis, prevention and therapeutic interventions for ankle sprains by updating the existing guideline and incorporate new research. A secondary objective was to provide an update related to the cost-effectiveness of diagnostic procedures, therapeutic interventions and prevention strategies. It was posited that subsequent interaction of clinicians with this guideline could help reduce health impairments and patient burden associated with this prevalent musculoskeletal injury. Read More

    Geolocalisation of athletes for out-of-competition drug testing: ethical considerations. Position statement by the WADA Ethics Panel.
    Br J Sports Med 2018 Apr 2;52(7):456-459. Epub 2018 Mar 2.
    Centre of Genomics and Policy, McGill University, Montreal, Canada.
    Through the widespread availability of location-identifying devices, geolocalisation could potentially be used to place athletes during out-of-competition testing. In light of this debate, the WADA Ethics Panel formulated the following questions: (1) should WADA and/or other sponsors consider funding such geolocalisation research projects?, (2) if successful, could they be proposed to athletes as a complementary device to Anti-Doping Administration and Management System to help geolocalisation and reduce the risk of missed tests? and (3) should such devices be offered on a voluntary basis, or is it conceivable that they would be made mandatory for all athletes in registered testing pools? In this position paper, the WADA Ethics Panel concludes that the use of geolocalisation could be useful in a research setting with the goal of understanding associations between genotype, phenotype and environment; however, it recognises that the use of geolocalisation as part of or as replacement of whereabouts rules is replete with ethical concerns. While benefits remain largely hypothetical and minimal, the potential invasion of privacy and the data security threats are real. Read More

    Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations.
    Br J Sports Med 2018 Mar 2. Epub 2018 Mar 2.
    World Rugby, Dublin, Ireland.
    The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement's themes across sporting codes is likely to facilitate superior and uniform diagnosis and management, improve concussion education and highlight collaborative research opportunities. Read More

    What factors must be considered in 'return to school' following concussion and what strategies or accommodations should be followed? A systematic review.
    Br J Sports Med 2018 Mar 2. Epub 2018 Mar 2.
    Division of Pediatric Neuropsychology, Children's National Health System, Rockville, Maryland, USA.
    Objective: To evaluate the evidence regarding (1) factors affecting return to school (RTS) and (2) strategies/accommodations for RTS following a sport-related concussion (SRC) in children and adolescents.

    Design: A systematic review of original studies specifically addressing RTS following concussion in the paediatric and sporting context.

    Data Sources: MEDLINE (Ovid), Embase (Ovid), PsycInfo (Ovid) electronic databases and the grey literature OpenGrey, ClinicalTrials. Read More

    Heat stress and fetal risk. Environmental limits for exercise and passive heat stress during pregnancy: a systematic review with best evidence synthesis.
    Br J Sports Med 2018 Mar 1. Epub 2018 Mar 1.
    Thermal Ergonomics Laboratory, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia.
    Objective: Pregnant women are advised to avoid heat stress (eg, excessive exercise and/or heat exposure) due to the risk of teratogenicity associated with maternal hyperthermia; defined as a core temperature (T) ≥39.0°C. However, guidelines are ambiguous in terms of critical combinations of climate and activity to avoid and may therefore unnecessarily discourage physical activity during pregnancy. Read More

    2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries.
    Br J Sports Med 2018 Apr 24;52(7):422-438. Epub 2018 Feb 24.
    Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
    In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating and researching paediatric ACL injuries. Representatives from the American Orthopaedic Society for Sports Medicine, European Paediatric Orthopaedic Society, European Society for Sports Traumatology, Knee Surgery & Arthroscopy, International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine, Pediatric Orthopaedic Society of North America and Sociedad Latinoamericana de Artroscopia, Rodilla y Deporte attended. Physiotherapists and orthopaedic surgeons with clinical and research experience in the field, and an ethics expert with substantial experience in the area of sports injuries also participated. Read More

    Psychological interventions used to reduce sports injuries: a systematic review of real-world effectiveness.
    Br J Sports Med 2018 Feb 20. Epub 2018 Feb 20.
    Faculty of Health and Social Sciences, School of Clinical and Applied Sciences, Leeds Beckett University, Leeds, UK.
    Objective: To systematically review studies examining the role of psychological interventions in injury prevention. The primary research question was: What is the real-world effectiveness of psychological intervention in preventing sports injuries?

    Design: Mixed methods systematic review with best evidence synthesis.

    Data Sources: CINAHL, MEDLINE, PsycARTICLES, PsycINFO, SPORTDiscus, Science Direct and PubMed. Read More

    Evidence of a cumulative effect for risk factors predicting low bone mass among male adolescent athletes.
    Br J Sports Med 2017 Feb;51(3):200-205
    University of California Los Angeles, Los Angeles, California, USA.
    Background: Limited research has evaluated risk factors for low bone mineral density (BMD) in male adolescent athletes.

    Aims/objectives: To evaluate predictors of low BMD (defined as BMD Z-score <-1.0) in a sample of male adolescent distance runner and non-runner athletes. Read More

    Interventions to reduce sedentary behaviour in 0-5-year-olds: a systematic review and meta-analysis of randomised controlled trials.
    Br J Sports Med 2018 Mar 6;52(5):314-321. Epub 2016 Oct 6.
    Deakin University, Geelong, Australia, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Science, Geelong, Victoria, Australia.
    Aim Or Objective: To evaluate the effectiveness of behavioural interventions that report sedentary behaviour outcomes during early childhood.

    Design: Systematic review and meta-analysis.

    Data Sources: Academic Search Complete, CINAHL Complete, Global Health, MEDLINE Complete, PsycINFO, SPORTDiscus with Full Text and EMBASE electronic databases were searched in March 2016. Read More

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