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Physical performance characteristics and activity limitations of touch football players with disabilities: Preliminary study for classification framework development 残疾接触式足球运动员身体表现特征与活动限制:分类框架开发的初步研究
Pub Date : 2025-04-14 DOI: 10.1016/j.jsampl.2025.100098
Taylor M. Wileman, Daniel A. Hackett, Marnee J. McKay, Ché Fornusek

Background

All Abilities Touch Football provides individuals with disabilities the opportunity to participate in organised sport. However, the sport's rapid growth, coupled with the absence of a scientifically validated framework, has presented challenges in accommodating players with varying abilities while maintaining competitive balance. This study aimed to evaluate the performance of All Abilities Touch Football players through various physical fitness tests and assess player activity limitations based on the International Classification of Functioning, Disability and Health framework.

Methods

Twenty-four players participated in a battery of physical assessments, including measures of flexibility, balance, coordination, strength, power, speed, change of direction speed, and endurance. Intra-subject reliability was assessed using the coefficient of variation, and physical performance measures were standardised using z-scores.

Results

The results demonstrated considerable variation in performance, even among players with the same diagnosis. Tasks with increased motor demands such as the vertical jump and modified agility test, often required multiple attempts or assistance to complete (CV: 1.7–8.6 ​%).

Conclusion

These findings provide the first analysis of the physical performance characteristics of All Abilities Touch Football players, highlighting the broad range of abilities across the player cohort. The findings highlight the need for tailored strategies to enhance participation, while providing considerations for developing a classification framework that could support the growth and development of this sport.
触身足球为残障人士提供了参加有组织运动的机会。然而,这项运动的快速发展,加上缺乏科学验证的框架,在适应不同能力的球员同时保持竞争平衡方面提出了挑战。本研究旨在通过各种体能测试来评估全能触球运动员的表现,并基于国际功能、残疾和健康分类框架评估球员的活动限制。方法对24名运动员进行柔韧性、平衡性、协调性、力量、力量、速度、方向变化速度、耐力等指标的体能评估。使用变异系数评估受试者内部信度,使用z分数对身体表现测量进行标准化。结果结果表明,即使在诊断相同的球员之间,表现也存在相当大的差异。运动需求增加的任务,如垂直跳跃和修改敏捷性测试,通常需要多次尝试或协助才能完成(CV: 1.7 - 8.6%)。这些研究结果首次分析了全能力触控足球运动员的身体表现特征,突出了球员群体的广泛能力。研究结果强调,有必要制定量身定制的战略,以提高参与度,同时为制定分类框架提供考虑,以支持这项运动的增长和发展。
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引用次数: 0
‘Making Moves’: Protocol for a hybrid effectiveness-implementation pre-post trial of a co-designed online physical activity program for childhood cancer survivors “行动起来”:为儿童癌症幸存者共同设计的在线体育活动项目的混合效果-实施前-后试验方案
Pub Date : 2025-04-12 DOI: 10.1016/j.jsampl.2025.100099
Lauren Ha , Claire E. Wakefield , Jacqueline Jacovou , Karen Johnston , Donna Drew , Mark W. Donoghoe , David Mizrahi , Richard De Abreu Lourenco , Richard J. Cohn , Natalie Taylor , Christina Signorelli

Background

Childhood cancer survivors are at increased risk of developing chronic health conditions, including cardiovascular disease. Cardiovascular disease risk is further exacerbated by low physical activity levels and high levels of sedentary behaviour. Yet many survivors do not meet the physical activity guidelines, and those living in regional and remote areas have limited access to exercise interventions and cancer care programs. Therefore, it is critical that physical activity programs are accessible for childhood cancer survivors, no matter where they live. This protocol describes the development and planned evaluation of ‘Making Moves’, a co-designed online physical activity program for childhood cancer survivors aged 8–21 years.

Methods and analysis

This type I hybrid effectiveness-implementation pre-post trial will simultaneously (i) test the potential effectiveness of Making Moves on survivors' physical activity self-efficacy, and (ii) explore barriers and facilitators to implementation from multiple levels (individual, provider, organisational, and community) to inform future adaptations and implementation strategies. Making Moves includes an 8-week online program offering eight age-appropriate health behaviour educational modules with guided home-based physical activity videos, and up to five tailored telehealth sessions with an Accredited Exercise Physiologist. Assessment of the primary outcome (physical activity self-efficacy, i.e., perceived ability to engage in physical activity) and secondary outcomes (physical activity levels, aerobic fitness, muscular strength, symptoms of depression, readiness to exercise, perceived enjoyment of exercise, health-related quality of life) will occur at baseline (week 0), post-intervention (week 9), and follow-up (6 months). To assess the factors affecting the program’s implementation, we will conduct a process evaluation guided by the Consolidated Framework for Implementation Research 2.0 to interview survivors and parents, and future potential implementors. To judge the potential implementation success of Making Moves, we will collect implementation data (feasibility, acceptability, costs) for our process evaluation throughout the trial.

Ethics and dissemination

Ethical approval was obtained from the Sydney Children’s Hospital Network Human Research Ethics Committee (2023/ETH01614). We will publish our findings in peer-reviewed journals, present findings at relevant medical and scientific conferences, and disseminate research updates via newsletters to stakeholders and community networks.

Trial registration number

ANZCTR12623000188639. Registered 22 Feb 2023.
儿童癌症幸存者患慢性疾病的风险增加,包括心血管疾病。低体力活动水平和高久坐行为会进一步加剧心血管疾病的风险。然而,许多幸存者没有达到体育锻炼指南的要求,而那些生活在地区和偏远地区的人获得锻炼干预和癌症护理计划的机会有限。因此,至关重要的是,无论儿童癌症幸存者住在哪里,他们都可以参加体育活动。本协议描述了“行动”的发展和计划评估,这是一项针对8-21岁儿童癌症幸存者的共同设计的在线体育活动计划。方法和分析这种I型混合有效性-实施前后试验将同时(I)测试Making Moves对幸存者身体活动自我效能的潜在有效性,(ii)从多个层面(个人、提供者、组织和社区)探索实施的障碍和促进因素,为未来的适应和实施策略提供信息。Making Moves包括一个为期8周的在线课程,提供8个适合年龄的健康行为教育模块,以及指导家庭体育活动的视频,以及由认证运动生理学家提供的多达5个量身定制的远程医疗课程。在基线(第0周)、干预后(第9周)和随访(6个月)时评估主要结局(体育活动自我效能,即参与体育活动的感知能力)和次要结局(体育活动水平、有氧健身、肌肉力量、抑郁症状、运动准备、感知运动享受、健康相关生活质量)。为了评估影响项目实施的因素,我们将在实施研究综合框架2.0的指导下进行过程评估,采访幸存者和父母以及未来的潜在实施者。为了判断Making Moves的实施成功与否,我们将在整个试验过程中收集实施数据(可行性、可接受性、成本)进行流程评估。伦理和传播获得了悉尼儿童医院网络人类研究伦理委员会(2023/ETH01614)的伦理批准。我们将在同行评议的期刊上发表我们的研究结果,在相关的医学和科学会议上介绍研究结果,并通过通讯向利益相关者和社区网络传播最新的研究成果。试验注册号anzctr12623000188639。2023年2月22日注册
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引用次数: 0
Don’t go chasing waterfalls: Multiple factor prediction of injuries in a performance context 不要去追逐瀑布:在表演环境中对受伤的多因素预测
Pub Date : 2025-04-08 DOI: 10.1016/j.jsampl.2025.100097
Melanie I. Stuckey, Dean Kriellaars
Injury surveillance informs risk management strategies for athletes and performing artists yet the predictive value of multiple factors is understudied. This study analyzed demographic, sleep, fatigue, body composition, symmetry/proportionality, and psychological data from a cohort of circus arts students to predict injury presence and duration using regression models. Demographics alone significantly predicted injury presence (R2 ​= ​0.344) and duration (R2 ​= ​0.247). Additional factors explained 1.5–9.0 ​% of variation for injury presence and 0.0–7.8 ​% for duration. These findings inform the development of holistic risk management strategies for performing artists and athletes and cautions against chasing single predictor variables.
损伤监测为运动员和表演艺术家提供了风险管理策略,但多种因素的预测价值尚未得到充分研究。本研究分析了一群马戏艺术学生的人口统计学、睡眠、疲劳、身体组成、对称性/比例性和心理数据,使用回归模型预测损伤的存在和持续时间。仅人口统计学就能显著预测损伤存在(R2 = 0.344)和持续时间(R2 = 0.247)。其他因素解释了1.5% - 9.0%的损伤存在变异和0.08% - 7.8%的持续时间变异。这些发现为表演艺术家和运动员的整体风险管理策略的发展提供了信息,并警告不要追逐单一的预测变量。
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引用次数: 0
Inclusion in and through disability sport? A scoping review using the examples of goalball and wheelchair basketball 通过残疾人体育融入残疾人?以门球和轮椅篮球为例进行范围审查
Pub Date : 2025-03-25 DOI: 10.1016/j.jsampl.2025.100096
Felix Oldörp , Christopher Mihajlovic , Martin Giese

Background

Inclusion in sport has been empirically investigated and demonstrated the potential for promoting inclusion. Nevertheless, a comprehensive overview of how inclusion is understood and theoretically conceptualized within the context of disability sports research is still lacking. Therefore, a scoping review has been conducted to map the existing literature concerning the conceptions of inclusion in disability sports using goalball and wheelchair basketball as examples.

Methods

For the scoping review a comprehensive search of five databases was conducted, resulting in the identification of nine articles that were deemed eligible for review. Coding of the data was performed to categorize specific elements, aiming to identify key features and concepts related to inclusion.

Results

All reviewed articles recognize sport as an environment in which people of all (dis)abilities can participate. Abilities acquired in and through sport were presented as an important element for inclusion. Inclusion concepts in the articles were based on different concepts. But the concepts were not always clearly defined. In the qualitative studies analyzed, the concepts of inclusion were expanded to include subjective feelings such as equality and belonging based on the statements of the participants.

Conclusions

The findings highlight the need for further research using qualitative methodologies that extend beyond the spatial dimension of inclusion, encompassing other dimensions to provide a more comprehensive understanding of inclusion in (disability) sport. Since discussions about inclusion concepts have been primarily driven by physical education research, future research should also focus on recreational and popular sports to strengthen inclusive sports programs.
体育运动中的包容已经被实证调查,并证明了促进包容的潜力。然而,在残疾人体育研究的背景下,如何理解和理论概念化包容的全面概述仍然缺乏。因此,本文以足球和轮椅篮球为例,对现有的关于残疾人运动中包容概念的文献进行了范围审查。方法对5个数据库进行了全面的检索,最终确定了9篇符合审查条件的文章。对数据进行编码以对特定元素进行分类,旨在识别与包含相关的关键特征和概念。结果:所有被审查的文章都承认体育是一个所有(残疾)人都可以参与的环境。在运动中和通过运动获得的能力被认为是纳入的一个重要因素。文章中的纳入概念基于不同的概念。但这些概念并不总是明确界定的。在定性研究中,根据参与者的陈述,将包容的概念扩展到包括平等和归属感等主观感受。研究结果强调了进一步研究的必要性,需要使用超越空间维度的定性方法,包括其他维度,以提供对(残疾人)体育包容的更全面的理解。由于关于包容性概念的讨论主要是由体育研究推动的,未来的研究还应关注休闲和大众体育,以加强包容性体育项目。
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引用次数: 0
Gym entry fees act as a barrier to exercising in community gyms for young adults with disability: A mixed methods study 健身房入场费是残疾年轻人在社区健身房锻炼的障碍:一项混合方法研究
Pub Date : 2025-03-14 DOI: 10.1016/j.jsampl.2025.100094
Rachel A. Kennedy, Georgia McKenzie, Nora Shields

Background

Cost is a barrier to exercise for young adults with disability aged 18–35 years. Few studies have investigated this barrier in depth. We explored the cost barrier to exercise for young adults with disability in the context of community gyms.

Method

A mixed methods study was completed. Data were collected in three consecutive phases. Phase 1 was a survey of entry options reflecting current practice in 59 community gyms. Phase 2 comprised semi-structured interviews with 20 young adults with disability and 25 community gym staff. Phase 3 involved three focus groups with key informants (n ​= ​20 total) from disability, recreation, and policy sectors. Quantitative data were analysed descriptively. Qualitative data were analysed using inductive thematic analysis.

Results

Gyms estimated 10 ​% of members had a disability. The overarching theme was a mismatch between the wants and needs of young adults with disability with what community gyms and disability systems offer. Three subthemes illustrated this: young adults need flexibility but current practices limit gym entry options; young adults seek value for money, but current practices advocate value-add; and young adults desire community participation, but current practices inadvertently reinforce a rehabilitation model. A further subtheme —financial viability—related to how recreation centres were often not financially sustainable limiting gym entry practices.

Conclusion

Despite broadly supportive recreation and policy sectors, current practices and funding systems are misaligned with the wants and needs of young adults with disability, and often incongruent with societal values of social inclusion and community-based physical activity.
成本是18-35岁的年轻残疾成年人锻炼的一个障碍。很少有研究深入研究这一屏障。我们探讨了在社区健身房的背景下,年轻的残疾成年人锻炼的成本障碍。方法采用混合方法进行研究。数据收集分三个连续阶段进行。第一阶段是对59家社区健身房的入学选择进行调查,反映了目前的做法。第二阶段包括对20名残疾青年和25名社区健身房工作人员的半结构化访谈。第三阶段涉及三个焦点小组,其中包括来自残疾、娱乐和政策部门的主要线人(n = 20)。定量数据进行描述性分析。定性数据采用归纳主题分析法进行分析。结果健身房估计有10%的会员有残疾。最重要的主题是残疾年轻人的需求与社区健身房和残疾系统提供的服务之间的不匹配。三个副主题说明了这一点:年轻人需要灵活性,但目前的做法限制了进入健身房的选择;年轻人追求物有所值,但目前的做法提倡增值;年轻人渴望社区参与,但目前的做法无意中强化了一种康复模式。另一个副主题是财务可行性,这与娱乐中心通常在财务上不可持续有关,限制了进入健身房的做法。尽管娱乐和政策部门广泛支持,但目前的做法和资助系统与残疾青年的需求和需求不一致,而且往往与社会包容和以社区为基础的体育活动的社会价值观不一致。
{"title":"Gym entry fees act as a barrier to exercising in community gyms for young adults with disability: A mixed methods study","authors":"Rachel A. Kennedy,&nbsp;Georgia McKenzie,&nbsp;Nora Shields","doi":"10.1016/j.jsampl.2025.100094","DOIUrl":"10.1016/j.jsampl.2025.100094","url":null,"abstract":"<div><h3>Background</h3><div>Cost is a barrier to exercise for young adults with disability aged 18–35 years. Few studies have investigated this barrier in depth. We explored the cost barrier to exercise for young adults with disability in the context of community gyms.</div></div><div><h3>Method</h3><div>A mixed methods study was completed. Data were collected in three consecutive phases. Phase 1 was a survey of entry options reflecting current practice in 59 community gyms. Phase 2 comprised semi-structured interviews with 20 young adults with disability and 25 community gym staff. Phase 3 involved three focus groups with key informants (n ​= ​20 total) from disability, recreation, and policy sectors. Quantitative data were analysed descriptively. Qualitative data were analysed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Gyms estimated 10 ​% of members had a disability. The overarching theme was a mismatch between the wants and needs of young adults with disability with what community gyms and disability systems offer. Three subthemes illustrated this: young adults need flexibility but current practices limit gym entry options; young adults seek value for money, but current practices advocate value-add; and young adults desire community participation, but current practices inadvertently reinforce a rehabilitation model. A further subtheme —financial viability—related to how recreation centres were often not financially sustainable limiting gym entry practices.</div></div><div><h3>Conclusion</h3><div>Despite broadly supportive recreation and policy sectors, current practices and funding systems are misaligned with the wants and needs of young adults with disability, and often incongruent with societal values of social inclusion and community-based physical activity.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100094"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing an online-delivered exercise program for childhood cancer survivors: A hybrid effectiveness-implementation protocol for the MERRIER study 为儿童癌症幸存者实施在线运动项目:MERRIER研究的混合效果-实施方案
Pub Date : 2025-03-12 DOI: 10.1016/j.jsampl.2025.100095
David Mizrahi , Alexandra Martiniuk , Laurence Hibbert , Dinisha Govender , Tora Sibbald , Richard Mitchell , Natalia Millard , Lauren Ha , Damian Ragusa , Kylie Brown , Ben Smith

Background

Physical activity levels are low in childhood cancer survivors. Structured physical activity programs are not routinely provided, despite being safe and beneficial for improving physical and psychological health. Innovative health promotion programs delivered online may allow families to receive equitable health support, which may foster survivors to improve their health.

Aims

To determine implementation factors of an online exercise program recruited through a community organization, and effectiveness on physical activity levels and self-efficacy for childhood cancer survivors.

Methods and analysis

The MERRIER study is a type-1 hybrid effectiveness-implementation. Sixty children (5–18 years old) who have completed treatment for any cancer type will be enrolled between March 2025 and June 2026. Participants will be randomised (stratified by age, cancer type and sex) 1:1 to 3-months multimodal exercise or control group. The intervention group will receive five online consultations with an Accredited Exercise Physiologist to provide behaviour counselling, and prescribe an individualised aerobic, resistance and balance exercise program at low-moderate intensity. The RE-AIM framework will assess reach (e.g. recruitment rate), effectiveness (e.g. physical activity levels), adoption (e.g. qualitative interviews), implementation (e.g. exercise adherence), and maintenance (e.g. self-efficacy at follow-up). Physical function and patient-reported outcomes will be assessed at baseline (T0), post-intervention (T1; week 12) and follow-up (T2, week 24). An Axivity AX3 accelerometer will measure physical activity over five-days at T0/T1.

Implications

If effective, we aim to collaborate with community organisations, who are well placed to implement similar programs to childhood cancer survivors.

Ethics

The study was approved by The University of Sydney Health Research Ethics Committee (2024/HE000391).

Trial registration

ACTRN12624000604505p.
儿童癌症幸存者的体育活动水平较低。尽管有组织的体育活动项目对改善身心健康是安全和有益的,但并没有常规提供。网上提供的创新健康促进计划可以让家庭获得公平的健康支持,这可能会促进幸存者改善他们的健康。目的确定通过社区组织招募的在线锻炼计划的实施因素,以及对儿童癌症幸存者的身体活动水平和自我效能的有效性。方法与分析MERRIER研究是一种1型混合有效性-实施。在2025年3月至2026年6月期间,60名完成任何癌症治疗的儿童(5-18岁)将被纳入研究。参与者将被随机分配(按年龄、癌症类型和性别分层)1:1至3个月多模式运动组或对照组。干预组将接受五次由认可运动生理学家提供的在线咨询,以提供行为咨询,并开出个体化的低-中等强度有氧、阻力和平衡运动计划。RE-AIM框架将评估覆盖面(如招聘率)、有效性(如身体活动水平)、采用(如定性访谈)、实施(如坚持锻炼)和维持(如随访时的自我效能)。身体功能和患者报告的结果将在基线(T0)、干预后(T1;第12周)和随访(T2,第24周)。Axivity AX3加速度计将在T0/T1时测量5天内的身体活动。如果有效,我们的目标是与社区组织合作,他们有能力为儿童癌症幸存者实施类似的计划。本研究已获得悉尼大学健康研究伦理委员会(2024/HE000391)的批准。registrationACTRN12624000604505p审判。
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引用次数: 0
Exploring stakeholder perspectives on All Abilities Touch Football: Navigating the challenges, opportunities and feasibility of classification framework development 探究所有能力触身足球的利益相关者观点:导航分类框架发展的挑战、机遇和可行性
Pub Date : 2025-02-27 DOI: 10.1016/j.jsampl.2025.100093
Taylor M. Wileman, Marnee J. McKay, Daniel A. Hackett, Tania Gardner, Ché Fornusek

Background

All Abilities Touch Football provides individuals with intellectual and/or physical impairments the opportunity to participate in organised sport. However, the absence of a comprehensive framework to accommodate players with varying types and severities of impairments presents challenges for equitable participation and fairer competition. This study aimed to explore the broader challenges, opportunities and feasibility of implementing a classification framework for All Abilities Touch Football.

Methods

A mixed methods approach was employed, combining online surveys of players (n ​= ​23), parents/carers (n ​= ​23), coaches (n ​= ​20) with semi-structured interviews from national level coaches (n ​= ​4) involved with All Abilities Touch Football across Australia. Survey data were analysed using counts and percentages, while thematic analysis was applied to interview data.

Results

Survey and interview data revealed All Abilities Touch Football effectively promotes physical activity, social integration, and community engagement for individuals with disabilities. However, systemic challenges arise from managing the diverse abilities of players within the sport, with a lack of collaboration among stakeholders, inadequate educational initiatives, and limited resource allocation identified as major barriers to the sport's advancement.

Conclusion

These findings offer valuable insights into the complexities of disability sport programs, highlighting the need for targeted strategies to advance All Abilities Touch Football. They also lay the groundwork for future initiatives aimed at developing a more inclusive and structured approach to the sport's growth.
触身足球为智力和/或身体有缺陷的人提供了参加有组织的运动的机会。然而,缺乏一个全面的框架来适应不同类型和严重程度的损伤运动员,这对公平参与和更公平的竞争提出了挑战。本研究旨在探讨实施全能力触身足球分类框架的挑战、机遇和可行性。方法采用混合方法,结合对球员(n = 23)、家长/照顾者(n = 23)、教练(n = 20)的在线调查,以及对澳大利亚全能力接触式足球的国家级教练(n = 4)的半结构化访谈。调查数据采用计数和百分比进行分析,而访谈数据则采用专题分析。结果调查和访谈数据显示,All Abilities Touch Football有效地促进了残疾人的身体活动、社会融合和社区参与。然而,由于管理运动员在运动中的不同能力,利益相关者之间缺乏合作,教育计划不足,资源分配有限,这些都是阻碍这项运动发展的主要障碍,因此出现了系统性挑战。这些发现为残疾人体育项目的复杂性提供了有价值的见解,强调了有针对性的策略来推进全能力触式橄榄球的必要性。他们还为未来的举措奠定了基础,这些举措旨在为这项运动的发展制定一种更具包容性和结构性的方法。
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引用次数: 0
Time to draw a line: Journal editors must protect scientific independence 是时候划清界限了:期刊编辑必须保护科学的独立性
Pub Date : 2025-02-18 DOI: 10.1016/j.jsampl.2025.100092
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引用次数: 0
Do preoperative interventions affect patient satisfaction or expectation fulfilment following total hip arthroplasty? A systematic review 术前干预是否影响全髋关节置换术后患者满意度或期望实现?系统回顾
Pub Date : 2025-02-08 DOI: 10.1016/j.jsampl.2025.100089
April-Rose Matt , Joanne L. Kemp , Andrea B. Mosler , Lucy Salmon , Diogo Almeida Gomes , Alysha De Livera , Erica Hateley , Adam L. Semciw

Background

Preoperative interventions are routinely implemented for patients undergoing total hip arthroplasty (THA), but little is known about how they affect patient satisfaction. With THA numbers projected to rapidly increase, the efficacy of perioperative models of care should be explored. This systematic review aimed to investigate the impact of preoperative interventions on patient satisfaction following THA.

Methods

MEDLINE, EMBASE, Cochrane Register of Clinical Trials, CINAHL and Sports Discus were searched from inception to May 2023. Randomised and quasi-experimental trials of interventions before THA that reported outcomes on patient satisfaction or expectation fulfilment were included. Secondary outcomes analysed were pain, function, length of stay (LOS), and postoperative complications. Meta-analysis was performed, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the quality of the body of evidence.

Results

Seven studies were included. Participants who received preoperative interventions were more satisfied (SMD -0.54 [-0.87, −0.21] p ​= ​0.001), and had better function postoperatively when compared to controls (SMD -1.86, 95%CI, −3.11, to 0.61, p ​= ​0.004). There was no difference between groups in pain outcomes (SMD -0.37, 95 ​% CI -0.86, 0.12, p ​= ​0.14), LOS (SMD -0.37, 95%CI -1.04, to 0.31, p ​= ​0.29), or odds of postoperative complications (OR 0.91, 95%CI 0.54, 1.55, p ​= ​0.73). All findings were supported by a very low quality body of evidence.

Conclusions

Preoperative intervention was associated with better satisfaction and function in patients following THA when compared with no intervention or usual care. Preoperative intervention was found to have no effect on pain, and no effect on LOS or the odds of postoperative complications when compared with no intervention or usual care. All findings were supported by a body of evidence that was very low quality with unvalidated outcome measures and thus the true effect of the interventions is likely to be substantially different from the estimate of effect.
PROSPERO Registration number: CRD42023429861.
背景术前干预是全髋关节置换术(THA)患者的常规措施,但对其如何影响患者满意度知之甚少。随着全髋关节置换术数量预计将迅速增加,围手术期护理模式的有效性应予探讨。本系统综述旨在探讨THA术后术前干预对患者满意度的影响。方法检索medline、EMBASE、Cochrane Clinical Trials Register、CINAHL和Sports Discus自成立至2023年5月。纳入了THA前干预措施的随机和准实验试验,这些试验报告了患者满意度或期望实现的结果。次要结果分析为疼痛、功能、住院时间(LOS)和术后并发症。进行荟萃分析,并采用建议评估、发展和评价分级(GRADE)方法对证据体的质量进行评分。结果共纳入7项研究。与对照组相比,接受术前干预的参与者更满意(SMD -0.54 [-0.87, - 0.21] p = 0.001),术后功能也更好(SMD -1.86, 95%CI, - 3.11,至0.61,p = 0.004)。两组在疼痛结局(SMD -0.37, 95%CI -0.86, 0.12, p = 0.14)、LOS (SMD -0.37, 95%CI -1.04,至0.31,p = 0.29)和术后并发症发生率(or 0.91, 95%CI 0.54, 1.55, p = 0.73)方面均无差异。所有的发现都是由非常低质量的证据支持的。结论与不进行干预或常规护理相比,THA术后患者的术后满意度和功能改善均优于术前干预。与不干预或常规护理相比,术前干预对疼痛没有影响,对LOS或术后并发症的发生率没有影响。所有研究结果都得到了大量证据的支持,这些证据的质量非常低,结果测量也未经验证,因此干预措施的真实效果可能与效果的估计有很大不同。普洛斯彼罗注册号:CRD42023429861。
{"title":"Do preoperative interventions affect patient satisfaction or expectation fulfilment following total hip arthroplasty? A systematic review","authors":"April-Rose Matt ,&nbsp;Joanne L. Kemp ,&nbsp;Andrea B. Mosler ,&nbsp;Lucy Salmon ,&nbsp;Diogo Almeida Gomes ,&nbsp;Alysha De Livera ,&nbsp;Erica Hateley ,&nbsp;Adam L. Semciw","doi":"10.1016/j.jsampl.2025.100089","DOIUrl":"10.1016/j.jsampl.2025.100089","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative interventions are routinely implemented for patients undergoing total hip arthroplasty (THA), but little is known about how they affect patient satisfaction. With THA numbers projected to rapidly increase, the efficacy of perioperative models of care should be explored. This systematic review aimed to investigate the impact of preoperative interventions on patient satisfaction following THA.</div></div><div><h3>Methods</h3><div>MEDLINE, EMBASE, Cochrane Register of Clinical Trials, CINAHL and Sports Discus were searched from inception to May 2023. Randomised and quasi-experimental trials of interventions before THA that reported outcomes on patient satisfaction or expectation fulfilment were included. Secondary outcomes analysed were pain, function, length of stay (LOS), and postoperative complications. Meta-analysis was performed, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the quality of the body of evidence.</div></div><div><h3>Results</h3><div>Seven studies were included. Participants who received preoperative interventions were more satisfied (SMD -0.54 [-0.87, −0.21] p ​= ​0.001), and had better function postoperatively when compared to controls (SMD -1.86, 95%CI, −3.11, to 0.61, p ​= ​0.004). There was no difference between groups in pain outcomes (SMD -0.37, 95 ​% CI -0.86, 0.12, p ​= ​0.14), LOS (SMD -0.37, 95%CI -1.04, to 0.31, p ​= ​0.29), or odds of postoperative complications (OR 0.91, 95%CI 0.54, 1.55, p ​= ​0.73). All findings were supported by a very low quality body of evidence.</div></div><div><h3>Conclusions</h3><div>Preoperative intervention was associated with better satisfaction and function in patients following THA when compared with no intervention or usual care. Preoperative intervention was found to have no effect on pain, and no effect on LOS or the odds of postoperative complications when compared with no intervention or usual care. All findings were supported by a body of evidence that was very low quality with unvalidated outcome measures and thus the true effect of the interventions is likely to be substantially different from the estimate of effect.</div><div>PROSPERO Registration number: CRD42023429861.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Injury characteristics, mechanisms, and game circumstances in junior community-level Australian football 澳大利亚青少年社区足球的损伤特点、机制和比赛环境
Pub Date : 2025-02-05 DOI: 10.1016/j.jsampl.2025.100091
Indianna L. Franke , Andrea B. Mosler , Brooke E. Patterson , Kay M. Crossley , Patrick Clifton , Steven McPhail , Mark J. Scholes , Matthew G. King

Objective

Describe the injury characteristics, game circumstances, and immediate action and management of injuries sustained by boys and girls participating in junior community Australian football.

Design

Cohort Study.

Methods

All community junior Australian football players from one Victorian-based league were eligible to participate if they were injured during a game and presented to the gameday first aid medics. Injured players were subsequently followed up with a phone call to undertake an injury surveillance survey. The injury surveillance survey gathered information relating to the injury characteristics, game circumstances and management undertaken. Additionally, all players who sustained a head impact were asked about the presence or absence of concussion-related symptoms.

Results

439 players sustained an injury in the 2022 season, with 354 (80.6 ​%) participating in the survey. The head was the most frequently reported injured body region (n ​= ​194, 54.8 ​%), with approximately half (n ​= ​101) being a diagnosed or suspected sports-related concussion. The next three most frequently reported body regions were the ankle (n ​= ​29, 8.2 ​%), knee (n ​= ​24, 6.8 ​%), and shoulder (n ​= ​20, 5.6 ​%). Almost all injuries were acute onset (n ​= ​340, 96.0 ​%) and resulted from a contact-based mechanism (94.9 ​%, n ​= ​222 direct contact, n ​= ​114 indirect contact). Tackling was the most frequently reported game circumstance resulting in an injury (n ​= ​160, 45.2 ​%).

Conclusion

The head was the most frequently reported injured body region, with approximately one in every two reported head impacts resulting in a diagnosed/suspected sports-related concussion. Injury prevention strategies that promote safety when tackling and being tackled may reduce the frequency of injury, warranting further investigation.
目的描述参加澳大利亚青少年社区足球比赛的男孩和女孩受伤的特点、比赛环境、即时行动和管理。DesignCohort研究。方法:所有来自维多利亚州联赛的社区青少年足球运动员如果在比赛中受伤并被送到比赛日的急救人员那里,都有资格参加比赛。受伤球员随后通过电话跟进进行伤病监测调查。伤病监测调查收集了与伤病特征、比赛环境和管理有关的信息。此外,所有遭受头部撞击的球员都被问及是否存在脑震荡相关症状。结果2022赛季有439名球员受伤,其中354人(80.6%)参与了调查。头部是最常报告的受伤身体区域(n = 194, 54.8%),其中约一半(n = 101)被诊断或疑似与运动有关的脑震荡。接下来三个最常报告的身体部位是脚踝(n = 29, 8.2%)、膝盖(n = 24, 6.8%)和肩膀(n = 20, 5.6%)。几乎所有损伤均为急性损伤(n = 340, 96.0%),由接触机制引起(94.9%,n = 222, n = 114)。铲球是最常见的导致受伤的比赛情况(n = 160, 45.2%)。结论头部是最常报告的受伤身体区域,大约每两个报告的头部撞击中就有一个导致诊断或疑似运动相关脑震荡。伤害预防策略可以提高铲球和被铲球时的安全性,这可能会减少受伤的频率,值得进一步研究。
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