Pub Date : 2025-03-25DOI: 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.
{"title":"Inclusion in and through disability sport? A scoping review using the examples of goalball and wheelchair basketball","authors":"Felix Oldörp , Christopher Mihajlovic , Martin Giese","doi":"10.1016/j.jsampl.2025.100096","DOIUrl":"10.1016/j.jsampl.2025.100096","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696673","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}
Pub Date : 2025-03-14DOI: 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.
{"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, Georgia McKenzie, 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}
Pub Date : 2025-03-12DOI: 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).
{"title":"Implementing an online-delivered exercise program for childhood cancer survivors: A hybrid effectiveness-implementation protocol for the MERRIER study","authors":"David Mizrahi , Alexandra Martiniuk , Laurence Hibbert , Dinisha Govender , Tora Sibbald , Richard Mitchell , Natalia Millard , Lauren Ha , Damian Ragusa , Kylie Brown , Ben Smith","doi":"10.1016/j.jsampl.2025.100095","DOIUrl":"10.1016/j.jsampl.2025.100095","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aims</h3><div>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.</div></div><div><h3>Methods and analysis</h3><div>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.</div></div><div><h3>Implications</h3><div>If effective, we aim to collaborate with community organisations, who are well placed to implement similar programs to childhood cancer survivors.</div></div><div><h3>Ethics</h3><div>The study was approved by The University of Sydney Health Research Ethics Committee (2024/HE000391).</div></div><div><h3>Trial registration</h3><div>ACTRN12624000604505p.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611639","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}
Pub Date : 2025-02-27DOI: 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.
{"title":"Exploring stakeholder perspectives on All Abilities Touch Football: Navigating the challenges, opportunities and feasibility of classification framework development","authors":"Taylor M. Wileman, Marnee J. McKay, Daniel A. Hackett, Tania Gardner, Ché Fornusek","doi":"10.1016/j.jsampl.2025.100093","DOIUrl":"10.1016/j.jsampl.2025.100093","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100093"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508437","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}
Pub Date : 2025-02-18DOI: 10.1016/j.jsampl.2025.100092
{"title":"Time to draw a line: Journal editors must protect scientific independence","authors":"","doi":"10.1016/j.jsampl.2025.100092","DOIUrl":"10.1016/j.jsampl.2025.100092","url":null,"abstract":"","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437916","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}
Pub Date : 2025-02-08DOI: 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.
{"title":"Do preoperative interventions affect patient satisfaction or expectation fulfilment following total hip arthroplasty? A systematic review","authors":"April-Rose Matt , Joanne L. Kemp , Andrea B. Mosler , Lucy Salmon , Diogo Almeida Gomes , Alysha De Livera , Erica Hateley , 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}
Pub Date : 2025-02-05DOI: 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.
{"title":"Injury characteristics, mechanisms, and game circumstances in junior community-level Australian football","authors":"Indianna L. Franke , Andrea B. Mosler , Brooke E. Patterson , Kay M. Crossley , Patrick Clifton , Steven McPhail , Mark J. Scholes , Matthew G. King","doi":"10.1016/j.jsampl.2025.100091","DOIUrl":"10.1016/j.jsampl.2025.100091","url":null,"abstract":"<div><h3>Objective</h3><div>Describe the injury characteristics, game circumstances, and immediate action and management of injuries sustained by boys and girls participating in junior community Australian football.</div></div><div><h3>Design</h3><div>Cohort Study.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 %).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133588","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}
Pub Date : 2025-02-05DOI: 10.1016/j.jsampl.2025.100088
Thomas J. West , Andrea M. Bruder , Kay M. Crossley , Michael A. Girdwood , Laura K. To , Jamon L. Couch , Mark J. Scholes , Sebastian C.S. Evans , Melissa J. Haberfield , Christian J. Barton , Ewa M. Roos , Alysha De Livera , Adam G. Culvenor
Objective
To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare.
Methods
We conducted a cross-sectional study of participants, 9–36 months post-ACLR using public or private healthcare services. Multivariable linear regression assessed the association between healthcare service used (private versus public) with self-reported outcomes (Knee injury and Osteoarthritis Outcome Score (KOOS) subscales of pain, symptoms, sport/recreation, knee-related quality of life (QoL); 0–100 scale), adjusting for potential confounders.
Results
A total of 314 participants were included (median age 29 years, 35 % female). One hundred and thirty-nine (44 %) underwent ACLR using private healthcare. Individuals using private healthcare for ACLR reported better post-ACLR knee-related QoL (mean difference 5.1; 95%CI 0.6 to 9.7) than individuals using public healthcare, when adjusted for available confounders. No other KOOS subscale scores (pain, symptoms, sport/recreation) differed between healthcare groups in our adjusted analysis.
Conclusions
Australian young adults who underwent ACLR using private healthcare (compared to public healthcare) services reported better knee-related QoL post-operatively in this cross-sectional cohort. Sociodemographic and socioeconomic factors contributed little to the differences observed. Future research should consider potential disparities in outcomes between participants using differing healthcare services both clinically and when recruiting participants into research studies evaluating outcomes post-ACLR.
{"title":"Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in Australia","authors":"Thomas J. West , Andrea M. Bruder , Kay M. Crossley , Michael A. Girdwood , Laura K. To , Jamon L. Couch , Mark J. Scholes , Sebastian C.S. Evans , Melissa J. Haberfield , Christian J. Barton , Ewa M. Roos , Alysha De Livera , Adam G. Culvenor","doi":"10.1016/j.jsampl.2025.100088","DOIUrl":"10.1016/j.jsampl.2025.100088","url":null,"abstract":"<div><h3>Objective</h3><div>To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study of participants, 9–36 months post-ACLR using public or private healthcare services. Multivariable linear regression assessed the association between healthcare service used (private versus public) with self-reported outcomes (Knee injury and Osteoarthritis Outcome Score (KOOS) subscales of pain, symptoms, sport/recreation, knee-related quality of life (QoL); 0–100 scale), adjusting for potential confounders.</div></div><div><h3>Results</h3><div>A total of 314 participants were included (median age 29 years, 35 % female). One hundred and thirty-nine (44 %) underwent ACLR using private healthcare. Individuals using private healthcare for ACLR reported better post-ACLR knee-related QoL (mean difference 5.1; 95%CI 0.6 to 9.7) than individuals using public healthcare, when adjusted for available confounders. No other KOOS subscale scores (pain, symptoms, sport/recreation) differed between healthcare groups in our adjusted analysis.</div></div><div><h3>Conclusions</h3><div>Australian young adults who underwent ACLR using private healthcare (compared to public healthcare) services reported better knee-related QoL post-operatively in this cross-sectional cohort. Sociodemographic and socioeconomic factors contributed little to the differences observed. Future research should consider potential disparities in outcomes between participants using differing healthcare services both clinically and when recruiting participants into research studies evaluating outcomes post-ACLR.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133586","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}
Pub Date : 2025-02-04DOI: 10.1016/j.jsampl.2025.100090
Anders Pålsson , Carl Bjerkelund , Andreas Ivarsson , Ioannis Kostogiannis , Eva Ageberg
Background
The primary aim was to assess psychological distress in patients with longstanding hip and groin pain (LHGP) and compare them with healthy controls. The secondary aim was to explore the association between psychological distress and symptom duration, self-reported pain and symptoms in patients with LHGP.
Methods
Seventy-two patients with LHGP and sixty-three controls were included. The Kessler Psychological Distress Scale (K10) was used to assess psychological distress and the Copenhagen Hip and Groin Outcome Score (HAGOS) subscale for pain and symptoms to assess hip and groin pain and symptoms. The Mann–Whitney U test was used for between-group comparisons, and the Spearman's rank-order correlation to examine the association between the K10 and HAGOS.
Results
There was no difference in psychological distress between patients with LHGP and controls (p = 0.060) on the K10 total score. More individuals were categorized as having “high or very high” psychological distress in the LHGP group (45 %) compared to the control group (26 %) (p = 0.035). There was no difference between patients with 3–12 months and >12 months symptom duration for the K10 (p = 0.232). There was a moderate association between more psychological distress and worse self-reported pain (p = 0.003) and symptoms (p < 0.001).
Conclusions
In this exploratory study, no difference was observed between patients and controls on the K10 total score; however, more patients with LHGP were categorized as having high or very high levels of psychological distress compared to controls. Among patients, symptom duration did not influence psychological distress, but a moderate association was found between more distress, greater pain, and more severe symptoms.
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Pub Date : 2025-01-20DOI: 10.1016/j.jsampl.2025.100087
Georgina Clutterbuck , Mikaila Gent , Daniel Thomson
Background
Participation in sport improves health and wellbeing, however children with disabilities participate in less physical activity than their peers. Interventions provided by health professionals in real-world sports contexts (i.e., in groups at sports facilities) have been shown to be effective in the short-term, however, long-term effects have not been investigated.
Aims
To explore parents’ perceptions of long-term sports participation after a practitioner-led, peer-group sports intervention (Sports Stars) for ambulant, school-aged children with cerebral palsy.
Methods
Parents of children who attended Sports Stars two to three years earlier participated in interviews exploring intervention experience and ongoing sports participation. Children's pre-intervention sports activity and participation goals were reassessed with the Canadian Occupational Performance Measure (COPM).
Results
Fourteen parents participated. All reported that Sports Stars was an effective intervention, with children's increased confidence reported as the most beneficial outcome. Since attending Sports Stars, children participated in a variety of sports, the most common being swimming and soccer. Most parents reported environmental factors as a barrier to ongoing sports participation.
Statistically significant improvements in children's relevant sports-focussed activity and participation goals were demonstrated compared to pre-Sports Stars (COPM activity performance mean improvement (MI) = 3.94, p = 0.004, participation performance MI = 4.88, p < 0.001). When compared to post-Sports Stars, children maintained, or further improved, ratings of performance and satisfaction at 2–3 years follow-up.
Conclusions
Parents of ambulant children who participated in a short term, practitioner-led, peer-group sports intervention perceived that Sports Stars was the catalyst for subsequent changes to their children's long-term sports participation.
Trial registration
ACTRN12617000313336.
参加体育运动可以改善健康和福祉，但残疾儿童参加的体育活动比同龄人少。卫生专业人员在实际运动环境中（即在体育设施中以小组为单位）提供的干预措施已被证明在短期内是有效的，但尚未调查其长期影响。目的探讨在对学龄脑瘫患儿进行以医生为主导的同伴团体体育干预（sports Stars）后，家长对长期体育参与的看法。方法两到三年前参加过体育明星的儿童的父母参与了访谈，探讨干预经验和正在进行的体育参与。采用加拿大职业表现量表（COPM）重新评估儿童干预前的体育活动和参与目标。结果14名家长参与调查。所有报告都表明，体育明星是一种有效的干预，儿童自信心的增强被认为是最有益的结果。自从参加了体育明星，孩子们参加了各种各样的运动，最常见的是游泳和足球。大多数家长认为环境因素是阻碍他们持续参与体育运动的障碍。与体育明星前相比，儿童相关的体育活动和参与目标有统计学意义的改善(COPM活动表现平均改善(MI) = 3.94, p = 0.004，参与表现MI = 4.88, p <；0.001)。与后体育明星相比，儿童在2-3年的随访中保持或进一步提高了表现和满意度评级。结论参加短期、医生主导、同伴群体体育干预的流动儿童家长认为体育明星是儿童长期体育参与的催化剂。registrationACTRN12617000313336审判。
{"title":"It takes a ‘spark’. Exploring parent perception of long-term sports participation after a practitioner-led, peer-group sports intervention for ambulant, school-aged children with cerebral palsy","authors":"Georgina Clutterbuck , Mikaila Gent , Daniel Thomson","doi":"10.1016/j.jsampl.2025.100087","DOIUrl":"10.1016/j.jsampl.2025.100087","url":null,"abstract":"<div><h3>Background</h3><div>Participation in sport improves health and wellbeing, however children with disabilities participate in less physical activity than their peers. Interventions provided by health professionals in real-world sports contexts (i.e., in groups at sports facilities) have been shown to be effective in the short-term, however, long-term effects have not been investigated.</div></div><div><h3>Aims</h3><div>To explore parents’ perceptions of long-term sports participation after a practitioner-led, peer-group sports intervention (Sports Stars) for ambulant, school-aged children with cerebral palsy.</div></div><div><h3>Methods</h3><div>Parents of children who attended Sports Stars two to three years earlier participated in interviews exploring intervention experience and ongoing sports participation. Children's pre-intervention sports activity and participation goals were reassessed with the Canadian Occupational Performance Measure (COPM).</div></div><div><h3>Results</h3><div>Fourteen parents participated. All reported that Sports Stars was an effective intervention, with children's increased confidence reported as the most beneficial outcome. Since attending Sports Stars, children participated in a variety of sports, the most common being swimming and soccer. Most parents reported environmental factors as a barrier to ongoing sports participation.</div><div>Statistically significant improvements in children's relevant sports-focussed activity and participation goals were demonstrated compared to pre-Sports Stars (COPM activity performance mean improvement (MI) = 3.94, p = 0.004, participation performance MI = 4.88, p < 0.001). When compared to post-Sports Stars, children maintained, or further improved, ratings of performance and satisfaction at 2–3 years follow-up.</div></div><div><h3>Conclusions</h3><div>Parents of ambulant children who participated in a short term, practitioner-led, peer-group sports intervention perceived that Sports Stars was the catalyst for subsequent changes to their children's long-term sports participation.</div></div><div><h3>Trial registration</h3><div>ACTRN12617000313336.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100087"},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133587","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}
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