Pub Date : 2025-01-15DOI: 10.1136/bjsports-2024-108497
João Victor Rosa de Freitas, Naiane Silva Morais, Jéssika Teodoro Santos, Rízia Rocha-Silva, Tatiana Silva da Conceição, Rafaela Gomes dos Santos, Braulio Evangelista de Lima, Rodrigo Luiz Luiz Vancini, Marilia Santos Andrade, Ricardo Borges Viana, Claudio Andre Barbosa de Lira
Objectives This study evaluated the representation of black researchers as authors of articles published in four peer-reviewed journals with the highest impact factors (IFs) in the field of sports science and sports medicine. Methods An analysis was conducted on articles published between 2018 and 2022 in four leading sports science journals with high IFs (2022): The British Journal of Sports Medicine, Journal of Sport and Health Science, Sports Medicine and Exercise Immunology Review. Data extraction from the articles included the researcher’s names, sex/gender, total number of authors, number of black authors, their position in the author list, publication year, article title and type and digital object identifier. Sex/gender and race/skin colour were identified using publicly available photographs and methodologies aligned with previous studies and Brazilian racial heteroidentification practices. Results The analysis included 1737 articles and 11 158 authors. Only 144 (1.30%) authors were identified as black, of which only 38 were women, corresponding to 0.34% and 26.4% of total authors and total black authors, respectively. When considering authorship positions, only 16 (0.92%) were the first author and 19 (1.09%) were the last (senior) author. Merely 13 (0.75%) articles had two or more black authors. Conclusion Our findings reveal a significant under-representation of black authors in sports science and sports medicine publications from high-impact journals, particularly in prominent authorship positions. Active initiatives and policies are urgently required to address and mitigate this inequity. All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.
{"title":"Examining the under-representation of black researchers in sports science and sports medicine publications: ‘You Can’t be what You Can’t See’","authors":"João Victor Rosa de Freitas, Naiane Silva Morais, Jéssika Teodoro Santos, Rízia Rocha-Silva, Tatiana Silva da Conceição, Rafaela Gomes dos Santos, Braulio Evangelista de Lima, Rodrigo Luiz Luiz Vancini, Marilia Santos Andrade, Ricardo Borges Viana, Claudio Andre Barbosa de Lira","doi":"10.1136/bjsports-2024-108497","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108497","url":null,"abstract":"Objectives This study evaluated the representation of black researchers as authors of articles published in four peer-reviewed journals with the highest impact factors (IFs) in the field of sports science and sports medicine. Methods An analysis was conducted on articles published between 2018 and 2022 in four leading sports science journals with high IFs (2022): The British Journal of Sports Medicine, Journal of Sport and Health Science, Sports Medicine and Exercise Immunology Review. Data extraction from the articles included the researcher’s names, sex/gender, total number of authors, number of black authors, their position in the author list, publication year, article title and type and digital object identifier. Sex/gender and race/skin colour were identified using publicly available photographs and methodologies aligned with previous studies and Brazilian racial heteroidentification practices. Results The analysis included 1737 articles and 11 158 authors. Only 144 (1.30%) authors were identified as black, of which only 38 were women, corresponding to 0.34% and 26.4% of total authors and total black authors, respectively. When considering authorship positions, only 16 (0.92%) were the first author and 19 (1.09%) were the last (senior) author. Merely 13 (0.75%) articles had two or more black authors. Conclusion Our findings reveal a significant under-representation of black authors in sports science and sports medicine publications from high-impact journals, particularly in prominent authorship positions. Active initiatives and policies are urgently required to address and mitigate this inequity. All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"43 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-15DOI: 10.1136/bjsports-2024-109589
Jane S Thornton, Dawn P Richards, Erica H Gavel-Pinos, Jeane Lassen, Keith Morgan, Waneek Horn-Miller
Increasingly, patient and public engagement/involvement in healthcare and research is being emphasised as a critical element to better outcomes.1 2 While progress has been made in the general population, the same is not true in high-performance athletes. Given that athletes have important lived experiences to share, they should be viewed as equal contributors on research and healthcare teams so that research and care align with priorities that matter to them.3 For the same reasons, athletes should engage with and inform the missions and activities of our sport and exercise medicine (SEM) organisations. The mission statement of the Canadian Academy of Sport and Exercise Medicine (CASEM) is: ‘to forge a strong, collective voice for sport and exercise medicine; to be a leader in advancing the art and science of sport and exercise medicine, including health promotion and disease prevention, for the benefit of all Canadians’. As CASEM President and Olympian (JST), my primary objective was to ensure that our ‘strong, collective voice’ included athletes (ie, the people we care for on a daily basis) to facilitate they have a say in setting the priorities for the organisation. Co-led with patient engagement specialist (DPR), we convened an Athlete Advisory Council for CASEM. One of the first athlete reactions was ‘How come this isn’t already done?’ A valid question given the positive evidence that when athletes have a say in their own training, performance and healthcare, things change for the better.4 In sporting cultures where openness about injuries is encouraged, athletes reported better outcomes.5 Moreover, athletes may also have specific needs to consider that differ from the clinical or …
{"title":"Including athlete voices in your sport and exercise medicine organisation – it’s time!","authors":"Jane S Thornton, Dawn P Richards, Erica H Gavel-Pinos, Jeane Lassen, Keith Morgan, Waneek Horn-Miller","doi":"10.1136/bjsports-2024-109589","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109589","url":null,"abstract":"Increasingly, patient and public engagement/involvement in healthcare and research is being emphasised as a critical element to better outcomes.1 2 While progress has been made in the general population, the same is not true in high-performance athletes. Given that athletes have important lived experiences to share, they should be viewed as equal contributors on research and healthcare teams so that research and care align with priorities that matter to them.3 For the same reasons, athletes should engage with and inform the missions and activities of our sport and exercise medicine (SEM) organisations. The mission statement of the Canadian Academy of Sport and Exercise Medicine (CASEM) is: ‘to forge a strong, collective voice for sport and exercise medicine; to be a leader in advancing the art and science of sport and exercise medicine, including health promotion and disease prevention, for the benefit of all Canadians’. As CASEM President and Olympian (JST), my primary objective was to ensure that our ‘strong, collective voice’ included athletes (ie, the people we care for on a daily basis) to facilitate they have a say in setting the priorities for the organisation. Co-led with patient engagement specialist (DPR), we convened an Athlete Advisory Council for CASEM. One of the first athlete reactions was ‘How come this isn’t already done?’ A valid question given the positive evidence that when athletes have a say in their own training, performance and healthcare, things change for the better.4 In sporting cultures where openness about injuries is encouraged, athletes reported better outcomes.5 Moreover, athletes may also have specific needs to consider that differ from the clinical or …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"205 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-15DOI: 10.1136/bjsports-2024-109512
Marie Schaefer
A series of publications over the last several years has highlighted the underrepresentation of women in multiple sectors of sport and exercise medicine (SEM). The overall number of women SEM physicians in the USA is about 27.5%, which remains disproportionally low compared with the number of women both in (37.1%) and entering (47.1%) medicine, with continued gaps in the number of women represented in societal and academic leadership as well as in head team physician roles.1 2 This editorial provides an update about women in sports medicine leadership, highlights the large discrepancy in elite team physician roles and suggests innovative steps to improve under-representation. There have been positive advances for women representation in academic leadership. The percentage of women sports medicine fellowship programme directors is about equal to the number of women in SEM, and there is no significant difference in academic rank between men and women.3 In academic societies, women account for 28.1% of all current or past presidents of the American Medical Society for Sports Medicine (AMSSM) and 20.8% of the American College of Sports Medicine (ACSM). Notably, in the last 15 years, there have been 10 women AMSSM presidents and 7 women ACSM presidents. However, women still make up smaller percentages of SEM editorial boards and senior editor or editor-in-chief positions of sports medicine journals.3 …
{"title":"Update on women in sport and exercise medicine leadership in the USA","authors":"Marie Schaefer","doi":"10.1136/bjsports-2024-109512","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109512","url":null,"abstract":"A series of publications over the last several years has highlighted the underrepresentation of women in multiple sectors of sport and exercise medicine (SEM). The overall number of women SEM physicians in the USA is about 27.5%, which remains disproportionally low compared with the number of women both in (37.1%) and entering (47.1%) medicine, with continued gaps in the number of women represented in societal and academic leadership as well as in head team physician roles.1 2 This editorial provides an update about women in sports medicine leadership, highlights the large discrepancy in elite team physician roles and suggests innovative steps to improve under-representation. There have been positive advances for women representation in academic leadership. The percentage of women sports medicine fellowship programme directors is about equal to the number of women in SEM, and there is no significant difference in academic rank between men and women.3 In academic societies, women account for 28.1% of all current or past presidents of the American Medical Society for Sports Medicine (AMSSM) and 20.8% of the American College of Sports Medicine (ACSM). Notably, in the last 15 years, there have been 10 women AMSSM presidents and 7 women ACSM presidents. However, women still make up smaller percentages of SEM editorial boards and senior editor or editor-in-chief positions of sports medicine journals.3 …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"77 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-15DOI: 10.1136/bjsports-2024-108923
Dong-Hyuk Cho, Sae Young Jae, Setor Kunutsor, Jimi Choi, Jun Gyo Gwon
Objectives Physical activity (PA) provides protective effects against cardiovascular diseases, including ischaemic heart disease. However, recommending moderate to vigorous PA (MVPA) to patients with recent acute coronary syndrome (ACS) raises concerns owing to potential risk of recurrent ACS or fatal arrhythmias. This study investigated the association between longitudinal PA changes following an ACS diagnosis and subsequent cardiovascular outcomes, including non-fatal coronary events, non-fatal stroke and cardiovascular mortality. Methods This longitudinal cohort study used Korean National Health Insurance Service data from 2010 to 2017, comprising 30 840 patients diagnosed with ACS following invasive coronary angiography or bypass surgery. Leisure-time PA was self-reported, with the frequency and intensity measured weekly. The primary endpoint was a composite of nonfatal coronary events, non-fatal stroke and cardiovascular mortality. Multivariable Cox proportional hazards regression models assessed the association between PA changes and cardiovascular outcomes. Results Among patients with ACS (mean age: 60±11 years, men: 81.3%), mean PA levels increased from 544±556 metabolic equivalent task (MET)-min/week to 594±567 MET-min/week. Over 6.7 years of median follow-up, 5639 cardiovascular events occurred. Increased PA was associated with lower cardiovascular event risk (HR 0.95, 95% CI 0.92 to 0.98). Consistent MVPA pre-ACS and post-ACS reduced cardiovascular event risk (HR 0.87, 95% CI 0.79 to 0.96) and MVPA initiation showed a modest risk reduction (HR: 0.91, MET-min/95% CI 0.82 to 1.01). Conclusions Longitudinal increases in self-reported PA, maintenance of MVPA and possibly MVPA initiation after ACS reduced the risk of cardiovascular events. Initiating or maintaining MVPA could be an important strategy in improving cardiovascular outcomes following ACS. Data are available on reasonable request. The data used in this study are managed by the Korean government and can only be accessed by those with permission from the Korean government.
{"title":"Longitudinal increase in physical activity and adverse cardiovascular outcomes following the diagnosis of acute coronary syndrome","authors":"Dong-Hyuk Cho, Sae Young Jae, Setor Kunutsor, Jimi Choi, Jun Gyo Gwon","doi":"10.1136/bjsports-2024-108923","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108923","url":null,"abstract":"Objectives Physical activity (PA) provides protective effects against cardiovascular diseases, including ischaemic heart disease. However, recommending moderate to vigorous PA (MVPA) to patients with recent acute coronary syndrome (ACS) raises concerns owing to potential risk of recurrent ACS or fatal arrhythmias. This study investigated the association between longitudinal PA changes following an ACS diagnosis and subsequent cardiovascular outcomes, including non-fatal coronary events, non-fatal stroke and cardiovascular mortality. Methods This longitudinal cohort study used Korean National Health Insurance Service data from 2010 to 2017, comprising 30 840 patients diagnosed with ACS following invasive coronary angiography or bypass surgery. Leisure-time PA was self-reported, with the frequency and intensity measured weekly. The primary endpoint was a composite of nonfatal coronary events, non-fatal stroke and cardiovascular mortality. Multivariable Cox proportional hazards regression models assessed the association between PA changes and cardiovascular outcomes. Results Among patients with ACS (mean age: 60±11 years, men: 81.3%), mean PA levels increased from 544±556 metabolic equivalent task (MET)-min/week to 594±567 MET-min/week. Over 6.7 years of median follow-up, 5639 cardiovascular events occurred. Increased PA was associated with lower cardiovascular event risk (HR 0.95, 95% CI 0.92 to 0.98). Consistent MVPA pre-ACS and post-ACS reduced cardiovascular event risk (HR 0.87, 95% CI 0.79 to 0.96) and MVPA initiation showed a modest risk reduction (HR: 0.91, MET-min/95% CI 0.82 to 1.01). Conclusions Longitudinal increases in self-reported PA, maintenance of MVPA and possibly MVPA initiation after ACS reduced the risk of cardiovascular events. Initiating or maintaining MVPA could be an important strategy in improving cardiovascular outcomes following ACS. Data are available on reasonable request. The data used in this study are managed by the Korean government and can only be accessed by those with permission from the Korean government.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"37 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-13DOI: 10.1136/bjsports-2024-108496
Isabel S Moore, Stephen D Mellalieu, Gemma Robinson, Molly McCarthy-Ryan
Understanding the extent of an injury problem within a specific sport requires the recording of valid and reliable injury epidemiology data.1 Establishing injury rates using epidemiological data informs injury prevention strategies, in terms of who and what to target and the effectiveness of the strategies. The definitions used in sports injury epidemiology have received much attention,1 2 as have the required sport-specific data fields3 and, recently, the inclusion of female-specific considerations.4 Voluntary informed consent is key when undertaking research with an opt-in rather than opt-out system in place and is typically required to legally comply with data protection and processing regulations (eg, General Data Protection Regulation in Europe).5 This can pose challenges to sports injury epidemiology where data may be recorded for internal medical purposes, but not all data can and or should be used for research purposes. Consent can be obtained in different ways, such as consent for sharing data for research purposes when athletes sign contracts with a club or project-specific consent whereby the research team seek consent directly from athletes. It is likely that sports injury epidemiology studies use different methods based on country-specific data laws, how data are collected and the partnerships in place conducting the research. Regardless, published sports injury epidemiology research states consent was obtained from athletes (eg,6 7); however, many studies do not report the proportion of consent within the cohort. For example, in a squad of 50 athletes, how many will provide voluntary informed consent? When an athlete does not grant consent, their injuries will not be included in the numerator part of injury incidence (eg, number of injuries in a squad during a season). However, understanding how many of the cohort provide consent is important for calculating the denominator (exposure) in time-based injury incidence. Several …
{"title":"Do we need to adjust exposure to account for the proportion of a cohort consenting to injury surveillance in team sports?","authors":"Isabel S Moore, Stephen D Mellalieu, Gemma Robinson, Molly McCarthy-Ryan","doi":"10.1136/bjsports-2024-108496","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108496","url":null,"abstract":"Understanding the extent of an injury problem within a specific sport requires the recording of valid and reliable injury epidemiology data.1 Establishing injury rates using epidemiological data informs injury prevention strategies, in terms of who and what to target and the effectiveness of the strategies. The definitions used in sports injury epidemiology have received much attention,1 2 as have the required sport-specific data fields3 and, recently, the inclusion of female-specific considerations.4 Voluntary informed consent is key when undertaking research with an opt-in rather than opt-out system in place and is typically required to legally comply with data protection and processing regulations (eg, General Data Protection Regulation in Europe).5 This can pose challenges to sports injury epidemiology where data may be recorded for internal medical purposes, but not all data can and or should be used for research purposes. Consent can be obtained in different ways, such as consent for sharing data for research purposes when athletes sign contracts with a club or project-specific consent whereby the research team seek consent directly from athletes. It is likely that sports injury epidemiology studies use different methods based on country-specific data laws, how data are collected and the partnerships in place conducting the research. Regardless, published sports injury epidemiology research states consent was obtained from athletes (eg,6 7); however, many studies do not report the proportion of consent within the cohort. For example, in a squad of 50 athletes, how many will provide voluntary informed consent? When an athlete does not grant consent, their injuries will not be included in the numerator part of injury incidence (eg, number of injuries in a squad during a season). However, understanding how many of the cohort provide consent is important for calculating the denominator (exposure) in time-based injury incidence. Several …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"16 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-13DOI: 10.1136/bjsports-2024-109590
Dawn Haworth, Jane S Thornton
Dr Darrell Menard is a distinguished leader in Canadian sport and exercise medicine, renowned for his exceptional contributions on national and international stages. He has provided medical coverage at prestigious events, including the World Military Games, Olympic Games and Paralympic Games. With a decorated military career spanning 40 years, Dr Menard transitioned from active service as a military sports medicine physician to his current role as the Surgeon General’s Specialist Advisor in Sports Medicine. In this capacity, he shapes policy and practice within the Canadian military, leveraging his expertise to drive innovation and reduce injury rates among Canadian Armed Forces personnel. Dr Menard has also enjoyed a celebrated athletic career. His proudest moment came during the 1980 Paralympic Games in Arnhem, Holland, where he coached and guided Jacques Pilon in the 1500 m run. …
{"title":"Dr Darrell Menard: champion for Indigenous youth sport","authors":"Dawn Haworth, Jane S Thornton","doi":"10.1136/bjsports-2024-109590","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109590","url":null,"abstract":"Dr Darrell Menard is a distinguished leader in Canadian sport and exercise medicine, renowned for his exceptional contributions on national and international stages. He has provided medical coverage at prestigious events, including the World Military Games, Olympic Games and Paralympic Games. With a decorated military career spanning 40 years, Dr Menard transitioned from active service as a military sports medicine physician to his current role as the Surgeon General’s Specialist Advisor in Sports Medicine. In this capacity, he shapes policy and practice within the Canadian military, leveraging his expertise to drive innovation and reduce injury rates among Canadian Armed Forces personnel. Dr Menard has also enjoyed a celebrated athletic career. His proudest moment came during the 1980 Paralympic Games in Arnhem, Holland, where he coached and guided Jacques Pilon in the 1500 m run. …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"15 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-13DOI: 10.1136/bjsports-2024-108080
Manuela Karloh, Thiago Matias
Rehabilitation, covering areas such as injury, cardiac, pulmonary and mental health, is evolving toward patient-centred care.1 However, motivating patients to maintain exercise habits remains challenging,2 with a disconnect between programme design, behavioural change theories and professionals’ ability to apply behavioural change techniques.3 The aim of this editorial is to emphasise the need for rehabilitation programmes that move beyond traditional treatments by integrating holistic, patient-centred approaches. This includes fostering emotional, psychological and social growth alongside physical recovery. Social-structural and interpersonal barriers hinder adherence to exercise maintenance. A lack of psychological and social support significantly impacts adherence to exercise interventions, both during and after rehabilitation, which is essential for initiating and sustaining health-related behaviours.2 4 5 Habitual behaviours, deeply ingrained and automatic, inhibit new interventions, highlighting the need for targeted, context-specific strategies.4 Enhancing the expertise of rehabilitation professionals to use theoretical models promoting holistic approaches can help break down entrenched beliefs and foster new cultural understandings about rehabilitation.6 Compliance has been an issue in physiotherapy since the 1970s.7 The role of rehabilitation in patients’ lives should not be reduced to just ‘medicine’. Such programmes ought to integrate into a patient’s life, seeking not just health (mostly physical)8 results but also personal growth, emotional enhancement and positive social connections. The motivation for individuals to adhere to a rehabilitation programme, ensuring exercise maintenance, should not be dictated only by fear of health deterioration, physical performance or other external factors. These external motivations …
{"title":"Firing up the rehabilitation: a holistic approach emphasising complex practice environments to change exercise behaviour","authors":"Manuela Karloh, Thiago Matias","doi":"10.1136/bjsports-2024-108080","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108080","url":null,"abstract":"Rehabilitation, covering areas such as injury, cardiac, pulmonary and mental health, is evolving toward patient-centred care.1 However, motivating patients to maintain exercise habits remains challenging,2 with a disconnect between programme design, behavioural change theories and professionals’ ability to apply behavioural change techniques.3 The aim of this editorial is to emphasise the need for rehabilitation programmes that move beyond traditional treatments by integrating holistic, patient-centred approaches. This includes fostering emotional, psychological and social growth alongside physical recovery. Social-structural and interpersonal barriers hinder adherence to exercise maintenance. A lack of psychological and social support significantly impacts adherence to exercise interventions, both during and after rehabilitation, which is essential for initiating and sustaining health-related behaviours.2 4 5 Habitual behaviours, deeply ingrained and automatic, inhibit new interventions, highlighting the need for targeted, context-specific strategies.4 Enhancing the expertise of rehabilitation professionals to use theoretical models promoting holistic approaches can help break down entrenched beliefs and foster new cultural understandings about rehabilitation.6 Compliance has been an issue in physiotherapy since the 1970s.7 The role of rehabilitation in patients’ lives should not be reduced to just ‘medicine’. Such programmes ought to integrate into a patient’s life, seeking not just health (mostly physical)8 results but also personal growth, emotional enhancement and positive social connections. The motivation for individuals to adhere to a rehabilitation programme, ensuring exercise maintenance, should not be dictated only by fear of health deterioration, physical performance or other external factors. These external motivations …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"51 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-13DOI: 10.1136/bjsports-2024-108673
Jodie G Dakic, E Jean C Hay-Smith, Kuan-Yin Lin, Jill L Cook, Helena C Frawley
Symptoms of pelvic floor (PF) dysfunction are highly prevalent in female athletes at all levels of sports participation.1 One in three women across all sports experience symptoms such as leaking urine, wind or stool including up to 80% of women participating in high-impact sports or heavy lifting.1 2 In female para-athletes, 28% across all sports experience urinary incontinence.3 One in two women who experience symptoms of PF dysfunction during sport or exercise stop participating in the form of activity.4 Women also report PF symptoms that substantially impact training and performance including reducing training load, avoiding high-impact activities and distraction during competition.2 4 Health and exercise professionals are ideally placed to raise awareness of pelvic health and provide opportunities for symptom disclosure. However, approximately 75% of Australian health and exercise professionals do not screen female athletes for symptoms of PF dysfunction as part of their current practice.5 Among women attending fitness clubs in Oslo, only 8% had received any information on PF muscle training during 12 months …
{"title":"Infographic. Having pelvic health conversations within sports settings","authors":"Jodie G Dakic, E Jean C Hay-Smith, Kuan-Yin Lin, Jill L Cook, Helena C Frawley","doi":"10.1136/bjsports-2024-108673","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108673","url":null,"abstract":"Symptoms of pelvic floor (PF) dysfunction are highly prevalent in female athletes at all levels of sports participation.1 One in three women across all sports experience symptoms such as leaking urine, wind or stool including up to 80% of women participating in high-impact sports or heavy lifting.1 2 In female para-athletes, 28% across all sports experience urinary incontinence.3 One in two women who experience symptoms of PF dysfunction during sport or exercise stop participating in the form of activity.4 Women also report PF symptoms that substantially impact training and performance including reducing training load, avoiding high-impact activities and distraction during competition.2 4 Health and exercise professionals are ideally placed to raise awareness of pelvic health and provide opportunities for symptom disclosure. However, approximately 75% of Australian health and exercise professionals do not screen female athletes for symptoms of PF dysfunction as part of their current practice.5 Among women attending fitness clubs in Oslo, only 8% had received any information on PF muscle training during 12 months …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"68 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-13DOI: 10.1136/bjsports-2024-109519
Linton Beck, Stephen Beck, Rejyna Beck, English C Flack
For everyone ambling into high school chemistry on the morning of 20 April 2022, the day seemed as life-changing as you would expect from a group of teenagers preparing for an hour-long stoichiometry lesson. I was a sophomore student at Station Camp High School in Gallatin, Tennessee. Like every morning, the bell would ring, students would take their seats and our teacher (Coach Bartlett) would begin class. It is interesting how we define seemingly meaningless times in our lives. We even have phrases like ‘killing time’ to characterise these throwaway moments. I looked down at my watch. I had plenty of time to eat my strawberry Pop Tart before class started. Coach Bartlett worked hard to challenge students but was also flexible and laid-back enough to let students eat in his classroom before class. This was important for me; as a varsity track and cross-country runner, I typically ran around 65 kilometres a week. Regional championships were coming up, and I had a good shot at helping my team place by running in the 1600 m and 3200 m races. I was satisfied with my personal best mile time of 04:55 and 5K time of 17:50 but was looking forward to shaving a few more seconds off my times. The difference between good and great is only a matter of seconds. Munching on my much-needed calorie source, I glanced down …
{"title":"Two minutes was always enough time to finish eating a Pop Tart…until it wasn’t: my experience with cardiac arrest in high school chemistry class","authors":"Linton Beck, Stephen Beck, Rejyna Beck, English C Flack","doi":"10.1136/bjsports-2024-109519","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109519","url":null,"abstract":"For everyone ambling into high school chemistry on the morning of 20 April 2022, the day seemed as life-changing as you would expect from a group of teenagers preparing for an hour-long stoichiometry lesson. I was a sophomore student at Station Camp High School in Gallatin, Tennessee. Like every morning, the bell would ring, students would take their seats and our teacher (Coach Bartlett) would begin class. It is interesting how we define seemingly meaningless times in our lives. We even have phrases like ‘killing time’ to characterise these throwaway moments. I looked down at my watch. I had plenty of time to eat my strawberry Pop Tart before class started. Coach Bartlett worked hard to challenge students but was also flexible and laid-back enough to let students eat in his classroom before class. This was important for me; as a varsity track and cross-country runner, I typically ran around 65 kilometres a week. Regional championships were coming up, and I had a good shot at helping my team place by running in the 1600 m and 3200 m races. I was satisfied with my personal best mile time of 04:55 and 5K time of 17:50 but was looking forward to shaving a few more seconds off my times. The difference between good and great is only a matter of seconds. Munching on my much-needed calorie source, I glanced down …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"75 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-09DOI: 10.1136/bjsports-2024-109060
Ahmad Fadhly Arham, Nor Sabrena Norizan, Rani Diana Othman
Sukan Para Malaysia (Para Sukma) is a multisport event for disabled athletes in Malaysia, established in 1982. Initially called the National Games for Disabled Members of Malaysia, it became the Malaysian Paralympic Games in 1998 and was renamed Sukan Para Malaysia in 2018. The event now occurs biennially, alongside the Malaysian Games, in the same host state. In 2024, Melaka will participate with 83 contingents, including 63 athletes and 20 officials, competing in various sports such as archery, swimming, tenpin bowling, chess, badminton, table tennis, powerlifting, athletics, boccia and lawn bowls. Athletes represent diverse disabilities, including physical, intellectual and visual impairments. Based on previous achievements, Melaka aims to secure nine gold medals this year. Table 1 provides the breakdown of the Melaka’s Para Contingent 2024. View this table: Table 1 The breakdown of Melaka Para Contingent 2024 To ensure that the athletes are mentally ready for this year’s competition, the Department of Youth and Sports of Melaka (KBS), together with the Sports and Recreation Association of Disabled People of the State of Melaka (PESRON), has organised a 1-day team-building programme for all participating athletes and officials. This team-building session aims to frame the champion mindset and encourage inclusivity and team spirit among participating athletes with disabilities. Even though only 31 athletes and 6 coaches attended the programme, the presence of all managers and facilitators from the KBS, PESRON and the organiser has facilitated the programme’s effectiveness. This was the first time those athletes had been exposed to mental training. As Anuar and Bahar1 contended, visualisation techniques among disabled athletes are still underexplored. During the mind-setting session, all athletes and …
{"title":"Unleashing the champion mindset among Melaka’s para athletes of the Malaysia Games","authors":"Ahmad Fadhly Arham, Nor Sabrena Norizan, Rani Diana Othman","doi":"10.1136/bjsports-2024-109060","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109060","url":null,"abstract":"Sukan Para Malaysia (Para Sukma) is a multisport event for disabled athletes in Malaysia, established in 1982. Initially called the National Games for Disabled Members of Malaysia, it became the Malaysian Paralympic Games in 1998 and was renamed Sukan Para Malaysia in 2018. The event now occurs biennially, alongside the Malaysian Games, in the same host state. In 2024, Melaka will participate with 83 contingents, including 63 athletes and 20 officials, competing in various sports such as archery, swimming, tenpin bowling, chess, badminton, table tennis, powerlifting, athletics, boccia and lawn bowls. Athletes represent diverse disabilities, including physical, intellectual and visual impairments. Based on previous achievements, Melaka aims to secure nine gold medals this year. Table 1 provides the breakdown of the Melaka’s Para Contingent 2024. View this table: Table 1 The breakdown of Melaka Para Contingent 2024 To ensure that the athletes are mentally ready for this year’s competition, the Department of Youth and Sports of Melaka (KBS), together with the Sports and Recreation Association of Disabled People of the State of Melaka (PESRON), has organised a 1-day team-building programme for all participating athletes and officials. This team-building session aims to frame the champion mindset and encourage inclusivity and team spirit among participating athletes with disabilities. Even though only 31 athletes and 6 coaches attended the programme, the presence of all managers and facilitators from the KBS, PESRON and the organiser has facilitated the programme’s effectiveness. This was the first time those athletes had been exposed to mental training. As Anuar and Bahar1 contended, visualisation techniques among disabled athletes are still underexplored. During the mind-setting session, all athletes and …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"10 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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