Pub Date : 2025-12-01DOI: 10.1136/bjsports-2025-109849
James Robert Forsyth
{"title":"Character-based GenAI chatbots: a novel tool for students to develop interviewing skills to promote exercise for health.","authors":"James Robert Forsyth","doi":"10.1136/bjsports-2025-109849","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109849","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":16.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653951","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 : 2025-11-27DOI: 10.1136/bjsports-2025-110028
Rosalyn Cooke,Theodora Papadopoulou,Adam Weir,Gráinne M Donnelly
{"title":"Hiding in plain sight: the pelvic floor in hip and groin pain.","authors":"Rosalyn Cooke,Theodora Papadopoulou,Adam Weir,Gráinne M Donnelly","doi":"10.1136/bjsports-2025-110028","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110028","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145613256","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 : 2025-11-27DOI: 10.1136/bjsports-2025-110043
Sebastian Nesheim,Lance M McCracken,Leonieke W Kranenburg,Robert-Jan de Vos,Adam Weir,Tracy Donachie,Ebonie Kendra Rio,Michael Skovdal Rathleff
{"title":"Sport and exercise medicine through a new lens: integrating behavioural medicine for enhanced athlete care.","authors":"Sebastian Nesheim,Lance M McCracken,Leonieke W Kranenburg,Robert-Jan de Vos,Adam Weir,Tracy Donachie,Ebonie Kendra Rio,Michael Skovdal Rathleff","doi":"10.1136/bjsports-2025-110043","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110043","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"9 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145613205","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 : 2025-11-26DOI: 10.1136/bjsports-2024-109310
Paris A T Jones, Emma Brockwell, Amal Hassan, Sinead Dufour, Margie H Davenport
Objective: Recreational and elite athletes report avoiding breastfeeding when returning to physical activity following childbirth due to a perceived increased risk of injury; yet, there are no empirical data to support this relationship. We aimed to examine the complex interaction of breastfeeding and physical activity and its potential impact on musculoskeletal injury.
Methods: Individuals (≥18 years) who participated in physical activity during their first year following childbirth were recruited to complete an online questionnaire that covered maternal demographics, reproductive history, health outcomes (preconception to postpartum), breastfeeding habits, physical activity characteristics and musculoskeletal conditions and complaints.
Results: 590 people completed the survey (age at delivery 33.0±3.5, months postpartum 27.9±26.7) and identified that 22% (n=129) reported a musculoskeletal injury in the first year after childbirth. The proportion of individuals exclusively breastfeeding for a minimum of 6 months following delivery was not different between injured and non-injured groups (OR 0.97, 95% CI 0.65 to 1.45). However, a previous or current history of an eating disorder increased the risk of postpartum injury (OR 2.76, 95% CI 1.54 to 4.94). A 50% decrease in weekly metabolic equivalent of task minutes from preconception to trimester 1 or trimester 2 was associated with an 89% increased risk of postpartum injury (OR 1.89, 95% CI 1.25 to 2.86; p=0.002).
Conclusion: In this retrospective study, breastfeeding did not increase the risk of musculoskeletal injury during the postpartum period. Maintaining preconception physical activity during pregnancy may reduce the risk of postpartum injury.
目的：休闲运动员和精英运动员报告说，由于认为受伤风险增加，在分娩后重返体力活动时避免母乳喂养；然而，没有经验数据支持这种关系。我们的目的是研究母乳喂养和身体活动的复杂相互作用及其对肌肉骨骼损伤的潜在影响。方法：招募分娩后第一年参加体育锻炼的个体（≥18岁）完成一份在线问卷，内容包括产妇人口统计学、生殖史、健康结局（孕前至产后）、母乳喂养习惯、体育锻炼特征、肌肉骨骼状况和抱怨。结果：590人完成了调查（分娩年龄33.0±3.5，产后27.9±26.7个月），发现22% （n=129）的人在分娩后一年内出现肌肉骨骼损伤。分娩后至少6个月纯母乳喂养的个体比例在受伤组和未受伤组之间没有差异（OR 0.97, 95% CI 0.65至1.45）。然而，既往或当前饮食失调史增加了产后损伤的风险（or 2.76, 95% CI 1.54 - 4.94）。从孕前到妊娠1或妊娠2三个月，每周代谢当量任务分钟减少50%与产后损伤风险增加89%相关(or 1.89, 95% CI 1.25至2.86；p = 0.002)。结论：在这项回顾性研究中，母乳喂养不会增加产后肌肉骨骼损伤的风险。在怀孕期间保持孕前身体活动可以降低产后损伤的风险。
{"title":"Breastfeeding-injury link: are concerns warranted?","authors":"Paris A T Jones, Emma Brockwell, Amal Hassan, Sinead Dufour, Margie H Davenport","doi":"10.1136/bjsports-2024-109310","DOIUrl":"10.1136/bjsports-2024-109310","url":null,"abstract":"<p><strong>Objective: </strong>Recreational and elite athletes report avoiding breastfeeding when returning to physical activity following childbirth due to a perceived increased risk of injury; yet, there are no empirical data to support this relationship. We aimed to examine the complex interaction of breastfeeding and physical activity and its potential impact on musculoskeletal injury.</p><p><strong>Methods: </strong>Individuals (≥18 years) who participated in physical activity during their first year following childbirth were recruited to complete an online questionnaire that covered maternal demographics, reproductive history, health outcomes (preconception to postpartum), breastfeeding habits, physical activity characteristics and musculoskeletal conditions and complaints.</p><p><strong>Results: </strong>590 people completed the survey (age at delivery 33.0±3.5, months postpartum 27.9±26.7) and identified that 22% (n=129) reported a musculoskeletal injury in the first year after childbirth. The proportion of individuals exclusively breastfeeding for a minimum of 6 months following delivery was not different between injured and non-injured groups (OR 0.97, 95% CI 0.65 to 1.45). However, a previous or current history of an eating disorder increased the risk of postpartum injury (OR 2.76, 95% CI 1.54 to 4.94). A 50% decrease in weekly metabolic equivalent of task minutes from preconception to trimester 1 or trimester 2 was associated with an 89% increased risk of postpartum injury (OR 1.89, 95% CI 1.25 to 2.86; p=0.002).</p><p><strong>Conclusion: </strong>In this retrospective study, breastfeeding did not increase the risk of musculoskeletal injury during the postpartum period. Maintaining preconception physical activity during pregnancy may reduce the risk of postpartum injury.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1471-1480"},"PeriodicalIF":16.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815764","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 : 2025-11-26DOI: 10.1136/bjsports-2019-100765corr1
{"title":"Correction: <i>Does surgery reduce knee osteoarthritis, meniscal injury and subsequent complications compared with non-surgery after ACL rupture with at least 10 years follow-up? A systematic review and meta-analysis</i>.","authors":"","doi":"10.1136/bjsports-2019-100765corr1","DOIUrl":"https://doi.org/10.1136/bjsports-2019-100765corr1","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"59 21","pages":"e3"},"PeriodicalIF":16.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145629776","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 : 2025-11-25DOI: 10.1136/bjsports-2025-110801
Dominique Hansen
On 16 October 2022, at the age of 42 years, sitting in my car at a parking lot, my left arm and leg suddenly became fully paralysed, and I could not speak anymore. I realised this could be a stroke, so I let myself fall out of my car, lying on the ground, in the hope somebody would call an ambulance. Luckily, somebody made that call, and I was rushed to the hospital: a thrombus in the CM1 segment of the right arteria cerebri media with subtotal occlusion was discovered (cryptogenic stroke), leading to a National Institutes of Health Stroke Scale (NIHSS) of 17–18. A thrombectomy was executed, with full revascularisation, and I was discharged from the hospital 2 weeks later. Two years later, a repeat MRI of my brain was made (figure 1), showing the damage done (mostly on the right hemisphere and deep in the brain behind the right eye). Figure 1 Repeat brain MRI at 2 years after my stroke. The black areas in this scan indicate scarred/destroyed brain tissue. From the moment I regained consciousness and woke up in my hospital bed, the first goal I had was to regain mobility as soon as possible and progress to exercise training. Through my academic training (PhD …
{"title":"Recovering from ischaemic stroke at a young age: the call for precision exercise intervention","authors":"Dominique Hansen","doi":"10.1136/bjsports-2025-110801","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110801","url":null,"abstract":"On 16 October 2022, at the age of 42 years, sitting in my car at a parking lot, my left arm and leg suddenly became fully paralysed, and I could not speak anymore. I realised this could be a stroke, so I let myself fall out of my car, lying on the ground, in the hope somebody would call an ambulance. Luckily, somebody made that call, and I was rushed to the hospital: a thrombus in the CM1 segment of the right arteria cerebri media with subtotal occlusion was discovered (cryptogenic stroke), leading to a National Institutes of Health Stroke Scale (NIHSS) of 17–18. A thrombectomy was executed, with full revascularisation, and I was discharged from the hospital 2 weeks later. Two years later, a repeat MRI of my brain was made (figure 1), showing the damage done (mostly on the right hemisphere and deep in the brain behind the right eye). Figure 1 Repeat brain MRI at 2 years after my stroke. The black areas in this scan indicate scarred/destroyed brain tissue. From the moment I regained consciousness and woke up in my hospital bed, the first goal I had was to regain mobility as soon as possible and progress to exercise training. Through my academic training (PhD …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"3 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145599568","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 : 2025-11-25DOI: 10.1136/bjsports-2025-109710
Shaun Sutehall, Lulu Ralison, Jonathan Power, Daniel B Hawcutt
Regular participation in sports, such as football (soccer), has positive effects on both physical1 and mental health.2 Despite these benefits, concerns have been raised about the potential neurological damage caused by playing football. Acute head/neck injuries in youth football have been reported to occur at a rate of 0.25 injuries per 1000 hours played,3 which is substantially lower than lower leg injuries (4.08 and 6.54 injuries per 1000 hours played, in males and females, respectively).4 While unproven, there are concerns that long-term exposure to repeated ‘subconcussive’ impacts (without the presence of injury or concussion) could alter brain white matter structure, but the potential for purposeful repetitive heading of the football to cause negative effects on the brain remains uncertain and under-researched.5 6 Although there have been significant steps made by governing bodies to reduce the number of concussions associated with football playing,7 the potential health risks caused by repeated head impacts that do not result in concussion remain unknown.8 9 This editorial explores the current evidential landscape regarding heading in football to facilitate and inform carefully planned future research. In an effort to protect youth football players, in 2021, England Football introduced detailed guidance on heading during training at every age group in the amateur and professional game.10 This includes the complete removal of heading practice during training for U11 and younger, a graded increase in the advised heading …
{"title":"Is it time for evidence-based protective strategies for heading in youth football?","authors":"Shaun Sutehall, Lulu Ralison, Jonathan Power, Daniel B Hawcutt","doi":"10.1136/bjsports-2025-109710","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109710","url":null,"abstract":"Regular participation in sports, such as football (soccer), has positive effects on both physical1 and mental health.2 Despite these benefits, concerns have been raised about the potential neurological damage caused by playing football. Acute head/neck injuries in youth football have been reported to occur at a rate of 0.25 injuries per 1000 hours played,3 which is substantially lower than lower leg injuries (4.08 and 6.54 injuries per 1000 hours played, in males and females, respectively).4 While unproven, there are concerns that long-term exposure to repeated ‘subconcussive’ impacts (without the presence of injury or concussion) could alter brain white matter structure, but the potential for purposeful repetitive heading of the football to cause negative effects on the brain remains uncertain and under-researched.5 6 Although there have been significant steps made by governing bodies to reduce the number of concussions associated with football playing,7 the potential health risks caused by repeated head impacts that do not result in concussion remain unknown.8 9 This editorial explores the current evidential landscape regarding heading in football to facilitate and inform carefully planned future research. In an effort to protect youth football players, in 2021, England Football introduced detailed guidance on heading during training at every age group in the amateur and professional game.10 This includes the complete removal of heading practice during training for U11 and younger, a graded increase in the advised heading …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"205 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145599564","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 : 2025-11-25DOI: 10.1136/bjsports-2025-110980
Michael Girdwood
I aimed to define the trajectory of muscle strength and hop performance after anterior cruciate ligament reconstruction (ACLR). I also aimed to understand the trajectory of self-reported outcomes after ACLR, and how physical capacity early after surgery relates to these outcomes. Muscle strength and functional performance outcomes are frequently collected in ACLR research and clinical practice, however, the magnitude of deficits and trajectory of changes in the long term (eg, after rehabilitation has finished) are not well summarised. Most research focuses on quadriceps strength; however, hip and lower-leg strengthening is also frequently included in rehabilitation post-ACLR. Yet it is not clear whether hip and lower-leg muscle weakness is widespread or problematic. Even with this understanding, the importance of physical capacity to long-term knee health and quality of life is not known—clinicians focus on regaining physical capacity; however, studies measuring relationships to long-term knee-related quality of life are limited, with mixed findings. I conducted a group of …
{"title":"Outcome trajectories after anterior cruciate ligament reconstruction (PhD Academy Award)","authors":"Michael Girdwood","doi":"10.1136/bjsports-2025-110980","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110980","url":null,"abstract":"I aimed to define the trajectory of muscle strength and hop performance after anterior cruciate ligament reconstruction (ACLR). I also aimed to understand the trajectory of self-reported outcomes after ACLR, and how physical capacity early after surgery relates to these outcomes. Muscle strength and functional performance outcomes are frequently collected in ACLR research and clinical practice, however, the magnitude of deficits and trajectory of changes in the long term (eg, after rehabilitation has finished) are not well summarised. Most research focuses on quadriceps strength; however, hip and lower-leg strengthening is also frequently included in rehabilitation post-ACLR. Yet it is not clear whether hip and lower-leg muscle weakness is widespread or problematic. Even with this understanding, the importance of physical capacity to long-term knee health and quality of life is not known—clinicians focus on regaining physical capacity; however, studies measuring relationships to long-term knee-related quality of life are limited, with mixed findings. I conducted a group of …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"29 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145599935","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 : 2025-11-20DOI: 10.1136/bjsports-2025-110358
Madlaina Matter,Laurent Audigé,Thomas Stojanov,Andreas Mueller,Matthias A Zumstein,Annabel Hayoz, ,Michael Schär
OBJECTIVESTo investigate patients' sports activities prior to and after arthroscopic rotator cuff repair (ARCR) and to better understand the relationship between patient, injury and sport-specific factors and return to sport (RTS) after ARCR.METHODSAs a part of the ARCR_Pred multicentre cohort study, patients from 19 centres undergoing primary ARCR for partial or complete rotator cuff tears between June 2020 and November 2021 were prospectively enrolled. Only patients who participated in sports prior to the injury were included. Injury characteristics, sports activity, sociodemographic, psychological and rehabilitation-specific factors, including the ability to return to any sport, were recorded preoperatively and postoperatively at 6 weeks, 6, 12 and 24 months. Prognostic factors for full RTS were identified using univariable and multivariable logistic regression analysis.RESULTSOf the 725 eligible patients, 37.2% were female, and the mean age was 57.7 years. Among all eligible patients, 57.4% achieved full RTS at 24 months, and 43.8% returned to their primary preinjury sport. Delayed initiation of passive mobilisation (risk ratio (RR) 0.94 (95% CI 0.89 to 0.99), p=0.017) was associated with incomplete RTS in univariable analysis. In multivariable analysis, favourable prognostic factors of full RTS included traumatic injury aetiology (RR 1.21 (95% CI 1.07 to 1.37), p=0.002), high motivation to RTS at baseline (RR 1.18 (95% CI 1.05 to 1.33), p=0.005), higher sports activity levels at 6 months (RR 1.04 (95% CI 1.01 to 1.07), p=0.002) and a low depression score at 12 months (RR 0.97 (95% CI 0.95 to 0.98), p<0.001).CONCLUSIONOver half of ARCR patients reach full RTS within 24 months, with traumatic injuries, high motivation and higher sports activity at baseline having a more favourable prognosis. Our findings inform individualised postoperative rehabilitation and counselling regarding RTS following ARCR.
目的探讨关节镜下肩袖修复术（ARCR）前后患者的运动活动情况，更好地了解患者、损伤和运动特异性因素与ARCR术后运动恢复（RTS）之间的关系。方法作为ARCR_Pred多中心队列研究的一部分，来自19个中心的患者在2020年6月至2021年11月期间接受了部分或完全肩袖撕裂的原发性ARCR。仅包括在受伤前参加过运动的患者。在术前和术后6周、6月、12月和24月分别记录损伤特征、运动活动、社会人口统计学、心理和康复特定因素，包括恢复任何运动的能力。使用单变量和多变量logistic回归分析确定了完全RTS的预后因素。结果725例患者中，女性占37.2%，平均年龄57.7岁。在所有符合条件的患者中，57.4%的患者在24个月时实现了完全RTS， 43.8%的患者恢复了损伤前的主要运动。在单变量分析中，延迟开始被动活动（风险比（RR） 0.94 (95% CI 0.89 ~ 0.99), p=0.017）与不完全RTS相关。在多变量分析中，完全RTS的有利预后因素包括创伤性损伤病因学（RR 1.21 (95% CI 1.07至1.37),p=0.002），基线时对RTS的高动机（RR 1.18 (95% CI 1.05至1.33),p=0.005）， 6个月时较高的体育活动水平（RR 1.04 (95% CI 1.01至1.07),p=0.002）和12个月时较低的抑郁评分（RR 0.97 (95% CI 0.95至0.98),p<0.001）。结论：超过一半的ARCR患者在24个月内达到完全RTS，创伤性损伤、高动力和基线时较高的运动活动具有较好的预后。我们的研究结果为ARCR术后RTS的个性化术后康复和咨询提供了依据。
{"title":"Return to sport after arthroscopic rotator cuff repair: epidemiology and prognostic factors in a Swiss multicentre cohort.","authors":"Madlaina Matter,Laurent Audigé,Thomas Stojanov,Andreas Mueller,Matthias A Zumstein,Annabel Hayoz, ,Michael Schär","doi":"10.1136/bjsports-2025-110358","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110358","url":null,"abstract":"OBJECTIVESTo investigate patients' sports activities prior to and after arthroscopic rotator cuff repair (ARCR) and to better understand the relationship between patient, injury and sport-specific factors and return to sport (RTS) after ARCR.METHODSAs a part of the ARCR_Pred multicentre cohort study, patients from 19 centres undergoing primary ARCR for partial or complete rotator cuff tears between June 2020 and November 2021 were prospectively enrolled. Only patients who participated in sports prior to the injury were included. Injury characteristics, sports activity, sociodemographic, psychological and rehabilitation-specific factors, including the ability to return to any sport, were recorded preoperatively and postoperatively at 6 weeks, 6, 12 and 24 months. Prognostic factors for full RTS were identified using univariable and multivariable logistic regression analysis.RESULTSOf the 725 eligible patients, 37.2% were female, and the mean age was 57.7 years. Among all eligible patients, 57.4% achieved full RTS at 24 months, and 43.8% returned to their primary preinjury sport. Delayed initiation of passive mobilisation (risk ratio (RR) 0.94 (95% CI 0.89 to 0.99), p=0.017) was associated with incomplete RTS in univariable analysis. In multivariable analysis, favourable prognostic factors of full RTS included traumatic injury aetiology (RR 1.21 (95% CI 1.07 to 1.37), p=0.002), high motivation to RTS at baseline (RR 1.18 (95% CI 1.05 to 1.33), p=0.005), higher sports activity levels at 6 months (RR 1.04 (95% CI 1.01 to 1.07), p=0.002) and a low depression score at 12 months (RR 0.97 (95% CI 0.95 to 0.98), p<0.001).CONCLUSIONOver half of ARCR patients reach full RTS within 24 months, with traumatic injuries, high motivation and higher sports activity at baseline having a more favourable prognosis. Our findings inform individualised postoperative rehabilitation and counselling regarding RTS following ARCR.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558972","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 : 2025-11-20DOI: 10.1136/bjsports-2025-110570
Natalie Mazzella
{"title":"Footwear for adolescent patellofemoral pain (PhD Academy Award).","authors":"Natalie Mazzella","doi":"10.1136/bjsports-2025-110570","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110570","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"79 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558971","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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