Pub Date : 2025-12-03DOI: 10.1136/bjsports-2025-111042
Dominic Charles Townsend,Tony Scholes,Mark Gillett
{"title":"Concussion in football: the case for temporary concussion substitutions.","authors":"Dominic Charles Townsend,Tony Scholes,Mark Gillett","doi":"10.1136/bjsports-2025-111042","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111042","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"33 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145664328","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 : 2025-12-03DOI: 10.1136/bjsports-2024-109586
Suzi Edwards,Meaghan Harris,Sean Docking,Jill L Cook,Ebonie Kendra Rio
{"title":"Adolescence is a critical time for patellar tendon development: it is time to rethink our current approach to patellar tendinopathy.","authors":"Suzi Edwards,Meaghan Harris,Sean Docking,Jill L Cook,Ebonie Kendra Rio","doi":"10.1136/bjsports-2024-109586","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109586","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"14 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145664026","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 : 2025-12-02DOI: 10.1136/bjsports-2025-111060
Kay M Crossley,Jenna Schulz,Brooke Patterson,Garrett S Bullock,Emily E Heming,Andrew George Ross,Isla J Shill,Kathryn J Schneider,H Paul Dijkstra,Jackie L Whittaker,Carolyn Emery
{"title":"The road to consensus: lessons learned from FAIR and recommendations for future consensus activities.","authors":"Kay M Crossley,Jenna Schulz,Brooke Patterson,Garrett S Bullock,Emily E Heming,Andrew George Ross,Isla J Shill,Kathryn J Schneider,H Paul Dijkstra,Jackie L Whittaker,Carolyn Emery","doi":"10.1136/bjsports-2025-111060","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111060","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"21 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145657052","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 : 2025-12-02DOI: 10.1136/bjsports-2025-110889
Kay M Crossley,Jackie L Whittaker,Brooke Patterson,Isla J Shill,Emily E Heming,Garrett S Bullock,Hendrik Paul Dijkstra,Alex Donaldson,Carly D McKay,Margo Mountjoy,Merete Møller,Oluwatoyosi B A Owoeye,Anu M Räisänen,Jenna M Schulz,Cheri Blauwet,Tara-Leigh McHugh,Andrea Britt Mosler,Grethe Myklebust,Debbie Palmer,Andrew Ross,Kathryn J Schneider,Jane Thornton,Araba Chintoh,Evert Verhagen,Carolyn Emery
Female, woman and/or girl athletes' sport participation rates are rising and associated with high injury rates and burden. Using best-practice consensus methodology, we developed recommendations to guide injury prevention for female/woman/girl athletes. The Female/woman/girl Athlete Injury pRevention (FAIR) International Olympic Committee Consensus meeting was held from 31 March to 2 April 2025 (Lausanne, Switzerland).The FAIR Consensus followed an eight-step hybrid method. 109 authors from six continents conducted: (1) systematic reviews synthesising evidence on injury prevention strategies and modifiable risk factors for lower-extremity and upper-extremity injuries, concussions and spine/chest/abdominal/pelvic injuries/pain, (2) a scoping review synthesising dissemination and implementation (D&I) approaches; and (3) a concept mapping project generating knowledge on gender/sex-related factors for injury prevention. These projects underpinned draft recommendations subsequently voted on by a steering committee (n=24) and an external advisory committee chair over two anonymous survey rounds. Recommendations, Round 1 voting results and suggestions/dissenting comments were discussed between Round 1 and 2 voting. Consensus was defined as 'critical to include' (≥70% scored recommendation as 7-9 (9-point Likert scale, 1=not important; 9=critically important) AND ≤15% scored recommendation as 1-3).The 56 FAIR recommendations address: primary injury prevention (n=16) (policy/rules/laws=6; personal protective equipment=8; training=2); secondary injury prevention (n=4); modifiable risk factors (n=12); approaches to D&I (n=14); and promoting gender/sex-supportive environments (n=10).The FAIR Consensus informs evidence-based best practices and policy for injury prevention, approaches to implementation and creation of supportive environments for female/woman/girl athletes. Every person at all levels of sport can, and should, take responsibility for actions that positively influence female/woman/girl athlete health and safety.
{"title":"Female, woman and/or girl Athlete Injury pRevention (FAIR) practical recommendations: International Olympic Committee (IOC) consensus meeting held in Lausanne, Switzerland, 2025.","authors":"Kay M Crossley,Jackie L Whittaker,Brooke Patterson,Isla J Shill,Emily E Heming,Garrett S Bullock,Hendrik Paul Dijkstra,Alex Donaldson,Carly D McKay,Margo Mountjoy,Merete Møller,Oluwatoyosi B A Owoeye,Anu M Räisänen,Jenna M Schulz,Cheri Blauwet,Tara-Leigh McHugh,Andrea Britt Mosler,Grethe Myklebust,Debbie Palmer,Andrew Ross,Kathryn J Schneider,Jane Thornton,Araba Chintoh,Evert Verhagen,Carolyn Emery","doi":"10.1136/bjsports-2025-110889","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110889","url":null,"abstract":"Female, woman and/or girl athletes' sport participation rates are rising and associated with high injury rates and burden. Using best-practice consensus methodology, we developed recommendations to guide injury prevention for female/woman/girl athletes. The Female/woman/girl Athlete Injury pRevention (FAIR) International Olympic Committee Consensus meeting was held from 31 March to 2 April 2025 (Lausanne, Switzerland).The FAIR Consensus followed an eight-step hybrid method. 109 authors from six continents conducted: (1) systematic reviews synthesising evidence on injury prevention strategies and modifiable risk factors for lower-extremity and upper-extremity injuries, concussions and spine/chest/abdominal/pelvic injuries/pain, (2) a scoping review synthesising dissemination and implementation (D&I) approaches; and (3) a concept mapping project generating knowledge on gender/sex-related factors for injury prevention. These projects underpinned draft recommendations subsequently voted on by a steering committee (n=24) and an external advisory committee chair over two anonymous survey rounds. Recommendations, Round 1 voting results and suggestions/dissenting comments were discussed between Round 1 and 2 voting. Consensus was defined as 'critical to include' (≥70% scored recommendation as 7-9 (9-point Likert scale, 1=not important; 9=critically important) AND ≤15% scored recommendation as 1-3).The 56 FAIR recommendations address: primary injury prevention (n=16) (policy/rules/laws=6; personal protective equipment=8; training=2); secondary injury prevention (n=4); modifiable risk factors (n=12); approaches to D&I (n=14); and promoting gender/sex-supportive environments (n=10).The FAIR Consensus informs evidence-based best practices and policy for injury prevention, approaches to implementation and creation of supportive environments for female/woman/girl athletes. Every person at all levels of sport can, and should, take responsibility for actions that positively influence female/woman/girl athlete health and safety.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145657053","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}