-
Mashup Score: 83Effective fall prevention exercise in residential aged care: an intervention component analysis from an updated systematic review - 11 hour(s) ago
Objective The effect of fall prevention exercise programmes in residential aged care (RAC) is uncertain. This paper reports on an intervention component analysis (ICA) of randomised controlled trials (RCTs), from an update of a Cochrane review, to develop a theory of features of successful fall prevention exercise in RAC. Methods Trial characteristics were extracted from RCTs testing exercise interventions in RAC identified from an update of a Cochrane review to December 2022 (n=32). Eligible trials included RCTs or cluster RCTs in RAC, focusing on participants aged 65 or older, assessing fall outcomes with stand-alone exercise interventions. ICA was conducted on trials with >30 participants per treatment arm compared with control (n=17). Two authors coded trialists’ perceptions on intervention features that may have contributed to the observed effect on falls. Inductive thematic analysis was used to identify the key differences between the trials which might account for positive and n
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
-
Mashup Score: 31Epidemiology of musculoskeletal injury in professional and amateur golfers: a systematic review and meta-analysis - 17 hour(s) ago
Objective To determine the prevalence and incidence of musculoskeletal injury in amateur and professional golfers, and to identify common injury sites and factors associated with increased injury frequency. Design Systematic epidemiological review and meta-analysis. Data sources PubMed (Medline), Embase, the Cochrane Library and SPORTDiscus were searched in September 2023. Eligibility criteria Studies published in the English language reporting the incidence or prevalence of musculoskeletal injuries in golfers at all anatomical sites. Results 20 studies (9221 golfers, 71.9% male, 28.1% female) were included, with mean age 46.8 years. Lifetime injury prevalence was significantly greater in professional golfers (73.5% (95% CI: 47.3% to 93.0%)) than amateur golfers (56.6% (95% CI: 47.4% to 65.5%); relative risk (RR)=1.50, p<0.001). Professional golfers had a significantly greater lifetime prevalence of hand and wrist (RR=3.33, p<0.001) and lower back injury (RR=3.05, p<0.001). Soft tissue
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet-
⚠️"Over half of golfers sustain a musculoskeletal injury during their lifetime"🏌️ Epidemiology of musculoskeletal injury in professional and amateur golfers: a systematic review and meta-analysis ▶️ READ NOW https://t.co/ZHq4ZpaOnO @TRWilliamson_ @DrPGRobinson @docandrewmurray https://t.co/4g15uy7L8W
-
-
Mashup Score: 69
Background To identify mechanisms and patterns of anterior cruciate ligament (ACL) injury in adult women’s professional football by means of video match analysis. Methods ACL match injuries sustained in Germany’s first women’s league during the 2016–2017 to 2022–2023 seasons were prospectively analysed by three expert raters using a standardised observation form. Epidemiological and injury data, as well as the medical history of ACL tears, were obtained from media reports and the statutory accident insurance for professional athletes. Results Thirty-seven ACL injuries sustained in official football matches were included in the video analysis, of which 24 (65%) had associated knee injuries, mainly meniscus and collateral ligament injuries. According to the categorised contact mechanisms, 17 (46%) were non-contact injuries, 14 indirect contact injuries (38%) and six direct contact injuries (16%). Of the 17 non-contact injuries, seven (41%) occurred during the first 15 min of the match. C
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
-
Mashup Score: 13Evaluation of the SCAT 5 tool in the assessment of concussion in Para athletes: a Delphi study - 2 day(s) ago
Objectives To investigate if the sport concussion assessment tool version 5 (SCAT5) could be suitable for application to Para athletes with a visual impairment, a spinal cord injury, or a limb deficiency. Methods A 16-member expert panel performed a Delphi technique protocol. The first round encompassed an open-ended questionnaire, with round 2 onwards being composed of a series of closed-ended statements requiring each expert’s opinion using a five-point Likert scale. A predetermined threshold of 66% was used to decide whether agreement had been reached by the panel. Results The Delphi study resulted in a four-round process. After round 1, 92 initial statements were constructed with 91 statements obtaining the targeted level of agreement by round 4. The expert panellist completion rate of the full four-round process was 94%. In the case of athletes with a suspected concussion with either limb deficiencies or spinal cord injuries, the panel agreed that a baseline assessment would be ne
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
-
Mashup Score: 24Social media impact on athlete mental health: #RealityCheck - 3 day(s) ago
Global social media use rates have nearly tripled1 with 95% of 13–27-year-olds using YouTube and other platforms such as TikTok (67%), Instagram (62%) and Snapchat (59%) and 35% of users doing so ‘almost constantly’.2 95% of teens have access to a smartphone, and 97% use the internet daily.2 The US Surgeon General3 and the American Psychological Association4 have voiced considerable concern about the potential negative impact of social media on youth and adolescent mental health, calling it ‘an urgent public health issue’.3 Although the literature on mental health and social media use has increased, minimal research exists on young and/or elite athletes, leaving many important questions unanswered. What are the positive and negative mental health effects of social media on athletes? Are there opportunities to use social media to increase mental health literacy, destigmatise mental health and normalise help-seeking behaviours? What measures exist to protect young and elite athletes from
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
-
Mashup Score: 5
Objectives Evaluate the natural course of anterior cruciate ligament (ACL) healing on MRI within 5 years of acute ACL rupture and compare 2-year and 5-year outcomes based on healing status and treatment group. Methods Secondary analysis of 120 Knee Anterior Cruciate Ligament Nonsurgical vs Surgical Treatment (KANON) trial participants randomised to rehabilitation and optional delayed ACL reconstruction (ACLR) or early ACLR and rehabilitation. ACL continuity on MRI (Anterior Cruciate Ligament OsteoArthritis Score 0–2) was considered evidence of ACL healing. Outcomes included Knee Injury and Osteoarthritis Outcome Score (KOOS), KOOS patient acceptable symptomatic state (PASS) and treatment failure criteria. Linear mixed models were used to estimate adjusted mean differences (95% CIs) in patient-reported sport and recreational function (KOOS-Sport/Rec) and quality of life (KOOS-QOL) at 2 and 5 years, between participants with MRI evidence of ACL healing and those who had (1) no evidence o
Source: bjsm.bmj.comCategories: General Medicine News, Hem/OncsTweet
-
Mashup Score: 57
Objectives To determine if physiotherapists can deliver a clinically effective very low energy diet (VLED) supplementary to exercise in people with knee osteoarthritis (OA) and overweight or obesity. Methods 88 participants with knee OA and body mass index (BMI) >27 kg/m2 were randomised to either intervention (n=42: VLED including two daily meal replacement products supplementary to control) or control (n=46: exercise). Both interventions were delivered by unblinded physiotherapists via six videoconference sessions over 6 months. The primary outcome was the percentage change in body weight at 6 months, measured by a blinded assessor. Secondary outcomes included BMI, waist circumference, waist-to-hip ratio, self-reported measures of pain, function, satisfaction and perceived global change, and physical performance tests. Results The intervention group lost a mean (SD) of 8.1% (5.2) body weight compared with 1.0% (3.2) in the control group (mean (95% CI) between-group difference 7.2% (9
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
-
Mashup Score: 1The placebo effect: powerful, powerless or redundant? - 6 day(s) ago
Over the last 200 years, the placebo effect has cast a large and persuasive shadow over the medical field. In that time it has been by turn; harmless charade, charlatan’s ruse, therapeutic device, methodological tool, ethical dilemma, research theme and source of controversy. Despite popular recognition, pervasive problems underlie conceptualisation of placebos and placebo effects. With medicine now firmly entrenched in the age of evidence-based practice, there is a question as to whether it is time to leave the old placebo behind us. The idea of a magical black box from which unexplained therapeutic effects spring up is archaic and also unhelpful from a scientific point of view. If there really is an effect, surely we are best served by directly investigating what is responsible for it. This knowledge can be used in the clinic to improve treatment effectiveness and in research to inform study design. The view and role of placebos have developed over time. Modern medical understanding
Source: bjsm.bmj.comCategories: General Medicine News, Hem/OncsTweet
-
Mashup Score: 82Effective fall prevention exercise in residential aged care: an intervention component analysis from an updated systematic review - 6 day(s) ago
Objective The effect of fall prevention exercise programmes in residential aged care (RAC) is uncertain. This paper reports on an intervention component analysis (ICA) of randomised controlled trials (RCTs), from an update of a Cochrane review, to develop a theory of features of successful fall prevention exercise in RAC. Methods Trial characteristics were extracted from RCTs testing exercise interventions in RAC identified from an update of a Cochrane review to December 2022 (n=32). Eligible trials included RCTs or cluster RCTs in RAC, focusing on participants aged 65 or older, assessing fall outcomes with stand-alone exercise interventions. ICA was conducted on trials with >30 participants per treatment arm compared with control (n=17). Two authors coded trialists’ perceptions on intervention features that may have contributed to the observed effect on falls. Inductive thematic analysis was used to identify the key differences between the trials which might account for positive and n
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
-
Mashup Score: 15
During a basketball game, I was hit on the inside of my left knee by an offensive player, resulting in an anterior cruciate ligament (ACL) injury and a dislocation of my patella. To recover as quickly as possible, I went to the Second Affiliated Hospital of Nanchang University for an arthroscopic ACL reconstruction surgery. After going through months of rehabilitation, my knee was finally back to a level that allowed me to resume all my activities. As an ordinary person from a small town, this experience deeply made me appreciate the nobility and sanctity of medicine. Since then, I have been determined to become a doctor. Through hard work and dedication, I have successfully enrolled in the Jiangxi Medical College at Nanchang University. After the injury, I was swiftly transported to the local county hospital. Given my young age, the physician recommended a non-surgical treatment approach, encompassing functional knee bracing and activity modification.1 However, after 2 weeks of this t
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
🚨 Effective fall prevention exercise in residential aged care 💪 #NEW 📄 An intervention component analysis from an updated systematic review #OpenAccess 👉 https://t.co/StMD3Ipk0H https://t.co/wbUZk92wiF