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Mashup Score: 1All the right moves: physical activity promotion for people with musculoskeletal pain - 1 hour(s) ago
The global population is facing a physical inactivity pandemic, with nearly one-third of adults not sufficiently active.1 This increases the risk of chronic disease, morbidity, mortality, healthcare costs and poorer quality of life.2 Furthermore, musculoskeletal conditions are a key disability driver, expected to impact one billion people by 2050.3 Physical inactivity and musculoskeletal conditions often co-occur, which worsens their effects. Yet, physical activity (PA) is widely recognised as a first-line treatment for musculoskeletal pain,4 and healthcare professionals (HCPs) are well positioned to promote PA, given their frequent consultations with patients experiencing musculoskeletal pain. As such, HCPs can simultaneously treat musculoskeletal pain and reduce chronic disease through prescribing PA. Here, we propose strategies for HCPs to enhance PA promotion for patients with musculoskeletal pain (figure 1). Figure 1 Key strategies for healthcare providers to enhance physical acti
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 18
Objective To evaluate the psychological reactions, perceptions and opinions of cardiovascular preparticipation screening (PPS) among young competitive athletes. Methods This convergent parallel mixed-methods study recruited 222 athletes (mean age: 18.7 years) who underwent PPS at a Canadian university. All athletes completed a cardiovascular history questionnaire, and a subgroup (n=165) additionally obtained an ECG and physical exam. On registering for PPS, athletes completed a psychological impact survey. Survey items were measured on a 5-point scale, ranging from −2 (strongly disagree) to 2 (strongly agree) and reported as means. After completing PPS, 18 athletes participated in focus groups or interviews to explore screening experiences. Qualitative data were analysed using reflexive thematic analysis, following an inductive and critical realist approach. Results Athletes reported minimal symptoms of anxiety (−1.29), stress (−1.41) or worry (−1.12) concerning their participation in
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 12
Historically, much of the research in exercise science and sports medicine has collected, reported and discussed sex and gender as synonymous and interchangeable. This conflation has hindered scientific progress, limiting our understanding and potentially reinforcing social biases through poorly framed research questions, flawed methodological designs and misinterpretations of findings related to sex and gender. Although there are multiple variations in definitions used, broadly, gender is a social construct, and sex is a biological construct. While sex and gender are intertwined, they can act separately, and they most often act interactively to influence the efficacy of interventions and outcomes. To advance the field, research must explicitly address sex and/or gender at each stage of the research process, at design, reporting and interpretation as recommended in other health and medicine fields. The current editorial provides a step-by-step process to guide progress in this area (ta
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Mashup Score: 84‘Post-rehabilitation phase’ in professional football: are we optimising player support after return to play? - 1 day(s) ago
The decision to progress or delay a player’s return to play (RTP) from injury is a constant balance between risk and reward. A player returning early could have a significant performance impact on the team; however, there is the possibility of a simultaneous increase in the risk of subsequent injury.1 Previous injury is cited as a key factor in possible future injury2 raising two important questions: (1) When does rehabilitation truly end? and (2) Are we optimising player support post-RTP? Following the emergence of rehabilitation frameworks,3–5 the aim of this editorial is to highlight the importance of individualised post-RTP monitoring and to propose the introduction of a ‘post-rehabilitation phase’. Furthermore, common injury definitions are presented (box 1) and potential future research directions will be discussed to best inform player support following rehabilitation. Box 1 ### Injury definitions #### Injury Any physical complaint sustained by a player that results from a footb
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Mashup Score: 9
Preparticipation screening, including history, physical examination and often a 12-lead ECG, aims to identify athletes with structural and/or arrhythmic cardiovascular conditions that may increase the risk of sudden cardiac death (SCD).1 Importantly, there is often a diagnostic ‘grey zone’ between findings reflective of exercise-induced cardiac remodelling versus true high-risk pathology, highlighting the need for cardiovascular screening tests to be interpreted by physicians with suitable expertise and training in the care of athletic individuals. Thus, standardised criteria that distinguish physiological findings from pathological findings can facilitate more accurate cardiovascular screening. For example, the international criteria have standardised athlete 12-lead ECG interpretation, leading to improved accuracy and broad implementation.2 3 The use of a transthoracic echocardiogram (TTE) during routine preparticipation screening is not currently recommended by the European Society
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Mashup Score: 0
Objectives To examine the association between muscle strength and cardiorespiratory fitness (CRF) with all-cause and cancer-specific mortality in patients diagnosed with cancer, and whether these associations are affected by type and/or stage of cancer. Method A systematic review with meta-analysis was carried out. Five bibliographic databases were searched to August 2023. Results Forty-two studies were included (n=46 694). Overall, cancer patients with high muscle strength or CRF levels (when dichotomised as high vs low) had a significant reduction in risk of all-cause mortality by 31–46% compared with those with low physical fitness levels. Similarly, a significant 11% reduction was found for change per unit increments in muscle strength. In addition, muscle strength and CRF were associated with an 8–46% reduced risk of all-cause mortality in patients with advanced cancer stages, and a 19–41% reduced risk of all-cause mortality was observed in lung and digestive cancers. Lastly, unit
Source: bjsm.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 171
The sixth International Conference on Concussion in Sport took place 27–30 October 2022 in Amsterdam, Netherlands. It followed the fifth International Conference held in Berlin, Germany in October 2016, and aimed to provide updated recommendations regarding the prevention and management of concussions in sport based on the highest level of scientific evidence, the result of several systematic reviews of the literature.1–10 This editorial summarises key processes and recommendations from the Consensus Statement on Concussion in Sport.11 The preparation of these recommendations took several years, followed a robust methodology12 and was presented in a structured format. The organising committee was composed of representatives from international sports federations (Fédération Internationale de l’Automobile, Fédération Equestre Internationale, Fédération Internationale de Football Association, International Ice Hockey Federation, and World Rugby) and the International Olympic Committee. Th
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Mashup Score: 11
Background Limited guidance exists for conducting research on health disparities within the field of sport and exercise medicine (SEM). This review aimed to identify and summarise existing best practices for conducting equitable, diverse and inclusive research within SEM. Methods A narrative review with evidence synthesis was conducted using electronic databases, reference lists, manual searches and relevant publications from other organisations. Search terms associated with steps of the research process were used in tandem with ‘equity’, ‘inclusion’ and ‘health disparities’. Results We developed a research roadmap for SEM researchers with methodological recommendations to develop and conduct equity-informed and equity-focused research. This roadmap serves as a tool for SEM researchers and clinicians to design, execute and disseminate research with a health disparities lens. We recommend SEM researchers should build an equitable, diverse and inclusive research team and include communit
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Mashup Score: 10The association between Guardian Cap use during practices and sport-related concussion risk in high school American football players - 6 day(s) ago
Objective Guardian Caps (GCs) have been widely implemented at all levels of American football participation based on laboratory evidence that they may reduce head impact forces. The purpose of this study was to determine if GC use during practice was associated with a lower risk of sport-related concussion (SRC) during practices and games among high school football players. Methods Data were collected on 2610 athletes from 41 Wisconsin schools that self-selected into GC or Non-GC cohorts. Athletic trainers recorded practice and game exposures and SRCs through the 2023 season. Generalised linear mixed models were built to determine the effect of GC utilisation on SRC rates, accounting for school and player exposures. Results In the total cohort (Non-GC n=1188 (45.5%); GC n=1422 (54.5%)), 180 athletes (6.9%) sustained SRCs. 64 SRCs occurred during practice (GC n=33 (51.6%); Non-GC n=31 (48.4%)). GC use was not associated with a decreased risk of SRC during practice in the univariable ana
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 13
Objective To evaluate the psychological reactions, perceptions and opinions of cardiovascular preparticipation screening (PPS) among young competitive athletes. Methods This convergent parallel mixed-methods study recruited 222 athletes (mean age: 18.7 years) who underwent PPS at a Canadian university. All athletes completed a cardiovascular history questionnaire, and a subgroup (n=165) additionally obtained an ECG and physical exam. On registering for PPS, athletes completed a psychological impact survey. Survey items were measured on a 5-point scale, ranging from −2 (strongly disagree) to 2 (strongly agree) and reported as means. After completing PPS, 18 athletes participated in focus groups or interviews to explore screening experiences. Qualitative data were analysed using reflexive thematic analysis, following an inductive and critical realist approach. Results Athletes reported minimal symptoms of anxiety (−1.29), stress (−1.41) or worry (−1.12) concerning their participation in
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
🚨 All the right moves 🕺 How can healthcare providers enhance physical activity promotion in patients with musculoskeletal pain? 💪 🤔 See the key strategies ⬇️ #MustRead NEW #Editorial 👉 https://t.co/eIDVBdfs0M https://t.co/rUR3I8p1Gh