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BMJ Open Sport & Exercise Medicine

Andrew D Murray, Roger A Hawkes, Paul Kelly, Liz Grant, Nanette Mutrie
Background: Previous research of spectators at professional golf tournaments has highlighted that obtaining exercise/physical activity (PA) can be a motivator to attend, and that spectators can engage in health-enhancing PA while at the event. We assessed whether attending a golf event and receiving an intervention improve knowledge and change attitudes related to physical activity, and self-reported physical activity 3 months later. Methods: Follow-up observational study...
2019: BMJ Open Sport & Exercise Medicine
Liv-Jorunn Kolnes, Maria Vollsæter, Ola Drange Røksund, Trine Stensrud
Objective: A constricted, upper chest breathing pattern and postural dealignments habitually accompany exercise-induced laryngeal obstruction (EILO), but there are few effective treatments for athletes presenting with EILO. This case series was conducted to examine whether physiotherapy based on principles from the Norwegian psychomotor physiotherapy (NPMP) combined with elements of cognitive behavioural therapy can reduce laryngeal distress in athletes with EILO. Methods: Respiratory distress in four subjects was examined by interview prior to a physiotherapeutic body examination...
2019: BMJ Open Sport & Exercise Medicine
Tom Danielsson, Hendrik Schreyer, Hanna Woksepp, Therese Johansson, Patrick Bergman, Alf Månsson, Jörg Carlsson
Objective: It has been suggested that the mechanism behind cardiac troponin elevation after strenuous exercise is passage through a cell membrane with changed permeability rather than myocardial cell death. We hypothesised that an increase of cardiac specific myosin heavy chain-alpha (MHC-α; 224 kDa compared with cardiac troponin T's (cTnT) 37 kDa) could hardly be explained by passage through a cell membrane. Methods: Blood samples were collected from 56 athletes (15 female, age 42...
2019: BMJ Open Sport & Exercise Medicine
João Gustavo Claudino, Tim J Gabbet, Helton de Sá Souza, Mário Simim, Peter Fowler, Diego de Alcantara Borba, Marco Melo, Altamiro Bottino, Irineu Loturco, Vânia D'Almeida, Alberto Carlos Amadio, Julio Cerca Serrão, George P Nassis
Background: Sleep quality is an essential component of athlete's recovery. However, a better understanding of the parameters to adequately quantify sleep quality in team sport athletes is clearly warranted. Objective: To identify which parameters to use for sleep quality monitoring in team sport athletes. Methods: Systematic searches for articles reporting the qualitative markers related to sleep in team sport athletes were conducted in PubMed, Scopus, SPORTDiscus and Web of Science online databases...
2019: BMJ Open Sport & Exercise Medicine
Gudmund Grønhaug
Objectives: To assess possible associations between performance level (achieved level of difficulty), chronic injuries and body mass index (BMI) in sport climbing. Method: Retrospective survey. Setting: Web-based questionnaire. Participants: 667 active climbers (385 reported having chronic injuries). Outcome measure: BMI, performance level in sport climbing, onset of a climbing-related injury, preferred style of climbing, education, gender...
2019: BMJ Open Sport & Exercise Medicine
Ana Carolina Côrte, André Pedrinelli, Antonio Marttos, Ivan Furlan Grava Souza, Joaquim Grava, Arnaldo José Hernandez
Objective: To evaluate thermography application as a complementary method in preventing muscle injury in professional soccer players. Methods: A longitudinal prospective study with 28 professional soccer players that composed a first division of Brazilian's soccer team between 2015 and 2016. In both seasons (2015 and 2016), muscle injuries were documented and classified in grade of severity, by ultrasound. During the following season (2016), infrared medical thermography was applied twice a week (48 hours after game) and if a difference of temperature was detected higher than 0...
2019: BMJ Open Sport & Exercise Medicine
Philip Shambrook, Michael Kingsley, Nicholas Taylor, Brett Gordon
Objective: To compare the effectiveness of accumulating exercise in multiple bouts of at least 10 min throughout a day with exercise completed in a single bout (continuous or interval), or no exercise, on glycaemic control and regulation in inactive people without diagnosed glycaemic dysfunction. Design: Systematic review and meta-analysis. Data sources: Seven electronic databases were searched: CINAHL (EBSCO), Cochrane Library, EMBASE (Ovid), MEDLINE 1948-(Ovid), SCOPUS (Elsevier), SPORTDiscus (EBSCO) and Web of Science (ISI) with no restrictions on date and included all titles indexed up to February 2018...
2018: BMJ Open Sport & Exercise Medicine
Louis Fox, Theresa Wiseman, Declan Cahill, Louisa Fleure, Janette Kinsella, Mieke Van Hemelrijck
Introduction: Physical activity is beneficial to men with prostate cancer, but there remain barriers to fulfilling the potential of National Health Service trusts to support men with prostate cancer to be physically active. This article describes protocols for two pilot studies, each conducted in a different setting, designed to assess the potential of a behavioural intervention to affect patients' motivation to exercise. The intervention is theory based and inspired by recent empirical observations...
2018: BMJ Open Sport & Exercise Medicine
Vincent Gouttebarge, Edwin Goedhart, Gino Kerkhoffs
Objectives: This article describes (1) the systematic development of the intervention and (2) the assessment of its feasibility (in terms of relevancy, suitability, satisfaction and added value). Methods: The intervention was developed based on the first four steps of the Intervention Mapping and Knowledge Transfer Scheme processes. Subsequently, a qualitative research based on a one-group post-test cross-sectional design was conducted. Eight retired professional footballers underwent the developed intervention and its feasibility (operationalised in relevancy, suitability, satisfaction and added value) was assessed by means of a questionnaire and interview...
2018: BMJ Open Sport & Exercise Medicine
Alif Abdulrahman, Janisha Manhas, Hannah Linane, Mark Gurney, Catriona Fitzgerald, Esther O'Sullivan
Background: The benefits of exercise for patients with type 1 diabetes (T1D) are difficult to balance with associated glycaemic excursions. The aim of this cohort study was to show that continuous glucose monitoring (CGM) could reduce glycaemic excursions in patients with T1D already using insulin pumps, exercising at moderate to high intensity. Methods: Questionnaires were used to identify patients with T1D using insulin pumps and naive to CGM use, who reported regular exercise...
2018: BMJ Open Sport & Exercise Medicine
Jonathan Shurlock, Katherine Marino, Osman Ahmed
Objectives: To explore the social media presence of Sport and Exercise Medicine (SEM) doctors from the UK. Secondary aims were to identify whether there were any differences in years since qualification or specialisation between those with and without social media profiles and websites. Methods: A cross-sectional design was used to investigate the social media presence of UK-based doctors listed as Fellows of the Faculty of Sport and Exercise Medicine. These SEM doctors were identified via their presence on publicly available member lists...
2018: BMJ Open Sport & Exercise Medicine
Carlos Vicente Andreoli, Bárbara Camargo Chiaramonti, Elisabeth Buriel, Alberto de Castro Pochini, Benno Ejnisman, Moises Cohen
Introduction: Basketball is a contact sport with complex movements that include jumps, turns and changes in direction, which cause frequent musculoskeletal injuries in all regions of the body. Objective: This is an integrative systematic review of the epidemiology of musculoskeletal injuries in basketball. Methods: This is an integrative review based on the following sources of information: PubMed/MEDLINE, Embase, LILACS, BBO-Biblioteca Brasileira de Odontologia, IBECS-Índice Bibliográfico Espanhol em Ciências da Saúde, nursing journals, dental journals and core clinical journals in the last 10 years with studies addressing the general epidemiology of sports injuries in basketball...
2018: BMJ Open Sport & Exercise Medicine
Oddbjørn Klomsten Andersen, Benjamin Clarsen, Ina Garthe, Morten Mørland, Trine Stensrud
Background: Athletes who compete in non-weight-bearing activities such as swimming and cycling are at risk of developing low bone mineral density (BMD). Athletes in long-distance running are at risk of low BMD. Objective: (1) To evaluate the bone health in Norwegian male and female national elite road cyclists and middle-distance and long-distance runners, and to identify cases of low BMD. (2) To identify possible risk factors associated with low BMD. Methods: Twenty-one runners (11 females and 10 males) and 19 road cyclists (7 females and 12 males) were enrolled in this cross-sectional study...
2018: BMJ Open Sport & Exercise Medicine
Dylan A Mistry, Timothy H Rainer
Background: In sport, concussion is assessed using the Sports Concussion Assessment Tool (SCAT) 5 and managed with return to play guidelines. Similar, user-friendly tools are rarely, if ever, used in the emergency department (ED). Objectives: To evaluate a modified concussion assessment tool designed for the ED (ED-CAT) in patients presenting with a head injury and to identify variables that predict 30-day reattendance. Methods: A preliminary, prospective, evaluation in a quality improvement project was conducted in one hospital in South Wales...
2018: BMJ Open Sport & Exercise Medicine
Philip Lewis, Horst W Korf, Liz Kuffer, J Valérie Groß, Thomas C Erren
Background: Circadian system time cues (zeitgebers) acting synergistically at the right times can foster chronobiological homeostasis and ultimately health. Modern 24/7 societies are challenging chronobiological homeostasis and public health. Exercise has been discussed as a potential zeitgeber for the human circadian system. Thus, if timed correctly, exercise may help in maintenance of chronobiological homeostasis and foster public health amidst increasingly challenging 24/7 lifestyles...
2018: BMJ Open Sport & Exercise Medicine
Danping Wang, Gaël Mahe, Junying Fang, Julien Piscione, Serge Couvet, Didier Retiere, Sébastien Laporte, Pierre-Paul Vidal
Aim: Using M-Rex, a rugby scrum simulator, we developed tools to describe scrummaging forces and to prevent accident. Methods: We tested three groups of frontliners at national level. The simulator was passive or responded to the player(s) to simulate the reaction of opposite players. Sensors in the beam measured the force exerted by each of the players. Their movements were recorded with a Codamotion system. Results: The force signals exhibited two phases: a transient phase, similar to a damped sinusoid with a dominant frequency around 5 Hz when the players scrummaged alone and with a wider range when playing together; then, a sustained phase could be decomposed in two components: a DC component remained stable whether frontliners played alone or together...
2018: BMJ Open Sport & Exercise Medicine
Frédérique Dupuis, Eva Barrett, Marc-Olivier Dubé, Karen M McCreesh, Jeremy S Lewis, Jean-Sébastien Roy
Objectives: Rotator cuff tendinopathies are the most common shoulder disorders. As persistent symptoms lasting more than 3 months have been shown to be a strong indicator of poor outcomes, it is important to have successful interventions in the acute stage. However, there is no evidence yet to guide clinical interventions in an acute pain context. The objective of this study was to compare the short-term effect of a 2-week gradual reloading exercises programme with the use of cryotherapy on symptoms and function for acute rotator cuff tendinopathy...
2018: BMJ Open Sport & Exercise Medicine
Shinichiro Morishita, Atsuhiro Tsubaki, Satoshi Nashimoto, Jack B Fu, Hideaki Onishi
Objective: This study aimed to investigate the correlation between the face scale and heart rate (HR), exercise load and oxygen uptake (V̇O2 ) during cardiopulmonary exercise testing. Methods This was a prospective, observational study of face scale rating of perceived exertion (RPE) and HR, exercise load and V̇O2 during cardiopulmonary exercise testing. A total of 30 healthy college men and 21 healthy college women were included. Subjects performed a cardiopulmonary exercise test with ramps and an increment increase in workload of 20 W/min...
2018: BMJ Open Sport & Exercise Medicine
Mita Lovalekar, Caleb D Johnson, Shawn Eagle, Meleesa F Wohleber, Karen A Keenan, Kim Beals, Bradley C Nindl, Christopher Connaboy
Objectives: Musculoskeletal injuries (MSI) are an important concern in military populations. The purpose of this study was to describe the burden of MSI and associated financial cost, in a sample of US Air Force Special Operations Command Special Tactics Operators. Methods: In this cross-sectional study, medical records of the Operators were reviewed during the years 2014-2015. MSI that occurred during a 1-year period prior to the date of review were described. MSI attributes described included incidence, anatomic location, cause, activity when MSI occurred, type and lifetime cost of MSI estimated using the Web-based Injury Statistics Query and Reporting System...
2018: BMJ Open Sport & Exercise Medicine
Mark Ganly, Jill Mary McMahon
Objectives: In the aim to develop a usable and wearable head guard for rugby that could reduce impact energy and lessen the likelihood of concussive and subconcussive injury during play, a combination of viscoelastic materials was employed to develop a guard with similar dimensions to those currently used in international rugby. Methods: The head guard was tested for impact energy reduction following linear acceleration, using drop tests, as required by World Rugby...
2018: BMJ Open Sport & Exercise Medicine
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