The editorial calls for sports and exercise medicine to shift focus from individual behavior to structural determinants of musculoskeletal health. It highlights persistent racial and ethnic disparities in physical activity and rehabilitation outcomes, rooted in housing policies, economic inequities, and community disinvestment. The authors propose evidence‑based strategies to embed structural competency into research, clinical practice, and education. By doing so, the field can address systemic barriers and promote equitable health outcomes.
A systematic review and meta‑analysis of 28 randomized trials involving roughly 3,000 postoperative patients evaluated cryotherapy’s impact on pain, range of motion, swelling, and function after musculoskeletal surgery. The analysis showed statistically significant pain reductions (MD −0.77 to −0.41) and modest improvements...
The study quantified hamstring muscle forces and stretch during seven common resistance‑training exercises and four treadmill speeds, using MRI‑informed EMG‑driven musculoskeletal modelling. The bilateral Romanian deadlift generated the greatest peak forces and stretch, surpassing even maximal‑speed sprinting, while the hip...
The editorial challenges the long‑standing belief that increasing muscle strength is the primary driver of pain relief in exercise‑based rehabilitation for musculoskeletal conditions. It reviews systematic reviews and mediation analyses across Achilles tendinopathy, patellar tendinopathy, rotator‑cuff shoulder pain, patellofemoral pain,...
The British Journal of Sports Medicine published a study describing the FIFA Stepping into Play decision aid, designed to guide football participation after childbirth. Developed through a five‑phase knowledge‑to‑action process, the tool integrates health‑screening, biopsychosocial questionnaires and a seven‑stage training framework....
The editorial in the British Journal of Sports Medicine advocates pairing the Sport Mental Health Assessment Tool (SMHAT‑1) with brief clinical intake interviews by sport psychologists. The authors report that this hybrid model was applied in over 4,000 screenings of...
Platelet‑rich plasma (PRP) is increasingly used to accelerate healing of acute hamstring strains, a common cause of missed competition. A 2026 systematic review and meta‑analysis of six randomized controlled trials involving 277 athletes evaluated PRP’s impact on return‑to‑play (RTP). The...
The editorial challenges the long‑standing view that intervertebral discs inevitably degenerate, arguing that discs are mechano‑responsive tissues capable of structural and metabolic adaptation. It highlights how dynamic loading during physical activity facilitates nutrient exchange, counteracting the disc’s avascular nature. By...
A retrospective study of 388 female athletes shows that a dual‑energy X‑ray absorptiometry (DXA) derived % fat Z‑score predicts menstrual status more accurately than traditional BMI or percent expected body weight (% EBW). Using a cutoff of < −1.0, sensitivity for detecting amenorrhoea rose...
The CONCUSS randomized trial compared immediate versus delayed office‑based vergence/accommodative therapy with movement (OBVAM) for concussion‑related convergence insufficiency in patients aged 11‑25. After six weeks, 88% of the immediate group achieved success on near point of convergence and positive fusional...
The article examines how the NCAA’s Transfer Portal and the emerging Name, Image and Likeness (NIL) market are reshaping collegiate sports medicine. Since the portal’s 2018 expansion, over 21,800 Division I athletes entered in 2022, with 57% completing transfers, creating...
Sexual assault affects a significant portion of athletes, yet disclosures remain low and clinicians often feel unprepared. A modified Delphi study of 24 experts and athlete survivors identified 90 consensus items for a sexual‑assault emergency action plan (EAP) tailored to...
Researchers analyzed accelerometer data from 259 concussed youths to identify daily movement‑behaviour patterns that minimize post‑concussion symptom burden. Using compositional data analysis, they found that optimal recovery involves more sleep and less sedentary time early on, sustained above‑average moderate‑to‑vigorous activity,...