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2. Assessed Capacity − Demanded Competence (AC-DC Score): A Dynamic Gap-Oriented Assessment of Return-to-Sport Continuum and Application to Anterior Cruciate Ligament Injuries.

Author

Le Coroller, Nicolas, Rambaud, Alexandre J.M., Gojanovic, Boris, Fourchet, François, and McKeon, Patrick O.

Subjects
BIOMECHANICS, ANTERIOR cruciate ligament injuries, ANTERIOR cruciate ligament surgery, SPORTS injuries, PEER relations, DECISION making, CONFIDENCE, SPORTS re-entry, MEDICAL rehabilitation, TRUST, ABILITY, ATHLETIC ability, BODY movement, NATIONAL competency-based educational tests, TRAINING
Abstract

A sport-related musculoskeletal injury carries substantial consequences. It is essential to individualize management of these injuries with a model optimizing goal-oriented rehabilitation. A major challenge is to link a patient's goal for returning to sport with the restoration of performance assessed through the rehabilitation process. Even more challenging is that the demanded movement competence is a moving target based on the type of sport and level of competition the athlete seeks to return to. Currently, no single standardized test battery can elucidate a patient's readiness to return to their desired sport at their desired level. We propose a clinical framework to link the assessed capacity (AC) of patients and the demanded competence (DC) of a sport/recreational activity to develop a readiness score (the AC-DC score). The AC-DC score provides a starting point for exploring the critical elements in the decision-making process surrounding the return-to-sport continuum. [ABSTRACT FROM AUTHOR]

Published
2024
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4. Successful Return to Performance After COVID-19 Infection in an Elite Athlete.

Author

Besson, Cyril, Guex, Kenny, Schmitt, Laurent, Gojanovic, Boris, and Gremeaux, Vincent

Subjects
SPORTS participation, COVID-19, PHYSICAL training & conditioning, HEART beat, EMPLOYEES' workload, FATIGUE (Physiology), POLYMERASE chain reaction, SPRINTING
Abstract

Purpose: To present training load (TL) and heart-rate variability (HRV) in an elite sprinter monitored before, during, and after a COVID-19 infection until successful return to performance. Methods: TL, subjective morning fatigue (MF), and supine HRV were monitored during a 12-week period. Results: During a high-TL period (training camp), MF and heart rate increased and vagally mediated HRV variables decreased. MF increased and stayed high 3 days after the camp despite decrease in TL. In contrast, 4 days after the camp, heart rate decreased and vagally mediated HRV variables increased, reflecting parasympathetic hyperactivity. Elevated MF and suboptimal training performance led to a PCR test decision, which returned positive. After a 10-day training suspension, TL was progressively increased with low MF and high vagal tone. The athlete was able to return to competition 17 days after medical clearance for return to participation and 1 week later beat his indoor 60-m personal best. Conclusions: In this athlete, COVID-19 infection induced parasympathetic hyperactivity with subjective fatigue. This case report presents how performance capacity was only negatively influenced by a COVID-19 infection in the short term, with a quick and successful return to performance, thanks to state-of-the-art medical management. This highlights the importance of TL and HRV monitoring in return-to-participation and return-to-competition decisions. [ABSTRACT FROM AUTHOR]

Published
2022
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8. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration

Author

Steinacker, Jürgen M, primary, Mechelen, Willem van, additional, Bloch, Wilhelm, additional, Börjesson, Mats, additional, Casasco, Maurizio, additional, Wolfarth, Bernd, additional, Knoke, Carolin, additional, Papadopoulou, Theodora, additional, Wendt, Janine, additional, Al Tunaiji, Hashel, additional, Andresen, Dietrich, additional, Andrieieva, Olena, additional, Bachl, Norbert, additional, Badtieva, Victoriya, additional, Beucher, Friedhelm J, additional, Blauwet, Cheri A, additional, Casajus Mallen, Jose-Antonio, additional, Chang, Ju-Ho, additional, Clénin, German, additional, Constantini, Naama, additional, Constantinou, Demitri, additional, Di Luigi, Luigi, additional, Declercq, Lukas, additional, Doutreleau, Stephane, additional, Drozdovska, Svitlana, additional, Duclos, Martine, additional, Ermolao, Andrea, additional, Fischbach, Thomas, additional, Fischer, Anastasia N, additional, Fossati, Chiara, additional, Franchella, Jeorge, additional, Fulcher, Mark, additional, Galle, Jan C, additional, Gerloff, Christian, additional, Georgiades, Evelina, additional, Gojanovic, Boris, additional, González Gross, Marcela, additional, Grote, Andy, additional, Halle, Martin, additional, Hauner, Hans, additional, Herring, Matthew Payton, additional, Hiura, Mikio, additional, Holze, Kerstin, additional, Huber, Gerhard, additional, Hughes, David, additional, Hutchinson, Mark R., additional, Ionescu, Anca, additional, Janse van Rensburg, Dina Christina, additional, Jegier, Anna, additional, Jones, Natasha, additional, Kappert-Gonther, Kirsten, additional, Kellerer, Monika, additional, Kimura, Yutaka, additional, Kiopa, Agrita, additional, Kladny, Bernd, additional, Koch, Gerhard, additional, Kolle, Elin, additional, Kolt, Greg, additional, Koutedakis, Yiannis, additional, Kress, Stephan, additional, Kriemler, Susi, additional, Kröger, Jens, additional, Kuhn, Christian, additional, Laszlo, Roman, additional, Lehnert, Ralph, additional, Lhuissier, François J, additional, Lüdtke, Kerstin, additional, Makita, Shigeru, additional, Manonelles Marqueta, Pedro, additional, März, Winfried, additional, Micallef-Stafrace, Kirill, additional, Miller, Mike, additional, Moore, Melita, additional, Müller, Erich, additional, Neunhäuserer, Daniel, additional, Onur, I. Renay, additional, Ööpik, Vahur, additional, Perl, Malgorzata, additional, Philippou, Anastassios, additional, Predel, Hans-Georg, additional, Racinais, Sebastien, additional, Raslanas, Algirdas, additional, Reer, Ruediger, additional, Reinhardt, Klaus, additional, Reinsberger, Claus, additional, Rozenstoka, Sandra, additional, Sallis, Robert, additional, Sardinha, Luis B, additional, Scherer, Martin, additional, Schipperijn, Jasper, additional, Seil, Romain, additional, Tan, Benedict, additional, Schmidt-Trucksäss, Arno, additional, Schumacher, Nils, additional, Schwaab, Bernhard, additional, Schwirtz, Ansgar, additional, Suzuki, Masato, additional, Swart, Jeroen, additional, Tiesler, Ralph, additional, Tippelt, Ulf, additional, Tillet, Eleanor, additional, Thornton, Jane, additional, Ulkar, Bulent, additional, Unt, Eve, additional, Verhagen, Evert, additional, Weikert, Thomas, additional, Vettor, Roberto, additional, Zeng, Sheng, additional, Budgett, Richard, additional, Engebretsen, Lars, additional, Erdener, Ugur, additional, Pigozzi, Fabio, additional, and Pitsiladis, Yannis P, additional

Published
2023
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10. Sport and exercise medicine around the world: global challenges for a unique healthcare discipline

Author

Carrard, Justin, Azevedo, Ana Morais, Gojanovic, Boris, Edouard, Pascal, Pandya, Tej, Robinson, Diana Gai, Donmez, Gurhan, Usacka, Laila, Stenger, Rodrigo A. Martinez, Mendonca, Luciana De Michelis, Thornton, Jane, Reis e Silva, Miguel, Schneider, Isabel, Zwerver, Johannes, Jederström, Moa, Fagher, Kristina, AlSeyrafi, Omar, Zondi, Phathokuhle, Ahamed, Fariz, Zhang, Mandy, Van Oostveldt, Katja, Suvachittanont, Norasak, Okoth, Carole Akinyi, Bel, Loic, Matthews, Eloise, Nelson, Luke, Kotila, Karen, Hollander, Karsten, Owen, Patrick J., Verhagen, Evert, Carrard, Justin, Azevedo, Ana Morais, Gojanovic, Boris, Edouard, Pascal, Pandya, Tej, Robinson, Diana Gai, Donmez, Gurhan, Usacka, Laila, Stenger, Rodrigo A. Martinez, Mendonca, Luciana De Michelis, Thornton, Jane, Reis e Silva, Miguel, Schneider, Isabel, Zwerver, Johannes, Jederström, Moa, Fagher, Kristina, AlSeyrafi, Omar, Zondi, Phathokuhle, Ahamed, Fariz, Zhang, Mandy, Van Oostveldt, Katja, Suvachittanont, Norasak, Okoth, Carole Akinyi, Bel, Loic, Matthews, Eloise, Nelson, Luke, Kotila, Karen, Hollander, Karsten, Owen, Patrick J., and Verhagen, Evert

Published
2023
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11. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration

Author

Steinacker, Jürgen M, Mechelen, Willem van, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane, Drozdovska, Svitlana, Duclos, Martine, Ermolao, Andrea, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Franchella, Jeorge, Fulcher, Mark, Galle, Jan C, Gerloff, Christian, Georgiades, Evelina, Gojanovic, Boris, González Gross, Marcela, Grote, Andy, Halle, Martin, Hauner, Hans, Herring, Matthew Payton, Hiura, Mikio, Holze, Kerstin, Huber, Gerhard, Hughes, David, Hutchinson, Mark R., Ionescu, Anca, Janse van Rensburg, Dina Christina, Jegier, Anna, Jones, Natasha, Kappert-Gonther, Kirsten, Kellerer, Monika, Kimura, Yutaka, Kiopa, Agrita, Kladny, Bernd, Koch, Gerhard, Kolle, Elin, Kolt, Greg, Koutedakis, Yiannis, Kress, Stephan, Kriemler, Susi, Kröger, Jens, Kuhn, Christian, Laszlo, Roman, Lehnert, Ralph, Lhuissier, François J, Lüdtke, Kerstin, Makita, Shigeru, Manonelles Marqueta, Pedro, März, Winfried, Micallef-Stafrace, Kirill, Miller, Mike, Moore, Melita, Müller, Erich, Neunhäuserer, Daniel, Onur, I. Renay, Ööpik, Vahur, Perl, Malgorzata, Philippou, Anastassios, Predel, Hans-Georg, Racinais, Sebastien, Raslanas, Algirdas, Reer, Ruediger, Reinhardt, Klaus, Reinsberger, Claus, Rozenstoka, Sandra, Sallis, Robert, Sardinha, Luis B, Scherer, Martin, Schipperijn, Jasper, Seil, Romain, Tan, Benedict, Schmidt-Trucksäss, Arno, Schumacher, Nils, Schwaab, Bernhard, Schwirtz, Ansgar, Suzuki, Masato, Swart, Jeroen, Tiesler, Ralph, Tippelt, Ulf, Tillet, Eleanor, Thornton, Jane, Ulkar, Bulent, Unt, Eve, Verhagen, Evert, Weikert, Thomas, Vettor, Roberto, Zeng, Sheng, Budgett, Richard, Engebretsen, Lars, Erdener, Ugur, Pigozzi, Fabio, Pitsiladis, Yannis P, Steinacker, Jürgen M, Mechelen, Willem van, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane, Drozdovska, Svitlana, Duclos, Martine, Ermolao, Andrea, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Franchella, Jeorge, Fulcher, Mark, Galle, Jan C, Gerloff, Christian, Georgiades, Evelina, Gojanovic, Boris, González Gross, Marcela, Grote, Andy, Halle, Martin, Hauner, Hans, Herring, Matthew Payton, Hiura, Mikio, Holze, Kerstin, Huber, Gerhard, Hughes, David, Hutchinson, Mark R., Ionescu, Anca, Janse van Rensburg, Dina Christina, Jegier, Anna, Jones, Natasha, Kappert-Gonther, Kirsten, Kellerer, Monika, Kimura, Yutaka, Kiopa, Agrita, Kladny, Bernd, Koch, Gerhard, Kolle, Elin, Kolt, Greg, Koutedakis, Yiannis, Kress, Stephan, Kriemler, Susi, Kröger, Jens, Kuhn, Christian, Laszlo, Roman, Lehnert, Ralph, Lhuissier, François J, Lüdtke, Kerstin, Makita, Shigeru, Manonelles Marqueta, Pedro, März, Winfried, Micallef-Stafrace, Kirill, Miller, Mike, Moore, Melita, Müller, Erich, Neunhäuserer, Daniel, Onur, I. Renay, Ööpik, Vahur, Perl, Malgorzata, Philippou, Anastassios, Predel, Hans-Georg, Racinais, Sebastien, Raslanas, Algirdas, Reer, Ruediger, Reinhardt, Klaus, Reinsberger, Claus, Rozenstoka, Sandra, Sallis, Robert, Sardinha, Luis B, Scherer, Martin, Schipperijn, Jasper, Seil, Romain, Tan, Benedict, Schmidt-Trucksäss, Arno, Schumacher, Nils, Schwaab, Bernhard, Schwirtz, Ansgar, Suzuki, Masato, Swart, Jeroen, Tiesler, Ralph, Tippelt, Ulf, Tillet, Eleanor, Thornton, Jane, Ulkar, Bulent, Unt, Eve, Verhagen, Evert, Weikert, Thomas, Vettor, Roberto, Zeng, Sheng, Budgett, Richard, Engebretsen, Lars, Erdener, Ugur, Pigozzi, Fabio, and Pitsiladis, Yannis P

Abstract

Non-communicable diseases (NCDs), including coronary heart disease, stroke, hypertension, type 2 diabetes, dementia, depression and cancers, are on the rise worldwide and are often associated with a lack of physical activity (PA). Globally, the levels of PA among individuals are below WHO recommendations. A lack of PA can increase morbidity and mortality, worsen the quality of life and increase the economic burden on individuals and society. In response to this trend, numerous organisations came together under one umbrella in Hamburg, Germany, in April 2021 and signed the ‘Hamburg Declaration’. This represented an international commitment to take all necessary actions to increase PA and improve the health of individuals to entire communities. Individuals and organisations are working together as the ‘Global Alliance for the Promotion of Physical Activity’ to drive long-term individual and population-wide behaviour change by collaborating with all stakeholders in the community: active hospitals, physical activity specialists, community services and healthcare providers, all achieving sustainable health goals for their patients/clients. The ‘Hamburg Declaration’ calls on national and international policymakers to take concrete action to promote daily PA and exercise at a population level and in healthcare settings., Peer Reviewed

Published
2023

12. Sport and exercise medicine around the world: global challenges for a unique healthcare discipline

Author

Carrard, Justin, primary, Morais Azevedo, Ana, additional, Gojanovic, Boris, additional, Edouard, Pascal, additional, Pandya, Tej, additional, Robinson, Diana Gai, additional, Dönmez, Gürhan, additional, Ušacka, Laila, additional, Martínez Stenger, Rodrigo A, additional, Mendonça, Luciana De Michelis, additional, Thornton, Jane, additional, Reis e Silva, Miguel, additional, Schneider, Isabel, additional, Zwerver, Johannes, additional, Jederström, Moa, additional, Fagher, Kristina, additional, AlSeyrafi, Omar, additional, Zondi, Phathokuhle, additional, Ahamed, Fariz, additional, Zhang, Mandy, additional, Van Oostveldt, Katja, additional, Suvachittanont, Norasak, additional, Akinyi Okoth, Carole, additional, Bel, Loïc, additional, Matthews, Eloise, additional, Nelson, Luke, additional, Kotila, Karen, additional, Hollander, Karsten, additional, Owen, Patrick J, additional, and Verhagen, Evert, additional

Published
2023
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22. Paediatric and adolescent athletes in Switzerland: age-adapted proposals for pre-participation cardiovascular evaluation

Author

Albiński, Maciej, Balmer, Christian; https://orcid.org/0000-0003-1358-3535, Wilhelm, Matthias, Meyer, Philippe, Gass, Matthias, Schmied, Christian, Menafoglio, Andrea, Kriemler, Susanne, Mivelaz, Yvan, Stambach, Dominik, Saubade, Mathieu, Gremeaux, Vincent, Gojanovic, Boris, Brugada, Josep, Baggish, Aaron, Gabus, Vincent, Albiński, Maciej, Balmer, Christian; https://orcid.org/0000-0003-1358-3535, Wilhelm, Matthias, Meyer, Philippe, Gass, Matthias, Schmied, Christian, Menafoglio, Andrea, Kriemler, Susanne, Mivelaz, Yvan, Stambach, Dominik, Saubade, Mathieu, Gremeaux, Vincent, Gojanovic, Boris, Brugada, Josep, Baggish, Aaron, and Gabus, Vincent

Abstract

High-level sports competition is popular among Swiss youth. Even though preparticipation evaluation for competitive athletes is widespread, screening strategies for diseases responsible for sudden death during sport are highly variable. Hence, we sought to develop age-specific preparticipation cardiovascular evaluation (PPCE) proposals for Swiss paediatric and adolescent athletes (under 18 years of age). We recommend that all athletes practising in a squad with a training load of at least 6 hours per week should undergo PPCE based on medical history and physical examination from the age of 12 years on. Prior to 12 years, individual judgement of athletic performance is required. We suggest the inclusion of a standard 12-lead electrocardiogram (ECG) evaluation for all post-pubertal athletes (or older than 15 years) with analysis in accordance with the International Criteria for ECG Interpretation in Athletes. Echocardiography should not be a first-line screening tool but rather serve for the investigation of abnormalities detected by the above strategies. We recommend regular follow-up examinations, even for those having normal history, physical examination and ECG findings. Athletes with an abnormal history (including family history), physical examination and/or ECG should be further investigated and pathological findings discussed with a paediatric cardiologist. Importantly, the recommendations provided in this document are not intended for use among patients with congenital heart disease who require individualised care according to current guidelines.

Published
2022

25. Paediatric and adolescent athletes in Switzerland: age-adapted proposals for pre-participation cardiovascular evaluation

Author

Albiński, Maciej, primary, Balmer, Christian, additional, Wilhelm, Matthias, additional, Meyer, Philippe, additional, Gass, Matthias, additional, Schmied, Christian, additional, Menafoglio, Andrea, additional, Kriemler, Susanne, additional, Mivelaz, Yvan, additional, Stambach, Dominik, additional, Saubade, Mathieu, additional, Gremeaux, Vincent, additional, Gojanovic, Boris, additional, Brugada, Josep, additional, Baggish, Aaron, additional, and Gabus, Vincent, additional

Published
2022
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27. Period prevalence of SARS-CoV-2 infections and willingness to vaccinate in Swiss elite athletes

Author

Schmid, Michael Johannes, Örencik, Merlin, Gojanovic, Boris, Schmid, Jürg, and Conzelmann, Achim

Subjects
790 Sports, games & entertainment, fungi
Abstract

Objectives (1) To assess the period prevalence of SARS-CoV-2 infections and willingness to vaccinate in Swiss elite athletes and (2) to evaluate whether sociodemographic and sport-related characteristics were associated with infection of SARS-CoV-2 in athletes. Methods A total of 1037 elite athletes (Mage=27.09) were surveyed in this cross-sectional study. They were asked whether they had been infected with SARS-CoV-2 and whether they would like to be vaccinated. Characteristics of a possible COVID-19 illness were also recorded. Results During the first year of the pandemic, 14.6% of all Swiss elite athletes were found to be infected with SARS-CoV-2, and 5.4% suspected that they had been infected. Male athletes, young athletes and team sports athletes had an increased likelihood of being infected with SARS-CoV-2. There was considerable heterogeneity in the duration and severity of a COVID-19 illness in athletes. Overall, 68% of respondents indicated a willingness to be vaccinated if they were offered an opportunity to do so. Conclusion In the first year of the pandemic, Swiss elite athletes were tested more often positive for SARS-CoV-2 than the general Swiss population. Because COVID-19 illness can impair health for a relatively long time, sports federations are advised to motivate athletes to be vaccinated.

Published
2022
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33. Effects of a Single Electrical Stimulation Session on Foot Force Production, Foot Dome Stability, and Dynamic Postural Control.

Author

Tourillon, Romain, Bothorel, Hugo, McKeon, Patrick O., Gojanovic, Boris, and Fourchet, François

Subjects
SKELETAL muscle physiology, FOOT physiology, TREATMENT of foot abnormalities, POSTURAL balance, TREATMENT effectiveness, RANDOMIZED controlled trials, ELECTRIC stimulation, MUSCLE strength, DESCRIPTIVE statistics, STATISTICAL sampling, LONGITUDINAL method
Abstract

Mounting evidence suggests neuromuscular electrical stimulation (NMES) as a promising modality for enhancing lower limb muscle strength, yet the functional effects of a single electrical stimulation session for improving the function of the intrinsic foot muscles (IFM) has not been evaluated. To investigate the immediate effects of an NMES session compared with a sham stimulation session on foot force production, foot dome stability, and dynamic postural control in participants with static foot pronation. Randomized controlled clinical trial. Laboratory. A total of 46 participants (23 males, 23 females) with static foot pronation according to their Foot Posture Index (score ≥ 6) were randomly assigned to an NMES (n = 23) or control (n = 23) group. The NMES group received a single 15-minute NMES session on the dominant foot across the IFM. The control group received a 15-minute sham electrical stimulation session. All outcome measurements were assessed before and after the intervention and consisted of foot force production on a pressure platform, foot dome stability, and dynamic postural control. Statistical analysis was based on the responsiveness of the outcome measures and responder analysis using the minimum detectable change scores for each outcome measure. In the NMES group, 78% of participants were classified as responders for at least 2 of the 3 outcomes, compared with only 22% in the control group. The relative risk of being a responder in the NMES group compared with the control group was 3.6 (95% CI = 1.6, 8.1]. Interestingly, we found that all participants who concomitantly responded to foot strength and navicular drop (n = 8) were also responders in dynamic postural control. Compared with a sham stimulation session, a single NMES session was effective in immediately improving foot function and dynamic postural control in participants with static foot pronation. These findings support the role of NMES for improving IFM function in this population. [ABSTRACT FROM AUTHOR]

Published
2023
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37. Reframing how we care for people with persistent non-traumatic musculoskeletal pain. Suggestions for the rehabilitation community

Author

Lewis, Jeremy S, Stokes, Emma K, Gojanovic, Boris, Gellatly, Pamela, Mbada, Chidozie, Sharma, Saurab, Diener, Ina, O'Sullivan, Peter, Lewis, Jeremy S, Stokes, Emma K, Gojanovic, Boris, Gellatly, Pamela, Mbada, Chidozie, Sharma, Saurab, Diener, Ina, and O'Sullivan, Peter

Abstract

There have been repeated calls to re-evaluate how clinicians provide care for people presenting with persistent non-traumatic musculoskeletal conditions. One suggestion is to move away from the ‘we can fix and cure you’ model to adopting an approach that is more consistent with approaches used when managing other persistent non-communicable diseases; education, advice, a major focus on self-management including lifestyle behavioural change, physical activity and medications as required. Currently the global delivery of musculoskeletal care has many of the elements of a ‘super wicked problem’, namely conflict of interest from stake-holders due to the consequences of change, prevailing expectation of a structural diagnosis and concomitant fix for musculoskeletal pain, persistent funding of high risk, more expensive care when low risk more economic viable options that don't impact on the quality of outcome exist, and an unquestionable need to find a solution now with the failure resulting in a growing social and economic burden for future generations. To address these issues, 100 participants included clinicians, educators and researchers from low-, middle- and high-income countries, eight presenters representing the physiotherapy, sport medicine and the orthopaedic professions and the insurance industry, together with three people who shared their lived experiences of persistent musculoskeletal pain, discussed the benefits and barriers of implementing change to address this problem. This paper presents the results from the stakeholders’ contextual analysis and forms the basis for the proposed next steps from an action and advocacy perspective.

Published
2021

38. Infographic. Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018

Author

Reiman, Michael P., Agricola, Rintje, Kemp, Joanne L., Heerey, Joshua J., Weir, Adam, Van Klij, Pim, Kassarjian, Ara, Mosler, Andrea B., Ageberg, Eva, Hölmich, Per, Warholm, Kristian Marstrand, Griffin, Damian, Mayes, Sue, Khan, Karim M., Crossley, Kay M., Bizzini, Mario, Bloom, Nancy, Casartelli, Nicola C., Diamond, Laura E., Di Stasi, Stephanie, Drew, Michael, Friedman, Daniel J., Freke, Matthew, Glyn-Jones, Sion, Gojanovic, Boris, Harris-Hayes, Marcie, Hunt, Michael A., Impellizzeri, Franco M., Ishøi, Lasse, Jones, Denise M., King, Matthew G., Lawrenson, Peter R., Leunig, Michael, Lewis, Cara L., Mathieu, Nicolas, Moksnes, Håvard, Risberg, May Arna, Scholes, Mark J., Semciw, Adam I., Serner, Andreas, Thorborg, Kristian, Virgile, Adam, Wörner, Tobias, Dijkstra, H. Paul, Reiman, Michael P., Agricola, Rintje, Kemp, Joanne L., Heerey, Joshua J., Weir, Adam, Van Klij, Pim, Kassarjian, Ara, Mosler, Andrea B., Ageberg, Eva, Hölmich, Per, Warholm, Kristian Marstrand, Griffin, Damian, Mayes, Sue, Khan, Karim M., Crossley, Kay M., Bizzini, Mario, Bloom, Nancy, Casartelli, Nicola C., Diamond, Laura E., Di Stasi, Stephanie, Drew, Michael, Friedman, Daniel J., Freke, Matthew, Glyn-Jones, Sion, Gojanovic, Boris, Harris-Hayes, Marcie, Hunt, Michael A., Impellizzeri, Franco M., Ishøi, Lasse, Jones, Denise M., King, Matthew G., Lawrenson, Peter R., Leunig, Michael, Lewis, Cara L., Mathieu, Nicolas, Moksnes, Håvard, Risberg, May Arna, Scholes, Mark J., Semciw, Adam I., Serner, Andreas, Thorborg, Kristian, Virgile, Adam, Wörner, Tobias, and Dijkstra, H. Paul

Published
2021

43. Delphi developed syllabus for the medical specialty of sport and exercise medicine: part 2

Author

Humphries, David, primary, Jaques, Rod, additional, Dijkstra, H Paul, additional, Asif, Irfan, additional, Batt, Mark E, additional, Borjesson, Mats, additional, Ergen, Emin, additional, Geertsema, Celeste, additional, Gojanovic, Boris, additional, Ionescu, Anca, additional, Janse van Rensburg, Dina Christina, additional, Lebrun, Constance, additional, Mohamed, Nahar Azmi, additional, Mountjoy, Margo, additional, Parikh, Tvisha, additional, Robinson, Diana, additional, Sallis, Robert, additional, Schwellnus, Martin, additional, and Sheeran, Padraig, additional

Published
2020
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44. Infographic. Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018

Author

Reiman, Michael P, primary, Agricola, Rintje, additional, Kemp, Joanne L, additional, Heerey, Joshua J, additional, Weir, Adam, additional, van Klij, Pim, additional, Kassarjian, Ara, additional, Mosler, Andrea B, additional, Ageberg, Eva, additional, Hölmich, Per, additional, Warholm, Kristian Marstrand, additional, Griffin, Damian, additional, Mayes, Sue, additional, Khan, Karim M, additional, Crossley, Kay M, additional, Bizzini, Mario, additional, Bloom, Nancy, additional, Casartelli, Nicola C, additional, Diamond, Laura E, additional, Di Stasi, Stephanie, additional, Drew, Michael, additional, Friedman, Daniel J, additional, Freke, Matthew, additional, Glyn-Jones, Sion, additional, Gojanovic, Boris, additional, Harris-Hayes, Marcie, additional, Hunt, Michael A, additional, Impellizzeri, Franco M, additional, Ishøi, Lasse, additional, Jones, Denise M, additional, King, Matthew G, additional, Lawrenson, Peter R, additional, Leunig, Michael, additional, Lewis, Cara L, additional, Mathieu, Nicolas, additional, Moksnes, Håvard, additional, Risberg, May Arna, additional, Scholes, Mark J, additional, Semciw, Adam I, additional, Serner, Andreas, additional, Thorborg, Kristian, additional, Virgile, Adam, additional, Wörner, Tobias, additional, and Dijkstra, H Paul, additional

Published
2020
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47. Patient-reported outcome measures for hip-related pain: a review of the available evidence and a consensus statement from the International Hip-related Pain Research Network, Zurich 2018

Author

Impellizzeri, Franco M, primary, Jones, Denise M, additional, Griffin, Damian, additional, Harris-Hayes, Marcie, additional, Thorborg, Kristian, additional, Crossley, Kay M, additional, Reiman, Michael P, additional, Scholes, Mark James, additional, Ageberg, Eva, additional, Agricola, Rintje, additional, Bizzini, Mario, additional, Bloom, Nancy, additional, Casartelli, Nicola C, additional, Diamond, Laura E, additional, Dijkstra, Hendrik Paulus, additional, Di Stasi, Stephanie, additional, Drew, Michael, additional, Friedman, Daniel Jonah, additional, Freke, Matthew, additional, Gojanovic, Boris, additional, Heerey, Joshua J, additional, Hölmich, Per, additional, Hunt, Michael A, additional, Ishøi, Lasse, additional, Kassarjian, Ara, additional, King, Matthew, additional, Lawrenson, Peter R, additional, Leunig, Michael, additional, Lewis, Cara L, additional, Warholm, Kristian Marstrand, additional, Mayes, Sue, additional, Moksnes, Håvard, additional, Mosler, Andrea Britt, additional, Risberg, May Arna, additional, Semciw, Adam, additional, Serner, Andreas, additional, van Klij, Pim, additional, Wörner, Tobias, additional, and Kemp, Joanne, additional

Published
2020
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50. Physiotherapist-led treatment for young to middle-aged active adults with hip-related pain: consensus recommendations from the International Hip-related Pain Research Network, Zurich 2018

Author

Kemp, Joanne, Risberg, May Arna, Mosler, Andrea, Harris-Hayes, Marcie, Serner, Andreas, Moksnes, Håvard, Bloom, Nancy, Crossley, Kay, Gojanovic, Boris, Hunt, Michael A, Ishøi, Lasse, Mathieu, Nicolas, Mayes, Susan, Scholes, Mark, Gimpel, Mo, Friedman, Daniel, Ageberg, Eva, Agricola, Rintje, Casartelli, Nicola C, Diamond, Laura E, Dijkstra, Hendrik, Stasi, Stephanie Di, Drew, Michael, Freke, Matthew, Griffin, Damian, Heerey, Joshua, Hölmich, Per, Impellizzeri, Franco M, Jones, Denise, Kassarjian, Ara, Khan, Karim M, King, Matthew, Lawrenson, Peter, Leunig, Michael, Lewis, Cara L, Warholm, Kristian Marstrand, Reiman, Michael P, Semciw, Adam, Thorborg, Kristian, Klij, Pim Van, Wörner, Tobias, and Bizzini, Mario

Subjects
musculoskeletal diseases, 110317 Physiotherapy, FOS: Clinical medicine
Abstract

© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. The 1st International Hip-related Pain Research Network meeting discussed four prioritised themes concerning hip-related pain in young to middle-aged adults: (1) diagnosis and classification of hip-related pain; (2) patient-reported outcome measures for hip-related pain; (3) measurement of physical capacity for hip-related pain; (4) physiotherapist-led treatment for hip-related pain. Thirty-eight expert researchers and clinicians working in the field of hip-related pain attended the meeting. This manuscript relates to the theme of physiotherapist-led treatments for hip-related pain. A systematic review on the efficacy of physiotherapist-led interventions for hip-related pain (published separately) was conducted and found that strong evidence for physiotherapist-led treatments was lacking. Prior to the meeting, draft consensus recommendations for consideration in the meeting were also developed based on the systematic review. The draft consensus recommendations were presented to all of the meeting participants via email, at least 1 week prior to the meeting. At the meeting, these recommendations were discussed, revised and voted on. Six recommendations for clinical practice and five recommendations for research were included and all gained consensus. Recommendations for clinical practice were that (i) Exercise-based treatments are recommended for people with hip-related pain. (ii) Exercise-based treatment should be at least 3 months duration. (iii) Physiotherapist-led rehabilitation after hip surgery should be undertaken. (iv) Patient-reported outcome measures, measures of physical impairment and measures of psychosocial factors should be used to monitor response to treatment. (v) Physical activity (that may include sport) is recommended for people with hip-related pain. (vi) Clinicians should discuss patient expectations, use shared-decision making and provide education. Recommendations for research were (i) Reporting of exercise programmes: Exercise descriptors such as load magnitude, number of repetitions and sets, duration of whole programme, duration of contractile element of exercise, duration of one repetition, time under tension, rest between repetitions, range of motion through which the exercise is performed, and rest between exercise sessions should be reported. (ii) Research should investigate the optimal frequency, intensity, time, type, volume and progression of exercise therapy. (iii) Research should examine the effect of patient education in people with hip-related pain. (iv) Research should investigate the effect of other treatments used in people with hip-related pain (for example: manual therapy, medications, injections). (v) Research should examine the impact of comorbidities and social determinants on treatment effectiveness in people with hip-related pain. Clinicians and researchers working with young to middle-aged active adults with hip-related pain may use these consensus recommendations to guide, develop, test and implement individualised, evidence-based physiotherapist-led rehabilitation programmes.

Published
2020
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