Abstract:
:SARS-CoV-2 is the causative virus responsible for the COVID-19 pandemic. This pandemic has necessitated that all professional and elite sport is either suspended, postponed or cancelled altogether to minimise the risk of viral spread. As infection rates drop and quarantine restrictions are lifted, the question how athletes can safely resume competitive sport is being asked. Given the rapidly evolving knowledge base about the virus and changing governmental and public health recommendations, a precise answer to this question is fraught with complexity and nuance. Without robust data to inform policy, return-to-play (RTP) decisions are especially difficult for elite athletes on the suspicion that the COVID-19 virus could result in significant cardiorespiratory compromise in a minority of afflicted athletes. There are now consistent reports of athletes reporting persistent and residual symptoms many weeks to months after initial COVID-19 infection. These symptoms include cough, tachycardia and extreme fatigue. To support safe RTP, we provide sport and exercise medicine physicians with practical recommendations on how to exclude cardiorespiratory complications of COVID-19 in elite athletes who place high demand on their cardiorespiratory system. As new evidence emerges, guidance for a safe RTP should be updated.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Wilson MG,Hull JH,Rogers J,Pollock N,Dodd M,Haines J,Harris S,Loosemore M,Malhotra A,Pieles G,Shah A,Taylor L,Vyas A,Haddad FS,Sharma Sdoi
10.1136/bjsports-2020-102710subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1157-1161issue
19eissn
0306-3674issn
1473-0480pii
bjsports-2020-102710journal_volume
54pub_type
杂志文章,评审abstract:BACKGROUND/AIM:Shoulder pain is a major musculoskeletal problem. We aimed to identify which baseline patient and clinical characteristics are associated with a better outcome, 6 weeks and 6 months after starting a course of physiotherapy for shoulder pain. METHODS:1030 patients aged ≥18 years referred to physiotherapy...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究
doi:10.1136/bjsports-2016-096084
更新日期:2018-02-01 00:00:00
abstract::Stress fractures are common in athletes, and their incidence in sport is estimated at 2-4%. A case is reported of a stress fracture of the sacrum in an amateur tennis player. The patient was treated with rest and physiotherapy, focusing on stretching programmes and analgesic treatments, followed by an educational prog...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.023473
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To assess whether a platelet-rich plasma (PRP) injection leads to an enhanced tendon structure and neovascularisation, measured with ultrasonographic techniques, in chronic midportion Achilles tendinopathy. DESIGN:Double-blind, randomised, placebo-controlled clinical trial. SETTING:Sports medical department...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2010.076398
更新日期:2011-04-01 00:00:00
abstract::A case of severe frostbite injury to the right foot is presented. This was caused by the inappropriate application of a bag of frozen chips to the foot in an attempt to ease non-specific pain. No specific acute traumatic injury was identified. As the patient was a teacher of physical education, the pain had initially ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.34.5.382
更新日期:2000-10-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2018-099411
更新日期:2019-03-01 00:00:00
abstract::Jet skiing is a rapidly growing sport. The craft incorporate safety features and the manufacturers issue detailed safety instructions. Racing is conducted with adequate attention to clothing, safety and insurance. However, casual use is widespread and is sometimes irresponsible. Serious injuries to riders are uncommon...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.25.4.232
更新日期:1991-12-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,实务指引
doi:10.1136/bjsports-2012-091376
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVES:To compare cardiorespiratory responses between incremental treadmill (non-specific) and field (sport specific) tests in elite squash players. METHODS:Seven elite players (ranked 1 to 25 in their national federation including the World number 1) randomly performed an incremental treadmill test (TT) and a squ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2005.018101
更新日期:2005-12-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-096606
更新日期:2016-11-01 00:00:00
abstract::The effects of an intensive 4 week Alpine climbing expedition on percentage body fat, absolute body fat and lean body mass was investigated in 14 adult male students. Anthropometric measures were taken on two occasions during the training period prior to the expedition, twice during the expedition and finally eight we...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.14.2-3.126
更新日期:1980-07-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2018-100002
更新日期:2019-04-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.023408
更新日期:2006-06-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2019-100886
更新日期:2020-11-01 00:00:00
abstract::In his comments on our previous article, Hinton-Bayre advocates the use of the regression based approach in most cases of determining reliable change. This article comments on Hinton-Bayre's argument, discusses cases where the regression method might not be the preferred method, and presents adjustments that make the ...
journal_title:British journal of sports medicine
pub_type: 评论,杂志文章,评审
doi:10.1136/bjsm.2005.023713
更新日期:2006-10-01 00:00:00
abstract::The purpose of this investigation was to determine the effects of caffeine ingestion on maximal power output and fatigue during short term, high intensity exercise. Nine adult males performed 15 s maximal exercise bouts 60 min after ingestion of caffeine (7 mg.kg-1) or placebo. Exercise bouts were carried out on a mod...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.22.4.132
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVE:To review and determine the effectiveness of exercise treatment in osteoarthritis of the knee. METHODS:A computerised literature search of Medline was carried out searching between June 1966 and January 2000. RESULTS:Twenty three randomised controlled trials were identified from the literature. Only three t...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.34.5.326
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:The use of muscle balancing by the clinician to determine return to activity or discharge of a patient is not a well understood measure. Because of the lack of information on the poorly understood concept of eccentric/concentric (E/C) ratios at the ankle, the purpose was to determine the E/C ratios for the in...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.33.4.255
更新日期:1999-08-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2016-097071
更新日期:2017-07-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
doi:10.1136/bjsm.2004.015990
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doi:10.1136/bjsports-2013-092932
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2015-095759
更新日期:2016-02-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.031047
更新日期:2007-02-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.36.1.74
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND/AIM:The main purposes of this study were to determine the injury incidence and severity in Australian amateur taekwondo athletes, and to investigate potential risk factors for injury in competition taekwondo. METHODS:Data were collected at New South Wales State Championships in 2010 and 2011. Injuries were ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2012-091666
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To determine the interobserver and intraobserver reliability of the interpretation of MRIs for supraspinatus tendinosis. METHODS:In the interobserver trial, the MRIs of 52 athletes' shoulders were observed by 3 observers on one occasion within a 2-month period. All 52 images were read by the most experienced...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
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更新日期:2007-08-01 00:00:00
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pub_type: 杂志文章
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.054296
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To assess whether players who cross ≥6 time zones and/or undertake ≥10 h air travel prior to competition experience a higher risk of injury during the Sevens World Series than players not required to undertake this level of travel. DESIGN:Five-year, prospective, cohort study. PARTICIPANTS:All players from n...
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doi:10.1136/bjsports-2014-094369
更新日期:2015-04-01 00:00:00