Which psychosocial factors are associated with return to sport following concussion? A systematic review

BackgroundPsychosocial factors predict recurrent injury and return to preinjury level of performance following orthopedic injury but are poorly understood following concussion. Current management protocols prioritize physical measures of recovery. Therefore, the objective of this study was to describe the psychosocial factors associated with return to sport (RTS) and how they are measured in athletes who sustained a concussion.MethodsMEDLINE, Embase, APA PsycINFO, CINAHL, and SPORTDiscus were searched through February 2, 2021. Eligible studies included original peer-reviewed publications describing psychosocial factors associated with RTS following a diagnosed concussion. The primary outcome was scales or measures employed and/or key thematic concepts.ResultsOf the 3615 studies identified, 10 quantitative cohort studies (Oxford Centre for Evidence-Based Medicine Level-3) representing 2032 athletes (85% male; high-school and collegiate collision/contact athletes) and 4 qualitative studies representing 66 athletes (74% male; 70% American football; aged 9–28 years) were included. We identified 3 overarching themes and 10 outcome measures related to psychosocial factors associated with RTS following concussion: (a) fear (e.g, of recurrent concussion, of RTS, of losing playing status); (b) emotional factors (e.g, depression, anxiety, perceived stress, mental health, disturbance mood); and (c) contextual factors (e.g, social support, pressure, sense of identity).ConclusionAlthough current medical clearance decisions prioritize physical measures of recovery, evidence suggests diverse psychosocial factors influence RTS following concussion. It remains unclear which psychosocial factors contribute to a successful RTS, including the influence of sex/gender and age. Future studies should evaluate the association of psychological readiness with physical measures of recovery at medical clearance, preinjury level of performance, and risk of recurrent concussion to support RTS clinical decision-making.     

What benefits does team sport hold for the workplace? A systematic review

Physical inactivity is proven to be a risk factor for non-communicable diseases and all-cost mortality. Public health policy recommends community settings worldwide such as the workplace to promote physical activity. Despite the growing prevalence of workplace team sports, studies have not synthesised their benefits within the workplace.

A systematic review was carried out to identify articles related to workplace team sports, including intervention, observational and qualitative studies. Eighteen studies met the inclusion criteria.

The findings suggest team sport holds benefits not only for individual health but also for group cohesion and performance and organisational benefits such as the increased work performance. However, it is unclear how sport is most associated with these benefits as most of the studies included poorly described samples and unclear sports activities.

Our review highlights the need to explore and empirically understand the benefits of workplace team sport for individual, group and organisational health outcomes. Researches carried out in this field must provide details regarding their respective samples, the sports profile and utilise objective measures (e.g., sickness absence register data, accelerometer data).     

How acceptable do older adults find the concept of being physically active? A systematic review and meta-synthesis

Despite the significant health benefits of regular physical activity for older adults, only a minority achieve recommended levels. To develop effective interventions, the reasons for the low levels of physical activity in this population must be understood. The present review identifies and synthesizes qualitative studies concerning the acceptability of physical activity to community dwelling older adults. A systematic search of four electronic databases identified 10 studies meeting inclusion criteria. These were appraised, and findings were combined and compared using thematic synthesis. Older adults construed physical activity as a by-product of other activities, rather than as a purposeful activity within itself. This seemed to be linked to their self-perception as an ageing member of society, with physical activity considered irrelevant, and competing roles and responsibilities (e.g., family) taking precedence. Additionally, older adults appeared to experience conflict between maintaining their autonomy and accepting the physical and social vulnerabilities associated with ageing. As older adults do not see physical activity as purposeful within itself, interventions promoting moderate or vigorous physical activity are likely to have limited success. As even small increases in physical activity benefit older adults, future interventions may wish to target the reduction of sedentary behaviour in this population.     

Organisational culture in sport – A systematic review

The purpose of this paper was to systematically review the study of organisational culture in sport. The choice of research paradigms, methods, interests, perspectives, and definitions and operationalisation of organisational culture used in 33 studies was examined. This highlighted the variety of ways that culture has been studied in sport and the range of interests explored in the research, including informing athlete development, the link between the strength of culture and organisational performance and understanding the forces driving organisational diversity. Unlike the wider organisational culture literature, there has been a preference in sport to assume that culture was a variable to manipulate in an organisation. The opportunity to widen approaches to study organisational culture in sport is discussed, such as broadening the methods used to conduct studies, including both coaches and athletes in the population studied and using the fragmentation perspective, where ambiguity and conflict are considered in understanding culture.     

Is sports science answering the call for interdisciplinary research? A systematic review

Sports science research is traditionally monodisciplinary despite calls for an interdisciplinary focus. The primary purpose of this systematic review was to identify studies on talent identification, talent selection and competition performance to determine whether interdisciplinary research is being conducted. Thirty-six studies met the selection criteria. These studies were critiqued relative to sport, skill level, sport science sub-disciplines included, and whether the research was multidisciplinary or interdisciplinary. The secondary purpose of the review was to critique the level of analysis and level of representative task design in performance tests used in the studies. Twenty-five studies were categorised as interdisciplinary, with 11 categorised as multidisciplinary. Thirteen sports were represented with soccer the most frequent followed by field hockey, Australian Rules football, handball and rugby league. Thirty-two studies completed their analysis at a group level and four at an individual level. A total of 337 performance tests were rated for representative task design with 64 categorised as low, 123 as medium and 150 as high. The results pertaining to interdisciplinary studies and individual analyses are discussed in relation to constraints theory, which predicts that interacting variables can explain sport performance. Sports science research is beginning to fulfil the call for interdisciplinary research. Future research, however, needs to consider individual analyses and representative task design of tests to progress sports science knowledge.     

The exercise effect on psychological well-being in older adults—a systematic review of longitudinal studies

The aim of this systematic review was to investigate the longitudinal relationship between physical activity (PA) and the psychological domains of well-being in older adults and to identify possible moderators and mediators of this relationship. Twelve longitudinal investigations were included in this review. The results indicate that there seems to be a positive association between PA and psychological well-being over time. Thus PA may be one possible individual lifestyle factor for the long-term promotion of psychological well-being in older adults. Especially leisure time PA at light intensities conducted in group settings was identified to be beneficial for promoting psychological well-being. Furthermore, longitudinal results indicated that self-efficacy, self-esteem, affect, optimism, and pre-interventional motivation moderated/mediated the relationship between PA and psychological well-being in older adults.     

Is device-measured vigorous physical activity associated with health-related outcomes in children and adolescents? A systematic review and meta-analysis

ObjectiveThis study sought to analyze the prospective association between vigorous-intensity physical activity (VPA) and health-related outcomes in children and adolescents.MethodsStudies reporting associations between device-measured VPA and health-related factors in children and adolescents aged 3–18 years were identified through database searches (MEDLINE, EMBASE, and SPORTDiscus). Correlation coefficients were pooled if outcomes were reported by at least 3 studies, using DerSimonian-Laird random effects models.ResultsData from 23 studies including 13,674 participants were pooled using random effects models. Significant associations were found between VPA at baseline and overall adiposity (r = −0.09, 95% confidence interval (95%CI): –0.15 to –0.03; p = 0.002; I² = 89.8%), cardiometabolic risk score (r = –0.13, 95%CI: –0.24 to –0.02, p = 0.020; I² = 69.6%), cardiorespiratory fitness (r = 0.25, 95%CI: 0.15−0.35; p < 0.001; I² = 57.2%), and total body bone mineral density (r = 0.16, 95%CI: 0.06 to 0.25; p = 0.001; I² = 0%).ConclusionVPA seems to be negatively related to adiposity and cardiometabolic risk score and positively related to cardiorespiratory fitness and total body bone mineral density among children and adolescents at follow-up. Therefore, our findings support the need to strengthen physical activity recommendations regarding VPA due to its health benefits in children and adolescents.     

A systematic review of school-based physical activity interventions on children’s wellbeing

Purpose: The aim of this study was to review the effect of school-based physical activity interventions on children’s wellbeing.

Method: A systematic search of school-based physical activity studies was conducted using EBSCOhost PsycInfo, EBSCOhost Medline and Web of Science. Initially 995 studies were retrieved and, following the removal of duplicates, the titles and abstracts of 984 studies were screened. This screening identified 53 relevant studies from which 42 were excluded, resulting in 11 articles being reviewed.

Results: Three studies reported a positive increase in wellbeing; however, only one of those studies also significantly increased physical activity. It was apparent that the measurement of wellbeing and physical activity was inconsistent across studies, making conclusions difficult to draw. The wellbeing measures used neglected to account for the children’s perspectives of wellbeing.

Conclusions: The effect of a physical activity intervention on increasing wellbeing appears to be more complex than originally believed. The complexity may in part be due to methodological issues and the choice of wellbeing and physical activity measurement. We recommend that future physical activity interventions include a measure of wellbeing developed from the child’s perspective, and that future reviews narrow the search to only interventions that have had success at increasing physical activity before exploring effects on wellbeing.     

Is hamstrings-to-quadriceps torque ratio useful for predicting anterior cruciate ligament and hamstring injuries? A systematic and critical review

BackgroundFor the past 30 years, the hamstring (H)-to-quadriceps (Q) (H:Q) torque ratio has been considered an important index of muscle strength imbalance around the knee joint. The purpose of this systematic review was to examine the value of H:Q torque ratio as an independent risk factor for hamstring and anterior cruciate ligament (ACL) injuries.MethodsDatabase searches were performed to identify all relevant articles in PubMed, MEDLINE, Cochrane Library, and Scopus. Prospective studies evaluating the conventional (concentric H:Q), functional (eccentric H: concentric Q), and mixed (eccentric H at 30°/s: concentric Q at 240°/s) H:Q ratios as risk factors for occurrence of hamstring muscle strain or ACL injury were considered. Risk of bias was assessed using the Quality In Prognosis Studies tool.ResultsEighteen included studies reported 585 hamstrings injuries in 2945 participants, and 5 studies documented 128 ACL injuries in 2772 participants. Best evidence synthesis analysis indicated that there is very limited evidence that H:Q strength ratio is an independent risk factor for hamstring and ACL injury, and this was not different between various ratio types. Methodological limitations and limited evidence for ACL injuries and some ratio types might have influenced these results.ConclusionThe H:Q ratio has limited value for the prediction of ACL and hamstring injuries. Monitoring strength imbalances along with other modifiable factors during the entire competitive season may provide a better understanding of the association between H:Q ratio and injury.     

Kinematically mediated effects of sport shoe design: A review∗

One prominent pattern emerging from a review of the literature on sport shoes and biomechanics is the observation that many effects are the indirect result of shoe‐induced adjustments in movement, i.e. a particular shoe characteristic elicits a kinematic adaptation which in turn has secondary consequences on kinetics and on injury and performance. For example, in addition to its variable effects on peak forces, cushioning system design has been shown to alter electromyographic patterns and to affect knee flexion during foot strike and affect indirectly the economy of running. Mediolateral stability as measured by rearfoot kinematics is strongly influenced by shoe design features such as heel lift, and sole hardness and geometry. The frictional properties of the shoe and surface interface have also been shown to affect kinematics in a way that in turn affects the recorded frictional forces themselves. Such kinematically mediated responses are the most provocative result of studies of the biomechanical effects of footwear. It is becoming apparent that the shoe can be a powerful tool for manipulating human movement. The abundance of shoe design possibilities coupled with the body's tendency to adjust in predictable ways to shoe mechanical characteristics have given us a new way to manipulate human kinematics and kinetics, as well as a convenient model for studying biomechanical adaptation.     

Walking football as sustainable exercise for older adults – A pilot investigation

The health benefits of playing football and the importance of exercise and social contact for healthy ageing are well established, but few older adults in the UK take enough exercise. Football is popular, flexible in format and draws players into engrossing, effortful and social exercise, but the physical demands of play at full speed may make it unsustainable for some older adults. Restricted to walking pace, will play still be engaging? Will health benefits be retained? Will physical demands remain manageable? This pilot study aims to investigate: (1) the experience of older adults playing walking football every week, is it sustainable and rewarding, (2) the intensity and locomotor pattern of walking football, (3) the scale and nature of walking football health benefits and (4) possible cognitive benefits of playing walking football through measures of processing speed, selective and divided attention and updating and inhibition components of executive function. ‘Walking football’ and ‘waiting list’ groups were compared before and after 12 weeks of one-hour per week football. Walking football was found to be engaging, sustainable for older adults and moderately intensive; however, selective health and cognitive benefits were not found from this brief intervention.

Highlights

• Walking football is a lower impact but authentic form of football that enables older players to extend their active participation.

• Walking football is enjoyable and moderately demanding and may be a sustainable form of exercise for older adults.

• Health and cognitive benefits to playing walking football were not found.

     

A fan’s search for meaning: Testing the dimensionality of sport fan superstition

Uncertainty is a fundamental component of spectator sport fandom. While it may draw some fans to an event, it can be frustrating for others, as fans have little control over how preferred teams perform. As a means to cope with this unpleasant state, some sport fans perform superstitions or create rituals. Little is known, however, how such beliefs and behaviors impact the sport fan experience. In the current study, the authors explored sport fan superstition within the context of mediated team sport spectatorship through a multi-study quantitative approach. The results of Study 1 validated a multidimensional model of sport fan superstition, and superstitious behavior positively impacted in-game mood states for fans of winning and losing teams. In Study 2, the authors tested the dimensionality of sport fan superstition through segmentation and uncovered consumption differences and attribution differences for fans of winning and losing teams. Superstitious behavior was once again an influential factor, as those who behaved more superstitiously were more likely to attribute outcomes to external sources such as referees and fate.     

From ‘philosophy of sport’ to ‘philosophies of sports’? History,identity and diversification of sport philosophy

My goal in this article is to give a portrait of how modern sport philosophy, which started in 1972, developed from relatively narrow paradigmatic borders to become a diverse and multi-paradigmatic international discipline. This development has included several changes but also some continuity. I identify three main tenets that may be viable in the future. One is to focus on the traditional sport philosophical paradigm, which had an ambition to identify the essence of sport. A second option is to develop more specific approaches, focusing on single sports or types of sport, like football or climbing. A third alternative is to develop a philosophy, not only of sport but of ‘homo movens’, studying the moving human being in different environmental and socio-cultural contexts. All three options are viable and should be welcomed.     

The NASCAR experience: Examining the influence of fantasy sport participation on ‘non-fans’

While NASCAR has traditionally been among the most watched sports in the US, the brand has suffered due to economic conditions and waning interest. As a result, NASCAR has focused its promotional efforts on new marketing and revenue-generating strategies to raise awareness of the sport. One way to increase awareness is through fantasy sports, which have seen a marked uptick in global popularity. However, using fantasy sports to activate involvement among self-described non-fans of a particular sport remains a relatively unexplored area. The purpose of this study was to examine the influence of fantasy sports on attitude and certain behavioral factors using a mixed-method, comparison group design. Employing the path analytic model to examine relationships among variables, results indicate significant differences between study conditions and regression analyses show how patronage intentions were influenced. Focus group data buttress the quantitative results and support the use of fantasy sports as a way to convert self-identified sport non-fans into involved fans.     

What is really causing the obesity epidemic? A review of reviews in children and adults

Obesity prevention is a public health priority and intervention strategies have focused primarily on healthy eating and physical activity in children and adults. To date, no review has systematically compiled and synthesised the scientific evidence from published review articles to determine whether there is clear consensus on the causes of obesity. A systematic review of the literature was conducted searching PubMed/Medline for narrative and systematic review articles published between January 1990 and October 2014 that examined the causes of obesity. In total, 12 of 65 articles met the inclusion criteria; 7 reviews focused on adults (1 systematic, 6 narrative) and 5 reviews on children (2 systematic, 3 narrative). The most popular cause of obesity identified in reviews of adult studies was “combined physical activity and diet” (3 of 7 studies), whereas the most popular cause specified in reviews of child studies was deemed “inconclusive” (2 of 5 studies). While a number of reviews have examined the causes of obesity, the methodology and conclusions varied widely, and few were conducted systematically. Currently, no consensus exists across published literature reviews regarding the primary cause of the obesity epidemic, and more research, particularly prospective studies using state-of-the-art measures, is warranted.     

Is “school sport” associated with school belongingness? Testing the influence of school sport policy

One of the primary justifications for middle school sport is the presumed association between sport participation and school belongingness. However, concerns regarding school sport values have called this association into question. Previous researchers have focused primarily on school sport as a single entity, with far less consideration for the different policies available to guide sport management and delivery in the school context. The authors examine the association between sport participation and school belongingness under two sport policies (i.e., interscholastic and intramural). Moderated mediation analysis is used to examine the relationships underpinning this connection in both policy contexts. Results indicate differences across policy contexts related to the salience of perceived sport and academic competence. The discussion highlights intriguing implications for sport administrators regarding school sport policy, particularly as it pertains to promoting school belongingness.