Identifying evidence-practice gaps for shoulder injury risk factors in competitive swimmers: uniting literature and expert opinion.

Autor:	McKenzie AK; Queensland Academy of Sport, Brisbane, Queensland, Australia alec.mckenzie2@griffithuni.edu.au.; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia., Hams A; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Griffith University, Gold Coast, Queensland, Australia., Headrick J; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia., Donaldson A; Centre for Sport and Social Impact, LaTrobe University, Melbourne, Victoria, Australia., Dann R; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia., Coyne J; Bond University, Robina, Queensland, Australia.; University of Southern Queensland, Toowoomba, Queensland, Australia., Duhig SJ; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2024 Oct 22; Vol. 58 (20), pp. 1187-1195. Date of Electronic Publication: 2024 Oct 22.
DOI:	10.1136/bjsports-2023-108023
Abstrakt:	Objectives: To identify evidence-practice gaps regarding shoulder injury risk factors in competitive swimmers. Methods: We gathered insights from 27 swimming experts including elite swimmers, coaches, high-performance staff and applied researchers using Concept Mapping. Participants brainstormed, sorted and rated (from 1 (least) to 10 (most) important and modifiable) their ideas of shoulder injury risk factors in competitive swimmers. Proposed risk factors rated above the grand mean for importance (6.2±0.4) or modifiability (6.5±0.5) ratings were considered highly important/modifiable. Expert opinions were then juxtaposed with systematic review findings to identify overlaps or convergences. Results: Brainstorming generated 126 proposed shoulder injury risk factors for competitive swimmers, subsequently refined to 61 unique proposed risk factors by removing duplicates and combining similar responses. The participants sorted the 61 risk factors into seven distinct clusters. Experts perceived 36/61 proposed risk factors as highly important, of which 6 were supported by literature, 6 showed no association with injury, 2 had conflicting evidence and the remaining 22 have not yet been investigated, suggesting an evidence-practice gap. Three proposed risk factors 'inconsistent training load', 'poor stroke technique' and 'low posterior shoulder strength-endurance' exhibited high perceived importance, high perceived modifiability and supporting evidence. Conclusion: An evidence-practice gap was identified for 28 proposed risk factors perceived as highly important by swimming experts despite either (1) no relevant empirical research (n=22), or (2) no association with injury (n=6) from synthesised evidence. Greater collaboration between researchers and practitioners is needed to effectively address shoulder injury risk factors in competitive swimmers. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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