This study was conducted to determine if the acute: chronic workload ratio (ACWR) is related to the incidence of non-contact injuries. The purpose is to compare the external load of injured and non-injured soccer players with the same characteristics, such as position and age. The present analysis considers both the four and the two weeks preceding an injury. Physical characteristics were recorded and analyzed through global positioning systems (GPS) evaluation over one season of 24 competitive microcycles, 144 training sessions, and 32 matches in a total of 35 professional soccer players from the Greek Super League 1 and Super League 2. The loads calculated were total distance (TD), 15–20 km/h, 20–25 km/h, 25–30 km/h, accelerations (ACC) > 2.5 m/s², and decelerations (DEC) > 2.5 m/s²). Nine injured athletes exceeded the critical threshold of an ACWR > 1.3 several times compared with non-injured athletes that did not reach this level. The present study showed that ACWR is related to a subsequent occurrence of injury but that the threshold of an ACWR can vary. This seems to be mainly influenced by assessing the load of the last two weeks compared with that of the four weeks before the injury.

Purpose: The present study aimed to compare the efficacy and safety of a combined injection of stromal vascular fraction (SVF) and platelet rich plasma (PRP) versus a high molecular weight (HMW) hyaluronic acid (HA) injection in patients with knee osteoarthritis (KOA).Methods: A prospective comparative analysis was conducted for patients with KOA who underwent either a single intra‐articular mechanical SVF combined with PRP injection (Group A) or a single intra‐articular injection of HMW HA (Group B). The Knee Injury and Osteoarthritis Outcome Score (KOOS), the visual analogue scale (VAS) and the EuroQol EQ‐5D (EQ‐5D‐5L) were assessed at baseline, 3, 6 and 12 months postinjection. PRP was coded according to the DEPA classification.Results: The study included 108 knees from 67 patients (Group A: 31; Group B: 36). The VAS, KOOS total and EQ‐5D‐5L scores significantly improved within each group in every timepoint compared to baseline. The SVF‐PRP group significantly outperformed the HMW‐HA group in VAS, KOOS total and EQ‐5D‐5L scores at 6 months and 12 months follow‐up. The proportion of patients who achieved Minimal Clinically Important Difference (MCID) at 12 months was 87.0% versus 57.4% (p = 0.0003) in KOOS, 74.1% versus 61.1% in VAS (p = 0.152) and 64.8% versus 40.7% (p = 0.005) in EQ‐5D‐5L, for the SVF‐PRP vs HA group, respectively. No serious adverse events were reported in either group. Minor local adverse events were more common in the SVF‐PRP group and spontaneously resolved within days. The implemented PRP was coded as CCA.Conclusion: Both SVF‐PRP and HA injections are safe treatments, with no serious adverse events, and significantly improve pain, function and quality of life in patients with KOA. The SVF‐PRP outperformed the HA group in all three PROMs at 6 months and 12 months follow‐up, and in the proportion of patients who achieved MCID at 12 months postinjection.Level of Evidence: Level II.

Double overlapping plate configuration for the treatment of low energy, extensile, diaphyseal and metaphyseal fractures of the distal tibia is a reliable fixation method.

This study assessed the effectiveness of a position-specific and time-efficient warm-up injury prevention program for male football players. This season-long quasi-experimental study included 129 male amateur football players. A structured injury prevention program was incorporated into the warm-up routine during the preseason and competitive season. Prospectively collected injury data from the intervention season were compared with retrospectively collected injury data from the previous season and included injury incidence, the number of injured players, injury severity, and injury burden. The program included general exercises and position-specific modifications for defenders, midfielders, and attackers. Implementation of the program was associated with a 60% reduction in total injuries (p < 0.05) and a 60.3% reduction in total injured players The injury burden was significantly reduced (p < 0.05), as indicated by a reduced mean day lost per injury from 33.24 to 19.56 days. Although injury reductions were observed across all playing positions, between-position differences were not statistically significant. The type of injuries and their mechanisms were not significantly affected. These preliminary, associative findings suggest that a time-efficient, position-specific warm-up program may contribute to reduced injury occurrence in amateur football; however, given the quasi-experimental design, confirmation through randomized controlled trials is required.

Objective: To evaluate the effects of a 6-month supervised multicomponent telerehabilitation programme combining Pilates-based therapeutic exercise and self-myofascial release on fibromyalgia impact, sleep quality, and psychological outcomes. Design: Two-arm, parallel-group randomized controlled trial. Subjects/Patients: 68 adults with fibromyalgia confirmed according to the 2016 ACR criteria. Methods: Participants were randomized to a 6-month supervised home-based telerehabilitation programme (n = 35) or usual care (n = 33). The intervention comprised 3 live online sessions weekly combining Pilates-based therapeutic exercise, self-myofascial release, core stabilization, low-load resistance exercise, stretching, and relaxation. Outcomes were assessed at baseline, 3 months, and 6 months using validated patient-reported measures. Results: Significant group-by-time interactions were observed for fibromyalgia impact (p < 0.001, partial η2 = 0.132), sleep quality (p < 0.001, partial η2 = 0.129), depressive symptoms (p = 0.002, partial η2 = 0.129), and perceived stress (p = 0.028, partial η2 = 0.065), but not for anxiety (p = 0.701). Mean intervention adherence was 87.5%, with no adverse or serious adverse events reported in either group. Conclusion: 6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.