This systematic review investigates various sleep interventions for elite athletes, addressing a critical aspect of their performance and well-being. The authors highlight that most elite athletes experience insufficient sleep due to factors like demanding training and travel schedules. The study explores interventions such as sleep hygiene education, napping, cold water immersion, light therapy, and nutritional supplementation.

Bilgoe SC, den Hollander S, van Rensberg DJ, Hendricks S, Kerkhoffs G, Gouttebarge V. Sleep interventions in elite sport - a systematic review. S Afr J Sports Med. 2025;37(1):v37i1a18811. Published 2025 Feb 15. doi:10.17159/2078-516X/2025/v37i1a18811

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In this episode, we dissect a descriptive study investigating the challenges of diagnosing Subacromial Pain Syndrome (SAPS). The study involved 741 patients and revealed a high prevalence of conflicting and concomitant diagnoses among those presenting with SAPS symptoms. This heterogeneity complicates accurate diagnosis and treatment, as other conditions can mimic SAPS or coexist with it. The authors emphasize the necessity of a systematic and transparent diagnostic approach to better understand and treat patients with SAPS.

Witten A, Clausen MB, Thorborg K, Hölmich P, Barfod KW. The Challenge of Diagnosing Patients Presenting With Signs and Symptoms of Subacromial Pain Syndrome: A Descriptive Study of 741 Patients Seen in a Secondary Care Setting. Orthop J Sports Med. 2025;13(4):23259671251332942. Published 2025 Apr 28. doi:10.1177/23259671251332942

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The article dissected presents a systematic review and meta-analysis exploring the effects of manual therapy on fear avoidance, kinesiophobia, and pain catastrophizing in individuals experiencing chronic musculoskeletal pain. The authors synthesized evidence from 11 randomized controlled trials, comparing manual therapy to no treatment or other interventions.

Kamonseki DH, Christenson P, Rezvanifar SC, Calixtre LB. Effects of manual therapy on fear avoidance, kinesiophobia and pain catastrophizing in individuals with chronic musculoskeletal pain: Systematic review and meta-analysis. Musculoskelet Sci Pract. 2021;51:102311. doi:10.1016/j.msksp.2020.102311

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