structure – SEMS-journal

exercise is medicine

Are we missing something? Athletes’ voices and their lessons beyond structure and function

Modern sports medicine largely prioritizes structural integrity and quantifiable function to guide injury management and return-to-sport decisions. However, growing evidence suggests that this clinician-centred paradigm often fails to align with how elite athletes experience injury within their specific performance and life contexts.

exercise is medicine

Shoulder or Neck… and does it matter? Challenging Diagnostic Orthodoxy in Non-Traumatic Arm Pain

Differentiating arm pain as originating from the cervical spine or the glenohumeral joint is traditionally considered a cornerstone of musculoskeletal assessment. However, in non-traumatic presentations managed conservatively, the clinical necessity of precise source localization is increasingly questionable.

exercise is medicine

Bone Stress Injuries in Athletes: Current Concepts

Bone stress injuries represent approximately 10% of sports medicine presentations, requiring integrated clinical and imaging assessment. These injuries subdivide into fatigue fractures (abnormal stress on normal bone) and insufficiency fractures (normal stress on abnormal bone).

exercise is medicine

Can the ACL Heal? Operative versus Non-Operative Management of Anterior Cruciate Ligament Injuries in Athletes

The management of anterior cruciate ligament (ACL) injuries remains a polarising topic in sports medicine. At a recent conference in Lausanne, three experts debated the merits of operative versus non-operative approaches.

exercise is medicine

The Shape of Strength: How muscle architecture drives muscle function and malfunction

The relationship between muscle structure and function is a central principle in musculoskeletal rehabilitation, yet injury-related disruptions to this relationship and the extent to which training can restore it remain incompletely understood.

exercise is medicine

From Fatigue to Overtraining: Beyond the Dichotomy of Structure and Function

Overtraining syndrome represents maladaptation from chronic stress-recovery imbalance, producing performance decrements persisting weeks to months despite recovery attempts.

exercise is medicine

Calf Muscle Injuries: the Soleus in Elite Sports: Biomechanics, Assessment, and Rehabilitation Strategies

Calf muscle injuries represent a substantial burden in elite sport, with the soleus muscle accounting for the majority of posterior lower leg pathology. This article synthesizes contemporary evidence on soleus injury epidemiology, biomechanics, and rehabilitation, drawing on recent applied research in elite football and rugby.

exercise is medicine

There’s more to chronic back pain than structure and function: Reconceptualizing Persistent Low Back Pain in Athletes

Traditional low back pain management emphasizes structural pathology, producing suboptimal outcomes for persistent presentations. Case illustration demonstrates surgical “success” with anatomical correction yet persistent pain, disability, depression, and athletic retirement.