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Grand RoundsWeekly Evidence Brief

Sports Medicine

Edition

30-Second Takeaway

  • In-person, supported implementation increases adherence to Prep-to-Play and links higher adherence to fewer total injuries.
  • Weighted-vest sprinting at **10% body mass** did not outperform unloaded sprint training in youth baseball over 4 weeks.
  • Motor imagery/action-observation plyometrics can preserve neuromotor outcomes when mechanical loading must be limited.

Week ending May 9, 2026

Practical evidence briefs for sports-medicine clinicians: implementation, screening, training load, and head-injury patterns

Supported implementation raised Prep-to-Play use and higher adherence linked to fewer injuries

BRITISH JOURNAL OF SPORTS MEDICINEMay 7, 2026

In 165 women's and girls' Australian Football teams (2481 players), supported implementation tripled weekly Prep-to-Play use versus unsupported online access (13.1% to 29.7%; OR 3.7, 95% CI 2.4–5.7). Higher team adherence to Prep-to-Play was associated with fewer total injuries (adherence IRR 0.95, 95% CI 0.92–0.99). Concussion and ACL incidence were lower during the supported phase but effect estimates were imprecise and not definitive. Implementation included in-person workshops and support visits; applicability is to teams using Prep-to-Play in women's Australian Football.

KJOC scores partly explained by age and a few objective measures in injured baseball athletes

SPORTS HEALTHMay 8, 2026

In 379 baseball athletes evaluated for shoulder or elbow injury, five variables explained 13% of KJOC score variance in a stepwise model. Age alone accounted for 6.4% of variance; rotational strength differences and humeral retrotorsion-corrected internal rotation added small amounts. Findings support continued use of PROs like the KJOC for self-perceived function while acknowledging modest explanatory power. This cohort study suggests adding objective screening tools to complement PROs when assessing injury risk or functional status.

Weighted-vest (10% body mass) sprint training did not outperform unloaded sprinting in youth baseball

INTERNATIONAL JOURNAL OF SPORTS PHYSIOLOGY AND PERFORMANCEMay 6, 2026

A randomized trial of 38 male youth baseball players compared 4 weeks (12 sessions) of sprint training with a vest at 10% body mass versus unloaded sprinting. No significant group × time interactions occurred for 27-m, 55-m, or change-of-direction sprint outcomes. All participants improved modestly (about −0.9% to −1.7% across measures), regardless of vest use. Under these conditions, adding a 10% body-mass vest was not superior to standard sprint training.

References

Numbered in order of appearance. Click any reference to view details.

Additional Reads

Optional additional studies from this edition.

Edition context

Clinical signal

  • Prioritise supported, face-to-face implementation to boost injury-prevention program uptake.
  • Use KJOC and PROs but add objective screening; PROs explain only **~13%** of variance.
  • When prescribing weighted-vest sprinting, expect no clear short-term benefit over standard sprint training.