{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T20:10:05Z","timestamp":1756671005260,"version":"3.44.0"},"reference-count":45,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001275","name":"Oak Foundation","doi-asserted-by":"publisher","award":["OCAY-18-774-OFIL"],"award-info":[{"award-number":["OCAY-18-774-OFIL"]}],"id":[{"id":"10.13039\/100001275","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Ministry of Culture Committee on Research","award":["FPK.2021-0038"],"award-info":[{"award-number":["FPK.2021-0038"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2024,7,5]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The high incidence of knee injuries in football\/handball challenges effective prevention. Identifying tangible and modifiable factors associated with a knee injury may innovate preventive actions. Engaging key stakeholders can reveal crucial insights that could improve knee injury prevention in football\/handball.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To investigate football\/handball stakeholders\u2019 perspectives on reasons for acute and severe knee injuries to generate a conceptual model on important factors associated with knee injuries in football\/handball.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Mixed-method participatory Group Concept Mapping was applied to collect statements from football\/handball stakeholders (players\/coaches\/healthcare staff\/researchers) on the question, \u2018<jats:italic>What may explain why some players sustain a knee injury?\u2019<\/jats:italic>. Participants rated the importance and feasibility of screening for each statement. Multidimensional scaling and hierarchical cluster analysis produced a cluster map, forming the basis for developing a final conceptual model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Stakeholders (n=37) generated and sorted 100 statements. Cluster analysis followed by cluster map validation yielded seven themes: (1) the player\u2019s physical and motor skill profile, (2) preparation and training, (3) footwear and playing surface, (4) the sport\u2019s impact on the risk of injury, (5) mental and physical fatigue, (6) history of injury and 7) genetics and context. A final conceptual model illustrating factors associated with knee injuries in football\/handball was developed. Forty-six statements were identified as both important and feasible to screen for.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Stakeholders\u2019 perspectives on knee injuries in football\/handball revealed a complex interplay of factors. We developed a conceptual model fostering stakeholder dialogue for enhanced prevention. Key among its themes is \u2018preparation and training\u2019.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2024-002048","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T23:05:31Z","timestamp":1722380731000},"page":"e002048","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives on reasons why football and handball players sustain acute and severe knee injuries: a mixed-methods concept mapping study"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9105-3882","authenticated-orcid":false,"given":"Tine","family":"Alkj\u00e6r","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark"},{"name":"The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0150-9725","authenticated-orcid":false,"given":"Elisabeth","family":"Bandak","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark"},{"name":"The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1091-2962","authenticated-orcid":false,"given":"Marius","family":"Henriksen","sequence":"additional","affiliation":[{"name":"The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6600-0631","authenticated-orcid":false,"given":"Robin","family":"Christensen","sequence":"additional","affiliation":[{"name":"The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark"},{"name":"Research Unit of Rheumatology, Department of Clinical Research, University of Southern Denmark, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9102-4515","authenticated-orcid":false,"given":"Kristian","family":"Thorborg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Sports Orthopedic Research Center - Copenhagen (SORC-C), Amager-Hvidovre Hospital, Faculty of Health Sciences, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5301-3241","authenticated-orcid":false,"given":"Mette K","family":"Zebis","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, University College Copenhagen, Faculty of Health, Copenhagen, Denmark"},{"name":"Institute of Sports Medicine Copenhagen, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5959-6994","authenticated-orcid":false,"given":"Jesper","family":"Bencke","sequence":"additional","affiliation":[{"name":"Human Movement Analysis Laboratory, Department of Orthopaedic Surgery, Amager-Hvidovre Hospital, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5205-2644","authenticated-orcid":false,"given":"P\u00e6tur M","family":"Holm","sequence":"additional","affiliation":[{"name":"The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, N\u00e6stved-Slagelse-Ringsted Hospitals, Slagelse, Denmark"},{"name":"The Research Unit for Musculoskeletal Function 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