Anne Frank wrote in her diary, ‘All children must look after their own upbringing. Parents can only give good advice or put them on the right paths, but the final forming of a person’s character lies in their own hands’. This quote illustrates the challenge faced by BMJ Open Sports & Exercise Medicin e (BOSEM) since its creation. Born in 2015, BOSEM was initially deemed as the ‘open access’ offspring of the British Journal of Sports Medicine . Six years later, BOSEM has published 629 manuscripts with over 900 unique authors listed. Our journal is ready to fly the nest. Now, the final forming of BOSEM’s personality lies with us, the new editorial team. Who are we, what is our personality, what makes us unique? We aim to support our community to make a difference for the general health and well-being of our patients, athletes and the world population. While this goal may not be truly unique in the sports and exercise medicine (SEM) landscape, the way we want to achieve it is. What makes us different is that BOSEM hosts clinically meaningful and impactful publications Open Access. Being true to the phrase ‘scientia potentia est’, all our content is freely available to everyone, and you can interact with BOSEM regardless of where you live and work. We take a continuous …
ObjectiveTelehealth has been established as a viable option for improved access and timeliness of care. Physician-guided patient self-evaluation may improve the viability of telehealth evaluation; however, there are little data evaluating the efficacy of self-administered examination (SAE). This study aims to compare the diagnostic accuracy of a patient SAE to a traditional standardised clinical examination (SCE) for evaluation of femoroacetabular impingement syndrome (FAIS).Methods75 patients seeking care for hip-related pain were included for participation. All patients underwent both SAE and SCE and were randomised to the order of the examinations. Diagnostic accuracy statistics were calculated for both examination group for a final diagnosis of FAIS. Mean diagnostic accuracy results for each group were then compared using Mann-Whitney U non-parametric tests.ResultsThe diagnostic accuracy of individual SAE and SCE manoeuvres varied widely. Both SAE and SCE demonstrated no to moderate change in post-test probability for the diagnosis of FAIS. Although low, SAE demonstrated a statistically greater mean diagnostic accuracy compared with the SCE (53.6% vs 45.5%, p=0.02).ConclusionDiagnostic accuracy was statistically significantly higher for the self-exam than for the traditional clinical exam although the difference may not be clinically relevant. Although the mean accuracy remains relatively low for both exams, these values are consistent with hip exam for FAIS reported in the literature. Having established the validity of an SAE, future investigations will need to evaluate implementation in a telehealth setting.