Implementing the 27 PRISMA 2020 Statement items for systematic reviews in the sport and exercise medicine, musculoskeletal rehabilitation and sports science fields: the PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance
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Poor reporting of medical and healthcare systematic reviews is a problem from which the sports and exercise medicine, musculoskeletal rehabilitation, and sports science fields are not immune. Transparent, accurate and comprehensive systematic review reporting helps researchers replicate methods, readers understand what was done and why, and clinicians and policy-makers implement results in practice. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement and its accompanying Explanation and Elaboration document provide general reporting examples for systematic reviews of healthcare interventions. However, implementation guidance for sport and exercise medicine, musculoskeletal rehabilitation, and sports science does not exist. The Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science (PERSiST) guidance attempts to address this problem. Nineteen content experts collaborated with three methods experts to identify examples of exemplary reporting in systematic reviews in sport and exercise medicine (including physical activity), musculoskeletal rehabilitation (including physiotherapy), and sports science, for each of the PRISMA 2020 Statement items. PERSiST aims to help: (1) systematic reviewers improve the transparency and reporting of systematic reviews and (2) journal editors and peer reviewers make informed decisions about systematic review reporting quality.
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Field-specific guidelines for evidence syntheses have emerged and will continue to be developed.
“Field-specific guidelines for evidence syntheses have emerged and will continue to be developed (203).”
From American College of Sports Medicine Position Stand. Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults: An Overview of Reviews (2026) · cites this paper as [203]
The Scope section describes PERSiST as guidance tailored to systematic reviews in sport and exercise medicine, musculoskeletal rehabilitation, and sports science, supporting the claim that field-specific guidance has emerged. The Introduction says context-specific elaboration is likely to enhance implementation, but the passages found do not say that further field-specific guidelines will continue to be developed. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPERSiST is recently recommended as a guideline for systematic review research in the field of sports.
“However, PERSiST (Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science), which is recently recommended as a guideline for SR research in the field of sports [28], was not used in this study.”
From High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis (2023) · cites this paper as [28]
PERSiST was not used in this study, which is a limitation.
“However, PERSiST (Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science), which is recently recommended as a guideline for SR research in the field of sports [28], was not used in this study. This is a limitation of this study.”
From High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis (2023) · cites this paper as [28]
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“However, PERSiST (Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science), which is recently recommended as a guideline for SR research in the field of sports [28], was not used in this study.”
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- Authors
- Ardern, C. L., Büttner, F., Andrade, R., Weir, A., Ashe, M. C., Holden, S., Impellizzeri, F. M., Delahunt, E., Dijkstra, H. P., Mathieson, S., Rathleff, M. S., Reurink, G., Sherrington, C., Stamatakis, E., Vicenzino, B., Whittaker, J. L., Wright, A. A., Clarke, M., Moher, D., Page, M. J., Khan, K. M., & Winters, M.
- Affiliations
- University of British Columbia (CA)
- University College Dublin (IE)
- Universidade do Porto (PT)
- Erasmus MC (NL)
- University of Technology Sydney (AU)
- University of Oxford (GB)
- The University of Sydney (AU)
- Aalborg University (DK)
- The University of Queensland (AU)
- Tufts University (US)
- Queen's University Belfast (GB)
- Ottawa Hospital Research Institute (CA)
- Monash University (AU)
- Corresponding author
- Ardern, Clare L
- ORCID
- Ardern, Clare L
- Büttner, Fionn
- Andrade, Renato
- Weir, Adam
- Ashe, Maureen C
- Holden, Sinead
- Impellizzeri, Franco M
- Delahunt, Eamonn
- Dijkstra, H Paul
- Mathieson, Stephanie
- Rathleff, Michael Skovdal
- Sherrington, Catherine
- Stamatakis, Emmanuel
- Vicenzino, Bill
- Whittaker, Jackie L
- Wright, Alexis A
- Clarke, Mike
- Moher, David
- Page, Matthew J
- Khan, Karim M
- Winters, Marinus
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2021-10-08
- Volume
- 56
- Issue
- 4
- Pages
- 175-195
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- PMC
- PMC8862073
- OpenAlex
- W3202779915
- Cited by
- 458
- References
- 20
- Citations by year
- 2026: 118 · 2025: 111 · 2024: 103 · 2023: 89 · 2022: 37
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- British Journal of Sports Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, cc-by-nc)
- Pure Amsterdam UMC (submittedVersion, cc-by-nc)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion, cc-by-nc)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Figshare (submittedVersion, cc-by-nc)
- La Trobe University
- Funders
- Medical Research Council (G0901530/1)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Social Sciences › Sociology and Political Science › Delphi Technique in Research
- Keywords
- PRISMA 2020, systematic review reporting, reporting guidelines, sports medicine, musculoskeletal rehabilitation, sports science, physical activity, physiotherapy, reporting quality, peer review, journal editorial policy
- MeSH terms
- Systematic Reviews as Topic, Exercise Therapy, Humans, Sports, Sports Medicine, Exercise, Evidence-Based Medicine
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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