ALT The image compares expert opinions and current evidence on risk factors for shoulder injuries in swimmers. Risk factors are divided into three categories: Supporting Evidence (green): Factors like inconsistent training load, acute increases in swim training load, and poor stroke technique. Current evidence (green circles) supports these factors. Conflicting Evidence (yellow): Includes generalized rotator cuff strength-endurance and high kilometers per week. Evidence is mixed, showing both supporting and opposing views. Opposing Evidence (red): Factors like limited IR ROM, low scapula-thoracic strength, and limited abduction ROM. Evidence generally opposes these factors (red circles). The chart uses color-coded circles to show evidence levels: green for moderate supporting, yellow for limited/conflicting, and red for moderate opposing. The horizontal axis represents the mean importance of each factor according to expert opinion, with a total mean importance score shown.