As sports physiotherapists we regularly assess and treat patients and athletes with shoulder instability. It has been suggested that glenohumeral instabllity affects up to 2% of the general population (Ahlgren et al., 1978). However, we know that posterior instability is much less common accounting for somewhere between 2 and 10% of these cases (Tannenbaum & Sekiya, 2011). The reason why it is important for use is that these presentations are most common in athletes, secondary to either overuse or a traumatic episode. This makes knowledge of evidence based management and diagnosis of posterior shoulder instability particularly pertinent.
As sports physiotherapists we devise and implement exercise programs on an exceptionally regular basis. In fact, frequently exercise rehabilitation of our athletes is the important thing that we do (Church & Blair, 2009). Therefore, it is essential that when we prescribe exercises we make decisions that are evidence based. Do you know what number of sets will give your athletes the greatest gains in strength and hypertrophy? This article will tell you.
Patellar dislocation accounts for 2 – 3% of all knee injuries, however, is the second most common cause of knee haemarthrosis (Aglietti et al., 2001). Patellar dislocation is most commonly associated with sports injuries, and therefore, is encountered commonly by the sports physiotherapist. In recent times there has been controversy on the most appropriate forms of management following primary (or first time) patellar dislocation. This post discusses evidence based management of primary patellar dislocations.
What situation do you most dread during game day coverage? I know what my most dreaded situation is – seeing one of my guys stay down after a tackle, laying motionless on the ground. I think at that point you know, as the sports physio, it is GAME TIME! The decisions that you make over the next few moments have the potential to impact the rest of that player’s life. Pretty heavy huh! So you would want to make sure that what you do when you get out there is evidence based wouldn’t you? This article gives you that knowledge…
Cyclops lesions are an unfortunate sequelae of anterior cruciate ligament injury, and are most commonly seen following ACL reconstructions. The cyclops lesion is a consequence of a localised form of anterior arthrofibrosis. This results in the formation of a nodule of fibrous tissue in the anterior portion of the ACL graft (Tonin et al., 2001). The cyclops lesion sits in the anterior margin of the intercondylar notch, just above the tibial tunnel, which can become impinged between the tibia and femur upon knee extension (Bradley et al., 2000).
INTRODUCTION Mid-portion (or non-insertional) Achilles tendinopathy has been reported as one of the most common overuse injuries (Maffulli et al., 2003). It is common in those who engage in regular physical activity, which means athletes are particularly susceptible to this condition. Sports physiotherapists who treat regularly treat runners will be aware of its high incidence […]
Cervical radiculopathy is a pathology of the cervical nerve root (Dox et al 1979), frequently associated with cervical disc herniation or another space occupying lesion (such as osteophytes), which can cause nerve root impingement and inflammation. As many of you will be aware, this can be a very painful and often debilitating condition. Although the natural history of the condition is favourable, it has been suggested that if the condition becomes chronic it can be recurring and impact negatively on physical and mental health. Therefore, it is essential that as physiotherapists we are aware of the most evidence informed diagnosis and treatment techniques for cervical radiculopathy.
INTRODUCTION Many of you, I’m sure, will be interested to learn to efficacy of PRP injections for treating athletes with chronic achilles tendinopathies. PRP has gained significant attention of late; in the media, medical community and with our athletes. It seems my athletes are always asking for information on the most effective form of injectional […]
Plantar heel pain, or commonly plantar fasciitis, is a very common clinical presentation. In an athletic population of runners, plantar heel pain has been shown to account for as much as 8% of injuries (Taunton et al 2002). Thus, sports physiotherapists should be aware of the most appropriate management techniques for this condition. Recently support for the effectiveness of myofascial trigger point therapy has come from a randomised controlled trial. The results and techniques utilised in the trial are discussed in this post.
Neck pain is a common clinical presentation, affecting up to two-thirds of the population at some time in their life. Therefore, as sports physiotherapists we will regularly assess and treat athletes with recent onset neck pain. As a component of rehabilitation many physiotherapists will include some form of evidence based manual therapy, commonly either mobilisation or manipulation. However, a clinical question I am often asked (by both myself and patients) is what additional benefits does manipulation provide, given the additional risks? This clinical question is answered by a recent RCT that compares the use of mobilisation and manipulation in patients with recent onset neck pain.