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…
In this episode of the podcast I interview Ryan Kendrick. Ryan is an APA Titled Musculoskeletal Physiotherapist, and is the inventor of both posture pals and dynamic tape. He has worked with various sports at an elite level, including elite tennis and Commonwealth Games athletes, and has drawn on this experience when developing his physiotherapy products. A great episode with some real clinical implications for you.
Hamstring injuries are an extremely common sporting injury. Hawkins et al. (2001) showed that hamstring injuries accounted for approximately 12% of football injuries. In certain sports, such as Australian Football, hamstring injuries have the highest incidence of any injury (Warren et al., 2010). This means that many teams, and their sports physiotherapists, invest massive amounts of time and energy in hamstring injury prevention. This is clearly based on the adage that ‘prevention is better than cure’. So what can we do to prevent hamstring injuries??
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).
IT’S HERE! The first session of The Sports Physiotherapist Podcast! HOW TO LISTEN You can download this podcast staight to your computer and iPod (by right-clicking here) or listen to it below. Also, soon I will be submitting the podcast feed to iTunes, and you will be able to subscribe there as well (don’t worry […]
I thought that today I would write a post that is not exactly the most practical or clinical (which is generally the way I like to do things) but one that is more thought provoking. I haven’t written a light-hearted blog-style post in a little while, so here it is. Are you a young(ish) sports physiotherapist? Then what changes in the world of physiotherapy do you think you will you see within your career that may expand over the next 30+ years? Read on…
As sports physiotherapists we readily prescribe exercise programs to our athletes/patients – quite simply – it is a massive part of what we do. As well as exercises, we also tell our patients what they should NOT be doing – “You should not do this OR that”! Have you ever wondered how much they really take our advice? Unfortunately (for both us and the patient) our patients are frequently non-compliant with our rehabilitation programs.So here are some evidence based tips to improve patient compliance!
Acromioclavicular injuries are common in a variety of sports, particularly those which involve heavy contact or tackling. For example, Flik et al (2005) reported the incidence of AC injuries was the third most common in men’s ice hockey. Thus, this is a common injury. Whilst in many injury cases, such as acute presentations and the higher grade AC separations, the diagnosis can be quite obvious. However, many conditions of the shoulder present with very similar clinical presentations, and thus differential diagnosis can be challenging (Meyer et al 1990). Thus, this article examines the diagnostic accuracy for clinical examination tests for acromioclavicular joint pain.
How do you make a diagnosis? I assume that you perform a subjective examination and develop competing hypotheses, and then work to support or negate these via your objective examination. Can you, however, following your physical examination tell the patient the percentage chance of them having a particular diagnosis? Is that something you might be interested in? If your answer is a resounding yes, Bayes’ Theorem and a Fagan’s Nomogram can give you the ability to do so. This post will give you the easily implementable basics of using the Fagan’s Nomogram to improve your diagnostic accuracy!
In the retail and customer service world, we are told, the customer is always right. Whilst you may think that this has no relevance to the world of sports physiotherapy, where the athletes or patient are frequently wrong, it is surprising how frequently the athletes beliefs can affect your (yes, you!) clinical reasoning or practice. In this article I discuss how patients may dictate your treatments, and identify some of the issues with allowing this to happen.