Concussion is a common injury sustained by athletes in contact sports (Hunt & Asplund, 2010). Subsequently, it is a condition commonly encountered by the sports physiotherapist, particularly those who work on the sidelines of contact sports. Given its frequency, concussion has been discussed previously on this site. However, the previous article does not discuss indicators to predict recovery timeframes following concussion. That is exactly what this article does.
Shoulder injuries to the rotator cuff are very common. Whilst rotator cuff injuries are more commonly seen in supraspinatus and infraspinatus, there has been a recent increase in awareness and recognition of subscapularis injuries. In fact, Barth et al. (2006) suggested 29.4% of those who underwent shoulder arthroscopy for a rotator cuff tear had involvement of the subscapularis. Therefore, a thorough understanding of the evidence based clinical assessment for subscapularis is essential, and is thus presented in this article.
Sports physiotherapists regularly assess and rehabilitate shoulder dysfunctions and pathologies. As a sports physiotherapists it is important to evaluate the contributing factors to shoulder pathology. A common contributor, seen in 68-100% of shoulder injuries, is scapular dyskinesis. Accurate and comprehensive assessment of scapular dyskinesis is essential to identify alterations in normal scapulo-humeral rhythm. If you treat shoulders, ‘treating the scapula’ is absolutely paramount … ignore it at your own peril.
In this episode of the podcast I interview Jonathan Mulford. Dr Mulford is an Orthopaedic Surgeon who specialises in all aspects of knee surgery. He graduated from the University of Tasmania with Honours in 1995, and completed his orthopaedic training in Sydney in 2005. In addition to his clinical work he has a strong interest in clinical research, and has just authored a systematic review on the use of the LARS ligament.
In this episode of the podcast I interview Jeff Boyle. Dr Jeffrey Boyle is the Principal Physiotherapist at the Fremantle Dockers Football Club. Jeff is a Specialist Sports Physiotherapist (as awarded by the Australian College of Physiotherapists in 2009) as well as a Musculoskeletal Physiotherapist. Additionally Jeff is an Adjunct Senior Teaching Fellow at the University of Western Australia. In the interview we discuss…
As most sports physiotherapists would know, injuries of the groin are very common. This is particularly true in sports that require lateral movements and kicking; think football, rugby and AFL. In fact in some sports the incidence of groin pain is as high as 13%. This means that we are regularly assessing groin pathologies, and should be aware of the most effective and reliable techniques to assess deficits in adductor function. This article will discuss new research on the Adductor Squeeze Test that can inform and improve your clinical practice…
In this episode of the podcast I interview Paul Penna. Paul Penna is a Sports Psychologist, and has extensive experience working with sports from weekend warriors to elite sportspeople. Paul has worked with the Beijing Olympic Team, Melbourne Commonwealth Games, and currently the Australian Swim Team, Cricket NSW, and Wests Tigers Rugby League Club. In the interview we discuss…
The sports physiotherapists reading this would be aware of the challenge of accurate diagnosis of hip pathology. The hip/groin area is an area with incredibly complex anatomy and biomechanics (Feeley et al., 2008). To quote a former anatomy lecturer of mine; “It is real tiger country!”. This means to improve clinical reasoning and diagnosis clinicians (and/or diagnosticians) must be acutely aware of the diagnostic accuracy of the clinical tests in their arsenal.
What if I were to tell you that I was going to discuss the second most common foot injury in athletes, that is missed or misdiagnosed in 1 in every 5 cases? Is that something you might be interested in? Well that is what happening… Lisfranc joint injuries are a challenging presentation in an athletic population. As stated above, they are relatively common and regularly misdiagnosed. However, unfortunately they have the potential to develop into a CAREER-ENDING injury! Undoubtedly, this makes prompt and accurate diagnosis and evidence based management exceptionally important.
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.