Anterior shoulder dislocation is a common injury in an athletic population, particularly young males competing in contact sports. Anterior dislocation accounts for up to 96% of all shoulder dislocations (Goss 1988). This means, therefore, that the sports physiotherapist will encounter this condition with high frequency. Accordingly, we must be confident that the treatments and advice that we deliver to these athletes is evidence based. This article discusses the current evidence regarding surgical or conservative management for acute anterior shoulder dislocations.
This video taping technique tutorial is for a low grade/sprain medial collateral ligament injury. This is a really quick and simple method to provide some support to the injured structures. If you consider the PRICE management of acute soft tissue injuries – this is perfect to use in the protection phase.
As sports physiotherapists we assess, diagnose and rehabilitate a broad range of musculoskeletal conditions. Obviously we all see a myriad of conditions which are quite easy to diagnose and are quick to rehabilitate. This is the ideal situation for both the athlete and physiotherapist as the return to play timeframes are short. However, as we are all acutely aware, all sports injuries do not fit this category. In this article I discuss my three most hated sports injury diagnoses, in ascending order of hatred (yes – hatred).
Patellofemoral pain syndrome (PFPS) is a condition that sports physiotherapists rehabilitate on a common basis. The prevalence of the condition is higher in women, and in an athletic population. Therefore, it is essential that sports physiotherapists are aware of the most effective interventions for this condition. This article discusses new research regarding the short-term effect of hip strengthening on females with patellofemoral pain.
This post continues down the same theme as the article I wrote regarding return to play assessment for upper limb injuries. If you have not read this yet, I strongly recommend you read it first. Along the same vein, this article loosely outlines my sideline assessment for a lower limb injury. The process guides my decision making about an athlete’s ability to return to play. Of course, it also gives me information as to the likely quality of the performance the athlete will give upon return, which can help the coaching staff decide whether they will risk an “injured player”.
My Favourite Dynamic Postural Control Objective Outcome Measure Firstly, thanks for checking out the video. I hope that it was helpful and if you are not already using the Star Excursion Balance Test you will now. This is the information that I felt was too ‘nitty gritty’ to include in the video. Reliability of the […]
When to allow an injured player to return to play is a dubious subject. Whilst the level of risk will vary, any time an injured player takes the field there is a clear and present danger of further damage. In the case of acute soft tissue injuries logic suggests that the principles of RICE and No HARM must be implemented and thus no further exercise that day. However, try telling the athlete and coaching staff that. There are times when the sports physiotherapist will stretch their boundaries when it comes to return to play, discussed here. Therefore, it is important to have an objective, clear and structured assessment to implement on the acutely injured player to assess their ability to return to play (RTP).
It must be the hottest debate in knee surgery at the moment. Should ACL reconstructions be performed using the LARS (Ligament Augmentation and Reconstruction System) or should orthopaedic surgeons continue to use the more traditional four strand hamstring (4HS) or bone patella tendon bone (BPTB) grafts? It is a good question. Obviously for us as sports physiotherapists the choice is not ours to make, but, invariably the injured athlete will ask our professional opinion.
As a sports physiotherapist it is absolutely essential that you have the tools required to complete your trade. This means that you must be (over) organised with your on-field sports kit, or you will risk being unprepared for an injury. As many of you know, injuries happen fast, and the game officials expect an injury resolution even faster – so you do not want to be left messing around in your large sideline kit looking for something you should already have. Below I discuss the 8 essential items you need in your ‘On-Field’ sports physiotherapy kit.
I think the world of developing clinical prediction rules (CPR) are exciting. Whilst this may be related to my scientific, rather than creative, way of thinking, I just feel that they will lead to improved management of the conditions that sports physiotherapists treat. Some clinicians believe that they will lead to recipe-based approaches to physiotherapy, but I just don’t think that will be the case. Clinical prediction rules are not, and would never be, a substitute for a skilled assessment, diagnostic process, and implementation of interventions. They will however lead to a higher level of clinical reasoning and ultimately improved outcomes.
Below I discuss an article regarding the preliminary determination of a CPR for identifying patients diagnosed with patellofemoral pain that are most likely to respond to orthotics. Once validated, this would be a clinically useful rule for deciding when to utilise orthotic therapy. This is particularly important given the expense associated with the purchase of orthotics and the prevalence of this condition.