Patellofemoral pain syndrome is a condition that is commonly encountered by the sports physiotherapist. There is a clear reason for this, it has been reported to affect approximately 25% of athletes (DeHaven & Lintner, 1986). Furthermore, it is the most commonly reported injury sustained by runners (Taunton et al., 2002). Thus, it is the subject of much discussion on this site, and we have provided articles on a number of management options for patellofemoral pain syndrome. However, this article will discuss new research on potential prospective indicators for the development of patellofemoral pain syndrome.
Now, I’m not hear to scare you. But there are many conditions out there that are so uncommon that we often don’t even know that they exist. Unfortunately, sometimes these conditions may walk into our clinics and have us shaking our heads in disbelief and asking ourselves… ‘why don’t you fit into that diagnosis!’. I think for many pigmented villonodular synovitis (PVNS) of the knee is one of these diagnoses. It is quite rare, however, it presents similarly to many of the conditions that we as sports physiotherapists treat on a daily basis. This article discusses PVNS including assessment, diagnosis, and the treatment options.
In the world of sports physiotherapy the assessment and diagnosis of knee pathology is a daily event. As we are all well aware, an accurate diagnosis is achieved only via a skilled subjective and objective examination. Thus, sports physiotherapists will regularly rely on the results of special orthopaedic or clinical tests to make a diagnosis. This is well covered ground on this site, as we regularly the discuss the diagnostic accuracy of clinical tests for common conditions. However, there is always new research regarding the accuracy of existing techniques and the development of new ones. This leads to new research on the use of joint line fullness to assist in the diagnosis of meniscal tears. This article will discuss the technique and its potential clinical utility.
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.
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.
To explain the importance of knowledge about these conditions I will frequently tell you how common these ligament injuries are. Well, it has been suggested that up to 37% of all patients with knee haemarthroses have an associated PCL injury. Furthermore, the incidence of injury is particularly high in sports that involve heavy contact. That means that sports physiotherapists that are involved in the management of athletes from contact sports need to be aware of the evidence based assessment and management of these ligament injuries.
In this episode of the podcast I interview Rod Whiteley. Dr Rod Whiteley (FACP) is a Specialist Sports Physiotherapist, and has extensive experience working with elite sportsand has consulted with the Australian Baseball Federation and the Australian Institute of Sport. He is widely published in peer review journals on the topic of the throwing shoulder.