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).
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.
A clinical mentor of mine once made an interesting commentary on the world of sports, or indeed all realms, of physiotherapy. It was an analogy comparing sports physiotherapy and the assessment of athletes to a murder mystery. It was so captivating I decided to expand on it here.
Introduction Concussions are a common sports injury, most often sustained by athletes involved in contact sports. Therefore, the sports physiotherapist will regularly assess, diagnose and subsequently manage this condition. Concussion is a potentially life-threatening condition, and thus appropriate evidence based assessment and management is crucial. However, there is a broad and often confusing body of […]
In this evidence based practice post we review an article in which the authors aim to identify all published accounts of diagnostic accuracy for clinical tests of Superior Labral Antero-Posterior (SLAP) lesion of the shoulder, and assess the pooled positive likelihood ratio (PLR) of the identified tests.
What did they find? Read on…
In the past 10 years research and new insights into tendon pathology has seen our understanding grow. Recently most therapists have had to stop themselves from saying the old term of “tendonitis” and learn the new term “tendinopathy”. But what else is important other than the new term.
HOW TO TELL AN ATHLETE THEIR SEASON IS OVER
Let me set the scene for you. You are the sports physiotherapist on the sidelines of your local sporting ground, it is a beautiful sunny day and you are enjoying the match in front of you. Then you watch on as one of your athletes attempts to step off their right foot when their knee gives way and they hit the ground….