The sports physiotherapist will frequently assess and diagnose acute knee injuries. In doing so, we will regularly rely on the results of special orthopaedic or clinical tests. However, if we are going to use these tests to make diagnoses and therefore guide our treatment decisions, it is vital that we are aware of the diagnostic accuracy of clinical tests. This article evaluates the research regarding the diagnostic accuracy of commonly used clinical tests for medial meniscus tears.
Femoroacetabular impingement (FAI) is, as the name suggests, an impingement or abutment of the chondro-labral structures between the femur and acetabulum. Whilst the diagnosis of femoroacetabular impingement has only recently gained attention, it is known that the presentation is more common in the athletic population. High activity athletes are at increased risk; particularly athletes who participate in sports which require them to frequently move into a position of internal rotation and flexion. This makes it an important diagnosis for the sports physiotherapist to be aware of current research and the best practice.
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.
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.
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 […]
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.
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.
Recently, more than ever, the importance of establishing a clinical network has become apparent to me. By clinical network I mean a group of health professionals with which you have established relationships and maintain regular professional contact with. Whilst many sports physiotherapists would be acutely aware of the benefits of such a network, some may not realise the effect that it can have.
Want to know how important a clinical network can be? Read on.
Neck injuries, and the possibility of a spinal injury, in sport is a very serious issue. As sports physiotherapists we frequently assess neck injuries, and inappropriate diagnosis and subsequent management has the clear potential for catastrophic consequences. At times it can be difficult to differentiate the serious from the benign, and hence make appropriate decisions. However, it is fortunate that there is a sound evidence basis for when patients with traumatic neck injuries should be sent for further investigations.
Do you want to know when you should send an athlete for radiography. Read on.
The RICE protocol is widely advocated in the treatment of acute soft tissue injuries, and is therefore frequently utilised in the acute phase following most sports injuries. Whilst RICE should still be used in the case of acute muscle strains, given the potential for adverse consequences such as compartment syndrome, there are some who are suggesting that the RICE protocol has reduced efficacy in the management of acute ligament (and even tendon) sprains.
Why is this so? Read on to find out.