It has been suggested that up to 79% of runners will sustain lower limb injuries. The patients with these pathologies frequently present with identifiable biomechanical faults associated with either deficits in pelvic strength or neuromuscular function. Thus, physiotherapists and physical therapists the world over implement rehabilitation programs aimed at strengthening the lateral hip abductors and external rotators. However, when it comes to exercise prescription for this musculature we require EMG studies to ensure that we are operating from a strong evidence basis. This article discusses such research.
As I suggested in the previous post: assessment of scapular dyskinesis; 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. If you treat shoulders, ‘treating the scapula’ is absolutely paramount … ignore it at your own peril. This article will discuss some treatment options for scapular dyskinesis
This article will discuss the health benefits of resistance training in adolescents. I would suggest that physiotherapists that help children and adolescents with their injuries will often be prescribing resistance exercises; they might be in the form of a Theraband exercises, body weight exercises (squats, calf raises’ etc.) or an exercise with added free or machine weights. Now I know that I strive to be evidence based with my practice and I am sure you are in the same boat! So let’s have a look at what gains can be made with resistance training.
In the world of sports physiotherapy and sports medicine articular cartilage defects of the knee are commonly seen (Reinold et al., 2006). Unfortunately, in these cases we find non-operative approaches are ineffective given the avascular nature of articular cartilage. Thus, there has been the development of a large number of surgical techniques to address articular cartilage lesions. This article will discuss a relatively new technique, Matrix-induced autologous cartilage implantation or MACI, including an overview of technique, mid-term outcomes and of course the rehabilitation implications for physiotherapists.
Physiotherapists working in the field of musculoskeletal rehabilitation, which definitely includes sports physiotherapists (and physical therapists), will regularly utilise exercises to both strengthen and improve the neuromuscular coordination of the “core” musculature. This is seen as an important part of both injury rehabilitation and prevention. This article will discuss new EMG research into core muscle activation during a number of swiss ball exercises, and the clinical implications for therapists.
The majority of the sports physiotherapists reading this will know the incredible frequency with which we treat athletes with patellofemoral pain syndrome. There is a good reason for this, it is the most commonly reported injury sustained by runners (Taunton et al., 2002). Whilst the mainstays of treatment have previously focussed solely on the patellofemoral joint, we are seeing more research identifying the importance of the assessing the other components of the kinetic chain.This article will discuss new research on the impact of real time gait retraining for patellofemoral pain syndrome…
A muscle haematoma, or “cork” as they are often called, is a common occurrence in many sports. These muscles haematomas are most prevalent in those who participate in contact sports; such as rugby and football (Smith et al., 2006). Quite obviously, this is something that sports physiotherapists will commonly encounter, particularly those involved with the aforementioned sports. This article discusses the evidence based management (well…the best available evidence) for muscle haematomas.
As sports physiotherapists we devise and implement exercise programs on an exceptionally regular basis. In fact, frequently exercise rehabilitation of our athletes is the important thing that we do (Church & Blair, 2009). Therefore, it is essential that when we prescribe exercises we make decisions that are evidence based. Do you know what number of sets will give your athletes the greatest gains in strength and hypertrophy? This article will tell you.