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.
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.
Sports taping is an integral part of the skill-set of a sports physiotherapist. The sports physiotherapist will tape an immeasurable number of joints over their career, and thus most become proficient in this skill. Whilst on the surface sports taping may seem simple or easy, I liken it to Texas Hold ‘Em Poker – it takes minutes to learn, but years to master.
In this article I present the 6 P’s of Sports Taping which identifies 6 components of sports taping that are easy to get right, yet are often done incorrectly by the less experienced or novice sports taper.
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 […]
PROLOTHERAPY IN THE MEDIA You may have heard talk in the media recently about Phil Graham (an elite Australian rugby league player) having “sugar injections” following his pectoral muscle injury. Read here. I found it interesting to hear the Sydney Roosters team doctor, John Orchard, is using these injections, commonly know as ‘prolotherapy’, in an […]
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…