Groin pain is a common complaint in sports involving running, kicking and explosive changes of direction, and as such is frequently encountered by the sports physiotherapist. In soccer, groin and lower abdominal pain accounts for 10-13% of injuries per year. However, due to the number of potential differential diagnoses for athletes with chronic pain in the groin and lower abdominal region only a small proportion of athletes are eventually diagnosed with athletic pubalgia (sports hernias). Athletic pubalgia is a poorly understood disease process and it is imperative that athletes with the condition are managed appropriately as the symptoms can eventually limit the athlete’s participation in training and playing.
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.
The shoe industry has evolved most rapidly over the previous decade and will continue to evolve as new technologies and markets are formed. We are in an era where athletes are training in barefoot running shoes and it’s not uncommon for a shoe to carry a microprocessor to play music and/or retain information for further gait evaluation post training. This article aims to unravel the hype and assist physiotherapists on advising the most appropriate footwear for their patients.
One of the best things we can do for our patients is communicate with them well. Look at your day in the clinic: it’s talk, talk, talk! It is important that we talk well, as great communication is vital to becoming a great therapist. This is well covered ground on this site, as we have discussed the power of a great analogy and the role of communication in improving patient compliance. This article will discuss another valuable tool you have in your ‘Communicate Like A Champ’ toolbox… storytelling.
We all know that hamstring strains are common injuries within sports that involve sprinting and jumping. In fact, they represent a significant proportion of muscle injuries: 50% in sprinting, 40% in soccer (Yeung et al, 2009) and 14% in Australian Rules football (Gabbe et al, 2006). They have been shown to be more common than any other muscle injuries and players are 2.5 times more likely to suffer a hamstring strain compared to a strain of their quadriceps (Woods et al, 2004). This is significant as Small et al (2010) found that soccer players miss on average 3 competitive matches per hamstring injury. Consider the huge impact on the success of sporting teams when high profile players are injured!
In the sports physiotherapy world we are frequently called upon to assess and treat athletes of all ages. As you might expect, this may range from young children through to nonagenarian Master’s athletes. Sports physiotherapists would know when dealing with young athletes missing a career-ending (yes, career) diagnosis can be unforgivable. One such diagnosis is juvenile osteochondritis dissecans of the knee, a condition that commonly affects athletic children, and one that if left unchecked could jeopardise the integrity of their knee. Thus, accurate and timely diagnosis followed by appropriate management is essential when dealing with juvenile osteochondritis dissecans…..
I will start by saying this has nothing to do with the Governator’s recent indiscretions (luckily). Have you ever seen the movie Pumping Iron? It is a docudrama which covers the lead up to the 1975 Mr Olympia contest, which Arnold Schwarzenegger wins for the sixth consecutive time. Now whilst there are not many applications to the world of sports physiotherapy, unless of course you work closely with bodybuilders, there are a few gems in the film which are relevant…
If you are a sports physiotherapist that manages athletes that compete in contact sports, then I am sure that you have treated contact or collision related injuries. Now sports physiotherapists who work with rugby league will take specific note and interest with this research. Do not despair if you do not work with rugby league, you may have experience working with similar contact sports such as rugby union. This post discusses new research on physical collisions in professional rugby league, their impact on injuries and the sports physiotherapy implications.
Today we are mixing it up. We are going to do something a little bit different. Today is a guest post from Richard Evans, who is the Head Physiotherapist from Right to Dream (discussed below). We have had a few contacts with Rich, and he was keen to get involved with contributing some content to the site. So from this month, Rich will be contributing to the site by adding some of his own clinical tips and posting interesting case studies for discussion amongst the community here at TheSportsPhysiotherapist.com. I thought that he was in such a unique and interesting situation I could not say no. He has got some great things to talk about from a unique perspective, so enjoy (over to you Rich)…
As a sports physiotherapist I am frequently asked by my athletes do I know about the latest in dietary, workout or “get huge/play like superman” supplement. What is in it, what does it do, and how much can I take before an alien busts out of my chest? Firstly, I make the statement that I am not an expert dietitian or nutrionist (not even close). Additionally, these new different supplements seem to come out so fast it is exceptionally challenging to keep up with either the “proposed” or “proven” mechanisms of action. So what should we do…?