The post-operative rehabilitation of an ACL reconstruction is something that many sports physiotherapists perform on a daily basis. Many will know that muscular atrophy is quite common; particularly affecting the quadriceps, hamstrings and triceps surae. In fact, quadriceps atrophy and strength will often exceed 20% during the first three months (Nicholas et al., 2001). Therefore, we see post-operative rehabilitation protocols focusing on quick restoration of the patients muscle function and strength. Thus, we are often quick to, and appropriately so, prescribe exercises. However, this article will discuss the potential for the additional clinical benefits of electrical muscle stimulation (electro-stimulation)
Introduction With a name like that, all physiotherapists will remember this one! But how much detail is remembered? Have a quick think about how many wrist patients you see, compared to knee or back patients. If you are in a private practice/outpatient clinic with a demographic anything like mine you will be seeing mostly backs, […]
Any physiotherapist working with academy footballers will know that these players are at risk of overuse injuries due to their immature musculoskeletal systems (1). However, it is imperative that therapists can confidently identify when the players require a therapeutic intervention rather than dismissing their symptoms as ‘growing pains’. It has been found that 5% of all injuries in football academies are due to overuse (1), as some young footballers will partake in high volumes of physical activity. This article will discuss the evidence based management of Osgood-Schlatters condition.
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!
Now, I’m not hear to scare you. But there are many conditions out there that are so uncommon that we often don’t even know that they exist. Unfortunately, sometimes these conditions may walk into our clinics and have us shaking our heads in disbelief and asking ourselves… ‘why don’t you fit into that diagnosis!’. I think for many pigmented villonodular synovitis (PVNS) of the knee is one of these diagnoses. It is quite rare, however, it presents similarly to many of the conditions that we as sports physiotherapists treat on a daily basis. This article discusses PVNS including assessment, diagnosis, and the treatment options.
As sports physiotherapists we regularly assess and treat hamstring strains, sometimes on a daily basis! Hawkins et al. (2001) showed that hamstring injuries accounted for approximately 12% of football injuries, and thus are extremely common. Given their frequency, hamstring injuries have been discussed commonly on this site. However, to date, we have not paid much attention to the often recommended intervention of spinal manual therapy and its role in the evidence based management of hamstring strains….
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
Patellar tendinopathy is a common overuse injury of the patella tendon frequently seen in running and jumping sports. As many as 53% of athletes retire from their sports due to this injury, highlighting the importance of knowledge and up to date research in such an area to provide optimal treatment (van Ark et al, 2011). The utilisation of injection therapy has recently gained popularity and a number of studies have investigated the clinical benefits and pathological results of the various injection options. This article will discuss new research on the efficacy of injection treatments for patellar tendinopathy.
Ankle injuries are a ridiculously common sports injury. Ankle injuries are the most common injuries in a wide variety of popular sports. In fact, it has been suggested that ankle injuries account for 10-30% of all sports injuries; 77% of which are lateral ankle sprains. Thus, it goes without saying that knowledge of evidence based management and current best practice is essential for lateral ankle sprains. This article will discuss the current evidence for the use of bracing following acute ankle sprains.
Let me set the scene for you. You are at the oval and your athletes are warming up prior to competition, and one calls out “can you come stretch my hammys?”. This is an obvious request for a PNF therapist-assisted stretch, and you will likely oblige for a few reasons. Today I would like to discuss some research that challenges the notion that PNF stretching deliver superior immediate improvements in range of motion..