BRINGING SCIENCE TO TREATMENT

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03/19/2019 | Email Newsletters

Efficient training: drop jumps versus soccer drills

Spring has sprung in the Northern Hemisphere while the mild days of fall are starting in the Southern. With the change in the weather, young athletes everywhere are getting out and playing footie. Meanwhile, coaches scrambling for best practices to give their team the edge often resort to technical training. Chilean researchers have just released... MORE

12/11/2018 | Email Newsletters

Shoulder injuries in soccer players

Admittedly most soccer related injuries are to the lower extremities. However a recent study by researchers at Brown University found that a rising number of soccer related injuries are suffered in the upper extremity(1). The study evaluated a sample of 100 hospital emergency departments from 1999 to 2016 and found that nearly a quarter (20.4%)... MORE

Joint injuries


01/23/2019 | Shoulder injuries

Sternoclavicular joint dysfunction: a rare diagnosis

Trevor Langford reviews the anatomy and biomechanics of the sternoclavicular joint, explains how joint dysfunction presents in athletes and non-athletes, and provides treatment options for a sternoclavicular joint sprain or dislocation. Injuries of the glenohumeral joint (GHJ) and the acromioclavicular joint (ACJ) are commonly diagnosed, while injury to the sternoclavicular joint (SCJ) is frequently overlooked during... MORE

12/31/2018 | Ankle and foot injuries

Sinus tarsi syndrome: a possible source of lateral ankle...

Chris Mallac explains the etiology of sinus tarsi syndrome, and outlines diagnosis and management options for clinicians. Sinus tarsi syndrome (STS) is a frequently misdiagnosed condition in which patients have pain over the lateral aspect of the ankle (the sinus tarsi region) with an ‘unstable’ sensation in the rearfoot. STS sufferers usually have a history... MORE

12/24/2018 | Knee injuries

Pellegrini-Steida syndrome – a cause of stubborn medial knee...

Patrick Gillham looks into the aetiology of Pellegrini-Stedia syndrome, and how best to treat it using conservative measures. Calcification of soft tissue structures is not uncommon in the body. This process frequently occurs in the shoulder, with the supraspinatus tendon being the most commonly affected. After the shoulder, the hip is the second most frequent... MORE

Diagnose & Treat


06/6/2019 | Other

Skeletal health: boning up on vibration and resistance training

Andrew Hamilton discusses the merits or otherwise of training interventions to improve bone health. Low-impact sports such as swimming and cycling are extremely effective for building cardiovascular health and muscular strength. Moreover, the smooth spinning action of pedaling and the low-gravity environment of the water is comparatively gentle on joints, tendons and ligaments, which means... MORE

05/31/2019 | Ankle and foot injuries

Peroneal dysfunction: an under diagnosed cause of lateral ankle...

Lateral ankle sprain is a common sports injury. Alicia Filley explains why peroneal dysfunction may be to blame for the persistent pain and instability after the acute injury has healed.  Ankle sprains generate a significant amount of emergency room charges in the United States with a significantly greater number of lateral than medial sprains noted(1).... MORE

05/21/2019 | Knee injuries

The best exercise for patellofemoral pain.

Nearly 10% of adolescent athletes complain of patellofemoral pain (PFP)(1). When evaluating knee injuries in adults that present to the sports clinic, up to 25% involve the patellofemoral joint. This nagging injury likely starts during adolescents when young athletes begin to ramp up their training and increase the time spent in sport. As Chris Mallac... MORE


05/28/2019 | Email Newsletters

Focus on athletes with ADHD

According to the Centers for Disease Control and Prevention (CDC), the number of children diagnosed with Attention-Deficit/Hyperactivity Disorder  (ADHD) in the United States since the start of the 2000s has increased almost 50%, with some surveys citing the incidence up to 11% in children 4 to 17 years-of-age(1,2). It seems likely, then, that the number... MORE

05/23/2019 | Power development

Plyometric training…when does rehabilitation need a spring in its...

The debate continues surrounding appropriate timing and volume for implementing plyometric training in return-to-play rehabilitation. Pat Gillham looks at the latest thinking ‘Plyometric exercise’ was a term coined in 1964(1). Plyometrics exercises exploit the benefits of the plyometric regime and involve the Stretch-Shortening Cycle (SSC)(2). Thanks to the muscles’ pre-stimulation during the eccentric phase, plyometrics... MORE

05/9/2019 | Anatomy

The Athlete’s Pelvic Floor

Tracy Ward discusses pelvic floor dysfunction in athletes, outlines the implications for rehabilitation, and raises awareness with a view toward prevention. The impact of female pelvic floor dysfunction (PFD) is a hot topic in women’s health but rarely discussed within the context of sport. This oft-ignored problem affects both men and women and impacts an... MORE


06/11/2019

Post-ACL repair runners shortened their stride and this happened…

Contact / Compression This is a normal force caused by weight bearing that compresses the articular surfaces of the tibia and femur and the meniscus in the knee. This force is created by both gravity and the contraction of the muscles around the knee such as the hamstrings and quadriceps that co-contract in walking and... MORE

06/4/2019

Ankle deep in the wrong diagnosis

  Any number of pathologies produces lateral heel pain (see table 1). As Chris Mallac explains in the first installment of his master class on chronic ankle instability(CAI), lateral heel pain is often the result of repeated ankle sprain. Mallac goes on to describe how CAI can lead to sinus tarsi syndrome, causing lateral heel... MORE

04/30/2019

Fit influences function in mountain bike performance

With the spring thaw in the northern hemisphere, mountain biking trails will be opening soon. Mountain biking (MTB) continues to grow in popularity. First introduced in the 1970s, as of 2015 the sport had grown to a reported 8.32 million participants in the United States alone(1). With the different types of off-road cycling including downhill,... MORE

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