BRINGING SCIENCE TO TREATMENT

03/3/2021 | Elbow and arm injuries

Little leaguer’s elbow: a growing concern

While practice might make perfect, too much preparation can damage growing bones. Chris Mallac explains how pitching mechanics and skeletal immaturity contribute to little leaguer’s elbow. 2019 South Williamsport, PA, pitcher Egan Prather (24) throws a pitch in the third inning against the Caribbean Region during the Little League World Series. Credit: Evan Habeeb-USA TODAY... MORE

02/24/2021 | Email Newsletters

Don’t jump the gun on percussive massage

Percussion massage guns are gaining popularity among professional and recreational athletes and creeping into rehab clinics. Marketers claim that they improve performance, aid in recovery, promote relaxation, break up scar tissue, speed up healing, and more. However, a literature search reveals only two articles concerning the efficacy or use of these devices. The first is... MORE

Joint injuries


02/3/2021 | Knee injuries

Periodization in the rehabilitation of anterior cruciate ligament injuries

Knowingly or not, sports physiotherapists use periodization principles when they implement post-operative protocols. Jessica Montgomery explains how capitalizing on periodized training can improve ACL injury outcomes. To successfully return to play, athletes recovering from anterior cruciate ligament (ACL) injuries must regain their preinjury level of strength, neuromuscular control, and power. These elements are necessary for... MORE

01/28/2020 | Email Newsletters

47% of ACLR patients who can SLS still have...

The high rate of reinjury after anterior cruciate ligament repair (ACLR) makes it essential that clinicians accurately assess an athlete’s readiness to return to sport (RTS). Many factors play a role in RTS decision making, not the least of which is knee extensor strength. Regaining quadriceps strength is one of the most challenging aspects of... MORE

12/13/2019 | Uncommon injuries

Uncommon injuries: Pes anserinus part II – the road...

In the first part of this series, Andrew Hamilton outlined the structure of the pes anserinus complex, the risk factors for injury, and the diagnostic criteria. In the second and final part, he explores the most effective treatment options and rehab protocols for athletes suffering from a pes injury. As explained in part one of this... MORE

Diagnose & Treat


03/3/2021 | Musculoskeletal injuries

The young and reckless: the influence of age on...

Age and maturity may put younger athletes at risk for certain types of injuries. Jason Tee explains how development impacts injury risk and examines how to support young athletes for life-long activity. While increasing age increases overall injury risk in athletes, clinicians may misinterpret that fact and ignore the injury risk in the young(1). Indeed,... MORE

02/3/2021 | Ankle and foot injuries

Sesamoid stress fracture: no small issue

Sesamoid bones are some of the smallest in the body. Yet, they can pose a big problem when injured. Trevor Langford discusses the anatomy, biomechanics, and clinical relevance of a stress fracture of the sesamoid bones and reviews management options. Sports such as running, dancing, and gymnastics often require forceful forefoot dorsiflexion while in a weight-bearing... MORE

01/6/2021 | Leg injuries

Screening to stave off hamstring injuries: hype or hope?

Hamstring injuries frequently plague soccer players. Andrew Hamilton looks at potential screening tests to identify athletes at an increased risk of hamstring failure and determines their worth to those seeking to avoid this debilitating injury. Hamstring strain injuries (HSIs) are one of the most common soccer injuries(1). Research suggests that HSIs account for around one... MORE


03/31/2021 | Email Newsletters

Concerns and consensus on youth runners

Running for sport is just as popular among young people as it is with adults. Up to 40% of children participate in running as a sport in some parts of the world(1). For youth in the US, running is the second most popular activity(1). As the popularity of running grows, so do the numbers of... MORE

03/3/2021 | Knee injuries

Rate of force development and return to sport following...

Successfully returning an athlete to sport following anterior cruciate ligament reconstruction (ACLR) poses an ongoing challenge for rehabilitation professionals. Jessica Montgomery discusses the role the rate of force development plays in return to sport and injury prevention and the  modifications needed for younger athletes. 2012 South West England’s Holly Molesworth in action during the rugby... MORE

02/9/2021 | Email Newsletters

Measuring readiness for return to running

Paper Title: Construct Validity and Responsiveness of the University of Wisconsin Running Injury and Recovery Index Publication:  J Orthop Sports Phys Ther. 2020;50(12):702-710. doi:10.2519/jospt.2020.9698. https://doi.org/10.2519/jospt.2020.9698 Publication date: December 2020 Introduction Running related injuries (RRIs) may require runners to reduce their running volume as well as cause functional limitations, psychological consequences, and financial burdens due to... MORE


03/16/2021

You’re in luck with youth ACL injuries

In 2021 the world will celebrate St. Patrick’s day a little differently. Because of the ongoing pandemic, parades and parties are cancelled. However, you’re still in luck! We’re sharing with you a research review usually only reserved for subscribers. This research review included in the March issue followed elite youth soccer players after an ACL... MORE

03/9/2021

COVID-19 and athletes – an update IV

It’s been a year since most of the western world went into lockdown due the novel coronavirus’s arrival. Thankfully, science has progressed at a break-neck pace to develop treatments and vaccines as novel as the virus itself. Because of the progress in this area, some of life’s normal activities have returned, including organized sports. In... MORE

02/16/2021

Rugby’s effect on spine health

Athletes who play rugby, especially at an elite level, are at greater risk of all types of musculoskeletal injuries(1). These injuries often lead to pain or dysfunction long after the games are over, especially in retired players over 50 years old. Osteoarthritis (OA) is a common complaint, and often the onset of pain from OA... MORE

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