BRINGING SCIENCE TO TREATMENT

06/2/2021 | Shoulder injuries

Thoracic Outlet Syndrome in the Athlete: Part 2

Part one of this article series discussed the patho-anatomy of thoracic outlet syndrome (TOS) and the typical symptoms associated with the different neurological and vascular TOS subtypes.  In part two, Chris Mallac outlines the clinical tests used to diagnose TOS and discusses conservative management and surgical options to treat this injury. Clinical Tests There are... MORE

05/25/2021 | Email Newsletters

Putting the brakes on ACL injuries in women

As we close out the month of May and our dive into sports injury in female athletes, we highlight a study that points out just how little research focuses on female ACL injuries. Researchers in Italy found only one recent video analysis study of ACL injuries in soccer players that included female athletes(1). They note... 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


06/2/2021 | Ankle and foot injuries

Sure footing: why the foot is the foundation of...

The balance of the articular and muscular systems within the foot and ankle complex is crucial for optimal loading to withstand sporting demands. Tracy Ward explains the architecture, biomechanics, and clinical application to build the foundation from the foot up. The foot and ankle complex controls balance and posture and counteracts gravitational forces. The body’s... MORE

05/13/2021 | Female Athletes

Getting over the hurdle: restoring power and function to...

Tighter is not better, and strengthening is not always the answer when muscles are stiff or sore. Sandra Hilton expounds on why this is as true for the pelvic floor as stiff backs, shoulders, or ankles. Treating pelvic pain is a unique challenge because its the association with bowel, bladder, and sexual function. A common misconception... MORE

04/22/2021 | Shoulder injuries

Thoracic outlet syndrome in the athlete

Injuries to the upper extremity’s nerves and blood vessels, although rare, can occur in the overhead athlete. Chris Mallac explores the different causes of thoracic outlet syndrome and the typical signs and symptoms that usually plague an athlete in this confusing, poorly defined, and difficult-to-diagnose problem. First described over 200 years ago and named as... MORE


05/17/2021 | Improve

Battle of the bulge: does heavy lifting harm the...

Female athletes use resistance training to enhance their strength and performance. The pelvic floor is perhaps the only region where physical exertion may create a negative effect. Tracy Ward examines the issue to determine if females are at risk of causing or worsening pelvic floor problems with weighttraining. Females have unique anatomy, biomechanics, and physiology... MORE

05/14/2021 | Female Athletes

Playing fast and loose: the implications of joint hypermobility...

Female athletes with persistent musculoskeletal pain may suffer from joint hypermobility syndrome. Though often overlooked, it is associated with an increase in injuries and can significantly affect athletic abilities. Tracy Wardprovides an overview of the condition, its implications, and specific treatment strategies to enhance performance. Joint hypermobility syndrome (JHMS) is a connective tissue disorder that... MORE


06/9/2021

Patellofemoral pain syndrome: is it okay to use lunges?

Paper title: Patellofemoral joint loading during the forward and backward lunge Publication: Physical Therapy in Sport. Jan 2021; Vol. 47, Pages 178-184 https://doi.org/10.1016/j.ptsp.2020.12.001 Publication date: Jan 2021 INTRODUCTION Patellofemoral pain syndrome (PFPS) is one of the most common causes of knee pain in young athletes. It usually presents as anterior and retro-patellar knee pain made... MORE

05/19/2021

Linking menstrual irregularity, contraceptives, and bone health in collegiate...

Paper Title: Menstrual Irregularity, Hormonal Contraceptive Use, and Bone Stress Injuries in Collegiate Female Athletes in the United States. Publication: PM&R Publication date: Published online ahead of print on 2020 Dec 19.doi: 10.1002/pmrj.12539. INTRODUCTION For many women, the symptoms of menstruation or menstrual irregularity (MI) can get in the way of athletic performance. Therefore, some choose... MORE

05/11/2021

Taking the next step: progressing training loads

The perfect training load to elicit a desired functional adaptation is the elusive goal of every training session for every clinician and athlete. Doing so ensures that training is efficient and purposeful. However, there’s little guidance for measuring training loads in healthy athletes, much less those in rehab. Recently, Tim Gabbett, the father of training... MORE

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