BRINGING SCIENCE TO TREATMENT

07/22/2021 | Anatomy

Getting to grips with the distal radioulnar joint

Wrist injuries account for 3-9% of all sports injuries(1). Chris Mallac gets to grips with distal radioulnar joint injuries and discusses the presentation, diagnosis, and management in clinical practice.  Anatomy and Biomechanics The distal radioulnar joint (DRUJ) allows pronation and supination of the forearm. Along with the proximal radioulnar joint (PRUJ), these two uniaxial pivot... MORE

07/22/2021 | Knee injuries

A hop, skip, and a jump: restoring function following...

Patellar tendon ruptures are rare, and the evidence guiding rehabilitation is not clear. With this in mind, Trevor Langford reviews the predisposing factors, clinical presentation, and rehabilitation options in patellar tendon rupture repairs. With an incidence of 0.6%, a healthy patellar tendon rupture is rare(1). Patellar tendon ruptures (PTR) are often the result of trauma (direct or... MORE

Joint injuries


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

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

Diagnose & Treat


07/21/2021 | Diagnose & Treat

Stressed out: finding the optimal loading strategy for tibial...

Treating bone stress injuries usually involves a period of reduced weight-bearing and immobilization. However, bones benefit from bearing weight. Nicolaas van Dijk explores the benefits of early and optimal loading, leading to less time off from exercise and running. Between one to two-thirds of competitive cross-country and long-distance runners have a history of bone stress... MORE

06/2/2021 | Knee injuries

Uncommon injuries: posterior cruciate ligament tears

Posterior cruciate ligament injuries are rare. Thus, many clinicians lack the experience and protocols to manage them. Trevor Langford reviews the anatomy, biomechanics, and mechanism of injury of the PCL and covers the rehabilitation plan for isolated PCL injuries.  Introduction The posterior cruciate ligament (PCL) is the strongest intraarticular ligament of the knee and a... MORE

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


05/17/2021 | 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

05/25/2021

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

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

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