BRINGING SCIENCE TO TREATMENT

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11/12/2018 | Improve

Sports injury: can athletes eat their way to recovery?

Can an athlete’s post-injury nutrition affect healing and recovery outcomes? In this two-part article, Andrew Hamilton looks at what the research says beginning with the macronutrients: protein, fats, and carbohydrates. When injury strikes, maximizing the speed of recovery is crucial for athletes seeking a speedy return to sport. As a clinician, you will be familiar with... MORE

10/22/2018 | Hip injuries

Sacral stress fracture in runners: a sneaky cause...

Patrick Gillham investigates the cause of stress fractures in runners, focusing on sacral stress fractures, which are less common and trickier to diagnose and treat. Anna Bonniface completes the London Marathon just months before being halted in her tracks at the Toronto Marathon due to a stress fracture. Stress fractures occur in a broad spectrum... MORE

Joint injuries


10/31/2018 | Joint injuries

Hyaluronic acid injections: is there a point?

The benefits or otherwise of hyaluronic injections for joint function in athletes remains unclear. Chris Mallac reviews the science and tries to come up with some best practice recommendations.  Hyaluronic acid (HA) was first discovered in 1934 by Karl Meyer and John Palmer when they isolated a previously unknown substance in the eye of a cow.... MORE

10/3/2018 | Knee injuries

Medial collateral ligament strain: where, how and why

In the first of a 2-part article, Chris Mallac describes the anatomy and biomechanics of the medial knee ligaments, the implications of injury, and how these injuries are identified and graded. The superficial medial collateral ligament (s-MCL) is one of the most commonly injured structures at the knee, in both contact sports and sports that... MORE

Diagnose & Treat


11/7/2018 | Knee injuries

Medial collateral ligament strain: back to activity

In the first part of this two-part series, Chris Mallac looked at the anatomy and biomechanics of the MCL and the posterior oblique ligament, and the assessment of injuries to these structures. In this follow-up article, Chris discusses the typical rehabilitation protocol following MCL injury and provides examples of rehab exercises. In sports that require sudden... MORE

11/5/2018 | Shoulder injuries

Brachial plexus injuries in the athlete

Chris Mallac discusses the pathophysiology of brachial plexus injuries, how they occur in high-risk sports, and the typical signs and symptoms suffered by the athlete. Brachial plexus injuries (BPI) are a reasonably common injury in contact-sport athletes. These are typically referred to as ‘stingers’ and ‘burners’, and represent a transient and reversible peripheral neuropraxia of all... MORE

10/29/2018 | Shoulder injuries

Subscapularis: the key to shoulder stability

In a previous article, Chris Mallac explored the unique anatomical and biomechanical features of the subscapularis, the common injury patterns associated with this muscle and the important role it has in shoulder stability. In this article, Chris outlines the classical signs and symptoms of subscapularis injury and provides rehabilitation ideas for injured and dysfunctional subscapularis... MORE


11/6/2018 | Email Newsletters

Return to sport after femoral acetabular impingement

“When can I return to sport (RTS)?” is the first question on any athlete’s mind after an injury. Those with femoral acetabular impingement (FAI) are no different. When the femoral head and neck misalign with the acetabulum, the resulting pressure impinges the labrum or rim around the acetabulum. Persistent impingement, usually classified as a CAM or Pincer... MORE

10/24/2018 | Diagnose & Treat

A clinicians guide to side strains in cricket fast...

Adam Smith describes the patho-anatomy of a side strain and outlines clinical tests to assess, treat and determine readiness for return to play for a cricket fast bowler. Side strains have been reported in a variety of sports, including javelin throwers, baseball pitchers, tennis players, golfers, and cricketers. This article, however, focuses on side strains... MORE

10/16/2018 | Email Newsletters

Invictus participant an example of nuances required to work...

In a recently featured article, physio Sean Fyfe outlined eight key principles to follow when working with an athlete with disabilities. Today’s newsletter highlights some of the research that supports these principles and offers a profile of 2018 Invictus Games athlete Stacey Trottier-Mousseau. With the 2018 Invictus Games just days away, some major milestones in... MORE


11/13/2018

Hip strength in runners: stability needed for mobility

Running is a series of leaps off from one foot to the other. At no time are both feet on the ground. Therefore, running requires solid stability in dynamic unilateral stance. Elite runners run so fast that their unilateral stance time is mere moments. When the foot remains so briefly on the ground, their structural... MORE

10/30/2018

Is isokinetic shoulder testing worth the trouble?

The shoulder’s rotator cuff consists of four small muscles doing a big job. Known as the SITS muscles, the supraspinatus, infraspinatus, trees minor, and subscapularis help keep the free-moving ball end of the humerus in the shallow glenoid fossa of the scapula (see figure 1). They attach on the ventral, dorsal, and superior portions of... MORE

10/23/2018

Running vs. Walking: a battle of the joint contact...

  How did the assumption that running causes osteoarthritis get started? Perhaps from the thought that the when the foot hits the ground at a faster rate than walking, the body experiences greater forces at the joints. Maybe it came from the fact that when people first started running recreationally they found it difficult and... MORE

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