BRINGING SCIENCE TO TREATMENT

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07/22/2018 | Neck and back injuries

Upper trapezius: the key to scapulohumeral rhythm

Chris Mallac explores the relevant anatomy and function of the UT, the role it has in musculoskeletal dysfunction and management ideas in the form of strengthening and loosening. The upper trapezius (UT) is a major muscle that affects movement and stability of both the scapula and cervical spine. The coordination and interplay between the UT... MORE

06/26/2018 |

Golf: a gentle game that leads to pain

Although golf is regarded by many as a ‘gentle’ sport, the risk of lower back pain among its practitioners is surprisingly high. Andrew Hamilton explains the kinematics leading to back pain in golfers... 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


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

05/16/2019 | Ankle and foot injuries

Frustrating foot pain in cyclists? These 7 treatment strategies...

Although rarely discussed, research suggests that foot pain in cycling is surprisingly common. Andrew Hamilton explains how foot/pedal interface can lead to foot pain and gives advice to clinicians with cyclists in their care Although rarely discussed, research suggests that foot pain in cycling is surprisingly common. Andrew Hamiltonexplains how foot/pedal interface can lead to... 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


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

05/6/2019 | Other

Identifying exercise-induced laryngeal obstruction in the breathless athlete

Athletes with asthma are typically encouraged to swim as the humidity helps with their breathing. However, many athletes, including swimmers, continue to struggle with breathlessness during exercise. Alicia Filley explains why for some, breathing remains difficult, painful, and triggers panic attacks, despite treatment with bronchodilators. Exercise-induced laryngeal obstruction Historically, athletes who presented with exertional dyspnea,... MORE

04/16/2019 | Email Newsletters

The importance of sleep in performance and injury recovery

March madness culminated in the NCAA men’s championship finals when Texas Tech met the University of Virginia. With both schools given the chance to win their first basketball championship, the Raiders of Texas Tech were celebrating what has been for them a comeback season. To what did they attribute their success? Sleep! After a three-game... 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

04/24/2019

Dynamic knee valgus: villian or symptom?

Recently, researchers from High Point University proposed a new way of looking at dynamic knee valgus(1). Although long thought the precursor to anterior cruciate ligament (ACL) injury, the research fails to support the thought that increased valgus, observed when landing from a vertical drop jump, predicts the incidence of ACL tear(1). Therefore, the team from... MORE

03/26/2019

Running from injury

Last year a landmark study revealed that vertical loading forces, long thought the scourge of injured distance and recreational runners, are likely not the causes of repeated injuries(1). Rather, Canadian researchers found that when evaluating kinetic variables in 65 healthy female runners, only peak braking force (PBF) significantly predicted repeated running injury (RRI)(1). Specifically, those... MORE

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