BRINGING SCIENCE TO TREATMENT

Featured

02/5/2020 | Email Newsletters

How tendons adapt: learning more and knowing less

Knowledge of tendon pathology, the bugaboo of athletic injury, has evolved over the last few decades. Once thought of as a purely inflammatory condition, a diseased tendon demonstrates inflammation and degeneration within the tendon. Science continues to expand our knowledge of tendon health. A sports scientist from La Trobe University recently (2019) undertook the daunting... MORE

01/24/2020 | Leg injuries

Hamstring injuries: why location and anatomy matters!

Tracy Ward examines the principles of standard hamstring rehabilitation, expands them to differentiate by anatomical location within the muscle group, and shows how this translates into more specific rehabilitation protocols. Hamstring injuries are the most common soft tissue injuries seen in team field sports and track. The very high rate of re-injury (as high as... MORE

Joint injuries


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

08/29/2019 | Shoulder injuries

Frozen shoulder: new solutions to a sticky issue?

In the first of this 2-part article, Andrew Hamilton discussed the etiology of ‘frozen shoulder’ and the efficacy of conservative treatment options. In part two, Andrew examines the evidence for the benefits or otherwise of newer, more technological therapies for this condition including pulsed radiofrequency therapy and guided ultrasound. As we saw in part one of... MORE

Diagnose & Treat


02/14/2020 | Uncommon injuries

Uncommon injury: Scapular body fracture

A scapular fracture is rare in athletes, but one with potentially serious implications. Andrew Hamilton explains how it can occur, its diagnosis, and how the injury mechanism can affect the fracture type and rehab prognosis. Most scapular fractures in the human body occur as a result of a high-energy impact, such as a motor vehicle... MORE

01/16/2020 | Hip injuries

Uncommon injuries: Don’t play with groin pain – femoral...

Although relatively uncommon in athletes, the risk of a femoral neck stress fracture is nevertheless significant, especially in females. Andrew Hamilton explains the etiology of this debilitating injury, factors that aid a rapid and accurate diagnosis, and the nutritional defecits associated with its development. First reported by Asalin, a German military surgeon in 1905, a... MORE

01/3/2020 | Diagnose & Treat

Neuroplasticity part II: brain matters for effective rehab

In part one of this 2-part series on the importance of neuroplasticity in sports injury rehab, Chris Mallac explained how the ability of the cerebral cortex and cerebellum to reorganize and adapt has implications for athletes in the context of skill acquisition for an effective return to sport. In part two, Chris explores more key... MORE


01/30/2020 | Prevent

Beyond 11+: How to design a meaningful injury prevention...

Jason Tee discusses injury prevention strategies and why a ‘one size fits all’ may not be the best approach. Sports injury results in real economic costs for participants (hospitalization, doctor’s appointments, physiotherapy), as well as time off from work and school for participants hurt while playing sport. In professional sport, the stakes are even higher!... MORE

01/21/2020 | Email Newsletters

Putting isometric contractions on hold for strength gains

The immediate benefits of a resistance training program include improved strength, larger muscle volume, stronger bones, and tendons that withstand the burdens of added load. For athletes, strength training also helps improve performance and prevent injuries, especially when tailored to the needs of their sport. The challenge is finding the time to adhere to a... MORE

01/9/2020 | Improve

Bring pressure to bear on sports injury with blood...

Is blood flow restriction training just one more fad? Alejandro Piris Nino takes an updated look at the history, uses, risks, and guidelines of this novel intervention.     Blood flow restriction (BFR) training, originally called Kaatsu (meaning training with added pressure), is the partial restriction of arterial and venous blood flow to exercising muscles... MORE


02/10/2020

6 recommendations for the treatment of hip pain

Hip pain in active adults is common. Between 30% to 40% of adult athletes report chronic hip pain(1,2).  Hip pain doesn’t just affect athletes. The number of adults in the general population diagnosed with femoroacetabular impingement is 10% to 15%(3). Many with hip pain seek the help of a physiotherapist. Therefore, in 2017 a group... MORE

01/14/2020

Does thoracic manipulation effectively treat subacromial pain?

In 2018 Jeremy Lewis, Ph.D. raised a controversial point in his editorial titled The End of an Era?(1) He proposed that surgery for subacromial pain may be unnecessary as the acromion may not impinge structures as once believed. He also presents physical therapy and exercise for shoulder pain as an equally effective strategy. He makes an... MORE

01/7/2020

Turn up the heat to improve strength

Recovery from injury means regaining strength, but injuries also necessitate load modification. Therefore, a load of 60% to 80% of 1 rep max (RM), needed to stimulate hypertrophy and make strength gains, might be too great of a strain on injured tissues. The opposite approach, performing high reps of a low load, may be challenging... MORE

Follow us