If between 5.8-50% of people fail to attend clinic appointments, it's not difficult to imagine how few actually adhere to rehabilitation programmes and this has become one of the key challenges faced by health care practitioners. The pressures associated with returning patients to pain-free function as efficiently as possible requires competence and understanding of the practitioner in developing realistic home exercise programmes. The developing age of technology to assist rehabilitation prescription means that too often, too little time in a clinical setting is dedicated towards effectively prescribing, instructing and teaching the home exercise programme and reviewing its effectiveness in subsequent sessions. This article explores the challenges associated with home exercise programmes and puts forward a series of suggestions about how to maximise adherence to these programmes. The article also includes a certificated elearning assessment, a printable daily self report template for you to use with your own clients and the author's original patient exercise handouts for weeks 1-4 and weeks 5-8 for chronic ankle instability.
Subgrouping individuals who suffer with patellofemoral pain has been identified as an important clinical tool to improve treatment effectiveness. This article presents the reader with a possible method to achieve subgrouping, considering the common deficits... Read More
Femoroacetabular impingement (FAI) is recognised as an anatomical discrepancy between the proximal femur and the acetabulum, which may increase the risk of intra-articular hip pathology, including labral tears and contribute to the development of groin... Read More
This case study presents the insights gained from the presentation and treatment of a longitudinal sprain of the medial collateral ligament (MCL) of the knee in a professional footballer. MCL sprains are usually transverse and... Read More
Osteoarthritis is a painful condition caused by the degeneration of the joints. Treatment can involve a combination of approaches, including exercise, lifestyle changes and pain relief and ultimately surgery. This article describes the use of... Read More
The first in a three part series explaining the biomechanics of lumbo-pelvic-femoral dysfunction as it relates to femoroacetabular impingement (FAI) and as understood by the Postural Restoration Institute® (PRI). Restoration of pelvic-femoral alignment and recruitment... Read More
This article offers a ‘how to’ guide for diagnosing Achilles tendinopathy. We describe the differential diagnoses and look carefully at the history taking, examination methods and imaging techniques that are useful in diagnosing Achilles tendinopathy.... Read More
This article is an overview of a review by Malliaras et al. (1) looking at Achilles and patellar tendinopathy rehabilitation. There has been much research into the pathophysiology of tendinopathy and management of the condition... Read More
This article offers the reader an evidence-informed and clinically reasoned review of the current literature with respect to proximal interventions in the management of patellofemoral pain. The evidence clearly backs up this approach, but it... Read More
Tennis elbow (lateral epicondylitis) is a common injury that is notoriously difficult to rehabilitate. This article provides a practical and progressive model for athletes to manage the condition and rehabilitate back to full function. This... Read More
This article provides the reader with an evidenced-based update on the risk factors commonly associated with hamstring injuries in football. These risk factors have been classified into two groups: non-modifiable and modifiable. Additionally, the reader... Read More
This article provides an overview of knee meniscal injuries. The article reviews elements relating the structure and function of the medial and lateral menisci, the common mechanisms of injury, and the presentation of signs and... Read More
The single-leg squat is commonly observed as a screening method for knee valgus. This has also been the case when assessing a water polo player’s knee when they have reported knee pain in the pool.... Read More
In this article, the team at the Nxt Gen Institute of Physical Therapy guide you through improving your management of a range of symptoms that improve with therapy aimed at the thoracic spine.
Knee pain and especially patellofemoral pain (PFP) is common among adolescents, but most of the previous scientific research has focused on adults even though adolescents with PFP are frequently seen in the clinic. During the... Read More
This article explores an RAF pilot’s anterior cruciate ligament (ACL) reconstruction. The case study discusses the mechanism of injury and the benefits of the different types of ACL graft as well as the patient’s problem... Read More
In the October 2012 issue of sportEX medicine I reviewed the current evidence and theories relating to Achilles tendinopathy. While many theories are still in situ the one that appears to have gained the most... Read More
Impingement accounts for up to 65% of all shoulder pain, and yet studies have been unable to determine the precise structure which is at fault. This article uses an evidence based approach to guide clinical... Read More
This article provides an update on the current available evidence on the assessment, diagnosis, and prognosis of hamstring injuries in soccer. After a detailed insight into the epidemiology, functional anatomy, and injury mechanism for hamstring... Read More
This article describes a case study of the diagnosis, assessment and rehabilitation of a youth team footballer who sustained an acute patella dislocation. The study includes all the information needed to effectively rehabilitate players including... Read More
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