This article highlights that a simple approach, in terms of combining a literature-based analysis with practical assessment methods, could determine a subject’s physical status in terms of susceptibility to injury in their given sport. After such an analysis, the pre-participation physical examination can be refined greatly in order to highlight any injury risk factors associated with an athlete, which helps to limit the potential time required to assess an entire team.
Patellofemoral pain is widely considered to be a condition that is multifactorial in nature, and that requires a multimodal approach to its successful management. Using an evidence-based approach to understanding the key predicators of its... Read More
This article demonstrates the benefit of both physiotherapy and Pilates to the dressage rider in a sport where the rider’s position can dramatically affect the outcome of how the horse performs. It emphasises the demands... Read More
Catch up on this quarter's essential physical therapy research. Our Physical Therapy Journal Watch brings you all the most important journal discoveries with our own unique sportEX take-home messages. This is one of our most... Read More
Movement is a highly variable and contextual activity. The specific movement reaction will be according to the brain interpretation of a given situation and the perceived risk or threat to the body’s tissues. By appreciating this context based reaction we can create assessment, treatment and rehab processes that enable us to understand and then change specific movement reactions that maybe causing pain or limitations thus leading to more applicable treatment methods. This may be the missing link between finding a cause and merely treating a symptom.
Patellofemoral pain syndrome (PFPS) is the most commonly diagnosed knee condition in patients under 50 years old. The condition is often perceived as difficult to treat due to differing opinions of aetiology and risk factors. A recent systematic review (1) concluded that the only two risk factors that have a positive predictive value for the development of PFPS are being female and having weak knee extensor strength, other studies have concluded it may be a result of abnormal Q angles, delayed muscle firing patterns of the quadriceps, abnormal transverse and frontal plane movement of the knee, etc. All of this stated, one thing that appears to be consistent in the literature is that strengthening of the musculature of the knee and hip appears to be more effective than solely focusing on the knee. This article reviews recent research which supports this statement and examined the long-term effects of using this approach.
Osteoarthritis (OA) is the most commonly occurring joint disease, affecting millions of aging individuals across the globe. incidence rates have shown to be as high as 26 million in north America alone, and the progression is physiologically related to the degradation of cartilage, joint space narrowing, and bony changes. Clinically, individuals with OA present to us with painful joints which are stiff and swollen, often resulting in decreased mobility. Joint replacement procedures are often performed by orthopaedic surgeons when the disease results in disability. in 2010, there were over 71,000 total hip and 79,000 total knee procedures performed in the UK. in the United States, the number was much higher with 231,000 and 542,000 respectively (to put these numbers into perspective, the population of each country during this time was 63 million in the UK and 308 million in the United States). following the procedure, many individuals report improved mobility and decreased pain, but clinically, we all know that some do not get better. For many clinicians, this is puzzling, because the peripheral joint, which was perceived to be the contributing variable, is gone. Some research is beginning to answer this conundrum and is further examining why some patients do not get better.
The focus of this article is to highlight the key elements essential to any sleep recovery programme. You will learn, through a simple 3-step approach, how to establish a practical, achievable and structured sleep wake routine (SWR) and apply it. This is the key to sleep recovery success, but something that very few apply.
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