This article discusses the current evidence for the short- and long-term effects of concussion in sport and how occurrences of concussion should be managed. The article also considers the potential role of medical imaging in terms of assessing both acute and chronic head injuries. Greater awareness of when medical imaging could be used will aid the practitioner's understanding of its potential contribution while still maintaining the fundamental importance of clinical judgement.
Suboptimal levels of vitamin D are now recognised as a worldwide public health problem (1), having a range of effects through many mechanisms. A wide range of individuals – even the supremely fit – can... 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
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 Co-Kinetic take-home messages. This is one of our most popular sections of content aimed at saving you time and money not having to trawl the research journals!
Understanding the psychosocial challenges faced by youth athletes can be key to a successful return to competition following sports injury. This article extends other recent articles that have examined the salient role of psychology within sports injury risk, rehabilitation and return to competition (1) by providing an overview of some of the challenges of working with youth athletes as well as presenting some strategies that can be used to enhance the quality of rehabilitation outcomes. It is hoped that this will stimulate reflective practice and increase practitioner confidence in working with some of the psychosocial challenges presented by youth athletes.
Subacromial impingement (SAI) and rotator cuff (RTC) tears are a common cause of pain and disability of the shoulder and may be both traumatic and non-traumatic in origin. It has been reported that 20–30% of individuals between 60 and 80 years old will present with a RTC tear (1,2). Because of the high prevalence, it is crucial that we understand the best clustering of signs and symptoms to accurately identify when injury to the RTC has occurred. This review assesses the best clustering to screen for this pathology.
As we are learning more about the complexity of pain, we are beginning to better understand that the degree of injury does not always relate to the degree of pain. The International Association for the Study of Pain (IASP) defines pain as ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage’. This definition highlights the variability of a painful experience and indicates pain may be a result of actual or potential tissue damage. A recent article published in the Journal of Bone & Joint Surgery sought out to determine if pain levels are related to the severity of rotator cuff pathology (1).
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