sportEX medicine (issue 49) – July 2011 (contents list)

For those of you with subscriptions to sportEX medicine, this is what the July 2011 issue contains. I will blog in more detail about each article shortly:

  • The Elbow and Wrist – Anatomy Refresher by Dr Simon Kay - Following on our previous anatomy refresher articles covering the shoulder, knee, ankle and hip, Dr Simon Kay looks in this issue, at the joints of the wrist and elbow. We have grouped both anatomical regions together as they are so intimately related to each other. (These articles are also available individually or grouped together in a single publication – please see under Single Articles)
  • The Deep Abdominals: should you strengthen in standing or lying? by Rosie Mew, physiotherapist. This article seeks to answer the question of whether activation of the deep abdominals is more effective in a functional position such as standing or in a more traditional Pilates position of crook lying. The study aimed to determine whether transversus abdominis (TrA) demonstrates greater activity on lower abdominal hollowing (LAH) in standing compared with crook lying, and with greater specificity in relation to the internal oblique (IO) and external oblique (EO). Subjects performed LAH in crook lying and standing. Muscle activity of TrA, IO and EO was measured using real-time ultrasound at rest and during LAH, and compared between the two postures. Changes in thickness due to involuntary postural tone, with the subject at rest, were also compared between the two postures. TrA showed significantly greater activity on LAH in standing compared with crook lying, and with greater specificity in relation to IO and EO.
  • SLAP II Repar in an Elite Female Rugby Union Player: Single Patient Case Study by physiotherapist Michelle Angus and surgeon Mr Abosede O Ajayi – This case report describes how an accelerated rehabilitation programme can be used to ensure an elite female rugby union player returns to competition in a timely manner following a superior labrum anterior posterior (SLAP) repair. The study follows an elite female rugby player throughout the management of a SLAP II tear in her shoulder. The athlete was fit for selection 8 weeks after SLAP repair and played an international fixture 9 weeks after her operation.
  • Is Pain a Disease? by Joseph Brence – (the full article can be read at this link) – As a PT, I am fascinated by the concept of pain and my first article for the sportEX blog (June 2011) is a reflection on the concept that pain itself may not always be a symptom, but instead, a disease. In my opinion, the article I have reviewed, written by G. Lorimer Moselely, highlights a concept that is often ignored by those in our field. We are trained early on to fix movement dysfunctions and research is now telling us that certain movement dysfunctions may be secondary to the output of pain. I find this concept fascinating and wanted to start the discussion with fellow professionals. As physiotherapists, we routinely see patients who present to our clinics with complaints of persistent, chronic pain. These patients are often dissatisfied by other clinicians who have simply dismissed their complaints due to negative diagnostic imaging, clinical patterns that don’t make sense and lengthy rates of healing. As “movement experts”, we often assume that pain is due to a limitation…?

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