Case Report: Cristiano Ronaldo’s Patellar Tendinopathy

10 ways to improve ACL rehabilitation without adding additional exercise

Sportsmen and women, as well as members of the general population, injure their anterior cruciate ligament (ACL) more than any other ligament. The exact incidence is hard to pin down. What we do know is that around 50% of athletes who suffer an ACL tear never return to the same level of play(1). In addition, nearly one-third of those that do return to sport go on to suffer a repeat tear(1).

11 factors that differentiate sciatica from hamstring or other causes of posterior thigh pain

Michael Lancaster discusses potential diagnoses in cases presenting with rear thigh pain, and how to sleuth out the cause.

2 programs to jump-start your telehealth Ther-ex Rx

Due to the Covid-19 pandemic, most athletes find themselves trapped within their home surroundings with limited resources for exercise. With events canceled globally and training programs halted, Trevor Langford begins a series on how sports professionals can ensure athletes remain focused, conditioned, and ready to return to training once give the ‘all clear.’

3 considerations for return-to-sport decision making

How soon can an athlete return to sport? Tracy Ward looks at the best-practice research and comes up with three guidelines for clinicians.

3 things to watch for in athletes with femoroacetabular impingement

2003. REUTERS/Patrick Price

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47% of ACLR patients who can SLS still have strength deficits

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 ACLR rehab. Yet knee extensor strength plays a significant role in functional stability when returning to sport(1).

5 tips to improve sleep in young athletes during the pandemic

COVID-19 has upended nearly all aspects of life as we know it. One of the most negative aspects of this upheaval is the toll the pandemic has taken on the sleep of those not infected by the virus. Reports of vivid dreams and insomnia are rampant among the general population. Athletes aren’t immune to the effects of this unusual time in our history.

5 ways to address psychological, social, and contextual factors in athletes with knee trauma

Just under half of the injuries that take players off the field and onto the bench are due to knee trauma(1). The number of athletes that returns to play at their previous level is significantly low(1). Typical injury recovery programs focus on the physical damage, but despite the improvement in clinical parameters, athletes may still not return to their prior level of sport. Therefore, there must be other factors preventing them from the recovery of their previous function.

5 ways to reduce muscle loss while injured

Doha 2019 - Bahrain's Tigist Gashaw receives medical attention after sustaining an injury during her heat REUTERS/Lucy Nicholson

55 UK Academy Small-sided Games

by Michael Beale

6 recommendations for the treatment of hip pain

January 2020 Holly Holm in action against Raquel Pennington REUTERS/Mike Blake

6 steps for successful telemedicine: Hands-off doesn’t mean second-hand

As Europe enters a second wave of COVID-19 cases and hot spots continue to spring up in the US, health professionals continue to think differently about providing care to their patients. The number of practitioners using telehealth medicine in primary care, in particular, has grown alongside the spread of the pandemic as clinicians try to segregate well and sick visits. The trend is worldwide, and guidelines, such as those provided by the Royal Australian College of General Practice, are help...

64 Small-sided Soccer Games Vol 1 (eBook)

by Michael Beale

64 Small-sided Soccer Games Vol 2

by Michael Beale

7 things to know about treating Masters runners

In the second part of our series on the aging runner, we look at running-related injuries and how to treat them. Masters runners report more injuries, more often, than younger runners(1). These aches and pains are likely to occur in the muscles and tendons of the posterior chain – hamstrings, plantar flexors, and Achilles tendons. In fact, the number one running-related injury in the Master population is Achilles tendinopathy(1). Older runners may suffer from these injuries more often due to ...

8 key principles for rehab with para-athletes

Thankfully, people of all abilities can participate in some form of meaningful movement as part of a healthy lifestyle. Whether in recreation or competition, those with disabilities suffer injuries just as typically-abled athletes do. They may then visit a physiotherapist seeking help for their injury and training to return to sport. The eight key principles outlined by Sean Fyfe help guide the therapist's treatment plan for a more successful outcome.

8 tips for conducting telehealth treatment sessions like a pro

Due to the coronavirus, most municipalities and regions are under a stricter level of social distancing. Many are calling for people to ‘shelter-in-place’. Depending on where you reside and practice, you’ve likely shuttered your clinic by now. That doesn’t mean you have to stop treating patients.

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A clinicians guide to side strains in cricket fast bowlers

Adam Smith describes the patho-anatomy of a side strain and outlines clinical tests to assess, treat and determine readiness for return to play for a cricket fast bowler.

A consensus on surgical versus conservative management of ACL injuries

18/4/16Arsenal's Jack Wilshere receives treatment after sustaining an injuryAction Images via Reuters / Matthew Childs

A 'hands-on' approach to axillary nerve injury

In today’s feature article, Chris Mallac explores the impact of axillary nerve injury. Damage to the axillary nerve occurs in athletes via a stretch from a fall or shoulder dislocation, compression, trauma, or as an unwelcome result of shoulder surgery. This peripheral nerve injury decreases both the strength around the shoulder, as the nerve innervates the deltoid and teres minor muscles, and the feeling at the shoulder, as it also provides cutaneous sensation to the regimental badge area. M...

A history lesson

When Sports Injury Bulletin (SIB) first began, it was a periodical that came in the post. Despite the challenges of the overseas mail system, SIB enjoyed a robust international audience. The expansion of the internet then enabled SIB to transition to an e-zine format, with each issue distributed in a PDF file via email, making an even broader distribution possible. Today, SIB embraces another evolution and becomes a web-based publication.

A hop, skip, and a jump: restoring function following surgical repair of patellar tendon ruptures

Patellar tendon ruptures are rare, and the evidence guiding rehabilitation is not clear. With this in mind, Trevor Langford reviews the predisposing factors, clinical presentation, and rehabilitation options in patellar tendon rupture repairs.

A pain in the neck

We’re excited about our recent announcement to transition our subscription model to a web-based publication! This offers our readers the opportunity to access our content from any smart device. The downside of mobile reading is a phenomenon called ‘text neck’.

A tale of two halves: the differences in muscle stiffness during menstruation

Assessing the differences in muscle stiffness measured with shear wave elastography and myotonometer during the menstrual cycle in young women

About us

Aching bones in young athletes

Young athletes are not simply ‘mini adults’. With that in mind, Kay Robinson discusses the common injuries occurring at joint surfaces in young athletes, and describes how these injuries can be prevented through appropriate management of athlete development

ACL rehabilitation: when is your athlete really ready for sport?

Anterior cruciate ligament (ACL) injuries in athletes can have devastating consequences. Tracy Ward rounds up the most recent guidelines for rehabilitation, return to sport, measures of success following ACL reconstruction surgery, as well as prevention strategies

ACTing against the fear of re-injury

Injured athletes commonly experience fear of re-injury when returning to sport. However, many clinicians lack coherent psychological strategies to support athletes’ throughout rehabilitation. Carl Bescoby explores how to identify, reframe, and ACT to overcome the fear of re-injury.

Acupuncture for sports injuries?

When conventional rehabilitation methods are just not enough, what else can facilitate return to sport? Tracy Ward looks at the evidence for and against acupuncture…

Acute Hamstring Injury Rehab – Get eccentric!

Patrick Gillham explores the benefits of using eccentric strengthening in rehabilitation for a quicker return-to-play following acute hamstring injuries…

Acute to chronic workload ratio: fact or fiction?

September 2020 Oldham Athletic's Tom Hamer receives medical treatment after sustaining an injury Action Images/Jason Cairnduff

Adam

"Soccer Coach Weekly is one of the top resources to go to for content, knowledge, and activities for soccer. I have and will continue to create entire youth programs based on SCW’s articles. The writers are fantastic and give clear, easy-to-follow explanations on all their activities."

Adam Davidson - 'The game speaks to the players, not me'

SCW caught up with Adam Davidson to talk about something he has been trying recently - co-designing sessions with his players…

Address these 4 things to improve patient outcomes

Team GB taekwondo athlete Lutalo Muhammad trains with his father at home in Walthamstow, following the outbreak of the coronavirus disease (COVID-19), London, Britain, May 24, 2020. REUTERS/Paul Childs

Adductor magnus: tales of tightness

Chris Mallac looks at the anatomy and biomechanics of adductor magnus, its role in musculoskeletal syndromes and how clinicians can manage tightness and high tone in this muscle

Adductor rehab: keep on the ball with a criteria-based plan!

Tracy Ward presents a criteria-based rehabilitation plan for returning to sport post-adductor injury and how this protocol can reduce days lost to injury.

Advice to discharged athletes: don't play right away

2020 Juventus' Alex Sandro receives medical attention after sustaining an injury REUTERS/Massimo Pinca

Alicia Filley

Alicia Filley, PT, MS is the former editor and a long-time contributor to Sports Injury Bulletin and its sister publication Peak Performance, she has 30 years’ experience working in rehabilitation, sports injury, and sports performance. Alicia holds a bachelor’s and a master’s degree in physical therapy. She is a practicing physical therapist and avid hiker, runner, and cyclist.

When not writing and researching, Alicia can be found putting our findings to the test outside on the

Alpha lipoic acid and acetyl L-carnitine

Could alpha lipoic acid and acetyl L-carnitine combine to form the elixir of life?

Ankle and foot biomechanics

David Joyce looks at the way that the foot and ankle combine – and how to avoid injury.

Ankle deep in the wrong diagnosis

Any number of pathologies produces lateral heel pain. As Chris Mallac explains in the first instalment of his master class on chronic ankle instability (CAI), lateral heel pain is often the result of repeated ankle sprain. Mallac goes on to describe how CAI can lead to sinus tarsi syndrome, causing lateral heel pain and rear foot instability. Alicia Filley further explains how some theorize that chronic ankle instability arises from undiagnosed peroneal dysfunction

Annual

Anti-inflammatory medication: does Mother Nature know best?

When pain and injury strike, non-steroidal anti-inflammatory drugs (NSAIDs) are the ‘go to’ medication for athletes. But given the potential downsides of NSAIDs, are there alternatives? Andrew Hamilton looks at recent research on natural plant compounds that may be able to combat inflammation, accelerate recovery and reduce stiffness.

Are you getting enough salt during recovery?

How a salty drink can actually quench your thirst after heavy exercise

As the shoulder turns: understanding the subscapularis - Part I

The subscapularis is the largest and most powerful muscle of the rotator cuff, and an important anterior stabiliser of the humeral head. With that in mind, Chris Mallac explores the anatomy and biomechanics of subscapularis in the first of two articles, including the most common injury presentations.

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Assessing and managing acetabular labral tears

Acetabular labral tears of the hip are one of the more challenging injuries for clinicians to diagnose and manage. Trevor Langford looks at what the recent evidence says...

Athlete voices in sports injury: The untapped resource

Researchers obtain qualitative data through first-hand observation, interviews, questionnaires, and other non-numerical sources of information. Jason Tee explores how clinicians can utilize the qualitative data and the athlete’s voice to improve rehabilitation outcomes.

Athletes: Yes or no to keto?

In recent years, keto diets have been increasingly promoted to boost endurance performance. But do they really work and if so, how should athletes use them? Andrew Hamilton looks at the scientific evidence...

Attacking - Principles of Play

Autoregulation: The solution to the rehab programming puzzle

Rehabilitation programs aim to recondition the injured tissue site to be pain-free and cope with the physical demands of the sport. Jason Tee delves into using autoregulation in exercise prescription to create robust athletes.

Axillary nerve injury: a pressing problem

The axillary nerve provides both motor innervation and sensation to the upper arm. Injury to this nerve, as described by Chris Mallac, presents athletes in contact sports with significant deficits.

Back in action: causes and remedies for low back pain in runners

Lots of factors may contribute to back pain in runners. Tracy Ward explores the causes of nagging non-specific low back pain and outlines a rehabilitation program to get runners back on track.

Back pain in ice skaters: How to prevent the downhill spiral

The dramatic increase in technical difficulties in ice skating requires vigorous training. Tracy Ward explores the causes of low back pain in figure skaters and provides treatment and prevention strategies.

Baker’s cysts: an early indication of pathology?

Chris Mallac explores the anatomy and pathology of Baker’s cysts, and how clinicians can manage this condition

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Fatigue Increases Injury Risk in Soccer

Hit or Miss: HIIT During Pregnancy

Rupture to Run: Post-Achilles Tendon Repair

Hip OA Alters Brain Function and Muscle Activation

Getting on Top of Pain: Topical NSAIDs

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Young Knees, Different Rules: Adolescent ACL Injuries.

Anterior cruciate ligament injuries in young athletes are on the rise, yet treatment guidelines remain limited. Nicky van Melick and Stijn ...

Pelvic Floor Dysfunction in the Female Athlete

Pelvic floor dysfunction is a common yet often overlooked condition affecting female athletes, with symptoms such as urinary incontinence, ...

Back to Basics: Revising Tissue Healing

Most athletes have experienced acute pain during their sporting careers. Samantha Nupen explores the acute pain mechanisms, the clinical ...

Beyond Injury: The Unrecognized Influence

Quantitative measures verify clinical treatment outcomes, which guide and define clinical practice. However, intangibles cannot be measured ...

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Sports Injury Bulletin brings together a worldwide panel of experts – including physiotherapists, doctors, researchers and sports scientists. Together we deliver everything you need to help your clients avoid – or recover as quickly as possible from – injuries.

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Case Report: Cristiano Ronaldo’s Patellar Tendinopathy

Patellar tendinopathy

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