CONTENTS JULY 2009 ISSUE 41

Publisher TOR DAVIES BSc (Hons) tor@sportex.net Editor LYNN BOOTH MCSP lynn@sportex.net Art editor DEBBIE ASHER debbie@sportex.net Advertising manager PAUL HARRIS paul@sportex.net +44 (0) 20 8652 1906 Subscriptions SANDRA GREATOREX subs@sportex.net +44 (0) 845 652 1906

TECHNICAL ADVISORS Richard Bolton Steve Aspinall

Sophie Cox Dr Bryan English MCSP, MAPA

BSc (BASRaT), MSc

BSc (podiatry), SRCh, MChS

Dip Sports Med, DO

Joanne Elphinston BPhty MA, MCSP Viv Lancey

MCSP, SRP

Dr Dylan Morrisey MCSP, MSc PhD Prof Graham Smith FCSP, SRP Joan Watt

MCSP, SRP

Dr Nick Webborn MRCGP, Dip Sports Med, MSC

Dr Greg Whyte PhD, BSc (Hons Welcome This issue signifies an important milestone in the history of sportEX as

we launched our first ever issue of sportEX medicine exactly 10 years ago in July 1999. And what a lot has happened in that time!

At the time I launched the publication, I’d come out of physio training, into a sports science degree and then into medical journalism. When I left my job as a medical journalist to set up sportEX, I was a junior reporter earning £12k a year! To say I knew virtually nothing about publishing would be an understatement. Here we are, 10 years on, not just keeping up but in many ways leading many much bigger publishing businesses through our use of digital technology. Each sportEX issue is now published online in a fully digital interactive form, as well as in paper. These digital issues include a whole range of animations, videos and audio interactions.

But the only reason we are still here and able to reach these new heights, is because you, our subscribers, continue to support and equally importantly, promote us to your colleagues and friends. With our enthusiasm for technology and desire to bring practice to life, It feels to me that sportEX is about to truly come into its own. I look forward to sharing this journey with you.

is published by Centor Publishing Ltd 88 Nelson Road Wimbledon, SW19 1HX

Tel: +44 (0)845 652 1906 Fax: +44 (0)845 652 1907 www.sportex.net

OTHER TITLES IN THE SPORTEX RANGE sportEX dynamics - ISSN 1744-93838 Written specifically for professionals working with a wide variety of athletes and sports people to help them get the most out of their athletic performance - personal annual subscription £30, practice subscription £55 sportEX health - ISSN 1471-8154 For people working in the physical activity health promotion sector, health and fitness industry as well as in primary care and occupational health - annual subscription £35 for individuals, £60 for departments

DISCLAIMER

While every effort has been made to ensure that all information and data in this magazine is correct and compatible with national standards generally accepted at the time of publication, this magazine and any articles published in it are intended as general guidance and information for use by healthcare professionals only, and should not be relied upon as a basis for planning individual medical care or as a substitute for specialist medical advice in each individual case. To the extent permissible by law, the publisher, editors and contributors to this magazine accept no liability to any person for any loss, injury or damage howsoever incurred (including by negligence) as a consequence, whether directly or indirectly, of the use by any person of any of the contents of the magazine.

Copyright subsists in all material in the publication. Centor Publishing Limited consents to certain features contained in this magazine marked (*) being copied for personal use or information only (including distribution to appropriate patients) provided a full reference to the source is shown. No other unauthorised reproduction, transmission or storage in any electronic retrieval system is permitted of any material contained in this publication in any form.

The publishers give no endorsement for and accept no liability (howsoever arising) in connection with the supply or use of any goods or services purchased as a result of any advertisement appearing in this magazine.

www.sportEX.net Tor Davies, publisher tor@sportex.net

CONTENTS 3Journal watch

7Get the balance right and physical activity

A look at some of the latest research

The star excursion balance test and single leg dynamic balance training

12Adolescent spinal pain, posture

How understanding the causes of adolescent spinal pain can be a key factor in preventing spinal pain in adults

17Posture poster and exercise advice leaflet

Poster showing ideal desk sitting position and a range of seat based exercises to encourage flexibility and mobility

The importance of knowing basic wrist anatomy along with injury diagnosis, investigation and treatment

21Common sporting wrist injuries