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Publisher/editor TOR DAVIES Art editor DEBBIE ASHER Sub-editor ALISON SLEIGH

Journal watch BOB BRAMAH

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COMMISSIONING EDITORS Brad Hiskins - Australia & NZ Whitney Lowe - USA & Canada Humphrey Bacchus - UK & Europe Glenn Withers - Worldwide Dr Marco Cardinale - Worldwide Dr Thien Dang Tan - USA & Canada Dr Joseph Brence, DPT, COMT, FAAOMPT, DAC


Bob Bramah MCSP, MSMA Paula Clayton Stuart Hinds Rob Granter Michael Nichol



Joan Watt MCSP, MSMA Prof Greg Whyte PhD, MSc, BSc

is published by Centor Publishing Ltd 88 Nelson Road Wimbledon, SW19 1HX Tel: +44 (0)845 652 1906 Fax: +44 (0)845 652 1907


THE SPORTEX RANGE sportEX dynamics - ISSN 1744-9383 Written specifically for

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THE ENVIRONMENT sportEX is printed in the UK by Cambrian Printers Ltd, award-winning colour printing specialists, independently audited to ISO 14001 and EMAS environmental standards. sportEX is printed on paper from FSC certified forests using vegetable-based inks, chemical free plates and presses running alcohol free. It is also mailed in biodegradable polybags.

4 Journal watch The latest key research from this quarter

8 Research reviews 12 Knee menisci

Screening for DVT; T4 syndrome Structure, function and common injuries 19 Hamstring injury - part 2 Prevent hamstring injuries in footballers

CONTENTS 28 Assessment techniques


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.


BSc (BASRaT), MSc MSc, FA Dip, Mast STT


OCT 2014

One of the challenges of content development and production these

days is that firstly there is so much free information out there and secondly delivery/ presentation opportunities are growing all the time. I often say that these days I work more in technology than I do in content production (luckily I love both!). Did you know that we actually produce five versions of every issue of sportEX medcine? There’s the print version, the online (website) version and then the three variations on the apps (Apple, Google, Kindle Fire). Each one requires individual set up and formatting. However these challenges are also opportunities because we can use our community of expertise to identify these free resources and filter out the wheat from the chaff so that you don’t have to. One of the missions of sportEX has always been to save you time, and that gets more and more important as the volume of web content grows. This is what we aim to achieve through both our Journal watch pages and our Social watch (Twitter in the case of this issue) at the back of the journal. In September I gave the green light to phase one of the development of our new

web platform (more nerding for me!). Without giving too much away, the ambition is that this will be a game changer for both our sports medicine industry but also for provision of content in a business to business context. It’s a bold goal but I believe an achievable one. Unfortunately I won’t have anything to show you until the first quarter of next year but the community it will help to facilitate will be great for our members. In the meantime enjoy Autumn and enjoy this issue.

Tor Davies, physio-turned publisher and sportEX founder

Is the single leg squat an appropriate assesment technique in waterbased activities?

Some of this quarter’s best resources

best practice sports

promoting in HIGHLIGHTS care

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