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CONTENTS APRIL 2012 ISSUE 52


Publisher TOR DAVIES BSc (Hons) tor@sportex.net Editor LYNN BOOTH MCSP lynn@sportex.net Art editor DEBBIE ASHER debbie@sportex.net Sub-editor ALISON SLEIGH


Subscriptions & Advertising support@sportex.net +44 (0) 845 652 1906


TECHNICAL ADVISORS Steve Aspinall Sophie Cox


BSc (BASRaT), MSc


BSc (podiatry), SRCh, MChS


Joanne Elphinston BPhty MA, MCSP Dr Dylan Morrisey MCSP, MSc PhD Prof Graham Smith FCSP, SRP Joan Watt


MCSP, SRP


Dr Nick Webborn MRCGP, Dip Sports Med, MSC


Prof Greg Whyte PhD, BSc (Hons) Welcome


APR 2012


I want to dedicate this editorial to an inspirational osteopath who I have known since I started sportEX and who tragically passed away


on the 15th December last year. Jonathan Betser was just 46 years old when he died, after an 18 month battle with cancer. He was married with two children and my deepest sympathy goes to his family for the loss of both a husband and a father.


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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.


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www.sportEX.net 3


In my first 6 years of sportEX, I worked closely with the Jonathan through the Osteopathic Sports Care Association, an association that he founded and which was just one of the many contributions he made to sports care. As a result of our shared goals, OSCA was the first association to provide sportEX medicine to its members, a group of people that Jonathan advocated for tirelessly. I always remember leaving meetings with him, feeling a weird contrast between mental exhaustion and sheer exhilaration (I’m sure I wasn’t alone in this experience)! The man was a human dynamo quite literally - he did everything at speed! He was involved in the London 2012 preparations, ran multiple private clinics, worked for many GB sports teams including GB Gymnastics and on top of that was one of the most generous and giving people that I’ve ever met. Jonathan, thank you for all you achieved on behalf of sports care, and for the integrity, honour and kindness you showed as a person. Our industry will be a much poorer place without you.


Tor Davies, publisher and founder tor@sportex.net


CONTENTS 4 Journal watch


This quarter’s key research 7 An accessory navicular dysfunction


A cause of medial foot pain that must be considered as part of the differential diagnosis


12 Assessing patellofemoral pain


Assessment and rehabilitation strategies for PFPS involving upright function


19 Athletic shoulder 27 Barefoot running


rehabilitation


Applied assessment and rehabilitation of proprioception in the shoulder


The (re-) evolution of barefoot running: does it reduce injury? 32 sportEX iPad & iPhone app TO FIND OUT MORE ABOUT SPORTEX VISIT Announcng the launch of our new app


best practice sports


promoting in HIGHLIGHTS care


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