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TECHNICAL ADVISORS Steve Aspinall Sophie Cox


BSc (podiatry), SRCh, MChS

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


Dr Nick Webborn MRCGP, Dip Sports Med, MSC

Prof Greg Whyte PhD, BSc (Hons Welcome

JAN 2012

Well again this is a bumper issue and while I know I’m biased, I do feel the issues just keep getting stronger. My job is to make sure

that keeps happening! We all appreciate by now that economic times are pretty tough which makes your continued support even more appreciated than usual. Thankfully we’ve had a great year which has allowed us to invest in adding value through the addition of the new CPD quiz and certificate areas, not to mention the upgrade of the website and the launch of the completely new support area ( The iPad app should also be out by the time you read this.

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 1744-93838 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 £54, practice subscription £94

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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.


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. 3

So in terms of adding value to the articles, the feedback on the public/client/patient advice leaflets (I never quite know what to call them) was so good from the last issue that we’ve published two more in this issue, one on MTSS (p14) and one on SIJ pain (p34). The articles on both muscle injury and the spine, feature a number of animations to help bring the written material to life and on page 15 we have published one of the blog posts that appear monthly on our website, written by US physical therapist Joe Brence. You can subscribe to the blog by visiting www.

In the meantime I wish you a very happy and healthy new year and bring on London 2012!

Tor Davies, publisher and founder

CONTENTS 4Journal watch

A look at some of the latest research

7Case study: medial tibial stress 15 From the sportEX blog

syndrome + advice leaflet*

The injury and rehabilitation of an elite hockey player including a rehabilitation leaflet

Utilisation (or overustilisation) of MRI in the diagnosis and treatment of LBP

16 Clinical reasoning for students 22 Muscle injury

Understanding and implementating clinical reasoning into your practise. An update on the evidence-base of muscle injury and treatment 28The spine + advice leaflet* A refresher on assessment and diagnosis of back injuries including a rehab leaflet. TO FIND OUT MORE ABOUT SPORTEX VISIT

best practice sports

promoting in HIGHLIGHTS care

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