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Publisher TOR DAVIES BSc (Hons) Editor LYNN BOOTH MCSP Art editor DEBBIE ASHER Advertising manager TOR DAVIES +44 (0)845 652 1906 Subscriptions SANDRA GREATOREX +44 (0) 845 652 1906


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

This quarter has been another busy one - so busy I didn’t even get time for a holiday! In fact so much has happened that we’ve

produced a ‘bulletin board’ at the back of this journal to keep you up to date.

I’m particularly keen to find more guest bloggers who want to write about issues relevant to physical therapists. Joe Brence, our US physical therapist, contributes monthly by reviewing and discussing the practical application of recently published research. So far he has covered: ‘When is pain more than a symptom?’ (June); ‘Taping and arm-crossing: just two other ways of managing arm pain’ (July); ‘Core balance vs. strengthening in individuals with chronic low back pain’ (Aug (reproduced in this issue)); and ‘How can we improve pain outcomes following total knee arthroplasties?’ (Sept). To keep updated just go to

If you have a topic you would like to share with our 12,500 enewsletter readers, just email me a brief summary of what you’d like to cover in your post. Don’t worry, you don’t have to be technical, you can just send your text as a Word file (with accompanying pictures if appropriate) and I’ll do the rest. If you want to contribute something on a regular basis then we can also pay for these contributions.

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

Tel: +44 (0)845 652 1906 Fax: +44 (0)845 652 1907


ISSN 1744-9383 - written specifically for professionals working with athletes and sports people to help

them get the most out of their athletic performance - personal subscription

£54, practice subscription £94 THE ENVIRONMENT

sportEX is printed in the UK by

Cambrian Printers Ltd, award-winning colour printing specialists, indepen- dently 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. 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. 3

4Journal watch footballers

rehabilitation A look at some of the latest research

7Injuries sustained by female 14 Shoulder instability

The epidemiology of injuries in women’s soccer

Case study: diagnosis and management of an amateur cricketer’s shoulder injury

20Stress fractures in sport Practical information to assist in the diagnosis and management of bone stress injury

CONTENTS 25Rehabilitation of a medial

collateral ligament tear

Case study: the management of the second most common knee ligament injury (inc. advice leaflet*)

30sportEX blog highlight 34 Bulletin board

individuals with chronic low back pain The latest sportEX news TO FIND OUT MORE ABOUT SPORTEX VISIT Core balance versus strengthening in

Tor Davies, publisher

best practice sports

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