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CONTENTS APRIL 2010 ISSUE 44


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


TECHNICAL ADVISORS Richard Bolton Steve Aspinall


Sophie Cox MCSP, MAPA


BSc (BASRaT), MSc


BSc (podiatry), SRCh, MChS


Dr Bryan English 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 to the Spring edition of sportEX medicine for 2010.


By the time you receive this issue of sportEX we’ll be about 830 days away from London 2012 so it seems fitting that we start the magazine with an update on volunteering as a physical therapist for this once in a lifetime occasion. We have followed this up with the second part of our refresher series on sports injuries, written by GP and sports medic, Dr Simon Kay. We have built a reputation on publishing these kind of practical articles and it feels good to be including them again. These days we can also enhance them with videos which hopefully adds even more value to the experience!


We then have a thought-provoking article on thoracic outlet syndrome. As you will have seen from the articles we published last year on vascular issues in the shoulder, there’s a lot of intricate anatomy in this area of the body and we hope that this article on TOS complements our previously published articles.


Part 2 of image guided therapy focuses this time on the practical application of choosing the right intervention for the right injury and finally we look at the approach and preparation by the physiotherapy team looking after the GB Paralympic adaptive rowing team for the 2008 Beijing Olympics, currently the newest Paralympic sport.


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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.


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 3


Enjoy the issue and as always we’d love to hear any feedback. Tor Davies, publisher tor@sportex.net


CONTENTS 4Journal watch


A look at some of the latest research


7Countdown to the 2012 London 9The shoulder joint –


assessment and diagnosis


The anatomy and movement of the shoulder followed by a detailed look at the diagnosis of injuries


Olympic and Paralympic Games An update on volunteering as a physical therapist at London 2012.


13Thoracic outlet syndrome 18Imaging and image-guided


therapy - part II


How each investigation for different injuries can be applied to the diagnosis and delivery of image guided therapies


24Elite disability sport – adaptive rowing


The physiotherapy preparation of the 2008 Paralympic adaptive rowing GB team


An overview of diagnosis and treatment


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