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CONTENTS OCT 2008 ISSUE 38


Publisher TOR DAVIES BSc (Hons) tor@sportex.net Editor LYNN BOOTH MCSP lynn@sportex.net Art editor DEBBIE ASHER debbie@sportex.net Advertising manager PAUL HARRIS paul@sportex.net 020 8144 3391 Sales and marketing LISA NAJI


lisa@sportex.net 0845 652 1906 Subscriptions SANDRA GREATOREX subs@sportex.net 0845 652 1906


TECHNICAL ADVISORS Richard Bolton Steve Aspinall


Sophie Cox Dr Bryan English MCSP, MAPA


BSc (BASRaT), MSc


BSc (podiatry), SRCh, MChS


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


Welcome to the October issue of sportEX medicine. Hot off the heels of a resoundingly successful Beijing Olympics for


Team GB, Lynn Booth our sportEX medicine editor and the physiotherapy representative to the London 2012 Olympic Medal Committee, outlines exactly what practitioners can expect in terms of the supply of medical skills in 2012. This is the first of a regular set of articles focusing on London 2012.


On p7 we have reproduced an advice leaflet that we published in the July issue of sportEX dynamics, giving guidance on performing the commonly used strength development technique, the clean. As this is a popular exercise in sport generally, and the feedback on the leaflet has been so good, we felt it was worth repeating in sportEX medicine. Then comes an excellent review of the effects of sports surfaces on running biomechanics and injury followed by a very practical focus on the current evidence base and best practice in ankle ligament injury rehabilitation. Finally we have a slightly more unusual but very relevant article outlining the realities of drug use in sport and where our role as professionals lies in ensuring the safety of the athletes in our care. We hope you enjoy this issue.


Tor Davies, publisher tor@sportex.net


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


Tel: 0845 652 1906 Fax: 0845 652 1907 www.sportex.net


OTHER TITLES IN 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 £30, practice subscription £55


sportEX health - ISSN 1471-8154 For people working in the physical activity health promotion sector, health and fitness industry as well as in primary care and occupational health - annual subscription £35 for individuals, £60 for departments


CONTENTS 4Journal watch


A photocopiable advice leaflet


A look at some of the latest research


7The clean – advice leaflet 8London 2012


the loading of the body and running biomechanics


A look at the implications of adjustments made in terms of injury, risk and performance


A look at how the next Olympics will impact on London and the sports science and sports medicine communities


10The influence of changes in 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 sports surface cushioning on


A review of available research on the reha- bilitaion of complex ankle injuries


12The lateral ligament complex 20An introduction to steroids


this harm can be reduced The associated risks to health and how


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