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Publisher TOR DAVIES BSc (Hons)

Art editor DEBBIE ASHER Sub editor ALISON SLEIGH Journal watch BOB BRAMAH

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COMMISSIONING EDITORS Brad Hiskins - Australia & NZ Whitney Lowe - USA & Canada Humphrey Bacchus - UK & Europe Glenn Withers - Worldwide Dr Marco Cardinale - Worldwide Dr Thien Dang Tan - USA & Canada Dr Joseph Brence, DPT, COMT, FAAOMPT, DAC

TECHNICAL ADVISORS Steve Aspinall Bob Bramah Paula Clayton Stuart Hinds Rob Granter Michael Nichol Joan Watt


MSc, FA Dip, Mast STT Dip SST Dip SST


Dr Greg Whyte PhD, BSc (Hons) Editorial

APR 2014

Manual therapy is making a big time comeback it would seem. Physios out

there, have we timed this badly? I was the last year to go through the old physiotherapy Diploma qualification at Addenbrookes Hospital, Cambridge (pah yes a diploma I know, the BSc was still very new at the time, for those of you reading this and wondering what I’m banging on about!). We spent many happy (?) hours, particularly in our first year, running around in blue gym knickers, practicing our manual therapy techniques (stop it there!). Since then I’ve employed two student physios at sportEX who look at me as if I’ve dropped off another planet when I mention how much hands on work we did while we were training. Despite still thinking I’m 25 while logically knowing I”m the other side of 40+, my training days weren’t really that long ago were they?

And yet look at what we’re now discovering about the anatomical structure of the body that we thought we knew everything about, and even more significantly just how interconnected our fascial network is. Did we just give away the goose that lays the golder eggs? For all those of you who have been brave enough to commit to manual therapy as a profession, I suspect you have chosen very wisely. In this case the future looks bright even if it is more pearly white than orange.. Yes, I know the evidence base for massage (or apparent lack of, for so long) has had a major impact on the development of a profession for which this is a guiding philosophy but if we have learnt anything from the evidence presented in the Horizon programme, The Power of the Placebo, screened in the UK in February, just because the evidence appears to be very hard, almost impossible sometimes, to find, it doesn’t mean it’s not there.

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sportEX medicine - ISSN 1471-8138. Written specifically

for professionals working in the field of soft-tissue injury diagnosis,

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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 4 Journal watch

This quarter’s latest soft tissue research

8 Functional fascial taping 13 Playing hurt

Research into the use of functional fascial taping for non-specific low back pain

CONTENTS 21 Reading research

Are you getting the most our of your reading?

Are your athletes playing while injured or in rehabilition? How much does the role of ethics play in your practice?


Is there really anything left to learn or have we just been scratching the surface?

Tor Davies, physio-turned publisher and sportEX founder

excellence sports

promoting in


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