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

TECHNICAL ADVISORS Steve Aspinall BSc (BASRaT), MSc Paula Clayton MSMA, MCSP Steven Cluney MSMA Dr Marco

PhD, MSc, BSc

Cardinale Dave Clark MSc, BSc (Med Hons), BPE Dip SST

Stuart Hinds

Brad Hiskins BSc, Dip SST Ian Jeffrey


BA (Hons), MSc, PGCE, CSCS

Michael Nichol BSc (BASRaT) Joan Watt

Dr Greg Whyte PhD, BSc (Hons) Welcome

The Health Professions Council, which is the UK regulatory body for health care, has recommended that sports therapy should become

a statutorily regulated profession. This follows a long campaign by the Society of Sports Therapists and The British Association of Sports Rehabilitators and Trainers, among others. The recommendation is long overdue but it is not yet a done deal. There are two main obstacles. The Chartered Society of Physiotherapy argues that their members already do what the sports therapists do. In my view, this isn’t true. Physiotherapy training is broad-based encompassing clinical areas like neurology, respiratory care as well as many musculo-skeletal elements. Sports therapy is mostly the latter and performed in the specific context of performance and sport. The second problem is that UK Government policy is leaning towards voluntary rather than statutory regulation but again in my view, this won’t work. There are already at least 3 organisations claiming to represent sports therapy in the UK. It’s unlikely that any of these will ever come together without an outside influence. In the meantime the public we serve are understandably confused. The next step in the sports therapy regulatory process is for politicians to make a decision. They need to be lobbied by their constituents. That’s you! Get writing to your MP by visiting the website There is also an ongoing discussion on sportEX’s blog at

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THE SPORTEX RANGE sportEX medicine -

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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.

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CONTENTS 4Journal watch 9Calf Injuries

Bob Bramah MSMA, MCSP

A look at some of the latest research

Back to basic biomechanics to reduce the frequency of these commonly occurring injuries

11 Posture assessment - part 1

How to assess posture in the clinical environment

working in sport and private practice

17Screening professional cyclists 28Balance and co-ordination 25Book reviews

The benefits of anatomical and biomechanical screening in cycling

Time management advice for those A look at some of the latest publications TO FIND OUT MORE ABOUT SPORTEX VISIT

excellence sports

promoting in


activity health

promoting HIGHLIGHTS for

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