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Publisher/editor TOR DAVIES

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

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Dr Joseph Brence, DPT, COMT, DAC Simon Lack - MSc, MCSP

Dr Markus W Laupheimer MD, MBA, MSc in SEM, MFSEM (UK), M.ECOSEP

Dr Dylan Morrissey - PhD, MCSP Dr Sarah Morton - MBBS Brad Neal - MSc, MCSP Dr Nicki Phillips - PhD, MSc, FCSP


JUL 2015

Every month hundreds of papers are published within the realm

of sports and exercise medicine and as a practicing clinician, despite our best intentions, it is impossible to remain continually up to date. As a result, to remain “current” and evidence-based can sometimes feel beyond reach. My name is Dr Sarah Morton, and I am the new commissioning editor for a section revolving around translating research into practice. This section is about bringing the literature together and presenting it to you as a practicing clinician, in a way that we hope will help you use the information to guide your practice. We will aim to incorporate the latest guidelines, the definitions and expert opinions all together in one place. Every other month we will invite an author with a special interest in the field or topic being discussed to develop a suitable article. The first article in this series is the Concussion in Sport article on page 26. Literally as we go to press today it was announced that Queensland Rugby player James Ackerman, a 25 year old father of two, had died following a head injury sustained after a tackle which took place in the first 5 minutes of a match a few days earlier. It illustrates the huge significance of this area of sports medicine and reinforces my belief in the importance of this project. I look forward to your comments and feedback as we move forward.

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THE SPORTEX RANGE sportEX dynamics - ISSN 1744-9383

Written specifically manual therapists. The articles

include sports-related manual therapy but are not exclusively focused on sports- specific topics. For more details visit our website at

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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.

CONTENTS 4 Journal watch

The latest key research from this quarter

8 Research reviews 10 Shock-wave therapy 13 MCL injury case study

Pain syndromes Benefits and mechanisms

Diagnosis and management of longitudinal MCL sprains


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 Dr Sarah Morton, MBBS and sportEX commissioning editor

18 FAI Part 2

Biomechanics, diagnosis, mechanisms and clinical management

26 Concussion in sport 33 Social watch

Putting the guidlines into action Practical resources from the social networks

best practice manual

promoting in


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