This book includes a plain text version that is designed for high accessibility. To use this version please follow this link.

Publisher/editor TOR DAVIES Art editor DEBBIE ASHER Sub-editor ALISON SLEIGH

Journal watch BOB BRAMAH

Subscriptions & Advertising +44 (0) 845 652 1906

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


Prof Greg Whyte PhD, MSc, BSc

is published by Centor Publishing Ltd 88 Nelson Road Wimbledon, SW19 1HX Tel: +44 (0)845 652 1906 Fax: +44 (0)845 652 1907


THE SPORTEX RANGE sportEX dynamics - ISSN 1744-9383 Written specifically for

X RANGE 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 from £54, practice subscription from £94

FIND US on Facebook

on Twitter

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.

8 Vitamin D in sport and4 Journal Watch 12 The challenges of youth 18 Tennis elbow

The latest key research from this quarter

exercise medicine Are low levels affecting performance?

Psychosocial response to injury and rehabilitation in youth athletes

Rehab guide for this difficult condition

CONTENTS 22 Patellofemoral pain

Proximal intervention for PFP management

27 Concussion neuroimaging 32 Research reviews 34 Social Watch

Are we protecting our athletes? Rotator cuff pathology Some of this quarter’s best resources TO FIND OUT MORE ABOUT SPORTEX VISIT 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.

3 Welcome

JAN 2015

2014 has been the year in which the fuse was lit on the time bomb that is concussion management in sport. Most sports medicine practitioners believe we ‘ain’t seen nothing yet’ and that things are going to get worse...much worse. In July this year a federal judge in the US removed a cap on damages paid out to thousands of NFL players experiencing neurological problems related to concussions suffered during their professional playing careers. However it might be worth mentioning here that the NFL has an annual revenue of $10 billion. Also this year the National Collegiate Athletic Association (NCAA), which according to Wikipedia is a non-profit association which regulates athletes of 1,281 institutions, conferences, organizations, and individuals, had a suit filed against them asserting that the organisation was negligent by failing to adopt any formal concussion policy until 2010 – and failing to establish any minimum standards when it finally did. This is serious stuff! American sport is infinitely better funded than most, if not all, of our sports in the UK. National governing bodies of impact sports where concussion is a signficant risk to their athletes, could be crippled by law suits along the lines of those that the NFL and NCAA have had to deal with. There is no doubt that this is one of the biggest sports medicine issues that NGBs are going to have to face, and it could well drag on for some time to come.

Tor Davies, physio-turned publisher and sportEX founder

best practice manual

promoting in


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75