CONTENTS APRIL 2009 ISSUE 20

Publisher TOR DAVIES BSc (Hons) tor@sportex.net Editor BOB BRAMAH MSMA, MCSP bob@sportex.net Art editor DEBBIE ASHER debbie@sportex.net Advertising manager PAUL HARRIS paul@sportex.net +44 (0)845 652 1906 Subscriptions SANDRA GREATOREX subs@sportex.net +44 (0)845 652 1906

TECHNICAL ADVISORS Bert Appleton Steve Aspinall

MSMA BSc (BASRaT), MSc

Paula Clayton MSMA, MCSP Steven Cluney MSMA Dr Marco

Stuart Hinds Brad Hiskins Ian Jeffrey

PhD, MSc, BSc

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

BSc, Dip SST

Michael Nichol Joan Watt

BA (Hons), MSc, PGCE, CSCS BSc (BASRaT) MCSP, MSMA

Dr Greg Whyte PhD, BSc (Hons) Welcome Welcome to the Spring edition of sportEX dynamics.

In this edition we take a look at some therapies that may help with the preparation of athletes for sporting performance. Our more forward thinking professional teams are already beginning to embrace the idea that the old ‘bucket and sponge’ man who combined a rudimentary knowledge of injury management with the role of fitness trainer, kit man, cleaner and bus driver, are long gone.

In this we are a long way behind some of our continental neighbours. The article on chiropractic in particular hints at the work being done by Italian football giants AC Milan. They focus not simply on the day to day preparation of their current squad but are actively involved in longer term research projects to ensure that they remain at the top of the sports science league. The proof of what they achieve is demonstrated by David Beckham. In a couple of months they reduced his body fat percentage from 13 to 8%. They improved his overall fitness and level of play to such an extent that he was recalled to the national team.

A multidisciplinary approach is very much the way forward but it needs to filter

down the pyramid from the elite to the grass route level. When we think of health professionals and sport we tend to focus on physio and sports therapists but there are many other disciplines out there and they all have something to offer.

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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.

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Bob Bramah, MSMA, MCSP bob@sportex.net

CONTENTS 4Journal watch

11Foot care for sport7Craniosacral therapy and its role in sport

14Litigation in sport A look at some of the latest research

How the practice and conduct of sports medics is under rising scrutiny

A look at how podiatrists can play an important part in the prevention and management of lower limb problems

17 Chiropractic and sports 19 Hydrotherapy

reoccur so frequently

The value of chiropractic clinicians and their holistic approach within sport

The case for using hydrotherapy in sport 21 Hamstring muscle injuries A look at this common injury and why they