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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


MSMA


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


MCSP, MSMA


BA (Hons), MSc, PGCE, CSCS


Michael Nichol BSc (BASRaT) Joan Watt


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


n 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.


is published by Centor Publishing Ltd 88 Nelson Road Wimbledon, SW19 1HX


Tel: +44 (0)845 652 1906 Fax: +44 (0)845 652 1907 www.sportex.net


OTHER TITLES IN THE SPORTEX RANGE sportEX medicine - ISSN 1471-8138. Written specifically for professionals working in the field of soft-tissue injury and rehabilitation - personal annual subscription £35, practice subscription £99


sportEX health formerly known as healthEX specialist - ISSN 1471-8154. For people working in the physical activity health promotion sector, health and fitness industry as well as in primary care and occupational health - annual subscription £35 for individuals, £60 for departments


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.


www.sportEX.net 3


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


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


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


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


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