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The shoulder is the most frequent site of pain  and time loss injury  in swimmers, In all cohorts, shoulder pain prevalence in swimmers is high, increasing with time in the sport and may range from 40 to 91% depending on the age group and definition. The quest for risk factors include range of shoulder rotation…

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Measures of body mass such as weight and body mass index (BMI) have long been practically used as a measure for the prediction of health risks and outcomes. Although of some value, these measurements do not address an individual’ s variability in body composition (i.e. lean versus adipose tissue). Abnormalities in body composition such as low…

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Rupture of the anterior cruciate ligament (ACL) is a common knee sports injury. ACL reconstruction (ACLR) restores structural stability and enables a return to high-demand activities and sports. After ACLR, the rate of return to play (RTP), secondary ACL injury (either ipsilateral or contralateral ACL), and patient-reported outcomes in the International Knee Documentation Committee (IKDC)…

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So until late 2018, I completed a weekly research review. I took 4 papers that caught my interest and summarised and commented on them and gave you my thoughts in an email. It was crazily popular with over 20,000 subscribers and I was humbled by the response. I took biomechanics, sports medicine, rehabilitation and sport…

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There are numerous studies in the literature investigating factors of significance for outcome after anterior cruciate ligament (ACL) reconstruction. Physical factors, such as incidence of giving way, quadriceps muscle strength and number of additional knee injuries at the time of ACL reconstruction and subsequent arthroscopy, as well as psychosocial factors, for example fear of re-injury…

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Most European elite football leagues have a winter break that coincides with the middle of the football season. However, in England there is no scheduled winter break. The effect of the absence of a winter break on injury rates has not been investigated.  This study aimed to compare injury rates among professional men’s football teams…

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Athletic groin pain (AGP) is prevalent in field sports with recurrent accelerations, decelerations, and changes of direction. Despite this, the biomechanics contributing to AGP remains poorly understood and under-investigated in comparison with other sporting injuries. Stiffness, which is resistance of a body to deformation under a given load, has attracted attention in injury prevention research…

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Anterior cruciate ligament reconstruction (ACLR) has been reported to be effective at restoring function and stability to the knee and improving patient-reported outcomes. However, it does not guarantee an athlete will return to play (RTP) and that re-injury will not occur. This may be due, in part, to the absence of clear criteria identifying the…

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progression of exercise loads

So, we work in a field where strength based rehabilitation is paramount and in many conditions from Osteoarthritis to tendinopathy rehabilitation has been shown to be superior or at least as successful as surgical intervention yet we struggle with innovation. Studies dabble between concentric versus eccentric, slow versus fast and the trend flip flops between…

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Femoroacetabular impingement (FAI) is a bony condition of the hip caused by repetitive abnormal contact between the femoral head and the acetabulum of the pelvis and has been found to be highly prevalent in young athletes with a peak risk ae of 12-13 year of age, before the epiphyseal plates fuse. Repetitive movements, mainly involving…

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