Sports and Exercise Physiotherapy conversations from Sydney, Australia.
PHYSIO MOSMAN: https://www.fitasaphysio.com/
This editorial challenges the traditional belief that muscle strength gains are the primary reason exercise relieves musculoskeletal pain. While physical activity is highly effective for recovery, current research suggests that biomechanical changes often fail to explain why patients feel better. Instead, the authors highlight biopsychosocial factors, such as increased confidence, reduced...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
Surgery Versus Rehabilitation for ACL Rupture
This living systematic review and meta-analysis evaluates whether early surgical reconstruction or primary rehabilitation—with the option of later surgery—offers better outcomes for anterior cruciate ligament (ACL) injuries. After analyzing data from multiple randomized controlled trials, the researchers found no clinically significant differen...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
This consensus statement provides evidence-based practical recommendations and standardized definitions regarding the diverse effects of stretching on human health and performance. Developed by a panel of twenty international experts using the Delphi method, the document clarifies that stretching effectively imp...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
This meta-analysis synthesises evidence from numerous studies to evaluate how structured physical activity alleviates symptoms of depression and anxiety across various demographics. The research concludes that exercise is a highly effective intervention, often matching or surpassing the results of traditional medication and psychotherapy. While all forms of movement are beneficial, aerobi...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
Conservatively treated massive prolapsed discs: a 7-year follow-up
This research investigates the natural history and recovery potential of massive lumbar disc herniations treated without surgery. By tracking patients over seven years, the study reveals that non-operative management is highly effective when early clinical progress is noted. Findings indicate that extrud...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
Recent highlights in low back pain research, Part I: Diagnosis and Prognosis
This narrative review synthesizes recent research on the diagnosis and prognosis of low back pain, highlighting five core themes to assist clinical decision-making. The authors emphasize that serious spinal pathologies are extremely rare, suggesting that clinicians should evaluate overall patient risk rather than ...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
New Study Reveals a Surprisingly Simple Way to Stop Your Back Pain From Coming Back
The WalkBack trial investigated the effectiveness of a walking and education program in preventing the return of low back pain. Researchers conducted a randomized controlled trial in Australia, comparing participants who received physiotherapy-led health coaching to a group receiving no ...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting with its established use for s...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
We discuss a comprehensive research review article from the Journal of Physiotherapy focused on the physiotherapy management of Achilles tendinopathy, covering both mid-portion and insertional types. The article provides an in-depth exploration of the condition's epidemiology, burden, and clinical course, advocating for a shift from a biomedical to a biopsychosocial view in diag...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
Rotator Cuff Tendinopathy: Diagnosis, Care, and Rehabilitation Guidelines
A recent article provides an evidence-based Clinical Practice Guideline (CPG) developed by an international expert panel focusing on the non-surgical diagnosis and treatment of rotator cuff (RC) tendinopathy. The guidelines emphasize that initial assessment must rely on a comprehensive clinical ev...
This academic review re-examines Frozen Shoulder (FS), traditionally seen as a localized orthopedic problem, by proposing an integrative systemic model linking the disorder to immunometabolic and endocrine dysfunctions. The central focus is on estrogen deficiency and resistance, noting the disproportionate effect of FS on perimenopausal and postmenopausal women. The article ...
PHYSIO MOSMAN:https://www.fitasaphysio.com/
New Perspectives on Exercise for Knee Osteoarthritis
A narrative review published in the Journal of Physiotherapy summarises recent research concerning the exercise management of knee osteoarthritis (OA) between 2020 and early 2025. The authors identify and discuss six key themes addressing the effectiveness and uncertainties of exercise therapy for knee OA, including qu...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
An academic article, published in the British Journal of Sports Medicine, presents the findings of a large cohort study titled, "How much running is too much? Identifying high-risk running sessions in a 5200-person cohort study." This study explored the relationship between sudden increases in running ...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
These sources consist of a multicenter, randomized, controlled trial and two systematic reviews/meta-analyses, all focusing on the optimal treatment for acute Achilles’ tendon rupture (ATR). The randomized trial found that surgery (open repair or minimally invasive surgery) did not yield better patient-reported outcomes than nonoperative treatment at 12 months, although surgery signi...
PHYSIO MOSMAN: https://www.fitasaphysio.com
Gluteus Maximus Activation During Strength Exercises: A Review
These sources primarily examine the effects of hip-extension exercises, such as the hip thrust (HT) and glute bridge (GB), on both muscle growth (hypertrophy) and athletic performance, specifically sprint capability. One study from the European Journal of Sport Science investigates the acute effects of HT and...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
The Myth of Stretching: What Science Says
These sources challenge conventional wisdom regarding stretching and flexibility, primarily advocating for the reassessment of flexibility as a major component of physical fitness. We highlight limited evidence supporting static stretching's effectiveness in preventing injury, reducing muscle soreness, or significantly impr...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
ACL Treatment Decisions: Patient Experiences and Clinician Advice
This text is an excerpt from an original research article published in the Journal of Science and Medicine in Sport, focusing on Anterior Cruciate Ligament (ACL) injury treatment decisions from the perspective of 734 Australian patients. The study employed a mixed-methods design, using both a survey and s...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
The sources comprise a clinical commentary from the Journal of Orthopaedic & Sports Physical Therapyaddressing the widespread belief that exercise therapy harms or "wears down" the knee joint in patients with osteoarthritis (OA). The authors, Alessio Bricca, Carsten Bogh Juhl, and Ewa M. Roos, assert that this misconception stems from misinterpretations of early la...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
These sources collectively examine the anti-inflammatory effects of exercise and the underlying mechanisms involved. Multiple studies investigate how both acute and chronic exercise modulates the immune system, showing that physical activity generally reduces markers of systemic and localized inflammation, such as Tumor Necrosis Factor-alpha (TNF) and C-reactive protein (CRP), w...
PHYSIO MOSMAN: https://www.fitasaphysio.com/
We provide a comprehensive overview of low back pain (LBP), distinguishing between the common, non-specific type and rare, serious pathologies. They explain that LBP is highly prevalent, often self-limiting, and rarely indicates structural damage, with pain intensity frequently reflecting the body's protective sensitivity rather than injury severity. We emphasize the import...
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