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Comparative

EFFICACY OF EXERCISE THERAPY FOR PATELLOFEMORAL PAIN: A NETWORK META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS.

Ji YX, Xie YJ, Zhou XZ et al. medRxiv 2023;doi: https://doi.org/10.1101/2023.01.01.22284033

This is a meta-analysis pooling the findings of 45 trials with 42,319 patients using outcomes of pain intensity or functional improvement following a diagnosis of patellofemoral pain. The results showed that all included treatments were superior to a wait-and-see approach. They were: l PNF + exercise; l whole body exercise; l hip-and knee-focused exercise therapy; l foot orthoses + exercise; l hip exercise; l knee brace + exercise; l gait retraining exercise; l knee exercise; l knee arthroscopy + exercise; l target exercise; l kinescoping + exercise; l education + exercise; l feedback exercise.

Exercise therapy with education was better than exercise alone in alleviating pain intensity.

Co-Kinetic comment

You should be able to find a treatment that suits your patient in that list. The key is making sure that exercise is included.

INJURIES IN PHYSICAL EDUCATION TEACHER STUDENTS: DIFFERENCES BETWEEN SEX, CURRICULUM YEAR, SETTING, AND SPORTS. Barendrecht M, Barten CC, van Mechelen W et al. Translational Sports Medicine 2023;2023:8643402

This study examines the injuries occurring in Physical Education Teacher Education students. Data

OPEN

PHYSIOLOGICAL AND NEUROPHYSIOLOGICAL EFFECTS OF SPORTS MASSAGE ON THE ATHLETES’ PERFORMANCE: A REVIEW STUDY. Shamsi H, Okhovatian F, Kalantari KK. Scientific Journal of Rehabilitation Medicine 2022;11(5):680–691 (in Persian)

This review study aimed to investigate the neurophysiological and physiological effects of sports massage on athletes’ performance and to find out the clinical beliefs of sports physiotherapists regarding the effects of sports massage on sports injuries and whether such beliefs were supported by scientific evidence of not.

A search of Google Scholar, ScienceDirect and PubMed was conducted from 1975 to 2020 for papers in English using the keywords ’sports massage’, ‘sports injuries’, ‘physiological mechanisms’, ‘neurophysiological mechanisms’ and ‘performance of athletes’. The results were whittled down to 14 clinical trial studies and 1 case review. The conclusions drawn were that the existing studies were heterogeneous in that they reported the effects of massage on different factors and with contradictory results, and that the effects on athletes’ performance are more due to psychological rather than clinical effects.

Co-Kinetic comment was collected from 2899 students (male n=1947; female n=952) over a 14-year period. Forty-three percent of all students (54.9% of females and 37.2% of males) reported a total of 2129 injuries (1st year 56.4%; 2nd year 28.2%; 3rd year 15.5%). The most prevalent sudden-onset injury locations (63.4% of all injuries) were the ankle (32.5%) and knee (16.6%). The most prevalent gradual onset injuries were the lower

No surprises here. Sadly, too much massage research tends to be of low quality and this paper does not buck the trend. There is no table listing the papers they are discussing and the majority of the 21 listed references are so ancient they are written on papyrus. Come on people, massage deserves better.

Co-Kinetic comment

leg (27.8%) and knee (25.2%). Joint/ ligament injuries (45.8%) and muscle/ tendon injuries (23.4%) were the most prevalent injury types. Proportions for injury locations and injury types differed significantly between curriculum years. Injury prevalence per setting and sport differed significantly between the sexes. Injury locations differed significantly between sports and between the sexes per sport.

The conclusion to this study is that there needs to be more injury prevention measures applied to PE students. To be fair to them, as they progress through the years they get fewer injuries, which might mean that their training in injury prevention is working. The big question is what happens when they qualify and start teaching? Are their own student teachers getting hurt in the same numbers? Can we have a follow-up study, please?