A new perspective on risk assessment

Practical Use of the HOAC II for Clinical Decision Making and Subsequent Therapeutic Interventions in an Elite Athlete With Low Back Pain

“…Some research has gone into risk assessment with respect to identifying weak links in an individual's stability, but more work is needed and is currently in progress. 1,27,38 SUMMARY T his case report demonstrates the clinical application of HOAC II and shows how the ICF terminology of activity limitations and participation restrictions can be integrated into patient management in a manner that we believe enhances practice. The case report is illustrative in that it demonstrates how all elements of HOAC II can be addressed for what we consider relatively common types of patient problems.…”

Parallels between astronauts and terrestrial patients – Taking physiotherapy rehabilitation “To infinity and beyond”

“…The FIFA 11+ used as a warm-up by football (soccer) players is perhaps the most widely implemented neuromuscular exercise injury prevention programme currently used (Soligard et al 2010). More targeted preventive training programmes are now being developed for specific sports and occupational cohorts (Frohm et al, 2011) and the Performance Matrix (Mottram & Comerford 2008). However, consensus is needed to harmonise terminology and definitions used (Teyhen et al 2014;Hegedus et al 2015) and further research required for movement tests to be implemented in pre-and post-spaceflight screening.…”

Low back pain incidence in New Zealand rowers and its relationship with functional movement patterns

“…However, despite these methodological limitations the results of both these intervention studies are encouraging, indicating that the prevalence of low back pain can be altered in a rowing population with a specific exercise programme. Screening of athletes either during the pre-season or mid-season training is now almost mandatory in elite and professional sport and is commonplace in competitive sport even at junior levels (Comerford, 2006;Mottram & Comerford, 2008). Originally, preseason orthopaedic screening had a number purposes; firstly it fulfilled legal and insurance requirements (in some countries), secondly it assumed all team members would start the season with a common level of health and fitness, thirdly it helped discover pre-existing conditions that might interfere with or worsen with physical activity, and finally it was thought to help prevent or predict future injuries (Garrick, 2004).…”

“…The screening of athletes is seen as an important component of the sports medicine team's job (Brukner & Khan, 2011) and is promoted as both a strategy to minimise injury risk and to enhance performance (Comerford, 2006;Mottram & Comerford, 2008). Functional screening tools aim to evaluate an individual's dynamic and functional capacity and are based on fundamental proprioceptive and kinaesthetic awareness principles (Cook, Burton, & Hoogenboom, 2006).…”