E-Book Overview
This book summarises current knowledge and evidence for a variety of clinical problems encountered by Sports Physicians and others involved with active patients. It is a compilation of chapters by authors with authority and experience in their chosen field. In addition to management of common clinical problems, this book will attempt to provide the reader with the evidence for exercise and sport related to primary and secondary prevention of common problems such as osteoarthritis and diabetes mellitus.
E-Book Content
Evidence-based Sports Medicine Evidence-based Sports Medicine Edited by Domhnall MacAuley Sports Physician and General Practitioner, Hillhead Family Practice and the Queen’s University of Belfast, Belfast, Ireland and Thomas M Best Assistant Professor of Family Medicine and Orthopaedic Surgery, Affiliate Assistant Professor of Kinesiology and Biomedical Engineering, UW Medical School, Wisconsin, USA For updates, sample chapters and further information visit the website at www.evidbasedsportsmedicine.com. © BMJ Books 2002 BMJ Books is an imprint of the BMJ Publishing Group All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording and/or otherwise, without the prior written permission of the publishers. First published in 2002 by BMJ Books, BMA House, Tavistock Square, London WC1H 9JR www.bmjbooks.com www.evidbasedsportsmedicine.com British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library ISBN 0 7279 1584 3 Typeset by SIVA Math Setters, Chennai, India Printed and bound by MPG Books, Bodmin, Cornwall Contents Contributors Preface Section 1: An introduction to evidence-based medicine in sport 1 Evidence-based medicine critical appraisal, what to look for in an article Domhnall MacAuley, Thomas M Best ix xiii 1 3 2 Methodology in research Lisa Hodgson Phillips 12 3 How to use databases in sports medicine research John Orchard, Greg Blood 29 Section 2: Management of acute conditions 43 4 What is the role of ice in soft tissue injury management? Domhnall MacAuley 45 5 Who should retire after repeated concussions? Paul McCrory 6 What recommendations should be made concerning exercising with a fever and/or acute infection? Christopher A McGrew, Ronica Martinez 7 Does stretching help prevent injuries? Ian Shrier 8 Should you play sport with one kidney, one testis? John M Ryan 9 Can exercise help prevent falls and falls related injuries in older people? M Clare Robertson, A John Campbell, Melinda M Gardner 66 83 97 117 132 v Evidence-based Sports Medicine Section 3: Management of chronic conditions 163 10 Does regular exercise help in the treatment and management of bronchial asthma? Felix SF Ram, Stewart M Robinson, Peter N Black 165 11 Does exercise help or harm in osteoarthritis of the knee? Robert J Petrella 181 12 Does physical activity help weight loss in obesity? Linda S Pescatello 13 How should athletes with chronic low back pain be managed in primary care? Bruce Thompson 14 How should you treat spondylolysis in the athlete? Christopher J Standaert, Stanley A Herring 196 216 239 15 Is there a role for exercise in the prevention of osteoporotic fractures? Olga M Rutherford 266 Section 4: Injuries to the upper limb 287 16 Are corticosteroid injections as effective as physiotherapy for the treatment of a painful shoulder? Daniëlle van der Windt, Bart Koes 289 17 How should you treat an at