opusbiological, Author at Opus Biological - Page 11 of 13
Are we finally seeing the necessary consistent respect towards reducing the risk of head injuries in Elite sport?

Are we finally seeing the necessary consistent respect towards reducing the risk of head injuries in Elite sport?

What a game. What a Rugby World cup. What a final performance from both the Springboks and Kiwis. But, as always when there is any form of controversy in a big match, we will ask the question. If New Zealand captain Sam Cane didn’t have his yellow card upgraded to a red card so early on in the contest would it have been the same outcome? The rugby fan in me would love to have seen 15 vs 15 for a full 80 mins of course. However, to witness the sense taken by the officials in making an example of what is a direct shoulder to head shot, on the biggest stage there is, was a great decision. We need to protect contact sport athletes around head and spinal injuries and I personally hope this particular event will help to amplify this.

Some fantastic research was done into the frequency and type of head injuries experienced at the 2019 rugby world cup. Across 45 matches, 68 head injuries occurred with just over half of these players being removed from the field of play (Cooke et al 2023). 1. It’s going to be fascinating to see if with the recent changes in approach to the treatment and discipline of head injury related incidents in this year’s tournament correlates to a significant statistical shift compared to 2019.

Thankfully there has been much change In recent years in both the medical management of head injuries in rugby union and also the disciplinary approach to offending players.

A huge contributing factor to the progression of management and increase in discipline towards head injuries has been driven by the recent cases of ex players receiving a diagnosis of dementia with probable chronic traumatic encephalopathy. A recent paper on ‘Football’s Influence on Lifelong health and Dementia risk (FIELD)’ found that ex-professional international rugby players had twice the risk of developing dementia in later life than compared to the general population (Russell et. al 2019)2.

From the medical side, there’s been much clearer guidelines set out on the in play decision making on concussion and also on the return to play protocol. The emphasis on both the ‘recognise and remove’ principle and ‘Graduated return to Activity and Sport (GRAS) programme’ are highlighted in the HEADCASE extended guidelines posted by the RFU. 3.

Hopefully, the sensible refereeing decision made in last weekend’s final will have had a suitable impact on all those involved in the coaching and playing of rugby union. Understanding the importance of trying to abide by the safe tackling laws of the game, should correlate to us seeing less cases of longer term head injury consequences in competitors of the sport.

Opus Biological logo

The Importance of Pilates in Physiotherapy

The Importance of Pilates in Physiotherapy

Pilates is a form of resistance training that focuses on improving muscular strength, mobility, posture retraining and balance. Pilates incorporates more of a dynamic approach to exercise and can be adapted using various equipment. The mind-body connection is the foundation of Pilates which promotes isolated muscle activation and joint mobility.

Pilates has been modified to be used as an adjunct to physiotherapy, especially to aid women’s health and chronic lower back pain (CLBP) due to its focus on transverse abdominus, multifidus, diaphragmatic breathing and lumbo-pelvic control (Wells et. Al 2014). Pilates also incorporates a holistic approach to strength training, which is achieved by mind-body connection and breathing. Focusing on a muscle, breath or movement helps to redirect thoughts away from stress and create a meditative practice (Memmedove,2015).

There are various types of Pilates equipment which include reformer, chair, cadillac and mat. The equipment enables the exercises to be modified to the patient’s needs; for example, the springs and ropes on the reformer can provide more stability compared to a mat based Pilates exercise. Luz Jr et. Al found that equipment based Pilates reduced patient specific disability and kinesiophobia  (Luz Jr et. al,2014) and therefore aids recovery from injury.

Pilates exercises can be adapted for all age groups and can promote independence for elderly patients. The combination of strength and balance training enables an increase of activities of daily living (ADLs) and prevention of falls (Ferandez-Rodriguez et.al 2021). In addition to preventing injury, more recent studies have shown Pilates to lower the severity of temporomandibular dysfunction, fasting blood glucose and HbA1c level in type 2 diabetes in women (Parveen et. al 2023).

Pilates has been proven to progress both physiological and psychosocial aspects of patients’ well-being. However, there is evidence to suggest that there is no difference between Pilates and other forms of strength training in improving “dynamic strength, isometric strength, resistance strength, balance and flexibility” (Pinto et. Al 2022). It is crucial to understand that there is no optimum form of rehabilitation, and this highlights the importance of patient specific care.

Reference List

da Luz, M.A., Costa, L.O.P., Fuhro, F.F., Manzoni, A.C.T., Oliveira, N.T.B. and Cabral, C.M.N. (2014). Effectiveness of Mat Pilates or Equipment-Based Pilates Exercises in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial. Physical Therapy, 94(5), pp.623–631. doi:https://doi.org/10.2522/ptj.20130277.

Fernández-Rodríguez, R., Álvarez-Bueno, C., Ferri-Morales, A., Torres-Costoso, A., Pozuelo-Carrascosa, D.P. and Martínez-Vizcaíno, V. (2021). Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis. Physiotherapy. doi:https://doi.org/10.1016/j.physio.2021.05.008.

Memmedova, K. (2015). Impact of Pilates on Anxiety Attention, Motivation, Cognitive function and Achievement of Students: Structural Modeling. Procedia – Social and Behavioral Sciences, 186, pp.544–548. doi:https://doi.org/10.1016/j.sbspro.2015.04.009.

Parveen, A., Kalra, S. and Jain, S. (2023). Effects of Pilates on health and well-being of women: a systematic review. Bulletin of Faculty of Physical Therapy volume , 28(1). doi:https://doi.org/10.1186/s43161-023-00128-9.

Pinto, J.R., Santos, C.S., Souza Soares, W.J., Silveira Ramos, A.P., Scoz, R.D., Teixeira de Júdice, A.F., Alves Ferreira, L.M., Baltazar Mendes, J.J. and Amorim, C.F. (2022). Is pilates better than other exercises at increasing muscle strength? A systematic review. Heliyon, [online] 8(11), p.e11564. doi:https://doi.org/10.1016/j.heliyon.2022.e11564.

Wells, C., Kolt, G.S., Marshall, P., Hill, B. and Bialocerkowski, A. (2014). The Effectiveness of Pilates Exercise in People with Chronic Low Back Pain: A Systematic Review. PLoS ONE, 9(7), p.e100402. doi:https://doi.org/10.1371/journal.pone.0100402.

Woman stretching her arms and wrists

Multidisciplinary Teams in Private Practice: Lessons from the NHS

Multidisciplinary Teams in Private Practice: Lessons from the NHS

As a healthcare professional, I have had the privilege of working in both the National Health Service (NHS) and private practice settings. One aspect that has stood out to me is the power of multidisciplinary teams (MDTs) in delivering high-quality care to patients. MDTs, consisting of professionals from different disciplines working together, have long been an integral part of the NHS model of care.

In the NHS, MDTs are formed by bringing together healthcare professionals from various disciplines, such as physicians, nurses, pharmacists, physiotherapists, occupational therapists, social workers, and others, to collaborate in the assessment, planning, and delivery of care for patients with complex health conditions. MDTs utilise their diverse expertise and perspectives to provide holistic and patient-centered care, considering not only the medical condition but also the social, emotional, and psychological aspects of patients’ well-being. This collaborative approach has been shown to improve patient outcomes, reduce hospital readmissions, enhance patient satisfaction, and optimise the utilisation of healthcare resources.

Emulating MDTs in private practice can be equally beneficial. In private practice, healthcare providers often work independently, focusing on their specific area of expertise. However, incorporating a multidisciplinary approach can significantly enhance the quality and effectiveness of care delivered to patients. Here are some key reasons why emulating MDTs in private practice can be advantageous:

  • Comprehensive and Holistic Care: Incorporating professionals from various disciplines in private practice can enable a more comprehensive and holistic approach to patient care. By considering not only the medical condition but also the broader context of patients’ lives, including their social, emotional, and psychological well-being, healthcare providers can develop more effective treatment plans that address the whole person, leading to improved patient outcomes.
  • Collaborative Decision-Making: MDTs foster collaborative decision-making, where healthcare providers with different perspectives and expertise come together to develop and implement patient care plans. This collaborative approach can lead to more informed and evidence-based decision-making, reducing the risk of medical errors and improving patient safety.
  • Improved Patient Experience: Patients often appreciate the convenience of receiving care from a variety of healthcare professionals in one location, rather than having to visit multiple providers in different locations. A multidisciplinary approach can enhance the patient experience by providing streamlined and coordinated care, resulting in increased patient satisfaction.
  • Enhanced Professional Development: Working in a multidisciplinary team can also provide opportunities for professional development and learning. Collaborating with colleagues from different disciplines can expand healthcare providers’ knowledge and skills, fostering a culture of continuous learning and professional growth.
  • Efficient Resource Utilisation: MDTs in private practice can also optimise the utilisation of healthcare resources. By pooling the expertise of different professionals, redundant or unnecessary tests or procedures can be minimised, resulting in cost-effective and efficient care delivery.

Emulating MDTs in private practice can be highly beneficial for patients and healthcare providers alike. By fostering collaboration, comprehensive care, patient-centeredness, and efficient resource utilisation, MDTs can enhance the quality and effectiveness of care delivered in private practice settings. As healthcare professionals, let us learn from the successful model of MDTs in the NHS and strive to incorporate multidisciplinary approaches in private practice to optimise patient care and outcomes.

Colleagues meeting around a table with a laptop

Improving Access to Primary Care Physicians in the UK: Challenges and Solutions

Improving Access to Primary Care Physicians in the UK: Challenges and Solutions

Primary care physicians play a crucial role in ensuring that people have access to basic healthcare services. In the UK, primary care physicians are typically general practitioners (GPs) who provide medical services to patients in the community. However, access to primary care physicians in the UK is not uniform, and many people struggle to access basic healthcare services due to various barriers.

According to a report by the King’s Fund, there are significant variations in access to primary care physicians across the UK. In some areas, patients can easily access a GP, while in others, there are long waiting times, and patients struggle to get an appointment. The report identified several factors that contribute to the variation in access, including population density, demographics, and workforce availability.

One significant challenge facing primary care physicians in the UK is a shortage of GPs. According to the Royal College of General Practitioners, there is a severe shortage of GPs, and the number of full-time equivalent GPs per 100,000 people has been declining since 2014. This shortage makes it difficult for patients to access primary care services, and it also puts a strain on existing GPs, who are often overworked and unable to provide the necessary level of care.

Another issue is the difficulty patients face in getting an appointment with a GP. Many practices have long waiting times, and some patients have reported having to wait weeks or even months to see a GP. This can lead to patients delaying seeking medical attention, which can exacerbate their condition and lead to more significant health problems.

Barriers to Access

There are several barriers to accessing primary care physicians in the UK, including:

Geographic location: Patients living in rural areas often have to travel long distances to access primary care services, as there are fewer GPs in these areas.

Socioeconomic factors: People living in deprived areas are less likely to access primary care services due to factors such as lack of transport, inability to take time off work, and language barriers.

Age and gender: Older people and women are more likely to access primary care services than younger people and men, who may delay seeking medical attention until their condition worsens.

Language barriers: Patients who do not speak English as their first language may struggle to communicate with GPs, leading to misdiagnosis and inappropriate treatment.

Solutions to Improve Access

Several solutions could improve access to primary care physicians in the UK, including:

Increasing the number of GPs: The government should invest in increasing the number of GPs and provide incentives for medical students to pursue general practice.

Using technology: GPs could use telemedicine and remote consultations to reduce waiting times and increase access to healthcare services.

Improving access for deprived communities: The government should invest in providing transport services and addressing language barriers to improve access for people living in deprived areas.

Increasing public awareness: The government should launch public awareness campaigns to encourage people to seek medical attention when they need it and educate them about the importance of primary care services.

Illustration of a doctor with a clipboard beside a map of the UK
The Role of Sports Medicine in Training and Recovery

The Role of Sports Medicine in Training and Recovery

Physical training can take a toll on an athlete’s body, often resulting in injuries and fatigue. However, with the right sports medicine strategies in place, athletes can maximise their training and recovery, ensuring that they perform at their best. In this article I discuss the importance of sports medicine in training and recovery and provide some tips for athletes to help them stay injury-free and achieve their goals.

Sports medicine encompasses a wide range of healthcare disciplines, including physiotherapy, nutrition, and biomechanics. The goal of sports medicine is to help athletes improve their performance, prevent injuries, and recover from injuries quickly.

One of the key aspects of sports medicine is injury prevention. Sports medicine professionals work with athletes to identify potential risk factors and develop strategies to mitigate them. This may involve improving biomechanics, ensuring proper nutrition, and developing personalised training plans.

Another important aspect of sports medicine is recovery. Athletes can experience a range of injuries, from minor strains to more severe sprains and fractures. Sports medicine professionals use a range of techniques, including physiotherapy, massage, and orthobiologics, to help athletes recover quickly and safely.

Maximising Training and Recovery with Sports Medicine:

Here are some tips for athletes to help them maximise their training and recovery with sports medicine:

  • Develop a personalised training plan: Work with a sports medicine professional to develop a training plan that is tailored to your needs and goals. This can help you train more efficiently and effectively, reducing your risk of injury.
  • Focus on proper nutrition: Nutrition plays a critical role in athletic performance and recovery. Ensure that you are getting the right balance of macronutrients (protein, carbohydrates, and fat) and micronutrients (vitamins and minerals) to support your training and recovery.
  • Use recovery techniques: Incorporate recovery techniques such as stretching, massage, and cold therapy into your routine to help your muscles recover more quickly and reduce the risk of injury.
  • Listen to your body: Pay attention to any warning signs that your body may be overtrained or at risk of injury. If you experience pain or discomfort, take a break and seek the advice of a sports medicine professional.

Sports medicine is a critical component of any athlete’s training and recovery strategy. By working with sports medicine professionals and incorporating the tips outlined above, athletes can reduce their risk of injury and perform at their best.

Reference List

 

Sprinter set in the starting blocks on a red athletics track