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VOLUME 26 – ISSUE 2 • WINTER 200 8 Opinions expressed throughout this journal are the Contents contributors own and do not necessarily reflect the views or policy of Sports Medicine Australia (SMA). Members and readers are advised that SMA cannot be DOING THE RIGHT THING 2 held responsible for the accuracy of statements made It’s a fine line between minimising your taxable income and cheating on your taxes in advertisements nor the quality of the goods or services advertised. All materials copyright. Gary Moorhead On acceptance of an article for publication, copyright passes to the publisher. WILL THE AMA EVER EMBRACE SPORTS AND EXERCISE MEDICINE? 4 Publisher “All doctors are members of the AMA – it’s just that some choose to pay their Sports Medicine Australia PO Box 78 Mitchell ACT 2911 membership fees and others don’t” Tel: (02) 6241 9344 Dr J Fax: (02) 6241 1611 Email: [email protected] Web: www.sma.org.au DRAFT CONSENSUS STATEMENT - SPORTS INJURY SURVEILLANCE Circulation: 4000 AND PREVENTION 8 ISSN No. 978-0-9805297-1-5 A draft statement for discussion and response Editors John Orchard & Janelle Gifford ANTI-INFLAMMATORY DRUGS – THEIR ROLE IN SPORTS MEDICINE 10 Managing Editor Lesley Crompton Wider exposure to an important topic Chief Executive Officer Chris Milne Gary Moorhead Subscription Manager WHICH SPORTS MEDICINE CONDITIONS ARE NSAIDS AND CORTISONE Ken Warwick INJECTIONS USEFUL FOR? 11 Advertising Manager The question to ask –”Do I really want to shrink tissue?” Lesley Crompton Design/Typesetting John Orchard Whalen Image Solutions SPORTS INJURY PREVENTION – WHAT’S IT GOT TO DO WITH PHYSICAL SMA STATE BRANCHES ACTIVITY AND HEALTH 13 ACT Physical activity related injuries – uniting physical activity promotion and ACT Sports House, 100 Maitland St Hackett ACT 2602 Tel: (02) 6247 5115 injury prevention to ensure safe active environments for all New South Wales Caroline Finch PO Box 3176 Rhodes NSW 2138 Tel: (02) 8116 9815 SPORTS INJURY PREVENTION AT THE 9TH WORLD CONFERENCE ON Northern Territory INJURY CONTROL AND VIOLENCE PREVENTION 14 PO Box 2331, Darwin NT 0801 Tel: (08) 8981 5362 Bringing together the “Who’s who” of injury prevention and control, Queensland research, policy and practice from around the world Sports House, 150 Caxton St, Milton QLD 4064 Tel: (07) 3367 2700 Caroline Finch South Australia PO Box 219, Brooklyn Park SA 5025 ACL PREVENTION IN NORWAY AND AUSTRALIA 17 Tel: (08) 8234 6369 Raised hopes that the researchers who specialise in intrinsic risks for ACL Victoria and Tasmania injuries are actually on to something. Sports House, 375 Albert Rd, South Melbourne VIC 3205 Tel: (03) 9674 8777 AFL INJURY REPORT: SEASON 2007 23 Western Australia Head and neck injury incidence was at an all-time low in 2007 PO Box 57, Claremont WA 6010 John Orchard and Hugh Seward Tel: (08) 9285 8033 EPODE 29 SUBSCRIPTION RATES 2008 A review by a Sports and Paediatric Dietitian Australia A$35 Overseas A$50 Tanya Lewis SMA members receive Sport Health as part of their membership fee 2008 CONFERENCE PROGRAM AND REGISTRATION FORM 33 Single copies and back copies A$15 (includes postage) A SLAP ON THE SHOULDER 36 PP No. 226480/00028 SLAP lesions are being seen as an almost essential lesion of the athletic shoulder For subscriptions contact Ken Warwick Rod Whiteley Phone: (02) 6241 9344 Email: [email protected] Cover photograph: Photos.com FROM THE CEO Doing the Right Thing By Gary Moorhead At some stages in most people’s lives, there are more than 15,000 community to sporting organisations, schools and choices have to be made between volunteers working in sport with current individuals in all parts of Australia. (To actions that will provide material benefit SMA Sports Trainer accreditation. As a download or view the complete resource and “the right thing” – which might volunteer program there is a high level list see http://www.smartplay.com.au). be something completely different. A of attrition and a constant need to train So what impact have we had? The complicating factor is that sometimes the more Trainers. In the last 12 months, struggle to provide an accurate answer distinction can be blurred. For example, SMA branches put a record number of to this question is one of the prime it’s a fine line between minimising your people through courses (more than five motivators behind a renewed “do the taxable income and outright cheating on and a half thousand). right thing” campaign by Sports Medicine your taxes. While “doing the right thing” and Australia to raise the quality of sports In the provision of health services, teaching and promoting sports injury injury prevention in Australia. there often exist situations where a prevention is no doubt reducing the There are many anomalous aspects to profession actively promotes policies number of potential injuries, there is a sports injury that impact adversely on and practices that in the long run have positive quid quo pro in the process for developing a national all-encompassing the potential to “hurt business.” But they SMA members. A basic ethos of sports approach to prevention. In terms of do it anyway because it is “the right medicine is the “team approach” to allocating responsibility at a government thing”. Dentists promoting fluoridation of treatment, with all relevant professions level, recognition of sports injury as water supplies is one obvious example. making a contribution from their area an issue has suffered because while Health professionals involved in the of expertise. Sports Trainers have the incidents and events that cause the treatment of sporting injuries promoting always been embraced as part of injuries largely lie under one department injury prevention is another. Sports the sports medicine team - the “team (Sport) the costs that are an outcome of Medicine Australia (SMA) members fit behind the team”. This has one direct the injuries lie under another (Health). squarely into this latter category, with the benefit to SMA members in that Sports In fact, in recent years this situation added “right thing” of also advocating Trainers provide a reliable referral has received some recognition with all sport and physical activity for their stream of injured players under their support for sports injury prevention at a health promoting/disease preventing care. Anecdotally, many physiotherapy national level in Australia coming from qualities.(For an absolute belting of practices have been built from service the Department of Health and Ageing. another group with possibly different with local sporting clubs to teach skills to In a number of state jurisdictions, most approaches here, read Dr J in this same the club Sports Trainers that led to a later notably Victoria, there seems to be a issue of Sport Health.) referral stream for the physio. greater level of sharing responsibility Sports Medicine Australia and SMA Sports Medicine Australia has also between health and sport departments members have always been at the supported sport in Australia by the and departments of sport and recreation. forefront of campaigns and policies provision of expert advice, policies In the wider area of recreational physical aimed at reducing the incidence and guidelines for safety. These activity and health promotion through and severity of injury in sport and policies and guidelines are constantly physical activity, for many years, injury recreational physical activity. The Safer updated to take into account the latest consequent of this activity was very Sport Program – the Program through research and best practice. This year much an “elephant in the room” – don’t which SMA members turn community SMA has released updated guidelines mention it because it might embarrass or volunteers into Sports Trainers by for preventing injury in hot weather upset. The most extreme manifestation teaching them sports first aid and injury and revised comprehensive “Safety of this attitude was a “promoting injury prevention and thereby providing Guidelines for Children in Sport. prevention will put people off activity” sport in Australia with a unique safety (download at http://www.sma.org.au/ viewpoint. Fortunately, in this country infrastructure – turns 25 this year. (It information/resources.asp ) In addition, at least, there seems to have been a should also be acknowledged that this with assistance provided by a grant breaking down of the barriers between Program has always had some level of from the Commonwealth Department of physical activity promotion and injury government support at either state or Health and Ageing, SMA has been able prevention and recognition by promoters federal level and has had 25 years of to extend the community sports safety of both that the two are closely linked. unbroken support from medical supplies program “Smartplay” nationally. This SMA can take some credit for this by company Beiersdorf.) At the moment means Smartplay resources will be able our promotion of injury prevention and 2 Sport Health FROM THE CEO physical activity conferences concurrent The Statement will attempt to gather Dr John Orchard and Journal of Science with the SMA national conference. wide support from health and sport and Medicine in Sport (JSAMS) editor, sector organisations for its proposals. To Professor Caroline Finch. Dr Orchard, But failure to recognise the significance date, these include: a Sydney-based Sports Physician with a or potential danger of sports injury is background of practice with both elite no respecter of background. Despite • A national system for monitoring and Australian Rules and Rugby League the plethora of research articles in injury preventing sports injury. football has a long history of working citing the peak danger times for injury • The establishment of a federally- with injury prevention campaigns. For as being when one is beginning or funded body (resourced by both many years he has been one of the recommencing training for a sport or Departments of Sport and Health) authors of the injury report for both the returning from injury, or when one over- to undertake this surveillance and AFL (see elsewhere in this issue) and trains and overdoes it, there have been a prevention task.
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