I am sure many people have watched in raptures at the sight of Usain Bolt sweeping all before him to win World and Olympic sprint titles. But what makes him so fast and so good when it matters? It is commonly suggested that he doesn’t train very hard. His eating of chicken nuggets during the Olympic games is well documented- quite different to what many nutritionists would advise, I am sure. He races people previously banned for steroid use. There have been arguments made that some of the benefits of steroid use may continue for many years after their cessation....
Doping is cheating, cheating is wrong, cheaters should be punished. This view is ingrained in many psyches. Yet evidence builds every week that doping is rife in sport. Many of those caught – and many who aren’t – will have been raised to share exactly the ethical standpoint outlined above. Nevertheless, they choose to dope. Sports medicine, inevitably, is essential to performance enhancement. Physicians enable doping and some – the evidence suggests – encourage it. But all over the world clean athletes too will look for a physiological edge, and turn to teams of nutritionists and physiologists and physicians for...
Why are predictions so hard in sport? The capture of the Premier League title by Leicester City has been cited by many pundits as the greatest shock in sporting history. Is this grand claim little more than evidence of a cognitive bias? ‘Who could have known?’ Certainly not the same pundits who had almost unanimously predicted Leicester’s relegation. Exaggerating the scale of the surprise doubles as a kind of cognitive – and reputational – protection: ‘We were so wrong, yes, but we were right to be.’ I am not trying to argue that the result is not a statistical anomaly,...
The British Olympic cycling team and Team Sky’s cycling team have demonstrated phenomenal success over the last decade. Dave Brailsford is heralded as the man who orchestrated this performance. His concept of marginal gains is one that it is tempting to apply to all sports. But can it work everywhere? The doctrine of marginal gains states that in any area of a given sport – no matter how small or apparently insignificant – you should look to make all possible improvements. Take cycling: the rider, the bike, the nutrition, the planning, the recovery, the training, the statistical analysis, the list...
What can sports medicine really achieve and just as importantly what should it be aiming to achieve? This may seem like a simple question, but the answer has a myriad of competing influences. Should sports medicine be aimed at merely optimising the sports person’s health? Should it try to improve their performance? Perhaps prevent them from getting problems? How much to intervene and what to leave to nature is a common dilemma in physiotherapy and medicine. The shades of grey are no less opaque in sports. The history of sport includes many unsavoury events where clinicians have intervened too greatly...
To look at sport today and compare it to sport from, for example, 30 years ago you would say sporting equality is better now. There have been some recent high profile comments about women’s tennis that would suggest there are still some old fashioned views lurking. Clearly progress has been made in increasing the exposure and professionalism of women’s sport. Prize money for women’s tennis is nearing that of men’s, although less so in the lower ranking events, England has a fully professional cricket team and premier league football clubs are increasing the funding and investment of their women’s teams....
The concept of training as a team leans itself to everyone attending and performing the same programme. This means that everyone will see the benefit of the team effort correct? Well perhaps not. Team performance depends on individuals performing at their best as well as complimenting each other. Depending on the sport the importance of individual versus team priority will be varied. Clearly the importance of team discipline and coordination is far more important in Rugby union’s defensive line than it is in cricket, when the individual batting or bowling is most important in the team outcome. Why might team...
Does massage help with pain? Massage has been a part of treating ailments and pain for many years, numerous different types of massage have been coined over the years, including names like soft tissue manipulation, myofascial release techniques and sports massage, to name a few, but do they work? Why does it work? Considering massage can be painful to experience why do we utilise in for treating painful areas and restricted movement? The benefits of massage in physiotherapy practice appear to be numerous. If an area of the body is painful we believe it is due to the body trying...
It is often said that to be the very best in sport it is in the mind that separates the winners from the next in line, but is that really true? Why does Novak Djokovic keep winning? How is it that no one can beat Usain Bolt? What really makes them the best sports people? I do not wish to assert that any top athlete lacks strength of character and toughness of mind- no doubt they have these traits. To work through the demanding schedules, the rigorous and limiting nutritious and recovery regimes plus hold it together when their most...
With the London Marathon fast approaching many of us are well into our official training schedules, me included. It is not uncommon to see people competing in the marathon in our physiotherapy clinic with various lower limb injuries. Most running injuries are related to the increased repetitive loads placed on the muscular system, resulting in tendinopathy (a broad term used for tendon pain). You might have heard these problems given other names depending on where they are felt, some of these include: trochanteric bursitis / gluteus medius tendinopathy (outer hip), Achilles tendinopathy / tendonitis, plantar fasciitis (bottom of foot/ heel...
