The current issue of BJSM is edited by BASRaT Chief Executive, Stephen Aspinall
This edition also includes:
EDITORIAL - Knee arthroscopy: evidence for a targeted approach - this thoughtful editorial by Robert LaPrade and his Orthopaedic colleagues discusses the science underpinning knee arthroscopy, the importance of a sound clinical assessment along with giving real consideration to the individual patient in front of you
REVIEWS - Comparative effectiveness of physical exercise interventions for chronic non-specific neck pain
- adherence to physical activity recommendations for 11–22 years and risk of all-cause and cardiovascular disease mortality - why it is never too late to increase your activity levels
- Time-efficient intervention to improve older adolescents’ cardiorespiratory fitness
- Eight Investments That Work for Physical Activity: infographic, animation and call to action (left) - a whole systems approach is crucial for improving population health and underlines the importance of collaborative working
- When is abnormal normal? Reframing MRI abnormalities as a normal part of ageing (middle image)
BASRaT Registered Sport Rehabilitators get free access to BJSM, access this edition here
Read the latest version of BASRaT's guidance for registrants on operating safely during Covid.
New BASRaT members starting their career as Sport Rehabilitators
Despite a tumultuous year, our 2020 graduates have thrived in their new careers, we caught up with four recent graduates to delve into what they are doing and how they are finding it. View here
A selection of articles to help patients deal with the effects of Long Covid
An estimated 1.1 million people in the UK reported experiencing Long Covid (symptoms persisting more than four weeks after the first suspected Covid-19) in a four week period. Long Covid covers symptoms such as fatigue, muscle pain, and difficulty concentrating. Nearly 200,000 individuals reporting that their ability to undertake their day-to-day activities had been limited a lot, according to the ONS.
We have compiled a number of references to help you treat those recovering from Long Covid, including a patient's rehabilitation recovery pathway, a useful infographic and an article on being aware of post-exertional malaise in patients. Continue Reading...
Treating patients in the ITU
Sport Rehabilitator, Ryan Smith is working with patients recovering from Covid in an ITU ward as a Respiratory Therapy Assistant. We caught up with him to hear more about how he is successfully working with patients on the road to recovery.
What is your day to day role on the ITU?
I work on the ITU and COVID designated wards carrying out a variety of duties.
“Primarily I implement exercise programs designed to improve cardio-respiratory function, muscular endurance, and general overall strength.”
I also aim to restore our patients confidence in performing their ADL’s (Activities of Daily Living).
Have Exercise programs made the biggest difference in recovery?
Without a doubt, the early implementation of exercise programs, either in the ITU setting or the COVID designated wards, is an essential component of successful rehabilitation. We know that the recovery from COVID-19 is a long process, with issues ranging from severe physical activity limitations to the need for emotional and psychological coping strategies, as a lot of my patients are intubated and sedated on the ITU.
Regular exercise has proved the difference, not only physically but mentally too, as our patients feel they are contributing to their own recovery which gives them a drive to improve.
How did you establish procedures for success?
It has certainly been trial and error, initially we knew that respiratory function was significantly decreased, so we needed to develop exercise programs to specifically target these limitations. Another challenge was the lasting fatigue due to the long ITU sedation and ventilation, so instead of developing a ‘core’ program we designed a framework template that was specific for each patient.
This was patient centred rehabilitation; everyone has unique needs due to each COVID presentation being so different. Based on patient feedback and the positive results to date, this new approach is working well and we will continue to adapt our framework template as our knowledge and experience continues to improve.
“Every patient who leaves our service better than when they were admitted, is a success.”