Lesley Dawson

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Hi, I am an ESP physiotherapist working in elective orthopaedic outpatient in the Scottish NHS. My special area of interest is shoulder and knee conditions. I have had the privilege of being physiotherapist with Team Scotland at the last three Commonwealth Games as well as their head physio at the Commonwealth Youth Games in 2011.

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Cartilage failures. Systematic literature review, critical survey analysis, and definition

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Lesley Dawson highlights a recent study that analysed how failures are defined in cartilage surgery and how survival rates may change according to different definitions.

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Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review

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Lesley Dawson summarises a recent systematic review of eccentric exercise (where the muscle lengthens, rather than shortens, against resistance) for lateral epicondylitis. She finds evidence to support its use in decreasing pain and improving function.

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Measurement properties of patient-reported outcome measures (PROMS) in Patellofemoral Pain Syndrome: a systematic review

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Lesley Dawson appraises and summarises a recent systematic review of the measurement properties of PROMs (patient reported outcome measures) used for patellofemoral pain syndrome.

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A review of systematic reviews on anterior cruciate ligament reconstruction rehabilitation

RECONSTRUCTION

The anterior cruciate ligament (ACL) is the primary stabilising structure within the knee, limiting anterior translation of tibia on the femur as well as tibial internal rotation. Injuries are more common in high demand sports and usually follow non- contact trauma such as landing incorrectly from a jump, pivoting or decelerating suddenly, but can occur [read the full story…]

Management of the greater trochanteric pain syndrome

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During last winter several elves slipped on ice and landed heavily. Although initially embarrassed, most forgot the incident but a few still struggle with lateral hip pain when climbing stairs or sleeping in bed. Previously known as trochanteric bursitis, this condition is now defined as Greater Trochanteric Pain Syndrome (GTPS). This umbrella term covers a [read the full story…]

A Hierarchy of Patient-Reported Outcomes for Meta-Analysis of Knee Osteoarthritis Trials

Apples and oranges

Have you ever tried to compare the results of different clinical trials only to find that different outcome measures have been used in each and often in each study more than one outcome measure is reported. This is a common problem for systematic reviewers. When faced with more than one outcome measure which should be [read the full story…]

Risk Factors for Patellofemoral Pain Syndrome

anterior knee pain

When the keep-fit Elf was on holiday recently her replacement introduced us to a new exercise. We all enthusiastically participated in the ‘power lunges’ (more like wobbling really) but over the next few days the front of my knee hurt climbing stairs, kneeling or bending down. What was wrong? Would exercising make it worse? How [read the full story…]

Return to sport concerns following injury rehabilitation

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The World Sports Trauma Congress 17th -20th October 2012, London is being held this week with international speakers discussing topics such as “footballer’s ankle” and “sport after joint replacement”. The congress is connected to the Summer Olympics Games and occurs every four years. This year in London delegates, like us Elves, will undoubtedly be celebrating [read the full story…]