116 e-Letters

published between 2006 and 2009

  • Pathogenesis of rotator cuff tendinopathy
    Nicola Maffulli

    Dear Sir,

    We read with interest the Review Article "Rotator cuff tendinopathy: A review", by Lewis, doi:10.1136/bjsm.2008.052175.

    This manuscript may have been submitted before the publication of our investigations. Nevertheless, we would like to call your attention to the fact that we have performed several studies on the aetiology, histopathology and management of rotator cuff tendinopathy.

    We investig...

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  • Duration of Exercise
    Hind J Sami

    I have Type 2 diabetes. I'm 53 years old. My blood sugar level was 22 mml/L and I was obese. Now I have reached the ideal weight within 3 months following a strict diabetes diet together with a 30 or 45 minute exercise daily and Glucophage 850 twice a day. Now I am off medication but still on dieting and exercise. My fasting blood Sugar level is stable at around 5.6 - 5.8 every morning and stays so after 3 hours of meals. T...

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  • Re: An Erroneous Conclusion
    Fernando G. Beltrami

    We are pleased that Dr. Shephard agrees with our views. In contrast to his retrospective assertions, dispassionate analysis of what he has written in the past shows that his conversion to our drinking guidelines has occurred only with the publication of his most recent letter.

    Professor Shephard continues to be dismissive of most of the work of our Cape Town research unit [1, 2]. To our knowledge we have lar...

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  • Yes, the pendulum has swung
    eyal lederman

    Yes, the pendulum has swung but it happened last year. Readers might be interested in reading 'The Myth of Core Stability' by E. Lederman found at: http://www.ppaonline.co.uk/download/myth_of_core_stability.doc

  • Authors reply re: The wrong ball
    Henrik Zetterberg

    Reply: Right type of ball used in study

    This is a forward-looking study in which modern day footballs were employed to assess the possible impact on the brain by heading. Old style heavy footballs, however, may well have been associated with brain damage as pointed out by Dr Breimer.

    That the brains of woodpeckers would be full of plaques and signs of neuronal damage is a tall story. One case of cereb...

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  • The wrong ball: old soccer balls much heavier and stiffer than modern
    Lars H Breimer

    Dear Editor

    It could be argued that this study has been performed with the wrong type of ball, one unlikely to reflect the type of brain stress inflicted on old footballers, because the old style ball absorbed dampness from the grass and became increasingly heavy and stiff, even if it had not been raining; on a rainy day the weight had increased a lot by the end of the match. Such balls needed power to kick, yet,...

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  • Textbooks and drinking policies
    Evan L Lloyd

    Dear Sir

    There is one recent textbook which explains the problem and promotes 'sensible' drinking policies.

    Grant S, Lloyd E. Training and Performance in difficult environments. Crowood Press 2006.

    ISBN-10 1 86126 881 5 & ISBN-13 978 1 86126 881 5

    This was published in Dec 2006 and is planned to be readable for competitive and social athletes, coaches, physios and doctors b...

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  • An Erroneous Conclusion
    Roy J. Shephard

    Beltrami and colleagues are correct to castigate the continued over-ingestion of fluids by marathon runners [1]. This may be a relatively new insight for investigators in Cape Town, where reports of over-hydration first surfaced. However, if the authors of the present report [1] will reread my textbook (wrongly described as published in 1974!), they will discover that it contains advice on fluid intake for distance runner...

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  • Targeting the VISA score in Achilles tendinopathy as primary end-point?
    Karsten Knobloch

    I appreciate the randomised-controlled trial comparing eccentric training with or without an additional night splint in mid-portion Achilles tendinopathy. [1] This trial could not demonstrate an additional benefit of a night splint besides eccentric training in terms of pain reduction, VISA score, patient satisfaction or neovessels score.

    Despite the differences of a night splint and a daily Achilles wrap these...

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  • Author's response
    Roy Shephard

    Dear Editor

    I would like to thank Dr. Arno Müller for his thoughtful response to my recent editorial, and for raising several important points that I did not tackle in my brief consideration of the mass ECG screening of athletes.

    Firstly, mass ECG screening is required by law in Italy [1], and is recommended by the European Society of Cardiology [2], but is not recommended by either the American Heart Assoc...

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