382 e-Letters

  • Re: Sports Medicine Training in the United States
    Walter W Curl
    Dear Editor,

    The article "Sports Medicine Training in the United States" (Br. J. Sports Med. 2000; 34: 410-412) was recently referred to our attention. We applaud the Journal's interest in improving the public's understanding of this complex area, but we are distressed over a number of serious misstatements related to orthopaedic sports medicine training.

    First, the author states that orthopaedic sports medicine f...

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  • Flexibility versus stretching
    Ian Shrier

    Dear Editor,

    Dr. Schur brings up an apparent discrepancy between my article that stretching does not prevent injury, and Dr. Reid's article that stretching may be beneficial in rowers. This is an apparent discrepancy for two reasons. My review of the literature discussed stretching immediately before exercise and not stretching in general. To my knowledge, there have only been two studies on stretching at times oth...

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  • Proportions of activities in a climbing gym
    David Humphries
    Dear Editor,

    Firstly thanks to the authors for adding some valuable information to the under researched area of indoor climbing injuries (particularly given the popularity of this activity world wide).

    Whilst I have no doubt that many of your participants put leading or bouldering as the activity which they spent most time doing whilst in the gym I would have significant doubts that that is actually the case, p...

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  • Management of diabetes at high altitude
    Conxita Leal

    Dear Editor,

    In response to the letter of Moore et al [1], we would like to report the results obtained in 8 type I diabetic mountaineers who ascended the Aconcagua (6950m) [2] without significant medical problems. The only climber unable to make the summit reached 6700m because of a problem not related to diabetes.

    None of the climbers took any drug to prevent Acute Mountain Sickness (AMS), because of...

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  • Re: Reassessing the need for sport diving medicals
    Stephen Glen

    Authors' Reply:

    The main conclusions of our paper were that no significant unexpected abnormalities were found on clinical examination of divers in the Scottish Sub-Aqua Club, and that the questionnaire was the important part of the screening assessment of divers. This remains the case regardless of how the information is analysed.

    In response to the questions raised by Philip Smith, only 391 divers re...

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  • Reassessing the need for sport diving medicals
    I P Smith

    Dear Editor,

    Dr Stephen Glen and his coauthors conclude from an analysis of medical records held by the Scottish Sub-Aqua Club (SS-AC) that routine medical examination of sport divers can safely be replaced by a system of self-declaration, with a questionnaire designed to indicate whether referral to a doctor with experience of diving medicine is necessary. This conclusion should be regarded as preliminary, howe...

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  • Fitness Leader Effectiveness
    Rob Lyon

    I was conducting research for my Masters degree in Counselling and Guidance. My interest is in the approach adopted by Fitness Leaders/Instructors when dealing with those wishing to get started with exercise. My experiences, and consequent understanding, of the typical approach used in Fitness facilities is that the Fitness Leader adopts an 'expert' role when dealing with beginners to exercise and underestimates the issu...

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  • Re: The Football Club Doctor System
    I Waddington

    We welcome Dr Boyce's letter as a useful contribution to the debate which our article has generated. Dr Boyce is quite correct to raise the issue of medical litigation. As the American College of Sports Medicine pointed out as long ago as 1991, what it called "the litigation epidemic" had at that time already "begun to engulf sports medicine" in the areas of negligence and malpractice, informed consent, counselling, re-en...

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  • The future for the field of Sports Medicine
    Cheryl Martin

    Can I begin by expressing my appreciation for the introductory free access to the journal since its launch on the web earlier this year.

    This year I have undertaken an intercalated degree in Clinical Mecine which has been offered at Glasgow University Department of medicine and therapeutics for the past 4 years. Over 60 of my fellow students opted to do the same. We each however opt to do a specialist module in a...

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  • The Football Club Doctor System
    Stephen H Boyce
    Dear Editor,

    I read with interest the paper by Waddington et al,[1] highlighting the inadequacies of the football club doctor system in Britain. This paper confirms the situation that many people already knew to exist. Advertisements for club doctors are rarely published in medical journals and are normally appointed on a “who you know” basis. It is also particularly disappointing, that in a time when the specialty of...

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