Abstract: Introduction: The aim of this study was to identify the relationship of Quadriceps (Q) angle and Body Mass Index (BMI) with non-contact Anterior Cruciate Ligament (ACL) injury among collegiate male track and field athletes. Methods: A case control study done at Sports Medicine Unit, National Hospital of Sri Lanka and Ministry of Sports Sri Lanka recruited collegiate male track and field athletes aged 15-25 years with noncontact ACL injury (n=35) as cases and age matched healthy athletes as controls (n=70). Stadiometer, electrical weighing scale and goniometer were used to measure height, weight and Q angle respectively. Results: Mean age of the cases and controls were 20.63±2.98 years and 20.67±2.98 years respectively. The mean BMI in cases group was 23.79±1.91 kg/m2 and control group was 21.85±1.27 kg/m2 (p<0.05). The mean value of the Q angle in case group was 15.93° ± 1.34 and control group was 14.29° ± 0.84 (p<0.05). Conclusion: This group of male track and field athletes with non-contact ACL injury had a significantly higher BMI and Q angle compared to the non-injured athletes. These factors have to be considered with other risk factors associated, during the development of management and preventive strategies. Published on 2019-12-30 00:00:00
Abstract: In terms of safeguarding the health and well-being of athletes in Sri Lanka, a primary focus has always been toward the treatment of injuries after they have occurred and promoting rehabilitation back into sport. There has been little attention towards the primary prevention of injuries in Sri Lankan sports. As a developing sporting nation, the benefits of injury prevention are immense: from a public health and financial perspective, through to individual benefits for athletes’ physical, psychological and social health. Understanding the reasons behind the lack of motive towards sports injury prevention in the country, and challenges in developing and implementing injury prevention measures in the field is useful so that these reasons can be addressed and overcome. Based on recent experience in conducting injury prevention research among Sri Lankan junior cricketers, this article discusses injury prevention principles in sport and provides directions for future sport injury prevention research in Sri Lanka. Published on 2019-12-30 00:00:00
Abstract: Musculoskeletal Ultrasound is likened to the traditional stethoscope for Sports Medicine physicians. This article considers key features of ultrasonography when it is applied in the musculoskeletal setting, important steps when developing this skill, and also the perspective from and trainee learning this skill in Singapore. In essence, it requires a basic understanding of the physics, knowledge of sonoanotomy and most importantly suitable mentorship to steer and guide learning. Published on 2019-12-30 00:00:00
Abstract: The COVID-19 pandemic has rapidly spread across the world with increasing morbidity and mortality, leading to implementation of strict preventive measures. Athletes and the sporting community are currently confined to homes, and sporting events are being postponed with times of uncertainty, where physical, technical, and psychological damage is inevitable. The clinical and immunological behavior of the SARS-CoV-2 virus infection is still being analyzed. Exercise in moderation has positive effects on human immunity and wellbeing. Athletes need to be guided to maintain physical, psychological and nutritional conditioning using available knowledge and opportunities. Practice of national health recommendations when training in the home environment and adapting to the ‘new normal’ environment will be a challenge. Scientific sporting bodies around the world have recommended well planned stepwise structured processes for the resumption of normal training for the safety of the athletes and the wider community. It is recommended, whenever possible that guidance and strategies are developed using the best available scientific evidence. Published on 2019-12-30 00:00:00
Abstract: Injuries are common during sports and exercise. In addition to medication, physical exercise and massage therapy, rehabilitation specialists use a variety of physical modalities to reduce pain, facilitate healing and restore function. These include the use of therapies such as cold, heat, light, ultrasound, extra corporeal shock wave and electrical stimulation. However, if used in an incorrect manner these modalities can cause further harm and delay healing. Hence proper usage is important to maximize benefits and avoid harmful effects. This narrative review will discuss the different physical modalities and techniques, together with their indications, contraindications and techniques of usage. Published on 2019-12-30 00:00:00
Abstract: Introduction: Low back pain (LBP) is a major cause of disability. Oswestry Disability Index (ODI) is used to evaluate the impact of LBP) on daily activities. The objective of the current study was to validate and culturally adapt the ODI to the Sinhalese speaking Sri Lankan population. Methods: The study was conducted at National Hospital, Sri Lanka, including an 18-65 years aged cohort of 100 patients with chronic LBP. The Sinhalese ODI version 2.1a was validated by assessing the test-retest reliability (Intraclass correlation coefficient), internal consistency (Cronbach α) and constructs validity comparing the ODI with the Roland Morris Disability Questionnaire (RDQ) and Visual Analog Scale for pain intensity (Pearson correlation coefficient). Results: The mean age (±SD) of the study participants was 50.17±11.20 years and mean duration of LBP among participants were 34.00±43.58 months. The ODI had an overall Cronbach α coefficient of 0.811 (95% CI 0.746- 0.865). An excellent agreement was detected between test and re-test ODI scores, indicated by an ICC of 0.983 (95% CI: 0.975-0.989. The Pearson’s correlation test revealed a significant strong positive correlation between ODI and RDQ (r=0.989, p<0.001) and a moderate positive correlation between ODI and VAS pain intensity (r=0.568, p<0.001). Conclusion: The Sinhalese translation of the ODI version 2.1a had good reliability, temporal stability, and validity when assessed compared to other standard measures. The ODI can be employed in future studies assessing LBP disability in Sri Lanka. Published on 2019-12-30 00:00:00
Abstract: This article contains updated extracts of the article, ‘SPORTS MEDIENCE’ which was published in ‘History of Medicine in Sri Lanka’ by Sri Lanka Medical Association (SLMA). “Organized physical activity for persons of all ages, performance enhancement of elite athletes, physical activity and exercise for health, recreational sports, and all aspects of formal exercise training need to follow the principles advocated in the science and technology of sports and exercise medicine to achieve enhancement in performance and obtain the benefits of exercise for health.” Published on 2018-11-01 00:00:00
Abstract: It is with great pleasure that we present to you the much awaited 1st edition of the Sri Lankan Journal of Sports and Exercise Medicine (SLJSEM) at the inauguration ceremony of the 4th Scientific Sessions of the Sri Lanka Sports Medicine Association on 24th of November 2018.This Journal will be a good opportunity and a great platform for all persons involved in Sports and Exercise Medicine, especially the MD trainees to publish their research work, case reports or any other interesting articles.I am very thankful to our Editor, Dr. Chathuranga Ranasinghe for taking the initiative and for his commitment and tireless work in making the first edition of the Sri Lankan Journal of Sports and Exercise Medicine a reality.My gratitude goes to all who contributed articles towards the first edition and hope it would be an encouragement for others to get their work published.My best wishes for the success of the Journal and hope you enjoy reading it.Dr. Eshan Jayaweera MBBS (Kelaniya), D.Sp.Med.(Col), MD Orthopaedics (SL), MRCS (Ed) Consultant Orthopedic Surgeon President SLSMA Published on 2018-11-01 00:00:00
Abstract: It is with great pleasure that I send this message to the inaugural journal of the Sri Lanka Sports Medicine Association (SLSMA), the Sri Lankan Journal of Sports and Exercise Medicine (SLJSEM).There was a need for a scientific journal for Sri Lanka in the area of Sports and Exercise Medicine for a long time where SLSMA was able meet the need. SLJSEM will be able to deliver up-to-date scientific knowledge to the Sri Lankan Sports Medicine community in the years to come. It will most importantly build a forum to the local scientists, undergraduate and post graduate students to showcase and disseminate the new knowledge which is a necessity to propagate advancement of the science in sport.SLJSEM will be launched at the inauguration ceremony of the 4th Scientific Sessions of the Sri Lanka Sports Medicine Association (SLSMA) on 24th of November 2018 at Waters Edge Baththaramulla.On behalf of SLJSEM, I wish to extend my warm thanks to the local and international experts in the editorial board and the reviewers, for making this daunting task achievable. My thanks to the authors for providing articles to this landmark publication.I take this opportunity to thank all our teachers, academics, scientists and clinicians who have worked to uplift the science of Sports and Exercise Medicine in Sri Lanka, which has led us to this date. My respect to our advisors Dr. Upali Banagala, Prof. Rohan Jayasekara and Dr. C Thurairaja for their continuous motivation and guidance and Dr. Prasanna Gamage for always being a part and parcel of this work. My special gratitude to the president, Dr. Eshan Jayaweera and the council of SLSMA for providing all needed support. Our printer Ananda Press, Colombo, Mr. Devendra for a timely and professional work and our sponsors are remembered with much appreciation at this moment.Hope knowledge will be created and disseminated through SLJSEM in the future, for the advancement of science and medicine in sport.Dr. Chathuranga Ranasinghe MBBS (Col), D.Sp.Med. (Col), PhD (QUT-Aus) Specialist in Sports and Exercise Medicine Senior Lecturer, Faculty of Medicine, University of Colombo Editor SLSMA and SLJSEM Published on 2018-11-01 00:00:00
Abstract: The Sri Lanka Sports Medicine Association (SLSMA) is organizing the 4th Scientific Sessions this year in collaboration with the International Olympic Committee (IOC) and National Olympic Committee (NOC) of Sri Lanka under the theme “Exercise is Medicine Exercise is Wellness” from 24th to 26th November 2018 at Olympic House, Colombo, Sri Lanka. The event is endorsed by the Asian Federation of Sports Medicine (AFSM). Published on 2018-11-01 00:00:00
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