How exercise medicine has evolved from sports medicine

John W Orchard
Med J Aust 2018; 208 (6): . || doi: 10.5694/mja17.00764
Published online: 2 April 2018

A growing medical specialty with the potential to improve the health of all Australians

Brevity of expression is in vogue. It is said that the majority of theses should be research articles, that many articles should be research letters and that most blogs should be tweets. As a sign of the times, many organisations are shortening their names: in the sporting genre, for example, the Australian Sports Medicine Federation has recently become Sports Medicine Australia, and the Australian Cricket Board has become Cricket Australia. Why, then, did the Australasian College of Sports Physicians recently decide to swim against the tide and become the Australasian College of Sport and Exercise Physicians? Many neutral observers would find sport and exercise together in a thesaurus, so the need to differentiate them would seem redundant and wordy.

  • University of Sydney, Sydney, NSW


Competing interests:

I am Chief Medical Officer of Cricket Australia.

  • 1. Nichols AW. Sports medicine clinical trial research publications in academic medical journals between 1996 and 2005: an audit of the PubMed MEDLINE database. Br J Sports Med 2008; 42: 909-921.
  • 2. Orchard JW, Best TM, Mueller-Wohlfahrt HW, et al. The early management of muscle strains in the elite athlete: best practice in a world with a limited evidence basis. Br J Sports Med 2008; 42: 158-159.
  • 3. McAlindon TE, LaValley MP, Harvey WF, et al. Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: a randomized clinical trial. JAMA 2017; 317: 1967-1975.
  • 4. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 2010; 376: 1751-1767.
  • 5. Sondergaard KB, Weeke P, Wissenberg M, et al. Non-steroidal anti-inflammatory drug use is associated with increased risk of out-of-hospital cardiac arrest: a nationwide case-time-control study. Eur Heart J Cardiovasc Pharmacother 2017; 3: 100-107.
  • 6. Cheatle MD. Prescription opioid misuse, abuse, morbidity, and mortality: balancing effective pain management and safety. Pain Med 2015; Suppl 1: S3-S8.
  • 7. Thorlund JB, Juhl CB, Roos EM, Lohmander LS. Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. BMJ 2015; 350: h2747.
  • 8. Beard DJ, Rees JL, Cook JA, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet 2018; 391: 329-338.
  • 9. Fransen M, McConnell S, Harmer AR, et al. Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev 2015; 1: CD004376.
  • 10. Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S. Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev 2014; 4: CD007912.
  • 11. Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil 2015; 29: 1155-1167.
  • 12. Frizziero A, Vittadini F, Fusco A, et al. Efficacy of eccentric exercise in lower limb tendinopathies in athletes. J Sports Med Phys Fitness 2016; 56: 1352-1358.
  • 13. Li T, Wei S, Shi Y, et al. The dose-response effect of physical activity on cancer mortality: findings from 71 prospective cohort studies. Br J Sports Med 2016; 50: 339-345.
  • 14. Blair SN, Sallis RE, Hutber A, Archer E. Exercise therapy — the public health message. Scand J Med Sci Sports 2012; 22: e24-e28.
  • 15. Alentorn-Geli E, Samuelsson K, Musahl V, et al. The association of recreational and competitive running with hip and knee osteoarthritis: a systematic review and meta-analysis. J Orthop Sports Phys Ther 2017; 47: 373-390.
  • 16. Orchard JW, Blanch P, Paoloni J, et al. Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries. Br J Sports Med 2015; 49: 1064-1068.
  • 17. Fujita-Rohwerder N, Rüther A, Sauerland S. Arthroscopic surgery for knee osteoarthritis: impact of health technology assessment in Germany. Int J Technol Assess Health Care 2017; 33: 420-423.
  • 18. Orchard J, Moen MH. Has reimbursement for knee osteoarthritis treatments now reached “postfact” status? Br J Sports Med 2017; 51: 1510-1511.


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