Rapid Responses to:

EDITORIALS:
Domhnall MacAuley and Thomas M Best
Reducing risk of injury due to exercise
BMJ 2002; 325: 451-452 [Full text]
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Rapid Responses published:

[Read Rapid Response] Music to my ears
Dr Leszek Piechowski   (30 August 2002)
[Read Rapid Response] Stretching Before Exercise Old Wives Tale
Dominic J Shields   (31 August 2002)
[Read Rapid Response] Good News, but...
Catherine Treece   (1 September 2002)
[Read Rapid Response] Stretching is not warm-up !
Axel Ellrodt   (2 September 2002)
[Read Rapid Response] What is evidence?
Antonio Lopez-Peņa   (6 September 2002)

Music to my ears 30 August 2002
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Dr Leszek Piechowski,
Gp Dryland Surgery
Dryland Surgery Kettering NN16 8 JZ

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Re: Music to my ears

Excellent stimulating paper . As a now aging athelete who has migrated through Martial Arts (Karate Black Belt ) Bodybuilding , Triatholons and Half Marathon running with only one pulled calf muscle ever to have slowed me up , I was really pleased to read of the dubious value of the 'warm up ' I abandoned what seemed a ritual based on nothing at all, at a very early stage .I always found it more efficient to get going but 'plug your common sense in' during the initial period of effort.

Thanks for this work, look foreward to reading more .

Stretching Before Exercise Old Wives Tale 31 August 2002
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Dominic J Shields,
Computer Programmer in Civil Service
ONS, Govt Buildings, Cardiff Rd, Newport NP10 8XG

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Re: Stretching Before Exercise Old Wives Tale

I have followed this story as it has emerged, it first came to my attention via the Independent some years ago where tests were done by The University of Sydney and Charles Sturt University on the Australian army.

Its really astonishing to notice how annoyed people if they are relayed this information.

In my amateur football career I noticed that "warming up" was considered a universal good, but it never did anything at all for me, so I never did it. The only injuries I sustained were due to contact.

I recall the West ham United manager Harry Redknapp observing that the players who had no truck with warming up seemed to be the same players who very rarely reported strain injuries.

Good News, but... 1 September 2002
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Catherine Treece,
Psychiatry (psychologist)
Madison Wisconsin USA 53705

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Re: Good News, but...

I enjoyed and welcomed your editorial (and the accompanying article). I do hope the evidence continues to support your conclusion since that would offer a way to streamline the exercise routine, where generally I keep finding more things I'm supposed to add! I presume the situation would be different regarding muscles & tendons that have previously been injured, or even just severely neglected. Future research might differentiate among populations based on fitness, age, firmity, etc. And then too, there are other benefits to stretching on a regular basis (in contrast to "warming up" before exercise)....

Stretching is not warm-up ! 2 September 2002
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Axel Ellrodt,
American Hospital of Paris, emergency department.
63 Bd Victor hugo 92202 Neuilly sur Seine France

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Re: Stretching is not warm-up !

D. Shields and L. Piechowski should have stretched their hands a few times before rushing on their keyboards.MacAuley and Best's paper does not bury the warm-up habit, but only stretching. I'm curious about what scientific study of warm-up would indicate.

What is evidence? 6 September 2002
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Antonio Lopez-Peņa,
R. Dominicana
Santo Domingo 1234

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Re: What is evidence?

Sir,

Maybe clinical research evidence is showing what the article states. Nevertheless, in the mainstream of a move towards more evidence-based medicine, things could be seen otherwise.

Mine as well as others' day-to-day experience (and evidence) is that stretching does work -e.g. in golf. Authors can insert in their articles a lot of beautiful graphics. Life is nevertheless more evident than graphics and laboratories. Despite lab evidence, coffee helps me a lot in sleeping well, for instance.

But we ought in the future, perhaps, believe what we read - not what we experience ourselves.

Best regards

Re: Music to my ears

I thought we were speaking the same language. There is a confusion : Warm-up vs. stretching! (Very) different things, though. Please, be more accurate in responding, even if it is a matter of "rapid" responses.

Again, stretching pays. (Perhaps some authority could give to all of us a good definition of both terms...)

But we ought in the future, perhaps, believe what we read - not what we experience ourselves.