Abstract

Clinicians aim to identify abnormalities, and distinguish harmful from harmless abnormalities. In sports medicine, measures of physical function such as strength, balance and joint flexibility are used as diagnostic tools...

Highlights

  • Measures of physical function such as strength, balance and joint flexibility are used as diagnostic tools to identify causes of pain and disability and monitor progression in response to an intervention

  • As disease, pain and sickness are expected occurrences of being human, understanding ‘normal’ at each stage of the lifespan is essential to avoid the medicalisation of usual life processes.[3]

  • ‘Normal’ is best understood as an appropriate state of physiological function.[4]. This clinical definition corresponds to the range of results for a particular diagnostic test or physical measure outside which disease is likely present

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Summary

Introduction

Clinicians aim to identify abnormalities, and distinguish harmful from harmless abnormalities.[1] In sports medicine, measures of physical function such as strength, balance and joint flexibility are used as diagnostic tools to identify causes of pain and disability and monitor progression in response to an intervention. Comparing results from clinical measures against ‘normal’ values guides decision-making regarding health outcomes. Understanding ‘normal’ is central to appropriate management of pain and disability. ‘Normal’ is used to describe both an average and a disease-free state.

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