tag:blogger.com,1999:blog-51185553454294667132012-01-28T17:00:22.277+08:00A true life experience of assisting athletes and people back to sports using practical scientific methods.Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.comBlogger1691100tag:blogger.com,1999:blog-5118555345429466713.post-1801212644457386612011-07-05T11:51:00.001+08:002011-07-05T12:45:52.853+08:00

A bodybuilder felt a snap in his biceps muscle while doing his upper body workout in the gym. He immediately felt a sharp pain and weakness in the arm adjacent to the elbow. He discontinued his training session for the day. A day after the incident, he could not extend his elbow fully and had pain at the myotendinous junction of the biceps muscle. The was a noticeable defect in the muscle

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-80490533171835772422010-12-27T14:44:00.003+08:002011-03-01T11:14:05.657+08:00

2011 Prohibited List (mobile) - World Anti-Doping Agency has been available since 1st September 2010. Both athletes and coaches should be aware of the various subtances prohibited by sports which could still be inadvertently used by some ignorant medical personnel, personal trainers and nutritionists. One should also be aware of Therapeutic Use Exemption and Monitoring Programme. ADAMS continue

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This basketballer suffered from loin pain at the tip of the Right 12th rib and along the 11th intercostal space after feeling at 'pull' during competition. The pain persisted despite taking oral NSAIDS but reduced slightly with ice application. Similar injuries have been seen previously in martial arts, dancers, boxers and swimmers. We ruled out fracture by clinical examination and X-rays and

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This gentleman suddenly felt a snap followed by sharp pain in the hindfoot (medial tubercle of calcaneus) while playing badminton. He could only place his weight on his forefoot and had to use a pair of crutches to walk. He was diagnosed with a partially ruptured plantar aponeurosis and told to use a pair of running shoes with a silicone gel pad. However, he was not allowed to bear weight due

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-34446641872178996492010-08-16T08:52:00.005+08:002010-08-16T09:19:15.599+08:00

The Singapore 2010 Youth Olympic Games will be held on the 14 August 2010 - 26 August 2010 in 17 competition venues in Singapore. Participants: 3,600 young athletes between 14 - 18 years of age, 5,000 young athletes and officials. The organisational aspect: 205 National Olympic Committees, 1,200 media representatives, 20,000 local and international volunteers and 370,000 spectators. Highlights:

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com1tag:blogger.com,1999:blog-5118555345429466713.post-85025516215036059442010-08-13T16:37:00.006+08:002010-08-13T17:21:59.164+08:00

Here are some photos of basketball injuries taken by the press (Lim Chee Sen) during the National Basketball league 2010. Most of the tournament was covered by St John's Ambulance or Red Crescent volunteers with ambulances on standby for emergencies. Another player twisted his ankle after accidentally tripping over another player's foot. He was back to play the semifinals after vigorous

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An elite Muay Thai fighter came with a swollen and painful thumb after hurting his thumb when he accidentally hit the side the head of his opponent during a professional bout. Treated it aggressively with RICE therapy, electrotherapy and rehabilitation exercises and he returned to fight again in 2 weeks duration. He had a protective taping for the fight and managed well.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-3917501684366806952010-05-24T23:10:00.009+08:002010-05-24T23:36:19.153+08:00

Some photos from the national road race competition from the 27th April 2010 to the 1st May 2010 from Kuala Selangor to Kuala Perlis. Thanks to a relatively good weather, skillful riding, good recovery preparations and well coordinated road safety by marshalls, commissaires and police, we had a safe journey during the competition. There were no serious injuries.

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A junior rubgy player came after competition with a painful Rt 5th finger. He had pain at the side of the Metacarpo-phalangeal joint after feeling a sharp pain and loss of power after 'losing grip' of an opponent's shirt. He suffered from torn collateral ligament and would benefit from buddy taping or splinting over the next 4 to 6 weeks.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-70070468910480352802010-04-06T13:41:00.004+08:002010-04-06T14:02:38.977+08:00

A guitarist came with complaints of left wrist pain and swelling a few days ago. She had been training vigourously and held the 'chords' with the fingers (left hand) and subsequently did her biceps and triceps curls using dumbbells. Soon after the episode she started having pain and noticed 'fullness' in the back (dorsum) of her wrist.She was advised to do RICE treatment and apply the

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A few photos from the team workout in a swimming pool after competition. It included slow jogging (forwards and sideways), hig knee jogging, striding, jump and rotate drills. This is often a useful training session for recovery and relaxation. Variations of this exercise may be useful for rehabilitation of lower limb injuries.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-25312488048243581732009-12-13T13:25:00.008+08:002010-01-13T23:24:59.171+08:00

Here are some photos from the Salomon X-trail Run 2009 event which drew a crowd of 900 entries from all walks of life. Congratulations to the event organisers. There was supply of water for rehydration and orange cuts too. The Gardenia van was also there to provide tasty buns for immediate carbohydrate intake for recovery. The photos show the RICE treatment that comes in really useful for

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-20282147305525131452009-11-21T08:06:00.004+08:002009-11-21T08:13:20.690+08:00

Photos taken from a karatedo athlete who twisted his knee during competition. Note that the aspirate always consist of blood. He also complains of his knee 'giving-way' and locking.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-91738176901235104472009-11-21T07:57:00.002+08:002009-11-21T08:01:04.345+08:00

This is the photo of a basketball player who dislocated left 5th finger. The finger was immediately rediced easily by the coach. He subsequently used RICE treatment which reduced the symptoms. He taped the finger to prevent a recurrence but refused further examination.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-7844928308648081312009-10-06T15:31:00.004+08:002009-10-06T17:05:09.644+08:00

The 2nd Malaysian International Basketball Championships would be held at MABA from the 7-11 October 2009. This competition involves men (Korea, Hongkong, Philipines, Chinese Taipei, Malaysia, China) and women (Chinese Taipei, Singapore, Malaysia, China) teams from 7 Asian nations. More details may be obtained from the MABA website or the official MIBC website.

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There's an exciting adrenaline pumping Ice-Hockey International event coming up this weekend. Paramedics and doctors volunteers are wanted during the whole tournament. Date: Sept 2-5 (Wednesday to Saturday)Time: Sept 2 :8pm to midnight Sept 3 & 4 :8am to midnight Sept 5 :8am to 7pmVenue: Sunway Pyramid Ice RinkEstimated number of players: 180-200Players' ages: 5-50Organizer:

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A 10 months old toddler was brought by his mother yesterday with a painful lump in the distal part of her left leg. She apparently fell 4 days earlier but his mother noticed the swelling only after 2 days when she was attending to her. She was still able to hobble from one end of the table to the other end while hanging on to the sides. She only grimaced slightly when we examined the swelling. We

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com1tag:blogger.com,1999:blog-5118555345429466713.post-76467209015854446942009-05-18T09:55:00.004+08:002009-05-18T13:24:31.178+08:00

A young lady in her (28 yrs old) came to see me with chronic pain (3 yrs) in the Right big toe. The pain would worsen with repetitive jumping and landing during ballet and modern contemporary dance. Despite getting better shoes, she still seemed to suffer from the pain. Her toes was also 'crowding' in her shoes with the big toe moving towards the 2nd toe (Hallux valgus). She had tenderness at

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-70969908857780255012009-03-07T11:49:00.004+08:002009-03-07T14:13:55.237+08:00

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-27104684401131380262009-01-30T21:49:00.003+08:002009-01-30T21:57:53.240+08:00

Here's 2 photos of a male patient in his 30's who had a fracture to his left elbow (believed to be supracondylar) when he was 4 yrs old. He was treated by a traditional healer but was not given the option of modern medicine. He has some physical deformity but is able to carry out manual work without any difficulty. He is happily engaged to his female companion who doesn't seem to mind the

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-85876633599705871812009-01-20T00:26:00.002+08:002009-01-20T00:28:43.108+08:00

Here's what happens when he tells me that the previous video wasn't clear enough for some to visualise the laxity.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-6127133904004934282009-01-20T00:19:00.003+08:002009-01-20T00:29:27.478+08:00

Here's how a soccer player demonstrates his loose ACL ligament 'without moving a limb'.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-81747696143899608572009-01-07T09:31:00.005+08:002009-02-07T12:23:35.855+08:00

Here's a photo of one of the recreational badminton athlete who found that he had a small swelling at the ankle. Upon examination, I found a 2cm X 2cm cystic swelling just before the insertion of the Tibialis Anterior tendon. An ultrasound scan should be done to confirm the findings.Usually, the cyst is treated conservatively with a corticosteroid injection. Care should be taken to ensure that

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-80680572727035783282008-12-31T19:37:00.008+08:002008-12-31T20:50:15.397+08:00

A wushu ex-elite athlete came with complaints of pain and weakness in his left shoulder after landing awkwardly with his arm hyperextended during training yesterday. He could only lift (abduction) his left arm with much difficulty above the level of his shoulder. He would feel more pain as he lifts his arm further. Upon examination, I found that he had difficulty rotating his arm outwards (

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-78169713312556731622008-12-28T22:53:00.004+08:002009-01-30T21:47:58.857+08:00

In the midst of an important hockey match, one of my players had a hard hit by the follow-through of the hockey stick by an opposing player. The burly defender hit the ground at an instant holding onto his ankle and the umpire immediately signalled me to run in to evacuate the player. There was a large soft swelling (2cm X 3cm X 8cm) on the outer (lateral) aspect of his left ankle which looked

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-91768559753692159832008-12-26T16:01:00.006+08:002008-12-26T16:14:21.450+08:00

A gentleman came to see me this evening with itchy multiple red patches on his trunk, upper and lower limbs. He remembered going to a Christmas event and putting on an old jacket (belonging to his dad). He thinks he is allergic to the dust mites or fungal spores on the jacket, or is it the food served at the dinner?He was given an injection of Anti-Histaminics to relieve his symptoms and given

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-8126378367708193312008-12-26T11:58:00.002+08:002008-12-26T12:02:27.159+08:00

Here's an invitation to all the lovers of field hockey to join in the hockey match of the year between Sapura and Ernst & Young. Be there early before 5pm to catch the match as the Pantai Hockey Stadium will be full to the brim. All the best to the nationals, ex-internationals, and ex-nationals, coaches and officials involved in both teams. A job well done!

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-59900273414493930142008-12-16T18:17:00.004+08:002009-01-30T21:46:57.940+08:00

The 1st Sultan Azlan Shah Asian Indoor Hockey Championships was held in Stadium Indera Mulia, Ipoh from the 11th - 14th December 2008. The experience of covering an indoor hockey tournament is that you have lot's of opportunities to see defensive and offensive tactical measures executed by players to meet the challenges of their opponents. There were lots of bruising, contusions, several ankle

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-26436626489769213422008-11-11T19:09:00.003+08:002008-11-11T19:19:46.595+08:00

We have just started the 2nd round into the Malaysian Hockey League for 2008. Field hockey is still one of the most interesting sports to be the attending Sports Physician. There were lots of contusions and bruises; several ankle sprains and minor knee injuries; a few hamstring strain and calf strains; and a scalp contusion and a fractured facial bone. On a good day, absolutely nothing happens

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-68354145032103977702008-09-16T11:19:00.010+08:002008-09-17T09:19:59.178+08:00

A known epileptic in his twenties came in with complaints of fainting (with epileptic seizure) and sustaining a left shoulder stifness and severe pain upon 'waking-up'. There was a bulge in front of his left shoulder and a small depression (sulcus sign) under the left acromion (see photo). He could not lift his left arm at all due to the pain and stiffness. We iced his shoulder and gave him an

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-80290846156889093682008-09-04T18:36:00.010+08:002008-09-09T16:44:38.185+08:00

The Table Tennis Association of Malaysia (TTAM) will be hosting the prestigious 2008 Volkswagen Women's World Cup from the 6-8th September 2008 at the Cheras Badminton Stadium, Kuala Lumpur. Guo Yue (China, 2nd in world ranking), Li XiaoXia (China, 3rd in world ranking), Li JiaWei (Singapore, 6th in world ranking), Wang Yue Gu (Singapore, 7th in world ranking), Jiang HuaJun (Hongkong, 8th in

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-85036585525833985052008-08-20T17:41:00.004+08:002008-08-20T22:30:01.200+08:00

Athletic Taping is a type of treatment which utilises woven fabric (rigid or elastic) to provide additional proprioceptive stimulus and additional support to enable participation in sports while limiting the risk of re-injury or further injury. It is often used in rehabilitation of muscle and tendon injuries. Athletes and coaches should be aware of various techniques of taping which could come in

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Congratulations to Lee Chong Wei and coach Misbun Sidek for achieving the feat of qualifying for the Men's singles for the Beijing 2008 Olympics. He defeated South Korean Lee Hyun-il 21-18, 13-21, 21-13 in the semi-finals Friday at the Beijing University of Technology Gymnasium. Looking forward to see you play again on Sunday, Chong Wei. Malaysia will cheer on for you!

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As the world braces itself against economical socio-political turmoils and environmental challenges, the focus of 6 billion people will be on the greatest sporting event of all times, the Beijing Olympic 2008. The games starts on the 6th August 2008 with soccer and closes on the 24th August 2008. The highlights for most would be the Opening Ceremony on the 8th August 2008. Beijing will play host

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A forklift driver came this morning with complaints of left knee pain since the past 1 week with prolonged driving. His pain is worse at the end of the day and it was so bad that he could not sit or squat. He apparently felt better after massaging his thigh. He had tenderness at the insertion of the vastus lateralis tendon, Iliotibial band (ITB)insertion and gluteus medius origin. He also had

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-91001061934903422672008-07-21T15:36:00.002+08:002008-07-22T01:41:29.773+08:00

The Port Dickson International Triathlon is one of the major triathlon events held in Admiral Cove, Port Dickson yearly. This year I had the opportunity to be an unofficial observer as some of my patients were enrolled for the event! I wanted to compare it with the Manchester Commonwealth Games in 2002 where I was assigned to accompany the triathletes of the Malaysian team. The swim start has

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A young male hockey player came with chronic pain in his Achilles tendon several months ago. His earlier Ultrasound scan showed calcification of his Achilles tendon adjacent to the insertion to the calcaneal bone. He was given extracorporeal shock wave therapy(ESWT) (2000 pulses) weekly and felt much better after the second treatment. He went on to play the Kuala Lumpur Hockey League without any

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A young lady in her 20s came in with a swollen and bruised right forefoot and toes from a fall off her bike. I sent her for an X-ray which did not show any signs of fracture. She was treated with RICE Treatment, topical Anti-Inflammatory gel and some Cox-2 Selective NSAIDS. The swelling and bruising should subside within 1 week but she will be reviewed in a week.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-49260123192158495132008-07-01T15:16:00.005+08:002008-07-01T22:33:51.041+08:00

An 11 yrs old girl came yesterday complaining of a swollen and painful left foot after hearing something snap in her foot while doing hip-hop barefoot. She had been training barefoot for 1 year but it did not cause any pain. Now, she could not walk or put pressure on the side of her foot or even tip-toe. I examined her left foot and found that she had some bruising and swelling around outer part

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-90883935903799188632008-06-23T20:56:00.004+08:002008-06-23T21:18:08.724+08:00

A gentleman came in this morning clutching his wrist with a profusely bleeding left middle finger. His finger was hit by a falling panel which dislodged his wedding ring and cut his finger while deforming it instantly. The left middle finger had a swan neck deformity and a gaping laceration across the middle phalanx oozing out with blood. There was crepitus (indicating a fracture) and he could

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-42534462792796652502008-06-23T20:01:00.001+08:002008-06-23T20:11:41.786+08:00

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-89100825027036245442008-06-18T01:17:00.003+08:002008-06-18T01:24:41.686+08:00

I took these 2 photos of the right forefoot of a young cyclist who decided to ride to a grocery shop in slippers instead of cycling shoes. It would be prudent for cyclists to wear suitable footwear even if they are making short trips as abrasions like these are quite common otherwise.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com3tag:blogger.com,1999:blog-5118555345429466713.post-19126415789604757402008-06-17T11:47:00.006+08:002008-06-17T17:14:36.622+08:00

A recreational soccer player came to me showing off his bruised left foot 2 weeks ago. He told me he was kicked by an opponent and had difficulty sprinting fully although he was a forward. I examined him and found that he only had slight difficulty toeing-off while running and was able to do resisted ankle dorsiflexion. Besides the RICE treatment, he was given an anti-inflammatory gel e.g.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-47934949921725239322008-05-24T22:48:00.006+08:002008-05-28T19:30:07.254+08:00

Here are some photos I took during the Malaysian Paralympiad 2008. The Disabled sailing was held at Admiral Cove, Port Dickson featuring 10 disabled sailors. The male and female athletes competed against each other in the single person boat called Access 2.3.

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-40691398021396825352008-05-22T09:43:00.003+08:002008-05-24T11:54:19.410+08:00

Mr Lim is a businessman who does regular brisk walking. He came 2 weeks ago with complaints of painful swelling in his back of his left ankle (Achillles Tendon). He started using a pair of leather shoes with a high heel tab which comes in contact with the Achilles tendon every time he walks. He was examined and I found that had pain standing on his toes (ankle plantarflexion) but little pain

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-47138696200625914602008-04-28T11:31:00.006+08:002008-04-28T13:01:48.431+08:00

The 14th Paralympiad Malaysia Kuala Lumpur 2008 will be held at National Sports Complex and University Putra Malaysia (UPM) from the 3-9 May 2008. More than 1500 athletes from the 15 states will be competing in this games. The official opening ceremony will be held at the National Stadium, Bukit Jalil, Kuala Lumpur at 7.45pm 3rd May 2008 and the closing ceremony will be held at 7.45pm on the 9th

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A male artistic gymnast was seen a few days ago with complaints of pain in the dorsum of the left foot after intensive training involving runs and jumps since 2 weeks earlier. He had difficulty standing on-toes, taking-off from jumps and landing. After examining his ankle, I found that he had slightly reduced range of plantarflexion in the left ankle due to pain. There was tenderness and mild

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-8868806199469400482008-04-18T12:09:00.003+08:002008-04-19T14:39:37.633+08:00

A fencing athlete was seen with her big toes (hallux) turned outwards (valgus), hence crowding into her second toe. She was lucky as she did not have any symptoms of pain usually seen in the prominent bunions. Gymnasts and dance athletes often suffered from painful bunions. She could consider using nights splints for the big toe, taping during training and some icing after training to assist her.

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The videos of a fencing athlete showing both feet plantarflexed and going into eversion to initiate subluxation of the peroneal tendons. The left peroneal subluxation (suffered after a game of futsal) causes pain with sprinting and quick lunges hence limiting his performance in his sport. His rehabilitation may take up to 8 weeks before return to sport. The right preoneal tendon partially

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A young lady in her 20s came this morning complaining of right calf residual pain after having a cramp while waking up this morning. Her mother gave her a hot traditional oil which she massaged on her calf but the pain persisted. She walked into my room with a limp and supported her weight on her forefoot. She had several localised areas of tenderness along the medial gastrocnemius muscle but no

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A 37 yrs old male badminton recreational athlete came in last week after injuring his right thigh doing a 'split' while reaching for a net shot from the baseline 2 days earlier. He felt something snap and had pain lifting his thigh. He found it difficult to bend forward to reach for things due to the pain. He hobbled onto the examination couch in pain. He was only able to flex his hip up to 40

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-90435045022725373342008-03-27T21:58:00.011+08:002008-03-29T11:53:51.331+08:00

I had my first experience with disabled sailing when I was asked to be trained as a classifier for the Malaysian Paralympiad 2008 for the sport. 5 participants from Asia (3 doctors, an occupational therapist and a physiotherapist)attended at 3 day seminar on Classification during the IFDS Skud18 World Championship Singapore (20th - 28th March 2008). The seminar was organised by Singapore

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Here's a badminton athlete who was found to be able to hyperextend his fingers without any discomfort. He does not seem to have hyperlaxity in other joints although he is flat footed.

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Lance (not his real name) is a badminton and futsal athlete who deflected a fast soccer ball during play 10 months ago. He was given a physiotherapy and wrist brace for several months but he could not resume competitive play due to Ulnar-sided wrist pain. He could not palm-off the ball (hyperextended wrist) and do forceful wrist skills (e.g. lob, flick, repetitive jabbing and smashing) with the

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The 98th All England Open Badminton Championships(also known as the 2008 Yonex All England Badminton Championships) will be held between the 4th and 9th March 2008. The prestigious tournament will be held in the the National Indoor Arena, Birmingham. It will be sponsored by Yonex for the 25th consecutive year. I had the opportunity of joining the Malaysian team in 2000 as their Team Physician

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This sub-elite athlete suffered from an old punching injury to his 3rd metacarpal phalangeal joint a year ago during competition. The initial swelling and pain had subsided with treatment but he still has movement restriction. He should be able to continue training with taping but he will need an X-ray to find out the extent of damage. If the X-ray is normal, physiotherapy with finger exercises

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com7tag:blogger.com,1999:blog-5118555345429466713.post-9485091874420197462008-02-06T12:06:00.000+08:002008-02-06T13:00:00.666+08:00

25 teams (5 Pro Tour outfits and 10 from Asia) will race in the 13th edition of the UCI sanctioned prestigious Le Tour de Langkawi from 9th to 17th February 2008. The 1377.4km race has been re-routed and shortened to only nine stages and the Genting route would be replaced by a more challenging Fraser's Hill climb. RACE ROUTESTAGE ONE (9th February 2008) – Alor Star to Kepala Batas (182.9km)STAGE

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A video of the wrist of a martial arts exponent who had a fall on his right hand 2 years ago during competition. He sustained an injury to his wrist causing him to have pain during punching. He also had painful full flexion of his wrist and resisted extension. I have demonstrated the dorsal movement of the ulna with a fixed radius in the video. Although he would maintain some form of wrist

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-36591291817025180562008-01-22T14:18:00.000+08:002008-01-22T14:33:17.645+08:00

Here's a video of a female martial arts exponent who dislocated her left thumb 2 years ago after receiving a kick during competition. I did a test to evaluate the hypermobility of her joint. She is also having some hypermobility of her right thumb but it was less mobile. Interesting Links:Dislocation of the Thumb MP Joint

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James (not his real name) is a 22 yrs old martial arts sub-elite athlete who sustained a kick to his right eye 6 months ago. He sustained injury to his right cornea laceration due to the contact lens. Although he was seen by an Ophthalmologist and treated for several weeks, he still has blurred vision in his right eye. The corneal injury is visualised as a white patch on the cornea (corneal

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-87089589558593351792008-01-17T17:53:00.000+08:002008-01-17T19:59:00.922+08:00

The Proton Malaysia Open Super Series 2008 will be held from the 15th January to 20th January 2008 featuring the top world ranked players (e.g. Lee Chong Wei, Bao Chunlai, Peter Gade and Taufik Hidayat). Once again the prestigious event will be held in the Putra Stadium, Bukit Jalil, Kuala Lumpur. The Malaysian Open offers a total purse of US$250,000. For the first tine, winners of the men's and

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-19208739241244951622008-01-15T10:21:00.000+08:002008-01-15T10:34:34.531+08:00

Ms Lim is a 35 yrs old ex-rhythmic gymnast who came to see me after a fall on her right knee. It was interesting that she had an extremely flexible left knee with an additional range of 35 degrees in extension. She had been perfectly normal in the left knee and did not suffer from any nagging pain. She was advised to maintain an active lifestyle to ensure that she looses some weight and also

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-48212390816238600472008-01-15T09:11:00.000+08:002008-01-15T10:20:24.836+08:00

An adult male patient came yesterday with back pain 2 days after injuring his back carrying a light object at work. He did not complain of any 'shooting pain' (radiating pain) to mentioned that the pain did not subside despite placing a hot water bottle (heat therapy) overnight. He had no pain bending forwards (flexion) but pain getting up from bent position (deflexion).I examined him and found

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-11899933664323172172008-01-13T00:04:00.001+08:002009-02-07T16:00:43.451+08:00

Dave played soccer 2 days ago and had slight right forefoot pain during the match but completed the game despite the pain. The pain worsened in the evening and he was given a hot ointment (Methyl Salicylate) by his mother. He faithfully massaged his right foot with the ointment and found that the foot was swollen (the light shade in the picture). He limped into my clinic yesterday and I thought

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-9884943702377796522007-12-19T13:06:00.000+08:002007-12-19T14:16:46.036+08:00

Ms JW, a 21 yrs old lady was walking on her high-heels when she suddenly twisted her ankle and knee yesterday. The knee swelled up slightly and she could hardly walk. She was brought in by her father yesterday evening and could not bear her weight on the right knee. Clinically, she had moderate effusion and slight slight restriction of knee flexion. She had tenderness of the joint line (lateral

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-35800499111112095552007-12-18T11:12:00.000+08:002007-12-18T16:00:17.634+08:00

Ramli is a 30 yrs old club soccer player who came with painful right armpit (axillary region) painful swelling of 3 days duration. He usually shaves his armpit hair for hygiene purpose but this is the first time he suffered this fate. I examined him and found several peasized tender, firm swelling in his right axilla but there were no other enlarged lymph nodes. The skin in the groin and axilla

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com5tag:blogger.com,1999:blog-5118555345429466713.post-32025868175273259312007-12-06T21:43:00.001+08:002007-12-06T23:44:41.951+08:00

Tinea pedis (athlete's foot) is a common fungal condition occuring in the feet of athletes or workers who routinely wear their shoes without drying and cleaning them properly. Although it is more common to find the itchy, scaly (not always) and smelly skin lesion in between the toes, they can also infect the sole of the foot. Athletes who have the habit of wearing shoes belonging to their team

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-27553921611770082992007-12-06T19:30:00.001+08:002007-12-06T21:11:03.332+08:00

Mr White (not his real name) is a 120kg weightlifter in his 20s who suffered from right wrist pain since 2 weeks duration. Prior to his competition he came to see me as the pain was preventing him from lifting beyond maximal capacity during 'clean and jerk'. His earlier X-ray did not show any fracture or osteophytes. I examined his wrist yesterday morning only to find tenderness and slight

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-44954035707899475082007-12-02T14:53:00.000+08:002007-12-02T15:03:02.873+08:00

Posterior Drawer Test

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-89721546766261671682007-11-30T18:40:00.000+08:002007-11-30T19:33:59.543+08:00

Kuala Lumpur is hosting the 29th Champion's Trophy featuring 8 world class national teams from 29th November 2007 to 9th December 2007 at the National Hockey Stadium, Bukit Jalil. Entrance will be free to promote the exciting and highly tactical sport in the country. The teams participating in the championships are:-1. Australia2. Germany3. Great Britain4. Korea5. Malaysia6. Netherlands7.

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The 24th Southeast Asian Games (SEA Games) will be held in 3 different venues i.e. Korat, Bangkok and Chonburi (Pattaya), Thailand from 6th December to 16th December 2007 in conjunction with the commemoration of 80th birthday of His Majesty King Bhumibol Adulyadej. The sports featured at the games are:- * Category I - Athletics and Aquatics including Diving and Water Polo. * Category II -

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Ms Lee is a lady in her 30s who came to see me with a painless swelling in her right knee for the past 2 weeks. She mentioned to me that she knocked her knee at a pillar last month but it did not swell then. The swelling came after she started doing more home cleaning on her knees. I found the swelling to be non-tender, soft and cystic, sitting just on top of the tibial tuberosity. I suggested

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-65240882803733214182007-11-25T22:53:00.000+08:002007-12-02T09:13:53.978+08:00

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-26933700976760181632007-11-22T18:50:00.000+08:002007-11-23T10:10:31.383+08:00

Jimmy (not his real name) is a 15 yrs old hockey junior state player who has been suffering from pain in both knees since 3 years ago. He also noticed that his tibial tuberosity was more prominent than other players. The pain would worsen with intensive weight training and running on hard turf surface. His dad was planning to give him some additional quadriceps strengthening exercises for his '

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com4tag:blogger.com,1999:blog-5118555345429466713.post-17002571150027376652007-11-14T23:54:00.000+08:002007-11-15T10:30:04.649+08:00

My ex-colleague referred a housewife in her forties with complaints of left forefoot pain since 4 months duration. The excruciating pain is worse while taking the first few steps after sitting or lying down. She got herself a pair of soft Japanese slippers at home to help her walk at home. Hence, she places her weight on her right lower limb and just drags the left lower limb (painful gait). Her

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-32938914322831448722007-11-14T23:17:00.000+08:002007-11-15T09:12:48.370+08:00

John (not his real name) is a 28 yrs old recreational basketball player who slipped while playing and landed on his outstretched arm (on his left palm). He got up and felt a sharp pain in his left forearm and could not straighten or bend his elbows fully. He also could not twist his wrists (supinate and pronate). He immediately came over to see me yesterday evening and I examined him and found

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The Malaysian contingent travelled on the no frills air carrier, Air Asia for the Asian Indoor Games in Macau. We had a pleasant trip taking approximately 4 hours from KLCCT to Macau on the 24th October 2007. Although there was a slight delay the passengers were comfortable in the well ventilated Airbus. I was surprised that the leg room was even more spacious than some European flights I've

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Intra-articular injections of an autologous conditioned serum relieved pain and improved quality of life in osteoarthritis patients better than hyaluronic acid or saline injections in a recent trial reported in the ORTHOPAEDICS TODAY INTERNATIONAL 2007.The German researchers found that injecting patients with their own blood after conditioning it elevated the levels of endogenous

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For the very first time, riders in Asia will be able to compete in the FEI Nations Cup CSIO event to be held in conjunction with the FEI 5* KL Grand Prix 2007 from the 23rd - 25th November 2007. Aside from the FEI Nations Cup CSIO, other highlights at the FEI 5* KL Grand Prix 2007 include the Future Champion Search, designed to provide an opportunity for young riders aged 21 and below, who would

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Ms Lee is a lively lady in her forties who visited 'A' Famosa with her family members during the Hari Raya festive season. Little did she know that there were several youths who ran down the stairs pushing their way through. A teenage girl knocked into her causing her to loose balance and fall down the stairs. She hit her shin (anterior border of Tibial bone) causing it to swell in pain. She had

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com11tag:blogger.com,1999:blog-5118555345429466713.post-86652550508112450672007-11-06T13:41:00.001+08:002007-11-06T16:27:04.970+08:00

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John is a 6 years old child who suddenly developed a limp on his right side and walked around with a painful gait. He was happily cycling with his cousins and even went shopping with his family a day earlier. 5 days earlier he had a bout of 'flu' which subsided on it's own. Hip pain is a frequent cause for limping in children. According to Gicquel et al (2006)the cause depends on the age of the

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28 October - 04 November 2007The Borneo Safari involves 4WD vehicles and their fearless drivers who will be challenged in the world’s most beautiful jungle terrains in Sabah. It is a unique adventure where all participants, whether men or women enthusiasts or professional, have an equal chance of winning. It is unique too, in that, the Borneo Safari offers no monetary award to the

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Malaysia's first 'angkasawan' (astronaut) Dr Sheikh Muszaphar Shukor, lifted off at 9.21pm Malaysian time yesterday in the Soyuz-TMA-11 spacecraft in the Expedition 16 led by Commander Peggy Whitson and assisted by Flight Engineer Yuri Malenchenko. They will dock to the Earth-facing port of the International Space Station’s Zarya module on Friday about 10:52 a.m.With all the excitement about

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WADA’s Executive Committee has approved the 2008 List of Prohibited Substances and Methods on September 22, 2007. This List will go into effect January 1, 2008.You are advised to check out the 2008 Monitoring Program and a summary of modifications to the list. You may download the details from the following websites:-2008 Prohibited list2008 Monitoring Programme2008 Summary of Modifications

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Course DescriptionThe conference agenda is designed to promote multi-level, integrative, and translational research, and to encourage both new and established investigators to undertake research consistent with this goal. The conference program will highlight the need to investigate factors across a range of levels (i.e., biological, medical, psychological, social) that account for variations in

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Find out more here:-Official WebsiteCompetition SchedulePhotosGetting thereMerchandise

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Mr K was tugging onto the rope in a tug-of-war when he suddenly felt a snapping sensation with a sharp pain in his right arm a month ago. He thought he had torn his muscle but after a few weeks he seemed to have recovered fully except for the bulge in his right arm (see photo and compare with the normal left arm). He told me that he used to work out regularly at the gymnasium and hence had a much

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-40447258993827869582007-09-27T23:39:00.000+08:002007-09-28T10:16:18.682+08:00

Mr Chin is an ardent 45 yrs old runner who plays badminton occasionally. Since 2 years ago he noticed a swelling on his right midfoot when he runs marathons or plays badminton more frequently. The swelling goes of after several weeks. I examined the swelling and found it to be non-tender, like a fluid-filled sac (cystic) and seem to arise from the fascia covering the Extensor Digitorum Brevis

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com1tag:blogger.com,1999:blog-5118555345429466713.post-34213772746637899922007-09-19T10:35:00.001+08:002007-09-19T10:45:23.961+08:00

Mr Tan came with a localised swelling in his right knee since 4 years ago. He told me that he landed awkwardly and subsequently a month later a swelling progressively developed. He would have pain with jogging or sitting cross-legged. He had seen an Orthopaedic surgeon who told him to undergo Arthroscopic surgery to determine the extent of damage. I examined his knee and found that he had normal

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-71908022278298712272007-09-14T11:04:00.000+08:002007-09-14T16:34:45.928+08:00

Ms N is a 4 years old girl who had a fall on her palm two weeks ago was brought by her father showing a small pea-like swelling on the palmar surface of the proximal phalanx of her right little finger. The swelling was only painful upon palpation. She otherwise had full function and power of her right little finger. It was difficult to tell whether she had the swelling previously as children do

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com1tag:blogger.com,1999:blog-5118555345429466713.post-55093421611197854302007-09-13T19:24:00.000+08:002007-09-13T19:30:05.638+08:00

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-10507865335687156852007-09-12T10:09:00.000+08:002007-09-12T12:13:20.387+08:00

Ms Ann (not her real name) is an elite level badminton athlete who came with complaints of pain in the back of both ankles with net-play and jumping smashes since 3 months duration. To her dismay, she still had the pain despite taking a month off from training. These symptoms are also common in gymnasts and dancers who do repeated jumps and en-pointe. Soccer players have been reported to have

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com1tag:blogger.com,1999:blog-5118555345429466713.post-56042066358961483532007-09-10T14:55:00.000+08:002007-09-10T15:17:21.127+08:00

Ms Lim is a lady is her twenties who walked in limping this morning with complaints of left knee pain after swimming breaststroke for an hour the previous day. She does 'gym-workout' for 2 sessions per week, dance lessons for 3 sessions per week and swimming for 2 sessions a week. She has never had any previous falls or similar episode.She had tenderness on the femoral attachment of the medial

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com2tag:blogger.com,1999:blog-5118555345429466713.post-91932713870052985442007-09-08T14:04:00.001+08:002007-09-10T16:04:30.745+08:00

20 world class teams will be engaging in a sport which requires agility, power and strategy in the IRB Rugby World Cup 2007 from the 7th September 2007 to 20th October 2007. 3 teams (USA, Canada, Argentina) represent the Americas, 9 teams (England, France, Georgia,Ireland, Italy, Portugal, Romania, Scotland, Wales)represent Europe, 2 teams (Namibia, South Africa) represent Africa and 6 teams (

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-6164401214439679562007-09-06T10:16:00.001+08:002007-09-06T11:21:57.209+08:00

Matt is a 23 years old store-keeper who doubles up as a forklift driver. He recently developed a left knee painful swelling during work and prolonged walking. He used to have knee pain during his teens when he was actively playing sports. I examined his knee and found that he had a prominent tibial tuberosity which was tender and inflammed. I applied a patella knee brace for him but he refused to

Dr Aston Ngai Seng Hueyhttp://www.blogger.com/profile/03316213983437098484noreply@blogger.com0tag:blogger.com,1999:blog-5118555345429466713.post-28413746236289523462007-08-30T15:52:00.000+08:002007-08-30T16:08:26.196+08:00

There is an interesting write up of the series of sudden deaths in soccer by The Star (Malaysia) on Thursday August 30, 2007. A history of sudden deaths in football# Aug 28, 2007: Spain and Sevilla defender Antonio Puerta (pic) died on Tuesday following a heart attack, becoming the latest footballer to die suddenly while playing. # April 11, 2006: Colombian teenager Victor Alfonso Guerrero, 17,

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Every time I am asked to assist in medical coverage of a martial event, I would ask for the assistance of hospital teams to ensure that the whole mechanism for emergency care is activated. During the 8th AKF, the organisers had the commitment of the Negeri Sembilan Health Department to ensure that the medical services offered during the 3 day competition was adequate and did not endanger the

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