MEET THE PRESENTERS OF THE PFJ SYMPOSIUM – Dr Lachlan Giles

Dr Lachlan Giles

We are excited to welcome Dr Lachlan Giles on board for the PFJ Symposium.

Lachlan is both a clinician and researcher, having worked in private practice since 2009 and completing his PhD at La Trobe University in 2016.

He has multiple peer-reviewed publications investigating rehabilitation strategies in patellofemoral pain and his research won best poster at the 2013 Sports Medicine Australia National Conference. Lachlan recently presented his work on Blood Flow Restriction training at the Australian Physiotherapy Association Conference and Sports Medicine Australia’s National Conference.

 

Read about all our PFJ Symposium presenters by clicking here.

PAUL’S AMY GILLETT SHARE THE ROAD TOUR

The Amy Gillett Share the Road Tour is sadly over. I have just ridden from the Gold Coast to Sydney. An amazing experience with a committed group of riders and advocates for safer roads – cyclists and motorists together. We rode 1080km over 7 days in rain, sunshine, on gravel, up and down hills, up to 180km per day.

The point of the ride is to raise awareness and to raise funds. For more info go to http://www.amygillett.org.au.

 

Thank you to those who have helped so far by attending our first movie night or donating directly. If you would like to support this great cause you can do a number of things:

  1. Donate directly https://strt2017.gofundraise.com.au/payments/donate/page/451604
  2. Be an advocate for a change in legislation in Victoria, the only Australian state not to trial or adopt the 1m min distance Daniel Andrews et al need to be logical and make this happen. Ridiculous – drivers do this anyway!
  3. Do the Share the Road Tour next year!
  4. Check out this year’s itinerary https://strt2017.gofundraise.com.au/cms/ridebook and ride information https://strt2017.gofundraise.com.au/cms/rideinfo

Thanks for helping, donating or being aware. A metre matters!

Regards

Paul

MEET THE PRESENTERS OF THE PFJ SYMPOSIUM – Professor Bill Vicenzino

Professor Bill Vicenzino – PhD, MSc, BPhty 

Bill Vicenzino is the Chair of Sports Physiotherapy, Director of the Master of Physiotherapy (Musculoskeletal and Sports) programs and Director of the Sports Injuries Rehabilitation and Prevention for Health (SIRPH) research unit at the University of Queensland. Bill’s research interests include musculoskeletal health, pain and injury with an emphasis on sport and physical activity, with a focus on establishing evidence based approaches to rehabilitation and prevention. His latest research aims to gain a better understanding of persistent musculoskeletal conditions and  impairments (including patellofemoral pain) and their management; these projects include a number of randomized clinical trials attracting NHMRC funding that are being published in high impact medical journals (BMJ, Lancet, JAMA).

 

Read about all our PFJ Symposium presenters by clicking here.

MEET THE PRESENTERS OF THE PFJ SYMPOSIUM- Dr Jean-Francois Esculier

Dr Jean-Francois Esculier – PT, PhD, Cert. Sport Physiotherapy (SPC) 

Jean-Francois Esculier completed his bachelor of physiotherapy at the University of Ottawa, Canada, before undertaking graduate studies (Masters and PhD) at Laval University, Canada. Over the past few years, he has conducted studies on patellofemoral pain in runners (treatment approaches, biomechanics, footwear), and shows particular interest for clinical research. Jean-Francois is also an active clinician and currently practices as a physiotherapist at the Allan McGavin Sports Medicine Clinic in Vancouver, Canada. He is currently a post-doctoral research fellow at the University of British Columbia. Given his interest for knowledge translation, Jean-Francois enjoys teaching continuing education courses pertaining to the prevention and treatment of running injuries through The Running Clinic.

 

Read about all our PFJ Symposium presenters by clicking here

MEET THE PRESENTERS OF THE PFJ SYMPOSIUM – Professor Kay Crossley

Professor Kay Crossley – PhD (Melb), BAppSci(Physio) 

Professor Kay Crossley is the Director of the La Trobe Sport and Exercise Medicine Research Centre. Kay’s main research focus is on the prevention and management of patellofemoral pain and early-onset osteoarthritis after sports-related injuries. Kay is a physiotherapist with many years of experience in clinical sports physiotherapy.  She has contributed to a number of sports medicine and physiotherapy texts, including every edition of “Brukner and Khan’s Clinical Sports Medicine”. Kay maintains a strong research interest in optimising treatments for patellofemoral conditions (pain and osteoarthritis). Additionally, she has developed a new focus of research, which encompasses three major fields.  The major focus is on the development and prevention of osteoarthritis following sports related injuries, with fields in patellofemoral osteoarthritis following patellofemoral pain, knee osteoarthritis following ACL reconstruction and hip OA following hip-related injuries (including FAI and labral tears).

 

Read about all our PFJ Symposium presenters by clicking here.

 

3 REASONS TO STRENGTH TRAIN AFTER INJURY

Strength or resistance training involves much more than simply going to the gym a couple times a week. To gain the most from strength training it’s crucial to understand the science behind exercise choice, dosage and planning. This is the foundation of designing a strength training program.

 

In fact, strength training is more about the design of the program than the exercises themselves. Recent evidence highlighting the significance of concepts such as load management and periodization emphasize this point. These concepts include progressively building your training volume and intensity, providing appropriate variety in the program and accounting for the physical profile and injury history of the patient.

 

The idea of strength training can make some people who’ve been previously or currently injured apprehensive. However, the risk of aggravating an injury must be balanced with the risk of staying in a deconditioned state and maintaining a higher re-injury risk. Which brings me to one of the most common questions I get asked by patients, ‘what can I do to prevent this happening again?’ Thankfully these days my answer is both simple and based on sound scientific evidence – improve your strength.

 

It would be wonderful if improving strength were an easy process. Though physical and mental effort is required to complete the actual strength program, it’s structure need not be complicated. With the guidance from an appropriately qualified Physiotherapist, a simple yet highly effective strength training program can be designed to progress your injury rehabilitation and reduce your injury risk.

 

In summary there are three main reasons you should strength train following an injury:

 

1. Resistance Training is a valid treatment option for musculoskeletal rehabilitation.

A recent systematic review using data from 1545 rehabilitation patients demonstrated that strength training improved outcomes in chronic low back pain, knee osteoarthritis, chronic tendinopathy and post hip replacement patients (Kristensen and Franklin-Miller, 2012. Other studies have shown that a structured resistance training program can reduce pain and improve function in neck pain (Gross, 2015), groin pain (Jensen, 2012), shoulder pain (Andersen, 2014) and also osteoporosis (Gomez-Cabello, 2012).

 

2. Strength training reduces sports injury risk
A recent systematic review using data from over 26000 patients showed that ‘strength training reduced sports injuries to less than a third’ and suggested that strength training may also halve overuse injuries (Lauersen et al, 2014).

 

3. Strength Training is easy to start
As most patients following injury are starting from a low base of fitness, strength training doesn’t need to involve large weights, squat racks, benches or sweaty mats in a gym with blaring music. In most cases to achieve an appropriate training stimulus simple bodyweight training is ideal.

 

IN SUMMARY, RESISTANCE TRAINING:

  • is effective in treating a range of common musculoskeletal conditions
  • is effective in reducing sports injury risk
  • is easy to perform.

 

By John Contreras

APA Sports Physiotherapist, S&C Coach, Pilates Instructor

 

Find out more about John’s Strength & Conditioning Essentials for Physiotherapists Course

IS ACHILLES PAIN HINDERING YOUR RUNNING?

PYS078 Running Flyer FAWith marathon and triathlon season fast approaching we often see an increase in injuries around the foot and ankle, in particular Achilles tendon pain. Last weekend Physiosports hosted a weekend conference for physios and sports doctors run by the world’s best tendon experts. Here are their 5 super important tips for anyone who thinks they have Achilles Tendinitis (although we call it Tendinopathy).

 

1. Ensure a correct diagnosis.

There are lots of tendons and other structures around the back of the ankle that can get sore with running. Given that management of tendon injuries is very different from injuries to joints and other structures, being sure it is your tendon that is the problem is vital before undertaking any treatment plan.

 

2. The findings of your scans are inconsequential to your recovery.

Often those with tendon complaints will have an MRI or ultrasound reporting partial tears or degeneration. The latest evidence suggests that these same findings often exist in pain-free tendons and is an expected tissue response. Furthermore, it has been found that these altered tissues can be rehabilitated back to normal function through exercise.

 

3. A specific loading program is vital.

Your Achilles tendon acts like a giant spring; this is why only performing calf raises for your exercise will not be enough to get you back to running and jumping sports. A carefully graduated exercise program, starting with low load activities (calf raises) and eventually progressing to dynamic jumping/hopping exercises are needed to prepare the tissue for the demands of your sport.

 
4. Complete rest and passive treatments (injections, needling etc) will not fix the issue.

As for point 3, tendons act like springs. Any treatment that stops you loading the tendon is ultimately making the tendon less capable of being a spring and this, in turn, makes it harder to rehabilitate the tendon back to normal strength. While sometimes injections and medications can reduce the pain, they do not ever help to restore the tendon’s strength or function and should be used very carefully.

 

5. Do not stretch the tendon.

Achilles tendon problems exist where the tendon wraps around the heel bone. The injury is a result of a combination of tensile (stretching) and compressive forces on the tendon that are too large for it to cope with; as a result the tendon makes itself stiffer through changing its cellular structure. Even though the tendon feels tight walking around (especially in the morning or when you start running) – remember this is a response in the tissue to protect itself. When you try and stretch the tendon to loosen it up you are actually placing a compressive and stretching force on the tendon and actually making it worse.

 

TENDINOPATHY SYMPOSIUM 2017 SCHEDULE

 

Professor Jill Cook – JC

Craig Purdam (FACP) – CP

Ebonie Rio
- ER

Sean Docking – SD

 


 

Friday  6:30-9:30pm

MASTERCLASS – PRESENT EVIDENCE/LATEST RESEARCH 

Time Topic
6:30 DINNER
7:30 Revisiting the continuum of tendinopathy…again? – CP/JC
7:50 Characteristics and evidence around pain in tendons – ER
8:15 SUPPER
8:30 How do tendons adapt to load? SD
8:50 Management of tendinopathy in season – ER/CP
9:10 What to do if it’s not working? – JC/CP

 

Saturday  9:00am – 5:00pm

SYMPOSIUM

Time Topic
9:00 Tendinopathy – basic science and clinical presentations– SD/CP
9:45 The pain of tendinopathy – bottom-up, top-down where are we at?– ER
10:30 MORNING TEA
11:00 Tendon imaging – SD
11:45 Understanding load – CP
12:30 LUNCH
1:30 Assessment of tendinopathy and differential diagnosis – JC/ ER
2:15 Phases of rehabilitation – JC/ER/CP
3:00 AFTERNOON TEA
3:30 Adjunct therapies and adolescent tendons – JC/SD
4:15 Q/A

 


 

Sunday  9:00am – 4:00pm

WORKSHOPS

Rotating 4 workshops:


1. JC – Achilles/Glut tendons


2. ER – Patella


3. CP – Hamstring


4. SD – Imaging – when, how, what does it tell us?

Time Topic
9:00 Workshop 1
9:45 Workshop 2
10:30 MORNING TEA
11:00 Case studies
11:45 Clinical presentations and other tendons
12:30 LUNCH
1:30 Workshop 3
2:15 Workshop 4
3:00 AFTERNOON TEA
3:30 Q&A / concluding remarks