League Medic Issue 3

Issue 3: Winter 2012/13

The official magazine of the

League Medical Association

Mitchell takes the prize Highlights from the NWFA Medic to manager Les Parry

Where are they now?

Fred Street

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Contents Welcome

Editor’s letter Whilst most people are easing their way gently into the new year, the professional football season is already half-way through and, with the frenzy of the January transfer deadline looming, it’s an incredibly busy time.

When you do have five minutes to spare, I hope this latest issue of Football Medic will provide some good reading with your cuppa. As always, it’s packed with relevant news, features and in-depth interviews with your contemporaries in the game.

We’d also love to hear your news and views, so please do drop us a line at info@lmeda.co.uk.

4 A message from our CEO/LMedA News

Editorials 5 Touchline Rants/ Diary Dates 6 Cover Story Mitchell takes the prize

8 Steve Allen Broken dreams

11 On the Couch with…

Paul Evans

13 Game On! LMedA Football Managaer tie-in

Happy New Year! I hope you managed to enjoy the Christmas festivities in spite of having to work for most of it.

Here’s to a great 2013!

Janine

Features 14 Medic to Manager Les Parry

17 CPD and education 18 Where are they now?

Football Medic Magazine E: info@lmeda.co.uk T: (0333) 4567897 Gisburn Road W: www.lmeda.co.uk Barrowford twitter.com/LeagueMedAssoc Lancs BB9 8PT

Fred Street

20 Aerofloor Taking the Premiership by storm

22 Hydrotherapy What are the benefits?

24 Stretching the truth 25 Supplements and Ergogenic Aids

Courses 26 Physio UK 28 Wellbeing/CPD

Editor

Janine Nelson

Chief Executive Officer

Eamonn Salmon

Senior Administrator

Lindsay McGlynn

Administrator IT

Nicola Holly

Francis Joseph

Design

Red-Fern Media Solutions

Marketing/Advertising

Charles Whitney

30 HE Seminars

www.red-fern.co.uk (01582) 659555

Buxton Press Limited Published by

Palace Road Buxton Derbyshire SK17 6AE

© League Medical Association. All Rights reserved.

No part of this pulication may be reproduced or trasmitted in any form or by any means, or stored in a retrieval system without prior written permission except as permitted under the Copyright Designs Patents Act 1988. Application for permission for use of copyright material shall be made to LMedA.

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Message from the office

Welcome

A message from the office “Happy New Year to all our members!!”

I guess once we get past Christmas it feels a little like the start of the home run. Though the light at the end of the tunnel still remains dim the end is in sight. And before we know it another season is under our belts and the merry go round continues. Hopefully!

I think my New Year message is to try and enjoy every moment of your time in football. Arduous it may be on occasion, but the good times far outweigh the bad and it is a highly respected and privileged position to be in. Remember it is a “dream” job for so many of our associate members and many others who would jump at the chance to work in the professional game.

As Fred Street reminisces in one of our featured articles – I would not have missed (time in the game) for anything.

Eamonn Salmon

CEO, League Medical Association

LMedA News Clinical Representatives

Following the recent formation of our committee, we have now put in place an arrangement whereby each committee member will act as a clinical representative for their speciality.

This arrangement will allow any of our members direct contact with these representatives to discuss a problem or issue of a clinical nature that concerns them. This could be regarding an injury, a player’s rehab or simply to run something by them for their advice and guidance.

Such correspondence would be entirely confidential between those concerned. Members need to remember that our committee too have been there and experienced pretty much everything you might be facing. They are a very personable bunch, are in no way judgemental and are only too happy to help fellow members.

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Any of the clinical representatives can be contacted through LMedA. Email us on info@lmeda.co.uk or call on 0333 4567897 or 079 479 55488 and we will facilitate that contact.

Additional representatives who will offer support alongside the committee are: Mayor Ranchordas – Nutrition Carl Todd - Osteopathy Bernard Nolan – Acupuncture Steve Lyons – Podiatry

Committee Update Many of you will know that Darren Burgess, head of S&C at Liverpool FC, has parted company with the club and returned to his native Australia to take up a similar role there.

Darren was always very supportive of LMedA and indeed we were able to offer him advice and legal guidance as he negotiated his departure with Liverpool.

Darren was particularly well

thought of and made a great contribution to our football during his time here and I am sure everyone wishes him well for the future.

LMedA was particularly sad to see him move on as he was most definitely a valued Committee member and no doubt would have been a substantial influence within LMedA. But of course things move on and we have been extremely fortunate to have co-opted Barry Drust onto the committee as his replacement. Barry is a very well-known figure in the world of sports science in football.

An academic at Liverpool John Moores University, he is also a consultant to Liverpool FC and currently works and travels with the England national team as part of the medical/science staff.

Barry will be a terrific asset to LMedA and we are extremely grateful for his willingness to be involved with us as a committee member.

Touchline Rants

Editorials

BY PITCHSIDE PETE As it’s January and the cold weather is a regular feature every week on the side of the pitch, the choice of how many layers and what clothing to wear becomes an issue.

Diary Dates

Do you select a thick coat that keeps you warm, but also makes you look (and move) like the Michelin man?

Do you choose skin-tight

bottoms that make you wish that you’d spent more time in the gym building your quads strength up?

Or are you one of the tough (and a bit silly) people who vehemently deny feeling the cold - in shorts in all weathers on the side of the pitch?

Unfortunately, the red blotches and veins that look like the map of the London Underground on your legs are the giveaway. You’re feeling the cold as much as everyone

Jan/Feb/March 2013

else… it’s just that you think you look braver than everyone else.

It’s been a while since I’ve seen it happen – but it will happen again - where a physio or doctor runs on the pitch to assess a player and pulls up in ‘full flight’ with a hamstring injury… Beware - You Tube is waiting to capture your misfortune for all the rest of us medical staff to chuckle at!!!

Stay warm!

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North West Football Awards

Editorials

Mitchell takes the

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North West Football Awards

Editorials

The great and the good of English football were out in force to celebrate the North West Football Awards (NWFA).

The star-studded event took place at the Point, Lancashire County Cricket Club ground, on Monday 12th November and was hosted by Football Focus presenter Dan Walker.

In attendance was an impressive array of players, managers and celebrities, including Sir Bobby Charlton, Patrick Viera, Dave Whelan, Gordon Taylor and Fabrice Muamba to name a few

prize

In a spectacular evening of awards and fundraising, organisers Journey 9 left no stone unturned in delivering a superb evening with the glitz and glamour expected of such events.

Film crews, cameras, lights, action with each winner interviewed for worldwide coverage by ESPN and photographed to show the kids!

The usual categories of “Player of the Year”, “Manager of the Year”, “Goal of the Year” were served up and duly dispatched with applause and a good deal of humour and discussion. But there were other more onerous awards on the evening too, most notably one for two of the Hillsborough campaigners who have fought tirelessly and now successfully for the truth about the disaster.

Other awards were given to community projects involving clubs

and even one for “Unsung Hero”, which was almost a cue for a second award to one of our members.

All in all this variation gave the event a lively presence without ever becoming a drag which can befall similar events.

that followed “Mitch” accepted the award on behalf of all the medical staff involved in the Fabrice incident. He also highlighted the level of training needed to deal with such events and re-iterated calls for this training to be extended to everyone throughout the The award for Medical and divisions.

Science Professional of the Year LMedA received fabulous exposure on was, however, the highlight of the night. Eamonn said afterwards: the evening as far as LMedA was “It was great to see our logo proudly concerned. displayed alongside the PFA, The Premier League, The LMA and others, In announcing this category, Fabrice illustrating the profile we now have.

Muamba was called to the stage for a As an organisation LMedA was given chat with Dan Walker and duly gave considerable exposure throughout the his recollection of events that have event and I feel we have made yet followed the incident in March. more progress in confirming ourselves LMedA’s Eamonn Salmon was then as a significant representative body. introduced to present the award and, after reading the nominees, announced Congratulations go to the organisers, the winner to be Andy Mitchell from LMedA and the winner Andy Mitchell in what was a prodigious evening.”

Bolton Wanderers. In the interview

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Broken dreams

Editorials

Broken dreams Early injury forced a career re-think for Steve Allen, head physiotherapist at Portsmouth FC

At the youthful age of 46, Steve Allen has already enjoyed a long and fruitful career in football physiotherapy spanning over 28 years. In that time, he’s worked for several high-profile clubs and has seen the industry evolve. Here, he details his life in football so far…

I left school in 1984 with no qualifications and went to Colchester United as an apprentice footballer but I injured my knee very early on and eventually had to stop playing. I had a chondral defect in my knee and the treatment, at the time, was rest but it didn’t seem to be getting any better.

Now, of course, I would have had a microfracture operation.

Following my injury, I went to study one day a week as an apprentice physiotherapist. I did a three-year course in the FA Treatment and Management of Injury diploma, which I completed in 1986. Because of my injury, I think I was keen to find out more about why it had happened and that’s what got me interested in

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physiotherapy. It’s like I fell into it! I found it really difficult to accept my injury and the fact that it had brought my footballing career to an end at the age of 18. It broke my heart but I have been able to make a good living out of being a physiotherapist so maybe it was fate.

“It has been very difficult since Portsmouth went into administration.”

Once I had qualified, I wrote to all the London clubs and was offered a job at Wimbledon, where I became the youngest physiotherapist working in the First Division, aged 20. I stayed there for 17 years, during which time I also got my UEFA A Licence Coaching award, a degree in sports science and a First Class Honours Degree in physiotherapy from Brunel University, which was part-funded by the PFA because I was an ex-player – not bad for boy who left with no qualifications!

When Wimbledon split in 2003,

I went to Crystal Palace for a season (when they won promotion under Iain Dowie). Then my old boss, Sam Hamman, offered me a three-year contract at Cardiff City. However, I was forced to leave at the end of the first year after I was bought in a deal with two players to go to West Ham under then manager Alan Pardew. In 2006 I went with Alan to Charlton Athletic for three years before finally moving to Portsmouth with manager Steve Cotterill – who I had been a physio for 25 years earlier at Wimbledon!

It has been very difficult since Portsmouth went into administration.

I used to have two full-time physiotherapists, two full-time masseurs and a part-time GP but the structure has had to be downsized and trying to keep everyone in their jobs has been tough.

There’s also the emotional state of staff members to think about because they have families and mortgages and bills to pay. When a club goes into administration, the players are protected through the FA but other

Broken dreams

Editorials

staff members don’t have the same protection so it’s a very worrying time.

I still do a bit of private physiotherapy work at Ashstead Hospital and I sometimes run workshops aimed at coaches of Charter Standard clubs.

Physiotherapy in football has changed dramatically since I first started my career – for the better.

The support network for clubs now is vast. When I first started, I was the only physio at Wimbledon dealing with 20 professional players and 15 youth players on my own and it was a struggle to get through everyone!

There was very little ‘down time’ and, looking back, it was all a bit of a blur.

Nowadays I have the support of sports scientists, GPs and so on, so it’s much more manageable.

In the old days, if someone had a problem, they would be referred to a general orthopedic surgeon, but

nowadays, we have access to surgeons who specialise in specific areas.

I also think there was a big change in attitudes when the foreign players started coming over and English players copied their warm-up and warm-down techniques and became much more aware of things like nutrition. Players and clubs finally really appreciate the role played by the medical team whereas before we never really had much support - and this has all culminated in the formation of LMedA which was long overdue.

There were quite a few exfootballers on the course with me at Brunel and I do believe we are ideally suited to be football physiotherapists.

As well as understanding the medical side, we also understand the life of the footballer and how he needs to be treated.

Having gone into physiotherapy with a three-year diploma, I realised

that qualification wasn’t enough for the job. So, when the FA introduced the mandatory rules for all physiotherapists to be chartered, I think it really enhanced the quality of treatment.

Going back to when I was injured at 16, I was really lucky that the physiotherapist at Colchester was chartered – it was unheard of at the time. I remember being in awe of him and I was amazed at his knowledge.

I remember thinking ‘I want to be as good as that’. Hopefully I have achieved that…

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On the couch with...Paul Evans

Editorials

Paul Evans

Profession.

First team sports massage therapist at Leicester City FC.

Where did you train? What course? When?

This always makes people laugh but I trained at the Leeds School of Health and Beauty, where I did my Level 3 sports massage and holistic therapy, along with anatomy and physiology in 2009. Then, in 2010, I did my Level 4 sports massage through the Sports Massage Association and VTCT at Salford University.

How did you get into football?

I was a professional footballer for 17½ years and played at quite a few clubs, including Shrewsbury Town, Bradford City, Blackpool, Notts Forest,

Rotherham and Swindon Town. My final club was Oxford United and, while I was there, a good friend of mine who is a top physiotherapist, gave me a few books to read about massage therapy and I found them really interesting. I was coming to the end of my playing career and had done my UEFA B licence and was wondering whether to go and do my A licence, but I decided to pursue massage therapy instead.

Talk us through your massage therapy career to date.

How’s the job going at the moment?

I’m loving it. I’m lucky because I work with two really good physiotherapists, Dave Rennie and Tom Freeman, and it’s fascinating to see how differently each team works behind the scenes.

Here at Leicester, there’s a real close knit between the medical team and the management.

What’s your long-term career plan?

I want to improve and gain on my experience. I’m learning every I’m relatively new to the career and am day. I would also like to look into only in my fourth full season. rehabilitation because I find that side I did a season at Notts County, of it very interesting. when they won League 2. It was an interesting time because, one minute Dream job. the club had lots of money and the I know it sounds cheesy but I feel like next we were told it might be closing I had my dream job as a footballer. I down. They were testing circumstances still play five-a-side with my friends but it was interesting to see the other and my wife can’t get her head side of football. Then I moved to around the fact that I now pay to Derby County for a season, which was play football! I suppose my ultimate a great football club and the facilities dream job would have been to play were much bigger and better, before for Liverpool, because that’s who I coming to Leicester City which again support, so I guess being the sports is a great football club with a lot of massage therapist for Liverpool would great people working there and all be good too. However I am very pulling in the right direction!! happy here at Leicester City.

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“Great support and back-up facilities”

Here’s why you should join the League Medical Association…

“The support from LMedA has been a great source of comfort in all aspects of my job. The courses and CPD are taking shape, the legal support is fantastic and knowing there is a network of physios and other clinicians now out there is of huge benefit.

All of us working in football need to support LMedA and improve our strength and standing in the game.”

Andy Mitchell, head physiotherapist, Bolton Wanderers FC “LMedA is now blossoming as an association with great support and back-up facilities. The introduction of CPD is extremely useful, easy to access and relevant. It’s good to know help is only a phone call away.”

Simon Parsell, head physiotherapist, Luton Town FC “LMedA is the only forum to represent the best interests of sport scientists working in football.”

Chris Barnes, sports science consultant, West Bromich Albion FC

Member benefits include:

Legal Members now have access to the same legal team as the managers.

Russell Jones & Walker have worked closely with the LMA for many years and have vast experience in the football industry. Their knowledge is invaluable in making sure you get the best outcome in any situation.

Note: All costs up to reaching compromise agreements should you leave a club are covered by LMedA (typically worth up to £1,000).

Medico-legal LMedA has a network of eminent barristers and solicitors with specialist knowledge in this field and who understand our work environment and its unique complexities.

CPD 30 hours of reading and video CPD sent to members each season using extracts from the British Journal of Sports Medicine. This material may be certificated for you to add to your portfolio at season end.

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Jobs

Our Jobline is a facility now recognised as the place to advertise posts for medical, science and exercise personnel. Only members receive priority notification of these posts via an email alert giving them that much needed advantage when applying for jobs in professional football.

Football Medic A quarterly magazine which is now essential reading to keep you in touch and up to date with events in your industry. This is a members only publication.

LMedA Support Seven days a week throughout the season offering support in many ways. LMedA also have a framework contract in place for members, provide professional CVs, advice on medico-legal issues and a clinical support network of clinicians who will discuss any issues you may have on any topic from nutrition to neuroscience.

Contracts - Free contract appraisal at any time by our employment solicitors. Get yours verified before signing!

- LMedA, in conjunction with Russell Jones & Walker, have developed a specimen contract that can be used by all members when negotiating new terms and contracts of employment.

Discounts - Reduced costs for courses and events have been arranged with many leading educational providers so always quote LMedA membership when applying.

- Discounted rates on hotels and car leasing as well as many other developing projects in the pipeline for you to benefit from.

And all this for around £2 per week!!

LMedA - The fastest growing and most popular association for medical, science and exercise personnel in professional football.

For more information on how to join visit www.lmeda.co.uk or call (0333) 4567897.

Football Manager tie-in

Editorials

on!

Game

As we all know the role of medical A second area of involvement will Here at LMedA we’re pretty much and science personnel has grown be in developing a more accurate ‘game’ for anything, but we had a enormously over the past 10 years and injury profile. This means, for rather unusual request recently.

We were approached by international games company, Sports Interactive, to get involved with their flagship product “Football Manager”.

This internationally renowned computer game is played by over 1.5 million people worldwide and is by far the most popular game of its kind.

Football Manager is the bestselling, most realistic football management series ever made - and Football Manager 2013 celebrates 20 years of games with an array of new features.

This year’s version allows you to take control of any club in more than 50 nations across the world and includes all of Europe’s biggest leagues as well as database of over 500,000 real-world players and staff.

Players are in the hot-seat, which means you decide on who plays and who sits on the bench, you’re in total control of tactics, teamtalks, substitutions and pitch-side instructions as you follow the match live with the acclaimed 3D match engine allowing YOU to make the difference!

The success of this product lies in the accuracy of its content and SI games go to great lengths to ensure all details in the game are as accurate as possible. (Each year 2 update patches are issued to subscribers in order to maintain this accuracy).

so too has our profile and standing in the game. In short we are a vital cog in the machine and it seems SI games recognise that as well.

Following a meeting in September 2012 LMedA has been commissioned to examine the medical/science content of the game and then to assess how this area can be improved. Several of our members received an early copy of the 2013 edition and have been assessing the flaws that currently exist.

Well we hope they have! Could be they’ve just been playing for hours on end!!

Now it may be that you think given the number of managers, coaches, players and the machinations of the game etc, our role would be of little or minor significance, but, apparently not. Players of the game want pinpoint accuracy and are most definitely interested in our contribution to this product.

So, how will we be involved? Well first of all we will provide SI games with an accurate database of personnel for each club. We have suggested six members be listed for each team which will be Head Physiotherapist, Club Doctor, Head Sports Scientist, Masseur, Sports Therapist and Sports Analyst. Obviously this number will be reduced for teams in the lower divisions where they may not be applicable.

example, that a hamstring injury might currently be listed as an 8/52 absence from the game. It may be, however, that such an injury is listed as 7/52 for a Premier League team and 9/52 for a lower league team given the input/investigations/rehab at this level is more limited due to facilities/ staffing levels etc.

We might also make suggestions such as annual budgets be given to medical staff and perhaps more involvement in team meetings as well.

In return, LMedA is to be flagged up alongside the LMA and PFA as the representative body for medical, science and exercise personnel. Without compromising accuracy LMedA members will get priority listing since eventually our game profile will become even more involved and personal contact with those listed may become a more important feature.

And in the future…. Well there is talk of the game going on-line live streaming. This means events that happen in the real world are paralleled in the product itself increasing the level of accuracy. Our contribution might then be on a daily basis as injuries occur.

Sounds like a future full-time job for one of our members here. Any takers?!

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Medic to Manager

Features

Medic to Manager: Les Parry is sitting inside Accrington Stanley’s scratchy portakabin when we meet to chat about the transition of exiting as manager of Tranmere Rovers to again becoming a physio in the space of weeks at the back end of last season. “I quite enjoyed it – there was less pressure,” he smiles. “The lads are a great…” then Stanley full-back Dean Winnard brashly strides in, “well, mostly a great set of lads!”

The glint, laughter and knowing look between the pair neatly encapsulate the reasons why Parry felt life after management was best served patching up the wounded at the Crown Ground rather than his golf.

“I loved being a manager,” he says. “I liked the control and left Tranmere in a much better condition than when I took over throughout the club. We

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were set up right. But I really enjoy the camaraderie bit of being a physio which is lost as a manager. Banter is still there, but it isn’t the same. You can kid yourself, but it isn’t.”

It was days after he “got the bullet” at Prenton Park, where he spent two decades, that the then-Accrington manager Paul Cook came knocking. “I went away for a few days to Portugal when Paul phoned me up to see if I could sort the medical side out,” Parry said. “We didn’t have a room, electrical equipment or a bed. We didn’t have anything. We used a small room next to the dressing room to patch players up. For a club in League Two, it wasn’t acceptable.

“I said yes and was going to give it until the end of the season – that would give me an idea as to whether I

wanted to do it full-time again.”

The bug was back instantly - and Stanley now have facilities at the ground fit for a Football League club.

There is a sense of pride when Parry walks into the basic, but perfectly adequate, room where players are treated. Even more crucially, they have one of the most well thought of physios in the business. There might be a tinge of regret that he couldn’t make management work but Parry has re-found his true home.

“I won’t say it was a relief, but towards the end, a little group of fans turned and wanted me out,” he recalls.”You have to respect people’s opinions. It was a real wrench to leave the club.

“It’s always going to be disappointing.

I was there 20 years for over 1,200 games. It was a big part of my life,

Medic to Manager

Features

Jack Gaughan of the Independent finds out what it is really like to cross the divide into football management but I sort of knew it was coming so it wasn’t that much of a shock. The chairman called me in the day after losing 1-0 against Chesterfield; he wasn’t going to offer me a payrise was he?!”

Parry had to utilise all the qualities previously picked up in the treatment room to get the best out of his players, and achieved a modicum of success for a club quickly plummeting. He says bearing the brunt of tantrums, strops, unhappiness and even psychological problems make a physio the ideal candidate to lift a club off its knees through man-managing underperforming players.

“The treatment room is a place where a lot of players talk. You just get on with your job but you pick a lot up,” he reveals. “One of the main things I

took into the job is what players like and what turns them off. I was able to implement some changes where I knew it’d go down well.”

Perhaps surprisingly, Parry didn’t experience any dissent from players who thought they might know better than him tactically. “I went from being a listener to somebody who had a bearing on their livelihood. You go from being somebody’s best pal to them not even saying hello to you because you’d left them out on the Saturday.

“They never questioned me in fairness. Nobody in the two years answered me back about not playing or anything.”

And his organisation didn’t stop at the players. Parry understood the need for the club’s physio, Gregg Blundell,

to take some time off. “I once worked 274 consecutive days. You think ‘isn’t that good’ but it’s not. It’s stupid.”

Looking back, there are no regrets.

“It’s worked out well,” he reflects. “I didn’t really know whether I wanted to go back to being a physio. When I got the job as Tranmere manager I was looking to get out of the game anyway because I’d been in it for so long.”

But seemingly it sticks with you, and Accrington are better off for it.

As our interview was coming to an end, Winnard returned wanting to do an extra session with Parry as the defender battled back from injury.

“How long are you taking? You doing your autobiography?” he asked.

The laughing reply was two words, the second of which was “off”. That’s camaraderie for you.

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CPD and LMedA

Features

Continued Professional Development

and LMedA

For those of you who recall the early days of LMedA, you will remember that one of our aims has always been to deliver some form of CPD to members.

LMedA has always been aware of the difficulties members have in satisfying the demands of their profession to undertake CPD. Originally, this used to be measured in “hours” but is now more akin to “reflective practice”. Whatever the description one thing is certain – that to maintain professional status all disciplines should have a portfolio illustrating content and evidence of CPD. Should anyone be unfortunate enough to be audited by their governing body then this portfolio of course takes on paramount importance.

The biggest obstacle to gathering CPD evidence has always been, and remains, the need to take time out of work to attend courses and then to register and record these courses for your portfolio. It’s okay at the bigger clubs who have in-house training

programmes and hold courses at their training grounds but, for the vast majority of members, even the thought of finishing early to attend an evening lecture brings with it sometimes insurmountable obstacles.

In considering therefore the practicalities of educational involvement for LMedA it has become clear that members need to access some form of CPD material in their home or workspace.

“Convenience” has become the basis of our involvement and to this end we have been researching the simplest and most effective way of delivering material to members.

LMedA has always been keen not to replicate what the FA and others are doing, nor indeed do we want to start getting courses out there that others are already successfully delivering.

Better that we explore other arenas to complement your educational opportunities and in so doing have come up with supplementary pathways that will resonate with our members.

Having established a pathway

through the British Journal of Sports Medicine, LMedA will now deliver to members 30 hours per season of reading/video material that is selected by us and deemed appropriate and of educational value to members.

The beauty of this system lies in its simplicity. We source and deliver the material, you disseminate at your leisure. We issue certification at the end of the season to each Member listing the material sent. You put it in your portfolio as evidence of CPD – job done.

Now we are only too aware that this is an extremely “simple” process and the need to undertake and attend courses remains paramount. But, by starting this process we will be able to build on the concept and, in time, hope to have our content delivered in a much more substantive format. One that may perhaps include credits and go towards a further education award.

So bear with us as we develop this programme. One thing’s for sure, if ever you have to rely on your portfolio, you will be glad to have LMedA’s material in there.

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If you are looking to showcase your products to medical and sport and exercise experts in the professional football world, Football Medic is the perfect vehicle.

From ¼ page adverts to double page spreads to advertorials, there is something to suit every budget.

Starting from just £175.00, your products can be reaching key purchasers in the world of professional football.

Partnership options LMedA also offers a range of partnership options offering you a number of different ways to align your company and products alongside professional football’s fast growing, medical membership organisation

Email maggie@charleswhitney or phone Charles Whitney on 0845 0041040 for further details.

17

Fred Street

Features

Where are they now?

We kick off a new series finding out what happens to our colleagues when they leave the game and what better way to start than to catch up with Fred Street…

What are you doing now?

I retired two years ago at the age of 77.

Do you miss the game?

Not really, last time I ran on the pitch to an injury was England v San Marino in the World Cup qualifier in 1993. I had already given two years’ notice to the FA that I would finish my 20-year association at the 1994 World Cup Finals in USA, which we

18

didn’t go to. I felt Graham Taylor was treated disgracefully as a result of not qualifying.

I watch some of the matches on TV, it is all show business and celebrity now.

TV makes the game last almost four hours with the pre and post match stuff, you almost feel the game is incidental.

I sometimes meet and talk to old friends from the press, and they say things like ‘the warm-ups and stretches etc. have been introduced by the new breed of managers’. Not true, Bertie Mee introduced stretches back in the 60s, and we did all that warmup stuff inside in the club gym before going out just before kick-off. Now

it’s all done on the pitch as pre-match entertainment. Nothing changes, people just reinvent the wheel.

What do you think has improved?

A. The players’ athletic fitness. This must be due to better training methods and scientific knowledge, with large staffs of specialist people, none of which was affordable in the old first division before the Premier League.

B. The speed of the game. This is linked to the above observations. From the first to last whistle, all the players, including the goalkeepers, never stop moving or being involved. I am sure

Fred Street

Features

still green and smooth even at the end of the season, and the game is better for it, with players able to show their skills to advantage. Obviously, greater knowledge has been brought to bear on this.

Where was the last place you worked at?

we can all remember when full backs cleared their lines, went up as far as the half way line, and watched the game from there.

Both these observations must be put in context. Players are fitter and more athletic now than in the past due to the prevailing circumstances of the times they played in. Good players from the past would still be good players today. If Bobby Moore was playing today he would still be England’s captain.

C. The playing surfaces. These are quite amazing. We can all remember when, by November, most pitches were black diamonds with little green bits at the corner flags. The goalmouth was like a ploughed field, and players were covered in mud by half-time.

Now most pitches at top clubs are

As I said earlier my last match with England was at the World Cup qualifier in San Marino in 1993.

That was the end of my 20 years and 250 matches with England. I was 60 that year, and felt it was time to let someone else have a go.

My last club match was the last game at Highbury at the end of the season in 1983. That year I was 50. I had been at Arsenal for 12 years, done about 1,000 games and decided to change direction into private practice, and keep my England commitment with the FA. Before Arsenal I was at Stoke City for two years with the memorable Tony Waddington as manager. They were in the old first division, and were mostly a mid-table side. A very happy club with a great board of directors, with Albert Henshall as chairman, and Jim Crowe club doctor.

I had been head-hunted by them from the NHS where I was Superintendent at The Medical Rehabilitation Centre in London. I had planned to go back there after two or three years in football, but Arsenal asked me to join them. There was no way I was going to walk out on Stoke. I told the chairman and he had discussions with Arsenal’s chairman. I was transferred for £5,000!

the world cup ITALIA 90 semi-final against West Germany. So near yet so far.

Do you have happy memories of your time in football?

Like everyone, we all think ‘our times’ were great but nostalgia is rose tinted.

I remember being in the Liverpool boot room after we had played there and won (a rare thing at Liverpool in the 70s and 80s). I was chatting to Bob Paisley and Joe Fagin (great people), when a player came in moaning about something. Bob looked at him and said ‘ Go home son, I’ll see you on Monday, and one day you will look back on these days and say ‘I had the best’. You know Bob was probably right.

What has been the biggest change?

The game is now a global big business spin-off from television and sponsorship. The money that comes from that underpins all the improvements from the new stadiums to players’ salaries. If ever (unlikely) TV pulls the rug and drops it involvement then players will go back to wages sustained only by gate revenues. As I said unlikely.

Are you still in touch with players/managers/physios?

We have reunions at Arsenal for the double year and cup-winning anniversaries and I still know a lot of players and staff, many I see on TV as pundits, and many of them used to come as patients to my clinic. All of which is very nice.

Would you ever consider returning to football?

What’s your most memorable moment?

Non-applicable as I’m retired.... I could still run on but not quite so fast!

At club level, it was winning the FA Cup with Arsenal in 1979 against Manchester United in the last few seconds of the game. With England: Standing with Sir Bobby Robson watching the penalty shoot-out in

Final thoughts on your time in the game?

I wouldn’t have missed it for anything. I met some great people, travelled the world in style and took part in some wonderful events.

19

SAQ/LMedA

Features

“Aerofloor received very well. Double matt has proved invaluable already.”

John Davin, physiotherapist at Manchester United

20

SAQ/LMedA

Features

SAQ /LMedA /Aerofloor taking football by storm During the past 20 years SAQ® International have developed and introduced a number of groundbreaking training, education programmes and equipment to professional football clubs throughout the UK and Europe.

Programmes and equipment are continually developed and researched through independent and qualityassured, evidence-based processes working closely with customers. This has enabled us to provide first class practical training and education, expert hands-on consultancy, and practical, professionally designed and resourced equipment.

Aerofloor Over the past 18 months SAQ International collaborated closely with ex-Sunderland FC head of sports medicine Peter Friar, who has also worked with Leicester City and West Ham football clubs to develop, research, design and launch the revolutionary rehabilitation and training tool ‘The Aerofloor’.

Utilising high specification fabrics, the ‘Controlled Energy Return Technology’ (CERT) provides the following incredible properties: 1. Shock absorption, sparing joints from exercise impact 2. Proprioceptive qualities providing an adjustable ‘unstable surface’ for balance training 3. ‘Focal’ shock absorption properties, preventing disruption to other users or equipment on the Aerofloor

The Aerofloor has taken the Premiership by storm with Manchester United, Manchester City, Everton, Liverpool, Stoke, Sunderland, West Ham and Fulham being some of the first clubs to introduce the Aerofloor to their medical and fitness departments.

John Davin, physiotherapist at Manchester United, gave this positive feedback.

“Aerofloor received very well.

Double matt has proved invaluable already. Also been used as great warm-up tool especially for our joint compromised athletes. Chris (Smalling - has had a metatarsal fracture) used very early days instilled confidence.

Cheers, John”

On-going professional courses SAQ® International, in conjunction with the League Medical Association, is developing a bespoke/tailored, nationally recognised certificate that will be provided through SAQ® International’s online Sports College.

The award has been designed to link up physiotherapy and sports science, its awareness and delivery within the professional football club.

SAQ online Sports College has available the following NCFE level 4, REPS, Active IQ accredited diplomas: Strength and Conditioning for Football Athletic Development- The First 20 Years Sports Team Management Other football-specific awards and early athletic development level 1 and level 2 courses are available.

LMedA members special offer SAQ International is proud to announce the following special offers to all League Medical Association members: 15% discount on all online Diplomas 20% discount on all level 1 and 2 Awards 20% discount on all branded SAQ equipment 10% discount on nonbranded SAQ equipment 10% discount on the Aerofloor Web: www.saqinternational.com www.saqsportscollege.com www. saqaerofloor.com Tel: 01664 810101 Email: alan@saqinternational.com

21

Hydrotherapy: what are the benefits?

Features

Hydrotherapy:

what are the benefits?

Introduction Perform at St George’s Park, the world-class sports and exercise medicine, human performance and rehabilitation centre at the heart of The Football Association’s (FA) new national training home has opened its doors. Visitors to St George’s Park, be they elite sports people or the general public, are offered access to superb, state-of the-art sports science and training facilities, with the aim of helping them reach their physical and mental potential. One of the key areas in the facility is the hydrotherapy suite The hydrotherapy suite offers a multi-purpose area which can be utilised for a myriad of conditions such as recovery, rehabilitation, cardiovascular workout, management of the joint compromised athlete, contrast therapy and gait analysis to name but a few. Patients vary from the elite England teams through to the disability squads, and the ‘weekend warrior’ to the stroke patient requiring intensive rehabilitation.

What is hydrotherapy?

Hydrotherapy, involves the use of

22

water for pain relief and treatment.

The term encompasses a broad range of approaches and therapeutic methods that take advantage of the physical properties of water, such as temperature and pressure.

What is hydrostatics and hydrodynamics?

aid movement of joints, whilst relieving swelling associated pain.

• Relief of pain & muscle spasm • The reduced effect of gravity & warmth of the water can aid suppression of the sympathetic nervous system reducing muscle tone, spasm and relieving pain.

The result of the weight of the water pressing down from above increases with depth. This means that the water pressure exerted upon an upright body At St George’s Park in my role with when submerged is greater at the feet the Football association and Perform than at the chest. the Hydrotherapy areas has become one of its unique selling points.

What are the benefits?

Recovery post training is arguably as • Improved strength / cardiogood as you can get in this country, vascular fitness / balance and all players appreciate the ability to off load and assist in optimal recovery • Due to water resistance & between sessions. The injured athletes hydrostatic pressures (viscosity, and patients find it a relaxing medium turbulence, weight/density of to work in, and can be challenged by water & buoyancy) its resistance capacities, whilst also off • Reduction of oedema & loaded with the buoyancy of the water. improved circulation Working in water also allows us • Hydrostatic pressure creates a another medium to assess movement passive muscle pumping action dysfunction and look at how an which can reduce oedema and athlete moves, then focus our improve circulation. This can rehabilitation accordingly.

Supplements

Features

Use of Supplements and Ergogenic Aids in Professional Football By performance nutritionist Mayur Ranchordas

The use of supplements and ergogenic aids to enhance performance in football is tremendously attractive because they are convenient, relatively easy to take, seem an easy way to get some ‘quick’ wins, and if work as claimed, supplements can increase performance without having to increase training volumes and intensities.

Professional teams around the world spend several thousands of pounds every season and some clubs have supplement budgets of over £60,000 per year, which is just one of the reasons why the supplement business is a multi-million pound industry worldwide. However, the major problem with the supplement market is that very few actually work as claimed, and many are used incorrectly and inappropriately.

These issues aren’t just restricted to football, they are common across most professional and Olympic sports.

The ramifications of using the wrong supplements or using supplements inappropriately and/or incorrectly could actually be detrimental for performance. The purpose of this article is to briefly discuss just one of the most commonly used supplements

in football: antioxidants.

Strenuous repeated high-intensity intermittent exercise has been found to cause oxidative stress by increasing free radical and reactive oxygen species production, and both damage our cells. Vitamins A, C, E, selenium, and beta-carotene are just some dietary antioxidants that can help to protect the body against free radicals by neutralising them. For example, some studies have found that taking antioxidant supplements can attenuate muscle damage, reduce inflammation and enhance recovery after strenuous exercise.

More recently, it seems that these beneficial effects on recovery are greater when the antioxidant source is derived from fruit concentrates such as Montmorency cherries and pomegranate. These effects can help football players to accelerate recovery and reduce fatigue, factors that are advantageous for several reasons.

Based on this research it seems sensible to give antioxidants to players after strenuous training sessions and matches in order to enhance recovery.

However, by doing this on a regular basis throughout the course of a season, could you be blunting or even impairing some of the adaptations to training? The simple answer is yes!

It has been suggested that although antioxidants may help in neutralising free radicals, reducing inflammation and muscle soreness caused by intense exercise, they could be counterproductive in other ways. The production of reactive oxygen species and free radicals is necessary and an important part of the adaptation process. More specifically, they play a key role in signalling and activating the training adaptations. For example, Gomez-Cabrera and colleagues carried out a study using vitamin C supplementation in doses of 1000 mg (1667% above the RDA) over an 8-week period of endurance training.

They found that after the supplements were given at the end of the training period, vitamin C actually hampered endurance capacity. Similarly, there are other studies that have also found that antioxidant supplements during exercise may be counterproductive by impairing the adaptation response.

Thus, it may be prudent to use antioxidants strategically rather than chronically throughout the season, particularly when recovery may be more important than the adaptation to training. On that note, it is also important to recognise that various other supplements used by footballers have antioxidants added to them.

23

Clinical feature

Editorials

Stretching the truth Some thoughts on the complexity of soft tissues, injury and management

By Glenn Hunter, research and innovation consultant in performance medicine research and innovation team at UK Sport

The soft tissues of the body are a constant ‘companion’ to the therapist working in sport.

Whether in a ‘healthy’ state where we prepare ‘them’ for activity or in an ‘unhealthy’ state where we help (or possibly hinder in some circumstances) them to recover, we typically engage with them on a daily basis.

The passive state

In the small amount of space I have to discuss this topic it is simplest to present some thoughts on soft tissues with regards to their active and passive state.

Soft tissue is anisotrophic

We typically encounter this relaxed state when we apply stretches to the athlete’s tissues as part of pre-participation ’warm up’ or in rehabilitation after injury. In both cases we apply mechanical energy to the tissues to promote passive adaptation i.e. greater deformation in the tissue for less force/tension. In a clinical context this may facilitate the healing process by resulting in a ‘scar’, which can absorb more energy The soft tissues form a complex before it fails and therefore is more system which provides us with many resistant to re-injury. In the uninjured crucial facets of human movement: state the ‘stretches’ increase the passive • Shape and form range for what might be argued to • Sensory feedback with all the be limited benefit as we don’t move mechanical, emotional and passively (stretching before an activity we refer to as sport does appear to cognitive dimensions attached be a strangely human endeavour not • Allow yet control the range of encountered elsewhere in the animal joint motion kingdom – we do stretch like animals • Dissipate energy and utilise having been static for a period of this energy for metabolic and time but that tends to be the muscles mechanical advantage around the thorax).

• Create active force to produce and There are many underlying control motion principles that should be addressed • Adaptation to absorb and generate here but due to space I’m going to great load and rates of loading pick two:

24

This means that when soft tissues are ‘stretched’ the stresses in the tissue are not uniformly distributed; there is no one position that can equally ‘stretch’

all parts of a tissue. This becomes critical in terms of the question what is the best stretch for muscle x? There is no one stretch; it all depends on the area of the tissue that you want to affect.

Accessory movement of soft tissue A glance at stretching manuals shows that most stretches treat soft tissues as though they only lengthen and shorten and ignore that in function the transverse motion (side to side and shearing motion) is critical. In a clinical setting we often refer to measuring ‘muscle length’, but of course we can’t measure this directly, what we mean is we have measured a joint angle and this represents the length of the muscle; sounds good, except that it isn’t. Any soft tissue that is stretched to ‘end of range’ using joint motion alone will still have the capacity to be moved further passively from side to side. This side-to-side motion is in effect further lengthening of the tissues which rather reduces the value of the claim that joint range equates to muscle length.

Key points here are that there is no one stretch/mobilisation that equally affects all parts of a tissue and joint motion alone does not promote or equate to full range of soft tissue ‘length’.

Clinical feature

Editorials

The active state

soft tissue) to resist deformation.

Think simply of two elastic bands, If discussion around the passive state one thin and one thick. Stretch them of soft tissue is complex then the active state magnifies that complexity both by applying the same force and the one that elongates the least is the many fold.

We live in an age where concentric, stiffer one. In the active state muscles possess this property – the tissue eccentric and isometric contractions, has the ability to resist displacement strength power and endurance and the concept of normal movement dominate our vocabulary. Whilst useful, these terms do very little to contribute to our understanding of the extreme complexity of active motion.

The mechanically driven models of ‘normal motion’, which justify statements such as “this muscle is over active”, “you need to recruit muscle X” fail to engage with metabolic reasons for motor strategies or indeed when it is contracting. The relevance of this to joint stability and indeed celebrate the importance of diversity muscle injury can be appreciated by of motor strategies as being key to considering the consequences of a decision making. decrease in stiffness i.e. the muscle A significant increase in the understanding of human motion will displace further resulting in may come from the study of muscle greater joint displacement or muscle stiffness, both in the active and fibre elongation, which may induce passive state of muscle. Stiffness can a muscle tear. The critical thing in be loosely defined as the ability of a applying this principle clinically is the material (substitute muscle or any appreciation that whilst strength and

“A significant increase in the understanding of human motion may come from the study of muscle stiffness.”

stiffness are related they are not the same. In my research, it is evident that muscles that have the same strength (exert the same force or are activated to the same degree) can have different stiffness values. It appears that those athletes who have low active stiffness values (even though their strength values fall within normal limits) may be prone to re-injury.

Conclusion The limited space in which to discuss the hugely fascinating area of soft tissue has confined me to exploring just two themes: 1 The passive state and nonuniform absorption of energy when being stretched and challenges to measuring muscle length 2 The active state and the potential importance of muscle stiffness as a predictor of injury and re -injury and as a major component of human motion Much more work lies ahead in trying to understand the complexity but the clinical and performance benefits of doing so are considerable.

For more on this subject please see Welbeing CPD courses on page 28

25

Physio UK

Courses

Which Which would would be be your your top top 33 courses courses from from the the list list below? below?

For For full full details details and and to to book book aa place place visit visit www.physiouk.co.uk/topthree www.physiouk.co.uk/topthree COURSE COURSE Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Foundation Acupuncture Course (6 days) Foundation Acupuncture Course (6 days) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Discover Physio UK Series (15 days) Discover Physio UK Series (15 days) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Sports Massage for Manual Therapists (2 days) Sports Massage for Manual Therapists (2 days) Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Examination and Treatment of the Foot and Ankle (2 days) Examination and Treatment of the Foot and Ankle (2 days) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Discover the Role of the Thorax in Total Body Function (3 days) Discover the Role of the Thorax in Total Body Function (3 days) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Going Global: The Ultimate Lower Quarter Course Going Global: The Ultimate Lower Quarter Course Going Global: The Ultimate Upper Quarter Course Going Global: The Ultimate Upper Quarter Course

PLACE PLACE Glasgow Glasgow Liverpool Liverpool London London Harrogate Harrogate Cambridge Cambridge Peterborough Peterborough Surrey Surrey Harrogate Harrogate Cambridge Cambridge Stanmore Stanmore Birmingham Birmingham Peterborough Peterborough London London Manchester Manchester Cambridge Cambridge Woking Woking Birmingham Birmingham Surrey Surrey London London Surrey Surrey Surrey Surrey

DATE DATE 26th-27th Jan 26th-27th Jan 7th Feb 7th Feb 8th Feb (Start date) 8th Feb (Start date) 9th Feb 9th Feb 9th-10th Feb 9th-10th Feb 9th-10th Feb 9th-10th Feb 13th Feb (Start date) 13th Feb (Start date) 9th-10th Mar 9th-10th Mar 9th-10th Mar 9th-10th Mar 9th-10th Mar 9th-10th Mar 23rd-24th Mar 23rd-24th Mar 23rd-24th Mar 23rd-24th Mar 27th-28th Apr 27th-28th Apr 11th May 11th May 18th-19th May 18th-19th May 8th June 8th June 8th-9th June 8th-9th June 13th-15th June 13th-15th June 13th-14th July 13th-14th July 9th-10th Aug 9th-10th Aug 11th-12th Aug 11th-12th Aug

020 8394 0400 020 8394 0400 26

TUTOR TUTOR John Annan John Annan Hubert Van Griensven Hubert Van Griensven Chris Norris Chris Norris Hubert Van Griensven Hubert Van Griensven John Annan John Annan Ed Wilson Ed Wilson Diane Lee & LJ Lee Diane Lee & LJ Lee John Annan John Annan Bob Bramah Bob Bramah Ed Wilson Ed Wilson John Annan John Annan Chris Murphy Chris Murphy John Annan John Annan Hubert Van Griensven Hubert Van Griensven John Annan John Annan Hubert Van Griensven Hubert Van Griensven John Annan John Annan Linda Joy (LJ) Lee Linda Joy (LJ) Lee John Annan John Annan Tanya Bell Tanya Bell Tanya Bell Tanya Bell

Physio UK

Features Courses

Which be Want 4would ultimate Which would be rehab tips that your top 33 courses can give patients the your top your courses eavy h competitive edge? from the list from the list below? below?

Are you a

By

je Tanya Bell-Jen

(MSc Physio)

rolled More cont ce can redu breathing pain neck and back ove and also imprnce. performa

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For details and to aa you place visit Don'tdetails let your and hamstrings drag down!

For1 full full to book book place visit www.physiouk.co.uk/topthree www.physiouk.co.uk/topthree NS

34 REVOLUTIO

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40

REVOLUT

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Cross-training is essential to improve performance...why?

in the April/ Hi Adele, re: ITB stretch that in all think Just a quickie p56: I don’t seen anyone May issue as a physio, I’ve ed from my years they have benefit author the who thinks in standing as ing of the the stretch . All stretch eightbearing demonstrated be in non-w explanation must an TFL/ITB I have attached for you… options positions. stretching two and nje g knee Tanya Bell-Je After endurin a this Tanya! t repetitions of for roll, Thanks by frequen on a foam pain, eased ITB stretch too good to be might be is obviously terribly painful t this one I though best possible result professional the true! The professional tell rest of us) a (and the to have and what the story is no good, who wrote approach why this more effective. would be

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3 4

The ITB Debate - what it is and how do we fix it?

DATE TUTOR g Stretchin truth DATE the TUTOR 26th-27th Jan DonJohn ’t let Annan yourJohn 26th-27th Jan hamstAnnan rings drag yoVan 7th Feb Hubert u dowGriensven n 7th Feb Hubert Van Griensven 8th Feb (Start date) Chris Norris 8th Feb (Start date) Chris Norris 9th Feb Hubert Van Griensven 9th Feb Hubert Van Griensven 9th-10th Feb John Annan 9th-10th Feb John Annan 9th-10th Feb Ed Wilson 9th-10th Feb Ed Wilson 13th Feb (Start date) Diane Lee & LJ Lee 13th Feb (Start date) Diane Lee & LJ Lee 9th-10th Mar John Annan 9th-10th Mar John Annan 9th-10th Mar Bob Bramah 9th-10th Mar Bob Bramah 9th-10th Mar Ed Wilson 9th-10th Mar Ed Wilson 23rd-24th Mar John Annan 23rd-24th Mar John Annan 23rd-24th Mar Chris Murphy 23rd-24th Mar Chris Murphy 27th-28th Apr John Annan 27th-28th Apr John Annan 11th May Hubert Van Griensven 11th May Hubert Van Griensven 18th-19th May John Annan 18th-19th May John Annan 8th June Hubert Van Griensven 8th June DATEHubert Van Griensven 8th-9th June John Annan 8th-9th June John Annan 9th-10th 2013 13th-15th June August Linda Joy (LJ) Lee 13th-15th June Linda Joy (LJ) Lee 13th-14th July August John 11th-12th 2013Annan 13th-14th July John Annan 9th-10th Aug Tanya Bell 9th-10th Aug Tanya Bell 11th-12th Aug Tanya Bell 11th-12th Aug Tanya Bell B

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sacrum, of motion which is to this massiv part of the pelvis. Thank hamstrings e attachment, s position, can pull the trunkshortened overloading into a flexed spinal eleme the discs and other Alway nts. = streng s remember the equation: Fibula explosive th x range of motion power strengthenmovement requir . Optimal Tibia a weight your hamstrings es power. If you -training or hill-clim by, for example, bing regime Regular , stretching can prevent

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PLACE PLACE Glasgow Glasgow Liverpool Liverpool London London Harrogate Harrogate Cambridge Cambridge Peterborough Peterborough Surrey Surrey Harrogate Harrogate Cambridge Cambridge Stanmore Stanmore Birmingham Birmingham Peterborough Peterborough London London Manchester Manchester Cambridge Cambridge Woking Woking PLACE Birmingham Birmingham Surrey Surrey Surrey London Surrey London Surrey Surrey Surrey Surrey

er 2011)

of the shortening. hamstrings (shown above) ride mag Year 15/05

Illustratio n by Megan

COURSE COURSE Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Foundation Acupuncture Course (6 days) Foundation Acupuncture Course (6 days) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Discover Physio UK Series (15 days) Discover Physio UK Series (15 days) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Sports Massage for Manual Therapists (2 days) Sports Massage for Manual Therapists (2 days) Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Mulligan Concept Course - Level 1: NAGS's / SNAG's etc Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Examination and Treatment of the Foot and Ankle (2 days) Examination and Treatment of the Foot and Ankle (2 days) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) 10 hour CPD Acupuncture Course (1 day) 10 hour CPD Acupuncture Course (1 day) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) 10 hour CPD Acupuncture Course (1 day) 10COURSE hour CPD Acupuncture Course (1 day) Introduction to Myofascial Release (Part 1) Introduction to Myofascial Release (Part 1) Going the Global: Lower Discover Role ofThe the Ultimate Thorax in Total BodyQuadrant Function (3Course days) Discover the Role of the Thorax in Total Body Function (3 days) Introduction to Myofascial Release Upper (Part 1) Quadrant Course Going Global: The Ultimate Introduction to Myofascial Release (Part 1) Going Global: The Ultimate Lower Quarter Course Going Global: The Ultimate Lower Quarter Course Going Global: The Ultimate Upper Quarter Course Going Global: The Ultimate Upper Quarter Course

(Septemb

(March 2012)

Get four free articles from rehab specialist Tanya Bell at:

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Tanya Bell's "ultimate rehab" of the lower and upper quadrant courses

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CPD COURSES FOR 2013 ACUPUNCTURE FOUNDATION & DRY NEEDLING COURSES A SIX DAY AND ONE DAY WORKSHOPS

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ANKLE LIGAMENT DISTRUPTION – A Clinical & Functional Dilemma A TWO-HOUR INTERACTIVE SEMINAR AND WORKSHOP Tutor: Professor Graham N Smith GradDipPhys FCSP DIP TP CertEd Chartered & HCPC Registered Physiotherapist Rehabilitation & Sports Injury Consultant

March 8th Birmingham, May 31 st Thirsk ATACP ACCREDITED FOUNDATION & INTERMEDIATE COURSES IN AQUATIC PHYSIOTHERAPY - TWO DAY COURSE Tutor: Mike Maynard Grad Dip Phys MCSP MSOM HT ATACP Accredited Tutor in Aquatic Physiotherapy

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February 23 & 24 Brighton - April 13 & 14th Newham - May 18th & 19th Winchester SPECIFIC SOFT TISSUE MOBILISATION - ONE DAY COURSE Tutor: Glenn Hunter MSc MCSP, SPR, Cert ED FE

March 20 – Aston Villa THE SACROILIAC JOINT SIMPLIFIED - ONE DAY COURSE Tutor: Alison Middleditch MCSP MMACP

THE SHOULDER: STEPS TO SUCCESS - PART 1 –

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Tutor: Jo Gibson MCSP - Clinical Physiotherapy Specialist

UNDERSTANDING SHOULDER INSTABILITY -

ONE DAY COURSE

Tutor: Angu Jaggi MSc MCSP – Clinical Physiotherapist Specialist)

28

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We are training the elite football medicine specialists of the future This innovative programme and modules have been developed through a partnership between The Football Association and the University of Birmingham, and is aimed at physiotherapists and doctors either working within football medicine or interested in moving into football medicine.

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The programme is written in line with the standards of the International Federation of Sports Physiotherapists and the Specialty Training Curriculum for Sports and Exercise Medicine from the Joint Royal Colleges of Physicians Training Board, and in collaboration with The Football Association and physiotherapists and doctors working within football and other sporting contexts.

Focusing on the integrated assessment and evaluation of the football athlete this module uses clinical reasoning and excellence in clinical skills to explore issues associated with assessment and evaluation of illness/injury.

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Module Dates 2012/13  Wednesday 1 May 2013 – Anatomy prosectorium

University of Birmingham  Sat 1– Fri 7 June 2013 – St George’s Park Fees 2012/2013 The Home/EU module fee is £1500 (Overseas fee on request)

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