SEPNZ Bulletin October 2020 by Sports & Exercise Physiotherapy NZ

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SEPNZ BULLETIN

ISSUE 17, OCTOBER 2020

CELEBRATING OUR MEMBERS:

P5 Sharon Kearney

p12

APP REVIEW:

CLINICAL REVIEW

Run Tempo

Sport Mental Health Assessment

p14 UPCOMING SEPNZ COURSES

www.sepnz.org.nz

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SEPNZ EXECUTIVE COMMITTEE

Members Page

President - Blair Jarratt Vice-President - Timofei Dovbysh Secretary - Michael Borich Treasurer - Timofei Dovbysh Website - Hamish Ashton Sponsorship - Emma Lattey Committee Emma Clabburn Rebecca Longhurst Justin Lopes Visit www.sepnz.org.nz

EDUCATION SUB-COMMITTEE Rebecca Longhurst (Chairperson) Emma Clabburn Justin Lopes Dr Grant Mawston Dr Gisela Sole Lauren Shelley John Love

Join us on Facebook

ADDITIONAL USEFUL WEBSITE RESOURCES: List of Open Access Journals Asics Apparel - how to order McGraw-Hill Books and order form Asics Education Fund information

BULLETIN EDITOR Emma Clabburn

Journal of Orthopaedic & Sports Physical Therapy (JOSPT) International Federation of Sports Physical Therapy (IFSPT)

SPECIAL PROJECTS Karen Carmichael Amanda O’Reilly Pip Sail

BULLETIN ADVERTISING DEADLINES:

February Bulletin: 31st January April Bulletin: 31st March June Bulletin: 31st May August Bulletin: 31st July October Bulletin: 30th September December Bulletin: 30th November Advertising terms & conditions click here.

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CONTENTS SEPNZ MEMBERS PAGE See our page for committee members, links & member information

EDITORIAL: By SEPNZ President Blair Jarratt

FEATURE ARTICLE: CELEBRATING OUR MEMBERS: SHARON KEARNEY

APP REVIEW: Run Tempo — Runners Metronome

MEMBER BENEFITS: Asics Professional Buyers Program

ASICS FOOTWEAR REVIEW: RHEUMATOID ARTHRITIS AND FOOTWEAR

CLINICAL REVIEW: SPORT MENTAL HEALTH ASSESSMENT

UPCOMING SEPNZ COURSES

RESEARCH PUBLICATIONS: BJSM November 2020 - Volume 54 - Issue 21

CLASSIFIEDS

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EDITORIAL Kia ora to our November SEPNZ Bulletin and welcome to all our new members including our student members after a successful student night in September which drew in 130 plus participants through a virtual gathering, good luck for the final placements for the year and graduation. Also, as we move closer to the end of the year, we are holding our annual SEPNZ photo competition. It is your opportunity to showcase a slice of New Zealand to the world with the winner of the competition getting their photo on the front cover of the British Journal of Sports Medicine. If you would like to enter this competition, please see the advertisement below this editorial for details and the deadline to enter. In this edition, Executive Member Justin Lopes interviews Sharon Kearney after she received her Member of the New Zealand Order of Merit for her contribution to Physiotherapy and Netball Congratulations Sharon! Sharon gives us a glimpse into her journey in physiotherapy and touches on the vital point of the role of physiotherapists in performance. Sharon leads Netball Smart, which is a pioneering programme in the field of injury prevention. The research has been out for some time now regarding changing tempo in runners and the benefits this may have to musculoskeletal pain. Sure, we know that you can download songs with specific tempos - but honestly, some of those playlists are pretty horrendous! Our feature APP this edition is Run Tempo - it differs from other apps as it allows your favourite music or podcast to play at the same

time as the tempo reminder. Not only is this an excellent tool for clients, but we know how Physios like to multi-task. You can get your CPD podcast fix, work on your run tempo and get your exercise hit all at the same time. Our Key sponsor ASICS provides our members with a succinct footwear review on new GEL-Nimbus Lite and GEL - Kayano Lite and their role in limiting the progression of foot pain and deformity due to Rheumatoid Arthritis. We round out this bulletin with a clinical review for SEPNZ member Amanda O'Reilly on the International Olympic Committee Sports Mental Health Assessment Tool and Sports Mental Health Recognition Tool. A recommendation from this statement was the need for an appropriate screening tool for elite athletes due to the prevalence of mental health symptoms in elite athletes. This article describes the development and preliminary reliability and validity of the tool. Finally, on behalf of the SEPNZ Executive we would like to congratulate Ben Hinchcliff for being elected as the new PNZ president at last week’s AGM. Keep safe as we head into the end of the year, and we will see you back in December for our Christmas edition.

Kind Regards Blair Jarratt SEPNZ President

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FEATURE ARTICLE

Celebrating Success: New Zealand Order of Merit Sharon Kearney Sharon Kearney has been one of New Zealand’s leading Sports Physiotherapists for decades. This year she was recognised for her contribution to Physiotherapy and Netball by being recognised as a Member of the New Zealand Order of Merit (MNZM) on the 2020 Queens Birthday Honours List. We caught up with Sharon after the awards. JL: Congratulations on being recognised on the 2020 Queens Birthday Honours list as a Member of the New Zealand Order of Merit… How did that come about? SK: I got an email when I was in self-isolation actually, having just flown back from Europe on a mercy dash home to get away from COVID-19, and there was an email in my inbox. It looked like spam actually, because it has brackets around it, so I ignored it… and then as I was in isolation I thought I better have a look at some emails I received while I was away and I thought ‘oh I better open this’ and that’s when I saw it and I thought Oh my goodness me! The email stated that I had been nominated for a MNZM and would I like to accept essentially.

JL: That’s wonderful SK: That’s how you find out… and I did hear of someone else who ignored it and didn’t even know he had been nominated because of the way it looks in your inbox, it doesn’t look real, and to me I guess it still doesn’t feel real.

JL: You were nominated by Netball New Zealand? SK: You don’t know who nominates you. My understanding is that you get nominated but has to be supported by other people, so you don’t actually know who nominates you, you have no idea.

JL: Well in that case it was us…(disclaimer: SEPNZ did not nominate Shaz but we should have). You have been to three Netball World Youth Cups as the NZ Netball U21 Physio, you were the Medical Co-ordinator for Netball New Zealand, you have attended five World Cups and two Commonwealth Games with the Silver Ferns. What was your highlight? SK: I suppose the ultimate highlight if we are thinking from a performance perspective was the Commonwealth Games Gold Medal Final in New Delhi where we beat Australia in double overtime. That was a pretty outstanding effort, and was a definite performance highlight. I think probably highlights in general terms of my all roles has just been watching players develop and watching how physio can have such an impact in sport. And not just as an ambulance at the bottom of the cliff, but also from a performance enhancement and injury prevention perspective. This has been my modus operandi from when I first got involved with Netball. That’s the exciting thing. I have just been away with some current U21’s this weekend and working with that age group again and watching how, from a movement perspective, we can educate, we help players grow their physical capability and what a difference we can make. From a physiotherapy perspective we undersell our impact and we need to start celebrating what physiotherapy as a profession can offer and what a difference we can make, especially to the young athletes.

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FEATURE ARTICLE JL: You must have seen a big difference then from the first U21 teams to the current cohort in the ways that they move, having gone through NetballSmart and the groundwork you have been laying with those athletes for a few years as you have been running NetballSmart for a while and looking at how they are moving.. Are you seeing changes in how they are moving, and landing, are they stronger? Do you see those effects coming through? SK: See that’s a yes and no…Because we are dealing with society where our kids are less physically capable. I’m not sure they explore movement enough in their younger years and society in general is less physically demanding and whereas sport appears to be far more physically demanding than years ago. Sports is generally faster and harder. I recently went and worked with some young year 9 and 10 kids at a Development camp who were physically capable to meet the demands of Netball. So, yes I think at a higher level, as we have worked really hard, and made impact as we work really closely with the players. However at a community level I would say the challenging thing for us is that players are less physically capable than yester year, because of the lifestyles they lead. Then they try and play sport by emulating their role models and play at a really high and physical level However many don’t have the physical capability to do that without exposing themselves to injury risk. NetballSmart roles and our roles within Physiotherapy is really important and needs to be constant and ongoing. We need to engage more with the young athletes, make a difference with these kids and how they move in sport, so they can prevent the injury cascade that some of them end up on. JL: You are working in private practice, have worked in Netball with the Tactix, the Silver Ferns for a while and I know you are also working with one of the international Delphi groups in Injury Prevention. What else have you got in the pipeline?.

A family affair - Sharon and Kevin with Daughter Ala — all physiotherapists!

SK: I am really interested in the success rates of injury prevention or injury risk reduction programmes. These programmes are fraught with multitudes of issues (i.e. compliance). What we are seeing at the moment is a lot of research into what the programmes should include but not a lot of research into how they can be implemented successfully and what the important success factors are. I am interested in this from an ACL perspective specifically. If we look at the current ACL research that is coming out at the moment there is a lot about post ACL reconstruction. There is a plethora of it, but there is not a lot of research on how we can implement broad community based programmes that can actually make a difference to ACL injury rate. So, I think I will be pushing a massive rock uphill but I am quite interested in that side of things. How can we show that community based injury prevention programmes can be successful. NetballSmart at the moment, pre-COVID (who knows what is going to happen post-COVID) was beginning to influence a decrease in netball ACL injuries…Who knows what is going to happen post COVID because we will have a lot of kids that have not done a lot and sport is taking off with a hiss and a roar so…its really quite devastating that COVID has impacted so heavily on some of the strategies that we have in place. In addition how are we going to ensure that we can kick-start the momentum again next season? It’s a tough one. At some point, I would like to get into some research, but injury prevention research but that is really hard.

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FEATURE ARTICLE

CLASSIFIEDS

JL: Yip, hard to get funding too…Are you still working at Performance Physio in Christchurch SK: Yes I am still working in my clinic one day a week. I think it is important that although I am managing this NetballSmart programme, I am still connected to the coalface. I also do some NetballSmart workshops with players and coaches – I need to stay relevant and connected to lead the NetballSmart programme well. . So, I have spent the last 4 days working with athletes and coaches, ensuring that what I believe we should be doing is still pertinent. Working one day a week in the clinic ensures that I am still keeping up my physiotherapy work which is why I became a physiotherapist. Between the two roles I have I feel that I am remaining relevant, and I want to keep myself relevant to ensure that NetballSmart can make the best impact. JL: That’s wonderful. Congratulations again Shaz, we are really proud of you. You sare an awesome person and a great physio and it is great to have you lead the way in so many ways within the profession We look forward to seeing what’s next for Dame Sharon Kearney soon!

Physiotherapy Clinic for Sale in Gulf Harbour, Rodney, Auckland

Are you a qualified physiotherapist looking to branch out and really put your future in your own two hands? Or perhaps you are an established practice looking to expand through the addition of a new location? Either way, Gulf Harbour Physiotherapy represents a brilliant, hands on opportunity for an ambitious, friendly and skilled operator. On offer is a Gensolve database that keeps the current owners hands FULL! •

SK: Haha…not yet! Thanks

•

If you know of successful SEPNZ members we would love to celebrate them; please email Justin@sepnz.org.nz to let us know who we should be interviewing!

SEPNZ would like to congratulate Sharon again on the amazing achievement. The NetballSmart resources are a great resource for the clinic when discussing all things injury prevention and performance enhancement and have a training diary athletes can complete which is a great way to open the discussion around load with the player and their family. More resources are available at

https://www.netballsmart.co.nz/

Business Highlights Healthy returns to working owner

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Loads of client car parking

Rent to turnover ratio of just 6%

Flexible lease in place with expansion possibilities •

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Great local reputation with an established client base • •

Located next to gym, and nearby Gulf Harbour Country Club Make the most of the fantastic Hibiscus Coast lifestyle

https://www.kakapobusiness.co.nz/business-forsale/gulf-harbour-physiotherapy-with-largegensolve-database Contact: Cameron Proctor, Kakapo Business, 021 525 037

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APP REVIEW

Back to the App... Your App Review

Run Tempo—Runners Metronome —by Emma Lattey As the sun starts to come out, days get longer, and events are back on, more of our patients are hitting the streets. Run Tempo is a simple but effective metronome app that plays behind music or podcasts to keep your step count under control.

Seller: Size: Category: Version: Compatibility: Languages: Age rating: Copyright: Cost: Family Sharing:

What it is used for?

DockMarket, LLC 800.8 KB Health & Fitness 0.12.0 Requires iOS 9.3 or later. Apple and Android English 4+ 2017 Dockmarket LLC $1.69 Yes

Run Tempo is a metronome app for running training at an optimal cadence. It is different from other apps as it allows music or podcasts to play at the same time.

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APP REVIEW Who would benefit from this App?

Run Tempo is the perfect metronome for runners and other athletes. It is handy to use in the clinic for cadence retraining and you simply set your desired beats per minute using the controls and you're ready to go. Run Tempo can run in the background, allowing you to hear your tempo while using other running apps with audio or music. Includes an optional countdown timer to let you set your tempo then turn off automatically.

PRACTICAL APPLICATION

Here are my hot tips for cadence retraining for runners with PFP: 1.

Prepare the posterior chain for increased work – use hip/knee/calf strengthening and load education before considering cadence changes Calculate cadence – use technology eg. both Garmin and Apple watches calculate cadence, or get your patient on the treadmill and count. If cadence is under 170 steps per minute, increase cadence by 5-10% carefully using RTR or gradual loading plan. Advise patient to “run softer” – does it change their knee pain? Remember other structures that will be under increased stress, eg. Metatarsals. Best apps for cadence retraining

2. 3.

4. 5.

• MetroTimer (previously reviewed) - old school metronome, free. • RunTempo • Spotify – pick playlist at specific cadence

Pros:

• • •

Simple and effective app. Easy to use and does what it says it is going to do. Has a timer which is helpful for a return-to-running/walk-jog program. Has different pitches and levels of tone to choose from.

Cons:

• Running with a metronome and music at a different beat could be off putting. • I prefer the MetroTimer beep to the Run Tempo tone and I think it could get a bit annoying after a while.

OVERALL RATING = 4.5 / 5

MEMBER BENEFITS

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There are many benefits to be obtained from being an SEPNZ member. For a full list of Members’ Benefits visit http://sportsphysiotherapy.org.nz/benefits/

In each bulletin we will be highlighting individual member benefits in order to help members best utilise all benefits available.

The ASICS Professional Buyers Programme is designed to enable Sport & Exercise Physiotherapy New Zealand members the opportunity to experience our shoes first hand and to assist in referring the most suitable shoe/s to your patients. By registering for the Professional Buyers Programme, you will: ASICS Performance Footwear/ASICS Sportstyle Footwear Receive 4 voucher codes per year, 2 every six months. Each voucher will give you 40% off the retail price of one pair of shoes up to $300 Recommended Retail Price.

Vouchers must be redeemed online at www.asics.co.nz Additional Product Offers: Birkenstock Footwear Receive 2 voucher codes per year, 1 every six months. Each voucher will give you 30% off the retail price of one pair of shoes up to $200 Recommended Retail Price. Vouchers must be redeemed online at www.birkenstock.co.nz Smartwool Socks Receive 2 voucher codes per year, 1 every six months. Each voucher will give you 30% off the retail price for your choice of socks

(Recommended Retail Price). Vouchers must be redeemed online at www.smartwool.co.nz

Register Here Full terms and conditions can be found on the Professional Buyers Programme registration page. If you are already a member of the Professional Buyers Programme you will receive your vouchers in July and February. For first time registered member, we run a report at the end of each month which picks up the newly registered members. You should then receive your vouchers by the middle of the following month. REGISTER HERE

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Asics

Rheumatoid Arthritis and Footwear Thanks to Asics for this latest footwear review from Anthony Ng. Rheumatoid arthritis (RA) is a common inflammatory condition, causing foot pain with associated stiff and swollen joints. Consequently, this leads to foot and joint alignment complications with accompanying bone erosion.

changes in newly diagnosed RA individuals. The GEL-Kayano has a wider plantar base which provides optimal balance to improve foot positioning plus allowing adequate space for the occurrence of foot swelling.

The key is to support the rheumatoid foot during active waking or running. Footwear plays a major role in reducing or avoiding structural and functional foot alterations. This will reduce the need for frequent visits to medical professionals or the need for orthotic devices.

Both offer enhanced cushioning, providing significant reduction of oxygen consumption, helping influence longer walking or running. The midsole density provides that spring like feel, to produce extra bounce on impact, generate more power for forward progression, reduce joint loading and counteract the likelihood of increasing foot deformities. These features aid in reducing pressure over rheumatoid nodules or prominent metatarsal heads.

Many RA individuals wear suboptimal footwear which can be detrimental to their foot condition. It has been proven that implementing correct footwear advice into your clinical practice offers one of the best long-term treatments.

ASICS new lightweight alternatives the GELNimbus Lite and GEL-Kayano Lite offer the ideal support/flexibility/cushioning to decrease rheumatoid mechanical foot stresses. They provide optimal non-pharmacological foot management to prevent or reduce erosion and subluxation to improve foot function. This footwear can improve foot alignment. They achieve this by enhancing the controlling velocity movement caused by natural gait thereby reducing intrinsic muscle activation to delay or slow foot related progression. This is paramount for maintaining stability and pain reduction. GEL-Kayano Lite offers enhanced internal supportive chambers which are configured to achieve optimal force displacement and midsole stiffness, therefore enhancing stability properties to reduce abnormal foot motion. These innovations are ideal for preventing early erosive

These shoes are designed to flex at the correct anatomical location. Both shoes incorporate deep flexion grooves promoting efficient motion across the metatarsal heads during propulsion. This combination of mobility and stability results in less energy required for forward acceleration thereby decreasing foot pain. These 2 shoes may play a substantial role in limiting the progression of foot pain and deformity due to rheumatoid arthritis. They meet fundamental clinical goals in allowing the foot to function more effectively during daily forms of exercise and locomotion.

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CLINICAL REVIEW

International Olympic Committee (IOC) Sport Mental Health Assessment Tool 1 (SMHAT-1) and Sport Mental Health Recognition Tool 1 (SMHRT-1): towards better support of athletes’ mental health. Vincent Gouttebarge, Abhinav Bindra, Cheri Blauwet, Niccolo Campriani, Alan Currie, Lars Engebretsen, Brian Hainline, Emily Kroshus, David McDuff, Margo Mountjoy, Rosemary Purcell, Margot Putukian, Claudia L Reardon, Simon M Rice, Richard Budgett.

Br J Sports Med 2020;0:1–9. doi:10.1136/bjsports-2020-102411

By Amanda O’Reilly ABSTRACT

The prevalence of mental health symptoms and disorders in elite athletes is substantial, and similar to the prevalence in the general population. The risk of mental health symptoms and disorders can increase due to sport-specific stressors such as severe musculoskeletal injuries, surgeries with long recoveries, and transitioning out of elite sport. In 2017 the International Olympic Committee (IOC) established an expert panel to review the available literature regarding mental health symptoms and disorders among active and former elite athletes leading to a consensus statement. A recommendation from this statement was the need for an appropriate screening tool for elite athletes. This article describes the development, and preliminary reliability and validity of the tool. The IOC established a Mental Health Working Group with 11 international experts (10 of whom were involved in the consensus statement). The group reviewed the literature, and assessed the views of current and former elite athletes on mental health symptoms and disorders. From that information they formulated a three-stepped approach to assessing elite athletes (defined as professional, Olympic, Paralympic or collegiate level; aged 16 years and older) potentially at risk for (ie, exposed to one or more stressors), or already experiencing, mental health symptoms and disorders to facilitate timely management and/or referral to adequate support and/or treatment.

The Sport Mental Health Assessment Tool 1 (SMHAT-1) This tool can be used by sports medicine physicians and other registered health professionals but the clinical assessment step (3B) must be conducted by a sports medicine physician or a registered mental health professional. STEP 1: Triage The Athlete Psychological Strain Questionnaire (APSQ) is a 10 item, self-reported rating (5-point) scale specific to the sport context. A score of 17 or more is indicative of a high risk for psychological distress. A positive triage leads onto the subsequent step. STEP 2: Screening The following six disorder-specific screening questionnaires are used: • General Anxiety Disorder-7 (GAD-7): assesses the presence of symptoms of anxiety. • Patient Health Questionnaire-9 (PHQ-9): assesses the presence of symptoms of depression. • Athlete Sleep Screening Questionnaire (ASSQ): assesses the presence of sleep disturbance. • Alcohol Use Disorders Identification Test Consumption (AUDIT-C): assesses the presence of alcohol misuse. • Cutting Down, Annoyance by Criticism, Guilty Feeling, and Eye-openers. Adapted to Include Drugs (CAGE-AID): assesses the presence of substance misuse, being slightly adapted for the CONTINUED ON NEXT PAGE >>

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CLINICAL REVIEW SMHAT (no focus on alcohol use as already explored with the AUDIT-C; additional question to explore which substance was used). • Brief Eating Disorder in Athletes Questionnaire (BEDA-Q): assesses the presence of disordered eating. If all screening questionnaires are negative, the administrator proceeds to step 3A (brief intervention and monitoring). If one or more screening questionnaires are positive or a positive answer is given on PHQ-9, item 9, the administrator proceeds to step 3B. STEP 3A: Brief intervention and monitoring

Based on the questionnaires and history of the athlete, the administrator might refer the athlete for interventions such as mindfulness, meditation, mental skills training and/or stress control. After the intervention the readministration should conduct the APSQ and another positive result will be a referral to step 3B. STEP 3B: Clinical assessment and management A comprehensive clinical assessment is conducted by a sport medicine physician and/or registered mental health professional to obtain additional relevant information and identify a clinical diagnosis. Based on the information, one of three actions can be followed: 1. In cases that are neither severe nor complex and where there is no diagnostic uncertainty nor history of previous non-responsive to treatment, then treatment/support can be provided by a sports medicine/primary care physician. 2. In cases of diagnostic uncertainty or when further information might be useful, additional screening questionnaires for other mental health symptoms and disorders, including but not limited to attention-deficit/hyperactivity disorder, bipolar disorder, post-traumatic stress disorder, gambling disorder and/or psychosis, can be considered prior to definitive diagnosis and the creation of a management/intervention plan. 3. In cases that are severe, complex, diagnostically uncertain even after additional screening is completed and/or non-responsive to treatment, we recommend referral of the athlete to a registered mental health professional. When to use the SMHAT-1 The tool can be used pre, mid and end-season periods. It should also be used when an athlete experiences any significant life event such as a major injury or illness, unexplained performance concern,

suspected harassment/abuse and on transition out of sport. Appropriateness and preliminary reliability and validity The APSQ applied at step 1 (triage) identified 57.1% (N=160) of the sample requiring progression to step 2 (screening). Overall, the APSQ performed well in case detection for the six screening instruments at step 2. It detected all positive screened cases for the GAD -7, PHQ-9 and CAGE-AID, while only a small proportion of cases was misclassified for the AASQ (5%), AUDIT-C (16%) and BEDA-Q (11%).

The Sport Mental Health Recognition Tool 1 (SMHRT-1) Friends, family, coaches and fellow athletes are significant essential supports for elite athletes hence the IOC MHWG developed the SMHRT-1 to be used by these support networks and facilitate early detection of mental health symptoms or disorders in elite athletes. The SMHRT-1 relies on the observation of significant and/or persistent thoughts, feelings, behaviours and/or physical changes in athletes. In cases where those are observed, the athletes should be directed to a sports medicine physician or registered health professional for mental health screening with the SMHAT-1. Limitations and clinical implications The questionnaires within the SMHAT-1 are selfreported so the external validity relies on the accuracy of the respondents' answers. The majority of the questionnaires have only been studied in nonathletic populations so more testing is required within different sporting populations and countries to gain further validation. Whilst there is still a lot of further validation and analysis of practicality of the SMHAT-1 and the SMHRT-1; if used as part of routine screening like cardiovascular and musculoskeletal screening the awareness, assessment and management of mental health symptoms and disorders will improve within the elite athletic population. The questionnaires are self-reporting so easy to administer and the stepwise system provides the support networks for an athlete such as coaches, family, allied health and sports medicine practitioners a clear protocol for intervention or referral as required. A full set of references are available on request

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UPCOMING SEPNZ COURSES Please note these are the proposed courses for 2020. With the current COVID-19 situation this could also change. Once we are confirmed to go ahead registrations will be open via PNZ. Injury Prevention & Performance Enhancement. AUT Millennium 9th Nov – 22nd Nov 2020 This course will provide you with the key skills used in the enhancement of sporting performance and prevention of injury. It covers the analysis of physical, biomechanical and technical needs of sport, identifying key factors affecting performance and injury prevention. You will learn how to assess athletes and implement an individualised programme designed to optimise movement efficiency, performance and minimise injury risk. You will learn how to develop a sport–specific screening assessment, how to monitor injury rates and target injury prevention strategies within different sporting contexts.

The course will be run as follows There will be 12x30 minute online tutorials to be completed in your own time in the two weeks prior to the 22 nd November 2020. Sunday November 22nd will be a Face to Face day where concepts from the online tutorials will be brought to life with practical sessions. An optional Zoom session will be held 7-10 days after the course to consolidate learnings and answer any questions that reflections of the course have raised. Register Here: https://pnz.org.nz/Event?Action=View&Event_id=2995

Promotion and Prescription of Physical Activity and Exercise AUT North 28th & 29th Nov 2020 This course is suitable for physiotherapists wanting to improve their knowledge and skills in assessment and prescription of physical activity and exercise to use with patients on a daily basis. This course provides a bridge to Level 2 SPNZ courses and important background information for those considering university postgraduate study. The course will provide a combination of lectures, practical demonstrations, practical assessments and case studies and will cover the following topics: Principles of exercise prescription, Promotion and assessment of physical activity, Assessment of neuromuscular performance, Aerobic and functional capacity testing ,Strategies to enhance exercise adherence, Screening for return to sport, Exercise risk screening and goal setting, Physiological effects of disuse and ageing Register here: https://pnz.org.nz/Event?Action=View&Event_id=2989

Sideline Management March 2021 - TBC This course is for registered physiotherapists who work with individual athletes, or on the sideline at sports games or events who want to upskill in the areas of pregame preparation, first aid, acute injury assessment and management, and post event recovery strategies. By the end of the course you will have all the tools you need to manage pre-event preparation, post-event recovery and to confidently assess, manage and refer common sporting injuries and wounds.

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RESEARCH PUBLICATIONS

British Journal of Sports Medicine November 2020; Vol. 54, Issue 21 ORIGINAL RESEARCH

review of current surveillance measures and future directions (22 May, 2019)

Epidemiology of injury and illness in 153 Australian international-level rowers over eight international seasons (25 June, 2020)

Tessa Strain, Karen Milton, Philippa Dall, Martyn Standage , Nanette Mutrie

Larissa Trease, Kellie Wilkie, Greg Lovell, Michael Drew, I van Hooper

Exercise treatment effect modifiers in persistent low back pain: an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials (28 November, 2019)

A Swedish primary healthcare prevention programme focusing on promotion of physical activity and a healthy lifestyle reduced cardiovascular events and mortality: 22year follow-up of 5761 study participants and a reference group (17 July, 2020) Gunilla Journath, Niklas Hammar, Max Vikström, Anette Li nnersjö, Göran Walldius, Ingvar Krakau, Peter Lindgren, Ulf de Faire, Mai-Lis Hellenius EDITORIALS Validating new discoveries in sports medicine: we need FAIR play beyond p values (26 June, 2020)

Chris Bleakley, James M Smoliga Patient-centred care: the cornerstone for high-value musculoskeletal pain management (25 June, 2020) Ivan Lin, Louise Wiles, Rob Waller, JP Caneiro, Yusuf Nag ree, Leon Straker, Chris G Maher, Peter P B O'Sullivan

Cooling at Tokyo 2020: the why and how for endurance and team sport athletes (14 August, 2020)

Jill A Hayden, Maria N Wilson, Samuel Stewart, Jennifer L Cartwright, Andrea O Smith, Richard D Riley, Maurits van Tulder, Tom Bendix, Francesca Cecchi, Leonardo O P Costa, Ninna Dufour, Manuela L Ferreira, Nadine E Foster, Maruti R Gudavalli, Jan Hartvigsen, Pieter Helmhout, Jan Kool, G eorge A Koumantakis, Francisco M Kovacs, Tiina Kuukkanen, Audrey Long, Luciana G Macedo, Luciana A C Machado, Chris G Maher, Wolf Mehling, Giovanni Morone, Tom Peterson, Eva Rasmussen-Barr, Cormac G Ryan, Tuulikki Sjögren, Rob Smeets, J Bart Staal, Monica UnsgaardTøndel, Henry Wajswelner, Ella W Yeung Which specific modes of exercise training are most effective for treating low back pain? Network metaanalysis (30 October, 2019) Patrick J Owen, Clint T Miller, Niamh L Mundell, Simone J J M Verswijveren, Scott D Tagliaferri, Helena Brisby, Steven J Bowe, Daniel L Belavy

Lee Taylor, Sarah Carter, Trent Stellingwerff

CONSCENSUS STATEMENT

In the fight for racial justice, the sidelines are no longer an option (30 July, 2020) FREE Tracy Blake

The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport (13 July, 2020)

PATIENT VOICES RED-S: not just a female phenomenon (24 March, 2020) FREE Doug Bentall

Kimberley R Wells, Nikki A Jeacocke, Renee Appaneal, Hilary D Smith, Nicole Vlahovich, Louise M Burke, David Hughes

REVIEWS Financial incentives for physical activity in adults: systematic review and meta-analysis (15 May, 2019) Marc S Mitchell, Stephanie L Orstad, Aviroop Biswas, Paul I Oh, Melanie Jay, Maureen T Pakosh, Guy Faulkner

How are we measuring physical activity and sedentary behaviour in the four home nations of the UK? A narrative

http://bjsm.bmj.com/content/54/21 All articles are accessible via our website https://sportsphysiotherapy.org.nz/members/bjsm/