PAGE
SEPNZ BULLETIN
ISSUE 4. AUGUST 2018
SPRINZ: Water vs. The Machine
5 SEPNZ: Member Benefits
6 SCOTT PEIRCE: Ultrasound Imaging to Compare Diaphragm
17 CLASSIFIEDS: Situations Vacant
www.sepnz.org.nz
PAGE 2
SEPNZ EXECUTIVE COMMITTEE
Members Page
President - Blair Jarratt Vice-President - Timofei Dovbysh Secretary - Michael Borich Treasurer - Timofei Dovbysh Website - Hamish Ashton Sponsorship - Bharat Sukha Committee Emma Clabburn Rebecca Longhurst Justin Lopes
EDUCATION SUB-COMMITTEE Dr Angela Cadogan Emma Clabburn Rebecca Longhurst Justin Lopes Dr Grant Mawston Dr Chris Whatman
BULLETIN EDITOR Emma Clabburn
SPECIAL PROJECTS Karen Carmichael Rose Lampen-Smith Amanda O’Reilly Pip Sail
Visit www.sepnz.org.nz
Join us on Facebook
Follow us on Twitter
Join us on Linkedin Groups
ADDITIONAL USEEFUL WEBSITE RESOURCES:
List of Open Access Journals Asics Apparel - how to order McGraw-Hill Books and order form Asics Education Fund information International Federation of Sports Physical Therapy (IFSPT) Journal of Orthopaedic & Sports Physical Therapy (JOSPT)
ASICS EDUCATION FUND A reminder to graduate members that this $1000 fund is available twice a year with application deadlines being 31 August 2018 and 31 March 2019. Through this fund, SEPNZ remains committed to assisting physiotherapists in their endeavours to fulfil ongoing education in the fields of sports and orthopaedic physiotherapy. An application form can be downloaded on the SEPNZ website sportsphysiotherapy.org.nz.
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. CONTACT US Michael Borich (Secretary) 26 Vine St, St Marys Bay, Auckland mborich@gmail.com
PAGE 3
CONTENTS
SEPNZ MEMBERS PAGE See our page for committee members, links & member information
2
EDITORIAL By SEPNZ President Blair Jarrett
4
MEMBERS’ BENEFITS Discounts
5
FEATURE Scott Peirce: Ultrasound Imaging to Compare Diaphragm Thickness
6
SPRINZ Dr Lisa McDonnell: Water vs. The Machine
9
RESEARCH PUBLICATIONS BJSM Volume 52, Number 15, August 2018
13
CONTINUING EDUCATON The Lower Limb in Sport (SEPNZ Level 2)
14
Promotion and Prescription of Physical Activity and Exercise
15
The Upper Limb in Sport (SEPNZ Level 2)
16
CLASSIFIEDS Situations Vacant
17
Wanted: Bulletin Editor
18
SEPNZ Education Committee
19
5th Biennial SEPNZ Symposium
19
PAGE 4
EDITORIAL
Hello,
always a great foundation course for any Physiotherapist. Both of these are at AUT north shore and usually sell out quickly. Find the registrations to these on our website. Lock the SEPNZ symposium into your diaries March 9th and 10th 2019, we are bringing this back to Tauranga as a boutique event, somewhere to bring the family or catch up with friends in Tauranga’s newest container bar, food and arts area ‘Our Place’. Another significant date is the 31st of August where the ASIC’s education grant closes, see the details in the bulletin.
In this issue, you will find an article by Scott Peirce the owner of Breathing Works Physiotherapy in Auckland. Scott takes you through his path from being a competitive dinghy sailor, to now being a musculoskeletal and “breathing” physiotherapist. Being able to identify a breathing pattern disorder (BPD) and then taking a client through breathing retraining is becoming hugely important in the management of general public right up to elite athletes. We look forward to Scott publishing his research on diaphragm thickness in healthy females versus females with a BPD.
This month we say goodbye to Monique Baigent from the executive and Aveny Moore our Bulletin editor. Monique has been a standout member of our executive and also part of the education committee. The SEPNZ executive would like to thank her for all her work while keeping a positive and friendly smile, we wish you all the best with your new position. With Monique stepping away a new position has become available for anyone who thinks they have what it takes to help out and be part of a dynamic and energetic group. It is an advantageous position to sit on the SEPNZ executive, getting to meet colleagues in the medical profession from all over New Zealand and Internationally. Aveny has been the editor of the Bulletin since 2012, she has been exceptional at keeping us on track, reading each and every bulletin, and building an excellent team to review articles while making sure the Bulletin comes out on time. Aveny you have been amazing at getting this publication out, and from all our members and the SEPNZ executive we can’t thank you enough for your time and effort. All the best for the new project. In saying that we are requiring a new editor. The editor role is less of a commitment than the Executive position and is a great way to contribute to your career and meet some great people. I really encourage you to think about either of these positions and if interested contact our secretary Michael Borich.
welcome to another issue of the SEPNZ bulletin. In this edition you may notice a new layout, we have listened to our membership and will be refining the way the bulletin looks over the upcoming publications. Many thanks to our Executive member Emma Clabburn along with designer Kyla Scholes for helping to get the new look out to our members. Tell us what you think, we are always open to feedback in any way so we can improve this for you.
Also, there is an excellent article from Dr. Lisa McDonnell from SPRINZ with a critical clinical message to take home for rehabilitation in rowers and using an ergometer. You all would have received your voting via email for the proposed PNZ constitution that was released on the 16th of August. SEPNZ also put out a statement before this vote which we hope you read. Voting closes on Monday 3rd September, and if you haven’t received this, please get hold of PNZ. We have been busy on the CPD front. Last month we held the SMNZ/SEPNZ joint roadshow with Professor Ann Cools from Belgium supported by local speakers in 7 destinations from Auckland to Queenstown. It was great to see the small centres supporting this and making the most of bringing CPD to the regions. Those who attended spoke very highly of Ann’s workshops and mini lecture, this was well received throughout New Zealand. We also had a full workshop with Dr. Steve Kara on our one-day concussion course in Auckland just recently. Knowing how to deal with a concussion confidently both acutely and post injury is becoming a very sought-after skill by the public. This is an excellent course to be able to get these skills. Coming up are more of our courses: Level 2 Lower limb in sport is on (20th- 21st of October), and our Level 1 Promotion and Prescription of Physical Activity and Exercise (27th- 28th October) is
Kind Regards Blair Jarrett SEPNZ President
MEMBER BENEFITS
PAGE 5
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.
issuu Our newsletters are available as a flip book online on ISSUU http://issuu.com/sportsphysiotherapynz There are also heaps of other resources on the site and a number of them have been grouped for your benefit. Click the “Stacks” button to find copies of sports related magazines for free. These include: Football Medic, Journal of Physiotherapy and Sports Medicine, Sports Performance and Technology and more.
Podcasts
Podcasts are recorded interviews or talks that are made available for access anytime. A number of sports medicine related podcasts are available which have been linked to our website. http://sportsphysiotherapy.org.nz/members/resources/freepodcasts
Journals
Not studying at present and miss the library at physio school? There are a number of journals that are available online for free. This list is increasing as more companies are developing free access journals, but please let Hamish know if you are aware of ones not on the list. We currently have a list of sports medicine, orthopaedic related and sports science. http://sportsphysiotherapy.org.nz/members/resources/journal/
PAGE 6
FEATURE
Scott Peirce: Ultrasound Imaging to Compare Diaphragm Thickness I’m Scott Peirce, a musculoskeletal/respiratory physiotherapist and I own Breathing Works in Auckland.
I am currently doing a
research thesis at AUT using ultrasound imaging to compare diaphragm thickness in healthy people and people with a breathing pattern disorder.
I teach on physiotherapy courses
under the BradCliff Breathing Method banner with Tania CliftonSmith in NZ, Australia and Canada.
In my previous life I was a competitive dingy sailor. I competed till I was about 18 years and then felt that it was either sailing or some sort of university degree / career – so I chose Physiotherapy. My claim to fame in sailing was being part of a team that beat Jimmy Spithill (pre – Oracle and Americas Cup) in an Australasian Teams Racing yachting regatta. I graduated from AUT in 2002 and was an OK student during my time there. I had some good guidance from lecturers and took my first job in Gisborne Hospital. It was a great first job, heaps of fun, and I tried to see as many surgeries (hips, knees, shoulders, nerve release) and procedures (such as spinal injections) as possible. Other benefits of the job included living on one of NZ’s best surf beaches for $50 a week. For my second job I relocated to Wanaka and Queenstown for the winter season. I worked 20 hours a week at a physio practise attached to the local gym and went snowboarding pretty much every day. This was my first real sports physio gig, and I treated 3 Olympic medallist snowboarders, and a bunch of other high-performance athletes. I was totally broke but living the dream! After I arrived back in Auckland, I bought a practise in Devonport. I did the typical life of a private practise owner - ACC, local rugby teams, started a school clinic, and built a pilates rehab gym / studio. The areas that intrigued me the most was using ultrasound for muscle retraining
work with the hip (al la Alison Grimaldi), Transversus abdominis, pelvic floor, and the diaphragm. I was lucky enough to buy one of the first ultrasound imaging units in New Zealand off Dr Wayne Hing and I loved using it clinically. After a few years I took some extended time to go travelling with my wife Brooke (also a physio). We travelled all over, but significantly we spent time extensively at altitude – up over 5000m in Bolivia, Nepal and Tibet and got to understand hypoxic training. We also dabbled in the world of freediving and hypercarbia in Cairns and Tonga. It struck me that our respiratory system is so much more adaptable than we give it credit for. While working in Australia I was impressed by how much more Aussies will pay for private physiotherapy, and how the multiple streams of insurance and state funding made physiotherapy a much broader job than in New Zealand. Before leaving to go travelling Brooke and I had both been on the BradCliff Course run by Tania Clifton-Smith and Dinah Bradley. We both had some issues with breathing previously (I had asthma, some septal/nasal issues) and the nature of breathing rehabilitation made a lot of sense to us both. When we returned to Auckland the opportunity came up to buy Breathing Works when superstar physiotherapist Dinah Bradley retired. Since then I have transitioned into full time respiratory/ musculo work, and I love it. We are super lucky to have some of the world authorities CONTINUED ON NEXT PAGE >>
PAGE 7
FEATURE on breathing pattern disorders in NZ and in the clinic including Tania Clifton-Smith, Dinah Bradley and Janet Rowley. All the staff have made significant contributions to understanding and treating breathing pattern disorders. My current role now is as co-director of Breathing Works, running a team of excellent physiotherapists in two clinics, teaching other Physiotherapists in New Zealand, Canada and Australia on BradCliff weekend courses, carrying out a thesis / research project, and enjoying a young family with two kids. I personally work one day a week at our North Shore Clinic, one day a week doing my research thesis project, and three days in our main clinic in Newmarket.
mobilisation and support, fluid and lymphatic balance, biochemical balance (CO2 and O2 and thus pH balance), and psychological balance. My main interest clinically is trying to get normal function and balance in clients initially (get rid of symptoms) and then to help clients achieve their optimum performance. This is broad and depends on the client and it can include optimum management of anxiety, winning a medal at the Olympics or Commonwealth games, or running a race without shortness of breath or stich impacting on performance.
My key area of research is using Ultrasound Imaging to assess diaphragm motion and thickness. My current research project is comparing the thickness of the diaphragm in healthy females and comparing it to females with a breathing pattern disorder. We already know from previous research that the diaphragm can atrophy quickly as it is usually loaded 24/7, compared to say the glutes which will only have loading for a maximum of 12 hours a day. ________________________________________
The theory is that ultrasound may be useful in finding mild atrophy and dysfunctional patterns of diaphragm motion. The main problems from a research perspective is finding “optimal” diaphragms. There is a heap of “normal dysfunction” out there. ________________________________________ It is obviously a bit more complex than just wasting though. While the diaphragm is the key muscle of respiration it also provides musculoskeletal stability to the thorax, lumbar spine and pressure control of the abdominal and thoracic cavity. Furthermore, the diaphragm also provides visceral
Ultrasound of the diaphragm in the zone of apposition
My current case load is really varied with respiration being the common thread through all patients. For athletes the common issues are excessive shortness of breath, asthma, thoracic pain, abdominal pain, performance anxiety, EILO (Exercise induced laryngeal obstruction), stich or ETAP, and excessive heart rate response (tachycardia). For most athletes and coaches there is minimal thought that goes into optimal respiration or how to be efficient at it. It is assumed that respiration just takes care of itself, and most athletes only think about it when it starts impacting on performance. I commonly see dysfunction in sports that have sustained lactate threshold work and endurance components (swimming, triathlon, distance running, cycling). And also, in the sports that have compromised flexed respiratory positions (hockey, cycling, rowing). CONTINUED ON NEXT PAGE >>
PAGE 8
FEATURE The most basic screening tool is the Nijmegen Questionnaire, which will show up if someone has some severe hyperventilation symptoms or dysfunctional breathing. Other simple clinical measures can include peak flow monitoring, rib flares and chest wall asymmetry, pulse oximetry, respiratory rate at rest, and observation of where the respiration pattern is coming from at rest and during exercise. More technical measures we use are Ultrasound Imaging to assess symmetry and pattern, and Max Inspiratory Pressure testing.
The rest of my case load is made up of regular patients with anxiety and panic attacks, hyperventilation type symptoms (pseudoneurological), thoracic outlet syndrome, respiratory diseases (COPD, bronchiectasis), cardiac like pain, and abdominal pain. The reality is that most people don’t know about our clinic until they have gone through their GP or Specialist, and there is a high degree of complexity to the cases. People may have seen a cardiologist, neurologist, Sports Dr / physician, and then a year later after every scan and every nasty diagnosis is ruled out, then they may come to respiration as a possible cause of symptoms. Screening for respiratory problems can include some very technical testing (that is more common in UK and Europe), such as Nasoendoscopy during exercise or Asthma provocation testing. A more basic level is a Lung Function Test and this is relatively common in NZ. These tests look for a strong objective measure of lung disease or EILO. However this is only the start of the story. ________________________________________
For the majority of the work I do which involves breathing pattern disorders, there are three separate dimensions to be assessed: biochemical, biomechanical and psychological. ________________________________________
We try to communicate as effectively as possible with the team of GP’s, specialists, and physios using letters and phone calls. The best sessions are when physios come along with the athlete and we can problem solve together and discuss specific sporting issues such and patterns of movement interacting with the breath. Breathing Works staff are generally involved at the top level of sport as a consultant role (International, Olympic or Commonwealth games level). The athlete will already have an excellent physiotherapist, but they may need support in getting the athlete through a specific problem in terms of thoracic mobility, breathing pattern, respiratory strengthening or race-anxiety. At a sub -elite level, we will usually be much more involved through time as they may not have a big team around them. We would then provide services which can go from a retraining breathing patterns, to relaxation training around events, sports specific breathing pattern work, stretching and strengthening programs and hands on physiotherapy. Breathing retraining is really rewarding work. I've had a few top-level athletes through the clinic who were literally not using their diaphragm at all on ultrasound at rest. It blows my mind how much more performance these athletes get when they learn to breath efficiently and strongly. Contact: Scott Peirce Breathing Works bw@breathingworks.com
PAGE 9
SPRINZ
Water vs. The Machine by Dr Lisa McDonnell AUT Sports Performance Research Institute New Zealand The winter months are prime time for competitive rowers to bank extra kilometres to develop a solid aerobic base for the up-coming competitive 2000m sprint season for club and school rowers. With an increase in training volume however, comes an increase in injuries. The most common area injured amongst rowers is the lumbar spine (Rumball, Lebrun, DiCiacca, and Orlando, 2005) with the prevalence rate of nearly one-third of all rowing injuries in a 12 month prospective study (Wilson, Gissane, Simms and Gormely, 2008). Lumbar spine injuries in rowers were thought to be the cause of many factors including repetitive lumbar flexion and extension coupled with high training volume (Reid and McNair, 2000; Rumball, Lebrun, Di Ciacca & Orlando, 2005). Research has shown evidence that supplementing rowing training on a land-based rowing ergometer has contributed to the frequency of rowing injuries while time on water was not associated with injury incidence (Wilson, Gissane, Simms and Gormely, 2008). The rowing ergometer has been used to supplement rowing training for a variety of reasons. It may be from safety concerns during short daylight hours or unfavourable weather conditions in winter, to merely a convenience at times. Despite the convenience, back pain is significantly associated with ergometer rowing more than 30 minutes (Teitz, O’Kane, Lind, and Hannafin, 2002). Even standard length 2000-m ergometer rows have shown erector spinae fatigue and a subsequent increase in lumbar spine curvature to 74-89% of rowers’ full range of motion
(ROM) (Caldwell, McNair, and Williams, 2003). Another investigation found lumbar curvature values ranging 67-96% ROM in 500-m fullpressure sprints for university rowers on the rowing ergometer (McDonnell, 2008). From club to elite rowers, the high volumes of ergometer rowing may be a contributing factor of low back pain or injury. Developments of ergometers have included slides that allow the entire Concept2 rowing ergometer to move, rather than being fixed on the ground. Placing ergometers on slides reduces mean forces during the same workload on the Concept2 rowing ergometer at common training workloads of 70100% (Holsgaard-Larsen A, Jensen K., 2010; Vinther A. Alkjaer T, Kanstrup IL. et al., 2008). Reduced handle forces were also observed for RowPerfect floating-head ergometers compared to a fixed-head mechanism (Bernstein, Webber, & Woledge, 2002; Colloud, Bahuaud, Doriot, et. Al. 2006). Thereby, a more dynamic ergometer style may be biomechanically safer while allowing the same physiological benefits as fixed ergometers. Although, the impact of prolonged dynamic ergometer training on injury rates are still unknown. The Sports Performance Research Institute New Zealand (SPRINZ) at AUT have examined the differences between water rowing, and both types of ergometer rowing for internationally competitive rowers (figure 1). Fixed ergometer rowing showed the highest range of lumbar curvature observed,
PAGE 10
SPRINZ reaching about 98% of range of motion in the early drive phase for a group of rowers toward the end of their 1000-m time-trial on a fixed ergometer. Water rowing allowed a trend toward lower, but less within-trial variability of lumbar curve values, indicating a better resistance to lumbar fatigue on water. Force data supported this notion by showing peak handle forces on the fixed ergometer being about 100 N greater than peak forces on water on average (Millar, Reid, McDonnell, Lee & Kim, 2017) in the same rowers near the time of observed peak lumbar curvature. One particular rower experienced 200 N difference in peak forces between water and fixed erg environments. If fixed-ergometer rowing cannot be avoided, placing a Concept2 rowing ergometer on slides did not drastically alter the high peak handle forces of the rowing ergometer (Millar et al, 2017), but rowers experienced a reduction in lumbar spine curvature on the sliding ergometer compared to fixed ergometers (figure 1). Larger variability in lumbar curvature throughout a 1000-m time trial is also seen in the data from beginning to end of the time-trial for ergometers on slides indicating that the effect of prolonged rowing on slides is unknown. When working with injured rowers, sometimes early treatment strategies may include a cessation from rowing followed by a pain free slow reintroduction toward full participation. It is all too easy and tempting to slowly get back to 100% by introducing the fixed ergometer commonly seen in fitness centres, schools and rehabilitation clinics. However, the research shows that early introduction of the fixed ergometer may be the last thing you should do when reintroducing a rower with a history of low back pain to rowing.
Figure 1. Average lumbar curvature (%ROM) during the first 0.00-0.47 s of rowing stroke time (x-axis) for each rowing condition sampled at the BEG, MID, and END of each 1000-m time-trial.
*REFER TO REFERENCES ON NEXT PAGE >>
Practical Recommendations • Water training is best for preventing injury or injury re-occurrence while maintaining sport specific fitness:
Consider it whenever possible.
• Only when water training is not possible, the next best thing may be the dynamic, floating-head, or
ergometers on sliders, but keep aerobic sessions less than 30 minutes on the ergometer to reduce injury risk, and introduce other forms of cross-training if needed. • If sliding or dynamic ergometers are not available, forces on the fixed-erg may be reduced with a lower damper setting (i.e. <4), but this should be a last resort. • Regardless of training modalities: Injury prevention programmes should include gentle lumbar stretching and occasional lumbo-pelvic control exercises.
PAGE 11
SPRINZ References Bernstein, I.A., Webber, O., and Woledge, R. (2002). An ergonomic comparison of rowing machine designs: possible implications for safety. British Journal of Sports Medicine, 36, 108-112. Caldwell, J.S., McNair, P.J., and Williams, M. (2003). The effects of repetitive motion on lumbar flexion and erector spinae muscle activity in rowers. Clinical Biomechanics, 18, 704-711. Colloud, F., Bahuaud, P., Doriot, N., Champely, S., and Chèze L. (2006). Fixed versus free-floating stretcher mechanism in rowing ergometers: mechanical aspects. Journal of Sports Sciences, 24, 479-493. Holsgaard-Larsen A, Jensen K. (2010). Ergometer rowing with and without slides. International Journal of Sports Medicine, 31, 870-874. McDonnell, L.K. (2008). The relationship between lower extremity kinetics, spine flexion, and erector spinae muscle activity in competitive female rowers (Unpublished master’s thesis). Barry University, Miami Shores, Florida, USA. Millar, S., Reid, D., McDonnell, L., Lee, J., & Kim, S. (2017). Elite rowers apply different forces between stationary and sliding ergometers, & on-water rowing. In W. Potthast, A. Niehoff, & S. David (Eds.), Scientific Proceedings of the 35th International Society of Biomechanics in Sports Conference (pp. 388391) Cologne, Germany: German Sport University Cologne. Reid, D.A. & McNair, P.J. (2000). Factors contributing to low back pain in rowers. British Journal of Sports Medicine, 34, 321-322. Rumball, J.S., Lebrun, C.M., Di Ciacca, S.R., & Orlando, K. (2005). Rowing injuries. Sports Medicine, 35, 537-555. Teitz, C.C., O’Kane, J., Lind, B.K, and Hannafin, J.A. (2002). Back pain in intercollegiate rowers. American Journal of Sports Medicine, 30, 674-679. Vinther A. Alkjaer T, Kanstrup IL. et al. (2008) Ergometer rowing in slides: implications for injury risk. British Journal of Sports Medicine, 42, 545-546. Wilson, F., Gissane, C., Simms, C., and Gormely, J. (2008). A 12 month prospective cohort study of injury in international rowers.
Dr Lisa McDonnell is a Research Fellow with SPRINZ (Sports Performance Research Institute New Zealand). Her research aims to enhance sports performance and prevent injuries, with a focus on paddling
and
rowing
(https://www.researchgate.net/profile/
Lisa_Mcdonnell). Her esteemed research colleagues at SPRINZ will be presenting their latest findings at the up-coming International Society of Biomechanics in Sports Conference being hosted by SPRINZ at AUT this September (https://sprinz.aut.ac.nz/isbs-2018).
PAGE 12
PAGE 13
RESEARCH PUBLICATIONS
British Journal of Sports Medicine August 2018; Vol. 52, No. 15 Consensus Statement
Educational Review
Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline
An injury prevention pyramid for elite sports teams
Gwendolyn Vuurberg, Alexander Hoorntje, Lauren M Wink, Brent F W van der Doelen, Michel P van den Bekerom, Rienk Dekker, C Niek van Dijk, Rover Krips, Masja C M Loogman, Milan L Ridderikhof, Frank F Smithuis, Sjoerd A S Stufkens, Evert A L M Verhagen, Rob A de Bie, Gino M M J Kerkhoffs
Reviews Towards a three-dimensional framework of centrally regulated and goal-directed exercise behaviour: a narrative review Andreas Venhorst, Dominic Micklewright, Timothy D Noakes
Philip Alexander Coles
Editorials Synthesising ‘best evidence’ in systematic reviews when randomised controlled trials are absent: three tips for authors to add value for clinician readers Clare L Ardern, Marinus Winters
Are randomised control trials best for evaluating the effect of complex physical therapy interventions?
Psychological interventions used to reduce sports injuries: a systematic review of real-world Håvard Østerås, Fredrik Paulsberg, Karin Gravare Silbernagel effectiveness Randomised controlled trials for complex Adam Gledhill, Dale Forsdyke, Eliot Murray physiotherapy interventions are perfectly possible Femoroacetabular impingement surgery allows Leonardo Oliveira Pena Costa 74% of athletes to return to the same competitive level of sports participation but their Different interventions, same outcomes? Here level of performance remains unreported: a are four good reasons Chad E Cook, Steven Z George, Francis Keefe systematic review with meta-analysis Michael P Reiman, Scott Peters, Jonathan Sylvain, Seth Hagymasi, Richard C Mather, Adam P Goode
Original Research Hamstring injuries in elite Gaelic football: an 8year investigation to identify injury rates, timeloss patterns and players at increased risk Mark Roe, John C Murphy, Conor Gissane, Catherine Blake
Coach-directed education is associated with injury-prevention behaviour in players: an ecological cross-sectional study
James C Brown, Sugnet Gardner-Lubbe, Michael Ian Lambert, Willem van Mechelen, Evert Verhagen
Mechanisms of ACL injury in professional rugby union: a systematic video analysis of 36 cases Connor Montgomery, Jeff Blackburn, Daniel Withers, Gregory Tierney, Cathal Moran, Ciaran Simms
Timing of the decline in physical activity in childhood and adolescence: Gateshead Millennium Cohort Study
Mohammed Abdulaziz Farooq, Kathryn N Parkinson, Ashley J Adamson, Mark S Pearce, Jessica K Reilly, Adrienne R Hughes, Xanne Janssen, Laura Basterfield, John J Reilly
http://bjsm.bmj.com/content/52/15 All articles are accessible via our website https://sportsphysiotherapy.org.nz/members/bjsm/
(SEPNZ LEVEL 2 COURSE) This course is for registered physiotherapists who work with individual athletes or teams in which lower limb injury is common. The focus of the course is on pathomechanics and kinetic chain deficits as they relate to injury prevention and performance, diagnosis and advanced rehabilitation of lower limb conditions. By the end of the course you will understand the pathoaetiology of common lower limb injuries, be able to perform key clinical and functional tests, rehabilitate lower limb injury in a number of sporting contexts including football, running and contact sports, and develop individualised return-to-sport programmes. Location:
Date:
AUT North Campus (AA building) 90 Akoranga Drive, Northcote, Auckland Click for Google map Click for AUT North Campus map
Saturday
20th
October 2018
9am – 4:30pm Sunday 21st October 2018
Course Fee: SEPNZ Member
$450.00
PNZ Member
$520.00
Non-PNZ Member
$650.00
9am – 4pm
The course will cover:
Pathomechanics of lower limb injury in running sports, football and other lower limb sports
Performance-related functional tests for the lower limb
Diagnostic tests and imaging investigations for common sporting pathologies of the lower limb
Design and implementation of rehabilitation programmes including post-surgical rehabilitation
Integration with coaching and biomechanics for technique modifications
Return-to-sport decision planning and processes Assessment and management of challenging lower limb conditions
Presenters: Dr Peter McNair Geoff Potts Justin Lopes
Professor of Physiotherapy Sports Physiotherapist, Clinical Educator & DHSc Student Sports Physiotherapist
To Register: Registration will be limited to the first 26 paid registrants Complete online registration HERE via Physiotherapy New Zealand
Promotion and Prescription of Physical Activity and Exercise Physical inactivity is responsible for the growing epidemic of obesity and health-related conditions. Physiotherapists play a critical role in promoting and prescribing physical activity in all age groups and are ideally placed to prescribe exercise for those with chronic health conditions, and to those wanting to return to recreational activity or competitive sport following injury. A course covering the promotion and assessment of physical activity levels, exercise testing and ways to effectively prescribe physical activity and exercise for individuals ranging from inactive to those involved in competitive sports. Presented by:
Dr Grant Mawston and Dr Peter McNair Date (Time): Saturday 27th October 2018 (9am – 4pm) Sunday 28th October 2018 (9am – 4pm) Location: AUT North Campus (AA building) Click for AUT North Campus map 90 Akoranga Drive, Northcote Auckland Click for Google map Cost:
SEPNZ members PNZ members Non-PNZ members
$425 $510 $640
Cost includes morning and afternoon teas, lunch on both days and course manual.
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.
What the course will cover: 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
To Register: NOTE: Registration will be limited to the first 27 paid registrants Online registration HERE via Physiotherapy New Zealand
(SEPNZ LEVEL 2 COURSE) This course is for registered physiotherapists who work with individual athletes or teams in which upper limb injury is common. The focus of the course is on pathomechanics, diagnosis and advanced rehabilitation of upper limb conditions and kinetic chain deficits as they relate to injury prevention and performance. By the end of the course you will understand the pathoaetiology of common upper limb injuries, be able to perform key clinical and functional tests, rehabilitate upper limb injury in a number of sporting contexts including swimming, throwing, racket and contact sports, and develop individualised return-to-sport programmes. Location:
Date:
AUT North Campus (AA building)
Saturday 23rd February 2019
90 Akoranga Drive, Northcote, Auckland
9:00am – 5:00pm
Click for Google map Click for AUT North Campus map
Sunday 24th February 2019
Course Fee: SEPNZ Member
$450.00
PNZ Member
$520.00
Non-PNZ Member
$650.00
9:00am – 4.00pm
The course will cover:
Pathomechanics of upper limb injury in collision sports, swimming, throwing & racquet sports
Performance-related functional tests for the upper limb
Diagnostic tests and imaging investigations for common sporting pathologies of the upper limb
Design and implementation of rehabilitation programmes and processes
Integration with coaching and biomechanics for technique modifications
Return-to-sport decision planning and processes Injury prevention including conditioning, pacing and workload management
Presenters: Dr Angela Cadogan Mandy Gumbly Sports Physiotherapist
Physiotherapy Specialist (Musculoskeletal) Registered Hand Therapist TBC
To Register: Registration will be limited to the first 26 paid registrants Online registration HERE via Physiotherapy New Zealand
PAGE 17
CLASSIFIEDS
NETBALL MAINLAND ZONE – NETBALLSMART DEVELOPMENT OFFICER Netball Mainland is one of five Zones affiliated to Netball New Zealand and home of the Silvermoon Tactix ANZ Premiership Netball team. We are seeking a NetballSmart Development Officer to join our team and be responsible for leading the delivery of Netball New Zealand’s NetballSmart Strategy in the Mainland Zone with a focus on decreasing serious injuries in Netball participants, through the provision of programmes and initiatives that; • Prevent injury and enhance performance • Improve player welfare • Increase awareness and engagement with the
NetballSmart philosophy and programmes
The successful applicant will have a background in Physiotherapy, Sports Science and/or Strength and Conditioning with knowledge of injury prevention strategies in Sport. Netball knowledge and some experience in delivery of workshops is also required. You will be a skilled communicator, highly organised, well planned and reliable. The ability to build and maintain a network of strong relationships and work closely with NNZ, Zone and Centre staff and volunteers in the Netball community is essential. This 30 hours per week, three-year fixed term role, is based in Christchurch and reports to the Zone Community Netball Manager. A copy of the Position Description may be found on the Netball Mainland website: www.netballmainland.co.nz If you have what it takes, please forward your covering letter of application and curriculum vitae electronically to: Geni Tuilagi, Community Netball Manager Netball Mainland Zone Email: geni.tuilagi@netballmainland.co.nz Phone: (03) 351 0571 All applications will be treated in the strictest confidence. Closing date for receipt of applications is 6.00 p.m. Monday 6th August 2018
PHYSIOTHERAPIST MORRINSVILLE, WAIKATO This is your opportunity to join an excellent physiotherapy team in an inspiring practice, treating a wide variety of clients. Manual therapy, exercise prescription and rehabilitation are the hallmarks of our practice. The principal is a 3x Olympic and 3x Commonwealth Games physiotherapist. Staff have postgraduate qualifications and are involved with provincial and national sports teams. Opportunities to be involved with local sports teams are available. In -service training and professional support is provided regularly. The Morrinsville Physiotherapy Clinic is an accredited practice and provides under-graduate and post-graduate clinical supervision for AUT students. New graduates welcome. Mentoring provided. Morrinsville has excellent facilities and is an easy 25 minute commute from Hamilton. Join our friendly, fun team in January 2019 – start date negotiable. Applications close 21st December 2018. Please email your CV with a cover letter – in confidence to Gavin at: gavin@morrinsvillephysio.co.nz or contact Gavin if you have any questions regarding the position via email or phone 07 889 7474 All applicants must have a current New Zealand Annual Practicing Certificate. Check out our website: www.morrinsvillephysio.co.nz
PAGE 18
CLASSIFIEDS ACTIVE HEALTH – FOR AN ACTIVE LIFE Rangiora and Christchurch We are looking for a Physiotherapist with energy and enthusiasm to provide a professional, quality service as part of a dynamic and supportive team. This exciting opportunity is available due to Active Health’s recent expansion in the North Canterbury area. We have partnered with the North Canterbury Sports Trust to provide our services within their impressive new gym facility in Rangiora. This will complement the work we are already doing within Durham Medical Centre, a modern GP practice in Rangiora. This position would suit a highly motivated physiotherapist with a “can do” attitude, a patient-focused commitment to quality and a desire to work within a like-minded team. The applicant should have the following: • Minimum of 3 years post qualification experience • Experience in a health care and vocational rehabilitation setting • An interest in musculoskeletal and sports injury management • Knowledge and empathy for multiculturalism and practice in a manner that the patient / family determines is culturally safe • Knowledge of quality systems and evidence-based practice • Ability to access and interpret relevant research • Demonstrated organisation and time management skills • High standard of oral and written communication skills Active Health is: • A fully accredited ACC practice with EPN, Pain and VRS Contracts • Focused on a multi-disciplinary approach to Health and Well-Being. • A team of Physiotherapists, Podiatrists, Nutritionist, Osteopath, Exercise Consultants. • A business that prides itself on “Active Health – for an Active Life” • Committed to providing a comprehensive in-service training programme and ongoing focus on CPD The role is for 30-40 hours per week and will be focused on our developing Rangiora sites. There may be some Christchurch-based work as part of this role also. Please send applications including cover letter to Mark Hollands Email: markh@activehealth.co.nz
WANTED: Bulletin Editor The SEPNZ Bulletin is a show piece for publications for physiotherapy in New Zealand Can you help us??? We are looking for a bulletin editor to help us put together the SEPNZ Bulletin 6 times a year • Help will be given to get you started in the role • Publishing knowledge is not needed Duties include: • Contacting people to supply articles • Proof reading articles to make sure they make sense • Reminding people to send things in on time • Choose an article to be reviewed for publication • Skills needed are basic time management and a computer Further details on request Contact Michael Borich - mborich@gmail.com
PAGE 19
CLASSIFIEDS / SYMPOSIUM
SEPNZ Education Committee Expressions of Interest Expressions of Interest to join the SEPNZ Education Committee are now open. SEPNZ is committed to providing sustainable, quality, robust Sports Physiotherapy Education Pathway that aligns with, and stands up to assessment against, the International Federation Sports Physiotherapy (IFSPT) competencies. If education in Sports Physiotherapy is a passion of yours and you believe that you have something to offer the SEPNZ Education Committee that could help us to overcome barriers in the delivery of quality Sports Physiotherapy Education with our courses, please send your CV and letter outlining; why you wish to apply, what you offer and how you would look to implement your ideas to help the ongoing review and improvements that we are committed to making within the SEPNZ Education Committee to becsvw@hotmail.com. Expressions of interest close: 6th September 2018