Therapy Expo Pre Show Newspaper 2015 by CloserStill Media

Is it all about the crack? Page 2

Choosing the correct rehab technology

Conference programme

Page 3

FES helped her walk again

Pages 6-7

Page 12

WWW.THERAPYEXPO.CO.UK

SEPTEMBER 2015

EXCITEMENT BUILDS FOR THE THERAPY SHOW Thousands of physios to gain 12 hours of world-class CPD THE COUNTDOWN to the opening of the most exciting ‘new-look’ event for the profession has begun in earnest as thousands of physios are set to converge on the NEC Birmingham on November 25th and 26th for the Therapy Expo. Therapy Expo is the all-new national training event for physiotherapists from all settings. The irresistible combination of world-class CPD education and delegate places being signiﬁcantly subsidised via sponsorship support from trade suppliers has caught the imagination of the profession from both NHS and private practice all over the country, and from a wide range of specialist areas. Therapy Expo in its new home at the NEC and organised by the multi award winning CloserStill Media Group, with a brand new event format with more expansive and comprehensive education programme, is set to become the largest single gathering of physiotherapists in Britain…by some distance.

Delegates attending the ground-breaking new event can choose from a total of 40 hours of certiﬁed CPD clinical, practical and professional education delivered by a 60-strong speaker faculty over 65 sessions across four streams. The expert speaker faculty includes Jon Graham, Joanne Elphinston, Sarah Tyson, Steve Nawoor, Tim Watson and Paul Coker. The new format has won over many in the profession looking for high value low-cost CPD training. Physio Joshua Shaw said: “I am really impressed with the diverse seminar programme and speakers.” His thoughts were echoed by Genna Hill, Sports Massage Therapist, who added: “I’m struggling to decide which seminars to attend! There’s so much choice!”

Top 5 reasons to attend Therapy Expo 1

Access over 40 hours of CPD over two days at a fraction of the price of other events.

Four theatres, programmed by industry experts, covering the hottest topics in physio and sports therapy practice.

Over 100 highly relevant exhibitors to help you learn and source the latest products and services available in the industry.

Network with colleagues and peers at a truly national event, bringing over 1,800 physios... physios from NHS and private practice together from across the country.

Listen to, and interact with worldclass speakers and leaders in their ﬁelds, about industry news, trends and regulation updates.

Organisers say Therapy Expo has been carefully designed to meet the needs of physios both in private practice and in the NHS. Physios in the NHS are probably ﬁnding themselves under more pressure to deliver than at any other time in the history of the Service. Cuts to budgets and

BOOK BEFORE SEPTEMBER 30TH USING CODE NP3, BOOK AT www.therapyexpo.co.uk or call 020 7348 5279

Continued on page 3

For just

£109 + VAT

(Full price £299)

At Nuffield Health, life should be lived to the full. From hospitals to gyms, our holistic approach to healthcare brings together prevention and cure with fitness and wellbeing services. To find out more about our growing Physiotherapy service and our exciting new Physio Academy*, come along and have a chat with us on stand TD10. We’d love to meet you. *www.nuffieldhealth.com/physioacademy

Hospitals + Health Checks + Physios + Gym www.nuffieldhealthcareers.com Register Now: Speak To Our Delegate Liaison Team Tel: 020 7348 5279 Or Go Online: www.therapyexpo.co.uk

www.therapyexpo.co.uk

Is it all about the crack? A new model justifying the use of spinal manipulation for facilitating locomotor function using a sensory motor approach.

Therapy Expo is organised by CloserStill Media Healthcare Limited George House, Coventry Business Park, Herald Avenue, Coventry, CV5 6UB Tel: 020 7348 1842 Chris Brown, Group Event Director c.brown@closerstillmedia.com Paul Lane, Exhibition Sales Executive p.lane@closerstillmedia.com Alexia Maycock, Marketing Director alexia.maycock@closerstillmedia.com Charlotte Ellicott, Senior Marketing Executive c.ellicott@closerstillmedia.com

For far too long spinal manipulation has only been associated with the management of painful spinal conditions, and the joint cavitation has been viewed as the holy grail of expert practice. Spinal manipulation has a well-established evidence base in contemporary musculoskeletal practice. However, its clinical objectives are all too frequently attributed to the restoration of joint position or movement of speciﬁc spinal segments believed to be misaligned or hypermobile. This limited outlook does not embrace increasing evidence supporting neurophysiological mechanisms affecting pain and sensory motor control after manipulation.

Daniel Earl, Marketing Executive d.earl@closerstillmedia.com Charlotte Cross, Delegate Services c.cross@closerstillmedia.com Portia Hill, Delegate Services p.hill@closerstillmedia.com Harriet Burnell, Speaker Manager h.burnell@closerstillmedia.com Inderjot Atwal, Operations Executive i.atwal@closerstillmedia.com Michael Westcott, Managing Director m.westcott@closerstillmedia.com

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Normal human movement is reliant upon effective sensory motor control. The sensory motor system is responsible for the regulation of posture, joint stability and movement. Manipulation is an effective treatment tool for gaining entry into the sensory motor system to promote normal movement. The capsuloligamentus and myofasical tissues contain mechanoreceptors, which are capable of stimulation by the forces applied through manipulation. Several authors have reported clinically signiﬁcant changes in post intervention proprioception immediately after lower quadrant joint manipulation and mobilisation. Absent, reduced or inaccurate sensory information will compromise the sensory equation of the sensory motor system. This system is critical for all components necessary for individuals to move and experience the environment in which they wish to function. All activities of daily living and athletic performance are reliant on afferent input from the periphery to the central nervous system. The spine has a rich source of sensory receptors that convey proprioceptive information from each spinal level about the positional status of the individual. Insult or dysfunction of spinal structures whether due to previous pain or poor postural habits can compromise its mechanical contributions to sensory motor control of the kinetic chain. Distorted sensory information can affect the planning and organisation of motor behaviours at its higher centres. Poor sensory input at the receptor level has the potential to disrupt processes that are reliant upon its inclusion for voluntary movement, postural adjustments and motor learning.

For example, using this approach it would not be unreasonable to assess the spinal articular system of patients presenting with persistent ankle instability. Most therapists would examine the ankle in detail but not consider the regional interdependence of motor control for the whole system. Spinal manipulation with a goal ordinated motor relearning programme provides a rich prioprioceptive training environment. Although, repeated practice is necessary to facilitate long-term motor recovery, an integrated approach should include targeted manipulation, mobilisation and exercise therapy. This concept of treating the whole person is not new, but is often forgotten in the sprint to rehabilitate the patient. All regions of the body are interdependent both in terms of physiology and anatomy. The effects in one location are often related to distant locations associate with the patient’s primary complaint. Conceptually, regional interdependence has an abundance of evidence including case reports, descriptive reports and controlled randomised trials. There have been several reports of patients complaining of primary low back pain with hip or knee involvement. Many studies report clinically signiﬁcant changes in symptoms and movement behaviors when treatment is directed at distant anatomical locations. In the upper quadrant, studies have reported post intervention treatment success after manual therapy for the thoracic region of patients presenting with primary neck pain and shoulder impingement. The role of regional interdependence and sensory motor control should be given serious consideration in all musculoskeletal conditions with disturbed motor behaviours. Aberrant motor behaviours could at least in part be caused by dysfunction of the sensory equation of the sensory motor system. Spinal manipulation is a time efﬁcient and effective treatment modality for stimulating mechanoreceptors and facilitating normal movement behaviours. Therefore, an integrated approach for the clinical management of disordered movement should include spinal manipulation and joint mobilisations employed to prepare patients for exercise therapy and functional activities. Uzo Ehiogu is a Specialist Physiotherapist with a special interest in spinal manipulation and strength and conditioning and a member of the MACP. Uzo runs a two-day training course bending spinal manipulation, sensory motor retraining and exercise therapy for low and high performance populations. His blog is TheConsultantPT.com and he is active on twitter @ConsultantPT.

For just

BOOK BEFORE SEPTEMBER 30TH

£109

USING CODE NP3, BOOK AT www.therapyexpo.co.uk or call 020 7348 5279

TherapyExpo

@TherapyExpo

+ VAT

(Full price £299)

Therapy Expo

www.therapyexpo.co.uk

The Challenge of Choosing the Correct Rehabilitation Technology to Treat Your Patient The use of technology in neurological rehabilitation has ﬁnally come of age. Therapists and GPs are increasingly employing the rehabilitation triad of hands-on physiotherapy, technology and exercise to maximise the rehabilitation potential of their patients. The challenge now for therapists and GP’s is selecting which of the many emerging technologies are the most clinically appropriate for their clients. Rehabilitation technology can be used to accelerate the rehabilitation process by minimising impairments and promoting functional recovery. This may include increasing strength, decreasing spasticity and improving motor control. Alternatively technology can be used as a substitution for lost physical function and thereby permit activity otherwise not available to the patient. For example the recruitment of weak or paralysed muscles required for normal walking. Technology can also enable intensive, repetitive, task-orientated exercises for upper limb function or provide real-time feedback vital to motor learning in the absence of a supervising clinician.

Thereby empowering patients to participate in lengthy home exercise programmes. PhysioFunction have been the UK leaders in the provision of rehabilitation technology for over 10 years. Our highly skilled physiotherapists can appropriately assess and integrate rehabilitation technology into their treatment approaches with clients ensuring each individual can reach their maximum rehabilitation potential. All too frequently individuals are told 'you are as good as you are going to get!". It is our experience that it’s the health professional/service that has reached the limit of their time and resources and plateaued not the patient! We have worked successfully with clients both at the early stages of their rehabilitation process as well as those who are many years post injury or illness. PhysioFunction integrates technology with highly skilled hands-on therapy and exercise in a patient focused and goal orientated approach. This is not a 'one size ﬁts all industry!' With highly skilled and appropriate assessment, implementation and follow up patients can be helped to reach their true potential. An extensive portfolio of rehabilitation technology, knowledge and expertise, ranging from simple muscle stimulation devices to sophisticated FES and exoskeletons all play their part.

Continued from page 1 changes in staff and structures mean that physios are involved with more patient treatments, with more responsibility but with less time. Funding cuts also mean that physios are likely to be on their own when it comes to research, networking with colleagues, building bridges with other healthcare professionals, financing clinical study and gaining CPD. A physiotherapist in private practice will be able to use the Therapy Expo to access the latest techniques and access advice and support available to them and their business. DEMO ZONE Event Director Chris Brown commented: “The goal of the show is simple: to educate, inspire, and have fun…at a fraction of the cost of any other event in the profession.” “We have a two day CPD-accredited programme covering musculoskeletal, neuro, sports and rehab therapy, together with a major trade exhibition so you can research and source products and services at the best prices and network with over 1,800 professional colleagues,” Chris added. The show will feature a number of hands-on Demo Zone practical sessions where delegates can get handson experience with some of the very latest therapy techniques and treatments from leading suppliers including, Neck Saviour, Rocktape, The Performance Matrix and many more. Therapy Expo founder and programme director Lisa Plummer, commented: “Physios can visit the exhibitors and update their product knowledge, see what’s new out there. They can critique and quiz exhibitors on the features and benefits and then assess the potential benefits for themselves and their client group. This is a great opportunity to really challenge product developers. “We all need to continue to learn throughout our career and accessing that knowledge can be achieved in a variety of ways, Therapy Expo is an excellent low-cost CPD opportunity that will provide you with a wealth of knowledge and a huge opportunity to reflect on your practice and improve the outcomes for your clients or patients,” Lisa added.

PhysioFunction have collaborated with the NHS, numerous charities and private funding streams to provide rehabilitation opportunities for patients across the UK and overseas to maximise their independence and achieve their goals. Come and see us at Therapy Expo in their Technology Zone with some of our suppliers and see ﬁrsthand the incredible advances in rehabilitation technology and how it can improve people’s lives.

How important is Soleus to managing midportion Achilles tendinopathy? Seth O’Neill, Physiotherapy Lecturer, University of Leicester Achilles Tendinopathy (AT) commonly affects runners with prevalence rates around 10% reported but with some reporting rates as high as 50%. Endurance runners are seemingly most at risk. AT is general accepted as being an active degenerative process, with some inﬂammation biochemical pathways involved. These changes eventually lead to tissue alterations, tendon pain and dysfunction. One of the main risk factors in otherwise healthy athletic individuals is repetitive high tendon load activity, such as running. It may be that one of the Plantarﬂexors is more involved than another.

IS THERE AN ARGUMENT FOR SOLEUS INVOLVEMENT? Points to consider include that Soleus is an important force producer, especially for endurance athletes. Despite the common misconception that Gastrocnemius is the main force producer during running it is in fact Soleus. During running the Soleus muscle produces up to 50% of the total vertical support force, which is made possible by the fact it makes up 52% of the volume of the posterior calf. The actual forces it produces are around 8 times body weight but in comparison the Gastrocnemius produces forces around 3 times body weight. Most clinicians and researchers seem to have assumed the muscles always work in unison, however Gastrocnemius and Soleus can and do work independently. Soleus is primarily the “endurance” muscle of the calf and as such has a higher level of slow twitch muscle ﬁbres making it more likely to be essential for endurance running. The existing literature around calf function and AT is really very limited. Evidence has shown people

with AT have an earlier offset of Soleus EMG activity during running compared to controls. Whilst this timing alteration may be an effect of pain and not a precursor to injury it certainly shows different adaptations to induced tendon pain. There is currently a strong suspicion that Soleus loading is necessary and essential to the resolution of Achilles tendon pain. In order to effectively rehab Soleus muscle deficits we need to use knee bent calf raises -standing or seated, and incorporate concentric and eccentric loads and progress to eccentrics in isolation as this allows heavier loads to be used. Rehab obviously needs to be graded and gradually increased over time. There is sufficient evidence to substantiate the involvement of Soleus weakness in Achilles Tendinopathy. However, further work needs to be completed to determine if it is a prospective risk factor. Obviously not all patients will behave as the evidence suggests, so I will be expanding on these concepts and research findings at this year’s Therapy Expo.

www.therapyexpo.co.uk

THERAPY EXPO 2015 FLOOR PLAN & PARTICIPANTS LIST AACP

TA21

Odstock Medical

ACPSEM

TE10

Ottobock

Algeos

TE33

Oxford Brookes University

TE45

Allergan

TC60

Painless Practice

TE43

Apos Therapy

TC10

Parkinsons UK

TE59

Attainability UK Ltd

TF62

Physio Function

TA52

B K Ultrasound

TB20

Physio Function

Tech 4

BackCare Charity

TE58

Physio123

TD52

BackTone

TC12

Preori

TF35

Benecare Medical

TF57

Private Practice Software

TE14

Bioness

TB65

Proto-col

TF33

C&P Medical

TD50

Pulse Jobs

TE35

Canonbury Products

TD25

Real Time Reception

TE13

CET CryoSpas

TF53

ReWalk ExoSkeleton

TF50

CTN (P-CNS)

TA50

Rightstride

TG40

Cyclone Technologies

TB60

Robert Gordon University: School of health sciences

TE47

Rocktape UK

TD20

RSscan Lab Ltd

TG35

Foot Science International

TD59

Functional Movement Systems

TB19

Graybrook Insurance

TB29

HCA Healthcare

TB25

Healthy Home & Ofﬁce Ltd

TE53

ID Medical

TB10

iMEDicare

TE37

INDIBA® activ

TC55

Integrated Change

TD19

Intrapharm Laboratories

TA55

Ipsen

TC50

Jolly Back Enterprises

TD4

Kinesio UK

TD55

Medacs Healthcare

TF30

medi UK

TE39

MSKnote

TA30

Naqi International

TE40

Neck Saviour

TE1

Nufﬁeld Health

TD10

TA40

SportEX

TF37

Sports Therapy Association

TF58

Tech 3

The Integrated Care Clinics

TA15

The Mentholatum Company Ltd

TD15

The Running School

TC59

TM2

TA20

ToPro

TE30

TPM Pro

TE49

Trimbio

2 3

TF20

Centre for H and Disa Assessme

TF30 Medcas

TF35

TF3

Preori

Spo

TG35

TB15

Summit Medical & Scientiﬁc

TG40

TG50

DEMO

TF50 Rewalk

TF56

TF58 STA

TE23

Trulife

Tech 2

WeMakeAnyApp

TF39

Western Medical Supplies

TF59

Wisepress Medical Bookshop

TF63

YourPhysioPlan

TC19

How to book your place

TG20

TG30

Sole Mates

Sugarman Medical

This year’s Demo zone is all about your professional development and business success. Join the experts to learn about the latest clinical techniques and treatments.

RSSCAN LAB

Tech 5

THEA

DEMO ZONE

Rightstride

Ectron Ltd

TD65 Tech 1

Telephone: Call us on 0207 348 5279 & speak to our delegate team referencing code NP3

Online: Book online at www.therapyexpo.co.uk/newspaper using code NP3

TF6

Attain

FIND YOUR WAY AROUN THE SHOW

Email:

BOOK BEFORE SEPTEMBER 30TH

therapyexpo@closerstillmedia.com with referencing code NP3

USING CODE NP3, BOOK AT

TherapyExpo

www.therapyexpo.co.uk or call 020 7348 5279

@TherapyExpo

Therapy Expo

www.therapyexpo.co.uk

ENTRANCE TD1

TD2

TD3

MACP

Jollyback

TE1 Neck Saviour

TA10

ATRE 2

Realtime Reception

TE13

TD10

TC10

Nuffield Health

TD15 The Mentholatum Company

TD19 Integrated Change

TB10

Apos Therapy

TC12

TC19 Your Physio Plan

Jobri

TA12

ACPSEM

TE10

ID Medical

TB15 Sugarman Group

TA15

The Integrated Care Clinics

TB19 FMS

Rushcliff

TE14 TA19 TD20

TD23

TB20

Rock Tape

Therapy Advertising

TB25

TD25

TD29

TB23

BK Medical

Health ability ents

TF23

TF27

Trimbio

TE23 TE29

HOLD

OPEN THEATRE

HCA Group

TB29 Graybrook Insurance

Canonbury

THEATRE 1

TD4

TA20 TM2

TA21 TF33

TE30

Protocol

TF39

TE35 Pulse Jobs

TE40 NAQI

O ZONE

TE47

Rob Gordon Uni

THE CAFE

Algeos

TE37

TE39

iMEDi

MediUK

TA30 MSK Note

TE43

TE45

SoleMates

ortex WeMakeAnyApp

AACP

TE33

ToPro

TE44

TE49

TA45

Painless Practice

Oxford Brookes TPM Pro

OPEN THEATRE

TA50 TE53

TF57

TF59

TE57

TE58

TE59

Benecare

Western Medical Supplies

Backcare

Parkinsons

Healthy Home Office

TD50 C&P Medical

TD55 Kinesio UK

TD52

TC50 Ipsen

Physio 123

TD59 Foot Science International

TC55

TC59

Indiba Activ

The Running School

TB50

P-CNS

Summit

TA52 PF

NEURO-REHAB TECHNOLOGY ZONE Ottobock Ectron Trulife

TA55

TE50

CET CryoSpas

Intrapharm

TF53

The Open Theatre will provide the very best from the industry’s leading companies, associations and universities. Sessions will include practical solutions and ‘how to’ walk-through’s as well as business advice for clinic managers and owners.

TA59

TF63 Wisepress

nability

TD65 Odstock Medical

UND W

or just

£109 + VAT

TC60

TB60 Allergan

Cyclone

TB65 Bioness

THEATRE 3 TECHNOLOGY ZONE

Correct at time of print. Subject to change. Not to scale.

(Full price £299)

The all new Neurological-Rehabilitation Technology Zone showcases the advancements in medical technologies for physiotherapy and rehabilitation. Many of the technologies on show this year are not yet available in the NHS so provides a fantastic opportunity to see the very latest advancements in the ﬂesh. The Technology Zone is a prime opportunity to for delegates to see what the future could hold for them and their patients.

www.therapyexpo.co.uk

CONFERENCE PROGRAMME Theatre 1 Wednesday 25th November Time

Topic

09:30 10:15

Born to walk - why did we stand up? James Earls, Director & Lecturer, Anatomy Trains UK

10:25 11:05

Clinic chaos to calm; ASSIST(ing) clinic structure in practice Clair Finnemore, Clinical Specialist in Stroke and Neurological Rehabilitation Dawn Hicklin, Therapy Lead for Stroke and Neurology Services, Sandwell and West Birmingham Hospitals

11:45 12:30

Using social media effectively Celia Champion, Director, Painless Practice

13:30 14:10

Disruption and treatment of neuromuscular control in non speciﬁc low back pain Shavit Enosh, Head of Certiﬁcation & Training, Apos Medical and Sports Technologies Inc.

14:20 15:00

Integrating manual therapy, exercise and kinesiology taping in the management of running related knee pain Paul Coker, Physiotherapist and Medical Director, RocktapeUK

15:10 15:55

Attracting patients to your practice effortlessly Celia Champion, Director, Painless Practice

16:30 17:30

Musculoskeletal Masqueraders - ‘Don’t roll the clinical dice during assessment…recognise the signs behind the mask…!’ Steve Nawoor, Extended Scope Physiotherapist, Physiotherapy & Orthopaedic Medicine Service (POMs) NHS, Lichﬁeld

Thursday 26th November Time

Topic

09:30 10:15

Movement or antimovement: What are you teaching? Joanne Elphinston, Physiotherapist, Performance Consultant and International Lecturer

10:25 11:05

Exercise rehabilitation from initial injury to sports-speciﬁc training; concepts in reloading the injured athlete Dr Ian Horsley, Regional Lead Physiotherapist (NW), English Institute of Sport

11:45 12:30

Treating injured athletes - where does the role of the therapist start and stop? Matt Phillips, Sports Therapist & Running Performance Analyst, StrideUK & Studio57clinic

13:30 14:10

The biomechanical and neurophysiological effects of spinal mobilisations: The research and implications on practice Dr Clair Hebron, Senior Lecturer, University of Brighton

14:20 15:00

The importance of the restoration of movement competency after lower limb injury Stuart Elwell, Sports & Exercise Physiotherapist

15:45 16:30

Clinical tests for the lumbar spine: what should I do and what do they mean? John Doyle, Learning & Development Manager, Physiotherapy, Nufﬁeld Health and Extended Scope Practitioner Physiotherapist, Frimley Park Health

Theatre 2 Wednesday 25th November Time

Topic

09:45 10:30

Applications of the rehabilitation triad in spinal injuries - outpatients and community Jon Graham, Clinical Director, PhysioFunction Limited

10:45 11:25

The use of Diagnostic Musculoskeletal Ultrasound in the management of common MSK conditions Stuart Wildman, Extended Scope Physiotherapist and MSK Sonographer The Homerton Hospital NHS Trust

12:00 12:45

Latest considerations for therapeutic input in the management of patients with Parkinson’s Disease Fiona Lindop, Specialist Physiotherapist, Derby Teaching Hospitals NHS Foundation Trust

13:40 14:20

The use of 3D biomechanics in the diagnosis and rehabilitation of athletic groin pain Enda King, Head of Performance Rehabilitation, Sports Surgery Clinic

14:40 15:20

Achilles tendinotherapy - The importance of Soleus in injury and rehabilitation Seth O’Neill, Physiotherapy Lecturer, University of Leicester

15:30 16:10

Stretch 1,2… why bother splinting? What is the evidence for adults with neurological conditions? Dr Cherry Kilbride, Senior Lecturer and Department Director, Brunel University

16:45 17:30

Anatomy trains and functional movement - knee injury rehab James Earls, Director & Lecturer, Anatomy Trains UK

Thursday 26th November Time

Topic

09:45 10:30

Falls prevention in Parkinson’s Disease Professor Ann Ashburn, Professor of Rehabilitation, University of Southampton, UK

11:10 11:50

Juggling being the owner, manager and practitioner Celia Champion, Director, Painless Practice

12:00 12:45

Multiple Sclerosis: How is the current evidence directing our assessment and treatment in the Therapy arena? Dr Jennifer Freeman, Associate Professor in Physiotherapy, University of Plymouth

13:40 14:20

The sporting shoulder Tanya Anne MacKenzie, Advanced Musculoskeletal Practitioner; Specialist Shoulder Physiotherapist, Manchester Shoulder Clinic

14:30 15:10

Lower limb tendinopathy. Time to stop prodding tendons and look elsewhere Daniel Lawrence, Physiotherapist, Lecturer & Education Director, RocktapeUK

15:40 16:25

Comparative review of surface and implanted FES Jon Graham, Clinical Director, PhysioFunction Limited

TherapyExpo

@TherapyExpo

Therapy Expo

www.therapyexpo.co.uk

Theatre 3 Wednesday 25th November Time

Thursday 26th November Time

Topic

10:00 10:45

Proprioception: The missing link? Hywel Grifﬁths, MCSP HCPC Reg MSOM MSc Sport & Exercise Medicine, Head of Medical Services, Cardiff City Football Club

10:00 10:45

Acute sports injuries & electrotherapy - what does the evidence say? Professor Tim Watson, Professor of Physiotherapy, University of Hertfordshire

10:55 11:40

Ankle foot orthoses for people with stroke: The evidence base and practicalities Professor Sarah Tyson, Professor of Rehabilitation, University of Manchester

11:00 11:45

Optimising spasticity and contracture management following acquired brain injury Cameron Lindsay, Clinical Academic Physiotherapist, Keele University

11:55 12:40

My pain just ﬂew out the window! Bridging the gap between patient and clinician generated metaphors in musculoskeletal rehabilitation Mike Stewart, Physiotherapist, KnowPain

12:15 13:00

Athletic golf performance - Injury risk reduction and strength & conditioning for golfers Andrew Caldwell, Consultant Physiotherapist & Athletic Development Specialist, Active Therapy Physiotherapy & Sports Injury Clinic/ Pure Golf Fitness

14:10 15:05

General gait analysis, applying ﬁndings and current research to clinical practice Gita Ramdharry, Associate Professor, Kingston University

14:10 14:50

Gait adaptability in stroke survivors - function, dysfunction and rehabilitation Dr Kristen Hollands, Senior Research Fellow, University of Salford

15:20 16:00

Treating the older shoulder - conditions and therapeutic interventions Simeon Niel Asher, BSc (Ost.), Niel Asher Healthcare

15:00 15:40

Encouraging returning and referring patients with conﬁdence Celia Champion, Director, Painless Practice

16:15 17:15

Presentation and rehabilitation of people with neuromuscular diseases Gita Ramdharry, Associate Professor, Kingston University

15:50 16:30

Injury prevention for runners - what do we know? Matt Phillips, Sports Therapist & Running Performance Analyst, StrideUK & Studio57clinic

Open Theatre Wednesday 25th November Time

Topic

Time

10:00 10:40

Movement re-patterning for rehab and performance Mike Antoniades, Rehabilitation and Performance Director, The Running School

10:50 11:20

The implementation of biofeedback in Neuro Rehabilitation Sarah Daniel, Physio Function

11:30 12:15

Get patients pronto! Jeremy Allen, Clinical Executive Consultant, Blue-Zinc IT Ltd

13:30 14:10 14:30 15:15 15:30 16:10 16:30 17:15

The move to digital clinical notes is happening - are you ready to make the change? Cathal Malone, Extended Scope Physiotherapist and Company Director, MSKnote Topical hot & cold therapies - objective data using pioneering technology Colin Brown, Director of Research & Quality Development, The Mentholatum Company Limited Is your clinic ready for the Millenials’ expectations? - Future proof your practice Denise Kesson, yourphysioplan.com and Andy Curtis, yourphysioplan.com The Manchester Institute of Health and Performance’s provision of medical services for the elite athlete and weekend warrior Mike Hayton, Medical Director, Manchester Institute of Health and Performance

Joshua Shaw Physiotherapist

Thursday 26th November

I’m really impressed with

Topic

10:00 10:30

The application of Functional Electrical Stimulation (FES) in foot drop Sarah Daniel, Physio Function

10:40 11:20

Asking the movement question? Sarah Mottram, Director, Movement Performance Solutions and Lincoln Blandford, Performance Development Consultant, The Performance Matrix

11:30 12:15

The HCPC and your CPD requirements as a registered therapist Jonathan Jones, Stakeholder Communications Manager, Health and Care Professions Council

13:30 14:10

Sitting to death? Step-up to promote a less sedentary lifestyle Ieuan Ellis, Dean & Pro Vice Chancellor, Leeds Beckett University and Miranda Thew, Course Leader, MSc Occupational Therapy, Leeds Beckett University

14:30 15:10

Winning new patients and running your practice like Amazon: the rise of the mobile patient Scott Hague, Development Director, Integrated Change

Genna Hill Sports Massage Therapist

I’m struggling to decide

the diverse seminar

which seminars to attend!

programme and speakers

There’s so much choice

www.therapyexpo.co.uk

Streams at Therapy Expo 2015

o i t p e c e r s k n i r D

You are cordially invited to our networking drinks reception!

MUSCULOSKELETAL

SPORTS INJURIES

This stream will cover sessions presented by respected and well-known names of the therapy community and will cover evidence surrounding assessment and interventions from the therapist’s viewpoint. These will discuss how to develop clinical practice and ensure high level skills are maintained within your speciality.

You can beneﬁt from sessions examining the latest evidence in the treatment and management of Sports Injuries amongst both the elite and general sporting populations in this stream, as well as learn about exciting developments in early intervention and prehab.

NEURO REHABILITATION

BUSINESS MANAGEMENT

Exciting developments within rehabilitation of key neurological areas, from early interventions in Spinal Injuries & Head Injuries through to optimisation of Long Term Neurological Conditions & pertinent issues such as Immobility and Tonal Changes.

For 2015 Therapy Expo has introduced a NEW business stream designed to offer a completely fresh perspective. Aimed at supporting clinic owners and managers to run and sustain a successful business for the future, it will cover areas such as social media, time management, attracting new patients and marketing strategies.

Join the Therapy Expo team, speakers and exhibitors for a drink at the end of a busy ﬁrst day.

Wednesday 25th November

Components of Successful Movement Matt Phillips, Sports Therapist & Running Performance Analyst, StrideUK & Studio57clinic Movement is not a product of how short, long, weak or strong a muscle, ligament or tendon is, so how useful is lying a runner down in order to assess the various stages of the running cycle?

commonly labelled as either inﬂexible or ﬂexible depending on whether we can touch our toes or do the splits, neither of which our body requires when running.

range of movement needed at the various stages of the running cycle may well be less than we once imagined.

In reality, ﬂexibility and range of movement are very much movement speciﬁc. As Ben Cormack of movement specialists Cor-Kinetic says “Flexibility is a component of successful movement. We need to be able to achieve the right amount at the right time in the right movement.” With that in mind, the usefulness of lying a runner down on a couch in order to assess whether they can achieve the required

Further research is needed to better understand the extent to which conventional analysis of a patient’s range of movement is hindered by manual tests conducted on a couch and the possible solutions. For now physiotherapists should look to integrate a variety of techniques to analyse movement.

WHAT DOES THIS MEAN?

Movement is typically presented to us as the product of individual structures like muscle, ligaments, tendons and bones. For example, if you are unable to touch your toes you are told that your hamstrings are “too tight” or “too short”; if you ﬁnd it difﬁcult to lift something heavy, you are told a particular muscle(s) is “too weak”; if you get tired too quickly your muscles are said to lack endurance; go over on your ankle a few times and you are told certain ligaments are too loose, and so on. Modern research suggests that movement is not a product of how short, long, weak or strong a muscle, ligament or tendon is. Just as bones would be nothing without muscles pulling them, muscles would be nothing without the brain communicating with them. It is the brain that decides how and to what extent we move by comparing a host of sensory feedback at that moment with a stored memory bank of every movement you have ever performed in your life. Quite a powerful little hard drive when you think about it. The feedback systems are proprioceptive, visual, vestibular, and include visual horizon, orientation against gravity, joint compression, angle and torque, tissue tension and length. The feedback is obviously very different when you are lying static on a couch, compared to the dynamic movement of running. We have obviously removed the need for balance, acceleration and deceleration etc. Range of motion itself is traditionally seen as a skill. Flexibility is seen as a skill. We are

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World’s most advanced FES stimulator cuff launched in the UK Justin Ashton becomes the first person in the world to be fitted with leading medical technology for drop foot sufferers Justin Ashton, a 40 year old stroke survivor from Kettering has become the first person in the world to be fitted with a new innovative nerve stimulator cuff to help him walk normally again. The Ottobock MyGait Cuff Soft is the world’s most advanced Functional Electrical Stimulation (FES) cuff of its kind, enabling people with drop foot to walk more naturally again. The MyGait Cuff Soft is the slimmest FES cuff available in the market. Designed specifically to be easy to put on and take off using only one hand, the unique design is comfortable, breathable, discreet and effective. The MyGait Cuff Soft could help thousands of people in the UK living with MS, stroke survivors and the effects of brain injury. The device is so discreet that others will hardly notice that the user is wearing a device to help them walk. Justin suffered a stroke whilst working as an electrician. He was on his way to work when his driving became impaired, his speech slurred and he lost vision. He was told he had suffered a stroke and rushed to Kettering General Hospital, however it was days before he realised the full extent of his stroke and the effect it would have on his life.

After six months of rehabilitation, Justin still struggled with walking, tripping and falling often due to drop foot, which is the inability to raise the foot due to a weakness in or paralysis of the dorsiflexor muscles in the leg and the foot. “Following my stroke, I thought my life was over. I was unable to even sit up by myself and had to re-learn all the simple tasks you take for granted all over again,” states Justin. “It would be fair to say I was a fit and active 33 year old when I suffered the stroke; I loved my job as an electrician, I was a keen golfer and would also coach my son’s football team at the weekend. When I was unable to get out of bed it was devastating to not be able to do my daily activities and only be able to see my children when they visited me in rehab.” He has since become the first patient in the world to be fitted with a new product called MyGait Cuff Soft to treat drop foot. The most advanced cuff-based stimulator on the market, it offers two-channel stimulation – meaning more than one muscle group can be stimulated at one time. In addition, the new technology allows for adaption during sub-phases of gait to improve the way patients walk. “I’ve tried all sorts of treatments for my drop foot – from orthoses right through to other FES devices on the market and can honestly say the new MyGait Cuff Soft is worlds apart. It’s more comfortable than anything I’ve tried and is slim enough to wear under any of my jeans & trousers, even the narrow ones – which is a first for me! It fits really nicely, is easy to put on and off and has allowed me to go out and do so much more. I have

HCA A network of healthcare in the North-West

my confidence back and have lost the fear that comes when you’re unstable and immobile.” The technology works by providing an electrical impulse that is delivered to the nerve which stimulates the muscle into movement. A heel switch sensor communicates wirelessly with the cuff and electrodes to stimulate the appropriate nerve at the right time and frequency during the walking cycle. A unique advantage of MyGait system is that in addition to the dorsiflexor muscles, other muscle groups can also be stimulated using a second channel. This makes it possible to provide additional support when walking. Knee and hip control can be improved by stimulating different muscles with the second channel. “Drop foot can leave sufferers with complex mobility challenges that effects quality of life and confidence,” states Lynn Vale, MyGait specialist at Ottobock. “We are delighted to introduce this exciting new product to the UK that is helping people like Justin get their life back on track and improving their walking ability. The new Cuff Soft is comfortable to wear and is so slim it is hardly noticeable under trousers.” The MyGait Cuff Soft is available from leading Ottobock distributors around the UK. Visit the Ottobock website to find your nearest MyGait Cuff Soft distributor.

For more information about MyGait Cuff Soft or Ottobock’s stroke solutions please visit www.ottobock.co.uk or follow @ottobockuk

Show Features OPEN THEATRE The Open Theatre will provide the very best from the industry’s leading companies, associations and universities. Sessions will include practical solutions and ‘how to’ walk-through’s as well as business advice for clinic managers and owners.

DEMO THEATRE This year’s Demo zone is all about your professional development and business success. Join the experts to learn about the latest clinical techniques and business strategies.

HCA Healthcare

TECH ZONE

HCA is creating a network of healthcare facilities in the NorthWest, including Manchester Institute of Health & Performance; 52 Alderley Road – The Wilmslow Hospital; and The Christie Clinic. Each facility brings the highest standards of care and dedicated specialist medical teams to the North-West of England. Come and visit us at our Stand TB25 at Therapy Expo 2015.

TB25

For more information, visit www.hcahospitals.co.uk

15551 HCA Therapy Expo 1/4 page Ad.indd 1

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Meet some of our exhibitors Necksaviour is a double award winning neck pain and headache reliever, a neck alignment improver and a Pilates tool. Necksaviour is very easy to use – just bend it, relax on it and feel the stretch. Each necksaviour has 4 options: • • • •

short neck - light stretch short neck - strong stretch long neck - light stretch long neck - strong stretch

Necksaviour is so light it can be taken anywhere and users can gain neck pain and headache relief without medication whenever they need it. Necksaviour was designed by a physiotherapist who understands that sufferers need something to help them in addition to posture advice and exercises. Pilates instructors use necksaviour to: • increase awareness of head and upper trunk control with stabilisation exercises • add a neck stretch to ﬂexibility exercises and stretches • gain a neck stretch during breathing and relaxation exercises

THE INTEGRATED CARE CLINICS

CYCLONE

NECK SAVIOUR

Cyclone was formed in 1989 following the sudden impact of paralysis on its founder Stuart Dunne. Stuart had a road trafﬁc accident in 1985 and became a C6/7 tetraplegic. The company are leading suppliers of bespoke, lightweight wheelchairs and is the UK’s foremost rehabilitation and training specialist. With an expert team boasting over 120 years’ combined experience of life in a wheelchair, our main objective is to transform the lives of disabled people across the UK by maximising our customers’ range of movement, ﬁtness levels and general health, and helping them to regain a new level of independence and control in their everyday lives. At the show Cyclone will be presenting the G-EO locomotive training device which is new to the UK. This training device offers walking modes and step training which is unique to any equipment of its kind. Find us on stand TB60

Find us on stand TE1

Monetize sports recovery beyond the usual supplements & energy drinks, by adding CryoSpa Therapy to your offering. The general sporting public is enthusiastically embracing CET CryoSpa Ice Bath Therapy, previously the preserve of elite athletes, enabling you to:

Ectron specialise in Neuro Technology Devices for Diagnostics and Rehabilitation. As UK distributors for Tyromotion, Ectron will be showcasing the Tyrosolution, the complete upper limb rehab solution, using robotics and sensory technology, featuring, Amadeo, Pablo and Tymo. Find us on stand Tech 5

• Generate signiﬁcant additional income

• Attract Sports-minded & Fun Running members • Beneﬁt from high ROI & Rapid Payback • Attract Elite Amateur & Semi-professional Teams CET CryoSpas are 21st Century Ice Baths, which promote faster recovery, aiding performance & lowering risk of injury, due to:

Integrated Change is a Digital Healthcare Agency that designs and develops mobile apps only for the healthcare industry. We don’t just build any app, we are 100% focused on healthcare. LIVE DEMOS

• increased hydrostatic pressure • massage effect

MOBILE APPS

• digitally controlled temperature

Our client’s range from the NHS to private hospitals, consultant practices to allied health practitioners. Our experience spans over 80 mobile apps and digital projects for a wide range of healthcare clients.

Today there are over 50 independent outlets offering CryoSpa therapy on a commercial basis with excellent results. These are often attached to health clubs, leisure centres, sports therapy clinics etc. and are recovering their investment in 6 months.

Operating from more than 300 of our own clinical locations across the country we are the UK’s ﬁrst truly national community healthcare provider. As well as maintaining our traditional high quality rehabilitation services to the personal injury sector we now provide innovative clinical and diagnostic solutions to the NHS, other public sector and government agencies, private medical insurers, elite and amateur athletes, private patients and large corporates including Rolls Royce, Pallet Line and Amazon.

RSSCAN RSscan Lab the leader of Clinical Pressure and Gait Analysis solutions. This is our ﬁrst year exhibiting at the Therapy Expo so please come and say hello and see what we offer.

Our new Footscan plug and play range with new v9 Gait Essential Software costing less than £5.00 per day. The ease of use really makes this package and payment terms very attractive.

We’ve worked with patients and practitioners for the last 18 months to help develop Pocket Practice. Come and see what it’s all about on stand TD19

• use of salt water

Over the last few years we have been pursuing a more ambitious strategy, focussing on the delivery of community-based healthcare services to many different healthcare consumer groups and diversifying well beyond the patient groups where we began our journey.

All of our products will increase your income and expand your skill set. We provide technical and clinical support so that you can grow conﬁdently without using up valuable time and allow you to earn a ROI from day one.

INTEGRATED CHANGE

• Differentiate your offering

Most of you will know that PhysioWorld started out as a small Physiotherapy company from Birmingham.

Find us on stand TA52

ECTRON CET CRYOSPAS

We are so excited to be able to reveal our new corporate identity at this year’s conference.

Discover the amazing new feature in the footscan® v9 update: the RS Print™ 3D printed dynamic insoles design tab. A few clicks and you can be creating the ﬁrst dynamic 3D printed insoles. G-Walk; Incredible new inertial sensor for comprehensive objective of Gait, Running and Pelvic analysis. Find us on stand TG35

ALLERGAN

FREE E-GUIDE To get your free `How to Write Your Healthcare App Brief` before the show, simply email scott@integratedchange.net LIVE DEBATE

For more information, or to visit our Loughborough show site, email opportunity@cetcryospas.com or call 02892 690056.

Scott Hague, Development Director will be an industry expert taking part in a live debate about “Winning new referrals and the rise of the mobile patient” on Thursday, 26th November at 14.30 in the Open Theatre.

Find us on stand TF53

Find us on stand TD19

BOOK BEFORE SEPTEMBER 30TH USING CODE NP3, BOOK AT www.therapyexpo.co.uk or call 0207 348 5279

For just

£109 + VAT

(Full price £299)

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Founded in 1950, Allergan, Inc., with headquarters in Irvine, California, is a multi-specialty health care company that discovers, develops and commercializes innovative pharmaceuticals, biologics and medical devices that enable people to live life to its greatest potential – to see more clearly, move more freely, express themselves more fully. The Company employs approximately 8,000 people worldwide and operates state-of-the-art R&D facilities and world-class manufacturing plants. In addition to its discoveryto-development research organization, Allergan has global marketing and sales capabilities with a presence in more than 100 countries. Find us on stand TC60

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JOLLY BACK “I’m excited about exhibiting at TherapyExpo for the first time. After training as a sport’s therapist and qualifying as a physiotherapist, I am a firm believer in health promotion, injury prevention, sharing of good practice, networking and research. I set up Jolly Back in 2010 after a patient (who was an early years teacher) was struggling with back and neck pain. We were unable to find a low, mobile adult’s chair to help in the classroom, so I set about designing one - the Jolly Back chair (named by my daughter) was created...It’s been a whirlwind! Jolly Back has since evolved and now offers practical solutions, advice and ideas for staff and children in education and for therapists working at low heights. I’m looking forward to sharing new products, latest thinking and research to help your patients, own families and for CPD. I’d appreciate your feedback too on the new Healthy Working Move app for students!”

THE INTEGRATED CARE CLINICS

NAQI

Please call in to The Integrated Care Clinics stand TA15 with a chance to win a number prizes that include free CPD and champagne, all you need to do is leave in your business card or name, email and contact number!!

NAQI®, a Belgian manufacturer of sports and massage lotions, has a solid reputation worldwide for providing high –quality products to physical therapists, sportsmen and healthcare professionals. The NAQI® range is designed to keep the skin in excellent condition, with product lines designed for massage, skin protection, warming skin tissue, cooling/refreshing tired muscles. Very economical in use, all products are paraben-free, hypoallergenic and PH neutral. More information on www.naqi.com

We offer the following services: Physiotherapy, Cognitive Behavioural Therapy, Osteopathy, Sonography and Disability Analysis. As well as maintaining our traditional high quality rehabilitation services to the personal injury sector we now provide innovative clinical and diagnostic solutions to the NHS, other public sector and government agencies, private medical insurers, athletes, private patients and large corporates. If you would like to discuss any of the above in any more detail or just want to enter our free prize draw please call by The Integrated Care Clinics stand TA15. Find us on stand Tech 4

Lorna Taylor, Physiotherapist and Director, Jolly Back Find us on stand TD4

TPM PRO

YOUR PHYSIO PLAN YourPhysioPlan. com is an innovative and much-needed health service for the UK population providing access to high-quality, private physiotherapy affordably through payment plans. It supports clinics to improve their practice efﬁciencies and increase the number of self funders and stabilise their monthly cash ﬂow. By Physiotherapists for Physiotherapists, from fairly simple beginnings, YourPhysioPlan.com has developed a service that works for both Physiotherapists and their patients. The founding Physiotherapists responded to the threat of the Independent sector disappearing by saying “Together we can make it bigger!” YourPhysioPlan.com invests heavily and spends large amounts of time ensuring that the YourPhysioPlan. com Business Model operates successfully. From Training to Point of Sales and Support Services, YourPhysioPlan.com is constantly under development and improvement. As the healthcare market changes and develops, so does YourPhysioPlan.com. Find us on stand TC19

BACKTONE BackTone is a biofeedback posturetrainer designed to achieve good posture habits even during activities, without conscious effort. BackTone consists of a light webbing harness with an electronic sensor/alert unit. The electronic unit sits between your shoulder blades and your waist (over your lower thoracic spine). As soon as you slouch, the harness pulls on the sensor causing it to beep. Straighten up and the beep stops. Wear BackTone whilst going about your everyday tasks. Your body quickly becomes accustomed to using correct posture. You can also choose a short vibration option for use in situations where noise is an issue. Wear BackTone for 20 minute training sessions daily. Backtone.co.uk 01628 785 361

TPM Pro - The Business of Movement for Movement Health: Our dynamic business solution for all dedicated clinicians delivers a complete movement management system. Complementing your existing expert skills, our state of the art digital health offering improves your day-to-day practice putting movement at the heart of your business. Find us on stand TE49

PHYSIOTHERAPY WEBSITES At Physio 123 we specialise in creating, marketing, and managing high quality therapy websites. If you’re a private therapist, or considering opening your own practice, we can help you generate business by creating you a professional, mobile-friendly, and unique website. We are passionate about making successful websites, and we’ve been doing it for over 10 years. Physio123 manage your online marketing to make sure your website receives lots of visitors, and with websites that are specifically created to convert your website visitors into patients, you can trust in Physio123 to win you lots of new business. We don’t believe in tying people into contracts. That’s why our customers can cancel at any time, no questions asked. We’re confident that you’ll be delighted with your Physio123 website, and cancelling will be the last thing on your mind. Visit us to find out how we could generate more patients for you. Find us on stand TD52

WESTERN MEDICAL SUPPLIES At Western Medical Supplies we have many years trading experience, we are wellestablished and able to provide the very best Hot & Cold Therapy & First Aid Supplies, Fire Protection products, Protective Gloves and Signage, to a variety businesses and public bodies (including councils, hospitals, schools, universities and the NHS). We work with a number of selected UK manufacturers to supply our customers with the best quality products at sustainable prices.

timdodd@mpi.eu.com

Our unstinting devotion to quality, excellent customer experience and offering the best value for money has set us as the supplier of choice for thousands.

Find us on stand TC12

Find us on stand TF59

Find us on stand TE40

RIGHTSTRIDE rightstride® Orthotics is the UK’s fastest growing orthotic company. All of our devices are designed, tested and manufactured onsite, here in Suffolk (UK), by our team of highly experience podiatrists and technicians. rightstride® is a trading division of RSscan Lab Ltd. established in 1999 to utilise the innovative RSscan technology in the manufacture of foot orthotics for the Occupational Health and Sports Sectors. The number of clinicians using rightstride® orthotics has increased by over 50% in the last year. We believe this proves our orthotic range is a major contributor to the successful treatment of patients in all clinical settings. Today we are launching the new D3O range of off the shelf orthotics. Come and say hello and discover D3O, proven to be the best material on the market to date. You will not forget the experience of ﬁnding out what D3O is made of and how it reacts in the shoe. Find us on stand TG40

REWALK ReWalk Robotics is an innovative medical device company that is designing, developing and commercializing exoskeletons allowing wheelchair-bound individuals to stand and walk once again. Current ReWalk designs are intended for people with paraplegia, a spinal cord injury resulting in complete or incomplete paralysis of the legs. The system uses patented motion sensing technology along with battery-powered motorized legs powering knee and hip movement which is controlled by proprietary onboard computers and software. The systems allows the user to sit, stand, walk, turn and has the ability to climb and descend stairs. ReWalk users are able to independently operate the systems. ReWalk currently offers two systems: • ReWalk Personal 6.0: Designed for everyday and all day use by individuals at home and in their communities, and is custom-ﬁt for each user. • ReWalk Rehabilitation: Designed for the clinical rehabilitation environment where it provides user with valuable training exercise and therapy. Contact Information: www.rewalk.com / Email: contact@rewalk.com / Phone: +44(0)7469 254 453 Find us on stand TF50

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Doctors Saved Her Life… Functional Electrical Stimulation Helped Her Walk Again… Kate Weaver was 29 years old and 39 weeks pregnant when she realised she was having a stroke. Kate who is a nurse, managed to warn her husband about her sudden condition, before she lost her speech and ability to move when she felt a weakness through the left side of her body. Doctors saved her life using a procedure that had never been tried on a pregnant woman at their hospital before, and days later delivered her baby son, Toby. Although Kate’s speech returned within four hours of her stroke, she remained partially paralysed and had almost no movement in her left side when she left the hospital. This was the beginning of her long road to recovery, including learning to walk again and regain use of her left arm whilst looking after her young baby. After her stroke, Kate had two personal goals: to wear high heels again and to start running again. Like so many of our patients Kate had to undertake her own research to find technology that would help her. When Kate initially told me her difficulties over the phone I was confident FES (Functional Electrical Stimulation) would help. She described a very familiar picture of tripping and poor confidence. She was unable to clear the ground with her left foot and often caught her toes.

This meant that she did not feel safe carrying Toby around her home or out to the car. It was a huge leap of faith for Kate to come all the way from Shropshire to visit our specialist clinic in Northampton for an FES Assessment. When she arrived at my clinic, I could immediately see that she would beneﬁt from the rehabilitation triad – hands-on therapy, exercise and technology. Her left hip was weak and she struggled to transfer her weight onto her left leg and her left foot was catching the ground with every step. I assessed her with the Walkaide FES system that uses houses the stimulator in a cuff that is worn just below the knee. She had an immediate response and was able to clear the ground and walk conﬁdently around the clinic and outside over uneven ground. She was delighted. As a nurse, the ‘Turn 2 Us’ charity supported Kate and purchased a Walkaide for her. She then embarked on daily use of the Walkaide and a course of hands-on therapy with plenty of exercise as home work. The result, Kate has recovered enough she now no longer uses the Walkaide and returned to work. Kate recently ran a 5km park run in under 40 minutes only 18 months after being told she might never walk again.

Hospitals + Health Checks + Physios + Gym

Life to the full At Nuffield Health, life should be lived to the full. From hospitals to gyms, our holistic approach to healthcare brings together prevention and cure with fitness and wellbeing services.

Senior Physiotherapy & Advanced Level Physiotherapist – Nationwide Competitive Salary and Benefits Do what you trained to do – to see people make real progress. Not just enabling them to make those first few confident steps after an accident or injury, but seeing them stride out towards a healthier future altogether. For you, it’s not just about a series of isolated treatments. It’s about being part of a wider team of wellbeing and clinical experts, working together to help patients and clients get the most from life. That’s why you became a Physio. And that’s why you’ll get the most out of working at Nuffield Health. If you want to find out more about how we are growing our Physiotherapy service or understand more about our exciting new Physio Academy* and how it could support your continued development, then we’d love to meet you – come along for a chat, we’ll be on TD10. Explore all our opportunities and find your next role by visiting our brand new careers site www.nuffieldhealthcareers.com *www.nuffieldhealth.com/physioacademy

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