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NEURO-REHAB TECH ZONE
Pages 4-5
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TC28
Anatomical Concepts
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TF8 AACP
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SMA CONFERENCE
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Neck Saviour
Show
1 Ticket 4 Conferences
The Occupational Therapy
Common Myths Busted
Sports Medicine Seminars
Collective Factors of Golf Injuries
8 3
TD58 MenthoLatum
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TF50 Sugarman Medical
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ISSUE 2 • JULY 2016
SAVE
LIFE AFTER A STROKE. ANDY’S STORY Andy was told he was as good as he was ever going to get. Neurological Physiotherapy and Andy’s sheer determination proved otherwise. Andy Ibbott suffered a massive stroke in March 2011 aged just 46, during a routine operation on his neck to remove a tumour from his carotid artery. His wife, Donna was told the devastating news that he might not survive the next 72 hours. Despite all the odds Andy pulled through, although the effects of the stroke were apparent when he discovered he was unable to speak or move his right hand side. As director of the California Superbike School, a race coach himself and a keepfit fanatic training for the Marathon des Sables, the realisation was crushing. The father-of-two, who once lived his life at 100 miles an hour, was forced to remain in bed for days at a time and the lifetime dream of completing five and half marathons across the Sahara desert now seemed impossible. 18 weeks later he left hospital in a wheelchair. Once home he was completely dependent on his family and friends, which he found difficult to cope with. The once independent and care free man was not able to feed himself - as the operation had left him unable to swallow - so he was fed
through a tube in his stomach. Having hit rock bottom, Andy refused to give up and was absolutely determined to get the life back that he so desperately craved. His main aim was to walk again and get back the use of his right hand. After weeks of gruelling exercises, his speech began to improve, although he was still experiencing problems with his right hand side. Andy was told his recovery had plateaued and he would always walk with a limp and a cane. Having seen how far he had come, Andy refused to accept that he would be forced to rely on a stick for the rest of his life. Like so many PhysioFunction clients Andy had to undertake his own research to find technology which would help him. It was during this search that he discovered Jon Graham, Medical Director, PhysioFunction (Therapy Expo Speaker), who is not only a leading expert in Neurological Physiotherapy, but had a clinic in Long Buckby, Northampton, just ten minutes down the road.
In June 2011, Andy made his first appointment and has not looked back since. Jon Graham could immediately see that Andy would benefit from the rehabilitation triad -hands-on therapy, Continued on page 2
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Life after stroke. Andy’s story Continued from page 1 exercise and technology. Jon Graham, who treated Andy, says: “Andy’s sheer determination has enabled him to regain his independence” Jon is joining Andy to compete in the gruelling Marathon des Sables alongside Andy’s best friend Rob Bayman who has previously completed the desert race as well as the Yukon quest and Fellsman amongst many other challenges. Rob along with his wife Lynda have supported Andy throughout his journey. Andy, Rob and John's MdS challenge is called TeamBigTortoise and the boys' are privileged to be competing and raising funds for Scope - About disability. Scope is a charity that exists to make this country a place where disabled people have the same opportunities as everyone else. The Marathon des Sable is ranked by the Discovery Channel as the toughest foot race on earth. Known simply as the MdS, the race is a gruelling multi-stage adventure through a formidable landscape in one of the world's most inhospitable climates - the Sahara desert. The rules require you to be self sufficient, to carry with you on your back everything except water that you need to survive. You are given a place in a tent to sleep at night, though any other equipment and food must be carried. This is a huge challenge for not only Andy who after surviving the first 72 hours was told he would never walk again, it’s also a challenge for Rob and Jon who have to get themselves around as well as support Andy. Help support TeamBigTortoise to reach their 50K target donate http://uk.virginmoneygiving.com/team/bigtortoise
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Golf injuries Golf injuries are usually a result of the collective effect of factors such as incorrect stance, poor posture, a weak or over-tight grip, idiosyncratic swing mechanics and untrained or overused muscles. The cumulative effect of these characteristics make it difficult to isolate one overriding factor. As a therapist there are several factors to consider when objectively assessing an injured golfer. These include:
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Lance Doggart
FHT member, Sarah Catlow and Lance Doggart potential cause of the injury linked to the golfer’s individual playing characteristics. For example a golfer complaining of elbow pain may be diagnosed as medial epicondylitis and this could be the result of an incorrect grip or incorrect positioning of the elbow at the top of the back swing. In this case the therapist would treat accordingly and refer the golfer to a local professional at his or her golf club for swing/grip correction.
• Posture • Wrist and elbow rotation and flexibility • Balance • Shoulder mobility (external rotation) • Thoracic spine range of motion • Gluteal strength
How should we treat these injuries?
• Core strength • Hip mobility (internal rotation) • Hip flexor/hamstring/calf flexibility The objective assessment of these factors, specific to the injury, can provide a clear indication of the
The rehabilitation process should be dynamic and golf specific in order to mimic the joint and muscle actions produced in the game. Here we highlight just a few potential treatments and rehabilitation exercises for the injured golfer.
Soft tissue release
Release tight global mobilising muscles (hamstrings, tensor fascia latae and iliotibial band).
Forearm strengthening
Strengthening the forearm and hand muscles have also been shown to be beneficial in reducing elbow injuries. Hold a golf club half way down the shaft. Medially rotate the elbow so the forearm is parallel to the floor. Rotate the wrist downwards towards the floor and then back up to the starting position. Three sets of 10 to 15 repetitions every other day.
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Ball squeeze exercise Grip the ball in the hand of your affected arm, squeeze the ball and keep it held for three seconds, then release. Repeat the exercise for 10 squeezes, twice every other day, increasing the duration of the squeeze.
Thoracic (upper back) mobility
Thoracic mobility is vital in achieving a full shoulder turn whilst maintaining core and hip stability in the back swing, but it is also important in the downswing transition: Spine mobilizations on a foam roller is a good way to develop thoracic extension and improve a hunched Kneel down on all fours, place your right hand behind your head, and point their right elbow out to the side. Brace your core and rotate your right shoulder toward your left elbow. Follow your elbow with your eyes as you reverse the movement until your right elbow points toward the ceiling. 20 repetitions each side. Trunk rotation – standing or sitting. Hook your arms around the golf club placed lengthwise across your back. Rotate your trunk and head to the left and hold it there for 20 to 30 seconds. Repeat this on the other side. Sitting reduces the stretch in the lumbar region. How can we prevent these injuries? The management and prevention of many golf injuries can be obtained through the alteration in technique, reduction in practice regimes and adequate warm up phase. An appropriate warm up for golfers should include a period of aerobic exercise to increase body temperature, followed by stretching of the ‘golf muscles’ (hands, wrists, forearms, shoulders, lower back, chest, trunk, hamstrings, and groin). A series of golf swings with a progressive increase in range of motion and vigor should then be performed. Only a small proportion of amateur golfers perform appropriate warm up exercises, so every therapist should educate golfers about the benefits of warming up with appropriate warm up routines.
To read a full article published by FHT please visit www.fht.org.uk/golf-injuries or talk to us at Therapy Expo, on stand TA32.
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Kinesiology Taping: 4 common myths busted Kinesiology tape is the generic, non-branded term for elastic tape made of tightly woven elasticated cotton and nylon fibres. It is worn on skin in an effort to reduce pain, aid injury recovery, and improve movement. Kinesiology tape has enjoyed a meteoric rise in recent years. Many of the world’s top athletes have been seen wearing it, and it has become common place in most physiotherapy and chiropractic clinics. Throughout these recent times, a few myths about taping have emerged. I’m going to put the record straight on the most common ones here. But before I do that let me make clear my bias - I am a physiotherapist and a tape fan. In fact, I like the stuff so much I bought shares in a tape company (Rocktape) and now head up their professional education program in the UK and Europe. My experience of sticking tape on thousands of patients, running hundreds of taping workshops for health professionals, and taping myself whenever I hurt, is that tape works. It does cool and surprising stuff to reduce pain and improve movement. But I also hear a whole load of nonsense, misinformation, and misconceptions about kinesiology tape and what it does.
1 - There is no evidence for kinesiology taping
Sp e
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This myth comes from members of the public and health professional alike. I’m not going try and tell you that there is an avalanche of super high quality evidence that forms an irrefutable case. That isn’t really true of anything I do as a physio,
except perhaps evidence suggesting people get up and move around a bit more. But there is a surprisingly large body of academic work studying tape. Although the research often isn’t as high quality as it might be, and the results are sometimes conflicting, the overall theme is encouraging and positive. The most recent systematic review by Dr Edwin Choon Wyn Lim, from the Department of Physiotherapy at Singapore General Hospital found tape to be effective in reducing symptoms of acute pain (over four weeks) when used combined with exercise. Several randomly controlled trials have demonstrated the effectiveness of tape to reduce pain and improve function in a variety of conditions. This study showed that tape and exercise is as effective as an injection and exercise in managing patients with sub-acromial impingement of the shoulder. Also for impinged shoulders, this paper shows tape combined with exercise results in superior outcomes in pain, movement, and function than placebo taping and exercise.
There are lots more. Plug “kinesio tape” or “kinesiology tape” into Pubmed or Google Scholar and take a look. You might be surprised. Sure, it’s not all one-way traffic. There are studies suggesting tape has little or no effect. However, like most of the studies with negative findings, they are testing tape on uninjured, unfatigued, and uncompromised subjects, it’s no great surprise tape doesn’t do much in these cases. So, more high quality evidence is needed. But the statement “there is no evidence for taping” is scientifically refutable. Let’s all please stop saying it.
2 - Kinesiology tape is just a placebo It just ain’t. An element of how it works may be down to placebo effects, just like any treatment. But several studies have all compared a therapeutic kinesiology tape application with a placebo tape (either a different tape like micropore or a kinesiology tape put on with no stretch). All these studies demonstrate that the effects of kinesiology tape cannot be replicated by placebo taping. However there are always flies in the ointment, like one that found the placebo taping they used improved jump height just as much as the ‘therapeutic’ taping. Perhaps this is just a good reminder that we have much to learn about how tape works, and how we can best use it alter variables like pain, mobility, and endurance.
3 - The colour makes a difference It doesn’t, but then it also kind of does. The myth I hear most is that pink tape will warm stuff up and blue tape will cool things down. This goes back to the history of tape being developed in Asia and picking up influence from colour therapy. The theory is lighter colours reflect more heat whilst dark colours absorb more, thus altering tissue temperature under the tape. There’s a couple of problems with that. Any change in temperature due to this mechanism would be infinitesimally small. And through homeostasis the body is constantly adjusting blood flow to keep the tissue at 37.5°C regardless of environmental conditions. May I respectfully suggest that if you want to cool something down, try an ice pack. If you want to warm something up, try a heat pad or nice hot bath. But don’t sweat it over tape colour. Whilst I don’t believe colour affects the tissue or local effects of tape. It undoubtedly does in a psychological sense. Shrinking violets probably won’t appreciate lime green tape, supports of
Paul Coker (BSc Hons Physio, MSc Manual Therapy) will be speaking at Therapy Expo
Continued on page 7
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Therapy Expo SMA Conference Kinesio UK Conference STA Conference
The Sports Massage Association will hold their Annual Conference at Therapy Expo for the first time Promising to be the biggest Annual Conference to date, the SMA conference programme includes dedicated sessions and hands on training breakout sessions, across manipulation and rehabilitation of soft tissues of the body issues including muscles, tendons and ligaments. The SMA AGM will take place at the end of the day on the 23 November, members will be able to attend as part of their conference pass. SMA Conference Programme Highlights - 23rd November 13:30pm - 14:15pm: Assessment of the SIJ (Room 1) 13:30pm - 14:15pm: Introduction to treatment of SIJ dysfunction: (Room 2) 15:15pm - 16:00pm: Assessment of the SIJ (Room 1) 15:15pm - 16:00pm: Introduction to treatment of SIJ dysfunction (Room 2) 17:00pm - 18:00pm: Sports Massage Association AGM and Awards (Room 1) 18:00pm - 18:30pm: Drinks Reception
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23rd and 24th November 2016 NEC Birmingham
THE UNRIVALLED CONFERENCE PROGRAMME WEDNESDAY 23RD NOVEMBER Theatre Theatre 1 1 Time
Topic
09:30 10:15
Effects of manual therapy on pain Professor Chris McCarthy, Consultant Physiotherapist & Orthopaedic Spinal Fellow, Imperial College Healthcare
10:25 11:05
Don’t forget the MCL, ensuring the lesser known injury is not missed in examination and treatment Rob Gilbert, Consultant Orthapedic Knee Surgeon, OrthTeam member, Wrightington Hospital
11:55 12:40
Topical pain relief - Topical Pain Relief - The physiological & therapeutic effectiveness Colin Brown, Director of Research & Quality Development, The Mentholatum Company Limited
13:00 13:40
Showing you understand: Developing empathy to break down pain’s barricades Mike Stewart, Clinical Specialist Physiotherapist, KnowPain
13:50 14:20
Business Session
14:40 15:20
Cough effectiveness and augmentation Rachael Moses, Consultant Physiotherapist, Lancashire Teaching Hospitals NHS Foundation Trust
15:30 16:15
Physical activity in OA - do we know how to improve this? Dr Toby Smith, Lecturer in Physiotherapy, University of East Anglia
16:25 17:25
Current concepts on the assessment and management of ankle ligament injuries Mike Karski, Consultant Foot & Ankle Surgeon, BMI Alexandra Hospital
Neuro Demo Zone Theatre 1 Time
Topic
10:30 11:00
ACPIN Session
11:10 11:40
Session delivered by Indigo
15:50 16:20
ACPIN Session
nch is Your lu d with e includ ference on your c ass p
Theatre 21 Theatre Time
Theatre 31 Theatre Time 10:00 10:45 10:55 11:40
Topic
09:45 10:30
Comparitive review of upper limb technology for stroke rehabilitation Jon Graham, Medical Director, PhysioFunction
10:45 11:25
Massive rotator cuff tears - current advances Lennard Funk, Consultant Orthopaedic Surgeon, OrthTeam
12:00 12:45
Balance in stroke rehabilitation Dr Louise Connell, Senior Research Fellow, University of Central Lancashire
13:40 14:20
Return to play criteria for the conservative management of hip and groin related pain Carl Todd, Clinical Director and Consultant Osteopath, The Football Association
14:40 15:20
The clinical maze and systems thinking Steve Nawoor, Extended Scope Physiotherapist, Integrated Physiotherapy, Orthopaedic & Pain Management Services (IPOPS) NHS
15:30 16:10
Exercise training in MS and the importance of fatigue Professor Tom Mercer, Professor of Exercise Physiology & Rehabilitation Edinburgh, Queen Margaret University
16:45 17:30
Business Session
11:55 12:40
15:10 16:00
16:15 17:15
Business Session A balancing act: quality, effectiveness and efficiency in MSK Healthcare Paula Deacon, Clinical Lead & Extended Scope Physiotherapist, Integrated Physiotherapy, Orthopaedic & Pain Management Service Functional rehab - The role of exercise Sarah Daniel, Clinical Director & Franchise Owner, Yorkshire and Humberside, Physio Function Working with Olympic athletes: Day to day screening and manual therapy techniques used with the GB Olympic Team Mike Grice, Osteopath, Birmingham Movement Therapy A comparative review of Exo - Skeletons Systems considering the uses and benefits in the modern neuro rehab Jon Graham, Medical Director, PhysioFunction, Ben Rogers, Partner, Stewarts Law LLP, Andreas Schröer, Clinical Training Manager Europe, ReWalk & Eva Sobonova, Clinical Physiotherapy Leader, The Royal Buckinghamshire Hospital
Demo Zone Theatre 1 Time
Open Theatre Theatre 1 Time
14:10 14:55
Topic Future considerations in complex pain states Tim Beames, Physiotherapist, Pain & Performance
Topic
10:00 CPR theory session 10:40 10:50 Session delivered by Your Physio Plan 11:20 11:30 Session delivered by Zulia Frost 12:15 Is your Spirometry Technique getting the 13:30 best results? Andy Roebuck, Business Development 14:10 Manager, Vitalograph Rehabilitation: How healthcare professionals and lawyers can work 15:30 together to make a difference Philip Coulthurst, Senior Associate Solicitor 16:10 and Head of Serious Injury, CFG Law (part of the client first group) 16:30 Olympic athlete screening in action Mike Grice, Osteopath, Birmingham 17:15 Movement Therapy
Topic
10:30 11:00
Movement re-patterning for rehabilitation and performance Mike Antoniades, Rehabilitation & Performance Director, The Movement & Running School
11:10 11:40
Self myofascial release techniques for symptom relief Dan Lawrence, Education Director, RocktapeUK
11:50 12:50
Comparative review of Exo-Skeleton systems considering the uses and benefits in the modern neuro rehab Jon Graham, Medical Director, PhysioFunction, Ben Rogers, Partner, Stewarts Law LLP, Andreas Schröer, Clinical Training Manager Europe, ReWalk & Eva Sobonova, Clinical Physiotherapy Leader, The Royal Buckinghamshire Hospital
13:50 14:20
Lower limb taping for the running athlete Paul Coker, Medical Director, RocktapeUK
15:10 15:40
Vitalograph Spirometry Demonstration and participation Andy Roebuck, Business Development Manager, Vitalograph
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5
THE UNRIVALLED CONFERENCE PROGRAMME THURSDAY 24TH NOVEMBER Theatre 11 Theatre Time
09:30 10:15
Topic The importance of “why” and “how”: movement’s critical role in three performance low back pain cases Joanne Elphinston, Physiotherapist, Performance Consultant & International Lecturer, Elphinston Performance Ltd
10:25 11:05
Rehabilitation for runners - a modern perspective Matt Phillips, Sports Therapist & Running Performance Analyst, StrideUK & Studio57clinic
11:15 11:55
Dynamic join stability; rehabilitatiing the emergency response Claire Minshull Rehabilitation & Conditioning Specialist
12:00 12:40
Lung ultrasound - a potential new tool for respiratory physiotherapists Simon Hayward, Critical Care Physiotherapist, Sonophysio
12:50 13:30
Manual therapy, exercise, +/- taping to optimise mobility in running athletes Paul Coker, Medical Director, RocktapeUK
14:20 15:00
Shoulder instability - getting the exercise strategy right!! Anju Jaggi, Consultant Physiotherapist, RNOH Stanmore
Theatre 21 Theatre Time 09:45 10:30
The role of taping in neurological conditions Becky Duncan, Practice Principal, Neurological Physiotherapy Practice
11:10 11:50
Critical care rehabilitation Paul Twose, Clinical Specialist Physiotherapist for Critical Care, Cardiff & Vale UHB
12:00 12:45
Session by TM2 Jeremy Allen, Clinical Executive Consultant, Blue-Zinc IT Ltd
13:40 14:20
The spiral line - Understanding the myofascial sling of foot mechanics Michael Watson KMI Structural Integration Practitioner, Anatomy Trains Educator & Facilitator
14:30 15:10
Exploring the effects of mindfulnessinformed manual therapy for patients with chronic pain Hilary Abbey, OsteoMAP Project Leader & Senior Osteopathic Lecturer, British School of Osteopathy
15:40 16:25
The importance of gait analysis for rehab Jon Graham, Medical Director, PhysioFunction
Open Theatre Theatre 1
Neuro Demo Zone Theatre 1 Time 10:30 11:00 12:30 13:30 15:10 15:40
Topic
Topic
Time
Topic
ACPIN Session
10:00 10:30
CPR theory session
Session sponsored by HaB
Session delivered by Indigo
11:30 12:15
ACPIN Session
13:30 14:10
Movement re-patterning for rehabilitation and performance Mike Antoniades, Rehabilitation and Performance Director, The Movement & Running School
14:30 15:10
Session delivered by Cryo
Remember, lunch is included in the price of your ticket!
Theatre 31 Theatre Time
Topic
10:00 10:45
Anatomy trains - myofascial meridans Michael Watson -KMI Structural Integration Practitioner, Anatomy Trains Educator & Facilitator, Anatomy Trains
11:00 11:45
Parkinson’s disease - juggling balance and falls Dr Emma Stack, Principal Research Fellow, University of Southampton
12:15 13:00
What is spinal manipulation and how does it work? Dr David Evans, Honorary Research Fellow, British School of Osteopathy
14:00 14:40
Introduction to Aquatic Therapy for Neurological Conditions Kirsten Good, Senior Neurological Physiotherapist & Aquatic Physiotherapist
14:50 15:30
Business session
15:40 16:20
Common sports injuries - what are the biomechanical risk factors Kevin Bruce, MSK & Sports Podiatrist
Demo Zone Theatre 1 Time
Topic
09:50 10:20
Rocktape dynamic postural taping techniques Paul Coker, Medical Director, RocktapeUK
13:50 14:20
Neurological taping in action Becky Duncan, Practice Principal, Neurological Physiotherapy Practice
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It is never too late for rehabilitation? In May 2015 Gary, a 42 year old professional golfer, had a fall from his bike. He had no obvious injuries except for some shoulder pain the following day. A few days later, whilst in the pub with friends, Gary collapsed. He suffered a severe stroke, paralysing his left side. In hospital he underwent a decompressive craniectomy (removal of part of the skull to allow room for the swelling of the injured brain).
Three months later Gary was transferred to Chapel Allerton Hospital for rehabilitation, and at this time he was dependent on a hoist for all transfers and needed assistance for all personal care tasks and activities of daily living. In November 2015 Gary had further surgery, a cranioplasty, to replace the skull which had had to be removed. By Christmas of 2015 Gary was still requiring the use of the hoist for transfers and used a wheelchair for all mobility. At the end of February 2016 Gary was admitted to Daniel Yorath House (DYH) in Leeds, where PhysioFunction provide physiotherapy cover, to continue his rehabilitation. When I first assessed Gary he presented with global left sided weakness, left foot
drop, altered sensation, no active upper limb function and was only able to take a few steps to transfer from bed to chair using a walking stick, but was unable to walk even as far as the bathroom without support. He reported his transfers to be slow and effortful, and needed a wheelchair for all other mobility. He was unable to ascend or descend stairs. His confidence when walking was reduced due to fear of falling, the risk of which was significantly increased by his left foot drop. He also had shoulder pain on movement of his left arm and also due to poor positioning. Gary told me his goals included improving his walking ability and being able to use his left arm. At DYH Gary has been working with a multi-disciplinary team including physiotherapy, occupational therapy, speech therapy and psychology. In physiotherapy we have used hands-on facilitation, exercise and technology (FES) to maximise Gary’s rehab potential. Treatment sessions have focussed on improving Gary’s posture and alignment, providing improved sensory feedback to his left side, and enabling increased activity of his left trunk, arm and leg.
Injury Awareness Week. He wanted to do a sponsored walk… of almost a mile! And on 14th May 2016, watched by many of his friends and family and members of his rehab team, Gary completed a 1.3km walk (including hills!) at Roundhay Park, raising more than £2800 for The Disabilities Trust in the process. In the space of ten weeks (eleven months after his initial injury) Gary progressed
from being only able to transfer from bed to chair to walking around the park, proving that it is never too late for rehabilitation to help you achieve your goals. Gary continues his rehab at DYH and has recently visited his 2nd floor flat, managing the stairs with a little support from his physio and OT! He is now looking forward to getting home and with a bit more physiotherapy we hope to see him return to the golf course!
Find out more about Gary’s story and speak to the PhysioFunction team at Therapy Expo 2016 - Stand TD53
r 2016
vembe
In April Gary told me he had decided to set himself a challenge, as part of Brain
No d 24th 23rd an ingham NEC Birm
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www.therapyexpo.co.uk
23rd and 24th November 2016 NEC Birmingham
Sports massage is added to FHT’s independently accredited register for complementary healthcare therapists The FHT is pleased to announce that sports massage has been added to its Accredited Register, which is independently approved by the Professional Standards Authority for Health and Social Care, a body accountable to Parliament. Furthermore, the FHT’s Complementary Healthcare Therapist Register is the only Accredited Register to list sports massage as a standalone modality. FHT members who hold a qualification in sports massage, accepted by the FHT for membership and insurance purposes, will now be automatically listed on the FHT Complementary Healthcare Therapist Register, under sports massage. Practitioners listed on the FHT’s Accredited Register are part of a government-backed scheme to protect the public, which helps potential clients, employers and health and care commissioners to choose a therapist with confidence. FHT’s President, Jennifer Wayte, says: ‘While body massage and sports therapy already appear on the FHT’s Accredited Register, we’re delighted to now add sports massage to the list. Not only will this offer more choice to those looking for practitioners on an Accredited Register, we hope it will also bring
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therapists offering this modality further recognition for their role in health and care. ‘Sports massage has many health and well-being benefits to offer, and not just to those taking part in sporting activities’, Jennifer adds. ‘For instance, many people experience minor aches and pains as a result of their work or hobbies – from painting and decorating, to gardening and fishing. Sports massage, alongside conventional medical care, can be an excellent way to help people address these day-to-day challenges. It can also be an effective form of preventative health care.’
Book Your Early Bird Conference Pass For Just £89 +VAT & Save 10% Using Readers Discount Code RD15 Before 12th August Before The Price Increases To £149 +VAT
Book Now: Speak To Our Delegate Liaison Team Tel: 0207 348 1868 Or Go Online: www.therapyexpo.co.uk
7
Kinesiology Taping: 4 common myths busted Continued from page 3 team X won’t like being taped up in the colour of team X’s arch rivals. People are more likely to feel positive about wearing tape if it’s a colour they like.
4 - It is difficult to apply and you need lots of training No you don’t. It doesn’t take years of training or detailed knowledge of anatomy to work out a safe and effective taping. There is a bit of knack to handling the tape and getting it securely stuck and wrinkle-free, so you might want to practise a couple of times before you stick it for real. There are a myriad of You Tube videos which will show you how to tape for most common injuries. A few tips: • Keep it simple, less is more. • Stretch the tissue not the tape. • Rub the tape all over to ensure a good bond between skin and tape. If you have a problem more complex than a bit of pain, tightness, or stiffness, seeing a good therapist with taping experience is probably time and money well spent. Kinesiology tape is a safe, effective, low risk way to give your body a nudge in the right direction towards less pain and better function. It is not magic and it is not a replacement for rehab and sensible injury management. If you’ve got a niggle, grab a roll and give it a go. You can read all the articles and research papers you like, but the best way to understand what this stuff does is to feel it do its thing.
RockTape will be at Therapy Expo, visit us on stand TF58.
www.therapyexpo.co.uk
8
23rd and 24th November 2016 NEC Birmingham
PUTTING YOU AT THE HEART OF THE MOST IMPORTANT EVENT FOR UK THERAPY PROFESSIONALS EXHIBITOR LIST
Physique
TB16
Private Practice Hub
TE17
1000 Mile Sportswear
TD40
Private Practice Software
TE49
66Fit
TE14
Pulse
TG20
ReWalk Robotics
TF30
AACP
TF8
ACPIN
TC16
Rocktape
TF58 TB52
TG21
Saebo UK
Anatomical Concepts
TC25
Sole-Mates
Athona Recruitment
TG12
Solo Step
ACPSEM
Attainability UK
TF7
Songbird Naturals
TA8
bk ultrasound
TF18
Sports Rehab Academy
TF26
BTL Medical
TC26
STA
TA29
C & P Medical
TE15
Stretching GB
TC22
Capenergy Medical
TD42
Sugarman Medical
TF50
Capita PIP
TB32
The Integrated Care Clinics
TB28
TD14
The Running School
TA15
CFG Law Clinic Answer co-kinetic
TE1 TG23 TD9
The Wellington Hospital
TA24
TM2
TD50
Toropro
TB14 TD52
Crossuite
TC12
Total Therapy
Cryo Action
TC10
TruLife
Cyclone Technologies
TG18
UK 3B Scientific
TA25
Dynamic Taping
TB12
Venn Healthcare
TE18
Ekso Bionics
TE42
Vitalograph
TF22
TA32
YourPhysioPlan
TD16
FHT Foot Science International
TF20
Functional Movement Systems
TC50
GestureTek Health
TC28
HaB International
TB10
Handspring Publishing
TD13
Indiba Activ
TE10
Innerventions AB
TA10
InterX Clinic
TG22
Ipsen
TC20
Irwin Mitchell LLP
TF10
KoolPak Ltd
TE46
Limbo Waterproof Protectors
TD15
Liquid Healthcare
TF28
Litecure LLC
TD10
MACP
TC18
Medacs Healthcare
TD12
Medi UK
TE40
Medicotech
TE12
Meglio
TA30
Mentholatum
TD58
Moticon
TA1
MSK Note
TB50
Naqi International
TF24
Neck Saviour
TA5
Neil Irwin
TB22
Odstock Medical
TA38
Ottobock Healthcare
TE48
Parkinsons UK
TA20
P-CNS/CTN/ACNR
TD56
PhysioFunction
TD53
PhysioTools
TF1
54%
of NHS delegates held senior positions
TD3
TD18
Catalyst Medtech
97%
of delegates would recommend Therapy Expo to a friend
TD7 TG10
Sports Medicine Seminars
Back In Motion
90%
of delegates met suppliers they had not met/heard of before
TF5
A truly NATIONAL audience
THEATRE 3
74%
of delegates had sole or joint purchasing responsibility
Scotland 1% Northern 3%
North West 11% Yorkshire 9% Northern Ireland 1% East Midlands 13% Midlands 21%
East Anglia 6% London 3%
Wales 4% South East 20%
South West 8%
Contact Paul now to discuss stand, education & sponsorship op TherapyExpo
@TherapyExpo
Therapy Expo
ATTENTION:
www.therapyexpo.co.uk
ONLY THESE TWO STANDS LEFT 23rd and 24th November 2016 NEC Birmingham
VISITORS ENTRANCE
3
2
2
Moticon
TB10 3
HaB
5
1
Cryo Action TC12
Running School
2 5 3
Dynamic Tape
Physique SMA
TB14 ToroPro
TA24
HCA
3
3B Scientific
TC16
TC18
kinesio
TC20
4
TG1
Sportex
Trulife
MediMaxTech
3
3
2
3
2
3
TD13
Handspring Publishing
TD14 Catalyst
TD11
2
3
2
TE12
TE15
Medicotech
C&P Medical
TC24
TB24
Back In 3 Motion
3
4
3
STA
2
4
E-Gym
TB22
7
BTL
2
3
Strut Direct TG12 Athona
TG18 TF10 Irwin Mitchell
3
3
TF18 BK Ultrasound
4
5
5
CAFÉ
N.I. TC25
TB32
TICCS
Capita
TC28
Anatomical Concepts
Gesture Tek
4
3
4
4
Cyclone
2
TG20
3
TF22
NEURO-REHAB TECH ZONE
NAQI
Sports Rehab Academy
3
3
CPR TRAINING ZONE
3
TE40
TE48
Medi UK
Ottobock
TE42
TE46
TD40
2 3
3
TD42
1000 mile
CapEnergy
Ekso Bionics
6
7
2 2 2
TF28
Re-Walk
3 Liquid Healthcare
4
Life Fitness
7
TF24
TF26 4
4 6
Foot science International
TF26
4
TC40
3
6
OPEN THEATRE
TF20
TA32
FHT
4
4
TC26
5
4
2
Venn Healthcare
3
TA28
TA29
TG10
TE18
Indiba Activ
3
Vitalograph
3
PPS
Private Practice
5
3 7
TE17
66Fit
TE10
Your Physio Plan
4
3
3
TD18
TF8
TE14 3
TD15
Medacs
TC22
3
TF5
AACP
TD16
ACPIN MACP
Stretching GB
TF6
Attainability UK
3
Thesis
Ipsen
TF7
Physio Tools
3
TB28
TA25
2
TF1
CFG Law
5
TB20 3
TC14
3
4
TA20
5
2 2
2
Parkinsons Association
2
TB16
TE1
2
Litecure LLC
Crossuite
GN Otometrics
3
TD10 3
3
TB12
TD9
3
TC10
3
TA15
TD5 Soulmates
2 7
TA10 Inner Ventions
TD3
Songbird International
2
Sports Medicine Seminars
Neck Saviour
SMA CONFERENCE
2.5
2 2
Pulse Medical
TG21 ACPSEM
TG22 Inter X Clinics
TG23 Clinic Answer
3
DEMO ZONE
6
Koolpack
6
8
TA30 Physiorite
3
2
TB50 MSK N
TA38 Odstock Medical
4
TB52
Saebo
5
TC50 FMS
3
TD50
TM2
2
TD52 Total Therapy
3
3
TD53
TD54
Physio Function
We Make Any App
4
TD56 P-CNS
4
3
TD58 MenthoLatum
TF50 Sugarman Medical
4
TF58 Rocktape
3
5 SPONSORED BY
THEATRE 1
THEATRE 2
ptions on 0207 348 5259 or email p.lane@closerstillmedia.com Book Now: Speak To Our Delegate Liaison Team Tel: 0207 348 1868 Or Go Online: www.therapyexpo.co.uk
The Occupational Therapy Show
TA1
TA5
9
10
www.therapyexpo.co.uk
23rd and 24th November 2016 NEC Birmingham
Measuring the impact of your therapy service No one will be surprised to learn that rehabilitation and enablement services commissioned by the NHS and mostly provided by AHPs, show great variation in their staffing (grades and types), general resources, modes of practice, service users catered for (types and ages), care models, and intentions. Much of this variation is associated with the history of configurations of service provision over previous decades – few, if any, services have been organised on the basis of patient outcomes as it is difficult to capture such outcomes for this heterogeneous group. to combine interventions, adjust goals and therapy approaches and making it unlikely that they would be included in any research project. The complexity of meeting the needs of a broad range of individuals who require and would benefit from rehabilitation was recently reflected in ‘The Commissioning Guidance for Rehabilitation’ which were published by NHS England (March 2016)1
Professor Pam Enderby
Whilst there has been a substantial increase in research investigating specific interventions for specific groups of patients receiving rehabilitation including randomised controlled trials and other appropriate methodologies the evidence base is still thin given that the majority of patients receiving rehabilitation (both children through to older adults) have a range of comorbidities rendering it necessary
'Rehabilitation achieves this by focusing on the impact that the health condition, developmental difficulty or disability has on the person’s life, rather than focusing just on their diagnosis. It involves working in partnership with the person and those important to them so that they can maximise their potential and independence, and have choice and control over their own lives….' This guidance also acknowledges the need to ensure that services are commissioned and monitored in an appropriate fashion, that services learn from best practice and the most costeffective approaches are used. Plus, it emphasises the importance of collecting outcome data and engaging in audit and benchmarking which can identify
strengths and weaknesses.
research.
'Focusing on outcomes is one way of enabling the transformational change required in the healthcare system.' p19 Commissioning Guidance for Rehabilitation
The TOM allows therapists to describe the abilities of a patient in four domains – ‘Impairment’, ‘Activity restriction/ function’, Participation and ‘Wellbeing’ using an eleven-point ordinal scale based on the International Classification of Functioning.
The Therapy Outcome Measure (TOM) was designed to be a simple, reliable, cross-disciplinary and cross-client group method of gathering information on a broad spectrum of issues associated with therapy/rehabilitation. It has been rigorously tested for reliability and clinical validity and can be used by physiotherapists, occupational therapists, speech and language therapists, podiatrists, dieticians, rehabilitation nurses and others involved in rehabilitation. It aims to be quick and simple to use, taking just a few minutes to complete. It was based on examining the goals used in rehabilitation with unselected patients and their carers and has been used for treatment planning, clinical management, audit, benchmarking and
The TOM Core Scales has been adapted into scales that relate to conditions that are familiar to a range of health care professionals involved in rehabilitation /enablement and acute care. These scales (47 are available in the third edition of the book, which also provides background as to how the tool was developed) have been adapted by specialists working in the relevant areas. The book also describes how TOMs can be introduced to a team or service, guidance on how to use the tool and guidance on how to analyse data. Find out more about the Therapy Outcome Measure (TOM) from the Community Therapists Network stand (stand no…) at Therapy Expo.
Prof Pam Enderby, MBE., Ph.D., MSc., FRCSLT
Personal 6.0
®
The Exoskeleton to use at home and in the community
Kool products from the professionals choice With more and more people participating everyday in some kind of sporting activity and no matter how fit or athletic they are, everyone runs the risks of picking up some kind of injury. With immediate treatment essential to help speed up recovery times, the Koolpak range of sports injury products are perfect to help with the treatment of soft tissue injuries, sprains, bumps and bruises.
Nicki Donnelly Spinal Cord Injury in 2011 ReWalker since 2016
Contact us for your personal cost free ReWalk Test Session! Email: contact@rewalk.com Phone: 0049 30 2589 5080
www.koolpak.co.uk TherapyExpo Koolpak Advert_130 x 167mm.indd 1
James Johnson T5 complete since 2012 ReWalker since 2014
10/06/2016 15:42
@TherapyExpo
Therapy Expo
www.therapyexpo.co.uk
23rd and 24th November 2016 NEC Birmingham
11
Increase your skillset AND patient choice Adding western medical acupuncture to your treatment services is a great way to do both. Training in acupuncture enables you to safely and effectively employ a variety of needling techniques for the treatment of a range of injuries and conditions. Acupuncture, as you may well know, is able to safely reduce pain by stimulating the brain and central nervous system to produce natural pain-relieving chemicals, such as endorphins, melatonin and serotonin. These chemicals are produced when acupuncture needles stimulate various physiological mechanisms within the central nervous system and in the local peripheral tissues. Acupuncture points are chosen specifically with the intention of inducing a strong segmental inhibitory effect. Chemicals produced locally, and by mechanisms at the spinal and supraspinal levels assist in healing and offer pain relief, which is helpful when acupuncture is used in conjunction with other physiotherapy modalities such as manual therapy, exercise and education. Additionally, functional magnetic resonance imaging studies have demonstrated the effect of acupuncture on the pain pathways of the brain. Acupuncture provides an evidencebased service and increases patient choice while also being a cost-effective advert.pdf 1 23/06/2016 treatment due to the low08:17:05 cost of needles
(using the AACP discount, needles can cost as little as ÂŁ0.02 each) all key objectives of any growing physiotherapy department. There is very little, if any, additional treatment time needed, allowing you to retain other treatment modalities while adding an additional service for your patients.
The Acupuncture Association of Chartered Physiotherapists (AACP) holds around 50 Foundation Courses every year, across the UK. These courses give you the skills and knowledge to safely administer acupuncture as part of your physiotherapy treatment. The AACP has grown over the last 30 years to become the organisation it is today, not only
supporting the growing membership but also providing training to ensure members are kept up to date with the latest research findings and newest techniques.
The AACP will be at Therapy Expo, visit us on stand TF8. Caspar Van Dongen, AACP CEO
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You are cordially invited to our networking drinks reception! YOUR TICKET INCLUDES ENTRY Join the Therapy Expo team, speakers and exhibitors for a drink at the end of a busy first day.
Wednesday 23rd November 17:30 Book Now: Speak To Our Delegate Liaison Team Tel: 0207 348 1868 Or Go Online: www.therapyexpo.co.uk
12
www.therapyexpo.co.uk
23rd and 24th November 2016 NEC Birmingham
Meet some of our exhibitors 3B SCIENTIFIC
PULSE
SPORTS MEDICINE SEMINARS
The internationally registered brand name 3B Scientific® is represented in approx. 100 countries worldwide in the educational medical and Therapy sectors. The excellent quality of 3B Scientific® Products has officially been certified according to DIN EN ISO 9001:2008. This approach of Total Quality Management underlines the ongoing process of product improvement and customer orientation that is to be associated with the brand name 3B Scientific®.
As a leading agency for high-calibre allied health professionals we have the widest choice of temporary and permanent jobs across the NHS and private healthcare sector. We offer all our candidates competitive rates of pay, excellent benefits, and access to hundreds of new job opportunities nationwide.
Sports Medicine Seminars host a variety of CPD courses in Bristol, providing a venue, a network of lecturers, accommodation list, and travel directions for medical practitioners all over the South West. We make it easier for people to attend courses; removing the need and cost of travelling all over the UK.
Phone: 01934 425333 Fax: 01934 425334 e-mail: uk3bs@3bscientific.com www.3bscientific.co.uk
Find us on stand TG20
ahp-hss@pulsejobs.com 01992 305 659
PAs work as part of your Practice answering your calls when you can’t. We’ll book new and returning clients using your online diary allowing you to concentrate on treating your clients without missing calls. 5 Time Award Winner “Most Loved Telephone Answering Service In The UK”. Free One Months Trial. Find us on stand TG23
FOREVER LIVING Are you a therapist looking to earn an additional income alongside your current business. Then you can join a business that is professional, fun, ethical, simple and hugely rewarding. In the massive organic, health and wellness sector, whatever your background, if you’re looking for a change or second income and are ambitious, selfmotivated then this could be for you. Lane.foreveraloe@gmail.com 07983803324
PPS Join over 10,000 practitioners using PPS to make clinical administration painless. Packed with hundreds of features, PPS is the UK’s leading software for patient and practice administration. Sign up for a free 30 day trial on our website!
With 10,000+ happy practitioners, TM2 is the market leading practice management system for private practices. Packed with innovative features, TM2 will help make managing your business effortless, allowing you to concentrate on your patients. Visit at Therapy Expo, have a chat and find the solution! Find us on stand TD50
TOTAL THERAPY
THE RUNNING SCHOOL
Natures Kiss Herbal Rubs and Massage Creams.
CLINIC ANSWER
07769295863 info@sportsmedicineseminars.co.uk www.sportsmedicineseminars.co.uk
Could your clinic be managed better?
Find us on stand TA8
NATURES KISS
Find us on stand TA25
Find us on stand TE49
Make your next career move, contact Pulse.
TM2
Used and recommended by Sports Therapists, Trainers, Physiotherapists, Osteopaths, and Podiatrists, Nature’s Kiss soothes strained muscles, joint aches and common sports injuries. Originally developed over 20 years ago by elite NZ Athlete Madonna Harris, and Herbal Chemist, Masseur and Health Adviser Paul Jeffery, Natures Kiss is blended with the pure natural herb extracts of Arnica, Calendula, Hypericum and Peppermint Oil, all known for their soothing, reviving and recovery properties. The product range includes Herbal Massage Cream for strained muscles, bumps and bruises, Recovery Cream to deliver relief to problem areas, Hot Stuff to gently apply heat to sore or strained muscles, and Chafe-Ease to protect and help heal areas of the body subject to chafing and irritation during periods of sustained activity. www.natures-kiss.co.uk @NaturesKiss Find us on stand TD36
SONGBIRD NATURALS Songbird (formerly named Tui) Massage Waxes, Reflexology Waxes and Balms are a unique blend of Beeswax and Natural ingredients for a supreme massage experience - both for the masseur and the massaged! They present as a semi-solid formula which melts immediately onto the skin and provides a working surface that delivers control, smoothness and a perfect finish - without spills, mess and waste.
The Running School is a rehabilitation & performance organisation specialising in movement biomechanics, movement repatterning for rehabilitation & performance training. It provides recreational athletes with the coaching expertise usually reserved for elite athletes. They deliver CPD courses to impart their unique methodologies to other health & performance professionals. Find us on stand TA15
HANDSPRING PUBLISHING Handspring Publishing is a recently founded publishing house based in Scotland and specialising in professional level books for manual therapists, bodyworkers and movement teachers including physiotherapists, massage therapists, sports therapists, yoga therapists, osteopaths, Pilates teachers, and other professionals who use touch or movement to help patients achieve wellness. Our books combine attractive and accessible presentation with a practical, evidence-based approach including latest research findings. Find our book list and sign up for our quarterly enewsletter at www. handspringpublishing.com. Contact: hilary@handspringpublishing with all enquiries.
Total Therapy is a unique, state of the art, inter-disciplinary franchise which delivers high quality, affordable musculoskeletal healthcare. The business is geared towards the private sector, but fully adaptable to encompass recent and anticipated changes within the delivery of healthcare nationwide. We offer potential partners an alternative career path to the traditional medical model within the lucrative and expanding private sector. We will work with you every step of the way, ensuring a rapid path to establishing a successful private practice in your chosen area, using our tried and tested processes. Having built the largest private practice on the South Coast, we are highly experienced in business development and can help you deliver the clinic you dream of owning. Come at see us at Therapy Expo 2016 to learn more Find us on stand TD52
YOURPHYSIOPLAN YourPhysioPlan. com is an innovative and much-needed health service for the UK population providing access to highquality, 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!”
info@songbirdnaturals.co.uk
Tel +44 (0) 1875 341859
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 TD3
Find us on stand TD13
Find us on stand TD18
Handspring Publishing, The Old Manse, Fountainhall, Pencaitland, EH34 5EY, Scotland, UK.
View the full list at http://www.therapyexpo.co.uk/exhibitors Book Your Early Bird Conference Pass For Just £89 +VAT & SAVE 10% Using Readers Discount Code RD15 Before 12th August TherapyExpo
@TherapyExpo
Therapy Expo
www.therapyexpo.co.uk
23rd and 24th November 2016 NEC Birmingham
13
Delegate satisfaction guarantee
1 TICKET 4 CONFERENCES
97% of delegates would recommend Therapy Expo to a friend
Sports Massage Association Annual Conference The Sports Massage Association will hold their Annual Conference at Therapy Expo 2016. Promising to be the biggest Annual Conference to date, the SMA conference programme includes dedicated sessions and hands on training breakout sessions, across manipulation and rehabilitation of soft tissues of the body issues including muscles, tendons and ligaments.
89%
Kinesio UK Annual Conference
of delegates said they had learnt about new products they had never seen before
Kinesio will take centre stage at this year’s Therapy Expo, holding their annual conference in partnership with Therapy Expo, offering an unprecedented insight into the latest taping techniques, innovations and the future of kinesio taping. The conference will take place in the dedicated Kinesio theatre with presentations from world renowned experts.
85%
CPR & Anaphalylaxis Training After the theory session delegates will head straight to the Demo Zone where they will carry out their practical with a globally recognised CPR training brand. Delegates will receive their certificates the same day.
of delegates rated the event good to excellent in of value for money
96%
A show floor where you can try and test the latest innovations... Here are just a few of the suppliers exhibiting at the show:
rate the quality of content as good to excellent
Exoskeleton comparative review For the first time ever, delegates will have the opportunity to see a live comparative review of all the exoskeleton suits on the market today. Hosted by a panel of industry experts including Jon Graham and Ben Rogers, the Rex Exoskeleton, ReWalk Exoskeleton, Indigo Exoskeleton and the Ekso Bionics Exoskeleton will be demonstrated live in the Demo Zone, whilst their individual teams are on hand to answer any of your questions.
PLUS: Cryo Chamber Tours Delegates will be able to experience what it’s like in a Cryo Chamber, provided by our partners at Cryo Action. Delegates will learn how systemic cryotherapy results in anaesthesia and activates an internal analgesic reaction. The influence of low temperatures on skeletal muscle relaxation is explained by a decrease in the inflow of pain impulses to the spinal cord. What is also of significance is the fact that an opening and closing reaction of the arteriovenous fistulae takes place within the limbs. All this creates favourable conditions for the progress of rehabilitation.
Book Now: Speak To Our Delegate Liaison Team Tel: 0207 348 1868 Or Go Online: www.therapyexpo.co.uk
HOT TOPIC
90% of delegates met with new suppliers they had not met/heard of before
78% expect to be able to put new techniques into practise when treating patients