SEPNZ BULLETIN PAGE
Issue 2 April 2018
Feature PyeongChang Winter Olympic Games Course Injury Prevention & Performance Enhancement
FEATURE TOPIC: Winter Olympics
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SEPNZ Members’ Page Welcome to Sports & Exercise Physiotherapy New Zealand SEPNZ EXECUTIVE COMMITTEE President
Hamish Ashton
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A reminder to graduate members that this $1000 fund is available twice a year with application deadlines being 31 August 2018 and 31 March 2019. Through this fund, SEPNZ remains committed to assisting physiotherapists in their endeavours to fulfil ongoing education in the fields of sports and orthopaedic physiotherapy.
CONTACT US Michael Borich (Secretary) 26 Vine St, St Marys Bay Auckland mborich@gmail.com
An application form can be downloaded on the SEPNZ website sportsphysiotherapy.org.nz.
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Contents FEATURE TOPIC: Winter Olympics
SEPNZ MEMBERS PAGE See our page for committee members, links & member information
2
EDITORIAL By SEPNZ President Hamish Ashton
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MEMBERS’ BENEFITS
In this issue:
Members Resources
5
FEATURE PyeongChang Winter Olympic Games
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SPRINZ Concussion What Should I Do? What About Physical Activity?
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CLINICAL SECTION- ARTICLE REVIEW Injuries in Elite and Recreational Snowboarders
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CONTINUING EDUCATION Injury Prevention & Performance Enhancement
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Part One: Injury Prevention (Myth Busters and Mind Traps) ACL Mini Symposium
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RESEARCH PUBLICATIONS BJSM Vol. 52 No. 8 April 2018
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CLASSIFIEDS Situations Vacant
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Editorial Hamish Ashton, SEPNZ President Hi all We are now well into 2018 and there has been a lot of sport this year already. As I write this we are coming into the final weekend of the Commonwealth Games. These have become the most successful games ever for the New Zealand team, so a big congratulations to the athletes and also to our physiotherapists over there supporting them in their endeavours. We also have recently had the Winter Olympics and Paralympics, our cricketers have had a reasonable season and even the Warriors are winning. All we need is the Blues to win a few games and we will think we are in paradise. Shortly a notification will be out for our AGM. For those that are about, please put an hour of your day aside to attend. This is one of the few opportunities we have to catch up with you in person. Events like this give us an opportunity to talk to you and hear your thoughts and ideas. Hopefully by then we may know a bit more about the proposed changes with PNZ so will been keen to hear your thoughts. Your thoughts are off course always welcome at any time. Since the change in our name last year we have slowly being changing our web presence. We have decided it is easier to stay with www.sportsphysiotherapy.org.nz rather than trying to add exercise into the title. This is the case with Facebook and Twitter as well. However, we will shortly drop the shortened version of spnz.org.nz and everything associated with it. This includes the email help@spnz.org.nz which I used as a contact for queries. SEPNZ.ORG.NZ is now up and running for those who like something shorter to type.
Michael – mborich@gmail.com (incoming) michael@sportsphysiotherapy.org.nz (outgoing). Please put Michael’s new addresses in your address book so correspondence from him doesn’t get put in your spam folder or bounce back to us. With the winter sports season upon us remember to revisit our Sports Physiotherapy Code of Conduct if you are working with any teams. This outlines what is acceptable or not for you working with teams. It is there not only to safeguard the athletes but also yourself as a practitioner. We also recommend getting a contact with the team you work with. A sample contract can be found in the Resources in the Members section. For those out there working with students (or for any student physios reading this) remember the term physiotherapist or any combination including physiotherapy student cannot be used except when the student is being supervised with you on site with them. And a final reminder point. The Physiotherapy Board is starting to tour the country with the release of some new standards of practice. These include the use of testimonials on your website or in communications which are now illegal. Get out there and talk to them, or express your opinion on the rising costs to us to be registered. Best wishes Hamish
Talking about emails with Vodafone dropping email a number of us have been affected. Contacts are now
For sale:
2 x electric high low beds. Will need to be picked up in Tauranga. All offers considered.
Please contact Hamish at hamish@p2pphysio.nz
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Members’ Benefits
There are many benefits to be obtained from being an SEPNZ member. For a full list of Members’ Benefits visit http://sportsphysiotherapy.org.nz/benefits/ In each bulletin we will be highlighting individual member benefits in order to help members best utilise all benefits available.
Members Resources Are you aware of some of the resources that are available in the members section of the website? See below for some examples of what is out there. Check these out if you haven’t already done so.
SEPNZ Resources These resources are available for personal use only. Any other usage should be referenced appropriately of permission attained from the author.
Clinical Reviews
Free Journals
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Sport Health Links
Sports Physiotherapy New Zealand Sports Contract
Stop Sports Injuries Resources
Differential Diagnosis of Adolescent Conditions
Federation of International Hockey Champions Trophy 2011
Interview Pete Gallagher
Injury Specific Resources
ICC cricket World Cup 2011
2011 IPC Athletics World Champs
Community Based Medical Exercise Program
Screening Tools
SEPNZ Sports physiotherapy Course Resources
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Feature PYEONGCHANG WINTER OLYMPIC GAMES Rebecca Longhurst What was your role at the PyeongChang Winter Olympic Games? I was fortunate enough to be selected by the New Zealand Olympic Committee (NZOC) as one of the four physiotherapists in the medical team. I was joined by Ginny Rutledge, Sarah Battson and Hamish Dickie. This made for an amazing physio:athlete ratio, which, due to the inherent risky nature of the majority of the sports at the Winter Olympics and geographical diversity of the events, was flagged as being important. We were joined by Dr Nat Anglem who provided medical support to the 21 athletes and their support staff. Due to the geographical needs of certain Winter Olympic sports, there are two villages at a Winter Olympic Games. The Mountain Village hosts sports requiring snow and elevation namely: alpine skiing, snowboarding, cross country skiing and sliding sports, and the Coastal Village hosts sports housed in indoor ice arenas namely: curling, figure skating, ice hockey and speed skating. In PyeongChang this meant that the majority of the New Zealand athletes were based in the Mountain Village with the rest of the medical team and I was down in the Coastal Cluster with the three Kiwi speed skaters. I also travelled up to the Mountain Cluster to provide physiotherapy cover at the skeleton track for our skeleton athlete.
thesis. After completing that I began working for HPSNZ full-time and was selected to go to the Glasgow Commonwealth Games as part of the NZOC Core Medical Team. Now post-baby I am back working parttime at the HPSNZ National Training Centre. What were the highlights of working at the PyeongChang Winter Olympic Games? Walking into the opening ceremony wearing the New Zealand kit was definitely a highlight. Being able to sit inside the track for all the long track speed skating events was up there, (apart from the fact you are not allowed to cheer for your athletes). Having Zoi and Nico winning medals was really the cherry on the top for the Games. The NZOC welcome into the Village was pretty emotional for me and not something I will be forgetting anytime soon. But probably my favourite moment was seeing the speed skaters skate to the absolute best of their ability and leave everything out on the ice in their semi-final of the team pursuit. The fact that they opted to fight for the medals rather than throw the first race to have a better chance at bronze, to me, embodied the true Kiwi spirit.
Prior to the PyeongChang Winter Olympic Games, what has been your involvement with elite sports and a brief career background? I completed my undergraduate degree in 2001 and have had some involvement in sports physiotherapy since then. I began working, as many Kiwi physios do, in club rugby, and transitioned into netball. My first experience at a major Games event was in Melbourne in 2006 with the Samoan netball team. After finishing my clinical master’s, I switched tacks and moved to Canada where I spent 6 years working for Alpine Canada as the lead physio for the Canadian ParaAlpine Team, travelling with them to both the Vancouver 2010 and Sochi 2014 Winter Paralympic Games. Upon returning to New Zealand I completed my master’s
Walking into the opening ceremony Can you give some insight into sports physiotherapy for long track speed skating? Long track speed skating involves turning left for extended periods of time in a position of hip and lumbar flexion. This position is then replicated in off-ice training and conditioning which is done in the form of road CONTINUED ON NEXT PAGE
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Feature PyeongChang Winter Olympic Games continued... biking, and in the case of the Kiwi athletes, inline skating. Unsurprisingly, issues with hips, groins and lumbar spine are seen in these athletes. Strengthening and activation strategies focusing especially on the long weak muscles on the right glutes are utilized by physiotherapy to help manage these conditions.
illness on performance. Zoono (an antimicrobial product) was sprayed in all living spaces and common NZOC areas prior to the arrival of the athletes into the village. Daily reapplication of Zoono was done to door handles, elevator buttons, and other areas and objects that multiple people were touching in the NZOC space. Hand sanitiser and protector was given to each member of the NZOC delegation with daily reminders to actually use it. Education around hand washing and sanitisation and general illness prevention strategies were also implemented. There were no incidents of illness in the NZOC Coastal Cluster over the Games period which, especially taking into account the Norovirus outbreak, can be counted as a win. What is your advice to sports physios wanting to get involved in elite sport? This may sound like common sense but get involved in sports. The experiences gained with things like communication, injury risk management, acute injury management and time management are invaluable. Go to conferences. You might not know anyone the first time, but you will after a few. Try to find a mentor that you can run tricky things by and find out how they do things and how that may (or may not work) for you. Take courses; stay current. Apply for positions, even if you are not sure that you are ready for the role just yet, apply, get your name out there. Lastly, if you want a long-term career in elite sport be sure to leave your ego at the front door.
Gangneung Oval: Long Track Speed Skating Venue Where did physiotherapy impact most on performance at the 2018 PyeongChang Winter Olympic Games? In the Coastal Cluster the day to day management of a long withstanding injury meant that input from physiotherapy was high and without 2-3 times daily contact in the form of activation, pre-race stretching, recovery strategies, rehabilitation and hands-on treatment, the chance of the athlete making the start line was low. Due to there being no doctor at the Coastal Village, the implementation of some of the illness prevention strategies fell to physiotherapy. The illness prevention strategies from the Rio Olympic Games were replicated in PyeongChang with the aim of reducing the impact of
Team welcome led by Nat Anglem
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SPRINZ ICONCUSSION WHAT SHOULD I DO? WHAT ABOUT PHYSICAL ACTIVITY? By J. Patrick Neary, PhD, University of Regina, Regina, Canada “You should do nothing”, was the sentiment that many athletes heard 5 years ago! But fortunately because of new research the scientific and medical community are beginning to understand the importance of physical activity and gradual exercise as it applies to the recovery process from a concussion or mild traumatic brain injury (mTBI). When an injured athlete diagnosed with mild brain injury comes to the Concussion Testing Centre at the University of Regina, and before they leave the Centre, I suggest that they “go take their dog for a walk”, and do so on a daily basis to try to speed up the rehabilitation process. We know that mild exercise or physical activity has been used for rehabilitation after musculoskeletal injuries, for cardiac rehabilitation, for cancer (e.g., ‘breast in a boat’ – dragon boat racing), even during the dialysis procedure for those with kidney dysfunction, and now, YES, for the rehabilitation following a concussion or mild brain injury. Based on our research in the Concussion Testing Centre, and other research laboratories globally, the heart is also affected by concussion, and thus the thought is lets “jump start” the heart to help in the recovery of the brain! A concussion has been defined as a “complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces…” (McCrory et al., 2017). So you might ask, what type of exercise and what intensity is ‘best’ for rehabilitation to occur? This is a difficult question to provide a straight forward answer as it is different for all individuals. However, in the days immediately following a concussion (24-48 hours), it is important to reduce as much stress as possible in your life, and this includes vigorous exercise. During this time the body is trying to conserve energy to rehabilitate the brain from further insult. For example, the visual cortex of the brain uses large amounts of energy when stimulated, and therefore we suggest that screen time, play-station, and reading activities must be reduced or eliminated during these initial days. However, research is starting to support the concept of “taking your dog for a walk”, and this will “jump start” the heart. As mentioned, I advocate mild physical activity but not vigorous exercise during the first 24-48 hours and using symptoms or how you feel to either increase or decrease intensity, or stopping completely. There are consensus guidelines and best practice statements that have been developed to slowly introduce exercise back into the “return-to-learn” and “return-to-play.” These guidelines are based on how the concussed athlete is recovering, and what symptoms are still present. At times the athlete may experience some setbacks, depending on how intensity the exercise
is. Currently it is suggested that aerobic type activities (e.g., walking, jogging, cycling) be used providing that the unwanted symptoms (headache, dizziness, blurry vision, etc.) are minimized. It is generally best to start with 10 minutes of walking, 2 to 3 times per day, and work up in time (20-30 minutes; dogs usually like to walk for this long as well). Eventually this will lead to jogging, cycling, and swimming at a higher intensity. However, an important caveat is to be patient with your recovery so that return-to-play (and learn) is not to early where you experience on-going symptoms or another concussion. McCrory, P., Meeuwisse, W., Dvorak, J., Aubry, M., Bailes, J., Broglio, S., … Vos, P. E. (2017). Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. British Journal of Sports Medicine, 51, 1–10. http://doi.org/10.1136/ bjsports-2017-097699 Biography Patrick Neary has 27 years of academic and research experience as an exercise physiologist. He is currently a Professor in the Faculty of Kinesiology & Health Studies at the University of Regina, Regina, Canada. His teaching involvement includes Introductory and Advanced Exercise Physiology, Principles of Exercise Testing, Training and Prescription, and Clinical Exercise Physiology. He has taught at the International Coaching School & Conference, and has taught courses for the National Coaching Institute related to the Canadian National Coaching Certification Program (NCCP) to certify coaches in Canada (1987-2012). He has coached minor league sports in ice hockey, basketball, soccer and volleyball. In addition to his concussion research and teaching responsibilities he has worked with the Canadian Olympic Ice Hockey program, the National Hockey League Scouting Combine, and the Canada II 12-meter sailing contender for the America’s Cup. He is an active member of Canadian Institute for Public Safety Research and Treatment (CIPSRT) at the University of Regina, with a focus on heart rate variability and post-traumatic stress disorder in First Responders. Email: Patrick.neary@uregina.ca
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Clinical Section - Article Review INJURIES IN ELITE AND RECREATIONAL SNOWBOARDERS Wijdicks CA et.al, British Journal of Sports Medicine 2014;48:11–17. doi:10.1136/bjsports-2013-09301 Despite the beautiful weather, it appears that winter is just around the corner and with that, the inevitable increase in winter sports injuries. We are very lucky in New Zealand to have some sensational snowboarders as evidenced in the recent winter Olympics, and on the back of that success hopefully we will have more to come. So it seems a good idea to look into the types of injuries that occur in snowboarders. Wijdicks et. al. 2013, did a review of the literature on injuries in elite and recreational snowboarders. They performed a literature search on PubMed and Medline looking for the word ‘snowboard’ and ultimately reviewed 77 articles. They found that injury rates for snowboarders were reported as being between 1.16/1000 and 4.2/1000 snowboard days. This is 2-3 times higher than in skiers. They compiled the data from the studies and found that around 45% of the injuries were in the upper extremity and around 23% in the lower extremity. This was the opposite of the injury pattern noted for skiers. The most common injury overall was wrist fracture. Head, neck and face injuries especially contusion and concussion were also common, which is concerning. Although this appeared to be similar to the rates in skiers. The knee injury rate was a lot lower than that of skiers, whilst ankle injuries were slightly more common and included sprains and fractures. 80-90% of all the injuries occurred due to falls, either on the slope or landing jumps. The rest of the injuries were a result of collisions. The review also looked at whether injury patterns were different for elite versus recreational snowboarders. In the studies compiled, an average of 50% were reported as beginner snowboarders, 37% as intermediate and 13% as advanced. Not unexpectedly a large proportion of the injuries were sustained in the beginner category. There were some inconsistencies noted with the way injuries were reported and recorded between elite and non-elite, but despite this there was a clear difference in the type of injuries between the two groups. Across snowboarders as a whole, the main injuries were relatively minor wrist sprains, fractures, lacerations and contusions. Beginners were most likely to injure themselves in a fall. However when skill level is taken into account these types of injuries were reduced and more high-impact injuries associated with expert tricks occurred, as well as severity, the location of the injuries varied across skill levels. In elite snowboarders, injuries specifically to the wrist represented only 5-6% of all injuries, but the knee appears to have an increased injury rate. This difference was hypothesized to be due to the injury mechanism, which is more likely to be from landing from high amplitude jumps, rather than an isolated fall.
During high amplitude jumps, which are a feature of a number of snowboarding disciplines, the lower limb has to absorb large impact forces. At World Cup level there was no difference between snowboarders and skiers for the rate of knee injury. (20% at elite level for knee injuries versus 6-7% for the general population of snowboarders). Most of the knee injuries that occur are either to the MCL or ACL of the leading leg. MCL was more common in beginners and ACL in the elite group. The exact mechanism of ACL injury at the time of the review was yet to be determined, two possible thoughts were, either due to the forces on a “flat landing” (not on the slope), or any unstable landing where the knee is in a valgus position. The fixed binding position may exacerbate this valgus torsion effect. Snowboarders are more likely to injure their ankles than skiers. Ankle sprains are more common than fractures, interestingly there does not seem to be a correlation between ankle injuries and boot type (soft vs hard). 64% of the fractures occurred to the medial or lateral malleolus and 36% occurred on the talus, 95% of those specifically to the lateral process of the talus (FLPT – fracture of lateral process of talus). This is almost exclusively a snowboarding injury and easily missed on x-ray. It is often referred to as a snowboarder’s fracture. The mechanism of the injury is suspected to be dorsiflexion of the ankle and inversion of the hindfoot, combined with axial loading. Snowboarding injuries are high compared with skier’s, injury prevention strategies such as helmets and wrist guards have been shown to reduce head and upper extremity injuries, but it is harder to find strategies to reduce lower limb injuries. One of the problems behind this is the difficulty in assessing the biomechanical forces and kinematics in snowboarding. There is no gold-standard for measuring these forces and studies trying to do so, have had mixed results. So in conclusion, snowboarders have a higher rate of injury than alpine skiers, generally there are more injuries to the upper extremities and head region, than to the lower extremities. This pattern alters in the elite snowboarders who have an increased risk of lower limb injuries primarily due to poor landing from high amplitude jumps. There is a need to watch out for FLPT injuries in snowboarders presenting with ankle problems. Head protection and wrist protection has helped with injury prevention and should be encouraged, however more work is needed to try and find ways to reduce the lower limb injuries particularly in elite snowboarders. Karen Carmichael BSc, BPhty, M(SportsPhysio)
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Continuing Education
Injury Prevention & Performance Enhancement Part One: Injury Prevention (Myth Busters and Mind Traps) _________________________________________________________________________ SEPNZ LEVEL 2 COURSE This course is for registered physiotherapists who work with individual athletes or teams. Delivering athletes to the start line in optimal health is a key element of Sports Physiotherapy. Our ability to identify individual risk factors and deliver effective prevention strategies is paramount in supporting robust athletes. Location: AUT Millennium (SA213) 17 Antares Place, Rosedale, Auckland Click for Google map
Date: Saturday 5th May 2018 8:30am – 4:30pm
Course Fee: SEPNZ Member $225.00 PNZ Member
$260.00
Non-PNZ Member
$325.00
The first in a 2-part course which will cover the following areas: _____________________________________________________________________________________________________ • Present the latest evidence and best practice in injury prevention • Explore successful data collection models to support team and individual sports • Workshop methods to identify the major health issues in your sport/athletic population • Explore the relevance of screening for injury prevention in sport • Practical workshop to explore selection, relevance and efficacy of key screening tests. ________________________________________________________________________________________
Presenters: Fiona Mather
Head of Performance Therapies at HPSNZ (physiotherapist)
Sharon Kearney
Previous Silver Ferns physiotherapist and current Tactix physiotherapist
To Register: Registration will be limited to the first 26 paid registrants Online registration via Physiotherapy New Zealand HERE Discount code for SEPNZ members: SEPNZ
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Continuing Education
University of Otago Centre for Health, Activity and Rehabilitation Research School of Physiotherapy
ACL Mini Symposium Anterior cruciate ligament ruptures: minimising re-injury risk and optimising performance Anterior cruciate ligament (ACL) rupture is one of the most serious traumatic knee injuries and nearly 75% of these individuals may undergo reconstructive surgery. This symposium will provide an update on international trends, potential directions from ACC, researcher and clinicians to share their findings and experiences. Keynote presenter: Associate Professor Kate Webster (La Trobe University) Kate is an internationally-known researcher about anterior cruciate ligament injuries. She is a member of the CHARR international advisory panel. We acknowledge the Otago Southland Physiotherapy Trust for their support in bringing Associate Professor Webster to present at this symposium this symposium. All Otago and Southland PNZ Branch members and staff and students at the School of Physiotherapy are welcome to attend/link in. Date: Friday, 27th April 2018, 3:30-6:00 Venue: Rm 102, School of Physiotherapy Draft programme:
3:30-4:20
Associate Prof Kate Webster: Return to sport after ACL reconstruction surgery: a review of the rewards and risks.
4:20-4:40
Stafford Thompson, ACC: Integrated care for ACL management: results of a proof of concept in Christchurch
4:40-4:55
Sharon Kearney: Working towards improving netball performance and minimising ACL injury risk
4:55-5:10
Mandeep Kaur: Outcomes of ACL ruptures, 2-15 years following reconstruction
5:10-5:25
Dr Gisela Sole: “A long and arduous process”: patients’ responses of ACL rupture and rehabilitation.
5:30-6:00
Panel discussion, joined by Ginny Rutledge (Wanaka)
A Zoom link will be available for those who cannot attend in person. Please RSVP to Gisela.sole@otago.ac.nz For updates please see: http://www.otago.ac.nz/physio/research/sports/otago681011.html
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Research Publications British Journal of Sports Medicine www.bjsm.bjm.com Volume 52, Number 8, April 2018 EDITORIALS World Health Organisation to develop global action plan to promote physical activity: time for action Charlie Foster, Trevor Shilton, Lucy Westerman, Justin Varney, Fiona Bull Do we need to reconsider best practice in goal setting for physical activity promotion? Christian Swann, Simon Rosenbaum Red flags or red herrings? Redefining the role of red flags in low back pain to reduce overimaging Gilat L Grunau, Ben Darlow, Timothy Flynn, Kieran O’Sullivan, Peter B O’Sullivan, Bruce B Forster REVIEWS Red flag screening for low back pain: nothing to see here, move along: a narrative review Chad E Cook, Steven Z George, Michael P Reiman Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuffrelated shoulder pain? A systematic review Tim Cook, Catherine Minns Lowe, Mark Maybury, Jeremy S Lewis Which exercise prescriptions improve quality of life and physical function in patients with cancer during and following treatment? A systematic review and meta-analysis of randomised controlled trials Maike G Sweegers, Teatske M Altenburg, Mai J Chinapaw, Joeri Kalter, Irma M Verdonck-de Leeuw, Kerry S Courneya, Robert U Newton, Neil K Aaronson, Paul B Jacobsen, Johannes Brug, Laurien M Buffart Can we predict the clinical outcome of arthroscopic partial meniscectomy? A systematic review Susanne M Eijgenraam, Max Reijman, Sita M A Bierma-Zeinstra, Daan T van Yperen, Duncan E Meuffels ORIGINAL ARTICLES Is there a correlation between coaches’ leadership styles and injuries in elite football teams? A study of 36 elite teams in 17 countries Jan Ekstrand, Daniel Lundqvist, Lars Lagerbäck, Marc Vouillamoz, Niki Papadimitiou, Jon Karlsson WARM UP Sport and exercise medicine: served three ways Eleanor Tillett PEDRO Exercise therapy is a beneficial intervention for chronic fatigue syndrome (PEDro synthesis) Jasan Dannaway, Cameron C New, Charles H New, Chris G Maher
http://bjsm.bmj.com/content/
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Classifieds
Full or Part-time Physiotherapist Full, Part Time or Locum Physiotherapist Required Auckland, North Shore - Forrest Hill Physiotherapy A full time, part time or locum position will become available with Forrest Hill Physiotherapy from April 2018. Our musculoskeletal practice is a certified community based clinic, with representative team and High Performance sport links amongst the six post-graduate qualified physiotherapists. Established over 25 years ago, the clinic has a loyal patient and GP referral base and an excellent reputation within the community. Our clinic has a strong manual therapy and exercise rehabilitation focus, facilitated by a fully equipped Clinical Pilates studio, rehab gym and Real Time Ultrasound Imaging service. In addition to fortnightly in-service education, the successful applicant will work alongside Clinical Pilates instructors, a continence physiotherapist and massage therapists. All staff are supported by a skilled and experienced administration team and practice manager. A competitive financial package is offered including support of on-going education, conferences, courses and work in special interest areas, e.g. sports teams. Post-graduate qualifications are desirable but PGD students with private practice experience will be considered.
If you fit these criteria and are motivated to learn and work in a dynamic post-graduate environment, then please e-mail CV to Chris McCullough at chris.mccullough@xtra.co.nz. All replies received in the strictest confidence.
Body Performance Clinic Cambridge Body Performance Clinic is an established clinic in the heart of Cambridge. This rapidly growing town is the “Town of Champions� and a hub for High Performance Sport in New Zealand. This is a unique and exciting opportunity to work in a physiotherapy and rehabilitation clinic with the ability to learn and be exposed to the work of emerging talent and the high performance environment. Work alongside our highly experienced physiotherapists, massage therapists, and great reception and exercise therapy team. Our on-site studio has Pilates and yoga classes. Our principal physio is a two times Olympic Games and Commonwealth Games physiotherapist. We have close links to Rowing NZ, Cycling NZ, local sports medicine doctors and specialists. We are looking for enthusiastic, hard-working practitioners, who ideally have Pilates experience. An interest in exercise-based rehab a desire to learn and enhance your clinical skills, are musts to work in this dynamic and energetic team. Full time or part time would be considered for the right candidate. Generous appointment times allow for an emphasis on manual/manipulative physiotherapy and exercise prescription encompassing full rehabilitation in our onsite exercise therapy area.
To apply, please email your CV with a cover letter to jobs@bodyperformance.co.nz For more information about Body Performance Clinic please visit our website: https:// www.bodyperformance.co.nz