August 2014 bulletin

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ISSUE 4 l AUGUST 2014

BULLETIN FEATURE TOPIC: Commonwealth Games www.spnz.org.nz SPNZ EXECUTIVE COMMITTEE President

Hamish Ashton

Secretary

Michael Borich

Treasurer

Michael Borich

Website & IT

Hamish Ashton

Committee

Timofei Dovbysh

Welcome to the August 2014 Bulletin In this Edition: EDITORIAL

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LATEST NEWS

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MEMBERS ’ BENEFITS

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Blair Jarratt Justin Lopes Dr David Rice Bharat Sukha Kara Thomas

EDUCATION SUB-COMMITTEE Dr David Rice - chair Dr Angela Cadogan Dr Grant Mawston

Free Stuff

FEATURE Commonwealth Games Physiotherapists in Glasgow

Dr Chris Whatman

CASE STUDY

BULLETIN EDITOR

Keep Your Finger on the Pulse

Aveny Moore

SPECIAL PROJECTS Monique Baigent

Karen Carmichael

Deborah Nelson

Kate Polson

Amanda O’Reilly

Pip Sail

Louise Turner

Greg Usherwood

PLANET OF THE APPS

RESEARCH PUBLICATIONS JOSPT: August 2014

Sports Physiotherapy NZ

ASICS

Asics Apparel and order form McGraw-Hill Books and order form Asics Education Fund information IFSPT and JOSPT

CONTACT US Michael Borich (Secretary) 26 Vine St, St Marys Bay Auckland mborich@ihug.co.nz

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Uber Sense

LINKS List of Open Access Journals

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Shoe Report: Gel Pursue

CONTINUING EDUCATION Continuing Education Calendar

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APA CPD Event Finder

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Continuing Education

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CLASSIFIEDS

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EDITORIAL

Welcome to the latest edition of SPNZ’s bulletin. You will see there is a change in content with some new features in this edition. Our member surveys have been telling us that you want case studies and other relevant information regarding clinical practice. We have the first, of hopefully many, case presentations thanks to Kate Niederer. This is a great story of something quite different, but that which a number of us could easily come across in our clinics.

This new section will only be as good as what you provide us. We are going to tap some shoulders for case studies but if anyone has something they wish to share please feel free to send it to me (help@spnz.org.nz). It doesn’t have to be anything spectacular, just something slightly different or interesting.

This leads on to another addition – that of a LinkedIn SPNZ forum. I have detailed this in the latest news section but included in the forum are answers to some questions based on the case study. Feel free to post your thoughts on this study.

The next section is about technology. There are heaps of apps out there both on Android or IOS which can make our life easier in the clinic. Justin has started us off with a great review of Ubersense, a video analysis app. Again this is linked to our forum so if you have either questions or experience using it post your thoughts and share them with the group.

A big thanks to all those who voted recently on Dr Tony Schneiders becoming an Honorary Member of SPNZ. The vote unanimously endorsed Tony continuing his association with us as a group. Welcome back Tony – you haven’t been able to get rid of us as yet. We look forward to your experience and expertise continuing to help SPNZ develop and set standards in sports physiotherapy worldwide.

For us who enjoy a bit of sport, you may be like me at present and be trying to find something to watch. After the World Cup, then the Commonwealth Games, and Super Rugby finishing our options are quite restricted. Personally I am thankful to Sommet Sports for broadcasting some AFL. This time last year I was in Aussie for three months and spent Friday nights watching it on TV, then Saturdays on the sideline with the local club. After that exposure I find it a great game to watch. For those that don’t know we have a Kiwi team: the Hawks. They are currently involved in an international tournament in Melbourne. If they have a physiotherpist with them who reads this it would be great for a report on how it all went.

While I am thinking of the sports and events that have been going on, a special congratulations to those who accompanied our Commonwealth athletes, and well done on the hard work which goes with being involved in an event like that.

On the subject of working with sports teams, a recent discussion at our exec meeting comes to mind. If you are working with a team even on a casual or voluntary basis, do you have a contract with them? Except for teams where I have been paid I haven’t, whereas other exec members always did. The conclusion was that we should all have a contract even for voluntary work as it sets out what you are willing to provide and protects you as well as the team.

We are currently working on some resources for members with regard to this which will be put up on the website. In the meantime if you have had good or bad experiences share them on our forum.

Finally the PNZ Super Conference is on next month. It has a number of top quality speakers in the sports field, and the programme includes a number of workshops within the programme. It would be great to get some feedback from those who attend on the content, the format, as well as how you feel this fits in with our SPNZ Sports Symposium, especially with them being held in the same calendar year.

Regards Hamish Ashton SPNZ President

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LATEST NEWS

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Linkedin SPNZ now has a closed group on LinkedIn. http://www.linkedin.com/groups?home=&gid=6723112 So what is LinkedIn and how can you benefit from it?

LinkedIn is an online network for business professionals.

It's different from social networking sites because it's designed specifically for professional networking. It has interest groups you can join to discuss and share ideas with people.

The SPNZ group is closed. What does this mean?

It means only SPNZ members can access its content.

How are we going to use it?

Firstly as a general sports physiotherapy forum. Got a question to ask? Put it up for discussion. For some topics we will occasionally try and get an expert opinion. Case studies - we have been asked many times for case studies. We are looking to make them a feature in the bulletins then link them back to the forum to discuss them further. Finally mobile APPs - reviews and comments on what’s out there and what we like.

As a SPNZ member you are preapproved to join the group. You just have to join LinkedIn to get started and access this valuable resource.

YouTube YouTube - it’s not just to watch the latest movie trailer. YouTube has many medically orientated clips some done better than others. We are looking to put together a SPNZ channel on YouTube with a selection of interesting and useful videos. This will make them easy to find in the future. They can be either from a professional development point of view or from a patient education view point.

If you find any videos you like or have videos you would like to share with the group send their link to me and I will get this up and running - Hamish (help@spnz.org.nz)

ASICS EDUCATION FUND A reminder to graduate members that this $1000 fund is available twice a year with application deadlines being 31 March and 31 August.

Through this fund, SPNZ remains committed to assisting physiotherapists in their endeavours to fulfil ongoing education in the fields of sports and orthopaedic physiotherapy.

An application form can be downloaded on the SPNZ website sportsphysiotherapy.org.nz.

ADVERTISING Deadlines for 2013: February Bulletin: April Bulletin: June Bulletin: August Bulletin: October Bulletin: December Bulletin:

31st January 31st March 31st May 31st July 30th September 30th November

Advertising terms & conditions click here.

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MEMBERS ’ BENEFITS

There are many benefits to be obtained from being an SPNZ 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.

FREE STUFF ISSUUE Magazines Our newsletters are available as a flip book on line on ISSUUE http://issuu.com/ sportsphysiotherapynz. There are also heaps of other resources on the site and a number of them have been grouped for your benefit. Click the “Stacks” button to find copies of sports related mags for free. These include: Football Medic, Journal of Physiotherapy and Sports Medicine, Sports Performance and Technology and more.

PodCasts Pod casts are recorded interviews or talks that are made available for access anytime. A number of Sports Medicine related pod casts are available which have been linked to our website - http:// sportsphysiotherapy.org.nz/members/resources/free-podcasts/ .

Titles include Footwear Prescription for Running and Prof Jeremy Lewis & Prof Jill Cook: Rotator cuff tendinopathies. Check them out.

Journals Not studying at present and miss the library at physio school? There are a number of journals that are available online for free. This list is increasing as more companies are developing free access journals. Let me know if you are aware of ones not on the list. We currently have a list of sports medicine , orthopaedic related and sports science - http://sportsphysiotherapy.org.nz/ members/resources/journal/ Titles include: International Journal of Sports Physical Therapy , Journal of Sports Science & Medicine, South African Journal of Sports Medicine and The Open Sports Medicine Journal.

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FEATURE COMMONWEALTH GAMES PHYSIOTHERAPISTS In Glasgow

NZ Commonwealth Games Team – Glasgow

The 2014 Glasgow Commonwealth Games Health team was a multi-disciplinary team consisting of four physiotherapists, four doctors and three massage therapists. Team physiotherapists included Jordan Salesa, Kara Thomas, Vanessa Trent and Rebecca Vanweerd. The clinic was located in a portacom within the Team New Zealand Village and was open from 8am to 10pm at night. The day was broken up into three shifts where each practitioner worked one to two shifts per day and was rostered on back-up for high use times. The majority of the clinic was open plan with three rooms for the doctors and private consultations. The open plan set up fostered a fantastic environment for easy inter-disciplinary interaction and provided a great opportunity to discuss clinical cases, pick up clinical gems from the other practitioners and provide a supportive environment.

Seven sport specific physiotherapists were included in the New Zealand team. These physiotherapists catered for the on-field and off-field needs of their dedicated sports and all had previous experience working and touring with their respective sports and athletes.

The Health Team formed a part of the greater “Performance Support Team“, which also included: Chef de mission Rob Waddell, operations staff, athlete support services, media liaison and social media. This meant that the Health Team was also involved in the fantastic tradition of welcoming the athletes into the Village upon arrival with the haka, a uniquely kiwi games tradition. This was performed outside our kiwi lounge, which was in a big marquee kitted out in kiwiana fashion.

Recovery Centre The Health Team in Glasgow worked alongside Jeni Pearce (nutritionist) who set up and ran the Athlete Recovery Centre. This was a new initiative for the New Zealand Olympic Committee (NZOC) with the aim to help maximise athlete recovery to enhance performance. The Recovery Centre was equipped with spin bikes, an area for stretching/rehab, foam rollers, a drink bottle cleaning station (a dishwasher) and hot/cold pools. This was a well utilised centre and the plan is to expand this concept moving towards the Olympic Games in Rio 2016.

Polyclinic The Glasgow Athlete Village, like all Olympic, Paralympic and Commonwealth Games Villages, had a dedicated Polyclinic. This Polyclinic is a multi-disciplinary medical facility available to athletes and support staff from all competing nations. The Polyclinic included: physiotherapy (including a rehab area, a recovery area, and weights gym), xray, CT, MRI, podiatry, acute dental, optometry, sports physicians, orthopaedic surgeons, pharmacy and had an ED. The New Zealand Team CONTINUED ON NEXT PAGE.

FEATURE

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Commonwealth Games Physiotherapists in Glasgow continued…..

CONTINUED FROM PREVIOUS PAGE. utilised this clinic for imaging and for onward referral when needed.

The Glasgow Commonwealth Games Physiotherapy Team Jordan Salesa Jordan works at the High Performance National Training Centre in Albany, Auckland and is co-owner of Physio Rehab Group. Jordan has been specifically working with swimming for about six years and has been to numerous international sporting events as a physiotherapist including the last four Olympic and three Commonwealth Games.

Kara Thomas Kara works in private practice in Hamilton and is physiotherapist with the New Zealand Rowing Team. This role includes touring with the team for extended periods in Europe each year. She has previously worked with rugby.

Vanessa Trent Vanessa works three days per week in her private practice in Christchurch and two days at Apollo Projects Centre – the Christchurch High Performance Centre.

Vanessa works for Athletes New Zealand Co-ordinating the South Island and Wellington athletes interacting with their coaches and S&C trainers. She also works with the NZ Women’s Sevens players that are based in Christchurch Rebecca Vanweerd Rebecca recently joined the team at the High Performance Sports National Training Centre on Auckland’s North Shore. Rebecca has spent the last six years chasing winters with the Canadian Para-Alpine Ski Team as their lead physiotherapist. She has previously worked with the Samoan Netball Team.

What are the types of injuries you commonly see?

In an environment like this with athletes from different sports with incredibly different physical demands there are no “common injuries”. Everyday poses different challenges and you need to be extremely flexible to deal with whatever walks into the clinic as the injury profile for an elite gymnast will be very different to that of a boxer or a 100m sprinter. We saw both acute injuries and help manage more long standing issues. (Rebecca Vanweerd, physiotherapist)

What are the key attributes you feel are required to work with elite level athletes?

Result focussed, striving for a significant improvement pre and post treatment and also sharing the passion for sports in general. (Hans Lutters, massage therapist) Who else is involved in the “support” team that you communicate with and how do you integrate with them to optimise injury prevention and rehabilitation?

The health team also utilizes the services of Gary Hermansson (team psychologist) to optimise performance.

This role is often critical in supporting athlete when dealing with the management of injuries and aiding performance strategies. Gary has been a member of the games team for eight campaigns and offers invaluable experience in the games setting.

Jeni Pearce has also had a significant role in setting up and managing the performance recovery centre. Her support and experience has been invaluable for both new athletes in the games environment and experienced athletes.

What are the challenges of being part of a health team aboard for a pinnacle event such as the Commonwealth Games?

Staying fit and healthy is an integral part of your role as a member of the health team. It is essential to make sure you take your rest when needed as it is important that you are on your A game. It is also essential to be flexible and being ready for anything at any time. To be able to communicate effectively with all members of the individual athlete’s support and medical team can always be a challenge but also is a significant benefit of being in the village environment. (Kara Thomas, physiotherapist) Arriving after long haul travel you need to be ready to work. You need to plan your travel strategy (sleep at the right times and hydration) and get into the correct time zone as quickly as possible. It is also essential that you can adapt to being able to work efficiently and effectively in any environment e.g. less space and resources than usual especially when you are travelling with a team overseas. When at a major multidisciplinary event you continually see new patients/ athletes. Therefore you must able to assess and treat patients effectively (Vanessa Trent, physiotherapist)

CONTINUED ON NEXT PAGE.

FEATURE

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Commonwealth Games Physiotherapists in Glasgow continued‌..

What are the benefits/highlights of being part of a health team aboard for a pinnacle event such as the Commonwealth Games?

Being around a multi-disciplinary team of health professionals who offer advice and support during the event (Annette O’Connor, massage therapist) The skill set of everyone is very different. All the physiotherapists, doctors and massage therapists all come from different backgrounds of sports medicine and add different strengths to the team (Jordan Salesa, physiotherapist) Being able to assist athletes both on the massage table and with moral support during this amazing event (Clint Knox, massage therapist)

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CASE STUDY Keep Your Finger on the Pulse Written by Kate Niederer Pg Cert AP, BPhty Kate is currently working with the local surf lifesaving team, school and bay rugby teams and NZ Women’s 7s.

CASE DESCRIPTION 22 year old female elite national road cyclist presented to physiotherapy with R) sided lateral thigh pain that had come on gradually following a one month training break. The pain was aggravated by high intensity hill efforts and would ease as soon as she rode on the flat or dropped the intensity and so she could complete a training sessions with intermittent episodes of pain with hill repeats. However the increasing intensity and frequency of her pain was limiting her ability to train well. She could not think of any specific mechanism of injury however noted that she had lowered her bike seat prior to her one month break from training. She reported no 24 hour pattern to her pain and appeared to be dependent on activity – her leg would ache the day after a heavy training session. She denied any neural symptoms or lumbar spine pain. Our cyclist had a history of L) sided overuse injuries and 18 months ago had had a surgical revision of a L) external iliac artery endofibrosis. Her medical history included mild Asthma and poor bone density (spine) for which she was prescribed Ca 2+. She also complained of calf pain and sore feet when riding.

She was cycling 18hrs per week, up to 5hrs per session. She also did Cross-fit twice a week.

On objective assessment she performed a quad dominant squats with her depth restricted more by ankle DF ROM as she didn’t flex through her hips. Her single leg squat showed mild reduced control of the knee and hip, again with an initial knee strategy then late hip strategy for depth. She had clawed toes bilaterally, and in standing her weight was in her forefoot rather than heels. She was supinated on her R) foot more so than her L) and Jacks test was positive on the R) and minimal on the L). She had full range of her lumbar spine, her hip exam showed minimal pain at end range internal rotation (45deg), hip flexion and quadrant testing bilaterally (this was impingement type pain rather than “her” pain). Modified Thomas test showed +5degrees of hip flexion bilaterally with obvious abduction. Her knee exam was normal but she had trigger points throughout her VL, TFL and was tight and painful at the inferior aspect of her ITB. She scored 18/50 in her Movement Competency Screen (MCS) with key observations being; knee > hip strategy, weight-shift and adduction of the pelvis on single leg exercises and reduced core control (lumbar flexion) with both double and single leg squats.

A differential diagnosis of Iliotibial Band Syndrome (ITBS) secondary to poor biomechanics and the recent change to her bike set up was given and treatment consisted of education regarding modifying her training load, dry needling of muscular trigger points in her TFL, VL, and psoas, prescription of a progressive glut/core strengthening programme and customised orthotics to cycle in.

The outcome of this was increased endurance on the bike (she was able to return to 5-6hr daily rides), her foot pain when cycling was abolished and there was a significant reduction in her lateral thigh pain.

However when she returned to her hill training pain returned to her R) thigh.

Her hill efforts consisted of a 5 minute steep climb (standing), during which her R) side would fatigue during, and when she finished the hill and tried to put in power again she would get pain. She now reported it starting in her calf and then feeling it in the hip. It would ease off after cycling 10-15mins between efforts, and she was able to put 100% into next effort.

Judgement had become a little clouded over this time as her pain would alternate from side to side each treatment so treatment alternated as well. Over this time she was questioned over her previous L) hip arterial surgery however she said this felt different and she seemed to be improving otherwise.

She competed at the Road Cycling Nationals and unfortunately had to pull out after the first lap due to pain.

We referred her to Judith May who subsequently referred her to the Christchurch Vascular Group where she had been treated previously and was due for her one year check-up. Justin Roake diagnosed her with External Iliac Artery Endofibrosis (EIAE) CONTINUED ON NEXT PAGE.

CASE STUDY

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Keep Your Finger on the Pulse cont’d ...

BACKGROUND EIAE is sports related flow limitations in the iliac arteries caused by narrowing of the vascular lumen or kinking of the vessels. It is most common in cyclists, triathletes, speed skaters and rowers due to extremely high blood flow, with repetitive hip flexion and the aerodynamic position (cycling). The continuous repetitive flexing of the artery under pressure causes the arteries to stretch/narrow/kink which leads to decreased blood flow and subsequent ischaemia.

This leads to pain, numbness, weakness/decreased power (in the distribution of the artery i.e. anterior/lateral thigh/ calf) with high intensity exercise, which reduces/abolishes when back off and returns with high intensity.

Cycling appears to be the most provocative for EIAE as: 

It is an endurance exercise with high demand for blood flow + intermittant hip flexion

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Professional cyclist 35,000km/year = 8,000,000 hip flexion/year PLUS blood flow through arteries up to 10L/ min

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Aerodynamic position -> increases hip flexion

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Tight shoe/pedal connection -> increases pulling action -> hypertrophy psoas

It is often misdiagnosed due to the young, healthy population that gets it and it appears as an overuse soft tissue injury or compartment syndrome. There are currently no clinical tests for it and diagnosis is by Ankle-Brachial Index (ABI) test pre/post exercise, Angiography or Doppler Ultrasound/Ultrasound Stress testing.

Treatment currently consists of two options: Conservative (rest); altering training loads, changing position on bike, reduce pulling up on pedals etc., or surgical. Total rest is often unrealistic, especially for an elite athlete, and if the symptoms not settling, due to the progressive nature of the condition, total occlusion could result. Surgical options include iliac artery release, angioplasty/Stent or vascular reconstruction. Vascular reconstruction is a much bigger surgery but so far has shown to be the most effective. The long term effects are not known.

OUTCOME Our athlete had a Vein patch angioplasty of the external iliac artery where they harvested a segment of her saphenous vein and patched the stenotic region of the artery. She was back on her bike a month later and is back competing less than 6 months post-surgery.

DISCUSSION This case highlighted for me the need to be aware of some of the less common conditions that affect target populations. It also showed how easily judgment can be swayed by an athlete trying to assure you (and themselves!) that there is nothing significant going on.

The take home message is to be aware of your target population, and for EAIE specifically watch out for endurance athletes (cyclists/triathletes/rowers) who complain of “pain, loss of power and/or a cramp at maximal effort, which affect multiple muscles and is not restricted to a localised area in a muscle or in a tendon” and which disappears quickly at rest, as up to 60% of them prove to experience a flow limitation in the iliac arteries (Bender et. al, 2004).

What was your original impression of what was going on?

What was the process to final diagnosis?

In hind sight is there anything you would do differently?

Do you have any clinical tips on this injury?

For answers to these and further discussion check the SPNZ LinkedIn forum page http://www.linkedin.com/groups?home=&gid=6723112

PLANET OF THE APPS

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Ubersense Your monthly App review by Justin Lopes - Back To Your Feet Physiotherapy, SPNZ executive member.

Hi. My name is Justin Lopes and I will contributing to the newsletter in a feature that will look at the many options we have in the world of new-fangled technology we find ourselves in. My brief has been to introduce to you some apps that could help improve the service you provide as a sports physiotherapist. I would love to hear your feedback and, if you have any specific apps you would like me to review, please send me the details at info@backtoyourfeet.health.nz App: UBERSENSE Coach: slowmotion 4.5 stars For over a year I have been using this great app for both movement analysis and progress comparison videos. I record clients either doing movement screening activities or running, then show them how they are moving and coach them as to how I think we can improve their movements. Then we record the movement again and compare the before and after clips. I have found this gets great buy in from the clients as they can usually see some immediate improvement and get a better understanding of what we are trying to achieve. I also have some pre-recorded clips of an athlete doing the movements properly so I can show them what I am asking them to do. It is a cheap version of Silicon Coach and has been a game changer since its released; it is now up to version 3.6.4.

Requires: IOS 7.0 or later, it is compatible with iphone, iPad and ipod touch. Optimised for Ipad 5 What it is used for: Video movement analysis, coaching, comparing videos Where to find it: Download from Apple store, http://www.ubersense.com/ Ubersense Inc. has its own Youtube channel https://www.youtube.com/user/ubersenseinc Cost: Free Android or Apple or both: Apple - works best on an iPad due to larger screen, but the iphone version is great as it is more portable Features: Video recording and slow speed playback. You can store videos by date or tag athletes Pro’s: Download and use with ease immediately. Slow down, toggle and playback video at 1/8 speed. Can compare before and after videos to show clients progress or compare to “normal” videos. Has drawing feature so you can demonstrate and measure angles and a narrator tool so you can talk over the top of the video before sharing with your athlete or on social media, or uploading to the Ubersense community videos. There is a growing number of Ubersense community sports videos online with comment on technique. This app is also great for running analysis.

The app is quick to load and it is very easy to use. You can save your videos on your device or pay $6.49 a month or $38.99 a year for Ubersense Elite which has unlimited storage and seamless syncing across your devices as well as online across all your devices. Patients or athletes can record their own videos and send them to you to show progress (great when you are monitoring progress of elite athletes from a distance).

Cons: The videos can take up a lot of storage space on your device.

Summary: This is a clinic essential. You do need to be aware of privacy issues around sharing and storing videos of patients and also to ensure you have appropriate consent.

Overall Rating: 4.5/5

For further discussion on this App check the SPNZ LinkedIn forum page http://www.linkedin.com/groups?home=&gid=6723112

RESEARCH PUBLICATIONS

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JOSPT www.jospt.org JOSPT ACCESS All SPNZ members would have been sent advice directly from JOSPT with regards to accessing the new JOSPT website.

You will have needed to have followed the information within that email in order to create your own password.

If you did not follow this advice, have lost the email, have any further questions or require more information then please email JOSPT directly at jospt@jospt.org in order to resolve any access problems that you may have.

If you have just forgotten your password then first please click on the “Forgotten your password� link found on the JOSPT sign on page in order to either retrieve or reset your own password.

Only current financial SPNZ members will have JOSPT online access.

Current Issue August 2014 EDITORIAL The Distinction Between Randomized Clinical Trials (RCTs) and Preliminary Feasibility and Pilot Studies: What They Are and Are Not BRIEF REPORT Minimum Important Differences for the Patient-Specific Functional Scale, 4 Region-Specific Outcome Measures, and the Numeric Pain Rating Scale Sonographic Measures of the Gluteus Medius, Gluteus Minimus, and Vastus Medialis Muscles Blood Pressure and Heart Rate Response to Posteriorly Directed Pressure Applied to the Cervical Spine in Young, Pain-Free Individuals: A Randomized, Repeated-Measures, Double-Blind, Placebo-Controlled Study CASE REPORT Clinical Decision Making for the Evaluation and Management of Coccydynia: 2 Case Reports MUSCULOSKELETAL IMAGING Tear of the Lateral Meniscus With an Associated Parameniscal Cyst RESEARCH REPORT Myofascial Treatment for Patients With Acetabular Labral Tears: A Single-Subject Research Design Study Evaluative Measurement Properties of the Patient-Specific Functional Scale for Primary Shoulder Complaints in Physical Therapy Practice Pressure Pain Sensitivity Changes After Use of Shock-Absorbing Insoles Among Young Soccer Players Training on Artificial Turf: A Randomized Controlled Trial Diagnostic and Procedural Imaging Curricula in Physical Therapist Professional Degree Programs Functional Outcomes After Surgical Management of Articular Cartilage Lesions in the Knee: A Systematic Literature Review to Guide Postoperative Rehabilitation

ASICS REPORT

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SHOE REPORT

GEL PURSUE

The GEL Pursue is a new addition to the neutral category and replaces the Asics Kurow/Landreth in the July-December 2014 range. The neutral/stable neutral category is growing exponentially as both athletes and medical staff alike are beginning to better understand that running gets better when the shoe moves from heel to toe off efficiently.

The Pursue is built on a 21mm-11mm platform. This is a great platform that creates less resistance from heel strike to toe off whilst maintaining protection and cushioning for those long hours on the pavement. Integrated into the platform is a Guidance Line which, a deep groove that runs from the heel to toe, and an outsole profile with greater flex grooves to reduce surface tension and allow the foot to plantarflex easier, reducing fatigue on the muscles by producing a faster transition from midstance to toe off. These key features make the shoe part of the leg and not a heavy weight on the foot.

One stand out feature that the ASICS design team thought important to incorporate into the GEL Pursue is Fluid Ride.

This performs brilliantly on the 21-11mm platform and produces one of the best feeling and highest performing shoes in the ASICS range. Fluid Ride is a dual stacked midsole boasting ASICS two premium foams and gives the ultimate in durability and cushioning. A top layer of SpEVA provides fantastic cushioning whilst a bottom layer of Solyte maintains durability.

Combining the two foams provides an improved ride from heel to toe with a “bounce back” effect when running. When combined with Gender Specific Cushioning (to account for different impacts between men and women) and GEL in both the rearfoot and forefoot, it is clear that the Pursue demonstrates the ultimate degree of cushioning. Support is maintained at a minimal level with an integrated Guidance Trusstic and a Clutch Counter in the rearfoot to provide protection through midstance and heel strike.

The GEL Pursue has hit the mark in providing a “runners shoe” for those purists out there. It ticks all the boxes for weight, ride (feel from heel to toe) and has a fantastic cushioned feel. Midfoot protection through the trusstic is desirable during longer runs when the muscles fatigue and foot strike becomes harder and longer. The Pursue suits your efficient neutral to mild over pronator who runs at a higher cadence e.g 5.5min and under.

The Pursue will also work well for podiatrists prescribing an orthotic for additional support but not wanting to use a stability shoe that could impede the runner’s movement forward.

Furthermore, Walkers will also enjoy this shoe for its cushioned feel underfoot and easy flexion through the midfoot and toes.

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CONTINUING EDUCATION CALENDAR

Upcoming courses and conferences in New Zealand and overseas in 2014.

For a full list of local courses visit the PNZ Events Calendar For a list of international courses visit http://ifspt.org/education/conferences/

LOCAL COURSES & CONFERENCES When?

What?

Where?

13-14 September

Myofascial Release Therapy Training Courses - Advanced Lower Body

Nelson

13 September

RockTape (Kinesiology) Taping 1 Day Seminar

Tauranga

19-21 September

Linking the Chain – Physiotherapy Conference

Auckland

22 September

Kylie Hill Workshop - PNZ Conference

Auckland

3-4 October

Myofascial Release Therapy Training Courses - The Fundamentals

New Plymouth

5-6 October

Myofascial Release Therapy Training Courses - Advanced Lower Body

New Plymouth

2014

APA CPD EVENT FINDER

SPNZ members can now attend APA SPA (Sports Physiotherapy Australia) courses and conferences at APA member rates. This includes all webinars and podcasts (no travel required!).

To see a full list visit the APA and SPA Events Calendar

Course

Town

Dates

Sports Level 2

Bentley, WA

5-7 September 2014

The Sporting Hip

Douglas, QLD

6-7 September 2014

The Sporting Shoulder

Banyo, QLD

11-12 October 2014

Sports Level 1

Kent Town, SA

25-26 October 2014

Sports Level 2

Camberwell, VIC

21-23 November 2014

The Sporting Hip

Silverwater, NSW

22-23 November 2014

CONTINUING EDUCATION

SEMINAR IN MOUNT

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MAUNGANUI SEPTEMBER 13TH 2014

Attend a RockTape seminar for the chance to learn more about this fast growing method of sports taping used by innovative practitioners and elite athletes.

The one day seminar teaches kinesiology taping principles using an "open source" philosophy - we don't believe there is only one correct way to tape. Participants will learn the principles that can then be applied to their individual patients or athletes.

RockTape activates the nervous and circulatory systems to initiate healing and is used by the practitioners to assist in the treatment of:    

Injured muscles Biomechanical dysfunction Postural dysfunction by improving proprioceptive feedback to the area Control of inflammation or lymphoedema.

RockTape is used by athletes to:  Shorten rehabilitation  Improve endurance through the ability to maintain the correct posture and increase circulation to the working muscles  Improve recovery time after intense training sessions or races, as the increased circulation assists in the removal of waste products such as lactic RockTape has also developed a new protocol with Thomas Myers (author of Anatomical Trains) for taping called “Power Taping”. This movement based taping technique embraces the concept of muscles acting together as a chain as opposed to in isolation and is aimed to assist athletic performance through the myofascial system.

MOUNT MAUNGANUI Seminar Abilities in Action, 14b Hocking Street, Mount Maunganui 13th September 2014 8:15(registration) 8:30-5pm Cost: $200 Earlybird rate available until 13/08/0214 ($300 after 13/08/2014) LIMITED PLACES AVAILABLE For student rates contact Rocktape NZ at details below

Presented by: Leanna Veal (BPhty, PGDipSpMed, MNZSP) For more course or product information and to register by purchasing this seminar go to: www.rocktape.co.nz Email: info@rocktape.co.nz

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CLASSIFIEDS POSITIONS VACANT CHRISTCHURCH Body Wise Health Physiotherapist required Are you ready to join our team?

Body Wise Health is seeking a motivated, experienced physiotherapist to join our expanding team. Body Wise Health is based in the new Marshlands Family Health Centre and provides physiotherapy and rehabilitation services to a local and corporate city gym. The clinic has a fantastic mix of holistic health treatments including physiotherapy, pilates, acupuncture, massage therapy and occupational health.

Established four years ago, our musculoskeletal practice is an accredited clinic which has a loyal patient and GP referral base and an excellent reputation within the community.

Our clinic enjoys a strong supportive environment within the medical centre including three GPs, podiatrist, and counsellors. We are currently expanding into a corporate city gym which presents an exciting opportunity to work in one or two fantastic locations and with a team of personal trainers and other health professionals.

The successful applicant will enjoy flexibility and the opportunity to work independently whilst still being part of a supportive and growing team environment. This position will be supported with regular in-service trainings, a competitive financial package including support of on-going education and conferences. There is also gym membership provided at the gym.

Post-graduate qualifications are desirable but PGD students with private practice experience will be considered.

If this sounds like you and you are motivated to work in a dynamic environment, then please e-mail CV to Tina McCormack at tina@bodywisehealth.co.nz or contact Tina on 021 419 744.

All replies received in the strictest confidence.

HAMILTON Lisa Hansen Physiotherapy Clinic Physiotherapist required Lisa Hansen Physiotherapy Clinic has an opening for an enthusiastic physiotherapist. Start date early to midSeptember 2014.

If being part of large team of therapists in a clinic with lots of variety of work sounds appealing then please apply.

We offer a friendly supportive team of therapists to work with in a clinic with a good reputation.

If you have a passion for any of these areas: sports, manual hands-on work, shoulder injuries, hand therapy, vocational work, post-operative orthopaedic work, then I would love to hear from you.

Please phone 027212566 or email lisa.hansen@xtra.co.nz.

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CLASSIFIEDS POSITIONS VACANT TAURANGA Foundation Clinic Sports physiotherapy position

Here is a unique and exciting opportunity to work in an established sports physiotherapy and rehabilitation clinic situated in the Tauranga CBD. Due to an ever expanding patient load “Foundation” is in need of another high quality sports physiotherapist. The position will involve working with some Bay of Plenty’s top premier sports clubs as well as international rugby and cricket academies.

Generous appointment times allow for an emphasis on manual/manipulative physiotherapy and exercise prescription encompassing full rehabilitation in the onsite rehabilitation gym. Clinical team consists of physiotherapists, massage therapists, nutritionist, sport scientist and full time reception.

Work along-side physiotherapists who have experience working with national and international athletes and sports teams. The successful applicant will receive on-going support as part of our mentoring programme. Allowance for CPD also included.

The position is permanent full time. Start date negotiable. Employees will be paid a base retainer, so there’s no stress about income as you grow your patient list.

We are looking for a competent, hard-working individual with high work ethic, excellent communication and enthusiasm who is keen to learn and enhance their clinical skills.

New Grads with appropriate musculoskeletal and/or sports experience welcome to apply.

All applications will be treated with utmost confidentiality.

For more information check out our website www.foundationclinic.co.nz For expressions of interest forward your CV and covering letter to: Craig Newland: craig@foundationclinic.co.nz

EAST TAMAKI, AUCKLAND Physiosport Full or part-time vacancy An position exists for an enthusiastic and motivated physiotherapist to work in an established clinic located within a large medical centre. You will have the opportunity to work alongside an experienced physiotherapist who also has a background in lecturing. You will work in a relaxed atmosphere where treatment is manual therapy based incorporating an emphasis on education and rehabilitation. The workload is varied incorporating many home and work injuries.

New graduates are welcome to apply and will be gradually eased into a workload such that your learning is of paramount importance.

Overseas applicants may apply but must have NZ registration or be advanced in the process of applying for such.

Consideration will also be given to financial assistance with eg. PNZ membership and annual registration.

For all enquiries, please contact Bharat on 09 2744900 , 021 1277901 or physiosport@ihug.co.nz

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CLASSIFIEDS POSITION VACANT HAMILTON Performance Plus Physio Lead Physiotherapist Position with Clinic Management Role 

Performance Plus Physio is seeking applications for the position of Lead Physiotherapy and Clinic Management role. This is a new permanent position, created by the expansion of the business, and will be based at our main clinic site and at the university clinic. A passion for physiotherapy and a solid understanding of exercise rehabilitation, manual therapy is essential.

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This person will work as the lead physiotherapist at our main private practice and oversee the daily running of the clinic, in-service programme and mentoring role to the junior staff.

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This is a fast paced and energetic environment, in a dedicated team supporting community based clientele, club sport athletes to elite athletes.

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If you are an outstanding leader with a passion for delivering excellent service, then this is definitely the next role for you. This position can lead to a future partnership opportunity.

e-mail CV to: performanceplusphysio@xtra.co.nz or Phone. +64 21 1334106

Got a (landscape) photo of you working as a sports physio?

Can we have it for the front page of our website?

Please send them to Hamish help@spnz.org.nz

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