SEPNZ Bulletin August 2021

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SEPNZ BULLETIN

ISSUE 21, AUGUST 2021

Horsing Around p5

SARAH CRUICKSHANK UPDATES US ON WORKING WITH ANIMALS

p12 BACK TO THE APP

p18 CLINICAL REVIEW

p19 PLINTH TO PODIUM AGENDA

www.sepnz.org.nz

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SEPNZ EXECUTIVE COMMITTEE

Members Page

President - Blair Jarratt Vice-President - Timofei Dovbysh Secretary - Michael Borich Treasurer - Timofei Dovbysh Website - Hamish Ashton Sponsorship - Emma Lattey Committee Emma Clabburn Justin Lopes

EDUCATION SUB-COMMITTEE Lauren Shelley (Chairperson) Emma Clabburn Justin Lopes Dr Grant Mawston Dr Gisela Sole Emma Lattey John Love

Visit www.sepnz.org.nz

Join us on Facebook

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ADDITIONAL USEFUL WEBSITE RESOURCES: List of Open Access Journals ASICS Apparel - how to order McGraw-Hill Books and order form ASICS Education Fund information

BULLETIN EDITOR Emma Clabburn

Journal of Orthopaedic & Sports Physical Therapy (JOSPT)

International Federation of Sports Physical Therapy (IFSPT)

SPECIAL PROJECTS Karen Carmichael Amanda O’Reilly Pip Sail

BULLETIN ADVERTISING DEADLINES:

February Bulletin: 31st January April Bulletin: 31st March June Bulletin: 31st May August Bulletin: 31st July October Bulletin: 30th September December Bulletin: 30th November Advertising terms & conditions click here.

CONTACT US Michael Borich (Secretary) 8 Edith Place, RD6, Omaha, Auckland mborich@gmail.com

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CONTENTS SEPNZ MEMBERS PAGE See our page for committee members, links & member information

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EDITORIAL: By Justin Lopes

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FEATURE ARTICLE: Sarah Cruickshank: Veterinary Physiotherapy - working with the animal athlete

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BACK TO THE APP: AIRBANDS – BLOOD FLOW RESTRICTION (BFR) CUFFS

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MEMBER BENEFITS: ASICS Professional Buyers Program

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ASICS FOOTWEAR REVIEW: GLIDERIDE 2

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CLINICAL REVIEW: Evaluating Ultrasound as a Noninvasive Technique for Investigating Anatomical Variations of the Equine Nuchal Ligament Lamelle

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AGENDA PLINTH TO PODIUM

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UPCOMING SEPNZ COURSES

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RESEARCH PUBLICATIONS: April 2021 - Volume 55 - Issue 15

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CLASSIFIEDS & FURTHER MEMBER BENEFITS

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EDITORIAL Dear Members, Welcome to the August bulletin, and welcome back to lockdown! We understand the impact the lockdowns have on our sports therapists, and we want you to know there is support out there if you need it.

Depending on how well New Zealand can contain the outbreak, we may have an extended lockdown. If it is appropriate, apply for the Covid resurgence subsidy. Look after yourself and your staff's well-being as well as your patients. If you are struggling and need someone to talk to, call your friends or colleagues, or call HealthLine.

As always, we have tried to put together a jampacked bulletin full of relevant clinical information, messages from our sponsors and information that we think will help you fill your potential as a sports physiotherapist. I want to make a special mention to Emma Clabburn, the Editor of the bulletin, for all the hard work she puts into this resource for our membership.

In this bulletin, Sarah Cruickshank gives us an insight into what it is like working with animals and her path to becoming a veterinary physiotherapist. It is incredible to think of all the different pathways someone can choose from when they graduate with a physiotherapy degree.

The SEPNZ executive has had a busy few months as we work together with NZMPA to put on the first combined online and in-person Symposium with international keynotes from Dr Enda King, Dr Melanie Hayman, and Prof Chad Cook. We are still hoping to run the Symposium in Person at this stage, although this will only happen at Alert Level 1. Workshops will only run if we are in-person, and Jacinta Horan, Mark Laslett's, and Hannah Orr's workshops have sold out, with a couple of tickets left for Angus Ross' Spinal Engine practical workshop.

Emma Lattey has been working tirelessly to secure sponsorship for the event. As well as having trade stalls: Netballsmart are sponsoring Enda King's keynote presentation. Formthotics are sponsoring Jacinta Horan's ankle rehabilitation workshop, and ASICS also are sponsoring Angus Ross' presentation. Vald has purchased three trade stalls to demonstrate its products. We will also have an interactive AUT USL Sport healthcare, Auckland Radiology Group, and Whiteley Allcare trade stalls.

If Auckland is at Alert Level 2 or above, the Combined Symposium will be an online-only event. Everyone who has purchased an in-

person ticket will be sent a link to connect virtually and watch the presentations live. If you have purchased a ticket to workshops or dinner, you will be reimbursed. The EARLY BIRD TICKET SALES DEADLINE is the 20th of August, so book today to get discounted rates!

In-person tickets: Combined Symposium 2021: Plinth to Podium (In Person) : PNZ Online tickets: Combined Symposium 2021: Plinth to Podium (Online) : PNZ

I look forward to seeing you all at the Symposium, Nga Mihi, Justin Lopes SEPNZ Symposium Coordinator

CONGRATULATIONS TO CLAIRE MAXWELL WHO IS OUR LATEST MEMBER TO HAVE COMPLETED ALL THE SEPNZ COURSES!

https://pnz.org.nz/Event?

Action=View&Event_id=3159 Early Bird: Until Aug 20th 2021 SEPNZ members: $300 (to receive the SEPNZ member price, please use the discount code provided).

Non PNZ members $450 Virtual access also available: https://pnz.org.nz/Event?

Action=View&Event_id=3160

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NEW WEBSITE INFO!

Find a Sports Physiotherapy Listing As you may have noted we have had a upgrade of our website. You should have recently received an email regarding this and resetting your password.

When you first log on to the site you will see this screen.

This is you ‘Find a Sports Physio’ listing which you can now update yourself. Please note it is your personal profile and not your clinics so use information specific to you. To update it just click the update profile button at the bottom.

Please note this is publicly accessible so don’t use any contact details you don’t want to be publicly available

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FEATURE ARTICLE

Veterinary Physiotherapy - working with the animal athlete Sarah Cruickshank, Veterinary Physiotherapist Director & Physiotherapist Vetphysio Ltd & VSA Physio (Veterinary Specialists Aotearoa) MSc (Vet Physio, Distinction, RVC London), BHSc (Physio, AUT) Board registered Physiotherapist NZ & UK (HCPC), MPNZ, MCSP ACPAT Category A (Overseas), Chair & founder NZAVPA Graduated AUT BHSc Physiotherapy 2004 Graduated RVC MSc Veterinary Physiotherapy 2007 I was so young when I announced that I was going to be a Vet, no one seems to remember how old I was - certainly under 5, all through my childhood I was determined that that would be my career path. Apart from a brief

moment when I wavered at age 4 - I came home from kindy in 1984 having made ‘gold metals’ after watching Mark Todd and Charisma win Olympic gold in LA, and I proudly announced I was going to be Charisma when I grew up. But the Veterinarian dream persisted. I set up Vet clinics in the basement under our house; practiced suturing my soft toys and was obsessed with animals, in particular dogs and horses. I was also obsessed with Land Rovers and announced that I was going to be a Vet in Africa and drive a Land Rover.

Interesting convictions for a little girl growing up in central Auckland!

It took years for me to persuade my parents to relent and allow me to have a pony, (apparently I was the equivalent of water torture - drip, drip, drip…) and I have been heavily involved with equestrian sport ever since. When I was 13 I had a life changing moment, my new eventing horse had a sore back, bucked me off and the Vet’s prognosis was 6 weeks off and some pain relief. I was devastated. It was the beginning of the competition season and 6 weeks off is NOT what you want to hear. A friend suggested an ‘equine physio’ she had heard of, and to my Mother’s amusement

we tried it. My highly strung horse, who hated men, and was highly suspicious of any human in overalls smelling of disinfectant loved her, and I remember thinking my horse loves this - I want to do this! She gave me a set of exercises to do, recommended I have the saddle checked and I was back in the saddle in under 2 weeks and had a long term partnership with this special horse for 21 years.

This experience was pivotal, I promptly announced that I was going to be an Equine Physio, and drove my school careers advisor crazy for the next few years of high school as she was unable to help me find a suitable pathway.

Unfortunately, when I interrogated the lady that had come to see my horse, it turned out she had worked for a physio in the UK (one of the ‘gurus’ who was one of the first physiotherapists to shift their skills to animals), but sadly she wasn’t actually a qualified physio. Frustrated, I embarked on a Bachelor of Science in Anatomy & Physiology at Otago University, still desperate to find a career pathway into equine physio. In my second year, my Father contacted Bristol University regarding an equine course, and they explained that the Royal Veterinary College was launching a world first - a Masters of Science in Veterinary Physiotherapy. So I promptly charged my phone card (yes this was the late 90’s), and called London. The degree sounded amazing, and I could apply from NZ. I could hardly contain my excitement. But then at the end of the conversation - the game changer. You had to be a ‘human’ physiotherapist first.

So back to the drawing board, I had to complete my BSc before applying to the Otago Physio program, so I took my chances with AUT and thankfully was accepted. I embarked on a further 4 years in addition to the two I had already completed, and although I had moments of frustration where I just wanted to get straight into the animal physio, I did enjoy the degree. The RVC insisted on 2 years clinical experience, so as soon as I had my CONTINUED ON NEXT PAGE >>

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FEATURE ARTICLE registration I applied for a job in MSK private practice with Glen Putze, who was a wonderful mentor and taught me so much, really helping me hone my palpation skills. I cheekily applied early for the RVC MSc, hoping to be accepted and then be able to defer. Amazingly they took into account the clinical hours completed in the AUT BHSc and the concentrated hours in private practice compared to the British degrees and new grad structure and accepted me with only 15 months experience, so I packed my bags and took off to London in May 2005 to finally study Veterinary Physiotherapy.

The Masters program at the RVC was incredible and I loved every minute. Once there I realised to my surprise that it wasn’t just horses who could benefit from physiotherapy but other species too - companion animals (dogs, cats, rabbits) and other species too. While I started out wanting to research the broad topic of ‘Equine Back Pain’ I was offered the opportunity to travel to Dubai with an RVC research team to study racing camels, so decided that was a once in a lifetime chance. Three of us dissected 5 camels and investigated the structural and functional anatomy of the thoracic and pelvic limbs by gathering quantitative muscle architecture and moment arm data, while the other half of our research team trialled early models of inertial motion sensors on the camels at the racetrack (a single railing that went further than you could see out into the desert). Back then, the inertial units fitted into small tins which had to be bandaged to the camel’s distal limb and had cables running to sensors which they tried to glue to the camel’s toe nails (they had only previously been used on horse hooves). I then analysed the thoracic limb data for my pilot project and

thesis, of which I won the Project Prize for and joint First Place, and a Distinction for my MSc. This still amazes me, but when you are passionate about what you are studying, it is astounding what you can achieve!

During my MSc, having already collected my camel data, I was asked at the last minute to fly out to Australia to assist on another RVC project which was using the same methodology as I had used on the camels, but investigating two very different equine athletes - the Quarter Horse and the Arab. The equivalent of comparing the sprinter and the marathon runner. Of course I said yes, and we flew out from London a few days later to dissect 12 horses at the University of Queensland. These two

Arab endurance horses - UAE breeds are at opposite ends of the spectrum of equine performance - the Quarter Horse (QH) can do a quarter mile (402m) in 21s and accelerate from a standing start to approximately 70km/h, has been selectively bred for acceleration and can accelerate faster than a thoroughbred. It is a very popular breed in the USA and there are over 4 million registered QH’s who participate in

Quarter Horse racehorse Western sports, showing and racing. Whereas the Arab, an exceptional athlete in it’s own right, has been bred to cover huge distances at slower speeds (17km/h) and can cover 160km in 9.5 hours. It is thought the Arab has been selectively bred for 4500 years. We already knew that the muscle architecture of the fore and hind limbs of the horse are optimised for different biomechanical functions (Payne et al 2004, 2005), and the proximal hindlimb muscles provide power for locomotion (Dutto et al, 2004), while the forelimbs act as stiff spring-like struts (McGuigan & Wilson, 2003). The proximal hindlimb muscles account for the majority of the horses’s locomotor mass (Payne et al, 2005), many of which attach directly to the skeleton without a tendon, and provide the mechanical power for activities such as acceleration, running uphill and jumping (Robert et al, 2000). In comparison, the equine distal hindlimb muscles are significantly smaller and attach to the skeleton via long thin spring-like tendons - an CONTINUED ON NEXT PAGE >>

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FEATURE ARTICLE adaptation in cursorial animals which reduces the need for energetically expensive muscle.

Elite sprint runners have longer muscle fascicle lengths, arranged at lesser pennation angles in their leg muscles (Abe et al, 2000) which has been linked to running speed, so could this be the same in Equine athletes? We dissected 6 QH’s and 6 Arabs to find out, and we discovered that the QH hindlimb muscle had a greater muscle mass and physiological cross sectional area (PCSA) and therefore greater isometric force potential when compared to the Arab, and all horses were of a similar height and body mass.

Gluteus medius had the largest PCSA and force potential in both breeds, and the mean PCSA of semitendinosus in the QH was approximately double that of the Arab. We found no significant difference between the two breeds in muscle architecture or pennation angle. We also investigated the moment arms at the hip, stifle and tarsus during limb extension using the tendon travel method and found a trend towards the QH muscles having a greater length of moment arm and potential to generate a greater mean muscle moment at the hip than the Arab due to their greater PCSA, and the QH gastrocnemius and biceps femoris can potentially generate almost double the muscle moments. QH limb muscles are better suited to generating greater joint torques associated with rapid acceleration due to greater muscle PSCA and therefore greater isometric force potential, rather than by having greater length of muscle moment arm. Arab muscles at the hip and stifle tend to have greater MFL:MA ratio (muscle fascicle length:moment arm), which indicates their muscles have the potential to operate at slower velocities of contraction and therefore generate greater force outputs, optimising their muscles for economical locomotion during endurance racing. https://onlinelibrary.wiley.com/doi/10.1111/j.14697580.2007.00848.x https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2913009/

Following my graduation in London in 2007 I was fortunate enough to secure the only full time Veterinary Physiotherapy job on offer in the UK (and thankfully a work visa!) for Amanda Sutton, ex-British Team Physiotherapist in the beautiful English county of Hampshire for a year. I then moved on to become physiotherapist for a

number of international event riders and their horses in Hampshire and the Cotswolds Vittoria Panizzon (ITA), Yoshi Oiwa (JPN), and Andrew Hoy (AUS) & Bettina Hoy (GER) who were then based at Princess Anne’s picturesque Cotswold estate - Gatcombe Park. I worked at all the major 3 Day Events in the UK Badminton, Burghley, Blenheim as a physiotherapist for horse and rider. For me, this was living the dream and I was lucky enough to achieve one of my career goals and travel to the Beijing Olympics in 2008 with Vittoria Panizzon and her horse Rock Model, and was able to also

Vittoria, Rock Model & Sarah a few minutes before entering the Olympic arena to perform their dressage test - Beijing 2008 Olympic physio’s a bit damp after cooling down the horses in the 10min box post cross country - Sarah (ITA), Narelle Stubbs (AUS) & Ellie Tisch (CHN) - Beijing 2008

support Yoshi Oiwa and his horse Gorgeous George while there. On my return from the Olympics, I was sadly unable to stay in the UK due to visa issues, so returned home to New Zealand late 2008, thinking that this was a temporary move. A few months later, I was still unable to return to my career and life I had created in the UK, but realised that I had a business already in NZ, developed purely through word of mouth so decided to stay and Vetphysio was founded. Vetphysio is a mobile and clinic-based equine service, rider physiotherapy service and clinic-based small animal service. We offer pre and post operative physiotherapy services, rehabilitation, biomechanics analysis, geriatric and arthritis management, sports injury and performance optimisation.

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FEATURE ARTICLE www.vetphysio.co.nz It is a real passion for me to work with my elite patients high level sport horses (Eventers, showjumpers, dressage horses) and riders, racehorses, working and sporting dogs to really help them achieve that additional performance and at the other end of the spectrum I love working with our older animals, maximising their mobility and quality of life for as long as possible.

It was a privilege to travel back to the UK for the London 2012 Olympics to be physio again for Vittoria Panizzon and her horse Borough Pennyz, and I have travelled to the Adelaide 5* 3 Day Event (the only 5* 3DE in the Southern Hemisphere, and one of only 5 in the world) a number of times with my clients, and in 2019 as Physio for the NZ Eventing Team (another career goal ticked off) and I have travelled internationally treating racehorses. I’m lucky to work with many of New Zealand’s top equestrian athletes and I work at many of the major National Events in NZ throughout the Equestrian season and at the Horse of the Year show annually where I can support my clients in many of the Equestrian disciplines at the one event.

Vittoria & Borough Pennyz - about to head out on the cross country course London 2012

I feel as a Veterinary Physiotherapist we are advocates for our animal patients who cannot verbalise their pain and discomfort, or their inability to perform a task or movement. We work closely with our wider professional team - Vets, Vet Specialists, Vet Nurses, Trainers, Coaches, Farriers, Saddle fitters, Massage Therapists & Bodyworkers. Just as in ‘human’ physiotherapy our multidisciplinary team working together is crucial to our success. In non-verbal patients, the more information we can gather the better! Our owners/riders/trainers love to feel that their medical team surrounds them and are communicating to work out the best plan for their animal.

Vittoria Panizzon (ITA) & Borough Pennyz in the show jumping phase of the Eventing at the London 2012 Olympics

As Physiotherapists we are able to treat the horse AND the rider which is a real advantage

Borough Pennyz back in the stables enjoying her physio session between phases London 2012

After working closely with Veterinary Specialists for years, accepting referrals for non-surgical and post operative physiotherapy for small animals, it was significant when our main Veterinary Specialist group made it clear that they felt a Physiotherapy service for their new state of the art VSA (Veterinary Specialists Aoteoroa) animal hospital

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FEATURE ARTICLE in Sylvia Park was a necessity. It was a privilege to come on board and develop VSA Physio when we opened the new hospital back in 2016. VSA Physio is an inpatient and outpatient physiotherapy service which includes hydrotherapy in our HydroPhysio underwater treadmill.

Our post operative case load includes orthopaedic and neurological conditions such as cranial cruciate surgery (TPLO), arthroscopies, surgical options for hip and elbow dysplasia, total joint replacements, fracture repairs, traumas, lumbosacral stabilisations and spinal decompressions. Our team has grown to three Veterinary Physiotherapists and two Canine Hydrotherapists and we offer physiotherapy at both Sylvia Park and Mount Albert hospitals. VSA is branching out to the South Island in the coming months and a VSA hospital is being developed in Christchurch.

the University of Liverpool from this side of the world. I am a clinical educator for this course, and it has been a pleasure to work with many of the Australasian graduates in recent years. I look forward to continuing to support and develop our future Veterinary Physiotherapists. https://www.liverpool.ac.uk/vets/cpd/vet-physio/ On a side note, I did fulfil my other childhood dream and have two Land Rovers (one is a 19 year old 110 Defender), and have travelled to South Africa twice for work! Living the dream…

www.vsahospital.co.nz It is certainly a long (6 years study minimum) and arduous process to become a Veterinary Physiotherapist, requiring passion and commitment but I can honestly say it is absolutely worth it. We have a growing profession here in New Zealand, and as the founder and Chairperson of the New Zealand Animal & Veterinary Physiotherapy Association since 2007 it has been exciting to see the development and growth of the profession here in NZ. The pathway that I took of having to move to London for postgraduate study (and pay overseas student fees!) is not a necessity, as technology now enables qualified physio’s to study a postgraduate degree online through

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FEATURE ARTICLE REFERENCES Abe T, Kumagai K, Brechue WF (2000) Fascicle length of leg muscles is greater in sprinters than distance runners.

Med Sci Sports Exerc 32. 1125-9.

Crook, T. C., Cruickshank, S. E., Mcgowan, C. M., Stubbs, N., Wakeling, J. M., Wilson, A. M., & Payne, R. C. (2008).

Comparative anatomy and muscle architecture of selected hind limb muscles in the Quarter Horse and Arab. Journal of Anatomy, 212(2), 144–152. https://doi.org/10.1111/ j.1469-7580.2007.00848.x Crook, T. C., Cruickshank, S. E., McGowan, C. M., Stubbs, N., Wilson, A. M., Hodson-Tole, E., & Payne, R. C. (2010). A comparison of the moment arms of pelvic limb muscles in horses bred for acceleration (Quarter Horse) and endurance (Arab). Journal of Anatomy, 217(1), 26–37. https://doi.org/10.1111/j.1469-7580.2010.01241.x Dutto DJ, Hoyt DF, Clayton HM, et al. (2004) Moments and power generated by the horse (Equus caballus) hind limb during jumping. J Exp Biol 207, 667-674.

Mcguigan MP, Wilson AM (2003) The effect of gait and digital flexor muscle activation on limb compliance in the forelimb of the horse Equus caballus. J Exp Biol 206, 1325 -1336.

Payne RC, Crompton RH, Isler K, et al (2006) Morphological analysis of the hindlimb in apes and humans. II. Moment arms. J Anat 208, 725-742’ Payne RC, Hutchinson JR, Robilliard JJ, Smith NC, Wilson AM (2005) Functional specialisation of pelvic limb anatomy in horses (Equus caballus). J Anat 206, 557-74.

Scholz MN, Bobbert MF, Soest Van AJ, et al. (2008) Running biomechanics: shorter heels, better economy. J Exp Biol 211. 3266-3271.

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APP REVIEW

Back to the App ...

AirBands – Blood Flow Restriction (BFR) Cuffs

by Emma Lattey For this bulletin I am reviewing the AirBands app which gives us the ability to bring the latest technology into our clinics, and further advances our scope/roles as sports physiotherapists. Gone are the days we wrap high resistance theraband around thighs, these AirBands from VALD make BFR rehabilitation so much more skilful and scientific. I couldn’t recommend them more highly - AirBands add a new dimension to rehabilitation which makes it easily accessible for the athletes we treat of all levels.

Seller: Size: Category: Version: Compatibility: Languages: Age rating: Copyright: Cost: Family Sharing:

Vald Performance Pty Ltd 36 MB Health & Fitness 0.12.0 Requires iOS 11.0 or later. Apple and Android English 12+ Ó AirBands 2020 App is free.

Yes

What is the app used for?

AirBands BFR cuffs are the world’s first fully automated and wireless BFR training solution. They provide an easy and cost-effective solution to BFR training in any rehabilitation environment.

What is Blood Flow Restriction training?

Personalized BFR training is a training strategy (or an exercise modality) that involves exercising at low intensities (i.e. 20-35% 1-RM) while occluding venous blood flow out of a limb and restricting arterial blood flow into a limb by using a system that is calibrated based off of personalized limb occlusion pressure.

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APP REVIEW What does the research show?

Extensive scientific literature has validated BFR and its benefits: •

Improved rehabilitation

Blood Flow Restriction Therapy Preserves Whole Limb Bone and Muscle Following ACL Reconstruction •

Increased strength

Restoring knee extensor strength after anterior cruciate

ligament reconstruction: a clinical commentary •

Increased endurance

Short-Term Preconditioning With Blood Flow Restricted Exercise Preserves Quadriceps Muscle Endurance in Patients After Anterior Cruciate Ligament Reconstruction

Who would benefit from this App? Any patients who have none of the contraindications set out in the link below. I have mostly used with patients post ACLR, patella dislocation, quads tendon repair with good success.

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APP REVIEW Pros: • • • •

AirBands inflate and deflate to exact pressure automatically App automatically calculates your personalised pressure zone App has a BFR medical screening tool before patient uses the AirBands Comes in two sizes – arm cuff 25-45cm and leg cuff 45-65cm

Cons: • •

Can take time to find cuff via Bluetooth connection You have to stay very still for calibration, and this can take 2-3 attempts

Overall Rating:

4.9/5

To find out more try these helpful links… https://theprehabguys.com/personalized-blood-flow-restriction-training/ - helpful to read about further research, training options, and contraindications https://valdhealth.com/airbands/ - outlines pricing of arm and leg bands

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MEMBER 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.

The ASICS Professional Buyers Programme is designed to enable Sport & Exercise Physiotherapy New Zealand members the opportunity to experience our shoes first hand and to assist in referring the most suitable shoe/s to your patients. By registering for the Professional Buyers Programme, you will: ASICS Performance Footwear/ASICS Sportstyle Footwear Receive 4 voucher codes per year, 2 every six months.

Each voucher will give you 40% off the retail price of one pair of shoes up to $300 Recommended Retail Price.

Vouchers must be redeemed online at www.asics.co.nz Additional Product Offers: Birkenstock Footwear Receive 2 voucher codes per year, 1 every six months.

Each voucher will give you 30% off the retail price of one pair of shoes up to $200 Recommended Retail Price.

Vouchers must be redeemed online at www.birkenstock.co.nz Smartwool Socks Receive 2 voucher codes per year, 1 every six months.

Each voucher will give you 30% off the retail price for your choice of socks (Recommended Retail Price).

Vouchers must be redeemed online at www.smartwool.co.nz

Register Here Full terms and conditions can be found on the Professional Buyers Programme registration page.

If you are already a member of the Professional Buyers Programme you will receive your vouchers in July and February.

For first time registered member, we run a report at the end of each month which picks up the newly registered members. You should then receive your vouchers by the middle of the following month.

REGISTER HERE

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ASICS

Glideride 2

Thanks to ASICS for this latest shoe report by Aaron Jackson.

I have been running in the GLIDERIDE for a while now. I previously had a pair of the GLIDERIDE 1 which I ran around 800km in before retiring. I’ve found a substantial difference between the earlier version of this shoe and the current model. GLIDERIDE feels like an outlier when I look at my shoe options, it’s the most different of everything I run in. For me personally, I use it for a different reason to my other shoes. This has become a bit of a recovery shoe for me, and it works perfectly in that role. The first iteration of this shoe felt as bulky as it looked, however I have been impressed with the new version feeling a lot more streamlined on the foot. There have been changes to the midsole geometry in this update that make the shoe feel much more stable.

Clinically the defining feature of this shoe is fairly obvious, the rocker. It’s a useful shoe to have in your prescribing options for patients. As mentioned above, it’s really like nothing else available in the ASICS range. You are likely to come across patients for whom this shoe is exactly right as often as you’ll see patients that this shoe just doesn’t work for. Part of our role as clinicians will be identifying those people that would benefit from the features and

technology in footwear options and make suitable recommendations. Previous research has suggested that running in a shoe with a midsole rocker reduces the ankle plantarflexion moment, at propulsion. This will most likely lead to a reduction in load and strain on the posterior muscles/tendons of the lower limb.

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ASICS

I see this shoe serving a different purpose for different runners and ultimately sitting in two key groups. The typical profiles of someone I would recommend the GLIDERIDE 2 for is likely to be:

A runner with symptoms relating to sagittal plane ankle kinematics. The most obvious of these being Achilles tendinopathy. Shoes of this nature are known to reduce load on the Achilles. Additionally, I would consider using this shoe for those with calf issues, hip flexor symptoms or hamstring tendinopathy.

Runners with ankle equinus resulting in excessive or early forefoot loading would benefit from this shoe. With patients like this we aim to reduce pressure time integrals at the forefoot (time spent loading the forefoot).

Increasing the offset may assist with this by preloading the 1st MPJ. However, as we know, this raise in heel height will generally increase peak plantar pressures at the forefoot… Enter GLIDERIDE 2. The rocker in this shoe takes care of sagittal plane facilitation therefore allowing for a 5mm offset – perfect for reducing work done by the forefoot whilst maintaining sufficient sagittal plane movement.

This patient group is the one that I would say, this shoe is exactly right for.

My second typical profile is a runner looking for a forgiving, recovery shoe. This is most of us, right!

Whilst the person described in my first scenario may use this as their primary shoe, I feel that a far broader group of runners would benefit from this as a secondary shoe.

Someone who has a low to average cadence and is looking for a shoe to support their easy days. I put

myself in this category and find that the shoe works brilliantly for this purpose. My average cadence on an easy day is around 162. The rocker in this shoe helps to keep me ticking over on these days without getting “bogged down” by tired and heavy legs.

Aaron Jackson Podiatrist & Runner

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CLINICAL REVIEW

Evaluating Ultrasound as a Noninvasive Technique for Investigating Anatomical Variations of the Equine Nuchal Ligament Lamelle Sharon May-Davis, Christine Gee, Wendy Y Brown Journal of Equine Veterinary Science 90 (2020) 103017

By Pip Sail Abstract: Ultrasound is a well-established modality in equine investigative and diagnostic procedures. Ultrasound provides a noninvasive alternative to gross anatomic dissections for investigating the Nuchal ligament Lamellae (NLL) attachments in members of the family Equidae.

The lightweight and portable diagnostic ultrasound unit is suitable in field studies, clinical practice, and insitu research. The efficacy of ultrasound in diagnostic equine care has been well documented. Structures anatomically deeper are discernible with the correct ultrasound transducer probe and megahertz frequency, therefore, diagnostic ultrasound should be suitable for investigating the soft tissue structures that are deep within the equine neck, such as the NLL3.

Ultrasonography offers a noninvasive method for investigating anatomical variations in equine anatomy providing a far better option than identifying these same points via dissection.

Two non-related horses were obtained for the study. Both horses were physically examined and ultrasound images conducted by a veterinarian before their predestined euthanasia.

In both horses, the ultrasound images revealed the NLL attachment at Cervical vertebra 2 (C2) with clarity, including the junction of the NLL from C2 to the NLFC (funicular cord junction FCJ). The ultrasound image also depicted a clear demarcation between the directional fibres of the NLL and the NLFC, and the aperture between the two structures at the level of C2/C3 corresponding to the cadaver.

In both horses the attachment point of the NLL to the dorsal spines of the cervical vertebrae from C2 to C5 were discernible; further noting the attachment points at C6 and C7 were absent. Close, comparative inspection of the cadavers conformed the ultrasound images to be accurate.

Previous studies have compared and validated ultrasound images of various soft tissue structures against gross anatomy observations in postmortem equine cadavers 6,7.

The present study is the first to report the use of ultrasound for investigating the NLL in the live horse, enabling accurate identification of the NLL attachment points that were subsequently verified by dissection.

Recent studies document the morphology of the NLL attachment as primarily from C2 to C5 in the modern domestic horse 3,9-11.

The present study concurred with these findings via investigative ultrasound and corroborated these findings with correlating gross anatomy.

The findings in 2 horses that differed in morphology (thin vs thick necked) demonstre the suitability of ultrasound as a tool for investigating variations in NLL attachments and are consistent with previous studies.

Conclusion: Ultrasonography provides a noninvasive tool for the anatomical exploration of soft tissue structures and may be used accurately to determine variations in the equine NLL attachments.

A full set of references are available on request.

As Physiotherapy treatments advance into Equine medicine this study demonstrates that there are investigative techniques that crossover between human medicine and veterinary medicine.

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AGENDA PLINTH TO PODIUM

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SPEAKERS: PLINTH TO PODIUM

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SPEAKERS: PLINTH TO PODIUM

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SPEAKERS: PLINTH TO PODIUM

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WORKSHOPS: PLINTH TO PODIUM

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WORKSHOPS: PLINTH TO PODIUM

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UPCOMING SEPNZ COURSES

Please note these are the proposed courses for 2021. With the current COVID-19 situation this could also change. Once we are confirmed to go ahead registrations will be open via PNZ. The Sporting Lower Limb This course is for registered physiotherapists who work with individual athletes or teams in which lower limb injury is common. The focus of the course is on pathomechanics and kinetic chain deficits as they relate to injury prevention and performance.

This course is TBC for March 2022

The Sporting Upper Limb This course will provide you with advanced skills in the assessment and rehabilitation of sporting injuries involving the upper limb. It covers pathomechanics, diagnostic imaging, initial management, rehabilitation progressions and key considerations for return to training and sport. Topics covered will include subacromial pain (e.g. swimmers shoulder); internal rotation deficits and micro‐instability (e.g. throwing/ racquet sports); dislocations/labral tears/fractures (e.g. contact sports) multi‐directional instability; common extensor tendinopathy in sport and common wrist injuries in sport.

This course is TBC for May 2022

The Sporting Spine, Pelvis and Hip This course will provide you with advanced skills in the assessment and rehabilitation of sporting injuries involving the spine, pelvis and hip. It covers normal mechanics and pathomechanics, diagnostic imaging, management, rehabilitation progressions and key considerations for return to training and sport. Topics covered will include the neck and thoracic pain in sport; the sporting spine and lumbar loading, training of the trunk musculature in athletes, the sporting hip and sports-related groin injuries.

This course is TBC for Oct 2022

Injury Prevention & Performance Enhancement This course will provide you with the key skills used in the enhancement of sporting performance and prevention of injury. It covers the analysis of physical, biomechanical and technical needs of sport, identifying key factors affecting performance and injury prevention.

You will learn how to assess athletes and implement an individualised programme designed to optimise movement efficiency, performance and minimise injury risk. You will learn how to develop a sport–‐specific screening assessment, how to monitor injury rates and target injury prevention strategies within different sporting contexts.

This course is TBC for November 2022

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RESEARCH PUBLICATIONS

British Journal of Sports Medicine August 2021; Vol. 55, Issue 15 ORIGINAL RESEARCH Is Physiological Equivalent Temperature (PET) a superior screening tool for heat stress risk than Wet-Bulb Globe Temperature (WBGT) index? Eight years of data from the Gothenburg half marathon Sofia Thorsson, David Rayner, Gunnar Palm, Fredrik Lind berg, Eric Carlstrom, Mats Börjesson, Finn Nilson, Amir K horram-Manesh, Björn Holmer Epidemiology and risk factors for heat illness: 11 years of Heat Stress Monitoring Programme data from the FIVB Beach Volleyball World Tour Sebastien Racinais, Marine Alhammoud, Nada Nasir, Roa ld Bahr Managing head injury risks in competitive skateboarding: what do we know? Andrew Stuart McIntosh, Declan Alexander Patton, Alexander GD McIntosh Injury epidemiology in professional ballet: a five-season prospective study of 1596 medical attention injuries and 543 time-loss injuries Adam M Mattiussi, Joseph W Shaw, Sean Williams, Phil DB Price, Derrick D Brown, Daniel Cohen, Richard Clark, Shane Kelly, Gre g Retter, Charles Pedlar, Jamie Tallent Lower step rate is associated with a higher risk of bone stress injury: a prospective study of collegiate cross country runners Stephanie A Kliethermes, Mikel R Stiffler-Joachim, Christa M Wille, Jennifer L Sanfilippo, Pedro Zavala, Bryan C Heiderscheit Injury characteristics in male youth athletics: a five-season prospective study in a full-time sports academy Daniel Martínez-Silván, Eirik Halvorsen Wik, Juan Manuel Alonso, Evan Jeanguyot, Benjamin Salcinovic, Am anda Johnson, Marco Cardinale Protecting the world’s finest athletes: periodic health evaluation practices of the top performing National Olympic Committees from the 2016 Rio or 2018 PyeongChang Olympic Games Dustin Nabhan, David Taylor, Melie Lewis, Roald Bahr

EDITORIALS Practical tips to manage travel fatigue and jet lag in athletes Dina Christina (Christa) Janse van Rensburg, Peter Fowler, Sebastien Racinais There is no ‘Swiss Army Knife’ of thermal indices: the importance of considering ‘why?’ and ‘for whom?’ when modelling heat stress in sport Andrew Grundstein, Jennifer Vanos Hypoxic conditioning: a novel therapeutic solution for loadcompromised individuals to achieve similar exercise benefits by doing less mechanical work!

Olivier Girard, Ivana Matic Girard, Peter Peeling When progressing training loads, what are the considerations for healthy and injured athletes?

Tim Gabbett, Igor Sancho, Bart Dingenen, Richard W Willy Robin Hood in SEM? What can we take from elite sport to give back to wider public health?

Jane S Thornton, Jon Patricios, Joanne Kemp, Lars Engebretse n, Jonathan Drezner Competing against COVID-19: have we forgotten about student-athletes’ mental health?

Nicholas Grubic, Shagun Jain, Valentina Mihajlovic, Jane S Thorgnton, Amer M Johri

REVIEWS Olympic competition climbing: the beginning of a new era—a narrative review Christoph Lutter, Thomas Tischer, Volker Rainer Schöffl How does hormone transition in transgender women change body composition, muscle strength and haemoglobin? Systematic review with a focus on the implications for sport participation Joanna Harper, Emma O'Donnell, Behzad Sorouri Khorashad, Hilary McDermott, Gemma L Witcomb Does sex affect second ACL injury risk? A systematic review with meta-nalysis Patel, Garrett S Bullock, Jordan Wrigley, Mark V Paterno, Timothy C Sell, Justin M LoscialeAkash D Aerobic performance among healthy (non-asthmatic) adults using beta2-agonists: a systematic review and meta -analysis of randomised controlled trials Amund Riiser, Trine Stensrud, Julie Stang, Lars Bo Andersen Anterior cruciate ligament injury: towards a gendered environmental approach Joanne L Parsons, Stephanie E Coen, Sheree Bekker Effects of yoga on depressive symptoms in people with mental disorders: a systematic review and meta-analysis Jacinta Brinsley, Felipe Schuch, Oscar Lederman, Daniell e Girard, Matthew Smout, Maarten A Immink, Brendon Stubbs, Joseph Firth, Kade Davison, Simon Rosenbaum

http://bjsm.bmj.com/content/55/15 All articles are accessible via our website https://sportsphysiotherapy.org.nz/members/bjsm/

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CLASSIFIEDS

Physiotherapist wanted in new Medical Centre Waiata Shores Medical Centre, located with Auckland’s first ever Green Star rated supermarket has various medical related opportunities available. Located within the heart of the South Auckland neighbourhood, a full service medical centre, other retailers and a cafe will form the rest of the thriving precinct.

Nestled in the heart of a flourishing community and with the Counties Medical and SRG Radiology, we are looking for physiotherapists, dental practitioners podiatrists, audiologists, chiropractors, nutritionists and other related service providers to co-exist within the medical centre.

Counties Medical will be the anchor tenant for the Centre along with SRG Radiology. Together they will deliver integrated medical services to the local catchment including general practice, accident and emergency, radiology services and after hours pharmacy.

Key Features: 4x tenancies available for medical related businesses.

Tenancy sizes are 90sqm, 100sqm, 102sqm and 121sqm.

Lifts and common facilities will be provided.

High quality, A-Grade development located with a Green Star Rated Supermarket.

Great position with easy access to retail, amenities and arterial routes.

Fantastic opportunity to co-locate with an established Medical Centre in a premium location.

Physiotherapist Position Cambridge/ Te Awamutu • •

Two Positions Available: Physiotherapist Private Practice (Flexible Start Date) New Graduate Physiotherapist Position (2022)

Focused Physiotherapy with clinics in Cambridge, Te Awamutu and Otorohanga is looking for an outstanding PHYSIOTHERAPIST to join our team!

We have recently opened a clinic in Cambridge (April 2021) and due to ongoing growth and demand for our high -quality physiotherapy services, we are looking for a PHYSIOTHERAPIST to join our team in a full time or part time capacity.

We also have a NEW GRADUATE PHYSIOTHERAPY POSITION available from February 2022 (negotiable) Our clinic has a passion for MSK services across a variety of settings in the clinic and the wider community. We also offer services in the areas of Hand Therapy, Women's Health, Neurological conditions, Community services, Cancer Rehab, Vocational Rehab, Breathing Disorders and Vestibular Rehab which are continuing to expand.

Want to join? Please get in touch with Tom Patton or Ranesh Parmar from Bayleys.

We are looking for friendly and enthusiastic therapists with good organisational skills and ability to work well within a team environment. A willingness to keep learning and sharing knowledge is essential.

Tom Patton +64 21 147 6385 tom.patton@bayleys.co.nz

Senior physiotherapists would have the opportunity to mentor junior staff and be involved in quality activities if desired.

Ranesh Parmar +64 21 502 223 Ranesh.parmar@bayleys.co.nz

The clinic is fully accredited, with a focus on mentoring, professional supervision, weekly in-services and CPD support.

https://www.bayleys.co.nz/1692742

Generous remuneration (salary or contractor) and CPD allowance If you would like to discuss this position, contact Kara Thomas on 027 2263 702 or email your CV to kara.thomas@focusedphysio.co.nz All applications will be kept strictly confidential.

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MEMBER BENEFITS

MEMBER BENEFITS

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Clinical Sports Nutrition, 5th Edition Louise Burke & Vicky Deakin ISBN: 9781743073681, NZ$164.99 Clinical Sports Nutrition fifth edition is a cornerstone of the Sports Medicine series offered by McGraw-Hill. This complete practical and clinical ref-

erence provides the latest sports nutrition information, drawing on scientific research from around the globe.

All chapters have been substantially revised and updated with contributions from leading academics, physicians and sports dietitians in Australia, Canada, the United States and the United Kingdom.

Dutton's Orthopaedic: Examination, Evaluation and Intervention, 5th Edition ISBN: 9781260143874, NZ$290.00 Dutton’s Orthopaedic: Examination, Evaluation and Intervention provides readers with a systematic logical approach to the examination and intervention of the orthopedic patient. This comprehensive and up-to-date fifth edition strikes the perfect balance in its coverage of the continuum of care of an orthopaedic patient. The content emphasizes the appropriate use of manual techniques and therapeutic exercise while outlining the correct applications of multiple adjuncts to the rehabilitative process.

MEMBER BENEFITS

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As a member of IFSPT - SEPNZ members can register to obtain free direct delivery of the International Journal of Sports Physical Therapy.

Please see link below in order to sign-up for this free benefit.

International Journal of Sports Physical Therapy (IJSPT) The International Journal of Sports Physical Therapy is a peer-reviewed journal relating to all aspects of sports physical therapy.

The American Academy of Sports Physical Therapy (AASPT), formerly the Sports Physical Therapy Section (SPTS), created the North American Journal of Sports Physical Therapy to address current physical therapy trends and practices to improve the care of the recreationally active individual.

It was designed as a benefit of membership for the Sports Physical Therapy Section of the American Physical Therapy Association. The first issue was released February 1, 2006. Beginning V4N1, the Journal became an online publication and all archives were posted on the NAJSPT website. Members and subscribers have immediate access to the publication and articles are available for purchase by non-members. Subscriptions are also available for non-members.

On January 1, 2011, the journal became the International Journal of Sports Physical Therapy, and serves as a benefit of membership for countries around the world. It is an official publication of the International Federation of Sports Physical Therapy (IFSPT).

Beginning January 1, 2021, the IJSPT will be published by NASMI as an open access publication.

In order to access IJSPT issues first, please register at this link. This free subscription is available to IFSPT and AASPT members and will allow advance access to the IJSPT.