SEPNZ Bulletin October 2018

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SEPNZ BULLETIN

ISSUE 5. OCTOBER 2018

WHISPA Healthy Women in Sport: A Performance Advantage

5 SEPNZ: Member Benefits

11 Jumping exercises to improve bone health in premenopausal women

16 CLASSIFIEDS: Situations Vacant

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 - Bharat Sukha Committee Emma Clabburn Rebecca Longhurst Justin Lopes

EDUCATION SUB-COMMITTEE Dr Angela Cadogan Emma Clabburn Rebecca Longhurst Justin Lopes Dr Grant Mawston Dr Chris Whatman

BULLETIN EDITOR Emma Clabburn

SPECIAL PROJECTS Karen Carmichael Rose Lampen-Smith Amanda O’Reilly Pip Sail

Visit www.sepnz.org.nz

Join us on Facebook

Follow us on Twitter

Join us on Linkedin Groups

ADDITIONAL USEEFUL WEBSITE RESOURCES:

List of Open Access Journals Asics Apparel - how to order McGraw-Hill Books and order form Asics Education Fund information International Federation of Sports Physical Therapy (IFSPT) Journal of Orthopaedic & Sports Physical Therapy (JOSPT)

ASICS EDUCATION FUND A reminder to graduate members that this $1000 fund is available twice a year with application deadlines being 31 August 2018 and 31 March 2019.

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

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

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) 26 Vine St, St Marys Bay, 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 SEPNZ President Blair Jarratt

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MEMBERS’ BENEFITS Discounts

5

FEATURE WHISPA – Healthy Women in Sport: A Performance Advantage

By Jacinta Horan

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CLINICAL REVIEW The BASES Expert Statement on Assessment and Management of Nonasthma Related Breathing Problems in Athletes.

By Karen Carmichael

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SPRINZ Jumping exercises to improve bone health in premenopausal women.

By Tracey. L Clissold.

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RESEARCH PUBLICATIONS BJSM Volume 52, Number 20, October 2018

15

CLASSIFIEDS Situations Vacant

16

Invitations

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EDITORIAL

Hello, So another two months have flown by, but we as an Executive have piled a lot in those two months. Some of you may have attended the PNZ conference in Dunedin which was three days jam-packed of excellent talks and a great mix of speakers on all facets of physiotherapy from around the world and locally. PNZ did a great job of stitching this all together with a well-attended conference and some mingling at the cocktail hour and an impressive showing from the Dunedin Town hall organist to top it off.

The plans for 2019 SEPNZ symposium in Tauranga and the Trinity Wharf Hotel are shaping up nicely with the early bird pricing for this finishes in Jan 31st, 2019. The registrations are live on the PNZ website so book now! This year we are bringing it back to the bay with a great mix of international and national speakers that may have some controversial topics to present. This is a symposium you don't want to miss with some leading-edge content and practical workshops at an affordable rate to get the best value CPD for our SIG members. We are working on finalising our event agenda and getting this out to you in the next bulletin.

In this bulletin, we focus on women in sport. We talk to High-Performance Sports Physiotherapist Jacinta Horan and her involvement in the NZ multidisciplinary initiative of the WHISPA group (Women's Health In Sport: A Performance Advantage). Check out the group's first infographic, and there is a top tip for a great app to help out your female athletes. Also, Tracey Clissold from SPRINZ discusses the background around jumping for prevention of osteoporosis - a condition that affects 50% of NZ females but also 1/3rd of NZ males. Preliminary results from a study have clinical implications to our patients, and something we can start discussing tomorrow with them, so I encourage you to read this article.

Just a reminder that our Level 1 – Promotion and Prescription of Physical Activity and Exercise course is due to run late October and registration closes this Tuesday the 23rd October, and there are still some spaces on this course. We are also looking forward to the Level 2 sporting upper limb

course in early 2019 in Auckland and registration for this is now open. Unfortunately, our lower limb course due to be run in early October has had to be cancelled due to lack of attendees possibly due to being held over labour weekend, but also asks the question of our SEPNZ education committee and executive - what do people want in the way of courses? Any thoughts and comments, then please send these through as we are always keen to hear.

In the next couple of weeks, we will be having our SEPNZ executive face to face meeting. At this meeting, we will be discussing the major points of the running of your SEPNZ SIG. If there is anything that you would like us to consider - what you would like to see more or less of, then there are many ways you can get hold of us - either through Facebook or email Michael or me so we can include your thoughts.

As you may be aware, the vote for change went through with 86% of those voting for a united PNZ. SEPNZ will now be required to submit a term or reference to PNZ which will be the framework to how we work going forward under this new model.

Although we have an outline of how this may look at this stage, we haven't worked through the points of this with PNZ and will be a significant topic of our up and coming executive meeting. We will keep you informed of progress.

Again we are still hunting for people to help us out on the executive in some roles which are advertised in this bulletin. If you would like to contribute and or make a difference to how SEPNZ operates, then we could sure use your help. The time commitment is pretty minimal and the rewards of working on a group far outway time spent. Please contact either Michael or myself if you are interested.

Kind Regards Blair Jarratt SEPNZ President

MEMBER BENEFITS

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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.

FREE Full Text Online Access to JOSPT Journal of Orthopaedic and Sports Physical Therapy JOSPT is one of the top physiotherapy journals in the world.

Scholarly and peer-reviewed, JOSPT features the latest evidence-based research and clinical cases in musculoskeletal and sports-related health, injury, and rehabilitation, including physical therapy, orthopaedics, sports medicine, and biomechanics.

With 12 issues over the year it strives to offer high-quality research, immediately applicable clinical material, and useful supplemental information in a variety of formats. https://www.jospt.org

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FEATURE

WHISPA – Healthy Women in Sport: A Performance Advantage

By Jacinta Horan

The HPSNZ WHISPA initiative was developed as a result of the recognition that elite female athletes have specific health and performance considerations that are under-researched, underrecognised and potentially under managed.

Facilitating the health, well-being and performance of elite sports women in New Zealand is an overriding vision for the WHISPA process.

Internationally, prioritising women in sports has been recognised as a potential option for enhanced success in the run up to the Tokyo Olympics (Thorpe, JR. Aug 23 2016). NZ had 110 female athletes in the Rio Olympic team making up more than 50% of the team and 25 NZ women won Olympic medals in Rio. Almost half of the NZ paralympic team was female and 9 of these women medals with 4 multiple medalists. These numbers are continuously on the rise.

These numbers highlight why it is important for NZ to be addressing the health, wellbeing and performance of NZ Athletes in a systematic, applied manner.

After broad consultation to ensure its composition included an experienced multi-disciplinary group of health professionals and scientists from both within and external to the HPSNZ system, the WHISPA groups’ inaugural meeting was held in August 2017. The initial group consisted of 16 members (subsequently extended to 20) from a variety of professions including physiotherapy, sports medicine, general practice, physiology, nutrition, sports psychology, strength and

conditioning, endocrinology, and sociology. in the team members work in a range of organisations, including HPSNZ, private practice and Universities.

Prior to the initial meeting members were charged with considering what the primary focus of this group could be, questions that needed to be answered, and approaches that could be taken.

The first meeting was spent understanding the nature of each others experience, and determining the priority projects - with sub-groups tasked with roles relating to each of these projects. An essential elements constantly recognised and highlighted throughout this process has been ensuring that there is useful, practical, evidence based output and that this is not just a group focussed on its own education.

While the primary focus of this group is HPSNZ carded and development athletes, it is equally important that the knowledge gained and guidelines developed are disseminated amongst the greater female sporting community at all levels including athletes, coaches, parents and health professionals.

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FEATURE ________________________________________

WHISPA Goals The primary goal is to ensure that HPSNZ is providing the best clinical advice to athletes and coaches to facilitate optimal athletic performance in elite female athletes.

Secondary goals include: • establishing and disseminating evidence based guidelines and protocols for practitioners, athletes and coaches that enable optimum health and performance in elite female athletes.

• Establishing educational opportunities for athletes, coaches, parents and practitioners in the topic of athletic performance in women • To facilitate robust and relevant performance and health related research in the topic of athletic performance in elite female athletes.

• To provide continuously evolving up to date support of the above goals. ________________________________________ It has been highlighted by the WHISPA team, that we have little information on the incidence and severity of menstral cycle disturbances amongst our elite level NZ athletes. By contrast, there is a growing body of research that highlights the performance effects of the menstral cycle.

Subsequently, one of the earliest projects, currently underway, is to understand the nature of menstrual cycle related concerns in elite NZ female athletes – this information will help form the future focus of the WHISPA group.

Concurrently WHISPA are also working to enhance knowledge regarding specific elite female athlete groups, by making the monitoring of menstrual cycles and performance easier.

WHISPA are working with the developers of the FITR Women app which is a brilliant app designed in the UK for female athletes to allow them to not only track their menstral cycle and any issues they have during their cycle, and to provide them with evidence based information regarding the most appropriate nutrition, training and health advice related to their cycle.

Download it now https://www.fitrwoman.com

WHISPA are in the midst of developing our own website for the WHISPA project (see https:// hpsnz.org.nz/resources/whispa/). While in its very early stages, over the next few months it will begin to develop and the goal is that this is a site where athletes, coaches, parents, support staff and health professionals can access evidence based information regarding a multitude of topics that affect female athletes. These topics may range from minimising injury risk, to weight training in female athletes to information regarding specific pathology and menstral cycle disturbances. It is anticipated that in the future, it will house infographics which have been designed to educate the public, sporting groups and other health professionals.

The WHISPA working group has been invited to present for two and a half hours at the Boston Female Athlete Conference in USA in 2019. This conference will enable integration and sharing of the WHISPA approach with a broader international audience and community. WHISPA also aims to organise and present at other conferences in 2019 and 2010 both in NZ and abroad regarding our countries novel approach. Hopefully we will see you at the SEPNZ Conference in Tauranga in March 2019.

ACL Injuries in Women Athletes Did you know: • Most of you are probably aware that females rupture their ACLs at a rate of 4 – 8 x higher than their male counterparts and that the majority of these injuries are non contact injuries?

• That up to 70% of these can be avoided with simple injury prevention programmes?

• That up to 75% of ACL ruptures in females are in the pre ovulatory or follicular phase (first two weeks) of their menstral cycle?

• The reason for this looks to be related more to a reduction in neuromuscular control over this period of time rather than the effects of hormones on the laxity of tissues?

• When an athlete has a disordered menstral cycle the two body systems that are considered non essential to survival are the CONTINUED ON NEXT PAGE >>

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FEATURE

•

•

two that are affected – the skeletal system and the reproductive system. What impact does this then have on our injury type and rates?

That if you periodise your training to your menstral cycle you can achieve greater gains and adaptation?

That nutrition requirements for females are different from males in order to achieve the greatest benefits from a recovery perspective?

Jess Meyer and myself are the two physiotherapists in the WHISPA group and our current project relates to minimising the risk of ACL injuries in our female athletes. The project has ranged from research reviews on the effect on the menstral cycle on ACL rupture rates to the modifiable factors that make up an injury prevention programme. To date, the majority of infographics regarding ACL ruptures are basic statistics with a point on injury prevention programmes. In developing a WHISPA infographic we wanted the primary focus to be on the content and specifics of these programmes for them to be successful. We have spent the last 12 months

working on this project and the research behind it and have finally developed our first infographic below. Behind this on the website (coming soon!) will sit more detail such that those who are interested in evidence based information can access not only the summary of each point but also links to programmes that are individualised for certain sports. We are looking to work not only within our HPSNZ system but also with ACC, the strategic planners, lead physiotherapists, medical practitioners and other relevant groups of our largest female sporting codes to ensure we are working together to reduce female ACL rupture rates in NZ.

Conclusion Women are not smaller men, and the WHISPA initiative aims to optimise the health, wellbeing and performance through the recognition of the uniqueness of women. Through WHISPA, NZ has a rare opportunity to positively influence women in sport at a national leval. WHISPA is a long term project, that is exciting and challenging to be a part of. Keep an eye out for the WHISPA and evolution of sports women's health in NZ.

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CLINICAL REVIEW

The BASES Expert Statement on Assessment and Management of Non-asthma Related Breathing Problems in Athletes.

Dickinson J, McConnell A, Ross E, Brown P and Hull J. The Sport and Exercise Scientist: 45, Autumn 2015.

By Karen Carmichael, BSc, BPhty, M(SportsPhysio) BASES is the British Association of Sport and Exercise Scientist, they released a position statement put together by a group of experts in 2015 on the management of non-asthma related breathing problems in athletes.

Exercise respiratory symptoms include wheezing, tight chest, difficulty to breathe, shortness of breath, coughing and breathlessness. They are commonly reported by athletes, in some circumstances up to 70% of athletes may report asthmatic symptoms or exercise induced bronchospasm (EIB).

Given the lengthy list of possible causes, testing should be carried out to elicit the correct diagnosis. If asthma or EIB is suspected, current guidelines recommend athletes undergo an airway challenge.

The causes of symptoms are varied and can include: • • • • • • • • • • • • •

Asthma Exercise induced bronchospasm (EIB) Lack of fitness Obesity Exercise induced laryngeal dysfunction/ obstruction (EILO) Anxiety Hyperventilation syndrome Cardiovascular disease Anaemia Cardiac dysfunction Pneumothorax Parenchymal lung diseases Pulmonary vascular disorders

Differential Causes of Exercise Respiratory Symptoms Exercise-induced laryngeal obstruction (EILO) In some individuals, symptoms that were attributed to EIB/asthma may actually arise from a transient exercise-induced narrowing at the level of the larynx. This EILO presents as dyspnoea, wheeze and cough on peak exertion and will not respond to a treatment targeting EIB. To diagnose it a nasendoscopy should be performed during exercise. It should also be noted that both EIB and EILO can be present together.

Dysfunctional Breathing The term ‘dysfunctional breathing’ (DB) covers a variety of breathing abnormalities with no obvious organic, pathological cause.

Signs and Symptoms of dysfunctional breathing during exercise: • Bias towards chest breathing (rather than diaphragm breathing) • Rapid, shallow breathing pattern during

exercise, and possibly also at rest (regular or irregular breathing pattern) • Inability to synchronise breathing to movement cadence with a consistent rhythm.

• Blunted ventilator compensation for metabolic acidosis (supralactate threshold VE/VO2 ratio <25 units).

• Inappropriate ventilatory distress, especially during high intensity exercise.

The primary symptom is breathlessness, resulting in premature exercise intolerance. In some cases at rest there may be hyperventilation and hypocapnia and during exercise the opposite (hypoventilation and hypercapnia). A tachypnoeic breathing pattern, combined with an undercompensated metabolic acidosis, leads to intense breathing discomfort.

Diagnosis can be difficult, but an incremental exercise challenge can lead to evidence of abnormal exercise hyperpnoea.

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CLINICAL REVIEW Interventions Breathing pattern retraining: Most individuals with EILO and/or dysfunctional breathing have inefficient breathing technique, using chest, or even clavicular breathing, which can increase laryngeal tension. Breathing pattern training programmes have focused on diaphragmatic breathing and respiratory control, working on neuromuscular control. This has been shown to improve exercise capacity, breathlessness and respiratory control. Strategies should be practised for times of stress, when it is easy to fall back into faulty patterns.

positioning and deep, controlled diaphragmatic breathing along with verbal reassurance are all helpful.

If dysfunctional breathing and EILO are only present during high intensity exercise, then the use of inspiratory muscle training (IMT) along with breathing pattern retraining has been shown to be effective. This is done by first retraining the poor breathing technique and then using a hand-held device providing resistance to inspired airflow.

Breathing pattern retraining can also be used in the management of acute episodes of non-asthma related respiratory distress. Forward supported

Conclusion It is important that the appropriated tests are carried out to establish the cause of the exercise-induced respiratory symptoms, so that treatment can be appropriately targeted. Breathing pattern retraining and IMT have been shown to be effective in conditions such as EILO and dysfunctional breathing.

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SPRINZ

Jumping exercises to improve bone health in premenopausal women.

By Tracey. L Clissold (PhD Candidate) Osteoporosis is a condition where bone density and bone strength is reduced, and there is a significantly increased risk of bone fracture (Kanis et al., 2013). This disease is recognised as a major public health issue in New Zealand and the developed world. In New Zealand it affects more than half of women and one third of men over the age of 60 years, with 59% of women and 29% of men suffering a fracture from this age (Osteoporosis New Zealand, 2011).

Jumping and hopping exercises have been researched for their role in the achievement of optimal peak bone mass in young people and for minimising age-related bone loss in females (Bailey & Brooke-Wavell, 2009; Bassey, Rothwell, Littlewood, & Pye, 1998; Stiles, Griew, & Rowlands, 2013). Authors of recent meta-analyses have reported exercise modalities that involve impact forces > 3 Body Weights (BW) as having the greatest ‘osteogenic potential’, suggesting hypothetical gains in bone mineral density (BMD) of 3-5% for premenopausal women during a time when normal bone loss is 0.5% per year (Babatunde & Forsyth, 2013).

However, researchers have predominantly focused on “high risk” postmenopausal women and as a consequence exercise regimes for minimising bone loss in adults are generic and lack specific recommendations for women before they experience accelerated bone losses during and post menopause (Gomez-Cabello, Ara, GonzalezAguero, Casajus, & Vicente-Rodriguez, 2012).

Thus preventative interventions that target premenopausal women represent a “window of opportunity” to prevent or delay the time before the

fracture threshold is surpassed in the postmenopausal years. Activities such as jumping and hopping have been proposed to achieve the desired unusual or atypical strain distributions on the skeleton for women who are habitually inactive and not involved in high-impact sports, however, specific protocols to optimise bone health are currently lacking (Tucker, Strong, LeCheminant, & Bailey, 2014).

The utility of bilateral multidirectional jumps combined with reactive jumps as potential osteogenic stimuli are of particular interest in research we are undertaking. (N.B. A reactive jump is defined as ‘jumping immediately after an initial jump-landing’). A jump with increased knee flexion can be described as a “soft” landing as the absorption of impact energy by the leg musculature occurs over a longer time and results in reduced peak impact forces. However, researchers have shown that repeated jumps are more ballistic in nature and produce greater ground reaction forces (GRF’s) as they prevent subjects from “softening” the landing, due to the short time period available between jumps (Bobbert, Huijing, & Van Ingen Schenau, 1987; McNitt-Gray, 1993). The use of repeated jumps requires the participant to push off quickly after landing and potentially utilize the elastic energy absorbed during the brief landing during the subsequent take-off (van Ingen Schenau, Bobbert, & de Haan, 1997). This demonstrates that jumplanding technique is a major factor that can influence the osteogenic effectiveness of jumps, and suggests that repeated jump-landings could provide enhanced bone stimulation.

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SPRINZ In the first instance we have quantified the GRFs associated with a variety of different jumps, which we have then used for training prescription.

Interestingly, GRF’s for all jump-landings achieved and exceeded the defined osteogenic thresholds previously shown to improve bone mass at clinically relevant sites for premenopausal women and significantly greater forces were observed in the second jump-landing (post-reactive jump), for most of the force variables measured.

Subsequently we have been investigating the chronic effects of a 12 month periodised jumplanding programme on aspects of musculoskeletal function and performance in premenopausal women. The study involves 80 Bay of Plenty women aged between 30-50 who are having Dual X-ray Absorptiometry (DEXA) scans every three months. During the year, half the women include two minutes of jumping into their daily routine five days a week, while the ‘control’ group continues their normal routines with no specific change.

Preliminary results from this Bay of Plenty study (now at 9 months) on bone health in premenopausal women are prompting a rethink on how people can delay the onset of osteoporosis in older age. So let’s get jumping!

*REFER TO REFERENCES ON NEXT PAGE >>

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SPRINZ References Bernstein, I.A., Webber, O., and Woledge, R. (2002). An ergonomic comparison of rowing machine Babatunde, O. O., & Forsyth, J. J. (2013). Effects of lifestyle exercise on premenopausal bone health: a randomised controlled trial. Journal of Bone and Mineral Metabolism, 1-10. doi: 10.1007/ s00774-013-0527-9 Bailey, C. A., & Brooke-Wavell, K. (2009). Daily exercise is most effective for increasing hip bone mineral density: A randomized high-impact, unilateral intervention. Bone, 44, Supplement 1(0), S100-S101. doi: http://dx.doi.org/10.1016/j.bone.2009.01.219 Bassey, E. J., Rothwell, M. C., Littlewood, J. J., & Pye, D. W. (1998). Pre- and postmenopausal women have different bone mineral density responses to the same high-impact exercise. Journal of Bone and Mineral Research, 13(12), 1805-1813. doi: 10.1359/jbmr.1998.13.12.1805 Bobbert, M. F., Huijing, P. A., & Van Ingen Schenau, G. J. (1987). Drop jumping. I. The influence of jumping technique on the biomechanics of jumping. Medicine & Science in Sports & Exercise, 19 (4), 332-338.

Gomez-Cabello, A., Ara, I., Gonzalez-Aguero, A., Casajus, J. A., & Vicente-Rodriguez, G. (2012). Effects of training on bone mass in older adults: a systematic review. Sports Med, 42(4), 301-325. doi: 10.2165/11597670-000000000-00000 Kanis, J. A., McCloskey, E. V., Johansson, H., Cooper, C., Rizzoli, R., & Reginster, J. Y. (2013). European guidance for the diagnosis and management of osteoporosis in postmenopausal women.

Osteoporosis International, 24(1), 23-57. doi: 10.1007/s00198-012-2074-y McNitt-Gray, J. L. (1993). Kinetics of the lower extremities during drop landings from three heights.

Journal of Biomechanics, 26(9), 1037-1046. doi: http://dx.doi.org/10.1016/S0021-9290(05)80003-X Stiles, V. H., Griew, P. J., & Rowlands, A. V. (2013). Use of accelerometry to classify activity beneficial to bone in premenopausal women. Medicine & Science in Sports & Exercise, 45(12), 2353-2361.

Tucker, L. A., Strong, J. E., LeCheminant, J. D., & Bailey, B. W. (2014). Effect of two jumping programs on hip bone mineral density in premenopausal women: A randomized controlled trial. American Journal of Health Promotion. doi: 10.4278/ajhp.130430-QUAN-200 van Ingen Schenau, G. J., Bobbert, M. F., & de Haan, A. (1997). Does elastic energy enhance work and efficiency in the stretch-shortening cycle? Journal of Applied Biomechanics, 13(4), 389.

Tracey Clissold has 25 years of academic experience in the area of exercise science and sports nutrition. She is currently a lecturer at Toi Ohomai Institute of Technology and a PhD Candidate at AUT University, Auckland, New Zealand. Her research area is on the effect of exercise on bone health in premenopausal women. She is an former elite marathon runner who has NZ Championship titles and a World Masters Marathon Championship title.

Email: Tracey.clissold@toiohomai.ac.nz

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RESEARCH PUBLICATIONS

British Journal of Sports Medicine October 2018; Vol. 52, No. 20 Consensus Statement

Editorials

Clinical assessment of acute lateral ankle sprain An ounce of prevention is better than a pound of injuries (ROAST): 2019 consensus statement cure: shouldn’t we be doing EVERYTHING to and recommendations of the International Ankle reduce sports injury incidence and burden?

Adam Gledhill, Dale Forsdyke Consortium

Eamonn Delahunt, Chris M Bleakley, Daniela S Bossard, Brian M Caulfield, Carrie L Docherty, Cailbhe Doherty, François Fourchet, Applying ethical standards to guide shared Daniel T Fong, Jay Hertel, Claire E Hiller, Thomas W Kaminski, Patrick O McKeon, Kathryn M Refshauge, Alexandria Remus, Evert Verhagen, decision-making with youth athletes Clare L Ardern, Hege Grindem, Guri Ranum Ekås, Romain Seil, Michael Bill T Vicenzino, Erik A Wikstrom, Phillip A Gribble McNamee

We need to talk about manels: the problem of implicit gender bias in sport and exercise Therapeutic effects of aerobic and resistance medicine Sheree Bekker, Osman H Ahmed, Ummukulthoum Bakare, Tracy A exercises for cancer survivors: a systematic Blake, Alison M Brooks, Todd E Davenport, Luciana De Michelis Mendonça, Lauren V Fortington, Michael Himawan, Joanne L Kemp, review of meta-analyses of clinical trials Reviews

Joel T Fuller, Michael C Hartland, Luke T Maloney, Kade Davison

Karen Litzy, Roland F Loh, James MacDonald, Carly D McKay, Andrea B Mosler, Margo Mountjoy, Ann Pederson, Melanie I Stefan, Emma Stokes, Amy J Vassallo, Jackie L Whittaker

Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review Learning, activity… and injury? Caring for young with best-evidence synthesis athletes through appropriately designed Martin Asker, Hannah L Brooke, Markus Waldén, Ulrika Tranaeus, modified (developmental) sport Fredrik Johansson, Eva Skillgate, Lena W Holm Machar Reid, Tim Buszard, Damian Farrow

Do highly physically active workers die early? A Structured clinical assessment: a brake to stop systematic review with meta-analysis of data the ankle joint ‘rolling’ from 193 696 participants Eamonn Delahunt, Phillip A Gribble Pieter Coenen, Maaike A Huysmans, Andreas Holtermann, Niklas Krause, Willem van Mechelen, Leon M Straker, Allard J van der Beek

Original Research

Navigating the new landscape of apps: Overcoming the challenge of poor quality apps in sport and exercise medicine Osman Hassan Ahmed, Hopin Lee, Hannah Marchant, Rhiannon Jones, Eric E Hall

Dupuytren disease is highly prevalent in male field hockey players aged over 60 years Understanding and removing barriers to Dieuwke C Broekstra, Edwin R van den Heuvel, Rosanne Lanting, Tom physical activity: one key in addressing child Harder, Inge Smits, Paul M N Werker obesity Lisa Murphy, Alessandro R Demaio

Educational Reviews Development and implementation of the ACC SportSmart Warm-up programme: a nationwide sports injury prevention initiative in New Zealand Mark L Fulcher, Isaac Carlson, Cameron Mitchell, Mario Bizzini, Jiri Dvorak

http://bjsm.bmj.com/content/52/15 All articles are accessible via our website https://sportsphysiotherapy.org.nz/members/bjsm/

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CLASSIFIEDS

PERFORMANCE PHYSIOTHERAPIST WAIKATO

PERFORMANCE PHYSIOTHERAPIST AUCKLAND

High Performance Sport NZ is committed to supporting more New Zealanders winning on the World stage. In preparation towards the next Olympics and Paralympic games in Tokyo 2020, the High Performance system is developing across its 6 regional centres and this expansion has provided an exciting opportunity for an experienced physiotherapist to join our Performance Health Team based in Waikato region.

High Performance Sport NZ is committed to supporting more New Zealanders winning on the World stage. In preparation towards the next Olympics and Paralympic games in Tokyo 2020, the High Performance system is developing across New Zealand through its 6 regional centres and this expansion has provided an exciting opportunity for an experienced physiotherapist to join our Performance Health Team based in our National Training centre, Auckland.

The successful candidates will deliver comprehensive and effective physiotherapy support, responding to the individual needs of athletes' in terms of minimising injury risk, optimising rehabilitation, and performance. In addition, the successful candidate will work closely with coaches and other disciplines to provide an integrated and sport specific approach to individual performance needs.

A minimum of 5 years' post graduate experience is required, including 2 years spent delivering physiotherapy support within a performance environment. In addition, you must demonstrate the ability to analyse a range of sports in relation to their physiotherapy and rehabilitation needs, specific to the performance requirements of their sport. Previous experience working with athletes in Cycling, Rowing or Canoe Racing would be advantageous in this role, though not essential. A post graduate qualification in Sports Physiotherapy is desirable.

The position will be based at Karapiro and at the Avantidrome, Cambridge.

The role will include a commitment to touring with athletes to support international and domestic camps/competitions.

Closing Date:1st November 2016 Interview: Avantidrome, Cambridge. Tuesday 6th November More details, visit website: https://careers.hpsnz.org.nz

The successful candidates will deliver comprehensive and effective physiotherapy support, responding to the individual needs of athletes' in terms of minimising injury risk, optimising rehabilitation, and performance. In addition, the successful candidate will work closely with coaches and other disciplines to provide an integrated and sport specific approach to individual performance needs.

A minimum of 5 years' post graduate experience is required, including 2 years spent delivering physiotherapy support within a performance environment. In addition, you must demonstrate the ability to analyse a range of sports in relation to their physiotherapy and rehabilitation needs, specific to the performance requirements of their sport. The National training centre hosts athletes from sports of Yachting, Athletics, Hockey and Netball and experience of working in one or more of these sports would be advantageous. A post graduate qualification in Sports Physiotherapy is desirable.

The position will be based at the National Training Centre, Auckland.

The role will include a commitment to touring with athletes to support international and domestic camps/competitions.

Closing Date: Sunday 28th October 2018 Interview: National Training Centre, Auckland.

Thursday 1st November 2018

More details, visit website: https://careers.hpsnz.org.nz

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CLASSIFIEDS

FULL TIME, PRIVATE MUSCULOSKELETAL - TAURANGA Anticipated start date: Early 2019 Unique opportunity for a motivated physiotherapist interested in developing their skills, to join our awesome team. We are a vibrant, busy musculoskeletal clinic with all staff having postgraduate experience in their areas of interest and a passion for quality patient care.

This opportunity allows you to advance your quality musculoskeletal physiotherapy skills while developing skills in your chosen niche. You will treat a range of wonderful people from elite athletes to family members of all generations. We treat the whole person, not just their pain. Our attached gym and fitness studio allow complete rehabilitation and wellness programmes.

Avenues Physio-Fitness offers clinical Pilates, Yoga, strength and conditioning classes, hydrotherapy, acupuncture, sports and paediatric physiotherapy. Our caseload grows every week, hence the requirement that we need you!

Applicant requirements: • Fun, energetic NZ registered physiotherapist • Outstanding time management and written communication skills • Great at working within a team • Interest in developing Pilates knowledge • Passionate about patient care and thorough rehabilitation • Available for start early 2019 (start date negotiable).

Benefits: • Generous CPD yearly allowance • Unlimited Pilates, Yoga and Fitness classes • Weekly one-on-one mentoring and regular team support • Long appointment times of up to 1 hour • Excellent remuneration with retainer available • Live close to our beautiful beaches, the mount, surfing, mountain biking etc in our ever-expanding city. • We will also consider part time (minimum 20 hours per week) if required.

If you feel like this opportunity is for you please contact Claire. physio@avenuesphysiofitness.co.nz with your CV and application letter.

We're on the lookout for someone awesome!

Are you a "Versatile Physiotherapist"?

YES? Then we have an exciting, varied position available in our private practice for YOU! If you are interested in a job where variety is the norm and value working with passionate, experienced physiotherapists, then this position is for you.

The practice has a team of physiotherapists with specialist skills in manual therapy, hand therapy, sports medicine, exercise prescription, pain and vocational rehabilitation.

The position allows a fantastic balance between work and leisure, and would be suitable for a physiotherapist with a minimum of 2 years experience, but new graduates are most welcome to apply.

For more information contact Ian Carrick ian@windsorphysio.co.nz www.windsorphysio.co.nz

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CLASSIFIEDS

SEPNZ EDUCATION COMMITTEE Expressions of Interest Expressions of Interest to join the SEPNZ Education Committee are now open.

SEPNZ is committed to providing sustainable, quality, robust Sports Physiotherapy Education Pathway that aligns with, and stands up to assessment against, the International Federation Sports Physiotherapy (IFSPT) competencies.

If education in Sports Physiotherapy is a passion of yours and you believe that you have something to offer the SEPNZ Education Committee that could help us to overcome barriers in the delivery of quality Sports Physiotherapy Education with our courses, please send your CV and letter outlining; why you wish to apply, what you offer and how you would look to implement your ideas to help the ongoing review and improvements that we are committed to making within the SEPNZ Education Committee to: becsvw@hotmail.com.

SEPNZ BULLETIN EDITOR The SEPNZ Bulletin is a show piece for publications for physiotherapy in New Zealand Can you help us???

We are looking for a bulletin editor to help us put together the SEPNZ Bulletin 6 times a year.

• Help will be given to get you started in the role • Publishing knowledge is not needed

Duties include: • Contacting people to supply articles • Proof reading articles to make sure they make

sense

• Reminding people to send things in on time • Choose an article to be reviewed for publication • Skills needed are basic time management and a

computer

Further details on request Contact Michael Borich mborich@gmail.com

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INVITATION

GRAEME NUTTRIDGE MEMORIAL LECTURE Physiotherapy NZ (Canterbury Branch) is pleased to be able to present the Graeme Nuttridge Memorial Lecture.

Wednesday 7th November 7.30pm The Piano, 156 Armagh Street, Christchurch Cash bar available from 7pm.

This event is to remember and honour Graeme by presenting in a clinical area that he was passionate about: sports and exercise, including psychological aspects of performance and wellness.

This event is FREE to attend, and all clinicians/health professionals who are interested in sport, exercise or wellness are most welcome to join us.

Speakers Andrew Vincent: MBChB (Otago,1989); FRACS Ortho (1998) Andrew is a local orthopaedic surgeon who specialises in trauma and knee surgery. A sought after speaker, he has spent time with Graeme professionally and in various sporting endeavours.

Ceri Evans: MBChB MA MSc(Oxford) Dip ForMH MRCPsych PhD; MBChB (Otago).

Ceri has worked as a forensic psychiatrist and first division footballer in the English league. He now applies his medical expertise to a wider purpose as an independent consultant, working with people who are serious about “performance under pressure”.

Graeme was a well-known and well respected musculoskeletal physiotherapist in Christchurch and the principal owner of Physio South along with his wife Marie.

He trained at Otago Polytechnic completing his diploma of physiotherapy in 1980. He then went on to gain his Dip MT from NZMPA in 1984, and his Diploma in McKenzie Diagnosis and Mechanical Therapy in 1992 and then completed his Master’s degree in 2001 looking at the injury profile in NZ Cricket. Graeme was also an Advanced Practitioner in Sports and Orthopaedics with the NZ College of Physiotherapy.

Graeme was a key member of the McKenzie teaching faculty in New Zealand and taught both locally and abroad. He was also a key member of Sports Physiotherapy NZ and instrumental at getting this special interest group of Physiotherapy NZ going. Graeme had a passion for sport both personally and professionally. He was a great runner in his early days and more lately a keen mountain biker.

He was a member of the NZ Olympic Team in 2000 looking after the basketball team in particular but also heavily involved in NZ Cricket, setting up many of the injury surveillance systems still used in this sport. He was also involved in the NZ Winter Olympic team.

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INVITATION