PAGE

SPNZ Bulletin April Edition

SPNZ

Roadshow

Feature

Injury Prevention:

Essential for All Levels of Sport

Password

Update

FEATURE TOPIC: Injury Prevention

SPNZ BULLETIN

Issue 2 April 2016

PAGE 2

SPNZ Bulletin April Edition

SPNZ Members’ Page

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SPNZ Bulletin April Edition

In t

his

is

su

e:

SPNZ MEMBERS PAGE

See our page for committee members, links & member information 2

GUEST EDITORIAL

Dr Gisela Sole 4

ROADSHOW

SPNZ BJSM Roadshow - coming to a town near you 5

MEMBERS’ BENEFITS

IT Benefits 6

FEATURE

Injury Prevention - Essential for All Levels of Sport by Sharon Kearney 7

SPECIAL REPORT

High Performance Sport Physiotherapy/Rehabilitation Team 10

PLANET OF THE APPS

ACL Rehab 13

SPRINZ

It’s How You Run That Really Matters 15

MEMBER PROFILE

Isobel Freeman 17

CLINICAL SECTION- ARTICLE REVIEW

FIFA 11+: an Effective Programme to Prevent Football Injuries in Various Player Groups

Worldwide – a Narrative Review

18

Neuromuscular Training Injury Prevention Strategies in Youth Sport: a Systematic

Review and Meta-analysis

20

CONTINUING EDUCATION

SPNZ Sports Certificate update 21

SPNZ Certificate in Sports Physiotherapy Level 1 Course - Expression of Interest 22

SPNZ Level One Course: Sideline Management 23

WEBSITE PASSWORDS

Important message regarding SPNZ website passwords 24

RESEARCH PUBLICATIONS

JOSPT Volume 46, Number 4, April 2016 25

BJSM Volume 50, Number 8, April 2016 26

CLASSIFIEDS

Job vacancy and Qualitative Study at the School of Physiotherapy 27

Contents

FEATURE TOPIC: Injury Prevention

PAGE 4

SPNZ Bulletin April Edition

Guest Editorial

Last weekend, journalist Christopher McDougall (Born to

Run and Natural Born Heroes) was in Dunedin on a

whirlwind tour organised, not by runners or

physiotherapists, but by the Dunedin Writers and

Readers Festival (DWRF). I had the privilege of listening

to his amazing experiences across the globe over dinner

as the writers had asked whether my husband, Chris,

and I could host him for an evening.

What struck me most was his enthusiasm for life and

willingness to explore knowledge deeper than what we

have always accepted, and for not being afraid to

challenge “long-held” beliefs (meaning, beliefs of the

past thirty or forty years). In his talk at the DWRF, he

highlighted how important it is to empower the everyday

person to be active and really enjoy movement. He

suggested that the core of his attention was less about

the top athletes that we see continually on television but

about bringing back movement joy and freedom to the

bulk of the local communities. I suggest that this is a

critical part of the role as sports physiotherapists: to

ensure that we have a critical and advanced role in the

future health needs of our communities, we should also

highlight those competencies that are extending beyond

the sports field, and that focus on working with the every

-day patient. It may be the young adolescent with

anterior knee pain who is bullied at school, needing

improved self-esteem; the 65-year old living with heart

disease and is coming to an exercise class to maintain

and improve daily function; or the 55 year-old with sub-

acromial shoulder pain who also has Type 2 diabetes. I

contend that getting these people active with exercises

and physical activity that motivate and enthuse them

should be recognised to be, at least, as important in our

role as sports physiotherapists as those that are evident

on the sports field dealing with acute injury and helping

athletes to return to their sports.

I had the opportunity three weeks ago to introduce

sports physiotherapy to our new Year 2 students. We all

know that sports physiotherapy is what attracts a large

proportion of our students to the profession in the first

instance – often through experience with their own

injury, or seeing a sports physiotherapist on television.

However, very few of the new students know the

broader competencies included in sports physiotherapy.

These competencies were defined in 2004 by the

International Federation of Sports Physical Therapy

(IFSPT) and I presented these to the students, adding

personal experiences and suggesting how the

competencies contribute towards health and well-being

of our general communities.

The first three competencies (Injury prevention, Acute

intervention, and Rehabilitation) are well-known and are

often taken as the key areas that determine whether or

not one can be called a “sports physiotherapist”. We

remain experts at dealing with Acute Intervention (IFSPT

Competency 2), and Sports Physiotherapy NZ is doing

an excellent task of promoting and advocating relevant

courses. In terms of Rehabilitation (Competency 3) we

usually also feel confident in dealing with our patients’

injuries and getting them back to their chosen sports-,

leisure- and occupational-related activities.

Competencies 4 Performance Enhancement, as applied

to athletes, is also well known (and supported by

excellent courses by SPNZ). We also know how

important team work (Competency 7 Professionalism

and Management) and involvement in and dissemination

of research (Competencies 8 and 9) and Fair Play

(Competency 10) are. But Competency 5 Promotion of

an active and safe life-style, as applied to the general

population, is less known under the banner of sports

physiotherapy. I suggest that the profile and importance

of this competency is critical for our long term role in the

health of our communities, where people live with

obesity, diabetes, hypertension, cancer, asthma, and

other health-related conditions. Our life-long learning

(Competency 6) should seek to improve our knowledge

and skills of all factors impacting on quality of life of our

patients, including mental well-being (positive mental

skills), current principles of nutrition, and providing

patients and communities with information that enhances

empowerment and independence.

As indicated above, most people know that sports

physiotherapists deal with acute injuries, including

concussion, facial and abdominal injuries, and we spend

many hours in teaching, learning and acquisition of the

required skills and knowledge. We also need to promote

more clearly that we have experts within sports

physiotherapy that use a multi-factorial approach to

improving the quality of life for people who are not

members of sports teams, of all ages, abilities and all

health conditions. I suggest that highlighting those

competencies will ensure improved and sustained

acknowledgement of our critical role within the wider

physiotherapy profession and as a member of the health

care team of the future. We will need to focus

increasingly on optimising physical activity and general

well-being and restoring the joy and freedom of

movement to the bulk of our communities. In

McDougall’s words, we need to be able to turn everyone,

irrespective of age and health conditions, into a local

“hero”.

Dr Gisela Sole

Sports Physiotherapy

School of Physiotherapy

University of Otago

Dr Gisela Sole: Sports physiotherapy in the context of promoting local “heroes”

PAGE 5

SPNZ Bulletin April Edition

Roadshow

SPNZ BJSM Roadshow Coming to a town near you

Karim Khan (Brukner & Khan Sports Medicine Bible) and Jill Cook (All You Need to Know About Tendons)

along with some local sports physiotherapists are doing a series of evening lectures.

Registrations will be opening soon - Put the dates in your diary now

All venues have limited capacity so numbers will be restricted.

Register before May 8th and go in the draw for a personal in-service at your clinic with Jill

Auckland Sunday June 26th Hamilton Monday June 27th Wellington Tuesday June 28th Christchurch Wednesday June 29th

Dunedin Thursday June 30th

PAGE 6

SPNZ Bulletin April Edition

Members’ Benefits

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

For a full list of Members’ Benefits visit http://sportsphysiotherapy.org.nz/benefits/

In each Bulletin we will be highlighting individual member benefits in order to help members best utilise all benefits available.

Facebook - facebook.com/SportsPhysiotherapyNZ

Sports Physiotherapy New Zealand has a Facebook page to help keep our members up to date with the latest news and articles out there on the web.

“Like us” and receive regular news and information.

Twitter - twitter.com @SportsPhysioNZ

We have recently added a Twitter account to our list of ways of keeping contacted with the world.

Follow us and join in the conversations.

Follow links through to interesting articles and hear titbits from conferences as they happen.

Podcasts - SPNZ Members Section

In the Members Resources Section of the website there are links to

some free podcasts.

These are a great way to listen to world renowned experts from your

home in your own time and credit some CPD at the same time.

IT Benefits

PAGE 7

SPNZ Bulletin April Edition

Feature

Injury Prevention - Essential for All Levels of Sport

SHARON KEARNEY DIP PHTY, DIP GRAD PE, PGD SPORTS MED, MPHTY

I live in Akaroa in Canterbury with my partner Kevin. We have three children (19,

16 and 10). I played a lot of sport at school and whilst physical education was my

initial career choice, thankfully an open day at the Auckland Physiotherapy

School at Grafton made a huge impression, and my career in physiotherapy

started in 1983.

Graduating in 1985, I did the mandatory year in a hospital and then headed to

Christchurch and secured a job with Brian McKenzie, at the Canterbury Institute

of Sport. The job was fantastic and moulded how I work as a physiotherapist. The

staff were a real “go get bunch” and included Prof. Pete O’Sullivan (he was not a

professor then), Marg Lay (NZ Women’s Cricket and NZ Women’s Softball

physiotherapist), Barry Donaldson (All Black physiotherapist), and Kev Dysart

(my partner). Brian was a physiotherapist ahead of his time and in the late

eighties introduced us to the principles of Shirley Sahrmann. The basis of our

approach was observing movement patterns, assessing movement and muscle

imbalances, and developing clinically reasoned treatments based on what we

saw. The work environment was very collaborative, problem solving and stimulating. How I learnt to assess,

reason and treat I transferred into the sporting setting.

After a mandatory OE I headed to Dunedin to study PE at a graduate level (Graduate Diploma – 1990- 1991)

to enable me to access a Master’s programme. Whilst my colleagues were heading down the specialist

physiotherapist route (manips courses) I chose to broaden – I felt that understanding exercise physiology

and biomechanics was fundamental to how I treated patients and supported where I wanted to go – sports

physiotherapy. My Masters route was very long and tortuous finally getting there in 2014 as well as picking

up a Post Grad Diploma in Sports Medicine (2002) along the way.

In Dunedin Kevin and I opened a clinic and this opened

up opportunities in sports. I approached a number of

sporting codes and offered my physiotherapy services.

Learning on the side line is a massive part of being a

sports physiotherapist. Observing, assessing, clinically

reasoning under pressure and treating acute injuries on

the side line cannot be replicated in an academic setting.

On Saturday mornings I was at netball, Saturday after-

noon at rugby and Sundays at football. Great way to

learn practical sports physiotherapy and earn a clientele

base for my clinic.

Netball involvement at a club level lead to becoming the

physiotherapist of the Otago netball team. Being in the

right place at the right time was pivotal – however you

have to put yourself out there to be in that right place! In

addition, in the early 90’s, I brought something new to

sports physiotherapy in netball. The Otago netball coach

(Georgina Salter) was an inspirational coach and was

interested in my approach. Whilst I was interested in

assessing movement patterns, movement efficiency,

muscle imbalances and their relationship to netball and

minimising injury risk (jumping and landing technique,

lower limb alignment control) the coach was interested in

movement efficiency and its relationship to performance.

Working with the coach and fitness consultant (Tracey

Paterson) we collectively developed an individualised

approach to performance enhancement, injury preven-

tion, and grew a successful and formidable team.

The Otago coach was the NZ U21 netball coach at the

time and in November 1992 I was appointed the NZ U21

netball physiotherapist and headed to my first netball

World Youth Cup (WYC). A Dunedin colleague of mine,

(the late) Peter Boyle, was the NZ Rugby League

physiotherapist. He was fantastic source of touring

knowledge and gave me great advice and tips to quickly

develop my international physiotherapist touring

capability.

From 1993 – 95 I was the Silver Fern physiotherapist. I

returned to the U21 development level from 1996 – 2000

attending two more WYC. In 2002 I began my second

stint with the Silver Ferns and worked with them for 13

years until I recently resigned. The Silver Fern

physiotherapy role is challenging and not dissimilar to

the All Black role (but on a far smaller scale). The Silver

Ferns spend little time collectively together and spend far

more time playing in their ANZ Championship franchises.

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SPNZ Bulletin April Edition

Feature

Injury Prevention - Essential for All Levels of Sport continued...

Working closely with the five franchise physiotherapists

is fundamental. They work daily/weekly with the Silver

Ferns based in the franchise setting from December

through to July. Whilst the franchise physiotherapists do

the day to day physiotherapy delivery, it is important

NNZ have a clear understanding of pathology, treatment

and rehabilitation plans, return to play (RTP) plans and

potential impact any injury or illness will have on an

impending Silver Ferns campaign.

Please describe your current role and how you end-

ed up there.

After resigning from the Silver Ferns role I have

continued to maintain involvement with netball. I am the

NNZ Injury prevention (IP) consultant on a part time

basis. I work with ACC and the NNZ coaching team to

develop the IP philosophies, frame work, and resources.

I worked in a similar role back in 2005 when ACC first

developed its relationship with key sports. It is an area I

am very passionate about and very keen to develop

further. In addition, I am the Tactix physiotherapist for

2016. I am loving this role because unlike the Silver

Ferns role I am centralised with the athletes for 6 months

and work with them on a daily basis. Challenging and

rewarding.

What are your specific areas of interest/research?

ACL injury prevention is my absolute passion. Netball is

a high risk ACL sport. It is a power strength based sport

played predominantly by females and has very restrictive

foot work rules leading to large deceleration forces. All

three contributing factors to ACL injury. There are 400

netball ACL reconstructions per year – netball needs to

do a better job to decrease ACL risk. NNZ in conjunction

with ACC have developed a sports specific NetballSmart

Dynamic Warm up. The warm up is based on the FIFA

11+ warm up which is validated and evidence based. I

have developed many levels to the warm up ranging

from year 1 (5 years of age) through to the full

NetballSmart Dynamic Warm up. It is part of NNZ

coaching resources and will shortly be released on the

ACC and NNZ websites. NNZ’s aim is the netball

population are using the NetballSmart Dynamic Warm up

and engaging in IP.

CONTINUED ON NEXT PAGE

PAGE 9

SPNZ Bulletin April Edition

Integration and communication with the support team is

important in all aspects of injury prevention, treatment

and rehabilitation. The coach is integral, the sports medi-

cine director is involved in all injury management, the

strength and conditioning coach is advised on limitation

of training and rehabilitation strategies developed, the

psychologist is advised and engagement may vary

depending on degree of injury (major injury), recurrence

of chronic injury, the nutritionist is engaged to discuss

dietary needs if necessary (i.e. if a major injury there will

be a significant change in energy output and therefore

changes in energy input necessary).

Injury prevention at a high performance level involves

the entire support team. The coach drives the overall

culture, the physiotherapist in conjunction with S and C

develop the strategies, the athlete adheres to the

strategies to ensure efficacy. Adherence (in all aspects

of HP) is often facilitated by the psychologist.

Are you involved in performance aspects for your

clients?

My involvement in performance is to maximise the

athlete’s ability to train in order to maximise their

performance. Whether that be identifying risk factors,

optimising movement efficiency relevant to netball,

diminishing any muscle imbalances that would impact on

injury/performance, load management, assessing and

treating injuries that do occur and minimising impact

where possible.

What are the key attributes you

feel are required to work with

elite level athletes?

Injury knowledge – theoretical and

practical, game knowledge, com-

munication, integration, being “part

of a team”. Ability to optimise per-

formance whilst minimising injury

risk (OP & MIR).

What do you see as the major challenges for sports

physiotherapy?

In NZ we live in a reactive physiotherapy mind-set driven

by our reliance on ACC. There is evidence to support

efficacy of proactive IP strategies in sport. However,

there is a deficiency in funding, inadequate sound IP

models and implementation strategies, and coaches,

athletes and parents lack knowledge on IP.

Physiotherapists have the skill set to drive IP strategies

in all sport. We need knowledge, frame works, funding

and resources. Within netball we are trying to develop an

IP model to take to the netball community. Watch this

space!

Silvers-Granelli et al, (2015 DOI:

10.1177/0363546515602009) have shown that a FIFA

11+ programme performed weekly significantly

decreased injury rate in male collegiate football players.

In addition showed 4.25-fold reduction in the likelihood of

sustaining an ACL injury. Saleh at el (2015 DOI:

10.1007/s40279-015-0404-x) support FIFA 11+

decreases the risk of injuries among football players.

Emery et al (2015 DOI:1136/bjsports-2015-094639)

suggests efficacy of NMT programmes in reducing knee

injuries in youth team sports. However also highlights the

challenges in implementation, the importance of the

coach as the implementation tool, and the need for

comprehensive coach workshops to support coach-lead

delivering strategies.

What are the types of injuries you commonly see?

In netball, ankle injuries are the most common, ACL

injuries are rare but devastating and ACL injury is

increasing in netball. At an international level, netball has

changed significantly. It is faster and significantly more

physical. The international netballer needs to be stronger

to tolerate forces, move efficiently to optimise landing

and cutting techniques to minimise ACL risk, and fitter to

tolerate a more physical and fast game for 60 minutes.

The young netball population is attempting to replicate

their Silver Ferns role models – play harder, faster and

more physical. This increases injury risk.

What do you think are the key

elements in successfully pre-

venting injury?

Injury prevention implementation is

really challenging. Developing an IP

strategy/programme is merely the

start. Empowering and educating

coaches is vital. A coaching frame

work (in underfunded sport) is

imperative, linking IP with

performance enhancement has a

positive effect on adherence, on-going reinforcement

and education are critical. Athletes need to be engaged

and understand importance and IP needs to be integrat-

ed in all aspects of netball training (gym, warm up, home

programmes, coaching, game play).

At a high performance level there are more opportunities

to screen, identify risk, and implement individual

strategies, educate coaches and athletes. However, at

this level athlete load identification and management is

often the most important IP strategy - and often the most

challenging to do.

Who else is involved in the “support” team that you

communicate with and how do you integrate with

them to optimise injury prevention and

rehabilitation?

Feature

Injury Prevention - Essential for All Levels of Sport continued...

PAGE 10

SPNZ Bulletin April Edition

Special Report

High Performance Sport Physiotherapy/Rehabilitation Team

BY DUNCAN REID AND FIONA MATHER

For many physiotherapists working in the sports arena, an appointment to an elite or high performance sports team

is the pinnacle of one’s career. However there are only a small number of those positions available and they are

highly competitive and sought after. The downside of having only a small number of positions available is the ability

for sports and organisations that may employ these people to build capacity and manage succession planning. The

purpose of this paper is to outline the current philosophy of High Performance Sport New Zealand (HPSNZ) with

respect to it model of service delivery to elite athletes and outline some ways in which physiotherapists who aspire

to work in this arena to be better prepared when applying for roles when they are advertised.

The mission of the HPSNZ medical service is to deliver an internationally respected, sustainable and pre-eminent

medical service. This is done under the umbrella of the overall HPSNZ goal of having more athletes win on the world

stage. The strategic direction of the HPSNZ medical service is embodied in the Five Plus Performance Health Model

(see figure 1)

Figure 1 The 5 plus performance health model

The reason for starting with this model is that it provides a fundamental change from the previous expectations of the

skills required to work in high performance sport (HPS). The main driver for the health team to show value in this

arena is the ability to influence performance. This is arguably different than the perception that to work in HPS you

need exceptional skills in the injury and illness end of the model. This may have been so in years gone by but the

scope of the work has now expanded considerably. Those who have worked in HPS soon find that treating injuries of

athletes becomes overwhelming and seemingly endless. The performance “cost” of injury to an athlete can be

significant and there is pressure on the modern physiotherapist working in sport to minimise the time lost, hence the

emphasis on Injury prevention. This is far more effective and allows more athletes to be able to train and compete

more of the time. However there are aspects of the injury prevention area that also need growing skills. Without good

injury surveillance and load monitoring one may not get a good sense of why injuries are occurring (see Figure 2

over page).

CONTINUED ON NEXT PAGE

Research

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SPNZ Bulletin April Edition

Special Report

High Performance Sport Physiotherapy/Rehabilitation Team continued...

CONTINUED ON NEXT PAGE

Figure 2 Injury Monitoring and Review Model

This requires the modern sports physiotherapist to have good reporting mechanisms on injuries and the incidence

and prevalence. Working with the coaching staff and strength and conditioning staff to look at load is vital to

understand the relevant contribution and impact upon performance.

The practitioner who can offer consistent and reliable data presented in a meaningful way has tremendous ability to

impact performance.

Recent papers by Newlands et al (2015) show that high volumes of training load in rowing for example, are directly

correlated with increasing amounts of low back pain, the number one injury in rowing. Recent research by Raysmith

and Drew (2016) has shown load increases and missed training sessions have an impact on performance. In

essence it is not good enough now just to be good at treating the injuries you need to be good at identifying key

causes, reducing these where possible so that performance can be enhanced. Performance enhancement also

looks at things like biomechanical assessment, Physical benchmarking for movement competency and working

closely with coaches to enhance movements that improve technique and movement efficacy.

Planning and coordination requires the skills of working in an interprofessional sports team environment This

requires competencies around athlete centred care, interprofessional communication, team functioning,

collaborative practice, role clarification, conflict resolution and collaborative leadership (Reid and Flood, 2011). One

of the best examples of where this must work well is in the area of return to play. Recent research by Shrier et al

(2014) demonstrates that all the professions that are involved the RTP decisions are best placed to make the final

decision on when the athlete is able to RTP. Clearly this is a challenge and those sport and disciplines that find a

way to do this in a collaborative way in the best interest of the athlete do this well. Without these skills it is hard to

survive in the HPS.

The reason we are outlining these key ways of working is that when physiotherapists apply to work in HPSNZ they

often have focused on the treatment skill set and have not been able to demonstrate how they can influence

performance and the wider issues outlined in the model above. Another obstacle is how the work is actually

delivered. The Accident Compensation Corporation (ACC) private practice model of care and remuneration is poorly

aligned with the High Performance environment. Yes, time is needed for specific treatment when injuries occur, but

PAGE 12

SPNZ Bulletin April Edition

even more time needs be allocated to athlete monitoring and injury recording, injury prevention strategies, effective

warm drills, time in the field observing athletes and working with coaches on performance enhancement.

Fortunately, the service delivery models at HPSNZ are trending this way and we are now appointing more full time

staff to meet these needs.

So back to the conundrum, you aspire to work in this area but there are only a small number of places available,

how can I get these skills? We would suggest the following steps.

1. A sound post graduate education is essential. Courses run by NZ Manipulative Physiotherapists

Association and Sports Physiotherapy NZ are a great starting point to gain extra knowledge. The SPNZ

are aligned to the International Federation of Sports Physical Therapy (IFSPT) pathway. These can lead

to post graduate diplomas and Masters degrees offered by AUT and Otago University. These post

graduate degrees are the minimum entry requirement for working at HPSNZ and are currently accredited

by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT).

2. Get involved with key Olympic and elite sports at a junior development level so you can gain the requisite

skills with athletes that are also up and coming.

3. Put in place the above models so that the athletes and coaches get used to the 5 plus model.

4. Try to get a mentor in teams that are further up the ladder in the sports. Most key Olympics Sports have a

designated physiotherapist. They often look for assistance at a junior development level. This can leads to

opportunities to tour and work with these athletes.

5. Look constantly for ways you can enhance performance and talk to the coaches and athletes about these.

6. Come and visit HPSNZ training facilities so you get a sense of how it all works.

References

Newlands, C, Reid, D and Parmar, P. The prevalence, incidence and severity of low back pain among

international-level rowers British Journal of Sports Medicine (2015) 49: 951–956.

Raysmith, B and Drew, M Performance success or failure is influenced by weeks lost to injury and illness in elite

Australian Track and Field athletes: a 5-year prospective study. Journal of Science and Medicine in Sport (2016),

http://dx.doi.org/10.1016/j.jsams.2015.12.515

Reid, D, and Flood, B (2011) Interprofessional Education in Health and Environment in Aotearoa/New Zealand. 2nd

ed Oxford University Press.

Shrier I, Safai P, Charland L. Return to play following injury: whose decision should it be? British Journal of Sports

Medicine 2014;48:394–401.

Special Report

High Performance Sport Physiotherapy/Rehabilitation Team

Duncan Reid Associate Professor and Physiotherapy Advisor to HPSNZ

Fiona Mather (Lead Manager Physiotherapy & Rehabilitation HPSNZ)

PAGE 13

SPNZ Bulletin April Edition

Planet of the Apps

The ACL Rehab app has three main sections on the front page: Information, Anatomy and References.

Below this it has the Home Page, Stages of Rehab, Exercises and My Workout. The Stages of Rehab are divided up

in to Prehabilitation, and then Stage 1 (Acute Post-op through to Stage VII (Return to Sport). Each stage has

timeframes associated with them, along with descriptions about what to expect at each stage.

The exercises component is broken down into Strength, Flexibility, Balance and Agility and within each of these sub-

groups there are a selection of exercises to choose from.

Category: Medical

Released: 14 August 2015

Version: 1.0.4

Size: 65.5 MB

Language: English

Seller: Greg Jones

© 2015 Globe Physiotherapy

Rated 12+ for the following:

Infrequent/Mild Medical/Treatment Information

Cost: $5.99 incl GST

What it is used for: Patient information and exercise prescription app.

Pros:

Has some basic anatomical diagrams of muscles and ligaments around the knee and a description of current

commonly used techniques for ACLR (hamstring and patellae grafts).

The client (or the physio) can choose exercises from a limited selection to add to the My Workout section.

The App has a list of recent references that it draws its information from which are listed in the references sec-

tion.

The App is very pro physiotherapy with encouragement to see their physio to help manage their rehab.

Cons:

The prescription for the exercises are set (generally Repeat 10 times, 2-3 sets as tolerated). These are obvi-

ously generic and may not suit all clients.

The exercises are model diagrams and could have been videos. This does mean that the App is not as large

as it could have been though. You are able to slide sideways to change the photo from starting position to mid

position to finishing position

Your monthly App review

by Justin Lopes - Back To Your Feet Physiotherapy,

SPNZ executive member.

Hi team,

One of my clients who unfortunately has suffered an Anterior Cruciate Ligament rupture and the subsequent trauma

of an ACL reconstruction (ACLR) introduced me to this month’s App and it highlighted the fact that I am not the only

one trawling the ‘interweb’ for Apps that can provide information and advice for our clients – they are doing it too! I

liked the way this App presented the information, and how it allowed some basic prescription abilities around the

exercises at each phase of the rehabilitation. However it is a generic App that is based in America, so care needs to

be taken when using it.

App: ACL Rehab

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PAGE 14

SPNZ Bulletin April Edition

Planet of the Apps

The App was written for an American audience and so some of the protocol information is not necessarily how

New Zealand surgeons or physios manage patella tendon reconstructions.

It is not very clear what exercises are supposed to be in each phase and clients could misconstrue that box

jumps are in the early post op phase for instance – not a good idea.

Overall I would recommend the App to clients, with some caveats. Make it clear that this is a generic App and that

not all information may be accurate for them. I update the exercises that I think are appropriate for the stage and

phase of their rehabilitation. You can delete the exercises that they have progressed from. Not all exercises are in

the App so you will need to augment them with some of your own.

Overall rating: 3/5

Another useful App for your ACL injured clients that can give you some information on how the client is progressing

is the ACL RSI. This App was designed and validated by La Trobe University, to measure athletes’ emotions, confi-

dence in performance, and risk appraisal in relation to returning to sport after an ACL injury. Your client can answer

12 questions using a slider, and the summary of their results can be emailed to yourself or your GP. Of course there

are more comprehensive Outcome Measures post ACLR but this is an easy way to assess your client’s confidence

re their return to sport.

Happy Apping…

Cheers,

Justin

App: ACL Rehab continued...

For further discussion on this App check the SPNZ LinkedIn forum page Click here

PAGE 15

SPNZ Bulletin April Edition

SPRINZ

It’s how you run that really matters

By Kelly Sheerin

Running related injuries are some of the most prevalent

that physiotherapists treat, but they can also be equal

parts challenging and frustrating, with an astonishingly

high recurrence rate.

There is a substantial bulk of research that can help

provide guidance for practitioners treating running inju-

ries, but it is often difficult to access, and even when

you can get your hands on it, the results can be confus-

ing and occasionally conflicting.

To help combat some of these problems, a recent large

systematic review published in Gait & Posture has

honed in on patellofemoral pain (PFPS) in runners, and

serves to provide a good, un-biased summary, of the

effectiveness of treatment interventions from 28 individ-

ual research papers*.

One of the key findings of the review is that specific

biomechanics are an important factor in runners sus-

taining PFPS. The condition appears to have strong

links with those who run with increased hip adduction

and dynamic knee valgus, which are often teamed with

dropping of the contralateral pelvis.

Personally, I don’t think this finding on its own is partic-

ularly ground breaking, we’ve known this for some time

now. However, where this paper really comes into it’s

own is that it may have finally shone a light on the rea-

sons why some interventions are more successful that

others.

The interventions assessed have largely been grouped

into ‘exercise’ and ‘gait re-training’, where the exercise

interventions largely constitute proximal glute strength-

ening. This is where I think this review gets interest-

ing… While it was identified that both of these treat-

ment approaches can result in reduced PFPS pain,

only running retraining was found to also reduce peak

hip adduction; An established risk factor for PFPS de-

velopment.

While this paper doesn’t delve into the nitty gritty of the

clinical world, I’ve seen many PFPS cases where inten-

sive proximal glute strengthening has seemingly re-

solved patients knee pain in the short term, only to

have it come back with a vengeance at a later date.

Conversely, those who have made an attempt to

change their running mechanics have been a lot more

successful in remaining injury free. While I don’t have

any evidence, I suspect the improved muscle strength

on its own, simply acts to buffer the condition for a peri-

od. Inevitably, as the demands go up, the symptoms

return.

While none of these findings are a new-found cure, this

review does provide a clear message to show that spe-

cifically addressing faulty mechanics, and not just as-

suming they are resolved, is essential especially if

you’re interested in long-term success for your running

patients with PFPS. Does this mean that you should

forget about the strengthening altogether? In my opin-

ion, not at all… It’s critical you establish a stable base

before changing biomechanics, otherwise you’re just

asking for bigger problems.

We need to start thinking of running much more like a

skill. If we want a better golf swing or tennis serve, we

practice the skills required to do so. Running requires

the same level of focus: If runners want to run better,

they need to practice the skill of running in the right

way.

How do you retrain someone’s running I hear you ask?

Well that’s a whole other topic! Stay tuned for that later

in the year.

Key points

Running biomechanics (especially hip adduction

and dynamic knee valgus) are closely linked to

PFPS.

If you’re treating runners for conditions such as

PFPS and you think there could be links to faulty

mechanics, it’s important you assess their running

biomechanics.

Both strengthening and gait retraining can success-

fully reduce PFPS pain.

Only gait retraining is successful in improving faulty

biomechanics linked to PFPS.

* Neal, B. S., Barton, C. J., Gallie, R., O’Halloran, P., &

Morrissey, D. (2016). Runners with patellofemoral pain

have altered biomechanics which targeted interventions

can modify: A systematic review and meta-analysis.

Gait & Posture, 45, 69–82.

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PAGE 16

SPNZ Bulletin April Edition

SPRINZ

It’s how you run that really matters continued...

About the author: Kelly Sheerin

Kelly is the Manager of the Sports Performance Clinics, based at AUT Millennium in

Auckland. He has a clinical interest and expertise in running injuries and biomechanics.

Kelly has a BHSc in Physiotherapy and a BSc in Sport and Exercise Science. He has

gone on to complete an MHSc in musculoskeletal physiotherapy, including research in

3D running biomechanics. Kelly is currently completing his PhD in the area of real-time

feedback in runners at risk of tibial stress fracture.

If you have questions on running biomechanics or the treatment of specific running

injuries, feel free to e-mail me ksheerin@autmillennium.org.nz) .

About the Sports Performance Clinics

The Sports Performance Clinics, based at AUT Millennium, have world class facilities teamed with a highly skilled

and knowledgeable team, to provide the best sports science support, irrespective of your requirements whether it be

rehabilitating from injury, improving your strength and power, honing your cardiovascular fitness, or acclimatising to

heat.

The services on offer are grounded in research, and underpinned by the principles of AUT’s Sports Performance

Research Institute New Zealand (SPRINZ). The overall paradigm is that all of the athletes and clients seen at the

SPC can potentially be research subjects through various on-going studies. Thus, our research is facilitated through

the services we provide, and the services are in turn improved through research.

Further information on the Sports Performance Clinics can be found here .

PAGE 17

SPNZ Bulletin April Edition

Member Profile

Sports physiotherapist mixes it up with a little sports science for good measure

When sports physiotherapist Isobel Freeman completed her postgraduate studies

at AUT she decided to broaden her experience by including papers from the

sports science programme. Isobel is currently working as the point of contact

physiotherapist for the Men's Black Sticks based at High Performance Sport NZ

and also at Unisports Sports Medicine Clinic. Additionally in the winter she is the

physiotherapist for North Harbour 'B' rugby team. She was kind enough to answer

a few questions we threw at her regarding her postgraduate experience at AUT.

How did you hear about the sports science papers?

Due to my particular interest in sports rehabilitation I investigated papers on-line (through the AUT website) to see

what sports papers were available to incorporate within my Masters of Health Practice in musculoskeletal

physiotherapy. I also found a physiotherapist who had previously enrolled in these papers and he highly

recommended them to me. I was very keen to complete the practicum of physical conditioning and in order to do

this I also needed to complete enhancing muscular performance and exercise physiology.

What made you choose papers from the sports science programme?

I knew I wanted to work as a physiotherapist with elite athletes. I hoped that choosing papers from the sports

science programme would enhance my knowledge of athletic training/exercise prescription for all levels of sports

participants. I also saw this as an ideal opportunity to gain knowledge/exchange ideas with other professionals

completing the course (e.g. strength and conditioning coaches and sports scientists). I was enthused by the

practicum which consolidated all the theoretical knowledge gained into a practical environment with the other

course participants.

How did you find the mix of the sports science papers and the papers from rehabilitation?

Two of the papers were completed solely on-line, so study could be done in my own time and this was useful to be

able to work around other papers and employment. The final paper was a practicum of physical conditioning which

included a week on campus at AUT Millennium. This paper was particularly beneficial due to the practical content

and mixing with all the other course participants.

The sports science papers complemented the papers from rehabilitation by adding to my clinical reasoning skills. I

found that the knowledge gained enabled me to explain in greater depth the physiological changes occurring due to

a prescribed exercise regime.

How have the sports science papers influenced/helped your sports physiotherapy work?

I currently work with elite athletes alongside strength and conditioning coaches and the papers have been

invaluable in understanding periodisation programs towards pinnacle events and the demands expected of an

athlete. They have also aided me in rehabilitation exercise prescription.

Any other comments?

Sports science papers are not only beneficial for physiotherapists working in sport, but also in regards to exercise

prescription for all patients.

Many thanks to Isobel for taking the time to respond to our questions. For those interested the postgraduate sport

and exercise study options at AUT include a range of papers including Exercise Physiology, Enhancing Muscular

Performance, Applied Human Movement Studies, Applied Sport Psychology, Practicum in Physical Conditioning

and others, many of these can be completed online as Isobel mentioned.

For more details go to www.aut.ac.nz/pgsportexercise.

PAGE 18

SPNZ Bulletin April Edition

Clinical Section - Article Review

ABSTRACT

FIFA 11+ is an injury prevention programme that has been promoted and disseminated throughout the 209 Member

Associations (MAs) of FIFA. The programme was originally developed in 2006 as a group of warm up exercises to

be completed a couple of times a week to prevent injuries (non-contact) in amateur football players. Since the official

launch in 2009, the effectiveness of undertaking the programme has been evaluated in a number of countries, as

well as the issues of implementing the programme at all levels of the amateur game. Positive outcomes have been

found in female and male amateur football players with a reported decrease in the incidence of non-contact injuries

occurring. Specific note is being made of the programme in respect to children and referees.

Article Review

INTRODUCTION

FIFA11+ is a programme designed to reduce the risk of non-contact injuries in amateur football players. It is

comprised of 15 exercises that in total take 15-20minutes to complete. The Coach has been identified as the key

implementer of the programme. RCT’s that have been undertaken since 2008 show that team members performing

the programme at least twice a week will significantly reduce the incidence of injury. The article reviewed the recent

evidence from the MAs of FIFA regarding the implementation and successfulness of introducing this programme.

METHODOLOGY

Peer-reviewed journal articles published from the time of the first published review on FIFA11+ in 2008 up until

January 2015 were assessed. A total of 25 papers were included which looked at the effectiveness of injury

prevention, impact on performance and effectiveness of implementation strategies.

FINDINGS

Effectiveness of Injury prevention:

Since the outset of implementing this programme, effectiveness of reducing injury has been reported as being

between 40-50% (ref 2,3,4,5) in both male and female amateur footballers. The issue of compliance was deemed

integrally related to the ultimate success of the programme. Of those RCT with good outcomes, the programme was

performed at least two times a week.

In assessing the effectiveness of injury prevention in children (under 14 years of age) and referees – there has been

little research done to date. FIFA is currently piloting more specific programmes for these subgroups. With respect to

professional footballers there has been no publication relating directly to the FIFA 11+ programme. However, in

review of 44 teams’ prevention strategies, there was a close correlation of the exercises they included in their warm

up protocols to the exercises from the FIFA 11+ programme.

IMPACT ON PERFORMANCE

A common goal that players, and their coaches, strive for – is improvement in performance. As a medical

professional we wish for maximum performance with optimum player health and a reduction to the risk of injury.

Compliance to perform an activity/exercise programme will increase if there is a correlation to performance goals.

RCTs (23) found significantly better neuromuscular control following 9 weeks of FIFA 11+ practice. Further studies

(5,24-28,30,31) highlighted beneficial physiological changes after having integrated the FIFA 11+ programme in to

FIFA 11+: an effective programme to prevent football injuries in various player

groups worldwide – a narrative review

CONTINUED ON NEXT PAGE

Bizzini M, Dvorak J. (2015) British Journal of Sports Medicine 49:577-579

PAGE 19

SPNZ Bulletin April Edition

Clinical Section - Article Review

their training. This included improved functional balance, and agility skills, improvement in core and hip

neuro-muscular control affecting jumping ability and quicker stabilisation times of the lower extremity.

Interestingly it is noted that the FIFA 11+ programme showed similar physiological effects as other warm-up

protocols (29). Perhaps the point is not necessarily the FIFA 11+ protocol but in fact that the team has taken the time

to warm up properly and regularly, involving sports specific drills.

EFFECTIVENESS OF IMPLEMENTATION STRATEGIES

It is currently still a challenge to correctly implement a programme such as FIFA 11+ across the footballing world.

The National Associations rely on coaches at grassroots to get involved. The most successful outcomes have

occurred when specific training and certification of coaches to the programme have occurred.

As a physiotherapist involved in a sports team and treating sports players, this article offers clear support to our

argument that an injury prevention programme is worthwhile. The effectiveness of FIFA 11+ has been shown to

reduce the risk of non-contact injury to footballers and potentially enhance performance through neuro-muscular

changes. We can continue to educate the coaches, parents and players on the importance of these programmes

with support from organisations including NZ Football. Physiotherapists can get alongside coaches and help educate

them and get involved with implementing the FIFA 11+ programme which is both simple and effective. Spending

time on injury prevention can only be beneficial to all involved.

This article discusses football’s approach to injury prevention, but by no means are they the only sporting

association to do this. Development injury prevention programmes in netball is occurring both here and in Australia.

.

Relevant links of interest:

http://f-marc.com/11plus/home/;

http://www.nzfootball.co.nz/fifa-11/

http://netball.com.au/netball-launches-program-to-eliminate-knee-injuries/

http://www.mynetball.co.nz/netball-smart/fitness-injury-prevention.html

References can be provided on request

FIFA 11+: an effective programme to prevent football injuries in various player groups worldwide – a narrative review continued...

By Rose Lampen-Smith Dip Phys; PGD HSc (Phty)

Foot Science International Academy presents:

“Entering the FootZone 2016” – a one-day accredited course about the patient’s foot

and lower limb function and pathology

offered in six NZ locations May 14-21

More information & sign up with EventBrite: http://bit.ly/footscience

Enquiries at 0800 60 30 10 or info@footscienceinternational.co.nz

PAGE 20

SPNZ Bulletin April Edition

Clinical Section - Article Review

ABSTRACT

Sport is the leading cause of injury in youth. This meta-analysis revealed a combined preventative effect

of neuromuscular training in reducing the risk of lower extremity injury however a lack of uptake and

maintenance of such programmes is an ongoing issue.

There is a very high participation rate in youth sport which has important health implications including

psychosocial benefits. However, sport is also the leading cause of injury in adolescents. The estimated

annual incidence across many countries is 35 injuries per 100 youth requiring medical attention. Lower

limb injuries account for 60 percent of the overall injury burden.

This systematic review and meta-analysis looked at randomized controlled trials, quasi-experimental or

cohort studies published prior to September 2014. All studies were reviewed using the Downs and Black

quality assessment tool. Twenty-five studies were used for final evaluation.

All studies showed a significant overall protective effect of 36 percent in lower limb injury risk. The studies

also showed a potential reduction in knee injuries however this was not significant. The majority of the

studies examined neuromuscular training strategies including multiple components (strength, balance,

agility) hence it is difficult to assess the contribution of each component. Some studies did show a

greater protective effect when programmes included jumping and/or plyometric training compared to those

without.

There were reported limitations to the studies reviewed. A lot had poor reporting of losses to follow up,

lack of control for potential confounding factors and exposure to risk was not considered. The studies also

only reviewed ages 11 to 18 years and elite sports so results cannot be generalizable to paediatric and

non-elite sport populations.

While there is growing evidence that injury prevention training programmes work, there is also evidence to

support the lack of programme uptake and ongoing maintenance. There is a need to focus on the ongoing

and sustainable implementation of effective injury prevention strategies in youth sport. Some sports have

shown greater adherence when the programmes are sport-specific with a focus on coach training.

Neuromuscular training injury prevention strategies in youth sport:

a systematic review and meta-analysis

Carolyn A Emery, Thierry-Olivier Roy, Jackie L Whittaker, Alberto Nettel-Aquirre, Willem van Mechelen.

British Journal of Sports Medicine 49 (13): 865-870

By Amanda O’Reilly, Physiotherapist, BPhty, PGDipSEM

PAGE 21

SPNZ Bulletin April Edition

Continuing Education Continuing Education

Sideline Management Course

May 21st-22nd Auckland - see

advertisement page 26

SPNZ Sports Certificate Update

SPNZ Members always get first notification for the courses so keep an eye out for an email and in the bulletin

Lower Limb Course

Provisional date: February 2017

Spine and Pelvis Course

Provisional date: mid 2017

Prevention and Performance Course

Provisional date: second half of 2017

Upper Limb Course

July 16-17th Auckland -more details

soon

Specific Athletic Populations Course

Provisional date: November 2016

Auckland

Level Two:

Looking at 12 to 18 months depending on demand

Exercise Prescription Course

Expression of interest for Wellington in

November - see page 24 for details

As mentioned in the article by Duncan and Fiona, High Performance Sport New Zealand has a pathway or model for progressing into the realm of treating high performance athletes which includes the courses we run as part of the Sports Physiotherapy Certificate. These courses are based on competencies the IFSPT considers necessary to be a sports physiotherapist. Though the numbers of top jobs are limited, this pathway or principal is also very relevant to anyone working with sports or athletes, be it weekend warriors or club and provincial players.

When I started working with sports teams many years ago there weren’t any courses in New Zealand, be it weekend courses like the certificate, or post graduate sports courses. Knowledge was gained through trail and error, or if you were lucky, you worked beside an experienced sports doctor. Over many years we have looked at how to provide NZ physiotherapists with this knowledge. Finally, the hard work and dedication of the SPNZ executive and education committee has now enabled us to provide for you a top programme for sports physiotherapy in NZ. Over the last few years level one courses have proven very popular, so it is pleasing that this year we are releasing the first of our level two courses.

Hamish We aim to have all three level one courses twice a year.

Level One:

We aim to have 2 of each of the 3 level one courses yearly

Trauma Course April 16 & 17th—both full

PAGE 22

SPNZ Bulletin April Edition

Continuing Education

Expression of Interest

Promotion and Prescription of Physical Activity and Exercise

SPNZ Certificate in Sports Physiotherapy Level 1 Course

Physical inactivity is responsible for the growing epidemic of obesity and health-related conditions.

Physiotherapists play a critical role in promoting and prescribing physical activity in all age groups and are

ideally placed to prescribe exercise for those with chronic health conditions, and to those wanting to return to

recreational activity or competitive sport following injury.

A course covering the promotion and assessment of physical activity levels, exercise testing and ways to effectively prescribe physical activity and exercise for individuals ranging from inactive to those involved

in competitive sports.

Presented by: Dr Grant Mawston and Dr Peter McNair

This course is suitable for:

Physiotherapists wanting to improve their knowledge and skills in

assessment and prescription of physical activity and exercise to

use with patients on a daily basis. This course provides a bridge

to Level 2 SPNZ courses and important background information

for those considering university postgraduate study.

What the course will cover:

The course will provide a combination of lectures, practical demonstrations, practical assessments and case studies and will cover the following topics:

Principles of exercise prescription Promotion and assessment of physical activity Assessment of neuromuscular performance Aerobic and functional capacity testing Strategies to enhance exercise adherence Screening for return to sport Exercise risk screening and goal setting Physiological effects of disuse and ageing

Expression of Interest in Wellington Course November 2016

Likely Cost: SPNZ members $450

Cost includes morning and afternoon teas and course manual.

Please note:

At this time this is an expression of interest only. If we do not get sufficient interest to cover course costs,

the course will not be run in Wellington.

Please indicate your interest by emailing Hamish Ashton ( help@spnz.org.nz )

PAGE 23

SPNZ Bulletin April Edition

Continuing Education

The course will cover:

Presenters:

Dr Deb Robinson (Sports Medicine Physician – former All Blacks doctor & current Crusaders doctor) Dr Angela Cadogan (Physiotherapy Specialist – Musculoskeletal) Kim Simperingham (Strength & Conditioning) Emma Mark (Physiotherapist Marist St Pats and Habit physiotherapy, previously Nigerian national rugby federation and championship level UK) Kelly Davison (Hand Therapist) Drug Free Sport NZ

To Register:

Registration will be limited to the first 25 paid registrants Registration Form - : https://sideline-management-spnz-level-1-course.lilregie.com/

Fax 04-801 5571 or Email: pnz@physiotherapy.org.nz

SIDELINE MANAGEMENT (SPNZ LEVEL 1 COURSE)

This course is for registered physiotherapists who work with individual athletes, or on the sideline at sports games or events who want to upskill in the areas of pre-game preparation, first aid, acute injury assessment and

management, and post-event recovery strategies.

By the end of the course you will have all the tools you need to manage pre-event preparation, post-event

recovery and to confidently assess, manage and refer common sporting injuries and wounds.

Location:

AUT Millennium

Click for Google map

17 Antares Place, Mairangi Bay

Auckland

Date:

Saturday 21st May 2016 9am – 5pm

Sunday 22nd May 2016

8am – 4.30pm

Course Fee:

SPNZ Member $405.00

PNZ Member $486.00

Non-PNZ Member $607.50

Ethics and Professional Issues in Sports

Physiotherapy

Pre-event preparation and warm-up

Strapping

Sports First Aid

On-field injury assessment

Concussion assessment and management

Splinting of hand and finger injuries

Indications for medical and radiology referral

Return-to-play decision making

Post-event recovery

Anti-doping regulations and banned substances

PAGE 24

SPNZ Bulletin April Edition

Continuing Education

SPNZ Website Passwords Please note: We are about to do an update of our database for accessing the website.

*** Unfortunately this will delete your current password. ***

A new one will be issued and this will be: your mobile number minus the first 0

e.g. mobile = 0211234567 password = 211234567

If this doesn’t work just reset it. (This could be because we have no number or an incorrect number)

See the FAQ page if you don’t know how. Our apologies for this Hamish

Website Passwords

PAGE 25

SPNZ Bulletin April Edition

JOSPT

www.jospt.org JOSPT ACCESS

All SPNZ members would have been sent advice directly from JOSPT with regards to accessing the new JOSPT

website.

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

If you did not follow this advice, have lost the email, have any further questions or require more information then

please email JOSPT directly at jospt@jospt.org in order to resolve any access problems that you may have.

If you have just forgotten your password then first please click on the “Forgotten your password” link found on the

JOSPT sign on page in order to either retrieve or reset your own password.

Only current financial SPNZ members will have JOSPT online access.

Volume 46, Number 4, April 2016

EDITORIAL

2015 JOSPT Awards: Back Pain and Anterior Cruciate Ligament Injuries Are a Continued Focus of Research and

Clinical Attention in Physical Therapy

CLINICAL COMMENTARY

Shedding Light on the Etiology of Sports Injuries: A Look Behind the Scenes of Time-to-Event Analyses

MUSCULOSKELETAL IMAGING

Cauda Equina Compression in the Absence of Neurologic Signs

RESEARCH REPORT

Reduced Physical Activity in People Following Ankle Fractures: A Longitudinal Study

A Prescriptively Selected Nonthrust Manipulation Versus a Therapist-Selected Nonthrust Manipulation for Treatment

of Individuals With Low Back Pain: A Randomized Clinical Trial

Cervico-occipital Posture in Women With Migraine: A Case-Control Study

The Influence of Centralization and Directional Preference on Spinal Control in Patients With Nonspecific Low Back

Pain

Plantar Cutaneous Sensitivity With and Without Cognitive Loading in People With Chronic Ankle Instability, Copers,

and Uninjured Controls

M-Mode Ultrasound Reveals Earlier Gluteus Minimus Activity in Individuals With Chronic Hip Pain During a

Step-down Task

Abdominal Bracing Increases Ground Reaction Forces and Reduces Knee and Hip Flexion During Landing

Postural Cueing to Increase Lumbar Lordosis Increases Lumbar Multifidus Activation During Trunk Stabilization

Exercises: Electromyographic Assessment Using Intramuscular Electrodes

Research Publications

PAGE 26

SPNZ Bulletin April Edition

Research Publications

British Journal of Sports Medicine

www.bjsm.bjm.com

Volume 50, Number 8, April 2016

REVIEWS

Do runners who suffer injuries have higher vertical ground reaction forces than those who remain injury-free? A

systematic review and meta-analysis

Henk van der Worp, Jelte W Vrielink, Steef W Bredeweg

http://bjsm.bmj.com/content/

Effects of exercise and manual therapy on pain associated with hip osteoarthritis: a systematic review and

meta-analysis

Lucy Beumer, Jennie Wong, Stuart J Warden, Joanne L Kemp, Paul Foster, Kay M Crossley

http://bjsm.bmj.com/content/

Measurement of physical activity in older adult interventions: a systematic review

Ryan S Falck, Samantha M McDonald, Michael W Beets, Keith Brazendale, Teresa Liu-Ambrose

http://bjsm.bmj.com/content/

CLINICAL ANALYSIS

Has the athlete trained enough to return to play safely? The acute:chronic workload ratio permits clinicians to

quantify a player's risk of subsequent injury

Peter Blanch, Tim J Gabbett

http://bjsm.bmj.com/content/

ORIGINAL ARTICLES

Prospective comparison of running injuries between shod and barefoot runners

Allison R Altman, Irene S Davis

http://bjsm.bmj.com/content/

Injury risk in runners using standard or motion control shoes: a randomised controlled trial with participant and

assessor blinding

Laurent Malisoux, Nicolas Chambon, Nicolas Delattre, Nils Gueguen, Axel Urhausen, Daniel Theisen

http://bjsm.bmj.com/content/

“Physical Activity 4 Everyone” school-based intervention to prevent decline in adolescent physical activity levels: 12

month (mid-intervention) report on a cluster randomised trial

Rachel Sutherland, Elizabeth Campbell, David R Lubans, Philip J Morgan, Anthony D Okely, Nicole Nathan, Luke

Wolfenden, Jarrod Wiese, Karen Gillham, Jenna Hollis, John Wiggers

http://bjsm.bmj.com/content/

PAGE 27

SPNZ Bulletin April Edition

Qualitative Study at the School of Physiotherapy

Current perspectives on the assessment and prescriptions of footwear for overuse running knee injuries

Physiotherapists and podiatrists are sought for a focus group discussion or individual interviews on the perceptions

and opinions of the assessment and overall treatment of running-related overuse knee injuries, including

approaches to prescription of footwear. This study will clarify current trends in clinical practice and inform teaching

and future research studies. The discussion will be maximally one hour and can be conducted individually with the

researchers via Zoom (a web-based programme similar to Skype).

For further information, please contact Codi Ramsey (PhD candidate) at codi.ramsey@otago.ac.nz

Classifieds

PALMERSTON NORTH

Rehab Physio Centre

Physiotherapist – start early May It’s time for her big OE and with Shannon leaving we have big shoes to fill!!

Are you an enthusiastic, energetic team player wanting to join an experienced team of five physiotherapists

working with a variety of sports, spinal and work related injuries?

We are looking for someone who will value the opportunity to learn and develop professionally. You will be

working independently in a friendly supportive environment.

Along with providing expertise in manual therapy, therapeutic exercise and acupuncture, our practice has a fully

equipped rehab gym.

To apply, or for more information, please contact

Mike Harnett, Managing Director, Rehab Physio Centre (PN) Ltd

at: mike@rehabphysiocentre.co.nz

or phone 021 473 422,

or visit our website www.rehabphysiocentre.co.nz