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Webinar Summaries

15 May 2015 – Presented by Dr Annelies Pool

Different strategies in patients with lumbopelvic pain

Why do patients with lumbopelvic pain differ from each-other in how they cope with pain, change in mobility, motor control and sensomotoric incongruence?  What different compensation strategies can be present in this group of patients? 
In a 1 hour webinar different strategies seen in patients with lumbopelvic pain will be discussed, based on current scientific literature and studies.  Especially the role of intra-abdominal pressure and the pelvic floor muscles will be discussed.  The essence is how to grasp within your clinical reasoning what a patient is doing to gain control and what the consequences are for intervention. Being able to identify individual compensation strategies will alter your assessment and intervention per patient.

Dr Annelies Pool-Goudswaard has been involved as a part-time lecturer and researcher in the Department of Neuroscience at the Faculty of Health Sciences and Medicine at the Erasmus Medical Centre in Rotterdam since 2003.  She has worked as a Manual Therapist/diagnostic expert at the Impact Paramedical Centre in Zoetermeer since 1983.  Her knowledge domain covers peripartum pelvic pain and low back pain, the subject of her doctoral research. She frequently presents courses in the Netherlands and abroad.

1 December 2014 – Presented by Dr Gisela Sole

Decision making for rehabilitation of lower limb injuries: are impairments important?
Various decisions need to be made during the rehabilitation of lower limb injuries, such as progression of treatment, exercises, and return to activity, occupation and sports.  In the early phases of rehabilitation, these decisions are likely to be based on assessment of impairments, such as range of motion and muscle strength, besides presence of pain, swelling or other symptoms.  However, for the final rehabilitation and return to activity, reliance is often made on the Patient-Specific Functional Scale (PSFS), which is based on patient self-report.  As ACC places emphasis on the PSFS score for discharging the patient or when applying for further treatment cover, it appears that less value is placed on objective assessment of impairments, such as minimal loss of range of motion, flexibility, strength and functional ability.

This webinar explored the significance of impairment and functional outcomes testing for selected lower limb injuries, such as of the ACL and hamstrings, and their implications for progressing management, immediate return to activity and long term outcomes. 

Gisela is a musculoskeletal/sports physiotherapist and senior lecturer at the School of Physiotherapy, University of Otago.  She has extensive clinical and academic experience, and is currently leading research into outcomes of hamstrings and ACL injuries.

13 October 2014 – Presented by Prof Chad Cook

An Evidence-Based Subjective and Objective Examination

All patient history and physical examination tests and measures have the potential to influence our ability to diagnose a condition, perform a prognosis, or prescribe an appropriate treatment. Rarely, tests are capable of doing two or all three.  Some tests are incapable of doing any of these components.  Unfortunately, many of our tests and measures are used in clinical practice because of tradition, rather than being based in science.  With respect to this conundrum, this webinar has five primary objectives. The course will: 1) describe the proper testing process, 2) describe how tests are evaluated, 3) outline the proper order of testing and how this influences decision making, 4) describe how to proceed with decision making when all the tests in a given area aren’t good,  and 5) describe the proper processes of how to “combine” tests to make decisions.  The interactive webinar provides ample opportunity for questions and clarification.

Chad Cook, PT, PhD, MBA, FAAOMPT is a Professor and Vice Chief of Research for the Doctor of Physical Therapy Program at Duke University in the USA.  He is also a research consultant with the Hawkins Foundation of the Carolinas, is an associate editor at Manual Therapy and is an associate editor or on the editorial committee with 4 other journals.   

Dr. Cook received his Bachelors of Science in Physical Therapy at Maryville University in 1990, and a Doctorate of Philosophy (PhD) at Texas Tech University in 2003.  He achieved APTA board certified orthopaedic specialisation in 2002, and received fellowship status at the American Academy of Orthopedic Manual Therapy in 2006.  Prior to arriving at Duke, he was the Chair at Walsh University.

Dr. Cook has published well over 165 peer reviewed papers, has two textbooks in their 2nd edition, and one in its first edition.  Dr. Cook has published several book chapters and has presented internationally at over 140 presentations/conferences.  He has won numerous awards locally and nationally and has won numerous research awards.  He is the 2008 recipient of the Helen Bradley career achievement award and is the 2005 winner of the J Warren Perry Distinguished Authorship Award.

9 June 2014 – Presented by Dr Angela Cadogan

Diagnosis of Shoulder Pain in Primary Care

Shoulder pain is a common and disabling complaint with two-thirds of the population experiencing an episode of shoulder pain at some time during their life.  Recovery from shoulder pain is also slow, and it is often recurrent.  In 2011, the cost of shoulder pain to the ACC was $106 million, representing a significant economic and resource burden on the health care system.  The diagnosis of shoulder pain presents a significant challenge to the primary health care practitioner.  Previously, all information regarding the diagnostic accuracy of clinical tests was taken from specialist orthopedic or surgical populations.  It is well known that differences in prevalence and severity of shoulder conditions alter the diagnostic accuracy of clinical tests, meaning the accuracy of clinical test results from specialist and surgical populations cannot be generalised to primary care populations.  Dr Cadogan's PhD research aimed to identify the clinical examination features that are most accurate for identifying the source of shoulder pain in a large primary care population.

3 February 2014 – Presented by Dr Richard Ellis

Linking Classification of Tendinopathy into Clinical Practice

There are several well-publicised models of stages of teninopathy that, theoretically, are designed to guide clinical assessment and management. However, trying to decipher where along these continuums of tendinopathy your patient is can be difficult. This webinar was designed to put some of the popular models into perspective and provide clinical tips to make better sense of these.

16 December 2013 – Presented by Dr Duncan Reid

Negotiating the Transition into the Physiotherapy Workforce – New Graduate and Practice Owner Perspectives

As a new-graduate physiotherapist, negotiating the transition into employment is a lot more than just agreeing a salary.  There are many aspects that have to be negotiated and considered including mentorship, continuing professional development, colleague support, remuneration etc.

Equally, it can be tough to be in the employer’s shoes negotiating the transition of the new-graduate physiotherapist into their practice.  There is more to consider than the starting package.  Many other aspects need to be considered such as the skill level of the new-graduate, your time spent mentoring, entrusting your clientele to a new-graduate etc.

This webinar looked into these issues from both perspectives - the new-grad physiotherapist and the employer.  A range of aspects was discussed and pragmatic solutions and ideas were offered to ensure that the start to any new employee-employer relationship is a smooth and fruitful one.