"I think 2016 was the best conference I have EVER been to!"

Our 2017 conference is set to be our biggest and best yet with topics ranging from biomechanics to business and sports injuries to shoulder pain. Click the panels below to find out more about our speaker's specialised lectures...

Saturday 01 April 2017

Rich Katz 09:00hrs – 09:45hrs

The Northwest rehab alliance (NWRA) is a leading therapy provider network in the Pacific Northwest. They are using them, Nuffield Health is using them, numerous private clinics are using them – should you be?


Using care pathways is becoming more prominent in the United States and while it is a really worthwhile topic, we want to know what makes it a good topic. Rich Katz would like to share this information with you - the Physio First members.


Rich wants to know about the challenges and/or opportunities that he can talk about relative to our Physio First members’ market so that he can reflect in advance of the sort of question that he might be asked and can tie back to his experiences of trading as a network for the last 20 years in the US e.g.

  • What was the first method of bringing the providers together?
  • What was the first experience with a payer?
  • What are the processes that need to be done to set up a network?


Rich has experience of being in two different networks in different parts of the USA – one in Ohio that is run by Bob Swinehart, who Rich knows well, as well as the Washington/Oregon NWRA

Rich will be presenting a 50 minute conference presentation  directed at all conference delegates upon the challenges and benefits of developing your own clinical care pathways – to the private practitioner network, the commissioner of physiotherapy providers, the patient and the private practitioner with learning outcomes that those attending will learn:

  • A very brief account of the logistical processes put in place by Therapeutic Associates, a US physical therapy practice that is commissioned to run and negotiate on behalf of a network of over 365 clinics and 1200 practitioners
  • The reason for taking the approach that they did
  • The criticism they came in for, for doing it this way
  • The lessons learned and their ideas for future development


You might be asking, “why would I want to be lectured by a non-clinician” and neither is he an academic but Rich Katz has seen care pathways in action and helped instigate the whole concept. There seems to be an underlying theme that the inherent problem at the end of the day is that clinicians don’t adhere to care pathways as strictly as they should and they say that they find them confining or they are even frowned upon in some cases. It is this attitude that is why you as private practitioners have to write these things i.e. to tackle the fact that the payers will dictate authorisations from on high, if you don’t.

Pathways have an interesting  role i.e. at times they are very prominent but he would say that most of the time they are less prominent because the PMIs and even the providers are impressed to know that the NWRA we have them but how often are they actually followed is debateable

They definitely create an impact however they can fall by the wayside when it comes to the nitty gritty of negotiations and contracting

On the provider side they even fall by the wayside where the provider is not consulted.

Phillip Glasgow 09:50hrs – 10:35hrs

Athletic Low Back Pain: key considerations to ensure effective outcomes

This lecture will consider pathomechanics of spinal function and its role in activities such as running, kicking and throwing. Recent evidence relating to low back pain in sport will be discussed and a sport specific approach to assessment and management outlined.

Who should attend this course?

Any physiotherapist who treats active individuals with low back pain

Learning outcomes:

Provide a theoretical framework for the role of the spine in sports performance: Whole body integration, the role of the hip, torso-pelvic (de)coupling and keeping tension in the system

Low back and sport: contributing factors and their relationship to pain & dysfunction

Practical assessment of movement quality and control 

Practical techniques to improve movement quality and control: manual therapy and exercise interventions

Skills gained:

Enhanced understanding low back in sport. Improved assessment, treatment and rehabilitation skills in the management of sport-related low back pain

Practical application:

Practical skills in the assessment and management of low back pain – including exercise prescription and manual therapy skills

Essential reading:

Key, J. Back Pain: A Movement Problem. Churchill Livingston 2010

Dylan Morrissey 11:30hrs – 12:15hrs

The what and the how. A mixed methods perspective on pathways and knowledge translation for modern physiotherapy

Lecture description / overview -

This talk will share some recent work on pathways for managing MSK conditions and how these can be used to bridge the translational gap between evidence generation and clinical application. It sounds dry – but there will be lots of clinical tips and translatable resources shared. 

Who should attend this lecture - Everyone with an interest in how to better deliver patient care.

Course aims / learning outcomes - By the end of this session delegates will be able to:

  • design better patient pathways
  • consider the MDT in pathway design
  • have a better appreciation of how to get evidence into practice
  • have some concrete clinical tips to implement

Skills gained - Pathway design, knowledge incorporation, research demystification.

Practical application - This knowledge can be clinically applied in all patients’ management, but will be especially relevant to those with MSK pathology.

Areas for further learning / recommended reading - PDFs of key papers will be supplied.

Tania Pizzari 14:00hrs - 14:45hrs

Unravelling the deep hip muscles: It's not the size that counts but how you use them

Learning outcomes:

By the end of this session delegates will be able to:

  1. Understand the role of the deep hip muscles in function and dysfunction of the hip;
  2. Appreciate the different segments of the gluteus medius and gluteus minimus and their differential activation patterns;
  3. Understand deviations in muscle function of the stabilising muscles in common hip disorders;

Identify therapeutic exercises to apply in the presence of hip muscle dysfunction and hip pathology.

Skills gained:

  1. Enhanced understanding of the role of deep hip muscle function and the impact of disease and pathology.
  2. Evidence-based approach for exercise prescription in hip disorders.

Practical application:

Delegates will be able to:

  1. Apply their understanding of deep hip muscle function in clinical practice to a variety of patient populations including hip osteoarthritis, gluteal tendinopathy and femoro-acetabular impingement.
  2. Prescribe evidence-based exercises specific to deep hip muscle dysfunction

Further reading:

Semciw AI, Green RA, Murley GS, Pizzari T. (2014). Gluteus minimus: an intramuscular EMG investigation of anterior and posterior segments during gait. Gait Posture, 39(2), 822-826

Semciw AI, Pizzari T, Murley GS, Green RA. (2013). Gluteus medius: An intramuscular EMG investigation of anterior, middle and posterior segments during gait. Journal of Electromyography and Kinesiology, 23(4), 858-864.

Semciw AI, Green RA, Pizzari T, Briggs C. (2013) Verification of a standardized method for inserting intramuscular EMG electrodes into uniquely oriented segments of gluteus minimus and gluteus medius. Clinical Anatomy, 26(2), 244-252.

Paul Hodges 14:50hrs – 15:35hrs

Low back pain: Matching the treatment to the patient

Lecture Overview:

Optimal approaches to management of low back pain are being hotly debated. Divergent approaches are being presented and there is growing confusion about when and how to apply different interventions. There is also a critical need to identify the most cost effective ways to design care pathways. Decision about when, if and how motor control interventions may be appropriate for a person with low back pain has become clouded. This presentation aims to resolve these issues.

Who should attend this lecture?

Physiotherapists who treat low back pain and other musculoskeletal conditions

Learning Outcomes:

By the end of this session delegates will be able to:

  • Understand different methods available to target treatments to patients
  • Understand the place for motor control training in management of low back pain – who should benefit and how can we identify this
  • Consideration of how and when to apply a motor control intervention
  • Consider alternative models to optimise the outcomes and efficiency of application of multimodal treatment to patients with low back pain

Skills Gained:

  • understanding of methods to consider appropriateness of motor control training to low back pain
  • understanding of methods to integrate different models of subgrouping/stratifying care for low back pain
  • Consideration of efficient methods to design care pathways

Practical Application:

  • Clinical ideas about integration of models of care and strategies for subgrouping
  • State-of-the-art consideration of role of motor control training in low back pain
Recommended Reading:
  • - Macedo LG, Maher CG, Hancock M, Kamper SJ, McAuley J, Stanton TR, Stafford R, Hodges PW. (2014) Predicting Response to Motor Control Exercises and Graded Activity for Low Back Pain Patients: Preplanned Secondary Analysis of a Randomized Controlled Trial. Physical Therapy. 94(11):1543-54
  • - Hodges, P.W., van Dillen, L., McGill, S., Brumagne,, S., Hides, J.A., Moseley, G.L. (2013) Integrated clinical approach to motor control interventions in low back and pelvic pain. In Hodges, P.W., Cholewicki, J., van Dieën J.H. (Eds) Spinal Control: The Rehabilitation of Back Pain, Elsevier, UK. p243-310.
  • - Hodges, P.W. (2015) The role of motor control training. In Jull, G., Moore, A., Falla, D., Lewis, J., McCarthy, C., Sterling, M. (Eds) Grieve’s Modern Musculoskeletal Physiotherapy, 4th Edition, Elsevier, UK, p482-487.

Sunday 02 April 2017

Tania Pizzari 09:00hrs - 09:45hrs

Principle-based approach to managing rotator cuff tendinopathy

Learning outcomes:

By the end of this session delegates will be able to:

  1. Understand the similarities and differences between upper limb and lower limb tendinopathy;
  2. Review the current evidence for rehabilitation of rotator cuff tendinopathy;

Apply clinically relevant, evidence-based management techniques to treat patients with rotator cuff tendinopathy.

Skills gained:

  1. Improved understanding of tendinopathy of the shoulder.
  2. Evidence-based principles for managing rotator cuff tendinoapthy.

Practical application:

Delegates will be able to apply the evidence and practical information in this lecture to the management of patients with rotator cuff tendinopathy.

Further reading:

Lewis J. (2010). Rotator cuff tendinopathy: A model for the continuum of pathology and related management. British Journal of Sports Medicine, 44: 918-923

Rio et al. (2015) Isometric exercise induces analgesia and reduce inhibition in patellar tendinopathy. British Journal of Sports Medicine. 49: 1277-1283

Watson L, Warby S, Balster S, Lenssen R, Pizzari T. (2016) The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 1. Shoulder and Elbow. DOI: 10.1177/1758573216652086

Watson L, Warby S, Balster S, Lenssen R, Pizzari T. (2016) The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 2. Shoulder and Elbow. DOI: 10.1177/1758573216652087

Celia Champion 09:50hrs – 10:35hrs

To be or not to be? Part of a self-employed private physio cooperative?

Lecture Description:

An exploration of the future of Physiotherapy as delivered by self-employed private physiotherapists. With an ever-changing landscape, we look at the opportunities for self-employed private physiotherapists.

Who should attend this lecture?

This symposium is for Physio First members and those who help them to make strategic business decisions. So you should attend if you are a Physio First member or a Physio First member can vouch for the fact that you help them to make strategic business decisions. This symposium is all about how many self-employed private physios may choose to trade in the future.

Learning Outcomes:

  • Why now: Current healthcare market conditions 
  • Benefits of being in a cooperative
  • Challenges and obstacles to overcome
  • Other cooperatives’ achievements in other sectors
  • Painless Practice top tips to be Goal 9 ready

Skills Gained:

An informed view of a possible, marketplace disrupting, development in how self-employed private physios may impact the healthcare marketplace in the near future.

Practical Application:

After this talk you will be in a position to weigh up the pros and cons of being part of a self-employed physio cooperative and you’ll be able to identify the steps you need to take to get there.

Areas for further learning / recommended reading:

In the run up to this symposium, Physio First will produce answers to “frequently asked questions?” that will represent a “must read” (or in the case of videos) and “must view” before attending, in order to prepare. In addition there are Painless Practice courses run specifically for Physio First commencing on 14 March in London and 16 March in Leeds.

Paul Hodges 11:15hrs – 12:00hrs

Men’s Health: a new bastion of physiotherapy

Lecture Description:

Men’s health is an area of global importance – >40 % of men report continence issues; sexual dysfunction and pelvic pain are also prevalent. There is increasing world-wide interest in the role of physiotherapy in this domain, to the extent that many international physiotherapy special interest groups that represent “women’s health” are considering name change to embrace the inclusion of “men’s health” issues. It is critical to consider/reconsider the optimal path for physiotherapy in this domain.

Who should attend this lecture?

Physiotherapists whose clinical patient load includes men, but particularly those who are interested in expanding there scope in management of men’s health.

Course aims:

By the end of this session delegates will be able to:

  • Understand new knowledge of the mechanisms of continence in men
  • Describe the anatomy of the pelvic floor in men and the differences with women
  • Understand theories related to pelvic pain in men
  • Understand the mechanisms for efficacy of interventions
  • Understand the basis for subgrouping and tailoring of interventions for pelvic floor muscle dysfunction in men

Skills Gained:

  • Experience with interpretation of novel measures to guide management of pelvic floor conditions in men
  • Understand subgroups within men presenting with pelvic floor muscle dysfunction
  • Understanding of treatment techniques
  • Refinement of motor learning strategies in pelvic floor muscle dysfunction

Practical Application:

  • Introduction to tailored treatment targeting for men with pelvic floor muscle dysfunction
  • Experience with interpretation of novel methods to assess pelvic floor muscle function in men, including ultrasound imaging

Recommended reading:

  • - Stafford, R., Ashton-Miller, J., Constantinou, C., Hodges, P.W. (2012) Novel insight into the dynamics of male pelvic floor contractions through transperineal ultrasound imaging. Journal of Urology, 188(4):1224-30.
  • - Stafford, R., Ashton-Miller, J., Constantinou, C., Hodges, P.W. (2013) A new method to quantify male pelvic floor displacement from 2D transperineal ultrasound images. Urology, 81(3):685-9
  • - Stafford, R.E., Ashton-Miller, J.A., Constantinou, C., Coughlin, G., Lutton, N.J., Hodges, P.W. (2014) Pattern of activation of pelvic floor muscles in men differs with verbal instructions. Neurourology and Urodynamics, 35(4):457-63.

Igor Tak 14:15hrs – 15:00hrs

Will biomechanics guide us in assessment and treatment of groin injury?

Igor will be joining us from the Netherlands to offer his expertise in the area of biomechanics. Coming away from this lecture, delegates will:

  • Understand the different forms of groin pain in athletes based on clinical entities
  • Recognise the huge effort put into research on groin pain in athletes
  • Critically appraise well know treatment strategies
  • Get a good feeling of where their own clinical work suits in a more dimensional approach
  • Explain why their approach might work in possible absence of straight evidence
  • Use basic biomechanical knowledge to further guide treatment

Additionally, Igor will be incorporating a manual, therapeutic approach to this lecture with exercise therapies based on biomechanical principles. The learnt information can be clinically applied in the assessment and treatment of patients with groin pain and patient populations with hip related problems and secondary groin pain.

Areas for further development

  1. Practical training in assessment sport specific functions regarding active stability and range of motion
  2. Clinical reasoning on sport biomechanics and the relation with injury and performance
  3. Step-wise approach in treatment planning of athletes

Dr Ian Horsley 15:05hrs – 15:50hrs

Exercise Rehabilitation; From Initial Injury to Sport-Specific Training. Concepts in Reloading the Injured athlete

Lecture Description:

This presentation aims to breakdown the rehabilitation process from the view point of healing and loading. Frequently clinicians have questions regarding how much to load something and when; when can i add this exercise or activity; when are people safe to return to running or sport?

Who should attend this lecture?

Clinicians and rehabilitators working within musculoskeletal medicine. The principles are the same for the general population as well as sportsmen and women.

Course aims:

By the end of this session delegates will be able to:

  • Establish a clear understanding of tissue healing physiology.
  • Develop knowledge of the healing time frames and their relevance to injury rehabilitation
  • Describe and quantify the levels of tissue loads in sporting activities and daily life
  • Contextualise the relationship of the tissue homeostasis model to injury, healing and rehabilitation
  • Gain understanding of the need to target tissue rehabilitation to relate to the loads incurred by the injured tissue
  • Provide logical structured progression paradigms for tissue reloading following injury

Skills gained:

Understanding of the role loading has in the management of injury.

How to plan and manipulate a rehabilitation programme

Optimisation of injury recovery

Practical application:

This will enable practitioners to use clinical reasoning in the goal setting and entry and exit criteria for the phases of rehabilitation following musculoskeletal injury

Recommended reading:

  • The Science and Practice of Manual Therapy
  • Eyle lederman (2005)
  • Elsevier Health



Book your place now for our Conference 2017!