Conference 2020: Brave New World

By the end of this session delegates will have an understanding of pathoaetiology and impairments associated with gluteal tendinopathy and clinical diagnostic strategies for lateral hip pain.

Who should attend this lecture?

• Clinicians aiming to optimise their understanding and diagnosis of lateral hip pain.
• Researchers interested in the current state of the evidence regarding aetiology, impairments and diagnostic utility tests for gluteal tendinoapthy

Lecture aims

• An understanding of pathoaetiology of gluteal tendinopathy
• Evidence regarding known impairments associated with gluteal tendinopathy
• Information on diagnostic utility of clinical tests for assessment of lateral hip pain

Skills delegates will gain:

• Have a background rationale for diagnostic and management strategies for gluteal tendinopathy, informed by pathoaetiological mechanisms
• Understand impairments associated with gluteal tendinopathy, thereby guiding clinical assessment of such potential impairments and remediation in management of this condition
• Be aware of the most useful tests for application in clinical examination of those presenting with lateral hip pain

Practical application

Delegates will:

• Have a background rationale for diagnostic and management strategies for gluteal tendinopathy, informed by pathoaetiological mechanisms
• Understand impairments associated with gluteal tendinopathy, thereby guiding clinical assessment of such potential impairments and remediation in management of this condition
• Be aware of the most useful tests for application in clinical examination of those presenting with lateral hip pain

Areas for further reading can be provided upon request

This lecture supports our members becoming or continuing to be QAP/QAC by providing you with the current evidence base and clinical techniques for assessment and diagnosis of patients with lateral hip pain. This will allow clinicians to provide early and optimal management and outcomes.

By the end of this session delegates will be aware of the evidence base and clinical strategies for management of gluteal tendinopathy

Who should attend this lecture?

Clinicans aiming to optimise their management of lateral hip pain. Researchers interested in the current state of the evidence regarding management of gluteal tendinopathy.

The lecture aims to provide delegates with:

• An understanding of the evidence base for management of gluteal tendinopathy
• Detail regarding the successful LEAP protocol intervention
• Comparative evidence for other interventions

Skills delegates will gain

• Be aware of load management strategies for gluteal tendinopathy
• Be aware of the specifics of the exercise protocol provided within the successful UQ/UM LEAP RCT protocol
• Be able to alter the LEAP protocol for application in everyday clinical practice and in patients with co-morbidities
• Have troubleshooting strategies for non or slow responders

Practical application

• Be able to provide load management advice to patients with gluteal tendinopathy, based on a highly successful education and exercise protocol
• Be able to develop an individualised and evidence-informed exercise programme for patients with gluteal tendinopathy
• be able to alter the programme depending on comorbid presentations
• Have clinical troubleshooting strategies for non or slow responders

Areas for further reading can be provided upon request

This lecure supports our members becoming or continuing to be QAP/QAC by providing details for supplying an effective and evidence based management programme for gluteal tendinopathy

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

-              Recognise the value of imaging in assessing patients with FAI (e.g. cam morphology, labral and cartilage findings).

-              Appreciate the burden of FAI and hip-related pain

-              Understand the role of hip joint loading in FAI and hip-related pain.

-              Understand the association between non-mechanical factors and hip-related pain.

-              Describe evidence-based interventions for hip-related pain (including surgery and physiotherapy), and how to implement non-surgical interventions in their practice.

-              Evaluate outcomes for patients with FAI and hip-related pain.

Lecture aims

• Highlight the role of imaging findings in FAI and hip related pain, and the impact of hip-related pain.
• Explain the patient specific contributing factors and treatment options for patients with FAI and hip-related pain.

Skills delegates will gain

• Interpretation of imaging findings
• Knowledge of the burden of hip pain and FAI
• Implementing rehabilitation for people with FAI and hip related pain pain

Who should attend this lecture?

Clinicians who manage FAI and hip related pain

Practical application

Apply contemporary, evidence-informed assessment and treatment options for people with hip-related pain and FAI

Assess relevant outcomes for patients with FAI and hip related pain

Areas for further reading can be provided upon request

This lecture supports our members in becoming or continuing to be QAP/QAC:

• Reducing the burden of musculoskeletal pain is a critical goal for most physiotherapy practitioners.
• Hip-related pain and FAI are common, and a frequently presentation to physiotherapy practice.
• Many practitioners do not understand how to interpret imaging findings (including bony morphology, labral and cartilage findings) and whether physiotherapy can benefit patients. Many clinicians do not have knowledge of the treatment options, or how to apply these to their patients.
• This lecture will support members to not only understand the evidence-based interventions, but also how to apply them, and measure their success.

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

• Appreciate the burden of patellofemoral pain in adolescents, adults and older adults.
• Recognise the value of imaging in assessing patients with PFP.
• Understand the factors that may contribute to the development or persistence of patellofemoral pain.
• Understand the role of patellofemoral joint loading in patellofemoral pain (and OA).
• Understand the association between non-mechanical factors and patellofemoral pain.
• Describe evidence-based interventions for patellofemoral pain, and how to implement these in their practice.
• Evaluate outcomes for patients with patellofemoral pain.

Lecture aims

-              Highlight the burden of patellofemoral pain across the lifespan

-              Explain the patient specific contributing factors and treatment options for patients with patellofemoral pain

-              Translate current evidence-based management of patellofemoral pain for individual adolescent, adult, and older adult patients

Skills delegates will gain

-              Knowing the burden of patellofemoral pain and how address the burden

-              Implementing optimal rehabilitation people with patellofemoral pain

-              Apply contemporary, evidence-informed assessment and treatment options for people with patellofemoral pain

-              Assess relevant outcomes for patients with patellofemoral pain

This lecture supports our members in becoming or continuing to be QAP/QAC:

Reducing the burden of musculoskeletal pain is a critical goal for most physiotherapy practitioners.

Patellofemoral pain is common, and a frequently presentation to physiotherapy practice.

Despite much evidence supporting the benefits of physiotherapy practice for patellofemoral pain, many clinicians do not have knowledge of the treatment options, or how to apply these to their patients.

This lecture will support members to not only understand the evidence-based interventions, but also how to apply them, and measure their success.

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

• Implement clinical guidelines for the management of knee OA
• Understand early OA diagnostic criteria
• Assess early osteoarthritis risk factors and how to address them
• Know what not to do in the management of OA
• Appreciate the rapid development of OA following joint injury and ways that this can be prevented/slowed
• Understand the burden of knee joint injury and OA

Who should attend this lecture?

Anyone who assesses, managed and treats athletes or patients who are at risk of, or who have suffered an ACL injury.

Lecture aims

• Address the common missed opportunities to optimise outcomes for people with OA
• Highlight and address the epidemic of young people with old knees
• Translate current evidence-based guidelines for the management of knee OA, and elements of an outstanding rehabilitation programme
• Challenge the narrative of accelerated return to sport after knee injury to incorporate elements of optimising long-term joint health
• Close the gap between evidence and practice in the treatment for knee OA

Skills delegates will gain

• Optimal exercise-therapy approach to knee OA
• Appreciate the long-term burden of knee injuries, the common risk factors of poor outcome and how to address them
• Education elements in the management of knee OA
• Strategies to monitor progress and increase adherence to rehabilitation

Practical application

• Optimal rehabilitation exercises for patients following knee injury to prevent OA and in those with knee OA to prevent progression
• Able to more confidently liaise with inter-disciplinary healthcare professionals, including orthopaedic surgeons.
• Being able to identify risk factors for OA progression and joint replacement
• What functional outcomes to assess across the spectrum of OA disease

Areas for further reading can be provided upon request

• https://bjsm.bmj.com/content/53/15/940.info
• https://www.ncbi.nlm.nih.gov/pubmed/30030282
• https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-017-1439-y

Please note this workshop will take place at the same time as lectures on Friday afternoon - please click here to book the course

Assessing and rehabilitating function across the spectrum from joint injury to osteoarthritis

• Friday 24th April

• 1.00pm-5.15pm

• Conference suite 1, EMCC, Nottingham

This workshop will present an up to date evidence-based overview of functional testing after lower-limb injury and osteoarthritis and important considerations for optimising long-term health. Why do it? When do it? What to include? This workshop will also cover practical components related to implementing evidence-based rehabilitation for osteoarthritis.

Who should attend this course?

This course is appropriate for experienced physiotherapists.

How will this course support our members becoming or continuing to be QAP/QAC?

Functional assessments are a cornerstone of rehabilitation of patients following injury and in those with osteoarthritis. Implementing current clinical guidelines in the management of osteoarthritis will likely be attractive for referrers.

Learning outcomes

By the end of this session delegates will be able to understand the role of red flags in MSK practice - how to use them to support clinical reasoning and clinical practice.

Who should attend this lecture?

Anyone involved in MSK physiotherapy should benefit from the session

Lecture aims

• Explore the evidence for red flags and to discuss how we can best use them in clinical practice

Skills delegates will gain

• Evidence based information on the use of red flags in practice

Practical application

These are relevant to everyday practice with all patients

Areas for further reading can be provided upon request

This lecture supports our members in becoming or continuing to be QAP/QAC by providing evidence and support of safe practice in MSK, supporting good clincal governance.

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

1.            Consider common headache presentations that may be seen by a physiotherapist

2.            Link the upper cervical spine and a whole spine approach to management.

3.            Apply a rationale linking hands on and exercise in cervicogenic conditions.

Who should attend this lecture?

Any physiotherapist and practitioner who may see spinal pain as a common symptom

Any practitioner working within an environment where upper cervical spine and headache are seen within practice

Lecture aims     

• To enable practitioners to be able to differentiate common headache disorders.
• To develop thinking around a whole spine approach to care
• To develop skills in treatment around cervicogenic headache disorders.

Areas for further reading can be provided upon request

This lecture supports our members in becoming or continuing to be QAP/QAC by improving outcomes in the treatment of spinal disorders

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

•             Appreciate the limitations of current applications of the BPSM

•             Understand the key purpose of the model and how to apply it effectively

•             Know what really matters to patients and what impacts outcome

•             Understand the power of simple communication and language and how to enhance your interventions

Lecture aims      

•             To consider the original purpose of the BPSM and appreciate how its current application is misrepresentative.

•             To illustrate what really matters to patients and how this influences our assessment and interactions.

•             To appreciate the power of simple communication skills to influence recovery and pain

Skills delegates will gain

•             Knowledge of how to apply the BPSM effectively

•             Simple tips and tricks to enhance communication and our interactions with patients

Practical Application      

•             Simple skills that are immediately applicable in clinical practice

•             Enable you to reflect on key components of assessment and how to enhance your outcomes

This lecture supports our members becoming and continuing to be QAP/QAP:

ommunication underpins everything we do and done well has the power to enhance our interventions, empower patients and ensure we truly practice patient/person centred care. Effective empathetic communication is an essential skill for all quality assured practitioners and has the power to influence the rehabilitation journey.

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

• Understand more about the complexities of pain patients and the challenges we face day to day as clinicians
• Share knowledge about current concepts in pain management and be introduced to the principles of different treatment approaches
• Explore skills and reflections to take away into clinical practice

Do you find managing patients with complex pain and distress challenging?

• Have you patients about whom you are experiencing:
• A sense of unsureness or discomfort?
• Frustration or even anger?
• A sense of hopelessness?

The types of thoughts that might have gone through your mind are:

• I don't know why they're not responding
• I've tried everything and nothing works
• This patient won't take any responsibility on themselves
• I have a heart sinking feeling every time I see their name on my patient list

What can I as an individual and a practitioner with my set of skills do for this patient at this point in time?

Lecture aims

Pain crosses all areas of physiotherapy practice. The aim of the PPA lecture is to promote the understanding of pain and the challenges of managing patients with multiple comorbidities and often complex long term conditions.

We will cover:

• A bit of what you might want to address with almost all patients (behaviour change and reassurance)
• A bit about patients with high emotional difficulties
• A bit about communication and skills that can aid our practice
• Valued based action
• Self-care

Skill delegates will gain:

• Knowledge about patients presenting with complex conditions and often heightened emotional stress
• Pain management skills applicable in clinical practice
• A curiosity regarding challenging conversations and interactions with this engaging client group
• Practical application
• Pain management is very practical - Leila and I are both clinicians specialising in this field
• Pain managment skills such as value based goals, managing distress and expectation - all very applicable in clinical practice as a physiotherapist

Areas for further reading can be provided upon request

This lecture supports our members in becoming or continuing to be QAP/QAC by providing members with an opportunity to be up to date in current pain management skills. A substantial portion of caseload present with pain often-severe debilitating conditions that can be challenging to manage. In becoming a QAP we feel this will help your members to demonstrate that they are providing an evidence based quality service, improving patient outcomes, and promoting their practice as a Quality Assured clinic