International speakers

Alison Grimaldi

Dr Alison Grimaldi BPhty, MPhty(Sports), PhD is an Adjunct Senior Research Fellow at the University of Queensland, an Australian Sports Physiotherapist and Principal of Physiotec Physiotherapy, with over 25 years of clinical experience and a special interest in hip and pelvic pathologies. Alison was instrumental in the development of the clinical tests and education and exercise intervention for the LEAP multicentre RCT comparing treatments for gluteal tendinopathy, recently published in the British Medical Journal. Recent publications include 15 peer-reviewed papers on gluteal tendinopathy,11 others on hip-related topics, 2 editorials and contributions to book chapters in three leading clinical textbooks. Alison has presented widely at national and international physiotherapy and multidisciplinary conferences and has conducted over 100 clinical workshops, across Australia, New Zealand, USA, Canada, UK, Republic of Ireland, France, Belgium, Netherlands, Switzerland, Hong Kong, Singapore and Dubai.

Alison's lectures

Friday: Aetiology, Impairments and Diagnosis of Gluteal Tendinopathy

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.

Saturday: Mastering Management of Gluteal Tendinopathy

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

 

Director of the La Trobe Sport and Exercise Medicine Research Centre

Kay Crossley

Professor Kay Crossley is the Director of the La Trobe Sport and Exercise Medicine Research Centre. Her main research focus is on the prevention and management of patellofemoral pain and early-onset osteoarthritis after sports-related injuries.

Kay is a physiotherapist with many years of experience in clinical sports physiotherapy. She has contributed to a number of sports medicine and physiotherapy texts, including every edition of Brukner and Khan's Clinical Sports Medicine.

Kay maintains a strong research interest in optimising treatments for patellofemoral conditions (pain and osteoarthritis). Additionally, she has developed a new focus of research, which encompasses three major fields. The major focus is on the development and prevention of osteoarthritis following sports related injuries, with fields in patellofemoral osteoarthritis following patellofemoral pain, knee osteoarthritis following ACL reconstruction and hip OA following hip-related injuries (including FAI and labral tears).

Is there a role for physiotherapy in the management of femoroacetabular impingement?

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.

Can we reduce the burden of patellofemoral pain across the lifespan? A patient centered approach

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.

 

Physiotherapy Scholar, La Trobe University

Adam Culvenor

Adam is a physiotherapist and NHMRC Early Career Research Fellow and completed his PhD in the development of osteoarthritis after anterior cruciate ligament reconstruction at The University of Queensland in 2015. Adam's research focusing on early-onset knee osteoarthritis in young adults following injury has been awarded American Journal of Sports Medicine most outstanding paper 2016, Australian Physiotherapy Association Best New Investigator 2013 & 2017 in musculoskeletal and sports research, Sports Medicine Australia best poster 2015, and British Journal of Sports Medicine best systematic review 2015 (finalist).
During his PhD, Adam was awarded both a Commonwealth Government Endeavour Fellowship and Felice Rosemary Lloyd fellowship to undertake research at the Norwegian School of Sports Sciences, Oslo.
Following his PhD, Adam completed a European Commission funded postdoctoral fellowship in Salzburg, Austria, evaluating muscle and cartilage tissue characteristics in knee osteoarthritis. During this fellowship, he was awarded Paracelsus Medical University Researcher of the Year 2017, European Commission career development prize 2017, and Marie Curie Action Award for communicating science 2017 (finalist).
Adam has also completed a Grad. Cert. at Harvard Medical School (Global Clinical Research Program 2017), is a Senior Associate Editor for the British Journal of Sports Medicine, as well as an invited reviewer for several other international journals. Adam's broad research disciplines are knee pain and injury, osteoarthritis, biomechanics, rehabilitation, and musculoskeletal imaging.

Adam will be presenting a half-day course on the Friday while his lecture will take place on Saturday

Adam's lecture

Optimising management for knee osteoarthritis: new opportunities from joint injury to joint replacement

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

Adam's half day course on Friday: Return to play and osteoarthritis prevention after ACL injury workshop

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

  1. To understand the importance of functional testing after knee injury and osteoarthritis
  2. To appreciate the core elements of functional testing criteria across the disease spectrum
  3. To be able to implement osteoarthritis treatment clinical guidelines  
  4. To understand risk factors for post-traumatic osteoarthritis and knee osteoarthritis progression that can be assessed and managed in the clinic
  5. To be able to implement a secondary osteoarthritis prevention program

 

Homegrown speakers

Consultant Musculoskeletal Physiotherapist

Chris Mercer

Having chaired the Chartered Society of Physiotherapy back pain guideline group and was a member of the Whiplash Associated Disorder guideline group, Chris has a number of roles under his belt.

He is also currently a member of the Royal College of Physicians Occupational Health national back pain audit group, the CSP Professional Practice and Service Delivery Committee and the national research funding stream, and the Research for Patient Benefit Programme.

He is an active member of the MACP and was part of the organising committee delivering the IFOMPT confernce in Glasgow in 2016.

Chris' lecture

Red flags- warnings or signposts?

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.

 

Consultant Physiotherapist

Neil Langridge

Neil is a Consultant Physiotherapist in Musculoskeletal practice. He also has an AHP Director role and is a senior lecturer at the University of Winchester. He holds an MSc in Musculoskeletal Physiotherapy and a Clinical Doctorate. As a practicing injection therapist he works across primary care (FCP) and secondary care triage. Neil has been commissioned by HEE to develop eLearning modules for primary care and has been teaching MSK physiotherapy in many different areas for many years across in the UK and overseas.

Making sense around the upper cervical spine and headache: differentiation and treatment approaches.

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

 

Clinical Specialist Physiotherapist- Upper Limb

Jo Gibson

Jo is co founder and former partner of West Kirby Physiotherapy. She  qualified in 1987. Jo has a Masters in Advanced Practice and is an Associate lecturer at Liverpool University. She has published in peer-reviewed journals and written several book chapters.  She is also a Board member of EUSSER (European Society of Shoulder & Elbow Rehabilitation) and Chairperson of the EUSSER Education Committee.

Jo continues to work in the NHS in a Clinical Specialist role specialising in the upper limb as well as  having a consultancy role with several elite sports teams.

The Biopsychosocial Model: Lost In Translation

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.

Clair Jacobs and Leila Heelas

Physiotherapy Pain Association

The Physiotherapy Pain Association (PPA) was formed to bring together and provide information for Physiotherapists with the common interest of managing patients with both acute and long term pain. The PPA was established in 1994 for Chartered Physiotherapists and was recognised as a Clinical Interest Group of the Chartered Society of Physiotherapy (CSP) in 1996.

The PPA will hold an interest for those physiotherapists working in an out patient department using traditional physiotherapy interventions and interested in developing evidence based best practice, through to those working in a multidisciplinary pain clinic to those using the integrated approach in pain management programmes.

You will find like minded colleagues within the Association who are enthusiastic to discuss and progress ideas and challenges in developing physiotherapy practice within local, national and international scientific communities.

One of the key objectives of the Association is to promote the role of physiotherapy in the relief and management of pain to other Professionals as well as to Physiotherapists.

Clair Jacobs MSC MCSP, Education Officer PPA

Clair Jacobs is the Lead Physiotherapist at INPUT Pain Management Centre, Guys and Thomas’ NHS Trust. She specialises in the delivery, teaching and management of complex chronic pain conditions; helping patients increase function and manage the impact of the pain using Acceptance and Commitment Therapy (ACT/CBT) approach.

Working within pain management for over 20 years, Clair has run Pain management workshops focusing on psychologically informed practice ‘Using psychology in my everyday clinical practice’, 'The Open Aware and Engaged Therapist - Exposure - A Practical approach’ and Pain Seminars including to the British Pain Society and Hong Kong Pain Society.

Clair has a clinical and managerial role specialising in multidisciplinary group-based pain management programmes, combined pain management and intervention programmes and individual work. Clair has published papers on topics including; ‘Applying the Psychological flexibility model for physiotherapy training’ and ‘Utility of physical performance measures in PMP’s’.

Clair is interested in training and development in this field and in exploring practical applications of movement to enhance well-being. She has worked overseas promoting pain management and is interesting in conversations and narrative therapy approaches, MI and coaching.

Leila Heelas – Executive Committee Member PPA

Leila is the Clinical Lead Physiotherapist in the multidisciplinary Optimise Pain Rehabilitation Unit (Oxford University Hospitals NHS FT).  The service offers an Acceptance and Commitment Therapy based PMP, a physiotherapist-led pain rehabilitation programme using psychologically-informed physiotherapy and has just started a Compassion-Focused group for persistent pain.  She has a personal interest in working with CRPS, hypermobility and offering treatment to people who may have psychological barriers to group work.

Leila has an MSc in Pain Management and holds a Graduate Diploma in Psychology. Leila’s publications include Introducing Acceptance and commitment Therapy into a Physiotherapy-led pain rehabilitation programme and The Role of Combined Physical and Psychological Rehabilitation in reducing disability in Chronic Low Back Pain.

Leila has presented and submitted posters to conferences and is an honorary lecturer at Brookes University.  She regularly attends conferences related to pain, has received training in Mindfulness Based Cognitive Therapy as part of an Oxford University trial and has undertaken training delivered by psychologists in Acceptance and Commitment Therapy, Motivational interviewing and CBT for pain

PPA's lecture

Managing Pain - A Brave New World: skilful conversations and interactions

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