26 Sep 2022

Autumn 2022 Scoping education and exercise

Education and exercise are two of the core principles of physiotherapy practice, and the eclectic mix of articles in this edition highlights how the concepts of education have been refined and improved with research and evidence to help patients to obtain better outcomes. This edition also includes articles that show how personal experience can inform how physios approach education and exercise prescription for their patients.

Different aspects of education in a sporting environment

This article discusses the potential legacy of hosting sports mega-events and the value of education for athletes and ourselves. There is the potential for increased participation in sports and exercise and there are clinical and education roles for the physiotherapy profession and individual physiotherapists to play in any increased participation. Large sporting events also provide an education legacy for physiotherapists involved in the event, whether they are volunteers or attached to one of the teams. Finally, the article discusses the value of education during injury management.

Lynn Booth


Changing the conversation: an embodied coaching approach in the clinical setting

Integrating a coaching approach into our therapeutic dynamic can powerfully shift it towards a more mutually collaborative experience. The International Coaching Federation defines coaching as a partnership, whereby the practitioner supports and facilitates the individual in a “thought provoking and creative process” to maximise their potential and connect with their own inherent knowledge. Coaching is, of course, a broad term used in a wide variety of contexts. This article will introduce a specifically developed approach for clinicians to investigate movement, teach exercise and progress their patients compassionately, collaboratively and equitably

Joanne Elphinston


Strength training, the female athlete and the pelvic floor: from weekend warrior to elite-level athlete

Female athletes use resistance training to enhance their strength and performance. It is commonly thought that weightlifting may create a negative effect on the pelvic floor muscles. The question is, are female athletes at risk of causing or worsening pelvic floor problems with weight-training? Females have unique anatomy, biomechanics, and physiology that require full consideration when prescribing exercise and setting up training programmes.

Bill Taylor


Working with cancer patients during prehabilitation, rehabilitation and with specific cancer treatment related side effects

Advances in cancer detection and treatment have resulted in a steady increase in the number of people surviving cancer in the UK. By 2040, more than five million people may be living with acute, chronic or late-appearing consequences of cancer and its treatments. There is a high prevalence of unmet rehabilitation needs in the cancer population, yet many of these side effects, e.g. pain, fatigue, limited range of movement, lymphoedema and peripheral neuropathy, can be effectively treated with physiotherapy. The development of skilled rehabilitation physiotherapists in private practice is essential for providing high-quality cancer rehabilitation

Professor Anna Campbell MBE


Chronic pain recovery: a physiotherapy journey to celebrating the mindbody approach

This article follows a reasoned account of a path through the physiotherapy profession, riding its ups and downs, to the current point of embracing a greatly needed and enjoyable role, guiding clients to relief and recovery from chronic pain using the evidence-based mindbody approach of Stress Illness Recovery Practitioners Association (SIRPA™) and interweaving a supportive and self-reflective coaching style.

Catherine Pollitt


What exercise?

is not uncommon. Patients will often have comorbidities, or even previous neurological events in their past medical histories that are uncovered in our subjective assessments. These, of course, require some awareness and understanding in order to proceed safely and appropriately with treatment to achieve successful recovery and / or rehabilitation. This knowledge is generally limited to “in-training” teaching which may be deepened by experiential exposure and CPD learning, but is not to the same depth of specialised knowledge that someone who has specifically chosen the neuro-physiotherapy route might accumulate. In practice, there is a divergence between the specialisms for necessity as the field of physiotherapy is far too vast for anyone to master all its angles. This article aims to highlight the author’s experience of a neurological life-changing event, her journey through the rehabilitation process and the dilemmas which may occur when bridging this gap, with particular focus on rehabilitation that includes the decisions of what exercise and activities to choose.

Cathy Rogers