australian sports physiotherapy seminar - kandy, sri lanka

Elite Akademy Global SeriesSports Physiotherapy Seminar Kandy, Sri Lanka

Kusal Goonewardena (MaSpPhysio, GradCertSpPhysio, BaPhysio)Head of Sports Medicine and Elite Athlete (APA) Sports PhysiotherapistUniversity of Melbourne

15year CareerFounder/Director of 3 Sports Medicine Clinics Australia

Over 50,000 Treatment Sessions in Sports Injuries & Performance

Melb Uni Sports Physio since 2002Head of Sports Medicine at Melb Uni since 2008

Lecturer, Consultant Australia, China, Singapore, Sri Lanka

What makes a Good Sports Practitioner

Definition 1“Best Results in the Shortest Period of Time”

Make a Difference, or you make a Plan.Make a Difference in 3 Sessions or Less.


Definition 2“Australian Physiotherapy Council Requirements”

Safety ✔Effective Treatment ✔Exercises ✔I want to go back ✔

What makes a Good Sports PractitionerDefinition 3

Apply “THE 5 ELEMENTS” Each and Every Time

1. SUBJECTIVE2. OBJECTIVE 3. ANALYSIS4. TREATMENT5. EDUCATION

What makes a Good Sports PractitionerDefinition 4“Exceptional Athlete Care (Customer Service)” – John Spence

1. Show up on time2. Do what you say you will do3. Finish what you start4. Say “Please” and “Thank You”5. Give a little more than expected6. Smile 7. Make good eye contact8. Be enthusiastic9. Dress for success 10. Keep professional


Definition 5 -“Apply the Four Essentials” – Brendon Burchard

COMPETENCE CONFIDENCE PD COMMITMENT

Which Definition Should I Follow?

Choose the one that

Comes naturally.Feels right inside.Has worked for you through experience.

The Three C’s to be a Successful Sports Practitioner

Sports Practitioner

Success

Clinical Skills

Communication

Clinical Reasoning

1. What makes for good Clinical Skills?

2. How do I improve my Clinical Skills?

3. How do I keep improving my Clinical Skills and what should I keep

in mind?

Clinical Skills | Communication | Clinical Reasoning

Excellent Handling Skills

Getting Objective information with your tests and manual handling

Inter-tester, Intra-tester

1. What makes for good Clinical Skills?


Eyes Closed - PalpationEyes Closed - Manual Handling

“If my pressure is a 10/10…how much was my senior/junior?”“Am I on the same spot?”

Practice makes Perfect – Inter-tester, Intra-tester

2. How do I Improve my Clinical Skills



Get assessed by a Senior Practitioner every Month

Ask Senior Practitioners how to Improve

Practice Practical Skills every Week (small tests, quick movements), every month Month (Masterclasses/Prac Sessions)

Video/ Self Analyse/Get FEEDBACK from your athlete

3. How do I keep improving my Clinical Skills and what should I keep

in mind?


1. What makes for good Communication?

2. How do I improve my Communication Skills?

3. How do I keep improving my Communication Skills and what

should I keep in mind?

The Essentials in the Subjective

Non verbal communication

Body Language

Empathy vs Sympathy

Active Listening


1. What makes for good Communication?

Role Plays (3 is the perfect number)

Push yourself outside your comfort zone

Body Language - Open, Confident

Be in Control, In your mind first


2. How do I improve my Communication Skills?

Video Analysis

Its not about you. Its about helping someone else.

The best communicators are listeners first

Practice, Practice, Practice


3. How do I keep improving my Communication Skills and what


1. What is good Clinical Reasoning?

2. How do I improve my Clinical Reasoning?

3. How do I keep improving my Clinical Reasoning Skills and what




Great Results in the Shortest Period of Time

Symptom Improvement: 1. Intensity 2. Duration 3. Frequency 4. Time taken to recover post aggravation.

Mastering 3rd Element in Physio – (Sx, Ox, Analysis, Rx, Educ)

Prioritizing Problem List

Being a Scientist first

1. What is good Clinical Reasoning?


Being Objective

Create a System, Stick to a plan and Procedure

Measure what you want changed/ improvement in

2. How do I improve my Clinical Reasoning?


Keep asking yourself – What else is possible to get the best results in the shortest period of time? (Ethical and Safe)

What can I learn from the systems used by other professionals/ industries?

3. How do I keep improving my Clinical Reasoning Skills and what


The Three C’s to be a Successful Sports Practitioner

Sports Practitioner

Success

Clinical Skills

Communication

Clinical Reasoning

Questions & Answers

Sports Practitioner

Success

Clinical Skills

Communication

Clinical Reasoning


The Ridgway MethodOriginated in Australia95% Success Rate in Musculoskeletal Injuries in 2-12 Days

The Elite Akademy Performance Pyramid™ Developed over 2 yearsOriginated at Elite Akademy - University of Melbourne


1.What is it? 2. Where did it originate?

3. How does it work?

4. Why is it different?

5. What are the steps to learn?

6. What are the key areas to

concentrate on?

7. What should I do first and continue to keep in mind?

Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method


Founded by Sports and Manipulative Physiotherapist – Michael Ridgway, Brisbane Australia

14th Clinical Reasoning Process in Australia

Fastest growing and very popular process to find the cause of the problem

Very thorough, systematic, step-by-step process

1.What is it?


Brisbane, Australia

Michael Ridgway – is a practitioner, researcher, lecturer and inventorwww.ridgwaymethod.com

2. Where did it originate?

http://www.ridgwaymethod.com/


Helps practitioners find the underlying cause of the problem

“Diagnosing a problem is a good start, however finding the underlying cause that led to the diagnosis is the secret to a rapid and long lasting recovery!” – Ridgway Method International




Results based

Holistic

“The fastest and most complete way to solve your condition is to immediately change and fix all the significant factors.”- Ridgway Institute International






concentrate on?

Neural Dynamic Testing

Collecting ‘#’ Signs (Objective Signs)

Combine: (Treatment + Functional Test) = Treatment Directional Test ‘TDT’



Collect ALL # Signs during the Objective Ax

Be Objective (Measure Everything) – eg. PSFS

Assess Function DURING Treament



Questions and Answers…



Practical Session – DemonstrationAny Athletes, Volunteers from the Audience to be our first for the day?

Understanding Pain

OLD

Pain is a Feeling

New

Pain created by Brain- As a warning

- Neuroscience and physiotherapy research - pain is not a feeling.

The Warning Signal*... The Car

*Painful Yarns - Metaphors & Stories to help understand the biology of pain. By - Lorimer Mosely

Pain =

How do we Fix the Engine??

What if we checked everything in the engine...?

Ie. Find the CAUSE of the Dysfunction = Reason for the brain creating pain

Or

Remove the Light??

Ie. Treating the SYMPTOMS

The Results

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Understanding Pain

OLDPain is a Feeling

Treat the Symptoms

The Ridgway MethodPain created by Brain-As a warning

Find the CAUSE of the Dysfunction = Reason for the brain creating pain

Number of Sessions for Full Healing

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Notes:Neural Sensitivity can be the cause of 75% problems going unsolved



Notes:

If it’s NOT neural – It’s Somatic ie. Objectively look at Muscle, Joints and Ligament

Where 75% of Problems Come From



Notes: Combine- (Treatment + Functional Test) = Treatment Directional Test ‘TDT’



Notes: Treatment will Include: MRWM, MWM, MAWM, BCWM



Practical Session – DemonstrationQuestions and Answers…

1.What is it? 2. Where did it originate?





concentrate on?


Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™


Outlines all the fundamentals required for success with musculoskeletal injuries in sport

Answers the Question, “What will you do to help me?” and “How will you help me?”

Process for comprehensive treatment and rehabilitationImproves objectivity, increases understanding (increase compliance)Increases awareness of what you do as a practitioner

1.What is it?


1.What is it? S&C

FUNCTIONAL CORE

FUNCTIONAL CONTROL

FUNCTIONAL RANGE

BIOMECHANICS


Originated in 2014 at Elite Akademy Sports Physiotherapy- University of Melbourne

Founded by Kusal Goonewardena and his sports medicine team’s pursuit of ‘Making a Difference in 3 Sessions or Less’




Each needs to improve by 85% for best outcome

S&C

4.0

F-CORE12.0

F-CONTROL20.0

F-RANGE28.0

BIOMECHANICS36.0



Any Pyramid is as strong as its base

Keep working from the bottom up to complete the Pyramid

Start on 1. Biomechanics then 2. Functional Range 3. Functional Core 4. Functional Core and finally 5. Strength and Conditioning


EACH step of the process is measured

Same process is applicable for ANY athlete in - Rehabilitation, Prehabilitation, Performance Enhancement and Screening

Communication ‘Currency’ between players, coaches and other practitioners is the SAME



Identifying When to Climb the PyramidIdentifying When to Refer on (All covered in Clinical Demonstration…next)




The 5 Fundamentals Step by Step

The Weighting Score on each

S&C

4.0

F-CORE12.0

F-CONTROL20.0

F-RANGE28.0

BIOMECHANICS36.0


1. Tests to Measure and Improve Biomechanics (Ridgway Method)

2. Tests to Measure and Improve Functional Range and Control(Ridgway Method)

3. Tests to Measure and Improve Functional Core (Clinical Pilates)

4. Tests to Measure and Improve Strength and Conditioning (Numerous!)


concentrate on?


1. Master how to measure and Improve Biomechanics – The Base of the Performance Pyramid

2. Communicate the Performance Pyramid to Coaches, Athletes, Athlete’s Parents, Other Practitioners

3. Refer back to the Performance Pyramid when identifying ‘How Your Athlete Is Going?’



1.hat is it?



1.hat is it?

Practical Session – DemonstrationAny Athletes, Volunteers from the Audience to be our second for the day?


Application of the Ridgway Method for best results

Objectively measure: Neural DynamicsMuscle ( Tight and Weak)Joint (Stiff and Lax)Behavioural

BIOMECHANICS36.0



Objectively measure and Use of Technology here

Show Your Athlete their Deficits and Areas of Improvement

FUNCTIONAL RANGE28.0



Objectively look at the quality of movement

FUNCTIONAL CONTROL20.0


Used at Elite Akademy Sports Physio – Uni of Melbourne:Clinical Pilates

Use current tests in individual sports or create tests for core assessment

FUNCTIONAL CORE12.0


Individual Programs (Strength vs Endurance vs. Sports Specific)Personal trainers, Gym Instructors

Strength & Conditioning

4.0


1.hat is it?

Practical Session – DemonstrationQuestions and Answers…


1.hat is it?

Application and Understanding it Further


FUNDAMENTAL % YOUR PERFORMANCE SCORE NORMAL VALUES

Biomechanics[36.0]

3.4 - 3.8

Functional Range [28.0] 10.2 - 11.4

Functional Control [20.0] 17.0 - 19.0

Functional Core [12.0] 23.8 - 26.6

Strength & Conditioning

[4.0] 30.6 - 34.2

Your Peak Performance score:

_____________

Peak Performance 85.0 - 95.0


Loading Tolerance

When your Peak Performance Score is >85.00 your Loading (intensity of training, competing) matches your Tolerance. Result

is no pain, no symptoms. The body is a well oiled machine.


Loading Tolerance

7-14 DAYS

20%

Once your Peak Performance Score is >85.00 you can increase your Loading (training, intensity) by 20% over a

period of 7-14 days, and your body will be able to Tolerate it. For elite athletes, you can increase your Loading by

~30% over a period of 5-10 days. (I.e. you tolerate things faster).


Loading Tolerance

>20%

PAIN/SYMPTOMS

If you increase your Loading by >20% the body finds it difficult to Tolerate this amount of change. When your

body's Tolerance does not match the Loading then pain/symptoms are the result.


1.hat is it?


Our Mission 1. Help Practitioners Achieve their Best2. To help Athletes Achieve the Best Results, in the Shortest Period of Time.

We love What We Do and We love Sport. (And So Do I!)

Here’s Wishing You A Career and a Lifetime of Success!

Final Thoughts

If you have any questions at all please do not hesitate to send a note or call our clinic +613 8344 4948

My email address is: [email protected] twitter address is @kusalkumar

The Elite Akademy twitter address is @EliteAkademy

We share practitioner and athletes success stories and advice on our Facebook site www.facebook.com/EliteAkademy

Lastly these slides have been uploaded to www.slideshare.net/KusalGoonewardena

Here’s Wishing You A Career and a Lifetime of Success!

Thank You

http://www.slideshare.net/KusalGoonewardena



australian sports physiotherapy seminar - kandy, sri lanka

Education

clinical reasoning skills

good clinical skills

communication skills

good clinical reasoning

good communication

practice practical skills

excellent handling skills

good eye contact