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XIX International Congress on Sports Rehabilitation and Traumatology

April 10-11th , 2010BOLOGNA Italy

Convention Centre Trade Fair District

With endorsement of Facoltdi Medicina e ChirurgiaUniversit di Bologna

OptimizingFunctional Outcome

in Orthopaedicand Sports Traumatology

Functional Outcome

p. 3 CONGRESS PRESENTATION

p. 4 WHO INFLUENCES "FUNCTIONAL OUTCOME"

p. 6 PROGRAM SATURDAY APRIL 10TH, 2010

p. 8 PROGRAM SUNDAY APRIL 11TH, 2010

p. 10 SESSIONS OF THE CONGRESS

p. 11 SHARE YOUR EXPERIENCE

p. 12 PREVIOUS CONGRESSES ON WEB

p. 13 MODERATORS AND SPEAKERS

p. 18 REGISTRATION

p. 19 MEMORANDUM

p. 19 HOTELS

DATE

April 10-11, 2010

VENUE

Palazzo della Cultura e dei Congressi

P.zza della Costituzione, 4/a

40128 Bologna Italy

PRESIDENT

Stefano Della Villa

SCIENTIFIC DIRECTION

Giulio Sergio Roi

ORGANIZING SECRETARIAT

Cristina Zanetti

EDUCATION AND RESEARCH

DEPARTMENT

Via Casteldebole, 8/4

40132 Bologna Italy

Ph. +39-051-2986814

Fax +39-051-2986886

e-mail: congressi@isokinetic.com

All the update information

are available on the web site

www.isokinetic.com

Index

Dott. Giulio Sergio RoiDirector of Education & Research

Department Isokinetic

3

XIX International Congress on Sports Rehabilitation and Traumatology

Defining what "Functional Outcome" is precisely, is not easy. According to Baumerget al. (1) it could be defined in synthesis as the "functional result of a treatmentprocess." It is the change in the physical condition of a patient, from the momenthe is diagnosed to when he is discharged from hospital, that must be measured andcompared. The efficiency of this change depends on a combination of different factors:conservative therapy, surgical solutions, and rehabilitative techniques.

With resolution WHA 54.21 in 2001, the World Health Organization proposed a modelfor describing functional results of various treatment approaches and for health ingeneral. They called it International Classification of Functioning, Disability andHealth (ICF). All healthcare workers would not limit themselves to improve the physicalcondition of a patient but would aim overcoming impediments in their social livesthrough higher functional results.

During the second half of the Nineties, Carol Frattali of the U.S. National Institute ofHealth affirmed in her works that to reason in terms of "measurable expected results"pushed healthcare organizations into raising their attention thresholds and thus improvingthe quality of therapeutic decisions. Such an approach raises the physician's consciousnessand pushes him to face the efficacy of his approach and that of his colleagues andcollaborators. We have come a long way since then. Evaluation sheets and measuringinstruments are now present in the clinical files of many healthcare workers.

The 19th edition of the International Congress on Sports Rehabilitation and Traumatologywill host a vast exchange of views on this topic to determine which procedures, surgicaland not, within the last decade have actually allowed for better functional results inthe more common pathologies of the motor system. Our objective is to take part inthe international debate started by WHO on this stimulating topic. We will do thisthrough scientific sessions, workshops, and symposia. Reasoning in terms of "FunctionalOutcome" pushes ambitions for recovery very high and offers the patient the bestfunctional recovery.

See you in Bologna

Dott. Stefano Della VillaPresident of the Congress

Congress Presentation

1. Baumberg L, Long A, Jefferson J. International workshop: culture and outcomes. Barcelona 9-10june 1995; Leeds: European Clearing House on Health Outcomes

4

PATIENT

ATHLETICTRAINER

ORTHOPAEDICSURGEON

REHABILITATIONPHYSICIAN

SPORTSPHYSICIAN

PHYSICALTHERAPIST

Who influences Functional Outcome

5

THE SPORTS PHYSICIANThe pressure of the prognosisWhen is an athlete ready to return to his sport? This is the question that sports physicians are oftenfaced with. It is asked by everyone - coaches, athletes, team managers - even before an official diagnosishas been given. No one needs to fully understand the subject of functional outcome evaluation as thesports physician does. He needs precise data to help him make proper decisions on the date of a returnto professional sport. Precise information, normative reference data, and useful elements for makingmore objective a situation which is often accompanied by opinions lacking in scientific evidence.

THE ORTHOPAEDIC SURGEONThe responsibility of the choicesIn sports traumatology, the orthopaedic surgeon is often called in to make decisions. Operate or not?And if so, which is the procedure?Decisions that influence the final result as well as those that are less talked about such as decidingwhether to operate immediately after a trauma or after a cycle of pre-surgery rehabilitation. Decisionssuch as which type of analgesic or anticoagulant therapy to use during the post-surgical period.Decisive choices, therefore, which will inevitably be affected by rehabilitation variables capable ofinfluencing the functional outcome both positively or negatively. Knowing these variables meansoptimizing the evolution of the chosen surgical procedure.

THE REHABILITATION PHYSICIANMonitoring the course of treatmentDuring every course of treatment, we must take into consideration quite a few variables which modifyprogressively: pain, swelling, range of motion, strength, fatigue, balance, coordination and others.The rehabilitation physician must monitor these variables and consequently he will be able to modifythe rehabilitative course of treatment.Every action of the rehabilitation physician is potentially capable of optimizing the functional outcomehowever this must be adapted to the real possibilties of each individual case and make it its final goal.

THE PHYSICAL THERAPISTHands on the patientActually, the relationship between the physical therapist and his patient is not just through his hands.He uses his mind, his heart, and his determination in healing the patient.The concept of "hands on the patient" emphasizes the nearness and physical contact which oftencontinues for months, sometimes even years. No one is better at educating and motivating the patientin trying to achieve the best functional oucome as the physical therapist.Too often we concentrate on technical details and we forget that the motivation of the patient andeducation are probably the most important variables for the final result.

THE ATHLETIC TRAINERExercise as a drugThere is much scientific evidence that highlights the central importance of exercise in the treatmentof many pathologies. Contrary to drugs, with its precise dosage and administration, physical exerciseis still often performed roughly and no strictly.How many muscular strengthening sessions are necessary to recover a deficit of 20%? Which preventiveprogram must be followed to prevent re-injury?To talk about physical exercise at a congress on functional outcome is not just an opportunity:it is mandatory.

6

EUROPAUDITORIUMINVITED SPEAKERS

Morning Sessions

Introduction to the concept of Functional OutcomeModerators: Marchetti PG, Rosa D

9.30 Introduction to the topic Tencone F9.45 The surgical options functional oriented Marcacci M10.00 Rehabilitation protocols functional oriented Della Villa S10.15 Re-injuries prevention Roi GS10.30 Discussion11.00 Break

Applications of the concept of Functional OutcomeModerators: Avondo S, Gobbi A

11.30 How to measure the Functional Outcomes Hambly K11.45 Functional Outcome and return to competitions Mithoefer K12.00 Functional Outcome in osteoarthritis Snyder-Mackler L12.15 Discussion13.00 Break

FUNCTIONAL STRATEGIES OF CARE

How to optimize Functional Outcome in muscle and tendon injuriesModerators: Berruto M, De Carli A

15.30 Hamstrings injuries Askling C15.45 Tears of rectus femoris Nanni G16.00 Jumpers knee Lelli A16.15 Groin pain Bisciotti GN16.30 Discussion17.00 Break

How to optimize Functional Outcome in ankle injuriesModerators: Zini R, Zunarelli PP

17.30 Ankle strains Respizzi S17.45 Ligament injuries Giannini S18.00 Achilles tendon Malliaropoulos N18.15 Discussion18.45 End of the first day

Afternoon Sessions

Program Saturday April 10th 2010

7

How to optimize Functional Outcome with hydrokinesitherapy11.30 Moderators: Inglese F, Vassallo GM

For instance: - Proprioception and coordination- Aerobic conditioning- Upper and lower limbs, spine

How to optimize Functional Outcome with exercisesfor neuromuscular recovery15.30 Moderators: Pillastrini P, Tesio L

For instance: - Motor relearning- Proprioceptive Neuromuscular Facilitations- Kabat, Bobath, Vojta

How to optimize Functional Outcome with innovative modalities17.30 Moderators: Buselli P, Miglio D

For instance: - Analgesic modalities- Anti-inflammatory modalities- Modalities for biostimulation

SALA ITALIAFREE PAPERS

PRACTICAL EXPERIENCES

Surgical and after-surgery techniques functional orientedModerators: Buda R, Chiozzi F

Methods of assessment of Functional OutcomesModerators: Galilea P, Konin J

Case reports and protocols 1Moderators: Lisitano G, Narvaez G

Women, sport and Functional OutcomeModerators: Bianchedi D, Servadei MA

The final program of the free paper and poster presentation will be completed on thebasis of the scienti