sports physiotherapy course: certificate 1 - 8
TRANSCRIPT
Sports PhysiotherapyCertificate Level 1 - 8
Sri LankaAugust 2015
Kusal Goonewardena (MaSpPhysio, GradCertSpPhysio, BaPhysio)Elite Athlete (APA) Sports PhysiotherapistHead of Sports MedicineElite Akademy Sports Physiotherapy Melbourne Australia
WHO I AM AND WHAT I DO…
Section One
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
Author
WHAT MAKES A GOOD SPORTS PHYSIOTHERAPIST
Section Two
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.
What makes a Good Sports Practitioner
Definition 2“Australian Physiotherapy Council Requirements”Safety ✔Effective Treatment ✔Exercises ✔I want to go back ✔
What makes a Good Sports Practitioner
Definition 3
Apply “THE 5 ELEMENTS” Each and Every Time
1. SUBJECTIVE2. OBJECTIVE 3. ANALYSIS4. TREATMENT5. EDUCATION
What makes a Good Sports Practitioner
Definition 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
What makes a Good Sports Practitioner
Definition 5 -“Apply the Four Essentials” – Brendon Burchard
COMPETENCE CONFIDENCE PD COMMITMEN
T
Which Definition Should I Follow?
Choose the one that
Comes naturally.Feels right inside.Has worked for you through experience.
MY STORY OF STRUGGLE AND FINDING A SYSTEM THAT WORKED
Section Three
3 Sessions or less
1. Reduce Pain
2. Correct Biomechanics
3. Exercises to Prevent Re-injury
Flowcharts
MY STORY OF FINDING A SOLUTION
Section Four
Why do I get Pain?
Why do I get Pain?
Why do I get Pain?
Why do I get Pain?
Solving Pain
The Performance Pyramid
The Ridgway Method
THE MYTHS AND NEW TRENDS
Section Five
Myth
Pain is a feeling…NOPE!
Fixing your Pain ✔
75% of Low Back Pain caused by…Trend #1 - Neural tightness
75% of Low Back Pain caused by…Trend #2 and #3
75% of Low Back Pain caused by…Trend #4 - Gluteals
75% of Low Back Pain caused by…Trend #5 - Subscapularis
HERE’S THE STEP BY STEP GUIDE FOR SPORTS INJURIES AND REHAB
Section Six
Elite Akademy Performance Pyramid™
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?
Elite Akademy Performance Pyramid™
Elite 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?
Elite Akademy Performance Pyramid™
1.What is it?
Elite Akademy Performance Pyramid™
• 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’
2. Where did it originate?
Elite Akademy Performance Pyramid™
3. How does it work?
Each needs to improve by
85% for best outcome
Elite Akademy Performance Pyramid™
3. How does it work?
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
Elite Akademy Performance Pyramid™
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
4. Why is it different?
Elite Akademy Performance Pyramid™
5. What are the steps to learn?
The 5 Fundamentals Step by Step
The Weighting Score on each
Elite Akademy Performance Pyramid™
1. Tests to Measure and Improve Biomechanics (Ridgway Method)
2. Tests to Measure, 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!)
6. What are the key areas to concentrate
on?
Elite Akademy Performance Pyramid™
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?’
7. What should I do first and continue to
keep in mind?
Elite Akademy Performance Pyramid™
1.hat is it?
Let’s look at each fundamental…
Elite Akademy Performance Pyramid™
Application of the Ridgway Method for best results
Objectively measure: Neural DynamicsMuscle ( Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Application of the Ridgway Method for best results
Objectively measure and Use of Technology here
Show Your Athlete their Deficits and Areas of Improvement
FUNCTIONAL RANGE28.0
Elite Akademy Performance Pyramid™
Application of the Ridgway Method for best results
Objectively look at the quality of movement
FUNCTIONAL CONTROL20.0
Elite Akademy Performance Pyramid™
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
Elite Akademy Performance Pyramid™
Individual Programs (Strength vs Endurance vs. Sports Specific)Personal trainers, Gym Instructors
Strength & Conditioning
4.0
Elite Akademy Performance Pyramid™
PRACTICAL SESSION - RECAP FROM LEVEL 1 AND 2
Section Seven
Elite Akademy Performance Pyramid™
Application of the Ridgway Method for best results
Objectively measure: Neural DynamicsMuscle ( Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Neural Dynamic Testing
Neural Dynamic Testing
Neural Mobility - Treatment
Neural Mobility - Treatment
Neural Mobility - Treatment
Neural Mobility - Treatment
Neural Mobility - Treatment
Assessing where 75% of Problems Originates
Thoracic Spine
Assessing where 75% of Problems Originates
Gluteals
Assessing where 75% of Problems Originates
Lumbar Spine – Anterior Disc Approach
Assessing where 75% of Problems Originates
Subscapularis
Combine Treatment + Functional Test = Treatment Directional Test ‘TDT’
Results in Real Time
FUNCTIONAL RANGE28.0
Elite Akademy Performance Pyramid™
Combine Treatment + Functional Test = Treatment Directional Test ‘TDT’Results in Real Time
FUNCTIONAL CONTROL20.0
Elite Akademy Performance Pyramid™
Clinical Pilates
Use current tests in individual sports or create tests for core assessment
FUNCTIONAL CORE12.0
Elite Akademy Performance Pyramid™
Individual Programs (Strength vs Endurance vs. Sports Specific)Personal trainers, Gym Instructors
Strength & Conditioning
4.0
Elite Akademy Performance Pyramid™
#3 Ways to Maintain Your Gains and Prevent
1. Awareness & Posture - 3000 reps
2. Taping
3. Clinical Pilates
Maintain and Prevent #1-Good vs Bad Muscle-
Relaxed Muscle-Uncooked meat-Jelly Like
Working Out-Cooked meat-Firm/Springy
NO!-Ropey-Metal Rods
Maintain and Prevent #2-Posture-‘Grow’ Tall
Stand at your heightGood Posture In 21
Days!
INJURY MANAGEMENT & REHAB SPINAL PAIN - LUMBAR
Section Eight
The Most Common Types of Low Back Pain
Musculo-Ligamentous Strain/Sprain
Facet Joint Inflammation or
Stiffness Bulging Disc
The Most Common Types of Low Back Pain
Degenerative Disc Disease
SIJ Inflammation
The Most Common Types of Low Back Pain
Spinal Pain – Lumbar Spine
Using the Ridgway Method for best results
Not to be missed-Neural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional Ranges to assessDemo
FUNCTIONAL RANGE28.0
Spinal Pain – Lumbar Spine
The Importance for rehabR1 vs P1 DemoTaping for Lumbar Spine Demo
FUNCTIONAL CONTROL20.0
Spinal Pain – Lumbar Spine
Clinical Pilates DemoCore Taping Demo
FUNCTIONAL CORE12.0
Spinal Pain – Lumbar Spine
Strength vs Endurance vs. Sports Specific
Communication++Personal trainers, Gym Instructors
Strength & Conditioning
4.0
Spinal Pain – Lumbar Spine
INJURY MANAGEMENT & REHAB SPINAL PAIN - THORACIC
Section Nine
Spinal Pain – Thoracic Spine
Using the Ridgway Method for best results
Not to be missed-Neural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional Ranges to assessDemo
FUNCTIONAL RANGE28.0
Spinal Pain – Thoracic Spine
The Importance for rehabR1 vs P1 DemoTaping for Lumbar Spine Demo
FUNCTIONAL CONTROL20.0
Spinal Pain – Thoracic Spine
Clinical Pilates DemoCore Taping Demo
FUNCTIONAL CORE12.0
Spinal Pain – Thoracic Spine
Strength vs Endurance vs. Sports Specific
Communication++Personal trainers, Gym Instructors
Strength & Conditioning
4.0
Spinal Pain – Thoracic Spine
INJURY MANAGEMENT & REHAB THE SPORTING KNEE
Section Ten
The Sporting Knee
Using the Ridgway Method for best results
Not to be missedSpecial TestsNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional Ranges to assessDemo
FUNCTIONAL RANGE28.0
The Sporting Knee
R1 vs P1 DemoTaping for Knee Injuries Demo
FUNCTIONAL CONTROL20.0
The Sporting Knee
Clinical Pilates Demo
FUNCTIONAL CORE12.0
The Sporting Knee
Rehab programs20 x 20 x 20m running drills25% 50% 75% and 100% sprint drills5 x 5 metre Running Box
Strength & Conditioning
4.0
The Sporting Knee
INJURY MANAGEMENT & REHAB THE SPORTING ANKLE
Section Eleven
The Sporting Ankle
Using the Ridgway Method for best results
Not to be missedSpecial Tests for the acute ankleNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional tests to assessDemo
FUNCTIONAL RANGE28.0
The Sporting Ankle
Taping for Ankle Injuries Demo
FUNCTIONAL CONTROL20.0
The Sporting Ankle
Clinical Pilates Demo
FUNCTIONAL CORE12.0
The Sporting Ankle
Rehab programs20 x 20 x 20m running drills25% 50% 75% and 100% sprint drills5 x 5 metre Running Box
Strength & Conditioning
4.0
The Sporting Ankle
INJURY MANAGEMENT & REHAB THE SPORTING SHOULDER
Section Twelve
The Sporting Shoulder
Using the Ridgway Method for best results
Not to be missedSpecial Tests for the subluxations, dislocations Role of ScansNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional tests to assessDemo
FUNCTIONAL RANGE28.0
The Sporting Shoulder
Taping for shoulder Injuries DemoRole of hydrotherapyTheratube Exercises
FUNCTIONAL CONTROL20.0
The Sporting Shoulder
Clinical Pilates Demo
FUNCTIONAL CORE12.0
The Sporting Shoulder
Rehab programsCommunication++ with PT’s
Strength & Conditioning
4.0
The Sporting Shoulder
INJURY MANAGEMENT & REHAB THE SPORTING HIP
Section Thirteen
The Sporting Hip
Using the Ridgway Method for best results
Not to be missedSpecial Tests Role of ScansNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional tests to assessTDT with BeltDemo
FUNCTIONAL RANGE28.0
The Sporting Hip
Closed Kinematic ChainUse of mirror, biofeedback, filming yourselfDemo
FUNCTIONAL CONTROL20.0
The Sporting Hip
Clinical Pilates Demo
FUNCTIONAL CORE12.0
The Sporting Hip
Rehab programsCommunication++ with PT’s
Strength & Conditioning
4.0
The Sporting Hip
INJURY MANAGEMENT & REHAB ELBOW AND HAND
Section Fourteen
The Elbow and Hand
Using the Ridgway Method for best results
Not to be missedNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
Functional tests to assessDemo
FUNCTIONAL RANGE28.0
The Elbow and Hand
Strength v ControlGross v PrecisionDemo
FUNCTIONAL CONTROL20.0
The Elbow and Hand
Clinical Pilates Demo
FUNCTIONAL CORE12.0
The Elbow and Hand
Rehab programsCommunication++ with PT’s, Easier to suffer Neural+
Strength & Conditioning
4.0
The Elbow and Hand
INJURY MANAGEMENT & REHAB HAMSTRING INJURIES
Section Fifteen
Hamstring Injuries
Using the Ridgway Method for best results
Not to be missedNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)BehaviouralScans
BIOMECHANICS36.0
Functional tests to assessDemo
FUNCTIONAL RANGE28.0
Hamstring Injuries
Functional TestsDemo
FUNCTIONAL CONTROL20.0
Hamstring Injuries
Clinical Pilates Demo
FUNCTIONAL CORE12.0
Hamstring Injuries
Rehab programsH/S bias running drillsEccentric chair dropsDOMS through the season
Strength & Conditioning
4.0
Hamstring Injuries
MEASURING PROGRESS AND REHABILITATION
Section Sixteen
Elite Akademy Performance Pyramid™ Scoring the Pyramid
FUNDAMENTAL % YOUR PERFORMANCE SCORE NORMAL VALUES
Biomechanics[36.0]
30.6 – 34.2
Functional Range [28.0] 23.8 – 26.6
Functional Control [20.0] 17.0 - 19.0
Functional Core [12.0] 10.2 – 11.4
Strength & Conditioning
[4.0] 3.4 – 3.8
Your Peak Performance
score: _____________Peak Performance 85.0
- 95.0
Elite Akademy Performance Pyramid™
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.
Elite Akademy Performance Pyramid™
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).
Elite Akademy Performance Pyramid™
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.
Elite Akademy Performance Pyramid™
LIVE ATHLETE DEMONSTRATION
Section Seventeen
Live Client Demonstration
The Performance PyramidThe Ridgway Method
GETTING RESULTS Section Eighteen
Rule of 55 ways to contact the person during course of treatment and after – ADDS VALUE!
1. Follow up exercises2. The ‘Little’ hello3. The reminder 4. Progress report5. Your research, books, experts to connect
Dear….
Below are the photos required to analyse your desk set up.
These 2 pictures should show: Your desk arrangement 2. You sitting/ standing* at the desk with a clear view of your chair and computer. 3. How you would normally place your feet when working.
*for standing desks only
Track your Rule of 5
Your Thank you Courtesy of John Spence
Thank you, it was my pleasure.If you can do something for me to help me out, it would be awesome if you can tell anybody who would find value in what I do.
Namely,• My presentations• My treatmentsThat would help me help so many others.
RECAP, BRAINSTORM AND ACTION-PLAN
Section Nineteen
What I want you to have achieved after this course
Get a deeper understanding of The 4 Principles of Sports Physiotherapy
1. Where an injury is coming from | Where the pain is coming from (Diagnosis)
2. Whether you can help 3. If Yes, how long it will take to heal (Prognosis)
4. What exercises I can show my athlete to help them
What I want you to have achieved after this course
• Further understand where 75% of injuries comes from
• Assess and Treat Lx, Tx, Knee, Ankle, Hip, Shoulder, Elbow and Hand Injuries
• Learn the Principles behind taping and clinical pilates
• Learn preventative measures and rehab accelerators
• Objectively measure and communicate your athlete’s progress to all parties concerned
My 3 ExpectationsThe three things I wanted to learn from this course
1.
2.
3.
Top 3 ‘WOWS’ from this course
The best three things I have learnt
1.
2.
3.
In the next 30 days I want to achieve
Now that you have completed this workshop what do you want to achieve in the next month?…………………………………………………..Guidelines1. Specific, Measurable, Attainable,
Relevant, Time Based2. It will help me, and my athletes
(Y/N)3. It will push me outside my comfort
zone
The Steps to achieve my 1 Month Goal
The 3-5 Action Steps To Achieve my Goal are
1.2.3.4.5.
Tomorrow’s To-Do-ListMy To-Do-List will help me towards my action steps
1.2.3.4.5.
Success rate
Think about the goal 43%Write your goal down 56%
Share with a friend 64%Weekly Progress Report
76%
Elite Akademy Goal Sharing
QUESTION TIMESection Twenty
FAQ’sQ: Kusal will you be coming back for more lectures?A: Only if you want me to
Q: Do you have an online course I can do?A: Yes, we have created an Australian accredited online short Sports Physiotherapy course. Email me if you’re interested.
FAQ’sQ: Can I access Online Ridgway Method Training?A: Yes! Special PD video’s by Michael Ridgway for Sri Lankan Participants.
Click HERE to go directly there.
Or cut and paste this into your browserwww.ridgwaymethod.com/OnlineModules-SriLanka-pg29304.html
Any further Questions:[email protected]
Final ThoughtsOur Mission at Elite Akademy Sports Medicine…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!)
Congratulations!
You have successfully completed
Certificate Level 1-8 Sports Physiotherapy
Thank You!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 to a career and a lifetime of happiness! My very best to you.