About the IFSPT
IFSPT is a world-wide Federation, recognised as a subgroup of the World Confederation for Physical Therapy (WCPT), representing national organizations of Sports Physiotherapy. The efforts of IFSPT are directed towards Member Organizations and their individual members in serving athletes of all ages and abilities through excellence in education, research, practice, and clinical specialisation. The intention of the IFSPT is to be the international resource for Sports Physical Therapists all over the world.
Help your colleagues stay connected to the IFSPT! Forward this publication to them via e-mail and encourage them to register to receive our e-magazine. Signing up takes only a few moments!
The President's Corner
Dr. Nicola Phillips, President, IFSPT
Hello, members! This edition of the newsletter brings you lots of news and updates on fall conferences presented by our member organizations and fellow sports physical therapy associations, as well as upcoming educational opportunities.
As exciting as 2013 was with the General Meeting and symposia in South Africa, there's much more to come in 2014! The IFSPT will sponsor at least one conference in conjunction with a member organization in the coming year, and we will announce the location of the 2015 GM and symposia.
The reports from our GM detail the developments planned for the coming year, but please return to the website over the next couple of months as we share emerging information. Our website is our core hub for information. And don't forget to "like" our Facebook page and interact with your fellow members through Twitter and LinkedIn. Our social media serve as a forum for all member to interact with one another as well as the IFSPT.
This issue also provides links and more information regarding our Registered International Sports Physical Therapist process. Those qualified members from Australia, Denmark, Ireland, The Netherlands, New Zealand, UK and USA are now able to request registration on the website!
Please remember to send in material for Mary Wilkinson
to include in our newsletters. We want this communication to be vibrant and current and we can only do that if members provide us with stories or clinical information. It doesn't matter if it is a small individual project or a larger national one - send it in, as there will always be physios in other countries who either hadn't thought of it or who have been thinking of trying something similar and would benefit from your views. Send us your entertaining stories as well as your academic, seriously clinical ones - they all help us build the community we are striving for in IFSPT.
Happy holidays to all our members around the world, and we're looking forward to a happy, healthy and prosperous new year!
Sports Physiotherapy Conference: Salzburg
By Karl Lochner, Head of Sports Physiotherapy Network Austria
The third Sports Physiotherapy Symposium took place at Salzburg on 8/9 November, 2013, hosted by Salzburg University. The symposium was co-organized by the Department of Sport Science & Kinesiology, the Austrian Sports Physiotherapy network, and spt-education (a continuing professional development program). It was supported by IFSPT, represented by Nicola Phillips and Mario Bizzini (who was also in the scientific committee).
The symposium was fully booked, with a total of about 300 participants attending from ten different countries (with Austria, Germany, Switzerland most strongly represented). With Core Stability as the symposium's general theme, 16 lectures and 13 workshops were offered.
Professor Erich Müller delivers the opening address.
Attendees listen to the opening address.
In his opening statement, Professor Erich Müller, Vice Rector and head of the scientific committee, praised the perfect cooperation among the organizing partners, emphasizing that prevention and rehabilitation in core stability requires that all professional groups act in concert.
The symposium had three objectives: core stability in relationship to enhancing performance in professional sports; injury prevention through perfect stability focusing on knee and shoulder injuries; and therapeutic intervention concerning lower back pain, including fascia research and psychological aspects.
The speakers and their topics:
Angus Burnett: Approaches to Prevent Spinal Pain in Sport: Does One Method Work
Angela Hibbs: Optimizing Performance by Improving Core Stability and Core Strength
Christian Haid: Golf - Core Stability and Loading Of The Spine
Ajit Chaudhari: Core Stability, Performance and Injury in Overhead Throwing
Dominic Ghering and Guillaume Mornieux: Motor Control and Core Stability during Cutting Movements
Mario Bizzini: Injury Prevention Programs in Team Sports, an Evidence Based Update
Robert Schleip: Update Fascia Research - influence on Core Stability
Hannu Luomajoki: Bewegungskontrolle und Körperwahrnehmung - Tests und Managementoptionen (Motion Control and Body Perception - Tests and Management Options)
Lieven Daneels: Low Back Pain - Back Muscle Function and Dysfunction - The Lumbar Multifidus in Recurrent LBP Patients
Karl Lochner and Nicola Phillips: Current Activities of the National and International Sports Physical Therapy Associations
Ajit Chaudhari: Lumbopelvic Control: A Risk Factor for Lower-extremity Injury in Sport
Phil Glasgow: Strategies to Enhance Movement Quality and Control in Athletic Low Back Pain
Lieven Danneels: Retraining Functional Spinal Stability - Do We Have to Focus on Specific Muscles
Klaus Wirth: Core Stability - Methods of Strengthening and Exercises
Monika Hasenbring: From Acute to Chronic Low Back Pain - Risk Factors, Mechanisms and Clinical Implications
IFSPT President Nicola Phillips offered an update of IFSPT work (seminars and conferences, networking, website, newsletter) and spoke about IFSPT's collaborative research (The FIFA 11+) and other published articles. At the moment the IFSPT is working on the
project "Return to play - Following musculoskeletal injury - what criteria do Physical Therapist use?"
Left to right: Karl Lochner, Austrian delegate to the IFSPT; Dr Nicola Phillips, IFSPT President; and Karin Tresohlavy.
Finally, Nicola Phillips explained IFSPT's registration system. Six countries are approved: Australia, Denmark, Ireland, the Netherlands, New Zealand, UK and USA.
In his talk, Karl Lochner announced that the Austrian national group will start a Specialist Project for Sports Physiotherapy and will also start IFSPT's registration process.
Left to right: Karl Lochner, Mario Bizzini and Karin Tresohlavy.
At the Friday night social event that took place in the Stieglkeller restaurant, where the winners of the poster presentation received their awards, and Mario Bizzini was honored by the Sports Physiotherapy network Austria (represented by Karl Lochner and Karin Tresohlavy) for his support during the past six years.
Swiss Sports Conference: Berne
Around 350 sports PTs travelled to Bern for the 11th Annual Conference of the Swiss Sports Physiotherapy Association (SSPA). "Children in Sports" was the theme of this year's event, and several international speakers contributed to an interesting educational day. Here some highlights.
Havard Moksnes, PT, PhD (Olso , Norway) spoke about his latest research on conservative management of ACL injuries in skeletally immature individuals, an area where he has several relevant publications.
Sébastien Ratel, PhD (Clermont, France), also a well-known researcher, spoke about the scientific background of high intensity and resistance training in young athletes.
Véronique Bricout, from Grenoble,France, presented her intriguing questionnaire to monitor fatigue in young athletes (QFES; can be found in pubmed), which is especially interesting in detecting overuse problems.
Martin Zawieja (Köln, Germany), a former international weightlifter, presented tip and tricks for the training with free weights in youth.
Lukas Zahner (Basel, Switzerland) stressed the importance of movement and sports for children, something still challenging in our "modern" society.
Left to right: S.Meyer, SSPA president; Mathilda Moret and Jonathan Fellay, students, winners of the Poster award, and Suzanne Gard, MSc, PT, Geneva.
Now in its fourth year, the SSPA has sponsored an award for the best Swiss Bachelor PT student's poster presentation. Mrs M.Moret and Mr. J.Fellay (Valais High School) won first prize in this year's competition with a systematic review and meta-analysis on "Core stability and power of the extremities." SSPA will continue to support and promote young researchers in sports PT.
Left, F.Vanini, founding member of SSPA); N.Mathieu (SSPA vice-president, and, far right, S.Meyer, SSPA president, with a group of students, invited as staff members for the 2013 SSPA conference.
6th Congress of the Brazilian Sports PT Society (SONAFE), Nov 14-17, 2013, Sao Paulo, Brasil (VI Congresso Brasileiro da Sociedade Nacional de Fisioterapia Deportiva)
Sao Paulo, one of the largest cities in South America, hosted the bi-annual congress of SONAFE, the Brazilian Sports PT Society.
Marcelo Bannwart (Congress President) and Felipe Tadiello (SONAFE President) organized an exciting three-day congress, with pre-and post-congress courses and workshops. More than 600 Brazilian Sports PTs participated in this international conference, where some renowned speakers took the main stage.
Over 600 attendees gathered for the SONAFE conference in Sao Paulo.
Evert Verhagen, PhD (Amsterdam, Netherlands), a famous researcher, had presentations and workshops on his extensive research on prevention of ankle injuries in sports.
100 sports PTs participated in a 11+ prevention program pre-congress course with M.Bizzini (Switzerland, IFSPT-EB)
Mario Bizzini (Zürich, Switzerland), also representing IFSPT, held lectures on "Injury prevention in soccer," and conducted a one-day course on the successful FIFA 11+ program. Not surprisingly the interest for soccer was huge among all attendees: "futebol" has a great history in Brazil, with some of the greatest players ever (including Pele, commonly known as the best player of all time) and the 2014 FIFA World Cup just ahead.
From left to right : M.Bizzini (speaker, IFSPT-EB), E.Verhagen (Speaker, Netherlands), A.Nowotny (next SONAFE president, Brazil), J.Crupnik (AKD president, Argentina), P. Paz Villena Rodriguez (SOKIDE president, Chile), F.Tadiello (SONAFE president, Brazil), K.Gordon (speaker, USA)
Kerry L. Gordon, MS, ATC, CSCS, PES (Las Vegas, USA) gave a fascinating insight view of the mysterious world of the athletes of the legendary Cirque du Soleil.
Many Brazilian Sports PTs researchers held interesting presentations, and the presidents of the Argentina Sports PT Association (AKD, Javier Crupnik) and Chile Sports PT Association (SOKIDE, Pamela Paz Villen Rodriguez) were also among the speakers, thus symbolizing the growth of South American sports physical therapy activities.
Mario Bizzini visiting Marcelo Bannwart (president of the congress; founding member of SONAFE) at the Brazilian Olympic Training Center in Sao Paulo, where he leads the rehab & sports PT department.
The Cohen Institute, a renowned sports Medicine clinic in Sao Paulo; left: Mauricio Garcia (Head Sport PT, founding member of SONAFE) and right: Dr. Moises Cohen (Head of the Institute, Orthopedic Surgeon)
Mr. Henrique Jatobà, PT (Rio, Brazil) spoke about the involvement of sports PTs within the Brazilian Olympic Committee: sports-fanatic Brazil will also host the next world largest sporting event, the 2016 Summer Olympics in Rio!
Team Concept Conference 2013 Flies High in Las Vegas
The Sports Physical Therapy Section and Team Concept Conference 2013 hosted over 275 attendees and over 50 virtual attendees via live streaming December 5-7.
Twenty-nine speakers from across the US were featured, with 35 exhibitors in the exposition hall. The new host hotel, which is located off the famous Las Vegas Strip, received rave reviews from the attendees.
Green Valley Ranch Resort "backyard."
Mark O'Meara, PGA tour professional, was the keynote speaker on Friday, sharing his experiences and his philosophy for success. On Saturday, attendees were treated to a presentation by Cory Warner, a member of the United States Olympic Committee medical team.
SPTS President Tim Tyler with Mark O'Meara, PGA Tour Professional.
Topics were presented in lecture, lab and instructional course formats, and included
- Functional Movement Screen in the Scholastic Athlete
- Youth Performance Enhancement and Injury Prevention
- Concussion Testing
- Clinical Decisions in the Performing Arts
- Shoulder Instability in the Upper Extremity Athlete
- Acute Management of Combined Knee Ligament Injuries
- Core Stability Training in Scholastic Athletes
- Alternative Therapy Techniques in Sport
Live streamed courses will be available for purchases within in the next week at www.spts.org/store.
Team Concept Conference 2014 is scheduled for December 4-6 at the Green Valley Ranch Resort and Casino...mark your calendars!
Hip Surgery, Pre and Post Operative Physiotherapy: Does it Make a Difference?
The SPNZ continues to share material from its excellent monthly newsletters to members with the IFSPT. Here is an excerpt from the recent Research Reviews.Surgical Treatment of Femoroacetabular Impingement: A Systematic Review of the LiteratureClohisy, J. C., St John, L. C., & Schutz A. L.
(2010). Surgical treatment of femoroacetabular impingement: A system-atic review of the literature. Clinical Orthopaedics Related Research, 468, 555-564. doi: 10.1007/s11999-009-1138-6Article Review
Surgical management of femoroacetabular impingement (FAI) is becoming more popular; however the literature sur-rounding its efficacy is still disputed. This review investigates hip impingement surgery its outcomes, complications and causes of failure.
FAI is the occurrence of abnormal femoral head and acetabulum abutment, resulting in damage to the articular carti-lage and/or the labrum. FAI is commonly classified into three forms cam, pincer and mixed impingement deformity. These deformities initiate a cascade of degenerative, intra-articular events including disruption of the labrochondral junction and potentially the development of secondary osteoarthritis (OA).
Eleven studies were reviewed with a mean follow up of 3.2 years. The current evidence regarding FAI surgery is rel-atively small, single-surgeon studies including retrospective case series and comparative designs. There were 496 cases of FAI amongst the studies. Across the articles techniques used to treat FAI were: periacetabular osteotomy, acetabular rim trimming, proximal femoral osteotomy, femoral osteochondroplasty and relative neck lengthening. Surgeries done supplementary to FAI repair were Microfracture, chondroplasty and partial labral resection/recontouring. With such a variety of surgical procedures it is difficult to compare these results.
The Merle d'Aubigne´-Postel score was the most commonly used clinical outcome measure (four of 11 studies). The average improvement in this questionnaire was between 2.4 to 5 points. Other questionnaires used were the WOM-AC osteoarthritis index (three studies) and the nonarthritic hip score (three studies). These outcomes had mean im-provements of 7 to 20.2 points and 14 to 31.3 points, respectively.
Factors associated with a good outcome and increased satisfaction included no or mild secondary osteoarthritis, la-bral refixation for treatment of labral pathology, young age, and limited cartilage damage. Failure was defined as ei-ther residual pain, conversion to a total hip arthroscopy (THA) or worsening OA, failure was seen on average in 4.4% of patients. Conversion to THA was reported in 0% to 26% of cases. Radiographic osteoarthritis progression was reported in five studies and noted in 0% to 33% of cases. Factors associated with surgical failures and conversion to THA included more advanced preoperative osteoarthritis, advanced articular cartilage disease, older age, and more severe preoperative pain. In general, major complications were uncommonly reported yet occurred in 0% to 18% of the procedures. These included avascular necrosis, femoral head-neck fracture, loss of fixation requiring reoperation, trochanteric nonunion, failure of labral refixation, inadequate osteochondroplasty requiring surgical revision, deep infection, and symptomatic or clinically important limitation of hip motion from heterotopic ossification. Symptomatic hardware requiring removal was the only moderate complication reported. None of the studies reported minor complications.
Current evidence regarding FAI surgery is poor. Results however do show pain relief and improved function in 68-96% of post-surgical patients over short-term follow-up. Long-term results have not yet been published and are needed to determine durability and impact on OA progression. Patients with more advanced OA, articular cartilage disease, older age, and more severe preoperative pain do not show good results from this surgery and should be considered for either a conservative approach or a THA. In younger patients with less articular cartilage and bony degeneration surgical outcomes were positive, even more so if combined with a labral repair.
The reporting of complications was variable. There were major complications of up to 18% of patients in one study; however the mean risk was 2.7% of patients. In general, impingement procedures are reported to be relatively safe, with minimal risk for major perioperative complications. The impact of impingement procedures on a long-term basis has not yet been researched and the role of nonsurgical management needs more evidence. Future clinical trials are needed to determine the relative efficacy of long-term nonsurgical and surgical treatment.Reviewed by Monique Baigent BHsc (Physiotherapy)Effect of Pre-operative Physiotherapy in Patients With End Stage Osteoarthritis Undergo-ing Hip ArthroplastyPE Ferrrara, A Rabini, L Maggi, DB Piazzini, G Logroscino, G Maglioccheti Lombi, E Amabile, G Tancredi, AG Auli-sa, L Padua
(2008) Clinical Rehabilitation, 22: 977-986Article Review
Current management guidelines for osteoarthritis confirm the effectiveness of strengthening exercises and general physical activity to optimise functional status and reduce pain, although a lot of patients do progress to requiring sur-gery. Research is non-conclusive when analysing pre-operative physiotherapy strengthening in hip joint replace-ments, with results ranging from not useful, little benefit, to faster functional recovery, reduces amount of assistance and support post operatively, and reduces patient anxiety. The aim of this study is to measure changes in impair-ment, pain and quality of life in patients with end stage hip osteoarthritis pre and post hip replacement after partaking in preoperative physiotherapy.
Patients were recruited from the waiting list of an orthopaedic department and had been diagnosed with end stage osteoarthritis. Each study participant was evaluated at one month before surgery, the day before surgery, and 15 days, 4 weeks and 3 months post-surgery. Patients were randomised into control and study groups. Objective measures taken were:
- muscles strength of hip abductors and quadriceps
- ROM of hip abduction and external rotation
- Barthel Index, to measure disability
- Quality of life using SF-36
- Impairment using Western Ontario and McMaster Osteoarthritis Index (WOMAC)
- Pain using VAS
The study group attended a pre-operative physiotherapy programme involving group and individual sessions for 5 days/week. Following surgery both groups performed a 4 week inpatient rehabilitation programme.
The study group attended a pre-operative physiotherapy programme involving group and individual sessions for 5 days/week. Following surgery both groups performed a 4 week inpatient rehabilitation programme. As expected the study group showed significant improvements after one month of pre surgery physiotherapy, in keeping with the cur-rent guidelines. At 3 months post op both groups showed a significant improvement in all outcome measures, howev-er the study group had a significantly lower VAS and higher hip external rotation when comparing the two groups.
Clinically this study shows that pre-operative physiotherapy programmes do not reduce impairment or improve quali-ty of life following hip joint replacement. Physiotherapy has an important role in the conservative management of hip osteoarthritis.Reviewed by Deborah Nelson BPhty, PGD Musculoskeletal
INTERNATIONAL SPORTS PHYSICAL THERAPIST REGISTRATION: UPDATE
The IFSPT Executive Board is pleased to announce that not only is official registration now available for approved IFSPT country members, the assessment process for those countries with no national specialist pathway will be open in early 2014.
Individual members from Australia, Denmark, Ireland, The Netherlands, New Zealand, the United Kingdom and the United States who are certified as sports physical therapists within their national pathways are eligible for immediate registration and IFSPT Registered Sports Physical Therapists. An application form is available on the IFSPT website at this link
Cost to register is 50€ for two years, and only 20€ to renew for an additional two years. Payment may be made directly on the site for immediate response.
"I encourage all of our qualified individual members to register at their earliest convenience," Nicki states. "This is a true member benefit that one can use to one's advantage immediately."
FUTURE CONFERENCES: PLAN NOW!
Physical Training and Activity as Treatment and Prevention: Danish Sports Medicine Conference
January 30 through February 1, 2014
Hotel Comwell i Kolding - Torsdag
For more information and Registration, follow this link.
Football Medicine Strategies for Joint & Ligament Injuries
March 22-23, 2014
For more information and registration, follow these links:
"Let's Get Physical" ACPSEM Study Day
Saturday, March 29, 2014
University of West of England, Bristol
- Dr Pippa Bennett
- Dr Nicola Phillips
- Dr Rod Jaques
- Dr Mark Tully
- Chris Worsfold
- Dr M Polly McGuigan
- Dr Ruth Jones
Team Concept Conference 2014
Green Valley Ranch Resort
Las Vegas, Nevada - USA
Save the Date: Registration available in early 2014
IOC World Conference: Prevention of Injury and Illness in SportApril 10-12, 2014MonacoFor more information and registration, follow this link.
Attention Member Organizations:
Are you sponsoring a physical therapy, sports physical therapy or sports medicine conference in 2013?
Please send the information regarding your conference to Mary Wilkinson, IFSPT marketing director, for addition to the IFSPT newsletter and website! Newsletters are published every other month, so please submit your material as early as possible. You are also welcome to provide updates as your event draws closer!
LEARN AT YOUR CONVENIENCE...WHEREVER YOU ARE! HOME STUDY COURSES NOW AVAILABLE TO IFSPT MEMBERS AT DISCOUNT
No time to participate in conferences outside your clinic? No travel
budget? No time for classroom study with family commitments?
The IFSPT has approved the SPTS Home Study Courses for credits toward International Sports Physical Therapy Registration...and IFSPT members receive a generous discount. Courses may be purchased and downloaded immediately...you can start learning right away.
Offered in a convenient downloadable format, each Home Study Course (HSC) consists of multiple chapters (monographs) along with a final examination. Chapters are approximately 15-30 pages in length and require 4 to 6 hours to complete. The final examination consists of approximately 5 questions from each chapter. To receive continuing education credit, HSC participants must complete the final examination and return the answer sheet to the SPTS home office via email or fax. A course certificate will be sent to the course participant upon successful completion of the final examination. Course participants must score 80% on the final examination in order to receive a course certificate. Five credit hours per chapter (monograph) are awarded upon successful completion...for example, a six chapter course receives thirty credit hours.The SPTS Sports Certified Specialist Examination Preparatory Course
Editors: Robert C. Manske, PT, DPT, MEd, SCS, ATC, CSCS and Timothy Tyler, PT, MS, ATC
Designed for preparation for the Sports Certified Specialist Examination in the United States, this fourteen-chapter course covers many areas the average clinician does not experience in daily practice
NEW! CURRENT CONCEPTS IN SHOULDER REHABILITATION
Editor: Chuck Thigpen PT, PhD, ATC
Editors: Bryan Heiderscheit, PT, PhD and Mitchell J. Rauh, PT, PhD, MPH, FACSM
PEDIATRIC AND ADOLESCENT SPORTS MEDICINE: MANAGEMENT AND PREVENTION OF INJURIES UNIQUE TO THE YOUNG ATHLETE
Editors: Donna L. Merkel, PT, MS, SCS, CSCSand Joe Molony, PT, MS, SCS, CSCS
CURRENT CONCEPTS IN EVALUATION, EXAMINATION AND REHABILITATION OF THE KNEE
Editor: Robert C. Manske, PT, DPT, MEd, SCS, ATC, CSCS
REHABILITATION OF THE HIP
Editors: Lori Bolgla, PT, PhD, ATC and J. Craig Garrison, PT, PhD, SCS, ATC
REHABILITATION OF ARTICULAR CARTILAGE INJURIES OF THE KNEE
Editor: Timothy Tyler, PT, MS, ATC
THE SPINE IN SPORTS
Editor: Barb Hoogenboom PT, EdD, SCS, ATC
INJURY PREVENTION IN SPORTS MEDICINE
Editor: Mike Mullaney, PT
REHABILITATION OF THE AGING ATHLETE
Editor: J. W. Matheson, PT
REHABILITATION CONCERNS FOR THE FEMALE ATHLETE
Editor: Teresa L. Schuemann, PT, SCS, ATC, CSCS
EMERGENCY RESPONSE FOR THE PHYSICAL THERAPIST
Editor: Danny D. Smith, PT, DHSc, SCS, OCS, ATC
Other courses are available. To learn more about these courses, follow this link to the SPTS website.
COMING SOON!Team Concept Conference Streaming Video:
The Female Athlete:
Now Available: The IFSPT Blog!
Join us on our new IFSPT Blog! If you have experiences in sports physical therapy to share, we've established a blog page on our website. Lots of our members are working in some incredible areas - let's start sharing what we learn from these events.
Also, don't forget the IFSPT Facebook page!
This is your forum to connect with colleagues from around the world, so "like" our page and communicate!