Sports Physiotherapy Course: Certificate 1 - 8

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

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.

Definition 2“Australian Physiotherapy Council Requirements”Safety ✔Effective Treatment ✔Exercises ✔I want to go back ✔

Definition 3

Apply “THE 5 ELEMENTS” Each and Every Time

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

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

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

COMPETENCE CONFIDENCE PD COMMITMEN

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?

Solving Pain

The Performance Pyramid

The Ridgway Method

THE MYTHS AND NEW TRENDS

Section Five

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

7. What should I do first and continue to

keep in mind?

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?

• 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?

Each needs to improve by

85% for best outcome

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

4. Why is it different?

5. What are the steps to learn?

The 5 Fundamentals Step by Step

The Weighting Score on each

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

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?

1.hat is it?

Let’s look at each fundamental…

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

PRACTICAL SESSION - RECAP FROM LEVEL 1 AND 2

Section Seven

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

BIOMECHANICS36.0

Neural Dynamic Testing

Neural Mobility - Treatment

Assessing where 75% of Problems Originates

Thoracic Spine

Gluteals

Lumbar Spine – Anterior Disc Approach

Subscapularis

Combine Treatment + Functional Test = Treatment Directional Test ‘TDT’

Results in Real Time

Combine Treatment + Functional Test = Treatment Directional Test ‘TDT’Results in Real Time

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

#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

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

Degenerative Disc Disease

SIJ Inflammation

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

The Importance for rehabR1 vs P1 DemoTaping for Lumbar Spine Demo

Clinical Pilates DemoCore Taping Demo

FUNCTIONAL CORE12.0

Strength vs Endurance vs. Sports Specific

Communication++Personal trainers, Gym Instructors

INJURY MANAGEMENT & REHAB SPINAL PAIN - THORACIC

Section Nine

Spinal Pain – Thoracic Spine

Not to be missed-Neural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural

BIOMECHANICS36.0

The Importance for rehabR1 vs P1 DemoTaping for Lumbar Spine Demo

Clinical Pilates DemoCore Taping Demo

FUNCTIONAL CORE12.0

Strength vs Endurance vs. Sports Specific

Communication++Personal trainers, Gym Instructors

INJURY MANAGEMENT & REHAB THE SPORTING KNEE

Section Ten

The Sporting Knee

Not to be missedSpecial TestsNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural

BIOMECHANICS36.0

The Sporting Knee

R1 vs P1 DemoTaping for Knee Injuries Demo

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

The Sporting Knee

INJURY MANAGEMENT & REHAB THE SPORTING ANKLE

Section Eleven

The Sporting Ankle

Not to be missedSpecial Tests for the acute ankleNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural

BIOMECHANICS36.0

Functional tests to assessDemo

The Sporting Ankle

Taping for Ankle Injuries Demo

The Sporting Ankle

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

The Sporting Ankle

INJURY MANAGEMENT & REHAB THE SPORTING SHOULDER

Section Twelve

The Sporting Shoulder

Not to be missedSpecial Tests for the subluxations, dislocations Role of ScansNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural

BIOMECHANICS36.0

Taping for shoulder Injuries DemoRole of hydrotherapyTheratube Exercises

FUNCTIONAL CORE12.0

Rehab programsCommunication++ with PT’s

INJURY MANAGEMENT & REHAB THE SPORTING HIP

Section Thirteen

The Sporting Hip

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

The Sporting Hip

Closed Kinematic ChainUse of mirror, biofeedback, filming yourselfDemo

The Sporting Hip

FUNCTIONAL CORE12.0

The Sporting Hip

Rehab programsCommunication++ with PT’s

The Sporting Hip

INJURY MANAGEMENT & REHAB ELBOW AND HAND

Section Fourteen

The Elbow and Hand

Not to be missedNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)Behavioural

BIOMECHANICS36.0

The Elbow and Hand

Strength v ControlGross v PrecisionDemo

The Elbow and Hand

FUNCTIONAL CORE12.0

The Elbow and Hand

Rehab programsCommunication++ with PT’s, Easier to suffer Neural+

The Elbow and Hand

INJURY MANAGEMENT & REHAB HAMSTRING INJURIES

Section Fifteen

Hamstring Injuries

Not to be missedNeural DynamicsMuscle (Tight and Weak)Joint (Stiff and Lax)BehaviouralScans

BIOMECHANICS36.0

Hamstring Injuries

Functional TestsDemo

Hamstring Injuries

FUNCTIONAL CORE12.0

Hamstring Injuries

Rehab programsH/S bias running drillsEccentric chair dropsDOMS through the season

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

[4.0] 3.4 – 3.8

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

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

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.

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

Top 3 ‘WOWS’ from this course

The best three things I have learnt

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

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

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:michael@ridgwaymethod.com

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: kusal@eliteakademy.comMy 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.

Sports Physiotherapy Course: Certificate 1 - 8

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