ISSN 1179-7967 (Print) ISSN 1179-7975 (Online)www.physiotherapy.org.nz

A guide to volunteering in sport

THE LATEST NEWS & VIEWS FROM

PHYSIOTHERAPY NEW ZEALAND

SEPTEMBER 2015

CONTENTS

www.physiotherapy.org.nz

Editorial and Advertising

• Send editorial items to the Editor, amy.crooymans@physiotherapy.org.nz

• Letters to the Editor are limited to 250 words and may be edited.

• Send advertisements and course information to Jenny Acton-Phillips pnz@physiotherapy.org.nz

• Advertising rates and specifications are on our website.

• Deadline for editorial and advertising content including images is no later than 20th of the month prior to publication. If this date falls on a weekend or a holiday, please supply by the closest working day before.

• Members may read Physio Matters on our website and follow workable links.

The Editor reserves the right to edit material for space and clarity, and to withhold material from publication. Individual views expressed in this publication are not necessarily those of Physiotherapy New Zealand. Inclusion of product or service information or of links to external websites does not imply PNZ endorsement of the product, service or website unless specifically stated. Advertising in Physio Matters does not constitute endorsement of a product and no advertiser may use publication of an advertisement in the magazine to support the marketing of every product. While every endeavour is made to ensure the accuracy of information, no responsibility is accepted for inaccurate information.

Publication dates

Month of Magazine Publication Date

February 2015 13 February

March 2015 18 March

April 2015 16 April

May 2015 14 May

June 2015 15 June

July 2015 14 July

August 2015 12 August

September 2015 14 September

October 2015 13 October

November 2015 10 November

December 2015 10 December

Physiotherapy New Zealand

PO Box 27 386, Marion Square Wellington 6141 Level 6, 342 Lambton Quay, Wellington 6011, New Zealand

Phone: +64 4 801 6500 | Fax: +64 4 801 5571

September 2015

NATIONAL EXECUTIVE 3

NATIONAL OFFICE 4

FEATURE: Volunteering time and expertise is common practice for physio-therapists, especially with sports teams, but is it doing our profession justice? This month as much of the nation turns their attention to the Rugby World Cup it is a good chance to assess what it means to volunteer in sports.

5

PRACTICE AND POLICY 8

FOCUS ON ETHICS 10

TAE ORA TINANA 12

OF SPECIAL INTEREST 14

PULL OUT POSTER – SPORTS PHYSIOTHERAPY KIT 15

CELEBRATE YOUR PROFESSION 19

GENERAL NOTICES 19

NEW MEMBERS 19

PROFESSIONAL DEVELOPMENT – CALENDAR 20

PROFESSIONAL DEVELOPMENT – ADVERTISEMENTS 23

PRODUCTS AND SERVICES 29

VACANCIES 30

CONTACT DETAILS 31

02 | PHYSIO MATTERS SEPTEMBER 2015

Office who have worked so hard to make this happen.

Working collaboratively with other professional groups is important to ensure that our profession is ready to meet the health sector challenges of tomorrow. It’s also important in ensuring that our voice is heard and we have a seat at the table when the future direction of our health system is being discussed. On Tuesday I signed a partnership agreement with General Practice New Zealand, an organisation with a strong voice in primary health. In it we agreed to seek new ways of working together, acknowledging the role of physiotherapy and the often underutilised potential of our profession. This is the first time we have signed such an agreement with a large medical professional group and I know that this partnership will provide valuable opportunities for our members in the future. It really highlights the positive nature of building strong relationships with other key health organisations.

Another exciting opportunity that has arisen is the chance to be involved in developing the new Older People’s Health strategy with the Ministry of Health. Physiotherapists often have unique insight into the challenges being faced by older people on a daily basis and being asked to be involved in developing this strategy is a timely acknowledgement of our leadership role in this area.

Work also continues with the Professional Development Committee on the new career framework. Committee members continue to give a huge amount of their time to pull together a plan that will be sustainable and will serve our membership well in years to come. PNZ’s wider strategic review is also still ongoing and consultation documents are being prepared. I’m looking forward to hearing the voice of members, our SIGs and Branches at our leadership

It’s been a really busy month for PNZ since my last column and there are a number of exciting developments I want to report back to you. Some of these reflect the work that PNZ is doing, building better relationships and partnerships with colleagues and stakeholders across the health sector, others are to do with con-tinuing to promote our value to the public and to the next generation of leaders within our profession.On this latter point, I’m delighted to see the new Occupational Health promotional video is now available. This really showcases our skills in what is a growing area of practice nationally and a key focus for a range of government agencies. At time of writing, our short film promoting this work has already had more than 30,000 views online, a fantastic result in a very short time. For me it shows the level of interest there is in this topic and the growing opportunity for physiotherapists to work collaboratively with other professional groups in the sector. Well done to our Occupational Health SIG and the team at National

day later in the year, as we finalise the strategic plan and look to work more collaboratively as a profession.

Finally, I had the real pleasure of being able to attend the Ma-ori student hui hosted by Tae Ora Tinana 15 – 16 September. It was great to see many leaders of tomorrow so excited and enthusiastic about the profession, and the fantastic support that our young Ma-ori students get from Tae Ora Tinana and the Kaitiaki. My special thanks goes to Adam McDonald, Ricky Bell, Lynda Kirkman and all of the Kaitiaki for making me and my family so welcome. It was a wonderful experience to be able to bring my young family to the Te Manukanuka o Hoturoa Marae in Auckland.

Ian d’Young President

Occupational Health Return to Work campaign

August saw PNZ launch its Return to Work campaign in conjunction with the Occupational Health SIG. There are two key components of this campaign. Firstly our Return to Work video, which tells the story of John and how a physiotherapist helped him to return to work after knee surgery. Secondly our Return to Work Facebook quiz. The quiz was designed to engage with the public around the myths of returning to work following an injury or illness, and the role physiotherapists can play in this process. Everyone who completed the quiz went into the draw to win one of five $50 vouchers which were given away each week.

Both the quiz and video can be found on our Facebook page:

www.facebook.com/PhysiotherapyNZ

Check them out today and feel free to share them with your networks.

NATIONAL EXECUTIVE

IAN D’YOUNG

PRESIDENT PHYSIOTHERAPY NEW ZEALAND

Plenty happening

PHYSIO MATTERS SEPTEMBER 2015 | 03

expectation and address every opinion. Therefore, we need to focus on what collectively will give the greatest benefit. Anything we do has to be sustainable and make a long-term difference for PNZ Members no matter in which professional setting they practice.

What does the Plan cover?

The plan starts by providing some context and examines the environment we find ourselves in and what we have that we will build on as we move forward together

It then goes on to detail our vision, values and mission. Then we get to the real bones – the nine draft strategic priorities to keep us as a credible and visible profession:

• Build programs, services and support through PNZ national office, Branches and SIGs to make membership indispensable to practice

• Support evidence-based practice development

• Focus on the client across all health and life stages

• Advocating for a broader role in health supporting clinical integration

• Strengthen strategic partnerships that support clinical and professional development

• Develop best practice standards and guidelines

• Build future capability through value and accountability

• Develop measurement systems linked to care outcomes

• Support workforce growth and development.

Each of these priorities are supported by goals that give some more substance to the priorities on which we would build our annual business plans.

Why should I give my feedback?

Its three years since the last Strategic Plan was written and a lot has changed. Consider for example: technology, workforce, population demographics and emerging diseases. Healthcare is a moving landscape and you are the ones out there delivering on the front line, so we need to know what you think. This is your opportunity to help shape the direction for your organisation. Please take the time to read through the document and let me know what you think.

‘A Heads Up’ – September – 2015 Remuneration and Employment Survey

To help us better understand our membership, and provide more effective support services, we will be running a second remuneration survey. It will focus on these areas but additionally there will be a number of questions for business owners, including some on an international benchmarking project run by the International Private Physical Therapists Association (IPPTA).

We encourage all members from any practice to participate – it will only take a few minutes and there is the chance to win a prize!

Building on the data we collected last year, this survey will allow us to help us better understand trends within the profession.

To ensure confidentiality the survey will be run independently by Perceptive Group. The collated results will be available to members later in the year.

Joe Asghar, CEO

NATIONAL OFFICE

JOE ASGHAR

CHIEF EXECUTIVE OFFICER PHYSIOTHERAPY NEW ZEALAND

Looking to the future – consulting on our draft strategic plan

Earlier this month you should have received an email at the beginning of the month seeking your feedback on the draft Physiotherapy New Zealand Strategic Plan. The following provides an overview of the Strategic Plan, what it covers and why your feedback is important.What’s the purpose

The Strategic Plan tells the PNZ story for the next few years and summarises what we are aspiring to do for you our Members. In developing this draft, we have listened to what you said and have looked at what is happening nationally and internationally.

It will guide PNZ in further developing its services and support for our members, Branches and Special Interest Groups so that physiotherapists are providing the highest quality care as part of an integrated healthcare system for all New Zealanders. Once the direction is confirmed, we expect it will form the basis of our budgeting and annual business planning for the next three or so years.

With such a diverse profession and the many voices it contains, it would be impossible to try and meet every

04 | PHYSIO MATTERS SEPTEMBER 2015

FEATURE

A guide to volunteering in sport

Volunteering time and expertise is common practice for physiotherapists, especially with sports teams, but is it doing our profession justice? This month as much of the nation turns their attention to the Rugby World Cup it is a good chance to assess what it means to volunteer in sports. Feature writer, Kirstin Mills, talks to Sports Physiotherapy New Zealand president, Hamish Ashton, and sports physiotherapist volunteer Kirsten Laurence, to weigh up the as potential risks and big rewards that go along with the service.

PHYSIO MATTERS SEPTEMBER 2015 | 05

Tauranga-based P2P Physio physiotherapist and Sports Physiotherapy New Zealand president, Hamish Ashton, says putting something back into the community especially for charity events, is very rewarding, Other benefits he identifies include:• Working with athletes and healthy

people who are fit and motivated.

• Getting experience of things you don’t get in the clinic such as acute issues, which improves your ability to assess problems in different situations. Hamish says it can be scary at first, but is an opportunity to test your skills. “Making right decisions is very rewarding.”

• Helping your career path – if you want to work at a world cup or the Olympics, you can use volunteer roles as step-ping stones to work your way up.

• Generating business – if you’re work- ing with a group or a team, you’re likely to see some members as private patients. That also means continuation of service. You deal with the whole management and health of an athlete.

Risks

On the other side of the coin, there are a range of risks, ranging from the ethical to the professional.

Often when volunteering, physios end up doing things outside of their direct scope of practice. Sports teams may see a physio as a health professional, and ask them to do things outside of the scope of practice, like advise on fractures or deal with hydration. One way to avoid overcommitting is to draw up a contract which explains what you can do and your limitations. Hamish says even if you’re a Mum or

A guide to volunteering in sport

FEATURE

Dad helping with your children’s team, a written document is a good idea if you have your physio hat on.

He recommends all contracts contain a clause saying the physio abides by The Sports Physiotherapy Code of Conduct, which was released 18 months ago. Hamish says the world-first document is being looked at by people globally and is respected in the sports medicine community. Some of the issues it covers include:

• Relationships: if you’re working with a team, the players are all prospective patients so relationships with them should be avoided.

• Privacy: When you’re working in a team environment, there’s not always privacy for treatment. Be aware that everyone can see and hear what is happening if you have a table in the dressing room.

• Player before the team: You are there for the player’s welfare and that is more important than the team winning. You must think of the patient’s health and safety; you are not answerable to the coach or whoever contracted you.

• Medication: The code makes it clear medication is outside the scope of practice (and outlines the special circumstances when a physio is able to supply or administer medication).

Remuneration

A big risk of volunteering is being undervalued. For charity events, eg a 24-hour fundraising relay, Hamish does not believe remuneration is necessary – it is for a good cause (and there is unlikely to be a budget to pay you).

When volunteering with sports teams, working for free is murkier territory. Of course there isn’t always the funding for payment at lower levels of the sports club hierarchy and Hamish admits he doesn’t always get paid for his volunteer

work (but he doesn’t push the issue because he considers it a hobby).

But remuneration need not mean paying physios their normal hourly rate as most clubs would not be able to afford that. It may just be koha to show appreciation. Hamish worked with a league club that paid him $30 or $50 a week – it was nowhere near his going rate, but he appreciated the gesture.

At the more senior levels of sport there should be funding for physio services. If that’s not possible you may be able to get agreement for free advertising and promotions through a club as payment, which is something Hamish does so the club is aware of the value of his services.

He says that at the very highest levels of sport there should definitely be remuneration, yet it has only been in recent times that the likes of Olympic physios have been paid.

Limitations

Regardless of payment, remember you are only a volunteer. If you have family issues or CPD that need attending to, they must come first. Aside from that (and ethical/professional issues outlined) the only limitations come down to how much you want to do.

When Hamish volunteers he does whatever needs to be done for the team to function, including driving the team bus and cooking meals. “I don’t believe a physio should just sit there and only do physio things if they’re involved in a team.”

Liability

You do need to be aware of what you are covered for, when it comes to treatment however. Your liability insurance covers physiotherapy treatment so don’t work out of the scope of your practice. Hamish says it is something Sports Physiotherapy New Zealand might need to look into.

“If I’ve got players with internal trauma, a bruised spleen or something

06 | PHYSIO MATTERS SEPTEMBER 2015

like that, that’s definitely not within my scope of practice. So am I covered for that? Am I now just a person dealing with it as a first aider?”

Hamish says you cannot swap your physio hat and first aider/medic hat back and forth easily. Refer the patient on if it is something beyond your scope/skillset and keep patient notes so if something goes wrong you have something to refer back to.

Getting involved

Hamilton-based Advance Physiotherapy physiotherapist Kirsten Laurence says there are many opportunities to volunteer. Her clinic is often asked if they can help out. In addition, you can advertise your services using channels like the Physiotherapy New Zealand vacancies page. Kirsten uses the Facebook group for her graduating year at the Auckland University of Technology, which often contains notices for volunteers.

Hamish says that if there is a sport you are keen on, knock on some doors. With big sporting events (like the ITU World Triathlon Championships in Auckland last year) and charity events, you may see notices calling for volunteers in newsletters and websites.

There is plenty to be gained from volunteering, especially hands on experience and team satisfaction. It can be a great way to spread the value of physiotherapy, but it is important to know your limit and not cross professional or ethical boundaries. If you are interested in reading more about the SPNZ code of conduct, it is available to all members on the PNZ website, and vacancies can also be listed on our site too.

www.physiotherapy.org.nz/about-physiotherapy/professional-guidelines/

www.physiotherapy.org.nz/professional-development/find-a-job/

Volunteering as a studentVolunteering as a student increases your experience and gets your foot in the door to sports physiotherapy.

Hamish says students can’t call themselves physios when volunteer-ing. In fact, they need to be under the direct supervision of a physio who is on site before they can even use the word “physio”. If you’re not supervised, you’re not technically working as a physio student and are not covered by liability insurance. You are essentially only there in a first aid context.

Limits

Kirsten volunteered with a men’s football team last year when she was a student, attending training twice a week, as well as being present at the games. She also volunteered in some other codes including rugby and cricket.

As a student Kirsten could advise and prescribe exercise that the patient could self management, and also carry out strapping and massage. She was able to assess players but the definitive diagnosis needed to be made by a registered physiotherapist. Kristen couldn’t carry out mobilisations, manual therapy, completion of ACC paperwork or refer for a scan. and in these cases, Kirsten referred players to the physiotherapist who was mentoring her.

At the start of the season Kirsten produced a document introducing herself, pointing out she was still studying and what she could and could not do so players and coach

and management staff were aware.

“Boys would come up to me and say ‘can you click my back?’ As a student your liability lies with where you are studying so I said I’m actually not allowed to.”

Benefits

Because Kirsten travelled a lot for her volunteer work, she received petrol vouchers, but received no other remu-neration and did not expect to. The experience she gained was “incredible”.

She was based in a hospital for her fourth-year placement, but wanted to work in private practice and do sports physio. Volunteering gave her a sense of purpose and made her feel like she was “almost a real physio”.

The work was also a lot of fun, got Kirsten’s name out into the sports community and enabled her to network with other physiotherapists.

Having the volunteer work on her CV made a big difference to getting a job, setting her apart from others who had not volunteered.

By the time she started working as a physio this year she had a lot of experience with sports injuries, particularly the lower limb conditions seen in football.

PHYSIO MATTERS SEPTEMBER 2015 | 07

CONCUSSION – how much do you know?

This month’s Physio Matters about volunteering with sports teams has been scheduled to coincide with the Rugby World Cup. As the subject of ‘Sport – Related Concussion’ is currently topical it’s a good time to discuss the evidence and guidelines relating to this subject. A consensus statement on Concussion in Sport, contributed to by 28 authors and referred to as the ‘Zurich consensus,’ acknowledges that the science of concussion is evolving. Review of the best evidence available has resulted in agreement from authors on the principle messages conveyed with the proviso that the “management of sport-related concussion and return to play decisions remain in the realm of clinical judgement on an individual basis”.

The consensus statement has been developed primarily for use by physicians and healthcare professionals who are involved in the care of injured athletes, whether at recreational, elite or professional level and has been used to inform the ACC National guidelines on Sport Concussion in New Zealand which were released in January this year.

ACC guidelines clearly state that only a qualified medical doctor can assess

and diagnose a concussion injury and indeed completion of ACC paperwork documenting concussion as an injury can only be completed by a medical doctor. However most sports teams don’t have doctors on the sideline and other team personnel will be required to check out any player who may have a suspected concussion. Dedicated sports team physiotherapists should be well versed in appropriate concussion management and return to play approaches. For those not working directly with sports teams – you never know when a partner, spouse, daughter, nephew may come home and announce that they’ve volunteered you to accompany their sports team on a trip away as the team physiotherapist!

Known as the ‘silent injury,’ sports con-cussion is a subset of Traumatic Brain Injury and can be caused by a direct blow to the head, face or neck or a force hitting the body elsewhere resulting in an ‘impulsive’ force being transmitted to the head.

The results of concussion are usually quick onset of short term impairment of neuro-

PRACTICE & POLICY

SUE DOESBURG

PROFESSIONAL ADVISOR PHYSIOTHERAPY NEW ZEALAND

logical function that resolves spontaneously but occasionally signs + symptoms can become apparent over time (this can be anything from minutes to hours).

The clinical symptoms reflect functional changes rather than structural injury so in general abnormalities aren’t seen on structural neuroimaging studies.

The good news is that 80 - 90% of concussions resolve in 7 - 10 days although it’s important to keep in mind that recovery time for children and adolescents may be longer.

Experts support a consensus-based approach for:

1 Identifying and managing concussions

2 Using evidence based practice

3 Focusing on education and injury prevention

Concussion assessment

The symptoms of concussion can be variable and measurement depends on self-reporting by the person affected.

08 | PHYSIO MATTERS SEPTEMBER 2015

Physical symptoms include loss of conscious-ness, impaired balance, disorientation, confusion, seizure, convulsion, vomiting, and visible injury to face or head.

Clinical symptoms (what the person affected is experiencing) include blurred vision, neck pain, nausea, dizziness, confusion, difficulty sleeping, headache/pressure, sensitivity to light and/or noise, fatigue, emotional lability, irritability, memory problems and reduced ability to concentrate.

Initially published in 2004, the Sports Concussion Assessment Tool (SCAT) has evolved over time to become the:

• SCAT3 – designed for participants over 13 years of age

• Child-SCAT3 – for sports participants aged between 5 and 12 years and

• Concussion Recognition Tool (CRT)

SCAT3’s are standardized tools recommended for use by medical professionals only to evaluate injured sports participants whilst the CRT has been developed for use by people not qualified as a medical professional.

Recognise and remove

Recognition of a possible injury and taking action by removing the athlete from the sport/activity is imperative. This is where the CRT is useful– a printable PDF of a pocket size copy can be downloaded at

http://links.lww.com/JSM/A32

ACC Guidelines discuss further considerations whilst assessing for possible concussion injury emphasising an “if in doubt sit them out” approach. It is pointed out that whilst SCAT3 tools can be used to assess con-cussion they are not to be used for diagnosis and are only a standardised assessment to aid diagnosis by a medical doctor.

Taking approximately 20 minutes to complete the SCAT3 computes a composite score which is comprised of the Glasgow Coma Scale,

Maddock’s Score, a Standardised Assessment of Concussion (SAC) score (cognitive and physical evaluation, delayed recall) and a balance assessment score (modified Balanced Error Scoring System or BESS) .

Also included with the SCAT3 is an information page for the athlete and the parent or person who will be available to monitor the concussed athlete.

Experts conclude that “the final determin-ation regarding concussion diagnosis and /or fitness to play is a medical decision based on clinical judgement” which fits with SCAT3 recommendation “it is better to be safe. Consult your doctor after a suspected concussion”.

Concussion management

The cornerstone of concussion management is physical and cognitive rest until the acute symptoms resolve followed by a graded programme of exertion prior to medical clearance and return to play. Evidence assessing the effect of rest is limited so it's advised that “a sensible approach involves the gradual return to school and social activities (prior to contact sports) in a manner that does not result in exacerbation of symptoms”.

ACC Guidelines include the graduated return to sport protocol outlined in the Consensus Statement and list physios (along with others) as having responsibility for rehabilitation and management. Again it’s emphasised that clearance by a medical doctor is required before return to sport /activity.

When clinical recovery is prolonged (i.e.: outside the expected timeframe of 7 -10 days) the next step is evaluation by a concussion specialist or clinic and if indicated further rehabilitation input.

Injury prevention

Despite unanimous agreement about the necessary timeframes required for recovery before return to play following a concussive injury there is concern that this isn’t always practiced. A major review of youth sports uncovered a culture of resistance to reporting possible concussion as well as compliance with treatments plans. Other studies have looked at the widespread use of protective headgear and concluded that whilst not offering sufficient protection sports players are likely to take more risks because they feel protected when wearing headgear.

All sports participants are at risk of receiving a concussion injury and the risk is increased in those with a history of a previous or multiple concussive events. Proactive education of everyone (athletes, supporters, referees, coaches, colleagues and the general public) with the right advice and demonstration of safe and professional concussion management practice is the best way of reducing fatalities, permanent brain damage and dementia from repeated head trauma.

Even if you are not a sports physiotherapist make it your business to spread the word on what is best practice management for Sports-related concussion.

References

References are available on request by emailing: sue.doesburg@physiotherapy.org.nz

Sue Doesburg Professional Advisor – Policy & Practice

ACC Guidelines discuss further considerations

whilst assessing for possible concussion injury

emphasising an “if in doubt sit them out” approach.

PHYSIO MATTERS SEPTEMBER 2015 | 09

FOCUS ON ETHICS

Satisfaction NOT guaranteed

In the July edition of Consumer a query about a physiotherapy service provided to a member of the public was published on the ‘Your Questions’ page as LETTER OF THE MONTH. Below is an outline of the query and response as summarised by the Professional Standards and Ethics committee. The patient attends their initial consult with a private physiotherapist who offers a 100% satisfaction guarantee. The patient feels that treatment costs should be covered under ACC, the physiotherapist disagrees stating that the injury would not attract cover as a work related gradual process injury. After two treatments, the patient is dissatisfied and seeks reimbursement, but the physiotherapist refuses to refund despite their “100% satisfaction guarantee”. The clinic subsequently retract their position and offer a free 30 minute therapeutic massage, but no financial refund. The patient airs their complaint in a letter to Consumer magazine and it is published.

The magazine advisers encourage the patient to return to the clinic and seek a full refund based on two arguments:

1 The wording of the guarantee, in un- equivocal terms, guarantees a refund when the customer is dissatisfied.

2 In failing to recognise ACC treatment cover, the physiotherapist has failed to carry out the service provided with reasonable care and skill.

The patient was also advised of the complaints process through the Physiotherapy Board should the response not be satisfactory. On returning to the clinic the patient was given a full refund.

Following on from this the Professional Standards and Ethics committee thought the magazine piece provided a good opportunity for discussion and comment about many of the issues raised.

The magazine article had several inaccuracies such as lodging a WRGP (work related gradual process) claim, which has to be completed by a doctor and the funding amount covered by ACC. A WRGP is not really a diagnosis. It is the name given to a group of disorders that occur from overuse or repetitive actions and the term is used by ACC to describe a group of disorders that may be considered for cover. In this respect it is more of a legal term than a medical diagnosis. WRGP claims are all looked at individually and the criteria for having them approved is much higher than lodging a one off event. The patient needs to be advised that there are considerations in terms of levies for the employer and that they need to have followed company policies and procedures around this or the WRGP claim may not be able to be accepted.

Another relevant issue is that a diagnosis and an ACC read code are not the same thing. When physiotherapists see a client they develop a working diagnosis. This can change over time as they continue to assess the client and his/her response to treatment further and collate further information from various tests such as diagnostic imaging. It is important that any change and information relating to the diagnosis is clearly explained to the patient so that they remain informed throughout their treatment experience. As physiotherapists cannot order high tech imaging the diagnosis is often not confirmed until specialist opinion is sought. However, after an initial consultation, physiotherapists are asked by ACC to give a code when lodging a

10 | PHYSIO MATTERS SEPTEMBER 2015

claim which them becomes the clients "cover" diagnosis. An example of this would be where a physiotherapist lodges a claim for a meniscal tear with a reasonable level of diagnostic accuracy, but it would by no means be a definitive diagnosis until the high imaging results were reviewed.

100% satisfaction guarantees are very hard to quantify. If you use this in your advertising text, what parameters are you using to measure patient’s satisfaction? Some patients may never be satisfied; are you opening your business up to being asked for regular refunds? Some patients may choose to never complain and may simply not come back. If you advertise ‘100% satisfaction guaranteed’ you need to be prepared to have a process for dissatisfaction to be voiced, heard and acted upon easily without conflict. You should be prepared to give refunds immediately or you could be breaching advertising standards and find yourself the topic of discussion in a consumer magazine. We felt that in this case the patient was not heard, aside from any of the treatment issues concerning them, they were sufficiently irritated to seek to publically complain causing wider impact on our profession.

Does using the phrase ‘100% satisfaction guarantee’ in your advertising undermine or cheapen the profession in some way? Whilst this is open to healthy debate we do recognise that not upholding the offer and being the subject of a complaint whether private or as in this case made in a very public forum could be seen to be bringing our profession into disrepute and how ultimately it could become the subject of a Board investigation if a formal complaint to the Board had been made. Within our profession there will be a range of views about advertising and what is appropriate. Even within the Professional Standards and Ethic Committee there are varying opinions

as to whether this style of advertising is appropriate or not. However that is not really the issue here. The issue is that the physiotherapist did not honour their claims of a 100% satisfaction guarantee. The bottom line is that if you are going to make these claims publically you need to adhere to them.

In the article ‘Better selling the physiotherapy profession’ Physio Matters p6 July 2015 Tom Warden made the comment that ‘better selling’ includes giving thought to the wider experience we are creating. In this case the negative experience for the patient was compounded by the physiotherapist not upholding their end of the business agreement, based upon their advert promising 100% satisfaction. The physiotherapist also failed to fully inform the client about the ACC Act and how to lodge a WRGP claim. As for the treatment - we can't judge whether it was appropriate or not as we don't have those facts. What we do know, as the magazine has pointed out, is that the client was not 100% satisfied and therefore was entitled to a full refund.

There is continuing need for a clear explanation by the physiotherapist to ensure that patients have informed and realistic expectations. The article was not a ‘good look’ for the physiotherapy profession and the situation is worthy of reflection as we consider how we market ourselves.

Fy Dunford, Co-chair, PNZ Professional Standards and Ethics Committee

100% satisfaction guarantees are very

hard to quantify.

PHYSIO MATTERS SEPTEMBER 2015 | 11

Hui Tauira: Me Haere Taua – Lets walk together

TAE ORA TINANA

Tae Ora Tinana hosted their bi-annual Tauira Hui, 15-16 August 2015, Manukanuka O Hoturoa Marae, Tamaki Makaurau (in Auckland)It was wonderful to see so many students, kaitiaki, manuhiri, including Colleen Leauanae (Student Support Services AUT), Ian d’Young, Joe Asghar, and graduate physiotherapists Andrea Wiritana and Nathan Clarricoats, all came to support our kaupapa.

The hui was all about providing affirmation of Ma-ori identity, a chance to discuss cultural issues which may arise through studies, a Ma-ori dimension to the health profession, and networking with Ma-ori physiotherapists and other Ma-ori students

It began with a powhiri lead by our kaumatua and kuia, Matua Bill and Whaea Pat. Matua's ko-rero gave us a brief Hi-tori and whakapapa of Manukanuka O Hoturoa marae. It included a lesson on the deeper meanings of whakapapa and the tikanga of individual Iwi. Whakawhanaungatanga – we all come at differing levels of experience and knowledge of Te Ao Ma-ori. Some very impressive first attempts at pepeha- were offered along with our more practiced and fluent speakers of te reo. With the pepeha- shared we were able to identify our connections and become closer as a professional wha-nau.

Hui Proceedings: speakers

Many kaitiaki presented during the day, taking the chance to share something of value to the guests present. Our chair Adam McDonald opened with giving the Tumuaki address.

Ulima Tofi spoke about living the dream as a sports physio; the good, the hard, and the harder still, gaving reflections on life as a physiotherapist to a professional sports team.

Lynda Kirkman shared a presentation offered to 4th year Otago physiotherapy students at Taputeranga marae 30 July, 2015 about working with Maori. Lynda shared the stories and photos of the clients who attend the gym at the care facility where she works.

Sandra Kettle talked about her love of working as a hand therapist, sharing her journey from being a student at AUT to finding her passion.

Ricky Bell lead Korikori tinana (exercise)

followed by a little hi-koi (walk) and facilitated discussion while the kuia got on with preparing the kai for dinner. Ricky offered some insights into some Ma-ori words which are in common use and how meanings can change in a different context. Hand knitted slippers were given by Lynda those brave and willing enough to join in the discussion.

Grant Mawston facilitated an entertaining tauira (student) debate about whether parents know best. Two

Kaitiaki, kaumatua, students, PNZ representatives and AUT staff all met for the opening powhiri of Hui Tauira, on 15 August, 2015

12 | PHYSIO MATTERS SEPTEMBER 2015

very enthusiastic teams including our tauira from Otago, presented some very persuasive arguments in support of their position. This was followed by a prize giving that had everyone laughing.

After delicious kai prepared by our very own MasterChef Ann McKellar and her team, it was observed that there was to be an important cultural event happening at 7.30pm. The outcome was that 13 Ma-ori physiotherapists and physiotherapy students, and one partner,

returned to Auckland airport to patronise one of the hospitality providers. Utilising available resources, Matua Bill's provided his vehicle to taxi the crowd. The outcome was a victory for the AB’s.

Meanwhile back on the marae, sore legs and feet were addressed with mirimiri (massage). We all had a good moe (sleep) after that!

On Sunday morning we were woken to the manu ti-oriori (songbird) of Matua and Whaea. Morning hikoi followed by

parakuihi (breakfast) and a full on marae clean lead us to the wind up our hui. For the poroporake (farewell ceremony) Matua summed up the hui proceedings and everyone had contributed, and then it was time to say “Haere ra- – ka kite ano-” (goodbye, see you next time) and look forward to our next opportunity to come together once more.

Lynda Kirkman Tae Ora Tinana Kaitiaki

PHYSIO MATTERS SEPTEMBER 2015 | 13

A body. This body. My body.

OF SPECIAL INTEREST

The body is the core subject of our work and is intimately linked to our professional identity1. Despite this central significance, the way the body is conceptualized and experienced in illness or after injury has seldom been critically examined in physiotherapy literature.The term ‘embodiment’ is used to refer to how people live in and experience the world through their bodies4, 5, 6. Embodiment theory acknowledges that the lived body is never just a material object in the world, but the basis for understanding others, for understanding ourselves, and for participation in everyday life including our engagement in valued activities and social roles6, 7, 8, 9, 10. Hence embodiment theory has considerable relevance to physiotherapy as a rehabilitation profession.

In longstanding conditions such as stroke, studies report people experiencing a self-body split8, 10, 11, altered perception of self 6, 11, 13, altered bodily awareness6, 11, 12, altered social self-body11, 13, and a journey of change8, 10, 12, 14. These confusing perceptions of the body have been commonly associated with loss of confidence and grief 6,11, 13, and suggest that body changes after stroke mean more to an individual than just loss of physical ability.

I further explored the notion of embodi-ment after stroke by interviewing people leaving hospital-based rehabilitation. From this the theoretical model in Figure 1 emerged using grounded theory methodology. This study indicated the bodily experience of stroke fluxes both over time, and within a moment, and is intimately connected with a person’s sense of self. A person’s

social and physical environment, as well as their personal attributes can serve to ‘anchor’ them more comfortably within their embodied experience of stroke.

As physiotherapists treating conditions like stroke, that may affect a persons embodied experience, we could influence their experience by;

• Inviting conversations with patients about their bodily experiences and the effect that has on their sense of self. This includes ‘active’ listening as therapists.

• Recognising and harnessing personal and environmental attributes that

may influence a persons embodied experience. This may include a person’s attitudes, intrinsic knowledge, social and physical environments.

• Promoting patients as experts in their own bodies.

Compiled on behalf of the Older Adults Special Interest Group by Emily Timothy (Physiotherapist, Canterbury District Health Board).

References

References are available on request by emailing: amy.crooymans@physiotherapy.org.nz

14 | PHYSIO MATTERS SEPTEMBER 2015

Shown here is what should be in your sports volunteering first aid kit, as directed by Sports Physiotherapy New Zealand (SPNZ). Remember to follow the SPNZ Code of Conduct and the Guide to Volunteering in Sports article, both available at www.physiotherapy.org.nz

What’s in your sports physiotherapy kit?

Five key tips to remember when volunteering as a physiotherapist:1 Be aware what you are covered for,

including treatments, and don’t work outside of your scope of practice.

2 To avoid over committing and practicing out of your scope, draw up a contact which explains what you are able to do, and what your limitations are.

3 When you are volunteering with a sports team, working for free is murky territory, but remember that remuneration may not be at your normal physiotherapy rate,... it could be a koha to show appreciation.

4 Remember you are only a volunteer, so if you have other events that you need to attend, they must come first.

5 Students can’t call themselves physios, even when volunteering, and they need to be under the direct supervision of an onsite physio.

For more advice of volunteering, visit www.physiotherapy.org.nz/physiomatters

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1 Ice packs

Ice is used for acute pain caused by recent tissue damage, when the injury is recent or red, to reduce inflammation and sensitivity. In your kit you can either have a chemically activated pack that just requires some force to release the cold or a reusable ice bag that you can fill before the game.

2 Crepe bandages

Crepe bandages are reusable and generally made of cotton combined with elastane or spandex to give them a good stretch. They are used as a light support for minor sprains, strains and due to their stretch give compression. It is also handy to have some elasticated claw grips so that you can secure them without safety pins or sticky tape.

3 Scissors

A good pair of scissors are required for cutting adhesive tapes and bandages. Scissors with either one or both tips blunted are useful for cutting fabrics next to the skin and avoids a sharp point from puncturing the skin.

4 Strapping tape

Rigid tape is used for taping to support and protect joints and soft tissue from injury. Tape is generally flesh coloured with a serrated edge to allow easy tearing and reduce fraying. Ideally get a tape that had a strong adhesive so the application stays strong, even when sweating occurs. The most useful size is 38mm and it will also be handy to have to a variety of other sized strapping tape.

5 Massage cream or oil

These help to lubricate the skin, reducing friction when you are working on muscles. There are many variances in lotions, some including heating or cooling ingredients depending on the effect you want. In general it is best to go for one that is non-greasy and slowly absorbed, ideally also non-staining and be mindful of possibly allergies.

6 Hand towel

This has an array of uses, from wiping cream off your own hands, to being a base for a first aid station. Material depends on individual preference; cotton towels are great for their thickness but heavy when wet whereas microfibre towels are light and highly absorbent.

7 Triangular bandage

Triangular bandages are half a square metre of fabric cut diagonally to form a triangle. It is generally used as a sling or for immobilisation but can also be folded and used as another form of bandaging or padding.

8 K tape

K tape is designed in likeness to human skin, being roughly the same thickness and stretch (30-40% of its resting length). The cotton fibres allow the tape to dry quickly meaning it can be worn for up to a few days. Function of the tape depends on its usage and placement on the body, including; the direction of pull, the shape, and the location.

9 CPR face shield

The face shield is to protect both the person giving CPR and the person receiving CPR by preventing the exchange of saliva passing. There are range of face shields for mouth to mouth resuscitation, the most basic and common option is a single use semi-transparent

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face shield that allows visibility of patient’s lips, mouth and nose whilst still offering protection. The printed instructions and orientation guides actually on the shield help ensure correct use.

10 Gloves

Disposable gloves are for infection protection and to stop you coming into contact with bodily fluids. Latex gloves tend to perform better (less leaks and less porous) and cost less. Remember some people are allergic to latex so if going for a non-latex option make sure they are medical-grade.

11 Hand sanitiser

Hand sanitisers are for preventing the spread of disease and germs. Foams, gels or wipes that are more than 60% alcohol-based are most effective at killing microorganisms. Go for a quick dry option so that when you are in a rush you don’t end up wiping off the residue.

12 Foam padding

Foam padding can be used for comfort and protection to an injury or limb. It can also be used on blisters and to prevent rubbing.

13 Non sterile dressing

A non sterile ‘clean’ dressing such as a roller bandage can be used to apply pressure to a limb of joint, hold a dressing in place, and support an injury. They are also generally soft and breathable.

14 Lite EAB

Lite Elastic Adhesive Bandages are used for compression and support. They are generally a cotton and spandex woven material that is lightweight and hand-tearable. The elasticity provides strong and controlled support and can also be used on blood wounds.

15 Steri strips

Steri strips are thin adhesive strips that are used as an alternative to stiches for making deep skin cuts close faster with less infection potential. The non-invasive technique reduces tissue trauma and improves patient comfort in comparison to stitches.

16 Vaseline

Vaseline can be used to reduce the friction between skin and clothing. There is also some debate about whether it does also prevent the skin’s moisture from evaporating, meaning Vaseline can also be used to provide heat insulation.

17 Concussion assessment card

This can be used as an easy reference to identify signs and symptoms of concussion. It should also give you evaluating methods and the next steps to take. You can download a printable PDF of a pocket size copy can here:

www.links.lww.com/JSM/A32

For more information, see:

www.physiotherapy.org.nz/members/research/research-columns/

18 Basic first aid kit

This should include plasters, antiseptic ointment, saline, hyperfix, and sterile dressings.

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GENERAL NOTICES

Opportunities & Reminders

Welcome to our new members

Northland

Sarah Kennedy

Auckland

Angelica Reeve

Sarah Diskin

Laura Jefferson

Jack Kavanagh

Canterbury

Charlotte Hoetjes

Update your details

PNZ can give your inbox a lot more variety than you may realise. Vacancies, events, business matters, news, updates, Tae Ora Tinana ebulletins and even messages straight from Joe's desk. You can also choose to receive Physio Matters quicker than post, via email. This is all done by updating your preferences here:

www.physiotherapy.org.nz/members/member-settings/preferences/

Scholarship Trust Fund

Applications close on 20 September each year. If you are thinking of undertaking some research this year or introducing a different model of care now is a good time to look at the guidelines and see if your project will fit the criteria, or how you can refine it to meet the criteria. Remember there are two categories you can apply under:

• Research Project

• Innovative Practice Grant

The guidelines and the application forms are on our website.

Deadline: 5pm 20 September

Updates for members on the PNZ website

There have been a lot of recent updates to the advocacy news section in the members area of the Physiotherapy New Zealand website.

This is where we put updates from health and government groups that will be of particular interest to physiotherapists. Be sure to check this section often to stay up to date.

Use free PEDro

PEDro is the Physiotherapy Evidence Database. PEDro is a free database of over 16,500 randomised trials, systematic reviews and clinical practice guidelines in physiotherapy. For each trial, review or guideline, PEDro provides the citation details, the abstract and a link to the full text, where possible. All trials on PEDro are independently assessed for quality. These quality ratings are used to guide users quickly to trials that are more likely to be valid and to contain sufficient information to guide clinical practice.

Save the date

The 2016 PNZ Conference will be held over three days of Friday – Sunday, 16 – 18 September, 2016, at the Pullman in Auckland.

World Physiotherapy Day

CELEBRATE YOUR PROFESSION

This year for World Physiotherapy Day we are taking a stand against stillness, by running The Movement for Movement. Launching on 8 September though until 8 October, 2015, all New Zealanders to submit their 'movement photo' into our online competition. Entering a photo puts you in the draw to win weekly prizes and the final prize, one of two, $500 prezzy cards. The purpose of the competition is to encourage movement and create an awareness that physiotherapists can keep you moving throughout life.

We are encouraging members to promote the competition with printed and digital posters that you can put up online, in your clinic and spread the word for patient, family and friend.

There are also a range of resources on our website including an advertorial, media release, PowerPoint, social media banners, Pinterest boards, images and links. There is also a list of ideas of how you can celebrate and what other physios and branches are doing on the day.

We want to to hear about your plans for the day or see your stories and images afterwards. Send them in to amy.crooymans@physiotherapy.org.nz or use the hashtag #PhysioDayNZ to let us know what you are up to.

Posters can be ordered and all resources are available at:

www.physiotherapy.org.nz/members/resources/world-physiotherapy-day/

PHYSIO MATTERS SEPTEMBER 2015 | 19

TITLE DATE LOCATION CONTACT DETAILS

BRANCHES

Hawkes Bay

Symposium - Dynamic Wellness 10 Oct 2015 Napier hawkesbayphysio@gmail.com

Otago

Southern Physiotherapy Symposium 7 13-15 Nov 2015 Queenstown www.physiotherapy.org.nz/events-sps

Wellington

Benign paroxysmal positional vertigo (BPPV) assessment and treatment webinar 24 Sep-1 Oct 2015 Nationwide www.physioedge.com.au/pnz2015

Thumb assessment webinar 26 Nov-3 Dec 2015 Nationwide www.physioedge.com.au/pnz2015

SPECIAL INTEREST GROUPS

Acupuncture

Case Study Day Various Nationwide paanz@xtra.co.nz

Advance Dry Needling 19-20 Sep 2015 Auckland paanz@xtra.co.nz

Facial Acupuncture 13-15 Nov 2015 Dunedin paanz@xtra.co.nz

Dry Needling - Foundation Course 5-6 Dec 2015 Auckland paanz@xtra.co.nz

Hand Therapists

Hand Therapy Annual Conference 6-9 Nov 2015 Rotorua www.nzaht.org.nz

Manipulative Physiotherapy

(COMT) Shoulder 19-20 Sep 2015 Dunedin www.nzmpa.org.nz

Mulligan Concept Part B 17-18 Oct 2015 Auckland www.nzmpa.org.nz

(COMT) Ankle, Foot, Achilles and Revision Lower Quartile 17-18 Oct 2015 Auckland www.nzmpa.org.nz

(COMT) Ankle, Foot, Achilles and Revision Lower Quartile 31 Oct-1 Nov 2015 Wellington www.nzmpa.org.nz

Dr Tim Flynn - Manip Management of Thoracic Spine/Strategies for Upper & Lower Quarter disorders

31 Oct-1 Nov 2015 Wellington www.nzmpa.org.nz

Dr Tim Flynn - Manip Management of Lumber Spine/Focus on Adult & Aging 7-8 Nov 2015 Christchurch www.nzmpa.org.nz

Mulligan Concept Part B 21-22 Nov 2015 Wellington www.nzmpa.org.nz

(COMT) Cervical HVT and Review Upper Quartile 28-29 Nov 2015 Dunedin www.nzmpa.org.nz

Neurology

NSIG Study Day: Technology In Neuro-Rehab and NSIG sponsored Future Steps FES Odstock Certification Course

19-20 Sep 2015 Christchurch www.physiotherapy.org.nz/NSIG-Study-Day

Paediatric

Vidcom - What’s new in genetics? 20 Oct 2015 Nationwide g.greenway@clear.net.nz

Vidcom - Journey from NICU to the Community 3 Nov 2015 Nationwide g.greenway@clear.net.nz

Sports

SPNZ Level 1: Sideline Management Course 3-4 Oct 2015 Christchurch www.sportsphysiotherapy.org.nz

Calendar

PROFESSIONAL DEVELOPMENT

20 | PHYSIO MATTERS SEPTEMBER 2015

TITLE DATE LOCATION CONTACT DETAILS

PHYSIOTHERAPY GROUPS

The McKenzie Institute New Zealand - Certificate in MDT

Part A: The Lumbar Spine 25-27 Sep 2015 Wellington www.mckenziemdt.org.nz

McKenzie Institute NZ Credential Update Day and Seminar Day 2015 16-17 Oct 2015 Auckland www.mckenziemdt.org.nz

Part C: The Lower Limb and Advanced Lumbar Spine 26-29 Nov 2015 Wellington www.mckenziemdt.org.nz

Part B: The Cervical & Thoracic Spine 27-29 Nov 2015 Wellington www.mckenziemdt.org.nz

Part D: The Upper Limb and Advanced Cervical & Thoracic Spine May 2016 Wellington www.mckenziemdt.org.nz

SCHOOLS OF PHYSIOTHERAPY

AUT University

Postgraduate Programmes 2015 Auckland www.healthpostgraduate.aut.ac.nz

University of Otago

Postgraduate Programmes 2015 Dunedin physio.academic@otago.ac.nz

Postgraduate Programmes 2015 Christchurch veronica.mcgroggan@otago.ac.nz

Postgraduate Programmes 2015 Wellington rtru@otago.ac.nz

EXTERNAL PROVIDERS/ORGANISATIONS

Feldenkrais Practitioner Training 9-23 Sep 2015 Auckland www.feldenkrais-training.nz

STOTT PILATES Intensive Matwork Plus Course – Part 2/2 17-20 Sep 2015 Auckland www.corepilates.co.nz

Smoothmovers – Manual Handling 18-19 Sep 2015 Hamilton training@smoothmovers.co.nz

POLESTAR Pilates Rehab 5 or Studio 5 19-20 Sep 2015 Auckland www.polestarpilates.co.nz

APPI Pilates Matwork Level 2 19-20 Sep 2015 Tauranga www.appihealthgroup.co.nz

Neurological Educational Evening 22 Sep 2015 Auckland www.onlineneurophysio.co.nz/neuro-education/

STOTT PILATES Intensive Matwork Plus Course – Part 2/2 24-26 Sep 2015 Dunedin www.corepilates.co.nz

Stability Plus Pilates - Foam Roller 27 Sep 2015 Auckland www.stabilityplus.co.nz

STOTT PILATES Advanced Matwork Course 27 Sep 2015 Dunedin www.corepilates.co.nz

PhysioScholar Webinar - Examination of the Hip and Groin 28 Sep 2015 Nationwide www.physioscholar.co.nz

iSAMS 2015 International Scientific Acupuncture and Meridian Symposium 2-4 Oct 2015 Dunedin www.otago.ac.nz/physio/isams2015

Australian Physiotherapy Association - Connect Conference 2015 3-6 Oct 2015 Gold Coast www.physiotherapy.asn.au/conference2015

POLESTAR Pilates Mat Series 10-11 Oct 2015 Auckland www.polestarpilates.co.nz

STOTT PILATES Intensive Reformer Course – Part 1/2 14-18 Oct 2015 Auckland www.corepilates.co.nz

National Community Physiotherapy Conference 15-16 Oct 2015 Timaru SHeath@scdhb.health.nz

APPI Pilates Matwork Level 1 17-18 Oct 2015 Auckland www.appihealthgroup.co.nz

POLESTAR Pilates Rehab 6 or Studio 6 17-18 Oct 2015 Auckland www.polestarpilates.co.nz

Introduction to Pelvic Floor Physiotherapy Motor Control Training and Primitive Reflex

17-18 Oct 2015 Queenstown melissa@remarkablephysios.com

Inhibition for the Sacroiliac joint and Pelvis 17-18 Oct 2015 Christchurch www.thephysioshed.com/courses

Kinesio Taping Course - KT 1 & 2 17-18 Oct 2015 Wellington www.kinesiotaping.co.nz

Stability Plus Pilates - Wunda Chair 18 Oct 2015 Auckland www.stabilityplus.co.nz

PHYSIO MATTERS SEPTEMBER 2015 | 21

TITLE DATE LOCATION CONTACT DETAILS

EXTERNAL PROVIDERS/ORGANISATIONS

APPI Pilates Small Equipment 24 Oct 2015 Christchurch www.appihealthgroup.co.nz

Seated Tai Chi for Arthritis Instructor Training 24-25 Oct 2015 Raglan hattle@xtra.co.nz

STOTT PILATES Intensive Reformer Course – Part 2/2 28 Oct-1 Nov 2015 Auckland www.corepilates.co.nz

Stability Plus Pilates - Mat and Reformer Exams 31 Oct 2015 Auckland www.stabilityplus.co.nz

Kinesio Taping Course - KT 1 & 2 31 Oct-1 Nov 2015 Auckland www.kinesiotaping.co.nz

Stability Plus Pilates - Master Pilates Instructor Exam 1 Nov 2015 Auckland www.stabilityplus.co.nz

APPI Pilates Neuro Pilates 7 Nov 2015 Christchurch www.appihealthgroup.co.nz

STOTT PILATES Intensive Cadillac Course 11-15 Nov 2015 Auckland www.corepilates.co.nz

DMA Clinical Pilates Unit B 13-15 Nov 2015 Wellington www.clinicalpilates.com

Explain Pain & Graded Motor Imagery 13-15 Nov 2015 Auckland www.noigroup.com

APPI Pilates Shoulder 14 Nov 2015 Auckland www.appihealthgroup.co.nz

Clinical Gait Assessment: A step in the right direction 14-15 Nov 2015 Auckland www.nreg.co.nz

Kinesio Taping Course - KT 1 & 2 14-15 Nov 2015 Auckland www.kinesiotaping.co.nz

Explain Pain & Graded Motor Imagery 20-22 Nov 2015 Wellington www.noigroup.com

POLESTAR Pilates Mat Series 21-22 Oct 2015 Auckland www.polestarpilates.co.nz

Hydrotherapy for Chronic Disease 22 Nov 2015 Auckland www.gatewayphysiotherapy.com.au

Oncology Massage Module Two 24-26 Nov 2015 Auckland www.oncologymassagetraining.com.au

The Key Approach Module 3 27-29 Nov 2015 Sydney www.keyapproach.com.au/workshops

Explain Pain & Graded Motor Imagery 27-29 Nov 2015 Queenstown www.noigroup.com

STOTT PILATES Intensive Chair Course 2-4 Dec 2015 Auckland www.corepilates.co.nz

Functional Electrical Stimulation Course 5-6 Dec 2015 Auckland www.nreg.co.nz

STOTT PILATES Intensive Barrels Course 5-6 Dec 2015 Auckland www.corepilates.co.nz

Trigger Point Dry Needling - Intro/Intermediate 11-13 Dec 2015 Auckland www.gemtinfo.com.au

Trigger Point Dry Needling - Level 3 – Advanced 15-16 Dec 2015 Auckland www.gemtinfo.com.au

Feldenkrais Practitioner Training 18 Jan-5 Feb 2016 Auckland www.feldenkrais-training.nz

Tai Chi for Arthritis and Fall Prevention Instructor Training 6 Feb 2016 Dunedin hattle@xtra.co.nz

APPI Pilates Matwork Level 1 20-21 Feb 2016 Auckland www.appihealthgroup.co.nz

People in Disasters Conference 2016 24-26 Feb 2016 Christchurch www.peopleindisasters.org.nz

APPI Pilates Matwork Level 2 27-28 Feb 2016 Tauranga www.appihealthgroup.co.nz

APPI CPD Pilates - Pre & Post Natal 5-6 Mar 2016 Auckland www.appihealthgroup.co.nz

The 41st Annual Scientific Meeting of the New Zealand Pain Society Inc. “Surfing the Pain Wave - Resilience”

7-9 Apr 2016 New Plymouth www.nzps2016.org.nz

APPI Pilates Matwork Level 3 9-10 Apr 2016 Auckland www.appihealthgroup.co.nz

Calendar

PROFESSIONAL DEVELOPMENT

22 | PHYSIO MATTERS SEPTEMBER 2015

Registration fees (GST not applicable):

Registrations now open: physiotherapy.org.nz/events-sps

Due to additional generous financial support from the Otago Southland Physiotherapy Trust, the Otago-Southland PNZ members’ conference fees have been reduced.

Early-bird rates apply to all registrations received before Friday 09 October 2015. Registrations close Friday 30 October 2015.

A Cocktail Function will be held at the completion of Saturday’s programme and is included in the registration. Additional cocktail function tickets (for partners, guests) are $30.

If booking accommodation at the Heritage Hotel please state that you are attending the SPS7.

Further information

For further terms and conditions see: www.physiotherapy.org.nz/events-sps

The philosophy of the Southern Physiotherapy Symposium is to combine clinically-relevant, evidence-based content with a weekend of fun and social activities. The programme will include a dynamic mix of both nationally and internationally recognised speakers addressing the diversity of contemporary clinical practice.

Keynote Speakers

• Professor Jennifer Alison, Professor in Cardiopulmonary Physiotherapy, Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Australia

• Professor Paul Hodges, Professor & NHMRC Principal Research Fellow, School of Health and Rehabilitation Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia

• Dr Gavin Williams, Senior Lecturer, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, and senior clinician at the Epworth Hospital, Melbourne, Australia

Invited Speakers

• Professor David Gerrard, Dunedin School of Medicine, Division of Health Sciences, University of Otago

• Professor Leigh Hale, School of Physiotherapy, Division of Health Sciences, University of Otago

• Associate Professor Jim Cotter, School of Physical Education, Sport and Exercise Sciences, University of Otago

• Associate Professor Gillian Johnson, School of Physio-therapy, Division of Health Sciences, University of Otago

• Associate Professor Mark Boocock, Department of Physio-therapy, School of Rehabilitation & Occupation Studies, Faculty of Health & Environmental Sciences, AUT University

• Dr Lynley Anderson, Senior Lecturer, Division of Health Sciences, University of Otago

• Dr David Rice, Senior Lecturer, Department of Physio-therapy, School of Rehabilitation & Occupation Studies, Faculty of Health & Environmental Sciences, AUT University

Preliminary Programme can be viewed at www.physiotherapy.org.nz/events-sps

OTAGO

Southern Physiotherapy Symposium 7

Date Venue

13 - 15 Nov 2015 Heritage Hotel, Queenstown

Symposium (Saturday 14 and Sunday 15 November)

Category Before 09 Oct 2015 After 09 Oct 2015

A. Otago / Southland PNZ members

$230 $280

B. Other PNZ members

$380 $420

C. Non-members $480 $520

Pre-conference Workshops (Friday 13 November)

Category Workshop I Professor Paul Hodges Full day. Motor control training in low back pain: the latest

Workshop II Dr Gavin Williams Half day (pm). Retraining high-level mobility following neurological injury

D. Otago / Southland PNZ members

$100 $50

E. Other PNZ members

$120 $60

F. Non-members $150 $75

Workshops only open to NZ Registered Physiotherapists. Conference attendance is mandatory for workshop attendance. Spaces are limited.

PHYSIO MATTERS SEPTEMBER 2015 | 23

Keynote Speaker Jane Fedorczyk, PT, PhD, CHT, ATC

Jane is a clinician, professor, president of ASHT and active publisher and editor of hand therapy literature.

Jane has 29 years experience as a Hand Therapist and currently maintains a part-time role as one at the Drexel Faculty clinic.

As a skilled clinician and teacher, Jane is excited to bring us some of her wealth of experience around elbow stability and treatment of tendonopathies, pain, core stability and even a yoga for the UL session!

Topics covered

• Dynamic taping – a biomechanical approach to taping of the upper limb

• The Milicich Method: Ideal State for Upper Limb Function

• Translating Foundational Sciences into Clinical Practice

• Lateral Elbow Tendinopathy

• Clinical Practice Guidelines

• Examining the unstable elbow

• Treatment for the unstable elbow

• Health Promotion – Medical Screening in Hand Therapy

• Pain Science Update and the Implications for Clinical Practice

• Yoga and core stability – Integrating Yoga in UE Rehab: Focus on Balance, Core Stability, and Pain Management

• Embracing Technology in Hand Health

• Top tips on Adaptive equipment

• Providing Hand Therapy with limited resources

• Protection techniques for the painful unstable thumb

• Free papers

Registration fees

Please note: Conference dinner is included in registration fee

Pre-Conference Workshops - Friday November 6th

Workshops will both run in the morning (9.30am - 12.30pm) and afternoon (1.30pm-4.30pm) - those who register for both will be allocated to each session based on numbers attending.

Further information

To book, visit: www.nzaht.org.nz/conference-registration.php

HAND THERAPISTS

Hand Therapy Annual Conference

Date Venue

6 – 9 Nov 2015 Novotel Rotorua

Membership type Fee

NZAHT or affiliate $500

Non NZAHT or affiliate $600

Workshop Fee

Splinting workshop AM session only

$50

Splinting workshop PM session only

$50

Dynamic Taping AM session only

$50

Mountain biking shuttle PM session only Novotel to Redwoods return

$25

The Milicich Method 9am-5pm Ideal State for Upper Limb Function (subject to numbers)

$295

24 | PHYSIO MATTERS SEPTEMBER 2015

Course fees (incl GST):

The $3000 includes 4 x courses, Credentialing Examination and 3 years membership of MINZ Branch. This certificate is designed to be completed over a two year period and on completion and successful pass of the examination you will be a Credentialed therapist.

2015 Sequential Education Programme: Certificate in Mechanical Diagnosis and Therapy®

Registration

Registration can now be completed online at: www.mckenziemdt.org.nz

For registration forms and further information, please contact:

Melonie de Roo, Course Coordinator The McKenzie Institute New Zealand PO Box 2026, Raumati Beach 5255

Phone: 04 299 6645 Fax: 04 299 7010 Email: minz@mckenziemdt.org.nz

Certificate in MDT - WELLINGTON

Part A: The Lumbar Spine (3 days) Completed

Part B: The Cervical & Thoracic Spine (3 days) Completed

Part C: The Lower Limb and Advanced Lumbar Spine (4 days) Please note new date 26-29 Nov 2015

Part D: The Upper Limb and Advanced Cervical & Thoracic Spine (4 days) May 2016

Credentialing Examination Oct 2016

Additional Certificate in MDT - WELLINGTON

Part A: The Lumbar Spine (3 days) 25-27 Sep 2015

Part B: The Cervical & Thoracic Spine (3 days) Please note new date 27-29 Nov 2015

Part C: The Lower Limb and Advanced Lumbar Spine (4 days) 2016

Part D: The Upper Limb and Advanced Cervical & Thoracic Spine (4 days) 2016

Credentialing Examination 2016

Seminar Weekend Please see advertisement on Page 26 for more information 16-17 Oct 2015

Certificate in MDT $3000

NB: Both Part A and B courses have an online component that is required to be successfully completed prior to attending the three day course. This is approximately 5 hours of work.

There is a significant financial benefit in completing the Certificate in MDT – all courses and the examination taken individually with membership would cost $4200. Completing the Certificate is a saving of up to $1200.

Note: Early bird and student rates are available

Fees MINZ Member

Non Member

Individual courses $700 $800

Credentialing Examination

$450 $550

MINZ Branch membership

$150 per yr (1 April – 31 March)

PHYSIO MATTERS SEPTEMBER 2015 | 25

=

RECENT

GRADUATES

WELCOME!

tomorrow, TODAY…

McKenzie Institute NZCredential Update Day and Seminar Day 2015Credential Therapist Update Day 16 October 2015

MDT AND THE ATHLETE Apply MDT to the Sporting and Athletic Population!

• The role of MDT with the Athletic Population

• Mechanical Loading in the Training, Acute Management and Recovery of Function of the injured athlete

• Case Examples of the Application of MDT and the Athlete

• Practical Sessions Addressing the Application of MDT in Differing Sporting Environments

Seminar Day 17 October 2015

WITH THE TIDE – MDT INTO THE FUTURE Presentations from the 13th International Conference in MDT

• Summary of presentations from the 13th International Conference in MDT

• Further presentations from NZ Faculty – Greg Lynch, Celia Monk and Grant Watson

McKENZIEINSTITUTE

New Zealand

McKENZIEINSTITUTE

New Zealand

MERCY CENTRE, THORNDON, WELLINGTONCosts and Registration form available at www.mckenziemdt.org.nz Early-bird and students rates available.

26 | PHYSIO MATTERS SEPTEMBER 2015

www.appihealthgroup.co.nz0800 23 44 88 | info@appihealthgroup.co.nz

2016 course dates... now available ...

• Matwork • Pre & Post Natal • Neuro & Band •• Horse Riders • Shoulder • Small Equipment & Ball •

developed by physiotherapists, for physiotherapists

For physios (including women's health.) Diagnosis and

treatment of movement dysfunctions and motor

control deficits in the painful SIJ. Rx: Motor control

training for stability and muscle energy techniques for

gentle mobilisation of sacral and ilial

restrictions. Includes clinical reasoning to

address possible

contributing factors such

as primitive reflex

remnants, and primitive

reflex inhibition techniques for the SIJ.

www.thephysioshed.com/courses

Jacqui Clark MSc PhD(c)Guest Lecturer Manchester Metropolitan University UK

When: 17th-18th October 2015, 9-5pm

Where: Christchurch Women's Hospital

$550 includes GST & full manual

Motor Control Training and Primitive Reflex Inhibition for the Sacroiliac joint and Pelvis

Contact david@thephysioshed.com

 

 

 

The following topics will be covered:

EnquiriesPhone Sharyn Heath: 03 687 2257Email: SHeath@scdhb.health.nz

• Adherence to Exercise – latest research

• Dementia• Management of

Cardiac Failure

• The Foot• Respiratory Update• Equipment • Parkinsons• Palliative Care

Physiotherapy Conference 2015 G o l d C o a s t C o n v e n t i o n a n d E x h i b i t i o n C e n t r e 3 - 6 O c t o b e r

Visit physiotherapy.asn.au/conference2015

CON17

National Community Physiotherapy Conference

Moving into the Future

Date Venue Cost

15 - 16 October 2015 Timaru $375

0800 445 951physiotec.co.nzinfo@physiotec.co.nz

TIMES ARECHANGING…

Get with the times, fire your stickmen.

Increase patients compliance and experience by using our video and photo content to prescribe exercise and rehabilitation programmes. Integrate with your practice management system and website to create a seamless experience for the clinician and client.

Start a 2 month free trial of Physiotec now.

Low CostOver 10000 exercises

No 1 Internationally

Physiotherapist Positions Full & Part Time

Are you a dynamic therapist looking for a new challenge? Do you enjoy a variety of both acute and chronic pain conditions?

QE Health in Rotorua is seeking physiotherapists to join our multidisciplinary team in treating a variety of musculoskeletal conditions.

Experience in ACC pain or vocational programmes is preferable but not essential.

Our large onsite facilities include a rehab gym, hydrotherapy pool and Pilates classes.

You must be Physiotherapy New Zealand registered.

Benefits include:

• Experience working within our multidisciplinary team.• Regular in-house inservices and assistance with

professional development.• Free gym membership.• Free use of hot pools.• Discounted spa and beauty services.

To apply for the position please send a cover letter and your CV to: judy.scott@qehealth.co.nz

www.qehealth.co.nzwww.physiovision.co.nz

Professional Super-Vision What our clients say … “It helps me to see my work in a

broader picture for myself, my staff and our patients”

“It assist me to think about my career direction and how I am going to make that happen!”

“I wouldn’t be without it now”

First session FREE regardless of ongoing commitment,

so ‘DARE GREATLY’

Southern Cross Health Society Easy-claim for your practiceEasy-claim helps Southern Cross members claim electronically at the time of purchase for eligible healthcare services such as physiotherapy. With Easy-claim, members claim at the time of purchase, instead of completing a claim form.

• Easy-claim increases customer loyalty due to a quick and easy claiming experience.

• The service is free to set up.

If you’d like to find out more about offering Easy-claim to patients who are Southern Cross members, please call 0800 700 053 or email easy-claim@southerncross.co.nz

Southern Cross Medical Care Society, Level 1, Ernst & Young Building, 2 Takutai Square, Auckland 1010 0814

www.physiotherapy.org.nz

CONTACT DETAILS

Branch Contacts

Northland

Kimberley Pownorthland@physiotherapy.org.nz

North Shore

Julika Woesler northshore@physiotherapy.org.nz

Auckland

Katy Streetauckland@physiotherapy.org.nz

Waikato / Bay of Plenty

Julia Brighousewaikatobayofplenty@physiotherapy.org.nz

Hawke’s Bay

Raewyn Newcomb hawkesbay@physiotherapy.org.nz

Middle Districts

Claire Montgomery middledistricts@physiotherapy.org.nz

Wellington

Rachel Barrett wellington@physiotherapy.org.nz

Nelson / Marlborough

Sheryl Wilsonnelsonmarlborough@physiotherapy.org.nz

Canterbury

Jessie Snowdon canterbury@physiotherapy.org.nz

Otago

Ainslie Jeftha, Secretary otago@physiotherapy.org.nz

Southland

Ruth Nicholas southland@physiotherapy.org.nz

Special Interest Groups

CardiothoracicBrigitte Eastwoodbrigitte.eastwood@gmail.com

Pelvic, Women’s and Men’s Health

Shelley Solomon info@freshstartphysiotherapy.co.nz

District Health Board Leaders (formerly PALMS)

Kristine Nicol kristinen@adhb.govt.nz

Hand Therapists

Marlene Pouri-LanePh: 07 854 8949admin@nzaht.org.nz

Neurology

Tara Martin Ph: 021 02603382 physiotara@gmail.com

NZ Manipulative Physiotherapists Association (NZMPA)

Ingrid du ToitPh: 09 476 53530800 646 000Fax: 09 476 5354admin@nzmpa.org.nzwww.nzmpa.org.nz

Occupational Health

Leigh Keefe LeighKeefe@qualityrehab.co.nz

Paediatrics

Catherine Coull Ph: 027 204 8069 c.coull@xtra.co.nz

The Physiotherapy Acupuncture Association (PAANZ)

Angela Trotter Administrator PO Box 27386Wellington 6141Ph: 04 894 1685Fax: 04 801 5571paanz@xtra.co.nz

Physiotherapy in Mental Health

Joke Van Stavern jan-joke@ihug.co.nz

Physiotherapy for the Older Adult

Chrissie Russell chrissie_russell@hotmail.com

Sports Physiotherapy New Zealand

Michael BorichPh: 021 717 303 mborich@ihug.co.nzwww.sportsphysiotherapy.org.nz

Chairpersons Standing Committees

Contact National Office

Tae Ora Tinana

Adam McDonald

Professional Standards and Ethics Committee

Jess Radovanovich Fy Dunford

Finance Committee

Sheila Mann

National Executive Committee

President

Ian d’YoungPO Box 27386Wellington 6141Ph: 04 801 6500 (National Office)president@physiotherapy.org.nz

Executive Members

Ricky Bell Elizabeth Binns Melissa Davidson Jess Radovanovich Kurt Thomas Contact National Office

National Office

Office Hours 8.30am - 5.00pm

L6, 342 Lambton Quay PO Box 27 386, Wellington Ph: 04 801 6500 Fax: 04 801 5571 pnz@physiotherapy.org.nz

CEO

Joe Asghar joe.asghar@physiotherapy.org.nz

Finance and Corporate Services Manager

Peter Christie peter.christie@physiotherapy.org.nz DD: 04 894 1683

Marketing Manager

Nick Taylor nick.taylor@physiotherapy.org.nz DD: 04 894 1686

Professional Advisor

Sue Doesburg sue.doesburg@physiotherapy.org.nz DD: 04 894 1684

Communications and Events Advisor

Amy Crooymans amy.crooymans@physiotherapy.org.nz DD: 04 894 1687

Learning and Development Manager

Anna Williams anna.williams@physiotherapy.org.nz DD: 04 894 1680

Membership Advisor

Jenny Acton-Phillips pnz@physiotherapy.org.nz

Accountant

Emma Gillard emma.gillard@physiotherapy.org.nz DD: 04 894 1682

Physiotherapy Business Support

business@physiotherapy.org.nz

Physio Matters Editor

Amy Crooymansamy.crooymans@physiotherapy.org.nz

Check us out on Facebook, YouTube and Twitter

www.facebook.com/PhysiotherapyNZwww.youtube.com/nzsp1 www.twitter.com/physionz

PHYSIO MATTERS SEPTEMBER 2015 | 31

This is a movement against stillness. We want to

see a photo of you moving: while you’re out and

about, at work, at home, with friends, or alone.

Show us how you move. You may already have a

movement photo on your phone.

Send us your movement photo and you could

WIN one of two $500 prizes!

and weekly spot prizes

THE

MOVEMENTFOR

MOVEMENT

From 8 September to 8 October Enter your photo here:

www.facebook.com/PhysiotherapyNZ

TERMS AND CONDITIONS APPLY