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Australian Sports Physiotherapy Seminar - Kandy, Sri Lanka

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This is Elite Akademy Sports Physiotherapy - The University of Melbourne's Sports Physiotherapy Seminar to be conducted in Kandy, Sri Lanka.

At the time of publishing 290 attendees had signed up for Kusal Goonewardena's (Head of Sports Medicine at the University of Melbourne & Elite Athlete Sports Physiotherapist to the Olympic and Winnter Olympic Squad) seminar in Sri Lanka.

With over 15 years of experience and after conducting over 50,000 treatments in sports he is bringing his experience and wealth of knowledge to his country of birth, Sri Lanka.

"Hope this material helps you become best that you can be. For yourself and your athletes. " - Kusal Goonewardena

Australian Sports Physiotherapy Seminar - Kandy, Sri Lanka

  1. 1. Elite Akademy Global Series Sports Physiotherapy Seminar Kandy, Sri Lanka Kusal Goonewardena (MaSpPhysio, GradCertSpPhysio, BaPhysio) Head of Sports Medicine and Elite Athlete (APA) Sports Physiotherapist University of Melbourne
  2. 2. 15yearCareer Founder/Directorof 3 SportsMedicineClinics Australia
  3. 3. Over50,000 Treatment Sessionsin Sports Injuries& Performance
  4. 4. MelbUniSportsPhysiosince2002 HeadofSportsMedicineatMelbUnisince2008
  5. 5. Lecturer, Consultant Australia, China, Singapore, Sri Lanka
  6. 6. 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.
  7. 7. What makes a Good Sports Practitioner Definition 2 “Australian Physiotherapy Council Requirements” Safety ✔ Effective Treatment ✔ Exercises ✔ I want to go back ✔
  8. 8. What makes a Good Sports Practitioner Definition 3 Apply “THE 5 ELEMENTS” Each and Every Time 1. SUBJECTIVE 2. OBJECTIVE 3. ANALYSIS 4. TREATMENT 5. EDUCATION
  9. 9. What makes a Good Sports Practitioner Definition 4 “Exceptional Athlete Care (Customer Service)” – John Spence 1. Show up on time 2. Do what you say you will do 3. Finish what you start 4. Say “Please” and “Thank You” 5. Give a little more than expected 6. Smile 7. Make good eye contact 8. Be enthusiastic 9. Dress for success 10. Keep professional
  10. 10. What makes a Good Sports Practitioner Definition 5 -“Apply the Four Essentials” – Brendon Burchard COMPETENCE CONFIDENCE PD COMMITMENT
  11. 11. Which Definition Should I Follow? Choose the one that Comes naturally. Feels right inside. Has worked for you through experience.
  12. 12. The Three C’s to be a Successful Sports Practitioner Sports Practitioner Success Clinical Skills Communication Clinical Reasoning
  13. 13. 1. What makes for good Clinical Skills? 2. How do I improve my Clinical Skills? 3. How do I keep improving my Clinical Skills and what should I keep in mind? Clinical Skills |Communication|ClinicalReasoning
  14. 14. Excellent Handling Skills Getting Objective information with your tests and manual handling Inter-tester, Intra-tester 1. What makes for good Clinical Skills? Clinical Skills |Communication|ClinicalReasoning
  15. 15. Eyes Closed - Palpation Eyes Closed - Manual Handling “If my pressure is a 10/10…how much was my senior/junior?” “Am I on the same spot?” Practice makes Perfect – Inter-tester, Intra-tester 2. How do I Improve my Clinical Skills Clinical Skills |Communication|ClinicalReasoning
  16. 16. Clinical Skills |Communication|ClinicalReasoning Get assessed by a Senior Practitioner every Month Ask Senior Practitioners how to Improve Practice Practical Skills every Week (small tests, quick movements), every month Month (Masterclasses/Prac Sessions) Video/ Self Analyse/Get FEEDBACK from your athlete 3. How do I keep improving my Clinical Skills and what should I keep in mind?
  17. 17. ClinicalSkills| Communication |ClinicalReasoning 1. What makes for good Communication? 2. How do I improve my Communication Skills? 3. How do I keep improving my Communication Skills and what should I keep in mind?
  18. 18. The Essentials in the Subjective Non verbal communication Body Language Empathy vs Sympathy Active Listening ClinicalSkills| Communication |ClinicalReasoning 1. What makes for good Communication?
  19. 19. Role Plays (3 is the perfect number) Push yourself outside your comfort zone Body Language - Open, Confident Be in Control, In your mind first ClinicalSkills| Communication |ClinicalReasoning 2. How do I improve my Communication Skills?
  20. 20. Video Analysis Its not about you. Its about helping someone else. The best communicators are listeners first Practice, Practice, Practice ClinicalSkills| Communication |ClinicalReasoning 3. How do I keep improving my Communication Skills and what should I keep in mind?
  21. 21. 1. What is good Clinical Reasoning? 2. How do I improve my Clinical Reasoning? 3. How do I keep improving my Clinical Reasoning Skills and what should I keep in mind? ClinicalSkills| Communication|Clinical Reasoning
  22. 22. ClinicalSkills| Communication|Clinical Reasoning Great Results in the Shortest Period of Time Symptom Improvement: 1. Intensity 2. Duration 3. Frequency 4. Time taken to recover post aggravation. Mastering 3rd Element in Physio – (Sx, Ox, Analysis, Rx, Educ) Prioritizing Problem List Being a Scientist first 1. What is good Clinical Reasoning?
  23. 23. ClinicalSkills| Communication|Clinical Reasoning Being Objective Create a System, Stick to a plan and Procedure Measure what you want changed/ improvement in 2. How do I improve my Clinical Reasoning?
  24. 24. ClinicalSkills| Communication|Clinical Reasoning Keep asking yourself – What else is possible to get the best results in the shortest period of time? (Ethical and Safe) What can I learn from the systems used by other professionals/ industries? 3. How do I keep improving my Clinical Reasoning Skills and what should I keep in mind?
  25. 25. The Three C’s to be a Successful Sports Practitioner Sports Practitioner Success Clinical Skills Communication Clinical Reasoning
  26. 26. Questions & Answers
  27. 27. Sports Practitioner Success Clinical Skills Communication Clinical Reasoning ClinicalSkills| Communication|Clinical Reasoning
  28. 28. The Ridgway Method Originated in Australia 95% Success Rate in Musculoskeletal Injuries in 2-12 Days The Elite Akademy Performance Pyramid™ Developed over 2 years Originated at Elite Akademy - University of Melbourne ClinicalSkills| Communication|Clinical Reasoning
  29. 29. 1.What is it? 2. Where did it originate? 3. How does it work? 4. Why is it different? 5. What are the steps to learn? 6. What are the key areas to concentrate on? 7. What should I do first and continue to keep in mind? ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method
  30. 30. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method Founded by Sports and Manipulative Physiotherapist – Michael Ridgway, Brisbane Australia 14th Clinical Reasoning Process in Australia Fastest growing and very popular process to find the cause of the problem Very thorough, systematic, step-by-step process 1.What is it?
  31. 31. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method Brisbane, Australia Michael Ridgway – is a practitioner, researcher, lecturer and inventor www.ridgwaymethod.com 2. Where did it originate?
  32. 32. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method Helps practitioners find the underlying cause of the problem “Diagnosing a problem is a good start, however finding the underlying cause that led to the diagnosis is the secret to a rapid and long lasting recovery!” – Ridgway Method International 2. Where did it originate? 3. How does it work?
  33. 33. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method Results based Holistic “The fastest and most complete way to solve your condition is to immediately change and fix all the significant factors.” - Ridgway Institute International 2. Where did it originate? 4. Why is it different?
  34. 34. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? 5. What are the steps to learn?
  35. 35. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? 6. What are the key areas to concentrate on? Neural Dynamic Testing Collecting ‘#’ Signs (Objective Signs) Combine: (Treatment + Functional Test) = Treatment Directional Test ‘TDT’
  36. 36. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Collect ALL # Signs during the Objective Ax Be Objective (Measure Everything) – eg. PSFS Assess Function DURING Treament 7. What should I do first and continue to keep in mind?
  37. 37. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method Questions and Answers…
  38. 38. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Practical Session – Demonstration Any Athletes, Volunteers from the Audience to be our first for the day?
  39. 39. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate?
  40. 40. Understanding Pain OLD Pain is a Feeling New Pain created by Brain - As a warning - Neuroscience and physiotherapy research - pain is not a feeling.
  41. 41. The Warning Signal * ... The Car *Painful Yarns - Metaphors & Stories to help understand the biology of pain. By - Lorimer Mosely
  42. 42. Pain =
  43. 43. How do we Fix the Engine?? What if we checked everything in the engine...? Ie. Find the CAUSE of the Dysfunction = Reason for the brain creating pain Or Remove the Light?? Ie. Treating the SYMPTOMS
  44. 44. The Results 0 1 2 3 4 5 6 7 8 9 10 Session1 Session2 Session3 Session4 Session5 Session6 Session7 Session8 Traditional Old 0 1 2 3 4 5 6 7 8 9 10 Ridgway Method New
  45. 45. Understanding Pain OLD Pain is a Feeling Treat the Symptoms The Ridgway Method Pain created by Brain -As a warning Find the CAUSE of the Dysfunction = Reason for the brain creating pain
  46. 46. Number of Sessions for Full Healing 0 1 2 3 4 5 6 7 8 9 10 Old New
  47. 47. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Notes: Neural Sensitivity can be the cause of 75% problems going unsolved
  48. 48. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Notes: If it’s NOT neural – It’s Somatic ie. Objectively look at Muscle, Joints and Ligament Where 75% of Problems Come From
  49. 49. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Notes: Combine- (Treatment + Functional Test) = Treatment Directional Test ‘TDT’
  50. 50. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Notes: Treatment will Include: MRWM, MWM, MAWM, BCWM
  51. 51. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate?
  52. 52. ClinicalSkills| Communication| Clinical Reasoning The Ridgway Method 2. Where did it originate? Practical Session – Demonstration Questions and Answers…
  53. 53. 1.What is it? 2. Where did it originate? 3. How does it work? 4. Why is it different? 5. What are the steps to learn? 6. What are the key areas to concentrate on? 7. What should I do first and continue to keep in mind? ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™
  54. 54. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Outlines all the fundamentals required for success with musculoskeletal injuries in sport Answers the Question, “What will you do to help me?” and “How will you help me?” Process for comprehensive treatment and rehabilitation Improves objectivity, increases understanding (increase compliance) Increases awareness of what you do as a practitioner 1.What is it?
  55. 55. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1.What is it? S&C FUNCTIONAL CORE FUNCTIONAL CONTROL FUNCTIONAL RANGE BIOMECHANICS
  56. 56. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Originated in 2014 at Elite Akademy Sports Physiotherapy- University of Melbourne Founded by Kusal Goonewardena and his sports medicine team’s pursuit of ‘Making a Difference in 3 Sessions or Less’ 2. Where did it originate?
  57. 57. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 3. How does it work? Each needs to improve by 85% for best outcome S&C 4.0 F-CORE 12.0 F-CONTROL 20.0 F-RANGE 28.0 BIOMECHANICS 36.0
  58. 58. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 3. How does it work? Any Pyramid is as strong as its base Keep working from the bottom up to complete the Pyramid Start on 1. Biomechanics then 2. Functional Range 3. Functional Core 4. Functional Core and finally 5. Strength and Conditioning
  59. 59. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ EACH step of the process is measured Same process is applicable for ANY athlete in - Rehabilitation, Prehabilitation, Performance Enhancement and Screening Communication ‘Currency’ between players, coaches and other practitioners is the SAME 4. Why is it different?
  60. 60. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Identifying When to Climb the Pyramid Identifying When to Refer on (All covered in Clinical Demonstration…next) 5. What are the steps to learn?
  61. 61. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 5. What are the steps to learn? The 5 Fundamentals Step by Step The Weighting Score on each S&C 4.0 F-CORE 12.0 F-CONTROL 20.0 F-RANGE 28.0 BIOMECHANICS 36.0
  62. 62. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1. Tests to Measure and Improve Biomechanics (Ridgway Method) 2. Tests to Measure and Improve Functional Range and Control (Ridgway Method) 1. Tests to Measure and Improve Functional Core (Clinical Pilates) 2. Tests to Measure and Improve Strength and Conditioning (Numerous!) 6. What are the key areas to concentrate on?
  63. 63. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1. Master how to measure and Improve Biomechanics – The Base of the Performance Pyramid 1. Communicate the Performance Pyramid to Coaches, Athletes, Athlete’s Parents, Other Practitioners 2. 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?
  64. 64. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1.hat is it? Questions and Answers…
  65. 65. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1.hat is it? Practical Session – Demonstration Any Athletes, Volunteers from the Audience to be our second for the day?
  66. 66. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Application of the Ridgway Method for best results Objectively measure: Neural Dynamics Muscle ( Tight and Weak) Joint (Stiff and Lax) Behavioural BIOMECHANICS 36.0
  67. 67. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Application of the Ridgway Method for best results Objectively measure and Use of Technology here Show Your Athlete their Deficits and Areas of Improvement FUNCTIONAL RANGE 28.0
  68. 68. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Application of the Ridgway Method for best results Objectively look at the quality of movement FUNCTIONAL CONTROL 20.0
  69. 69. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Used at Elite Akademy Sports Physio – Uni of Melbourne: Clinical Pilates Use current tests in individual sports or create tests for core assessment FUNCTIONAL CORE 12.0
  70. 70. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ Individual Programs (Strength vs Endurance vs. Sports Specific) Personal trainers, Gym Instructors Strength & Conditioning 4.0
  71. 71. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1.hat is it? Practical Session – Demonstration Questions and Answers…
  72. 72. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1.hat is it? Application and Understanding it Further
  73. 73. ClinicalSkills|Communication|Clinical Reasoning Elite AkademyPerformancePyramid™ FUNDAMENTAL % YOUR PERFORMANCE SCORE NORMAL VALUES Biomechanics [36.0] 3.4 - 3.8 Functional Range [28.0] 10.2 - 11.4 Functional Control [20.0] 17.0 - 19.0 Functional Core [12.0] 23.8 - 26.6 Strength & Conditioning [4.0] 30.6 - 34.2 Your Peak Performance score: _____________ Peak Performance 85.0 - 95.0
  74. 74. ClinicalSkills|Communication|Clinical Reasoning Elite AkademyPerformancePyramid™ 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.
  75. 75. ClinicalSkills|Communication|Clinical Reasoning Elite AkademyPerformancePyramid™ Loading Tolerance 7-14 DAYS 20% Once your Peak Performance Score is >85.00 you can increase your Loading (training, intensity) by 20% over a period of 7-14 days, and your body will be able to Tolerate it. For elite athletes, you can increase your Loading by ~30% over a period of 5-10 days. (I.e. you tolerate things faster).
  76. 76. ClinicalSkills|Communication|Clinical Reasoning Elite AkademyPerformancePyramid™ Loading Tolerance >20% PAIN/SYMPTOMS If you increase your Loading by >20% the body finds it difficult to Tolerate this amount of change. When your body's Tolerance does not match the Loading then pain/symptoms are the result.
  77. 77. ClinicalSkills| Communication| Clinical Reasoning Elite Akademy Performance Pyramid™ 1.hat is it? Questions and Answers…
  78. 78. Our Mission 1. Help Practitioners Achieve their Best 2. 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!) Here’s Wishing You A Career and a Lifetime of Success! Final Thoughts
  79. 79. 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.com My 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 Wishing You A Career and a Lifetime of Success! Thank You

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