9 December 2021
Therapy Expo 21- A Showcase for Society Members’ Knowledge and Expertise
Therapy Expo 2021 was a new experience for the Society Members invited to speak on the academic programme and they rose to the challenge in style.
Nine Society Members featured across the two days of the event with Society President Professor Graham N. Smith chaired a marathon day long session on day one.
Dr David Rhodes, Course Leader and Senior Lecturer in Elite Performance at UCLan gave Therapy Expo a fantastic start as he kicked off the talks in Theatre A looking at ‘Reducing the Risk of ACL Injuries– What you need to know.’ With the sobering thought that a third of footballers do not return to the same level of performance following an ACL injury, the focus was not on the outcome but factors influencing it. David highlighted some major factors including the role of fatigue and load and the effects of overtraining, undertraining and deceleration. He emphasised the importance of understanding the athlete’s/patient’s sport, being specific to their needs and demands and most of all, getting their buy-in. All attending agreed that it was a superb start to the day.
David was immediately followed by Mike Hine, Head of Sports Science and Medicine at Lincoln City Football Club. Mike focused on mitigating risk from an injury stance in his presentation, ‘Prevention, Preparation and Performance in Professional Football. Mike has been with the club for over six years and showed not only his knowledge and skills but his great understanding of players and showed some brilliant video footage, capturing the players working out. Having player buy-in along with the need for them to be involved in the programme is essential. Mike has definitely mastered the art of getting the best out of players on a League One budget.
It was then a quick hop over to Theatre B to listen to Adam Gaunt, Rehabilitation Specialist, at Hartpury University and College. What a treat it was. Adam’s mantra, ‘Movement is Medicine’ has a major role to play in his rehabilitation programmes. His talk contained an array of engaging videos and images with his activities continually backed up with strong and relevant references. Adam is definitely at home working with young athletes, clearly demonstrating how his group rehabilitation programmes integrate ‘movement competency, physical durability and psychological readiness into a safe fun space.’
Five hundred and fifty seven (557!) that’s the approximate number of teams currently affiliated to the British American Football Association (BAFA) and for Ellie Travis, Lecturer in Sports Therapy at Hartpury University and Lead Sports Therapist to GB Flag Football, it highlights a fast growing need to develop a consistent approach to the medical provision and support for both players and practitioners alike. Equipment has a key role to play in this sport and demands specialist knowledge when it comes to dealing with injuries that have the necessity for it to be removed. For Ellie, there is an urgent requirement to develop specialist training and specialised practitioners to support the players. An increase in participation is brilliant for the sport but not if at at the expense of player safety. The great news is that Ellie is working with BAFA on medical provision and strategy, including the recognition and inclusion of Society Members.
The Society’s final speaker for Day One was the ‘Ice Man’ Dr Peter Thain. Peter is a Senior Lecturer and Programme Leader for the BSc (Hons) Sports Therapy at Birmingham City University and Lead Therapist for GB Senior Women’s Basketball. Addressing the question of whether ‘To Ice of Not to Ice’, Peter first took his audience on a tour of acronyms, showing how theories have changed over time: from ICE, RICE, PRICE, POLICE, to PEACE and LOVE. From all of these, Peace and Love came nearest to ticking the boxes for Peter apart from one point – No Icing
Ice acts as an analgesic not an anaesthetic and extracts heat as opposed to putting cold into a system. Peter’s work and research have shown that ice based modalities (as opposed to gel and water) are considered more effective for pain relief, for reducing inhibition and facilitating movement. Consequently, his recommendation is to ice in the first few hours along with some form of compression to minimise the swelling. It was certainly a well-received presentation that generated much discussion.
Day two saw an early start for Dr Jennifer Wilson, Programme Leader for Sports Therapy and Rehabilitation at the University of Derby. She delighted her audience with her talk on ‘Preventing Soft Tissue Injuries in Elite Sport.’ She looked at steps to reduce injury risk, including physiological, psychological and mechanical stressors. Highlighting the 3 Rs; ‘Rewire, Reload and Recondition’, Jennifer also emphasised putting the athlete at the centre and connecting with other practitioners for an MDT approach. Setting a combined goal to facilitate optimal recovery in addition to optimal training is also imperative.
Kim Hutt, Head of Physical Support at the London Contemporary Dance School has the perfect credentials to discuss ‘Conditioning for Performance in Elite Dance’. Along with her previous dance experience, Kim has been able to bring her Sport and Exercise Science background into the dance and performing arts arena as a therapist and she showed how screening, injury tracking, fitness testing, load (intensity, volume, work rest), and more recently psychological data have all combined to help reduce injury rates. It was an enlightening look at the importance of athleticism for the dancers in developing their careers.
Over this past year mental health issues have soared up the health agenda through high profile athletes and players publicly sharing some of their experiences very publicly. So, Dr Dale Forsdyke’s talk ‘Understanding the mental health aspect of rehab and recovery’ was very much anticipated. For Dale, a Senior Lecturer in Sports Injury Management, Director of Studies at York University, psychological factors are rarely considered in the rehab process, with the focus on physical, biological and functional aspects. All rehabilitation needs to be psychologically informed but for Dale there are ways to make it ‘more psychologically informed’. He discussed boosting adherence and empowerment by forming a strong, non-controlling therapeutic relationship, use of multifaceted goal setting, and educating the athlete and involving them in in decision making. The therapist has a key role to play in fostering mental health during rehabilitation and recovery from injury and psychological factors are considered important precursors to more successful rehabilitation and recovery outcomes. Like the high profile athlete, Dale’s work is doing much to put the psychological element of rehabilitation, centre stage and as expected, his presentation provoked much discussion and interest.
And so, to the final SST speaker of the day, David Jones, Senior Lecturer at the University of Hertfordshire and his presentation ‘Rehab after knee surgery- taking the right course of action.’ David first showed his audience a graphic video of an arthroscopy followed by a detailed and highly informative review of early, intermediate and late-stage rehab. For David, controlling effusion is the initial priority in order to enable the quadriceps to work, with restoring extension, being the single most important action. Progression to unilateral exercises can then follow. David stressed the importance of understanding i)the levels of strength and endurance required to return to running and ii) the demands of the patient’s life /job and sport and the need to replicate them in late /pre-discharge stages of rehab. David’s highly informative talk was the perfect way to end the day for our Member speakers.
In summing up the Society’s involvement in the two days of Therapy Expo, Society President, Professor Graham N. Smith said:
‘To say that I was proud of the nine Society sponsored speakers would be an understatement. The presentations given by each one was both professional and inspiring. Their knowledge, experience and expertise was clearly evident in each of their presentations and I know they were very much appreciated by both delegates and the organisers. Their enthusiasm for the profession and their pride in the Society also shone through. I felt honoured and privileged to be at the same event and on the same programme with them’.
The Therapy Expo team was absolutely delighted with all of the speakers and Professor Graham Smith as Chair. The good news is that plans for a 2022 collaboration are already underway.
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