Phil Glasgow – Hip and Groin Pain In Sport Workshop (2 days) – Kilkenny 04/05 Feb 2017

Hip and Groin Pain in Sport (2 day workshop) with Phil Glasgow available to ARTI members. See following link for more details. Cost – 275.00 euro.

http://www.iscp.ie/node/37281

Course Overview:

This highly practical two-day course will enable participants to enhance their assessment, treatment and rehabilitation skills in the management of sport-related hip and groin pain. Course participants will learn about pathomechanics of pelvic function and its role in high-speed activities such as running, kicking and throwing. Hip and groin pain in sport will be discussed and a sport specific approach to assessment will be taught to improve physical examination and diagnostic skills. Sport specific treatment techniques to address specific dysfunctions will be taught. This will include manual techniques for both the joints and the muscle-tendon unit as well as exercise interventions. This course will provide participants will the skills necessary to retrain appropriate movement patterns, enhance energy transfer and restore sport-specific function.

Two ARTI members conduct workshops at FSEM conference

Two ARTI members will be conducting workshops as part of this month’s FSEM Annual Scientific Conference 2016.

The highly regarded annual conference, which is supported by ARTI, will take place in the RSCI from September 15 to 17, and will feature workshops from Dearbhla Gallagher and Diarmaid Brennan.

Dearbhla’s topic is entitled, “Risk factors and modifiers – application of concussion tools” and will take place on Thursday September 15 from 3pm to 5pm. Meanwhile Diarmaid’s workshop is on “Prevention and Rehabilitation of Hamstring injuries”, and will be conducted on Saturday at 2pm. Given the topical nature of both talks they are sure to attract great interest among those attending the conference.

Concussion is Dearbhla’s area of special interest and she decided on this particular topic for the workshop due to her concern in relation to concussion for those at grassroots and school sport particularly among female and child athletes.

“There are several problems that those in these groups face but I believe that many of these can be solved by identifying risk factors and modifiers of concussion injury and how these can be applied to useful tests”, she stated and explained that the workshop will look at several tests that can facilitate a concussion assessment.

Dearbhla

“The Standardised Concussion Assessment Tool (SCAT) is the industry wide endorser tool and is due for review this October at the 5th International Concussion in Sport Conference. Several advances in research suggest there will be several likely changes to the test in the months after the conference. The SCAT has several limitations that clinicians should understand and take into consideration during utilisation of the test both in the immediate aftermath of the concussive event and in the rehabilitation/return to sport process. Many of these limitations can be remedied with other complimentary tools”, added Dearbhla.

Dearbhla, who graduated from the Athletic Therapy and Training programme in DCU in 2010 and is an Alumni of the Placement at University of Pittsburgh (USA), is currently combining private clinical work in London while studying for a PhD in Concussion at St Mary’s University London.

She believes this workshop will be of benefit to clinicians as it is vital to keep up with advances in this area.

“With hundreds of articles released every month on concussion, it is important to review the current evidence regularly. The Consensus Statement on Concussion is released every four years but during these periods advances in clinical knowledge should not cease as it is highly likely that major evidence could emerge during these times whereby care of the concussed athlete be advanced and be up to date”, she stated.

The workshop will no doubt provide very useful information for clinicians as Dearbhla reveals.

“I am aiming to provide emerging and up to date evidence from a applied practitioner stand point for the assessment and rehabilitation of concussion – not just endorsed information. Combining the evidence and the application of current and available (reliable and valid) tools in order to leave with practical information that can be implemented in a variety of settings”, she explained.

 

Meanwhile, Diarmaid’s workshop is also expected to be very popular given that he will discuss another important topic – that of hamstring injury prevention and rehab.

It is an area that Diarmaid is very familiar with in his role as Senior Injury & Rehabilitation Coach with Leinster Rugby, and sharing his knowledge will benefit those in attendance.

 

He will discuss various types of strains from the severe Grade 3 to the less serious from the viewpoint of prevention and rehabilitation.

diarmaid

“I am looking forward to the workshop as I think it will be interesting as it covers different levels of hamstring injury. I will discussing at the return to play process and how to benchmark where a player should be at a particular time in relation to recovery”, revealed Diarmaid who graduated from Carlow IT with a degree in Sports Rehabilitation and also runs the DB Sports Injury Clinic.

“I think the workshop will be of benefit to everyone and hopefully they will find it interesting. How to differentiate the types of hamstring strain, how to load them and exercise selection are the main components of the workshop.

“I will look at area such as when the athlete is ready to run and what exercise is best as this is a big part of the rehab”, explained Diarmaid.

For full details on the FSEM Annual Scientific Conference 2016 visit http://fsem2016.com/ 

 

Billy Martin ARTC becomes first ARTI member to gain qualifications in Canada

Billy Martin ARTC

Billy Martin ARTC, CAT(C) in Vancouver

Billy Martin has recently become the first ARTI member to take on the Canadian Athletic Therapists Association’s certification exams and is now recognised as a Certified Athletic Therapist (Canada). This success comes not long after passing the ARTI exams and gaining ARTC status in January 2015.

ARTI President, Paul Berry, congratulated Billy on his achievements

‘On behalf of ARTI I would like to congratulate Billy Martin on being the first ARTI member to successfully sit and pass the CATA exam. Billy’s success follows shortly after ARTI member Paddy McEvoy passed the BOC exam in the USA last December. We’re delighted to see ARTI members avail of the historic agreement between ARTI, CATA and BOC which came into effect on January 1st 2015. This trilateral agreement entitles members of each organisation to sit the certification exams of the other two countries. Well done Paddy and Billy – blazing a trail for ARTI!’

Speaking from Vancouver, Canada, where he is currently practicing as an CAT(C), Billy describes his journey to getting ther

‘I certified with ARTI in January 2015. I emigrated to Vancouver in March of that year. I started out by contacting several registered CATA members; initially to seek advice about preparing for the national certification exams. Over time, this led me in the right direction, and I became acquainted with fellow Canadian colleagues that were also challenging the exams.

 

The exams consisted of a three hour, 200 question multiple choice theory, and four 30 minute practicals between clinical and field. This required regular practice within groups, which was hard to come by, as the only athletic therapy school in British Columbia is located on Vancouver island. It’s fair to say that I only realised the size of the task at hand, once I was well into the process. For an international, the exams consist of nuances that one can only comprehend by attempting them.

 

As I was awaiting certification, I acquired my own insurance, and began picking up a lot of field work as a certification candidate; most of which was with two minor ice hockey academies. From September 2015 – March 2016, I covered a lot of hockey games, which included extensive travel throughout British Columbia and Alberta.  In between there have been opportunities in Canadian football, soccer, lacrosse and basketball. Since March, an opening became available for an athletic therapist at an interdisciplinary concussion clinic in Vancouver. I had been lucky to be able to work there as a certification candidate, and now that I have achieved certification, there is an opportunity for me to develop the role of the athletic therapist among an experienced and talented team of health professionals. I worked extremely hard to achieve certification, and at times it felt like a bridge too far. In the end, I’m satisfied, and it brought home to me what progess ARTI has made since it’s recent inception.

I’d like to extend my gratitude to all ARTI members who have worked diligently in helping it to become a reputable organisation, and the opportunities it has afforded to it’s members, home and abroad.

Life in Canada has been very good for me, so far. It seems like there many opportunities, and it is a beautiful country, with friendly people, much like our own. I’d be happy to offer advice to ARTI members considering coming to Canada in the future.’

Congratulations again to Billy and we all wish him best of luck in his future career.

If you have any comments or questions regarding the CATA certification process or any other query arising from Billy’s story then please leave a comment or get in touch at artipublicrelationsofficer@gmail.com

 

Paddy leads the way by getting recognition in America

An ARTI member has once again highlighted the exceptional standards of practitioners in Ireland after successfully passing the exams that entitle him to practise in America.

Paddy McEvoy became the first ARTI member to pass the exams since the establishment of the Mutual Recognition Arrangement which enables him to complete the Board of Certification (BOC) exam and become a member of the National Athletic Trainers of America (NATA).

Naturally, Paddy is thrilled with the achievement and he is certainly not going to let the hard work go to waste as he has already finalised his plan to further his studies in the USA.

Paddy McEvoy2

In August, the 23-year-old from Ballyragget, Co Kilkenny, will commence a Masters in Health and Exercise Science and graduate assistantship in Ithaca College in upstate New York which he believes will be a huge boost to his career.

“I took the exam in November and found out the results in December so I was delighted that it all worked out. It was very difficult because the exam is a lot different to the ARTI exams due to the fact that it is all theory and there is more focus on general medical issues.

“I suppose the knowledge base is broader and you also have a lot more in terms of the legal side of things”, added Paddy who graduated from Carlow IT in 2015.

Having decided over the summer while working in a clinic that he wanted to go for the exam, Paddy was virtually in full-time preparation from September to November and based himself in Carlow IT.

Having spent four months in Ithaca College in early 2015 as part of his degree, Paddy’s contacts there enabled him to get advice and direction on many topics for the exam. He admits that this support base was a vital factor in getting through the exam.

“I really enjoyed my spell at Ithaca as it is recognised as one of the foremost colleges for Athletic Training in the USA. I made a lot of contacts and while I was studying, if there was anything I wasn’t sure of there was somebody available to help me so I think that support base as essential for me”, he explained.

Passing the exams gave Paddy the opportunity not only to study at Ithaca but also gain some valuable work experience with the college teams.

“Doing a Masters is very expensive but fortunately I will also be employed by the college for about 20/25 hours per week so that means I don’t have to worry about tuition fees and I will also get hands-on experience with a team.

“I have a choice of field hockey, track and field or rowing, so hopefully I will get hockey as I would prefer work with a contact sport”, explained Paddy who is looking forward to the new venture.

“I never had any intentions of going back to America once I had done my four month placement as I would consider myself more of a home bird. However, when the opportunity came up for 12 months I decided to go for it. At the end I will have a degree and a Masters along with practical experience so that should make me a lot more employable”, he added and pointed out that he expects many others to follow his example in taking the exam.

“I think the fact that somebody has taken the exam and passed it shows that it is possible and already I have had other people on to me looking for a bit of advice”, continued Paddy who will be strengthening the links between the colleges during his stint.

“From my experience there is a good relationship between the Irish and USA colleges and the fact the Americans are so keen to have Irish students which shows the quality of the courses we have here in Carlow IT, Athlone IT and DCU.”, he concluded.

 

New research will help tackle increasingly common problem among children

A research student is undertaking a study that will help tackle an increasingly prevalent problem among young children.

Lisa Kelly, who iscurrently undergoing a Master of Science by research at Athlone Institute of Technology, is investigating the the Fundamental Movement Skill (FMS) proficiency among Irish primary school children with the intention of identifying the most problematic areas.

This research will be used to develop a tailored intervention programme that will aim to improve overall levels of FMS proficiency.

Lisa Kelly

Lisa, who has an honours degree in Athletic Therapy and Training from Dublin City University, believes that increasing FMS proficiency levels among primary school children will increase their habitual physical activity levels and subsequently help to reduce health issues associated with inactivity.However, in recent years the lifestyle of children is not conducive to acquiring these skills and as a result FMS is an area that needs to be addressed.

“FMS are the basic building blocks of more complex movement skills. They include activities such as running, jumping, hopping, skipping, balancing, throwing and catching. A common belief is that these skills are naturally acquired as children grow and develop, however this is not the case. Children need to be taught how to perform the movements correctly and given plenty of opportunities to practice in order to reach a mature level”, explained Lisa who is from Borrisokane, Co Tipperary.

The critical age period for the acquisition of such skills is said to be between the ages of 5 and 8 years old with most children having the potential to master such skills by the age of 6 years old.

However, the level of the problem is highlighed by a recent studies which illustrated that FMS proficiency levels amongst Irish first year students (13 years old), revealed that only 11% achieved mastery in a battery test of 9 FMS (O Brien et al. 2015). Along with this only 12% of Irish first year student are achieving the recommended levels of daily physical and so it is essential that primary schools are targeted to try and reverse these trends.

The attraction of video games means that many children aren’t getting the opportunity to develop these skills and Lisa points out that the consequences can be severe.

“If children are not provided the opportunity to master the basic FMS at a young age, they will lack the competence and subsequently the confidence to take part in physical activity as they grow older.

“They will be more likely to avoid activities that will expose them to ‘public failure’ and thus opt for a more sedentary lifestyle giving rise to associated health problems such as obesity, depression, chronic heart disease, higher risk of certain cancers and osteoarthritis to name a few, which are costing the Irish state close to €437 million each year.

“FMS form the foundation for a physically active lifestyle. A physically active lifestyle enhances overall health, physically, socially and psychologically. FMS therefore are extremely important, number one to reverse current unhealthy trends and number two, to save future generations from the detrimental effects of sedentary behaviours”, she added.

The study will see Lisa test the proficiency levels of over 300 primary school students from Senior Infants to Fifth Class in 16 FMS and is expected to be completed by autumn 2017.

These tests will be divided into three domains, namely locomotor (methods of moving from one point to another), object control skills (the use of hands or other implement to control objects e.g. balls) and stability skills (static and dynamic balance). In addition to the Y balance test which objectively measures dynamic balance, 15 skills will be subjectively assessed meaning the prime focus is on ‘how’ the skill is being performed as opposed to the outcome of the skill. Each skill is scored based on the presence or absence of certain performance criteria. For example, when assessing the skill of running, the performance criteria are as follows:

(1) Arms move in opposition to legs with elbows bent

(2) Brief period where both feet are off the surface

(3) Narrow foot placement landing on heel or toe (not flat footed)

(4) Non-support leg bent about 90 degrees so foot is close to buttocks

Each child is given a demonstration of the skill by the investigator and is then asked to perform a practice trial followed by two test trials. The two test trials are scored by giving a mark of 1 for each performance criteria successfully completed or a 0 for each unsuccessful or absent performance criteria. Marks are added up for the two trials of each skill to give individual skill scores. This will allow us to identify skills which are most problematic for the sample tested and will in turn direct the development of future intervention programmes with particular emphasis on the weakest areas.

Overseas students keen on Athletic Therapy courses in Ireland

Over the past number of years, studies in Athletic Therapy in Ireland have resulted in the discipline being very highly regarded.

Courses in Dublin City University, Athlone IT and Carlow IT have all contributed to the growing reputation of Athletic Therapy, and as a consequence they are now among the most highly sought after.

A measure of the regard in which these courses are now being held is that they are now becoming popular with overseas students.

An example of this is that three university students from North America have recently arrived in Ireland for a one-semester placement as they sought to benefit from the expertise and approach of lecturers on this side of the Atlantic.

Harley Thwaites from Vancouver is currently studying in Athlone IT, Craig Leahy recently returned to New York after being based in Carlow IT, while Jennifer Hussey is spending a semester in DCU.

All three have reported it to be a very positive experience in which they have not only learned a lot about their chosen course, but also mixed in a new social setting and immersed themselves in a new culture.

Harley

HARLEY THWAITES is in no doubt that it was a very worthwhile decision. The 24-year-old is in third year of his Athletic Therapy degree in the University of Winnipeg who arrived in Ireland on January 3 and will be here until May.

“It is a little bit different from what we do but it is a very interesting course. There is a lot of focus on areas that we don’t cover so it is nice to pick up something different.

“We get to do a lot of practicums and the main thing is to get hours under your belt, and also to experience different sports. As a result we get to see different types of injuries”, explained Harley, who believes others will take the opportunity in the future.

“I would certainly recommend it to other students as it is very practical and you learn a lot”, he explained and added that he hoped to return to Ireland when he is qualified.

 

Meanwhile, CRAIG LEAHY from Saranac Lake, New York, has recently returned to the University of New Hampshire after spending almost four months at Carlow IT.

Craig got the opportunity to travel due to a long-standing relationship between UNH and Carlow IT and jumped at the chance to take part in the progamme. His stint lasted from September 4 to December 20, and he too found it extremely beneficial, both academically and personally.

Craig

“The cultural shock was not too overwhelming, in fact the first few weeks I recall finding so many similarities between Ireland and the US, but once I started to branch out more, travel and meet people I quickly discovered so many wonderful cultural differences.

“The education I received at Carlow IT was incredible, the students and staff were so welcoming and energised. I was able to learn new techniques and even show off a few US ones”, explained Craig who pointed out that one of the big advantages was experience of manual therapies.

“The Irish system focused so much on manual therapies and healing with the hands, something that is not very prevalent Stateside. This has given me a unique advantage with my clinical work. Athletes respond much better to hands on than machine modalities”, he added and continued to identify one drawback.

“The Irish students weren’t required to take discovery or inquiry courses, so they focused exclusively on their subjects, which to be honest I didn’t like”, he explained but overall felt it was a very positive experience that more people should explore.

“Travel and study while you are young and still impressionable, it will truly change your perspectives and alter everything you once thought you knew and replace it with a new understanding of the incredible world around you”, added Craig.

Another student to make the trip across the Atlantic is JENNIFER HUSSEY who originally from Indianapolis, Indiana, and currently studying at Purdue University.

Jennifer arrived at Dublin City University on January 27 and will spend four months in Ireland, having jumped at the chance to experience something new.

Jennifer

“I decided to study in Ireland because my athletic training programme director, Larry Leverenz, worked with the DCU athletic training faculty to set up this study abroad programme.

“When I heard about it, I thought it sounded like a great opportunity to not only explore a new area I have never been and learn the different techniques used by athletic trainers and physiotherapists here. I also had a few friends back at home that had visited Ireland and told me how wonderful and friendly all the people were here”, she explained and pointed out that it has been a very worthwhile decision to come to Ireland.

“I very much find the subjects useful. It is nice to also see a different perspective on various techniques. I have also gotten the chance to learn a substantial more about massage, trigger points, and myofascial release”, added Jennifer who revealed that she has noticed some differences between college life at home and in Ireland.

“I would say college life is different at home compared to here. Students rarely go home when at college back in the States, but I have noticed that it is very common to go home on the weekends here. In addition, collegiate athletics are a major part of the college life back at home”, explained Jennifer who added that it is something she would recommend to others.

“I definitely would recommend other students to visit Ireland. I have had an amazing experience so far, from the people to the city and all of the other gorgeous landscape the country has to offer. I am in love with the cliffs and the gorgeous greenery here in Ireland”, she added.

 

 

Richie investigates benefits of MWMs (Mobilisation With Movement) and self- MWM

A final year project by a Sports Rehabilitation and Athletic Therapy student at IT Carlow has provided such interesting findings that they will be published in a highly respected journal.

Richie Walsh produced the study on MWMs (Mobilisation With Movement) and self- MWM as a possible treatment and home exercise option for restricted hips, femoral acetabular impingement (FAI) and hip osteoarthritis (OA), as part of his final year in IT Carlow. The study has been published in the Manual Therapy Journal.

Richie Walsh

 

The study indicates that caudal MWMs improves internal rotation in a functional position. A loss of internal rotation is associated with hip pathologies. FAI is believed to be a precursor to hip OA. Preventing the loss of mobility may help reduce the effects of osteoarthritis and provides an important stepping-stone to further work in the area.

The Carlow native revealed that the purpose of his study was to investigate if MWM helps improve the internal rotation of the hip and also to see if the self-mobilisation, using a resistance band, improves rotation.

He discovered that therapist-induced MWMs produced a significant improvement in functional rotation using the functional rotation test, while the self-mobilisation findings, although not significant, were no different to the therapist-induced MWMs.

“This means that using MWMs can improve internal rotation of the hip and this key finding means that it could be used as an alternative treatment, for example while on a waiting list for surgery, and self-MWMs could be used as a home exercise”, explained Richie who pointed out that there are a number of benefits to this approach.

“The prevention of a loss of mobility may stop problems further down the line such as osteoarthritis, while home exercise means that patients have some control of managing their own treatment rather than simply waiting for surgery or their next visit to a therapist”, added Richie who is now doing a Research Masters in Dry Needling and Shockwave Therapy for Treatment of Trigger Points in Carlow.

The 34-year-old was delighted that his study will be published and is hoping that it will lead to further research in the area.

“I came up with the idea after attending the World Federation of Athletic Therapy and Training World (WFATT) Congress hosted by the Faculty of Sport and Exercise Medicine (FSEM), ARTI on ‘The Sporting Hip, Groin and Hamstring: A Complete Picture’, which was held in Dublin in Sept 2014.” I got a good insight on the topic and decided there was a lot of potential in the subject of the hip groin and hamstring injury. It was interesting because there is a lot of interest in hip pathologies (FAI and hip OA) but not a lot of research had been done into the conservative treatment options for that area.

“I wasn’t really expecting it to be published but I decided to submit it as it was a novel study and hopefully it will be a stepping-stone for further work”, added Richie.

Richie’s study can be viewed in full on www.manualtherapyjournal.com/article/S1356-689X(16)00008-4/fulltext