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 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.


“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.


“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



Sam brings value of Athletic Therapy to Dundalk FC

Dundalk FC were the dominant force in League of Ireland football over the course of 2015, and the double-winning team has been honoured with many team and individual awards over the close season.

One man who may not have received the recognition of those on the field, but certainly played his part in the success, was Athletic Therapist, Sam Rice.

Sam Rice


Sam joined up with the Oriel Park backroom team at the start of the season and was delighted with the opportunity to combine his career with his passion for football.

The 24-year-old who runs a clinic in Drogheda, got his first taste of working with a football club when he was with the Shamrock Rovers B team as part of his final year project in DCU where he studied Athletic Therapy and Training.

He also had a work placement with English Championship side, Wolverhampton Wanderers during fourth year, while he also worked with the PFAI FIFPRO team that showcased out-of-contract League of Ireland players in Norway.

When Sam heard there was a vacancy in Dundalk, he didn’t hesitate to put his name forward and after working with the club for a week, he was asked take up the position alongside physio, Fergal Kerin.

“I was delighted to be given the chance by Stephen Kenny and I have to say that I really enjoyed the first year. It couldn’t have gone any better in terms of the team winning the double and getting to feature in the Champions League.

“It really is such a professional set-up with the likes of Stephen Kenny, Vinny Perth, Steve Williams and Fergal, among others, all very dedicated, so you have to match that level of enthusiasm”, explained Sam who studied at DCU from 2010 to 2014.

It is no coincidence that one of the key factors in Dundalk’s League and Cup triumph was the fact that they didn’t suffer with many injuries over the course of the year, and for that Sam and his colleagues must take a lot of credit.

“Over the season we didn’t too many players out with injury and there is always an element of luck with that. The good thing about the players is that they were always ready to take advice and to do the extra bits required to ensure they remained in very good condition”, added Sam.

In being part of such a successful set-up, Sam was not only helping Dundalk FC and gaining valuable experience for himself, but he was very much striking another blow for Athletic Therapists with his contribution to the success.

“I suppose one of the biggest barriers for Athletic Therpists is getting people to understand exactly what we contribute. It is probably due to the fact that it is a relatively new discipline but slowly people are realising what we are about.

“Once people know that we have a high level of knowledge and that we specialise on sport, that is exactly what teams and organisations want. You have to remember that we go through a very tough four-year course to qualify and get lots of hands-on experience along the way. The lecturers are highly qualified and the likes of Enda Whyte, Miriam Downey and Noel McCaffrey have been a brilliant help to me along the way”, added Sam.

On a lighter note, Sam had another barrier to overcome when he arrived in Oriel Park, as being from a rival town in Drogheda, he had to endure some good-natured banter along the way.

“I am often referred to as the ‘Drogheda Physio’, but at this stage I think I have been accepted and I have to say it is a great community to work in”, he added.

ARTI seminars in the management of concussion

ARTI is delighted to announce two seminars in the management of sports related concussion. The seminars will be held in Athlone Institute of Technology on the 12th of November at 7.30pm sharp with registration beginning at 6.45pm. The seminar will be delivered by Dr. Michael O’Brien, MD. Dr. Michael O’Brien is an attending physician in the Division of Sports Medicine at Boston Children’s Hospital, and an Instructor in Orthopedics at Harvard Medical School.  He is the Director of the Sports Concussion Clinic, and served as the Associate Program Director for the Primary Care Sports Medicine Fellowship Program at Children’s. He is board certified in Internal Medicine with added qualifications in Sports Medicine

On Friday the 13th of November in GMIT, Dr. Michael Neill, will be joined by Dr. Pat O’Neill to deliver another seminar in the evaluation and management of sports related concussion. Dr Pat O’Neill is a Medical Consultant in Orthopaedic and Sports Medicine at the Mater Private Hospital and Cappagh National Orthopaedic Hospital in Dublin; and University Lecturer in Orthopaedic Sports Medicine at Trinity College Dublin. The seminar will begin at 7.30 pm sharp with registration beginning at 6.45pm.

ARTI will award 2 CPDs for each seminar. Attendance fee is €25 (students €10 – with I.D).

To reserve a place call James O Toole on 0862359148 or email

Dr. Michael O'Brien, MD

Dr. Michael O’Brien, MD

A huge success: FSEM Conference supported by ARTI,

The recent FSEM conference, supported by ARTI, proved to be a huge success. Building upon last year’s initial partnership, ARTI proudly supported the Twelfth FSEM Annual Scientific Conference 2015 “Sports Injuries and Illness in Young People – A Complete Picture”. As well as the numerous ARTCs in attendance, there were also international members of the Athletic Training and Therapy worlds with visitors from Spain and the USA to name two. Experts from around the world presented on topics relating to sports injuries and illnesses in young people. ARTI was excellently represented by Dr. Siobhán O’Connor ARTC, Mr Andrew Watson ARTC and Ms Áine Lucey, ARTC in the main thematic sessions. There were also many research presentations delivered by current and future ARTCs.

This type of collaboration between ARTI, the FSEM and ISCP in delivering this high quality sports medicine conference is something that ARTI wishes to pursue into the future with the help and input of its members.

Dr Eric Sauers, ATC, Mr Paul Berry, ARTC and Ms Karen McCann ARTC in attedence

Dr Eric Sauers, ATC, Mr Paul Berry, ARTC and Ms Karen McCann ARTC in attendance

Dr Siobhan O'Connor presenting at the Conference

Dr Siobhan O’Connor, ARTC, presenting at the Conference

Successful study on hip and groin injuries among elite Gaelic footballers

Successful study on hip and groin injuries among elite Gaelic footballers

Posted on February 4, 2015

The increasing problem of hip and groin injuries among elite Gaelic footballers was the issue for an extensive study by ARTI members recently.

Overall, the research highlighted the extent of the problem and reached findings that will be of benefit to therapists while also providing a platform for further research on the topic.

The research was conducted at DCU by a group that included Dr Noel McCaffrey, Miriam Downey, Enda Whyte, Tiarnán Ó Doinn and Davide Susta. Fourth year students who collected the data included, Sean Callinan, Ciara Jennings, Doireann Church, Ian Hickey, Conall Hoey, Mark O’Connor, Regina Halpin and Paul Dean.

One of the main successes was in commencing a study into this particular type of injury as Tiarnán explains it is something that hasn’t really been looked at in depth.

“The impetus for the research is that hip and groin pain is becoming recognised as a common and debilitating problem for elite GAA players and so far research has been limited despite the fact that it represents the fourth most common injury.

“The view was backed up by our findings which revealed that 80 per cent of the players we tested had current or previous (or both) hip and groin pain. That validates the problem of hip and groin pain in this type of cohort”, he explained.

“In many cases these can be long-standing injuries with a high re-injury rate, but in general there is very little information out there in terms of Gaelic football, and that was one of the main reasons for conducting the research”, added Tiarnán.

The study was made possible by access to a group of some of the country’s top GAA players ranging in age from 16 to their early thirties, and conducted under the following six headings:

Imaging (MRI)

Functional Testing

Strength Testing

Range of Motion Testing


Clinical Assessment

In terms of Imaging, MRIs were carried out over a four month period and broken down into four categories:

1) Those that never had an episode of pain at any stage of their career. 2) Those who had a history but were asymptomatic at the time. 3. Those who were symptomatic. 4) Those who developed pain between the MRI and follow-up call- roughly three months later.

The results showed that there were no significant differences in the probability of having an overall abnormal hip/groin finding on MRI across the four groups, which led to the conclusion that it is important for MRIs to be interpreted with a thorough history.

The Functional Testing research produced significant findings as the group developed the ‘Lateral Rebound Hop Test’ where a player jumped sideways from one foot to the other as far as they could, then back immediately. It proved to be a very reliable test and was able to identify significantly differences between dominant and non-dominant sides.

It was established that this hop test could be reliably applied to clinical practice. This could help determine when a player is ready to return to play due its ability to distinguish between side-to-side asymmetries. Also, the normative data collected could be applied to a similar cohort as a benchmarking tool in the return to play process.

The Strength Test also showed the benefit of the ‘Lateral Rebound Hop Test’ as this could be used in a practice as a more economic substitute for a dynamometer. This was because a moderate correlation was found between the return phase of the lateral rebound hop test and adductor to abductor ratios. However, the strength testing was unable to demonstrate a link between those previously injured and those free from injury.

Hip rotation is an established risk factor for hip and groin injury among other football codes. In this study a novel method of testing using a smartphone inclinometer app was used. This method proved to have excellent reliability and improved the speed and accuracy of measurement. Once again the results showed no difference between those previously with or without pain. However, this novel method has numerous other applications.

The Questionnaire revealed that 46 per cent of players had a history of hip and groin pain during their careers, while 80 per cent said they had current or previous pain, or both.

Reflecting on the comprehensive study, Tiarnán Ó Doinn, felt that overall it was very successful.

“The fact that we could establish that 80 per cent of the players experienced current or previous pain (or both) validates the problem of hip and groin pain among this type of cohort and it shows the need for research in this area. It suggests that this is a big problem and that we need to do something about it.

“We can also say that one of the successes is the fact that MRIs must be interpreted with caution as they won’t necessarily help with diagnosis”, Tiarnán added.

“One of the positives is that we have a very solid screening system as every test developed had excellent reliability”, he explained and pointed out that the benefit to ARTI members is that this screening can be implemented within their practice.

According to Tiarnán, some of the benefits mean that players from this cohort could be tracked over the course of their careers to see the implications of imbalances and how they can be addressed. It also allowed for the possibility of tailoring training programmes to reduce the risk of injury.

Research into effects of trigger point dry needling on performance and injury reduction

This month the ARTI website will focus on novel new research ARTC’s are engaging in. Each article will focus on a different topic and this month we will focus on Michael Donohoe’s research into the effects of trigger point dry needling on athletic performance and injury reduction.

As part of his Masters by Research, funded by Athlone IT’s President’s Research Fund, Athlone native Michael Donohoe is investigating the effects of myofascial trigger point dry needling on muscle function within the shoulder.

Not only is it an important area of research of therapists, but it is an important step for Athlone IT as this is the institute’s first research study in the field of sports medicine since the development of AIT’s B.Sc. course in Sports Therapy with Rehabilitation, set up in 2012.

Michael Donohoe

Outlining his reasons for conducting this particular study, which will be supervised by Dr Niamh Nic Cheilleachair and Dr Siobhán O Connor, Micheal is optimistic that it will be of benefit to practitioners in helping to understand the clinical implications of latent trigger points, the effectiveness of dry needling as a treatment and perhaps its use for injury prevention.

“Myofasacial trigger points is a topic we learned about in DCU and through clinical practice I observed that treatment of trigger points was very effective in the management of myofascial pain, particularly among athletes.

“Meanwhile, dry needling as a treatment for myofascial trigger points has grown both here in Ireland and worldwide in recent years and so I decided it would be worthwhile to become trained in its application as part of my CPD”, explained Michael.

“Initially, treatment for trigger points was predominantly carried out with the use of manual release, but dry needling is also considered as a very affective modality”, added Michael who felt that when the opportunity arose for research in Athlone, it was something he wanted to investigate further in terms of injury prevention.

Michael sees the key to the study as an attempt to determine if treatment will help reduce certain clinical implications associated with latent trigger points which may prevent them from developing into active trigger points.

“It is theorised that latent trigger points, if continuously stimulated by perpetuating factors, can develop into active trigger points. As well as their potential development into active trigger points they have also been shown to have clinical implications prior to this, such as reduced range of motion, muscle weakness and altered muscle activation patterns. We are trying to see if by treating them before they develop into painful active trigger points if it will enhance the function of the muscles associated with shoulder function”, he explained.

Michael, who began the two-year research in November last year, outlined the details of the study in the following article for AIT’s Science magazine, Quest.


Myofascial or muscular pain is not always appreciated as the primary cause of pain and is frequently only considered as a secondary phenomenon to muscle, tendon, joint or nerve injuries. However, myofascial pain is a common phenomenon recognised by the International Association for the Study of Pain. Myofascial pain is characterised by local and/or referred pain that originates in a myofascial trigger point (MTrP).

MTrPs are hyperirritable points located within a taut band of skeletal muscle or fascia, which cause referred pain, local tenderness and autonomic changes. They are clinically significant because they cause pain and neuromuscular dysfunction. There are two basic types of MTrPs that may be harboured with a muscle; active and latent.

Active trigger points (ATrPs) produce spontaneous pain, tenderness within a taut band of muscle, familiar local or referred pain to the patient, and a local twitch response when stimulated manually or with a needle. In contrast, latent trigger points (LTrPs) are minor, subclinical neuromuscular lesions, which do not cause pain except when stimulated manually or with a needle. Theoretically a trigger point is considered active if on compression the elicited pain is familiar to the patient.

Current research has only recently begun to focus on LTrPs due to their capability to convert into ATrPs, however they have been found to be significantly more complex in nature. They have also been shown to cause clinical implications before conversion into ATrPs, including decreased range of motion, muscle weakness and altered muscle activation patterns. Verification of the proposed clinical implications could show LTrPs have the potential to effect injury incidence and muscle performance. LTrPs are prevalent in healthy populations and may be a source of dysfunction that may affect an athlete’s performance or potentially, if not treated, be a factor in future injury.

While research investigating LTrPs is in its infancy research on ATrPs has been extensive. From the research carried out on ATrPs there are a number of proposed treatment options, of which manual trigger point release and dry needling are the most widely used and researched.

The purpose of this novel research in AIT is to investigate whether treatment of LTrPs using dry needling produces a significant reduction in their proposed clinical implications and whether this causes an improvement in the treated muscle’s performance.

Spinal Manipulations course

Neil Langridge is returning to Ireland in March to deliver a Spinal Maniupulations Course.

It has been two years since Neil delivered his highly successful but he is returning on March 27 and 28 for what should be a very popular event.

(€375 inc manual). See attached course outline(s).

The cost of the course is €375 while he will deliver his integrated approach to Sacroiliac Joint Dysfunction separately on May 29 (€180 inc manual). There are only 15 places available on both courses. Places secured with full receipt of course fee(s).

The last time Neil gave the spinal manips course places were filled within one week so please if you are interested don’t wait.

All inquiries/bookings can be made via


The costs of the courses are as follows:


ARTI Members 

Spinal Manipulations – Includes Manual

Early Bird (Before January 10th) €375

After Jan 10th €395


Sacroiliac Joint – Includes Manual

Early Bird (Before Jan 10th) €180

After Jan 10th €190


Combined Spinal & SacroIliac Package

Early Bird €540

After Jan 10th €570


Non ARTI Members

Spinal Manipulations – Includes Manual

Early Bird €395

After Jan 10th €415


Sacroiliac Joint – Includes Manual

Early BIrd €190

After Jan 10th €210


Combined Spinal and Sacroiliac Package

Early Bird €570

After Jan 10th €610



Course Description

This course will introduce delegates to manipulation and refresh the skills of those currently using Grade V techniques. It is primarily practical and aims to give participants increased assessment/palpation skills as well as new manipulative treatment ideas. Many of the assessment techniques can be applied in all aspects of manual therapy and will have relevance to day to day practice. The course content will be applicable to patients ranging from athletes to the more sedentary. It aims to link manipulation to rehabilitation via specific techniques, movement loss and exercise. The course will feature a number of demonstrations specifically linking the technique to motor control and loss of function. Theoretical aspects will underpin the concepts of manipulationand manual therapy as well as exploring the motor control system. The three lectures will cover indications and background, the sensorimotor spine and cervical artery issues. There will be an opportunity to present/discuss specific cases. It will be as evidence based as possible and accompanied by a referenced course manual. Thecourse will allow time for close 1:1 supervision.

 Course Outline

Day 1

·         Introduction Lecture

·         Lumbar Spine PPIVMs

·         Tea and Coffee

·         Lumbar Rotation Grade V

·         Lunch

·         Linking the spine – Lecture

·         Patient demonstration

·         Lumbar extension/flexion bias

·         Tea and Coffee

·         Thoracic assessment and PPIVM

·         Thoracic screw down

·         Close/Practice

Day 2

·         Recap

·         Thoracic A/P Grade V

·         Thoracic Rib Grade V

·         Tea and Coffee

·         Upper Thoracic PPIVMs

·         Thoracic A/P in sitting Grade V

·         Upper Thoracic Rotation

·         Lunch

·         CAD – Lecture

·         Cervical PPIVMs

·         Cervical Grade V. Opening/closing

·         Tea and coffee

·         Cervical spine cont’d

·         Clinical decisions and manipulation – discussion


Dr Neil Langridge DClinP MMACP MSc (Manip Ther) MCSP

Neil is a consultant physiotherapist with a special interest in spinal function. He has worked in the NHS, private sector and armed forces and treats complex spinal patients as well as working in a spinal triage environment. He has attained a clinical doctorate at the University of Southampton and completed his MACP training in 2002 and his MSc in 2003. He is the Vice chair of the MACP and provides mentorship and examination support on MACPcourses. He has presented all over the U.K and abroad whilst leading manual therapy sessions at a number of Universities. His current post in the NHS covers ESP leadership, complex patient management and research activities in the spine and lower limb.



This course will introduce participants to the assessment and differentiation of lumbo-pelvic disorders as well as exploring the hip. Bio-mechanics and motor control assessment will be reviewed with an emphasis on clinical reasoning. The course structure will have lectures but is mainly practical giving participant’s skills to take directly into a rehabilitation setting. Hands-on mobilisation and manipulation will also be covered for this region as well as rehabilitation ideas for the active patient.

Competitive insurance available for ARTI members

Just a reminder to ARTI members that insurance is available Glennon Insurance in conjunction with ARTI (see

ARTI is proudly supporting Irish business by continuing the partnership with Glennon Insurance, and the company are offering a very competitive premium for indemnity insurance.


ARTI members can avail of an insurance facility with Glennon Insurance which offers indemnity for Combined Medical Malpractice, Public and Products Liability Insurance The current annual premium payable is €203.75 for a €1,000,000 aggregate Limit of Indemnity Members can avail of this facility by contacting Glennons at 01-7075800 or by email Visit the Glennon Insurance website at