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ΤHE ROLE OF CORE STABILITY IN THE MANAGEMENT OF LOW BACK PAIN - Friday, 03 Nov 2006
ΤΟ Ι.Κ.Α.Κ Σ.Ε.Γ.Α.Σ Β. ΕΛΛΑΔΟΣ ΔΙΟΡΓΑΝΩΝΕΙ ΜΕΤΕΚΠΑΙΔΕΥΤΙΚΟ ΣΕΜΙΝΑΡΙΟ ΜΕ ΤΙΤΛΟ:
ΤHE ROLE OF CORE STABILITY IN THE MANAGEMENT OF LOW BACK PAIN
TUTOR: ALLISON MIDDLEDITCH MCSP MMACP
Alison is a Practice Principal at the Surrey Physiotherapy Clinic. She qualified from Kings College Hospital in 1977 and became a member of the MACP in 1981 and is both Tutor and Examiner for MACP. Held a five year Research Post at Bioengineering Department University College, London She also lectures extensively throughout the United Kingdom and overseas and has just finished writing the 2nd Edition of Functional Anatomy of the Spine.
DATE OF COURSE: SATURDAY 25TH & SUNDAY 26TH NOVEMBER 2006
VENUE: SPORTS INJURY CLINIC
ΚΑΥΤΑΝΖΟGLΙΟ THESSALONIKI
COURSE AIMS: At the end of the course the participants will:
1. Have an understanding of the importance of core stability in normal function of the low back;
2. be familiar with the nature, mechanism and classification of motor control disorders associated with chronic low back pain;
3. be able to identify movement impairments associated with lumbar instability;
4. have the clinical skills to test the core stabilizing muscles;
5. be able to implement a reconditioning programme for those with movement impairment in the low back.
BIOGRAPHY
TUTOR: Alison Middleditch MCSP MMACP
Alison is a Practice Principal at the Surrey Physiotherapy Clinic. She qualified from Kings College Hospital in 1977 and became a member of the MACP in 1981 and is both Tutor and Examiner for MACP. Held a five year Research Post at Bioengineering Department University College, London She also lectures extensively throughout the United Kingdom and overseas and has just finished writing the 2nd Edition of Functional Anatomy of the Spine.
1974- 1977 Trained Kings College London
1981 Diploma in Manipulative Therapy
Membership of the Manipulation Association of Chartered Physiotherapists
1981 - 1985 Honorary Physiotherapist to the Scottish and Welsh Lacrosse Teams
1985 - 1989 Secretary of the Manipulation Association of Chartered Physiotherapists
1984 -1989 Research Physiotherapist at the Bioengineering Department of University College, London
1991 to Date Practice Principal, Surrey Physiotherapy Clinic
Guest Lecturer and Examiner to MSc students at University College, London
Publications
Functional Anatomy of the Spine, 2nd Edition (2005) Elsevier.
Chapter in: Hypermobility Syndrome (2003) Keer and Grahame, Butterworth Heinemann
Articles in Physiotherapy and In Touch
Lectured extensively both nationally and internationally
Lecture at The World Congress of Physiotherapy 1991
Guest Lecturer at The Manipualtion Association of Chartered Physiotherapists Annual Conference; 1990 and 1994
Guest Lecturer at the OCPPP (Organisation of Chartered Physiotherapist in Private Practice) on three occasions - last one in 2003
THE ROLE OF CORE STABILITY IN THE MANAGEMENT OF LOW BACK PAIN
PROGRAMME
Day 1.
9.00am LECTURE
The role of core stability in the management of low back pain.
- The anatomy and biomechanics of lumbar stability
- Lumbar pathologies that compromise stability i.e. Spondylolisis, - Spondylolisthesis, Hypermobility
- The role of the neuromuscular system in trunk stabilisation
10.30am Coffee
10.50am PRACTICAL
Assessment of posture and identification of movement impairments in chronic low back pain.
- Assessment of trunk posture
- Observation of normal movement in the lumbar spine
- Identifying abnormal movement patterns
1.00pm Lunch
2.00pm LECTURE and PRACTICAL
Anatomy of the trunk stabilizing muscles and clinical tests of motor control
- Revision of anatomy of the abdominal muscles
- Muscle Tests: transversus abdominis, internal and external oblique muscles, rectus abdominis
- Use of pressure biofeedback to assess transversus abdominis control
3.30pm Tea
3.50pm PRACTICAL
Specific training and reconditioning for the trunk stabilisers
- Functional training of transversus abdominis, internal and external oblique muscles and rectus abdominis.
- Use of pressure biofeedback for transversus abdominis training
- Progression of exercises for functional retraining
5.00pm Finish
DAY 2
9.00am LECTURE
Clinical indicators of lumbar instability and classification of movement impairments
- Classification systems for lumbar instability
- Clinical indicators of lumbar instability
10.30am Coffee
10.50am PRACTICAL
The role of multifidus in lumbar instability - anatomy and biomechanics
- Assessment of multifidus in motor control - testing for wasting and segmental weakness of multifidus
- Specific segmental reconditioning of multifidus
1.00pm LUNCH
2.00pm PRACTICAL
Functional rehabilitation programmes
- Devising functional rehabilitation programmes for lumbar instability
- How to make the programme specific for the individual
- Task setting - participants will be asked to devise exercises for specific problems
- Use of wobble cushions, gym balls, rolls
3.30pm Tea
3.50pm Case studies and problem solving
- Examples of different categories of instability and their management
- Problem solving and quiz
5.00pm Finish
This course has a high clinical content and participants will have the opportunity to practise the clinical skills demonstrated on each other. Please bring or wear suitable clothing for the practical sessions.
ΣΕ ΠΕΡΙΠΤΩΣΗ ΠΟΥ ΕΝΔΙΑΦΕΡΕΣΤΕ ΠΑΡΑΚΑΛΩ ΕΠΙΚΟΙΝΩΝΗΣΤΕ:
THΛ. ΕΠΙΚΟΙΝΩΝΙΑΣ 2310202190(16,00-21,00)
ikakthess@hol.gr
ΚΟΣΤΟΣ: 250 Euro
ΑΡ.ΛΟΓΑΡΙΑΣΜΟΥ: 5216029457035 ΠΕΙΡΑΙΩΣ(ΜΕΧΡΙ 10/11/06 ΠΑΡΑΚΑΛΩ ΝΑ ΕΧΕΙ ΚΑΤΑΒΛΗΘΕΙ ΠΡΟΚΑΤΑΒΟΛΗ ΓΙΑ ΤΗ ΔΕΣΜΕΥΣΗ ΘΕΣΗΣ)
ΑΡ. ΣΥΜΜΕΤΕΧΟΝΤΩΝ: 24 ATOMA
Bruno Zaouli June 17-18 2006 Thessaloniki - Monday, 19 Jun 2006
In the European Athletics Cup, Bruno Zaouli , that took place at Thessaloniki from 17 to 18 June 2006, Doc. N.G.Malliaropoulos was the chief medical officer of the medical services.
10th sports medicine seninar 4/12/2005 - Monday, 28 Mar 2005
The national sports injuries clinic Track and Field organize the 10th sports medicine seninar at 4/12/2005.The topic will be Ankle ligament injuries in sports
For more informations please contact ikakthess@hol.gr or www.diaskepsis.gr/seminario
Dear Colleagues,
The Medical Center of Sports Injuries S.E.G.A.S of Northern Greece, during its 20 year operation, has been contributing in two of the most important social goods, health and sports; at the same time it promotes the development and progress of new sciences, such as Sports Medicine that are necessity in our country.
The organization of the Annual Sports Medical Training Seminar is a part of its work. Clinical experience, new data, new implementations of Sports Medicine are debated in the context of this seminar.
Speakers come from high Scientific level institutions such as the Medical School of A.U.Th, the Sports Medicine Association of Greece, T.E.FA.A of A.U.Th and the A.I.E.IO of Physiotherapy.
The 10th Annual Sports Medicine Training Seminar will deal with Safe Exercise and the Ligamentous Lesions of the Ankle in Athletes. Firmly believing in continuous education and ongoing training, I consider that this seminar will be very useful to all participants, especially professional and amateur athletes.
N. G. Malliaropoulos
Recent Articles
Acute Lateral Ankle Sprains In Track & Field Athletes: A Proposal Of An Expanded Classification
We present a longitudinal observational study on classification of acute lateral ankle ligament injuries in track & field athletes, based on objective criteria. These very common and sometimes troublesome sports injuries are treated functionally but there is a lack in international literature in predicting the time needed for full recovery.
Ten year follow-up study comparing conservative versus operative treatment of anterior cruciate ligament ruptures. A matched-pair analysis of high level athletes
Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.
Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.
Results: We found no statistical difference between the patients treated conservatively or operatively with respect to osteoarthritis or meniscal lesions of the knee, as well as activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.
Conclusion: We conclude that the instability repair using
a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.
ACL injuries. Diagnosis, treatment and rehabilitation
The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.
