Day 1 :
- Physical Therapy Diet and Physical Health Sports Injury and Rehabilitation
Queensland University of Technology, Brisbane, Australia
Laurent Frossard is an Adjunct Professor of Biomechanics in several universities in Australia and Canada. As project leader and active researcher, his expertise relates to the development of tools and improvement of basic knowledge of the locomotion and rehabilitation of individuals with lower limb loss fitted with osseointegrated implant and socket. Indeed, he is one of the very few independent experts in the clinical benefits of bone-anchored prostheses (www.LaurentFrossard.com).
As a Chief Scientist Officer at YourResearchProject, Dr Frossard help clinicians, young researchers and postgraduate students to boost their research activities by providing hands-on advice and practical tools to plan research projects, collect data, analyse results, write publications and promote research outputs (www.YourResearchProject.com).
Individuals with limb amputation fitted with conventional socket-suspended prostheses often experience socket-related discomfort leading to a significant decrease in quality of life. Bone-anchored prostheses are increasingly acknowledged as viable alternative method of attachment of artificial limb. In this case, the prosthesis is attached directly to the residual skeleton through a percutaneous part, commonly referred to as an osseointegrated fixation (Figure 1).
To date, a few osseointegrated fixations are commercially available, relying either on FDA-approved screw-type fixations or soon-to-be FDA-approved press-fit implants. Several devices are at different stages of development particularly in Europe and the US. Clearly, these surgical procedures are currently blooming worldwide. Indeed, Australia has the fastest growing populations.
Previous studies involving either screw-type implants or press-fit fixations for bone-anchored prostheses have focused on fragmented surgical, rehabilitation and biomechanics aspects as well as specific clinical benefits and safety of the procedure.
However, very few publications have synthetized information related to the specifics of rehabilitation and physiotherapy programs for bone-anchored prostheses used in various centers worldwide.[3-5]
The purposes of the presentation will be:
- To provide an overview of the state-of-art developments in bone-anchored prostheses with as strong emphasis on various treatments (e.g., design of fixations, surgical procedures including double and single stages, rehabilitation and fitting) and the outcomes (e.g., benefits, risks including infection rate),
- To present the current international developments of the procedures for bone-anchored prostheses in terms of numbers of centers, number of cases and typical case-mix, and well as future opportunities and challenges,
- To highlight the challenges of establishing rehabilitation and physiotherapy rehabilitations programs specific to bone-anchored prostheses to promote osseointegration and usage of prosthesis.
Figure 1: Schematic representation of the residuum (A) of an individual with transfemoral amputation using conventional method of prosthetic attachment relying on socket (B) in contact with the skin (Left side) or bone-anchored prosthesis (BAP) relying on osseointegrated fixation (C) including a medullar part inserted into the femur (D) and percutaneous part (E) protruding the residuum (Right side) each connecting to the rest of a prosthesis (F).
1. Branemark, R., P.I. Branemark, B. Rydevik, and R.R. Myers, Osseointegration in skeletal reconstruction and rehabilitation: a review. J Rehabil Res Dev, 2001. 38(2): p. 175-81.
2. Frossard, L., K. Hagberg, E. Häggström, D.L. Gow, R. Brånemark, and M. Pearcy, Functional outcome of transfemoral amputees fitted with an osseointegrated fixation: temporal gait characteristics. J Prosthet Orthot, 2010. 22.
3. Vertriest, S., S. Pather, P. Sondergeld, and L. Frossard, Rehabilitation programs after the implantation of transfemoral osseointegrated fixations for bone-anchored prostheses: a scoping review protocol. JBI Database of Systematic Reviews and Implementation Reports, 2017. 15(2): p. 1-13.
4. Vertriest, S., P. Coorevits, K. Hagberg, R. Branemark, E.E. Haggstrom, G. Vanderstraeten, and L.A. Frossard, Static load bearing exercises of individuals with transfemoral amputation fitted with an osseointegrated implant: Loading compliance. Prosthet Orthot Int, 2017. In press.
5. Vertriest, S., P. Coorevits, K. Hagberg, R. Branemark, E. Haggstrom, G. Vanderstraeten, and L. Frossard, Static load bearing exercises of individuals with transfemoral amputation fitted with an osseointegrated implant: reliability of kinetic data. IEEE Trans Neural Syst Rehabil Eng, 2015. 23(3): p. 423-30.
Chartered Society of Physiotherapy ,UK
Gunnel Berry is a member of the Chartered Society of Physiotherapy in the United Kingdom and completed a MSc degree in advanced physiotherapy at the UCL London in 1996. She qualified as a reflexologist in 1989. As a clinical specialist in pain she developed Adapted Reflextherapy (AdRx) as a concept and treatment for patients in pain. She has presented and published papers on the subject in Europe, USA and China. Although retired from clinical practice she maintains a role as the Educational Officer of the Association of Chartered Physiotherapists in Reflex Therapy, ACPIRT, and has recently published a book in Adapted Reflextherapy: an Approach to Pain.
A whiplash injury commonly occurs at a high or low velocity motor-vehicle accident with an un-expectant occupant subjected to acceleration and deceleration G-forces with physiological, neuroplastic and pathological consequences. Victims of whiplash injury complain of multisite and variable pain during or after an accident. Although the cervical spine is most commonly affected thoracic [i] and lumbar spines should be included as sources of pain. Biopsychosocial therapy has been found to reduce central nervous system hyperexcitability in chronic pain patients.[ii] Extensive investigations to understand pain has been carried out .[iii] Nijs et.al. (2014) attempt to apply modern neuroscience in clinical practice[iv] and Worsfold [v] offers interventions to rehabilitate whiplash injury patients.
Founded on the principle of ‘counter-irritability’ of neuroplastic activity Adapted Reflextherapy has been found to alter subjective and objective whiplash symptoms.[vi] This presentation introduces a hypothesis supporting a practical application which may offer clinical value in treatment of whiplash injury patients.
Irfan Tifeku was born in Kacanik, Kosovo. He has taken the first lessons in his country and the university studies he has finished in Albania. He has completed his Master of Science in Physiotherapy at the age of 25 years from University of Medicine in Tirana. He is the director of the clinic Fizioterapia, a private clinic of the physiotherapy in Prishtina, Kosovo. He has published more than 12 papers in reputed journals and has been part of different conferences and congresses in Kosovo, Albania and abroad in Europe. He has been for two years assistant professor of Kinesiology in the University of Tetovo, in Macedonia. He is specialized in the branch of osteopathy and ultrasound.
Low-back pain (often referred to as “lower back pain”) is a common condition that usually improves with self-care. However, it is occasionally difficult to treat. Some health care professionals are trained to use a technique called spinal manipulation to relieve low-back pain and improve physical function (the ability to walk and move). Spinal manipulation is one of several options—including exercise, massage, and physical therapy—that can provide mild-to-moderate relief from low-back pain. Spinal manipulation appears to work as well as conventional treatments such as applying heat, using a firm mattress, and taking pain-relieving medications (amp. Artrosilen 160 mg 4x ; Galvanic currents). Spinal manipulation—sometimes called “spinal manipulative therapy”—is practiced by health care professionals such as chiropractors, osteopathic physicians, naturopathic physicians, physical therapists, and some medical doctors. Practitioners perform spinal manipulation by using their hands or a device to apply a controlled force to a joint of the spine. The amount of force applied depends on the form of manipulation used. The goal of the treatment is to relieve pain and improve physical functioning.
Overall, studies have shown that spinal manipulation is one of several options—including exercise, massage, and physical therapy—that can provide mild-to-moderate relief from low-back pain. Spinal manipulation also appears to work as well as conventional treatments such as applying heat, using a firm mattress, and taking pain-relieving medications.
In 2007 guidelines, the American College of Physicians and the American Pain Society included spinal manipulation as one of several treatment options for practitioners to consider when low-back pain does not improve with self-care. More recently, a 2010 Agency for Healthcare Research and Quality (AHRQ) report noted that complementary health therapies, including spinal manipulation, offer additional options to conventional treatments, which often have limited benefit in managing back and neck pain. The AHRQ analysis also found that spinal manipulation was more effective than placebo and as effective as medication in reducing low-back pain intensity. However, the researchers noted inconsistent results when they compared spinal manipulation with massage or physical therapy to reduce low-back pain intensity or disability.
Researchers continue to study spinal manipulation for low-back pain.
- A 2011 review of 26 clinical trials looked at the effectiveness of different treatments, including spinal manipulation, for chronic low-back pain. The authors concluded that spinal manipulation is as effective as other interventions for reducing pain and improving function.
- A 2010 review that looked at various manual therapies, such as spinal manipulation and massage, for a range of conditions found strong evidence that spinal manipulation is effective for chronic low-back pain and moderate evidence of its effectiveness for acute low-back pain.
- A 2009 analysis looked at the evidence from 76 trials that studied the effects of several conventional and complementary health practices for low-back pain. The researchers found that the pain-relieving effects of many treatments, including spinal manipulation, were small and were similar in people with acute or chronic pain.
- A 2008 review that focused on spinal manipulation for chronic low-back pain found strong evidence that spinal manipulation works as well as a combination of medical care and exercise instruction, moderate evidence that spinal manipulation combined with strengthening exercises works as well as prescription nonsteroidal anti-inflammatory drugs combined with exercises, and limited-to-moderate evidence that spinal manipulation works better than physical therapy and home exercise.
Researchers are investigating whether the effects of spinal manipulation depend on the length and frequency of treatment. In one study funded by NCCIH that examined long-term effects in more than 600 people with low-back pain, results suggested that chiropractic care involving spinal manipulation was at least as effective as conventional medical care for up to 18 months. However, less than 20 percent of participants in this study were pain free at 18 months, regardless of the type of treatment used.
Researchers are also exploring how spinal manipulation affects the body. In an NCCIH-funded study of a small group of people with low-back pain, spinal manipulation affected pain
Mohamed Sathak A J College of Physiotherapy,India
P. Senthil working has a Professor in faculty of Physiotherapy, Mohamed Sathak A J College of Physiotherapy with a total experience for 15 years in both academic as well as hospital sector. I am Pursuing as a part-time Research scholar of Physiotherapy (PhD) in Vel’s University, India. Interested in the musculoskeletal evaluation and its intervention part which is the common issues in the community. The above mentioned oral presentation topic on this Physician’s 2017 conference will be newer method of evaluation that reveals the primary kinematic causes for the musculoskeletal problems and thereby effective intervention can be decided and implemented in the Physiotherapy field.
E mail ID: email@example.com
Background: Neck and shoulder pain can be a disabling and recurrent disorders characterized by periods of remission and exacerbation, so too does the prevalence of musculoskeletal dysfunction (MSD). Even the overactive and underactive muscles in the neck region leads to poor performance of upper extremity function also. The Upper body dysfunction (UBD) screening chart was developed to assist in the detection of MSD. Although varying musculoskeletal assessment has been used, components of UBD screening chart has combined kinematic analysis and muscular imbalance due to the recurrent problems. Expanding the UBD screening chart use in health care system may improve the detection of MSD allowing for earlier treatment. The primary goal of this study was to evaluate the use of the UBD screening chart in health care by comparing the results of assessments of Orthopaedic surgeon with those of Physiotherapist.
Methods: Patients of 25 – 45 years old recruited from an orthopaedic health centre were examined by an Orthopaedician and a Physiotherapist who recorded the appearance of each participant's posture and the appearance and movement of the shoulder, neck and thoracic spine by deeming them normal or abnormal. UBD scores were compared between the Investigators with the proportion of observed (Pobs), positive (Ppos) and negative (Pneg) agreement being the primary outcomes. Kappa statistics were also calculated.
Results: A total of 100 patients consented to participate who were previously diagnosed has MSD. Results showed reasonable agreement between the Orthopaedician and Physiotherapist; Pobs = 0.698, Ppos = 0.614 and Pneg = 0.752. The coefficient of agreement (estimated Kappa) was 0.3675 for the composite UBD score. For individual components of the UBD exam, the highest agreement between Orthopaedician and Physiotherapist was in the assessment of Posture and muscle imbalance.
Conclusion: Previously reported recurrent increase in signs and symptoms of musculoskeletal conditions have highlighted the need for a simple yet sensitive screening exam for the identification of musculoskeletal abnormalities. Results of this study suggest that health care practitioners can efficiently use the UBD chart examination in the assessment of populations with a high proportion of musculoskeletal issues.
Keywords: Expert validation; Upper body dysfunction chart; musculoskeletal conditions.
Sports physiotherapist ,Smederevo/ Sebia
Goran Blagojevic, physiotherapist in Volleyball team Serbia – women , Before : Rowing team Serbia (2008-2014) , Football team Serbia U16 ( 2012), Volleyball team Serbia U18 – women, Volleyball team Serbia U18 – women, Volleyball team Serbia – women (2013 – until today) , Basketball team Smederevo, Smederevo/Serbia (2014 – until today ), Handball team Smederevo, Smederevo/ Serbia, Volleyball team Red Star ( 2016- ) Belgrade / Serbia.
In my speech at th beginning i will speak about place and importance of lumbar syndrome in sports practice causes and mechanisms of chronic low back pain, injure characteristics, diagnosis, clinical picture and treatment. Below is a description of the subject of research and analysis of the occurrence of low back pain related to motor activity in football and volleyball team Serbia, as well as lumbar syndrome occurs as a "disease" 21 th century. The aim of the research will be testing the percentage of patients with chronic low back pain in football and volleyball team Serbia, systematization and presentation of new scientific knowledge in this field, as well as the formation of recommendations.The final presentation will be presented and picturesque graphs and images. Expectation are two research process, talking with fitness coach women's volleyball team Serbia, Vanja Banković, who will say what the situation is with a back injury at volleyball players, and surveys that will be carried out in the famous football cubed from Serbia in women's volleyball clubs Serbia and Serbian women's volleyball team. The results will be systematically exposed and presented in tables and charts, with standard descriptive statistical methods.
The results will be systematically exposed and presented in tables and charts, with standard descriptive statistical methods.
At the end of the presentation will be also systematized the conclusions resulting from the research results as well as literature data.
There will also be exposed and recommendations regarding the prevention, early diagnosis and proper treatment of lumbar syndrome associated with when exercising activity by.