Stig Haugsbø Andersson (PT, PhD) defended his PhD thesis "Injury prevention in elite handball" in June 2018. He studied physiotherapy at Bergen University college between 2004 to 2007, and completed his Master degree in sports physiotherapy at the Norwegian School of Sport Sciences in 2013. As a master student he worked on the project ”Risk factors for overuse shoulder injuries among elite male handball players”. Stig has previously worked as a physiotherapist in the private sector (2009-2011) and is currently working as a sports physiotherapist at the Norwegian Institute of Sports Medicine (2013-present), with overhead athletes as his main interest. Previously he was also affiliated with the medical team in the Norwegian Handball Federation (2013-2015).
Prevention of overuse shoulder injuries in elite handball
Fast and accurate throwing is an important skill for handball players, and training to enhance
throwing performance is a key activity in the sport. Consequently, the shoulder is exposed to large demands and makes it a common site for overuse shoulder injuries. During his talk, Stig will address how these injuries can be prevented and highlight implementation challenges in the handball culture.
Ben is working as a consultant with teams and individuals to help solve shoulder performance problems (www.athlin eticshoulder.com). He graduated as a physiotherapist in 1997 with Masters in physiotherapy and strength & conditioning, and has over 16 years’ experience in the daily management of athletes, including Arsenal Football Club where he spent the last 6 years as 1st team Physiotherapist. Most recently Ben has taken up a position in European football as Director of Performance at AC Sparta Prague.
Ben’s interest & experience in shoulders developed from his time in professional rugby at London Wasps and was accelerated through his work with the British Judo team in the lead up to London 2012. Ben is currently working towards completion of a PhD in the area of Shoulder performance monitoring at Liverpool Hope (focussing on return to play markers and neuromuscular profiling for performance).
This work continues from recent publications around the now well established use of force platforms for shoulder strength testing developed at Saracens rugby and in use in Major League baseball, NFL, tennis, rugby, cricket & collegiate sports.
Performance profiling of the shoulder
This talk will cover the use of objective testing of the shoulder in an elite environment to monitor performance & provide return to play markers. The evolution and current applications of the ASH test, alongside other field based tests of shoulder performance will be outlined with real world applications.
Martin is a sports medicine therapist specialised in shoulder injuries in overhead athletes. He has worked with different elite handball teams since 2000 and for the last 15 years with a special focus on youth and adolescent players. He works part time as clinical lead at a multidisciplinary sports medicine clinic in Stockholm, Sweden and part time as a PhD-candidate at the Musculoskeletal & Sports injury Epidemiology Center (MUSIC) at Karolinska Institutet in Stockholm. The overall aim of his PhD project is to deepen the knowledge in shoulder injuries in elite adolescent handball players and the specific aim is to investigate risk factors for, and prevention of shoulder injuries in such population. Martin is also a board member of the Medical Committee of the Swedish Handball Federation and part of the medical team of the Swedish youth national handball team.
The challenges of identifying risk factors and injury prevention
Identifying underlying risk factors and injury mechanisms for injuries and evaluating injury prevention measures based on the knowledge about the underlying risk factors are important in injury prevention in sport. In this talk Martin will highlight the difficulties and challenges of identifying risk factors for shoulder injuries in athletes. He will also emphasize the challenges when implementing shoulder injury prevention strategies and how we as practitioners can facilitate this in a real world setting.
Michelle is a chartered physiotherapist and is completing her PhD, on Sleep in Elite Athletes, at the University of Limerick. Published papers from her PhD research, have investigated how sleep relates to athlete health and wellbeing, in numerous athletic populations. Clinically, Michelle works with professional and amateur sports teams, implementing the current evidence to improve sleep in athletes. Michelle has worked for over 12 years as a sports physiotherapist, including the last two Olympic Games, and World University Games. She also runs two private practices in Galway, Ireland.
Sleep, and its impact, on athlete health, performance, and rehabilitation
Sleep is now recognised as a legal, health and performance-enhancing drug! As clinicians we need a comprehensive understanding of our athletes’ primary recovery process. This talk will cover, the role of sleep in the general health and wellbeing of athletes, how sleep can improve or degrade sports performance, and potential implications when rehabilitating athletes back from injury. Learn how we can assess, refer, and/or intervene, to maximise and improve our athletes’ sleep.
Mr Brownson studied at Liverpool University and qualified in 1986 (MB ChB). He was elected a Fellow of the Royal College of Surgeons of Edinburgh in 1991 (FRCS Ed), after which he undertook a period of orthopaedic research at Nottingham University. This research involved impact biomechanics as applied to aircraft passenger safety. It culminated in the submission of his doctoral thesis and the award of a DM. Mr Brownson continued his orthopaedic training in Nottingham, and completed his training as the Shoulder Fellow in the Nottingham Shoulder and Elbow Unit. In 1998 Mr Brownson was appointed as a Consultant Orthopaedic Surgeon in Liverpool where he was instrumental in establishing the Liverpool Upper Limb Unit as a centre of excellence for shoulder and elbow surgery.
He is recognised for his expertise in arthroscopic shoulder surgery. He is regularly invited to lecture and carry out live surgical demonstrations at courses across Europe and the United States. Mr Brownson treats a significant number of elite athletes including players from 10 Premiership football teams. He is actively involved in research and has published over 20 papers as well as being a co-author for six sets of National (BOA/BESS) Care Pathways.
He was elected a member of Council for The British Elbow and Shoulder Society in 2012. He is the Past President of the Society. Mr Brownson is a member of the Arthroscopy Association of North America (AANA) and the European Society for Shoulder and Elbow Surgery. In 2018 he was invited to become a corresponding member of the American Shoulder and Elbow Society (ASES).
The overhead athlete: The surgical perspective
This talk will cover internal impingement and the role of surgery particularly in relation to partial thickness cuff tears and SLAP lesions in the overhead athlete.
Cathy Craig is a professor of experimental psychology at Ulster University and the CEO and Founder of INCISIV Ltd. She has published over 80 scientific papers and is the go-to global expert in using Virtual Reality (VR) to understand and improve decision making in sport. Building on 20 years’ research, she is developing products that combine the power of VR with motion sensors to measure and develop a person’s ability to act intelligently (AQ). INCISIV’s first product to market is Clean Sheet, designed to help goalkeepers make more saves so teams win more games. INCISIV is currently developing a new VR rehabilitation product (AQ SportsRehab) that will help players returning from injuryUpdate comin soon.
Moving better: How can Virtual Reality help?
Immersive, interactive virtual reality is a powerful technology that can be used to understand and improve decision making in sport. The versatility of this technology means it can be easily applied to many different sports. The VR allows us to control what the brain sees (perception) and motion sensors attached to the body allow us to accurately measure when and how they respond (action). By manipulating what the players see (i.e. the visual information presented to players in the virtual world) and measuring when and how they decide to act, new performance insights can be obtained. This technology can be used to profile a player’s decision-making ability, allow them to train smarter but can also protect players, those returning form injury.
Dr Rachel Chester is a Lecturer in Physiotherapy at the University of East Anglia (UEA). This includes teaching anatomy and musculoskeletal practice to undergraduate and postgraduate students. Her roles there have included Course Director for the MSc in Advanced Musculoskeletal Research and Practice.
Rachel has practiced as a Chartered Physiotherapist within the NHS and privately for 30 years. She currently works with mainly athletes, of all levels, in private practice at the UEA Sportspark.
Rachel has published internationally on a number of musculoskeletal areas. Regions include the knee, Achilles tendon, shoulder, wrist and hand. Journals include the British Journal of Sports Medicine, Journal of Sports and Physical Therapy and the Journal of Bone and Joint Surgery. Between 2011 and 2015, Rachel was awarded a prestigious NIHR Clinical Doctoral Research Fellowship. As part of her PhD, Rachel led a prospective multicentre study of over 1000 patients with musculoskeletal shoulder pain, to identify prognostic factors associated with the outcome of physiotherapy management.
Predicting outcome: What do we know and what can we do?
This presentation will start with an update of our current knowledge of prognostic factors for the physiotherapy management of shoulder pain and will include reference to prognostic factors for other musculoskeletal conditions. The clinical application of this presentation will focus on one of the most important prognostic factors according to the current evidence base: pain self-efficacy. The presentation will outline strategies to improve pain self-efficacy in the context of the therapeutic alliance.
Dale is a sports injury educator, researcher and practitioner. He is currently employed by York St John University and has over 15-years’ experience of delivering sports injury education in higher education settings and is also an affiliate medical tutor for the FA. Dale has a developing sports injury research presence and has contributed to several major international sports medicine conferences. His research is primarily centred around psychosocial factors and return to sport outcomes. Dale is a Sports Therapy practitioner (MSST) and much of his experience is in elite women’s and girls’ football, where he has been Head of Science and Medicine at a Tier 1 Regional Talent Club responsible for coordinating a multidisciplinary performance team. Previously, Dale has worked in WSL football and has consulted for the FA’s regional development programme.
How do you know your athlete is really ready to return to sport?
This is a complex question that sports medicine practitioners frequently face and must make informed decisions on. To avoid several negative consequences athletes should only return to sport when they are physically and psychologically ready to do so. However, in comparison to physical readiness, our understanding of psychological readiness is underdeveloped. This session aims to discuss the role of psychological readiness in the return to sport process. More specifically, what psychological readiness is, how it can be developed, how it can be measured, and how it can be considered in the return to sport decision making process will be outlined. By raising awareness of psychological readiness, it is hoped sports medicine practitioners are more empowered to make more robust return to sport decisions.
Edel is a chartered physiotherapist and leads the upper limb rehabilitation service at the Sports Surgery Clinic, Dublin. Edel completed her honours degree in physiotherapy at Huddersfield University in 2006 and completed her Masters in Manipulative Therapy at Sheffield Hallam University in 2014. Prior to working in Dublin, she worked as a Clinical Specialist Physiotherapist for a number of years in the UK National Health Service. She lectures both nationally and internationally on rehabilitation of the shoulder. Edel has a keen interest in shoulder biomechanics, the sporting shoulder and injury prevention and has worked with elite athletes from a wide range of sporting disciplines. She is currently completing her PhD at the University College Cork investigating the use of return to play criteria post glenohumeral joint stabilisation. Her work explores the role of 3D biomechanics and the use of novel upper limb functional tests in assisting return to play decision making post shoulder reconstruction in contact athletes.
Return to play post shoulder stabilisation - The contact athlete
This presentation aims to guide clinicians in return to sport decision-making post glenohumeral joint stabilisation, with a particular focus on athletes involved in a contact sport. We will present and synthesise current evidence on the use of return to play outcomes post glenohumeral joint stabilisation. We will discuss normative values and descriptive profiles of upper body strength parameters and present novel upper quadrant functional tests.
Len works as part of a large multidisciplinary upper limb unit at Wrightington Hospital and private practice in Manchester, UK. His interests include complex shoulder instability, athletic injuries, AC joint injuries and rotator cuff disease. Len routinely treats elite and professional athletes.
He is Honorary Professor at the University of Salford, where he is clinical lead for the Postgraduate Orthopaedic Programme. He is also involved in many research projects, published widely and lectures internationally. Len established and runs Shoulderdoc.co.uk and is passionate about patient information and education, as well as providing the best quality of care through a multidisciplinary team.
Neither Adults nor Children - Adolescent Contact Athlete Shoulder Injuries
Adolescents are neither children, nor adults. The ages 12 to 18 years are a time of rapid growth and body changes. These vary significantly between individuals. At the same time the the intensity and pressures of competitive sport are increasing in this age group. This is the time when athletes are competing for school, clubs and national level. It is also the time when they are being scouted and signed for professional contracts.
In my practice of 15 years so far, I have seen large changes in the pattern, frequency, intensity and complexity of shoulder injuries in adolescent contact athletes. We have studied this over the years and in this lecture I will present our data showing the increasing frequency and complexity over the years, as well as the difficult diagnosis and decision-making processes. I will also present our published outcomes of surgical management and question the future of managing this key group of athletes.
Jo completed her Masters in Advanced Practice at Liverpool University in 2012 and completed her dissertation on the Biopsychosocial model cementing her belief in tailoring treatment to the individual and the importance of communication skills. Jo is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital, UK. She continues to be involved in upper limb research, has presented original research at many National and International conferences winning three Best Paper prizes. She has published in peer-reviewed journals and written several book chapters. Jo has also co-authored BESS Care Pathways for the British Elbow and Shoulder Society.
Jo lectures both nationally and internationally about rehabilitation of the shoulder. Her research interests are shoulder instability and motor learning. Jo is currently Squad Physiotherapist for the Great Britain Endurance riding Team. Jo’s recognised expertise in the assessment and management of shoulder pathology has resulted in consultancy work with many elite sports teams in a variety of sports including football, rugby, cricket, gymnastics, swimming, boxing and tennis. In addition she is regularly sought out by other clinicians to help problem solve more challenging presentations.
Ian has been a physiotherapist for nearly 30 years. He worked as a physiotherapist for England Rugby Union, for 14 years, in with various teams, and spent the last 6 years working with the Elite Playing squad, as physiotherapist to England ‘A’.
Currently Ian is Lead Physiotherapist and Technical Lead for the North West for the English Institute of Sport, Clinical Director of Back In Action Rehabilitation, in Wakefield, West Yorkshire, associate lecturer at Salford University, and member of the EdCom for EUSSER and BESS.
He concluded his PhD in 2103 examining the issues around shoulder injuries in professional rugby, and has published several articles in peer reviewed journals on the subject of musculoskeletal injury management, and contributed chapters to several books on sports injury management. He worked as part of the HQ medical team for Team England at the 2010 and 2014 Commonwealth Games, was a member of the Team GB HQ medical team at the 2012 and 2016 Olympic Games and currently is a Consultant Physiotherapist to England Football.
The demands of the rugby Shoulder
This presentation with discuss the physical and biological demands experienced by the shoulder during contact in rugby. It will aim to provide insight into physical preparation and rehabilitation of the rugby shoulder.
Tom Hughes qualified as a physiotherapist in 2001 at Leeds Metropolitan University and worked in the NHS to Extended Scope Practitioner level. Tom completed an MSc at the University of Bradford in 2007. He is currently completing a PhD at the University of Manchester, investigating the use of periodic health examination (screening) and injury prediction/prognosis in elite football. He has published several articles in sports medicine journals related to this project.
Preseason Screening in Football and Sports Medicine: is the prognosis good?
In professional football and other elite sports, medical and performance screening of athletes (also termed periodic health examination or PHE) is common practice. The aim of this talk is to: 1) explain the concept of prognosis in relation to athletes; 2) outline the capabilities, challenges and limitations of screening in terms of prediction/injury prevention and; 3) provide guidance on how to develop appropriate and bespoke screening programmes for different athlete groups.
Fredrik studied from 2011–2017 at Ghent university, Belgium and received his PhD in June 2017. His current position is post-doc at Sophiahemmet University, Stockholm with a research area involving tennis and medicine. He is currently a lecturer in sports medicine at Scandinavian College of Manual Medicine, work on a daily basis with high performance athletes and has over 20 years of clinical experience in the field.
The Shoulder in the Elite adolescent tennis player – from static control to elastic speed.
Although many overhead sport movements have similarities with respect to their biomechanical components, each individual sport has its unique characteristics. In general, it is thought that when the overhead throwing or smashing movement is performed correctly from a biomechanical point of view, the efficiency of the kinetic chain will protect the shoulder by reducing the forces acting on the shoulder complex. However, adolescent athletes are often poor users of the kinetic chain, nor the muscles or tendons are fully developed, therefore the need for a progression throughout these crucial years of adolescence are require.
Professor Omid Khaiyat completed a degree in Medicine in 1995 (MD) and obtained PhD in Musculoskeletal Science (Sports Medicine) from the University of Liverpool in 2006. After 7-year upper limb clinical research at the University of Liverpool (Musculoskeletal Science Research Group), he joined Liverpool Hope University in 2013 where he is currently a professor of Musculoskeletal Physiology and Health and Head of School of Health Sciences. For more than a decade, his clinical research has focused on upper limb by means of investigating the normal function, underlying mechanism of common elbow and shoulder pathologies, and evidence-based prescription of rehabilitation exercises.
Contemporary linkages between EMG, kinetics, kinematics, and shoulder rehabilitation
An overview of how technologies such as EMG, Motion Capture, and Force platforms, individually or in combination, can support the development of more efficient shoulder rehabilitation strategies: A critical reflection of the past and current research.
Steve currently works as an Athlete Health consultant at the English Institute of Sport, where is supports a number of sports in their athlete health strategy. He was previously a senior physiotherapist at the England and Wales cricket board for 10 years, where he was also the physiotherapy lead for research for the last 2 years. He is currently completing his PhD in throwing arm pain in elite adolescent cricketers at Cardiff Metropolitan University.
Throwing arm pain in cricket: An assessment and management framework
Presentation title: Throwing arm pain in cricket – an assessment and management framework. During this presentation Steve will summarise the key findings from his research into throwing arm pain (TAP) in cricketers and present an approach to managing and preventing this condition based on his research as part of his PhD studies. This will include the epidemiology of TAP, reliability of commonly used MSK measures in overarm throwers, the effect of age,skill group and injury history of the upper limb musculoskeletal profile of a cricketers and the risk factors associated with developing TAP
Dr Karen McCreesh is an experienced musculoskeletal physiotherapy educator, researcher, clinician, and a qualified sonographer. Her research interests lie in the areas of shoulder dysfunction, musculoskeletal disorders, and ultrasound imaging. She completed her PhD in the area of mechanisms of Rotator cuff Tendinopathy, funded by the Health Research Board of Ireland. She is Course Director and Senior Lecturer in Physiotherapy at the School of Allied Health at the University of Limerick. She has published over 45 articles in peer-reviewed journals. She presents at national and international conferences, and provides CPD workshops for qualified clinicians. She has supervised 3 PhD students to completion, and currently supervises a team of 5 Phd and 2 MSc research students. Karen is a founder member and Chair of the Irish Shoulder and Elbow Rehabilitation Society.
The role of ultrasound in shoulder pain rehabilitation – not just a diagnostic tool
Musculoskeletal ultrasound is a rapidly expanding technology widely used to support diagnosis and treatment of a variety of shoulder pain conditions. However, it also offers the potential for other applications in sports and research, including as a monitoring tool for injury surveillance and recovery, and measurement of training related variables. This presentation will examine some of the non-diagnostic applications of MSK shoulder ultrasound, and discuss future developments in this field.
Filip Struyf, PhD, PT is associate professor at the department of Rehabilitation Sciences and Physiotherapy of the University of Antwerp, Belgium. At the University, he coordinates research within the field of musculoskeletal disorders, more specifically on shoulder disorders. In addition, Filip is editor of the Dutch/Flemish journal of Sports Medicine, which he combines with board memberships in the Flemish Association of Sports medicine and the Flemish Shoulder Network. He has published over 60 PubMed cited articles and teaches courses on shoulder assessment and rehabilitation at both national and international level. Recently, Filip was mentioned as top-rated expert in shoulder pain according to Expertscape.
Can we predict shoulder pain in swimmers?
Competitive swimming is a unique sport that combines upper and lower extremity strength with high cardiovascular demand in a non-weight bearing environment. Elite swimmers may swim up to 14.000 meters each day, which means more than 2500 shoulder revolutions per day or up to 16.000 shoulder revolutions per week. Consequently, shoulder pain in swimming is a common problem and is the most reported orthopaedic injury in swimmers. However, a comprehensive understanding of which dysfunctions cause the so-called “swimmers’ shoulder” is still lacking. Suggested physical characteristics that have been proposed to contribute to the aetiology of swimmer’s shoulder include: reduced core endurance, incoordination or weakness of the shoulder muscles, a lack of scapular stability, altered pain processing, postural alterations such as pectoralis minor tightness, poor stroke biomechanics or changes in mobility. Knowledge of risk factors for shoulder pain that are related to swimmer’s physical capacity can assist clinicians in developing optimal preventive and rehabilitation programs. The aim of this presentation is to present a longitudinal prospective study for the potential risk factors for the development of shoulder pain in competitive swimmers.
Dr Richard Tingay qualified as a doctor from Kings College, London in 2003 and initially trained as a General Practitioner. He has worked in elite rugby for a number of years both internationally and within the English Rugby Premiership. He now works full time in Sport Medicine for England Rugby and as part of this role is the current England U20 Team Doctor.
The Rugby Shoulder: Data from the touchline
Reducing injury risk in rugby union requires a detailed understanding of the factors that underpin injury occurrence - the Professional Rugby Injury Surveillance Project (PRISP) is the most comprehensive and longest running injury surveillance project in professional rugby union. In this presentation we look at the information from the latest PRISP report, and discuss the current data around the incidence of shoulder injuries in professional rugby.
Background, Implementation, Analysis, Implications, and Suggested Rehab Options.
This practical workshop will explore the role of 3D biomechanics, force plates and the use of upper limb functional tests in assessing outcomes and assisting return to play decision making post shoulder reconstruction.
Ian Horsley and School of Calisthenics
Calisthenics is a form of physical training focused on teaching you to master your own bodyweight. The word comes from the Greek, Kalos and Sthenos meaning ‘Beauty’ and ‘Strength’. The workshop presents a snapshot of the newly designed programme developed in association with The School of Calisthenics offering an insight in to how calisthenics can be integrated into shoulder rehabilitation programmes”
BE PREPARED TO GET INVOLVED!
Musculoskeletal ultrasound is an increasingly popular tool for shoulder clinical practice, offering point of care imaging to support clinical diagnosis, or deliver injection therapies. It also offers a method to educate patients about their shoulder in a way that may provide better understanding and reassurance.
This workshop will demonstrate the use of MSK ultrasound to undertake a basic assessment of the rotator cuff and subacromial space, and discuss its role in Physiotherapy practice and research.
Managing shoulder injuries using focused shockwave: 'Examination and treatment of shoulder tendinopathies (Friday 29th)' and 'Examination and treatment of calcifications and cartilage lesions (Saturday 30th)'.
From real-time kinematics to clinical interpretation.