Evidence Based Physiotherapy Putney

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Jimmy May – 13 December 2013
HE Seminars
Evidence Based Physical Therapy 2013
Queen Mary, University of London June 28 2013
7.5 Hours of CPD Earned
This was the seventh Health Education Seminars Evidence Based Physical Therapy conference since 2004. This was a multi-disciplinary event particularly targeted at physiotherapists, osteopaths and chiropractors, as well as sports scientists, sports therapists and all medical and healthcare professionals.
The conference brought together expert clinicians and researchers to present the latest evidence based lectures that are pertinent and relevant to clinicians working in the field of musculoskeletal health.
What drew me to the course were a number of facets of the programme. Firstly, being on top of the evidence and at the cutting edge of research based physiotherapy practice is incredibly important to me. Also, as an expert in neck and back pain relief, I am one of a small subset of physiotherapists to cautiously and judiciously perform neck manipulation, after careful clinical reasoning. I believe that it can be a very powerful tool in reducing neck pain quickly. However, there are tiny but serious risks with neck manipulation relating to Cervical Artery Dysfunction. There has been a new guideline published by IFOMPT – the International Federation of Orthopaedic and Musculoskeletal Physical Therapists on
Cervical Artery Dysfunction and manual therapy on the neck. One of the leading experts in this area is Associate Professor Roger Kerry. He gave a lecture on the new guidance, that her had helped to develop as part of this study day. His lecture was strongly research based and it helped me to see that neck manipulation is just one of a number of manual interventions that we use on the necks of patients, al of which have some risk. That subjective assessment coupled with some objective assessment and clear clinical reasoning an balancing the risk of harm with the potential for benefits is essential. I found the lecture very enlightening and I will be studying the IFOMPT guidelines carefully.
I was also keen to hear from Mr James Moore in his lecture Dynamic Instability of the Hip Joint: Assessment and training. I found his lecture to be useful and I picked up some new ideas for physical assessment tests from him. However, his experience was more from working in sports and with teams and seemed much less evidence and research focused than some of the other lectures, which I found less helpful.
Alan Taylor gave a lecture on advanced rehabilitation of Whiplash Associated Disorder: A Clinicians guide. This was strongly evidence based. sadly, the evidence remains pretty inconclusive and shows that even with highly reasoned physiotherapy interventions, there was little difference in outcome to very simple advice sessions.
Mr David Baker gave a good talk on Pain and Pharmacology. This convinced me to avoid suggesting NSAID use to patients due to the risks of side effects. To suggest that the consider paracetamol instead.
I enjoyed the talk by Dr Neil Landridge, I have attended his lectures and workshops before. This was on the Proprioceptive Lumbar Spine and the Role of Manual Therapy. His model of spinal care and rehabilitation sits well with me and with my approach. Highly specific and skilled manual therapy: then moving into proprioceptive rehabilitation to help with self management and relapse prevention.
There was a talk by a strength and conditioning coach. I was looking forwards to hearing from another professional outside of physiotherapy. It was on 21st century rehabilitation programmes. Much as this is a very interesting area to me, I did not feel that I gained much from this talk. There was nothing that I would consider to be new in the way of evidence or theory.
There was also a talk by Dr Jeremy Lewis. I was keen to see him talk, in order to decide if I wanted to go on one of his oversubscribed shoulder courses in the future. His talk was on the (contracted) Frozen shoulder. I found it a useful and evidence based talk and I learned a lot.
In conclusion: I found the study day excellent. It allowed me to take an ecclectic sampling of some of the current expert courses that are currently available. It allowed me to feel connected to the profession and to the cutting edge of physiotherapy. I would like to do future HES EBPT courses. I would like to do more courses with Neil Landridge, with Jeremy Lewis and with Roger Kerry.

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