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BASRaT SymposiumThe Rehabilitation Continuum – From Pain to Performance14th BASRaT Annual Symposium 2013

St Mary’sUniversity CollegeTwickenhamLondon

Welcome

This conference aims to highlight the increasing importance ofrehabilitation as a specific component of the treatment pathway.The themed approach will take delegates from the initial phasesof dealing with pain, the brain and motor control issues, throughto the rehabilitation phase and on to effective performance.Through world leading experts in each of these areas, this willprovide insight into how we define rehabilitation, where it fits andwhy it is so important.

The first day of the conference will provide two longer workshopoptions followed by the second day with a range of keynotelectures leading into workshops on the three key phases. This willbe brought together by a world leading business consultant in thehealthcare sector, who will outline a model of best practice andhow this can be effectively delivered.

The conference is aimed at all Healthcare Practitioners includingOsteopaths, Chiropractor’s, Physiotherapists, Strength andConditioning and Sport Rehabilitation professionals. Whether youare a new graduate or an established practitioner/business owner,this is a conference you cannot afford to miss.

Keynote SpeakersPain Richmond StaceRehabilitation David TiberioPerformance Jon GoodwinPain to Performance Model John Davie

This exciting and hands-on two day conference is a blend of keynotesessions and workshops/seminars delivered by leaders in the field ofpain, rehabilitation and performance.

Book Nowwww.basrat.org/agmEnquires: symposium@basrat.org

Symposium Itinery

Saturday 23rd November10am-1pm David Tiberio2-5pm John Davie7pm Evening Reception and Dinner

Sunday 24th November8.30am Registration and coffee

9am Pain Keynote – Richmond Stace10am Pain WorkshopsWorkshop 1 Richmond StaceWorkshop 2 Sarah MottramWorkshop 3 Daniel RollinsWorkshop 4 Sarah Cecil

11am Rehabilitation Keynote – David Tiberio

12pm Lunch/Poster Presentations/Trade Stands

1pm Rehabilitation WorkshopsWorkshop 1 Shane LawlorWorkshop 2 Ben AshworthWorkshop 3 Ben CormackWorkshop 4 David Tiberio

2pm Performance Keynote – Jon Goodwin

3pm BASRaT AGM and Coffee Break

3.30pm Performance WorkshopsWorkshop 1 John GoodwinWorkshop 2 Ben RichensWorkshop 3 Rhodri LloydWorkshop 4 Alex Wolfe

4.30pm Pain To Performance Keynote – John Davie

Saturday Evening Drinks and Dinner Reception

Dinner and Drinks hosted by the BASRaT committee will be held inTwickenham (at an additional cost). For further details please go to thebooking page for the conference.

Research Poster Presentations

At this year’s Symposium we are looking for students or practitionerswho have recently completed research to put their posters forward.Successful candidates will display their research in A1 format on theResearch Wall on Sunday of the Conference.

Candidates will also have the opportunity to answer questions fromdelegates regarding their research. A prize is on offer for the bestpiece of research.

Please forward any potential posters via email for the attention ofClare Gibson or Conor Gissane at symposium@basrat.org.

Exhibitors

Interested parties should email symposium@basrat.org for further details.

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BASRaT Symposium 2013

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St Mary’s University College, Twickenham, London

Keynote Speakers

John Davie John is currently the Managing Director ofProfessional Performance Specialists Pty Ltd,and is considered an international businessauthority in the area of allied health, mentoringnumerous business owners around the globe.John qualified as a physiotherapist and createdAustralasia’s largest single physiotherapy facility,which was considered to be twice the size of thenext biggest NZ physio business. John alsoqualified as a Certified Strength and Conditioning

Specialist through the National Strength and ConditioningAssociation of America and developed a sports training business forelite athletes for numerous NZ sports teams and associations.

Saturday Workshop

The Anatomy and Psychology of Winning in BusinessCompetition within the allied health profession is exploding and themarket is rapidly changing, which corresponds to a tremendousopportunity for those who are willing to learn, adapt and apply thenecessary action steps. Your business success will be determined byhow well you apply the 3 Cs of business – clinical skills, customerservice experience and commercial skills.

Sunday KeynoteThe Integration of the Pain to Performance Model into Practice – 1 hourJohn will present the ‘Pain to Performance’ business model, whichhas been created after studying numerous best-in-class allied healthbusinesses from around the world. This is a practical example ofhow disciplines can work together seamlessly with a patient-centredapproach, which not only exceeds patient satisfaction, drives internalmarketing organically and, at the same time, transforming businessesinto high performers from both a clinical and business perspective.

Keynote Speakers

Dave TiberioDavid is a physiotherapist by training in his BSdegree. He continued his formal education witha MS in Education culminating with a Ph.D. inKinesiology specialising in Sport Biomechanicsfrom the University of Connecticut, USA. Davidhas been the Dean of the Gray Institute for thepast 7 years following 26 years of teachingphysiotherapy at the University of Connecticut.He is the co-developer with Gary Gray of theGIFT Mentorship program, the Nike Golf 360

Functional Performance System, and multiple continuing educationcourses. In 2007 the American Physical Therapy Associationhonoured David with the Kendall Practice Award for “outstandingand enduring contributions to the practice of physical therapy”.

Saturday Workshop

The Exercise is the TestThis workshop will introduce the Principles of Applied FunctionalScience, which will serve as the basis for appreciating how anycommon exercise is a powerful examination and assessment tool.Experience how common exercises such as a squat or a lunge, whenperformed in the three planes of movement, allow your clients todemonstrate their threshold of success. Once the threshold isestablished, the same exercises, properly tweaked, provide theinitiation and progression of their exercise programme. Comeprepared to squat, reach, lunge and balance, as we learn by doing.

Sunday Keynote

Proof versus TruthHow does research serve the movement practitioner? When does itconfirm what we already know? When does it illuminate a newdirection? When does it direct us down the wrong path? Thispresentation will focus on joint motion and muscle function specificto injury prevention and rehabilitation, with emphasis ondifferentiating research proof from movement truth.

Membership Type Early Bird Full Rate(October 25th)

BASRaT Full Members £95 £125

CSP/UKSCA/SST £125 £150

Non-Members £145 £175

Students £30 £50(All health programmes)

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BASRaT Symposium 2013

Keynote Speakers

Richmond StaceRichmond is a Chartered Physiotherapist andregistered with the Health Professions Council.Originally trained as a Registered General Nurse,Richmond developed an interest in pain whilstobserving the varying responses in recovery afteroperations. Richmond continued to train as aphysiotherapist and has a further degree in SportRehabilitation and a Masters Degree in PainScience. His passion is providing the latest intreatment for chronic and complex pain and

seeing people relieved of symptoms, develop healthy habits andchange so they may lead normal and fulfilling lives once more.

Richmond is on the editorial team for the Physiotherapy PainAssociation (PPA), a member of the International Association for theStudy of Pain (IASP), The Royal Society of Medicine and theAcupuncture Association of Chartered Physiotherapists.

Sunday Keynote

The Problem of Persisting Pain in SportA look at the neurobiology and the influences that maintain pain insportspeople. Persisting pain is a significant problem in sport,preventing return or full engagement. Understanding the painmechanisms, the adaptations within the nervous and immune systemsas well as the cues and triggers that affect the pain experience guidesa more comprehensive treatment approach.

Keynote Speakers

Jon GoodwinJon is the Programme Director for the DistanceLearning MSc in Strength & Conditioning at StMary’s University College and previously the PDfor the BSc in S&C at the same institution. He isalso a coach tutor for British Weightlifting and theUK Strength & Conditioning Association. In 2013Jon was awarded the inaugural award for ‘S&CCoach of the Year for Education’ by the UKSCA.His first degree was in Sport Rehabilitationfollowed by an MSc in Biomedical Engineering.

He is currently working towards a PhD in Sprint Biomechanics withImperial College, London. He has been coaching since 1998, first intrack and field athletics, followed by multisport S&C and is currentlythe S&C coach for Wales Women’s Lacrosse, in addition to a numberof individual athletes. He is also an applied biomechanist working witha number of sprinters.

Sunday Keynote

Facilitating Transfer to Performance with a DynamicalSystems ApproachLate stage rehabilitation and performance programmes are typified byincreased specificity but are normally driven by constrained ‘correct’technical models of movement explicitly delivered to athletes. Thispresentation considers how dynamical systems theory informs a morevariable approach to enabling general training adaptations to manifestin enhanced performance and improved resistance to future injury.

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St Mary’s University College, Twickenham, London

Workshops/Seminars: Pain

Sarah Cecil – The Psychology of Pain

The focus of this seminar will be on understanding thepsychological component of pain and exploring whether “pain isreally all in the brain”. The cognitive and emotional aspects of painwill be explored to illustrate the role perception plays in thephenomena. From a practical perspective there will be anexplanation of how cognitive behavioral therapy, acceptance andcommitment therapy and mindfulness can be utilised to helppeople alter their relationship with pain. Examples of how thesetechniques are used with elite athletes alongside practicalexperiences of the techniques will form part of the seminar.

Sarah Mottram – Pain Changes the Way We MovePeople in pain move differently. Pain modifies the behavior ofmovement, which leads to movement faults. The identification andclassification of movement faults is now the cornerstone ofcontemporary neuromusculoskeletal physiotherapy practice. Thispresentation sets out to describe how to identify and classifymovement faults (described as uncontrolled movement), discussthe influence of uncontrolled movement on symptoms, activitylimitations and recurrence of symptoms. It will also consider theimpairments that relate to uncontrolled movements and provideevidence based assessment and rehabilitation of uncontrolledmovement illustrated with scapular control.

Daniel Rollins – – Abnormal Postural Development and itsConsequences in AdulthoodDaniel will discuss the two main subtypes of movement patterns,the concept of sagittal stabilisation and some of the key stages ofdevelopmental posture, as observed within the first year of life.Daniel aims to highlight how developmental kinesiology canprovide us with strategies and techniques to improve movementand stability patterns to further help our patients and clientsachieve their goals.

Richmond Stace –– Targeting the Brain with RehabilitationNeuroscience has led a change in thinking around how we cantackle persisting pain. In this workshop we will explore some ofthe modern techniques that focus upon the brain, in particularcortical reorganisation and central sensitisation that both have arole in on-going pain and altered movement patterns.

Speaker Biographies

Sarah CecilSarah is a Chartered Sports Psychologist and combines her role atthe British Olympic Association Intensive Rehabilitation Unit withthe Rehabilitation Psychology Lead Role for the English Institute ofSport and coach education work for UKSport. Sarah has workedextensively with a range of sports for over 12 years, recently withUK Athletics across both the Olympic and Paralympicprogrammes in the lead up to and during London 2012. Sarah hasa BSc from St Andrews in Psychology and an MSc from theUniversity of Exeter. Sarah’s interest lies in multidisciplinarysupport and she has published work on this with her EIScolleagues.

Sarah MottramSarah is an educator, clinician and researcher with a particularinterest in the influence of uncontrolled movement on movementimpairments, activity limitations, recurrence of pain andperformance. Sarah lectures internationally for Kinetic Control andPerformance Matrix on evidence-based solutions to betterunderstand, prevent and manage musculoskeletal pain and injury.Sarah is a Research Fellow at the University of Southampton.

Daniel RollinsDaniel Rollins is an Osteopath, holding a DO and BSc. from theLondon School of Osteopathy. His fascination with functionalexercise and rehabilitation techniques lead him towards the GrayInstitute, USA, where he became a Fellow of Applied FunctionalScience in 2009. He has also studied under Prof. Kolar at thePrague School of Rehabilitation & Manual Medicine, in DynamicNeuromuscular Stabilisation (DNS). DNS, specifically utilisesdevelopmental kinesiology as a means to assess, treat andrehabilitate patients away from pain and movement dysfunction.

Richmond StaceRichmond is a Chartered Physiotherapist and registered with theHealth Professions Council. Originally trained as a RegisteredGeneral Nurse, Richmond developed an interest in pain whilstobserving the varying responses in recovery after operations.Richmond continued to train as a physiotherapist and has afurther degree in Sport Rehabilitation and a Masters Degree inPain Science. His passion is providing the latest in treatment forchronic and complex pain and seeing people relieved ofsymptoms, develop healthy habits and change so they may leadnormal and fulfilling lives once more.

Richmond is on the editorial team for the Physiotherapy PainAssociation (PPA), a member of the International Association forthe Study of Pain (IASP), The Royal Society of Medicine and theAcupuncture Association of Chartered Physiotherapists.

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BASRaT Symposium 2013

Workshops/Seminars:Rehabilitation

Shane Lawlor – Imperfect Rehab and Performance Care

The role of manual therapy in the rehabilitation and performancecare The use of functional screening and muscle testing Building the perfect rehab program, is it possible? Working in professional golf and teamwork

Ben Ashworth– Rehabilitation: Preparation for OptimalPerformance

Outline:Examples of an integrated Sports Medicine and Strength &Conditioning approach to problem solving in elite sportsrehabilitationInfographic presentation (Video and image heavy) with supportiveresearch and detailed analysis to underpin key philosophiesExamples from Football and Judo, including Olympic SilverMedallist with SLAP repair and Paralympic Bronze Medallist withan ACL/MCL rupture 50 days before he fought.

Ben Cormack – Previous Injury and Pain and theImplications for our Future Movement!

The biggest predictor of future injury and pain is ... previous injuryand pain. Join Ben as he delves into the brain to understand theimpact of pain on our future movement problems and how toaddress them. We go beyond the physiological to see how amodern understanding of pain can be applied to future rehab andeven prehab. This will be both theory and practical based sessioninvolving motor control, functional assessment and neurosciencecomponents.

David Tiberio– Truths about Motion and Muscles Appliedto Knee RehabilitationIn this practical workshop, the Principles or Truths of humanmovement will be used to derive strategies for rehabilitatingcommon knee injuries. Participants will experience the “strategiesin action” by performing the movements in a “learn by doing”environment. Emphasis will be placed on the sequencing andblending of different exercises to create an aggressive but safeprogramme for rehabilitation and injury prevention.

Speaker Biographies

Ben AshworthBen is an experienced musculoskeletal physiotherapist. He workedin Premiership rugby with London Wasps for three years, beforetaking up a role at the Olympic Medical Institute for the BritishOlympic Association. Ben currently works as one of the 1st Teamphysiotherapists at Arsenal FC having previously been the LeadPhysiotherapist in London for the English Institute of Sport, wherehe was Lead Physiotherapist for British Judo in the lead up toLondon 2012. Ben’s exposure to a number of excellent Strength &Conditioning coaches encouraged him to undertake a 2nd Mastersin Strength & Conditioning here at St Mary's University College.

Ben CormackBen Cormack is the founder of Cor-Kinetic. He is an educator,researcher and international presenter/speaker. Ben has beeninvolved with elite sports and rehabilitation for over a decade andhas taught and mentored many trainers, physiotherapists andosteopaths in the functional approach to movement, training andrehabilitation. Ben has presented across the globe bothindependently, in conference, and via the education arm of Cor-kinetic.

Shane LawlorShane is one of Europe's leading Golf Performance Therapists andis an expert in the treatment, screening and rehabilitation of golfrelated injuries. He has spent over 5 years with ProGolf Heath, oneof the largest Sports Medicine companies on the PGA & EuropeanTours traveling for 25 weeks a year looking after the PGH stable ofplayers. Shane has extensive post graduate training, He is a level 3certified medical professional with the Titleist Performance Institute(TPI), Lead Instructor for Active Release Techniques (ART®) inEurope.

David TiberioDavid is a physiotherapist by training in his BS degree. Hecontinued his formal education with a MS in Education culminatingwith a Ph.D. in Kinesiology specialising in Sport Biomechanicsfrom the University of Connecticut, USA. David has been the Deanof the Gray Institute for the past 7 years following 26 years ofteaching physiotherapy at the University of Connecticut. He is theco-developer with Gary Gray of the GIFT Mentorship program, theNike Golf 360 Functional Performance System, and multiplecontinuing education courses. In 2007 the American PhysicalTherapy Association honoured David with the Kendall PracticeAward for “outstanding and enduring contributions to the practiceof physical therapy”.

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St Mary’s University College, Twickenham, London

Workshops/Seminars:Performance

Rhodri Lloyd – Strength and Conditioning for YoungAthletes: “minimize pain, maximizeperformance”

This presentation will examine the benefits of a strength andconditioning programme for both physical performance enhancementand injury prevention in young athletes. Attention will be given to theneed for appropriate training during the formative years of earlychildhood with a major emphasis on motor skill development andresistance training. The session will address key issues such ascommon overuse injuries in young athletes, early sport specialization,and the influence of maturation and training age on strength andconditioning programme design. The session will demonstrate viaresearch and practical examples why it is important to commencewith age-appropriate training programmes during childhood in orderto suitably prepare young athletes for more advanced training loadsand greater volumes of competitive, sport-specific training duringadolescence and adulthood.

Ben RichensCase Studies in Elite Performance: A Strength& Conditioning Coach’s Perspective

In this workshop Ben will talk about two athlete case studies;Paralympic Powerlifting and England Rugby Sevens. He will considerwhat some of the challenges were, and what demands andoutcomes were required from a Strength & Conditioning perspective.He will also touch upon the importance of working with othermembers of the sports medicine team to enhance the performanceof athletes from these two very different sports.

Alex Wolfe – Performance Modelling for RowingThe role of a Strength & Conditioning Coach is primarily to augmentor to develop the physical qualities necessary for performance. Thereis also a requirement to consider the risks of the event and helpimplement a protective strategy to minimise or reduce the time lostfrom the risk. However, the traditional approach of developing weightroom or field based physical qualities required for performance canbe limited by having casual or weak relationships to the actualperformance. The intention of this session is to present the conceptof performance modelling using the British Rowing strength andconditioning model in the build-up to the London 2012 Olympics.

Jon Goodwin– Practical constraint driven approaches tofacilitating transfer of training effectsIn this practical workshop you will consider some simple strategiesto use a constraints driven approach to facilitating training variabilityand increased transfer of general training effects. Examples will bedrawn from weightlifting, speed and agility training.

Speaker Biographies

Rhodri LloydRhodri, is currently a senior lecturer at Cardiff MetropolitanUniversity. His research interests surround the impact of growth andmaturation on long-term athletic development, and theneuromuscular mechanisms underpinning resistance trainingadaptations in youth. He is a Board Director for the UKSCA and anExecutive Council member for the NSCA Youth Training SpecialInterest Group.

Ben RichensBen has been coaching for over 11 years in both the UK and USAand has worked with complete beginners through to internationallevel athletes and professional sports clubs. Ben has extensiveexperience in planning, implementing and monitoring S&C programsfor individuals and teams.

Ben currently works for British Weightlifting as a squad coach for theParalympic Powerlifting team. As well as being a co-owener andfounder of The Athletic Edge.

Alex WolfeAlex Wolf is currently the Head of Strength and Conditioning for theEnglish Institute of Sport while also leading the Strength andConditioning programme for the GB Rowing Team. Alex has beenwith GB Rowing for almost five years and was an integral member ofthe support team that helped GB Rowing win nine medals at theLondon 2012 Olympics. Alongside his work with the EIS, Alex runs asmall consultancy company offering bespoke performance planningand coach education.

Jon GoodwinJon is the Programme Director for the Distance Learning MSc inStrength & Conditioning at St Mary’s University College andpreviously the PD for the BSc in S&C at the same institution. He isalso a coach tutor for British Weightlifting and the UK Strength &Conditioning Association. In 2013 Jon was awarded the inauguralaward for ‘S&C Coach of the Year for Education’ by the UKSCA. Hisfirst degree was in Sport Rehabilitation followed by an MSc inBiomedical Engineering. He is currently working towards a PhD inSprint Biomechanics with Imperial College, London. He has beencoaching since 1998, first in track and field athletics, followed bymultisport S&C and is currently the S&C coach for Wales Women’sLacrosse, in addition to a number of individual athletes. He is also anapplied biomechanist working with a number of sprinters.

By Train

From Central London – Travel direct toStrawberry Hill station from Waterloo stationusing the Kingston loopline operated bySouth West Trains. The journey takes about35 minutes and there are usually four trainsan hour. These are listed with the finaldestination of either Strawberry Hill orTeddington on the Waterloo departuresboard.

From other destinations – For train travelfrom other destinations you can use theNational Rail Enquiries or Transport forLondon websites to plan your journey.

By UndergroundTravel by the District Line to Richmondunderground station, and then take a taxifrom the rank outside, take the train toStrawberry Hill or take one of two buses(see below) which stop near St Mary's.

Walking from Strawberry HillStation to St Mary'sSt Mary's is a five minute walk fromStrawberry Hill station. Turn left when youleave the station, then walk past PremierWine and the Post Office on your left andtake the second road on your right, which isWaldegrave Gardens. At the end ofWaldegrave Gardens, turn right ontoWaldegrave Road and St Mary's mainreception is on your left.

By Bus*

From Richmond upon Thames – You cancatch the R68 towards Hampton Court froma bus stop just outside Richmond station.Get off at the Twickenham, King Street stopand then take the 33 towards Fulwell. Getoff at the ‘St Mary's University College’stop, which is just outside St Mary’s mainreception.

You can also take the 33 from Richmond,although the bus stop is a 5 minute walkfrom Richmond station on Sheen Road (Busstop L on the map below).

From Twickenham or Teddington – The 33heading towards Fulwell stops onRichmond Road, York Street and KingStreet in Twickenham. The 33 headingtowards Hammersmith stops on StanleyRoad and Broad Street (Teddington HighStreet) in Teddington.

BASRaT 14th Annual Symposium November 2013St Mary’s University College, Waldegrave Road, Twickenham TW1 4SX

BASRaT Symposium 2013

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