Sports Physiotherapy Course: Certificate 1 - 8

Sports Physiotherapy
Certificate Level 1 - 8
Sri Lanka
August 2015
Kusal Goonewardena
(MaSpPhysio, GradCertSpPhysio, BaPhysio)
Elite Athlete (APA) Sports Physiotherapist
Head of Sports Medicine
Elite Akademy Sports Physiotherapy
Melbourne Australia

WHO I AM AND WHAT I DO…
Section One

15year Career
Founder/Director of 3 Sports Medicine Clinics
Australia

Over 50,000 Treatment Sessions in Sports Injuries
& Performance

Melb Uni Sports Physio since 2002
Head of Sports Medicine at Melb Uni since 2008

Lecturer, Consultant
Australia, China, Singapore, Sri Lanka

WHAT MAKES A GOOD SPORTS
PHYSIOTHERAPIST
Section Two

What makes a Good Sports Practitioner
Definition 1
“Best Results in the Shortest Period of Time”
Make a Difference, or you make a Plan.
Make a Difference in 3 Sessions or Less.

Definition 2
“Australian Physiotherapy Council Requirements”
Safety ✔
Effective Treatment ✔
Exercises ✔
I want to go back ✔

Definition 3
Apply “THE 5 ELEMENTS” Each and Every Time
1. SUBJECTIVE
2. OBJECTIVE
3. ANALYSIS
4. TREATMENT
5. EDUCATION

Definition 4
“Exceptional Athlete Care (Customer Service)” – John
Spence
1. Show up on time
2. Do what you say you will do
3. Finish what you start
4. Say “Please” and “Thank You”
5. Give a little more than expected
6. Smile
7. Make good eye contact
8. Be enthusiastic
9. Dress for success
10. Keep professional

Definition 5 -“Apply the Four Essentials”
– Brendon Burchard
COMPETENCE CONFIDENCE PD COMMITMENT

Which Definition Should I Follow?
Choose the one that
 Comes naturally.
 Feels right inside.
 Has worked for you through experience.

MY STORY OF STRUGGLE AND
FINDING A SYSTEM THAT WORKED
Section Three

3 Sessions or less
1. Reduce Pain
2. Correct Biomechanics
3. Exercises to Prevent Re-injury

MY STORY OF FINDING A
SOLUTION
Section Four

THE MYTHS AND NEW TRENDS
Section Five

Myth
Pain is a feeling…NOPE!

75%ofLowBackPaincausedby…
Trend#1-Neuraltightness

Trend#2and #3

Trend#4- Gluteals

Trend#5-Subscapularis

HERE’S THE STEP BY STEP GUIDE
FOR SPORTS INJURIES AND REHAB
Section Six

Elite Akademy Performance Pyramid™
1.What is it?
2. Where did it
originate?
3. How does it
work?
4. Why is it
different?
5. What are the
steps to learn?
6. What are the
key areas to
concentrate on?
7. What should I
do first and
continue to keep
in mind?

Outlines all the fundamentals required for success with
musculoskeletal injuries in sport
Answers the Question, “What will you do to help me?” and
“How will you help me?”
Process for comprehensive treatment and rehabilitation
Improves objectivity, increases understanding (increase
compliance)
Increases awareness of what you do as a practitioner
1.What is it?

1.What is it?

• Originated in 2014 at Elite Akademy
Sports Physiotherapy- University of
Melbourne
• Founded by Kusal Goonewardena and
his sports medicine team’s pursuit of
‘Making a Difference in 3 Sessions or Less’
2. Where did it
originate?

3. How does it
work?
Each needs to
improve by
85% for best
outcome

3. How does it
work?
Any Pyramid is as strong as its base
Keep working from the bottom up to complete the Pyramid
Start on 1. Biomechanics then 2. Functional Range 3. Functional
Core 4. Functional Core and finally 5. Strength and Conditioning

EACH step of the process is measured
Same process is applicable for ANY athlete in -
Rehabilitation, Prehabilitation, Performance
Enhancement and Screening
Communication ‘Currency’ between players, coaches
and other practitioners is the SAME
4. Why is it
different?

5. What are the
steps to learn?
The 5
Fundamentals
Step by Step
The Weighting
Score on each

1. Tests to Measure and Improve Biomechanics (Ridgway Method)
2. Tests to Measure, Improve Functional Range and Control
(Ridgway Method)
3. Tests to Measure and Improve Functional Core (Clinical Pilates)
4. Tests to Measure and Improve Strength and Conditioning
(Numerous!)
6. What are the
key areas to
concentrate on?

1. Master how to measure and Improve
Biomechanics – The Base of the Performance
Pyramid
1. Communicate the Performance Pyramid to
Coaches, Athletes, Athlete’s Parents, Other
Practitioners
2. Refer back to the Performance Pyramid when
identifying ‘How Your Athlete Is Going?’
7. What should I
do first and
continue to keep
in mind?

1.hat is it?
Let’s look at each fundamental…

Application of the Ridgway Method for best results
Objectively measure:
Neural Dynamics
Muscle ( Tight and Weak)
Joint (Stiff and Lax)
Behavioural
BIOMECHANICS
36.0

Application of the Ridgway Method for best
results
Objectively measure and Use of Technology here
Show Your Athlete their Deficits and Areas of
Improvement
FUNCTIONAL RANGE
28.0

Application of the Ridgway Method for
best results
Objectively look at the quality of
movement
FUNCTIONAL CONTROL
20.0

Used at Elite Akademy Sports Physio – Uni of
Melbourne:
Clinical Pilates
Use current tests in individual sports or create
tests for core assessment
FUNCTIONAL CORE
12.0

Individual Programs (Strength vs Endurance
vs. Sports Specific)
Personal trainers, Gym Instructors
Strength &
Conditioning
4.0

PRACTICAL SESSION - RECAP
FROM LEVEL 1 AND 2
Section Seven

Assessing where 75% of Problems Originates
Thoracic Spine

Gluteals

Lumbar Spine – Anterior Disc Approach

Subscapularis

Combine Treatment + Functional Test =
Treatment Directional Test ‘TDT’
Results in Real Time
FUNCTIONAL RANGE
28.0

Combine Treatment + Functional Test =
Treatment Directional Test ‘TDT’
Results in Real Time
FUNCTIONAL CONTROL
20.0

Clinical Pilates
Use current tests in individual sports or
create tests for core assessment
FUNCTIONAL CORE
12.0

Individual Programs
(Strength vs Endurance vs. Sports Specific)
Strength &
Conditioning
4.0

#3 Ways to Maintain Your Gains and Prevent
1. Awareness & Posture - 3000 reps
1. Taping
1. Clinical Pilates

Maintain and Prevent #1
-Good vs Bad Muscle-
Relaxed Muscle
-Uncooked meat
-Jelly Like
Working Out
-Cooked meat
-Firm/Springy
NO!
-Ropey
-Metal Rods

Maintain and Prevent #2
-Posture-‘Grow’ Tall
Stand at your height
Good Posture In 21 Days!

INJURY MANAGEMENT & REHAB
SPINAL PAIN - LUMBAR
Section Eight

TheMostCommonTypes of
LowBackPain
Musculo-Ligamentous Strain/Sprain
Facet Joint Inflammation or
StiffnessBulging Disc

TheMostCommonTypesof
LowBackPain
Degenerative Disc
Disease

SIJ Inflammation
TheMostCommonTypesof
LowBackPain

Spinal Pain – Lumbar Spine
Using the Ridgway Method for best results
Not to be missed-
Neural Dynamics
Muscle (Tight and Weak)
Behavioural
BIOMECHANICS
36.0

Functional Ranges to assess
Demo
FUNCTIONAL RANGE
28.0

The Importance for rehab
R1 vs P1 Demo
Taping for Lumbar Spine Demo
FUNCTIONAL CONTROL
20.0

Clinical Pilates Demo
Core Taping Demo
FUNCTIONAL CORE
12.0

Strength vs Endurance vs. Sports Specific
Communication++
Strength &
Conditioning
4.0

SPINAL PAIN - THORACIC
Section Nine

Spinal Pain – Thoracic Spine
Not to be missed-
Neural Dynamics
Behavioural
BIOMECHANICS
36.0

Demo
FUNCTIONAL RANGE
28.0

The Importance for rehab
R1 vs P1 Demo
Taping for Lumbar Spine Demo
FUNCTIONAL CONTROL
20.0

Core Taping Demo
FUNCTIONAL CORE
12.0

Strength vs Endurance vs. Sports Specific
Communication++
Strength &
Conditioning
4.0

THE SPORTING KNEE
Section Ten

The Sporting Knee
Not to be missed
Special Tests
Neural Dynamics
Behavioural
BIOMECHANICS
36.0

Demo
FUNCTIONAL RANGE
28.0
The Sporting Knee

R1 vs P1 Demo
Taping for Knee Injuries Demo
FUNCTIONAL CONTROL
20.0
The Sporting Knee

FUNCTIONAL CORE
12.0
The Sporting Knee

Rehab programs
20 x 20 x 20m running drills
25% 50% 75% and 100% sprint drills
5 x 5 metre Running Box
Strength &
Conditioning
4.0
The Sporting Knee

THE SPORTING ANKLE
Section Eleven

The Sporting Ankle
Not to be missed
Special Tests for the acute ankle
Neural Dynamics
Behavioural
BIOMECHANICS
36.0

Functional tests to assess
Demo
FUNCTIONAL RANGE
28.0
The Sporting Ankle

Taping for Ankle Injuries Demo
FUNCTIONAL CONTROL
20.0
The Sporting Ankle

FUNCTIONAL CORE
12.0
The Sporting Ankle

Rehab programs
20 x 20 x 20m running drills
25% 50% 75% and 100% sprint drills
5 x 5 metre Running Box
Strength &
Conditioning
4.0
The Sporting Ankle

THE SPORTING SHOULDER
Section Twelve

The Sporting Shoulder
Not to be missed
Special Tests for the subluxations, dislocations
Role of Scans
Neural Dynamics
Behavioural
BIOMECHANICS
36.0

Demo
FUNCTIONAL RANGE
28.0

Taping for shoulder Injuries Demo
Role of hydrotherapy
Theratube Exercises
FUNCTIONAL CONTROL
20.0

FUNCTIONAL CORE
12.0

Rehab programs
Communication++ with PT’s
Strength &
Conditioning
4.0

THE SPORTING HIP
Section Thirteen

The Sporting Hip
Not to be missed
Special Tests
Role of Scans
Neural Dynamics
Behavioural
BIOMECHANICS
36.0

TDT with Belt
Demo
FUNCTIONAL RANGE
28.0
The Sporting Hip

Closed Kinematic Chain
Use of mirror, biofeedback, filming
yourself
Demo
FUNCTIONAL CONTROL
20.0
The Sporting Hip

FUNCTIONAL CORE
12.0
The Sporting Hip

Rehab programs
Communication++ with PT’s
Strength &
Conditioning
4.0
The Sporting Hip

ELBOW AND HAND
Section Fourteen

The Elbow and Hand
Not to be missed
Neural Dynamics
Behavioural
BIOMECHANICS
36.0

Demo
FUNCTIONAL RANGE
28.0
The Elbow and Hand

Strength v Control
Gross v Precision
Demo
FUNCTIONAL CONTROL
20.0
The Elbow and Hand

FUNCTIONAL CORE
12.0
The Elbow and Hand

Rehab programs
Communication++ with PT’s,
Easier to suffer Neural+
Strength &
Conditioning
4.0
The Elbow and Hand

HAMSTRING INJURIES
Section Fifteen

Hamstring Injuries
Not to be missed
Neural Dynamics
Behavioural
Scans
BIOMECHANICS
36.0

Demo
FUNCTIONAL RANGE
28.0
Hamstring Injuries

Functional Tests
Demo
FUNCTIONAL CONTROL
20.0
Hamstring Injuries

FUNCTIONAL CORE
12.0
Hamstring Injuries

Rehab programs
H/S bias running drills
Eccentric chair drops
DOMS through the season
Strength &
Conditioning
4.0
Hamstring Injuries

MEASURING PROGRESS AND
REHABILITATION
Section Sixteen

Scoring the Pyramid
FUNDAMENTAL %
YOUR PERFORMANCE
SCORE
NORMAL VALUES
Biomechanics
[36.0]
30.6 – 34.2
Functional
Range [28.0]
23.8 – 26.6
Functional
Control [20.0]
17.0 - 19.0
Functional
Core [12.0]
10.2 – 11.4
Strength &
Conditioning
[4.0]
3.4 – 3.8
Your Peak Performance
score: _____________
Peak Performance 85.0
- 95.0

Loading Tolerance
When your Peak Performance Score is >85.00 your Loading
(intensity of training, competing) matches your Tolerance. Result
is no pain, no symptoms. The body is a well oiled machine.

Loading Tolerance
7-14 DAYS
20%
Once your Peak Performance Score is >85.00 you can
increase your Loading (training, intensity) by 20% over a
period of 7-14 days, and your body will be able to Tolerate
it. For elite athletes, you can increase your Loading by
~30% over a period of 5-10 days.
(I.e. you tolerate things faster).

Loading Tolerance
>20%
PAIN/SYMPTOMS
If you increase your Loading by >20% the body finds it
difficult to Tolerate this amount of change. When your
body's Tolerance does not match the Loading then
pain/symptoms are the result.

LIVE ATHLETE DEMONSTRATION
Section Seventeen

Live Client Demonstration
The Performance Pyramid
The Ridgway Method

GETTING RESULTS
Section Eighteen

Rule of 5
5 ways to contact the person during course of
treatment and after – ADDS VALUE!
1. Follow up exercises
2. The ‘Little’ hello
3. The reminder
4. Progress report
5. Your research, books, experts to connect

Dear….
Below are the photos required to analyse your
desk set up.
These 2 pictures should show:
Your desk arrangement
2. You sitting/ standing* at the desk with a
clear view of your chair and computer.
3. How you would normally place your feet
when working.
*for standing desks only

Your Thank you
Courtesy of John Spence
Thank you, it was my pleasure.
If you can do something for me to help me
out, it would be awesome if you can tell
anybody who would find value in what I do.
Namely,
• My presentations
• My treatments
That would help me help so many others.

RECAP, BRAINSTORM AND
ACTION-PLAN
Section Nineteen

What I want you to have achieved
after this course
Get a deeper understanding of
The 4 Principles of Sports Physiotherapy
1. Where an injury is coming from | Where the pain is coming from
(Diagnosis)
2. Whether you can help
3. If Yes, how long it will take to heal (Prognosis)
4. What exercises I can show my athlete to help them

What I want you to have achieved
after this course
• Further understand where 75% of injuries comes from
• Assess and Treat Lx, Tx, Knee, Ankle, Hip, Shoulder,
Elbow and Hand Injuries
• Learn the Principles behind taping and clinical pilates
• Learn preventative measures and rehab accelerators
• Objectively measure and communicate your athlete’s
progress to all parties concerned

My 3 Expectations
The three things I wanted to learn from this
course
1.
2.
3.

Top 3 ‘WOWS’ from this course
The best three things I have learnt
1.
2.
3.

In the next 30 days I want to achieve
Now that you have completed this workshop
what do you want to achieve in the next
month?
…………………………………………………..
Guidelines
1. Specific, Measurable, Attainable, Relevant,
Time Based
2. It will help me, and my athletes (Y/N)
3. It will push me outside my comfort zone

The Steps to achieve my 1 Month
Goal
The 3-5 Action Steps To Achieve my Goal are
1.
2.
3.
4.
5.

Tomorrow’s To-Do-List
My To-Do-List will help me towards my action
steps
1.
2.
3.
4.
5.

Success rate
Think about the goal 43%
Write your goal down 56%
Share with a friend 64%
Weekly Progress Report 76%

FAQ’s
Q: Kusal will you be coming back for more
lectures?
A: Only if you want me to
Q: Do you have an online course I can do?
A: Yes, we have created an Australian
accredited online short Sports
Physiotherapy course. Email me if you’re
interested.

FAQ’s
Q: Can I access Online Ridgway Method Training?
A: Yes! Special PD video’s by Michael Ridgway for
Sri Lankan Participants.
Click HERE to go directly there.
Or cut and paste this into your browser
www.ridgwaymethod.com/OnlineModules-
SriLanka-pg29304.html
Any further Questions:
michael@ridgwaymethod.com

Final Thoughts
Our Mission at Elite Akademy Sports
Medicine…
1. Help Practitioners Achieve their Best
2. To help Athletes Achieve the Best Results,
in the Shortest Period of Time.
We love What We Do and We love Sport. (And
So Do I!)

Congratulations!
You have successfully completed
Certificate Level 1-8 Sports Physiotherapy

Thank You!
If you have any questions at all please do not hesitate to send a note or
call our clinic +613 8344 4948
My email address is: kusal@eliteakademy.com
My twitter address is @kusalkumar
The Elite Akademy twitter address is @EliteAkademy
We share practitioner and athletes success stories and advice on our
Facebook site www.facebook.com/EliteAkademy
Lastly these slides have been uploaded to
www.slideshare.net/KusalGoonewardena
Here’s to a career and a lifetime of happiness! My very best to you.

Sports Physiotherapy Course: Certificate 1 - 8

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