IFOMPT Webinars Update

Webinar glasses

IFOMPT hosts up to six webinars per year with the purpose of sharing knowledge and exposing our Member Organisations, Associate Member Organisations and Registered Interest Groups to renowned presenters from around the world. Webinars are attended at a small attendance fee and the income is used to further enhance the objects of IFOMPT. The webinars are recorded and are available a library hosted by APTA on a user-pay basis following the live events - https://learningcenter.apta.org/Default.aspx.  Note that APTA membership is not required to access the webinars, but you do need to set up an APTA ID – there is no cost for that.  Simply go to  https://apta.org and click “don’t have an account?” in the Join/Renew section and the process from there is pretty easy to follow. Then go to https://learningcenter.apta.org in order to register. For easy access to the specific recordings you can also click on the link below the photograph of each presenter in the IFOMPT Webinar Hall of Fame once you have an APTA account.

Any recommendations about potental presenters are most welcome and can be sent to admin@ifompt.org.

IFOMPT Webinar Hall of Fame 

We have been honoured to have highly respected presenters involved in our webinars and acknowledge their contribution to reaching the IFOMPT objective of sharing knowledge for the advancement of OMPT practice worldwide.

Hall of Fame

List of Webinars 

Inflammation, pain and the brain: Considering post-Covid musculo skeletal pain- Jacqui Koep
The immune system is coming into focus as being a key player in the experience of pain and fatigue.
This presentation will explore the role of the immune system in managing inflammation and how pro-inflammatory states, following injury or an infection (such a Covid-19), can lead to a sensitized nervous system and result in pain and fatigue. The clinical implications of managing patients with sensitized neuroimmune systems, who present with joint pain, will be discussed.

Koep Slide 1 2-453
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Julia T-888
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The role of the musculoskeletal physiotherapist in the management of post-concussion symptoms - Dr Julia Treleaven
Symptoms of headache, dizziness, visual disturbances and neck pain are common post concussion and can be vestibular, physiological, ocular or cervical in nature. The role of the musculoskeletal physiotherapist is to perform a skilled examination to determine whether or not the cervical spine is implicated in any of the symptoms. They should also have sufficient skill and knowledge of evidenced based assessments that can be used to screen for vestibular, ocular and physiological deficits post concussion in order to identify the potential systems involved in the production of the symptoms. This will assist directions for appropriate further assessment and management or prompt referral to other professionals for if required. An integrated and co-ordinated approach is often necessary. Further the cervical spine potentially has a primary and secondary prevention role for concussion with emphasis on specific and relevant rehabilitation of the cervical spine musculature.

The ethical side of manual therapy - Dr Ina Diener
Manual therapy is currently much under discussion in the literature and on social platforms. The presentation aims to discuss the current evidence-base for the use of manual therapy in musculoskeletal pain conditions.

An ethical approach in manual therapy is based in a biopsychosocial paradigm, where a therapeutic alliance and effective clinical communication are the cornerstones of intervention. Furthermore, MT, as a meaningful part of a package of care in musculoskeletal pain conditions, should serve to facilitate reaching optimum functional levels, and should guide a patient towards self-management of their MSK condition.

It is the ethical responsibility of physiotherapists to maintain evidence-based knowledge and skill in the field they are working.
Ina Pres 1-931

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A Grimaldi-662

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Gluteal Tendinopathy:Steps towards success - Dr Alison Grimaldi

Lateral hip pain associated with gluteal tendinopathy is a prevalent condition, particularly in post-menopausal women. It is associated with substantial impacts on sleep and weightbearing function with quality-of-life similar to that of end stage hip osteoarthritis. Diagnosis is often delayed, and first line management usually involves corticosteroid injection with little or no active intervention. A substantial body of evidence is now available that has elucidated likely pathoaetiology, diagnostic utility of clinical tests, and reported kinematic variations and impairments of the abductor musculotendinous complex in this population. Early recognition of the condition through appropriate differential diagnosis and diagnostic tests, when followed quickly with an active, evidence-based intervention is likely to optimise outcomes. High-quality randomised clinical trial evidence has established that a specific load management education and exercise approach is highly effective and superior to corticosteroid injection or wait-and-see in both the short and long term.
Learning objectives:
This presentation will aim to:
• outline the current evidence base around pathoaetiology, diagnosis and impairments associated with gluteal tendinopathy
• outline a management approach that has been shown to be highly successful in rigorous clinical trial conditions
• ensure clinicians have practical take away tips to implement immediately in the clinic

A New IFOMPT Cervical Framework for Vascular Pathologies:
Where are we now? - Dr Roger Kerry
This lecture is based around the recent publication of the IFOMPT Cervical Framework for Vascular Pathologies of the Neck. Safety of patients has always been an urgent concern of all therapists. For decades, the wide-use of manual techniques for cranio-cervical dysfunction has been associated with serious neuro-vascular adverse events, e.g. stroke. This concern has impacted on our practice in many ways, from developing testing and screening methods, through to the wholesale avoidance of therapeutic interventions. In this lecture I will draw on the best of evidence to understand how to consider, assess, and manage risk for people with head and/or neck pain. I claim that we have made some errors of thinking in the past decades which has led us from the real issues at hand; thus delaying a more reasoned, scientific approach to assessment of risk. A clinical reasoning framework which facilitates identification of vascular pathology in people presenting with head and neck pain will be presented. This supersedes previous guidance which seeks to 'screen' for at risk patients. The key outcomes of the lecture are to understand and implement a more evidence base risk assessment strategy for people seeking treatment for their head and/or neck pain.


Available on demand till 15 January 2021
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IFOMPT Lecture Series - Duncan Reid 1

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Increasing Research Capacity in Clinical Practice- An Epidemiological Model - Prof Duncan Reid
It is often stated that there is a disconnect between research that goes on in academic institutions and clinical practice. It is also often stated that clinicians are too busy to engage in research as they have high clinical workloads. Clinicians need research to inform their practice and researchers need clinicians to be able to access patients so they can deliver research that matters. There is a wealth of knowledge sitting in clinical notes that could easily inform research questions or demonstrate important outcomes in clinical practice. One of the challenges to using this type of clinical data is the variability with which data is collected. The aim of this webinar is to provide clinicians with a framework for collecting good epidemiological data in a logical fashion that helps to inform wider questions. This will be based on research undertaken in a sports physiotherapy environment but has wider applicability to musculoskeletal practice.

Pain Science - Hands-on or Hands-off? - Dr Louie Puentedura

Pain Neuroscience Education teaches us that pain comes from the brain, and that pain and injury (tissue damage) are not synonymous. If pain comes from the brain, then why do manual therapy? Doesn’t manual therapy foster dependence upon the provider? Doesn’t it focus on anatomical issues, i.e. the tissues? Can pain neuroscience and manual therapy co-exist? Can manual therapy be a way to give the brain and helping hand?
In this webinar, Dr. Louie Puentedura will lead these discussions and provide an evidence-informed rationale for merging manual therapy and pain neuroscience education.

Pain Science Louie Puentedura

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Red Flags Laura Finucane

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An international framework to support identification of serious pathology of the spine - Translating into clinical practice - Laura Finucane
While they often lack high quality empirical evidence, red flags remain the best tools available to the clinician to raise suspicion of serious spinal pathology when used in the context of a thorough, subjective and physical examination. The framework requires the clinician to consider both the evidence to support red flags and the individual profile of their patient to decide how concerned they are that a serious condition may exist. This webinar will look at how you might apply the framework into practice.

Early physiotherapy management of acute whiplash injury: How can we do better?- Prof Michelle Sterling
Physiotherapists are the health care provider most commonly involved in the management of acute whiplash injury. Yet traditional physiotherapy treatments of advice, exercise and manual therapy have only small effects with many injured people developing chronic pain and disability despite treatment. Injured people with poor recovery present a complex clinical picture with psychological distress (particularly posttraumatic stress symptoms) and features of nociplastic pain making clinical management challenging. This webinar will outline evident-based risk stratified assessment of people with acute whiplash and how treatment targeting individual risk factors can be integrated into usual physiotherapy care.
Acute Whiplash Michele Sterling

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Knee OA Kim Bennell

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Increasing accessibility to physical therapy for knee osteoarthritis - Prof  Kim Bennell
Knee osteoarthritis (OA) is a major public health problem worldwide. Self-management via lifestyle treatments, such as exercise/physical activity and weight loss, is integral to minimizing pain and maintaining physical function. However, OA care is suboptimal internationally with underuse of lifestyle treatments a major problem. There are numerous barriers to uptake of and adherence to lifestyle treatments. One major barrier is difficulty accessing clinicians and/or resources (due to geography, lack of clinicians, cost, inconvenience & disability). Given the high adoption rate of computers, mobile devices and internet globally, online approaches provide new opportunities for delivering services remotely to people with osteoarthritis and supporting them to self-manage. These approaches include internet-mediated video conferencing, mobile phone text messaging, web resources & online support groups. Blended interventions are also relatively new ways of delivering health care whereby online resources are combined with some degree of therapeutic guidance. Evidence for effectiveness of such approaches will be reviewed. Key challenges to implementation and future directions for research in the field will be highlighted.

Motor Control changes on low-back pain - Prof  Jaap van Dieen
Pain and especially movement-related pain is a strong stimulus to change the way we move. Consequently, differences in motor control between patients with low-back pain and healthy controls can be expected. However, studies show that these changes are not very inconsistent; large variance exists in findings on motor control between studies and between patients within studies. The theoretical approach I take in my research is to consider changes in motor control in low-back pain as outcomes of a learning process under the influence of pain and pain-related cognitions. This theory yields quite specific predictions that are largely in line with empirical observations, but that require further testing. In this webinar, I will outline this theory, describe motor control changes that we and others have observed in patients with low-back pain and finally I will discuss clinical implications. 
Motor Control and Low Back Pain JvanDieen

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Role of Thorax Low Back and Pelvic Girdle Diane Lee

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The Role of the Thorax in Pelvic Girdle Pain & Dysfunction - Diane Lee
Understanding the relationship between, and within, body regions and the consequences of impaired function of one region on another is complex. Many health practitioners specialize in body regions (low back, neck, knee) and treatment is often based on the practitioner’s training and experience. However, this reductionist approach may not be optimal in that each body region is also integrated, and interdependent, as part of the whole body/person.  No studies have correlated persistent pain anywhere in the body to a consistent impairment. Therefore, in persistent pain conditions such as low back pain, pelvic girdle, pain, plantar fasciitis, headache etc., understanding what body region, and system within that region, should be treated requires an individual clinical reasoning approach. This 45-minute lecture will introduce tests to determine when the thorax is playing a critical role for an individual with impaired function of the pelvic girdle (loss of mobility and/or control) with or without associated pelvic girdle pain. The role of manual therapy for articular, neural, myofascial and/or visceral system impairments impacting the various thoracic rings will be outlined as part of the individualised multi-modal treatment approach.

Getting on your Nerves: Clues and Pitfalls when Assessing and Managing Patients with Entrapment Neuropathies - Dr Annina Schmid 
Patients with entrapment neuropathies such as radiculopathies or carpal tunnel syndrome are frequently seen by physiotherapists. However, diagnosis and treatment often remain challenging. In this webinar, I will incorporate the latest evidence from both clinical and preclinical sciences which have significantly advanced our understanding of the diagnosis and treatment of entrapment neuropathies. Common believes will be challenged and clues and pitfalls in the assessment and management of patients with entrapment neuropathies highlighted. This webinar will help participants to
  1. understand the heterogeneity of patients with entrapment neuropathies.
  2. know how to (or not to) interpret commonly used tests
  3. understand why a one-size-fits-all management for these patients has failed.
Entrapment Neuropathies Annina Schmid

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Manual Therapy and Exercise for Headache Toby Hall

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Manual Therapy and Exercise for Headache - Dr Toby Hall
Headache is a common and debilitating condition, which can be difficult to diagnose and manage as it is both a symptom and a disease. The International Headache Society lists more than 300 different forms of headache, many arising from serious pathology, and clearly not all can be managed through physical intervention such as manual therapy and exercise. However, physical treatments have been shown to be effective in the long-term management of specific headache forms, including cervicogenic and tension-type headache. This seminar clarified evidence-based classification and management of headache suitable for physical treatment including exercise to improve clinical management. 

Non-Specific Neck Pain: The Case for Specific Treatment - Emeritus Prof Gwendolen Jull 
The burden of neck pain is rising. In recent times, the term non-specific neck pain has been advocated in some quarters in recognition of the difficulty in diagnosing a distinct pathological lesion either in the clinical examination or with current imaging practices. In tandem, generic non-specific management approaches of advice and activity are appearing. In this webinar, it will be argued, based on extensive research, that any prospect of reducing the burden of neck pain for the individual patient requires patient centred, specific care whether the management is, manipulative therapy, therapeutic exercise, education, or behaviour modification.
Nonspecific Neck Pain Gwendolen Jull

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Manual Therapy and Pain Science Chad Cook
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Manual Therapy and Pain Science - Two Brothers from Another Mother - Prof Chad Cook
Pain Science and Orthopedic Manual Therapy are both intervention methods that are designed to reduce pain and improve global outcomes of patients. Both interventions involve pain modulatory principles and both have been well studied in the literature. Recent social media chatter, clinical opinion, and an occasional publication, have pitted these two intervention methods as opposing constructs. This webinar discusses the key principles of each approach and compares and contrasts. Certainly, the methods are not the same, but interestingly, they have similar genetics that are worth discussion.