Dr. Bulman attended the sports chiropractic Australia seminar this past weekend, where he was able to catch up with colleagues from the past, and learn some great new tips and tricks for management of sports injuries. The focus of the seminar was the upper limb, with specific attention to injuries of the finger, hand, wrist, elbow and shoulder.
There were a few functional gems over the weekend. For example, there is a great new way to measure grip strength which will be part of all assessments. This allows us to track injuries to the elbow and observe strengthening over time in a measurable way.
Another gem was the closed chain kinetic stability test, featured here.
While much of the seminar focused on upper limb, I did have a chance to sneak in an listen to world renown tendinopathy expert, Dr. Peter Malliaris. We gleaned some tendinopathy management tips that will be used for your next consult. Of particular interest was an update on some of the earlier blogs we discussed, specifically eccentric exercises for lower limb tendons. According to Pete, the eccentric program is as effective as concentric/eccentric, or concentric only. There may be some improvement with heavy slow loading for patellar tendinosis, but the take home message is the same: Exercise and load management is very effective, but takes time, when managing tendon pain.
Another interesting component we picked up is the assessment for the quality of movement. Those in pain tend to have poorer quality movement than those without pain. Tests such as hopping in place and hopping on a step easily pick up any deficiencies. This is another qualitative area we can assess with your lower limb injuries here at Sports N Spine.