Tendons of the lower limb predominantly function as springs to allow locomotion as well high level athletic activity.
Tendon pain and dysfunction is a common presentation and clinicians must be competent at recognising the key features of tendon pain, as well as possess an excellent knowledge of evidence-based management.
Critical to applying the evidence base is an understanding of the pathoetiology of tendon pain, adaptation, as well as changes that exist at all levels (from tendon to muscle, kinetic chain and brain).
These concepts provide the premise for thorough rehabilitation and appropriate use of adjuncts in the management. Rehabilitation considerations include the current capacity of the individual as well as their goals, co-morbidities and individual factors.
The in-season athlete provides an additional challenge and clinicians must understand how and when to apply the current research.
This program will also teach the importance of pain science, use of language when explaining ideas to patients and athletes as well as key stakeholders such as parents of junior athletes and coaches.
The latest evidence for how to incorporate neuroscience into rehabilitation will also be covered.
Fees
COURSE OUTLINES
- Understanding Tendon Anatomy, Function, and Adaptation
- MODULE 1: Fundamentals of tendon
Normal tendon structure
Normal tendon function
Understanding tendon loads
Clinical implications of understanding tendon load in presentation
Changes that occur in tendon pathology
The clinical relevance of staging
Adaptation and bioplasticity at a local level
Implications for clinicians - MODULE 2: Pain and pathology; implications for clinicians
Understanding pain and nociception
The biopsychosocial model and tendinopathy
Language and terminology
Adaptation and bioplasticity – kinetic chain
Adaptation and bioplasticity of the whole system – don’t forget the brain and spinal cord!
Putting it all together – relating loads, structure, function and pain (part 1 and 2)
Clinical examples - MODULE 3: Theory for subjective assessment
What is the importance of taking a good history?
Understanding capacity
What to ask
Modifiable risk factors
Non-modifiable risk factors
Specific outcome measures
Hallmark features – short and long term (theory) for each tendon
Differential diagnosis – key points to direct you from the history -
MODULE 4: Imaging and other referrals in subjective assessing
Introduction to imaging
When to use imaging
When not to use imaging
Interpretation of imaging
When to refer – including red flags
Language associated with imaging findings
Putting imaging in context
Key points from the subjective assessment that guide your objective examination
- MODULE 1: Fundamentals of tendon
- Assessing and Rehabilitating Lower Limb Tendons
- MODULE 1: Introduction to objective assessment and specific tendons
Basic principles of assessment
Structure of the assessment
Patellar tendon classic presentation
Differential diagnosis anterior knee
Proximal Hamstring tendon – classic presentation
Differential diagnosis hamstring
Adductor tendinopathy and groin pain
Summary -
MODULE 2: Objective assessment for lower limb tendons continued
Achilles tendon – classic presentation
Achilles differential diagnosis
Foot and ankle tendons – including plantar heel pain
Glut med – classic presentation
Glut med – differential
Outcome measures
Tailoring for sedentary people
Summary -
MODULE 3: Rehabilitation background
Background
Setting goals and managing expectations
How to be a bioplasitician: stages
Education
Monitoring
Patellar tendon
Hamstring tendon
Achilles tendon -
MODULE 4: Rehabilitation completion
Foot and ankle tendons
Glut medius
Rehabilitation of rupture
In-season considerations – what to do
In-season what not to do!
Adjuncts and clinical reasoning
What to do if it is not working
Final summary
- MODULE 1: Introduction to objective assessment and specific tendons
- Describe the characteristics of normal tendons and changes due to pathology
- Understand and explain current knowledge on nociception and pain in tendons
- Describe the functional role of lower limb tendons
- Understand the use of imaging in diagnosing tendon pain
- Conduct a thorough subjective examination of tendon issues
- Increase confidence in differential diagnosis and treatment path selection following objective assessment
- Provide evidence-based rehabilitation strategies for lower limb tendons
- Adapt management strategies for in-season athletes
COURSE DETAILS
Duration: 2 months.
Average dedication: 6/8 weekly hours.
Delivered in: English.
Aimed at:
• Professionals who carry out a process of prevention or rehabilitation of injuries:
• Traumatologists;
• Team doctors;
• Physiotherapists;
• Physical trainers.
Thanks to our integration with remote supervision technologies, the Verified Certificate of Approval:
- Guarantee transparency of the certification process.
- Validates the identity of the certificate holder.
- Accredits the acquisition of specific competencies and skills.
- 24-hour access to study material, from anywhere on any device.
- Accompaniment, monitoring, and virtual support from an expert in the field.
- Activities and assessments with personalised feedback.
- Discussion forums and interaction with colleagues from all over the world.
- Certificate issued by Barca Innovation Hub and endorsed by the corresponding institution.
- Self-assessment to measure your learning progress.
PREREQUISITES
A good understanding of human body would be beneficial.