09:00 - 09:30
Peter Halén (Chairman, FSPA)
Emma Stokes (President, WCPT)
Kari Niemi Nikkola (Ministry of education, culture and sports)
09:30 - 10:30
Keynote lecture: From the Editor’s Office: 5 very hot topics including manageing acute groin pain.
From the Editor’s Office: 5 very hot topics including manageing acute groin pain.
10:30 - 11:00
11.00 - 12.30
FAI-session presents the latest research and evidence based practice for FAI-syndrome.
11:00 - 11.45
The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome. How does it help the clinician?
FAI syndrome is one of the hottest topics in sports medicine. While the concept of hip impingement was first described more than 80 years ago, it has gained much more attention in recent years.
What is FAI syndrome? How is it caused? How should we diagnose it? What about Cam morphology on x-ray but no symptoms? What is the best treatment? It is a field where there are more questions than answers at the present time. To address this Damian Griffin and colleagues convened the Warwick agreement meeting which I was lucky to be part of. During the talk I will discuss the meeting and its findings and how I implement these into my clinical reasoning and practice.
How do I approach an athlete with hip pain?
When would I do an x-ray?
What about treatment – do they all need surgery? (p.s I don’t think so;-)
There will be a quiz so make sure to have a look at the paper before coming, its already been downloaded 20,000 times! Open access link: https://bjsm.bmj.com/content/50/19/1169.abstract
11:45 - 12:30
How to prevent hip and groin injuries: Lessons from English Premier League football.
12.30 - 13.30
13.30 - 15:45
INGUINAL RELATED PAIN SESSION
The Inguinal related pain session highlights the Doha agreement meeting on terminology and definitions in groin pain in athletes, 2015
13.30 - 14:15
The Doha Agreement: Simplifying Inguinal Related Pain
Perhaps the only topic in sports medicine more confusing than FAI syndrome is inguinal-related groin pain! In this lecture I will discuss the background and proceedings of the Doha Agreement meeting on terminology and groin pain in athletes. At this meeting we waved goodbye to the terms sport’s hernia and opted for inguinal-related groin pain.
But what is it? How should we diagnose it? And what about the best treatment?
I will give an overview of the literature surrounding treatment, but the only high level randomised study will be being discussed by Hannu, the lead author in the next talk.
If you want to prepare for the lecture have a look at the Doha agreement paper, open access link: https://bjsm.bmj.com/content/49/12/768.full and a review we did on treatment of groin pain in athletes, also free online: https://bjsm.bmj.com/content/49/12/813
14:15 - 14.45
Surgical treatment of long-standing groin pain - more evidence is needed!
The next step towards rational treatment for ‘The sportsman's groin’
It is well recognised that for over three decades the aetiology, whether of hip or adductor, or groin related, and subsequent management, whether surgical or otherwise, of ‘sportsman's groin’ remains mainly controversial with the literature reporting mainly case series with a few randomised trials comparing differing treatment modalities and offering some anecdotal evidence.
The mainstay of treatment will remain active physiotherapy concentrating on the pelvic girdle and core exercises with baseline imaging with MRI with or without the complement of ultrasound. Imaging is now more mandatory than ever purely to exclude a coexisting injury, which is possible in 20–40% of athletes
Br J Sports Med 2015;49:764-765 doi:10.1136/bjsports-2015-094829
14.45 - 15.45
A Whole Person Approach to Groin Pain – Recognizing the Role of the Thorax, Distal Influences & Optimizing Treatment
Current evidence for effective treatment of groin pain highlights the challenging nature of all types of groin pain – whether inguinal related, adductor related, pubic-related or hip related. It is recognized that restoring pelvic girdle, hip muscle and abdominal muscle function are important factors to address in the rehabilitation of these problems. In some cases, this approach is successful. However, in other similarly presenting cases, local treatment to the pelvis, hips and core stability exercises yield minimal results, and can sometimes cause a worsening of symptoms.
The role of more distal dysfunction in regions such as the thorax is less commonly considered, despite the thorax being the centre of trunk rotation and providing both the origin and innervation of the abdominal wall. A dysfunctional thorax can drive asymmetrical abdominal function, making it difficult to achieve symmetry and balanced rotational control no matter what the rehabilitation program. In certain subgroups of patients, effective resolution of groin pain requires specific treatment to the thorax and progressive exercises for thoracic control, rather than treatment and exercise focused to the local painful tissues.
This lecture will present evidence to support the need to recognize that distal dysfunction – in the thorax or elsewhere in the body – can be the underlying cause for non-optimal whole body movement strategies that result in exhausting the adaptive potential of multiple tissues affected in groin pain. The whole body, whole person clinical reasoning models, ConnectTherapy™ & the Thoracic Ring Approach™, will be illustrated with patient case examples and current evidence as assessment and treatment frameworks for patients with groin pain.
15.45 - 16:15
16:15 - 17.15
Practical Demonstration x 2
Practical demonstration, both speakers will do his/her session twice.
17.15 - 18:15
Interactive scientific session
Scientific session; audience can vote for the best abstract by Kahoot mobile phone app
First raffle off: Clinical Sports Medicine
First raffle off: Clinical Sports Medicine
Dinner; Celebrating Sports Physiotherapy