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Soft Tissue and Pain Management – London
19th July 2018 @ 9:00 am - 4:00 pm
The purpose of this workshop is to introduce 4 innovative technology-based techniques currently being used to manage soft tissue injuries to augment traditional manual and exercise-based therapy. Myofascial Acoustic Compression Therapy, instrument assisted soft tissue mobilisation (IASTM), mechanically assisted myofascial release and decongestive techniques, and photobiostimulation with Class IV, 940nm diode-laser will be introduced to accentuate the clinician’s manual techniques.
Research shows that mechanical stimuli of compression, decompression, shear, and photobiostimulation can affect cell growth, differentiation, migration, protein synthesis, physiologic apoptosis and tissue necrosis. Soft tissue healing after injury results in displaced collagen fibres with increased in random cross-links between fibre bundles and fibres. The PiezoWave2 (Elvation, Keiselbronn, Germany) utilises acoustic waves to produce intense, short duration, deep acoustic compression to a focused area deep in the soft tissue to produce biochemical changes that lead to increased circulation and pain relief.
Evidence has proven significant changes to myofascial trigger points on MRI scans before and after treatment. Instrument Assisted Soft Tissue Mobilisation (HawkGrips, Conshohocken, PA) uses a multi directional approach to soft tissues to facilitate a clinicians ability to detect altered tissue characteristics while providing favourable outcomes in shorter treatment times. Mechanical cupping of the skin and subcutaneous tissue is a traditional and widely used healing method in various countries and regions for years. Simlarly, Manual Lymphatic Drainage therapy has changed they way clinician mobilize lymphatic system and decongest injured head/neck and limb segments. Using a negative pressure system, Physiotouch (HLD, Helsinki, Finland), can be used to enhance treating fascial dysfunctions by expanding the tissues; stretching with horizontal and vertical directions to decrease pain and impingements, and facilitating lymphatic drainage.
Finally, the use of a photobiostimulation with a laser (Biolase, Irvine, CA) has shown to increase cell proliferation and migration modulation in levels of cytokines, growth factors and inflammatory mediators, and increased tissue oxygenation leading to expedited tissue healing and pain reduction.
Soft tissue injuries including repetitive strain injuries are common in high-performance, industrial, and artist athletes. The choice of a specific soft tissue management strategy is directed by each dancers symptoms including sensitivity to pain threshold, functional ability, and urgency to return to the stage. These techniques, used individually or systematically, with traditional methods help to manage soft tissue injuries, reduce pain, minimise time loss from work/performance, and to prevent further tissue damage. These techniques integrate seamlessly with common practices of movement based therapeutic exercise programs, kinesiology taping, and/or aquatic therapy programs.
Who is this for?
- Occupational Therapist
- Sports Therapist
- Review mechanisms and underlying dysfunction injury
- Review contemporary evidence in support of existing and emerging technologies and their influence on treatment outcomes
- Discuss 4 phases of tissue healing & repair
- Clinical decision making and advanced treatment options for each phase
- Discuss post-treatment, home and self management strategies to prolong benefit of gains made in clinic
What you will gain
- CPD hours
- Insights into new technologies
- Techniques to implement in your daily practice
Director Outpatients Services Johns Hopkins
Ken is the Director of Rehabilitation Therapy Services Outreach for Johns Hopkins Hospital in Baltimore, MD. His career path to clinical leadership at one of the nation’s leading academic medical institutions began 20 years ago after graduation from the University at Buffalo. Ken is the Administrator of the Johns Hopkins Hospital/George Washington University Orthopaedic Physical Therapy Residency and guest lecturer for the Johns Hopkins University School of Medicine.