This highly practical course will give you the skills and knowledge to accurate diagnose of Patello-femoral pain considering differential diagnosis. The course explores ideal lower limb biomechanics, explore local, proximal and distal deficits related to PFP, and how to identify and address them in a clinical setting. The evidence behind, and practical application of interventions including prefabricated foot orthoses prescription, taping, movement pattern retraining, exercise rehabilitation, and adjunctive manual therapy are explored.

The course will be a mixture of lectures, discussions and practical workshops.

Learning Outcomes:

• Understand how to make an accurate diagnosis of PFP, considering differential diagnosis of tendon, ligament, meniscus and joint pathologies
• Develop an awareness of common local, proximal and distal deficits which may relate to PFP pathology and how to identify their presence in a clinical setting
• Understand the evidence base for common physiotherapy interventions for the management of PFP and when to apply this in the clinical setting, including: exercise (local, proximal and distal), taping, massage/mobilisation, and adjunctive interventions
• Develop an understanding of the concept of movement retraining in the management of PFP and how to apply this in a clinical setting
• Understand the implications of adolsecent PFP and PFJ osteoarthritis and how best to manage them in a clinical setting
• Understand the importance of pain-related fear and how to address it with education and exercise

Who should attend?

All therapists with an interest in Evidence Based in Patello-femoral Rehabilitation

Agenda

8.45 Registration

9.00 Diagnostics and differential diagnostics

9.30 Typical deficits in patients with patellofemoral pain

10.30 Break

10.45 Intervention options for PFP and the evidence base

11.15 Clinical assessment of potential deficits

12.15 Lunch

12.45 Evidence-based treatment of PFP and tailoring a multimodal program: taping, mobilisation, soft tissue, strengthening and stretching

14.00 Distal interventions – footwear, foot orthoses, taping and strengthening

14.45 Movement pattern retraining

15.30 Considerations for adolescents and PFJ osteoarthritis

16.00 Summary of assessment, potential treatment options with additional considerations related to education and prognosis

16.30 Questions and answers

17.00 Close

Note:

• Each activity will consist of theoretical and practical components
• Please bring shorts to the course for practical sessions
• Refreshment including tea/coffees will be provided

Tutor:

Dr Christian Barton PhD, BPhysio (Hons), MCSP, MAPA

Christian qualified as a physiotherapist in 2005 in Australia, and completed his PhD relating to patellofemoral pain, lower limb biomechanics, and predictors of foot orthoses outcomes in 2010.

At various private practices and sports medicine centres in Australia and London he has continued to combine research with clinical practice, maintaining part time research roles including student supervision in the ‘Centre for Sports and Exercise Medicine’ at Queen Mary University of London; as Research Director at Pure Sports Medicine in London, and as a Research Fellow in La Trobe University’s Musculoskeletal Research Centre. His current research interests include developing guidelines for running retraining interventions, lower limb biomechanics associated with various pathologies, and improving the translation of research to clinical practice. Clinically, Christian specialises in the management of knee and patellofemoral pain, and running related injuries.

Christian has many peer reviewed publications. He is also the lead author of the 'Clinical aspects of biomechanics and sporting injuries' Chapter in the most recent addition of Brukner and Khan's 'Clinical Sports Medicine'.

Here is a google scholar profile with list of his publications: http://scholar.google.com.au/citations?user=HsUEfu4AAAAJ&hl=en&oi=sra

Christian's blogs, which might be useful to read:

www.biomechanics.completesportscare.com.au

www.patellofemoral.completesportscare.com.au

The course venue

How to get there

Public transport

Tube

All stations are a 15–20 minute walk.

Fulham Broadway—District Line Earls Court—Piccadilly and District Lines South Kensington—Piccadilly, District and Circle Lines Gloucester Road—Piccadilly, District and Circle Lines Rail

Imperial Wharf (15 minutes walk) West Brompton (15 minutes walk)

Bus

Local bus routes

Fulham Road:

• 14—from South Kensington or Fulham Broadway
• 414—from South Kensington or Fulham Broadway
• 211—from Hammersmith, Fulham Broadway or King’s Road

King’s Road:

• 11—from Fulham Broadway
• 22—from Putney Common Redcliffe Gardens (southbound)/Finborough Road (northbound):
• 328—from Earls Court
• C3—from Earls Court or Clapham Junction

Personal Transport

Car

The hospital has an underground car park which is accessed via Nightingale Place—spaces are limited. The car park is not run as a commercial operation and all the money goes directly to support the work of the hospital and the care of its patients.

Please note height restriction of 1.9m.

On arrival at the entrance to the car park, take a ticket at the barrier. Before returning to the car park when leaving the hospital please pay by cash or card (not American Express or Diner’s Club) at the machines located on the ground floor of the hospital by main reception. Cash payments can also be made at the main reception desk.

The car park becomes very busy during the day and spaces are not guaranteed. Therefore, please allow additional time if you intend to drive. There are also Pay and Display spaces on the streets near the hospital.

Car parking charges

The minimum charge of £3.00 for up to 1 hour applies daily from 8am–7pm. This charge is reduced to £1.00 for up to 1 hour from 7pm–8am. There is also a maximum stay of 24 hours which incurs a charge of £40. Lost tickets will incur a charge of £40. The Trust cannot accept liability for loss or damage caused to vehicles or contents while parked within the car park.

8am–6pm (Sun–Fri):

• up to 1 hour—£3.00
  
• 1–2 hours—£7.00
• 2–3 hours—£9.00
• 3–4 hours—£12.00
• 4–5 hours—£15.00
• 5–6 hours—£18.00
• 6–7 hours—£21.00
• 7–8 hours—£24.00
• 8–9 hours—£26.00
• 9–10 hours—£28.00
• 10–24 hours—£40.00

8am–6pm (Saturdays):

• up to 1 hour—£3.00
  
• 1–2 hours—£7.00
• 2–3 hours—£12.00
• 3–4 hours—£15.00
• 4–5 hours—£18.00
• 5–6 hours—£21.00
• 6–7 hours—£24.00
• 7–8 hours—£27.00
• 8–9 hours—£30.00
• 9–10 hours—£33.00
• 10–24 hours—£40.00

From 6pm–8am the car park rate is £1 per hour (daily).

Motorbike

Free parking available in a designated area of the hospital car park for motorbikes and scooters which can fit past the barriers (ie not those with sidecars).

Bicycle

Free parking in designated areas and in the hospital car park.