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This two-day course will explore the role of manual therapy and exercise selection in the assessment and management of common musculoskeletal conditions affecting the runner. It will cover the complex interplay between the runner, the body biomechanics, pain science, lifestyle, patient psychosocial factors, beliefs and expectations, and best practice. Over the two days, the course will provide tools for practitioners to improve their clinical reasoning in dealing with common endurance sports injuries as well as clarifying the use and implementation of rehabilitation exercises and manual therapy. This course has a strong focus on practical solutions with real clinical value as well as a comprehensive discussion of theory.

Osteopathic practice standards and other CPD elements covered
A) Communication and patient partnership A1, A2, A3, A5, A6, A7
B) Knowledge, skills and performance B1, B2, B3
C) Safety and quality in practice C1, C4, C6
D) Professionalism D10

Objective activity (1.5 hours)
A theoretical patient will be introduced providing only general information such as age, gender, occupation, social network, social activities and what symptoms the patient is presenting with. The participants will be then asked to engage in a brainstorming case-history like scenario whereby based on their line of enquiry further information will be provided with the aim to get to a differential diagnosis. Assessment, clinical testing, potential treatment and management plan will then be discussed. 

Learning objectives

Develop a better understanding and knowledge of the functional anatomy and biomechanics of the human body when running. 

Appreciate the importance of taking a biopsychosocial approach to patient management. 

Develop a comprehensive case history with a critical line of enquiry and physical evaluation strategy for the most common MSK running related injuries.  

Develop a greater understanding of the common MSK red flags and when to refer for further investigation.  

Improve confidence with the physical assessment of the runner and a better understanding of the evidence for the use of important clinical tests and assessment strategies.  

Gain a better understanding and knowledge of common MSK pathologies in the runner. 

Improve confidence in the use and selection of person-centred rehabilitation exercises and other manual therapy techniques for managing common MSK running related injuries. 

Review the latest research evidence relating to the influence of posture, common running form mistakes and muscle imbalances and their relation to the runner.  

To develop greater confidence in the management of a patient with a running related injury from an acute stage to the return to running.  

To develop a better understanding of injury prevention strategies to reduce the risk of recurrent injury. 

Timetable

DAY ONE

9:00-9.30 Registration

9:30-10:00 Functional anatomy and biomechanics of running: The Running cycle. The importance of considering the whole-body kinematics in relation to running. 

10:00-10:30 Most common MSK running related injury, epidemiology, psychosocial factors, evidence-based practice.  

10:30-10:45 Break  

10:45-11:15 Most common MSK running related injuries continued.  

11:15-12:30 Practical interactive case history taking session which includes in depth clinical reasoning/line of enquiry and open discussion to gather valuable information to inform the differential diagnosis and assessment hypothesis.  

12:30-13:15 Lunch  

13:15-15:00 The assessment of the runner. Theory and evidence- informed practice concerning functional mobility testing, clinical tests, power and strength tests.  

15:00-15:15 Break  

15:15-17:00 The assessment of the runner continued: Practical session. An active approach to assessment and management supported by the clinical reasoning process. It Includes an in-depth discussion of orthopaedic tests, functional tests and their findings and how to interpret them. Pain science is discussed as is the importance of the words we use in clinical practice.  

17:00-17:30 Q&A and open discussion 

DAY TWO  

09:00-10:00 Review of day one and discussion  

10:00-11:00 The role of manual therapy in the treatment and management of running related injuries. Theory and evidence- informed practice.  

11:00-12:00 The role of exercise selection in the management of running related injuries- group discussion and practical session.  

12:00-12:30 Pain management in the treatment and management of running related injuries.  

12:30-13:30 Lunch  

13:30-14:15 The evidence behind clinical tests to evaluate the progress and the return to sport of the runner.  

14:15-15.30 The role of exercise selection in the management of running-related injury. Group discussion and practical session.  

15:30-15:45 Break  

15:45-16:30 Case-based discussion  

16:30-17:00 Q&A and open discussion  

Course suitability
The course is suitable for osteopaths, physiotherapists, chiropractors, sport therapists and third and fourth-year students. 

About the course leaders:

Marco Fabiani

Alberto Campanaro