Maitland Physiotherapy in East Maitland, New South Wales, Australia | Medical and health

Maitland Physiotherapy

Locality: East Maitland, New South Wales, Australia

Phone: +61 2 4934 2724

Address: 98 High St 2323 East Maitland, NSW, Australia

Website: http://www.maitlandphysiotherapy.com.au

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25.01.2022 on the last post ... i am sharing a post from a good mate, who happens to be a great sports physio, in Wagga. If anyone from our neck of the woods is in the southern part of the state, Body Dynamic Health is the best place of all to visit.

25.01.2022 Just letting you all know there are a small number of appointments available this week ... including one with Alison this afternoon. Kath will be back from the French Riviera next week. Lachlan, Kate, Charlotte and Graham all here as usual. Hope you are all fit and well.

24.01.2022 FYI to all our patients looking for an alternative ... we have a qualified myotherapist in our clinic. https://www.betterhealth.vic.gov.au//Conditions/myotherapy

24.01.2022 We thought this might be interesting to some ... https://www.active.com//a-10-week-plan-to-run-5k-for-begin

23.01.2022 Sports Medicine Australia in conjunction with HeadSafe will be running concussion workshops in Regional NSW. Details of dates and venues are attached. There are separate events on a Friday and Saturday in each of the following cities Tamworth, Newcastle and Bathurst. The first event is a community workshop on the Friday night which is for the grassroots community who want to know more about concussion. It is open to all sports, players, coaches, officials, mums and dads.... This is a free event participants just need to register on line. Details are attached. Maitland Physiotherapy & Sports Injuries highly recommends attending if you are involved in sport in any way. The Newcastle workshop is on September 25 @ 7:30 pm - 9:00 pm at Newcastle, No2 Sportsground, Smith St, Newcastle West. Information is available at http://headsafe.com.au//newcastle-headsafe-community-conc/ Tickets are limited, but free, at http://www.eventbrite.com.au/e/newcastle-headsafe-sma-commu The full day course on the Saturday is specific training in the management of concussion both on the field, off the field and return to play. This course is for Sports Trainers, Physiotherapists, Nurses, Doctors and any other medical staff that will have exposure to dealing with concussion. There is a fee for this. Course participants just need to register on line.

22.01.2022 Today's topic: Squat Types & Biomechanics! Swinton et al. (2012) wanted to compare the biomechanics of three different types of squat: 1) traditional squat, 2) ...powerlifting squat, and 3) box squat. "Twelve male powerlifters performed the exercises with 30, 50, and 70% of their measured 1 repetition maximum (1RM), with instruction to lift the loads as fast as possible. Inverse dynamics and spatial tracking of the external resistance were used to quantify biomechanical variables. A range of significant kinematic and kinetic differences (p < 0.05) emerged between the exercises. The traditional squat was performed with a narrow stance, whereas the powerlifting squat and box squat were performed with similar wide stances (48.3 3.8, 89.6 4.9, 92.1 5.1 cm, respectively). During the eccentric phase of the traditional squat, the knee traveled past the toes resulting in anterior displacement of the system center of mass (COM). In contrast, during the powerlifting squat and box squat, a more vertical shin position was maintained, resulting in posterior displacements of the system COM. These differences in linear displacements had a significant effect (p < 0.05) on a number of peak joint moments, with the greatest effects measured at the spine and ankle. For both joints, the largest peak moment was produced during the traditional squat, followed by the powerlifting squat, then box squat. Significant differences (p < 0.05) were also noted at the hip joint where the largest moment in all 3 planes were produced during the powerlifting squat." A stretch-shortening cycle (SSC) is an active stretch (eccentric contraction) of a muscle followed by an immediate shortening (concentric contraction) of that same muscle (Nicol et al, 2006). Conclusions: ------------------ "The box helps lifters sit back while staying upright (at least with submaximal loads), which actually decreases hip and spinal loads and increases knee loads. The lifters paused for an average of 1.7 seconds during the box squat which most likely decreases contribution from the stretch-shortening cycle (SSC) and would explain the decreased force and power production. Something about the pause on the box really seems to help create a ton of rate of force development (RFD) which could indicate that it transfers nicely to sport. The researchers pointed out that knee loading isnt the only factor to consider in determining joint safety its also important to consider knee ROM and displacement of the femur relative to the tibia. For these reasons the traditional squat is most likely the hardest variation for the knee joint. The box squat is clearly an excellent alternative for those with restricted ankle mobility (dorsiflexion) who are unable to perform a full range squat (ass to grass) as it will allow for an excellent training effect and the adherence to proper technical form. This study illustrates that when determining the safety of squat variations you dont just have to consider how far you sit back, how far the trunk leans, or how far the knees travel over the toes; you also have to consider how far you shift forward or backward with the bar relative to the feet, as this influences joint torques considerably. For this reason, box squats and powerlifting squats could indeed be safer for the low back compared to traditional squats." References: ------------------ Original Article by Bret Contreras: http://bretcontreras.com/traditional-squat-vs-powerlifting/ Biomechanics terminology help: http://bretcontreras.com/basic-biomechanics-terms-and-defi/ Nicol et al. (2006): http://www.ncbi.nlm.nih.gov/pubmed/17052133 Swinton et al. (2012): http://www.ncbi.nlm.nih.gov/pubmed/22505136

22.01.2022 And more great news ... physio Craig Hewat starts with us tomorrow. Craig is extremely experienced and well respected within the profession. We are lucky to have him.

20.01.2022 Just listened to Australian legend Lisa Curry speak for 45 minutes at a conference. Caught up later tho thank her ... in 45 minutes she has given me inspiration and new goals. She is truly inspiring. Take the time to read and listen to her.

20.01.2022 RECOVERY SESSIONS - PLEASE SHARE WITH ANYONE WHO MAY BENEFIT! As sporting finals approach Its becoming more important to follow a good recovery protocol in orde...r to optimise you and your teams performance! That is to optimise sleep, remediate recovery post game (ice baths), refuelling (hydration& nutrition) and a comprehensive active recovery. To find out about the Body Dynamics Health Recovery Program call us on 6921908: See more

19.01.2022 Sharing again our strapping service.. ph: 49342724

19.01.2022 https://medlineplus.gov/news/fullstory_159767.html

18.01.2022 In June, we posted an article by Young et al. (2014) who investigated which exercises produced the maximum voluntary isometric contraction.(MVIC) of the biceps ...brachii. However, Behrens et al. (2000) I believe investigates biceps brachii exercises in more depth as they also cover 1) different types of grip and 2) grip width and how both relate to muscle activation. "Due to the biceps anatomy, a supinated grip (palms of the hands face up) is required for optimal force development. As the degree of pronation (palms facing down) increases and the biceps tendon winds more and more around the radius, the potential for maximal force development decreases and m. brachialis and m. brachioradialis take over (cf. image 2). Keep that in mind, when you look at the following data on the most "effective" biceps exercises and whenever you design a training routine and make sure to train biceps and brachialis from a variety of angles to facilitate optimal progress in terms of strength and size." The most effective exercises* for the biceps brachii are: 1) Dumbbell concentration curls, seated, supramaximal weight, negative eccentric** 2) Dumbbell Concentration Curls 3) Seated Scott curl, straight bar 4) Cable curl, using a straight-bar attachment 5) Straight bar curls, standing, wide (> shoulder width) grip 6) Dumbbell preacher curl, unilateral, on a 60 incline * if not indicated otherwise, all exercises are to be performed with a supinated (palms facing up) grip ** performing a negative eccentric means that you rise the dumbbell (+20-30% heavier than you would normally use) with the help of your free hand (apply just as much force as is necessary) and then lower the weight as slowly as possible using just the trained arm. Supinated, Hammer, Rotating or Pronated grip? ------------------------------------------------------------------- "From the introductory remarks on the physiology of the biceps brachii and its synergists the m. brachialis and the m. brachioradialis it should be obvious that varying grip angle and widths can have a major impact on the degree each of these muscles is involved in a given exercise. The activation pattern for the biceps brachii during the concentration curl, for example largely depends on the grip you employ." Grip width - does it really make a difference? -------------------------------------------------------------- "Just as grip angle, grip width.will influence the activation patterns of the individual heads of the biceps brachii (wide grip for long head, narrow grip for short head), m. brachialis (narrow grip) and the m. brachioradialis. The overall activation pattern of the sum of caput longum and caput breve, i.e. the two heads of the biceps brachii, on the other hand remains pretty stable. While the extra-wide grip (shoulder width +20cm) does not change the activation pattern significantly (and will probably hurt your wrists), executing the barbell curl with a straight bar, using a narrow grip (hands 10cm apart) significantly reduces the activation of the biceps brachii and increases the load on the m. brachialis. In summary, all of the classic curl movements activate the biceps brachii to a similar degree. Against that background, proper form and loading (selecting a weight that trains the muscle, not your ego) become increasingly important." An EMG-optimized routine: ------------------------------------- Recommendations from Behrens et al. (2000) research for an "optimized" routine: 1) Barbell curls - straight bar, supinated shoulder wide grip; explosive concentric, controlled eccentric movements, high loads, 6-8 reps 2) Scott curls - cambered bar, supinated narrow grip; full stretch at the bottom; medium load, 8-10 reps 3) Dumbbell concentration curls - switch between supinated and hammer grip; medium load or supramaximal load (use sparingly) 10 reps (use other arm for assistance, if needed) References: ------------------ Boeckh-Behrens, W. and Buskies, W. (2000). Fitness Strength Training. Reinbek bei Hamburg: Rowohlt Taschenbuch-Verl. http://suppversity.blogspot.co.uk//suppversity-emg-series- Young et al. (2014): https://www.facebook.com/evidencedbasedexerciseandtherapy/posts/720627164712529

16.01.2022 Shoulder impingement syndrome (SIS) is a musculoskeletal condition in which the tendons or bursa in the subacromial space `rub` (impinge) against the acromion ...causing irritation and pain. Structural differences in the 1) supraspinatus outlet and 2) acromial size & shape can cause impingement (Deberardino, 2015). Non-outlet impingement also can occur with 1) loss of normal humeral head depression from either a large rotator cuff tear or weakness in the rotator cuff muscles from a C5/C6 neural segmental lesion or a suprascapular mononeuropathy or 2) due to thickening or hypertrophy of the subacromial bursa and rotator cuff tendons (Deberardino, 2015). Studies such as Michener et al. (2004), Schröder et al. (2001), Faber et al. (2006) and Van der Windt et al. (1995) suggest that SIS is the most common cause of shoulder pain. Today, we are going to look at a study by Kolber et al. (2014) who examined `shoulder impingement in recreational weight trainees` with the following questions in mind. 1) Can we identify any common movements done by athletes with SIS? 2) Can we identify movements done by the healthy athletes that could prevent SIS? Kolber et al. (2014) found that there was two exercises highly correlated with shoulder impingement; 1) lateral deltoid raises and 2) upright rows. However, they also found one group of exercises that reduced the risk of developing SIS, strengthening the external rotators of the shoulder. This is absolutely logical as both the lateral deltoid raises and upright rows are performed with the elbow at (or in some cases above - not preferable) shoulder height with internal rotation of the shoulder, both of these combined decrease the subacromial space and increase the likelihood of impingement, whereas the external rotators of the shoulder prevent possible tight / overactive internal rotators pulling shoulders into `rounded` or thoracic kyphosis which can lead to a reduced subacromial space; therefore maintaining muscle balance is essential. With the correct technique, sufficient shoulder mobility / stability and progressive overload the lateral deltoid raise and upright row are acceptable and effective exercises. My lecturer once said: "There are no such thing as a bad exercise, just inappropriate ones." Are these exercises appropriate for you, your clients or patients? Original source: http://breakingmuscle.com//research-provides-new-insights- REFERENCES: -------------------- Deberardino, (2015): http://emedicine.medscape.com/article/92974-overview#a7 Faber et al. (2006). Treatment of impingement syndrome: a systematic review of the effects on functional limitations and return to work. http://www.ncbi.nlm.nih.gov/pubmed/16705497 Kolber et al. (2014). Characteristics of shoulder impingement in the recreational weight-training population. http://www.ncbi.nlm.nih.gov/pubmed/24077379 Michener et al. (2004). Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. http://www.ncbi.nlm.nih.gov/pubmed/15162102 Schröder et al. (2001). Open versus arthroscopic treatment of chronic rotator cuff impingement. http://www.ncbi.nlm.nih.gov/pubmed/11409550 Van der Windt et al. (1995). Shoulder disorders in general practice: incidence, patient characteristics, and management. Annals of the Rheumatic Diseases, 54(12), p.959. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1010060

15.01.2022 Fire sale on a few XL sized ASO ankle braces. $50 each - but only the 3 XL we have in stock.

15.01.2022 But some sad news. Physio Kate Summers leaves tomorrow. Kate has received a scholarship to study for a PhD through the University of Newcastle. While we are very sad to lose her skills and talent, we are very excited for her and her future.

15.01.2022 We are having trouble with our phones.. see below Hopefully our diversion is working.. Sorry again

12.01.2022 Just confirming the great news. Physio Matt Chase is returning and starts back with us in a full time role from July 3. Matt was one of the most popular physios to ever have worked here before a sojourn to North America.

11.01.2022 We thought this might be interesting to some ... https://www.active.com//a-10-week-plan-to-run-5k-for-begin

10.01.2022 Pace yourself. Balance work & rest. When you have arthritis, you need to find the right balance between work, activity and rest. Many people find arthritis a t...iring disease particularly if they are in pain. If you find this to be the case, listen to your body and be guided by it. Rest when you are tired and dont force yourself to work or exercise through pain. Learn how to listen to your body, pace yourself and carefully plan and organise your activities so you make the most of your energy. Get more info: www.arthritisaustralia.com.au//2013/ArthAus_10Steps%20fina

09.01.2022 To all those who have applied for our admin assistant/reception role, please be patient. We have had almost 300 applications. To be fair to everyone, we are committed to reading each in full and giving absolute attention to all. This takes time though! We hope to contact the short listed applicants in the next week. To all, thank you for applying.

09.01.2022 Todays topic: Squat Types & Biomechanics! Swinton et al. (2012) wanted to compare the biomechanics of three different types of squat: 1) traditional squat, 2) ...powerlifting squat, and 3) box squat. "Twelve male powerlifters performed the exercises with 30, 50, and 70% of their measured 1 repetition maximum (1RM), with instruction to lift the loads as fast as possible. Inverse dynamics and spatial tracking of the external resistance were used to quantify biomechanical variables. A range of significant kinematic and kinetic differences (p < 0.05) emerged between the exercises. The traditional squat was performed with a narrow stance, whereas the powerlifting squat and box squat were performed with similar wide stances (48.3 3.8, 89.6 4.9, 92.1 5.1 cm, respectively). During the eccentric phase of the traditional squat, the knee traveled past the toes resulting in anterior displacement of the system center of mass (COM). In contrast, during the powerlifting squat and box squat, a more vertical shin position was maintained, resulting in posterior displacements of the system COM. These differences in linear displacements had a significant effect (p < 0.05) on a number of peak joint moments, with the greatest effects measured at the spine and ankle. For both joints, the largest peak moment was produced during the traditional squat, followed by the powerlifting squat, then box squat. Significant differences (p < 0.05) were also noted at the hip joint where the largest moment in all 3 planes were produced during the powerlifting squat." A stretch-shortening cycle (SSC) is an active stretch (eccentric contraction) of a muscle followed by an immediate shortening (concentric contraction) of that same muscle (Nicol et al, 2006). Conclusions: ------------------ "The box helps lifters sit back while staying upright (at least with submaximal loads), which actually decreases hip and spinal loads and increases knee loads. The lifters paused for an average of 1.7 seconds during the box squat which most likely decreases contribution from the stretch-shortening cycle (SSC) and would explain the decreased force and power production. Something about the pause on the box really seems to help create a ton of rate of force development (RFD) which could indicate that it transfers nicely to sport. The researchers pointed out that knee loading isnt the only factor to consider in determining joint safety its also important to consider knee ROM and displacement of the femur relative to the tibia. For these reasons the traditional squat is most likely the hardest variation for the knee joint. The box squat is clearly an excellent alternative for those with restricted ankle mobility (dorsiflexion) who are unable to perform a full range squat (ass to grass) as it will allow for an excellent training effect and the adherence to proper technical form. This study illustrates that when determining the safety of squat variations you dont just have to consider how far you sit back, how far the trunk leans, or how far the knees travel over the toes; you also have to consider how far you shift forward or backward with the bar relative to the feet, as this influences joint torques considerably. For this reason, box squats and powerlifting squats could indeed be safer for the low back compared to traditional squats." References: ------------------ Original Article by Bret Contreras: http://bretcontreras.com/traditional-squat-vs-powerlifting/ Biomechanics terminology help: http://bretcontreras.com/basic-biomechanics-terms-and-defi/ Nicol et al. (2006): http://www.ncbi.nlm.nih.gov/pubmed/17052133 Swinton et al. (2012): http://www.ncbi.nlm.nih.gov/pubmed/22505136

09.01.2022 Genesis is quite an impressive organisation. They have some tips and advice worth sharing.

08.01.2022 Rocktape is holding a course for Newcastle and the Hunter in our rooms on Sunday August 6. We just host, everything is run and taught by Rocktape and its educators. Great course and not just for health professionals. Sports Trainers etc equally welcome and will gain some great new skills. https://rocktape.com.au/shop/index.php

07.01.2022 Happy Friday everyone!

06.01.2022 A good, positive story for our injured Adamstown Rosebuds to watch ... coming back from serious injury to play for England.

06.01.2022 We are introducing a new service. Strapping/taping in the clinic pre-sports event. If you have a run planned or game on a Saturday - or any day for that matter, you can book in for a 15 minute taping session. $12 per joint. Tape included in price. If you are a giant footballer needing a shoulder taped heavily, we might have to ask $15. Whoever is on duty will do the taping - most likely Graham.

06.01.2022 The last two posts relating to squats have produced a few questions which we think would be unfair not to answer... 1) Difference between Low Vs High Bar Squatt...ing; more depth on biomechanics and muscle activation 2) Parallel squats vs Deeper squatting `Question 2` will be posted @ 14:30 (5 hours after this post), but for now we will focus on question 1! Wretenberg et al. (1996) produced the study `High- and low-bar squatting techniques during weight-training`. Conclusions: ----------------- "Since squatting exercise is an important part of the strength training for many athletes, it is important to understand the effects of different squatting techniques. In this study we used weightlifters and powerlifters to demonstrate effects of the high- and low-bar squats. We are aware that there is a difference in age between the two lifter categories, but the analysis showed no difference in principle muscular activity or load between the oldest and youngest lifters in each group. The study shows the differences between the high- and low-bar techniques and also the effects on the hip and knee moment of force. The low-bar squat with the barbell further down on the back is characterized of a larger hip flexion, and this technique creates a hip moment of force that in Newton-meter is almost twice as large as the knee moment. The high-bar squat, however, is performed more upright and the joint moment of force are more equally distributed between the hip and knee joints. The hip and knee angles in the present study correlate well with the angles found by Fry et al. (1993) and confirm the more upright position during the high-bar squat. Although the powerlifters were larger and lifted heavier loads than the weightlifters, the mean moment of force on the knee joint was lower than for the weightlifter, and the difference was significant for the parallel squat. The powerlifters, however, had significantly a higher load on the hip joint compared with the weightlifters. The difference in hip load could be an effect of heavier lifters lifting heavier loads in addition to an effect of different technique, but the difference in knee moment of force could hardly be explained from anything else but different lifting technique. It is clear that weightlifter coaches want the squat to be done as upright as possible. This is the only way to approach the movement during weightlifting competition. Powerlifting coaches, however, want lifters to lift as much as possible with hip and back since, by experience, they know that this enables the lifter to lift heavier loads. The calculated moment of force on the joint is dependent on the size of the ground reaction force and the distance between this force and the joint center, the moment arm. By increasing hip flexion, the powerlifters manage to balance the weight closer to the knee and thereby reduce the moment arm. The moment arm between the ground reaction force and the hip joint, however, will increase, creating a higher moment of force on this joint. The high-bar squat is performed in a more balanced way where both the barbell and the trunk center of gravity are centered between hip and knee, and thereby the moments of force are more equally distributed. The powerlifters showed higher EMG activity than the weightlifters for all investigated muscles, although the difference was significant only for the rectus femoris. The powerlifters were heavier and lifted heavier loads, but this could be the explanation to the higher muscular activity. EMG activity, however, was normalized in relation to a reference contraction with the same relative external load, which might indicate that the low-bar squat actually is advantageous from a muscular recruitment point of view. It is clear, however, that weightlifters must train with a technique close to the competition situation, which means the high-bar squat. Some other athletes might benefit from using a technique close to the low-bar squat, providing that they have the low back strength to safely perform a low bar squat. It is a little surprising that powerlifters performing low-bar squats, with relatively low moment of force at the knee joints, have a knee extensor muscular activity even slightly higher than weightlifters performing high-bar squats with higher knee moments. The explanation must be that the moments calculated are net loading moments of force, which means that muscular co-contraction is not included in the values calculated. The activity in the biceps femoris muscle is slightly higher for the low-bar squat. The activity in the gastrocnemius muscle and the soleus muscle was not recorded. However, since the low-bar squat is performed with the total center of gravity further forward, the need for compensatory ankle plantar flexion will increase, which means increased activity in both the gastrocnemius and the soleus muscles. During the low-bar squat, knee flexor muscle activity increases, and hereby knee extensor co-contraction. This can explain why the knee extensor activity is high despite the relatively low net knee loading moment. As previously mentioned one should be aware that the calculated moments are net moments of force and that the effect of co-contracting antagonistic muscles are not taken into account. A antagonistic moment of force created by the antagonist would increase the moment of force produced by the agonists. Therefore, the moment calculated in this study must be taken as minimum loading moments for the agonists. Two joint muscles can in this way serve as agonist at one of the joints and antagonists at an other. The biceps femoris for example produce an extending moment of force at the hip, but an antagonistic flexing moment of force at the knee. The magnitude of this antagonistic moment is not possible to calculate in a study like this. Although hip extensor activity was not analyzed, it seems logical that the low-bar squat should be the best technique concerning hip extensor training since this technique create the greatest moments of force at the joint. The patellofemoral compression force was calculated to give an apprehension of the force magnitudes. Forces in the hip and knee depend not only on the moment of force, but also on joint angle (McLaughlin et al. 1977, Nemeth et al. 1985 & Nemeth et al. 1984). For a constant moment of force joint compression forces increase with increasing flexion angle. This has been investigated for hip flexion up to 90 and for knee flexion up to 120. For the knee the patellofemoral compression force levels away between 90 and 120. So the reason for larger compression force in the knee for the weightlifter's was not because of a larger knee flexion angles, rather related to the larger moment of force. Both the weightlifters and powerlifters have a strict and precise squatting technique. It is probable that many other athletes in other disciplines use techniques in between the high- and low-bar techniques and that their coaches are not aware of the effects of the different techniques. Athletes should benefit from studying lifters and their technique and the different effects that can be achieved. It is known that squatting exercise is a good method for knee rehabilitation training (Palmitier et al, 1991), and we suggest that after a hip injury, high-bar squat should be used at the beginning to minimize the risk of hip overload. After a knee injury a squatting technique more similar to the low-bar technique should be preferred. Further investigation on, for example, shear and compression forces on the lumbar spine during the two different types of squatting technique must be important to prevent re injury of the lower back during rehabilitation exercise." Interesting further reading by Greg Nuckols (2015) regarding High Bar Vs Low Bar Squatting: http://www.strengtheory.com/high-bar-and-low-bar-squatting/ References: ------------------ Fry, A. C., T. A. Aro, J. A. Bauer, and W. J. Kraemer. A comparison of methods for determining kinematic properties of three barbell squat exercises. J. Hum. Mov. Stud. 24:83-95, 1993. McLaughlin, T. M., C. J. Dillman, and T. J. Lardner. A kinematic model of performance in the parallel squat by champion powerlifters.Med. Sci. Sports. 2:128-133, 1977. Nemeth, G. and J. Ekholm. A biomechanical analysis of hip compression loading during lifting. Ergonomics 28:429-440, 1985. Nemeth, G., J. Ekholm, and U. P. Arborelius. Hip load moments and muscular activity during lifting. Scand. J. Rehabil. Med. 16:103-111, 1984. Palmitier, R. A., K.-N. An, S. G. Scott, and E. Y. S. Chao. Kinetic chain exercise in knee rehabilitation. Sports Med. 11:402-413, 1991. Wretenberg et al. (1996): http://www.ncbi.nlm.nih.gov/pubmed/8775157

05.01.2022 Worth a read. The 200+ high performance Aussie athletes I will support in Asia next month would mostly agree.

01.01.2022 Exciting news with our senior physio Alison finding out yesterday she has been selected as a physiotherapist to the Commonwealth Games next year in Queensland.