Mick Hughes: Physiotherapist & Exercise Physiologist in Melbourne, Victoria, Australia | Physical therapist

Mick Hughes: Physiotherapist & Exercise Physiologist

Locality: Melbourne, Victoria, Australia

Phone: +61 3 9650 9372

Address: Level 4, 250 Collins St 3000 Melbourne, VIC, Australia

Website: https://www.mickhughes.physio

Likes: 31163

Add/Update information

Reviews

Tags

• Medical and health
• Physical therapist

25.01.2022 Body weight and it's effect on knee OA Unfortunately osteoarthritis is a real issue that faces the ACL injured patient in the future. However it's not all doom and gloom; and the athlete/patient shouldn't avoid exercise! Here's just 1 example Dr Adam Culvenor discusses in www.learn.physio non-operative ACL Masterclass on how patients and clinicians can lessen the impact of knee osteoarthritis in the future following ACL injury.... If you're interested in signing up to this 3hr Masterclass, (that also covers non-operative ACL management and ACL injury prevention programs), click on the link below: Non-operative ACL Masterclass: www.learn.physio/videos/100029 Don't forget, health professionals can log these 3 hours as continuing education

24.01.2022 "Sometimes the "best rehab" or "best treatment" is not the most optimal" - Scott Epsley Excellent insight to Evidence Based Practice when working with professional athletes in the NBA from Scott Epsley. It must be said, "buy-in" doesn't always occur at the elite level. It also happens in our weekend warriors and our sedentary population.... How do you create "buy-in" with your patient list and athletes? If you want to hear this whole discussion with Scott Epsley (76ers) & Andrew Small (Milwaukee Bucks) click on the link below https://www.learn.physio/p/learn-physio-careers-in-health-s

24.01.2022 ACL Podcast Was an honour and a pleasure to talk shop with Andy McDonald from Inform Performance for his latest podcast. In this 50min podcast we discuss a range of topics including:... How and why we should be doing open chain exercises during ACLR rehab What non-operative ACL management should look like Why pre-op strength and hop assessment of the ACL injured patients can guide return to sport decision making How I go about trying to translate research into practice If you're interested in listening to our talk, click on the link below https://podcasts.apple.com//inform-performan/id1487584876 Thanks once again for having me on your show Andy

23.01.2022 Non-operative ACL management I'm a firm believer that the words we use can have a profound impact on patient outcomes (both positively and negatively). Unfortunately, when I meet someone who is trying to manage their ACL without surgery (aka conservative management), their rehabilitation has been just that. Too conservative. Too much rest. Too much protection. Too much insufficient loading.... This ineffective loading can lead the patient to think that they're "failing conservative management"; ultimately leading to the decision that they need an ACL reconstruction. Now I'm not saying that we can manage all ACL injuries non-operatively - because we cant - but the knee needs to adequately loaded following ACL injury to give the person a fighting chance of having a successful non-operative trial. Once the knee is QUIET, the knee is ready to be loaded; so don't be scared of loading the knee. The rehab program outlined by Eitzen et al 2010 is a great place to start. I advise 2x per week for an absolute minimum 5 weeks of this plan, but ideally it should last 3 months (if not 6 months). In summary, let's change the narrative around "conservative management" and start calling it non-operative management. Who is with me? What are your thoughts? Leave a comment in the section below . Have you taken Learn.Physio non-operative ACL Masterclass yet? If not, it will give you confidence when consulting someone on their treatment options. Go to www.learn.physio/videos/100029 and sign up to watch it

23.01.2022 If you're an Australian Physio and interested in hearing what it's like to undertake the specialist sports physio training program, come along to Learn.Physio Careers in Health and Sport Webinar series Tues 1st December at 8pm AEDT and ask Leanne Rath and Tim Oostenbroek any burning questions that you have about the program. Sign up for free at the link below, and we'll send you the registration links soon after.. https://learnphysio.teachable.com/p/learn-physio-journal-cl... You can also catch up on past episodes of the Careers in Health and Sport Webinars here https://www.learn.physio/p/learn-physio-careers-in-health-s

23.01.2022 At-home ACL rehab ebook The perfect accompaniment to Learn.Physio ACL Masterclasses; and a great resource for your patients! Until midnight tonight, its yours as a special bonus with the purchase of any of www.learn.physio Masterclasses!... Check out our lineup of masterclasses, presenters and learning objectives by clicking on the links below: ACLR Masterclass: www.learn.physio/videos/100019 Non-op ACLR Masterclass: www.learn.physio/videos/100029 Training Loads Masterclass: www.learn.physio/videos/100027 Don't forget, all Australian physios and exercise professionals can register our courses as continuing education. International health professionals, check with your local registration board

22.01.2022 Closed chain exercises aren't enough for ACLR patients The vast majority of athletes/patients will have persistent quad weakness following ACLR and doing closed chain exercises alone won't be enough to wash away that quad defecit. This study by Sigward et al (2018) is a perfect example of chronic underloading of the affected quad in ACLR patient that also needs to be treated with open chain exercises too.... Reference: https://pubmed.ncbi.nlm.nih.gov/29895231/ Don't be afraid of open chain exercises! Make sure they're integrated into a comprehensive rehab plan at the right time, right ROM and right load. Avoiding them and allowing the quads to become weaker is doing more harm in the short term (decreased QOL and altered walking/running mechanics) and long term (increased risk of secondary knee injury and knee OA changes) than what you realise. After more information about open chain exercises and ACLR rehab? Sign up to my online ACLR Masterclass at www.learn.physio

20.01.2022 ACL Injury - early phase exercises These exercises would be suitable for most ACL injuries in the first few weeks following injury to help the knee get "quiet" before progressing to a more high-quality rehab plan to prepare the knee better for surgery, or continue in a non-operative manner. Static Quads 20reps... Heel slides 20reps Straight Leg Raises 20reps Prone TKE 20reps Hip Extensions 20 reps Hamstring Curls 20 reps Repeat circuit 3x Do 2-3x per day If you're interested in ACLR rehab, learn how to integrate all of my regular advice into a complete rehab plan by watching www.learn.physio ACL Masterclass by clicking on the link below ACLR Masterclass - www.learn.physio/videos/100019

20.01.2022 Just some of the questions I've got for Erik Meira in our upcoming Learn.Physio Insights Interview on why quads are so important during ACL rehab. What would you like to ask Erik? When? Monday 31st May 12-1pm AEST / Sunday 30th May 7pm PST... Come along and him your questions live! Best live question gets a $100 Premax voucher. Registration is a donation to Special Olympics Click on the link below to register - limited spots available and only 6 days left to register Registration link: https://www.eventbrite.com.au/e/why-quads-matter-most-in-ac

18.01.2022 I recently sat down with Metrix Physio for a podcast on ACL rehab; including a good time spent discussing the complex decisions around non-operative ACL rehab. Scroll across to see some key takeaways from the interview, but if you're interested in listening to the whole podcast, click on the link here: https://open.spotify.com/episode/2TYOchsyaWBzsjQJWrO7eb

18.01.2022 YouTube Exercise Library After some ACL rehab options and other lower limb rehab exercises? Check out my YouTube channel of over 100 videos! Link below YouTube channel: https://www.youtube.com/c/MickHughesPhysio

18.01.2022 The pandemic has certainly thrown a few curve balls at us this year in more ways than one! I was due to fly out tomorrow to The Netherlands and present my ABCs of the ACL Workshop with Denkfysio. However, we decided to be adaptable and deliver it online this weekend - with some modifications - but with great success! Thanks to all of the participants for such interest, engagement, interaction and thoughtful questions! I'm looking at running it online again later this year at a more friendlier time for those of us down under. Email me at [email protected] and I'll add you to my mailing list once I lock in a weekend

17.01.2022 Acute ACL management Whether it's acute ACL injury management, or the first few weeks post-op ACLR; these 3 exercises are part of my daily menu of exercises. 1) Passive knee extension + elevation + ankle pumps... 2) Stationary bike 3) Resisted terminal knee extensions All these 3 are aimed at reducing pain & swelling and maintaining some degree of lower limb strength and function in the weeks following ACL injury or ACLR. There are plenty more options out there though - what are your favourite 3? If you're interested in learning more about ACL injury and rehabilitation, consider signing up to Learn.Physio 2hr ACLR Masterclass. Until midnight September 30, you'll also receive my at-home ACL rehab ebook as a special bonus! Click here to sign up www.learn.physio/videos/100019

16.01.2022 Knowledge Translation Was a humbliy and thoroughly enjoyable past 3 days sharing ACL research and evidence to physios and health professionals in South America and Italy; all with the help of a fantastic group of interpreters and educators from @kinedyf and @novaviaproject Thank you so much for helping me break down language barriers and geographical barriers to present practical ways to reduce ACL injuries and improve outcomes following ACL injuries when they do unfort...unately occur! Many thanks also to those who attended my workshops over the weekend! I sincerely hope you enjoyed the content provided and learnt something new to introduce into your clinical practice this week! If you're interested in having my presentations and workshops delivered to your clinic or organisation, email me at [email protected] and we'll arrange something for you

16.01.2022 "Functional exercises" don't always improve pain and function For uninjured athletes and the general population, "functional" exercises such as squats and deadlifts are key ingredients to their strength and conditioning program. However, the vast majority of ACLR patients I see who have had a hamstring reconstruction, have persistent quad and hamstring strength deficits on their affected leg that doesn't improve with "functional" exercises.... For these patients, they need isolated knee extensions, isolated hamstring curls and/or Nordics to hit the local muscle tissue without being shared amongst the other lower limb muscles. This post isn't to say though, that if ACLR patients only do knee extensions and Nordics that they'll have a great result. It's not. But if ACLR patients don't include isolated work, as well as the "functional" work, then I'd wonder if their strength deficits are being fully addressed. What's your experience with isolated exercises in rehab? Positive or negative? Would love to hear patients & clinician's experiences. Would you like to learn more about ACLR rehab? Sign up to www.learn.physio Masterclass before midnight Sept 30 and you'll also receive my at-home ACL rehab ebook as a special bonus! Here's the link: www.learn.physio/videos/100019

16.01.2022 Quadricep strength is paramount in ACL rehabilitation, with multiple studies showing improved outcomes in function, RTS, re-rupture rates, OA progression in tho...se with stronger quadricep muscles (Lepley LK 2015). Closed chain exercises are often used to strengthen the quadricep complex however patients are easily able to compensate quadricep weakness with use of other muscle groups. . A common fear towards open kinetic chain exercises is that it will loosen the ACL graft due to the high strain it places on the graft itself. However it’s important to note that a lot of movements we do e.g. squats, lunges, cycling, and even walking strain the ACL. . This study highlights this with every step you take when you walk placing 2-3x more strain on the ACL than performing a knee extension movement with 3kg at 15 degrees knee flexion. . Similar studies have also showed such comparisons with Escamilla et al 2012 showing that squatting 0-90 degrees had the same amount of strain on the ACL as a knee extension through 0-90 degrees with ~4kg of resistance . If you would like to learn more about optimising rehab, follow the link in our bio to watch our Masterclasses on ACL rehabilitation. See more

13.01.2022 The Melbourne ACL Rehabilitation Guide is FREE and online! www.melbourneaclguide.com Randall Cooper and I are so proud to share with you the online version of the Melbourne ACL Rehabilitation Guide!... Even better, is that the website is also setup to guide the non-operative ACL patient back to physical activity and to return to sport too (if they choose). A heartfelt thanks goes our to the community of health professionals who are already using the Melbourne ACL Rehabilitation Guide to help ACL reconstructed patients all over the world improve outcomes. We honestly couldn't have done this without you Click on the link below to see how to use the online version of the Melbourne ACL Rehabilitation Guide. User guide video: https://youtu.be/vlDAJPrfV68 Jump online and play around! We'd love to hear your feedback, and are more than happy to answer any of your questions

12.01.2022 Non-operative ACL Masterclass is now LIVE on www.learn.physio! We're really excited about our latest educational video that includes presentations by ACL experts Adam Culvenor and Brooke Patterson on how to optimally manage osteoarthritis following ACL injury, and how to best implement ACL injury prevention programs. If you're interested in watching this online Masterclass, comment YES below and I'll reply with a link. ... Don't forget, health professionals can log these 3 hours as continuing education

12.01.2022 ACLR rehab - The first 3 months The first 3 months post op are crucial to get the knee to a better place where it's prepared for all the fun stuff (jumping, hopping, running, sprinting, change of direction, training and sport). If you're interested, here's my considerations to the first 3 months post op ACLR.... Of course, each person will have their own ACLR journey. They will have different pain experiences following surgery. They might have multiple surgical procedure performed. They will have a wide variety of access to rehab equipment. They will have very different return to sport goals (if any). So please be thoughtful in your rehab planning and progressions, and make your plans based on the person sitting in front of you. If you're interested in learning more about ACLR rehab considerations, sign up to my Learn.Physio online ACLR Masterclass over at www.learn.physio

12.01.2022 Thanks for sharing this wonderful editorial by Noehren & Snyder-Mackler in the latest JOSPT issue on OKC exercises @clinicalathlete I love how it highlights that the strain the ACL goes through during the gait cycle is 2-3x larger than getting a patient doing active knee extensions through full ROM with 3kg of load. ACLR patients have been shown to compensate through their hip muscles during CKC exercises - ineffectively loading the quad - and the evidence is clear that qua...d weakness has a negative impact on short term (function, QOL, ability to walk/run) and long term (return to pre-injury level sport, knee reinjury, knee OA progression) outcome measures. So when we look at it like this; it just makes sense to isolate the quad AS WELL as do CKC exercises; and knee extensions are the only way to do it. There's a lot more to OKC exercises than this post but it certainly appears that ruling OKC out completely, might just be doing more harm than good. We do however need to be cautious with heavy loads (>70% 1RM) and ROM performed during first 3 months. Current ACLR guidelines by van Melick 2016 suggest restricting ROM 45-90deg from week 4-12 (max 70%1RM loads) and then full ROM thereafter (gradual & progressive loads). Email me at [email protected] if you'd like to read this editorial and other OKC papers

12.01.2022 Let's not rush back to sport following ACLR Thanks Learn.Physio for highlighting this study showing the elevated risk that comes with attempting to return to pre-injury level of sport prior to 9 months in non-professional ACLR athletes. When you combine this study with the data from Grindem et al (51% increased risk of a 2nd knee injury for every month prior to 9 months) and the work from @enda.king showing that at 9 months non-professional ACLR have biomechanical differe...nces between limbs and significantly different compared to healthy controls; it simply isn't worth rushing back before 9 months. My advice to any non-professional athlete is "be a patient patient". Complete at least 9 months of rehab (including plyometrics, agility training and sport-specific conditioning and training drills), pass a series of strength and hop tests, prove that your psychological ready and complete at least 1 month of unrestricted team training before pulling on the boots for your first competitive game. When did you return to sport following ACLR? Was it successful or did you reinjure? I'd love to hear your experiences If you're interested in learning more about how I go about my ACLR rehab process; sign up to @learn.physio 2hr ACLR Masterclass. You'll get plenty of exercise options and clinical reasoning to help you navigate your patients through their ACLR journey. Head to www.learn.physio/videos/100019 to check out our learning objectives and reviews.

12.01.2022 Quads are King/Queen When it comes to ACL injured patients and short term and long term outcome measures, the single most important muscle group are the quadriceps. Yes we need to train the hamstrings, the glutes, the calf and the core muscles; but strengthening the quadriceps is quite simply the lowest hanging fruit that you can possibly pick from the rehab tree.... If you're interested in learning more about ACLR rehab, consider signing up to www.learn.physio ACLR Masterclass. Until midnight tonight, if you sign up, you'll also receive my at-home ACL rehab ebook as a special bonus! Link to ACLR Masterclass here www.learn.physio/videos/100019

12.01.2022 This is fascinating insight to an ACL injury. Thanks for sharing your story Ashleigh Brazill! Looking forward to watching more of your road back to sport

10.01.2022 Do you manage young athletes with Osgood Schlatters? If so, you might be interested in these recent findings by Rathleff et al (2020). In a group of adolescent athletes, a 4 week period of activity modification and home exercises followed by 8 weeks of progressive exercise and graduated return to sport yeilded some very impressive reductions in pain.... There's a bit more to this paper that I cover in the upcoming Issue 15 of Learn.Physio Research Reviews, but it's a great example of how an active approach to this tricky condition just may be a better alternative to advising rest and saying it will resolve over the next 12-18 months. Click on the link below to become a free member of Learn.Physio Journal Club so that you don't miss out on this Issue next week! Journal Club registration: https://www.learn.physio/p/learn-physio-journal-club

10.01.2022 How many heel raises can you do? Great share by @learn.physio Save this post for your next client!... . Limb symmetry index values can sometimes be skewed due to deconditioning in the contralateral leg. Normative values are always something great to keep in mind in addition to the limb symmetry index . In Herbert-Losier’s study over 500 healthy active people were studied and the following were shown . Make sure you’re pushing up to the sky on the first 1-2 toes and not rolling onto the outside of your foot! . . To learn more about rehabilitation visit www.learn.physio . . . . Hebert-Losier, K., Wessman, C., Alricsson, M., & Svantesson, U. (2017). Updated reliability and normative values for the standing heel-rise test in healthy adults. Physiotherapy, 103(4), 446-452. See more

07.01.2022 If you manage adolescent and pediatric patients - especially those with ACL injury, Osgood Schlatters, PFJ pain and OCD lesions - you might be interested to know we're about to release a brand new Learn.Physio 3hr Masterclass with adolescent experts Dr Loretta O'Sullivan-Pippia and Dr Ivan Astori. Don't miss out on its release by clicking on the link below to become a free member of Learn.Physio journal club, and we'll let you know when it's online! Learn.Physio Journal Club registration: https://www.learn.physio/p/learn-physio-journal-club

07.01.2022 Plyometric drills are those that train a muscle’s ability to produce power. They typically involve low ground contact times and unfortunately are underprescribe...d and feared despite being critical throughout all stages in rehabilitation . Only 30% of 111 ACL reco patients performed plyometric drills yet they were back on the field playing sport (Elbert et al 2017) . Above are examples of later stage plyometric drills however training these qualities can start with just landing drills . If we look at all the best injury reduction programs, what they all have in common? . That’s right lots of hoping and jumping . If you want to learn more about how you can incorporate these into your ACL rehab, go to learn.physio and watch our Masterclasses . . . Rossler, R., Donath, L., Verhagen, E., Junge, A., Schweizer, T., & Faude, O. (2014). Exercise-based injury prevention in child and adolescent sport: a systematic review and meta-analysis. Sports medicine, 44(12), 1733-1748. . Ebert, Jay R., Peter Edwards, Luke Yi, Brendan Joss, Timothy Ackland, Richard Carey-Smith, Jens-Ulrich Buelow, and Ben Hewitt. "Strength and functional symmetry is associated with post-operative rehabilitation in patients following anterior cruciate ligament reconstruction." Knee Surgery, Sports Traumatology, Arthroscopy 26, no. 8 (2018): 2353-2361. See more

07.01.2022 How many heel raises can you do? You may not be an elite ballet performer, but setting high standards and having good calf capacity is not a bad thing! Not long now until the release of Learn.Physio Athletic Foot & Ankle Masterclass!... Give us a if you're interested in signing up to this one!

07.01.2022 Last 3 days to register Monday 31st May 12pm-1pm AEST (might be a good time now for my Victorian friends) Sun 30th May 7pm PST for my North America friends.... Registration is a donation to The Special Olympics - https://www.specialolympics.org Best live question gets a $100 premax.co voucher Limited spots available, don't miss out! Event link here: https://www.eventbrite.com.au/e/why-quads-matter-most-in-ac

05.01.2022 Do you assess more than static balance? Don't forget that "balance" also includes the vestibular system; so consider adding this head turning exercise and/or assesment (*pun intended) into your post-op ACLR rehab considerations! If you're interested in learning more about ACL rehab; consider signing up to www.learn.physio ACL Masterclasses!... Head over to www.learn.physio to check out our full line up of courses and presenters, or simply click on the links below and sign up! ACLR Masterclass - www.learn.physio/videos/100019 Non-operative ACL Masterclass - www.learn.physio/videos/100029 Training Load Masterclass - www.learn.physio/videos/100027

05.01.2022 What a great night! Thanks Rodney Grof for asking me to come along to Platinum Physio and talk shop on ways to improve outcomes following ACL reconstruction last night. Even better yet, you raised $1000 for Beyond Blue Congratulations on such a great initiative

04.01.2022 Be careful how you interpret hop tests I'm a fan of hop tests when determining someone's readiness to return to training and return to sport following ACL injury or ACL reconstruction. They are inexpensive, require little equipment, easily performed in the clinic, and can give clinicians some meaningful data such as a limb symmetry index (LSI) score; however we need to respect their limitations.... Here are just 3 reasons.. 1) They SHOULD NOT be used in isolation. Just because someone has a good hop test LSI does not mean they have adequate quad strength. Measure both. Quad strength is vital for many short term and long term outcome measures. 2) The hop test LSI score does not take into account the distance the athlete hopped, nor what happened when they landed. Was their single leg hop distance close to their height? Did the collapse into valgus upon landing? Did they compensate at the hip upon landing? 3) Recent research has shown that the healthy limb of the athlete can also de-condition following ACLR; giving a false impression of how well the athlete may be doing. Consider comparing the hop test distance to normative data or even better, measure strength and hop tests of the athlete prior to ACLR. Can you think of other reasons why hop test results need to be considered carefully? I'd love to hear what other clinicians are thinking in this space. If you're interested in learning more about ACL rehab, consider signing up to Learn.Physio ACL Masterclasses by heading to www.learn.physio. There you'll find our lineup of courses, presenters and learning objectives

04.01.2022 "If you let your patients walk, you should let your patients do open chain knee extensions" - Dr Lynn Snyder-Mackler If you care for ACLR patients, I strongly encourage you to watch this 45min presentation on ACLR exercise selection by clicking on the link below https://youtu.be/B3ZFQeVfq3s

04.01.2022 Consistency is key Give tendons too much load for what they're prepared for, and they're likely to be really cranky at you. Give them too much of a holiday, and return to activity too hard, too fast, too frequent; and they'll also get cranky at you.... Check this video out to see a simple exercise to keep load into your Achilles Tendon whilst taking a break from training, or used as a progressive exercise on the way to building in more advanced exercises such as hopping or skipping. We're releasing a brand new Learn.Physio online Masterclass this week called the "Athletic Foot & Ankle" and it features Susan Mayes from The Australian Ballet and Tendon expert Ebonie Rio. Give us a thumbs up if you're excited and keen to sign up for this one

04.01.2022 ACLR return to sport checklist This isn't an exhaustive list, but these are the key outcome measures I want my patients to meet prior to returning to pre-injury level of sport. What's on your list? Let me know in the comments section below... If you're interested in learning more about ACL rehab, consider signing up to Learn.Physio ACL Masterclasses at www.learn.physio - direct links below ACLR Masterclass: https://www.learn.physio/p/acl-rehab Non-operative ACL Masterclass: https://www.learn.physio/p/non-operative-acl-masterclass

03.01.2022 Do you see many BPTB (patella tendon) reconstructions? This recent review showed that those patients who had a BPTB reconstruction met return to training milestones on average 6-10 weeks later than hamstring autografts and allografts respectively. Furthermore, BPTB patients met return to sport milestones 12-15 weeks later than hamstring autografts and allografts respectively.... However at 12 months post-op, there was no significant differences between groups for quads strength symmetry; suggesting that, although patients who have BPTB may be slower in progressing through rehab compared to others, but they eventually catch up by 12 months post op. It might be a hard pill to swallow for BPTB patients, but it could actually be a good thing as it allows more training exposure and more biological healing, which may work in reducing the risk of 2nd ACL injuries. What are your thoughts and experiences with BPTB grafts? Personally I don't see too many BPTB patients, but the progress of the ones I've seen would be consistent here. Would you like to learn more about ACL rehab? Consider signing up to Learn.Physio ACL Masterclasses at www.learn.physio Full text reference: https://www.jospt.org/doi/10.2519/jospt.2020.9111 0pubmed

03.01.2022 Research has shown that patients who continue rehab in a supervised and progressive way for at least 6 months have better strength and function outcomes than those who don't. How can we improve engagement with our ACLR patients to continue their rehabilitation beyond 6 months to at least 9 months post-op, where we know there is a less chance of 2nd knee reinjury? For me, I've seen great engagement and extension of rehab time via with small group exercise sessions.... How about you?

02.01.2022 Can you function without an ACL? This may come as a surprise to some, but not all ACL injuries require ACL reconstruction - and some people can cope without an ACL (yes, even return to sport)! ACL injuries (excluding those with concomitant full thickness cartilage and complex meniscus tears), should be assessed to see if the person can be a "potential coper" and subsequently offered exercise rehabilitation as their first treatment option.... Clinically, a "potential coper" is someone who: has had 1 or less instability since the time of their injury >80% LSI on 6m timed hop test >80% on KOS-ADLs questionnaire >60% on a global rating of knee scale. Interestingly, 45% of those who were originally classified as a "non-coper" became a "potential coper" after 5 weeks of exercise rehabilitation (Thoma et al, 2019). So give your patients the opportunity to see if they can turn things around; especially if they were initially a "non-coper". Want to know more about ACL injury and rehab? Sign up to Learn.Physio Masterclass on non-operative ACL management by heading to www.learn.physio

01.01.2022 Brand New Masterclass It's been a long time coming, but we're really proud to be releasing a brand new Masterclass on Learn.Physio - the first of many that we plan on releasing over the next few months! This one - The Athletic Ankle - is a beauty that will be useful to all clinicians who manage Achilles tendon pain and a variety of different ankle injuries.... We purposefully sought out two of the world's best clinicians - Drs Ebonie Rio & Sue Mayes - to deliver this online course to you. We truly hope you enjoy this online learning opportunity and learn something new. You can find the direct link to the course, and it's learning objectives, at the link below. Athletic Ankle Masterclass link: https://www.learn.physio/p/the-athletic-ankle-masterclass

01.01.2022 Children are not mini adults. We cannot apply the same training principles to children as what we do adults, and rehab plans should involve a strong collaboration with the athlete's parents/guardians and coaches. Do you have any advice for getting the best out of rehab with young athletes?... If you're interested in learning more about managing adolescent athletes better, we're very close to releasing a brand new 3hr Learn.Physio Masterclass on Adolescent Knee Injuries by Dr Loretta O'Sullivan-Pippia and Dr Ivan Astori. If you're interested in taking this online course, stay informed by joining our free Learn.Physio Journal Club by clicking on the link here: https://www.learn.physio/p/learn-physio-journal-club

01.01.2022 What is a "quiet" knee and why is it important? A "quiet" knee is a knee that has full AROM (or almost full), has little swelling if any, has no quads lag and has little pain. It's important because it tells you that the knee is settled following ACL injury and ready to start high quality rehab; either non-operative management or pre-op rehab.... If you're not sure what high quality rehab should entail; the exercise protocol in Eitzen et al (2010) is a very good example with consistent significant results in clinical trials in favour of its use. See link here for full text access https://pubmed.ncbi.nlm.nih.gov/20710097/ If you're looking to learn more about ACL injury rehabilitation, consider signing up to www.learn.physio online ACL Masterclasses