SPNZ Level 2 – The Sporting Upper Limb Course
By the end of this course you will be able to:
- Recognise sport-specific demands and their potential effects on healing and pain processes.
- Obtain a client history and select and apply the most appropriate clinical and performance-related tests to the individual, the injury, and the sport, (for example, tests of strength, functional performance, range of motion and flexibility).
- Recognise the relevance of medical investigations and of information collected by other professionals in the multidisciplinary team.
- Recognise and act on indications for urgent or non-urgent referral of an athlete for further investigations or intervention by other members of the multidisciplinary team (for example, MRI, ultrasound imaging, X-ray, surgery).
- Design and implement evidence-based conditioning, strengthening and stretching exercise programmes, including programmes to increase neuromuscular control, incorporating skill acquisition principles (for example, static, dynamic, reactive or preparatory techniques) specifically related to a specific individual, injury, and sporting role.
- Design training methods to maintain fitness and function of uninjured parts of the body during the recovery period, e.g. metabolic training, visual imaging techniques.
- Modify the use of clinical and performance-related testing to provide the most appropriate information at different stages in the rehabilitation process (for example, progressing from tests of functional movements to complex field testing that relates directly to the sporting demands).
- Sensitively advise the athlete and other professionals regarding progress and appropriate timing of return to sporting and exercise activities.
- Communicate effectively and respectfully in the multidisciplinary team, to ensure a coordinated and effective multidisciplinary approach in collaboration with the athlete.
- Integrate strategies to ensure privacy and confidentiality for the athlete and sports team, in all communications.
The course includes the following content:
- Pathomechanics of upper limb injury
- Performance-related functional tests
- Diagnostic tests
- Design and implementation of rehabilitation programmes including criteria for rehabilitation progressions
- Integration with coaching and biomechanics for technique modifications.
- Pacing and conditioning considerations for return to training and return-to sport
- Return-to-sport decision making.
The following topics will be covered:
- subacromial pain/conditions (swimmers shoulder)
- GIRD and micro-instability (throwing/racquet sports)
- dislocations/labral tears/fractures (contact sports)
- multi-directional instability (applies to many sports)
- common extensor tendinopathy (elbow) in sport
- common wrist injuries in sport
The following are covered in other SPNZ courses and won’t be covered in this course:
- Finger dislocations and tendon injuries (Level 1 – Sideline Management Course)
- Thumb (UCL) injuries (Level 1 – Sideline Management Course)
Adolescent injuries: these are intended to be covered in the Level 2 course – Sports Physiotherapy for Special Populations