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Physiotherapy management of patellofemoral
pain syndrome
Professor Kim Bennell
Centre for Health, Exercise and Sports Medicine
University of Melbourne, Australia
Patellofemoral pain syndrome (PFPS) is a common condition amongst
sporting and general populations and is aggravated by activities
that load the patellofemoral joint. Whilst the development of
PFPS is multi-factorial, abnormal lateral tracking of the patella
has been proposed as a possible aetiological factor. Patellar
tracking is the outcome of an interaction between osseoligamentous,
muscular and neural factors both locally and at regions proximal
and distal to the patellofemoral joint. Alterations in these
factors such as soft tissue tightness, muscle weakness, delayed
onset of the vastus medialis oblique, hip abductor weakness,
increased pronation, amongst others, may contribute to the development
or perpetuation of PFPS. Treatment for this condition aims to
address the factors contributing to abnormal patellar tracking
and techniques include patellar taping, VMO retraining, orthotics,
biofeedback, soft tissue massage, stretches and hip muscle strengthening.
This workshop will cover the diagnosis, pathophysiology, clinical
examination and conservative treatment of PFPS, with a particular
emphasis on the McConnell treatment program. A focus will be
placed on examining the evidence to support our current thinking
about PFPS and its management.
Learning objectives
¡E To describe the definition and prevalence of patellofemoral
pain
¡E To review predisposing factors for the development of patellofemoral
pain
¡E To understand the etiology of patellofemoral pain
¡E To describe the assessment of the patient with patellofemoral
pain
¡E To understand the evidence-based rehabilitation of the patient
with patellofemoral pain
Date: 3 October 2008
Time: 9:00 am to 12:00 noon
Registration Fee: HK$800
The role of exercise in promoting bone
health
Professor Kim Bennell
Centre for Health, Exercise and Sports Medicine
University of Melbourne, Australia
Osteoporosis is a metabolic bone disorder characterised by low
bone mass and microarchitectural deterioration leading to skeletal
fragility and increased fracture risk. To prevent osteoporotic
fracture in later life, a lifespan approach to bone health needs
to be adopted. Exercise plays a key role from childhood through
to the older years. Maximising peak bone mass during growth
is important and participation in a variety of high-impact activities
should be encouraged as this can lead to improvements in both
bone density and bone geometry. In female athletes, regular
menstrual cycles are important as amenorrhea is associated with
loss of bone density which is not necessarily reversed once
menses return. In the adult years, small increases in bone mass
may be achieved by structured weight-training and weight-bearing
exercise. This must be continued in order to maintain exercise-induced
bone density levels. In the older adult years, particularly
when osteopenia or osteoporosis may be present, the emphasis
shifts to reducing the risk of falls, promoting extended posture,
improving mobility and function and, if applicable, reducing
pain. Specific exercise can be prescribed that addresses these
aims even in the frail elderly.
Learning objectives
¡E To describe the definition, pathology and diagnosis of osteoporosis
¡E To explain risk factors for osteoporotic fractures
¡E To be able to interpret a DXA bone density scan
¡E To understand the effects of mechanical loading on bone
¡E To understand the effects of exercise on bone at different
stages of the lifespan
¡E To apply the theory and principles to the management of specific
patient case studies
Date: 3 October 2008
Time: 2:00 pm to 5:00 pm
Registration Fee: HK$800
Exercise and Therapy for Aging in Neuromuscular
Disorders
Dr. Mark Tarnopolsky
Professor, McMaster University, Hamilton, Ontario
Date: October 3, 2008
Time: 0900 am -1200 noon
Registration Fee: HK$800
Course Objectives:
| 1. |
To review the pathophysiology of aging associated
sarcopenia. |
| 2. |
To evaluate the efficacy of resistance exercise training
and endurance training in older adults. |
| 3. |
To evaluate the potential for nutritional and neutraceutical
interventions to enhance resistance exercise gains in older
adults |
| 4. |
To review the pathophysiology of common neuromuscular
disorders (muscular dystrophy, inflammatory myopathies,
ALS, mitochondrial disorders, McArdle's disease) |
| 5. |
To evaluate the potential for exercise therapy in neuromuscular
disorders. |
| 6. |
To evaluate nutritional and neutraceutical therapies designed
to enhance function in patients with neuromuscular disorders. |
Course Outline:
1. Pathophysiology of human aging in skeletal muscle
(25 minutes).
2. Acute and chronic response of skeletal muscle to resistance
and endurance exercise (25 minutes).
3. Nutrition, creatine and anabolic storage as agents to combat
sarcopenia (25 minutes).
¡E 15 minute open discussion.
4. Clinical and Pathophysiology Review of Common Neuromuscular
Disorders (25 minutes):
¡E ALS.
¡E Muscular dystrophy.
¡E Mitochondrial myopathy.
¡E McArdle's disease.
5. Exercise therapy for neuromuscular disorders (25 minutes).
6. Nutritional and Pharmacological Agents to Enhance Function
in Neuromuscular Disorders (25 minutes).
¡V 15 minute discussion
Admission Criteria:
This workshop is restricted to physiotherapists, medical doctors
and research students.
Contact Person:
Professor Gabriel Ng
Department of Rehabilitation Sciences
The Hong Kong Polytechnic University
Hung Hom
Hong Kong
e-mail: rsgng@polyu.edu.hk
Tel: (852) 27666721
Acu-pressure and health maintenance
Mr. Wei Yunong
Department of Rehabilitation Sciences
The Hong Kong Polytechnic University
Date: 6 October 2008
time: 9:00 am ¡V 5:00 pm
Registration Fee: HK$1,200
Content Outline:
(1) Acu-pressure concept:
- The relationship between Acu-pressure and the traditional
Chinese medicine of Tuina-massage
(2) Acu-pressure theoretical basis:
- Meridian
- Point
(3) Acu-pressure and exercise:
- Yijinjing of Qigong
(4) The benefits of Acu-pressure on the bodyy
- The health of Chinese medicine
(5) The practical application of Acu-pressure:
- Introduction to the common points and practices
Objectives of the course:
Introduction to the Acu-pressure concept, theoretical foundation
and practices.
Target audience:
Audiences who have interest in traditional Chinese medicine
of treatment and East-meets-West on health are welcome.
Number of participants (expected): 24
Profile of the lecturer:
Mr. Wei Yunong, a Chinese medicine practitioner, graduated from
the Beijing College of Traditional Chinese Medicine. He has
20 years of clinical experience in acupuncture and Tuina-massage.
He is currently participating in research and teaching activities
of the Centre for East- meets-West in The Hong Kong Polytechnic
University.
Health and Disease - The Traditional
Chinese Medicine concept
Date: 6 October 2008
Time: 9:00 am to 5:00 pm
Registration fee: HK$1,200
Objectives of the course:
To introduce the basis concept of traditional Chinese medicine
on health maintenance and disease diagnosis
Content:
General Theory of Yin-Yang and The Five Elements
The Functions of TCM internal organs.
Causes of disease.
Examinations
Common Diseases Patterns
Introduction to Herbal medicine
Target audience:
Anyone interested in Traditional Chinese Medicine and adopting
a holistic approach in treating patients.
Number of participants (expected): 24.
Speaker: Mr. Lo Man Kin PT, HK Registed TCM
and PT
Mr. Lo who is a registered Physiotherapist and a qualifed Traditional
Chinese Medicine Practitioner. He has great interest in the
integration of Traditional Chinese Medicine and western medicine.
He is currently participating in research activities and development
of curriculum on integrative rehabilitation involved in the
Centre for East-Meets- West in Rehabilitation Sciences, The
Hong Kong Polytechnic University
