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Education - GroinRehab Courses

Anthony Hogan
B.App.Sc (Physio)., M.App.Sc (Manip Physio)., B.Sc (Hons)

Anthony Hogan is a unique sports medicine clinician because he has combined his Musculoskeletal and Sports Physiotherapy titles with a recent undergraduate degree in Psychology. His sports medicine career began at the South Australian Sports Medicine Centre nearly 20 years ago. In 1992, he collaborated with Dr Greg Lovell to develop a new conservative rehabilitation program for athletic groin pain (commonly referred to as osteitis pubis). Since then he has continued to develop and refine the physiotherapy aspects, particularly exercise prescription and monitoring, of the program. He has been invited to make many presentations for Sports Physiotherapy Australia and to sports medicine conferences in Australia, UK and Denmark.

Anthony refined his manual therapy and clinical reasoning skills whilst completing a Masters at the University of South Australia and went on to teach on this highly respected Sports and Manipulative Physiotherapy program between 1995 and 2003. For the past 5 years he has worked as groin injury consultant for professional football clubs in the UK and Australia. This has enabled him to develop a comprehensive understanding of the serious amateur, semi-professional, and professional footballer/athlete. He was also able to be involved in clinical research, the results of which are being prepared for publication.

GroinRehab Introduction

It is widely accepted that athletic groin pain is poorly understood and for this, and many other reasons, most clinicians report that they find it difficult to manage effectively. The GroinRehab presentations do not attempt to explain this situation, instead they present a logical assessment, re-assessment and management protocol available to the clinician. The presentations emphasise the use of reliable objective measures based on published and emerging evidence. A unique method of exercise prescription is presented that can operate independently of diagnostic difficulties and negates the need to learn recipes for specific conditions.

The GroinRehab courses have been developed by a very experienced clinician with an extensive background in post-graduate teaching. He has a genuine interest in the effective transfer of knowledge and is continually seeking better ways to explain a difficult clinical problem.

GroinRehab Fundamentals

The GroinRehab Fundamentals series of presentations consists of an initial GroinAssess presentation followed by 3 GroinRehab presentations. It is necessary to participate in a GroinAssess presentation before attending any (or all) the GroinRehab presentations.

Each GroinRehab presentation has > 50 % practical component

GroinRehab Fundamentals is available to physiotherapists, sports therapists etc

GroinAssess

Objectives of GroinAssess

To introduce a self assessment tool that will;

• assist participants to reflect on their understanding of the clinical anatomy and biomechanics of the hip and groin
• identify strategies that can be used to address knowledge deficits or threats to confidence
• to emphasise the importance of a medical assessment for long-standing groin pain
• to review the subjective examination of the hip and groin
• to demonstrate a standard physical examination of the hip and groin including the use of reliable objective measures.
• to present the role of groin pain provocation (and pain modification) tests in the clinical reasoning process used by GroinRehab
• to review the standard re-assessment procedure used to assess response to therapy, stage rehabilitation and monitor progress
• to summarise the GroinRehab template used in GroinRehab presentations

GroinRehab (Adductor), GroinRehab (Pubic) & GroinRehab (Hip & Ab)

Objectives of 3 GroinRehab presentations

The presenter will facilitate participants to:

• continue their review of the clinical anatomy and biomechanics of the hip and groin
• identify key aspects of the subjective and objective examination specific to the topic
• improve their therapy options (manual therapy, soft tissue techniques etc)
• understand the model used by GroinRehab for effective exercise prescription
• understand the benefits of reassessment process including the use of objective
• measures to demonstrate the response to therapy, load management and exercise
• problem solve common difficulties that arise in rehabilitation of athletic groin pain

Summary of GroinRehab Fundamentals

At the conclusion of this series of presentations, participants

• will have been provided with a template for groin injury management that can be integrated into clinical practice that considers
• clinical anatomy and biomechanics
• the subjective and objective examination of the hip and groin
• published and unpublished research into reliable objective measures
• groin pain provocation (and pain modification) tests
• effective manual therapy, soft tissue therapy, load management and exercise prescription
• objective monitoring of response to treatment and progress with rehabilitation
• effective communication with the patient and other clinicians

GroinRehab Advanced

These sport specific GroinRehab presentations are designed for:

• clinicians working with (or recent experience with) professional football or rugby clubs

  OR

• clinicians that have participated in a series of GroinRehab Fundamentals presentations

Outline of Presentation

GroinRehab Fundamentals Price List and Timetable

A series of 4 x 4 hour presentations staged four weeks apart
Maximum of 15 participants per session

GroinRehab Advanced Price List and Timetable

A 4 hour presentation (3.30 pm – 7.30 pm)

Note: Pre-requisite

• clinicians working with (or recent experience with) professional football or rugby clubs

OR

• clinicians that have participated in a series of GroinRehab Fundamentals presentations

DOWNLOAD AN APPLICATION FORM HERE

Important Notices

Pre-reading GroinRehab Fundmanentals

Bruker & Khan (2006)
Clinical Sports Medicine (3rd Edition)

Holmich et al ., Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial
Lancet 1999; 353: 439-443

Additional Pre-reading GroinRehab for Football or GroinRehab for Rugby

Homlich, Long-standing groin pain in sportspeople falls into three primary patterns, a “clinical entity” approach: a prospective study of 207 patients. Br J Sports Med 2007; 41:247-252

Wollin and Lovell, Osteitis pubis in four young football players: a case series demonstrating successful rehabilitation. Physical Therapy in Sport 2006; 7: 173-174

Certificate of Attendance

A certificate will be provided to participants who attend the full series of GroinRehab Fundamentals (4 presentations) after submission of a copy of:

(a) their self-assessment tool (clinical anatomy and biomechanics) completed during the course
(b) one single case study using the GroinRehab template (1 - 2 hours to complete)

Clothing

Participants will need a pair of shorts to do palpation practical
Tracksuit pants (or other similar clothing) for assessment and exercise practical

Health and Safety

Any participant who has a medical or musculoskeletal condition that may be aggravated by any aspect of participation must accept full responsibility for their well being. This includes advising the presenter and fellow participants (as necessary), avoiding potentially aggravating activities, and ceasing any activity that is painful.

Equipment

The following equipment will be demonstrated during GroinRehab presentations

• Welch Allyn Disytest (used for Squeeze test)
• Fitter SRF Board

The use of other equipment will be discussed.

Map

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