About this Event
Venue: Institute of Sport Exercise & Health, London (in person)
Date: Friday 27th September 2024
Cost: £199 (Eventbrite booking fees are added to this price at checkout)
Limited spaces for 25 people
Course Overview:
Injury to knee ligament stabilisers and especially the anterior cruciate ligament (ACL) can be devastating for both elite and recreational athletes. The management and decision making around the requirement for surgery can be difficult, there is a long period of rehabilitation and long-term implications including ongoing vulnerability, risk of re-injury, performance decrements and future knee joint health. Optimising the initial and on-going management of these injuries requires specialist skills in rehabilitation, strength and conditioning and physiological support to the process of recovery and return to performance. Including both physical and nutritional strategies is therefore essential to optimise athlete health, target residual deficits and fully prepare athletes for their future competition demands.
This ISEH Learning course explores a multi-disciplinary approach in treating, rehabilitating and recovering from ACL injuries to optimise an athlete's return to sport. This course is split into three sections detailing how physiotherapy, strength & conditioning, and nutrition can work effectively together to support an athlete's recovery from an ACL injury.
Athletes (both elite & recreational) differ in their injury types, their sports, positions and styles of play, but also in their biomechanics and physiology. Hence a 'one-size fits all' approach is often unsuccessful and effective rehabiliation requires an individualised programme. This workshop aims to assist clinicians to optimise their athletes’ rehabilitation through gaining a better understanding of how physiotherapy, S&C and nutrition can contribute through the rehabilitation process.
This course combines both theoretical and practical learning led by three leading ISEH clinicians with backgrounds in physiotherapy, strength & conditioning, and nutrition who have worked extensively with elite and recreational athletes from across a range of sports in recovering from ACL injuries and returning to sport.
This workshop is split into 3 different sections: Part 1 examines initial management and optimising treatment and management during pre-operative, perioperative, early and mid-rehabilitation stages. Part 2 examines residual deficits following ACL injury, how to assess them and design targeted strategies to optimise return to sport readiness. Part 3 is focused on performance nutrition for the prevention and recovery from injury and how tailored nutrition plans and multi-disciplinary collaboration can optimise an athlete’s recovery and return to play.
Physiotherapy Learning Objectives (Led by Dr Bruce Paton):
During the physiotherapy section of this course, learners will cover the following:
1. To understand key strategies to optimise management in each phase of ACL rehabilitation:
- Prehabilitation
- Perioperative period
- Early rehabilitation phases
- Middle and capacity building phases
- Some components of return sport phase
2. To provide a clinical reasoning process / framework to aid with optimising decision making in these rehabilitation phases
Physiotherapy Session Schedule:
- ACLR early stage decision making with clinical reasoning framework (60 mins)
- Dysfunctions and contributing factors to injury and reasoning process (60 mins)
- Prehabilitation
- Perioperative and early stage
- Middle stage
- Return to sport stage (intro only - primarily covered in strength & conditioning section)
- Assessment of early and middle stage capacity deficits + management strategies (30 mins)
- ROM - Laxity and graft status
- Base strength assessment strategies
- Kinetic chain considerations in management
Strength & Conditioning Learning Objectives (Led by Dr Paul Read)
This workshop will enable learners to accurately assess athlete's physical capacity to then design and deliver targeted training and reconditioning programmes following injury with logical systems that can be applied to the return to sport continuum.
Learners will cover the following:
- Provide a clear framework to analyze an athlete’s sport demands and build high-performance assessment and reconditioning models.
- Understand how to interpret data collected and complete a gap analysis to identify trainable deficits and increase return to sport readiness
- Provide and practically demonstrate an exercise progression framework which can be applied to the return to sport continuum following injury.
Strength & Conditioning Session Schedule:
1. Analysing sport demands, dynamic correspondence, and performance modelling (lecture) – 30 mins
2. Maximal, explosive, and reactive strength deficits following injury (lecture) – 30 mins
3. Assessment of physical deficits following injury (practical) – 30 mins
4. Targeting explosive and reactive strength deficits (practical) – 30 mins
Nutrition Learning Objectives (Led by Dr Richard Allison)
A comprehensive understanding of nutrition is essential for effective injury recovery and enhanced athletic performance. We will examine the detrimental effects of inadequate nutrition on both recovery and athletic performance, providing real-world case studies.
Learners will cover the following during this session:
1. Understand the two main stages of injury recovery—healing and rehabilitation—and the critical role nutrition plays in supporting tissue repair and overall recovery.
2. Recognise the negative impact of inadequate nutrition on recovery, including delayed healing and muscle loss, and the importance of balanced energy intake, macronutrients, micronutrients, and supplementation.
3. Implement nutrition strategies that mitigate muscle loss, accelerate recovery, and potentially prevent injuries by supplying the body with essential nutrients to support healing and maintain resilience.
4. Provide a practical understanding of how tailored nutrition plans and multidisciplinary collaboration can optimise an athlete's recovery and facilitate a successful return to peak performance.
Nutrition Session Schedule:
1. The physiological impact of injury and how this impacts nutritional demands (lecture) – 30 mins
2. The consequences of inadequate, delayed recovery and increase the risk of muscle losses. (lecture) – 30 mins
3. Implementing nutrition strategies for recovery and prevention (lecture/practical) – 30 mins
4. Case study, how tailored nutrition plans and multidisciplinary collaboration optimised an athlete’s recovery and return to play. (lecture) – 30 mins
Target Audience for this Course:
This session is suitable for sports scientists, strength and conditioning coaches, physiotherapists, sports rehabilitators, coaches, sports medicine doctors and other allied health professionals involved with or wishing to increase their theoretical understanding and practical application of ACL injury management. It is also suitable for students in the above disciplines.
Course Schedule:
08:45: Arrival / meet and greet
Theme 1: ACL Rehabiliation introduction and initial management (Dr Bruce Paton)
09:00: Session 1 (Lecture): ACLR early-stage decision making with clinical reasoning framework
10:00: Break 1
10:15: Session 2 (Lecture): Dysfunctions and contributing factors to injury and reasoning process
- Prehabilitation
- Perioperative and early stage
- Middle stage
- Return to sport stage
11:15 Session 3 (Practical): Assessment of early and middle stage capacity deficits + management strategies
- ROM - Laxity and graft status
- Base strength assessment strategies
- Kinetic chain considerations in management
12:00: Lunch
Theme 2: Targeting residual deficits following ACL injury to optimise return to sport readiness (Dr Paul Read)
12:45 Session 4 (Lecture): Analysing sport demands, dynamic correspondence, and performance modelling
13:15 Session 5 (Lecture): Maximal, explosive, and reactive strength deficits following injury
13:45 Session 6 (Practical): Assessment of physical deficits following injury (practical)
14:15 Session 7 (Practical): Targeting explosive and reactive strength deficits (practical)
14:45 Break 2
Theme 3: Performance Nutrition for the Prevention and Recovery from Injury (Dr Richard Allison)
15:00 Session 8 (Lecture): The physiological impact of injury and how this impacts nutritional demands
15:30 Session 9 (Lecture): The consequences of inadequate, delayed recovery and increase the risk of muscle losses
16:00 Break 3
16:10 Session 10 (Lecture / practical): Implementing nutrition strategies for recovery and prevention
16:40 Session 11 (Lecture/Case study): how tailored nutrition plans and multidisciplinary collaboration optimised an athlete’s recovery and return to play
17:15- Close
Course Tutor Biographies:
Dr Paul J. Read, PhD, ASCC, CSCS*D, PGCE
Paul is an independent high-performance consultant, Senior Lecturer in Strength & Conditioning at St Mary’s University, an honorary Associate Professor at the University College London (UCL) and the University of Gloucestershire (UK), and head of performance for ACL Rehab Online. Paul has previously held roles as the General Manager of the Institute of Sport, Exercise and Health (London), Clinical Lead Researcher and Head of the Athlete Assessment Unit at Aspetar Sports Medicine Hospital (Qatar), and Program Director of Strength and Conditioning at the University of Gloucestershire (UK).
Paul has a PhD from Cardiff Metropolitan University in injury risk management, and a master’s degree in Strength and Conditioning from Middlesex University. Paul is an accredited strength and conditioning coach with both the UKSCA and NSCA, and has consulted with Olympians, professional and international athletes in a range of disciplines. Paul has also authored over 130 research publications and numerous book chapters in the fields of sports medicine, science and strength and conditioning. His research focuses on assessment strategies of lower limb neuromuscular control in both injured and non-injured athletes and reconditioning strategies to enhance the efficacy of return to performance following injury.
Dr Richard Allison RD, PhD, SENr
Dr. Richard Allison is a Performance Nutritionist and Clinical Dietitian at the Institute of Sport, Exercise and Health (ISEH), registered with the British Dietetic Association and a member of the Sport and Exercise Nutritionist Register (SENr). He holds a master’s degree in sports nutrition from Loughborough University and a PhD from Liverpool John Moore’s, specialising in vitamin D and athlete health. With extensive experience in applied sports nutrition and clinical dietetics, Dr. Allison caters to a wide range of clients, including elite athletes, serious amateurs, individuals seeking weight management, and those recovering from sports injuries.
Since 2017, Dr. Allison has been the Head of Performance Nutrition at Arsenal FC. Previously, he served as the Senior Sports Dietitian at Aspetar Orthopaedic and Sports Medicine Hospital in Qatar, where he implemented nutrition strategies for diverse athletic populations. His expertise spans various sports such as football, rugby, NBA, athletics, swimming, cycling, and combat sports. He has developed nutritionally balanced and customisable menus in collaboration with chefs, emphasising high-quality ingredients. His additional expertise includes nutrition for injury recovery, weight management, body composition analysis, eating disorders, and macro-nutrition for performance and recovery. Dr. Allison’s research has been published in leading journals, including Medicine and Science in Sport and Exercise, the European Journal of Preventative Cardiology, and the British Journal of Sports Medicine.
Dr Bruce Paton Bach appl Sc (physioth), PhD
Dr Bruce Paton is a consultant physiotherapist with a specialisation in lower limb musculoskeletal disorders, trauma, orthopaedics and rheumatology. He is currently working in the Sports Medicine service at the ISEH and is responsible for Lower limb rehabilitation pathways for University College London Hospitals.
He received his Bach Appl Science in Physiotherapy from University of Sydney in 1992, with early Physiotherapy work in Sydney and London teaching hospitals. Currently he works as an AHP Consultant Physiotherapist in the orthopaedics, fracture and sports clinics at University College London Hospitals (UCLH). He has worked in an extended scope of practice role since 2003, and is responsible for rehab pathways for lower limb conditions in the hospital and sports / ortho clinics. With over 150 patients with ACL injuries having treatment in this service annually.
He works with elite level sport in multiple professional and Olympic sports, and worked at both the Olympic games in London 2012 and Commonwealth games in Glasgow 2014. He regularly consults to elite level sport on athlete rehabilitation and return to sport (including Premiership Football and Rugby clubs, British Athletics and to international bodies for optimising rehabilitation).
He obtained a PhD in 2017 from Kings College London (Centre for Human and Aerospace physiological sciences), with focus on ACLR and speeding recovery in the early period postoperatively. His academic roles include founding faculty of the Institute of Sport Exercise and Health with set up of the MSc Sport and Exercise medicine course programmes at UCL. He is a UCL honorary Associate Professor and also heads up Hamstring and ACL research groups at ISEH – Supervising PhD and MSc students. He has presented at multiple conferences including organising committee for ESSKA. And regularly reviews for orthopaedic and international sport med journals including BJSM / AJSM / BJJ.
He has travelled widely, and has a keen interest in many sports, managing to survive finishes in: London marathons/ London to Brighton ultra / Nice Iron Man Triathlon / Bike Etape du Tour de France.
Bruce Paton Publications | University College London (ucl.ac.uk) Bruce M Paton - Google Scholar
Event Venue & Nearby Stays
Institute of Sport, Exercise and Health (ISEH), 170 Tottenham Court Road, London, United Kingdom
GBP 216.30
