australian sports physiotherapy seminar - kandy, sri lanka
DESCRIPTION
This is Elite Akademy Sports Physiotherapy - The University of Melbourne's Sports Physiotherapy Seminar to be conducted in Kandy, Sri Lanka. At the time of publishing 290 attendees had signed up for Kusal Goonewardena's (Head of Sports Medicine at the University of Melbourne & Elite Athlete Sports Physiotherapist to the Olympic and Winnter Olympic Squad) seminar in Sri Lanka. With over 15 years of experience and after conducting over 50,000 treatments in sports he is bringing his experience and wealth of knowledge to his country of birth, Sri Lanka. "Hope this material helps you become best that you can be. For yourself and your athletes. " - Kusal GoonewardenaTRANSCRIPT
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Elite Akademy Global SeriesSports Physiotherapy Seminar Kandy, Sri Lanka
Kusal Goonewardena (MaSpPhysio, GradCertSpPhysio, BaPhysio)Head of Sports Medicine and Elite Athlete (APA) Sports PhysiotherapistUniversity of Melbourne
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15year CareerFounder/Director of 3 Sports Medicine Clinics Australia
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Over 50,000 Treatment Sessions in Sports Injuries & Performance
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Melb Uni Sports Physio since 2002Head of Sports Medicine at Melb Uni since 2008
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Lecturer, Consultant Australia, China, Singapore, Sri Lanka
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What makes a Good Sports Practitioner
Definition 1“Best Results in the Shortest Period of Time”
Make a Difference, or you make a Plan.Make a Difference in 3 Sessions or Less.
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What makes a Good Sports Practitioner
Definition 2“Australian Physiotherapy Council Requirements”
Safety ✔Effective Treatment ✔Exercises ✔I want to go back ✔
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What makes a Good Sports PractitionerDefinition 3
Apply “THE 5 ELEMENTS” Each and Every Time
1. SUBJECTIVE2. OBJECTIVE 3. ANALYSIS4. TREATMENT5. EDUCATION
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What makes a Good Sports PractitionerDefinition 4“Exceptional Athlete Care (Customer Service)” – John Spence
1. Show up on time2. Do what you say you will do3. Finish what you start4. Say “Please” and “Thank You”5. Give a little more than expected6. Smile 7. Make good eye contact8. Be enthusiastic9. Dress for success 10. Keep professional
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What makes a Good Sports Practitioner
Definition 5 -“Apply the Four Essentials” – Brendon Burchard
COMPETENCE CONFIDENCE PD COMMITMENT
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Which Definition Should I Follow?
Choose the one that
Comes naturally.Feels right inside.Has worked for you through experience.
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The Three C’s to be a Successful Sports Practitioner
Sports Practitioner
Success
Clinical Skills
Communication
Clinical Reasoning
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1. What makes for good Clinical Skills?
2. How do I improve my Clinical Skills?
3. How do I keep improving my Clinical Skills and what should I keep
in mind?
Clinical Skills | Communication | Clinical Reasoning
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Excellent Handling Skills
Getting Objective information with your tests and manual handling
Inter-tester, Intra-tester
1. What makes for good Clinical Skills?
Clinical Skills | Communication | Clinical Reasoning
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Eyes Closed - PalpationEyes Closed - Manual Handling
“If my pressure is a 10/10…how much was my senior/junior?”“Am I on the same spot?”
Practice makes Perfect – Inter-tester, Intra-tester
2. How do I Improve my Clinical Skills
Clinical Skills | Communication | Clinical Reasoning
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Clinical Skills | Communication | Clinical Reasoning
Get assessed by a Senior Practitioner every Month
Ask Senior Practitioners how to Improve
Practice Practical Skills every Week (small tests, quick movements), every month Month (Masterclasses/Prac Sessions)
Video/ Self Analyse/Get FEEDBACK from your athlete
3. How do I keep improving my Clinical Skills and what should I keep
in mind?
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Clinical Skills | Communication | Clinical Reasoning
1. What makes for good Communication?
2. How do I improve my Communication Skills?
3. How do I keep improving my Communication Skills and what
should I keep in mind?
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The Essentials in the Subjective
Non verbal communication
Body Language
Empathy vs Sympathy
Active Listening
Clinical Skills | Communication | Clinical Reasoning
1. What makes for good Communication?
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Role Plays (3 is the perfect number)
Push yourself outside your comfort zone
Body Language - Open, Confident
Be in Control, In your mind first
Clinical Skills | Communication | Clinical Reasoning
2. How do I improve my Communication Skills?
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Video Analysis
Its not about you. Its about helping someone else.
The best communicators are listeners first
Practice, Practice, Practice
Clinical Skills | Communication | Clinical Reasoning
3. How do I keep improving my Communication Skills and what
should I keep in mind?
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1. What is good Clinical Reasoning?
2. How do I improve my Clinical Reasoning?
3. How do I keep improving my Clinical Reasoning Skills and what
should I keep in mind?
Clinical Skills | Communication | Clinical Reasoning
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Clinical Skills | Communication | Clinical Reasoning
Great Results in the Shortest Period of Time
Symptom Improvement: 1. Intensity 2. Duration 3. Frequency 4. Time taken to recover post aggravation.
Mastering 3rd Element in Physio – (Sx, Ox, Analysis, Rx, Educ)
Prioritizing Problem List
Being a Scientist first
1. What is good Clinical Reasoning?
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Clinical Skills | Communication | Clinical Reasoning
Being Objective
Create a System, Stick to a plan and Procedure
Measure what you want changed/ improvement in
2. How do I improve my Clinical Reasoning?
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Clinical Skills | Communication | Clinical Reasoning
Keep asking yourself – What else is possible to get the best results in the shortest period of time? (Ethical and Safe)
What can I learn from the systems used by other professionals/ industries?
3. How do I keep improving my Clinical Reasoning Skills and what
should I keep in mind?
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The Three C’s to be a Successful Sports Practitioner
Sports Practitioner
Success
Clinical Skills
Communication
Clinical Reasoning
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Questions & Answers
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Sports Practitioner
Success
Clinical Skills
Communication
Clinical Reasoning
Clinical Skills | Communication | Clinical Reasoning
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The Ridgway MethodOriginated in Australia95% Success Rate in Musculoskeletal Injuries in 2-12 Days
The Elite Akademy Performance Pyramid™ Developed over 2 yearsOriginated at Elite Akademy - University of Melbourne
Clinical Skills | Communication | Clinical Reasoning
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1.What is it? 2. Where did it originate?
3. How does it work?
4. Why is it different?
5. What are the steps to learn?
6. What are the key areas to
concentrate on?
7. What should I do first and continue to keep in mind?
Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
Founded by Sports and Manipulative Physiotherapist – Michael Ridgway, Brisbane Australia
14th Clinical Reasoning Process in Australia
Fastest growing and very popular process to find the cause of the problem
Very thorough, systematic, step-by-step process
1.What is it?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
Brisbane, Australia
Michael Ridgway – is a practitioner, researcher, lecturer and inventorwww.ridgwaymethod.com
2. Where did it originate?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
Helps practitioners find the underlying cause of the problem
“Diagnosing a problem is a good start, however finding the underlying cause that led to the diagnosis is the secret to a rapid and long lasting recovery!” – Ridgway Method International
2. Where did it originate?
3. How does it work?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
Results based
Holistic
“The fastest and most complete way to solve your condition is to immediately change and fix all the significant factors.”- Ridgway Institute International
2. Where did it originate?
4. Why is it different?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
5. What are the steps to learn?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
6. What are the key areas to
concentrate on?
Neural Dynamic Testing
Collecting ‘#’ Signs (Objective Signs)
Combine: (Treatment + Functional Test) = Treatment Directional Test ‘TDT’
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Collect ALL # Signs during the Objective Ax
Be Objective (Measure Everything) – eg. PSFS
Assess Function DURING Treament
7. What should I do first and continue to keep in mind?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
Questions and Answers…
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Practical Session – DemonstrationAny Athletes, Volunteers from the Audience to be our first for the day?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
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Understanding Pain
OLD
Pain is a Feeling
New
Pain created by Brain- As a warning
- Neuroscience and physiotherapy research - pain is not a feeling.
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The Warning Signal*... The Car
*Painful Yarns - Metaphors & Stories to help understand the biology of pain. By - Lorimer Mosely
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Pain =
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How do we Fix the Engine??
What if we checked everything in the engine...?
Ie. Find the CAUSE of the Dysfunction = Reason for the brain creating pain
Or
Remove the Light??
Ie. Treating the SYMPTOMS
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The Results
Sessi
on 1
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Traditional
Old
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Sessi
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10
Ridgway Method
New
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Understanding Pain
OLDPain is a Feeling
Treat the Symptoms
The Ridgway MethodPain created by Brain-As a warning
Find the CAUSE of the Dysfunction = Reason for the brain creating pain
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Number of Sessions for Full Healing
Sessi
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Sessi
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Sessi
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OldNew
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Notes:Neural Sensitivity can be the cause of 75% problems going unsolved
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Notes:
If it’s NOT neural – It’s Somatic ie. Objectively look at Muscle, Joints and Ligament
Where 75% of Problems Come From
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Notes: Combine- (Treatment + Functional Test) = Treatment Directional Test ‘TDT’
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Notes: Treatment will Include: MRWM, MWM, MAWM, BCWM
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
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Clinical Skills | Communication | Clinical ReasoningThe Ridgway Method
2. Where did it originate?
Practical Session – DemonstrationQuestions and Answers…
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1.What is it? 2. Where did it originate?
3. How does it work?
4. Why is it different?
5. What are the steps to learn?
6. What are the key areas to
concentrate on?
7. What should I do first and continue to keep in mind?
Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Outlines all the fundamentals required for success with musculoskeletal injuries in sport
Answers the Question, “What will you do to help me?” and “How will you help me?”
Process for comprehensive treatment and rehabilitationImproves objectivity, increases understanding (increase compliance)Increases awareness of what you do as a practitioner
1.What is it?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1.What is it? S&C
FUNCTIONAL CORE
FUNCTIONAL CONTROL
FUNCTIONAL RANGE
BIOMECHANICS
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Originated in 2014 at Elite Akademy Sports Physiotherapy- University of Melbourne
Founded by Kusal Goonewardena and his sports medicine team’s pursuit of ‘Making a Difference in 3 Sessions or Less’
2. Where did it originate?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
3. How does it work?
Each needs to improve by 85% for best outcome
S&C
4.0
F-CORE12.0
F-CONTROL20.0
F-RANGE28.0
BIOMECHANICS36.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
3. How does it work?
Any Pyramid is as strong as its base
Keep working from the bottom up to complete the Pyramid
Start on 1. Biomechanics then 2. Functional Range 3. Functional Core 4. Functional Core and finally 5. Strength and Conditioning
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
EACH step of the process is measured
Same process is applicable for ANY athlete in - Rehabilitation, Prehabilitation, Performance Enhancement and Screening
Communication ‘Currency’ between players, coaches and other practitioners is the SAME
4. Why is it different?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Identifying When to Climb the PyramidIdentifying When to Refer on (All covered in Clinical Demonstration…next)
5. What are the steps to learn?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
5. What are the steps to learn?
The 5 Fundamentals Step by Step
The Weighting Score on each
S&C
4.0
F-CORE12.0
F-CONTROL20.0
F-RANGE28.0
BIOMECHANICS36.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1. Tests to Measure and Improve Biomechanics (Ridgway Method)
2. Tests to Measure and Improve Functional Range and Control(Ridgway Method)
3. Tests to Measure and Improve Functional Core (Clinical Pilates)
4. Tests to Measure and Improve Strength and Conditioning (Numerous!)
6. What are the key areas to
concentrate on?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1. Master how to measure and Improve Biomechanics – The Base of the Performance Pyramid
2. Communicate the Performance Pyramid to Coaches, Athletes, Athlete’s Parents, Other Practitioners
3. Refer back to the Performance Pyramid when identifying ‘How Your Athlete Is Going?’
7. What should I do first and continue to keep in mind?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1.hat is it?
Questions and Answers…
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1.hat is it?
Practical Session – DemonstrationAny Athletes, Volunteers from the Audience to be our second for the day?
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Application of the Ridgway Method for best results
Objectively measure: Neural DynamicsMuscle ( Tight and Weak)Joint (Stiff and Lax)Behavioural
BIOMECHANICS36.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Application of the Ridgway Method for best results
Objectively measure and Use of Technology here
Show Your Athlete their Deficits and Areas of Improvement
FUNCTIONAL RANGE28.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Application of the Ridgway Method for best results
Objectively look at the quality of movement
FUNCTIONAL CONTROL20.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Used at Elite Akademy Sports Physio – Uni of Melbourne:Clinical Pilates
Use current tests in individual sports or create tests for core assessment
FUNCTIONAL CORE12.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Individual Programs (Strength vs Endurance vs. Sports Specific)Personal trainers, Gym Instructors
Strength & Conditioning
4.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1.hat is it?
Practical Session – DemonstrationQuestions and Answers…
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1.hat is it?
Application and Understanding it Further
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
FUNDAMENTAL % YOUR PERFORMANCE SCORE NORMAL VALUES
Biomechanics[36.0]
3.4 - 3.8
Functional Range [28.0] 10.2 - 11.4
Functional Control [20.0] 17.0 - 19.0
Functional Core [12.0] 23.8 - 26.6
Strength & Conditioning
[4.0] 30.6 - 34.2
Your Peak Performance score:
_____________
Peak Performance 85.0 - 95.0
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Loading Tolerance
When your Peak Performance Score is >85.00 your Loading (intensity of training, competing) matches your Tolerance. Result
is no pain, no symptoms. The body is a well oiled machine.
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Loading Tolerance
7-14 DAYS
20%
Once your Peak Performance Score is >85.00 you can increase your Loading (training, intensity) by 20% over a
period of 7-14 days, and your body will be able to Tolerate it. For elite athletes, you can increase your Loading by
~30% over a period of 5-10 days. (I.e. you tolerate things faster).
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
Loading Tolerance
>20%
PAIN/SYMPTOMS
If you increase your Loading by >20% the body finds it difficult to Tolerate this amount of change. When your
body's Tolerance does not match the Loading then pain/symptoms are the result.
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Clinical Skills | Communication | Clinical ReasoningElite Akademy Performance Pyramid™
1.hat is it?
Questions and Answers…
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Our Mission 1. Help Practitioners Achieve their Best2. To help Athletes Achieve the Best Results, in the Shortest Period of Time.
We love What We Do and We love Sport. (And So Do I!)
Here’s Wishing You A Career and a Lifetime of Success!
Final Thoughts
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If you have any questions at all please do not hesitate to send a note or call our clinic +613 8344 4948
My email address is: [email protected] twitter address is @kusalkumar
The Elite Akademy twitter address is @EliteAkademy
We share practitioner and athletes success stories and advice on our Facebook site www.facebook.com/EliteAkademy
Lastly these slides have been uploaded to www.slideshare.net/KusalGoonewardena
Here’s Wishing You A Career and a Lifetime of Success!
Thank You