functional outcome · moderators: marchetti pg, rosa d ... 15.30 moderators: pillastrini p, tesio l...

XIX International Congress on Sports Rehabilitation and Traumatology

April 10-11th , 2010BOLOGNA Italy

Convention Centre Trade Fair District

With endorsement of Facoltàdi Medicina e ChirurgiaUniversità di Bologna

OptimizingFunctional Outcome

in Orthopaedicand Sports Traumatology

Functional Outcome

p. 3 CONGRESS PRESENTATION

p. 4 WHO INFLUENCES "FUNCTIONAL OUTCOME"

p. 6 PROGRAM SATURDAY APRIL 10TH, 2010

p. 8 PROGRAM SUNDAY APRIL 11TH, 2010

p. 10 SESSIONS OF THE CONGRESS

p. 11 SHARE YOUR EXPERIENCE

p. 12 PREVIOUS CONGRESSES ON WEB

p. 13 MODERATORS AND SPEAKERS

p. 18 REGISTRATION

p. 19 MEMORANDUM

p. 19 HOTELS

DATE

April 10-11, 2010

VENUE

Palazzo della Cultura e dei Congressi

P.zza della Costituzione, 4/a

40128 Bologna Italy

PRESIDENT

Stefano Della Villa

SCIENTIFIC DIRECTION

Giulio Sergio Roi

ORGANIZING SECRETARIAT

Cristina Zanetti

EDUCATION AND RESEARCH

DEPARTMENT

Via Casteldebole, 8/4

40132 Bologna Italy

Ph. +39-051-2986814

Fax +39-051-2986886

e-mail: [email protected]

All the update information

are available on the web site

www.isokinetic.com

Index

Dott. Giulio Sergio RoiDirector of Education & Research

Department Isokinetic

3


Defining what "Functional Outcome" is precisely, is not easy. According to Baumerget al. (1) it could be defined in synthesis as the "functional result of a treatmentprocess." It is the change in the physical condition of a patient, from the momenthe is diagnosed to when he is discharged from hospital, that must be measured andcompared. The efficiency of this change depends on a combination of different factors:conservative therapy, surgical solutions, and rehabilitative techniques.

With resolution WHA 54.21 in 2001, the World Health Organization proposed a modelfor describing functional results of various treatment approaches and for health ingeneral. They called it International Classification of Functioning, Disability andHealth (ICF). All healthcare workers would not limit themselves to improve the physicalcondition of a patient but would aim overcoming impediments in their social livesthrough higher functional results.

During the second half of the Nineties, Carol Frattali of the U.S. National Institute ofHealth affirmed in her works that to reason in terms of "measurable expected results"pushed healthcare organizations into raising their attention thresholds and thus improvingthe quality of therapeutic decisions. Such an approach raises the physician's consciousnessand pushes him to face the efficacy of his approach and that of his colleagues andcollaborators. We have come a long way since then. Evaluation sheets and measuringinstruments are now present in the clinical files of many healthcare workers.

The 19th edition of the International Congress on Sports Rehabilitation and Traumatologywill host a vast exchange of views on this topic to determine which procedures, surgicaland not, within the last decade have actually allowed for better functional results inthe more common pathologies of the motor system. Our objective is to take part inthe international debate started by WHO on this stimulating topic. We will do thisthrough scientific sessions, workshops, and symposia. Reasoning in terms of "FunctionalOutcome" pushes ambitions for recovery very high and offers the patient the bestfunctional recovery.

See you in Bologna

Dott. Stefano Della VillaPresident of the Congress

Congress Presentation

��

1. Baumberg L, Long A, Jefferson J. International workshop: culture and outcomes. Barcelona 9-10june 1995; Leeds: European Clearing House on Health Outcomes

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PATIENT

ATHLETICTRAINER

ORTHOPAEDICSURGEON

REHABILITATIONPHYSICIAN

SPORTSPHYSICIAN

PHYSICALTHERAPIST

Who influences “Functional Outcome”

5

THE SPORTS PHYSICIANThe pressure of the prognosisWhen is an athlete ready to return to his sport? This is the question that sports physicians are oftenfaced with. It is asked by everyone - coaches, athletes, team managers - even before an official diagnosishas been given. No one needs to fully understand the subject of functional outcome evaluation as thesports physician does. He needs precise data to help him make proper decisions on the date of a returnto professional sport. Precise information, normative reference data, and useful elements for makingmore objective a situation which is often accompanied by opinions lacking in scientific evidence.

THE ORTHOPAEDIC SURGEONThe responsibility of the choicesIn sports traumatology, the orthopaedic surgeon is often called in to make decisions. Operate or not?And if so, which is the procedure?Decisions that influence the final result as well as those that are less talked about such as decidingwhether to operate immediately after a trauma or after a cycle of pre-surgery rehabilitation. Decisionssuch as which type of analgesic or anticoagulant therapy to use during the post-surgical period.Decisive choices, therefore, which will inevitably be affected by rehabilitation variables capable ofinfluencing the functional outcome both positively or negatively. Knowing these variables meansoptimizing the evolution of the chosen surgical procedure.

THE REHABILITATION PHYSICIANMonitoring the course of treatmentDuring every course of treatment, we must take into consideration quite a few variables which modifyprogressively: pain, swelling, range of motion, strength, fatigue, balance, coordination and others.The rehabilitation physician must monitor these variables and consequently he will be able to modifythe rehabilitative course of treatment.Every action of the rehabilitation physician is potentially capable of optimizing the functional outcomehowever this must be adapted to the real possibilties of each individual case and make it its final goal.

THE PHYSICAL THERAPISTHands on the patientActually, the relationship between the physical therapist and his patient is not just through his hands.He uses his mind, his heart, and his determination in healing the patient.The concept of "hands on the patient" emphasizes the nearness and physical contact which oftencontinues for months, sometimes even years. No one is better at educating and motivating the patientin trying to achieve the best functional oucome as the physical therapist.Too often we concentrate on technical details and we forget that the motivation of the patient andeducation are probably the most important variables for the final result.

THE ATHLETIC TRAINERExercise as a drugThere is much scientific evidence that highlights the central importance of exercise in the treatmentof many pathologies. Contrary to drugs, with its precise dosage and administration, physical exerciseis still often performed roughly and no strictly.How many muscular strengthening sessions are necessary to recover a deficit of 20%? Which preventiveprogram must be followed to prevent re-injury?To talk about physical exercise at a congress on functional outcome is not just an opportunity:it is mandatory.

6

EUROPAUDITORIUMINVITED SPEAKERS

Morning Sessions

Introduction to the concept of Functional OutcomeModerators: Marchetti PG, Rosa D

9.30 Introduction to the topic Tencone F9.45 The surgical options functional oriented Marcacci M10.00 Rehabilitation protocols functional oriented Della Villa S10.15 Re-injuries prevention Roi GS10.30 Discussion11.00 Break

Applications of the concept of Functional OutcomeModerators: Avondo S, Gobbi A

11.30 How to measure the Functional Outcomes Hambly K11.45 Functional Outcome and return to competitions Mithoefer K12.00 Functional Outcome in osteoarthritis Snyder-Mackler L12.15 Discussion13.00 Break

FUNCTIONAL STRATEGIES OF CARE

How to optimize Functional Outcome in muscle and tendon injuriesModerators: Berruto M, De Carli A

15.30 Hamstrings injuries Askling C15.45 Tears of rectus femoris Nanni G16.00 Jumper’s knee Lelli A16.15 Groin pain Bisciotti GN16.30 Discussion17.00 Break

How to optimize Functional Outcome in ankle injuriesModerators: Zini R, Zunarelli PP

17.30 Ankle strains Respizzi S17.45 Ligament injuries Giannini S18.00 Achille’s tendon Malliaropoulos N18.15 Discussion18.45 End of the first day

Afternoon Sessions

Program Saturday April 10th 2010

7

How to optimize Functional Outcome with hydrokinesitherapy11.30 Moderators: Inglese F, Vassallo GM

For instance: - Proprioception and coordination- Aerobic conditioning- Upper and lower limbs, spine

How to optimize Functional Outcome with exercisesfor neuromuscular recovery15.30 Moderators: Pillastrini P, Tesio L

For instance: - Motor relearning- Proprioceptive Neuromuscular Facilitations- Kabat, Bobath, Vojta

How to optimize Functional Outcome with innovative modalities17.30 Moderators: Buselli P, Miglio D

For instance: - Analgesic modalities- Anti-inflammatory modalities- Modalities for biostimulation

SALA ITALIAFREE PAPERS

PRACTICAL EXPERIENCES

Surgical and after-surgery techniques functional orientedModerators: Buda R, Chiozzi F

Methods of assessment of Functional OutcomesModerators: Galilea P, Konin J

Case reports and protocols 1Moderators: Lisitano G, Narvaez G

Women, sport and Functional OutcomeModerators: Bianchedi D, Servadei MA

The final program of the free paper and poster presentation will be completed on thebasis of the scientific contributions dealing with topics listed above, and which willreach to the Scientific Secretariat by 1st February 2010.

AREA POSTERPOSTER PRESENTATION


Program Saturday April 10th 2010

8

EUROPAUDITORIUMINVITED SPEAKERS

Morning Sessions

How to optimize Functional Outcome in knee injuriesModerators: Adravanti P, Zorzi C

9.30 Anterior Cruciate Ligament Benazzo F9.45 Cartilage Kon E10.00 Menisci Margheritini F10.15 Patello-femoral syndrome Zaffagnini S10.30 Discussion11.00 Break

How to optimize Functional Outcome of injured soccer playersModerators: Delcogliano A, Quaglia F

11.30 Players with previous injuriesor reduced function Andersen TE

11.45 Prevention is better than cure Bizzini M12.00 Isokinetic assessment Olmo J12.15 How to decide when return to sport Mandelbaum B12.30 Discussion13.00 Break

FUNCTIONAL STRATEGIES OF CARE

How to optimize Functional Outcome in shoulder injuriesModerators: Castagna A, Randelli P

14.30 Shoulder instability Minola R14.45 Impingement syndromes Danelon F15.00 Rotator cuff injury Rotini R15.15 How to decide when return to sport Axe M15.30 Discussion16.00 Break

How to optimize Functional Outcome in back injuriesModerators: Alianti M, Cisari C

16.15 Acute low back pain Manal TJ16.30 Chronic low back pain Tomaello L16.45 Spondylolisis and spondylolisthesis Monticone M17.00 Discussion17.30 End of the congress

Afternoon Sessions

Program Sunday April 11th 2010

9

Methods of assessment of Functional Outcomes9.00 Moderators: Narici M, Ponteggia F

For instance: - Scales of disabilitiy assesment- Physiological tests- Reference data

Surgical and after-surgery techniques functional oriented11.30 Moderators: Cané P, Perugia D

For instance: - Minimally invasive surgery- Regenerative surgery- Miniprosthesis

How to optimize Functional Outcome withtherapeutic exercises14.30 Moderators: Vernazza D, Zanobbi M

For instance: - Core stability- Pliometrics- Isokinetics

SALA ITALIAFREE PAPERS


Techniques of therapeutic exerciseModerators: Brotto E, Gonzales Iturri JJ

Functional Outcome and preventionModerators: Alberti G, Bizzini M

Case reports and protocols 2Moderators: Boldrini L, Til i Perez L

How to optimize Functional Outcome with manual therapiesModerators: Biondi A, Salsi A

The final program of the free paper and poster presentation will be completed on thebasis of the scientific contributions dealing with topics listed above, and which willreach to the Scientific Secretariat by 1st February 2010.

AREA POSTERPOSTER PRESENTATION


Program Sunday April 11th 2010

Invited speakers sessionsRepresent the main theme of the Congress. They are designed to presentthe theoretical basis and assumptions of the scientific concept of FunctionalOutcome.

Free papers sessionsHave been provided to give space to all those who wish to contribute tothe debate by presenting their practical experiences, responding to theneed to approach the practical aspects of daily work, to the results ofscientific research and to the theoretical aspects.

WorkshopsAre moments of meeting, in which companies submit their new proposalsand their new products. These are important opportunities for comparisonand update between the companies and the attenders in the congress.

Poster presentation sessionsThey allow to bring in a concise and effective, practical experiences, includingclinical cases, which often are the source of new stimuli and ideas comingmainly from younger and brilliant colleagues.

The exhibition areaGive it access to the most important offering that provides rehabilitationand medical science in technology, pharmaceutical, surgery and publishing.

10

The XIX edition of the International Congress on Sports Rehabilitation and Traumatology will be particularlyrich in its offerings and the program is designed precisely to allow you to choose carefully the differentpossibilities to attend various sessions and also participate actively in bringing your contribution ofpractical experience.

Sessions of the Congress

11

Share your experience

All operators are invited to bring their personal experience. Both those who undertook studies and collectedcase studies, both those who had clinical cases of special interest and want to show the development andfunctional result achieved, may ask to present his work as free paper or poster.

Free papers sessionsHow to optimize functional outcome with hydrokinesitherapyHow to optimize functional outcome with exercises for neuromuscular recoveryHow to optimize functional outcome with innovative modalitiesMethods of assessment of functional outcomesSurgical and after-surgery techniques functional orientedHow to optimize functional outcome with therapeutic exercises

Poster presentation sessionsSurgical and after-surgery techniques functional orientedMethods of assessment of functional outcomesCase reports and protocolsWomen, sport and functional outcomeTechniques of therapeutic exerciseFunctional outcome and preventionHow to optimize functional outcome with manual therapies


Abstracts should be sent to the Scientific Direction not later than February 1st, 2010following the directions on the web site www.isokinetic.com

Acceptance of presentations will be announced before February 15th, 2010, togetherwith the final program of the conference and will be subject to payment ofregistration fee.

The Scientific Direction will reward scientific free papers and posters that will bedistinguished for their scientific importance and innovative.A special prize will be awarded to the best free paper and poster presented by authorsunder 35.

This year the conference will be developed on two parallel tracks, the first moregeneral and theoretical, the second devoted exclusively to practical experience. Inthis second strand the themes of the sessions will be:

12


Previous congresses on webIn addition to information about the next Congress on the web site www.isokinetic.com can be foundcontents and abstracts of the previous Congresses on Sports Rehabilitation and Traumatology.

www.isokinetic.com

Adravanti PaoloParma (Italy)Orthopaedic Surgeon. Headof the Department ofSurgery. Casa di Cura Cittàdi Parma. Vice President ofSIGASCOT.

Alberti GiampieroMilano (Italy)Associate Professor. Departmentof Sports Sciences, Nutrition andHealth. University of Milan.

Alianti MauroBologna (Italy)Rehabilitation Physician andReumatologist.

Andersen Thor EinerOslo (Norway)Sports Physician and Physiatrist.Team doctor Norwegian FootballAssociation Research scientistat the Oslo Sports TraumaResearch Centre.

Askling CarlStockholm (Sweden)Swedish School of Sport andHealth Science, StockholmSport Trauma ResearchCenter.

Avondo SergioCatania (Italy)Associated Professor Ortopaedics,University of Catania. Presidentof Arthroscopy committee ofSIGASCOT.

Axe MichaelNewark (USA)Orthopaedic Surgeon. ClinicalProfessor, University ofDelaware.

Benazzo FrancescoPavia (Italy)Orthopedic Surgeon. Professorat the University of Pavia.President of the scientificcommittee of SIGASCOT.

Berruto MassimoMilano (Italy)Orthopaedic Surgeon.Orthopaedic Institute G. Pini.Member of the Committee ofSIA.

Bianchedi DianaRoma (Italy)Sports Physician. Director ofIsokinetic Rehabilitation Center ofRome. Olympic Fencing Championin Women's team Foil.

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Moderators and Speakers

Biondi ArmandoRoma (Italy)Physical Therapist.Isokinetic RehabilitationCenter of Roma.

Bisciotti Gian NicolaDoha (Qatar)Physiologist. Head of QatarNational Sports Medicine Program.Orthopaedics and Sport MedicineHospital, Doha.

14

Bizzini MarioZurich (Switzerland)Research AssociateOrthopaedics, FIFA F-MARC.

Boldrini LorenzoMilano (Italy)Sports Physician, IsokineticRehabilitation Centre of Milan.

Brotto EmanueleVerona (Italy)Sports Physician. IsokineticRehabilitation Centre ofVerona.

Buda RobertoBologna (Italy)Orthopaedic Surgeon, RizzoliOrtopaedic Institutes.

Buselli PaoloMilano (Italy)Rehabilitation Physician and SportsPhysician Director of Spinal Unit,Azienda Ospedaliera of Valtellinaand Valchiavenna.

Canè PierpaoloRimini (Italy)Director of Arthroscopy CenterHospital "Sol et Salus" TorrePedrera.

Castagna AlessandroMilano (Italy)Orthopaedic surgeon, head of theShoulder Surgery Unit. HumanitasClinic Institute.

Chiozzi FedericaRoma (Italy)Rehabilitation Physician. IsokineticRehabilitation Center Rome.

Cisari CarloNovara (Italy)Rehabilitation Physician.Associated Professor Universityof West Piemonte.

Danelon FurioMilano (Italy)Sports Physician IsokineticRehabilitation Centre ofMilan.

De Carli AngeloRoma (Italy)Orthopaedic surgeon andSports Physician. Universityof Roma La Sapienza. SoccerNational Team Physician U21.

Delcogliano AntonioRoma (Italy)Orthopaedic surgeon.Associated Professor UniversityCattolica Sacro Cuore.

Della Villa StefanoBologna (Italy)Rehabilitation Physician.President of Isokinetic Network.President of The RehabilitationComittee of SIGASCOT.

Galilea PieroBarcelona (Spain)Sports Physician. Sports HighPerformance Center (CAR) SantCugat del Vallès.

Gobbi AlbertoMilano (Italy)Orthopaedic Surgeon and SportPhysician. President ofOrthopaedic ArthroscopicSurgery International (OASI).

Giannini SandroBologna (Italy)Professor of Orthopaedics andTraumatology University ofBologna. Director of theMovement Analysis Laboratory.

15

González Iturri Juan JoséPamplona (Spain)Rehabilitation Physician andSports Physician. President ofthe Iberoamerican Confederationof Sports Medicine (CIMED).

Hambly KarenKent (UK)Senior LecturerUniversity of Kent.

Inglese FrancescoForlì (Italy)Physical Therapist. ShoulderRehabilitation Centre, Forlì.

Kon ElizavetaBologna (Italy)Orthopaedic Surgeon. RizzoliOrthopaedic Institutes.Member of the board of ICRSand President of Cartilagecommittee of SIGASCOT.

Konin JeffTampa (USA)Associate Professor, Departmentof Orthopaedics & SportsMedicine Executive Director,Sports Medicine & AthleticRelated Trauma (SMART),University of South Florida.

Lelli AlessandroBologna (Italy)Orthopaedic Surgeon. Head of theSurgical Group Villa Laura.Consultant of Virus Basket teamof Bologna.

Lisitano GianfrancoMessina (Italy)Rehabilitation Physician.Director of RehabilitationCenter Kinecenter. Memberof the RehabilitationCommittee of SIGASCOT.

Malliaropoulos NikosThessaloniki (Greece)Chairmen of the EuropeanCollege of Sports Medicine andExercise Physicians.

Manal Tara JoNewark (USA)Director of Clinical Services.Department of Physical TherapyUniversity of Delaware.

Mandelbaum BertSanta Monica (USA)Orthopaedic Surgeon. SantaMonica Orthopaedic andSports Medicine Group.

Marcacci MaurilioBologna (Italy)Orthopaedic Surgeon. Professorat University of Bologna. Head ofthe Laboratory of BiomechanicsRizzoli Orthopaedics Institutes.

Marchetti PiergiorgioBologna (Italy)Director of Orthopaedic ClinicRizzoli OrthopaedicsInstitutes.

Margheritini FabrizioRoma (Italy)Orthopaedic Surgeon.Department of HealthSciences. University of RomeForo Italico.

Miglio DiegoBrescia (Italy)Physician. Director ofSportlife Medical Center.

Minola RiccardoMilano (Italy)Orthopaedic Surgeon.President of Italian Societyof Arthoscopy (SIA).

Mithoefer KaiChestnut Hill (USA)Director, Center for CartilageRestoration HarvardVanguard Orthopedicsand Sports Medicine.

16

Monticone MarcoLissone (Italy)Head of the Physical Medicine andRehabilitation Unit. ScientificInstitute of Lissone. Institute of Careand Research Fondazione Maugeri.Member of Eurospine.

Nanni GianniBologna (Italy)Sports Physician. IsokineticReabilitation Center of Bologna.Head of the Medical Team ofBologna 1909 F.C.

Narici MarcoManchester (UK)Professor in Physiology atManchester MetropolitanUniversity.

Narvaez GaloGuayaquil (Ecuador)Sports Physician. Director OlympicHigh Performance Center.Ecuador Olympic Committee.

Olmo Navas JesúsMadrid (Spain)Rehabilitation Physician. Head ofthe Department of Rehabilitationand Functional Assessment.Hospital Central de FraternidadMuprespa.

Perugia DiegoRoma (Italy)Orthoaedic Surgeon Professor atUniversity of Rome.

Pillastrini PaoloBologna (Italy)Associate Professor. Departmentof Internal Medicine, University ofBologna.

Ponteggia FabrizioTerni (Italy)Rehabilitation Physician. Universityof Florence and Perugia. VicePresident of RehabilitationCommittee of SIGASCOT.

Quaglia FlavioTorino (Italy)Orthopaedic Surgeon. AssociateProfessor University of Turin. Headof the Orthopaedic andTraumatology Department. SanLuigi Hospital Orbassano.

Randelli PietroMilano (Italy)Assistant ProfessorUniversity of Milano.Dipartimento di Scienze Medico-Chirurgiche San Donato Policlinic.

Respizzi StefanoMilano (Italy)Rehabilitation Physician and SportsPhysician. Head of theRehabilitation DepartmentHumanitas Clinic Institute of Milan.

Roi Giulio SergioBologna (Italy)Sports Physician. Director of theEducation & Research DepartmentIsokinetic.

Rosa DonatoNapoli (Italy)Othopaedic Surgeon. UniversityFederico II of Napoli.

Rotini RobertoBologna (Italy)Orthopaedic Surgeon. Head of theShoulder-Elbow Surgery. RizzoliOrthopaedics Institutes.

Salsi AlessandroBologna (Italy)Physical Therapist. IsokineticRehabilitation Center of Bologna.

Servadei Maria AssuntaBologna (Italy)Rehabilitation Physician. IsokineticRehabilitation Centre of Bologna.

17

Snyder Mackler LynnNewark (USA)Alumni Distinguished ProfessorDepartment of Physical TherapyAcademic Director, GraduateProgram in Biomechanics andMovement Science,University of Delaware.

Tencone FabrizioTorino (Italy)Sports Physician. Director ofIsokinetic Rehabilitation Centerof Turin.

Tesio LuigiMilano (Italy)Full Professor of Physical andRehabilitation Medicine at theUniversità degli Studi and Head ofthe Clinical Unit and ResearchLaboratory of NeuromotorRehabilitation, Istituto AuxolgicoItaliano, Milan.

Til i Perez LluisBarcelona (Spain)Head of Healt Unit, Center HighPerformance, Sant Cugat del Vallès.

Tomaello LucaTorino (Italy)Sports Physician IsokineticRehabilitation Centre of Torino.

Vassallo GianmariaGenova (Italy)Rehabilitation Physician and SportPhysician. Director of Rehabilitation& Physiotherapy Institute Riabilita.

Vernazza DanielaMilano (Italy)Physical TherapistHumanitas Clinic Institute.

Zaffagnini StefanoBologna (Italy)Orthopaedic SurgeonRizzoli Orthopaedic Institutes.

Zanobbi MarcoRimini (Italy)Physical Therapist.Director of Isokinetic RehabilitationCenter of Rimini.

Zini RaulPesaro (Italy)Orthopaedic Surgeon.Vice President of SIA.

Zorzi ClaudioVerona (Italy)Orthopaedic Surgeon.Sacro Cuore Don Calabria Hospitalof Negrar.

Zunarelli PierpaoloBologna (Italy)Sports Physician.Isokinetc Rehabilitation Center ofBologna.

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functional outcome · moderators: marchetti pg, rosa d ... 15.30 moderators: pillastrini p, tesio l...

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