Clinic Update: Coronavirus and Online Assessments

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Given the tough new measures announced this evening by the Prime Minister, I thought it would be a good time to update you regarding the clinic. Following advice from The Society of Sports Therapists and organisations, such as NHS England and The World Health Organisation, we closed the clinics last week for face-to-face appointments. We are “socially isolating” with our families and will continue to do so until the advice changes.

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Online assessments are here!

We have been successfully trialling and are ready to implement online assessments for the foreseeable time, whilst the restrictions to our lives are in place. These will be in the form of video calls (Zoom, FaceTime, Skype) and arranged directly through the therapist. As such, I have turned off online bookings so that we can fit assessments at times that are more convenient to you, rather than the usual set clinic times. Your safety is our priority and therefore there are some considerations that we need to make for online appointments to be as safe and effective as possible:

  • The usual comprehensive injury history and health screening will still take place as part of your assessment.
  • If you have a more complicated medical history, which can effect our ability to perform a full assessment via a video call, we will reserve the right no to continue with the assessment and advice service.
  • Current Patients – If you have recently seen one of our therapists, you can continue your care with online appointments to update the therapist on your progress and for the therapist to advise you on changes to your rehabilitation programme.
  • New Assessments – If you are new to Ed Pratt Sports Therapy we would still love to be able to help you and can offer some general advice regarding your injury and suitable rehabilitation exercises. 
  • This is not the same as a face to face assessment and only more general advice will be given. This is because we will be unable to perform some of the physical tests and assessments that would normally form part of an assessment.

What do you need for online assessments?

  1. Internet / WiFi Connection – as mentioned above either Zoom, Skype, FaceTime will work fine.
  2. Space to move – just because it’s not face-to-face does not mean that you can’t be active and demonstrate the movements / activities that reproduce your symptoms. This goes for us too, we will demonstrate the exercises and movements that we would like you to perform.
  3. Appropriate Clothing – just like a clinic session you will need to move about and your therapist will need to see the injured area.

So what now?

The next few weeks are undoubtedly going to be tough for the vast majority of us, but it is important to remain optimistic, support each other in any way we can and keep in touch with loved ones and friends. Keep active (bet you didn’t know I was going to say that!) by walking, running, taking part in home HIIT classes (of which there are many). According to the new measures, we can leave the house / garden once a day for exercise and it’s important that we take advantage of this opportunity whilst it lasts, whilst still being socially responsible. If you need help or advice with how you can do this, working with your injury, then we are here to help. 

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How to get in touch

If an online assessment is something that you feel would be beneficial you can get in touch with either Ed (initial consultations & follow-up sessions) or Tom (follow-up sessions with current patients only) on the details below (or via the contacts page):

Ed – ed@edprattsportstherapy.com, 07837276444
Tom – tomhowell96@yahoo.com, 07534124848

We will then arrange a time that is suitable for you and see what we can do to help.

Most importantly, stay safe, stay at home and stay active!

Best wishes

Ed, Tom & Amelia.

New Pre-Payment Process & Updated Cancellation Policy

Happy New Year everyone. I hope you have all had a fun and family filled festive period.

I just wanted to write you all a quick post to let you know that we will now be taking pre-payments for all appointments from Monday 6th January 2020. This is an exciting step, which brings with it several benefits to our patients. Last year we moved to accepting card payments in the clinics using SumUp and this will continue. The new change comes with the integration of Stripe for all online booking payments, which will be pre-paid at the time of booking. As I’m sure you are aware, you are paying for our therapists knowledge and time when you make an appointment and we want to provide you with the best service we can.

This is similar to the common practice of pre-paying for sessions for Yoga and Pilates courses, for example. However, you will not be expected to pay for more than one session, we only believe that you should pay for the sessions you need. Stripe is a leading secure online payment platform that integrates seamlessly with the online booking system we use.

Any follow-up/future appointments will require pre-payment via either your therapist or the online booking system. It is inevitable that sometimes it is no longer possible to keep your appointment and a cancellation needs to be made. We ask that you give us as much notice as possible to enable us to accommodate waiting patients/clients. We have a clear cancellation policy, which is detailed below. We aim to make the appointment journey as simple and streamlined as possible for you and we will:

  • Send appointment confirmation email and text messages at the time of booking.
  • Send appointment reminders 48 hours prior to your appointment to allow time to contact us should you be unable to attend.
  • Confirmation and reminder messages include contact details for your sports therapist should you need to get in touch.
Notice PeriodCancellation Policy 2020.
More than 24 hours notice.– No fee and we will do our best to rearrange your appointment at your earliest convenience. 
– Your pre-payment will roll over to your rearranged appointment. 
– If you no longer require an appointment, you will be given a full refund.
Less than 24 hours notice.– You will be charged the full price for the appointments and need to pre-pay for any future appointments.
Did not attend / no cancellation.– You will be charged the full price for the appointments and need to pre-pay for any future appointments.

My thanks for your consideration and we look forward to working with you over the coming year. We would like to wish you all a healthy and active 2020.

Ed

Welcome to our New Graduate Sports Therapist Tom Howell!

Tom Howell, Graduate Sports Therapist (MSST)

Really pleased to announce that Tom will be joining the Ed Pratt Sports Therapy team. He will be working on Saturday mornings at the Northallerton Clinic. Tom has been working in another clinic in York and was invaluable last year at Northallerton Rugby Club, covering our home games, which has given him an invaluable experience in a wide variety of both acute and more chronic injuries.

After initially graduating from the Sport & Exercise Therapy in 2017, Tom went on to complete a masters degree in Sports & Exercise Medicine, graduating in 2018. For his MSc research project at Leeds Beckett University, Tom investigated the effects of barefoot running on muscle performance and risk of running-related injuries in habitually shod runners. The findings of the study have formed the basis for PhD research at the university.

Tom will be available for bookings from Saturday 7th September between 08:00-13:00. So whether its for a pre-match massage, taping session, an injury assessment or preventative exercise programme, get booked in with Tom as soon as possible!

Clinic Changes and the Start of a New Chapter

Hi Ed here, just writing to let you know of some up and coming changes to the clinics and at Ed Pratt Sports Therapy. For those of you who have been to see me before or have known me for a while, you will know that for the last 4 years I have been splitting my time between clinical work and teaching at Leeds Beckett University, with the clinical work taking priority.

I was recently offered and accepted a permanent teaching job at Leeds Trinity University, the role is for 4 days a week. This inevitably means that there has to be some changes to my clinic commitments, with my clinical time reducing to 1 day a week. Amelia, who has been doing a fantastic job for the last year, will be increasing to 2 days a week, one in Northallerton and one in Bedale. We will be welcoming a new Sports Therapist to cover Saturday mornings in Northallerton, more on this at a further date.

Unfortunately, due to my teaching commitments, I will no longer be holding a clinic in Yarm on a Thursday, my last clinic day there will be Thursday 29th August 2019. I am obviously sad to be finishing in Yarm, but excited at the new opportunities to develop as a teacher at Leeds Trinity University. I would like to thank Helen Smith, owner of The Pilates Studio, Yarm, from the bottom of my heart. It is a great venue and Helen has been very supportive from the start.

So, whilst it will be strange for me to reduce my clinic time, I am confident that they are going to be in safe hands and I will still be there in Northallerton once a week and working as the clinical supervisor for the whole business. I will also be very sad to leave my colleagues at Leeds Beckett University, who have supported me over the last few years and given my the best start in teaching in higher education.

It’s easy to get in touch with us (Contact Details) or Book Online here or via the button on each page of the website.

CPD, Objective Measures and Effort Faces!

Last week Amelia and I had a great catch-up and CPD session at our sports injury clinic in Bedale. We try to do this once a month, and work on various aspects of Sports Therapy, from the business side to joint assessment review (our last session was the wrist and hand). This session focussed on objective measures, in particular the use of a simple crane scale, clips and furniture lifting straps in measuring leg strength. This is as simple and effective way of obtaining a measure of the difference in strength between the right and left sides.

Crane Scale

We devised set-ups for measuring knee extension and a seated calf raise, please excuse the faces we’re pulling, but the effort was real!

This was a simple and inexpensive way of getting a measure of the force generated during the movement and applied to the lifting straps. The benefits of this set-up lie in the objective measurement of injuries such as anterior crucial ligament reconstructions and Achilles’ tendon injuries. My thanks to Eric Meira (@erikMeira) for the idea and we’re looking forward to utilising it more during future sessions.

Best wishes

Ed

What do we offer at Ed Pratt Sports Therapy?

Just a quick post to let you know that the cost of sessions will be changing with effect from the 1st April 2019. The various costs of sessions can be found here.

Sessions with either Ed or Amelia include:
– Injury examination & assessment.
– Tailored rehabilitation to suit your needs and get you safely back to your chosen sport / activity as soon as possible.
– Bespoke exercise programmes, with video tutorials, and a free app so you can log your sessions.

– Follow up contact once you have finished your treatment / rehab to ensure your recovery is still progressing as planned.
– 12+ years of experience in treating sports injuries and working with athletes.
– Easy, quick online booking, with appointment confirmation and reminders.
– Both Ed and Amelia are members of The Society of Sports Therapists.

Happy New Year & Clinics W/C 07/01/2019

Happy New Year to you all, we are looking forward to 2019 and all it may bring!

Next week I am at Leeds Beckett University examining the BSc Sports & Exercise Therapy students. Therefore I have had to change some of the clinics. I will still be in on the Saturday morning, but Amelia will holding the fort with clinics on Wednesday & Thursday in Bedale and Friday in Northallerton. Booking appointments with Amelia could not be easier via the online booking button on this page or via the Facebook page. Simply select Amelia from the “team” drop down box and her availability will come up (see below).

Merry Christmas and Happy New Year!

We’re all wrapped up for Christmas now at Ed Pratt Sports Therapy! Ed and Amelia had a great planning session yesterday for some presentations and more videos coming in early 2019 (at least one of got in the Christmas spirit!).

We would just like to say a massive thanks to all the staff at Northallerton and Bedale Leisure and HElen at The Pilates Studio Yarm for all your help and support this year.

Most of all – thank you to all the people who have used Ed Pratt Sports Therapy! Over the last year we have continued to develop our links with local clubs including rugby, hockey, football and running. We have seen and treated people from elite sport, to gym users; rugby players to ballet dancers; acute injuries to long term chronic pain and it has been our pleasure.

Merry Christmas and a happy and active New Year!

Ed & Amelia X

Exercise Prescription vs Manual Therapy

Exercise prescription versus manual therapy, or do they work hand in hand? The aim of a sports therapist, or indeed any practitioner, is to rehabilitate an injury and help maintain and improve performance. This is done through the use of manual therapy and exercise prescription, but there is no hard and fast rule on how much manual therapy should be done versus exercise prescription. This article will explore current literature and aim to give insight into the basis for clinical decision making when it comes to methods of treatment.

Exe vs Man Th Blog1Manual therapy includes massage, joint mobilization and joint manipulation; it aims to reduce pain and increase mobility of joints. Exercise prescription can be used in a reactive or proactive way, it will aim to improve the flexibility, stability, strength, endurance and power.

Chronic low back pain (CLBP) was prevalent in the research, one study by Aure et al. (2003) suggests that 60% to 80% of the western population will experience low back pain at some stage. The study had 49 participants, one group received manual therapy with the addition of 11 exercises for the spine, abdomen, lower limbs, spinal segments and the pelvic girdle. Another group performed general exercise therapy for 45 minutes; the programmes were individually designed. Results, with a one-year follow up, showed that there were significant improvements in both groups but the manual therapy group showed better results.Ex vs Man Th Blog 2 A contrasting study by Geisser et al. (2003) found that CLBP was improved following manual therapy alongside a specific exercise program but it did not improve perceived function, stating that other psychological factors need to be addressed. Both studies were randomised control trials which are seen as the gold standard for research. However, neither study effectively blinded participants or therapists which is likely to influence the results.

Moving away from CLBP, a study by Hoeksma et al. (2004) looked at the use of manual therapy versus exercise therapy in osteoarthritis of the hip. The graph below (Figure 1) details the effect of manual therapy versus exercise therapy, it shows that manual therapy had better results on range of joint motion from flexion to extension. This result is unsurprising as the manual therapy group included manipulation and ‘vigorous stretching’ while the exercise therapy group included exercises to improve muscle function and joint motion.  Diercks et al. (2004) found the opposite in a contrasting study looking at manual therapy for frozen shoulder versus exercise therapy.

Exe vs Man Th Figure 1

Figure 1 – Results on range of motion from flexion to extension (Hoeksma et al, 2004)

The manual therapy group (physical therapy) received passive stretching and manual mobilisation and the exercise therapy group (supervised neglect) received exercises within pain limitations. Results (Figure 2) showed that the exercise therapy group had better outcomes up to 24 months after injury. This is depicted by the graph below, which shows the difference in treatment over a 24 month period; the exercise therapy group was more successful in this case.

Exe vs Man Th Figure 2

Figure 2 – Results of both groups (Deircks et al, 2004)

 

Hoving et al. (2002) conducted an alternative study, investigating the use of manual therapy, exercise therapy and care by the GP for neck pain. Neck pain is common in the general population and this study found that the success rates after 7 weeks for manual therapy, exercise therapy and care by the GP were 68.3%, 50.8% and 35.9% respectively. Although it would appear that manual therapy was the most successful, patients were allowed to continue exercises at home throughout the trial and continue taking medication which makes it difficult to control the outcome measures in isolation. Figure 3 shows that manual therapy was most successful. However, the outcome measures (perceived recovery, severity of physical dysfunction score, average pain intensity score and neck disability index score) are subjective measures relying on the patients to report how they feel. This is an unreliable way to measure due to a potential lack of understanding, dishonesty or outside influence from the patient,

 

Exe vs Man Th Figure 3

Figure 3 – Manual therapy, neck pain and GP care (Hoving et al, 2002)

 

In conclusion, from a brief look at the literature it is clear that manual therapy and exercise prescription work in varying degrees depending on the injury. There is no one course of treatment that is best overall and the choice depends on the stage and severity of the injury. It is also important to note, when using a patient-led approach to therapy, manual therapy may be more appropriate for one person but another may prefer exercises. It is not necessarily a question of manual therapy vs exercise prescription, but instead using a patient-led approach and selecting the most appropriate course of treatment.

Amelia.