{"id":11018,"date":"2024-04-19T06:00:07","date_gmt":"2024-04-19T05:00:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=11018"},"modified":"2024-04-19T04:47:28","modified_gmt":"2024-04-19T03:47:28","slug":"strength-in-collaboration-the-collaborative-power-of-physiotherapy-and-strength-coaching-part-1","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2024\/04\/19\/strength-in-collaboration-the-collaborative-power-of-physiotherapy-and-strength-coaching-part-1\/","title":{"rendered":"Strength in collaboration &#8211; the collaborative power of physiotherapy and strength coaching (Part 1)"},"content":{"rendered":"<p><span style=\"font-weight: 400\">A collaborative rehabilitation framework involving the dual-discipline support of physiotherapy and strength &amp; conditioning (S&amp;C). To assist the athlete\u2019s journey from injury to performance.\u00a0<\/span><\/p>\n<p><b>Keywords:\u00a0<\/b><span style=\"font-weight: 400\">Athlete-centred rehabilitation; rehabilitation framework; multi-disciplinary team (MDT) working<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10829\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/10\/physios-in-sport-logo-300x300.png\" alt=\"\" width=\"168\" height=\"168\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/10\/physios-in-sport-logo-300x300.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/10\/physios-in-sport-logo-150x150.png 150w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/10\/physios-in-sport-logo.png 500w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/p>\n<p><b>Introduction:<\/b><\/p>\n<p><span style=\"font-weight: 400\">The interaction between physiotherapists and S&amp;C coaches throughout an athlete\u2019s rehabilitation is a significant one. They work closely from injury onset through to return to performance (RTP), placing the athlete at the centre of the process.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This blog series explores the components to achieve a coherent, athlete-centred, performance-focussed rehabilitation approach and the role collaboration plays between physiotherapy and S&amp;C practitioners during their support of the injured athlete.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Part-one focuses on the principles including: the working relationship between S&amp;C coach and physiotherapists, outcomes for the rehabilitation process and how these roles support the athlete\u2019s RTP journey. Additionally, the aspects of assessment and planning will be outlined when starting the rehabilitation process.\u00a0<\/span><\/p>\n<p><b>S&amp;C and Physiotherapist working relationship &#8211; the magic formula:<\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">To offer optimal rehabilitation, S&amp;C and physiotherapy practitioners must first identify the key themes of successful rehabilitation, have a clear process in place and follow principles that guide their working relationship (see figure 1).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11023\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/What-does-successful-rehabilitation-look-like-300x300.png\" alt=\"\" width=\"364\" height=\"364\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/What-does-successful-rehabilitation-look-like-300x300.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/What-does-successful-rehabilitation-look-like-150x150.png 150w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/What-does-successful-rehabilitation-look-like-768x768.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/What-does-successful-rehabilitation-look-like-640x640.png 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/What-does-successful-rehabilitation-look-like.png 1080w\" sizes=\"auto, (max-width: 364px) 100vw, 364px\" \/><\/p>\n<p><b>Figure 1:<\/b><span style=\"font-weight: 400\"> Key themes of a successful rehabilitation<\/span><\/p>\n<p><span style=\"font-weight: 400\">Despite the rehabilitation focus being the athlete\u2019s health and successful RTP, a strong working relationship between S&amp;C and physiotherapists in an athlete\u2019s RTP process is vital. The cohesion of this relationship is determined by an agreed set of values:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Trust and respect being the foundations of the working relationship.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ideas and diversity of thought being encouraged.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Decisions made with transparency, robust challenge and collective agreement.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Egos are left at the door. It is not about us, it is about the athlete.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">With those guiding principles agreed, the components of how both disciplines work at each rehabilitation stage to maximise the athlete\u2019s chance of a successful rehabilitation can be established and commenced (see Figure 2).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11020\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/strength-collab-2-300x172.png\" alt=\"\" width=\"426\" height=\"244\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/strength-collab-2-300x172.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/strength-collab-2.png 512w\" sizes=\"auto, (max-width: 426px) 100vw, 426px\" \/><\/p>\n<p><b>Figure 2:<\/b><span style=\"font-weight: 400\"> Guiding principles of the physiotherapist and S&amp;C coach working relationship<\/span><\/p>\n<p><b>Assess and plan:<\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The first step is to assess the injury and contextual factors surrounding the case, then plan. The assessment establishes the \u2018what\u2019. The plan establishes the \u2018how\u2019. These are both fluid in nature and change with time.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Assessment of the athlete\u2019s case requires looking holistically at the problem, ensuring it takes into account the inevitably complex nature of injuries (1). Combining physiotherapeutic assessment post-injury with information gathered by S&amp;C coaches, such as physical profile testing, can help to inform the plan. The assessment areas can be split into four main sections (see figure 3), with an overview sheet that allows the key stakeholders to contribute collaboratively to the case. Key objectives form part of the plan, whereby important stepping stones in the rehabilitation process can be agreed and actioned. Once fully assessed and planned, the RTP process can be efficiently and safely prioritised and programmed.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11021\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/strength-collab-3-300x169.png\" alt=\"\" width=\"501\" height=\"282\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/strength-collab-3-300x169.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2024\/04\/strength-collab-3.png 512w\" sizes=\"auto, (max-width: 501px) 100vw, 501px\" \/><\/p>\n<p><b>Figure 3:<\/b><span style=\"font-weight: 400\"> MDT planning sheet (2)\u00a0<\/span><\/p>\n<p><b>Conclusions:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ensuring physiotherapy and S&amp;C practitioners agree on principles to their working relationship, creates a strong foundation for rehabilitation cases<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Working collaboratively as an MDT during the assessment of an athlete\u2019s case provides a holistic view, identifying physical and psychosocial factors and key objectives<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Clear planning from key stakeholders offers an agreed direction of travel, and promotes effective and efficient rehabilitation processes<\/span><\/li>\n<\/ul>\n<p><b>Acknowledgements<\/b><span style=\"font-weight: 400\">:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Thank you to the ACPSEM (@physiosinsport) for supporting this blog.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Competing Interests &#8211; None<\/span><\/p>\n<p><span style=\"font-weight: 400\">Jake Mulley BSc (Hons), MCSP, ACPSEM Bronze Accreditation. Clinical Lead\/Senior Physiotherapist working in private practice. LinkedIn: Jake Mulley, Instagram: jakemulleyphysio, X: @jake_mulley<\/span><\/p>\n<p><span style=\"font-weight: 400\">Lewis Coldham BSc (Hons). Strength and Rehabilitation Coach and Educator. LinkedIn: Lew Coldham, Instagram: lewcol92, X: @lewCol92<\/span><\/p>\n<p><b>References:<\/b><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Bittencourt NFN, Meeuwisse WH, Mendon\u00e7a LD, Nettel-Aguirre A, Ocarino JM, Fonseca ST. Complex systems approach for sports injuries: moving from risk factor identification to injury pattern recognition-narrative review and new concept. Br J Sports Med. 2016 Nov;50(21):1309-1314. doi: 10.1136\/bjsports-2015-095850. Epub 2016 Jul 21. PMID: 27445362.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hazlett, A., 2020. <\/span><i><span style=\"font-weight: 400\">Physiotherapy Art vs Science<\/span><\/i><\/li>\n<\/ol>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A collaborative rehabilitation framework involving the dual-discipline support of physiotherapy and strength &amp; conditioning (S&amp;C). To assist the athlete\u2019s journey from injury to performance.\u00a0 Keywords:\u00a0Athlete-centred rehabilitation; rehabilitation framework; multi-disciplinary team (MDT) working Introduction: The interaction between physiotherapists and S&amp;C coaches throughout an athlete\u2019s rehabilitation is a significant one. They work closely from injury onset through [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2024\/04\/19\/strength-in-collaboration-the-collaborative-power-of-physiotherapy-and-strength-coaching-part-1\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":463,"featured_media":11024,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068,8191,16167],"class_list":["post-11018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured","tag-rehabilitation","tag-strength-and-conditioning"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Strength in collaboration - the collaborative power of physiotherapy and strength coaching (Part 1) - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=11018\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Strength in collaboration - the collaborative power of physiotherapy and strength coaching (Part 1) - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"A collaborative rehabilitation framework involving the dual-discipline support of physiotherapy and strength &amp; conditioning (S&amp;C). 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To assist the athlete\u2019s journey from injury to performance.\u00a0 Keywords:\u00a0Athlete-centred rehabilitation; rehabilitation framework; multi-disciplinary team (MDT) working Introduction: The interaction between physiotherapists and S&amp;C coaches throughout an athlete\u2019s rehabilitation is a significant one. 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