{"id":11221,"date":"2024-08-09T06:00:48","date_gmt":"2024-08-09T05:00:48","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=11221"},"modified":"2024-08-02T11:33:51","modified_gmt":"2024-08-02T10:33:51","slug":"strength-in-collaboration-the-collaborative-power-of-physiotherapy-and-strength-coaching-part-4","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2024\/08\/09\/strength-in-collaboration-the-collaborative-power-of-physiotherapy-and-strength-coaching-part-4\/","title":{"rendered":"Strength in collaboration- the collaborative power of physiotherapy and strength coaching – Part 4"},"content":{"rendered":"

A collaborative rehabilitation framework involving the dual-discipline support of physiotherapy and strength & conditioning. To assist the athlete in their journey from injury to performance.\u00a0<\/span><\/p>\n

Keywords:\u00a0<\/b>Reflective practice, rehabilitation framework, professional development<\/span><\/p>\n

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Introduction:<\/b><\/p>\n

The final part of this blog series follows on from the principles established in <\/span>part one<\/span><\/a>, <\/span>two<\/span><\/a> and <\/span>three<\/span><\/a>.\u00a0 This blog\u2019s focus is on the \u2018monitoring and reviewing phase\u2019 of rehabilitation (see Figure 1), specifically in the context of dual-disciplinary collaboration between strength and conditioning (S&C) and physiotherapy practitioners. Part four also highlights how the principles in this blog series transcends across multiple practitioner disciplines and sports\/environments, meaning it can be applied to any context.\u00a0<\/span><\/p>\n

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Figure 1:<\/b>\u00a0Monitor and review phase of rehabilitation<\/span><\/p>\n

Monitor and review:<\/b><\/p>\n

Monitoring progress and reviewing the effectiveness of our interventions as practitioners is an important process to follow throughout rehabilitation. This comes in multiple forms, including clinical assessments, medical imaging, diagnostic testing and physical profiling, as well as subjective feedback (see figure 2):<\/span><\/p>\n

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Figure 2:<\/b>\u00a0Methods of monitoring<\/span><\/p>\n

All of these forms of appraisal are vital to the process. In situations whereby quantitative feedback is impacted by environmental, socio-economic and cultural factors, there is still scope to effectively monitor and review rehabilitation programme effectiveness within the particular context. Asking the questions in figure 3 below can help to begin the appraisal and reflection process of a rehabilitation programme:<\/span><\/p>\n

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Figure 3<\/strong>: Review process flowchart<\/span><\/p>\n

Collaboration within the inter-disciplinary team is equally important, and utilising the skills and knowledge base of the team can ensure reflection occurs to drive the rehabilitation forward for the athlete who is at the centre of the process. In the case of a S&C practitioner and physiotherapy practitioner, combining the physiotherapeutic assessment and knowledge of pathophysiology of healing, physical profiling and diagnostics and the athlete\u2019s subjective feedback provides a rounded view of the programme allowing for reflection, discussion and collective agreement on the next steps to return an athlete to health, fitness and performance.\u00a0\u00a0\u00a0<\/span><\/p>\n

The end result is personal and professional growth for all involved. The athlete will develop physically and psychologically throughout the process. Practitioners will be able to reflect individually on their role within the rehabilitation to improve for future situations and also how to form quality working relationships, effectively communicate and collaborate between each other<\/span> for the best interests of their health and development.\u00a0<\/span><\/p>\n

Collaboration is key:<\/b><\/p>\n

Collaborative working and effective communication within the inter-disciplinary team can result in improved athlete outcomes (Ekstrand et al., 2018). Clear initial planning between\u00a0<\/span>S&C and physiotherapy practitioners around the pathophysiological, environmental, contextual and psychosocial aspects of the rehabilitation, provides direction and lays the foundation for a successful rehabilitation process. It also requires everyone pulling in the same direction, it cannot be done with individual practitioners working in silos. This requires collaborative practice at all rehabilitation stages and beyond the athlete\u2019s return to performance. The process of collaboration, reflection and reviewing as an inter-disciplinary team is a continuous process, not a one-time event as displayed in figure 4.<\/span><\/p>\n

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Figure 4<\/strong>:\u00a0 Continuous review process<\/span><\/p>\n

Conclusion:<\/b><\/p>\n