• Peter Malliaras

    Associate Professor, Monash University, Australia

    Peter Malliaras is a physiotherapist and researcher from Melbourne, Australia specializing in tendinopathy at the Achilles and shoulder.
    Currently, he is an Associate Professor at Monash University Physiotherapy Department and involved in multiple funded tendinopathy research projects in Australia and internationally. His research focuses on understanding pain and neuromuscular impairments, and clinical trials testing the efficacy of exercise and other interventions in tendinopathy. Peter maintains a strong clinical focus, specializing in difficult tendinopathy cases and regularly consults to elite athletes.

    Taler til følgende sessioner
    • 11:45 - 12:45 Applying exercise evidence for lower limb tendinopathy into practice
      This presentation will focus on applying exercise evidence for lower limb tendinopathy into practice. The specific learning outcomes are:
      1. Describe strength and limitations in the current exercise evidence for lower limb tendinopathy
      2. Develop an exercise intervention that addresses individual patient impairments
      3. Discuss exercise parameters that can be used to achieve specific functional goals
      4. Describe strategies for patient education, engagement and to increase adherence
      Lower limb tendinopathy such as Achilles, patellar and gluteal tendinopathies are common and can impact on daily functions such as walking, running and sports involvement. Exercise is a first line recommended treatment yet there are deficiencies in our knowledge.

      This presentation will provide strategies for clinicians to navigate these knowledge gaps and be able to provide evidence-informed and effective strategies for individualised education and rehabilitation for this group of patients. Examples of specific rehabilitation strategies for common clinical presentations and strategies to maximise transfer of knowledge and patient adherence will be discussed. 


      Peter Malliaras

      Camilla Larsen

      Camilla Larsen
      15:15 - 16:45 Evidence of physiotherapy treatments for shoulder pain across populations (fysioterapi til patienter med skuldersmerter)
      The aim is to present the most updated knowledge on effectiveness of exercise interventions to manage Subacromial Shoulder Pain (SSP), including type of exercise, optimum dosage, and the role of painful exercises across populations without and with physical impairments (wheelchair users).

      Exercise therapy is the first choice of treatment when treating SSP. A recent and extensive umbrella review in JOSPT highlighted the growing body of evidence to support exercise therapy as an intervention for SSP. The clinical presentation of SSP and similar terms (subacromial impingement syndrome, rotator cuff tendinopathy and rotator cuff related shoulder pain) include pain and impairment of shoulder movement and function, often experienced during shoulder elevation and external rotation. 

      But how does exercise parameters, such as type, dosage and duration impact shoulder pain outcomes, and is pain during exercise allowed? Recent research found that painful exercises are beneficial in the short term on pain and function in patients with different kinds of chronic musculoskeletal pain, but does painful shoulder exercises provide better outcomes than non-painful exercises? Shoulder pain, as a consequence of disability, is also frequently seen in wheelchair users with spinal cord injury. But are recommended exercises the same for these as for individuals without impairments? 

      All presenters will provide sufficient details of any presented exercise program, incl reference to additional material that can be read afterwards. Further, presenters will elaborate on clinical implications and generalizability to practice. Presented research recommendations aim to help clinicians in their clinical reasoning process. A final debate will be facilitated among presenters and the audience.

      • Peter Malliaras, Australia, will present the most optimum exercise dosage for shoulder tendinopathy.
      • Claudia Cavaggion, Belgium, will describe the effectiveness of conservative physiotherapy in shoulder pain, and discuss whether we should allow pain during exercise, from a Belgium study.
      • Birgitte Hougs Kjær, DK, will present shoulder training of the rotator cuff, and discuss the use of painful exercises, from a Danish study. 
      • Camilla Marie Larsen, DK, will present which active physiotherapy interventions are effective for wheelchair users with shoulder pain. 

      • Peter Malliaras, PhD, Monash University, Australia
      • Claudia Cavaggion, PhD student, University of Antwerpen, Belgium (online)
      • Birgitte Hougs Kjær, PhD, Bispebjerg Hospital, Denmark
      • Camilla Marie Larsen, PhD, UCL, University College Lillebælt, University of Southern Denmark, Denmark
      Birgit Juul-Kristensen

      Camilla Marie Larsen

      Birgit Juul-Kristensen
      Camilla M. Larsen

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