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SEPNZ BULLETIN                            ISSUE 17, OCTOBER 2020

CELEBRATING OUR MEMBERS:

P5 Sharon Kearney

  p8              p12                              p14
 APP REVIEW:     CLINICAL REVIEW                  UPCOMING SEPNZ COURSES

 Run Tempo       Sport Mental Health Assessment

                                                    www.sepnz.org.nz
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 2
SEPNZ EXECUTIVE COMMITTEE
                                                                            Members Page
      President - Blair Jarratt
 Vice-President - Timofei Dovbysh
    Secretary - Michael Borich
   Treasurer - Timofei Dovbysh
     Website - Hamish Ashton
   Sponsorship - Emma Lattey

          Committee
        Emma Clabburn
       Rebecca Longhurst
         Justin Lopes
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EDUCATION SUB-COMMITTEE
Rebecca Longhurst (Chairperson)
       Emma Clabburn
         Justin Lopes                      ADDITIONAL USEFUL WEBSITE RESOURCES:
      Dr Grant Mawston
        Dr Gisela Sole                                   List of Open Access Journals
        Lauren Shelley
                                                         Asics Apparel - how to order
          John Love
                                                       McGraw-Hill Books and order form
                                                       Asics Education Fund information
                                        Journal of Orthopaedic & Sports Physical Therapy (JOSPT)
      BULLETIN EDITOR
                                        International Federation of Sports Physical Therapy (IFSPT)
        Emma Clabburn

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CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 3

CONTENTS

      SEPNZ MEMBERS PAGE
      See our page for committee members, links & member information          2

      EDITORIAL: By SEPNZ President Blair Jarratt                             4

      FEATURE ARTICLE: CELEBRATING OUR MEMBERS: SHARON KEARNEY                5

      APP REVIEW: Run Tempo — Runners Metronome                               8

      MEMBER BENEFITS: Asics Professional Buyers Program                     10

      ASICS FOOTWEAR REVIEW: RHEUMATOID ARTHRITIS AND FOOTWEAR               11

      CLINICAL REVIEW: SPORT MENTAL HEALTH ASSESSMENT                        12

      UPCOMING SEPNZ COURSES                                                 14

      RESEARCH PUBLICATIONS: BJSM November 2020 - Volume 54 - Issue 21       15

      CLASSIFIEDS                                                             7
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 4

  EDITORIAL

Kia ora to our November SEPNZ Bulletin and             time as the tempo reminder. Not only is this an
welcome to all our new members including our           excellent tool for clients, but we know how Physios
student members after a successful student night       like to multi-task. You can get your CPD podcast fix,
in September which drew in 130 plus participants       work on your run tempo and get your exercise hit all
through a virtual gathering, good luck for the final   at the same time.
placements for the year and graduation. Also, as       Our Key sponsor ASICS provides our members with
we move closer to the end of the year, we are          a succinct footwear review on new GEL-Nimbus Lite
holding our annual SEPNZ photo competition. It         and GEL - Kayano Lite and their role in limiting the
is your opportunity to showcase a slice of New         progression of foot pain and deformity due to
Zealand to the world with the winner of the            Rheumatoid Arthritis.
competition getting their photo on the front cover
of the British Journal of Sports Medicine. If you      We round out this bulletin with a clinical review for
would like to enter this competition, please see       SEPNZ member Amanda O'Reilly on the
the advertisement below this editorial for details     International Olympic Committee Sports Mental
and the deadline to enter.                             Health Assessment Tool and Sports Mental Health
                                                       Recognition Tool. A recommendation from this
In this edition, Executive Member Justin Lopes         statement was the need for an appropriate screening
interviews Sharon Kearney after she received her       tool for elite athletes due to the prevalence of mental
Member of the New Zealand Order of Merit for her       health symptoms in elite athletes. This article
contribution to Physiotherapy and Netball -            describes the development and preliminary reliability
Congratulations Sharon! Sharon gives us a glimpse      and validity of the tool.
into her journey in physiotherapy and touches on the
                                                       Finally, on behalf of the SEPNZ Executive we would
vital point of the role of physiotherapists in
                                                       like to congratulate Ben Hinchcliff for being elected as
performance. Sharon leads Netball Smart, which is a
                                                       the new PNZ president at last week’s AGM. Keep
pioneering programme in the field of injury
                                                       safe as we head into the end of the year, and we will
prevention.
                                                       see you back in December for our Christmas edition.
The research has been out for some time now
regarding changing tempo in runners and the benefits   Kind Regards
this may have to musculoskeletal pain. Sure, we
know that you can download songs with specific         Blair Jarratt
tempos - but honestly, some of those playlists are     SEPNZ President
pretty horrendous! Our feature APP this edition is
Run Tempo - it differs from other apps as it allows
your favourite music or podcast to play at the same
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 5

  FEATURE ARTICLE

Celebrating Success:
New Zealand Order of
Merit
Sharon Kearney
Sharon Kearney has been one of New Zealand’s leading Sports
Physiotherapists for decades. This year she was recognised for her
contribution to Physiotherapy and Netball by being recognised as a
Member of the New Zealand Order of Merit (MNZM) on the 2020
Queens Birthday Honours List. We caught up with Sharon after the
awards.

JL: Congratulations on being recognised on the 2020                JL: You were nominated by Netball New Zealand?
Queens Birthday Honours list as a Member of the New
Zealand Order of Merit… How did that come about?                   SK: You don’t know who nominates you. My
                                                                   understanding is that you get nominated but has to be
SK: I got an email when I was in self-isolation actually,          supported by other people, so you don’t actually know who
having just flown back from Europe on a mercy dash                 nominates you, you have no idea.
home to get away from COVID-19, and there was an email
in my inbox. It looked like spam actually, because it has          JL: Well in that case it was us…(disclaimer: SEPNZ
brackets around it, so I ignored it… and then as I was in          did not nominate Shaz but we should have). You have
isolation I thought I better have a look at some emails I          been to three Netball World Youth Cups as the NZ
received while I was away and I thought ‘oh I better open          Netball U21 Physio, you were the Medical Co-ordinator
this’ and that’s when I saw it and I thought Oh my                 for Netball New Zealand, you have attended five World
goodness me! The email stated that I had been nominated            Cups and two Commonwealth Games with the Silver
for a MNZM and would I like to accept essentially.                 Ferns. What was your highlight?

JL: That’s wonderful                                               SK: I suppose the ultimate highlight if we are thinking from
                                                                   a performance perspective was the Commonwealth
SK: That’s how you find out… and I did hear of someone             Games Gold Medal Final in New Delhi where we beat
else who ignored it and didn’t even know he had been               Australia in double overtime. That was a pretty
nominated because of the way it looks in your inbox, it            outstanding effort, and was a definite performance
doesn’t look real, and to me I guess it still doesn’t feel real.   highlight. I think probably highlights in general terms of my
                                                                   all roles has just been watching players develop and
                                                                   watching how physio can have such an impact in sport.
                                                                   And not just as an ambulance at the bottom of the cliff, but
                                                                   also from a performance enhancement and injury
                                                                   prevention perspective. This has been my modus operandi
                                                                   from when I first got involved with Netball. That’s the
                                                                   exciting thing. I have just been away with some current
                                                                   U21’s this weekend and working with that age group again
                                                                   and watching how, from a movement perspective, we can
                                                                   educate, we help players grow their physical capability
                                                                   and what a difference we can make. From a physiotherapy
                                                                   perspective we undersell our impact and we need to start
                                                                   celebrating what physiotherapy as a profession can offer
                                                                   and what a difference we can make, especially to the
                                                                   young athletes.

                                                                                           CONTINUED ON NEXT PAGE >>
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 6

  FEATURE ARTICLE

JL: You must have seen a big difference then from the
first U21 teams to the current cohort in the ways that
they move, having gone through NetballSmart and the
groundwork you have been laying with those athletes
for a few years as you have been running
NetballSmart for a while and looking at how they are
moving.. Are you seeing changes in how they are
moving, and landing, are they stronger? Do you see
those effects coming through?

SK: See that’s a yes and no…Because we are dealing
with society where our kids are less physically capable.
I’m not sure they explore movement enough in their
younger years and society in general is less physically
demanding and whereas sport appears to be far more
physically demanding than years ago. Sports is generally
faster and harder. I recently went and worked with some
young year 9 and 10 kids at a Development camp who
were physically capable to meet the demands of Netball.
So, yes I think at a higher level, as we have worked really    SK: I am really interested in the success rates of injury
hard, and made impact as we work really closely with the       prevention or injury risk reduction programmes. These
players. However at a community level I would say the          programmes are fraught with multitudes of issues (i.e.
challenging thing for us is that players are less physically   compliance). What we are seeing at the moment is a lot of
capable than yester year, because of the lifestyles they       research into what the programmes should include but not
lead. Then they try and play sport by emulating their role     a lot of research into how they can be implemented
models and play at a really high and physical level            successfully and what the important success factors are. I
However many don’t have the physical capability to do          am interested in this from an ACL perspective specifically.
that    without     exposing      themselves    to    injury   If we look at the current ACL research that is coming out
risk.     NetballSmart roles and our roles within              at the moment there is a lot about post ACL
Physiotherapy is really important and needs to be constant     reconstruction. There is a plethora of it, but there is not a
and ongoing. We need to engage more with the young             lot of research on how we can implement broad
athletes, make a difference with these kids and how they       community based programmes that can actually make a
move in sport, so they can prevent the injury cascade that     difference to ACL injury rate. So, I think I will be pushing a
some of them end up on.                                        massive rock uphill but I am quite interested in that side of
                                                               things. How can we show that community based injury
JL: You are working in private practice, have worked           prevention programmes can be successful. NetballSmart
in Netball with the Tactix, the Silver Ferns for a while       at the moment, pre-COVID (who knows what is going to
and I know you are also working with one of the                happen post-COVID) was beginning to influence a
international Delphi groups in Injury Prevention. What         decrease in netball ACL injuries…Who knows what is
else have you got in the pipeline?.                            going to happen post COVID because we will have a lot of
                                                               kids that have not done a lot and sport is taking off with a
                                                               hiss and a roar so…its really quite devastating that COVID
                                                               has impacted so heavily on some of the strategies that we
                                                               have in place. In addition how are we going to ensure that
                                                               we can kick-start the momentum again next season? It’s a
                                                               tough one. At some point, I would like to get into some
                                                               research, but injury prevention research but that is really
                                                               hard.

A family affair - Sharon and Kevin with Daughter Ala — all
physiotherapists!
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 7

  FEATURE ARTICLE                                              CLASSIFIEDS

JL: Yip, hard to get funding too…Are you still working
at Performance Physio in Christchurch

SK: Yes I am still working in my clinic one day a week. I
think it is important that although I am managing this                 Physiotherapy Clinic for Sale in Gulf
NetballSmart programme, I am still connected to the                       Harbour, Rodney, Auckland
coalface. I also do some NetballSmart workshops with
players and coaches – I need to stay relevant and
connected to lead the NetballSmart programme well. . So,
I have spent the last 4 days working with athletes and           Are you a qualified physiotherapist looking to
coaches, ensuring that what I believe we should be doing
is still pertinent. Working one day a week in the clinic       branch out and really put your future in your own
ensures that I am still keeping up my physiotherapy work        two hands? Or perhaps you are an established
which is why I became a physiotherapist. Between the two        practice looking to expand through the addition
roles I have I feel that I am remaining relevant, and I want      of a new location? Either way, Gulf Harbour
to keep myself relevant to ensure that NetballSmart can          Physiotherapy represents a brilliant, hands on
make the best impact.
                                                               opportunity for an ambitious, friendly and skilled
JL: That’s wonderful. Congratulations again Shaz, we                                operator.
are really proud of you. You sare an awesome person
and a great physio and it is great to have you lead the         On offer is a Gensolve database that keeps the
way in so many ways within the profession We look                         current owners hands FULL!
forward to seeing what’s next for Dame Sharon
Kearney soon!
                                                                                   Business Highlights
SK: Haha…not yet! Thanks                                                   •     Healthy returns to working owner

If you know of successful SEPNZ members we                                       •   Loads of client car parking
would love to celebrate them; please email
Justin@sepnz.org.nz to let us know who we should                            •    Rent to turnover ratio of just 6%
be interviewing!
                                                                       •    Flexible lease in place with expansion
  SEPNZ would like to congratulate Sharon                                               possibilities
     again on the amazing achievement.
   The NetballSmart resources are a great                                            •   Solid referral sources
 resource for the clinic when discussing all
  things injury prevention and performance                         •       Great local reputation with an established
    enhancement and have a training diary                                                client base
athletes can complete which is a great way to
  open the discussion around load with the
            player and their family.                                   •       Located next to gym, and nearby Gulf
                                                                                     Harbour Country Club
       More resources are available at
         https://www.netballsmart.co.nz/
                                                                    •       Make the most of the fantastic Hibiscus
                                                                                      Coast lifestyle

                                                                https://www.kakapobusiness.co.nz/business-for-
                                                                   sale/gulf-harbour-physiotherapy-with-large-
                                                                               gensolve-database

                                                                Contact: Cameron Proctor, Kakapo Business,
                                                                              021 525 037
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 8

  APP REVIEW

                       Back to the App...
                       Your App Review

Run Tempo—Runners Metronome —by Emma Lattey

As the sun starts to come out, days get longer, and events are back on, more of our patients are hitting the
streets. Run Tempo is a simple but effective metronome app that plays behind music or podcasts to keep your
step count under control.

                                  Seller:               DockMarket, LLC
                                  Size:                 800.8 KB
                                  Category:             Health & Fitness
                                  Version:              0.12.0
                                  Compatibility:        Requires iOS 9.3 or later. Apple and Android
                                  Languages:            English
                                  Age rating:           4+
                                  Copyright:            2017 Dockmarket LLC
                                  Cost:                 $1.69
                                  Family Sharing:       Yes

What it is used for?                   Run Tempo is a metronome app for running training at an optimal
                                       cadence. It is different from other apps as it allows music or podcasts
                                       to play at the same time.

                                                                              CONTINUED ON NEXT PAGE >>
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 9

     APP REVIEW

Who would benefit from this App?

Run Tempo is the perfect metronome for runners and other athletes. It is handy to use in the clinic for cadence
retraining and you simply set your desired beats per minute using the controls and you're ready to go. Run
Tempo can run in the background, allowing you to hear your tempo while using other running apps with audio
or music. Includes an optional countdown timer to let you set your tempo then turn off automatically.

PRACTICAL APPLICATION

Here are my hot tips for cadence retraining for runners with PFP:

1.       Prepare the posterior chain for increased work – use hip/knee/calf
         strengthening and load education before considering cadence changes
2.       Calculate cadence – use technology eg. both Garmin and Apple watches
         calculate cadence, or get your patient on the treadmill and count.
3.       If cadence is under 170 steps per minute, increase cadence by 5-10%
         carefully using RTR or gradual loading plan. Advise patient to “run
         softer” – does it change their knee pain?
4.       Remember other structures that will be under increased stress, eg.
         Metatarsals.
5.       Best apps for cadence retraining
                 • MetroTimer (previously reviewed) - old school metronome,
                 free.
                 • RunTempo
                 • Spotify – pick playlist at specific cadence

Pros:
     •    Simple and effective app. Easy to use and does what it says it is going to do.
     •    Has a timer which is helpful for a return-to-running/walk-jog program.
     •    Has different pitches and levels of tone to choose from.
Cons:

     • Running with a metronome and music at a different beat could be off putting.
     • I prefer the MetroTimer beep to the Run Tempo tone and I think it could get a bit annoying after a
     while.

                                                                     OVERALL RATING = 4.5 / 5
CELEBRATING OUR MEMBERS: P5 Sharon Kearney - p8 p12 - sepnz
PAGE 10
MEMBER
BENEFITS                        There are many benefits to be obtained from being an
                                SEPNZ member.

                                For a full list of Members’ Benefits visit
                                http://sportsphysiotherapy.org.nz/benefits/

     In each bulletin we will be highlighting individual member benefits in order to help members best utilise
     all benefits available.

The ASICS Professional Buyers Programme is designed to enable Sport & Exercise Physiotherapy New Zea-
 land members the opportunity to experience our shoes first hand and to assist in referring the most suitable
         shoe/s to your patients. By registering for the Professional Buyers Programme, you will:

                        ASICS Performance Footwear/ASICS Sportstyle Footwear
                           Receive 4 voucher codes per year, 2 every six months.
Each voucher will give you 40% off the retail price of one pair of shoes up to $300 Recommended Retail Price.

                            Vouchers must be redeemed online at www.asics.co.nz

                                          Additional Product Offers:

                                           Birkenstock Footwear
                           Receive 2 voucher codes per year, 1 every six months.
Each voucher will give you 30% off the retail price of one pair of shoes up to $200 Recommended Retail Price.

                        Vouchers must be redeemed online at www.birkenstock.co.nz

                                             Smartwool Socks
                          Receive 2 voucher codes per year, 1 every six months.
                  Each voucher will give you 30% off the retail price for your choice of socks

                                         (Recommended Retail Price).

                         Vouchers must be redeemed online at www.smartwool.co.nz

                                              Register Here
      Full terms and conditions can be found on the Professional Buyers Programme registration page.

If you are already a member of the Professional Buyers Programme you will receive your vouchers in July and
                                                 February.

For first time registered member, we run a report at the end of each month which picks up the newly registered
             members. You should then receive your vouchers by the middle of the following month.

                                               REGISTER HERE
PAGE 11

  Asics

Rheumatoid Arthritis and
Footwear

Thanks to Asics for this latest footwear review from Anthony Ng.

Rheumatoid arthritis (RA) is a common                  changes in newly diagnosed RA individuals. The
inflammatory condition, causing foot pain with         GEL-Kayano has a wider plantar base which
associated stiff and swollen joints. Consequently,     provides optimal balance to improve foot
this leads to foot and joint alignment                 positioning plus allowing adequate space for the
complications with accompanying bone erosion.          occurrence of foot swelling.
The key is to support the rheumatoid foot during       Both offer enhanced cushioning, providing
active waking or running. Footwear plays a major       significant reduction of oxygen consumption,
role in reducing or avoiding structural and            helping influence longer walking or running. The
functional foot alterations. This will reduce the      midsole density provides that spring like feel, to
need for frequent visits to medical professionals      produce extra bounce on impact, generate more
or the need for orthotic devices.                      power for forward progression, reduce joint
                                                       loading and counteract the likelihood of
Many RA individuals wear suboptimal footwear           increasing foot deformities. These features aid in
which can be detrimental to their foot condition. It   reducing pressure over rheumatoid nodules or
has been proven that implementing correct              prominent metatarsal heads.
footwear advice into your clinical practice offers
one of the best long-term treatments.                  These shoes are designed to flex at the correct
                                                       anatomical location. Both shoes incorporate
ASICS new lightweight alternatives the GEL-            deep flexion grooves promoting efficient motion
Nimbus Lite and GEL-Kayano Lite offer the ideal        across the metatarsal heads during propulsion.
support/flexibility/cushioning to decrease             This combination of mobility and stability results
rheumatoid mechanical foot stresses. They              in less energy required for forward acceleration
provide optimal non-pharmacological foot               thereby decreasing foot pain.
management to prevent or reduce erosion and
subluxation to improve foot function.                  These 2 shoes may play a substantial role in
                                                       limiting the progression of foot pain and
This footwear can improve foot alignment. They         deformity due to rheumatoid arthritis. They meet
achieve this by enhancing the controlling velocity     fundamental clinical goals in allowing the foot to
movement caused by natural gait thereby                function more effectively during daily forms of
reducing intrinsic muscle activation to delay or       exercise and locomotion.
slow foot related progression. This is paramount
for maintaining stability and pain reduction.
GEL-Kayano Lite offers enhanced internal
supportive chambers which are configured to
achieve optimal force displacement and midsole
stiffness, therefore enhancing stability properties
to reduce abnormal foot motion. These
innovations are ideal for preventing early erosive
PAGE 12

    CLINICAL REVIEW

 International Olympic Committee (IOC) Sport Mental
    Health Assessment Tool 1 (SMHAT-1) and Sport
     Mental Health Recognition Tool 1 (SMHRT-1):
  towards better support of athletes’ mental health.
 Vincent Gouttebarge, Abhinav Bindra, Cheri Blauwet, Niccolo Campriani, Alan Currie, Lars Engebretsen, Brian
    Hainline, Emily Kroshus, David McDuff, Margo Mountjoy, Rosemary Purcell, Margot Putukian, Claudia L
                                  Reardon, Simon M Rice, Richard Budgett.

                          Br J Sports Med 2020;0:1–9. doi:10.1136/bjsports-2020-102411

By Amanda O’Reilly

ABSTRACT                                                     The Sport Mental Health Assessment Tool 1
                                                             (SMHAT-1)
The prevalence of mental health symptoms and
disorders in elite athletes is substantial, and similar to   This tool can be used by sports medicine physicians
the prevalence in the general population. The risk of        and other registered health professionals but the
mental health symptoms and disorders can increase            clinical assessment step (3B) must be conducted by
due to sport-specific stressors such as severe               a sports medicine physician or a registered mental
musculoskeletal injuries, surgeries with long                health professional.
recoveries, and transitioning out of elite sport. In
2017 the International Olympic Committee (IOC)               STEP 1: Triage
established an expert panel to review the available
literature regarding mental health symptoms and              The Athlete Psychological Strain Questionnaire
disorders among active and former elite athletes             (APSQ) is a 10 item, self-reported rating (5-point)
leading     to     a     consensus        statement.     A   scale specific to the sport context. A score of 17 or
recommendation from this statement was the need              more is indicative of a high risk for psychological
for an appropriate screening tool for elite athletes.        distress. A positive triage leads onto the subsequent
This article describes the development, and                  step.
preliminary reliability and validity of the tool.
                                                             STEP 2: Screening
The IOC established a Mental Health Working Group
with 11 international experts (10 of whom were               The following six disorder-specific screening
involved in the consensus statement). The group              questionnaires are used:
reviewed the literature, and assessed the views of             • General Anxiety Disorder-7 (GAD-7): assesses
current and former elite athletes on mental health             the presence of symptoms of anxiety.
symptoms and disorders. From that information they
formulated a three-stepped approach to assessing               • Patient Health Questionnaire-9 (PHQ-9):
elite athletes (defined as professional, Olympic,              assesses the presence of symptoms of
Paralympic or collegiate level; aged 16 years and              depression.
older) potentially at risk for (ie, exposed to one or          • Athlete     Sleep    Screening    Questionnaire
more stressors), or already experiencing, mental               (ASSQ): assesses the presence of sleep
health symptoms and disorders to facilitate timely             disturbance.
management and/or referral to adequate support                 • Alcohol Use Disorders Identification Test
and/or treatment.                                              Consumption (AUDIT-C): assesses the presence
                                                               of alcohol misuse.
                                                               • Cutting Down, Annoyance by Criticism, Guilty
                                                               Feeling, and Eye-openers. Adapted to Include
                                                               Drugs (CAGE-AID): assesses the presence of
                                                               substance misuse, being slightly adapted for the

                                                                                  CONTINUED ON NEXT PAGE >>
PAGE 13

    CLINICAL REVIEW

  SMHAT (no focus on alcohol use as already               suspected harassment/abuse and on transition out of
  explored with the AUDIT-C; additional question to       sport.
  explore which substance was used).
  • Brief Eating Disorder in Athletes Questionnaire       Appropriateness and preliminary reliability and
  (BEDA-Q): assesses the presence of disordered           validity
  eating.
                                                          The APSQ applied at step 1 (triage) identified 57.1%
If all screening questionnaires are negative, the         (N=160) of the sample requiring progression to step 2
administrator proceeds to step 3A (brief intervention     (screening). Overall, the APSQ performed well in
and monitoring). If one or more screening                 case detection for the six screening instruments at
questionnaires are positive or a positive answer is       step
given on PHQ-9, item 9, the administrator proceeds        2. It detected all positive screened cases for the GAD
to step 3B.                                               -7, PHQ-9 and CAGE-AID, while only a small
                                                          proportion of cases was misclassified for the AASQ
STEP 3A: Brief intervention and monitoring                (5%), AUDIT-C (16%) and BEDA-Q (11%).

Based on the questionnaires and history of the            The Sport Mental Health Recognition Tool 1
athlete, the administrator might refer the athlete for    (SMHRT-1)
interventions such as mindfulness, meditation,
mental skills training and/or stress control. After the   Friends, family, coaches and fellow athletes are
intervention the readministration should conduct the      significant essential supports for elite athletes hence
APSQ and another positive result will be a referral to    the IOC MHWG developed the SMHRT-1 to be used
step 3B.                                                  by these support networks and facilitate early
                                                          detection of mental health symptoms or disorders in
STEP 3B: Clinical assessment and management               elite athletes. The SMHRT-1 relies on the
                                                          observation of significant and/or persistent thoughts,
A comprehensive clinical assessment is conducted          feelings, behaviours and/or physical changes in
by a sport medicine physician and/or registered           athletes. In cases where those are observed, the
mental health professional to obtain additional           athletes should be directed to a sports medicine
relevant information and identify a clinical diagnosis.   physician or registered health professional for mental
Based on the information, one of three actions can        health screening with the SMHAT-1.
be followed:
                                                          Limitations and clinical implications
  1. In cases that are neither severe nor complex
  and where there is no diagnostic uncertainty nor        The questionnaires within the SMHAT-1 are self-
  history of previous non-responsive to treatment,        reported so the external validity relies on the
  then treatment/support can be provided by a sports      accuracy of the respondents' answers. The majority
  medicine/primary care physician.                        of the questionnaires have only been studied in non-
  2. In cases of diagnostic uncertainty or when           athletic populations so more testing is required within
  further information might be useful, additional         different sporting populations and countries to gain
  screening questionnaires for other mental health        further validation.
  symptoms and disorders, including but not limited
  to attention-deficit/hyperactivity disorder, bipolar    Whilst there is still a lot of further validation and
  disorder, post-traumatic stress disorder, gambling      analysis of practicality of the SMHAT-1 and the
  disorder and/or psychosis, can be considered prior      SMHRT-1; if used as part of routine screening like
  to definitive diagnosis and the creation of a           cardiovascular and musculoskeletal screening the
  management/intervention plan.                           awareness, assessment and management of mental
  3. In cases that are severe, complex,                   health symptoms and disorders will improve within
  diagnostically uncertain even after additional          the elite athletic population. The questionnaires are
  screening is completed and/or non-responsive to         self-reporting so easy to administer and the stepwise
  treatment, we recommend referral of the athlete to      system provides the support networks for an athlete
  a registered mental health professional.                such as coaches, family, allied health and sports
                                                          medicine practitioners a clear protocol for
When to use the SMHAT-1                                   intervention or referral as required.

The tool can be used pre, mid and end-season
periods. It should also be used when an athlete           A full set of references are available on request
experiences any significant life event such as a major
injury or illness, unexplained performance concern,
PAGE 14

   UPCOMING SEPNZ COURSES

 Please note these are the proposed courses for 2020. With the current COVID-19
      situation this could also change. Once we are confirmed to go ahead
                        registrations will be open via PNZ.

                               Injury Prevention & Performance Enhancement.

                                    AUT Millennium 9th Nov – 22nd Nov 2020
This course will provide you with the key skills used in the enhancement of sporting performance and prevention of injury.
It covers the analysis of physical, biomechanical and technical needs of sport, identifying key factors affecting performance
                                                      and injury prevention.
    You will learn how to assess athletes and implement an individualised programme designed to optimise movement
efficiency, performance and minimise injury risk. You will learn how to develop a sport–specific screening assessment, how
                to monitor injury rates and target injury prevention strategies within different sporting contexts.

                                             The course will be run as follows
 There will be 12x30 minute online tutorials to be completed in your own time in the two weeks prior to the 22 nd November
                                                             2020.
  Sunday November 22nd will be a Face to Face day where concepts from the online tutorials will be brought to life with
                                                      practical sessions.
 An optional Zoom session will be held 7-10 days after the course to consolidate learnings and answer any questions that
                                            reflections of the course have raised.
                         Register Here: https://pnz.org.nz/Event?Action=View&Event_id=2995

                      Promotion and Prescription of Physical Activity and Exercise

                                          AUT North 28th & 29th Nov 2020
This course is suitable for physiotherapists wanting to improve their knowledge and skills in assessment and prescription
   of physical activity and exercise to use with patients on a daily basis. This course provides a bridge to Level 2 SPNZ
            courses and important background information for those considering university postgraduate study.
The course will provide a combination of lectures, practical demonstrations, practical assessments and case studies and
     will cover the following topics: Principles of exercise prescription, Promotion and assessment of physical activity,
   Assessment of neuromuscular performance, Aerobic and functional capacity testing ,Strategies to enhance exercise
  adherence, Screening for return to sport, Exercise risk screening and goal setting, Physiological effects of disuse and
                                                             ageing
                            Register here: https://pnz.org.nz/Event?Action=View&Event_id=2989

                                                Sideline Management

                                                  March 2021 - TBC
 This course is for registered physiotherapists who work with individual athletes, or on the sideline at sports games or
 events who want to upskill in the areas of pregame preparation, first aid, acute injury assessment and management, and
                                               post event recovery strategies.
 By the end of the course you will have all the tools you need to manage pre-event preparation, post-event recovery and
                     to confidently assess, manage and refer common sporting injuries and wounds.
PAGE 15

   RESEARCH PUBLICATIONS

      British Journal of Sports Medicine
      November 2020; Vol. 54, Issue 21
                                                                  review of current surveillance measures and future
ORIGINAL RESEARCH
                                                                  directions (22 May, 2019)
Epidemiology of injury and illness in 153 Australian              Tessa Strain, Karen Milton, Philippa Dall, Martyn Standage
international-level rowers over eight international               , Nanette Mutrie
seasons (25 June, 2020)
                                                                  Exercise treatment effect modifiers in persistent low back
Larissa Trease, Kellie Wilkie, Greg Lovell, Michael Drew, I
                                                                  pain: an individual participant data meta-analysis of 3514
van Hooper                                                        participants from 27 randomised controlled trials (28
                                                                  November, 2019)
A Swedish primary healthcare prevention programme
focusing on promotion of physical activity and a healthy          Jill A Hayden, Maria N Wilson, Samuel Stewart, Jennifer
lifestyle reduced cardiovascular events and mortality: 22-        L Cartwright, Andrea O Smith, Richard
year follow-up of 5761 study participants and a reference         D Riley, Maurits van
group (17 July, 2020)                                             Tulder, Tom Bendix, Francesca Cecchi, Leonardo O
                                                                  P Costa, Ninna Dufour, Manuela L Ferreira, Nadine
Gunilla Journath, Niklas Hammar, Max Vikström, Anette Li          E Foster, Maruti
nnersjö, Göran Walldius, Ingvar Krakau, Peter Lindgren,           R Gudavalli, Jan Hartvigsen, Pieter Helmhout, Jan Kool, G
Ulf de Faire, Mai-Lis Hellenius
                                                                  eorge A Koumantakis, Francisco
                                                                  M Kovacs, Tiina Kuukkanen, Audrey Long, Luciana
EDITORIALS                                                        G Macedo, Luciana A C Machado, Chris
                                                                  G Maher, Wolf Mehling, Giovanni Morone, Tom Peterson,
Validating new discoveries in sports medicine: we need            Eva Rasmussen-Barr, Cormac
FAIR play beyond p values (26 June, 2020)                         G Ryan, Tuulikki Sjögren, Rob Smeets, J
                                                                  Bart Staal, Monica Unsgaard-
Chris Bleakley, James M Smoliga                                   Tøndel, Henry Wajswelner, Ella W Yeung
                                                                   Which specific modes of exercise training are most
Patient-centred care: the cornerstone for high-value               effective for treating low back pain? Network meta-
musculoskeletal pain management (25 June, 2020)                    analysis (30 October, 2019)

Ivan Lin, Louise Wiles, Rob Waller, JP Caneiro, Yusuf Nag         Patrick J Owen, Clint T Miller, Niamh L Mundell, Simone J
ree, Leon Straker, Chris G Maher, Peter P B O'Sullivan            J M Verswijveren, Scott
                                                                  D Tagliaferri, Helena Brisby, Steven J Bowe, Daniel
Cooling at Tokyo 2020: the why and how for endurance              L Belavy
and team sport athletes (14 August, 2020)

Lee Taylor, Sarah Carter, Trent Stellingwerff                     CONSCENSUS STATEMENT

In the fight for racial justice, the sidelines are no longer an   The Australian Institute of Sport (AIS) and National Eating
option (30 July, 2020) FREE Tracy Blake                           Disorders Collaboration (NEDC) position statement on
                                                                  disordered eating in high performance sport (13 July,
PATIENT VOICES                                                    2020)
RED-S: not just a female phenomenon (24 March,                    Kimberley R Wells, Nikki
2020) FREE                                                        A Jeacocke, Renee Appaneal, Hilary
                                                                  D Smith, Nicole Vlahovich, Louise M Burke, David Hughes
Doug Bentall

REVIEWS

Financial incentives for physical activity in adults:
systematic review and meta-analysis (15 May, 2019)
                                                                              http://bjsm.bmj.com/content/54/21
Marc S Mitchell, Stephanie L Orstad, Aviroop Biswas, Paul
I Oh, Melanie Jay, Maureen T Pakosh, Guy Faulkner
                                                                        All articles are accessible via our website
How are we measuring physical activity and sedentary                 https://sportsphysiotherapy.org.nz/members/bjsm/
behaviour in the four home nations of the UK? A narrative
You can also read