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12/05/2017 www.chrisworsfold.com www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 1 12/05/2017 THE N ECK : S ENSORIMOTOR I MPAIRMENT IN S PORT O NE D AY C OURSE S CHEDULE C HRIS W ORSFOLD MS C PGD IP M AN P HYS MCSP

  1. 12/05/2017 www.chrisworsfold.com www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 1

  2. 12/05/2017 THE N ECK : S ENSORIMOTOR I MPAIRMENT IN S PORT O NE D AY C OURSE S CHEDULE C HRIS W ORSFOLD MS C PGD IP M AN P HYS MCSP MMACP P HYSIOTHERAPIST SPECIALISING IN NECK PAIN Schedule 0900 - 0930 Kinematics, pathology & concussion 0930 – 1100 Muscle performance 1130 – 1300 Sensorimotor impairment 1300 - 1345 LUNCH 1345 – 1500 Progressing treatment & case study 1500 – 1630 Case discussion 1630 Close www.chrisworsfold.com @chrisworsfold1 • • • • • • • • • • • • • • www.chrisworsfold.com @chrisworsfold1 2

  3. 12/05/2017 • • www.chrisworsfold.com @chrisworsfold1 “ “ “ www.chrisworsfold.com @chrisworsfold1 3

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  12. 12/05/2017 THE HUMAN NECK www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 12

  13. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 Pain ROM www.chrisworsfold.com @chrisworsfold1 13

  14. 12/05/2017 % www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 14

  15. 12/05/2017 • – • – – www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 15

  16. 12/05/2017 Cervical Muscle Chiu et al (2002) Ylinen et al Vernon (1999) Jordan et al Group (2004) (1999) Flexors 74.5N 75.7N 46N 59N Extensors 93.3N 187.1N 79N 78N Cervical Muscle Chiu et al (2002) Ylinen et al (2004) Prushansky et al Group (2005) Flexors 56.7N 53.8N 20.6N (Male) 9.8N (Female) Extensors 67.5N 132N 24.6N (Male) 14.7N (Female) www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 16

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  18. 12/05/2017 • • www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 18

  19. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 • • % % • • • www.chrisworsfold.com @chrisworsfold1 19

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  23. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 Extension Flexion www.chrisworsfold.com @chrisworsfold1 23

  24. 12/05/2017 • • • www.chrisworsfold.com @chrisworsfold1 THE HUMAN NECK www.chrisworsfold.com @chrisworsfold1 24

  25. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 • • • • • • % • % www.chrisworsfold.com @chrisworsfold1 25

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  28. 12/05/2017 • • • • • www.chrisworsfold.com @chrisworsfold1 • • • • • www.chrisworsfold.com @chrisworsfold1 28

  29. 12/05/2017 • – – • • www.chrisworsfold.com @chrisworsfold1 1 2 3 Image courtesy of Research in Sports Medicine from Pinsault & Vuillerme 2009 www.chrisworsfold.com @chrisworsfold1 29

  30. 12/05/2017 x x Image courtesy of Research in Sports Medicine from Pinsault & Vuillerme 2009 www.chrisworsfold.com @chrisworsfold1 • – • – From Chen et al 2013 Courtesy of Manual Therapy / Elsevier www.chrisworsfold.com @chrisworsfold1 30

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  32. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 • • • • • www.chrisworsfold.com @chrisworsfold1 32

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  34. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 34

  35. 12/05/2017 % % www.chrisworsfold.com @chrisworsfold1 – – – www.chrisworsfold.com @chrisworsfold1 35

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  37. 12/05/2017 • • • • • • • • • • www.chrisworsfold.com @chrisworsfold1 • • • • www.chrisworsfold.com @chrisworsfold1 37

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  39. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 39

  40. 12/05/2017 THE HUMAN NECK www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 40

  41. 12/05/2017        www.chrisworsfold.com @chrisworsfold1 1 2 3 Image courtesy of Research in Sports Medicine from Pinsault & Vuillerme 2009 www.chrisworsfold.com @chrisworsfold1 41

  42. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 42

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  59. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 www.chrisworsfold.com @chrisworsfold1 59

  60. 12/05/2017 • • • % www.chrisworsfold.com @chrisworsfold1 Murray DA, et al. Br J Sports Med 2017;51:442 – 451 www.chrisworsfold.com @chrisworsfold1 60

  61. 12/05/2017 www.chrisworsfold.com @chrisworsfold1 61

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