NEW ZEALAND Vol 41 • No 1 • 2014 Official Journal of Sports Medicine New Zealand Inc. CONTENTS OBITUARY Norris Roy (Norrie) Jefferson 1 David Gerrard EDITORIAL The man who knew too much 2 Bruce Hamilton Are we promoting the right attitude to injury in sport? 4 Chris Whatman BEST OF BRITISH 5 Chris Milne CASE STUDY Metal Bars: A Case Study 8 Lynley Anderson, Peter Burt COMMENTARY A Code of Conduct for Sports Physiotherapists in New Zealand 11 Lynley Anderson, Angela Cadogan, Michael Borich, Anthony Schneiders Sports Physiotherapy Code of Conduct 12 CASE STUDY The opinions expressed throughout this Teres Major Strain: Not a Minor 16 journal are the contributors’ own and do Greg Usherwood, Steve Williams not necessarily relfect the view or policy of Sports Medicine New Zealand (SMNZ). Members and readers are advised that SMNZ cannot be held responsible for INVITED ARTICLE the accuracy of statements made in Athletes with limb deficiency: Physiotherapy-specific issues 18 advertisements nor the quality of the goods or services advertised. All materials Megan Munro, Justin Ralph copyright. On acceptance of an article for publication, copyright passes to the publisher. No portion(s) of the work(s) may CONFERENCE REPORTS be reproduced without written consent New Zealand Reflections on the IOC World Conference on the 20 from the publisher. Prevention of Injury and Illness in Sport PUBLISHER Monaco, 10-12 April 2014 SPORTS MEDICINE NEW ZEALAND Ginny Rutledge, Tony Page, Judith May, Jake Pearson, Duncan Reid, PO Box 6398, Dunedin NEW ZEALAND Chris Milne, Sharon Kearney, Sarah Beable Tel: +64-3-477-7887 Fax: +64-3-477-7882 Health, Wellbeing and Success, Sochi 2014 27 Email: [email protected] Nat Anglem Web: www.sportsmedicine.co.nz ISSN 0110-6384 (Print) ISSN 1175-6063 (On-Line) SELECTED ABSTRACTS FROM THE 2013 PARTNERS IN PERFORMANCE 28 EDITOR CONFERENCE, WELLINGTON, NZ Dr Bruce Hamilton ASSOCIATE EDITOR Dr Chris Whatman CONTRIBUTORS David Gerrard Greg Usherwood aspects of endurance exercise. He has worked with David Gerrard is a sports physician and Greg Usherwood is a physiotherapist at the many major sports teams including the Crusaders, Professor of Sports Medicine at the Dunedin School of Physiotherapy, University of Otago. He Canterbury RFC and Collingwood Australian Rules School of Medicine, University of Otago. He is a maintains a clinical caseload, as well as working FC. former Olympic team physician, a New Zealand as a clinical educator for both under-graduate and Judith May Chef de Mission, an Olympic swimmer and post-graduate students. He has a master’s degree Judith May is a sports physician who is currently a Commonwealth Games gold medallist. He in manipulative physiotherapy. His interests lie in working at Grace Sports Medicine in Tauranga. is currently Chair of the WADA TUE Expert sports physiotherapy and has worked with a variety Her interests include female issues in sport and Group, Vice-Chair of the FINA Sports Medicine of different sports and teams ranging from amateur endurance sports. She is currently the Medical Committee, Chair of the NZ Drowning Prevention to professional sport. Director for Triathlon New Zealand. She is a Council and former Chair of Drug-Free Sport NZ. Steve Williams Professional Practice fellow with Otago University teaching the Women in Sport paper for the Lynley Anderson Steve Williams is a general practitioner based at the postgraduate diploma in sport and exercise Lynley Anderson is a senior lecturer at the Bioethics Musselburgh Medical Centre in Dunedin. He has medicine. Centre, University of Otago. She teaches ethics and been team doctor for a number of Otago and New professional issues to medical, physiotherapy, and Zealand sport teams and is the current team doctor Duncan Reid other health professional students as well as post- for the Otago Volts cricket team. Duncan Reid is Associate Professor of Physiotherapy and Associate Dean of Health, Faculty of Health graduate students at the University of Otago. As a Megan Munro result of her PhD research, Lynley was invited to and Environmental Science, Auckland University Megan Munro, originally from Scotland, is very write the Australasian College of Sports Physician’s of Technology. Duncan has had 32 years of clinical passionate about and has great experience in para- Code of Ethics. Since then she has written the NZ experience in musculoskeletal physiotherapy. sport. She worked as a physiotherapist for the British Physiotherapy Code of Ethics, and the NZ Sports His main areas of interest are in manual and Military for a number of years, was physiotherapist Physiotherapy Code of Conduct. manipulative therapy especially manipulation to the at the London 2012 Olympic and Paralympic Games cervical spine. Peter Burt and was appointed Lead Physio with Paralympics Peter Burt is a graduate of the University of Otago New Zealand Swimming in August 2013. She has Chris Milne in physical education (in kinesiology) and medicine. an MSc in Sports and Exercise Medicine where Chris Milne is a sports physician in private pradtice He worked for several years in general practice and she wrote her thesis in amputee rehabilitation in at Anglesea Sports Medicine in Hamilton. He with sports teams including Hawkes Bay rugby a military setting. Megan’s experience within elite has been Team Doctor for the NZ Olympic and and basketball, and various other teams including para-sport is a great advantage to New Zealand as Commonwealth Games teams from 1990 to the the Tall Blacks, NZ Maori rugby, NZ Bike, and she understands athlete’s needs and what it takes to present and was Team Doctor for the Chiefs Super Commonwealth and Olympic teams in 2006 and succeed. Rugby team from 1997 to 2003. A past President 2008. Peter is currently working in the Department Justin Ralph of the Australasian College of Sports Physicians he of Sport and Exercise Medicine as a researcher has also served as National Chairman of Sports Justin is a physiotherapist at Sports Med in general practice and is studying towards a Medicine New Zealand. Physiotherapy in Hamilton. He has completed PhD examining sites of potential vulnerability to his postgraduate diploma in musculoskeletal Sharon Kearney professional integrity in sports medicine. physiotherapy at AUT and is the lead physiotherapist Sharon Kearney is a physiotherapist based in Angela Cadogan for the NZ Paralympic Bike Team. Christchurch. She is one of the directors of Angela Cadogan is a registered physiotherapy Jake Pearson Performance Physio along with partner Kevin. specialist (musculoskeletal) based in Christchurch. Sharon is the physiotherapist for the Silver Ferns Jake Pearson is a sports physician based at Capital Angela has a PhD in musculoskeletal diagnostics Netball Team and is the Lead Physiotherapist for Sports Medicine in Wellington and in his training (shoulder pain) and works in private practice High Performance Sport NZ (HPSNZ). spent time at both UniSports in Auckland and the focusing on the diagnosis and management of AIS in Canberra. He is the Medical Director for Sarah Beable shoulder disorders and athletic back and groin Paralympics NZ, doctor for the Wellington Phoenix Sarah Beable is currently a registrar training pain. Angela was the physiotherapist for the NZ Football Club and Medical Lead for the annual towards the ACSP Fellowship in sports and White Ferns women’s cricket team for eight years, Wellington Rugby Sevens tournament. exercise medicine. She currently works out of and continues to work on a consulting basis for NZ Unisports Sports Medicine in Auckland and also Cricket. Ginny Rutledge the Avantidrome HPSNZ centre in Cambridge in Ginny Rutledge is prinicipal physiotherapist at Michael Borich her role as Medical Director for Bike New Zealand. Wanaka Physiotherapy. She is a provider for High Michael Borich is Vice President and Secretary Sarah has been involved with the Silver Ferns as Performance Sport NZ and is Physio/ Medical of Sports Physiotherapy New Zealand and is the touring doctor in recent years and part of the NZ Coordinator to the NZ Winter Performance current NZ representative to the International Medical Team for the upcoming Commonwealth Programme. She was lead physiotherapist to the Salt Federation of Sports Physical Therapy. He has 34 Games in Glasgow. Lake 2002, Torino 2006, Vancouver 2010 and Sochi years physiotherapy experience in private practice 2014 Winter Olympics. Her special interests involve Nat Anglem along with sports physiotherapy involvement minimising injury risk in winter sport athletes Nat Anglem is a sports physician in Christchurch. (principally in the sport of rugby) both within NZ who participate in Alpine Ski Racing, Free Ski and His aim is to use models of high performance sport and overseas. Snowboarding. to improve the health and well-being of his patients, Anthony Schneiders Tony Page as well as their athletic success. He works for Anthony (Tony) Schneiders is Professor and High Performance Sport New Zealand within the Tony Page, based at SportsMed in Christchurch, has Discipline Lead-Physiotherapy at Central Wintersport programme. just recently returned to NZ following three years at Queensland University, Australia. He is an the world renowned Olympic Park Sports Medicine executive member of the International Federation Centre in Melbourne. Shortly after returning to of Sports Physical Therapy, Associate Editor NZ he was appointed All Blacks team doctor. Tony (Australasia) for the journal Physical Therapy has a specific interest in stem cell and autologous in Sport and has taught Sports Physiotherapy at injection therapies, diagnostic ultrasound for guided postgraduate level since 1999. injections, acute football trauma and medical OBITUARY Norris Roy (Norrie) Jefferson OBE KStJ MBChB (Otago) DMRD FRACR FSMNZ 1914-2013 he recent sad loss of Dr Norrie Jefferson post-War period, there was a serendipitous in his 100th year, brought to a close a meeting between Norrie Jefferson and a staff unique era that spanned the first 50 years surgeon named Arthur Porritt.