Welcome and Introduction

• Welcome to this Course

Live sessions

• January LIVE drop-in session 1 (6 Jan 8am AEDT)
• January LIVE drop-in session 2 (6 Jan 7pm AEDT)
• February LIVE drop-in session (3 Feb 8am AEDT)
• February LIVE drop-in session (3 Feb 7pm AEDT)
• March LIVE drop-in session (10 Mar 7.00am AEDT)
• March LIVE drop-in session (10 Mar 7.00am AEDT)
• April LIVE drop-in session (28 April 6.30am AEST)
• April LIVE drop-in session (28 April 6.30am AEST)

Module 1 – Tendon Function

• 1.1 Tendon structure
• 1.2 Tendon function
• 1.3 Viscoelastic properties
• 1.4 The subtendons
• 1.5 Tendon adaptation
• The enthesis organ concept. Why enthesopathies may not present as focal insertional disorders
• Stretch-shortening cycle a powerful model to study normal and fatigued muscle
• Tendon Physiology and Mechanical Behaviour: Structure-Function Relationship
• Human tenon adaptation in response to loading – Lazarczuk
• Human tendon adaptation in response to mechanical loading: A systematic review and meta-analysis of exercise intervention studies on healthy adults
• Quiz: Tendon Function

Module 2 – Pathology & Pain in Tendinopathy

This module describes the latest research relating to the pathology and pain of tendinopathy and how this applies to clinical management.

• 2.1 Load and development of tendinopathy
• 2.2 Load induced tendon pathology theories
• 2.3 Pathogenesis theories
• 2.4 Tissue changes
• 2.5 Imaging in tendinopathy
• 2.6 Imaging and pain
• 2.7 Pain theories
• Compressive load in the development of tendinopathy
• How useful is imaging?
• Medical Imaging the Untold Truth
• Tendinopathy pathogenesis paper from Nature Reviews
• The pain of tendinopathy
• Quiz: Pathology and Pain in Tendinopathy

Module 3 – Risk Factors & Factors Associated with Tendinopathy

Understand the key factors that may cause tendinopathy and importantly the changes in movement, biomechanics and neuromuscular factors that commonly occur after the onset of tendon pain. The focus is on tips to identify these in clinical practice.

• 3.1 Aetiology and impairments
• 3.2 Biomechanics
• 3.3 Neuromuscular factors
• 3.4 Psychological factors
• 3.5 Flexibility
• 3.6 Weight & metabolic factors
• 3.7 Hormonal factors
• 3.8 Other factors
• The strength of association between psychological factors and clinical outcome in tendinopathy: A systematic review
• Is higher serum cholesterol associated with tendinopathy?
• Is there an association between tendinopathy and diabetes?
• Cognitive and contextual factors to optimise outcomes in tendinopathy
• Quiz: Risk Factors & Factors Associated with Tendinopathy

Module 4 – Assessment Framework

Develop an accurate and systematic approach to diagnosis, assessment and management of all common lower limb tendinopathies.

• 4.1 Assessment framework Part 1
• 4.2 Assessment framework Part 2
• 4.3 Assessment framework Part 3
• 4.4 Diagnostic framework
• 4.5 Outcome assessment framework
• Short orebro
• Tampa 11 for Kinesiophobia
• Quiz: Assessment Framework

Module 5 – Exercise Evidence & Approach

• 5.1 Exercise evidence
• 5.2 Exercise mechanisms
• 5.3.1 Exercise approach Part 1
• 5.3.2 Exercise approach Part 2
• 5.3.3 exercise approach Part 3
• Quiz: Exercise Evidence & Approach

Module 6 – Tendinopathy Education & Resources for Patients

• 6.1 What is tendinopathy & what is causing it?
• 6.2 What can I do to get better?
• 6.3 How long will it take & how hard will it be?
• Quiz: Tendinopathy Education & Resources for Patients

Module 7 – Achilles, Plantar and Tibialis Posterior Tendinopathy

• 7.1 Achilles, Tibialis Posterior and Plantar Background & Diagnosis
• 7.2 Achilles, Tibialis Posterior & Posterior Load tests
• 7.3 Achilles Palpation
• 7.4 Plantar Palpation
• 7.5 Tibialis Posterior Palpation
• 7.6 Achilles, Tibialis Posterior and Plantar ISOM progression
• 7.7 Achilles, Tibialis Posterior & Posterior ISOT progression
• Achilles and Patellar Tendinopathy Infographic
• Achilles Tendinopathy management infographic
• Education and exercise supplemented by a pain guided hopping intervention for male recreational runners with midportion Achilles tendinopathy: A single cohort feasibility study
• LOAD-intensity and time-under-tension of exercise for men who have Achilles tendinopathy (the LOADIT trial): a randomised feasibility trial
• Physiotherapy management of Achilles tendinopathy
• Quiz: Achilles, Plantar & Tibialis Posterior tendinopathy
• 3 point ISOM HOLD test calf
• Bent knee calf options_leg press and calf wall sit
• Calf MVIC force frame
• Calf raise technique
• Calf raise 6RM
• Calf raise mean propulsive velocity
• Inversion isometric dyno
• Manipulating hold time for technique or flexibility
• Standing calf raise 2RM ECC CONC test
• Seated calf raise Smith technique

Module 8 – Patellar Tendinopathy

• 8.1 Patellar tendinopathy background & diagnosis
• 8.2 Patellar Load tests
• 8.3 Patellar Palpation
• 8.4 Patellar ISOM progression
• 8.5 Patellar ISOT progression
• Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations
• Patellar tendon adaptation in relation to load-intensity and contraction type
• Achilles and patellar tendinopathy infographic
• Quiz: Patellar tendinopathy
• 3-point ISOM HOLD test quadriceps
• Leg extension technique
• Split squat technique
• Squat to box_foot position
• Squat to box in Smith machine
• Step up technique
• Step up 6RM

Module 9 – Gluteal Tendinopathy

• 9.1 Gluteal tendinopathy Background & Diagnosis
• 9.2 Gluteal Load tests
• 9.3 Gluteal Palpation
• 9.4 Gluteal ISOM progression
• 9.5 Gluteal ISOT progression
• Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Its Management
• Gluteal Tendinopathy: A Review of Mechanisms, Assessmentand Management
• Physiotherapy management of gluteal tendinopathy
• Education plus exercise LEAP trial
• Quiz: Gluteal tendinopathy
• 2-point ISOM HOLD test gluteal
• Hip abduction standing variations
• Hip hitch variations
• Gluteal bridge technique

Module 10 – Hamstring Tendinopathy

• 10.1 Hamstring background & diagnosis
• 10.2 Hamstring Load tests
• 10.3 Hamstring Palpation
• 10.4 Hamstring ISOM progression
• 10.5 Hamstring ISOT progression
• Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management
• Quiz: Hamstring tendinopathy
• 3-point ISOM HOLD test hamstring
• Leg curl technique
• Leg curl 2RM ECC CONC test
• Single leg RDL technique

Module 11 – Stretch-shorten cycle Principles, Assessment and Rehab

• 11.1 SSC Principles & Assessment Part 1
• 11.2 SSC Principles & Assessment Part 2
• 11.3 SSC progressions
• 11.4 SSC Programming & Return to Sport
• 11.5 Assessment & Considerations
• Quiz: Stretch-shorten cycle principles, assessments and rehabilitation
• Hop to fatigue assessment
• Hop assessment with metronome
• Ankle flexibility inclinometer
• Knee to wall test
• Patient information sheets
• Here you will find helpful printable or electronically shareable handouts providing info to people with tendon pain.
• Adjunct Treatments for Tendinopathy
• Load Modification_Gluteal Tendinopathy
• Load Modification_Hamstring Tendinopathy
• Load Modification_Patellar Tendinopathy
• Load Modification_Plantar Fasciopathy
• Load Modification_Achilles_Tib Post
• Am I Improving Checklist
• Rehabilitation Pathway Infographic
• Footwear Advice
• Managing Flare Ups
• Overcoming Exercise Adherence Problems
• Recognising & Managing Unhelpful Thoughts

Module 12 – Non-responders, cases and adjuncts

• 12.1 Non Responders
• 12.2 Case Studies
• 12.3 Adjuncts
• NSAID for short term Achilles tendon pain
• Effectiveness of extracorporeal shockwave in lower limb tendinopathy
• Does shockwave therapy in insertional Achilles tendinopathy tendinopathy lead to better pain and function?
• Rock paper scissors: Injections in Tendinopathy
• Efficacy and safety of corticosteroid for tendinopathy – Lancet review
• High volume injection as treatment for chronic Achilles tendinopathy
• How does surgery compare to sham surgery or physiotherapy as a treatment for tendinopathy? A systematic review of randomised trials
• Quiz: Non-responders, cases and adjuncts

Patient Diaries and Trackers

• These excel sheets will help you track patient activity and pain as well as rehabilitation adherence.
• Daily Pain & Activity Tracker
• Rehab Diary