Iben Axén is an AECC graduate with 28 years of practice in Stockholm, Sweden. Parallel to clinical practice, she has been involved in a Practice-Based Research Network. She earned her PhD at Karolinska Institutet in 2011 and became an Associate Professor in 2016. She is Research Leader of the Norwegian Chiropractic Research Foundation ELIB. Her research is clinical, and topics include pain trajectories, predictors of treatment outcome and prevention.
She serves on the WFC Research Council and is Deputy Editor of Chiropractic & Manual Therapies.
Awards: Junior Research prize of the ECU in 2010 and the Jean Robert Research Award in 2017. Chiropractor of the Year in Sweden in 2011.
Presentation: How to write a case study/case series
14.00 Saturday 23 May
This is a presentation with the perspective of an editor (Chiropractic & Manual Therapies), and will cover:
- what is the value
- when should you write
- how to engage colleagues to collect data for a case series
- what is important to consider
- the publication process
Simon Billings graduated from the AECC in 2001 and works three days a week as a chiropractor in Southampton. He uses integrative nutritional/functional medicine as a key component for the treatment of chronic conditions.
He consults with clients internationally via his virtually based nutritional practice, with an interest in auto-immune conditions.
He is the founder of Academy of Chiropractic Nutrition, an online, protocol driven nutrition programme for neuro-mechanical practitioners.
Workshop: Vitamin B12 deficiency: An epidemic of misdiagnosis and missed diagnosis
09.30 Sunday 24 May
Vitamin B12 is a rate limiting factor for two key enzymes intracellularly: one within the mitochondria for the Krebs cycle creating energy and one within the methylation cycle for production of myelin and neurotransmitters plus the removal of the toxin homocysteine. As levels begin to decline intracellularly this then can create a plethora of symptoms that can fall within a wide spectrum of severity. From persistent regional pain to overt bilateral neurological symptoms, low level mood and behavioural changes up to psychosis, mild fatigue up to full chronic fatigue syndrome.
These are routinely misdiagnosed as other issues and the true diagnosis missed. In order to be effective spine care practitioners, chiropractors must be able to:
- recognise the key clinical symptoms of B12 deficiency
- interpret blood tests functionally
- know which commonly prescribed drugs deplete and deactivate B12
- know which form and which delivery system to use to make B12 therapy effective
Jamiu Busari is an associate professor of medical education at Maastricht University, a general paediatrician and the immediate past Department Chair and Program Director of the specialist training program at the Department of Paediatrics, Zuyderland Medical Centre, Netherlands. Born in England and African by heritage, Jamiu has lived and studied in England, Nigeria, Curacao, Netherlands, Canada and the United States. His personal and professional approach to life is defined by his exposure to diverse cultural backgrounds.
Jamiu is a Maastricht University alumnus, a Harvard Macy Scholar and a HBS executive education graduate in Managing Health Care Delivery. He is an executive board member of the Netherlands Association for Medical Education (NVMO) and a founding member of ‘sanokondu’ (an international community of practice dedicated to fostering health professional leadership education worldwide) www.sanokondu.com. He is a recipient of various awards including the Educational Leadership Award (2015), Clinician of the Year award (2015) the Royal College of Physicians and Surgeons of Canada international Residency Educator Award (2016) and the Choice critics award (2017). Jamiu is a fervent advocate for diversity, compassionate care, and social accountability to the less privileged in society.
United we stand, divided we fall – the need for (more) interprofessional collaboration in our health care systems
11.00 Saturday 23 May
The landscape of health care delivery is changing rapidly and the need for efficient and high standards of service continues to grow. Currently, the focus of care is on creating value for patients, which goes beyond just waste reduction and administrative savings. IPC can be considered to be one of the strategies to achieve these goals and more.
The proven benefits of IPC include its contribution to the improvement of the quality of health care, creation of new professional cultures, embracing generational changes and their impacts on health care delivery and creating more awareness about the importance of communication, respect, civility, and diversity in the delivery of effective health care delivery.
Professor Pierre Côté is an epidemiologist and chiropractor. He holds the prestigious Canada Research Chair in
Disability Prevention and Rehabilitation and he is a Professor in the Faculty of Health Sciences at the Ontario Tech University. He is also the director of the Centre for the Study of Disability Prevention and Rehabilitation and a Professor of Epidemiology at the Dalla Lana School of Public Health at the University of Toronto. He has expertise in the design and conduct of randomized clinical trials, cohort studies, case control studies and systematic reviews.
Pierre Côté is the Chair of the World Federation of Chiropractic Disability and Rehabilitation Committee and the co-Chair of the Eurospine Diploma in Interdisciplinary Spine Care, a program to standardise spine care in Europe. In 2018, he was elected on the Board of Directors of the Global Rehabilitation Alliance and he contributes to various projects relevant to the World Health Organization, including the development of programs of rehabilitation for low back pain. His research aims to understand why people with spine disorders become disabled. He has published more than 240 scientific papers in peer reviewed journals.
Presentation: Evidence: What does it really mean for clinicians?
11.00 Saturday 23 May
The word ‘evidence’ leaves no-one indifferent! It elicits strong emotions in clinicians, researchers and policy makers alike. Evidence has now become a buzzword used to justify the use of specific treatments, rationalise reimbursement of health care services, validate therapeutic theories, or acquire clinical legitimacy. It is also perceived as a tool to limit clinical autonomy.
The generation of evidence is often viewed as a black box by clinicians who get lost in scientific debates of what constitutes good evidence. Using examples relevant to chiropractors, Professor Côté will discuss the process used to develop clinical evidence and describe what is ‘valid’ evidence. He will also debate how evidence should be used to inform clinical decisions and engage patients in shared decision-making.
Michael Freeman is a tenured professor of forensic medicine and epidemiology at Maastricht University Medical Center and an affiliate professor of psychiatry at Oregon Health & Science University School of Medicine. He serves as an Affiliate Medical Examiner with the Allegheny County Medical Examiner’s office in Pittsburg, PA, and is a fellow of the American Academy of Forensic Sciences. Dr. Freeman is currently a Fulbright Fellow with the US Department of State, in the area of forensic medicine.
Dr Freeman practises in the field of forensic medicine (the intersection of medicine and law) generally, and specifically in forensic epidemiology (the application of epidemiologic data and methods to medicolegal investigation of causation). He holds a doctor of medicine degree from Umeå University in Sweden, PhD and MPH degrees in epidemiology from Oregon State University, a DC from University of Western States, and a bachelor of science from University of Oregon. He holds a diploma of legal medicine with the Royal College of Medicine in the United Kingdom, and has completed a two-year fellowship in forensic pathology through Umeå University and the Allegheny County Office of the Medical Examiner.
11.30 Sunday 24 May
The determination of the most probable cause of an injury is a task that is most commonly addressed by treating clinicians. Unlike a diagnosis, a cause is an ‘unobservable’ phenomenon, consisting of a subjective inference typically based on the history given by the patient, rather than an objective observation made during an examination. Despite the frequent need for causal evaluation in clinical practice, there is no uniform curriculum in causation methods, and thus causal determinations are prone to wide variability between experts providing opinions in medicolegal (forensic) matters, in part driven by competing economic or legal interests in such cases. The opinions provided by chiropractic physicians are increasingly relied on by judge and jury factfinders as a basis for assessing the most probable cause of injuries that are part of a civil action or criminal prosecution. In this presentation, Dr Freeman will discuss the application of a systematic approach to causal evaluation of the types of spinal injuries that chiropractic physicians routinely encounter, and how important new and emerging research findings regarding traumatic injury of the spine provides legally relevant and reliable support for such evaluations.
Vasileios (Vas) Gkolfinopoulos has been in private practice in the UK and Greece for the past 20 years. He graduated from the Anglo-European College of Chiropractic in Bournemouth, UK in 1999 where he received a BSc(Hons) and an MSc degree in Chiropractic. He went on to receive an MPhil in Research from the University of Glamorgan, UK where he was also a lecturer at the Welsh Institute of Chiropractic for a period of three years. A member of the British Chiropractic Association from 1999 to 2002, he is currently a member and has served as the President of the Hellenic Chiropractors’ Association from 2004 to 2018. He also served as Treasurer of the European Chiropractors’ Association (ECU) from 2010 to 2018. He is the current ECU President since 2018, as well as a Fellow of the European Academy of Chiropractic and a member of the Governing Board of the European Centre for Chiropractic Research Excellence.
Before chiropractic he studied at the Physical Education and Sports Science Department at the University of Athens, Greece. A pro-level water-polo player in his youth, he has participated in seven Greek premier leagues, won two Greek youth championships with his club, played for the Greek national youth team and participated in a final four phase of the European Championship. He has served in the Greek Air Force Medical Service Corps. He is happily married and has three children.
Professor Lesley Haig is Principal and CEO of AECC University College in the UK. She is a UK-registered physiotherapist who has worked in a variety of roles as a senior academic, researcher and clinician in several UK universities. Lesley has many years of experience in training healthcare practitioners in motivational interviewing which was also the focus of her doctoral research. Motivational interviewing (MI) is a person-centered complex behaviour change intervention defined as a collaborative, goal-oriented style of communication. This approach has been widely recommended for implementation across a range of health and social care settings to enhance patient outcomes.
Presentation: Motivational Interviewing
13.30 Friday 22 May
MI uses a guiding style to engage clients, clarify their strengths and aspirations, evoke their own motivations for change and promote autonomy in decision making (Rollnick et al 2008). It is a collaborative, goal-oriented style of communication and Lesley has many years of experience in training health care practitioners in this fascinating subject, which was also the focus of her doctoral research. It has been recommended across many health care settings to enhance patient outcomes.
Trynke Hoekstra works as an assistant professor at the Department of Health Sciences at the Vrije Universiteit Amsterdam where she enthusiastically teaches courses on biostatistics and epidemiology to Bachelor, Master and postgraduate students. Trynke obtained Master’s degrees in Biomedical Sciences and Epidemiology and her PhD thesis (2013) focused on methods to study patient heterogeneity in observational and experimental research. Trynke values team science and collaboration across disciplines and is currently involved in several methodological projects, as well as projects on physical activity promotion in rehabilitation care, global health, substance use, and chiropractic care.
Presentation: Interpreting the research behind our conclusions
16.00 Saturday 23 May
About two medical scientific papers appear in our search engines every minute and an overwhelming number appear in the media. How can we navigate this information overload and properly assess the quality of the reported studies? Trynke’s talk will highlight and explain several methodological and statistical issues such as study designs, statistical significance versus clinical relevance, risk estimates and differences between effectiveness and efficacy in order to provide you with the necessary tools to be able to critically interpret and reflect on the findings reported in the scientific literature.
Alan Jenks is a practising chiropractor and PhD student in the Netherlands. Alan grew up in Canada and completed chiropractic school at Western States. “Why is that…” drives his clinical and research passions. When not thinking about chiropractic he is at home crafting the best wood-fired pizza.
Greg Kawchuk is a professor in the Faculty of Rehabilitation Medicine at the University of Alberta. Greg is a CMCC graduate (1990) who practised chiropractic for 15 years in multidisciplinary settings before becoming a full-time researcher. He was the recipient of the first chiropractic research chair in Canada and in 2004, was recruited to the University of Alberta as the Canada Research Chair in Spinal Function. Dr Kawchuk’s research interests are focused on creating meaningful strategies to prevent and treat spinal disorders. His work spans basic science, clinical trials and recently, health care reform. A major component of his research is developing novel technologies to measure spinal function then employing those technologies to evaluate clinical interventions. Competitive awards from the major funding agencies support Dr Kawchuk’s work which has resulted in 150 papers, the most recent of which have been published in Scientific Reports, Pain and PLOS One.
Presentation: Research Creativity
10.30 Friday 22 May
Where does inspiration come from in research? Although random inspiration does strike now and then, waiting for that lightning bolt of an idea is not a strategy to depend on. Creativity in research is like any other skill that can be defined, trained and grown. Dr Kawchuk will speak about research, its underlying creativity and how to harness the skills needed to keep those new ideas coming.
Tom Michielsen works as a chiropractor in a private group practice in Mol and Turnhout, Belgium. In 1998, he gained his degree in medicine from the Catholic University of Leuven, Belgium. He graduated from AECC in 2001 as valedictorian. From 2008 to 2013, he was the chairman of the ECU research fund. In 2016, he was appointed as a member of the academic advisory committee of the European Chiropractic Centre for Research Excellence (ECCRE). From 2015 to 2019, he was the vice president of the Belgian Chiropractic Union. Tom has been the chairman of the European Academy of Chiropractic since 2017.
Dave Newell graduated from Plymouth University with a Degree in Biological Sciences and subsequently a PhD in Molecular Biology in 1986. The last 30 years has been spent teaching and researching in chiropractic institutions holding the position of Lecture, Senior Lecturer and Research Director in multiple chiropractic programs in the UK and Australia. Professor Newell has considerable expertise and experience in teaching the natural sciences, research methodology, critical thinking as well as curriculum design, validation and accreditation of chiropractic and other healthcare related programs. He has successfully supervised multiple Masters and Doctorate level students and has published extensively in areas related to the chiropractic profession and musculoskeletal research. He is currently Professor of Integrated Musculoskeletal Care and Director of Research at the AECC University College ( https://www.aecc.ac.uk ) and a member of the Senior Management Group and Extended Executive. He is also a Senior Research Fellow in the School of Primary Care and Population Sciences, Faculty of Medicine at the University of Southampton. His areas of expertise and interests lie in patient reported outcomes measures (PROMS), clinical service provision research and contextual factors in manual therapy. He is also co-host of the international podcast icarechirocast (https://chiropracticaustralia.org.au/professional-development/icarechirocasts/ ) with his co-host and colleague, Professor Stephen Perle.
Raymond Ostelo is professor of Evidence Based Physiotherapy. He is one of the program directors of the Amsterdam Movement Sciences (AMS) Research Institute and he is leading the musculoskeletal research section of the department of Health Sciences (VU University). As a clinical epidemiologist and physiotherapist he combines research and education in a range of multidisciplinary projects primarily focusing on low back pain, musculoskeletal conditions, epidemiology and measurement. He has published in high profile journals (e.g. JAMA, BMJ, PAIN, Clinical Journal of Epidemiology and the Cochrane Library. He has also been involved in the development of multiple mono and multidisciplinary evidence-based clinical guidelines.
Presentation: State of the art spinal rehab in primary care
09.00 Saturday 23 May
In addition to chiropractic care many interventions are available for patients with low back pain. For many of these interventions systematic reviews are published. These systematic reviews are the cornerstone of evidence-based clinical practice guidelines. In this presentation the evidence from systematic reviews for frequently applied primary care treatments will be reviewed. Also, the recommendations included in various evidence-based practice guidelines will be reviewed. The similarities and differences in the recommendations will be discussed. Finally, important issues regarding the implementation of these evidence-based practice guidelines will be discussed.
Cecilie K Øverås is a PhD Fellow at SDU, Denmark with place of duty at NTNU, Norway. She graduated from AECC, UK in 2000 and also holds a MSc in Diagnostic Ultrasound (MSK) from AECC (2015). The overall aim of her PhD is to determine the prevalence, patterns, consequences, and predictors of co-occurring musculoskeletal pain in adults reporting spinal pain based on data from the Norwegian HUNT Study. At NTNU she has had the opportunity to be involved with two EU-funded research projects – BackUP and selfBACK. She is one of the new CARL II early career research fellows.
Prof Wilco C Peul (born 1963 in Rotterdam, Netherlands) is chair of the University Neurosurgical Center Holland, The Hague and Leiden. He served as a member of Spine Committee (EANS) responsible for the European Advanced Spine training until 2017 and still is a Secretary UEMS MSJ Spine Surgery competence Spine Specialist. He has been invited speaker at several international congresses since 2002, hosted the Spine Week conference in Amsterdam (2012) and hosted the yearly international Advanced Spine Course (EANS) in Leiden (2008-2013).
Besides acting as a neurosurgeon, with particular interest in reconstructive spine surgery and neurotraumatology, he is a trained senior epidemiologist with a PhD in both medicine and epidemiology at the University of Leiden (2008). With regard to Spine Research he is a member of the Editorial Board of Cochrane Back Review Group and since 2017 has been proud to be an active member of the Neurotraumatology and the Spine Section of WFNS, besides being a member of the EANS Neurotraumatology committee.
Presentation: The Lancet Series. A spinal surgeon’s perspective
09.00 Saturday 23 May
Professor Peul, muddling through the area of evidence-based spine treatment and devaluating spine surgery for non-specific low back pain (LBP) to the beautiful garden of structural spinal deformities and diseases. In other words, when is surgery indicated if one is calling the LBP nonspecific and the other specific?
Michiel Reneman is a physical therapist and movement scientist. Full professor Rehabilitation Medicine; main fields are Pain Rehabilitation and Work Participation. Co-chair Pain Alliance in the Netherlands (PA!N), EFIC counsellor The Netherlands, Advisory member Fit for Work Netherlands, Advisory member EFIC Societal Impact Pain. Main research topics: Functional Capacity Evaluation, Vocational Rehabilitation, Pain Rehabilitation. Research output PubMed October 2019: 167.
Nociplastic pain mechanisms and nocebo
0900 Saturday 23 May
Professor Reneman will describe the three pain mechanisms as defined by the IASP. The differences between the three, especially clinical presentations, will be discussed briefly. He will focus on the nociplastic pain mechanism, because this is the newest mechanism, and likely the one that chiropractors are least familiar with. It will be highlighted that mechanistic reasoning will help to choose intervention strategies. Central pain processing will be presented. Biopsychosocial factors that influence central pain processing will be presented. Social factors will be highlighted, including the health care system, more particularly the language used by health care practitioners, and how this may have a negative effect on a patient’s pain status.
Lisa Roberts is a clinical academic with a joint role as Clinical Professor of Musculoskeletal Health at the University of Southampton and Consultant Physiotherapist at University Hospital Southampton NHS Foundation Trust in the UK. She is a National Institute for Health Research advocate, mentor and pre-doctoral funding panel member. She is a Principal Fellow of the Higher Education Academy and member of the Eurospine Diploma in Interprofessional Spine Care (EDISC) task force. Lisa has attained over £6million in research grants and her research interests include: improving communication in consultations; shared decision-making; non-specific treatment effects, promoting independence using web-based technologies; and psychologically-informed practice.
Presentation: Looking through the lens of shared decision-making
11.00 Saturday 23 May
Lisa will be looking at the core components of shared decision-making and how these behaviours can be measured in clinical consultations. In your discussions with patients, do you present the treatment options with equipoise? Do you consider how involved the patient wants to be in making decisions about their care, and do you ever offer ‘no treatment’ as a credible option? This session will challenge you to think about your own practice and give you some strategies to take straight into clinic next week.
Sidney Rubinstein is associate professor at the Vrije University, Amsterdam and registered epidemiologist. Sidney’s research focuses on effectiveness and cost-effectiveness of interventions in musculoskeletal disorders, but his passion lies with systematic reviews as these overviews represent the crucial link with evidence-based healthcare. He has more than 60 publications in international peer-reviewed journals, including three reviews in the Cochrane Library. Scopus: H-index = 25; 2,700 total citations.
Presentation: Lessons learned from the BMJ review
10.30 Friday 22 May
We all know that low-back pain is a common problem and costly burden to society. There are many promising treatments for chronic low-back pain. The most commonly advocated treatments in national guidelines are exercise and cognitive behavioural therapy. But what about spinal manipulative therapy? Spinal manipulation is something we as chiropractors use for this condition. So, what does the literature say? In my presentation, I will present the results from our systematic review which was recently published in the British Medical Journal. That review is an update of our earlier review published in the Cochrane Library. So what did we learn, but perhaps more importantly, where do we currently lack knowledge? Come to the presentation Friday, 22 May. The answers may surprise you.
Robert Silverman is a chiropractic doctor, clinical nutritionist, national/international speaker, author of Amazon’s #1 bestseller Inside-Out Health, founder and CEO of Westchester Integrative Health Ctr. The ACA Sports Council named Dr Silverman Sports Chiropractor of the Year in 2015. He is on the advisory board for the Functional Medicine University and is a seasoned health and wellness expert on both the speaking circuits and within the media, as well as a frequent health expert contributor on national blogs such as Consumer Health Digest. He has appeared on FOX News Channel, FOX, NBC, CBS, ABC, The Wall Street Journal, NewsMax. He was invited as a guest speaker on Talks at Google to discuss his current book. A frequent published author in peer-reviewed journals and other mainstream publications, Dr Silverman is a thought leader in his field and practice.
Dr Silverman was the principle investigator on a Level 1 laser FDA study.
His new book, Superhighway to Health, is expected to be published in February 2020.
Presentation: The Gut-Brain Axis in Health and Disease
14.00 Saturday 23 May
Dr Silverman leads you through an innovative demonstration showcasing the power of performance nutrition and conservative therapies on health and movement patterns. Utilising interactive how-to’s, he demonstrates an integrative approach to improved performance and recovery through an enhanced diet and accurate supplementation, laser therapy, functional movement assessment, corrective exercises and more.
To truly improve a patient’s health and optimise active lifestyles, we need to understand how systems interact with one another. Dr Silverman discusses the gut-to-brain axis, with special emphasis on understanding Alzheimer’s and treating concussion for faster recovery.
Gut-brain axis is one of the most hotly debated topics in sports medicine today. Research surrounding these connections has experienced significant growth recently in the areas of incidence, assessment and recovery. However, the jury is still out as far as the most effective protocols go.
Join Dr Silverman in this informative seminar to gain insight into a comprehensive methodology that incorporates proven protocols into a clinically effective system—one you can apply to your practice immediately.
Phillip Snell has a clinical chiropractic practice, Solutions Sports and Spine, Inc which resides in Evolution Healthcare and Fitness in Portland, OR. His practice is focused on rehab of lumbar disc herniation and sports injuries. Dr Snell also maintains adjunct faculty status at University of Western states and lectures internationally on use of exercise interventions to help manage lumbar disc herniation.
Practical presentation: Dermal Traction Method
14.00 Saturday 23 May
Recent manual therapy evidence has questioned the validity of the historical Myofascial Trigger Point Hypothesis of Travell and Simons. However, palpable findings of these clinical entities in musculoskeletal (MSK) pain have been noted for thousands of years. This presents a challenge to practically conceptualize MSK manual therapy and to explain it to patients in a way that is consistent with modern evidence. Further, the broadening of research on pain neuroscience pushes the MSK specialist to integrate understanding of both peripheral and central neurological mechanisms in chronic pain.
Dermal Traction Method (DTM) represents an effort to fully integrate these research trends an effective manual therapy approach that is easy to perform, easy to understand and easy to instruct patients about for home care. This mostly practical presentation will consist of 2 @ 90 minute segments which include history and development of DTM and neurocentric manual therapy principles. After building a base of understanding of these neurocentric principles, attending clinicians will take part in practical application of DTM in common clinical syndromes. We will also solicit impromptu cases from the attendees to heighten understanding of clinical reasoning in the application of DTM. Despite the brief introductory nature of the presentation, attendees will leave with new tools to make them more effective in both understanding and in applying whatever current manual therapy they provide.
Shawn Thistle is a practising chiropractor, educator, international speaker, knowledge-transfer leader, entrepreneur and medicolegal consultant. He is the Founder and CEO of RRS Education, a continuing education company providing weekly research reviews, informative seminars and convenient online courses for chiropractors, physiotherapists and osteopaths around the world. Dr Thistle has also lectured as a part-time faculty member at the Canadian Memorial Chiropractic College (Toronto, Canada) in the Orthopaedics Department for 15 years.
Presentation: Science of the adjustment – have we cracked the code?
9.30am Sunday 24 May
Spinal manipulation unites chiropractors across numerous techniques and clinical approaches, but do we actually know what it does? Many potential mechanisms are now undergoing exciting scientific investigation. Shawn Thistle will explore the science of prevalent theories and proposed mechanisms of action for the adjustment, and discuss how it can inform you in your practice.
Gitte Tønner is a 2004 graduate from the University of Southern Denmark. She has had the roles of executive board member, treasurer and now president of the Netherlands’ Chiropractors’ Association. While maintaining close to full-time practice in a solo practice in Amsterdam, she has also been the ECU Convention Academic Organiser (2013-2016) and is, for Utrecht, back in this capacity.
Maurits van Tulder is professor of Health Technology Assessment and dean of the Faculty Behavioral and Movement Sciences at the Vrije Universiteit in Amsterdam, the Netherlands. He also has a position as professor of Evidence-Based Physiotherapy & Occupational Therapy at Aarhus University Hospital, Aarhus, Denmark. His main research interest is effectiveness and cost-effectiveness of interventions for musculoskeletal disorders. He has ample expertise in designing, conducting and analysing randomized controlled trials, economic evaluations and systematic reviews on spinal manipulation/mobilisation amongst other interventions. He has published more than 430 peer reviewed scientific articles, amongst others in JAMA, the Lancet, BMJ. Maurits van Tulder was co-editor of the Cochrane Back and Neck Group from 2006-2017 and has been chairman or committee member for at least 5 low back pain and several other national and international clinical guidelines. He is a frequently invited speaker at international conferences.
Presentation: The future of musculoskeletal research
10.30 Friday 22 May
Musculoskeletal (MSK) problems, and especially back and neck pain, are a huge burden to patients and society. Many patients with MSK problems suffer from (often recurrent) pain, which often affects their daily activities. MSK problems are associated with high costs of health care and work absenteeism.
A diverse range of interventions and a diverse range of health care professionals are available for treating MSK problems. Most patients are treated in primary care (general practice, chiropractic, physiotherapy), some are referred to secondary care (hospitals), and few end-up in tertiary care (rehab clinics).
For a long-time, clinical practice was dominated by expert opinion, but evidence-based practice has received enormous attention during the last decades. Evidence-based practice is defined as the integration of evidence from scientific research with clinical expertise and preferences and expectations of patients. Interventions that are being used and new interventions that are being introduced in clinical practice should be supported by sound scientific evidence of their feasibility, safety, effectiveness and cost-effectiveness. In that way, optimal quality care would be provided.
Many randomised controlled trials and systematic reviews have been performed to answer questions about effectiveness of interventions for MSK problems, and a growing number of economic evaluations are being performed to evaluate their cost-effectiveness. In this presentation, Maurits van Tulder will summarise the results of this research, discuss the impact on clinical practice, and identify gaps in our knowledge. The challenges of evidence-based practice will be discussed and recommendations for future research presented.
Jan Geert Wagenaar has been a chiropractor since 1999. His background in professional sports cultivated his passion for working with patients, helping them manage their physical well-being and maximise their musculoskeletal function. Besides his time in clinic he has interest and experience in the politics of chiropractic. It makes him happy to work with colleagues managing, planning and representing the profession.
Rosanne Warmerdam has a clear purpose: creating health for people and planet.
Through her studies in Biomedical Sciences she set her first steps into the health care field. Finding out that our current health care system is a disease care system, aimed at fighting disease instead of improving health. She is on a journey to help build a health care system that is focused on creating health.
In 2014 she started her first company in which she translated the latest scientific knowledge about health and wellbeing to use cases. Advising many companies and local governments how to implement a new vision on health. At the start of 2019 she also became co-founder of HealthBlocks a preventive health care startup.
Opening keynote: Live long and prosper!
09.15 Friday 22 May
During her session you’ll be challenged to look at health from a new perspective. Rosanne will take you on a journey to find out how we can all contribute to create more health.
As a biomedical scientist she was trained to better understand diseases and finding cures for them. But Rosanne was more interested in health and realised that curing diseases is not (always) the same as creating health. Her life started spinning around a different question: How can we use scientific knowledge and insights to create more health?
She will talk about the latest science that shows the interaction of lifestyle and the activity of our genes and the strong connection we as humans have with bacteria in and around us.
These scientific insights are just a piece of a much bigger picture. They are strongly related to secrets of the most healthy and happy communities around the world.
Staying healthy in this rapidly changing environment can be a big challenge. Rosanne will show you that small changes can have a huge effect. There are great opportunities if we adapt a mindset in which we realise that we need to work together to create health on a broad scale. Because health is not only an individual’s responsibility, it’s a collective responsibility and we can all use our passion, creativity and professional skills to create a little more health.
Workshop: Dysautonomia: Assessment and Applications
13.30 Friday 22 May
Dysautonomia may be playing a larger role in your chronic patients history and symptomatic presentation. We will explore the significance of the autonomic nervous system as it relates to the many typical chiropractic patients that present to our offices suffering with common chronic conditions such as:
- chronic pain syndromes: low back pain, headaches, and migraines
- neurological complaints: balance/dizziness, cognitive/emotional challenges, focus/concentration issues
- metabolic complaints: sleeping problems, digestive complaints, and chronic fatigue
- review the importance of the autonomic nervous system (functional anatomy review)
- discuss what Dysautonomia is (pathophysiolgy)
- how it manifests and presents (history/exam)
- what to do when we find it (treatment recommendations)
We hope you will join us in review and discovery of simple ways to identify and manage often overlooked components of functional restoration in patients with challenging and common chronic conditions.
Adam Toulon brings with him a wealth of knowledge and education in health and human function. He was an elite level collegiate gymnast in the USA and studied human performance and exercise physiology earning a bachelor of science degree. After retiring from competitive sport he joined the ranks of elite coaches with the National Collegiate Athletic Association. He further continued graduate studies in kinesiology, biomechanics, sports medicine, and nutrition, earning a masters degree in Exercise Science (MS).
After graduating from Life University in 2003 with a Doctor of Chiropractic degree (DC), Adam went directly into full time practice. During his chiropractic education he was fortunate enough to be introduced to Professor Ted Carrick and the world of Functional Neurology, a growing discipline in healthcare that focuses on optimizing the brain and nervous system to maximize our human potential. In 2007, he accepted a faculty position teaching clinical patient care and functional neurology at the world largest Chiropractic College, Life University located in Atlanta, GA. During this time he continued his studies earning a post graduate Fellow of the American College of Functional Neurology (FACFN). He played a critical role in the development of the functional neurology programs at Life University.
Adam now enjoys living in the Netherlands, caring for the diverse patient populations at Praktijk Blaauw, known for its specialty care in functional neurology, located in Gouda, NL.
Workshop: Taping for Chiropractors – clinical application with immediate functional changes
13.30 Friday 22 May
Functional taping, such as kinesiology taping, is increasingly used by chiropractors. Whilst the research is equivocal regarding mechanism and effects, immediate functional outcome changes such as increasing ROM and reduced pain can be seen with correctly applied taping. This lecturer was once very sceptical regarding taping but has co-developed a system of application driven by clinical reasoning towards the functional change you are trying to achieve. And most importantly, that every application should be done around a pre- and post-test to confirm to you and the patient that significant changes have occurred with the taping. This workshop will introduce four functional concepts to avoid ever having to look up another taping technique and you will see incredible examples demonstrated before you of immediate changes in pain and range of motion. Whether you are an experienced taper looking for new ideas and a way of thinking about tape that you have never seen before, or a curious clinician who wonder what all the fuss is about; then this workshop is for you. And if you’re a sceptic who thinks it can’t possibly work – then come along and prepare to have your thinking challenged.
Ulrik Sandstrøm has worked in elite sport for over two decades and as 1st Team Chiropractor for Leicester Tigers Rugby Team since 2009. He worked in the London 2012 and the Rio 2016 Olympic Athletes Village Polyclinics and has worked with a large range of elite athletes from UK Athletics, Chelsea FC, England Rugby, GB Basketball, GB Swimming. He has lectured extensively on sports chiropractic, manual muscle testing and taping and is a senior lecturer for the FICS ICCSP programme. Whilst being in increasing demand as a sports chiropractor and international lecturer, he still continues in clinical practice in Sheffield and Mansfield.
SIG Clinical Chiropractic
Workshop: Advanced Practitioner Skills: Recognising and utilising contextual factors for better patient outcomes
14.00 Saturday 23 May
This advanced skills workshop will outline the clinical importance of contextual factors that influence the doctor patient interaction in the clinical setting. It will outline the differences between the patient’s own environment and the contextual factors that are related to the clinical environment. The aim will be to remove the negativity about placebo and revise the terminology to ‘contextually-mediated effect’, which describes the effect of the total care experience encompassing the treatment encounter. The workshop will further develop the importance and benefits of a good Therapeutic Alliance in developing trust and rapport with patients to improve compliance and outcomes by understanding how patients make decisions about their care. Part of the workshop will also explore language and communication skills to deliver effective messages in the context of the patient’s beliefs. This will include managing patient expectations in light of the evidence base recognising patient filters and interpretation employing direct and indirect communication styles (verbal and non-verbal techniques). This exercise will also highlight the importance of patient reassurance and validation of their symptom presentation.
David Byfield has been in private practice and chiropractic education for the past 41 years in Canada, England and Wales. David joined the University of South Wales in 1998 following teaching posts at CMCC and AECC to develop an integrated masters chiropractic degree programme. He was Head of Welsh Institute of Chiropractic (WIOC) and currently the Head of Clinical Services in the Faculty of Life Sciences and Education. He was recently conferred Professor in Professional Practice in May 2018 for his clinical and educational contribution.
David has written three chiropractic educational textbooks related to chiropractic manipulative skills learning and teaching and has published a number of scientific papers including book chapters covering spinal manipulation and rehabilitation. David has been a member of the General Chiropractic Council in the UK and currently sits on the European Council on Chiropractic Education and contributes to the European Academy of Chiropractic as Chair of the Special Interest Group Clinical Chiropractic. David is currently enrolled as a PhD student at USW investigating the relationship between spinal pain, physical inactivity and cognitive decline.
Jonathan Field is a chiropractor leading a NHS First Contact Practitioner service and also working as a Spinal Extended Scope Practitioner between hospital and GP practice. Here he manages the assessment and triage of patients between primary care, community and acute services and is as clinical lead for an organisation providing NHS chiropractic and therapy services.
He has a CRC funded research fellowship within the School of Medicine at the University of Southampton where he is researching the integration of chiropractic within the wider health care community.
Jonathan chairs the Specialist Pain Faculty of the Royal College of Chiropractors. He sits on the national executive of the UK National Lower Back and Radicular Clinical Network, is part of the NHS MSK Data Group and represents Chiropractors in the Quality in Private MSK group working to set national standards of outcome assessment in the UK.
He developed and provides the Care Response service to help clinicians collect and use outcome data from their practices to improve care and promote their services.
Stuart Smellie graduated from AECC in 1991 and continues to work in private practice, having won many personal and practice awards. He has been involved in post-graduate education for most of his career. For the last 10 years, as Director of Academic Affairs for the Royal College of Chiropractors, he has been active in promoting high quality care and professional excellence, and in writing the Royal College’s Quality Standards. Stuart also works for the regulator, is an external examiner and lectures on a variety of subjects including high quality evidence-based care, clinical governance and professional standards.
Workshop: Headache in the paediatric population – epidemiology, diagnosis and treatment through the age groups
09.30 Sunday 24 May
Headache is one of the most common pain symptoms in childhood and experienced by up to 80% of 13-15-year-old children. Besides the pain and emotional distress, children with recurrent headaches have reduced participation in social activities as well as more school absenteeism and lower academic performance. Furthermore, socioeconomically disadvantaged children are more prone to headaches and children with headaches generally have poorer overall physical health with higher frequency of asthma, hay fever, anaemia, stomach and intestinal illness, obesity and frequent ear infections as well as a higher prevalence of learning disability and attention deficit disorders when compared to children without headaches. Importantly, paediatric headache can be a precursor to potentially severe headache syndromes later in life.
The aetiology of paediatric headache is multifactorial and complex and several causative factors have been proposed, i.e. family history of headache, headache medication overuse, sleep disturbances, depressive/anxious traits, stressors, a higher rate of divorced parents, fewer peer relations and an unhappy family atmosphere. Headache can also be the result of trauma to the head and neck or prolonged reading and computer-use, and thus these children are candidates for chiropractic treatment.
However, due to the complex aetiology and the difference in presentation across age groups, the examination, diagnosis and treatment should be multifaceted. This workshop will briefly outline the prevalence, aetiology, risk factors, lifetime trajectory of headache in children; describe the presentation and evolution through the age groups; and finally the major part of the session will focus on diagnosis and the possible treatment strategies for the different types of headaches.
Lise Hestbaeck gained a chiropractic degree in 1990 from Palmer College of Chiropractic. Practising chiropractor 1991-2007 in England and Denmark, 1997 – 2007 part-time research and part-time clinic, from 2007 full-time research and teaching.
PhD in 2003 on a thesis about high-risk groups and risk factors for low back pain in children and adolescents.
Presently professor at University of Southern Denmark and senior researcher at the Nordic Institute of Chiropractic and Clinical Biomechanics.
Research focuses on two specific areas:
- Musculoskeletal health in children and adolescence
- Lifetime epidemiology of musculoskeletal pain.
Susanne Lynge gained her Doctor of Chiropractic 1986, Palmer College of Chiropractic, Davenport, IOWA
MSc Chiropractic Paediatrics 2012, AECC, Bournemouth
Research project: RCT investigating the effect of chiropractic spinal manipulation on children with recurrent headache, in collaboration with Nordic Institute of Chiropractic and Clinical Biomechanics, University of Southern Denmark 2015-
Full time practising chiropractor in private practice with approximately 60-70% children age 0-18
Sue Weber graduated Valedictorian from the University of Western States in 1988. She is family practitioner with over 30 years of clinical experience specialising in infants, children and the pregnant patient. She completed her Masters in Chiropractic Paediatrics at AECC/Bournemouth University in 2008. She is on the faculty of the EAC and RCC working to standardise pre and postgraduate education within paediatrics. Besides clinical practice she lectures internationally in Paediatrics and Pregnancy. Sue was awarded Chiropractor of the Year 2015 for her work developing an education in paediatrics for the profession and promoting guidelines for the paediatric patient.