Skip to main content
About the APA
Acupuncture & dry needling
Cancer, palliative care and lymphoedema
Women's, Men's and Pelvic Health
Leadership & management
Why join the APA
Category eligibilty & fees
Manage your membership
Member only access
Courses and events
Conference & tours
APA Conference 2018
Sports physiotherapy Hong Kong
Professional development guide
Organise your event
Employment at the APA
Australian College of Physiotherapists
Working in Australia
Safer communities for children
Frequently asked questions
Social media guide
Private practice support
Business group resources
HR in practice
National physiotherapy service descriptors
Partners & endorsed products
Scope of practice
Research & Publications
Publications and Advertising
Journal of Physiotherapy
Physiotherapy Research Foundation
APA research portal
Physio & you
What is physio?
Find a physio
David Spurrier at SA Symposium
29 July 2016
APA Sports and Musculoskeletal Physiotherapist
’s interest in bone injuries in sport, particularly among adolescents, will be the focus of a presentation at the upcoming SA Symposium.
David’s postdoctoral study and clinical interest in tendon growth in children have led him towards the recent science on bones that has significantly updated 25 years of wisdom on managing stress fractures and related injuries.
Bone stress injuries predominantly affect athletes with few rest periods throughout the year, such as runners, tennis players and those in team sports. There is also high incidence among those with low body weight participating in high intensity exercise, such as ballet dancers.
‘As I researched further on where the tendon joins onto the bone, I realised that at the tendon insertion, an area of symptoms in a lot of athletic kids, there’s a continuum of other problems where the bone gets affected as well as the tendon and surrounding structures.
‘There’s a range of physiological and biomechanical changes around that tendon insertion, and if that’s irritated by load from athletic endeavour, you get bone reabsorption and, potentially, that can lead to bone stress as well,’ David says.
In bone that’s stressed or overloaded, treatment such as vibration and ultrasound (recommended in the past by the literature) aren’t effective due to the bone being exhausted, according to David.
A group of interested minds that includes David; sports physician
Dr Greg Lovell
, FACP; APA Sports Physiotherapist Professor
; APA Sports Physiotherapist
, APAM; and APA Sports Physiotherapist
is exploring whether tendonipathy exercise management plans can be adapted for bones.
‘It’s slightly different in some of the peculiarities that bone cells show that tendons don’t, but we’ve been trialling some of these regimes and getting good results,’ David explains
Examples include a femoral fracture in a race walker, tibial fractures and foot fractures across sports as diverse as rowing, AFL and athletics.
A significant knowledge gap for Australian sports physiotherapists is the actual incidence and degree of injury occurring in children playing sports.
Pre-season screening and injury prevention
', David Spurrier,
Understanding these injuries better may provide insights into later bone stress problems in adults. David sees adolescence as a window of opportunity for bone health.
‘This is a time where you can develop not just bone but also quick muscular development. Yet we know that 50 per cent of girls stop all physical exercise at the age of 13. With boys, this 50 per cent dropoff occurs at about age 15.’
‘Bone health is a continuum from day dot to the end of your life and it’s so reliant on exercise and the activity rate. It’s very pertinent for physios to understand that.’
The SA Symposium is happening Saturday 22 October 2016.
Registrations are open now
Increased return-to-work fees
Find out the latest on increases to physiotherapy fees under the ReturnToWorkSA scheme.
Exploring the benefits of sit–stand desks
A private practice in Adelaide has recently installed an electric sit–stand desk in its waiting room to encourage more clients to stand.
Road to recovery: when a practitioner becomes the patient
A serious accident taught James McEwan, APAM, that restoring psychological function is as important as healing physically from injury.
Concerns about relocation of SA rehabilitation services
Andrew Zoerner spoke at a recent rally against the inadequacy of current proposals to relocate South Australia’s rehabilitation services.