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The most recent (5th version) of the Consensus Statements and Tools for concussion Assessment are now available. A must read and must download resource!


The Concussion Recognition Tool 5 (CRT5)
 The Concussion Recognition Tool 5 (CRT5) is the most recent revision of the Pocket Sport Concussion Assessment Tool 2 that was initially introduced by the Concussion in Sport Group in 2005. The CRT5 is designed to assist non-medically trained individuals to recognise the signs and symptoms of possible sport-related concussion and provides guidance for removing an athlete from play/sport and to seek medical attention. This paper presents the development of the CRT5 and highlights the differences between the CRT5 and prior versions of the instrument.

 Sport Concussion Assessment Tool 5th Edition (SCAT5)

Most recent revision of a sport concussion evaluation tool for use by healthcare professionals in the acute evaluation of suspected concussion. The revision of the SCAT3 (first published in 2013) culminated in the SCAT5. The revision was based on a systematic review and synthesis of current research, public input and expert panel review as part of the 5th International Consensus Conference on Concussion in Sport held in Berlin in 2016. The SCAT5 is intended for use in those who are 13 years of age or older. The Child SCAT5 is a tool for those aged 5–12 years, which is discussed elsewhere.


The SCAT 3rd edition (Child SCAT3) was developed for children aged between 5 and12 years. Research to date was reviewed and synthesised for the 5th International Consensus Conference on Concussion in Sport in Berlin, Germany, leading to the current revision of the test, the Child SCAT5

2017 Concussion in Sport Consensus Statement

“The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements1–4 and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach. This document is devel- oped for physicians and healthcare providers who are involved in athlete care, whether at a recre- ational, elite or professional level. While agreement exists on the principal messages conveyed by this document, the authors acknowledge that the science of SRC is evolving and therefore individual management and return-to-play decisions remain in the realm of clinical judgement.

This consensus document reflects the current state of knowledge and will need to be modified as new knowledge develops. It provides an overview of issues that may be of importance to healthcare providers involved in the management of SRC. This paper should be read in conjunction with the systematic reviews and methodology paper that accompany it. First and foremost, this document is intended to guide clinical practice; however, the authors feel that it can also help form the agenda for future research relevant to SRC by identifying knowledge gaps.”


Readers are encouraged to copy and freely distribute this Berlin Consensus Statement on Concussion in Sport, the Concussion Recognition Tool version 5 (CRT5), the Sports Concussion Assessment Tool version 5 (SCAT5) and/or the Child SCAT5. None of these are subject to copyright restriction, provided they are used in their complete format, are not altered in any way, not sold for commercial gain or rebranded, not converted into a digital format without permission, and are cited correctly.

Medical legal considerations

The consensus statement is not intended as a clinical practice guideline or legal standard of care, and should not be interpreted as such. This document is only a guide, and is of a general nature, consistent with the reasonable practice of a healthcare professional. Individual treatment will depend on the facts and circumstances specific to each individual case. It is intended that this document will be formally reviewed and updated before 31 December 2020.


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In recognition of Dr. David Magee’s contribution to the development and leadership of the Sport Physiotherapy Canada (SPC), a Division of the Canadian Physiotherapy Association, the “David Magee Sports Physiotherapy Scholarship” was established in the fall of 1979 and first awarded in 1980 at the SPC AGM. In 1988, at the Annual Council Meeting, the name of the award was changed to the “Sport Physiotherapy Canada David Magee Award”.

All nominees/applicants must be members in good standing of SPC and the Canadian Physiotherapy Association.

There are three categories of this award:

1. Outstanding Contribution to Sport Physiotherapy Canada
2. Award to help with expenses of Certificate/Diploma examinations
3. Successful completion of Certificate or Diploma Exam Process with Distinction

Information available here: Dave Magee Award

Deadline for Application: May 19, 2017 by Midnight 

Posted by & filed under Trending Now, Uncategorized.

Announcement: SPC AGM & Board of Director Nominations
In accordance with the SPC Constitution, Article 7 Meetings, SPC would like to notify all members that we will hold our Annual General Meeting on Friday June 9th, 2017 at the Fairmont Tremblant in the Joseph Room at 5PM EDT. All members are welcome to attend in person. An online webcast with voting will be available for those that are not able to attend in person. 

SPC is also announcing that nominations are now being accepted for 2 director positions on the SPC Board of Directors. Please see the attached information package. Our nomination chairperson, Rhonda Shishkin, is available to answer any questions about nominations.
Nomination Information Package:

Posted by & filed under Games Call, Trending Now.

SPC is pleased to release the following calls for applications for the 2018 Olympic Games and the 2018 Commonwealth Games. Please see the information packages on our major games page to complete your application. Please contact Ashley (email: alewis @  at the National Office with any questions about the calls or filling out your application.


Call for 2018 Olympics– Call for Core Health Science Team and Chief Therapist
Information Package: 2018 Olympics- SPC Call for Applications- Chief and Core HST- Deadline March 6
Deadline to Apply: March 6, 2017

Call for 2018 Commonwealth Games– Call for Core Health Science Team and Chief Therapist
Information Package: 2018 Commonwealth Games- Call for Applications
Deadline to Apply March 6, 2017

Application Resources:


SPC Games Application Check List

SAMPLE- Selection Scoring Grid

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“Let’s take a picture,” he said. “I feel like this is a day we definitely want to remember.” He handed someone his digital camera, we posed together and smiled.

Read full article : 

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Staying up to date on marketing trends can be a daunting task. This is a great read about healthcare trends for 2017. Some great tips to implement at your clinic!


  1. Social messaging apps are becoming marketing platforms. Facebook, Twitter and the other big-names are still popular social hangouts. But what’s growing in popular use are the social messaging apps, such as SnapchatMessagerWhatsApp and others. As they have in China and elsewhere, these convenient apps are fast evolving to multi-purpose platforms. Real-time customer conversations and relationships are the traditional roots of messaging. Expect new advertising and marketing possibilities to emerge as chat apps continue to grow.
  2. Smarter content wins patients. The significant trend is presenting content that is authoritative, interesting and share-worthy. The Internet is healthcare marketing’s front door. Patients—now responsible for an expanded share of medical costs—search online for valuable and relevant information. Amid increased competition for the reader’s attention, today’s content must be fresh, social-sharable and reliable to earn respect and build trust.
  3. Personalize; individualize. Marketing delivery systems are more sophisticated……..


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Hello SPC Members,

SPC has recently updated our maintenance of credentials policy.

If you are due to maintain please follow this LINK and fill out the new online form with your documentation. Upon completion your credentials will be reviewed. You will receive an email confirmation and your online profile will be updated to reflect your new maintenance status.

As of 2016 we are pleased to offer two options to maintain- Full Maintenance and Maintenance- Option B. An additional option to maintain was added to address the growing number of credential holders who aren’t doing as many on field hours but still work with athletes. We have also clarified how a leave works in regards to credentials.

If you have any questions please don’t hesitate to ask us: SPC email.

Submit your maintenance here: MOC ONLINE

Read the new MOC here: POLICY & FORMS



Posted by & filed under exercise perscription.

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8 Simple Ways to Avoid New Year’s Resolution-Induced Injury

As the hangovers clear on yet another festive season, I thought that I would get in early and write a blog on New Year’s resolutions. Specifically, how best reduce the risk of injury upon resuming exercise after a prolonged period of time away from exercise.

The reason behind this is very simple: Without fail, each and every mid-late January, I get an influx of people coming into the clinic with an array of injuries that include lower limb tendinopathies (achilles & gluteal), calf/hamstring strains, rotator cuff injury, lower back and neck strains, that were all sustained during an attempt to try and get “fit and healthy” for their New Year’s resolution. Ie. They resumed exercise after a prolonged period away from exercise.

For the most part, a majority of these injuries are due to the obvious: A rapid increase in exercise volume and intensity from previous levels of physical activity. However, a majority of these injuries could have also been prevented with an appropriate exercise plan.

So without further ado, here are my 8 pieces of friendly advice to minimise your chances of getting injured through the New Year period so that you can stick to your New Year’s resolution of getting fit and healthy, and sustaining this physical activity right through the entire year and beyond:

Note: As you can see I have written this blog aiming it at the patient/client, so feel free to share these simple evidence-based messages to your patients/clients.

1.      Don’t be tempted to start that boot camp just yet. Simply start by getting off the couch and move most days per week. This sounds very basic I know, but if you haven’t regularly walked, cycled or swam for 45mins, 3-5x per week for the last few months, how on earth do you think you’ll cope with running, jumping, boxing and doing push-ups and burpees for 45mins, 5x per week?

2.      Compliment cardiovascular exercise with some simple body-weight exercises: You don’t need fancy gym equipment and extra load when you’re first starting out, but the increased nerve drive to the working muscles from 2-3 weeks of body-weight exercises such as chair squats, step ups, sidesteps, calf raises, bench/knee/toe push ups and side planks will put you in a good place to start some heavier lifting (if you want to) in late January. 2-3x strength sessions per week is all you need.

3. Don’t shy away from strengthening exercises: Strengthening-alone has been shown in a systematic review of 26,000 participants to be far superior to stretching-alone in reducing the risk of “overuse” injuries by 50% and reduces the risk of acute injuries by 30% (1).

4.      If you MUST do boot camps, or Crossfit, or F45, or other forms of high intensity interval training, do so 2x per week ONLY (non-consecutive days) for the first 2-3 weeks and increase to 3x per week (non-consecutive days) thereafter. The other 2-3 days of the week can be filled with low-moderate intensity exercise (maximum 6-7/10 rate of perceived exertion) such as walking, bike riding, swimming, pilates, yoga. The reason for this is that it takes 48 hours in trainedindividuals for muscles to recover from a dose of high intensity exercise (2), and 72 hours for tendons to recover from a dose of high intensity exercise, and any attempt to do back-to-back days in untrained individuals will soon result in an “overuse” injury.

5.      Don’t forget to sleep! For all your training to take hold and for your body to adapt to the exercise that you are doing, your body needs sleep. The National Sleep Foundation recommends that adults require 7-9 hours sleep per night. For more information, including how to improve the quality of your sleep, see previous blog here.

6.   Use sessional RPE (sRPE) to monitor exercise loads and use it to plan and progress future exercise plans. sRPE is an evidence-based way to measure load and predict future injury and I have previously written about this; see previous blog here. To summarise, every training session you do is measurable. Simply multiply the session time (mins) by a score out of 10 (rate of perceived exertion; 0 = asleep, 10=maximal effort). And remember, “High loads are not the problem. It is how you get to these high loads that is” – Tim Gabbett. Also, don’t progress exercise loads by more than 10% per week! (3)

7.      Set realistic goals: If your goal is to lose 10kg in 1 month, it’s time to get a reality check. This weight loss is simply not sustainable and you will most likely get injured and end up in tears through disappointment of not achieving your goal. Be sensible; 0.5-1.0kg per week is a more realistic and sustainable way to try and lose weight.

8.      Don’t forget to factor in rest days! In similar ways that less sleep equates to higher injury rates and poor physical and mental performance, studies have shown that those people who have less than 2 rest days per week, have a 5x increased risk of overuse injury than those who have 2 or more rest days per week (4).

So there you have it, my 8 big tips to safely getting started on an exercise program after a prolonged break from exercise so that you can stay on track and achieve your goals. I understand that nutrition plays a significant role in achieving your training goals, but as this is not an area of expertise of mine, I have purposely not addressed nutrition, but will gladly point anyone interested in the direction of some excellent dietitians.

In closing up, I know that I’ve given a very broad overview on how to avoid overuse injuries when embarking on an exercise program, and I completely understand that every person is different in regards to their exercise tolerance, so please remember to consult with your GP, physiotherapist or exercise physiologist before commencing any exercise or strength training program to make sure that it is tailored to your fitness level, but importantly, it is SAFE and SUSTAINABLE for the whole of 2017 and beyond!!



1.Lauersen JB, Bertelsen DM, Andersen LB. The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials. British journal of sports medicine. 2014 Jun;48(11):871-7. PubMed PMID: 24100287. Epub 2013/10/09. eng.

2. Korak JA, Green JM & O’Neal EK (2015). Resistance training recovery: Considerations for single vs multi-joint movements and upper vs lower body muscles. International Journal of Exercise Science, 81 (1), 10.

3. Gabbett TJ. The training-injury prevention paradox: should athletes be training smarter and harder? British journal of sports medicine. 2016 Mar;50(5):273-80. PubMed PMID: 26758673. Pubmed Central PMCID: PMC4789704. Epub 2016/01/14. eng.

4. Ristolainen L, Kettunen JA, Waller B, Heinonen A, Kujala UM. Training-related risk factors in the etiology of overuse injuries in endurance sports. The Journal of sports medicine and physical fitness. 2014 Feb;54(1):78-87. PubMed PMID: 24445548. Epub 2014/01/22. eng.