Latest / The STA Clinician Podcast / Ep.253 'Countdown To STA South West Conference' with speakers Dr Claire Minshull & Serena Simmons
Transcript
- 0:00You're listening to the Sports Therapy Association podcast, putting evidence
- 0:05back into soft tissue therapy.
- 0:07Music.
- 0:18Okay, well, I have no countdown for people. Apologies, I'm a little bit late.
- 0:22Four minutes passed. I'm so sorry.
- 0:23Two minutes, cool. Three minutes, not so much. Four minutes,
- 0:25just rude. So apologies for that.
- 0:26But welcome to episode 253 of the Sports Therapy Association podcast.
- 0:32My name is Matt Phillips, creator of runchatlive.com. And as always,
- 0:35this episode is being recorded live on the Sports Therapy Association YouTube
- 0:39channel and Facebook page, normally on a Tuesday at eight o'clock.
- 0:44But tonight we are going out live on a Wednesday, but next week back to the Tuesdays as normal.
- 0:49So thank you for joining us. If you've joined us live, thank you if you listen to the podcast.
- 0:52We are going to continue our countdown to the STA Southwest and Hands on Hub
- 0:57conference, which is happening in Exmouth this September the 20th and 21st in
- 1:02collaboration with the ST school.
- 1:05So yes, less than three weeks away now. It's going to be amazing. I'm obviously biased.
- 1:10I'm emceeing it and I'm presenting there, so I'm biased. But I don't know,
- 1:14after 257 episodes, hopefully you can believe when I say it's going to be an
- 1:18amazing weekend of presentations with workshops and networking.
- 1:22And in this episode, I'm going to be talking very shortly with Dr.
- 1:26Claire Mitchell, rehab and conditioning specialist and founder of Get Back to
- 1:30Sport, and also Serena Simmons, charter psychologist and founder of the Psychology
- 1:35School, to discuss what they will be delivering at the conference later in September.
- 1:40Last week, in case you missed it, just a huge thank you to Michelle Lyons,
- 1:44women's health physiotherapist and founder of Celebrate Mouli Ebrity,
- 1:47whose conference presentation in September is The Menstrual Detective,
- 1:51Why the Fifth Vital Sign Might Be the Missing Link in MSK Health for Female Athletes.
- 1:56Michelle was joined by guest Siobhan O'Donovan, aka The Boobie Physio,
- 2:00and founder of Posture Fitting.
- 2:02And Siobhan is going to be presenting Bits and Boobs and Bumps and Babies.
- 2:05Wonderful alliteration there. and as always that
- 2:08episode is on all popular podcast apps and
- 2:11YouTube if you want to watch the video and also at the STA website thesta.co.uk
- 2:16just to keep you in touch of what's happening
- 2:19in the lead up to the conference next week I'm going to have the
- 2:21one and only Anna Maria Matsieri on the show
- 2:24director of the ST school who's going to be chatting
- 2:27about the conference but in particular something that
- 2:30was brought up in the one of the debate panels we had
- 2:33with experienced therapists and less experienced therapists was what
- 2:37the hell is evidence-informed practice anyway what does it mean it's all
- 2:39very well when more experienced therapists goes oh you have to be more evidence-informed but
- 2:43a lot of younger therapists less experienced therapists is like what what
- 2:46do you mean by that so we're going to have a little chat about that with Anna-Marie
- 2:49Matsieri who has a fantastic course
- 2:52on this or workshop on this on at the
- 2:55ST school and also two other presentations are very much about that at
- 2:58the conference which are going to be when pain echoes trauma and
- 3:01when massage echoes embodiment and also massage and
- 3:04manual therapy for scars so that is next
- 3:07week hopefully you can join us live eight o'clock on the
- 3:10tuesday and then the week after we have the wonderful
- 3:13james earls i have born to move and who's also going to be speaking at the conference
- 3:18with a presentation entitled the knee why do we have it all back to front again
- 3:23i've gone forever about james just the approach to anatomy which you need and
- 3:28put forward in a style that's not going to make you think, I'm going to give
- 3:31this all up. This is all terrible.
- 3:33I'm going to sue the people who gave me that last course.
- 3:35Not at all. It's just tweaking it a little bit to help you and most importantly, your clients.
- 3:39So again, a wonderful speaker in the lead up. And that'll take us to the actual
- 3:43conference, which like I say, is on the 20th and the 21st.
- 3:46If you can't make it, please don't sit there with FOMO, fear of missing out down with the kids.
- 3:51We're going to make this regional. The whole idea of this conference is to try
- 3:54and do something which people can travel to in the same day,
- 3:57maybe don't have to stay the night. So we're going to be moving around the country.
- 3:59We're going to be moving, hopefully, to Ireland at some point,
- 4:02up to Scotland, and maybe even abroad. Who knows? The world is our oyster.
- 4:07Right. I've left my guests down in the lobby for long enough.
- 4:10If you do want tickets to the conference, I'll repeat this afterwards,
- 4:13but just go to thestschool.co.uk.
- 4:16And if you're an STA member, remember there is a discount code,
- 4:18which you'll find in the latest STA newsletter or on the Facebook members group.
- 4:22But for now, allow me to bring up my guests for tonight, Dr.
- 4:25Claire Minchell of Get Back to Sport and Serena Simmons, charter psychologist
- 4:30and founder of the Psychology School.
- 4:32Music.
- 4:49Um i'm still red because of what you said before we started
- 4:52you really shouldn't kind of make my head swell like that with compliments just
- 4:55before we go live please don't ever do that again it's what
- 4:57i was thinking of anyway but i'm really thrilled to have you along thank you
- 5:00so much for joining us thank you thanks for the snacks you're lovely as well so
- 5:05as we chatted off air i'm really hoping i'll be surprised
- 5:08but i'm really hoping that some of the couple of thousand downloads we
- 5:11get don't know you guys um some will but
- 5:14i'm hoping that we're obviously we're going to reach out to people who have never heard of you so to
- 5:18do that we need a little bit of an introduction which is tricky because you
- 5:21know you've been in the game for a long time and it must feel like just a nightmare
- 5:24going through well once i got injured and no one sorted me out and so i did
- 5:29this which is normally kind of the story but so i thought we'd do it slightly
- 5:32different with it with a few images which i think might help us kind of present you if that's okay.
- 5:39There's nothing no embarrassing pictures of you either of you,
- 5:43she's embarrassing images of it so let's just bring this up
- 5:45first of all i mean i hate to start on a sad
- 5:48point but podcast listeners you won't be able
- 5:51to see the images you might want to stop now and go over to youtube but essentially
- 5:54what i've got here is a series of of well it's it's
- 5:58you described what's going we've got a pretty bruised up nasty stitched up wrist
- 6:01going on claire what happened a fat hand it was well intentioned so this is
- 6:07the end point of my rehab journey this year this was me trying to break up a
- 6:12cat fight of my own cat bullying the neighbor's cats,
- 6:17just instantaneously just jumped in because he just jumped on her in full fight
- 6:22mode he turned around and bit me right down to the bone that scares me carry on.
- 6:33Yeah so yeah i've since learned that
- 6:36cat bites can be really really dangerous and
- 6:40not just painful but yeah so within i
- 6:43went to a and a when the 24 hours i was within in surgery as in hospital for
- 6:48three days so so let's just break that down a bit surgery for cat bite yeah
- 6:52what happened let me let me provide some education about cat bites that i've
- 6:57learned first and foremost if you're going to approach a cat fight use a super soaker or a buttock,
- 7:04She really is getting into detail.
- 7:22Not only can they penetrate deeper, they have particular bacteria on their teeth,
- 7:27which then obviously is entered into the tissue that it penetrates.
- 7:33Fortunately for me, it wasn't in the joint. Unfortunately for me,
- 7:35it wasn't in the bone. It went into the tendon sheath. But within 24 hours,
- 7:39it's extremely infected.
- 7:40And there's some horrific reports of the consequences of cat bites if left,
- 7:48or if left untreated, even to amputation points.
- 7:52If you get bitten by a cat just straight away
- 7:56go to your nearest A&E that type of thing so
- 7:59yeah within 24 hours I was in surgery and phenomenal
- 8:02phenomenal kind of service from the
- 8:05A&E that was just amazing saved saved my hand so yeah I'm smiling I shouldn't
- 8:11be but I just love the way I'm not I shouldn't be surprised but I love the way
- 8:14you make it so interesting I mean even when you're talking about cat bites and
- 8:18and a trip to A&E I'm sitting there thinking this is great I hope she does like
- 8:21a kind of workshop on this because i really want to attend it's like,
- 8:25so that's why i'm smiling because it just sounds so informative and interesting
- 8:28and i want to yeah i didn't didn't really want to learn it about it in that way.
- 8:35Especially especially as if we go back a little bit,
- 8:39again if you listen to the podcast you can't see us unfortunately this is why
- 8:42you need to join us live get back into what we used to do you know when you
- 8:44actually turned up in person for something But yeah, we've got lovely Liz Bailey
- 8:48there and James Noakes and your leg, I think. My leg.
- 8:52And just a big shout to James Noakes who's going through the phenomenally difficult
- 8:57time at the minute with his back disc infection. He's the most knowledgeable,
- 9:03kindest sportswear doctor ever.
- 9:06And yeah, he's struggling a bit at the moment and he's just been just...
- 9:11Those guys phenomenal so and especially james is
- 9:14going through a really really difficult patch so i think
- 9:17i i had it hard and he's yeah he's he's laid
- 9:20at multiple hospital admissions if you follow him on twitter
- 9:23or x you can he's publicized his journey so
- 9:26big love to james james
- 9:29yeah so that is a
- 9:32bone stress injury to my right talus
- 9:36and probably more also a capsule anterior
- 9:39capsule injury as well and yeah so it
- 9:43was a month a month on crutches we tried to manage it
- 9:46with reduced loading so I do a lot
- 9:49of lifting compressive loading running
- 9:52cycling that kind of stuff but backed off for.
- 9:55A couple of weeks it didn't didn't settle so yeah I
- 9:58was at four weeks in a boot on crutches which was
- 10:01so joyous and uh yeah so
- 10:04I'm playing rehab twister right now with
- 10:07my right foot and left hand don't know
- 10:10really know what i've done to spin this but yeah yeah
- 10:14i mean it's sad but
- 10:17it's great it's not entertainment's the wrong word very education for
- 10:20us because you're documenting this all in your social media feed we're seeing
- 10:23ski pulls we're showing different hand grips we're seeing
- 10:26all sorts of stuff which and it's or as always
- 10:29inspiring i mean yeah i wouldn't wish it penne obviously but as
- 10:32always you're turning it around as something which is helping others you just can't help
- 10:35it can you just a giver also you
- 10:39know well you know it's anybody that exercising it's a
- 10:42part of them you find a way otherwise it's even more traumatic so yeah trying
- 10:46to find different ways of doing things that you can for mental health absolutely
- 10:51important and also physical health too so i didn't really need any more experiences
- 10:57on the patient side of that model.
- 10:59I've had plenty, but I've had them.
- 11:02And so there you go. I'm back to the side.
- 11:05It's true. In fact, yeah. I'm thinking back to your previous,
- 11:08anyone who wants to catch up with the first installments of Claire's Journey
- 11:12Through Rehab, then check out the first couple of episodes and you'll hear it
- 11:15way back at the beginning where it all started.
- 11:17So in the meantime, whilst you were all suffering with this and going through
- 11:22different areas of rehab, it's quite a nice segue into, let's go over to our
- 11:25other guest, Serena Simmons here, to see if there's any parallels.
- 11:30What picture have I got here? Let's just go through here.
- 11:33Right. Again, if this is the podcast, you you won't
- 11:35see what's on the youtube screen but essentially i'm just
- 11:39going to describe what i see and then you can explain serena what's
- 11:42going on this is pesky if anyone's
- 11:45a dexter fan then yeah basically we've got a kill room we haven't got the cellophane
- 11:50but it looks very clean and and all i can see is serena dragging up a wrapped
- 11:56up body over to you serena simmons who are you and why are you doing this i
- 12:01feel for a blind day who are you what's your name where do Yeah,
- 12:04this is a great question.
- 12:06I'm Theresa Mons. I've killed someone. No.
- 12:10So, yeah, thank you. It's nice to be here. Yeah, this is a very pesky picture
- 12:15here. So I had a lot of fun this weekend.
- 12:18I'm just about to do some teaching on the topic of body disposal.
- 12:23I can say no more at this point other than I'm trying to convey how we dispose of a body.
- 12:29And the reason I'm doing that is because my area
- 12:32my background is in forensic psychology and in
- 12:35particular a speciality in serial murder and
- 12:39I hope that we get to segue into why I'm
- 12:42coming to the conference and how I'm going to deliver something
- 12:45of value to the physios and the people are
- 12:48not physios but people in the in the arena who who
- 12:51want to learn more about how we can incorporate psychology and
- 12:55behavior change into practice based on my background but yeah I'm basically
- 12:59manhandling a fake dead body in a picture that people can't see brilliant i'm
- 13:06just going to pause for people who will ask you through the podcast to get over
- 13:08to youtube just give them a few seconds to catch up with this they're back.
- 13:13Yeah let's let's stick with that and go into a bit more of the link so from from forensic,
- 13:19specialist yeah to helping clinicians yeah healthcare yeah thank you thank you
- 13:26for asking the question because I think the jump seems really big but I think
- 13:30so essentially my background and training was all in forensic psychology and I followed.
- 13:37A forensic pathway in my training for a long
- 13:40time so I worked for a long time for the prison service
- 13:43so my initial job was I was
- 13:46the manager of all of the
- 13:49cognitive behavioral programs being run in
- 13:52the UK for prisons in the UK so I
- 13:55managed everything that was cognitive behaviorally based and
- 13:58I then went on to work in practice at Rampton Hospital so some
- 14:01of the most dangerous offenders basically in the country with
- 14:04my own caseload of patients and group therapy and I
- 14:08think what people often don't realize is when you work with those
- 14:11really dangerous people and you're working in that arena is that
- 14:14your main job as a psychologist in the UK is to
- 14:17rehabilitate and so actually your job is
- 14:20to change the behavior of some of the most dangerous people
- 14:23that we have in terms of what they've done so we're
- 14:27talking I don't know what I can say in terms of like
- 14:30certificate 18 or not oh yeah we've
- 14:33had oh we're good okay good so basically the
- 14:37three main groups of people you work with in a setting like that are
- 14:40typically those who've committed rape so rape so
- 14:43rapists paedophiles and murderers and my speciality being murder serial murder
- 14:47is the area that i come from and so as i began to work more in the area it was
- 14:53people that approached me to say how do you know if you've changed try to change
- 14:57the behavior of those people how do we do it for these people And it was really healthcare,
- 15:01although I've worked in healthcare since I was 17, actually.
- 15:04Healthcare found me and I was able to translate what I've learned from that
- 15:08arena and bring it into something really positive.
- 15:11And so actually now I spend half of my time working still in that area and mostly profiling.
- 15:17So I mostly profile offenders now and do kind of teaching in the area.
- 15:22But then I bring that into this really beautiful area of positive behavior change in healthcare.
- 15:27Fascinating journey and now you've explained i'm hoping people can see the
- 15:30link there and it should it's a very typical thing at
- 15:33the moment because we are realizing and
- 15:36we've had people on the show before talking about the importance of
- 15:39psychology and behavior change and how important that
- 15:42is to do with therapeutic alliance and using
- 15:45your eyes sorry your eyes and your ears and your hands sorry
- 15:48your mouth just as much as your hands if not more yeah yeah but
- 15:51i noticed you have said i've read it a few times
- 15:54or maybe people talking about you an actual psychologist teaching the
- 15:57psychology behavior change which I suppose is quite thrilling
- 16:00for you because being a psychologist you've got that upper hand
- 16:03you kind of yeah and I don't mean that
- 16:06in a I would I would say the same thing I would
- 16:09say for me when you're working with
- 16:11a person first and foremost we have to honor the person and
- 16:15I think anyone would anyone knows that but when
- 16:19you have an understanding of someone's psychology you have
- 16:21a better understanding of their their thought
- 16:24processes how they think and therefore how
- 16:27they behave and how they respond and so
- 16:30I think what psychology does is it goes beyond
- 16:33what could be quite a surface level approach to
- 16:37helping someone change because what you're doing is you're
- 16:40going way beyond that surface level technique and
- 16:43you're looking at why someone is doing what
- 16:46they're doing and when you know more about why humans do what they do you have
- 16:51a much better ability to help them move the needle and it could have changed.
- 16:54Something in their behavior in their rehab in anything really so for me obviously.
- 17:00I'm biased but psychology forms the basis of all of that other good stuff.
- 17:06And just to reinforce that, all the obviously amazing exercise prescriptions
- 17:12that I do for joint approach,
- 17:14which are phenomenally life-changing, would have absolutely no relevance whatsoever
- 17:20if patients didn't do it.
- 17:22And the reason why they do it is because of Serena's influence throughout the entire program.
- 17:28I know we'll get to this, but a point to iterate here is we had,
- 17:32in an NHS clinical trial, zero people drop out, and that's unheard of.
- 17:39So it's profoundly impactful and can pave the way.
- 17:45And it's like a symbiotic relationship, but you'll pave the way for anything that comes thereafter.
- 17:51There i'm gonna say something else i think the
- 17:53other thing you don't have to put your hand up sorry i'm excited
- 17:57can i say something and the
- 18:00other thing is is you don't and that's the whole point of me
- 18:03teaching us to healthcare professionals is you don't have to be a psychologist
- 18:06to be able to understand that and i think that's the
- 18:08bit for me that i get on a bandwagon about so if anyone has
- 18:11ever been on a podcast before usually what i'm saying is everyone
- 18:15should know this like if you're working with a human you
- 18:18honor the human you don't like it's it's a
- 18:21tendency to jump to our expertise because we because it's beautiful
- 18:24and we're excited about it so as I work a
- 18:27lot with for example physios or kind of surgeons actually
- 18:30and doctors they want to do the thing that they were trained to do and
- 18:33that's beautiful and it's brilliant but we must first
- 18:36honor the person in front of us and there's
- 18:40a way of doing that and I think when you kind of
- 18:43when you do that in a different way if you do that in a very unique individualized
- 18:47way where you're honoring that person first and foremost there are things that
- 18:51anyone can learn to make that better and to for example to make it stick so
- 18:57would be adherence to make that kind of better kind of over the long term as well.
- 19:03So exciting. It really is because it's so topical at the moment.
- 19:07Like I say, I think I wrote somewhere, I mean, I love listening to you because
- 19:13it explains something that I felt for a long time.
- 19:16Every time I heard people complaining about, oh, so-and-so, my client or patient
- 19:21hasn't done their exercises.
- 19:22How do they hope to get better if they haven't done their exercises?
- 19:24And inside, I always felt that burning thing of, hold on, if they haven't done
- 19:28their exercises, aren't you a little bit culpable?
- 19:30Isn't that something to do with you let your patient go and they haven't done
- 19:35that? That's got to do something with the conversation you had or didn't have.
- 19:37So I think that's such a common problem. We talk about lack of exercise adherence
- 19:41being one of the kind of biggest delays to recovery.
- 19:44But now we've got something to get our teeth into with regards to how to bring
- 19:48this down and actually through coaching and through psychology.
- 19:51Yeah I'm going to pick up on something that you said which is really interesting,
- 20:03you said it's really interesting that maybe there's something
- 20:05you did or didn't do and the thing is I think the
- 20:09beauty of learning what I teach people is I think learning what I teach about
- 20:15someone's psychology it actually frees you up because what I don't want practitioners
- 20:20to do anyone in any discipline is to go in thinking that the onus is all on them.
- 20:27I.e. you can learn the tools you can do the thing you can do the learning and actually,
- 20:33here's the trojan horse that i always incorporate into my teaching
- 20:36is actually if i'm honest a lot
- 20:38of the psychology that i teach is about you it's not about them
- 20:41and that's the tricky bit is that yeah
- 20:44you know people everyone's comfortable going in and learning a
- 20:48tool if i said i'm doing something on motivational interviewing i'd
- 20:51get loads of people sign up if i say behavior change it's
- 20:54a great label lots of people sign up because it feels like
- 20:57the thing the thing that will solve the thing but actually
- 21:00the the real like response
- 21:03is down to you working on you really
- 21:07and that's the that's the pesky bit is because it's how
- 21:10you're showing up in the work and some
- 21:14of that looks like letting go of the results because actually
- 21:18someone might change but they might not and that's
- 21:21okay so there's a lot.
- 21:23Of psychology around oh it's just
- 21:26beautiful i just i just feel so calm at
- 21:29the moment yeah and that's the beauty of it is i think when
- 21:32i teach a lot of the students i teach what's really beautiful about
- 21:35the teaching i i'm not my teaching per se but
- 21:38what people go away with is it's like now
- 21:41suddenly the confidence goes up and it's like
- 21:43it's like a what i try and instill is this beautiful curiosity
- 21:47about a human meeting another human being and so
- 21:50there is nothing to get to it's a bit like Yoda a
- 21:53bit deep like where are we trying to get to here
- 21:56it's like what are you really trying to do what is this for and so you start
- 22:01to kind of look at it in a different way where you go with this kind of beautiful
- 22:05curiosity into a conversation it takes so much pressure off them and you that
- 22:10it kind of creates a space for change to happen and that's what I'm marked up.
- 22:15Brilliant. I'm so happy you're coming along to the conference.
- 22:18This is exactly what we're trying to achieve through the conference,
- 22:20because people say, what CPD do I need? What can I do with my hands? What can I learn?
- 22:25And it's like, no, turn that with some other guests around the show.
- 22:28We're talking about turning that mirror, that lens round and shine it a bit more on you.
- 22:32Stop just looking at what's on the couch, whatever, and start turning it around.
- 22:36And that will help ultimately yourself and therefore the person on the other end.
- 22:39And that's what the conference is all going to be about and the speakers
- 22:42we've put together with like both of yourselves and other people coming along they've
- 22:45all already on that same page of realizing
- 22:48that they're not they are experts but it's not
- 22:51all about them standing on a stage and just vomiting out this information it's
- 22:55about turning that lens around so exciting beautiful amen brother and sisters
- 22:59yes i was going to do your course but oh so annoying but i didn't get on it
- 23:03and i was it was on our list of things to do in fact anime was like you've got
- 23:07to do Serena's course it'd be amazing do it do it do it do it do it do it doors closed.
- 23:12Because it was so popular um I mean I've got to sign up here talking
- 23:15about it so we're talking about behavior change psychology for therapists launched back
- 23:18in May wasn't it and and it's kind of full isn't it I think I saw on the website
- 23:22that it's kind of no more applications yet until I don't know what 2029 well
- 23:27I normally do one a year I may do another one I'll say but yeah we'll see how
- 23:30we go oh don't just do one for me please you've got the other program I've got another,
- 23:36Yeah, I've got a site club as well, which we can talk about later if you want
- 23:40to, because I feel like we have to go. I can talk forever.
- 23:44Oh, Dr. Clemens should say as well. Sorry, Dr. Clemens.
- 23:47I enjoy this. I mean, it's impactful. It's changed my practice,
- 23:51and it's lovely to listen to. But what you said,
- 23:56it's probably the most important thing so far is that
- 23:59and you admitted it yourself for all the amazing rehab
- 24:02and strength and conditioning and protocols and dynamometers and different
- 24:05types and all of this stuff it's all fantastic but if you are trying to get
- 24:09the person on the end of whatever you're doing to do it and they're not at that
- 24:13right state of change or behavior you're preaching to ears that just close and
- 24:16not ready you know and it's oh you're not necessarily preaching so if you're
- 24:20trying to elicit a response in terms of a strength test or an effort on a,
- 24:25strength exercise you have to have the engagement and for that you have to have
- 24:29the right communication so I thought pretty good at it before and then with some uh helpful input.
- 24:38From Serena then I become you know
- 24:41much much better at that and I think that comes also with
- 24:44age and experience too but but that is the key
- 24:47right so you've got a person usually is
- 24:49a whole and complete being i'm kind of incomplete at
- 24:52various points in my life
- 24:55at the minute but you know you with i
- 24:59don't know and neo8 we're not just treating treating the
- 25:02knee the knee is attached to a whole person which is
- 25:05all the other musculoskeletal part of the system
- 25:08plus their thoughts and feelings and plus
- 25:11their life and logistics so even if it
- 25:14comes down to exercise prescription you go right this is the best exercise you
- 25:17can do delivered in this way I need you to
- 25:20do it and then you go three times
- 25:23a week at this time every day or every every session and they go hang on a minute
- 25:28I can't do that because of x y and z you have to acknowledge what's in what's
- 25:33in front of you it becomes a logistic channel a logistical challenge I think
- 25:38the the best I was forgive
- 25:40forgive me the reason why we're at wednesday is i was in yesterday down at the
- 25:44mod in winchester teaching so it's my bad forgive me the point that that i'm making every.
- 25:54Interaction that i have the pleasure of of of
- 25:57living with anybody that that wants to listen is that you can start out let's
- 26:04start out with what the optimal prescription would be for that So if we need
- 26:08to get somebody stronger and let's look at what's the best stimulus you could possibly deliver,
- 26:16dose response to get somebody stronger, that muscle group stronger.
- 26:19Then let's layer on then the real life logistics. What equipment have you got?
- 26:24Have you got no equipment? What environment have you got? What commitment have you got?
- 26:27And then we can work back from that. It's the whole person.
- 26:32So cool and do you think i'm interested
- 26:36to know that ideally should
- 26:39this be taught from the beginning so like imagine the
- 26:42traditional ymca level three fitness trainer or something
- 26:45which i did in like 91 or something and there's obviously back
- 26:48then there was no talk of psychology or anything like that it was just three
- 26:51sets of 10 and it was cool because it taught you like how
- 26:53to demonstrate an exercise in different angles and group exercise and
- 26:57a bit of exercise to music so you had all of that going on but
- 26:59do you think it would be too much to integrate something like this now about
- 27:03the questions that need to come before prescribing the exercise or should we
- 27:07be putting it in that early on in the person's kind of learning path do you
- 27:13mean the psychology bit yeah is it too much too soon does it need to be black and white.
- 27:22My point being is i think it very much depends on the environment because what
- 27:27you don't you We need to acknowledge where, as you were saying,
- 27:30Serena, where that person is at, where the learner is at.
- 27:32So if they are in a gym-based setting, you already have some buy-in from that
- 27:38person because they've come to the gym.
- 27:40If you're in an NHS setting and they're being told to come there by the doctor,
- 27:45you've got to have a representation that's much greater on that continuum of behavior change.
- 27:51You might need more understanding and also the risk reward is is or the or that
- 27:57balance is is much greater so what you could potentially lose by not doing this
- 28:03or potentially gain so i think.
- 28:05Absolutely yes the levelness I
- 28:09think needs to be commensurate with the learner and the application what
- 28:13were you going to say yeah I
- 28:16guess probably say the same but I would describe it in
- 28:19a different way which is 1000 million percent
- 28:22big fat yes for me yes because
- 28:26I cannot I've never been able to get my head around the.
- 28:29Fact that if you're dealing with a human that you don't do psychology first
- 28:32that personally I don't think it's just because of my bias.
- 28:35I just don't understand how even
- 28:39an injury starts in your head as in
- 28:42yes you have the physical but it's the human that deals with
- 28:45it so they think about the injury they relate to the
- 28:48injury so you have to first deal with the psychology of it to
- 28:51help them with the thing so how can you not
- 28:54be taught psychology and it's no criticism of anyone
- 28:57listening it's for me it's a criticism of
- 29:00how things like degrees or training is structured
- 29:03that this isn't incorporated however having
- 29:07done this for a long time taught health care
- 29:10professionals in general for a long long time what
- 29:13I realized is not everyone is receptive to it so
- 29:17I teach if so I go into say hospitals and
- 29:19teach teams of people and if I'm being really
- 29:22honest and that is my normal mo I'll get
- 29:26say I get a group of 30 people there'll always be
- 29:28those five people that are just rolling their eyes at me going I
- 29:32don't need that don't want to hear that don't want to learn that don't
- 29:35care about that my patients do what they need to or actually don't
- 29:37care whether they do or they don't so I think that's replicated
- 29:41early on I think you get people who and I
- 29:44understand this when you go to uni for example say
- 29:47if I'm teaching a physio the physio wants to learn physio
- 29:50they don't want to go and learn psychology so their listening isn't open for
- 29:55what someone might say about someone's psychology so what typically happens.
- 29:59Is people come and self-select into things that I might teach or other people
- 30:04like me when they think they need it or they've encountered an issue.
- 30:09And for me I think it's only those that really
- 30:12want to kind of genuinely help
- 30:15the whole person and feel like there's a
- 30:18benefit to learning this that will want to learn it or very
- 30:21early on see the merit in doing so and so
- 30:24that would kind of knit in very cleanly with what Claire
- 30:27said I would just describe it slightly differently I think
- 30:30it's like anything at uni we all do I had to do statistics and
- 30:33research methods from year one I actually hated it but
- 30:36I had to do it to pass my degree you know
- 30:41so like I think it should be a part of
- 30:44our training and it's like anything we learn you
- 30:47just you just don't know when it will come in useful and I think those that
- 30:50will like it will really like it I personally think it should be integrated
- 30:54into everything I think if you're working with a human you need to know psychology
- 30:58because you need to have you need to know how people think and feel and how
- 31:02they respond on a very basic level at least.
- 31:06I'm hearing Anna Maria's voice in my head, which you're going to an awful lot
- 31:10on September the 20th and 21st, because she very much, I mean,
- 31:15it's more to do with learning about pain.
- 31:18But as soon as you start, pain is so complex, but if you really want to start
- 31:22understanding what we can, psychology is going to come into it.
- 31:25And also these days as well, I mean, potentially the pendulum swung a little
- 31:29bit too far away for some people.
- 31:31And now it's evolving more the inflammatory system and other things which are
- 31:34being worked on. But you're going to have to have that biopsychosocial lens
- 31:38or appreciate what it is.
- 31:39And she would say, Anna Maria, that if you are going to make a living out of
- 31:45working with people in pain, then there's no excuses. You can't just say,
- 31:49this doesn't interest me now. I just want to do this.
- 31:50It's like ethically, you need to find out these things, be evidence informed
- 31:56and start adopting a change in what the syllabi are kind of preaching at the
- 32:00moment, which is very outdated.
- 32:01Otherwise, don't work with people in pain. It's not a game. you
- 32:04know if you're mending cards also from a business and
- 32:07reputational perspective it'll become quite apparent
- 32:10that you're not making a difference to people and you can't
- 32:14buy word of mouth so you have a positive word of
- 32:16mouth or a negative word of mouth i don't know if it does though i think there's still
- 32:19plenty of business models out there with the old kind of structured
- 32:22approach to click come back so you want there's
- 32:25people who are still going to certain nationals okay it's a
- 32:28massive buy-in isn't there from things you can't do to yourself i think
- 32:32a good model a good frame of reference is
- 32:35if anyone feels like that about say
- 32:38for example pain and again it translates well
- 32:41to like a training i might do if i go i did quite some quite controversial trainings
- 32:46for example like with groups of surgeons who i find are one of the most challenging
- 32:52groups to work with because their training is about doing surgery so they are
- 32:58trained and they put so many gears into learning a craft.
- 33:02It's art and science kind of coming together and they put
- 33:05you know so much into that and I really respect and admire that
- 33:08however conveying to those
- 33:12groups of surgeons that I want you to think about
- 33:14just talking to people in a different way honoring the
- 33:18whole human giving the power back
- 33:21to the patient for them to maybe do
- 33:25maybe for example even so radical to do some exercise
- 33:28and physio before they resort to surgery heaven
- 33:31forbid I take kind of surgery out of their remit and
- 33:35give the power back to them surgeons who
- 33:38are on board with that and forward thinking think that's great
- 33:41but when someone feels that their power is being taken
- 33:44away they don't want to kind of
- 33:47give that power back and I think ethically as
- 33:51you mentioned the word ethics and that's really important to me is ethically
- 33:55and morally you know how do we feel for example when we sit with a surgeon kind
- 34:00of go back to what you were describing with a doctor it's not just a model it's
- 34:03not just just the thing it's not just getting for example the treatment it's
- 34:08the human to human contact that matters.
- 34:11So yes we might be fixed by going to the doctor or getting
- 34:14some pills or a paracetamol but first and foremost
- 34:16we want that person to respond like a human to us in terms
- 34:19of what we've experienced and we're looking
- 34:22for that connect we're looking for that connection with that notion and understanding
- 34:26first so and i you know when it's looking when you're looking at pain or rehab
- 34:31or surgery we go and seek these experts because we're actually we're looking
- 34:36for more than the expertise really when we kind of look beneath it it's not
- 34:40just the thing otherwise,
- 34:41we will have ai doctors and actually we are i was going to say i think there was a study.
- 34:48I think there was an NHS study which showed that the survey showed they preferred the AI,
- 34:54treatment they were getting the triage they were getting because there was just
- 34:56more empathy than the doctors which was worrying,
- 34:59well let's do AI then no no no it's really scary but it shows the power of someone
- 35:06who's listening and looking after the language which they reply with and the
- 35:09questions they're asking so if the empathy is being picked up on that is yeah oh man we could talk
- 35:16what we have talked about this no it's fascinating
- 35:19and what i really love and the reason why i wanted to i'm
- 35:22so happy that both of you on the show together is because it's just not
- 35:25the two sides of the coin because it all works together it's the yin and the
- 35:28yang it's the continuous flowing of the circle because that's what
- 35:31it is i know i can't believe it's 2025 and i mentioned yin and yang but we all
- 35:36had them little earrings with a black and a white little thing going on the
- 35:39first stud i had i think but yeah it is it's it's yeah it's it's it's really
- 35:44cool and it's something which I think so many therapists, so many listeners have.
- 35:49Need i get i get messages now from therapists
- 35:52who are just saying basically you know what matt it was so
- 35:55much easier to make a living before this whole biocycle social
- 35:59thing came in starting to care about people it's so much easier where people
- 36:02just came and needs to be fixed bam bam thank you very much see you in a week
- 36:05bam bam thank you much now i've got a conscience you know and that's a shame
- 36:08because it just means they haven't grasped that model change enough that there
- 36:12is a fantastic future in health care if you've got the skills and the empathy
- 36:16and the coaching abilities to look
- 36:18to people but it is a different model and and you just need
- 36:20help from people like dr clare minshaw and serena simmons
- 36:24and you can start getting that help by coming along to
- 36:27great segue to the exmouth devon
- 36:30conference on the 21st and the 20th on
- 36:33a weekend which is nice i thought instead of midweek talking of
- 36:37which right talking of which let's tie this all in i mean
- 36:39this has been great because the idea of tonight was introduce you to
- 36:42everybody and and give them a reason to
- 36:45potentially come to the conference or anything else you do with courses
- 36:48and things so let's let's dive in if we can to
- 36:50what you are delivering at the conference in
- 36:54September there are still tickets available people if it's the podcast you can
- 36:57still get in it's not unreasonably priced it's more now than if you you know
- 37:02listen to me when I first mentioned it but that's that's just organization on
- 37:05your part you don't have to look at your time management a little bit but you
- 37:08can still get a ticket okay it's still possible let's have a little look at
- 37:11what we're going to be doing,
- 37:13what you guys are going to be doing. Remind me.
- 37:15Remind you. Yeah, this is why I use the screen as well.
- 37:19Again, if you listen to the podcast and you want to see the images,
- 37:21we'll talk through the images, but I've just got them up here for people who've joined us live.
- 37:24And if you are listening live, then don't forget, feel free to ask questions.
- 37:27This is your chance now because you are going to have to make some choices.
- 37:30We've got a main theatre and we've got a breakout room. We've got things happening at the same time.
- 37:34So you're going to have to make some decisions based on what's going to be most
- 37:37useful for you, whether that's reinforcing something you know or something that's
- 37:41going to challenge you by yourself. No silly questions, unless you ask them twice.
- 37:44Ask them questions. I've got one comment then, and that's just probably that
- 37:47Nikki Mansfield. No, it's not.
- 37:48It's Deborah Thurler-Rowley. Hi, Deborah. How are you? It's not a question.
- 37:51I think it's just admiration.
- 37:53Rightfully so. Deborah Thurler-Rowley has said, always great to hear what Claire
- 37:56has to say. There we go. Thanks, Deborah. Thanks for checking the post.
- 38:03Right, let's go back to Claire first, if we can. So, Claire,
- 38:06you are going to be gracing the stage, first of all, on this Saturday.
- 38:10That's going to be 10 30 a.m in the morning in
- 38:13the main theater with the title of the presentation strength and conditioning
- 38:17for preserving joint health yeah don't get too much away but the theme the theme
- 38:23of our so my talk and obviously serene and i are doing a session in the in the
- 38:28afternoon together so anna-marie asked if we could,
- 38:32present on Joint Approach and the principles about Joint Approach,
- 38:36which is an online multidisciplinary program for the management of neostroarthritis,
- 38:40which I've already mentioned,
- 38:41which has had a profound impact on individuals suffering from NE OA from early
- 38:47stage, but also to very late stage and NE OA.
- 38:51So it comes back to what I said about dealing with the whole person.
- 38:57So I have an expertise in exercise science, rehabilitation.
- 39:03Neuromuscular physiology, but to think that I was the only answer to somebody's
- 39:08rehabilitation needs is quite short-sighted, should we say.
- 39:13We have a whole and complete being, and we need a joint approach from psychology,
- 39:20from education and clinical input, and also nutrition to give that individual
- 39:26the best shot to, I don't want to say get better, but have a much better quality
- 39:31of life, reduce pain, etc.
- 39:32So from my perspective, we can really do this exercise interventions far,
- 39:40far better than we are doing already with some really, really simple things.
- 39:44So strength and conditioning is, and it still remains the kind of buzz phrase,
- 39:48it's all about exercise prescription, which doesn't sound quite as sexy as S&C,
- 39:54but it is basically that.
- 39:55What is the type of exercise that we're giving? How intense do we need to deliver that?
- 40:00And then also then in front of you, look at what that individual is struggling
- 40:05with in terms of pain particularly.
- 40:08And can we modulate and adapt exercise to take account of pain before we start,
- 40:16for example, to reduce load?
- 40:18So for example, again some of the really important
- 40:21things include muscular strength so muscular strength
- 40:24is so so important for a multitude of reasons
- 40:27it is related to incidence of disease all-cause mortality quality of life and
- 40:34then also we can look at the joint surface and joint health too so if we're
- 40:38going specific into neo-way and joint joint surface an experience of pain from
- 40:42joint surface changes, it has a profound impact.
- 40:45So then how do we start to deliver and prescribe exercise that's got the best
- 40:51shot of improving muscular strength around the joint?
- 40:55Musculature is like your biological scaffolding. How can we best condition that
- 40:59in an individual who is suffering from knee osteoarthritis to help the joint
- 41:06that's suffering from knee osteoarthritis?
- 41:08And also just to acknowledge that joint health can go back from or to a very young person and we're.
- 41:18Through then to perhaps end stay and pick away as the condition prior to knee
- 41:24joint replacement surgery to optimize that outcome.
- 41:27And we have multiple touch points in there where we can use these principles
- 41:32whenever we encounter that individual or those groups of individuals to optimize
- 41:37our exercise interventions to improve these parameters,
- 41:41which will then mean maybe that individual actually doesn't have to go for joint
- 41:44replacement surgery because they're feeling so much better.
- 41:47Coupled, might I say, with all the extra stuff about, you know,
- 41:50with the psychology and understanding of pain and what it is and what it isn't
- 41:54and finding their support network, et cetera.
- 41:58Right back to, as I said, kind of thinking about injury prevention and conditioning at an earlier age.
- 42:03But from my perspective, we're going to be talking in this conference about
- 42:06knee osteoarthritis and some really
- 42:08simple things that you can use in
- 42:12your practice to help just tweak those
- 42:15exercise prescriptions that you're giving for a best input output
- 42:18equation so what you're doing with your
- 42:21patient what your patient's doing with the exercise fantastic sounds
- 42:25amazing and it sounds i mean one of the most common
- 42:28questions i get from massage therapists particularly those
- 42:32who qualified after kind of 2014 is they hadn't
- 42:34done any strength and conditioning i mean they really are aware
- 42:38that they've what they have developed and
- 42:41i think this is where the power of massage comes from is they have normally developed
- 42:44some fantastic empathy and communication skills even if they're not aware
- 42:47of it because they're the sort of person who likes to earn not
- 42:50much money rubbing their hands through the hairy back with oil on it
- 42:52so they've naturally they are caring people you know so and
- 42:56god bless them and they form such an important part of the of
- 42:59the circle of health for clients but
- 43:02for people who are massage therapists and
- 43:05looking at learning some strength and conditioning
- 43:08principles this will be useful for them to come in and know what what they can
- 43:11maybe should be doing themselves or how to refer it out and just to just to
- 43:15be able to refer out i think that's so important just be able to flag up certain
- 43:17things and suggest that patients go to other people yeah absolutely and also
- 43:22so as i don't know if listeners know i'm so fortunate to be able to.
- 43:28Teach multiple kind of groups of people around the world on these topics,
- 43:33which include sports medicine doctors,
- 43:36physiotherapists, sports massage therapists, anybody who's got an interest in
- 43:41rehabilitation to help the practice that they already deliver,
- 43:45help optimize that. So one, there's that.
- 43:47And then two, absolutely, and Serena, I've talked about this before,
- 43:50where you acknowledge there's a need greater than what you're able to deliver,
- 43:55but you're all working with the patient at the heart or the client
- 43:58at the heart of your practice and actually forming those relationships
- 44:02with people you know like and trust is not
- 44:05giving business away it's strengthening your
- 44:08practice and you fall from this like positive cross-referral
- 44:12relationship so there might not be you know you
- 44:15give out the or you refer on to
- 44:18this this practitioner and likewise your area
- 44:21of genius and expertise will be reciprocated with
- 44:24that right in the relationship where they refer back to
- 44:27you or the patients and clients so absolutely
- 44:31absolutely what you're saying there fantastic so
- 44:34yeah i mean so that's why the catchphrase of our conference is pause reflect
- 44:38and connect when we're talking about connecting we're not talking about connecting
- 44:41with just people who do your job about connecting with other professionals in
- 44:44healthcare because it is a great joint approach isn't it matt it's a joint approach
- 44:48you should trademark that that's a fantastic.
- 44:54No it's beautiful really looking forward to that definitely,
- 44:58Fantastic. Right. I'm conscious of time. We're going to kind of come back to
- 45:01that when you mentioned already the joint afternoon session you're going to
- 45:05do with Serena, but let's move to Serena's.
- 45:08I'll read it out, the presentation. So Serena's is going to be later on at 12.15
- 45:12and it's called Beyond the Treatment Couch, The Hidden Power of Words, Belief and Behaviour.
- 45:19What would you like to say about this? How's it going to help people come along to see it?
- 45:23Do you know what, Matt? I'm just very, very much thinking I've talked far too
- 45:28much tonight so I'm going to keep this really brief,
- 45:31you've said it all in the title I really what
- 45:34I want for people to have is I want them
- 45:37to go away thinking that they've learned more about how people think and respond
- 45:43and behave and why they do what they do really I'd love to give people more
- 45:48of an insight into maybe what they're seeing in their treatment rooms and why
- 45:52people are doing the things that they're doing so actually I want
- 45:55to go into that room and hear more about what other people have
- 45:58experienced and help them to make sense of that really and
- 46:01for me to try and unlock some of that for them from a psychological point
- 46:04of view so that they can go and try some things when they
- 46:07go back to their treatment rooms on Monday because there
- 46:11are some really quick kind of wins that we can kind of have and give I can give
- 46:15to people where they can try things really quickly and I think the beauty I
- 46:20hope of what I teach with psychology and the thing that actually one of the
- 46:24things I should say as a little side note that always makes me smile is the
- 46:28thing about psychology and I'm doing it again I'm.
- 46:33Is that actually this is the authority finger not the hand is that when you're
- 46:40learning about human psychology you're also learning about yourself mm-hmm,
- 46:44So one of the biggest compliments I get, really genuinely, like my heart just
- 46:52kind of hums, is people say, do you know what?
- 46:55I did your course, but I've been doing that thing you said with my children
- 47:01and it's really working.
- 47:04Or I use that thing you said about how to communicate with my husband.
- 47:08And oh, my God. so that's the beauty of understanding
- 47:11how someone thinks and feels and behaves is that it's
- 47:14not just applicable in the treatment room and it and it
- 47:17will do that it will change that i hope as well and it does kind of jokes aside
- 47:21but it has a ripple effect in terms of other relationships because understanding
- 47:26those things just has that kind of universal impact so that's what i hope to
- 47:31have that sounds actually quite big but yeah hopefully you can take one thing away.
- 47:38It summarizes exactly what we're trying to achieve in
- 47:41the conference and i'm hoping listeners have read our kind of
- 47:44go to the sd school decoder again have a look at what
- 47:47we've written on the web page because the whole idea of the conference is it's
- 47:51not just another conference where you're going to go along and listen to amazing
- 47:54information because that might be amazing information but it's all about how
- 47:59it's delivered and and the learning cycle and normally nine times out of ten
- 48:03about you being involved during it,
- 48:05being given a chance to reflect, because that's how we learn.
- 48:08It's education as opposed to just, there is a place for kind of lecture halls
- 48:12and people just sitting there and not talking and listening to person at the
- 48:15front. But what we're trying to do with this.
- 48:19People who come along really walk away with empowered and
- 48:22with some information they can use something functional something useful and
- 48:25it's thanks to deliverers like yourselves educators like yourselves
- 48:28that i'm really i'm confident that they are gonna that's gonna
- 48:31be achieved because you've you've both i know you both do
- 48:34this i make it a thing actually matt and then anything that
- 48:37i deliver whether it be a short free
- 48:40seminar or webinar or of indeed of
- 48:43course that there needs to be
- 48:46at the end of that and especially the scrutiny I
- 48:49suppose is especially on those short things that people
- 48:52can go away and practically implement something from
- 48:55that session otherwise it's a nice to
- 48:58know but what do I do with that and and invariably all
- 49:01the people majority of people that I teach and
- 49:05interact with are involved in changing people's
- 49:08physical status and mental psychological
- 49:12status although I don't have the psychological expertise or
- 49:15input like that if they can't go away and
- 49:18use that what's the use it's been nice but everybody's such
- 49:22a busy life how many people can can go away and read the latest research articles
- 49:28critically evaluate them and then try and understand what that means for their
- 49:32own practice so if I'm able to do that that's absolutely my pleasure and i every
- 49:38single session i make sure that that that is the.
- 49:42In there at least one thing they can go away and try didn't that as soon as
- 49:46they get off the off the call otherwise if it were me sat in that seat i'd be
- 49:50like ah but how how do i do that.
- 49:56Yeah yeah brilliant yes so exciting can't wait right and then as you already
- 50:02mentioned as well Well, there's going to be a joint presentation,
- 50:05which is to be later on in the afternoon, and that's going to be 1.40.
- 50:09Both of you are delivering a workshop in the breakout room entitled Why Rehab
- 50:13Needs a Joint Approach. And I guess that's kind of what we talked about.
- 50:17The two of you come together and be able to show that this is a person we're working with.
- 50:22Yeah, I'm really excited about this one because we've got some case studies,
- 50:26haven't we, Claire? So massively changed.
- 50:29I think this is the beauty we
- 50:30get to show what happens when you bring that knowledge together, I think.
- 50:34I don't know what Claire knows. I haven't got a Scooby-Doo.
- 50:39I've learned a bit over the years. Likewise. I think what this shows for me
- 50:44is psychology, as I've illustrated probably in what I've said is the basis.
- 50:50I think it's the start but you've got to back it up with someone if you're helping
- 50:54someone change their physical strength you want to rehab them you won't they
- 51:00won't think themselves better so that's the starting point and then they need to do the thing.
- 51:07I think yeah violently agree in so much as let me just give you I know we're
- 51:12short on time quickly exam exemplify this so in the trial that I mentioned.
- 51:17So we did a load of objective data collection and also qualitative as well.
- 51:23So through interviews and questionnaires and properly evaluated.
- 51:28So individuals that were on this program were in this particular group were
- 51:34two to four years on a waiting list for knee replacement surgery.
- 51:36They were in such incredible pain.
- 51:38They couldn't navigate the stairs, majority of them. Some had put beds in their living room.
- 51:43Some had, you know, it was just it was just horrifically horrible for them now
- 51:48this is a 12-week program within two weeks of this group being on the program
- 51:55many of them if not the majority well definitely the majority if not all were reporting improved.
- 52:03Pain so the pain levels were going down that's not a massive physiologic change
- 52:08we know that strength will take a bit longer than that even neurally to change
- 52:12so that for me is a psychological.
- 52:16Relationship understanding of what pain is what
- 52:19it isn't that it relates to through the education that we've got
- 52:22on there doesn't mean you're doing damage and that
- 52:25is profoundly impactful because then that means they can engage
- 52:28in the strength-based exercise which requires you
- 52:31know for them like a pretty extremely intense
- 52:36effort to push and pull against these heavy
- 52:39duty resistance bands etc but it gave them the confidence to do
- 52:42that that's the bit that crass creates elastic
- 52:45physiologic change which then again this
- 52:48is all hypothesized the change in
- 52:51pain thereafter which we also saw again
- 52:54so a continued improvement in pain continued improvement in
- 52:57quality of life continued improvement of
- 53:00function and then just to
- 53:03come back to the psychology the psychology bit is recognizing
- 53:07what they're going to do after the end of that program so we don't want people
- 53:11to just stop we want them to become independent confident exercises and if they
- 53:16fall off the wagon which everybody does and that's fine how to get back onto that cycle of behavior,
- 53:25can i just say one last thing which is my little favorite one of my favorite
- 53:29phrases which tags onto the back of what claire said which is change is not
- 53:33just for life christmas it's for life.
- 53:38Because a lot of i think a lot of strategies that you
- 53:40learn around behavior change are great because what they create
- 53:43is compliance in clinic and that's it and i
- 53:46think the difference between a compliant person
- 53:50slash patient slash client whoever
- 53:53you're seeing versus that person where you upskill them enough that they've
- 53:58tapped into something deeper psychologically so it means something different
- 54:02that the behavior change is sustained over time that's when you've really done
- 54:07something great for another human being and you've not just done your job,
- 54:12And I think that's the difference. That's what I'm after. So the work I do that
- 54:16I'm kind of collaborating with Clermont with Joint Approach, an amazing company,
- 54:20is to help that behavior change be sustained and not just basically to go beyond
- 54:25the program itself. And I think that's the power of it.
- 54:29Fantastic. Yeah. That sounds amazing. It's going to be such,
- 54:32I mean, if anybody's planning on coming along to my presentation,
- 54:35if you've got any of these guys at the same time, then this should like seal the deal.
- 54:39Oh, stop it. Oh, no. Honestly.
- 54:43I'm going to have to rearrange the time i'm organizing the time i
- 54:46might have to play around with this now although if it's
- 54:49the same time as you you can't come and see mine so that's good i'm
- 54:52going to come and see yours i'm pretty much going to make sure shortly after
- 54:55this you can't anyway anyway anyway so yeah there
- 54:58we go brilliant so much said that is is
- 55:01kind of exactly what this conference is about and you
- 55:04are two of 19 speakers who
- 55:07i like to think as we selected them are all
- 55:10kind of on the same page and yeah it's gonna be a great
- 55:13event so thank you so much for and
- 55:17for coming along to it if listeners have heard you and they can't come along
- 55:21to this but they want to follow you and maybe get and find out about courses
- 55:26and things what's the best way for you it's the website getbacktosport.com you
- 55:31can find everything on there so online courses,
- 55:34on strength and conditioning dynamometry some in-person courses as well although
- 55:40probably most of those are in-house but you might find the odd one and yeah on social media,
- 55:45when you say in-house you're based where these days.
- 55:49Nottingham, I'm in Nottingham, but yeah, the in-house courses, yeah, all over.
- 55:54Oh, I see what you mean, in-house. It's a really good one. If you fancy a holiday,
- 55:58there's one in Abu Dhabi in November. I saw that advertised.
- 56:01Yeah, that's it. Come on, it's not advertised.
- 56:05Yeah, maybe next year. Brilliant. And yourself, Serena, if people want to follow
- 56:10you, you've got the psychology school .co.
- 56:12That's an interesting one. I know. Just repeat that for listeners, it's .co.
- 56:16Actually, I honestly think I've got both. so if you put .co.uk it
- 56:20should also go through I think it does
- 56:23yeah it's clever and then in terms of work I
- 56:26have got a course the behavior change course which is a five-week online
- 56:29course that I release once a year so there's a
- 56:32page on my website just go to that sign up to the wait list and
- 56:35then my main focus now is
- 56:38psych lab which is my exclusive membership
- 56:41which is really for female I say
- 56:44it's for female practitioners but actually we have men in there
- 56:47which is amazing it I love it so like sod that that's not
- 56:49just for women I'm committed and it's not I mean
- 56:52we don't look at anything inherently just female it's just most
- 56:56of the women people in there are female and it's a closed community
- 57:00for people who would like to learn psychology
- 57:03and behavior change ongoingly so there's a community we
- 57:06do we have a master class every month I bring in
- 57:09amazing guest speakers I train in there we have
- 57:12coaching calls every month we have a book club we have
- 57:15kind of work together sessions amazing people like claudia hammond have come
- 57:20in we've got amazing guest speakers coming in so that's opening again and well
- 57:24this month twice a year only that's all available at psychology school.co yeah
- 57:30it's been lovely to see more people in.
- 57:33Amazing. Even if you're a man. Fantastic. Even if you're a man.
- 57:37And actually, Anna. I'm going to name drop. Anna was in it. Oh,
- 57:41Anna Maria Asier is there. Yeah. Of course she is.
- 57:46Right. So we'll make sure these links go into the show notes as always.
- 57:50It's been absolutely lovely spending time with you and can't wait to see you
- 57:54guys in less than three weeks now. So very exciting.
- 57:58People who joined us live, thank you very much as well. If you're listening
- 58:01to the podcast, obviously thank you.
- 58:02Would love to see you live i understand and for some of
- 58:05you you're working and it's tricky to come along but if you can make
- 58:08a lifestyle change if you're struggling with that then go
- 58:11to um serena simmons she'll help you along with it if you
- 58:14can make a lifestyle change and give more time to yourself and
- 58:17living in the present then maybe come along to youtube
- 58:20on a tuesday normally at eight o'clock and hang out with
- 58:23the other people in the live lounge and you can ask questions to
- 58:26our guests directly if you listen to the podcast and obviously thank you
- 58:28very much as well we do appreciate that but we'd
- 58:31appreciate it even more if you could subscribe to the youtube channel and
- 58:34also just leave a rating and a review on whatever podcast that
- 58:37you listen to because it just helps it appear high up in google particularly if
- 58:40it's apple or youtube it just helps the good word of our guests.
- 58:43Get out there more which is what it's all about it's all about just being a
- 58:46conduit for great information so yeah do your bit by
- 58:49subscribing and liking and all that sort of stuff it makes a difference as
- 58:53i say we'll be back next tuesday where my guest is going to
- 58:55be we've had enough Anna Maria's got a massive shout
- 58:58out so far today hasn't she yeah once again we're going
- 59:01to say Anna Maria Matsieri will be here next week and direct
- 59:04to the ST school who I think is gonna be really interesting conversation about what
- 59:07is evidence-informed practice something that you guys have asked to have
- 59:10clarification on and Anna Maria will
- 59:12be linking that with a couple of presentations she's giving in September and
- 59:16to do with pain trauma and also manual therapy for
- 59:19scars so if you can join us for
- 59:22that and yeah next Tuesday o'clock but in
- 59:25the meantime just once again thank you so much for dr claire minshaw absolutely
- 59:29my pleasure and serena simmons thank you matt
- 59:32you're a great interviewer and thank you to nikki who said something lovely thank
- 59:35you oh if we've got a comment let's bring that up then thank you
- 59:38for you both thank you see you september thank
- 59:41you how nice of you thanks nikki
- 59:45and thank you everyone who joined us live i mean it's not as many it used to be like 80
- 59:48or so it's not as many but we still do it live because the feedback
- 59:51we get even for people who download it is we love it's the fact it's live it's
- 59:54just why we do it life but if you can join us then then even better that'd be
- 59:57lovely as well and see glenn murphy can have the final word obviously because
- 1:00:01he's a sir nice well thank you thank you so glenn thank you very much right
- 1:00:06take care of each other and um and look at.
- 1:00:09Music.