Ebonie Rio

PhysioPlus course tutor - Ebonie Rio
Tendon pain expert and researcher : La Trobe University, Australia

Ebonie completed her PhD in tendon pain and continues to research this topic at La Trobe University in Australia. Her clinical career has included many sports appointments including the Australian Institute of Sport, Australian Ballet Company, Commonwealth Games, Olympics and Paralympics plus 18 months travelling with Disney’s The Lion King stage show!

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Clinical Reasoning in Tendons

Making the correct diagnosis when tendons are involved is essential to correctly managing the condition. It is useful when clinically reasoning to understand the load and capacity dynamics of tendons. There are tensile, compressive and shearing loads that contribute to tendon pathology and, depending on the capacity of the tendon, these can cause different pathology within the tendons and surrounding structures. There are also key clinical signs and symptoms that can help you accurately diagnose tendinopathy. This course will cover the different types of load that can contribute to tendon pathology and give you some insights into how to clinically reason between various tendon pathologies.
0.7 points
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Evidence-Based Practice in Tendinopathy

Evidence-based practice is about integrating best evidence research with clinical expertise as well as a patient preference. Applying an evidence-based practice approach to the management of tendinopathy is not as simple as applying one set of research findings, from a single article, in a recipe format for a patient. Every patient presents with a unique clinical picture. The therapist managing the patient should apply a broad base of evidence to clinically reason a comprehensive management plan. It is important that management is not recipe-driven but should be based on the best evidence available at that time bearing in mind that evidence-based practice is fluid and constantly changes as more evidence is produced.
0.6 points
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In-Season Management of Tendons

Managing a lower limb tendinopathy requires replacement of provocative loads with appropriate loading to increase the tendon's capacity without provoking symptoms. This can be particularly difficult when treating an athlete who is in-season as they need to train and compete at a high level. In this course topic specialist, Dr Ebonie Rio discusses her top tips of how to best manage an athlete who is actively competing while suffering from a lower limb tendinopathy.
0.6 points
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Managing Difficult Tendinopathies

Sometimes patients just don’t get better as you would expect them to. Tendinopathies can be difficult to treat and require a high level of clinical reasoning and skill to manage effectively. In this course, Ebonie Rio takes you through a variety of helpful tips to help you reevaluate a tendinopathy patient to investigate why they are not improving. She will take you through techniques such as differential diagnoses, evaluating for co-morbidities and carefully analysing the patient’s current management plan, to determine why there is a problem and to identify a way to make progress.
0.8 points
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Managing Tendon Pain Programme

Tendinopathy is a common condition that we see regularly in the clinic.  There is much research available on this topic and new knowledge emerging all the time.  This programme of short courses from tendon pain specialist Ebonie Rio takes a specific look at clinical reasoning, tendon plasticity, assessment and rehabilitation.
8.4 points
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Pink Flags and Tendons

Pink Flags are psychosocial predictors of good or positive outcomes. They are directly opposite from yellow flags which are psychosocial predictors of poor or negative outcomes. Tendinopathy can be difficult to manage and it can be important to shift someone's beliefs and fears in order for them to buy into an active management strategy. In this course topic specialist, Ebonie Rio talks about using the concept of pink flags to promote self-efficacy amongst tendinopathy patients.
0.6 points
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Tendinopathy Assessment

A thorough assessment is essential in the management of tendinopathy. In the assessment you will not only confirm the diagnosis of tendinopathy and exclude other differential diagnoses, but also determine any contributing and risk factors. The correct diagnosis is important because this will guide the best management approach, which is quite different in tendinopathy compared to other conditions. In this course Ebonie Rio reviews the assessment of lower limb tendinopathy. She explains some key questions to ask in the patient interview, gives insight into clinical reasoning around different diagnoses and provides ideas on how to perform a physical examination.
0.9 points
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Tendinopathy Rehabilitation

Lower limb tendinopathy can be very difficult to treat with multiple management strategies and theories suggested. At present, the strongest evidence supports the use of exercise as a management strategy, with tendon loading the only intervention that can change the strength and mechanical properties of a tendon. A 4-stage exercise based tendon rehabilitation programme has been proposed as an effective progressive loading intervention to manage tendinopathy. This programme also incorporates motor control retraining with tendon neuroplastic training. In this course, clinical specialist, Ebonie Rio discusses the fundamentals of rehabilitation and the 4 stage process of tendinopathy rehabilitation. She also briefly discusses the related management of sports players in-season and how to manage their expectations.
1.1 points
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Tendon Plasticity

Tendons have an amazing ability to adapt to external load. These changes occur on a structural level within the tendon and can result in an increase in anteroposterior diameter. In tendinopathy, it appears that there are also unique changes in excitatory and inhibitory stimuli from the brain to the muscles. In this course, Ebonie Rio will help you understand why the thickening of tendons is actually a good thing. She will also explain the related changes that can occur in the brain and the effect this has on motor control.
0.7 points
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