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CV

I spent my formative years in Switzerland working with professional and elite athletes. This involved traveling with teams all over the world. As well as covering for the Swiss Olympic Team, I was particularly involved with professional Cyclists, Dancers, Soccer Players and Tennis Players. Furthermore, I worked with the Swiss Elite Skiers, Rowers and the Swiss National Orienteering team.

Apart from gaining this sports specific expertise, my other areas of specialization include all spinal conditions, headaches, dizziness, and whiplash injuries. We like the challenge of treating complex conditions and take a holistic approach to all problems to provide more optimal outcomes as well as reduce the risk of recurrences.

During 1992 - 1994 I was involved with several research investigations which included examination of balance after Total Knee Reconstruction and Achilles Tendon Grafts in professional soccer players. Additionally we examined The Effects of Vibration on Muscle Fatigue in elite skiers, and investigated the effects of Supplementation using Magnesium on the Incidence of Injury in elite endurance athletes preparing for the Barcelona Olympics in 1992

My dedication to the profession can be gleaned from several publications in Journals of Physiotherapy as well as 2 decades of teaching Physiotherapists around the world. I delivered some of the first courses in Australian Manual Therapy to Europe, Japan and South America. Additionally, I was involved with the introduction of The McConnell Concepts to Continental Europe and South America. I was honored to be invited as a Key Note Speaker at the World Congress of Physiotherapy in Yokohama, Japan in 1998 and at the Inaugural Symposium on Spinal Pain in Rome, Italy in 2005. I co-authored a book on Whole Body Vibration which was published in 2010.

Based on this wealth of experience, I would like to take this opportunity to invite you into our care.

Martin Krause - Curriculum Vitae

Academic Qualifications

1982
 Higher School Certificate NSW
Australia
1986
 University of Sydney - Bachelor of Applied Science (Physio)
Australia
1995
 University of Sydney - Master of Manipulative Physiotherapy
Australia
1999
 University of Sydney - Post Grad Certificate Health Science Education
Australia
2001
 TAFE - Certificate IV Workplace Assessment & Training
Australia
2003
 University of Sydney, Australia - Graduate Diploma Health Science (Exercise & Sport)
Australia

 

Appointments

2001 - present
 
Private Practice, North Sydney Australia
1998 - 2001 TAFE: Functional Anatomy & biomechanics teacher Australia
2000 Swiss Olympic Team - Sydney 2000 and SOCOG volunteer Australia
1994 - 2000 Wentworth Falls Physiotherapy (Associate in Private Practice) Australia
1995 - 1999 Australian Orienteering Team Physiotherapist Australia
1992 - 1993 Rennbahn Klinik Muttenz - Basel (Elite & Professional Sports Rehabilitation and Biomechanist) Switzerland
1989 - 1993 Swiss Orienteering Team Physiotherapist Switzerland
1991

LOCUMS:

The West Hill Hospital, Kent
Private Practice Heitersheim
Private Practice Wollongong

 

England
Germany
Australia

1988 - 1990 Medical Centre Bad Ragaz Switzerland
1988 The Norfolk & Norwich Hospital England
1986 - 1987 The Wollongong Hospital Australia

Languages: Fluent English and German. Conversant in Spanish and Portuguese. Some French, Italian, and Japanese.

 

Professional Development & Experience

1992 - 2003:Teaching of clinical reasoning, biomechanics, and neurophysiology of pain in Musculoskeletal & Sports Physiotherapy in Germany , Switzerland , Portugal , Holland , Ecuador , Chile , Brazil , Zimbabwe , Japan , and USA . Presentation in Yokohama , Japan for WCPT in 1999. Development of skills in the dissemination of information and communication. Refinement of my language and cultural sensitivity skills. Several publications in Spanish and one in English (Manual Therapy, 2000, 5[2], 72-81). Presenting issues on exercise and the immune system at the inaugural physiotherapy orthopedic conference in Rome 2005.

1989 - 2000: Sports physiotherapy experiences in Germany , Switzerland and Wentworth Falls . Worked in a sports rehab clinic with Olympic doctors Seggesser, Jenoure and Held. Primarily involved in post operative knee, ankle, Achilles, & shoulder rehabilitation. Clients were 'professional', 'elite-amateur' and 'amateur' athletes from Italian Series A and German 1st division soccer and Swiss national downhill skiing, road cycling, rowing, and pentathlon teams. Additionally I treated members of professional European (Tour de France) cycling teams and members of the Swiss Davis Cup tennis team. My most significant involvement in sports was a 5 year (1989-1993) development plan for the Swiss National Orienteering Team to achieve a gold medal (reached within 2 years, where successes continue to this day due to the structure and processes we implemented). These experiences gave me the opportunity to learn about the whole gamet of sport, from junior development, coaching, team building, psychology to professional sports organization. As an Australian I am grateful for the confidence that the Swiss put in me, as a foreigner, to wear their national uniform. Importantly, over a 10 year period I attempted to excel competitively in both road cycling, mountain running and orienteering, thereby gaining first hand experience of international sports participation.

1986 - 2006: Physiotherapy continuing education in exercise and sports science, manual and musculoskeletal physiotherapy. Emphasis on the integration of soft tissue, joint, and exercise physiology principles to enhance my treatment repertoire. These courses included postural/structural integration (Sahrmann), muscle energy, Swiss ball, Pilates, Mulligan's & McKenzie techniques (Nags/Snags/MWM's), osteopathic manipulations, neural tension techniques, the McConnell method, various international and local conferences/congresses, soft tissue trigger points and myofascial dry needling techniques. Recently, I completed significant further education in Exercise and Sports Science. I am a member of the International Association for the Study of Pain (IASP) and have participated in further education with them since 1993.

Sports participation: Soccer (15 years), road cycling (23 years), water polo (2 years), orienteering (29 years), and triathlon (5 years), mountain marathons (3 years) adventure sports including rogaining (25 years). Recreational golf, tennis, canyoning , abseiling, swimming and mountain biking.

Future Directions: Integration and refinement of skills for the development of my abilities in Health, Physiotherapy and Education. Continue to develop excellence of care at Back in Business Physiotherapy and encourage overseas colleagues to come and work with me. Revitalize my clinical application of issues in health (sarcopenia, osteoporosis and obesity), exercise & ageing and the role of physiotherapy in the maintenance of the immune systems. Continued worldwide dissemination of clinical knowledge to physiotherapists through the maintenance of this free website.

Involvement with Australian Physiotherapy Association: Student member since 1986 and full member on graduation. Continued membership whilst living overseas. Organizing committee of NSW biennial MPA conference in 1998, Australian biennial MPA conference in 2003, continuing education committee 2000-2001, & provided input into the development of 'specialization ' as well as the role of physiotherapy in health related issues (e.g. aging)

Advocacy: Maintain strong political advocacy for safe cycling in NSW

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  • Thu 22 Dec 2016

    Ehlers Danlos Syndrome

    Is your child suffering Ehlers Danlos Syndrome? Hypermobile joints, frequent bruising, recurrent sprains and pains? Although a difficult manifestation to treat, physiotherapy can help. Joint Hypermobility Syndrome (JHS) When joint hypermobility coexists with arthralgias in >4 joints or other signs of connective tissue disorder (CTD), it is termed Joint Hypermobility Syndrome (JHS). This includes conditions such as Marfan's Syndrome and Ehlers-Danlos Syndrome and Osteogenesis imperfecta. These people are thought to have a higher proportion of type III to type I collagen, where type I collagen exhibits highly organised fibres resulting in high tensile strength, whereas type III collagen fibres are much more extensible, disorganised and occurring primarily in organs such as the gut, skin and blood vessels. The predominant presenting complaint is widespread pain lasting from a day to decades. Additional symptoms associated with joints, such as stiffness, 'feeling like a 90 year old', clicking, clunking, popping, subluxations, dislocations, instability, feeling that the joints are vulnerable, as well as symptoms affecting other tissue such as paraesthesia, tiredness, faintness, feeling unwell and suffering flu-like symptoms. Autonomic nervous system dysfunction in the form of 'dysautonomia' frequently occur. Broad paper like scars appear in the skin where wounds have healed. Other extra-articular manifestations include ocular ptosis, varicose veins, Raynauds phenomenon, neuropathies, tarsal and carpal tunnel syndrome, alterations in neuromuscular reflex action, development motor co-ordination delay (DCD), fibromyalgia, low bone density, anxiety and panic states and depression. Age, sex and gender play a role in presentaton as it appears more common in African and Asian females with a prevalence rate of between 5% and 25% . Despite this relatively high prevalence, JHS continues to be under-recognised, poorly understood and inadequately managed (Simmonds & Kerr, Manual Therapy, 2007, 12, 298-309). In my clinical experience, these people tend to move fast, rely on inertia for stability, have long muscles creating large degrees of freedom and potential kinetic energy, resembling ballistic 'floppies', and are either highly co-ordinated or clumsy. Stabilisation strategies consist of fast movements using large muscle groups. They tend to activities such as swimming, yoga, gymnastics, sprinting, strikers at soccer. Treatment has consisted of soft tissue techniques similar to those used in fibromyalgia, including but not limited to, dry needling, myofascial release and trigger point massage, kinesiotape, strapping for stability in sporting endeavours, pressure garment use such as SKINS, BSc, 2XU, venous stockings. Effectiveness of massage has been shown to be usefull in people suffering from chronic fatigue syndrome (Njjs et al 2006, Man Ther, 11, 187-91), a condition displaying several clinical similarities to people suffering from EDS-HT. Specific exercise regimes more attuned to co-ordination and stability (proprioception) than to excessive non-stabilising stretching. A multi-modal approach including muscle energy techniques, dry needling, mobilisations with movement (Mulligans), thoracic ring relocations (especially good with autonomic symptoms), hydrotherapy, herbal supplementaion such as Devils Claw, Cats Claw, Curcumin and Green Tee can all be useful in the management of this condition. Additionally, Arnica cream can also be used for bruising. Encouragment of non-weight bearing endurance activities such as swimming, and cycling to stimulate the endurance red muscle fibres over the ballistic white muscles fibres, since the latter are preferably used in this movement population. End of range movements are either avoided or done with care where stability is emphasized over mobility. People frequently complain of subluxation and dislocating knee caps and shoulders whilst undertaking a spectrum of activities from sleeping to sporting endeavours. A good friend of mine, Brazilian Physiotherapist and Researcher, Dr Abrahao Baptista, has used muscle electrical stimulation on knees and shoulders to retrain the brain to enhance muscular cortical representation which reduce the incidence of subluxations and dislocations. Abrahao wrote : "my daughter has a mild EDS III and used to dislocate her shoulder many times during sleeping.  I tried many alternatives with her, including strenghtening exercises and education to prevent bad postures before sleeping (e.g. positioning her arm over her head).  What we found to really help her was electrostimulation of the supraspinatus and posterior deltoid.  I followed the ideas of some works from Michael Ridding and others (Clinical Neurophysiology, 112, 1461-1469, 2001; Exp Brain Research, 143, 342-349 ,2002), which show that 30Hz electrostim, provoking mild muscle contractions for 45' leads to increased excitability of the muscle representation in the brain (at the primary motor cortex).  Stimulation of the supraspinatus and deltoid is an old technique to hemiplegic painful shoulder, but used with a little different parameters.  Previous studies showed that this type of stimulation increases brain excitability for 3 days, and so we used two times a week, for two weeks.  After that, her discolcations improved a lot.  It is important to note that, during stimulation, you have to clearly see the humerus head going up to the glenoid fossa" Surgery : The effect of surgical intervention has been shown to be favourable in only a limited percentage of patients (33.9% Rombaut et al 2011, Arch Phys Med Rehab, 92, 1106-1112). Three basic problems arise. First, tissues are less robust; Second, blood vessel fragility can cause technical problems in wound closure; Third, healing is often delayed and may remain incomplete.  Voluntary Posterior Shoulder Subluxation : Clinical Presentation A 27 year old male presented with a history of posterior shoulder weakness, characterised by severe fatigue and heaviness when 'working out' at the gym. His usual routine was one which involved sets of 15 repetitions, hence endurance oriented rather than power oriented. He described major problems when trying to execute bench presses and Japanese style push ups.  https://youtu.be/4rj-4TWogFU In a comprehensive review of 300 articles on shoulder instability, Heller et al. (Heller, K. D., J. Forst, R. Forst, and B. Cohen. Posterior dislocation of the shoulder: recommendations for a classification. Arch. Orthop. Trauma Surg. 113:228-231, 1994) concluded that posterior dislocation constitutes only 2.1% of all shoulder dislocations. The differential diagnosis in patients with posterior instability of the shoulder includes traumatic posterior instability, atraumatic posterior instability, voluntary posterior instability, and posterior instability associated with multidirectional instability. Laxity testing was performed with a posterior draw sign. The laxity was graded with a modified Hawkins scale : grade I, humeral head displacement that locks out beyond the glenoid rim; grade II, humeral displacement that is over the glenoid rim but is easily reducable; and grade III, humeral head displacement that locks out beyond the glenoid rim. This client had grade III laxity in both shoulders. A sulcus sign test was performed on both shoulders and graded to commonly accepted grading scales: grade I, a depression <1cm: grade 2, between 1.5 and 2cm; and grade 3, a depression > 2cm. The client had a grade 3 sulcus sign bilaterally regardless if the arm was in neutral or external rotation. The client met the criteria of Carter and Wilkinson for generalized liagmentous laxity by exhibiting hyperextension of both elbows > 10o, genu recurvatum of both knees > 19o, and the ability to touch his thumbto his forearm Headaches Jacome (1999, Cephalagia, 19, 791-796) reported that migraine headaches occured in 11/18 patients with EDS. Hakim et al (2004, Rheumatology, 43, 1194-1195) found 40% of 170 patients with EDS-HT/JHS had previously been diagnosed with migraine compared with 20% of the control population. in addition, the frequency of migraine attacks was 1.7 times increased and the headache related disability was 3.0 times greater in migraineurs with EDS-HT/JHS as compared to controls with migraine (Bendick et al 2011, Cephalgia, 31, 603-613). People suffering from soft tissue hypermobility, connective tissue disorder, Marfans Syndrome, and Ehler Danlos syndrome may be predisposed to upper cervical spine instability. Dural laxity, vascular irregularities and ligamentous laxity with or without Arnold Chiari Malformations may be accompanied by symptoms of intracranial hypotension, POTS (postural orthostatic tachycardia syndrome), dysautonomia, suboccipital "Coat Hanger" headaches (Martin & Neilson 2014 Headaches, September, 1403-1411). Scoliosis and spondylolisthesis occurs in 63% and 6-15% of patients with Marfans syndrome repsectively (Sponseller et al 1995, JBJS Am, 77, 867-876). These manifestations need to be borne in mind as not all upper cervical spine instabilities are the result of trauma. Clinically, serious neurological complications can arise in the presence of upper cervical spine instability, including a stroke or even death. Additionally, vertebral artery and even carotid artery dissections have been reported during and after chiropractic manipulation. Added caution may be needed after Whiplash type injuries. The clinician needs to be aware of this possibility in the presence of these symptoms, assess upper cervical joint hypermobility with manual therapy techniques and treat appropriately, including exercises to improve the control of musculature around the cervical and thoracic spine. Atlantoaxial instability can be diagnosed by flexion/extension X-rays or MRI's, but is best evaluated by using rotational 3D CT scanning. Surgical intervention is sometimes necessary. Temperomandibular Joint (TMJ) Disorders The prevelence of TMJ disorders have been reported to be as high as 80% in people with JHD (Kavucu et al 2006, Rheum Int., 26, 257-260). Joint clicking of the TMJ was 1.7 times more likely in JHD than in controls (Hirsch et al 2008, Eur J Oral Sci, 116, 525-539). Headaches associated with TMJ disorders tend to be in the temporal/masseter (side of head) region. TMJ issues increase in prevelence in the presence of both migraine and chronic daily headache (Goncalves et al 2011, Clin J Pain, 27, 611-615). I've treated a colleague who spontaneously dislocated her jaw whilst yawning at work one morning. stressful for me and her! Generally, people with JHD have increased jaw opening (>40mm from upper to lower incisors). Updated 18 May 2017  Read More
  • Fri 09 Dec 2016

    Physiotherapy with Sharna Hinchliff

    Physiotherapy with Sharna Hinchliff    Martin is pleased to welcome the very experienced physiotherapist Sharna Hinchliff to Back in Business Physiotherapy for one on one physiotherapy sessions with clients in 2017.  Sharna is a passionate triathelete and mother and has had several years experience working locally and internationally (New York and London) in the field of physiotherapy. Originally from Western Australia, Sharna graduated from the world renowned Masters of Manipulative Physiotherapy at Curtin University. read more Read More
  • Mon 07 Nov 2016

    Pilates – with Brunna Cardoso

    Pilates – with Brunna Cardoso Martin is pleased to welcome the bubbly Brunna Cardoso to Back in Business Physiotherapy for Pilates Classes in February 2017.  Brunno is an experienced pilates instructor and has had several years experience training with pilates instructors in Brazil. Read more Read More

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This site is set up as a free of charge service to the community. Back in Business Physiotherapy pays for all aspects of this website and does not endorse any paid advertising on this site. Back in Business Physiotherapy does have an affiliate program with Lunar pages who host this website. Additionally, the links to Human Kinetics and Amazon may result in Back in Business Physiotherapy receiving a small commission for precisely those books if purchased on those sites. Links to other sites are based on the relevance of that sites information to the principles of this websites desire to enhance the standards of Physiotherapy. Unless I am the author of the content of a linked site, these links are not based on reciprocal agreements. No banner adds or pop-ups should appear on your browser as a result of browsing this website. However, if you leave this website to a related one, Back in Business Physiotherapy cannot accept responsibility for neither changes in their contents nor their advertising or privacy policies.

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Updated : 10 May 2014

No responsibility is assumed by Back in Business Physiotherapy for any injury and/or damage to persons or property as a matter of product liability, negligence, or from any use of any methods, products, instruction, or ideas contained in the material in this and it's related websites. Because of rapid advances in the medical sciences, the author recommends that there should be independent verification of diagnoses and exercise prescription. The information provided on Back in Business Physiotherapy is designed to support, not replace, the relationship that exists between a patient/site visitor and their treating health professional.

Copyright Martin Krause 1999 - material is presented as a free educational resource however all intellectual property rights should be acknowledged and respected