Neuro20 – Wayne Smith

Neuro 20 looks like a wet suit with electrodes for E-Stim built in. That is partially true, the materials a spandex or Dri-fit type material, and Wayne and Michael share a lot more on the Sports Medicine Broadcast.

Give me the big picture. Background and origin of the idea.

Founder DJ Schmitt was injured during service and wanted to find a way to get healthy without taking so much medication. 

He used his electrical engineering degree to develop the first Neuro20 suit.

The suit is made up of a compression material(spandex).

Establish firing rates for healthy individuals and be able to choose for the AT/PT to know which one to use.

Where does the name Neuro20 come from?

20 large electrodes placed strategically to engage the maximum amount of motor neurons.

Who is using it right now in sports?

NHL 

Olympic Athletes 

NFL

D1 Athletes

What are the most common applications of neuro20?

Prehab

Rehab

Active recovery

Motor education

Accessibility for the Athletic Trainer?

At the moment it is not accessible to the high school population because of privacy issues.

College-level or professional level

Can you set them up and “walk away?”

Patients can be set up and allowed to complete a workout session on their own.

  • One of our pro sports athletes uses it after games while on the plane for recovery.

Can I use Neuro20 with my high school athletes?

It is FDA-cleared for adult patients.  Some youth patients have used it with waivers and clearance from their doctors but that is not the target population.

Contact Us:

Jeremy Jackson

Wayne Smith – wsmith@neuro20.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Marc Pro

Sudden Cardiac Arrest in Sports

Sudden Cardiac arrest in sports with Travis Turner at the Memorial Hermann Sports Medicine Update. Randy and Sandy Harris from the ATCorner Podcast ask all the hard questions.

Contact Us

Jeremy JacksonMrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Hoist logo; rapid hydration

SUJI BFR – Michael MacPherson

SUJI Blood Flow Restriction or BFR is changing the game with its AI-powered app. Dr. Michael MacPherson joins me and Lisette Guerrero to learn more about our new gear.

What is your 10-second sales pitch for Suji BFR?

A portable, affordable, and easy-to-use gold standard, AI-powered BFR technology

The affordability of the device is one reason we chose to add Suji BFR.  Discuss current pricing.

Suji has found the middle ground. We are data-driven for incredible accuracy at an affordable price, never before seen in the BFR space. 

Let's get into the app, it is one of the big differences from the Delphi unit we have.

Our AI-powered app automatically calculates LOP for the clinician and then saves that data to a patient/athlete profile, saving at least 3-5 minutes every BFR session. The AI-powered calibration process is also incredibly robust. 

All patient/athlete data is stored in a HIPAA-compliant cloud that lives in your institution. A Suji institution is your team or clinic where all your Data lives. Only you have access to it as the administrator. With Suji, you only have to calibrate as often as you deem necessary. 

Discuss the continuous monitoring vs the detachable hose.

With Suji Pro and its real-time pressure adjustments, you won’t need to attach the hose to adjust the pressure within the cuff.

With Suji Pro, you’ll be able to adjust the pressure on the pump in real time. 
Suji BFR Pro – what should we expect? Suji Pro is Lighter, Smaller, and Hoseless.

Our users are passionate about our portability and our customizable in-app recovery sessions so we’ve made advancements in both areas. Our users also expressed the desire for real-time pressure control without attaching hoses and a pump, so you can expect greater control with Suji Pro without breaking the bank.

Contact Us:

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Backboarding the Injured Athlete

Backboarding the injured athlete is an ever-evolving skill. Dr. Matt Camarillo discusses it live at the Memorial Hermann Sports Medicine Update

Matt Camarillo, Backboarding

How common are spinal cord injuries?

-9-10% of injuries are spinal. About 12,000 nationally.

Looking at physicals I have a couple of athletes with previous spinal cord injuries. What are some of the things that I should be more aware of when taking care of these athletes? 

-Usually due to trauma or born with cervical stenosis. 

-Should have a spine surgeon associated with the athletic population

We talk about spinal cord injuries, and the first thing we think about is football. We think that it is equipment-heavy and collision-based and talk about equipment removal for that. But what is the instance in other sports?

-Happens in lacrosse, gymnastics, hockey, soccer, baseball, and basketball.

-Helmet and shoulder pads keep them in alignment then leave it on. 

-If only a helmet probably needs to come off. 

These spinal cord injuries, I believe you mentioned there are about 12,000 injuries per year. Are these spinal injuries with awareness in education are we increasing these or decreasing these?

-Since 1975 they have gone down. 

-A lot of spinal injuries come from automobile accidents. 

Is there a reason for that?

-Awareness, and if it goes away the numbers will go up again. 

Moving back into narrowing down into more of an athletic training setting when working with sport athletes for example what would be our initial assessment and what would be some red flags to actually move the person onto a spine board?

-Big trauma like a head-on hit you want to be careful. 

-Clinical judgment.

-numbness bilaterally 

The athlete just has a lot of pain. 

-Trust your gut

So once you decide to stabilize someone, I know you talked about two methods to stabilize, but what is your preferred method?

-6 man lift

-If you don’t have enough hands, nobody will fault you for doing a log roll. 

When is it appropriate to move the neck into neutral?

-It is always ok as long as you do the head or trap squeeze.

-You want to make sure you have access to the airway. 

Can you talk a little bit about the difference between a head or trap squeeze?

– head squeeze is more about putting you hands around the athletes head or helmet

-trap squeeze where you are putting your thumbs and finger around someone's traps and gives you more stability because you also have to add in the fatigue factor. 

-Trap squeeze is more stable

Be aware that clothing could cause you to slip while holding a helmet.

I think it comes down to practice and figuring out how everything works. Because once you get it down, then when all that emotion going, if you practice over and over again it just becomes a routine. 

What are some tips you have for someone who is working with an equipment-intensive sport, like hockey, that they are not familiar with the equipment?

-Practice

-Use equipment managers to become familiar with equipment. 

What does it look like once they are at the hospital?

-equipment removal and go into a cervical collar. 

-Then straight to a CT scan is #1. 

-Transport to a level 1 hospital because you don’t want to have to move to multiple locations. 

Can you talk about differences between places that have stopped using spine boarding techniques like in motorcycle accidents?

-Two different mechanisms and two different thoughts.

-Make sure everyone is on the same page

-You can always ask to talk to a supervisor because these are generally big EMS areas and you can’t control what everyone does. 

Can you talk about the order you take the piece off of the helmet?

-Side pieces off first. Allows to flip and gives access to the airway

CPR with shoulder pads. With a spinal cord injury and you are having to do CPR and you are removing the equipment, you would leave the shoulder pads in place as long as you open them up?

-Open them

-If getting into CPR take them off because it has become life-threatening. 

Do you have any recommendations for an AT who does not have a lot of volunteers or staff and might be working alone? 

You have coaches. Train the coaches. Coaches are always there. Make sure your coaches are in line with helping you. 

The highest incidents seem to be in high school/middle school. Can you talk about why?

-Proper tackling technique

-Old equipment

Is there anything else we didn’t touch upon that you wanted to add?

-Education and preparation are the biggest things.

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration, Backboarding

Protect3D – 3D Printed Braces

Protect3D joins medicine and technology to help Athletes return to the sport safer and maybe faster. Kevin Gehsmann joins me to share their story and how Athletic Trainers can get their athletes braced.

Protect3D

Where did the idea come from?

Engineering student

Liked 3D printing

Daniel Jones, the quarterback at Duke, went down with a clavicle fracture. They decided their engineering project would help Daniel and other elite athletes needing protection.

Customized for his unique needs and ROM

What has been the most difficult hurdle for Protect3d?

In the early days, we were recognized by the NFL and won $50,000 and Superbowl tickets.

The pandemic caused a lot of challenges.

Every device we make has a positive impact on the athlete and their performance

Share a success story you enjoy.

Clavicle pads reduce the risk of re-injury and increase the confidence of the player and health care team.

It is also the original pad or brace that birthed the idea.

Outside of your own clinics where have you had doctors adapting this style of bracing?

We started with elite athletes and have worked with orthopedic surgeons and athletic trainers.

An ankle/foot orthotic is a new brace to help with foot drop.

We had a D1 athlete participate in games with a Protect3D brace for foot drop. 

What do you see as a hurdle for secondary setting adoption of Protect3d braces?

The cost of the product is one hurdle.

Setting up a system for billing on demand can be an obstacle as well.

Are these braces something that could be printed on your everyday, at-home printer?

Due to the material, printer, and the need to control different variables as a medical device, they are not currently printed at home devices.

There may be options in the future as we grow and develop.

Want to test out Protect3D?

Have an athlete needing a brace?

Willing to give me your honest feedback on the podcast?

Send me an email and maybe follow it up with a social media post.

Give me the story (protect patient privacy)

If it works out then we will collaborate to get you a custom 3D-printed brace for your athlete.

Contact Protect3D

McDonald; Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

Facial Injuries – Irvin Sulapas MD

How common are facial injuries occurring?

-20-40% involve face

It could just involve something as simple as a slap in the face.

On-field assessment allows you to hone in on a specific injury. 

Where does your mind go during the initial assessment for a facial injury? What are you looking for?

-1st talking and airway 

Ecchymosis is present, when should you refer?

-Racoon eyes (both eyes) – vasal or skull fracture possibility

-Battle sign – ecchymosis behind the ear. Basal or skull fracture possible.

Skull fractures is surgery common or just monitor?

-CT to check the brain and for fracture

-not all require surgery

Mandibular fractures. Are we looking at surgery?

-Depends on the type of fracture. Not displaced can monitor and have on a soft food diet. 

-High protein foods for high-level athletes so they can still get nutrients

Healing time during a mandible fracture, what are they allowed to do?

-As tolerated

-Lift, light exercise

-nothing stressful that they clench their jaw.

Difference between RTP. What are you looking for, for an athlete returning to play in a contact sport?

-Depends on sport and position. 

-2-3 months, but it depends on how the athlete is healing and what their position entails. 

Regulations in rugby. They aren’t allowed to wear certain masks?

-Protective gear cannot be a hard shell. 

-Lots of pads and tape.

-Can have a mouth guard.

TMJ dislocation. What is the relocation process?

-Usually down and out. Put posterior pressure and push back in. 

-Wear gloves and roll gauze on your thumbs since you have to push on the bottom teeth. 

-Relocated the TMJ, but chose to not let him back in the game. 

Follow up for TMJ dislocation?

-Follow up with them. 

-Ask about symptoms, can lead to who they need to be sent to. 

-Typically if it is back in and they are good, you can watch them.

Maxillary fracture. Seen one clinically?

-Common from motor vehicle injuries

-Never seen one from sport. 

-Could maybe see one from a combat sport.

Splint a lefort fracture.

-Bartans split technique.

Key signs of a zygomatic fracture?

-Big swelling over cheek bone

-Dent in the cheek bone

Nasal fracture, when can you get them back to sport?

-Depends on sport/position

-usually 4-6 weeks

-Need to be pain free and breathe ok. 

Mask wearing can be just to be for the athlete to have comfort and prevent another injury. 

Fix nasal bone once done with sports.

Nasal bleeds. At what point should you call EMS if you cannot control a nosebleed?

-Symptoms of lightheadedness or dizziness. Headache or nauseous

Manage a nosebleed if someone is dizzy?

-Tilt and pinch. Try sitting, not just lying down. 

Orbital injuries

Eyelid injuries – refer to an ophthalmologist. ER have on call?

-Have to go to an ER connected to a hospital because they will have one on call. 

-The movement and tear ducts are something to consider. 

AT should control bleed and refer?

-Control bleeding, and cover then refer to ER.

What should the AT’s actual action be when referring an athlete to the hospital for an orbital injury?

-ABC’s

-Neck

-Then they can sit up and you can evaluate. 

Most orbital injuries something you would refer to ER?

-Corneal abrasions can be sent to urgent care. 

-Foreign body could go to an urgent care

-ER globe rupture, eyelid laceration, loss of vision

Ear injuries

Ear magnets

-Put on the outside ear to squeeze which can help prevent cauliflower ear. 

How long do you have to drain cauliflower ear?

-Hematoma is the beginning, cauliflower ear is when you don’t take care of it. 

-As soon as possible when it is still fluid/squishy. Can be within the next couple of days.

The most common head injury seen is a concussion. 

All five senses are on your head. Want to check all 5 in your assessment.

Contact Us

Jeremy JacksonMrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

McDonald; Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

Emergency Transport – Brad Wilson

Discussion topics: 

-Team paramedic and coordinates emergency care for on field. 

What are the classifications from paramedic to ECA, EMS, and Paramedic

-ECA – first responder. Couple weeks class

-EMT basic – everyone starts off at. Full college semester

-EMT advanced – Intubate and start IVs, and cardiac meds. Can’t RSI or DSI

-Paramedic – nationally and state certification; Two-year program and learn advanced cardiology and pharmacology

Difference: Licensed paramedics will have an AA in paramedics or a bachelor's in emergency medicine. 

ATs are under the direction of a physician, how does that work with emergency medicine?

-Work under a medical director. Medical directors must be licensed by the state. Emergency certified physician.

Roll of team physician on the sideline?

-EAP’s 

-Get together with all emergency response teams to see what everyone can do or should do. 

-Communication

-EMS arrives, they take over control of the athlete and their protocols go into effect. 

Equipment removal in in-service?

-Discuss how far to go with equipment removal. 

-CPR of football, don’t remove helmet/shoulder pads, just face mask. Open shoulder pads to do CPR and place AED pads.

Organizing the annual practice, how should the AT approach it?

-Week before training camp starts. 

-Coordination through their contact. EMS Chief or president of the company. 

How long does the training last?

-Depends on how much you want to cover. 

-At least CPR, backboarding, trauma injury. 30 minutes each

-Debrief before and after. 

How can we educate EMS on what ATs can do?

-Invite EMS groups to your in-service to participate in the training process. 

-Look at each other's protocols. 

-Get everyone's education 

How much are protocols changing year to year?

-Generally, they don’t. Just based on technology and medical changes. 

Differences between rigs?

-BLS is a basic truck with 2 EMTs. Basic first aid/childbirth

-ALS truck for higher emergencies. 

What does it look like after EMS has taken over care and on the way to the hospital?

-After a report from AT, they do their own patient assessment. 

-After assessment, determine the care plan. Get vitals and stabilize life events. 

What is the most important information coming out of the report from an AT?

-Short and sweet

-This is what happened, what I did, what I found. 

Spine board or not to spine board?

-Depends on the medical director's protocol. 

-Depends on the situation and if it will make the injury worse. 

-For the team, it might depend on the spine doctor/team physician. 

-Annual meeting to discuss spine boarding and log roll vs. 6-man lift.

Stories

-Professional baseball game. Baserunner ran into the catcher. The collision was bad. Amazing that there was only a broken nose. 

-Open femur fractures, concussions

Anything else to add?

-Communication is the number one key.

-Reach out to local EMS agency

-Athlete/patient comes first. 

-Find out each other's capabilities.

Contact Brad: bwilson@hcec.com

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Dental Issues with Drs. Hiner

How do you go about starting a relationship to find a team dentist?

-A lot of AT’s have nobody. 

-Find someone who is available to come after hours and loves it.

-Can cold call offices or Google search. 

-looking for sports dentistry

-Ask other ATs if they know a dentist since the community is small. 

What resources are available to the AT with dental emergencies, especially after hours?

-Cell phone number of the dentist

-Tooth SOS app.

How do you know who to refer to for dental injuries?

-General dentist first, then general dentist can refer to the proper personnel. 

Special consideration for athletes with braces?

-If you have braces, ligaments are already loose and can put you at risk for trauma/injury.

-Mouth guard.

-Mouth guards specifically for braces. And because teeth move they might have to get mouth guards frequently. 

-Custom has more compliance than boil and bite. 

-Can get a custom mouthguard to go over Invisalign. 

-See more soft tissue trauma

How have patients felt with mouth guard around braces?

-Tough sell because nobody wants to wear a mouthguard at that age. 

What would you like the AT to do to help with the referral process?

-Send pictures.

-Backstory is nice to know

-Timing

-Don’t need past dental records

Team dentist be utilized for PPE’s?

-Have the athletes come in groups.

-Visual exam 

-Oral cancer screening

-cavities/wisdom teeth

-Get scans for mouthpieces. 

-Able for the athletes to ask random questions

-Establish a dental home, especially for college students who move away from home. 

-Dentist can give a card

Fun stories

-Mowing lawn and trying to tie a string and it took the tooth. 

The little girl had her silver cap come off and there was a Jolly Rancher glued to it. 

-Kids are very resilient and heal a lot quicker than adults. 

Action Item: What should an AT have in their bag?

-gloves, gauze, light

-Guidelines on what to do when it happens. 

Cheat Sheet

-Cell phone number of the dentist, 

– Tooth SOS app

– Save a tooth solution

– Spit in a cup

– Do not put the tooth in water

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

McDonald; Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

Labral Rehab with Russ Paine

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Work Right Northwest – Jody Moore

Work Right Northwest was the best fit for Jody during his current stage of life. He loves the industrial setting and the support the company offers for personal growth.

Jody, Start with your AT story.

From Waco

Was not enjoying playing football and quit to become the student AT for softball.

Chris Hargrove was the AT that me under his wing

Graduated from Baylor as an AT working with some legendary ATs like Mike Simms

Jody moved to Lincoln Nebraska to get a master’s degree and work with their Track & Field teams.

2007-2009 did a fellowship with US Olympic and Paralympic Track and Field.

That led to internships with USA teams.

He has worked with a lot of providers throughout the US and learned different perspectives as well as made a lot of connections.

13-year Outreach Coordinator at BSW

2012 I began the GA partnership with Baylor and grew the program to about 16 schools.

How does WorkRight fit into that?

Auto industry, shipping and delivery, food, manufacturing, and warehouses across the United States.

We focus on being proactive with industrial athletes.

These workers are at the same station doing the same repetitive motions for 8-10 hours per day.

We are limited to OSHA first aid guidelines.

There are plenty of at-home exercise options or opportunities.

Better posture.

Improved hydration.

Early symptom intervention – 15-minute eval on site.

Tell me a few stories

Often times the job is the first time the workers have benefits that include healthcare.

We provide a list of healthcare coverage professionals in the area and establish relationships with them to help facilitate care.

One line worker was having continued upper trap and cervical issues.  After a few visits, he was able to work pain-free.

One of our ladies had posture issues and we were basically the only medical option for her. 

I have thought about how I could change into the industrial setting.  Walk me through the process.

We work 4/10s with someone on duty 24/7 

Mon-Friday. *dependent on site*

We do a lot of 3-day weekends.

Vacation time: can accrue up to 2 weeks of vacation time

Holidays: get a lot of major holidays off…but this is site-dependent too.

Manual therapy skills are important.

Taping and first aid skills are important.

Start learning the lingo.

Visit LearnRightNW.com and take the entry-level course.

How do you build connections with clients at Work Right NW?

Listening

Seeing them at their job

What do I need to consider before making the move?

Making that big of a change will come with some hiccups.

Research the company

Know the details

Know their injury software

Learn the lingo

OSHA first aid principles

  • One of my biggest deciding factors was their personal growth support.

Resources

https://WorkRightNW.com/

https://www.learnrightuniversity.com/

Contact Us:

Jody Moore – Jody.Moore@workrightnw.com

C: 254-715-1727

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Amy Metiva, snocross, HOIST