Tag Archives: Mike McKenney

War Stories from Twitter #1 – 435

In preparation for a recent podcast I asked:

I got a lot of great stories and knew we had to share them here on the podcast.

Possibly my two favorite were

  1. Dislocated shoulder while napping and
  2. Sprained ankle while napping.

Bubba Wilson joins me as we read these tweets and add some commentary.  I loved these responses. I have screenshotted most of them and pasted them in the show notes.

Also, Laurie Beth gave a shout out to her mentor Leah Cox and we read it on the show.  Always remember the ones who got you here.

Show Notes

 

Traveling ATR – Treatment on the Road- 327

Have to travel with teams or take your treatments on the road?

Mike McKinney and Josh Ogden work in the college setting where there is a lot of travel.

Greg Evans worked at Wheaton College and now helps School Health bring top quality products to athletic trainers.

Mike Hopper works in the secondary setting and takes several overnight team trips per year.

Alisha Pennington, owner of The ATVantage travels internationally with various teams and had lots of great tips.

From the voice of experience here are some of the best things do to in preparation, on site, maintaining privacy and keeping your hotel room free from being the mobile ATR.

Show Notes 327

YouTube Traveling ATR

Frio Hydration is the official hydration provider of the Sports Medicine Broadcast.

MedBridge Affiliate Link – 1 year subscription for $200

Biceps Tendinitis a Neurological Case study approach – 195

Here is the scenario:

  • 17 year old female volleyball player
  • plays club and school alternating seasons
  • no other sports
  • Pain in anterior shoulder
  • go through normal muscle eval
  • pain on Speed’s test
  • pain with Yergason’s

Start with heat and ROM exercises
Progress to body weight exercises
Then to t-band exercises

Pain free return to play in about 4 weeks

There are lots of other treatment types we did not do, and likely some evaluations we forgot.  One way to improve is to look back, but here we do it with the help of some of my friends and injury experts.

Contact Josh Ogden
Email:

Contact Mike McKenney
Email:

Show Notes 195

email me: info@sportsmedicinebroadcast.com

Don't forget to register to win gift cards from Sports Health

 

  • Tri-Planar performance above T8 requires stability and control of sagittal and frontal plane movements at the pelvis/hip (below T8)
  • Scapular position is directly related to orientation of Rib-cage over pelvis
  • Finding reference centers for landing mechanics
  • Fatigue
  • Lack of Upper thoracic movement variability (need Subscap/Serratus/Low Trap)
  • TRICEP facilitation
  • In the air, you shoulders become your hips, you need controlled mobility
  • Thoracic mobility is essential for overhead motion
  • Pec inhibition
  • Is it really bicep tendonitis?
    • Differential Diagnoses:
      • Thoracic Outlet Syndrome
      • Rotator Cuff/Supraspinatus
      • Deltoid
      • Trigger/Tender point referral pattern from infraspinatus/anterior deltoid
      • Scap Dyskinesis w/compensatory HG IR = “impingement”?
      • etc.
    • Concurrent findings:
      • Overall Hx
      • Overall tension (e.g. chronic upper trap contraction)
      • Breathing patterns esp. c/restriction upper R chest?
        • Neck breather w/rib cage elevation?
      • Overall posture
        • Slumped shoulders?  Kyphotic?  Lordotic? etc.
        • Forward head/posterior rotated head posture?
        • Shoulder height variance?
      • Spinal rotation/curvature
      • Rib cage/thoracic positioning & mobility
      • Pelvic stability?
      • FA IR/ER & Flex limitations?
    • Imaging – Musculoskeletal US or Arthrogram?
    • Injections?  Relief or no?
  • Treatment (I use PRI techniques mixed with a lot of traditional techniques, but use whatever you have in your toolbox)
    • Frontal Plane control thru pelvis and Transverse plane control thru thorax
    • Rib cage mechanics
      • Breathing pattern retraining (or manual techniques) as needed to restore IR/ER & remove restrictions
    • Restore thoracic rotation
    • Improve Scap Positioning
      • Inhibit Pecs, lats, upper traps, etc. as needed
        • Pec minor involvement?
      • Low Trap & Tricep First
      • Serratus Anterior
        • Make sure scap is moving on thorax due to SA activation, NOT Pec activation
          • SA moves scap on thorax
          • Pec reinforces anterolateral tilt
      • Subscapularis
      • Contralateral side
        • Low Trap/Tricep
        • SA
        • Subscap
        • No injury is unilateral.  Rehabilitate bilaterally.
          • Compensatory thoracic rotation, pelvic obliquity, etc. needs to be addressed.
  • RTP considerations
    • Hitting program
      • Pay attention to core engagement with hitting
      • Flying open into extension reduces scap control
    • Jumping program
      • Poor jump mechanics places the arm in a poor hitting position before the arm motion even starts
      • Poor landing mechanics increase injury risk as well as neurological apprehension = decreased power output and increased stress on LHBT, Cuff, etc.

 

Normalizing Breathing Patterns – 136

Mike McKenney, Josh Ogden, and Jason Robey are all believers in normalizing breathing patterns and breathing posture to help re-align the body and reduce internal stress.    There are a lot of treatments out there that claim to be the answer.  This episode is about using breathing normalization to improve your treatment plan.

Show Notes – 136

Slow Yogic Breathing Through Right and Left Nostril Influences Sympathovagal Balance, Heart Rate Variability, and Cardiovascular Risks in Young Adults

The Healthiest Way To Breathe

PRI

Articles from Josh Ogden

Video for #136

 

Postural Restoration – 125

Mike McKenney of North Eastern University joins us again to talk about postural restoration.  He is joined by Josh Ogden from Baylor University.  I love their thirst for knowledge and understanding for the sake of improving the performance of their respective athletic programs.

Show notes for Episode 125

Video for #125

Masters of Athletic Training at U of H

@UofHMAT

Strength Training is Health Care Too – 123

Mike McKenney and Dan Boothby have figured out how to do the most valuable aspect of athletic training.  They focus on preventing injuries through a close relationship between Athletic Trainer, Strength Coach and Sports Dietitian.

“Wow, those guys are just a fountain of knowledge” – Dr. Josh Yellen on the guests for #123

Show Notes for #123

Video for #123