Long COVID

Long COVID – define it. 

Symptoms after a covid infection that last past 3 months

Resurfacing of a past issue like asthma

Long Covid

Share some of your story. 

Exposed on March 8th

Symptomatic on March 16

Body aches, shortness of breath

Sprint run chest burning

Mental fog – it was hard to learn new things

Exacerbated an autonomic condition

I tried to keep going but some friends did an intervention

You recently presented at two conferences about Long COVID.  Give me the cliff notes.

San Diego Pain Summit – more theoretical and it is available to watch for free

NJATS – practical and scientific application for the Athletic Trainers

Some settings no longer require an RTP.  What are your thoughts?

Most RTP does not address Long COVID

Encourage Cardiac testing

Breathing symptoms and cognitive symptoms

How do you tell the difference between out of conditioning, a cold, and long COVID?

Look at a normal deconditioning response indicator like heart rate

The aerobic system is broken.

People with cardiopulmonary testing or rehab do worse on day two, typically much worse.

It may be hard for athletes to verbalize their needs and concerns.  It was hard for me as a grown adult medical provider to recognize and verbalize my needs.

The heart rate does not match what they are doing.

When I shower it may be 150 where I am 120 bpm walking upstairs.

Do they seem like they are getting sick from exercise?

What is the one take-home message for ATs dealing with Long COVID personally or professionally?

Make it simple

Crippling fatigue

PEM or PESE post-exertional symptom exacerbation

Breathing pattern disorders – hard breathing when they should not be

Mast cell activation syndrome

An estimated 50% of long covid will have autonomic dysfunction

Heat illness is a major concern

LongCOVID Physio – a group for medical providers struggling – peer support

Stop rest and think

Be intentional

Have conversations early and often

Altered taste and smell is a thing with COVID

This can lead to difficulty with student-athletes getting proper nutrition

This is a Mass Disabling event

Contact:

Daria – OnTapPhysio 

Jeremy – MrJeremyJackson

Resources:

longcovid.physio

David Putrino

Medbridge Course from Todd Davenport – use the code THESMB for your discount

Long COVID discussion with Daria on Facebook

Watch the video here

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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

BFR Tips and Tricks – Kyle & Jennifer

Tips and tricks for using BFR are usually best with some experience. At this point, we have used Delphi BFR for about 6 months.

Jennifer Asberry has used it as a clinician and as an injury-loving weekend warrior. She shares some of her injuries later.

Kyle Kimbrell has been working with BFR for years and has plenty of tips, tricks, and thoughts. He has previously been on the podcast to discuss BFR in adolescents.

BFR Tips

Before we get to BFR Tips I have a few shoutouts.

Judy Bittar – a student AT Aide for listening and reaching out when you visited our campus. 

Tony Young – for purchasing the Compex and looking into BFR after we discussed it here on the podcast

We received funding for the BFR unit from our Pasadena Education Foundation – a few quick tips on getting grants funded:

  • Will it make my classroom more innovative?
  • Will it boost student engagement?
  • Will it be used primarily in the classroom/ campus?
  • Is it underfunded or not funded by the regular school budget?
  • Does it relate to student learning, development, and academic success?

Favorite success story

Femur fracture returned to sport-specific activity after 3 months with equal quad size.

PCL – patient returned after 4 months

Derek – ACL repair after 5 months

Best BFR tip for ease of use.

JJ – you can press anywhere on the clock circle to start the 30-second timer.

Jennifer – Have the exercises planned out before starting.

Jeremy – Teach helpers and patients to set it up.

Why does my LOP swing about 30 mmHg day to day?

The LOP is a measurement of what it takes to measure occlude blood flow at that moment.

  • Stress can effect it
  • Prior activity
  • Cuff placement

Any blunders?

I had a user have the cuff slide down and “pop-out” the BFR cuff. How can we prevent it?

  • User error…that is all …lol
  • You can press deflate without having to do LOP again
  • Or remove the tube from the cuff and press your thumb over it while you readjust the cuff

Large leg, can’t get the cuff to measure LOP. What else can I do?

  1. Isometric Exercise
  2. External cuff pressure
  3. Skip the sleeve if they are wearing compression pants already

“More likely to get funded” tips from the Education Foundation:

  1. Makes learning more engaging and innovative.
  2. Impacts a larger number of students & teachers.
  3. Reusable, sustainable, and long-lasting projects.
  4. Supports classroom instruction and boosts college or workplace readiness skills.
  5. Includes matching funds from other sources.
  6. Completed applications with accurate information.

Matching Funds:

Tips

Contact:

Jennifer – Jennifer.Asberry@cps.k12.ar.us

Kyle – kyle@owensrecoveryscience.com

Jeremy – info@sportsmedicinebroadcast.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Tips

Recovery Kelvi Valerie

Valerie Tinklepaugh-Hairston presented on Recovery at the Trinity Sports Medicine Conference in 2022. I had some questions about her presentation because I like technology and toys.

Mike Hopper has some questions about Kelvi and was being an AT Nerd and watching the Facebook live of her presentation.

Valerie Recovery Kelvi

Food, Sleep Hydration…Valerie, give us something fancy…

  • Tell them why they need these things
  • 61% injury reduction rate when these issues are mitigated

The Sports Nutrition playbook

Movement is Medicine – Active recovery is king

  • Alternate activities
  • Vary heart rates

Explain the co-contraction with the Theragun a little more…

We need external stimuli to help the internal stimuli get moving.

This could be done without a percussion gone but would be tiresome. You are basically poking the bear until it wakes up and chases you.

You talk about needing an inflammatory response but knowing when to step in and help control it.

This is the way we were biologically made

It is basically the EMS crew coming in with the wrecker crew and the fireman to sweep up, clean up, haul off the bad stuff and get traffic flowing again.

Pain is great, but sometimes those sensors just get stuck on.

Treat the individual and not the symptom.

Valerie tell us about Kelvi

You really need to see it to believe it. The ability to go from hot to cold in 15 seconds is amazing.

The technology is incredible, we have sensors inside the sleeve that measures and maintain the skin temperature.

Pain management is one area Ice and Heat have really shown beneficial.

Preparation to work is a great way to use the heat feature.

Contact us

Valerie – vhairston@kelvi.com

Mike – Mike.Hopper@bishoplynch.org

Jeremy – info@sportsmedicinebroadcast.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Marc Pro

Fueling Recreation Runs

I run for recreation, to keep myself healthy, and to set an example for my kids, students, co-workers, and family. Meredith Sorenson runs because she is good at it…like really good. KP runs because he does not want to break his streak.

Regardless of why we are all recreation runners now and need to refuel.

recreation runs

Meredith, give us a quick tip in case someone turns it off after this.

If you are running do not cut carbs

Kyle – SIX YEAR recreational run streak…let’s talk about that

Started with one month in college and then just kept going.

I was a cross country runner and baseball player in high school.

Now running is for recreation.

Meredith as a collegiate runner what were your eating habits?

In high school, I ran about 30 miles per week

In college, it went to about 55+miles.

I continued with under-fueling which lead to stress fractures since I was cooking for myself.  

I was not good a preparing or planning ahead.  I did not bring snacks.

75 miles in a week is my personal record

GO TO Breakfast

I have a sensitive stomach…so I tried a lot of sports drinks with carbs.

Bananas and clif bars do not work for me

GoGo fruit squeezes work for me.

How are the demands for a steeplechaser different from a straight runner.

You need more muscles than you usually do running

It is a 3k race with barriers and the barriers do not move.  One time I ran into one and got a really big bruise on my knee to show for it.

There is a lot more pounding involved

As an adult / recreational runner how have you changed?

Currently a 40+ mile per week runner

Recovery after runs is a priority at this stage in my life.

I learned to cue into my hunger signals.

Athletic Trainers are like every other profession, some are fitness nuts and some are very unhealthy.  Give us some more depth of fueling the recreation runs.

Early morning you could skip the food if it is low intensity short (under an hour) duration.

In higher intensity runs you need to get something small then follow up with a good breakfast.

You have 60 or less to pick one of these for fuel…lets see how you do!!

Jeremy – Hershey's bar with almonds

Kyle –  Hershey bar without

Jeremy – Protein shake

Kyle – Protein bar

Kyle – Oreos

Jeremy – Gatorade chews

Jeremy – Hot Cheetos or Takis

Kyle – Pringles

Call to action:

Contact:

Meredith IG @MeredithDarcieNutrition

Kyle – MonroeCentralAT on IG and Twitter

Jeremy – @MrJeremyJackson on Twitter

Resources:

Relative Energy Deficiency in sports

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

MioTech

APATS Who Are You?

APATS or Asia Pacific Athletic Trainer's Society started in a hotel conference room when some ATs were trying to figure out the best way to help new Athletic Trainers get settled in Asia Pacific.

APATS

Our Guests

Erick Chen spent time in China, working with Cirque De Soleil, and opened up a hospital rehabilitation clinic before moving back to the United States (just before COVID)

Ngan “Nina” Chung is an Athletic Trainer at the Candian International School of Hong Kong.

Share some of your story Ngan

  • Born in China
  • Immigrated to the US
  • New Jersey became home
  • An internship in Asia
  • A collegiate AT back in the US.

Erick share some of your expereince

  • SoCal growing up
  • Attended Fresno
  • Several different AT jobs in the states
  • Went to work with Cirqe in Macau
  • 8 Years at United Family Hospital
  • Now back a Los Angeles City College

Struggles of working as an Athletic Trainer in Asia

  • Communicating and education are a huge piece of the puzzle for ATs in Asia Pacific
  • We have to tell people who we are, what we do, why we are important.
  • Creating the role from scratch
  • Literally no space or supplies for an AT Facility
  • The culture of traditional medicine

How did you connect with other ATs in Asia

We did not for a while. We were on our own.

We decided we needed to team up to grow our profession and met up at a hotel and started APATS shortly after.

Now we have the organization and social media.

What are the goals?

  1. Community
  2. Improve the CLinician
  3. Improve the Community buy-in

Where should we go to learn more?

  1. Website- https://www.apats.org/
  2. Facebook- https://www.facebook.com/APATSociety/
  3. IG- https://instagram.com/apatsociety

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy
https://sportsmedicinebroadcast.com/1freecourse

Question Without Questioning

Daniel Bellamy left us with a great line in his first podcast: Question Without Questioning. I knew we needed more time to discuss this so we scheduled another session.

Question without Questioning

We missed some parts of the story

  • Grew up in Washington DC
  • Son of a pediatricain and a recreational therapist
  • Grew up in the church
  • When he got to college he decided to test out the college life

Where did that lead you?

I began to question my faith, and I struggled with anxiety. I used drinking and smoking and partying as a way to cope or deal with the anxiety. I eventually came to an “I am going to fix this” situation. That's when I met my wife and started doing great.

“When my wife got pregnant I panicked and started back up. My son was born and I heard a sermon that really struck my heart and changed everything.”

I need to have some initiatvie, I need to get my wife and I out of my parents house and lead my family. I need to take advantage of the time and blessing i have been given.

– Daniel Bellamy

Why did you move on?

I was just coasting, I was chilling at the high school and not really growing.

I needed to repair some relationships, get out of my parent's house and make some more money.

That lead me to develop my core values as an AT while at Howard University.

What are those Core Values?

Effort

Empathy

How do we question without questioning?

Assume the BEST – almost no one was out to get me. If I approach from that perspective it usually goes well.

Be curious to understand – truly ask how, why, when because you want to learn

Enter their space – hit the weight room with the coaches or catch up at baseball practice

Overcommunicate – this leaves you with plenty of deposits in that relationship bank account.

Invite them into your world – joint CEU options or planning and policy teams.

Invite Daniel to speak to your AT program

Daniel – Daniel.Bellamy@utsa.edu

Victoria – @morris_atc

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy

Burnout in Athletic Training

Dr. Andrew Gallucci worked on Burnout in Athletic Training as part of his doctoral studies.

Burnout

This podcast was a live recording at the Trinty Sports Medicine Symposium 2022.

The YouTube video is of the live presentation.

Burnout can be Emotional or Physical, or both

Some signs and symptoms of burnout

  • Cynicism
  • Waking up tired after a full night of sleep

Increased exhaustion leads to increased medical errors

It is important to recognize, address, set boundaries, and seek support when you feel like you are experiencing burnout.

Some Athletic Trainers will not speak up, but if you are already planning on leaving the location or profession then why not have the conversation.

A few tips:

  • Set do not disturb on your phone
  • Set lock out timers on your email
  • Delete email from your phone
  • Have seperate devices for checking email and phone calls

Thank You Shawn Ready and the Trinity Sports Medicine Team

Contact us:

Andrew Gallucci – Andrew_Gallucci@baylor.edu

Jeremy Jacksoninfo@sportsmedicinebroadcast.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Mental Health Diversity

Why not me? Why should I not participate in the Mental Health Diversity talks? – Janet Lin Craft

Living Room Talks – a way to discuss Mental Health Diviersity

Living room talks…what are some of your takeaways?

Struggles

Passionate

Talking as therapy

Hurt experienced- academia microaggressions, 

Frustration with lack of progress in society ( still teaching)

 and profession ( numbers same, small moves by all partners

Hope too: hoping for better

Understand small moves

How does your ethnicity/ culture look at mental health?

First gen- work mode

Stigma

Finding time

Trying to find someone like you….

Work, family, upbringing, mentors, work life integration, setting

Personal experience with Mental Health Diversity

Who would be your star struck guest on living room talks?

Everyone

Unfamiliar people, becoming friends and colleagues and go-to

Saying yes, being open and honest

“Open book”, ask me anything

==open door

Mental Health diversity…what are the struggles?

Stigma

Finding someone like you

Call to action:

NATA resources: EDAC, ATs CARE

Seeing people, really see them, be uncomfortable (question yourself and others)

Contact Us

Jeremy Jackson

Janet Lin Craft –

Victoria Morris – TikTok: @coachmorrisat

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Marc Pro

Sports Performance – Daniel Bellamy

Director of Sports Performance at Howard University, Daniel Bellamy brings his skills, family, and his voice to Texas in his new role at UTSA.

Where did it start?

During my NFL internship, I learned to incorporate a lot of sports performance into rehab.

At the high school

Teacher

PT clinic

Arena Football head AT

Track and field coach

I wanted to spend more time with my patients

So I took an assistant job at Howard University

At the university, I became very curious about the injury risk reduction side of AT.

  • I took it upon myself to develop warmup routines
  • I was able to implement recovery routines

Masters – injury prevention and performance management.

First task as the director of Sports Performance

Hiring a strength and conditioning coach that would work for an FBS coach

  • The process was brutal but the outcome was something great

The best ability is availability – they need to be functional and healthy before they can work on performance

Four Pillars

Patient care

Athletic Performance

Data and research

Education

Key elements

Trust 

Honesty

Respect

Integrity

Communication

Overlap and interdependence in Sports Performance

  • Athlete Monitoring
  • Injury Prevention
  • Injury surveillance
  • Nutrition initiatives

Each team member needs to understand the goal and how we can work together.  

What is the benefit to each member?

Wellness surveys can help coordinate care as well.

Shared information and language in Sports Performance

  • Continuing Ed
    • Include all relevant team members in the process
    • This gives us shared learning and coaching cues.

Progression / regression charts

  • Highlights key movements
  • How can we reintegrate the athlete optimally
  • What are the most complex version of the movement and what is the most basic “entry fee” into that movement

Shared Projects and initiatives in Sports Performance

  • Collaboration to integrate new technologies
  • Kinesiology collects and analyses data to use for publications

BRING MART PEOPLE TOGETHER AND ALLOW THEM TO DO THEIR THING

Bottom Line

  • We are in the people business
  • Trust is Key
  • Ask questions without questioning
  • Allow people to take the lead

Strength and conditioning’s goal should always be to ensure safety during the workouts.

Compliance comes from understanding and is the biggest key for the athletes completing the RPE and RTT surveys

Resources

Ted Sperlak, NSCA Talk on Sports Performance Model​

https://youtu.be/EKI7rDYWLrI

Article to Read on Recovery Periodization: Mujika et al., (2018). An integrated multifactorial approach to periodization for optimal performance in individual and team sports.pdf

Article to Read on Periodization and Rehabilitation: Periodization and PT.pdf

Contact Us

Daniel –

Victoria –

Jeremy –

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Marc Pro

Modern Racism

Modern Racism is a public health crisis. Susan Taah and Tony Hunter wanted to question Victoria Morris and me. So we turned over the leader spots and jumped in as the interviewees

Modern Racism Cover image with a picture of Susan Taah, Tony Hunter, and Victoria Morris

Equity vs Equality

What is an example of equity vs equality that you’ve experienced? Have you ever experienced the opposite?

The New Minority

What does the cry for assistance for America’s failing middle class tell you about the minority struggle over the last 6 decades?

Systemic Power and Seniority

What is it like to not be able to hold people accountable?

Diverse discrimination/Overwokeness

Susan & Tony: Words for fellow minorities in the new civil rights movement

Reframing Privilege

If you could define privilege, how would you?

Microaggressions

Susan had to point out some for Jeremy on social media.

Effective Safe Spaces for Cultural Diversity & Inclusivity in your ATR

What are your best practices?

Bias – How does it affect you?

https://implicit.harvard.edu/implicit/index.jsp

Tips on using privilege to advocate

What advice would you give to fellow ATs and members of society?

Contact Us:

Susan – @imastaah

Tony Hunter@WaltonSportsMed

Victoria Morris@Morris_ATC

Jeremy – @MrJeremyJackson

Modern Racism Resources:

How to be An Antiracist

Stamped From the Beginning

White Like Me

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.