Candid Candidates – 638

NATA 2020 presidential Election has Candid Candidates

Chad and Kevan host Candid Athletic Training where they take a look at Athletic Training very candidly.

Kathy and Katie are used to answering questions about Athletic Training and fixing what is broken. We wanted to have some very Candid Candidate discussions to help you know your next NATA president.

Why would your undergraduate mascot make the best Athletic Trainer

KF: Beaver: adaptable, ferocious, make a phenomenal home from out of nothing, leaves everything better than it found it.

Being a team player, quietly getting things done under the radar

KD: Longhorn – Magnanimous animal

Quiet, slow-moving; large and graceful

If you get in the ways of the horns you will regret it.

Rehab specialty: Administration – quiet, contemplative

FMK

KD:

K – Cat D – I want it to be applicable and pertinent

M – EBP – a lifelong commitment to learning

F – Lecturing – it is a rush to share that knowledge

KF:

F – Cat B

M – EBP

K – the Cat D

What will you miss most about the COVID19 2020 convention cancellation?

People, socials, energy, relationships

Mount Rushmore 4 things you feel young ATs will face and need to be prepared for

KD:

  1. Give your self a break…there is a lot to learn
  2. Professional Communication
  3. Continue to learn
  4. Advocacy and showing your value is CRUCIAL 

KF:

  1. Follow your contract – Do not give your time away for free
  2. Policies – have those ready and follow them
  3. You Are Enough…
  4. Mentor over Data

How do you negotiate time for yourself?

KF: your first job is the only one where you might not negotiate…after that it is on you

KD: We are not training our students to negotiate.

How are you going to best get your objectives communicated to people?

KF: NATA News

Be responsive to the people

Be everywhere

KD: Diversity in mediums

Being willing to reach out on all of the different mediums.

Kathy prefers face to face or phone call, but currently have to respond and react.

Opinions on the dangers and benefits of Social Media

KF: uses it as a positive outlet 

FB, Twitter and IG

It is irresponsible to hide behind the account

It is a good source of what ATs are thinking and feeling

KD: Hardest thing is to keep up with all of the platforms

SM can really help reach people

It is really easy to anonymously complain…but is your message getting through if you are hiding.

“We learn the most from people who are unhappy”

Hats – Clinicians, educators, legislation

KD: We all have some of those roles with a focus

  • Feels it is more regarding settings vs roles

KF: I do all three of them

  • The researchers are valuable

Retention Rates in AT

KF: became members of American Advisors for allied health professionals

  • The continued growth of opportunity
  • It is a barge, so we can not turn on a dime

KD: 

  • Supply and demand
  • Negotiate contracts
  • Can we improve life balance in the traditional setting.
  • Non-traditional settings will likely bring the secondary setting up due to economics

Watch Candid Candidates

https://www.facebook.com/sportsmedicinebroadcast/videos/2841586455950336/

Contact Us:

Kathy Dieringer

Katie Flanagan

Candid AT

Previous podcast with your candidates:

Presidential Discussion

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Upper Extremity Neuro Evals – 637

Dr. Jason Magonye and Dr. Shawn Scott put together an Upper Extremity Neuro Eval session at the Trinity University Sports Medicine workshop.

Upper Extremity Neuro Eval

Complete the CEU course FREE from Methodist San Antonio

Be familiar with the nuero anatomy of the upper extremity

Cranial nerves – remember they are contra lateral

Dermatomes – sensory innervation to the upper extremity

If it is intact distal, it is intact proximalStart distal and work proximal

Brachial Plexus – 11 min

Latisimus dorsi is the ladder climbing muscle

Subscapular – don’t let them pull their hands off their belly

Supraspinatus – starts abduction until the deltoid takes over.

Hornblower test – teres minor

Ulnar nerve (C7/C8-T1)

Median Nerve (C5-C8, T1) tip of fingers, the palm of the hand

Anterior Interosseous Nerve (AIN) 22 min

Radial nerve – extension nerve (C5-T1)

Posterior interosseous nerve – supinator

Most of the extensors

Nerve Entrapment -24 min

When nerves get entrapped they get irritated.

IF YOU CATCH THEM EARLY YOU CAN PREVENT THE NERVE DESTRUCTION PROGRESSION.

If they are having weakness then we need to really push to have that person looked at

Median nerve entrapment

Pronator syndrome is similar to carpal tunnel syndrome.

Carpal tunnel – positive tinels or phalens

Pronator teres syndrome.

Catch the rest in the podcast or on Facebook.

Do not be afraid to ask your athlete to provide copies of imaging and reports.

Case #1

16-year-old football player who presents with bilateral hand pain. Pushed from behind during a game and landed face down with his hands in front of his body. 

During further questioning of his hands symptoms he states that both of his middle fingers were tingling. 

Due to the fact that the patient is experiencing bilateral symptoms, you must go to the source in which would be the spine (C7 nerve)

Ulnar nerve splits the 4th digit. 

If you have someone who presents with tingling and numbness on the inner aspect of the hand you know that is C8. 

Radial nerve does not go to the tip of the fingers. 

Case #2 

Saddle bronc rider came off his horse and landed on his head. He walked out of the arena and did not complain of neck, head, or arm symptoms. After driving from Colorado to Texas he went to the sports medicine room stating that he had started to experience bilateral middle finger tingling sensations.

Worse thing to do when you have bilateral symptoms, trauma, and numbness and tingling would be to compress the neck. 

Range of motion, neurological testing, and gentle palpation are appropriate to perform in the exam. Orthopedic testing would not be appropriate for this exam. 

During exam in both case 1 and 2:

Flexion/extension movements caused finger sensations. 

Palpation produced “unusual neck pain” at this point your exam is done 

Both cases were referred for immediate cervical xrays. 

Case #1 Xray findings: Flexion tear drop fracture of the C5 vertebral body with grade 1-11 retrolisthesis of C5 and C6. 

Both of them had surgery the next day.

Catch the rest on the podcast or watching the Facebook videos.

https://www.facebook.com/980579115403772/videos/483133775723461/
https://www.facebook.com/980579115403772/videos/522437448480094/

Contact Us

Jeremy Jackson

Jeremy Jackson

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HOIST – No matter your reason for dehydration DRINK HOIST

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HOIST – No matter your reason for dehydration DRINK HOIST

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

Upper extremity Neuro Evals

Dance Medicine with Jatin – 636

What do you know about Dance Medicine?

Jatin Ambegaonkar joins Sarah Gill live in the expo hall in Las Vegas during the 2019 NATA Convention.

Jatin; Dance Medicine; Sarah Gill

What are y'all doing at George Mason

Started in 2007 with a strong dance program, but no medical support.

Documentation!!!! This showed it needed a more a attention and resources for the performing arts facility

Clinical and research area fed off each other

Aesthetic Athletes

How does this impact the way you work with the athletes?

It changes a lot of things…nobody cares what an NBA player looks like jumping and landing.

These athletes need to know their maximum and work below that…what is the maximum you can perform and still maintain your game face

It needs to look effortless and easy

We as AT are tasked to knowing when to push through and when to back off.  Jatin, how do we know where the line is?

They need to recognize the 5 signs of inflammation

Heat

Swelling

Redness

Loss of function

Pain

Only 28% of dance athletes have specific healthcare access

We are focusing on empowering them to know when and how to reach out

How is your interaction with your instructors, choreographers?

Similar to a coach, but possibly a stronger bond to coach than the health care provider

Talk some more about your SMART lab

Collaborative endeavor: Sports Medicine Assessment Research and testing lab

15 years old now

Performance improvement across the life span of physically active people

Determine the quality of life the patient desires

Looking at dance to reduce the risk of obesity in middle schools

Focuses on benefiting the athletic community as a whole.

Recommendations for a small school or dance medicine clinic?

The buy-in is more important than the actual facility or equipment.

KEY – recognize who these people are and what the demands placed on their body

Pilates reformer

A full-length mirror is very important for this crowd.

Standard basic injury care gear

What does return to activity after concussion in the performing visual arts

No consensus yet

Focus on return to learn

Mimic the athletics model – warm-up at a symptom-free, gradual return to participation.

Most concussions for dance are in training rather than the performance which is the opposite of athletics.

Early Return to Activity – 

Issues with the cognitive portion

Take-Home Points

  • Recognize there is a need for the healthcare of this population.
  • How to speak their language and listen to them
  • Treat them as a whole person rather than an ankle injury or knee injury
  • Allowing them to work around the team decreases the social isolation and improves recovery more in this population

Does Jatin Dance?

At weddings he can get down and enjoys himself…even if others do not.  It is about having fun

Not everybody needs to be a good performer to dance.

Other Dance Medicine podcasts

Dance Medicine with Daria & Carina – 457

https://www.facebook.com/sportsmedicinebroadcast/videos/433302290586766/

Contact Us

Jeremy Jackson

Jatin – jambegao@gmu.edu
Facebook
Twitter

SmartLabs on Twitter

Sarah Gill – On IG @SarahGillATC

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.com

These people LOVE Athletic Trainers and help support the podcast:

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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.

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

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Diagnostic Accuracy – 635

Do you personally have a Diagnostic Accuracy cutoff in terms of diagnostic factors to determine if you would use the test?

No, but if there are multiple tests available I look at the most accurate ones. I do not really like it when clinicians do every test available just because.

Diagnostic Accuracy

Are we image happy?

X-ray, MRI, Ultrasound – it is visual, so it gives us something to see

But blood tests do not really give us that.  It has to be done against controls.

Having every injury get an MRI would be great, but it is cost-prohibitive for a lot of people

“If we are sending every patient to get an ultrasound image, then why are we there?”

Talk about treating the patient vs treating the image or diagnostic test.

  • In Athletics, the nice thing is most injuries are life-threatening.
  • But for internal injuries MRIs are lifesavers.

It is hard to argue with an x-ray showing a fracture

What is the conversation you would have with parents before the season begins about your confidence in your evaluations and role at the school?

If I think we can treat them here we will if I think they need imaging I will refer them to our team doctor and he can order the images.

Mention this though: “a non-sports medicine doctor will likely default to out two weeks”  once they do that we are obligated to follow that before beginning rehab and return to play work.

Is there any uncertainty in using diagnostic accuracy values in Athletic Training?

YES!  There is untold value – the new ATs have learned this but it is a new development in AT education.

How do we make Diagnostic Accuracy Language more universal?

It is growing as we have more and more ATs learning about it as part of their education.

More talks at conventions with catchy names

When would you not focus on diagnostic accuracy measures?

In short, yes you can go with your gut and try a few other tests when things seem off.

How do you get students to buy-in?

This is how you win arguments.

If someone questions you and your evaluation you Have numbers and research to back it up…this usually will end the argument.

Make them understand it is not just statistics.

Some orthopedic tests have minimum research or no reported value, where does proof of the value come in?

Yes, you can still do the test if there is a value that is not reported.

Usually, this requires MRI proof.

Some conditions do not have a good test

https://www.facebook.com/sportsmedicinebroadcast/videos/626642927854955/

Contact Us

Jeremy Jackson

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.

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

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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.

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.

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.

Presidential Discussion – 634

NATA Presidential candidates Kathy Dieringer and Katie Flanagan join Cari Wood in answering some member-driven questions.

Presidential Debate, presidential discussion, Katie Flanagan, Kathy Dieringer, Cari Wood, NATA, President, election, 2020, COVID19

Jill A. asks – Licensing in California – what’s the plan?

Katie Flanagan (KF): We need to pull back, circle the wagons and reconsider it

Kathy Dieringer (KD): It has gotten to the Governor’s desk multiple times…then vetoed but it does not pass due to politics. There is no lack of effort, but there are organizations working against us.

  • Continue to be persistent

Chris P – How will we work to expand Diversity in our field?

KF: Tripled our membership in 20 years but only increased diversity 3%

  • Diversity wins

KD: Diversity makes us stronger

  • NATA membership stat is about 80% caucasian
  • Other than the board our leadership does not reflect this number

Jeff K – What suggestions do you have for ATs to sustain viable employment due to the lack of sports?

KF: The secondary setting is hugely important and is a portion of what we do.

  • Use Go4Ellis
  • Be flexible and keep growing your skills
  • We need to think forward
  • Reach out to the NATA for additional resources

KD: We do not even know what is coming

  • We are great at responding and shifting
  • Advocate for yourself
  • Maximize your skillset
  • “Can I teach something else?”

Adam – What is the presidential plan for AT growth in rural areas?

KD: All about advocacy, collaboration with NFHS, principals…going to those meetings and getting facetime with those folks.

KF: Empower the local people and walk alongside them.

The NATA may be facing some financial difficulties due to canceling the annual convention.   How do you see that affecting the membership?

KD: Convention is a revenue producer, many ATs have been laid off.

  • What are the financial implications? this has to be considered.
  • Past treasurer of NATA
  • My business background will serve us well in this situation

KF: NATA has been very financially responsible and relies on several checks and balances.

  • NATA Offered ACES prep exam for the students getting ready for BOC exam
  • Creative thinking will be required

Secondary Schools – 

KD: It is where athletes are introduced to the AT for the most part

  • Collecting Data
  • Medical Autonomy
  • Pointing towards available resources
  • Monthly calls with chairs of committees and workgroups “What is working and not working?”

KF: they have rural and urban school settings and her students get to experience different settings.

  • The AT becomes the gatekeeper for the small schools and urban schools alike
  • Need to be flexible and know the situation to make them successful in that setting
  • Investigate equal representation for each type of secondary school

 Should we teach Sports Medicine in high schools:

KF: ATs are now has a seat at the table on the high school medical education

  • I could not do my job without my students…that creates a problem
  • Have them help collect data to show the need for help.

KD: HS ATs have a skill set of teaching

  • They are our preceptors…its what they do
  • The introduction to health professions is VERY important
  • Caution about teaching students skills that should only be practiced by and LAT BOC person
    • Student ATs were attending to the kid with a spleen injury…he almost died.
    • Perception is difficult when people think the students can do your job

Final Presidential Discussion remarks

KF: “I do not want to pretend to know everything.”

KD: “The most important thing is to be unified as a profession moving forward”

https://www.facebook.com/sportsmedicinebroadcast/videos/2859018704153260/

Contact Us

Jeremy Jackson

Jeremy Jackson

Cari Wood – cari.wood@redmondschools.org

Kathy Dieringer – kidier@ddsportsmed.com

Katie Flanagan – FLANAGANK@ecu.edu

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

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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.

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, Presidential Discussion, NATA President, 2020 Election, Kathy Dieringer, Katie Flanagan

Dislocation Management – 633

What is your plan for Dislocation Management?

Ray Olivo sits down with Dr. Mundluru after his Dislocation Management presentation at the Memorial Hermann Sports Medicine Update.

dislocation management; ray olivo; mudluru

Anterior Shoulder Disloaction

ALWAYS do a neurovascular assessment. Every single dislocation should experience this before reduction.

With the Shoulder there is a risk of axillary nerve entrapment

Typically if the nerves are intact distally then they are intact all the way up the nerve, therefore do your nerve tests at the distal end of the limb.

A dysvascular limb becomes a medical emergency so do a pulse check on both sides. double and triple check if there is no pulse as some are harder to palpate

Dr. Mundluru also recommends having the functional tests distal to check nerve and muscle function

  • OK sign
  • Thumbs up
  • Cross fingers
  • Scratch test

Repeat the scratch test at the deltoid and check bilaterally having the patient note any difference in sensation

A good motor assesment for dislocation management is having the patient press backwards at the elbow into the examiners hand. most other ROM tests will be limited or elicit pain.

They also discuss:

  • Brachial Plexus Crush
  • Transient symptoms after dislocation
  • Self-Reduction
  • Sports Specific RTP
  • When does it become surgical?
  • Elbow Dislocations
  • Hip Dislocations
  • Patella and Knee

Whenever possible treat young patients non-operatively.

Have stories of Dislocation Management gone well or poorly?

Send us your stories:

Dr. Mundluru

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.

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.

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.

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.

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use “THESMB” to get your discount

Ramadan Tips for ATs – 632

Intermittent fasting and Ramadan tips are important considerations Athletic Trainers need to know about and be prepared to care for.

John Ciecko joins Registered Dietitians Kyla Cross and Melanie Battaglia to give some specifics and general considerations.

John has put together this letter for his coaches and athletes

Ramadan Tips for Diet

It has been widely recommended that athletes partake in multiple meals throughout the day in order to maintain the energy necessary to participate in athletic events. Most Muslims will automatically adjust their meal frequency to two meals in a 24 hour period, the Suhoor (early breakfast) which takes place at dawn and the Iftar which takes place just after sunset. The challenge is created as student-athletes find it more difficult to eat healthier meals as each Iftar is generally composed of meals that are high in fat, sugar, and salt. It should be noted that meals at both Iftar and Suhoor generally meet the daily caloric needs for student-athletes they may lack proper nutrients that are essential for optimal performance. 

Since the daily caloric value is generally met by student-athletes it is important to pay particular attention to the macronutrients (fats, carbohydrates, and protein) consumed. It has been recommended that foods high in both fat and protein are consumed during Iftar and that foods high in carbohydrates and low in glycemic index are consumed during Suhoor in order to provide adequate fuel for the day. 

Hydration

Lack of fluid intake throughout the day can create significant risks for those who participate in physical activity during Ramadan as most athletic events take place while Muslim student-athletes are fasting. A common occurrence for student-athletes is to ingest large quantities of fluids during hours of allowed fluid intake. This practice can prove ineffective as it will induce urine loss as well as disrupt sleep. It is recommended to drink water frequently in shorter intervals with solid foods during meals to aid in digestion and water retention. Another recommendation is to drink water with a marginal amount of salt and/or electrolytes prior to dawn to improve water retention and stores. Sugary and caffeinated drinks should also be avoided as they can cause further dehydration.

Sleep

Disruption in sleep will cause daytime fatigue and poor concentration. Coupled with a new fasting cycle, student-athletes may find it difficult to maintain a level of physical performance prior to Ramadan. Student-athletes are recommended to maintain a minimum of 8 to 9 hours of sleep a night. Since meals that break the fasts can often disrupt sleep cycles, student-athletes are encouraged to partake in naps in which they can obtain between 1.5 to 2 hours of sleep in the afternoon when able to in order to negate the effect of nocturnal sleep loss. 

Considerations for Coaches and Medical Emergencies 

Coaches and staff must always be aware of and sensitive to all student-athletes needs both religious and non-religious. It is important during this time that coaches routinely collect feedback from student-athletes but not to do so in a way that draws attention to a student who is practicing a religious observation. It is also important for the student-athlete to make the coaches aware of their practice, as fasting during Ramadan without knowledge can be misconstrued as a lack of effort or performance without the knowledge of these recommendations. 

One consideration to keep in mind is the early days and weeks of a new fasting cycle, is the disruption of a student-athletes ability to self regulate their body temperature during activity without the use of fluids. Student-Athletes will have access to cooling towels during athletic events as well as small cooling tubs in the Athletic Training Room. Student-Athletes are able to rinse their mouths with water in an attempt to stave off thirst but in the event that a medical emergency is believed due to dehydration and/or increase in body temperature, it is allowed to give fluids to the student-athlete and activate the Emergency Action Plan. In any instance, regardless of religious views or practices, all student-athletes should be treated equally as to not draw attention to their needs. 

Please inform booster families that student-athletes may attend, but will not be able to participate in pasta or pizza parties that take place during the season. In addition please inform banquet planning families to consider providing a take-home option during the postseason banquets. Even though there will be plenty of food for them at home, the notice and consideration will not go unnoticed by the student-athlete and their families.

Internet dropped so we have part one and part two on FB

https://www.facebook.com/sportsmedicinebroadcast/videos/233659441117897/?comment_id=233779897772518&notif_id=1586455659727364&notif_t=video_comment

Ramadan part two

https://www.facebook.com/sportsmedicinebroadcast/videos/218545922582875/?__so__=permalink&__rv__=related_videos

Contact us

John – jciecko@bloomfield.org

Kyla Cross – kycross@umich.edu

Melanie Battaglia – melanie.battaglia@memorialhermann.org

Previous Ramadan Podcast

Ramadan and Athletic Health Care – 546

MioTech

Check them out for good prices and great customer service – use THESMB

Paradigm Shift in ACLs – 631

Paradigm Shift in ACL Rehab is eligible for BOC Category A CEUsstart here

Rehabilitation for Anterior Cruciate Ligament Reconstruction (ACLR) has for years followed the time-based approach progressing athletes to the next step based solely on how far they are out from surgery.  Research has shown that criteria based protocols, where each athlete only progresses once they reach a specific goal improves outcomes in patients, specifically athletic populations. (cited research) In this course, participants will learn and discuss different methodologies for athletic trainers to use determining rehabilitation advancement for patients returning from ACLR.

Outline

Why do we say that at 6 weeks every ACL should be able to do a partial squat and be at 90 degrees flexion?

Adrian Peterson only needed 6 months…he rehabbed 25 hours per week

  • Navarro Bowman had Failure To Thrive and was 12 months +
  • Normal rehabilitation is about 9 months but often they athlete still lacks full function at this point and they are not totally comfortable with their knee
  • Let’s look at it similar to school…you pass the test you move on…you fail the test you get held back.
  • 150,000-200,000 ACL surgeries per year.
  • How are we doing a disservice to our patients using a time-based rehab program?
  • NFL bases their timeline on RTP for week ONE readiness

What are the parameters for RTP?

Each phase should have criteria before advancing:

  • Physician approval
  • Published research
  • Biological healing

Tissue healing – know the biological clock and tissue remodeling for each surgery

  • Graft type fixation
  • Other ligaments involved
  • Meniscal repair
  • Microfracture probability
  • Published literature
  • Validates rehabilitation protocol
  • Widespread use by the paraprofessional
  • Looking at specific criteria for return to play

Watch the video inside the course or on Facebook

Contact us:

Bubba Wilson

Jeremy Jacksoninfo@sportsmedicinebroadcast.com

Check out the sponsor of the SMB

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.

Cannabis Basics with Dr. Konin – 630

As medical providers, Athletic Trainers need an understanding of Cannabis Basics to provide the best options for their patients.

We also need to know and understand the differences between HTC, Weed/ Marijuana and Cannabis / CBD

Dr. Jeff Konin is the country's leading authority on Cannabis in AT.

cannabis basics

What does Cannabis mean to us in the healthcare setting

2-5min

Cannabis is now legal in 33 states, so it’s already here and we need to educate ourselves about it

“There’s something there.”

We continue to learn more, and it is already being used medicinally for multiple afflictions

In the 70’s classifications of drugs came about, and cannabis was classified as a Schedule I drug (along with heroin and LSD)

It’s classification limited studies over the years

There’s a 3 step process through the government to study cannabis, but it takes 6-10yrs to get approved and about $50,000

Plant forms of cannabis

5-7:15min

Some portions of cannabis are non-psychogenic

Hemp can be extracted from THC and is .3% of the THC

Hemp is the largest product exporter and importer from other countries (makes paper, gasoline oil, fabrics, colognes, etc)

The 2018 Farm Bill was put out by president to allow agricultural growth of hemp (extracted from the plant) in particular

CBD and THC have made a such a difference in many people’s lives, that it “can’t possibly be just the placebo effect”

CBD vs THC

7:15-9:15min

There are different portions of the plant, when extracted

CBD comes in the form called cannabinoids, which come in 200-300 various versions and have different properties and potentially different benefits

Some of these cannabinoids are also found in other plants such as rosemary and thyme

The PLANT works with a system in your body that already exists, the  “endocannabinoid system” and has ZERO psychogenic effects

THC comes in multiple forms, and how you put them in your body determines the effects it has

THC will cause psychogenic effects

Edibles and/or lotions take longer to get into the system and have longer-lasting effects (CBD or THC)

From a medicinal aspect, people believe hybrid is the most beneficial as it causes an “entourage effect” (synergistic effect)

Some effects

9:15-11min

THC is not addictive or a gateway drug

0 deaths from THC overdose reported

In some chronic young smokers, there’s a short-term condition called Cannabinoid Hyperemesis Syndrome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576702/

Long-term adult smokers may have secondary psychosis due to use, and long-term smokers may accrue damage to lungs

With patients that we are working with, the use of THC/CBD would be more for the short-term benefits

More information about the use of Cannabis?

11-12:15 min

The advocation of these products to minors should not be done because of the lack of research, although there are specific laws for minors and medicinal use

Literature suggests these products should be used for people 25 yrs or older so that the brain is fully developed

Laws are being driven by consumers who are electing pro-cannabis officials

Laws are changing rapidly in favor of cannabis use (decriminalization)

How do we know which CBD products are legitimate?

12:15-14 min

CBD products are similar to supplements as they are not federally regulated

There have been studies that prove some products on the market are 100% illegitimate

It’s legal for companies to say products are “90% proprietary” meaning we only know 10% of what’s actually in the products

Everything on the market could be a hybrid, so there’s no guarantee that a CBD product does not contain THC

Hybrids in the sport world may be problematic, and as a medical professional our recommendations should be conservative

What are some of the uses of Cannabis?

14-15:10 min

There are legal drugs on the market approved by the federal government 

There are medications for epileptic seizures and for cancer patients to help reduce nausea and vomiting due to chemotherapy

There’s ongoing research on use for post-concussive patients, patients with diabetes, MS, ALS, etc.

Informally (subjective feedback) Cannabis reduces inflammation, localized pain, and anxiety

The challenge for athletes and where to go for information on Cannabis

15:10-19 min

Athletes and medical staff need to be aware of laws nationally and internationally

33 states in the US have approved cannabis use, but all the laws vary (possession in person, travel, etc.)

There’s a need for a resource athletes and all sport related personnel can go to for information on cannabis

When you Google search “Cannabis” you need to be able to decipher whether or not the site you are on has a 3rd party objective or a hidden agenda

Government sites may have limited information because it’s still an illegal drug

Laws and regulations are changing daily so you should find a resource with active information

Secondary school message to students? 19:10-21min

Cannabis is a plant but is a serious substance especially in a developing brain

Use of cannabis can cause a loss in the ability to calculate, learn and understand new languages in developing brains, it can also affect emotions

From the CBD aspect, it’s “GNC Round 2” you just don’t know what’s actually in the product

Speak with a physician prior to use (preferably an open-minded physician), and/or have the product compounded (information from a pharmacy)

Summary

As an Athletic Trainer, we need to be able to educate our athletes, parents, and coaches by researching cannabis to the best of our ability

Where else have I seen Dr. Konin?

Publish a Book with Dr. Mark Knoblauch

AT consulting with Micki Cuppett

Facebook Stream

https://www.facebook.com/sportsmedicinebroadcast/videos/355823501768680/

Contact Us

Jeremy Jackson

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.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.

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.

International Clinical Coordinators – 629

Did you know the BOC is working with Clinical Coordinators internationally?

The World Federation of Athletic Training and Therapy or WFATT coordinated this podcast so we can what AT education looked like before COVID19 and how these clinical coordinators are making the transition.

Left to right: Valerie Pelleck, Jeremy Jackson, Luzita Vela, Adam Naylor. Aoife Burke

Who are the International Clinical Coordinators?

Luzita Vela, Ph.D., AT – University of Virginia

Aoife Burke, Ph.D., AT – Dublin City University

Valerie Pelleck – University of Winnipeg

Adam Naylor University of Bolton

What does AT Education normally look like?

At Dublin City University they normally run an injury and rehab clinic for athletes and students. The AT students participate in the clinic as part of their rotations as well as sports team affiliation.

Bolton University in England looks similar to the program run by Aoife Burke in Ireland. They have a clinic for students and athletes and sports rotations.
They use the term Sport Rehabilitation instead of Athletic Trainer.

Valerie Pelleck feels the majority of her programs students were done with their practical portions and have been able to transition to online easy enough. In Canada they go by Athletic Therapist instead of Athletic Trainer.

Luzita Vela at UVA us the clinical coordinator for what most Americans know as a 2-year master's degree.

What are the benefits to transitioning to online learning?

Adam Naylor thinks we have to re-assess efficiency.

the switch has likely helped students focus on their knowledge and understanding as well as the utilization of literature.

We can be more directive in the online learning process

In Ireland, Aoife Burke feels it has increased the availability of health care as their system is not as robust or developed.

Some of the other issued discussed:

How are students being encouraged and enabled to be hands-on?

What have been the chief concerns expressed by your students?

Discuss options are your programs considering to make up for lost contact-hours?

What is your national organization doing to accommodate for certification exams given the anticipated delay in graduation?

How is your institution managing to assess practical competencies if face to face opportunities are no longer available?

Watch the video on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/651998662251624/

Contact us

Luzita Velta, Ph.D., AT – University of Virginia

Aoife Burke, Ph.D., AT – Dublin City University

Valerie Pelleck – University of Winnipeg

Adam Naylor University of Bolton

Jeremy JacksonEMAIL ME

Show me the money

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.

International Clinical Coordinator; clinical coordinators