Sports Science and Medicine Converge

Dr. Paul Saenz shares how the San Antonio Spurs have used Sports Science to help their Sports Medicine.

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio SportsMedicineBroadcast.com/CEU

Sports Science, Sports Medicine, dr. Paul Saenz

The Spurs have always been on a leading edge of performance have looked at best practices around the globe.

The sports medicine team consists of at least 10 positions with multiples at several of these positions.

ATs serve as the backbone and primary interface between the players and the medical team.

WHY monitor?

  • Direct Feedback
  • Injury prevention
  • Performance enhancements
  • Rehabilitation baselines

Key facets of Athletic Performance

Strength

Aerobic Capacity

Nutrition

Recovery – has replaced the word “rest” – its intentional

Psychological Wellness – they fill out these surveys onn a daily basis

What to Monitor with Sports Science

Games and Training – volumes and intensity

Player Strength and conditioning

Fatigue / Recovery

Player Availability ( injury incidence and prevalence)

Types of Loads

External – the physical load they have endured

  • Road cyclist – mean power output for given duration – 400 watts for 30 minutes

Internal – how have they responded physiologically

  • HR, RPE, Blood lactate, cortisol, testosterone, inflammatory biomarkers

External Load Monitoring

Time Motion analysis – GPS and digital video movement analysis

Accelerometer Data – 

  • Catapult system – GPS wearable system that monitors elapsed exercise time.

Neuromuscular function

The huge collection of data requires the skill to extrapolate and draw conclusions.

Internal Load Monitoring

RPE – Relative Perceived Exertion

Heart Rate Response

Biochemical

Weight

Adductor Squeeze

Dorsi-flexion lunge

Isometric lunge

RPE Scale

Self-determined assessment of exercise intensity

Correlates well with heart rate

Blood draws can be done during this time.

Cardio Recovery

Heart Rate Recovery – how quickly your heart rate returns to normal

Markers of fatigue vs fitness

Yo-Yo Intermittent Recovery Test

Salivary Biomarkers

testosterone /Cortisol markers of stress and recovery

Anabolic vs Catabolic state

Adductor Squeeze

Done with a blood pressure cuff

Very well documented with European teams

Recovery Methods

Light cardio

Massage

Cryotherapy –  whole body cryotherapy

– reduces edema and positive effects on the autonomic system

Pulsed compression –  NormaTec type

  • Convenient for air travel or post-game

Aquatic Therapy – 

AlterG

NordBoard

Measures ongoing hamstring health over the course of the season

Which Sports Science Tests to Choose?

Most relevant to your use

Practical implementation

Most reliable

Produce actionable intel

Key points to make it effective

Make sure your athletes understand

Make sure your coaches understand

Be consistent in implementation

Consider the data but make clinical decisions

What about electronic recovery units like Compex, MarcPro or Firefly

These are great options

Do not forget cold tubs or 

SLEEP

Stationary bikes

Group session in a pool

How do we apply the Sports Science data in our high schools?

Focus more on periodization of training.

COVID19 emphasizes the need for that.

The Yo-Yo test is simple and easily performed

Talking to your athletes individually

https://www.facebook.com/sportsmedicinebroadcast/videos/1123009438093307/

Contact Us:

Jeremy Jackson

Dr. Paul Saenzget a hold of Shawn Ready

Shawn Ready – @ShawnReady_ATC

Financial supporters that make the podcast possible.

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Sports Science

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio SportsMedicineBroadcast.com/CEU

Upper Extremity Neuro Evals – 637

Dr. Jason Magonye and Dr. Shawn Scott put together and 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

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

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.

Upper extremity Neuro Evals

International Athletic Training – 446

Mark Gibson is currently the head of the International Committee and is looking at ways to expand the reach of Athletic Training outside of the US borders.  There are lots of opportunities for ATs to volunteer, intern or work out side the US right now.  Mark first joined the Sports Medicine Broadcast while on site at NATA Houston and is coming back to tell us even more.

Stephanie Ascherl leads FundForTeachers.org in Houston.  Previously appearing on a podcast where we discussed grant opportunities Stephanie's organization specializes in sending teachers on summer enrichment opportunities.  If you are an AT working for a qualifying school district then read up and see if one of the International Committee opportunities can be funded by FundForTeachers.org.

International Committee

FundForTeachers.org

Contact Mark Gibson

Contact Stephanie Ascherl

Show Notes

YouTube

 

While your on those long international flights you could be using the Medbridge App to earn some of your CEUs.  Register using my code “TheSMB” to save money, support the podcast, and be entered to win a second year free.