Tag Archives: Layci Harrison

Athletic Shoulder – Stephen Simonich – 619

What does the Athletic Sholder look like in 2019?

Dr. Stephen Simonich, MD joins us today to talk about the athletic shoulder from the Memorial Hermann Sports Medicine Update.

Dealing with Challenging Parents

Ever wondered how to explain the rotator cuff as a secondary stabilizer in the GH joint to either your athlete or their family?  Dr. Simonich has the perfect analogy.

He tells his patients that it is like if I were to take a big exercise ball in my right arm and pull it into my chest.  My chest would be the socket, the exercise ball my humeral head, my arm would be the rotator cuff and my hand the tendons of the cuff.  That demonstration can help show how difficult it is for the rotator cuff to stabilize the joint.

What are the two types of shoulder dislocations, where do you see them and how should we treat them?

TUBS (Traumatic Unilateral Bankart Surgical) and AMBRI (atraumatic multidirectional bilateral rehab rarely inferior capsular shift) are the two types of dislocations.

You will see TUBS is most often in contact or collision sports like football or rugby.  AMBRI is seen often in swimmers especially at the end of a long season.  

Post a TUBS dislocation and relocation Dr. Simonich likes to use the apprehension test as an indicator of further treatment.  He also uses athlete age (young athletes have a high rate of recurrence) individual goals, sport played and level of participation as indicators for surgery.  Surgery reduces the high rate of recurrence in young athletes.

What are the types of AC joint separation and how do you treat them?

AC joint separations are relatively easy to see and cause biplanar instability.  There are 5 types with Type I and II requiring conservative treatment, Type III going either way but trending non-operatively and Type IV V VI requiring reconstruction with a joint tie-down.

Clavicle fracture treatments have changed throughout the years due to research.  What does the current research say?

Prior to 06’-07’ most clavicle fractures were treated non operatively.  Research was introduced in two studies in those years that saw a better union rate with fixation in the clavicle post-fracture and surgeons began to surgically treat and fixate. 

In 2017 a new study showed that while the rate of union is still higher in clavicle fractures with fixation, fixation doesn’t improve shoulder function nor does it decrease limitations in the shoulder.  Dr. Simonich will put a plate to fixate the clavicle on an athlete with shortening, displacement, or comminution because they get faster healing rates, are more predictable and can get them back to their sports.

Watch the Athletic Shoulder 2019 presentation on Facebook

The Athletic Shoulder – Stephen Simonich, MD

The Athletic Shoulder – Stephen Simonich, MD

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact Us

Stephen Simonich(713) 486-9800

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

Sponsors

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

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.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy; Athletic SHoulder

Previous episodes discussing the Athletic Shoulder:

The Athletic Shoulder: What You Need To Know – 394

Shoulder Rehab Tips – 494

Shoulder Anatomy – 489

Reducing Injury Risk – 588

Dr. Layci Harrison has a specialty in Movement Screens and their role in Reducing Injury Risk.

What is FMS training?

A Tool for identifying the potential for injury due to limitations in specific movements. It was developed by Gray Cook

Getting certified is a good idea and can really help you take advantage of the tests and results but it is not mandatory o use the tests to help identify potential issues.

What is the key to Reducing Injury Risk with FMS?

Protect before you correct

What tests does it involve?

  1. Deep Squat
  2. Hurdle Step
    • Tight Hip flexor may cause limitations in testing
  3. In-Line Lunge
  4. Active Straight leg raise
  5. Rotary Stability- probably the hardest one
  6. Shoulder Mobility- Hard to access
  7. Trunk Push up

Scoring the movement screens

0-pain in any movement
1- no pain but unable to do the movement
2- Complete movement but show some compensation
3- Complete movement no pain or compensation
A score of 14 or less equals a more likelihood of injury.
21 is a perfect FMS score

Dr. Harrison's Tips:

Use the score sheet from FMS, easy to find on Google.

It can help screen and individualize training.

Tai Chi or yoga may also help balance

  • Balance testing can be accomplished using BESS and YBT
    • BESS- Static balance
    • YBT- dynamic balance

A large part of reducing Injury Risk is knowing what to do with the data once we have it…but more on that another time.

Thanks for hanging out with us live in Katy, Texas at the Memorial Hermann Sports Medicine Update

Shout Out to Patrick Ohaver for typing up the show notes

Layci Harrison, Reducing Injury Risk; preventicx

Want to watch the presentation?

Functional Movement Screenings: Strategies to Reduce Injury Risk – Laci Harrison, PhD, LAT, ATC

Functional Movement Screenings: Strategies to Reduce Injury Risk – Laci Harrison, PhD, LAT, ATC

Posted by Sports Medicine Broadcast on Monday, June 10, 2019

More about Dr. Layci Harrison

My research interests include functional movement and how movement is related to balance ability. Specifically, I am interested in ways to improve functional movement and the effects of improved functional movement scores on injury risk.

I am also studying how the effects of balance training can be crossed from the trained limb to the contralateral limb following lower-body injuries as a way to expedite the injury rehabilitation process

Dr. Harrison was also on the Sports Medicine Broadcast…

Preventicx with Kevin Robel – 569

Call to Action:

Order some HOIST and save using “TheSMB” as your promo code

Contact us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

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

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.

Hoist logo; rapid hydration; Reducing Injury Risk

Preventative Data from Preventicx – 569

Kevin Robel joins Dr. Layci Harrison to discuss Preventative Data Analysis.

Kevin Robel; Layci J Harrison; Preventicx; Preventative Data

Have you been in this situation?

You started collecting data on injuries, doctors visits, attendance, and all of these other random things…

Every time some one on Facebook posts about showing your value you get excited…

That turns to frustration due to the inability to do something with the data.

Preventicx – Kevin Robel

Preventative Data Analysis.What is your injury prevention worth/Kevin Robel helps us understand how and when to use and collect data to help prevent injuries

Posted by Sports Medicine Broadcast on Tuesday, March 26, 2019

I hate data analysis

It doesn't matter if it is preventative data analysis…

Injury data…

or anything set of numbers that you have to look at and draw conclusions from.

Kevin Robel discusses how we as Athletic Trainers often do not collect data because we are so busy.

What is Preventicx?

A data analysis consultant that helps you move all of your data into a centralized cloud based storage location.

Kevin can help you visualize your data in a way that is easy for the average person to understand.

The future is being given to data analyst

Have you read Moneyball or or Astroball?

The managers of those teams made huge decisions based on data analytics.

Ask any administrator about getting a new person and they will ask you for your data to support the need and the value it would provide to the program.

New administrative jobs are being given to people who can collect, interpret and produce visuals based on data

Want some more info about Preventicx?

Check out the handout Kevin sent me

Contact us:

Jeremy Jackson

Kevin Robel – kevin@preventicx.com

Dr. Layci Harrison – Email

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

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.

Overdose; ATsCare; Suicide