Tag Archives: Trinity University

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.

Upper extremity Neuro Eval – Jason Mogonye

Upper extremity neurological evaluation with Dr. Jason MogonyeLive from Trinity Sports Medicine Symposium 2020

Posted by Sports Medicine Broadcast on Friday, 10 January 2020
Spinal Deformities with Shawn Scott

Live from Trinity Sports Medicine Symposium 2020

Posted by Sports Medicine Broadcast on Friday, 10 January 2020

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

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.

Upper extremity Neuro Evals

Patient Based Care – 565

Jeremy Blanchard, MD asks the question: “Are we really providing Patient Based Care?”

In one of the better sessions in a long time, Dr. Jeremy Blanchard demonstrates what it really looks like, sounds like and feels like to provide patient based care.

What is it?

According to Oneview:
The IOM (Institute of Medicine) defines patientcentered care as: “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions

Patient Based Care, jeremy blanchard, aafl, Dr. Jeremy Blanchard, Trinity University, Trinity University 2019
image from Oneview

What is interrupting you?

Research has shown that if you answer a phone notification it will take you about 67 seconds to fully re-engage.

Dr. Blanchard asked us turn our phones to silent and put them away so that we were fully present in the conversation.

What can I do to start now?

At the beginning of this podcast Dr. Blanchard asks us to take a deep breath, hold it and slowly release.

He explains this allows you to step away from what was happening before and step into the current situation “fresh”

This helps clear your mind and prepare you to listen.

DON'T INTERRUPT

11 seconds

Dr. Blanchard stated doctors generally gives you less than 15 seconds to state your reason for visiting before.

Multiple sources back this up but here is an article from Forbes

Contact us:

Jeremy Jackson

Dr. Jeremy Blanchard

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.

Blood Flow Restriction FACTS – 556

Ben Weatherford DPT is the Clinical Education Coordinator for Owens Recovery Science. In the lecture at Trinity University about Blood Flow Restriction FACTS he covers a lot of ground.

This presentation may be best viewed on Facebook live as you will be bale to see the slides as he is discussing them.

Blood Flow Restriction EBP

Ben Weatherford discusses how and why to use BFR.

Posted by Sports Medicine Broadcast on Thursday, January 10, 2019

What is BFR?

According to the course objectives on ORS website:


Personalized Blood Flow Restriction Rehabilitation (PBFR) is a paradigm shifting intervention for the rehabilitation professional with over 160 peer-reviewed articles in the scientific literature. By applying a tourniquet briefly and intermittently to an exercising limb you can induce significant and substantial strength, hypertrophy and endurance changes while using a very light load.

https://www.owensrecoveryscience.com/certification/

So what does it really feel like?

Not bad at all…at first

ORS, Blood Flow Restriction Facts, Ben Wetherford, Trinity University 2019

Then I agreed to do the Push-up Challenge like a BOSS

BFR, ORS, Blood Flow Restriction, Trinity University
30, 15,15,15 – 75 total push-ups

And this is about where i admitted defeat and moved to the modified version

BFR, ORS, Blood Flow Restriction, Trinity University

And later I could barely hold my arms up for the next sessions…

If I could afford the machine and training I would have these at my school.

Contact us:

Jeremy Jackson

Shawn ReadyTwitter; Instagram

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

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.