2019 Big Sky Athletic Training Sports Medicine Conference
Please note, the posted programming is subject to change as working titles of presentations are refined and speakers are identified.
Sunday, February 3rd, 2019 MLB Session, Madison Room:
This Sunday session is organized and provided for by the BSATSMC Planning Committee, with Rick Griffin AT of the Seattle Mariners as lead member. It is hoped the AM session will be well received on Super Bowl Sunday with less haste to return from the day’s activities.
7:00 am Opening remarks: Jeffrey S Monroe, Executive Director, Moderated by Rick Griffin AT, Seattle Mariners Baseball Organization
7:05 am “Blood Flow Restriction Therapy in Professional Baseball” Jeremiah Randall AT PT, Houston Astros Baseball Organization, Houston, Texas
- Understand the importance of using personalized pressure when using any type of Blood Flow Restriction Training Device
- Understand the clinical applications of Blood Flow Restriction Training in the early stages of the post surgical process
7:30 am “Tommy John Surgery vs Repair and Internal Brace Approach in Throwing Athletes” David Lintner MD, Head Team Orthopedic Physician, Houston Astros Baseball Club and Houston Texans, Chief of Sports Medicine & Fellowship Director, Houston Methodist Hospital
- Increase understanding of indications for this new surgical approach
- Increase understanding of rehabilitation techniques after each surgery
8:00 am “Hip Injuries in Professional Baseball, Why Now?” Larry Starr Ed.D, LAT, President Starr Athletic Solutions, Former Head Athletic Trainer, Cincinnati Reds
- Discuss occurrence of hip injuries in professional baseball.
- Discuss possible causes and treatment.
8:30 am “Thoracic Outlet syndrome in the Throwing Athletes” Angela Cavanna DO, Consulting Physician for the Seattle Mariners
- Be able to describe the anatomy of the thoracic outlet and define the types of thoracic outlet syndromes.
- Recognize the clinical presentation of thoracic outlet in the throwing athlete.
- Diagnose thoracic outlet syndrome and describe the treatment options available for athletes with thoracic outlet.
9:00 am “Recovery From Concussion: What Makes Baseball Different?” Anthony Alessi MD, Medical Director University of Connecticut NeuroSport
- Understand the complexities of concussive brain injuries
- Identify obstacles to complete recovery for baseball players who have suffered concussions
9:30 am “Leadership in Sports Medicine Programs” Doug McKeag MD, Former Team Physician, Michigan State University, Former Chair of Family Practice at the University of Indiana
- What happens when the ‘system’ falters?
- Why does it happen?
- What are the warning signs?
- What is the best way to proactively prevent this?
10:00 am “Rehabilitation of the Athlete with Tendinopathy – What Has Research Taught Us” Andrew Pipkin PT, DPT, SCS, Minor League Medical Coordinator, Cleveland Indians
- To discuss the development of the latest evidence in the evaluation and rehabilitation of athletes with tendinopathy.
- To recognize the most current evidence in a clinical case scenario for a professional overhead throwing athlete.
4:00 pm Super Bowl Party, Hosted by DJO Orthopedics, Jefferson Room, Families and Friends Invited
Monday, February 4th, 2019 AM Scientific Presentations
7:00 am Opening remarks: Jeffrey S Monroe, Executive Director
7:05 am “Case Study – Hydrotherapy Protocol for Post-Operative Shoulder” Wesley Moss AT, University of Arizona
- Develop a further understanding of the benefits of hydrotherapy for upper extremity rehab.
- Spark a creative platform for inclusion of hydrotherapy as a modality for shoulder rehab and recovery.
7:30 am ” The Medical Neuro-technology That is Pioneering the Assessment of Brain Injury, Including Concussions” Louis Edward Kovacs, M.D., CAQSM Medical Director and Team Physician for Towson University Athletics and Notre Dame of Maryland University Athletics. Manu Mehdiratta MD, Neurologist and Stroke Specialist at Trillium Health Partners and is on Faculty in the Division of Neurology, University of Toronto
- Understanding the risk of head trauma in sports from a brain bleed to a concussion.
- Discuss the ability to objectively assess the full spectrum of brain injury.
7:55 am “New Technologies in Infection Control” Craig Harkey, National Clinical Director, Avadim Health Inc.
- New Innovative Low pH and Biofilm reduction Technology for Skin Hygiene Management
- New Innovative Low pH and oxygenation topical for soft tissue injury and enhanced performance
8:20 am “Advances in Cryo-Thermal Therapy Application” Scott Howerton AT, Kelvi Technology
- Define cryotherapy, thermal therapy and contrast therapy and identify current limitations in technology
- Describe KelviTec technology, Kelvi competitive advantages and discuss its practical applications
8:45 am “Insight into Technological Advancements in Head Protection” Matt Shimshock, Riddell
- Introduce a data-driven approach to coaching and understand the emerging role of smart football helmets in athlete protection.
- Highlight the state of the art 3D scanning techniques used to build a completely custom-fitting helmet, and the impact it has on the game today.
9:10 am Exhibit Hall Break
9:35 am “An objective approach to concussion assessment and management” Dr. Kelly Ryder is a member of the American Academy of Neurology, International Hyperbaric Association, Medical Academy of Pediatric Special Needs, American Chiropractic Association sports council, American Chiropractic Board of Sports Physicians
- To allow the participants to fully understand how we really need to be assessing the patients.
- How to measure the outcomes of therapy and treatment.
10:00 am “EyeStat Correlation of the Human Blink Reflex to Neurological Function” Doug M. Carnes, CEO of BlinkTbi
- Discuss how to use and position the emerging role of objective tools and technologies in the concussion diagnosis paradigm. Objective
- Explain how the objective assessment of the human blink reflex can support the subjective diagnosis of concussion and return-to-play decision.
10:25 am “Acoustic and Shock Wave Therapy Technology” Gerhard Kinas, Advanced Muscular Technology
- Provide an overview of what acoustic pressure wave therapy is and the common indications that benefit from this type of therapy.
- Briefly discuss some of the research and sports medicine applications of acoustic pressure wave therapy.
- Provide a brief demonstration of how to apply the therapy.
10:50 am Morning session complete
Workshop Presentation, Monday, February 4th, 2019,
12:00 – 1:30 pm “Effects of Early Movement on Ankle Injuries and Patient Outcomes” Alan Reid, MS ATC LAT and Ben Timson, PhD, ATC, LAT of Fort Worth, Texas
Abstract: Traditional treatment for acute ankle injuries has lately come into question clinically and academically. Early mobilization techniques have been shown to improve motion, patient outcomes while decreasing pain in the literature. This presentation will provide evidence and opportunities to practice manual skills for the treatment of ankle injuries.
- Develop awareness of current research in acute ankle treatment
- Recognize the benefits of early mobilization in the treatment of acute ankle injuries
- Be able to demonstrate mobilization techniques both manual therapy and self-mobilization techniques.
Monday, February 4th, 2019 PM Scientific Presentations
3:30 pm “Integrating the Kinetic Chain – Bridging the gap between segmental function and athletic performance” Seth Foreman MEd, CSCS, HC, Kayezen Vector Sports
- Describe Increasing muscle/fascia thresholds for work capacity, ROM and Strength
- Recognize the potentiating speed and return to play
3:55 pm “Photobiomodulation: Can Light Replace Opioid Therapy for Pain Relief?” John Bruno AT, Multi-Radiance
- Understand Mechanism of action that light exerts on peripheral nerves.
- Understand dose and wavelength selection to optimally manage pain.
4:20 pm “State of Play: Accurately measured on-field head impacts confirms fewer and lower magnitude hits in football than previously reported” Adam Bartsch PhD PE, Chief Science Officer, Prevent Biometrics
- Quantifiable comparison of accurate on field head impacts measured in football vs. published literature
- The ability of objective head impact data to help coaches instruct safer playing techniques
- Using head impact data to understand the true head impact exposure across populations of athletes
- Whether real-time head impact data are useful to the front line caregiver?
4:45 pm Exhibit Break
5:00 pm “Hands on Approach to Vestibular Therapy for Athletes” Shelly Massingale MPT, Senior Director for Banner Concussion Services
- Describe 4 evidence-based vestibular therapy evaluation tools to assess balance, static vision, dynamic vision and visual motion sensitivity.
- Participants will be able to instruct basic treatment protocols that can be administered in the athletic training room
5:30 pm “Sports Related Fatalities: A Forensic Pathology Perspective” Theodore T Brown MD, Professor of Pathology and Deputy Medical Examiner at the Homer Stryker MD School of Medicine at Western Michigan University, Kalamazoo, MI
- Describe “classic” postmortem examination findings in selected sports-related fatalities
- Describe the physical examination findings and warning signs and symptoms that may present prior to selected sports-related fatalities
6:00 pm Sponsors Reception, Exhibit Hall, attendees are encouraged to attend.
Tuesday, February 5th, 2019, AM Sessions, Concussion Day
7:00 am Opening remarks, Jeffrey Kutcher MD, Director, The Sports Neurology Clinic, Brighton, MI
7:05 am “The Science Behind CDC’s New Pediatric mTBI Guidelines” Chris Giza MD, Professor of Pediatric Neurology and Neurosurgery, Director, UCLA Steve Tisch BrainSPORT Program
- To understand the biology and clinical translation for pediatric mTBI
- To implement evidence-based pediatric mTBI guidelines into everyday clinical practice
7:25 am “How Does Sex Affect the Brain in Injury and Health?” Meeryo Choe MD, Professor in the Division of Child Neurology in the UCLA Mattel Children’s Hospital
- To understand whether sex and gender are determinants of concussion incidence
- To understand whether there are differences in outcome after concussion attributable to sex and/or gender
7:50 am “Is it all in Your Head? Assessment and Management of Prolonged Recovery After a Concussion” Doug Polster PhD, Faculty, Neuropsychology at the UCLA Steve Tisch BrainSPORT Program
- To identify risk factors during the acute phase of injury recovery
- To understand the overlap of prolonged concussion symptoms and psychosocial stress
8:15 am Exhibits
8:30 am “All in the Family…History: The Role of Genetics in Managing Athlete Brain Health” Stephanie Alessi, MD, The Sports Neurology Clinic
- Describe the role genotype plays in concussion presentation
- Understand the complex nature of genetic determinants of brain health
- Develop a strategy for estimating long-term brain health risk from chronic exposure to contact sports
8:55 am “Providing the Best Possible Neurological Care with Limited Resources” Cara Baxter, DPT, The Sports Neurology Clinic
- By the end of this talk, the audience should recognize current gaps with the treatment of athlete brain health and verbalize strategies to improve athletic neurological care
- By the end of this talk, the audience should understand the benefits telehealth can bring to multidisciplinary care of complex brain health cases and comprehend appropriate implementation of telehealth into AT care
9:20 am “A New Clinical Profiles Screening Tool (CP-Screen) for Assessing Concussion” Anthony Kontos, PhD- Research Director UPMC Sports Medicine Concussion Program- University of Pittsburgh
- Analyze evidence for a new clinical profiles screening inventory (CP-Screen) in healthy and concussed athletes
- Compare scores on the new CP-Screen to other clinical outcomes following concussion
9:45 am “Preliminary Evidence for the VOMS as a Sideline Tool following Concussion” R.J. Elbin, PhD- Director, Office of Sport Concussion Research- University of Arkansas
- Synthesize the current research on the VOMS and other sideline assessments for concussion
- Evaluate the utility of VOMS for the sideline assessment of concussion
10:10 am “The National Athletic Trainers’ Association Position Statement on Head-First Contact in Football” Erik Swartz PhD ATC Chair and Professor, Department of Physical Therapy and Kinesiology, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell
- Attendees will be able to summarize evidence based recommendations for the health care provider, coach, player, parent, and broader community for reducing the prevalence of head-first contact in American football, with the aim of reducing the risk of head and neck injury.
- Attendees will be able to develop strategies that can be employed for fostering a community-based approach for reduction of head-first contact behaviors.
10:35 am End of Morning Session
Tuesday, February 5th, 2019, PM Sessions, Concussion Day
4:00 pm “Individualized Concussion Care: Moving Beyond Concussion Consensus and Protocol”- Michael “Micky” Collins, PhD- Executive and Clinical Director University of Pittsburg Medical Center, Sports Medicine Concussion Program
- Critically analyze current consensus/standard of care approaches to concussion care.
- Contrast evidence and parameters of current approaches to concussion care with evolving clinical profiles approaches.
4:25 pm “Psychiatric Disorders and Concussion: A Primer for Athletic Trainers” Jamie Pardini PhD, Clinical Neuropsychologist, Banner University Medical Center
- Distinguish between transient psychological symptoms and psychiatric disorders
- Discuss basic characteristics of and risk factors for mental health disorders that may be seen in adolescent athletes who have experienced sport-related concussion
- Describe the impact of mood symptoms on other aspects of life including daily function, cognition, and academics
- Explore the relation between mood and injury recovery
- Understand common treatments that athletes may be referred for when they have a mental health disorder
4:50 pm Exhibit Hall Break
5:05 pm Poster Recognitions
5:30 pm “Pharmacologic Approaches to Concussion and Post-Concussion Syndrome Symptom Management“ Tad Seifert, MD, Norton Healthcare
- List common concussion symptoms that are treated with medicines
- Understand the best timing for using medications in concussion management
- Provide evidence for the use of specific supplements in concussion, post-concussion syndrome, and headache management
- Describe strategies for pharmacologic intervention in post-concussion syndrome
5:55pm “Panel Discussion: Managing Athlete Brain Health from the Patient Perspective” Jeffrey Kutcher, MD- Global Director, The Sports Neurology Clinic
- Discuss the differing perspectives between patient-focused and team-focused health care practices
- Identify gaps in the currently accepted consensus approach to concussion care
- Understand the importance of thinking beyond concussion
6:30 pm Conclusion of Tuesday programming
8:30 pm Black Jack Tournament, Sponsored by OxyHealth in Jefferson Room
Wednesday, February 6th, 2019, AM Session, Ortho Day
7:00 Opening remarks, Geoffrey Baer MD, University of Wisconsin Team Physician
7:05 am “Posterior Shoulder Instability Pathology in the Athlete” Grant Jones MD, The Ohio State University
- List the types of athletes who sustain posterior shoulder instability problems and describe common mechanisms of injury.
- Describe the evaluation and treatment of posterior shoulder instability.
7:30 am “Anterior/Inferior Shoulder Instability in the Athlete – Where are we in 2018” Stephen Brockmeier MD, University of Virginia
- To review the etiology, evaluation, management, and return to competition strategies in the treatment of shoulder instability in the athlete with a focus on the at-risk contact athlete.
- To discuss areas of research and emerging treatment options and guidelines for shoulder instability in the athlete.
7:55 am “Groin Pain is more than Femoroacetabular Impingement (FAI)” Dave Bernhardt MD, University of Wisconsin Team Physician
- Understand broad differential diagnosis in the athlete presenting with groin pain
- Acknowledge controversies related to treatment for the athlete with a core muscle injury
8:20 am “Isokinetic Testing and Training” Rob Potash, CSMi
- Describe mechanical considerations of Isokinetic testing devices
- Recognize the difference between Isokinetic training and Isometric and Isotonic training
8:45 am “Implementing Clinical Outcomes Assessments in Collegiate Athletics” Michael Moll MS AT, Head Athletic Trainer, University of Wisconsin Athletics
- Discuss and compare models of patient clinical outcomes assessment and the role of patient outcomes in determining effective athletic training treatments and prevention programs as part of an evidence based athletic training practice.
- Discuss practical applications of outcomes assessments and how they can be implemented into a collegiate athletic training setting.
9:10 am “Finger tip to Elbow – Surgery, Bracing and Return to Play in the Elite Athlete” John Tueting MD, Rush Orthopedics and Michael Moll ATC, Head Athletic Trainer, University of Wisconsin
- Discuss surgical treatment of hand and wrist injuries with consideration for return to sport.
- Discuss appropriate orthosis and splinting of surgical hand and wrist injuries for return to sport.
9:35 am “ACL Rehabilitation – Taking the Athlete to the Next Level” Amanda Pipkin, PT, DPT, SCS – Mayo Clinic Sports Medicine Arizona
- Highlight the changing ideas and research in ACL rehabilitation
- Understand return to sports testing, how do we know an athlete is ready to return?
10:00 am “Integrating Neuro Mechanical Measures into Concussion and Orthopedic Rehab” Randy Cohen PT AT, University of Arizona
- Demonstrate how vision, cognition, reaction time and movement must be integrated in rehabilitation
- Recognize ways to measure and determine deficits after injury and concussion
- Develop ways to incorporate cognition into function rehabilitation
10:30 am End of morning session
12:00 pm – 3:00 pm Workshop Presentation:
“Evidence for IV fluid administration and/or need for IV access of patients by athletic trainers in clinical setting”
Eric J. Fuchs, DA, ATC, AEMT, Chair Department of Exercise and Sport Science, Eastern Kentucky University
Abstract Description of Presentation:
This presentation will present the Evidence for IV fluid administration and/or need for IV access of patients by athletic trainers in clinical setting. The presentation will review current evidence in the literature supporting initiation of IV fluid or access by athletic trainers. The presentation will discuss implementation of IV access in clinical setting including review of state practice act, development of protocols and proper handling of IV medications in the AT facility.
A review of equipment, supplies and types of IV fluids needed for initiation of IV access or fluid administration will be presented. The IV skills Lab, will provide hands on experience in establishing IV access using simulation arms for providers to become proficient at intravenous access. In the lab participants will also learn how to properly identify and select a vein for IV access. Participants will also be taught and provided opportunity for preparing an IV Bag and line for fluid administration or “Spiking a Bag” to learn how to set-up the IV fluid prior to administration.
This presentation is designed to teach the new CAATE 2020 Standard skills regarding IV fluid administration and IV Access are currently being taught in some CAATE Programs and will be taught as part of AT education in all programs starting in 2020. This provides and opportunity for AT’s up-skill there current clinical practice to the new standards.
- Athletic Trainer’s will be able to identify injuries or illness which current evidence supports initiation of IV Fluids in Position Statements for AT.
- Athletic Trainers’ will be able to identify common medical and traumatic injuries that the establishment of IV Access or IV Fluid Administration would improve patient morbidity or mortality rate
- Athletic Trainers’ will be able to identify the required supplies & Equipment needed to start an IV on patients to be able to assist Physicians and other HCP in setting up IV Fluid bag for administration.
- Athletic Trainers will be able to identify the required supplies & Equipment needed to be set-up for IV Access via a saline lock to assist physicians and other HCP in establishing IV access.
- Athletic Trainer’s will be able to identify and understand the impact of state practice acts upon ability for AT’s to provide IV access on patients
Wednesday, February 6th, PM Session, Ortho Day
4:00 pm “Emerging Trends in Sports Medicine … Do You Employ Best Practices?” Rod Walters PhD, Rod Walters Consulting, Columbia, SC.
- Describe the parameters for you setting
- Chart the implementation of best practices specific to your institution
4:25 pm “Clavicle Fractures in the Athlete – When to Fix, Watch and Play” Chike Akoh MD, Sports Medicine Fellow, University of Wisconsin
- To assess the epidemiology and clinical evaluation of athletes with clavicle pain
- To discuss the management and outcomes after clavicle fracture fixation in athletes
4:50 pm “Hip Arthroscopy – What is New and Improved” Brian Walczak DO, University of Wisconsin
- Discuss functional biometrics measures related to hip impingement in the athlete.
- Introduce an algorithm for progressive testing in the athlete undergoing hip arthroscopy.
5:15 pm “Lower Extremity injury in the post-concussed athlete” Alison Brooks, MD, University of Wisconsin
- Describe the evidence that ongoing impairments increase risk of injury after RTP from concussion
- Construct a dual-task rehab strategy which could both identify and improve these impairments
5:40 pm “Sport’s Spondylolisthesis” Joseph Weistroffer, MD, Western Michigan University School of Medicine
- What is the work-up for Sport’s Spondylolisthesis?
- What is the treatment for Sport’s Spondylolisthesis?
6:05 pm End of Wednesday Programming
Thursday, February 7th, 2019
7:00 am “Nutritional considerations in sports” Siobhan Statuta MD, University of Virginia
- Understand basic nutrition principles and evidence- based fluid and macronutrient recommendations.
- Comprehend select supplements, the hype associated with them, and their impact on health and athletic performance.
7:25 am “Interprofessional Collaboration on Campus: Return to Classroom Considerations for Concussed Student-Athletes” Thompson, AJ, Jacobs, ME. And Mary Jacobs Indiana Wesleyan University, Marion, IN.
- Identify standard concussion progressions from rest to incremental activity following a concussion.
- Apply return to play concussion protocols to the academic environment.
- Appraise communication and inter-professional practice strategies of healthcare providers and institutional support personnel within an integrated concussion management plan.
7:50 am “Initial Outcomes for Osteochondral Allograft Transplantation’s in Elite Athletes at the Mizzou Bio-joint Center” James Cook DVM, PhD, OTSC, William & Kathryn Allen Distinguished Chair in Orthopaedic Surgery, Director, Thompson Laboratory for Regenerative Orthopaedics & Mizzou Bio-joint® Center Chief, Orthopaedic Research Division, University of Missouri
- Report outcomes for elite athletes receiving large osteochondral allograft transplantations including function, return to sport, and failure rates
- Discuss risk factors for success versus failure in elite athletes receiving large osteochondral allograft transplantations
8:15 am “Care of the Aging Athlete” John Wilson MD, Team Physician University of Wisconsin
- Describe unique physiological aspects of aging in active individuals
- Recognize tailored treatment options for a variety of health conditions facing aging athletes.
8:40 am “Ankle Arthroscopy and OCD Treatment – Where Are We in 2018” Mihir Patel MD, Ortho Indy
- Recognizing clinical manifestations of an OCD lesion after a practice, game, or post athletic career
- Latest treatment methodologies and rehabbing osteochondral lesions
9:05 am “The Anterior Cruciate Ligament Reconstruction: What Occurs after the Graft is Placed and the Clinical Implications after Surgery” Richard Ma MD, Gregory L. and Ann L. Hummel Distinguished Professor in Orthopaedic Surgery; Sports Medicine and Shoulder Surgery; Missouri Orthopaedic Institute | University of Missouri Health Care; Thompson Laboratory for Regenerative Orthopaedics
The objectives of the presentation are:
- Review the biologic ligamentization process after ACL reconstruction
- Understand the temporal differences in ACL graft healing in preclinical research and human clinical research studies
- Discuss factors that may affect the healing of the ACL graft after reconstruction and its clinical implications
- Discuss changes in surgical and rehabilitation technique that may augment healing of the newly placed ACL graft or enhance recovery
9:30 pm “The Effects of Sleep on Injury and Illness in Athletes” Drew Watson MD, University of Wisconsin
- Recognize the relationship between sleep and injury / illness in athletes.
- Develop individual athlete monitoring and intervention to improve sleep and reduce injury and illness risk.
10:00 End of Morning Session
Thursday Afternoon, February 7, 2019
4:00 pm “ACL Reconstruction and Return to Play Decisions in the Athlete” David Diduch MD, University of Virginia
- Outline the decision making process for return to play following ACL reconstruction.
- What parameters (meniscal repair, open growth plates, nerve blocks, gender) affect strength recovery and return to play after ACLR.
4:30 pm “ACL Reconstruction in the Youth Athlete” Geoffrey Baer MD, University of Wisconsin Team Physician
- To gain an understanding of the risks for ACL injury in the young athlete.
- To discuss the graft choice options and indications for ACL reconstruction in the young athlete.
5:00 pm “OrthoBiologics” Matthew Sardelli, MD, Ortho Michigan
- Recognize how biologic treatments come to market
- Discuss the development of the mechanism by which platelet rich plasma and stem cells are used to treat Orthopaedic conditions
5:30 pm “Current trends in Pain Management in Sports” Leslie Goodavish PA, University of Wisconsin
- Understand use of specific injections and nerve blocks to treat pain
- CDB oil: Review Indications, safety, efficacy