2020 Big Sky Athletic Training Sports Medicine Conference
2020 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 Morning, February 2nd, 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 morning session will be well received on Super Bowl Sunday with less haste to return from the day’s activities.
Special demonstration of computerization of foot orthotics during Sunday Morning Registration 6:30am – 10:00 am
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 Head ATC/Head PT, Houston Astros Baseball Organization, Houston, Texas
- Illustrate the importance of using personalized pressure when using any type of Blood Flow Restriction Training Device
- Explain the clinical applications of Blood Flow Restriction Training in the early stages of the post surgical process
7:30 am “Latissimus Dorsi Injuries in Baseball” David Lintner MD, Head Team Orthopedic Physician, Houston Astros Baseball Club and Houston Texans, Chief of Sports Medicine & Fellowship Director, Houston Methodist Hospital
- Restate the indications for this new surgical approach
- Summarize the rehabilitation techniques after each surgery
8:00 am “Latissimus Dorsi Injuries in Professional Baseball: A Growing Concern” Matt Toth MS AT, Seattle Mariners Baseball Organization
- The attendee will be able to describe the pertinent anatomy of the latissimus dorsi and how it integrates into other parts of the body. The audience will also be able to describe the various classifications of the injury, pitching mechanics that may lead to this injury as well has the various considerations in the rehabilitation process.
8:30 am “Using the Failure Mode and Effects Analysis in Emergency Action Planning” Andy Massey MS AT, Sara Massey BS
- Illustrate the pre-mortem planning tool utilizing an adaptation of the Failure Mode Effects Analysis tool
- Practice using the tool in a realistic scenario
9:00 am “Comparison of the Vestibular/Ocular-Motor Screening (VOMS) and Sport Concussion Assessment Tool-3 (SCAT-3): An NCAA-DoD Concussion Assessment, Research and Education (CARE) Consortium Analysis” Nicholas Port PhD, University of Indiana
Describe VOMS and how do you preform it
Paraphrase the evidence and clinical value of adding VOMS to your concussion protocol
9:30 am “When Things Go Wrong with Sports Medicine Programs” Doug McKeag MD, Former Team Physician, Michigan State University, Former Chair of Family Practice at the University of Indiana
- Demonstrate what happens when the ‘system’ falters? And Why does it happen?
- Summarize the warning signs? What is the best way to proactively prevent this? Lessons from real life and present day
10:00 am “Something Else to Blame On Your Parents: Genetic Association to Prolonged Concussion Recovery” Jane McDevitt PhD AT, Athletic Training Program, College of Public Health,Temple University
- Generalize the proteins involved during neuronal recovery
- Recognize the advantages and limitations of current concussion genetic markers
10:30 am End of Morning Program
Workshop Presentation: Sunday, February 2nd
2:00-3:30 pm “Dry Needling: Explore conditions appropriate for dry needling in a safe and effective manner.” Doug West PhD AT, University of Iowa
- Categorize states that allow needling to be performed by profession.
- Define the role of dry needling for muscular skeletal injuries.
- Examine effective needling techniques for patient comfort.
- Establish the appropriate equipment needed for dry needling.
4:00 pm Super Bowl Party, Hosted by DJO Orthopedics, Jefferson Room, Families and Friends Invited
Monday, February 3rd, AM Scientific Presentations
7:00 am Opening remarks: Jeffrey S Monroe, Executive Director
7:00 am “Hydrotherapy in the Recovering Injured Athlete” Doug Boersma AT, Head Athletic Trainer, Purdue University
- Demonstrate safe and reliable aquatic training techniques
- Describe the safe rehabilitation activities
7:20 am “How to Implement Pressure Wave Therapy Into Your Training Room” presented by: Gerhard Kinas with assistance from Merri-Edna Milano for live demo
- Demonstrate how to implement pressure wave therapy
- Describe how to treat using pressure wave therapy
7:40 am “Prevention and Performance: airPHX Technology Applied to High Performance Athletic Programs” Bill Pommerening, President of airPHX
- Introduce cost-effective new technology for continuous infection control in athletic facilities
- Provide data validating the effectiveness of the technology in a variety of facilities.
8:00 am “Contrast Therapy: What’s hot and cold?” Valerie Hairston MS AT, Kelvi Technology
- Analyze current evidence on contrast therapy.
- Forecast potential use cases and research opportunities for contrast therapy with KelviTEC technology.
8:20 am “Managing Head Impacts Through Analytics” Matt Shimshock, Riddell Corporation
- Discuss how Riddell is changing the game of protection and performance through 3D printing and smart helmet technology.
- Analyze Riddell’s national data set of 7+ Million head impacts, and what that means for football and head protection.
8:40 am Exhibit Hall Break
9:00 am “Utilizing Technology to Optimize Rehab” Michael Voight DPT, Vanderbilt School of Medicine
- Illustrate the importance of looking at the movement system in the global rehabilitation program for the injured athlete.
- Consider the decision making process when faced with new technology for the rehab process.
9:20 am “Indiba, Radio frequency and how it fits into the Training Room” Pat Karns AT and Mike McGee RPT
- The participant will develop a fundamental knowledge of radio frequency and its role in rehabilitation for tissue repair.
- The participant will develop fundamental knowledge of the biochemical reactions of the cellular matrix following the application of a monopolar 448kHz current.
9:40 am “Onsite Digital Analysis of Custom Orthotic Solutions” Pete Iverson, Podiatech
10:00 am Morning session complete
Workshop Presentation, Monday, February 3rd
1:00 – 3:00 pm “Advance Manual Therapy Techniques of the Lower Extremity” Jill Manners PT AT, Athletic Training Program Director, University of Georgia
- At the end of this workshop, participants will be able to identify indications for mobilization and manipulation techniques in acute or chronic lower extremity conditions.
- Participants will also be able to perform advanced mobilization and manipulation techniques to the lower extremity.
Monday, February 3rd, PM Scientific Presentations
3:30 pm “DXA in Athletics – Using Body Composition and Bone Density Data to Improve Performance & Reduce Injury” Tyler Bosch PhD, Dexalytics, Minneapolis, MN
- DXA is a multi-functional tool that can be used by the performance staff (ATC, Dietitian, S&C Coach) to develop training, dietary, and rehabilitation programs.
- DXA data via Dexalytics takes body composition analysis to the next level as an aid for the performance staff.
3:50 pm “Preventing Heat Illness in Team Sports” Randy Cohen PT AT, Director of Sports Medicine, University of Arizona, Sponsored by School Health
- Develop a plan to prevent heat illness
- Education of coaches and athlete education to prevent heat illness
4:10 pm “Photobiomodulation for Head, Neck and Shoulder Pain” John Bruno AT, Multi-Radiance
- Explore the mechanism of action, parameter optimization, and dose for novel use of laser for managing head, neck and shoulder pain.
- Discuss the evidence based research studies available
4:30 pm “Current Concepts In Pneumatic Compression Therapy” JoHan Wang AT, RP Sports
- Review lymphatic system physiology and its role in injury and recovery.
- Describe and characterize treatment parameters to optimize lymphatic function.
4:50 pm Exhibit Break
5:10 pm “Test, Don’t Guess: Using Isokinetics with the ACL Patient” Laura Opstedal DPT, OCS, SCS, Bozeman, MT
- Learn the importance of isokinetic testing for ACL return to play decisions
- Learn how isokinetics can be applied to the rehab of an ACL patient
5:30 pm “Argument for the Importance of Early Surgical Management of Initial Shoulder Dislocations in Athletes and the Risk of Conservative Management” Roger Chams MD, Illinois Bone & Joint Institute Sports Medicine / Arthroscopic Surgery of the Knee and Shoulder
- Describe the problems of playing with a rehabilitated non-surgical shoulder dislocation
6:00 pm Sponsors Reception, Exhibit Hall, attendees are encouraged to attend.
Tuesday, February 4th, AM Sessions, Concussion Day
7:00 am Opening remarks, Jeffrey Kutcher MD, Director, The Sports Neurology Clinic, Brighton, MI “Update from the Inaugural International Congress for Athlete Brain Health- CLINICIAN RECOMMENDATIONS” Jeffrey Kutcher MD, Director, The Sports Neurology Clinic, Brighton, MI
7:30 am Update From the Inaugural International Congress for Athlete Brain Health – PATIENT RECOMMENDATIONS Ben Utecht, Former NFL Tight End for the Super Bowl XLI Champion, Indianapolis Colts
- Emotionally connecting the patient to their memories
- What Has Relevance If You Can’t Remember It?
8:00 am “Update from the Inaugural International Congress for Brain Health – RESEARCH RECOMMENDATIONS” Chris Giza MD, Professor of Pediatric Neurology and Neurosurgery, Director, UCLA Steve Tisch BrainSPORT Program
- Incorporate important aspects of brain health into the clinical evaluation and assessment for sports medicine and sports neurology.
- Understand the current research recommendations from the International Congress for Athlete Brain Health.
8:30 am Exhibits
8:45 am “Best Concussion Practices in the Setting of Less Than Perfect Laws and Policies” Kate Essad MD, Aurora Health Care
- Demonstrate how to apply guidelines and legislation to concussion management practices
- Generalize how to apply current evidence-based practices to concussion management
9:10 am “An evidence-based, sports-specific approach to acute concussion in motor sports: Lessons from NASCAR” Bert Vargas MD, University of Texas Southwestern Medical Center
- Identify the unique environment and needs for identifying concussion in motorsport athletes
- Formulate an effective approach to concussion evaluation in motor sports taking into account existing evidence
9:35 am “A New Dynamic Exertion Test to Inform Return to Play Following Concussion” Anthony Kontos, PhD, Research Director UPMC Sports Medicine Concussion Program, University of Pittsburgh
- Analyze evidence for a new dynamic exertion test (EXiT) protocol for informing return to play in concussed athletes.
- Compare scores on the new EXiT among between concussed athletes and age-, sex-, and sport-matched healthy controls.
10:00 am “Sleep and Circadian Science its Effect on Athletic Performance and Health and Explore the Bi-Directional Relationship with Injuries/Concussion Symptoms” Meeta Singh MD, Henry Ford Health Systems
- To learn why sleep is important for the athletic performance and well being
- To learn the science behind wakefulness and sleepiness
- To learn practical interventions that can be used to help the audience address sleep issues in the athletic population
10:25 am End of Morning Session
Workshop Presentations, Tuesday, February 4th
1:00 – 2:00 pm “Spine Boarding to Stabilize the Cervical Spine – What Does the Evidence Say?” Katie Walsh Flanagan PhD AT, Director of Athletic Training, East Carolina University
Objectives: At the conclusion of the presentation, the attendee will be able to:
- Discuss the evidence that supports and disputes long board spine boarding to prevent further injury to the cervical spine.
- Successfully apply long spine board to a patient with a suspected cervical spine injury.
- Safely remove football protective equipment and spine board a patient with suspected cervical spine injury through practice.
2:00 – 3:00 pm “Leading from the Field: How the Self-Serving Bias Influences Ethical Decision-Making in Sports Medicine” Kimberly S. Peer, EdD, ATC, FNATA; Professor, ATP Coordinator, Kent State University, Kent, OH
The purpose of this presentation is to provide evidence through headline cases of the complex and challenging decision-making processes that often have conflicting perspectives within the practice of Sports Medicine.
- Understand and appreciate that the self-serving bias impacts ethical decision making in health care settings;
- Integrate this inherent construct into strategies for considering multiple perspectives when acting on ethical issues in Sports Medicine;
- Reflect on contemporary cases in Sports Medicine to consider the ethical complexities inherent in decision-making on the field and in clinical practice overall; and
- Appreciate how situational factors can greatly impact decision making to encourage policy review and procedural reconsideration to prevent potentially ethical situations from arising.
Tuesday, February 4th, PM Sessions, Concussion Day
3:30 pm “Using Mobile Technology (Apps) to Assist Return to Activity Following Sport Related Concussions” Michael Hutchison PhD, University of Toronto
- Identify and review the potential uses of mobile apps in concussion management.
- Identify and review the potential concerns with mobile apps in concussion management.
3:55 pm “Distinguishing CTE from genuine neurodegenerative disease: update on CTE research” Rudy Castellani MD, West Virginia University Medical School
- Differentiate modern CTE and dementia pugilistica
- Distinguish CTE and dementia pugilistica from genuine neurodegenerative disease
4:20 pm “Precision Vestibular Treatment following Concussion: Results from a Randomized Controlled Trial (RCT) and A Case Study” RJ Elbin PhD, University of Arkansas and Jonathan French PhD, Clinical Neuropsychologist, University of Pittsburgh Medical Center
- Critically analyze emerging evidence for precision vestibular treatments from a new randomized controlled trial (RCT).
- Discuss a case study involving vestibular treatment for an athlete following concussion.
4:45 pm Exhibits
5:00 pm Concussion Poster Recognitions, Jeffrey Kutcher MD, Moderator
5:15 pm “Common modifiers to concussion outcome: gender and mental health” Meeryo Choe MD, Professor of Pediatric Neurology and Neurosurgery, UCLA Steve Tisch BrainSPORT Program
- To understand whether sex and gender are determinants of concussion incidence
- To understand the role of mental health on concussion and athlete brain health
- To understand whether there are differences in outcome after concussion attributable to sex and/or premorbid mental health conditions
5:40 pm “Panel Discussion on Current Trends in Sports Concussion Management” Jeffrey Kutcher MD, Moderator
6:30 pm Conclusion of Tuesday programming
Wednesday, February 5th, AM Session, Ortho Day, Upper Extremity Issues
7:00 AM Opening remarks, Geoffrey Baer MD, University of Wisconsin Team Physician
7:05 am “Pitching Behaviors in Youth Athletes: A Comparison to Pitch Smart Guidelines” Justin Greiner MD, University of Wisconsin
- Recognize the prevalence of overthrowing in youth baseball players
- Explain how to manage the risk factors associated with overthrowing in youth baseball players
7:30 am “Elbow Injuries in the Athlete” Jon Tueting MD, Rush Orthopedics
7:55 am “Treating the Superior Labral Tear from Anterior to Posterior (SLAP) in the Athlete – Fix It” Stephen Brockmeier MD, Team Physician, University of Virginia
- To review the current management algorithm for superior labral tears with an emphasis on scenarios where SLAP repair is indicated.
- To present case examples of athletes and active patients with SLAP lesions with the goal of stimulating discussion regarding patient evaluation, management strategies, and the role of SLAP repair in 2019.
8:20 am “Treating the Superior Labral Tear from Anterior to Posterior (SLAP) in the Athlete – Move It” Grant Jones MD, Team Physician, The Ohio State University
- To describe the different treatment options for SLAP lesions in athletes.
- To discuss the results of biceps tenodesis for SLAP lesions in athletes
8:45 am “Shoulder Instability in the Athlete” Brian Grogan MD, University of Wisconsin
- Define risk factors for recurrent instability
- Outline current surgical and non-surgical treatment options for the treatment of shoulder instability in the Athlete
9:10 am “Muscle Transfer for Rotator Cuff Insufficiency” Keith Kenter MD, Homer Stryker School of Medicine, Western Michigan University
- To have a better understanding of rotator cuff anatomy and pathology
- To gain knowledge in treatment options for rotator cuff insufficiency
9:35 am “Lower Extremity Pain in Distance Runners” Dave Bernhardt MD, University of Wisconsin
- Characterize the differential diagnosis of the distance runner with lower extremity pain
- Demonstrate to patients on risk factors for bone stress injuries, recovery and return to running program
10:00 am “Finger-Tip to Elbow – Surgery, Bracing and Return to Play in the Elite Athlete” John Tueting MD, Rush Orthopedics and Brian Lund MS AT ATC, Head Football Athletic Trainer, University of Wisconsin
- Demonstrate splinting techniques that allow appropriate return to play for upper extremity injuries.
- Explain the differences in anatomical, surgical and player-position requirements that dictate recommendations for safe return to play.
- Summarize effective communication strategies between athletic training, medical, and when appropriate, the coaching staff that facilitate return to play
10:30 am Presentation/Workshop on “The use of Blood Flow Restriction following an ACL injury” Zachary Dunkle, Owens Recovery Science and Delfi Medical
Too often during the acute post injury/operative phase, treatment emphasis focuses on symptom management while muscle is neglected. However, this is a crucial period for muscle (Shad et al, 2019). Blood Flow Restriction (BFR) in combination with low intensity loads has been shown to significantly increase muscle mass and strength, similar to those gains observed when high intensity loads were used. As a result, BFR has become an increasingly popular intervention in those who are load compromised, such as individuals recovering from an ACL injury.
• Understand the importance of addressing muscle adaptations acutely
following an ACL injury
• Recognize the benefits of using BFR acutely following an ACL injury/surgery
11:30 am End of Morning Session
1:00 – 3:00 Workshop Presentation: “Intro to Musculoskeletal Ultrasound Workshop” Kory Gill D.O. the Texas A&M Sports Medicine Fellowship Director, Texas A&M Team Physician
This workshop is designed for Athletic Trainers and other sports medicine care providers who wish to learn about diagnostic musculoskeletal ultrasound. There will be significant hands-on experience in conjunction with this presentation.
- Understand the indications and benefits of musculoskeletal ultrasound.
- Identify important anatomical landmarks and begin to develop skills for performing musculoskeletal ultrasound to assess injuries.
Wednesday, February 5th, PM Session, Ortho Day, Lower Extremity Issues
3:00 pm “Why Is That Kneecap So unstable? – Anatomic Risk Factors for Patella Instability” David Diduch MD, is the Allen F. Voshell Professor of Sports Medicine and Chief of Sports Medicine at the University of Virginia
- Provide an overview for the various anatomic risk factors for patella instability and how they can be diagnosed
- Provide a framework for decision making to manage these risk factors to ensure success for surgery
3:25 pm “Multi-ligament Knee Injuries in the Athlete” Geoff Baer MD, Team Physician, University of Wisconsin
- Describe the risks and initial management following a knee dislocation
Explain the surgical management as well as the rehabilitation following multiligament reconstruction.
3:50 pm “Optimizing Hip Arthroscopy Outcomes in the Athlete: The Use of Functional Testing Protocols” Brian Walczak DO – University of Wisconsin
- Understand the rationale for the use of functional testing protocols after hip arthroscopy in athletes.
- Describe how functional testing can be incorporated in the postoperative rehabilitation of athletes following hip arthroscopy.
4:15 pm “Diagnosing Femoroacetabular Impingement (FAI) and Treating with Hip Arthroscopy” Andrea Spiker MD, University of Wisconsin
Learn the indications for hip arthroscopy
Recognize the basic principles of hip arthroscopy
4:40 pm “Building a Comprehensive Sports Science Program” James Cook DVM, PhD, OTSC, Center Chief, Orthopaedic Research Division, University of Missouri
- Outline successful sports science programs and their impact on athletes
- Describe the development and implementation of a comprehensive sports science program at a Division 1 program
5:05 pm “Special Panel Discussion on “How Would You Manage…” Moderated by Geoff Baer MD, with Panelists: Grant Jones MD, Stephen Brockmeier MD, Keith Kenter MD, Michael Lund MS AT, Mary Vander Heiden MS AT
6:00 pm End of Wednesday Programming
Thursday, February 7th, 2019, Ortho Day Continued
7:00 am “ACL Rehabilitation – Where We are in 2020” Kirk Schulz PT, University of Wisconsin
- Describe an overview of how to assess postoperative ACLR athletes
- Demonstrate how to treat postoperative ACLR athletes to a successful return to sport
7:25 am “ACL Reconstruction – What should We Be Doing for Our Athletes?” Peter Eggert MD, University of Wisconsin
- Provide an up to date literature review of current ACL graft choices
- Discuss sport specific considerations for athletes undergoing ACL reconstruction
7:50 am “Management of Plantar Plate Injuries in the Athlete”Joseph S. Park, MD, Associate Professor, Department of Orthopedic Surgery, University of Virginia Health System
- Understand the anatomy, pathophysiology, diagnosis, and non-operative management for plantar plate injuries in the athlete.
- Describe the operative treatment and post-operative management for plantar plate injuries.
8:15 am “Injury, Specialization and Quality of Life in Athletes” Drew Watson MD, University of Wisconsin
- To present and discuss the relationship between sport participation and quality of life.
- To present and discuss the effects of sport specialization and injury on quality of life in athletes.
8:40 am“PRP and BMAC treatments based on patent demographics and the ability to quantify the components of PRP/BMAC” Elizabeth Batterton MD of Texas Health
- Review hemoanalytic data obtained on PRP and BMC preparations used to treat patients seeking non-surgical pain relief for a variety of musculoskeletal pathologies (e.g., osteoarthritic joints) in the context of providing customized orthobiologics.
- Examine the influence of patients’ demographic factors on the composition of the PRP and BMC preparations.
9:05 am am “Panel Discussion on Lower Extremity Cases” Moderated by Geoffrey Baer MD, Panelists: Dave Diduch MD, Kirk Schulz PT, Andrea Spiker MD, Brian Walczak DO, Joe Park MD, Tyler Beckley DO, Ben Pearl DPM, Michael Lund MS AT, Dennis MIller PT AT
10:00 End of Morning Session
Thursday Afternoon, February 6th, 2019
4:00 pm“Highlights and Clinical Implications from the NCAA-DOD CARE Consortium Concussion Study” Alison Brooks, MD MPH, Associate Professor, Team Physician, Sports Medicine, University of Wisconsin-Madison Department of Orthopedics
- Discuss clinically relevant findings from the CARE Concussion study
- Apply these findings to the management or education of concussed athletes
4:25 pm “Vocal Cord Dysfunction: Not all wheezing is asthma” John Wilson MD, Team Physician, University of Wisconsin
Be able to recognize the clinical features and associated risk factors in athletes with vocal cord dysfunction.
Understand treatment strategies for vocal cord dysfunction in athletes.
4:50 pm “How to Implement an Injury Prevention Program in the Workplace” Michael Chapman PhD AT, Amazon.com
- To introduce industrial athletic training and the world of US OSHA.
- To provide guidance on how to implement a new program in a struggling or successful organization.
- To introduce human factors engineering and its impact on human performance.
5:15 pm “The effects of shoe collar height on proximal and distal lower limb muscular response to unexpected perturbation” Justin Stanek Ed.D
- Analyze how shoe collar height affects the body’s muscular response to unexpected gait perturbation.
- Evaluate the complex variables that partially contribute the body’s response to unexpected gait perturbation
End of Conference