Scientific Principles of Sports Rehabilitation

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Date of Event:

Saturday, Sept 16th 2017

Location:

Orthopedic Sports Facility

11111 Brown Street

Course Description:

Scientific Principles of Sports Rehabilitation is a seminar dedicated to understanding and implementing scientific principles for clinical decision-making regarding the diagnosis, treatment, and rehabilitation of common athletic injuries. The purpose of the curriculum is to help clinicians develop critical thinking and analysis in regards to current, best scientific evidence and implementation of that evidence into sports and physical rehabilitation. The course discusses a wide array of topics ranging from cuing/scaling exercise prescription, loading across the lifespan, muscle strains, tendinopathies, low back pain, and return to sport for ACL injuries. The course also discusses the purpose and methods of science and how best to implement evidence into practice. After completion of the course, attendees will have a broader understanding of the current best scientific evidence regarding the aforementioned topics and how to apply such knowledge to clinical practice.  Depending on the location and facility, the course will be a combination of lecture, demonstration, and lab-based activities, involving audio/visual presentation and attendee participation for select topic discussions.

Course Objectives:

  1. Understand and implement scientific principles for clinical decision making and rehabilitation of common athletic injuries
  2. Discuss methodology for justifying those principles using the best current evidence
  3. Provide information regarding cueing and scaling for exercise prescription in attempt to mitigate de-conditioning of the athlete during rehab
  4. Explain the difference between acute and chronic pain in athletes, as well as treatment modifications for each
  5. Discuss the current evidence regarding loading strategies across the lifespan for youth to elderly patient populations
  6. Provide current evidence regarding low back pain management in athletic populations
  7. Discuss and understand the current evidence in the treatment of tendinopathies and muscle strains
  8. Understand the current evidence on return to sport criteria for ACL injuries in athletic populations
  9. Identify clinically relevant information with regard to movement screening (2-day course only)
  10. Learn effective cueing & appropriate scaling for exercise prescription (2-day course only)
  11. Learn to safely perform, coach, and program barbell movements for return-to-play programs (2-day course only)

Relevance of Objectives for the following professionals:

Physical Therapy

The course objectives align with the APTA’s vision statement, “Transforming society by optimizing movement to improve the human experience.”  This course will predominately discuss current, best evidence regarding the diagnosis and rehabilitation of athletic based injuries, which is a direct reflection of the APTA’s goal.  Through this course, we aim to improve our understanding of the diagnosis and treatment of athletic based injuries in an effort to improve patient outcomes for the Physical Therapist. 

Chiropractic

The course objectives align with the American Chiropractic Association’s mission to “provide leadership in health care and a positive vision for the chiropractic profession and its natural approach to health and wellness.”  This course will predominately discuss current, best evidence regarding the diagnosis and rehabilitation of athletic based injuries, which is a direct reflection of the ACA’s goal to improve the health and wellness of patients naturally.  Through this course, we aim to improve attendees understanding of the diagnosis and treatment of athletic based injuries in an effort to improve patient outcomes for the Chiropractor.

Athletic Trainer

The course objectives align with the National Athletic Trainer Association’s mission statement: “.....to represent, engage and foster the continued growth and development of the athletic training profession and athletic trainers as unique health care providers.” This course will predominately discuss current, best evidence regarding the rehabilitation of athletic based injuries, which is a direct reflection of the NATA goals.  Through this course, we aim to improve attendees understanding of the treatment and rehabilitation of athletic based injuries in an effort to improve patient outcomes for the Athletic Trainer.

Level of Content difficulty:

According to the education levels described by the PDC, the following continuing education course is considered to be Essential Level.

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Course Schedule:

Day 1 (7 contact hours)

8:00am - 9:00am: Intros & Topic 1 (lecture)

Science Based Rehab: How the Evidence Leads Us

  • What is EBP?
  • Logical Fallacies and Biases
  • Understanding and implementing scientific principles into clinical practice

9:00am - 10:00am: Topic 2 (lecture)

Cueing and Scaling with Exercise Prescription: Mitigating De-conditioning

  • Internal vs External Cuing
  • Regressions and Progressions for Exercise Prescription
  • Programming through rehab (Off-season, pre-season, on-season POC)

10:00am - 10:15 am: Morning Break

10:15am - 11:15am: Topic 3 (lecture)

Considerations for Acute Versus Chronic Pain in the Athlete

  • Recognizing the differences between acute vs chronic pain
  • Normative healing parameters for acute injuries
  • Understanding chronic pain (Top down vs Bottom up processing)
  • Treatment considerations for acute vs chronic pain

11:15am - 12:00pm: Topic 4 (lecture)

Loading Across the Lifespan: Indications for Resistance Training in Different Populations

  • Acute:Chronic Workload Ratios - mitigating injury risk
  • Screening - what to look for in the athlete
  • Current evidence for youth strength training
  •  Importance of strength training in geriatric populations

12:00pm - 1:00pm: Lunch Break

1:00pm - 2:00pm: Topic 5 (lecture)

Low Back Pain in the Athlete: What Really Matters?

  • Base rates for common low back pathologies
  • Current evidence regarding low back pain management in athletic populations
  • A biopsychosocial approach to treatment for LBP

2:00pm - 3:00pm: Topic 6 (lecture)

Current Concepts in the Treatment of Lower Extremity Tendinopathy and Muscle Strains

  • Muscle strains and management
  •  Tendinopathy staging
  •  Tendinopathy POC based on current evidence
  •  (isometrics → eccentrics → HSR)

3:00pm - 3:15pm:  Afternoon Break

3:15pm - 4:15pm: Topic 7 (lecture)

Return to Sport Criteria for ACL Rehab

  •  Modifiable and non modifiable parameters for ACL risk reduction
  • Current evidence for graft selection and healing
  • Current return to sport tests and criteria for ACL reconstruction

4:15pm - 5:00pm:  Q & A with presenters

Day 2 (6.5 contact hours)

8:00am - 10:00am: Topic 1 (lecture + lab)

Screening - reduction of injury risk, what to look for in the athlete

  • What is stopping us from training an athlete
  • The squat (bodyweight, goblet, bar)
  • High bar vs low bar
  • Deadlift (Conventional, Sumo)
  • Overhead press (kb bottom-up, strict barbell, push-press)
  • Utility of unilateral exercises

 10:00am - 10:15am - Break

10:15am - 12:15pm: Topic 2 (lecture + lab)

Cueing and Scaling with Exercise Prescription: Mitigating De-conditioning - lab

  • Types of Cueing - examples (audio/visual/tactile/internal vs external)
  • Exercise prescription working around the following injured areas:
    • Spine
    • Shoulder
    • Elbow/Wrist/Hand
    • Hip
    • Knee
    • Ankle/Foot

12:15pm - 1:30pm:  Lunch Break

1:30pm - 3:30pm: Topic 3 (lecture + lab)

The use of the barbell with power athletes

  • Power position, clean and jerk, snatch
    • Explanation of 1st, 2nd, and 3rd pull
    • Common drills for barbell athletes
    • Common technique flaws
    • Progressions for return to lifting

3:30pm - 4:00pm:  Wrap-up/Q&A

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Continuing Education Credits:

  • Chiropractors: approval pending
  • Athletic Trainers: approval pending
  • Physical Therapists: approval pending
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Course Instructors:

1. Michael Ray, DC

He earned a M.S. in Exercise Science from the University of South Carolina and worked in cardiology as an Exercise Physiologist before going to Sherman College to obtain his Doctorate in Chiropractic. Upon relocating to Harrisonburg, VA in late 2015 he opened Shenandoah Valley Performance Clinic.  He enjoys working with athletes and aiding them in injury risk management, rehabilitation, and sports performance.  He is also adjunct faculty at James Madison University’s Kinesiology department. Treatment philosophy:  increase functional longevity - meaning to decrease the number of years patients live with pain, disease, and dysfunction thus increasing the number of years they are able to be active and do what they love.  Being a Chiropractor has provided him with an interesting perspective on the world of rehab and further empowered him to focus on interventions that have gone through the rigors of scientific testing. 

2. Derek Miles, DPT

Physical Therapist at UF Health in Gainesville, Florida.  He earned a B.S. from Clemson University in Biochemistry and worked for a year as a research assistant in genetics lab before returning for a Doctorate in Physical Therapy.  His love of the scientific method carried over to where now Pubmed is still the primary source of information but now instead of an actual lab, a gym serves the purpose.  Upon graduation from UF DPT in 2008 he completed a one year orthopedic residency.  Since, he has practiced at UF with a good mix of the spine and athletic population.  He enjoys hanging around people smarter than himself and luckily Gainesville has afforded him a surplus of that population.  He has been fortunate to have conversations with some of the best pain researchers in the country as well as some minds in philosophy that make any topic an interesting discussion. 

Full Course Details, References, & Policies (PDF download)

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