The Sports Medicine Broadcast

Joel, where did you start as an AT, how long were you there? D1 Track and field - the pay was not great Took the head AT spot at a D3 school that gave more money and last hours Currently working at a local clinic What was next on your AT journey? My job was the first job that was paid for directly through athletics. With the change to MAT programs we knew we needed to take advantage of the unavailability of GA positions. Is this where you plan to stay? This is a loaded question. I currently have a 1-hour each-way commute I will hopefully look for something close to home The clinic setting is probably where I will be for the remainder of my career. What pushed you to change settings? We were losing staffing but there was no reduction in expectations. I also had changes in my personal life - we had a kid. I was not going to be able to fulfill those commitments and could not ask the team to pick up my slack. Which skills transferred? It was fast-paced in the clinic. What held you back from moving on? I loved my job at the university If we could have gotten the staffing then I likely would have stayed. We had done so much to change and build things. Talks with a close colleague with more years of experience were really important for me. Do you have any regrets? I miss daily interactions I miss daily treatments and the rehab side of it. I have been working to create those opportunities. I miss the moving and shaking and trying to figure things out. No regrets, just miss some stuff I would not trade the time with family for the loss of those things. A favorite resource for someone looking to change settings? Talking to people Listen to podcasts that discuss their setting Take some tours Talk about some of your accomplishments: I never complain about being bored, but i do not feel like i am operating at 100%. The team has been open to options We recently got a service agreement with tactical operation teams. Opening up dry needling same-day appointments. How has the network been important? The team physician was really willing to get people in to take care of the athlete. My current supervisor used to work for me at the university. We are all looking out for each other and trying to make thighs happen. John Ciecko Joel Luedke

"We have to elevate Athletic Trainers." This has been a driving force for me since I became a director of athletic accounts at Henry Schein. - Eric Kearns Rising Star Award - Shortlink - sportsmedicinebroadcast.com/RisingStarAward * How can we give back and elevate?* What are some of the conflicts ATs are dealing with?* It is peer-nominated and voted on* Less than 5 years of experience* Previous winners become judges as well* Happens during NATM - so each March What is your first memory of an AT? * Jim M. at the University of Kentucky* Had to fill the role of a previous AT with a great relationship* We did not have an AT as hockey players growing up in New York* Here is your one shot to make our relationship work First “normal year” post-pandemic what are ATs needing * Stuff delivered on time…that is the biggest struggle.* The rising cost of goods is also an issue for everyone. Favorite use of space tip you give to ATs? * Eric Kearns was a contractor for years before coming to sales so this is great for me.* Start with the big objects and work from there* Tables can only go in certain areas.* A turf workout area is a really awesome concept that provides greater rehab opportunities. Call to action: For more information about Henry Schein Medical’s Athletics and Schools business, click here. Connect with us on our social channels: LinkedIn: Henry Schein Medical, https://www.linkedin.com/showcase/henry-schein-medical Twitter: @HScheinMedical, https://twitter.com/hscheinmedical Instagram: @henryschein, www.instagram.com/henryschein YouTube: https://www.youtube.com/channel/UCb6fjfUWDOKmgZKSnSFVcXw Facebook: @HenryScheinAthletics, https://www.facebook.com/HenryScheinAthletics/ Contact: Eric:  Phone: Cell - 631-793-5020 Email: Eric.Kearns@henryschein.com Henry Schein Medical Customer Service: AthleticsandSchools@henryschein.com

The Ice Machine is not working..we all know the story, cross country meet followed by a football game and the Ice Machine stops making ice the day before. Paul Calloway and Jake Stiefel share some tips and tricks for avoiding that nightmare morning. Ice Machine Maintenance Try to have two machines running and schedule maintenance one at a time. Cube Ice drops in batches and needs time to cycle Nugget ice (Sonic Ice) machines continue to run and don’t need to shut down and cool off. Water cooled is typically better than air cooled Water filters? 6 months is a must for filters. Proper size filter is really important, typically follow manufacturers' instructions. Try to use the multi-phase filter approach to help prevent the machine from shutting down. Clean the ice machine every six months or when you change your filter. Change the filter anytime you have the water shut off. Scale reduction is important in maintaining the life of the machine. Bad taste, lower performance. Air Filter? Cleaning them when you change your filter is a good recommendation Emptying and cleaning the Ice Machine? Use a scale cleaner or remover according to the manufacturer's recommendations Best if you let someone trained to run the cleaning cycle. Ice machine sanitizer from amazon is usually ok but check for food-safe branding. Sanitize and rinse the machine because scale remover is caustic. Be sure it is food grade!!! Troubleshooting Make sure the machine is level or it can decrease the production rate. The filter is the number one cause for not making ice - no water pressure means your filter is clogged Most machines will have an error code you can google or look up on the chart. Making a loud noise - turn it off and leave it until it can be serviced. This is a great time to clean it out anyway. Won’t dump - usually a sensor that stops working. Check that the sensor door doesn't have an ice cube blocking it from closing From the fans: Tip#1  Stop using ice. Michelle Crosby Annual maintenance is a MUST,  depending on your water, here in El Paso the water is so hard with minerals that 7 years is the life expectancy of ice machines.  Change your filters, at least every 6 months more if waterlines are broken or whenever you have mandatory boil drinking water.  We bought Scotsman nugget ice machines and ironically exactly 7 years they both died, with gearboxes getting water and burning out covid hits, and parts are slim to not available, we switched to Manitowoc insides are stainless steel made in the middle of covid in ITALY bought with fundraiser money right at $9,000 worth. Wow, that was a lot of Gatorades.  Joe Messinger, MA, LATC Athletic Trainer/Sports Med.

Robotic Surgery is the movement of medicine. Dr. Jeff Davis of Andrews Sports Medicine believes the repeatability makes robotic surgery a better long-term option for the health of the patient. - iStock Photos Paint me a picture, what does robotic orthopedic surgery look like? Robot-assisted procedures Primarily used for the spine but as we progress more surgeries become an option. Total hip and knees are currently being done. There is imaging to “zero” the joint. Why Robotic Surgery? It is an imageless surgery so it reduces the radiation. The program runs based on preoperative planning. There is a learning curve and it does take a slight bit longer There is more opportunity for error if you do it manually The reproducibility of the surgery is improved How can Athletic Trainers be a part of the change? My MA is an AT with a lot of field experience There is not anything specific about the robot that an AT would benefit. Knowing about it and its advantages as a resource to the community. Do some people choose not to have Robotic surgery? There is some fear of who is controlling the robot, but the surgeon is in control of the robot. One patient would not get into the CT scanner so we could not do the surgery. Share some fun / cool stories Patients that have been in pain for a while have really benefited from the robotic surgery. The more difficult the surgery the better the outcome from the robot. With the robot, you can have a much better idea if previous surgeries will impact the current one. Since we use imaging and a computer plan we can prepare a little better than non-robotic procedures. Robotic Surgery questions from Twitter: Have you noticed a reduction in recovery times or improvements in outcomes? - ATScoop Decreased dislocation rate  It is still the same surgery Who gets credit for mistakes? - 2thebrownbear Ultimately it comes down to the surgeon Contact Us Dr. Jeffrey Davis - 205-939-3699

Quad Inhibition and Muscle Atrophy can really slow down the recovery process. However, Jackie Kleihege and Jena-Claire Auten know it is essential for healing. Finding the balance between helpful and hurtful is kind of an art form. Looking at the timeline is essential so we can see the progress of where we have come. What is the research showing us? We do not have all the data yet from the quad tendon ACL We have 10 years of data on it What are some reasons we have inhibition? In the acute phase, it looks about the same. If we can interrupt the inhibition early then we have better outcomes It is really hard to study the brain when we are studying the knee How can we find this loophole or workaround to muscle atrophy? Decrease swelling Decrease local inflammatory response ICE??? Is there a time frame where are going too fast in turning off the inflammation? We still want the natural healing process to continue through that phase. And then for that to quietly fade out. NMES JK: I have probably underutilized it most of my career.       I needed to give something more and then added NMES and made a difference. What are your ideal volume and exercises to prevent muscle atrophy? PRE-OP therapy is critical There is not a magic wand protocol Pre-Op nutrition is super important as well. When we try to activate the quad and then the patient is absent for a week what is the problem? Latency is key - I want those first 7 days like they are falling downhill, then I dial it back. Often day 1 postop patients do not look bad, but then days 2-3 are worse. JA: Genetics plays a role in the inflammation process. Consistency is key, similar to Instagram and Facebook, they keep putting the ads in front of you and then you end up buying it… Continue to use the same methods so the patients know what is coming and can buy in Looking at the 12-16 week patient OPEN KINETIC CHAIN - the type of graft makes a difference as well I need to be able to read the signs and customize the options for them. The goal is quad communication Determining when to progress: Biofeedback can help give visual and auditory feedback. BFR: It is really as good as they say. The uses keep growing. Femur fractures were one of the biggest changes on paper. Watch the Muscle Atrophy presentation on the Sports Medicine Broadcast Facebook.

Dr. Candice Teunis discusses TFCC injuries with Dr. Layci Harrison live from the Memorial Hermann Sports Medicine Update. You compared wrist injuries to low back pain Low back pain has so many different causes and ulnar wrist pain is so similar You do not always have to have all of the answers on your first interaction. Using a differential diagnosis is super helpful. I think it is either this or this…here are some options for both of these. What are the red flags for ATs to be referring? Ulnar wrist pain is fairly forgiving If you think the DREJ is unstable then you really need to get fixed quickly On the ulnar side are the differences in age? Yes, all of our joints wear down over time and those needs to be considered. We see traumatic injuries as well as chronic issues. Recovery in age differences In older patients we are astarting to see some wear in the joint and lengthens the recovery time.  The wrist has to be unloaded in some of the older patients the you would not with younger patients. Reinjury risk? Pediatric patients are more likely due to the constant motion This can be trick since the imaging show the repair.  You really have to look critically at this point. How can we help prevent reinjury of the TFCC? Strengthening helps Pronator strengthening ECU work Most of the stuff we do not have control over except for the gymnastic population due to the constant weight bearing on their wrists. Should we be limited movement in gymnastics? It would help but its nearly impossible. These kids tend to live with some amount of pain and ignore but it eventually catches up with them. What should we be teaching students about interprofessional communication? Develop a personal relationship with the people around you. ATs can benefit by connecting with hand therapists to help improve the outcome for the patients. Getting a congruent plan benefits all parties. Watch Dr. Teunis lead her breakout session on TFCC @HandSurgeonCandice Contact Us: Dr. Candice Teunis - Candice.B.TeunisWashko@uth.tmc.edu

Running Analysis is not just for the elite runner. Kimberly Gandler works with runners in all stages of the sport to help improve efficiency and reduce injury. Doctor Mark Knoblauch from the University of Houston Master's of Athletic Training program follows up on her presentation at the Memorial Hermann Sports Medicine Update. Running Analysis - who is it for? If you are going to be a runner I would highly recommend getting a gait analysis Shoes are important and going to a run-specific store where educated people can help you. Fleet feet in Houston, Run on in Downtown They can do that at Memorial Hermann on a cash pay basis. Maximal vs Minimal vs Traditional shoes That focuses more on cushion than support. Think about the area you are running.  Your body can not handle constant banging on concrete. Hoka and Merrel have a pretty low heel-to-toe drop But if you switch to an ultra runner shoe then you need to retrain your body as if you are doing a couch to 5k. How do you balance your style of running and the shoe you need Change your style before changing your shoes. YOU CAN NOT BELIEVE THAT THE SHOES ARE MAGIC If it is not broken do not fix it. Look at the situation.  Do not mess up the time of an elite runner Weight training can be the bridge to adjusting the form and help prevent injuries. Late-onset runners - what are you seeing? Those who pick it up later tend to have better form because they go with what feels right rather than trying to meet the expectations of some coach. You do not have to go run if you hate it, there are plenty of other exercises. Marathoners Most people who sign up for a marathon to lose weight end up using it as a free pass How do you make it fun for them? If you do not like it then do not do it.  Find something you like and something you can maintain. I found a way to enjoy strengthening after having 3 kids. Watch Kimberly's Presentation Contact Us Kimberly Gandler - kimberly.gandler@memorialhermann.org

As the director of AT services for the Houston Rockets, Keith Jones has seen the entire evolution of sports performance. He knew early on that he needed this team in his corner for the health and safety of the athletes he was caring for. Build a Team Building the relationship with the strength coach There was none Then I was the strength coach Then we hired a professional strength coach Many of them were from colleges or football programs It was an adjustment for us to learn what we needed from them and the athletes. Building the relationship from the ground up is crucial for success. Find out what is important to you We can Assist each other better by building relationships. Keith Jones, how have we changed for the need? 30 - 40 years ago we were fighting each other, muscle head vs medicine. Let's sit down and figure out what is needed for success in this situation/sport If we fail then we will have to fail together. The ATs need to know that the strength coach can be their ally or enemy. Get in the same room and work together often. The triangle analogy - How do we ensure the athlete is in the center of patient-centered care? I love people, I think all ATs love people deep down. Let me take my skill set and help the people I am passionate about. In 30 years of NBA experience, my greatest success is collaborating. How have you spent time in the other spaces and stayed in our lane? Maybe go into the weight room and enter your paperwork to catch what they are doing Invite them to use your microwave or fridge. Intentionally cross paths Be bought into each other's goals CHECK YOUR EGO. In my setting, we spent a lot of nights together on the road and so I tried not to eat alone.  We shared meals and car rides together. How you have developed leadership? I never really view myself as a leader, I am but do not really look at myself that way. I want to help, I have learned a lot about what to do and what not to do. Empathy is important - why are they doing that  Figure out how you can help. Transformational and servant leadership combine to make the most sustainable change. Series on Leadership in AT Watch Keith Jones's Presentation here: Contact Us: Keith Jones - keith.jones@memorialhermann.org

On-field cervical spine evaluations are an area of expertise for Dr. Mark Prasarn.  He is the spine consultant for the Houston Texans and all University of Houston sports teams. What is the initial on-field assessment look like ABCs When do we transport? Anyone that is unconscious Significant neck pain Weakness or numbness Bilateral is a much greater indicator. What does it look like once we transport it? This really depends on the group, but equipment removal Then get them stabilized What are our early-stage rehab focus and goals? If there is an AT it is a huge benefit ROM Transient hemioplegic patient This can be mistaken for strokes Neck pain is the significant indicator Education is important Most cases resolve in  a few seconds or few minutes when it is a stinger If it does not resolve then have them evaluated Refer for imaging per doctor's orders. What conversations should ATs be having with local staff? Where are they going? You should be involved in the decision-making. What can we do to prevent these cervical spine injuries? There is not really much we can do to train away injuries.  Strengthening is most likely going to help Do we need acclimatization for tackling? Data shows that tackling technique improves injury rates Watch the presentation:

Randy and Sandy Harris are young professionals looking to positively impact Athletic Training. I personally listen to their podcast and love the interaction between the two of them. At some point this summer I will have a gap in content.  I will be recording a lot over the summer but I won’t release any until I get them ready.  So to help you fill the void in AT content I encourage you to listen to my friends Randy and Sandy over at ATCorner Podcast. Randy, How did y’all meet? R: Scrolling on Instagram and WOW…I went to work and found a mutual connection.  The rest was history. S: I was actually not going to post the picture of getting my acceptance letter…luckily I did. Sandy, what is Randy’s Favorite Podcast S: This one is easy…the Sports Medicine Broadcast…Seriously Other than that the British Journal of sports medicine. Randy, what is your favorite part about hosting a podcast with Sandy? The balance.  She keeps from being too nerdy.  We have different experiences and play well off each other. Jeremy: I love the relationship and quirkiness.  Watching on social media how you two are genuine and enjoy your time together is such an encouragement. What is your favorite piece of feedback you have received regarding the podcast? R: Hearing people comment after the show with a story that we reminded them of. S: The growth of our audience to include college students through late careers. Win the crowd over, what will they gain by listening to AT Corner? We want to be the bridge between education and experience, the college student and the seasoned pro. Plus free CEUs… Contact: Instagram: @ATCorner  Website: https://atcornerds.wixsite.com/home/about-us Email: atcornerds@gmail.com Jeremy: Do not disturb me, I am vacationing.

Athlete Intelligence currently has 3 products: Vector, Cue, and Cue+ to help you monitor head impacts for your athletes. Tell me about Athlete Intelligence Wearable device - Cue sports sensor - Bluetooth enabled device Vector mouthguard - transmits data live and not just Bluetooth Can receive signals up to 300 yards away Cue+ - combo of the other two, wearable with the capability of the mouthguard. Discuss the science behind Athlete Intelligence? It is the only way to measure in real-time what is happening to the player's head. Complex algorithms and really nerdy stuff aside, we use accelerometers and gyroscopes to calculate and pinpoint the impacts players receive. Who is using it? We built Athlete Intelligence for the youth sports crowd.  It is made to be set up and run by volunteer coaches with little to no training. What does this look like in a high school setting? Generally, there would be a locker room table with the mouth guard cases set out.  The cases would be labeled with the player's name or number. At the end of the day, the player returns the mouthguard or Cue to the case for charging. Inside the software, the data automatically syncs and send reports as assigned by the administrator in charge. I do not want to add another task to Athletic Trainers, can coaches run this program? * Create a system that is easy to use* Create affordable packages* Answer the question “What do I do with the data?”* We are really good at data visualization “ You can not manage what you do not measure” How long will it last? As long as you have a subscription…we handle that as part of our service contract. Mark H wants to know about the data.  Who owns it, where is it stored, what happens to it if we stop using AI? Data security is super important We are not a medical device but follow the best practices for medical records. AI owns the data which allows them to store and analyze it. Historical data stays with the school account. Book a demo at www.AthelteIntelligence.com  Contact: Kevin: kwright@athleteintelligence.com Andrew: agolden@athleteintelligence.com Jeremy: info@sportsmedicinebroadcast.com

Ed asked questions about leaving the profession. Chad took a step. John jumped off the diving board. Leaving the Profession question 1 When we say that people are leaving or there is an AT shortage, are we actually talking about specifically in the traditional setting? (Not sure on % breakdown, but how many ATs are working in industrial and clinic setting now compared to 5 or 10 years ago) John: I think both are accurate. People are leaving the profession of Athletic Training and are leaving the traditional setting. Both situations are good for the profession. Leaving The Profession Question 2: For those who have moved on from a setting or profession, what were some of the red flags you noticed if any, or were there smaller subtler signs that were overseen that added up? John: Being close enough to the table to recognize budgets and spending, HR trends, and then not be given a proper salary increase or plan for the future were my major red flags. I, unfortunately, ignored all of the mini red flags of the community leading up to my decision allowing my value to drop or not be seen to be given a fair chance/raise.  Question 3 Are our governing organizations finding this trend of ATs leaving concerning, or is this what the BOC and CAATE want as we push to be more recognized and respected as healthcare professionals? John: From a MATS perspective, we are noticing it. We are also noticing the  Question 4 If our profession is in fact trying to distance ourselves from the traditional setting, how do we maintain the same, or improve the level of care we once provided to that population if we are trying to do that with less people? John: For me, and I think a lot of people, we want to see a well-laid-out plan complete with proactive answers to questions. Without that, it promotes anxiety and uncertainty even if a positive decision is being made. That being said, who knows? I know our skill set is unmatched but we keep changing directions and losing good athletic trainers in the shuffle.  John, how have you been treated since leaving the profession 6 months ago? I have had nothing but respect from peers and coworkers. Contact Us: Ed John Jeremy

Being at home with the kids all day gave Toki time to think. He knew he needed to practice his skills and wanted to help others. Late one night he decided to create the joint dislocation simulator. Toki, tell us about the first time you reduced a dislocation? Back in 2000, we were playing an hour away from San Antonio There was no ortho available for the game. Dr. Bud Curtis said, “Toki, you have to do the reduction.” Tell us your AT story 1992 I came to the US from Japan. My father had business in Houston so we decided on Texas and since there were almost no Japanese people in San Antonio I knew I would have to learn English with total emersion. Spent one year at the University of the Incarnate Word learning English Brackenridge High School in 2000 After 14 years I needed a change Stayed home with kids Discuss the origin of your company One night I started dreaming and then began collecting materials. CAATE added 3 major standards including Reduction Techniques I built it for ATs, but I am now getting requests from Emergency Medicine, Wilderness Medicine and a DOD contract. When you were discussing Dr. Approved, tell us more about that. Dr. Curtis was my team doctor and we worked with him through the whole process. We also connected with Dr. Green, a local hand doctor , and had him test it out and give feedback. How can Jay help you today? Jay and I are actually going to be at NATA together sharing a vendor space. If you are no longer in school (an ATEP) how can we get this practice? I am hosting workshops across the country. If you can pay for the travel expenses and the best sandwiches in town, I will be there. What are you using for materials? It started with an old anatomy teacher donating a broken down skeleton and me using orthoplast to replicate the bones and joints. Do you feel guilty searching for new providers? I do not have a problem with switching if the company can do the same thing for cheaper and better. In the life balance you are creating, where is your line? I do not have a lot of expectations of someone giving back. I do a lot of things for others and do not expect anything back. Toki, talk about Shark Tank. I applied and presented to the first round. If I was selected I would fly out to California, but I was not. For me, I am glad I did not give up money and take on a loan.  What is the feedback you are getting? My first workshop was in San Antonio ISD with former colleagues that had never reduced a dislocation before. A lot of clinical programs do not have someone to teach the skills even though they bought the devices. Contact: Toki - Facebook or pretty much everywhere Elysia - Email or @SIBoards on Socials

Long COVID - define it.  Symptoms after a covid infection that last past 3 months Resurfacing of a past issue like asthma Share some of your story.  Exposed on March 8th Symptomatic on March 16 Body aches, shortness of breath Sprint run chest burning Mental fog - it was hard to learn new things Exacerbated an autonomic condition I tried to keep going but some friends did an intervention You recently presented at two conferences about Long COVID.  Give me the cliff notes. San Diego Pain Summit - more theoretical and it is available to watch for free NJATS - practical and scientific application for the Athletic Trainers Some settings no longer require an RTP.  What are your thoughts? Most RTP does not address Long COVID Encourage Cardiac testing Breathing symptoms and cognitive symptoms How do you tell the difference between out of conditioning, a cold, and long COVID? Look at a normal deconditioning response indicator like heart rate The aerobic system is broken. People with cardiopulmonary testing or rehab do worse on day two, typically much worse. It may be hard for athletes to verbalize their needs and concerns.  It was hard for me as a grown adult medical provider to recognize and verbalize my needs. The heart rate does not match what they are doing. When I shower it may be 150 where I am 120 bpm walking upstairs. Do they seem like they are getting sick from exercise? What is the one take-home message for ATs dealing with Long COVID personally or professionally? Make it simple Crippling fatigue PEM or PESE post-exertional symptom exacerbation Breathing pattern disorders - hard breathing when they should not be Mast cell activation syndrome An estimated 50% of long covid will have autonomic dysfunction Heat illness is a major concern LongCOVID Physio - a group for medical providers struggling - peer support Stop rest and think Be intentional Have conversations early and often Altered taste and smell is a thing with COVID This can lead to difficulty with student-athletes getting proper nutrition This is a Mass Disabling event Contact: Daria - OnTapPhysio  Jeremy - MrJeremyJackson Resources: longcovid.physio David Putrino Medbridge Course from Todd Davenport

Tips and tricks for using BFR are usually best with some experience. At this point, we have used Delphi BFR for about 6 months. Jennifer Asberry has used it as a clinician and as an injury-loving weekend warrior. She shares some of her injuries later. Kyle Kimbrell has been working with BFR for years and has plenty of tips, tricks, and thoughts. He has previously been on the podcast to discuss BFR in adolescents. Before we get to BFR Tips I have a few shoutouts. Judy Bittar - a student AT Aide for listening and reaching out when you visited our campus.  Tony Young - for purchasing the Compex and looking into BFR after we discussed it here on the podcast We received funding for the BFR unit from our Pasadena Education Foundation - a few quick tips on getting grants funded: * Will it make my classroom more innovative?* Will it boost student engagement?* Will it be used primarily in the classroom/ campus?* Is it underfunded or not funded by the regular school budget?* Does it relate to student learning, development, and academic success? Favorite success story Femur fracture returned to sport-specific activity after 3 months with equal quad size. PCL - patient returned after 4 months Derek - ACL repair after 5 months Best BFR tip for ease of use. JJ - you can press anywhere on the clock circle to start the 30-second timer. Jennifer - Have the exercises planned out before starting. Jeremy - Teach helpers and patients to set it up. Why does my LOP swing about 30 mmHg day to day? The LOP is a measurement of what it takes to measure occlude blood flow at that moment. * Stress can effect it* Prior activity* Cuff placement Any blunders? I had a user have the cuff slide down and “pop-out” the BFR cuff. How can we prevent it? * User error…that is all …lol* You can press deflate without having to do LOP again* Or remove the tube from the cuff and press your thumb over it while you readjust the cuff Large leg, can’t get the cuff to measure LOP. What else can I do? * Isometric Exercise* External cuff pressure* Skip the sleeve if they are wearing compression pants already “More likely to get funded” tips from the Education Foundation: * Makes learning more engaging and innovative.* Impacts a larger number of students & teachers.* Reusable, sustainable, and long-lasting projects.* Supports classroom instruction and boosts college or workplace readiness skills.* Includes matching funds from other sources.* Completed applications with accurate information. Matching Funds: Contact: Jennifer - Jennifer.Asberry@cps.k12.ar.us Kyle - kyle@owensrecoveryscience.com