The Sports Medicine Broadcast

Valerie Tinklepaugh-Hairston presented on Recovery at the Trinity Sports Medicine Conference in 2022. I had some questions about her presentation because I like technology and toys. Mike Hopper has some questions about Kelvi and was being an AT Nerd and watching the Facebook live of her presentation. Food, Sleep Hydration…Valerie, give us something fancy… * Tell them why they need these things* 61% injury reduction rate when these issues are mitigated The Sports Nutrition playbook Movement is Medicine - Active recovery is king * Alternate activities* Vary heart rates Explain the co-contraction with the Theragun a little more… We need external stimuli to help the internal stimuli get moving. This could be done without a percussion gone but would be tiresome. You are basically poking the bear until it wakes up and chases you. You talk about needing an inflammatory response but knowing when to step in and help control it. This is the way we were biologically made It is basically the EMS crew coming in with the wrecker crew and the fireman to sweep up, clean up, haul off the bad stuff and get traffic flowing again. Pain is great, but sometimes those sensors just get stuck on. Treat the individual and not the symptom. Valerie tell us about Kelvi You really need to see it to believe it. The ability to go from hot to cold in 15 seconds is amazing. The technology is incredible, we have sensors inside the sleeve that measures and maintain the skin temperature. Pain management is one area Ice and Heat have really shown beneficial. Preparation to work is a great way to use the heat feature. Contact us Valerie - vhairston@kelvi.com Mike - Mike.Hopper@bishoplynch.org Jeremy - info@sportsmedicinebroadcast.com

I run for recreation, to keep myself healthy, and to set an example for my kids, students, co-workers, and family. Meredith Sorenson runs because she is good at it...like really good. KP runs because he does not want to break his streak. Regardless of why we are all recreation runners now and need to refuel. Meredith, give us a quick tip in case someone turns it off after this. If you are running do not cut carbs Kyle - SIX YEAR recreational run streak…let’s talk about that Started with one month in college and then just kept going. I was a cross country runner and baseball player in high school. Now running is for recreation. Meredith as a collegiate runner what were your eating habits? In high school, I ran about 30 miles per week In college, it went to about 55+miles. I continued with under-fueling which lead to stress fractures since I was cooking for myself.   I was not good a preparing or planning ahead.  I did not bring snacks. 75 miles in a week is my personal record GO TO Breakfast I have a sensitive stomach…so I tried a lot of sports drinks with carbs. Bananas and clif bars do not work for me GoGo fruit squeezes work for me. How are the demands for a steeplechaser different from a straight runner. You need more muscles than you usually do running It is a 3k race with barriers and the barriers do not move.  One time I ran into one and got a really big bruise on my knee to show for it. There is a lot more pounding involved As an adult / recreational runner how have you changed? Currently a 40+ mile per week runner Recovery after runs is a priority at this stage in my life. I learned to cue into my hunger signals. Athletic Trainers are like every other profession, some are fitness nuts and some are very unhealthy.  Give us some more depth of fueling the recreation runs. Early morning you could skip the food if it is low intensity short (under an hour) duration. In higher intensity runs you need to get something small then follow up with a good breakfast. You have 60 or less to pick one of these for fuel…lets see how you do!! Jeremy - Hershey's bar with almonds Kyle -  Hershey bar without Jeremy - Protein shake Kyle - Protein bar Kyle - Oreos Jeremy - Gatorade chews Jeremy - Hot Cheetos or Takis Kyle - Pringles Call to action: Contact: Meredith IG @MeredithDarcieNutrition Kyle - MonroeCentralAT on IG and Twitter Jeremy - @MrJeremyJackson on Twitter Resources:

APATS or Asia Pacific Athletic Trainer's Society started in a hotel conference room when some ATs were trying to figure out the best way to help new Athletic Trainers get settled in Asia Pacific. Our Guests Erick Chen spent time in China, working with Cirque De Soleil, and opened up a hospital rehabilitation clinic before moving back to the United States (just before COVID) Ngan "Nina" Chung is an Athletic Trainer at the Candian International School of Hong Kong. Share some of your story Ngan * Born in China* Immigrated to the US* New Jersey became home* An internship in Asia* A collegiate AT back in the US. Erick share some of your expereince * SoCal growing up* Attended Fresno * Several different AT jobs in the states* Went to work with Cirqe in Macau* 8 Years at United Family Hospital* Now back a Los Angeles City College Struggles of working as an Athletic Trainer in Asia * Communicating and education are a huge piece of the puzzle for ATs in Asia Pacific* We have to tell people who we are, what we do, why we are important.* Creating the role from scratch* Literally no space or supplies for an AT Facility* The culture of traditional medicine How did you connect with other ATs in Asia We did not for a while. We were on our own. We decided we needed to team up to grow our profession and met up at a hotel and started APATS shortly after. Now we have the organization and social media. What are the goals? * Community* Improve the CLinician* Improve the Community buy-in Where should we go to learn more? * Website- https://www.apats.org/* Facebook- https://www.facebook.com/APATSociety/* IG- https://instagram.com/apatsociety https://sportsmedicinebroadcast.com/1freecourse

Daniel Bellamy left us with a great line in his first podcast: Question Without Questioning. I knew we needed more time to discuss this so we scheduled another session. We missed some parts of the story * Grew up in Washington DC* Son of a pediatricain and a recreational therapist* Grew up in the church* When he got to college he decided to test out the college life Where did that lead you? I began to question my faith, and I struggled with anxiety. I used drinking and smoking and partying as a way to cope or deal with the anxiety. I eventually came to an "I am going to fix this" situation. That's when I met my wife and started doing great. "When my wife got pregnant I panicked and started back up. My son was born and I heard a sermon that really struck my heart and changed everything." I need to have some initiatvie, I need to get my wife and I out of my parents house and lead my family. I need to take advantage of the time and blessing i have been given.- Daniel Bellamy Why did you move on? I was just coasting, I was chilling at the high school and not really growing. I needed to repair some relationships, get out of my parent's house and make some more money. That lead me to develop my core values as an AT while at Howard University. What are those Core Values? Effort Empathy How do we question without questioning? Assume the BEST - almost no one was out to get me. If I approach from that perspective it usually goes well. Be curious to understand - truly ask how, why, when because you want to learn Enter their space - hit the weight room with the coaches or catch up at baseball practice Overcommunicate - this leaves you with plenty of deposits in that relationship bank account. Invite them into your world - joint CEU options or planning and policy teams. Invite Daniel to speak to your AT program Daniel - Daniel.Bellamy@utsa.edu Victoria - @morris_atc

Dr. Andrew Gallucci worked on Burnout in Athletic Training as part of his doctoral studies. This podcast was a live recording at the Trinty Sports Medicine Symposium 2022. The YouTube video is of the live presentation. https://www.youtube.com/watch?v=5jmZSciQYvA Burnout can be Emotional or Physical, or both Some signs and symptoms of burnout * Cynicism* Waking up tired after a full night of sleep Increased exhaustion leads to increased medical errors It is important to recognize, address, set boundaries, and seek support when you feel like you are experiencing burnout. Some Athletic Trainers will not speak up, but if you are already planning on leaving the location or profession then why not have the conversation. A few tips: * Set do not disturb on your phone* Set lock out timers on your email* Delete email from your phone* Have seperate devices for checking email and phone calls Thank You Shawn Ready and the Trinity Sports Medicine Team Contact us: Andrew Gallucci - Andrew_Gallucci@baylor.edu Jeremy Jackson - info@sportsmedicinebroadcast.com

Why not me? Why should I not participate in the Mental Health Diversity talks? - Janet Lin Craft Living Room Talks - a way to discuss Mental Health Diviersity Living room talks…what are some of your takeaways? Struggles Passionate Talking as therapy Hurt experienced- academia microaggressions,  Frustration with lack of progress in society ( still teaching)  and profession ( numbers same, small moves by all partners Hope too: hoping for better Understand small moves How does your ethnicity/ culture look at mental health? First gen- work mode Stigma Finding time Trying to find someone like you…. Work, family, upbringing, mentors, work life integration, setting Personal experience with Mental Health Diversity Who would be your star struck guest on living room talks? Everyone Unfamiliar people, becoming friends and colleagues and go-to Saying yes, being open and honest “Open book”, ask me anything ==open door Mental Health diversity…what are the struggles? Stigma Finding someone like you Call to action: NATA resources: EDAC, ATs CARE Seeing people, really see them, be uncomfortable (question yourself and others) Janet Lin Craft - Victoria Morris - TikTok: @coachmorrisat

Director of Sports Performance at Howard University, Daniel Bellamy brings his skills, family, and his voice to Texas in his new role at UTSA. Where did it start? During my NFL internship, I learned to incorporate a lot of sports performance into rehab. At the high school Teacher PT clinic Arena Football head AT Track and field coach I wanted to spend more time with my patients So I took an assistant job at Howard University At the university, I became very curious about the injury risk reduction side of AT. * I took it upon myself to develop warmup routines* I was able to implement recovery routines Masters - injury prevention and performance management. First task as the director of Sports Performance Hiring a strength and conditioning coach that would work for an FBS coach * The process was brutal but the outcome was something great The best ability is availability - they need to be functional and healthy before they can work on performance Four Pillars Patient care Athletic Performance Data and research Education Key elements Trust  Honesty Respect Integrity Communication Overlap and interdependence in Sports Performance * Athlete Monitoring* Injury Prevention* Injury surveillance* Nutrition initiatives Each team member needs to understand the goal and how we can work together.   What is the benefit to each member? Wellness surveys can help coordinate care as well. Shared information and language in Sports Performance * Continuing Ed* Include all relevant team members in the process* This gives us shared learning and coaching cues. Progression / regression charts * Highlights key movements* How can we reintegrate the athlete optimally* What are the most complex version of the movement and what is the most basic “entry fee” into that movement Shared Projects and initiatives in Sports Performance * Collaboration to integrate new technologies* Kinesiology collects and analyses data to use for publications BRING MART PEOPLE TOGETHER AND ALLOW THEM TO DO THEIR THING Bottom Line * We are in the people business* Trust is Key* Ask questions without questioning* Allow people to take the lead Strength and conditioning’s goal should always be to ensure safety during the workouts. Compliance comes from understanding and is the biggest key for the athletes completing the RPE and RTT surveys Resources Ted Sperlak, NSCA Talk on Sports Performance Model​ https://youtu.be/EKI7rDYWLrI​ Article to Read on Recovery Periodization:&...

As a collegiate coach, Dr. Kimberly Stein had to communicate the science of recovery and nutrition to her teams. Being a pioneer in the NFL Kevin Luhrs had to communicate the science behind the small changes to improve player performance. What does effective communication mean to you/look like to you? KS: * We think it is cool and give them the details but they do not really care* Keep it simple* Meet them where they are KL:  * transfer of knowledge* Find where they are and stay one step ahead of them What barriers have you run into while trying to share science? KL:  * I started in 2010 * I think the number of Sports dieticians has doubled in college athletics* Appeal to the why - Why are you tired on the field, why are you sluggish? Keep monitoring them. KS:  * You have to sell it as another training aide* Potential injury prevention* START WITH WHY* What are the best steps to introduce science into a conversation effectively? KL: * Plant the seed* Ask questions* I had the opportunity to communicate the science in front of the whole team* I had a lot of consultations in the whole way or in the At Facility KS: * Meeting them for the first time is not the best time* What do you think about nutrition and performance?* What do you think you need to perform?* “Let’s try just a little bit of energy” not well the RDs recommend 20 ML of fluid every 20 minutes of heavy activity. How can you get a team of professional athletes to take interest in the science behind sport? KL: * Where do I start?* Fried catfish Fridays* Implement it into practice as you educate them* Small changes KS: * Older athletes kinda lead the way for me…they wanted to extend their career.* Nowadays we see athletes that are asking questions as soon as they get the contract. How do you adjust your communication methods between a practitioner audience or a professional athlete audience? KS:  * Practitioners get more of the science* They want to see the charts and graphs and data* But you are still not talking to other scientists so do not go overboard.* Use visuals often. * Professional athletes * Let them ask questions and get a feel for what they want* Use examples of places and people it has worked with* Coaches* They have to be the key in implementing it.* Allowing water breaks* Allowing practice to start later so the team has time to eat.* But they also need to internalize this personally KL:  * Educate them so they can communicate the message when needed* Being on the same page as a staff is probably the biggest key to success..coaches, admin, everyone How can someone communicate why their recommendations are effective for reasons beyond the science? KL:  - We definitely have to convince people or sell it at times - Like Dr. Stein said, science is not black an white, it is evolving KS:  * Yes!!!* Understand the science of behavior change* You are not really changing the diet but ...

Dr. Mercedes Himmons believes the Diversity and Inclusion committees of her state organization are doing a really good job. She has worked hard to set the example and is now leading in the PATS organization Dr. Himmons, if I walked down the hall of your parents’ house what would the pictures tell me about you? I am sassy, always wore dresses and I am family-oriented. What levels of education do your family members have? I am a first-generation college graduate. You have been traveling the world and Cairo on a camel at sunset was one of your highlights. Tell me more.  Dream trips: Paris and Rome Turks and Caicos What is your favorite thing about athletic training and sports medicine? Relationships What is our working definition of diversity? Having multiple people regardless of background all in the same place. Make sure all of those people are heard and seen and their perspective is taken into account. How about inclusion? The word belonging is a good fit instead of inclusion. What would you like to see from the local, district, and national levels within the profession? PATS is doing a good job of trying to close the gap. Racism is a public health issue Be good humans to each other The majority of our patient population as ATs is nonwhite but the majority of the ATs are white, so there is some disconnect. Show that you are willing to learn and understand. You are the NATA president. What would your platform be on diversity and inclusion for the profession? What about for NATA as an association? First I would like to take the temperature of the room. Everyone matters and should have a voice. Keep the patient at the center of our focus. Listening to understand and not just to reply. What is some advice you would give companies looking to diversify? What about MSAT programs? It would depend on the demographic Retention is very important, what are you doing to keep the diversity? Anything you would like to say to listeners that want to be an ally. What would you like to see or hear? People need to know that they are going to step in and do the right thing to help eradicate the negative behavior. Contact Us: Dr. Himmons: @MemoriaVitae Victoria Morris: @Morris_ATC Jeremy: @SportsMedicineBroadcast on IG

Amy Hamilton will be taking over GLATA which is now two different districts in the NATA. Challenges and troubles will arise but with a good team in place, the transition should be easier. Amy Hamilton, what are your thoughts as you begin to dive into the presidential role leading 2 districts in a few short months? Management versus leadership - how are you going to handle these? Look at the talent in the room and allow them to use their skills and empower the next generation of leaders. I lead by example in my day job A large number of our staff are involved in leadership. Amy: one of my biggest passions is looking at ATs place in healthcare. * I hate the word “coverage” and provide healthcare instead. Has being a Woman as a leader been difficult? It has not been a barrier for me because I have not let it be one. I do not want a seat at a separate table, I want a seat at “that table” How do we encourage people to break barriers down? * Start by asking to help. GLATA membership carries a good amount of the NATA membership (approx 20%), now that 2 districts represent those ATs, what advantages do you see in future? We will have a lot more people involved and represented in AT now.  We basically doubled our positions available. * Budget is one of the items we didn’t look at all the details for. As incoming MATS president, John, what thoughts do you have in a state leadership organization in GLATA, District 4? I look at it from a regional rep's point of view. We have a lot more opportunities for concerns to be voiced. We needed to develop future leaders. We had to bring back the Young Professionals committee. We need leaders with diversity in their leadership experience. Leadership Series 2021 Contact Us Amy - amyhamiltonatc@gmail.com Patrick - @Patc1996 John -  Twitter Jeremy - Twitter Help me Help YOU

Admiral McRaven's ten simple rules for life start with Make Your Bed and mark that first task off your list. Chapter One: Start Your Day with a Task Completed  What does attention to detail say about you as a leader?  John: The little things add up over time. Attention to detail means you have attention to the goal.  Chapter Two: You Can’t Go It Alone  Why is it important to have a strong network of people who support you?  John: Family to take risks and ground you.  Chapter Four: Life’s Not Fair – Drive On! How do you deal with adversity?  John: Foster an attitude for success, not misery!  Chapter Seven: Stand Up to the Bullies Choosing the difficult right over the easy wrong. John: Being a leader means always striving to choose the right over the wrong and being ok with the internal dilemma that is within.  Chapter Eight: Rise to the Occasion  What dark times have you gone through in your life?  Jeremy: Having our first foster placement taken from us at the same time I was worried about losing my job  Chapter Nine: Give People Hope  How do you encourage people when things get rough? John: What leadership styles or theories best suit individual followers? We can’t always be the rah-rah person…  Texas 2014 Commencement Speech regarding Make Your Bed https://www.youtube.com/watch?v=GmFwRkl-TTc Contact Us: John Ciecko Jeremy Jackson

John Ciecko and Dr. Matt Kutz share what they are doing to take leadership at home seriously. How do we Develop Leadership AT Home? Intentionally scheduling my time is critical for me. Johns daily schedule When during the day are ATs practicing leadership most? ATs tend to stop practicing leadership when they are not in their AT role. Leadership is not something we put on and off, it something we are. Leadership is something we take with us everywhere we go. Dr. Kutz homeschooled because he wanted to teach them some very specific skills Americans are one of the only cultures that do not celebrate life milestones “Communication is a result of something else, not a goal”- Dr. Matt Kutz When kids come into the picture your values change. Management shines best when the situation has occurred before.  It really struggles when a situation is novel.  That is when Leadership shines. V.U.C.A. leadership world. Authoritarian leadership is not dictatorship. “It is ok to say, Do this because I said so.” “As your team and relationships grow, the techniques you use early on do not work later on.” Favorite resource for raising kids? Becoming a modern-day knight Kids had to do book reports to earn money it was a great way to expose them to skills and knowledge. * TIME is the best resource* Own your mistakes and apologize

A fun song from the musical Hamilton, "What Comes Next" is the line we are focused on for the start of the 2021 leadership in AT podcast series. Thanks Patrick Ohaver for putting it all together. What comes next??  You have wanted to move up to a leadership position in the company, the school, or even a professional organization. Just as a young America made the leap into independence, now you are given the opportunity to lead. That is the question on this episode.. Do you know how hard it is to lead? Patrick- As Former supervisor for a hospital Outreach based program I was given the task of leading approximately 25 athletic trainers. Some of these athletic trainers were my peers and that in itself is a difficult part to lead your own peers.I really resonated with this song in Hamilton as I knew it would be difficult to lead however I did not realize the full extent until I was in that situation. It is difficult to lead and not just your peers but to lead a cohesive group of athletic trainers.  I was fortunate enough to have mentors that were in leadership positions and I observe them through my career taking mental notes on what I would do in certain situations how I would overreact how I would respond however I learned so much during my tenure as the supervisor of Athletic Training Services and dealt with a lot of specific leadership challenges.  Patrick --- Another point in King George's song what comes next really struck me was when your people say they hate you don't come crawling back to me. Now as a recovering people pleaser, I strive to make everyone feel Equitable and try to look for the win-win. However, during my time I discovered win-win just doesn't work out sometimes. When you have to lead a large group you are not going to please everyone now. I would not say that my employees “hated me “ however some decisions that were made did not meet with high favor. I can recall a time when we sent out an employee satisfaction survey. It was a sort of 360-degree look at our leadership team.  Through the eyes of the employees and I was expecting an overall positive response however, the amount of negative response was shocking and really caused a point of reflection and revaluation of my leadership style and our leadership team’s style.  I was fortunate enough to work with two other athletic trainers in the leadership team. We assisted each other and each had our own strengths and weaknesses in the leadership team. However, that employee survey was a watershed moment for me and my leadership style. Have you had an employee survey or an evaluation done on you that was not what you expected and did it change your outlook? George Washington states - “Winning was easy, leading is harder”- This point in the musical also echoes a similar thought that getting to the top may be easy however leading is harder. Leading your peers is very difficult. We can look back at a recent Facebook post in the Secondary School group where an employee was ranting to her “friend” who was in an administrative position about the organization. I am not sure what was said or how it was said however the other party deemed it necessary to inform her superiors and her subordinate was reprimanded. There's a good book called “From buds to boss” by Guy Harris and Kevin Eikenberry.  It's a good book and help me get some perspective in my early supervisory t...

Is Leadership Curriculum a good way to learn to lead? Can it be added to our current AT course requirements? How do we develop leadership in AT? Curriculum is the hardest way to learn leadership - there is an absence of the practice of AT “We tend to protect them from the leadership process in their clinical experiences” The only way it can work is if we integrate them together into the clinical experience. Trial and error - best most effective and efficient way Observation JBY: It is more outcome-based.  It is easy to track clinical outcomes. There are so many types of leadership. Situational leadership or contextual leadership is critical. In the current BOC practice areas, only about 2 of 8 deal with sports How do we develop good leaders? What makes a good leader? Are we putting people in the right places to lead? Energy bus The military does this really well They capitalize on the problem-solving process. If you look at the CAATE and look at the math, .05% of ATs are in leadership as program directors. MK: we need to be better at recognizing the reality there is a small percentage of us in leadership roles. * We need to train the program directors* Increase the exposure of our students If we think adding clinical skills to our profession is going to change our profession we are sorely mistaken. People want to know how we can help improve and all we have to offer is a new way to tape an ankle… The BOC states we have to have skills in leadership...not knowledge of… We have to be able to change hats. We are 20 years behind compared to other healthcare professions as far as leadership. Nursing is by far the leader in my opinion in the leadership curriculum. We are making a big mistake as a profession by not putting more eggs in this basket. Can we teach it at the MAT level? How do we measure such an objective subject?  MK: We get scared when we go to the literature. Leadership is not like a clinical skill It is not a checkbox item. Instead of a concrete objective, there should be a certain number of leadership exposures per semester. Develop a leadership philosophy. JBY: New 2020 standards have shifted towards outcomes.  How are you documenting them? Checking the boxes is a managerial task, not a leadership task. Self Assessment - SWAT analysis - how did I move this pile of beans to the other pile. Operationalizing Leadership is hit or miss. The MAT is designed for an AT student to ENTER the profession. Some of the ways we have it is an AT Student Society We have liaison positions in our program. Being on a committee at various levels. When everything is outcome-based how do we say “Leadership was performed” MK: I hand out sticky notes and ask and ask them to put ...

Risk Reduction is the key to preventing ACL injuries. Chris "Tex" McQuilkin joins us to share how Power Athlete HQ is building better movers. https://www.facebook.com/sportsmedicinebroadcast/videos/299113867774673/ Movement is going to be our common language HELPING PEOPLE UNLOCK THEIR ATHLETIC POTENTIAL. Empower your performance Non-Contact Injury Risk Reduction Athleticism will be the focus Create a common language between coaches, strength coaches, parents, and athletes Primal Movements * Vertical push* Vertical Pull* Horizontal Push / Pull* X-Squat* Y- Lunge* Z- Stepup In sports, none of the movements are isolated, but in the weight room, we train them as isolated planes. The frontal plane is the back injury prevention lane Create a systematic approach Demands of Sport * Reverse engineer the sport Athlete Assessment * Identify potential and limitations* DO NOT DO 1 REP MAX with HIGH SCHOOL ATHLETES* Limiting factors - what happens to their head, their core during the lift Develop a Program * Based on your individual needs* DON’T take the college program for top recruits at D1 school Injury Prevention - 27 minutes We need valuable scalable tools that use common language so the coaches can correct it easily without the Medical Professional there Train them to see movement Stu McGill’s Big 3 Assessment - each set and rep in the weight room should be used to assess. Integrate correctives into a program ACL Injury Prevention Model ACL Tear Mechanism * Quad dominance* Ligament dominance* Asymmetry* Leg dominance - plant leg or kick leg* Jump tuck test* Looking for one hitting the ground first* Trunk Dominance* Trunk leaves the center of gravity and compromises the muscle is the largest problem that is modifiable* Can not jump and land repeatedly in the same spot Athlete Assessment * Trunk* Heavy Barbell - relative* Deadbug and spiderman* Add 5lbs each session to the 3x5* Primal X-Y-Z* Show where they are weak withing the lunge or step-up* Frontal Plane* Transverse Plane* Can you separate knees from shoulders? Corrective Exercises * Reeducation* Teaching them how to move* Warmups* Best chance to implement corrective exercises.  Work within the window of their normal warmups* Accessory Work Neuromuscular reeducation - 41 minutes * Quad Dominance - use: Power Athlete SeeSaw Walk* Ligament Dominance - triplanar arch...have them work barefoot and do toe yoga stuff* Asymmetry - Symmetry training* Trunk Dominance - Trunk Strategy - overload and give them the opportunity to make adjustments Phases of Neuro reeducation * Alignment* Force Reduction* Force Production - Coaches often jump to this because it is easy to put in a spreadsheet and “showoff”* Isometric Force - * Protective Force - * Overload - show you can move well then we add load