Transcript Orthotic evaluation:

Orthotic evaluation:
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Treadmill evaluation: internal tibial rotation
most signifigant.
Scanning
Palpatory exam of foot and ankle
Navicular Drop
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Orthotic Prescription
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Hyperpronation
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Effects of Pronation
Pronation, internal tibial
Rotation, Valgus Knee
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Corrective inserts
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Inserts Cont.
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Calcaneal
Inversion/Eversion
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Extremity Adjustment
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Talus
Cuboid
Navicular
Head of Fibula
Knee
Hip
SI Joint
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Sports Nutrition:
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Hydration : Lactic acid buffering
Energy S
Glycogen reserve
Nervous system energy systems
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Kinesiotaping
1. Supports Muscle
a. Improves muscle contraction in
weakened muscle.
b. Reduces muscle fatigue
c. Reduces over-extension-over
contraction of muscle
d. Reduces cramping and possible injury
e. Increases ROM
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f. Relieves pain
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Kinesio ( cont )
 Removes Congestion to the flow of body
fluids
 Improves blood and lymph circulation
 Removes excess heat and chemical
substances
 Reduces inflammation
 Reduces pain in skin and muscle
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Kinesio ( cont )
 Activates endogenous analgesic system
 Possibly activates spinal inhibitory
system and descending inhibitory system
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Kinesio ( cont )
 Adjusts misalignment caused by spasm
and shortened muscle
 Normalizes muscle tone and abnormality
of fascia in joints
 Improves ROM
 Relieves pain
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Method of Kinesiotaping
 Acute: Insertion to origin no stretch. Skin
stretched
 Chronic and weak muscle: Origin to
insertion 15-25% stretch
 Ligament or joint injuries: Full stretch with
joint in functional position.
 Correction strips: Misalignment due to
muscle spasm
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Support taping
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Designed to prevent injury
Support unstable joint
Protect injured joint
Mimics supporting elements of a joint.
Getting in the Door:
 How do I get involved with a sports
team?
 Responsibilities
 Potential abuses
 Expectations
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Getting in the door
 Go in the front door
 Do seminars for trainers on topics unique
to Chiropractic that have a direct
relationship to injury prevention,
performance enhancement, and
treatment of injuries.
 Topics include: exercise, diet, laser
therapy, kinesiotaping, rehab.
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Getting in the door ( cont)
 X-ray services during a game.
 Treat your patients well, they will pass
the word
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Responsibilities
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Vary according to level of involvement.
Professional
College
High school
Individual
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Potential abuses
 Advertising that you are a member of the
University of Maryland sports medicine
team
 You‘re Steffi Graffs Chiropractor
 Brian Westbrook was my patient
 The Florida DC’s illustration,
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Billing and Coding:
 How to get paid for your work with a :
 Sports team.
 Seminars, Certifications
 CE Training.
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Getting paid for your
service
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Retainer
Per athlete
School insurance
Personal Insurance
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Ethical Considerations:
 Member of a team of specialists
 Donot polorize or intimidate other team
members
 Donot compete with team members
 Donot pit team mambers against each
other
 Donot use your position to advance your
practice( it will advance by itself)
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 You represent your profession
Suggested education
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Mitch Maley, Kevin Heron
Edkinesiology online courses
CSCS: very valuable
Kinesiotaping
Log onto Pubmed every Monday morning
Be a student: knowledge is key
Illustration Casseous Necrosis.
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