Orthotic evaluation:

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Orthotic evaluation

• Treadmill evaluation internal tibial rotation
  most signifigant.
• Scanning
• Palpatory exam of foot and ankle
• Navicular Drop
• Orthotic Prescription

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Hyperpronation
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Effects of Pronation
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Pronation evaluation
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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

• Talus
• Cuboid
• Navicular
• Head of Fibula
• Knee
• Hip
• SI Joint

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Sports Nutrition

• Hydration Lactic acid buffering
• Energy S
• Glycogen reserve
• Nervous system energy systems

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Kinesiotaping

• Supports Muscle
• Improves muscle contraction in weakened muscle.
• Reduces muscle fatigue
• Reduces over-extension-over contraction of muscle
• Reduces cramping and possible injury
• Increases ROM
• 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

• Designed to prevent injury
• Support unstable joint
• Protect injured joint
• Mimics supporting elements of a joint.

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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

• 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
• Youre Steffi Graffs Chiropractor
• Brian Westbrook was my patient
• The Florida DCs 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

• 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)
• You represent your profession

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Suggested education

• 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.