Title: MANUAL MEDICINE IN THE TRAINING ROOM An Osteopathic ApproachSports Medicine Series Friday July 23, 1
1MANUAL MEDICINE IN THE TRAINING ROOMAn
Osteopathic Approach-Sports Medicine
SeriesFriday July 23, 1000-1045
- Michael W. Goforth, MS, ATC
- Director of Athletic Training, Virginia Tech
Athletics
2Certified Athletic Trainers
- Prevention of Athletic Injuries
- Recognition of Athletic Injuries
- Management of Athletic Injuries
- Communication of Athlete Status
- Guidance and Counseling
- Organization and Administration
3ATC Roles and Responsibilities
- Student-Athlete/Patient
- Team/Department
- Profession
4Who else is on the team?
- Traditional
- Make sure every member of the team knows the
demands and expectations of athletics!
- Non-traditional
- Coach
- ATC
- PT
- MD/DO
- Chiropractor
- Strength Coach (CSCS)
- Massage Therapist
- Sports Psychologist
- Nutritionist
5Manual Therapy Background
- Massage
- Traction
- Joint Mobilizations
- Muscle Energy
- Positional Release
- OMT (DO? What is a DO?)
6Integration Into Care
- Purpose
- Prevention
- Performance
- Restorative
- Availability
- Pre-game
- Acute care
- Manual Medicine Clinic Time
- Follow-up
- Exercises
- Self-Assessment
7Game Day Acute Care Manual Medicine
8Injury Process
Primary Injury
Primary Injury
Vasoconstriction
Vasoconstriction
ICE
SWELLING (Vasodilatation)
WHERE DOES MANUAL MEDICINE FIT IN?
Decreased SWELLING (Vasodilatation)
cell
Hypoxia Secondary Injury
cell
Decreased Hypoxia and Secondary Injury
9INTERVENTION PROCEDURES
- WHY DO WE DO WHAT WE DO?
- CRYOTHERAPY
- METHODS
- FREQUENCY
- PHYSIOLOGIC RESPONSE TO COLD
- THERMOTHERAPY
- METHOD
- FREQUENCY
- PHYSIOLOGIC RESPONSE TO HEAT
10INTERVENTION PROCEDURES
- STEROIDAL ANTI-INFLAMMATORIES
- ACTION NOT FULLY UNDERSTOOD
- CORTISONE, HYDROCORTISONE, PREDNISONE,
DEXAMETHOSONE - CAN NEGATIVELY COLLAGEN FORMATION
- NON-STEROIDAL ANTI-INFLAMMATORIES
- DOES NOT USUALLY AFFECT COLLAGEN FORMATION.
- ACETYLSALITIC ACID, IBUPROFEN, NAPROXEN,
INDOMETHACIN - ASPIRIN CONTRAINDICATED FOR ADELOSCENTS!
11INTERVENTION PROCEDURES
- THERAPUETIC EXERCISE
- INCREASES BLOOD FLOW
- GUIDES COLLAGEN
- DAVIES WOLFES LAW TISSUES HEAL ACCORDING TO
THE STRESSES APPLIED TO IT. - PHASES PROM, AROM, AAROM, RROM
- PROGRESSION BILATERAL SUPPORTED, UNILATERAL
SUPPORTED, BILATERAL NON-SUPPORTED, UNILATERAL
NON-SUPPORTED, SPORT SPECIFIC, POSITION SPECIFIC,
INDIVIDUALLY SPECIFIC - CLOSED VS OPEN SKILLS
- CLOSED VS OPEN KINETIC CHAIN EXERCISES
12INTERVENTION PROCEDURES
- Manual Medicine?
- Improve posture and motion
- Improve neurologic integration
- Improve circulation
- Improve metabolic processes
- Improve psychosocial elements
13Virginia Tech Perspective
- Passive vs. Active
- Function vs Disability
- Open vs. Closed skills
- Open vs. Closed chain exercises
- Old vs. New school
- Sport Specific
- Do you know your kids?
- Subjective vs. Objective
- Cross training
- Traumatic vs atraumatic
- Slow vs fast
- Position specific (Somata Specific?)
- Force delivery vs force acceptance.
14Virginia Tech Model
- History including usage of manual medicine.
- Educate on benefits of manual medicine
- Manual medicine clinics
- Wednesday
- By appointment
- Pre-event
- Participation in research opportunities to
validate the usefulness of manual medicine.
15Benefits of a sound program.
- Increase sport performance.
- Trust
- Civility
- Reinforcement
- Compliance
- Decrease time loss
- Increased injury prevention
- Better continuity of care
- Better over all experience.
SHORT TERM AND LONG TERM BENEFITS!
16THANK YOU!