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Orthotic evaluation:Orthotic evaluation: Treadmill evaluation: internal tibial rotation Treadmill evaluation: internal tibial rotation
most signifigant.most signifigant. ScanningScanning Palpatory exam of foot and anklePalpatory exam of foot and ankle Navicular DropNavicular Drop
Orthotic Prescription Orthotic Prescription
Hyperpronation
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Effects of Pronation
Pronation, internal tibial Pronation, internal tibial Rotation, Valgus KneeRotation, Valgus Knee
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Corrective insertsCorrective inserts
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Inserts Cont.Inserts Cont.
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Calcaneal Calcaneal Inversion/EversionInversion/Eversion
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Extremity AdjustmentExtremity Adjustment
TalusTalus CuboidCuboid NavicularNavicular Head of FibulaHead of Fibula KneeKnee HipHip SI JointSI Joint
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Sports Nutrition:Sports Nutrition:
Hydration : Lactic acid bufferingHydration : Lactic acid buffering Energy SEnergy S Glycogen reserveGlycogen reserve Nervous system energy systems Nervous system energy systems
Kinesiotaping Kinesiotaping
1.1. Supports MuscleSupports Muscle
a.a. Improves muscle contraction in weakened Improves muscle contraction in weakened muscle.muscle.
b.b. Reduces muscle fatigueReduces muscle fatigue
c.c. Reduces over-extension-over contraction of Reduces over-extension-over contraction of musclemuscle
d.d. Reduces cramping and possible injuryReduces cramping and possible injury
e.e. Increases ROMIncreases ROM
f.f. Relieves painRelieves painDr. Jack Dolbin Session 7Dr. Jack Dolbin Session 7 1717
Kinesio ( cont )Kinesio ( cont )
Removes Congestion to the flow of body Removes Congestion to the flow of body fluidsfluids
Improves blood and lymph circulationImproves blood and lymph circulation Removes excess heat and chemical Removes excess heat and chemical
substancessubstances Reduces inflammationReduces inflammation Reduces pain in skin and muscleReduces pain in skin and muscle
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Kinesio ( cont )Kinesio ( cont )
Activates endogenous analgesic systemActivates endogenous analgesic system Possibly activates spinal inhibitory Possibly activates spinal inhibitory
system and descending inhibitory systemsystem and descending inhibitory system
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Kinesio ( cont )Kinesio ( cont )
Adjusts misalignment caused by spasm Adjusts misalignment caused by spasm and shortened muscleand shortened muscle
Normalizes muscle tone and abnormality Normalizes muscle tone and abnormality of fascia in jointsof fascia in joints
Improves ROMImproves ROM Relieves painRelieves pain
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Method of KinesiotapingMethod of Kinesiotaping
Acute: Insertion to origin no stretch. Skin Acute: Insertion to origin no stretch. Skin stretchedstretched
Chronic and weak muscle: Origin to insertion Chronic and weak muscle: Origin to insertion 15-25% stretch15-25% stretch
Ligament or joint injuries: Full stretch with joint Ligament or joint injuries: Full stretch with joint in functional position. in functional position.
Correction strips: Misalignment due to muscle Correction strips: Misalignment due to muscle spasmspasm
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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: Getting in the Door:
How do I get involved with a sports How do I get involved with a sports team?team?
ResponsibilitiesResponsibilities Potential abusesPotential abuses Expectations Expectations
Getting in the doorGetting in the door
Go in the front doorGo in the front door Do seminars for trainers on topics unique Do seminars for trainers on topics unique
to Chiropractic that have a direct to Chiropractic that have a direct relationship to injury prevention, relationship to injury prevention, performance enhancement, and performance enhancement, and treatment of injuries.treatment of injuries.
Topics include: exercise, diet, laser Topics include: exercise, diet, laser therapy, kinesiotaping, rehab.therapy, kinesiotaping, rehab.
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Getting in the door Getting in the door ( cont)( cont)
X-ray services during a game.X-ray services during a game.
Treat your patients well, they will pass Treat your patients well, they will pass the wordthe word
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ResponsibilitiesResponsibilities
Vary according to level of involvement.Vary according to level of involvement. ProfessionalProfessional CollegeCollege High schoolHigh school IndividualIndividual
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Potential abusesPotential abuses
Advertising that you are a member of the Advertising that you are a member of the University of Maryland sports medicine University of Maryland sports medicine teamteam
You‘re Steffi Graffs ChiropractorYou‘re Steffi Graffs Chiropractor Brian Westbrook was my patientBrian Westbrook was my patient The Florida DC’s illustration, The Florida DC’s illustration,
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Billing and Coding:Billing and Coding:
How to get paid for your work with a :How to get paid for your work with a : Sports team.Sports team. Seminars, CertificationsSeminars, Certifications CE Training.CE Training.
Getting paid for your Getting paid for your serviceservice
RetainerRetainer Per athletePer athlete School insuranceSchool insurance Personal InsurancePersonal Insurance
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Ethical Considerations:Ethical Considerations:
Member of a team of specialistsMember of a team of specialists Donot polorize or intimidate other team Donot polorize or intimidate other team
membersmembers Donot compete with team membersDonot compete with team members Donot pit team mambers against each otherDonot pit team mambers against each other Donot use your position to advance your Donot use your position to advance your
practice( it will advance by itself)practice( it will advance by itself) You represent your professionYou represent your profession
Suggested educationSuggested education
Mitch Maley, Kevin HeronMitch Maley, Kevin Heron Edkinesiology online coursesEdkinesiology online courses CSCS: very valuableCSCS: very valuable KinesiotapingKinesiotaping Log onto Pubmed every Monday morningLog onto Pubmed every Monday morning Be a student: knowledge is keyBe a student: knowledge is key Illustration Casseous Necrosis.Illustration Casseous Necrosis.
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