Interprofessional Collaboration: Combining Disciplines in ... · •Injury reduction and...
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Interprofessional Collaboration: Combining Disciplines in Treatment
and Performance A DC and ATC’s Guide to Maximizing Complimentary Skillsets for the Benefit of the Athlete
Kyle Boland DC & Joel Luedke Mse, ATC|L
Clinically Pressed
#complicatedsimple
Sports Performance (as it might be known)
• “Traditional” Strength & Conditioning • Huge Focus on Strength, not as much on the conditioning.
• What does conditioning all consist of?
• Training Harder (not always smarter)
• Moving more weight • (videos across the internet)
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Sports Performance as It Should Be
• Movement based training
• Putting strength on good movement patterns
• Teaching movement skills
• Training smarter, not just harder
• Building a more robust athlete • Allows the coach to team the specificity
• Training vs. Working Out
Four Pillars of Performance
• Mindset • Smarter training and trusting the process.
• Nutrition • Has to be a focus. Need the fuel to run the car.
• Movement • Efficient patterns to put strength and power on.
• Recovery • Recovery Hard, Train Hard.
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Movement Based Training vs. Everything Else
• Training for a more robust athlete.
• Establishing basic movement competencies allow for focus on more advanced techniques.
• Injury reduction and resilience. • Not just a function of strength and eccentric training.
• UWL Football example.
What is Our Actual Goal
• Training vs. Working Out • Annual Plans
• Planning for peak performance
• When do our athletes need to be most fit?
• Sport Specificity in the weight room • Basic athleticism
• Movement skills (do we need to train different sports that differently)
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Performance Model
• Increased mobility to apply strength too.
• Better movers make better athletes.
• Adaptability.
• We don’t forget about strength/power and performance
• Adapting training to the characteristics that last • Strength vs. Speed
“Prevention” Model
• Can we actually prevent injuries from occurring? • Acute vs. Chronic
• Injury resilience through better movement • Hip mobility and upper leg injury
• Hamstring contraction at end ranges
• Teaching mechanics
• Progression in mechanics and training, priming the body
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Combining the Two for Optimal Results
• Movement First
• Progress
• Focus on the entire year
• Regeneration • Recovery
• Mobility
• Self soft tissue
• Healthier/fresher athletes
Collaborating in Treatment and Rehabilitation • Utilizing of different perspectives to create a holistic approach to
care.
• Different “eyes” can provide unique insight and challenge assumptions.
• It takes a team to lead a team to high performance.
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Athletic Training Skill Sets
• Sport specific knowledge
• Implementation on a large scale
• Consistent interaction with patients/athletes
• Creativity with resources
• Soft tissue mobilization
• Rehabilitation techniques
• Modalities
Chiropractor Skill Sets
• Adjustment/joint mobilization
• Specialized Rehab Systems
• Soft Tissue Mobilization
• Specific Injury Management
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Rehabilitation Philosophies
• Building rehab concepts into performance practice.
• Abdominal bracing for movements (small and large)
• Creating torque through the system
• Maintaining positional integrity
• Joint centration
• Solid foundation
Exercises Based on 8 Basic Principles
- IAP
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Exercises Based on 8 Basic Principles - 90-90
Exercises Based on 8 Basic Principles
- Functional Progression 1
- https://youtu.be/6Okk1SJUSYo
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Exercises Based on 8 Basic Principles
- Functional Progression 2
- https://youtu.be/GDT8cqnOjNQ
Exercises Based on 8 Basic Principles
- Functional Progression 3
- https://youtu.be/xW8uVL6uFHQ
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Exercises Based on 8 Basic Principles
- Crawl (can use slides)
- https://youtu.be/nBJaymTS38E
Exercises Based on 8 Basic Principles
- Bear
- https://youtu.be/kCIO-kE7WAc
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Exercises Based on 8 Basic Principles
- Bear w/ lifts
- https://youtu.be/6td4Kk6mbqM
Exercises Based on 8 Basic Principles
- Bear crawl (can use slides)
- https://youtu.be/nBJaymTS38E
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BREAK
Fixing Problems Before They Start
• Addressing common injury trends across sports • Team specific?
• Data collection and collaboration
• The number one ‘prevention’ protocol is really, really good Sports Performance Training
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What’s in a “Screen”?
• Is there a need for screening? • Injury prevention • Exercise implementation
• “What gets measured, gets accomplished.”
• We have to know where we are so we can figure out where we are going.
• Options: • FMS • CES/Fusionetics
• Implementation at UW-La Crosse
Tensegrity
• The importance of maintaining tension throughout the system
• Examples: • Sprinting
• Squat form
• RDL-low back discomfort
• Bend at the elbow example.
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The “Perfect” Squat
• Is there such thing?
• Guiding Principles • Break at the hips, then the knees (or
simultaneously)
• External rotators engaged
• Knees “out”
• Foot placement
Avoiding Injury Risk for “the sake of performance” • Exercise variations
• Olympic Lifts: where do they fit in.
• “Pull” Variations • Eliminating the catch • Low pulls • High pulls • Jump shrugs
• Alternatives • Jump squat (bar/hex bar)
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Intentional Practice
• The Perfect Program without perfect implementation leads us right back to where we were at.
• Not only training, regeneration, nutrition and recovery.
• As with rehab, it’s the little things that can have the most profound impact.
Name The Sport/Movement/Activity
- Implementation into athletic movement world - Variety of University athletics - Crossfit, yoga, martial arts, etc
- Why these exercises translate into functional movements - Apply to more global movement
- Speaking with the athlete - How it translates - Application to a specific activity - Education/communication is important
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Kinematic Sequence - Force Generation:
- The faster a segment accelerates, the more force is generated - The faster a segment decelerates, the more energy is transferred to the next
segment in the chain - Proper Kinematic Sequence
- Optimal force distribution between involved segments - Improper Kinematic Sequence
- Overloads the segment breaking the sequence
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Anatomy Trains
Energy Leak
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DNS Principles Into Movement and Mechanics
- Pitcher - Scapular dyskensis
- Offensive lineman - Diver - Wrestler
- Cervical disc derangement - Gymnast - Crossfitter - Yoga
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How We’ve Implemented DNS Principles
- Points of support - Foot - Hand
- Wall Shoulder Floss - https://youtu.be/FCRv8EyvDtA
Exercises continued
- High Oblique Sit - Position alone - HOS exercise - HOS to high kneel
https://youtu.be/iBZERxHx5oQ
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Exercises continued
- Prone 3 Months
- https://youtu.be/8nMkFB3-m0w
Exercises continued
- Serratus Theraband
- https://youtu.be/sdN7n0v7CRM
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Exercises continued
- Low Oblique Sit - https://www.youtube.com/watch?v=6pZcSbsf_I8&t=1s
Exercises continued
- Squat Rotations
- https://youtu.be/cQmkbRsn2ms
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Tying it all Together
- Our process in the ATC - Paint the picture on ATC side up until they even get on schedule for DC - Luxury of having Joel running SPC - What seems to work well, what doesn’t
- Timing - Time of year - Day of week - Time of day - Appt lengths
- Notes from week to week (looking back) - Directional preference, orthos
- Everybody needs to buy in (DC, ATC, athlete, staff)