NATA Presents Timely Health Care Research at 63rd Annual Meeting & Clinical Symposia

Tuesday, June 5, 2012
DALLAS, June 5, 2012 – The National Athletic Trainers’ Association (NATA) will present new and timely research during its 63rd Annual Meeting & Clinical Symposia at the America’s Center (701 Convention Plaza), June 26-29. Highlighted below are topics of noteworthy interest to be presented during the week.
 
In addition, NATA will release best practice recommendations from an Inter-Association Task Force consensus statement on “Preventing Sudden Death in Collegiate Conditioning Sessions” at a national press conference on Wednesday, June 27 at 9:30 a.m. central time (room 276). The statement will be published in the July issue of the Journal of Athletic Training. Speakers will include members of the task force, including representatives from the National Strength and Conditioning Association and American College of Emergency Physicians, as well as a legal expert to discuss liability issues.
 
 
GENERAL EDUCATIONAL PROGRAMMING
 
WEDNESDAY, JUNE 27
 
Genetics & Athletic Injuries
10:45 a.m.-11:45 a.m. Room 123
 
Genetic variation influences sports injury or training response. Researchers are reporting specific genes or genotypes that aid in athletic performance or make someone more susceptible to injury. Athletic trainers and other health professionals can utilize this information for injury prevention purposes and incorporate genetic testing into their research agendas to help explain why subjects vary in response to the same interventions.
 
Speaker: Jamie Mansell, MEd, ATC, Temple University
Moderator: Payten Gerjerts, MS, ATC, AthletiCo
 
 
Injury Management for Performing Artists
10:45 a.m.-12:45 p.m. Rooms 100-105
 
This presentation will address an athlete’s transition from sports to performing arts and the resulting physical demands and injuries placed on the performing athlete. Speakers will also address the athletic trainer’s role in this setting and the unique physical activity demands and associated injuries incurred; the social changes from sports to performing arts and the physical and emotional adjustments needed to perform safely and successfully.

The Prevention Model
Elaine Winslow-Redmond, MS, ATC, EMT-B, Madison Square Garden Entertainment
 
From the Gym to the Stage
Steve McCauley, ATC, LAT, CSCS, Cirque du Soleil
 
Addressing the Functional Needs of Performing Artists
Jacquelyn Haas, ATC, Wellington/Cincinnati Ballet
 
Moderator: Diane Bartholomew, DHSc, ATC, Graceland University
 
 
Shoulder Injuries and the Overhead Athlete
12:15 p.m.-1:15 p.m. Rooms 275
 
Speakers will discuss identifying risk factors and development of effective prevention strategies for shoulder injuries in the overhead athlete. After a brief presentation, a panel will lead an open dialogue on this topic.
 
Speakers:
Charles Thigpen, PhD, ATC, PT, Proaxis Therapy
Sakiko Oyama, MS, ATC, University of North Carolina at Chapel Hill
 
Moderator: Paul Borsa, PhD, ATC, University of Florida
 
 
The Influence of Trunk Stability on the Risk of Knee Injury
12:15 p.m.-1:15 p.m. Rooms 260-267
 
This discussion will integrate clinical and scientific applications and address current literature and clinical relevance regarding the influence of trunk stability on the risk of knee injury. A panel discussion will follow.
 
Speakers:
Jennifer Earl-Boehm, PhD, ATC, University of Wisconsin-Milwaukee
Anthony Kulas, PhD, ATC, LAT, East Carolina University
 
Moderator: David Bazett-Jones, PhD, AT, CSCS, University of Wisconsin-Milwaukee
 
 
Innovation in Sport Equipment Design: How Does Design Influence On-Field Emergency Care for
Suspected Cervical Spine Injuries?
1:30 p.m.-2:30 p.m. Rooms 121/122
 
Managing a cervical spine injury on field requires sports medicine personnel to act rapidly while creating minimal head movement. This session will review recent advancements in equipment design; how these products may help/hinder the sports medicine professional when managing a cervical spine injury on-field/providing
emergency care; what scientific literature either supports or refutes the use of these devices; and how advances in football equipment design might transfer into other sports.
 
Speaker: Julianne Toler-Schmidt, MA, ATC, University of North Carolina at Chapel Hill
Moderator: Jennifer Howard, PhD, ATC, University of Kentucky

“All the Roid Rage” – What We Should Know About Annabolic-Androgenic Steroids
4:00 p.m.-5:00 p.m. Room 123
 
These often-abused substances may improve performances, physiques, and/or body images, but also may negatively affect a number of biological systems. Speakers will address AAS pharmacokinetics and pharmacodynamics; abuser characteristics to assist potential identification and referral; the possible negative health effects with AAS abuse; and various prevention and education techniques.
 
Speaker: Robert Kersey, PhD, ATC, CSCS, California State University, Fullerton
Moderator: Ryan Wilkinson, MS, ATC, University of Wisconsin-Milwaukee
 
 
Overuse Running Injuries to the Lower Extremity
4:00 p.m.-6:00 p.m. Ferrara Theatre
 
Speakers will address the most common running overuse conditions of the lower extremity. Discussions will include the orthopedic surgeon’s perspective and the etiology of these injuries as well as common symptom patterns typically encountered; and physical examination methods, diagnostic tests and treatment options – with an emphasis on non-operative care. The session will conclude with the indications for surgical intervention and
a general discussion of operative techniques used by orthopedic sports medicine specialists.
 
An Orthopedist’s Perspective
Matthew Matava, MD, Washington University
 
Lower Extremity Kinematics in the Long-Distance Runner
Janice Loudon, PhD, ATC, PT, University of Kansas
 
Intervention Strategies
Jennifer Early-Boehm, PhD, ATC, University of Wisconsin-Milwaukee
 
Moderator: Leslie Duinink, MS, ATC, LAT, Central College
 
 
Legal Issues with Concussion Management
Presented by the NATA Continuing Education Committee
4:00 p.m.-6:00 p.m. Rooms 225-227
 
Legal consequences to actions or omissions involving the management of concussions among athletic trainers and physicians are changing, particularly when resulting in life-changing effects. What are the best practices and standards of practice for athletic trainers in evaluating and managing concussions? An attorney will handle the questioning of an athletic trainer and physician at a deposition/trial involving the mismanagement of a concussion for a youth athlete. What happens inside the courtroom during these cases is not always what we see on TV.
 
Speakers:
Stan Herring, MD, Puget Sound Sports & Spine
Richard Adler, JD, Forensic & Clinical Psychiatry
Kevin Guskiewicz, PhD, ATC, University of North Carolina at Chapel Hill
 
Moderator:
Kasee Hildebrand, ATC, AT/L, Washington State University

THURSDAY, JUNE 28
 
Osteoarthritis in the Athlete
7:00 a.m.-9:00 a.m. Ferrara Theatre
 
As has been well documented, sports that subject joints to repetitive high levels of impact and torsional loading increase the risk of articular cartilage degeneration and the resulting clinical syndrome of osteoarthritis. Speakers will explore early intervention and preventative strategies for post traumatic osteoarthritis; the effects of exercise on other body parts and non-surgical and surgical interventions employed at the knee, the most common site for OA.
 
When All Else Fails: Medical Intervention for the Knee: Surgical and Non-Surgical Options
Glenn Johnson, MD, Parkcrest Orthopedics
 
Early Intervention and Preventative Strategies for Post-Traumatic Osteoarthritis
Joseph Hart, PhD, ATC, University of Virginia
 
The Development and Progression of Osteoarthritis: A Path to Joint Failure
Jeffrey Driban, PhD, ATC, CSCS, Tufts Medical
 
Moderator: Renee Polubinsky, EdD, ATC, CSCS, Western Illinois University
 
 
Implementation of Functional Movement Screen (FMS) in the Athletic Training Setting
7:00 a.m.-9:00 a.m. Room 231
 
The Functional Movement Screen is a grading system created to assess and document functional movement patterns. By assessing these patterns, functional limitations and asymmetries are readily identified. Speakers will discuss how the FMS can be used to identify risk for injury; bridge the gap between rehabilitation and return to performance; and assist in improving communication between different medical, strength and conditioning professionals.
 
Speaker: Lee Burton, ATC, Averett University
Moderator: Erica Asher, ATC, CSCS, Sports Medicine Training Center
 
 
Managing Type II Diabetes
9:15 a.m.-10:15 a.m. Rooms 121/122
 
Although the primary cause of Type II diabetes is obesity and inactivity, there are several other factors that lead to its development in the active population. The primary treatment of Type II diabetes is exercise and diet but there are a variety of medications available to assist in the management of blood glucose levels. The speaker will address differences between Type I and Type II diabetes, as well as non-pharmaceutical and pharmaceutical management of Type II.
 
Speaker: Robert Ryan, MA, ATC, CSCS, Mesa State College
Moderator: Fran Babich, MS, ATC, Butte Community College

Treating Ankle Instability: Are We Missing Half the Battle?
9:15 a.m.-11:15 a.m. Rooms 100-105
 
Chronic ankle instability (CAI) is an extremely common consequence of a lateral ankle sprain, the most common sport-related injury. Our inability to prevent recurrent injury, residual symptoms and subsequent development of post-traumatic ankle osteoarthritis clearly indicate that traditional rehabilitation strategies are ineffective. The objective of this presentation is to introduce clinicians and researchers to a paradigm shift in the treatment of CAI, specifically focusing on sensory-targeted ankle rehabilitation strategies that have shown promise in improving outcomes in those with CAI. Targeting sensory pathways has the potential to help clinicians optimize interventions to enhance outcomes beyond the existing treatment paradigms.
 
Neurophysiologic Principles Behind Sensory Rehabilitation Practices
Patrick McKeon, PhD, ATC, University of Kentucky
 
Sensorimotor Enhancements Associated with Stochastic Resonance Stimulation
Scott Ross, PhD, ATC, Virginia Commonwealth University
 
Sensorimotor Enhancements Associated with Manual Therapies
Erik Wikstrom, PhD, ATC, University of North Carolina at Charlotte
 
Moderator: Robert Gray, MS, ATC, Cleveland Clinic Sports Health
 
 
Administrative Concerns of the College/University Athletic Trainer
Presented by the College/University Athletic Trainers’ Committee
9:15 a.m.-11:15 a.m. Rooms 225-227
 
This session will feature three speakers, each specifically addressing the needs of the college/university athletic trainer. Topics include NCAA mandates of insurance programs, and how to use these programs and cost containment strategies; assessing the needs of collegiate of the collegiate sports medicine department; and the athletic director’s perspective of where sports medicine fits into the athletic department.
 
Understanding Health Insurance in the Collegiate Environment
James Shipp, MA, ATC, LAT, Towson University
 
Assessing the Needs of the Collegiate Sports Medicine Program
Rod Walters, DA, ATC, Rod Walters, Inc.
 
How the Sports Medicine – Athletic Director Relationship Can Work
John Rock, MA, ATC, Providence College
 
Moderator: Mark Coberley, MS, ATC, LAT, Iowa State University
 
 
A Dynamic Approach to Management of Hamstring Strains
9:15 a.m.-11:15 a.m. Room 231
 
Hamstring strains can be one of the most frustrating and challenging injuries faced by athletic trainers. Successful management requires a thorough understanding of the mechanism and etiology of injury, shortcomings of “traditional” rehab, and an emphasis on preventing recurrence. This program will review causative factors, discuss clinical evidence, and provide a dynamic, functional approach to managing both acute and chronic hamstring strains, including return to play criteria.
 
Speaker: Randy Craig, MS, PT, ATC, ProRehab
Moderator: Michelle Boyd, MS, ATC, Truman State University

Preventing Exertional Heat Stroke by Identifying Risk Factors During the
Pre-Participation Physical Examination
10:30 a.m.-11:30 a.m. Rooms 260-267
 
Speakers will discuss current literature and clinical relevance regarding preventing exertional heat stroke by identifying risk factors during the pre-participation physical examination. After a brief presentation, a panel will lead an open discussion on this topic.
Speakers:
Michelle Cleary, PhD, ATC, CSCS, University of Hawaii
Rebecca Lopez, PhD ATC, CSCS, University of South Florida
 
Moderator: David Csillan, MS, ATC, LAT, Ewing High School
 
 
Health Care Reform and its Impact on Athletic Trainers
J&J Feature Presentation
11:45 a.m.-1:45 p.m. Hall 5
 
What Health Care Reform Really Means
Peter Carmel, MD
 
The Athletic Trainers’ Place in the Changing Landscape of Health Care
Aaron Hajart, MS, ATC, UMDNJ New Jersey Medical School
 
Moderator: Shaun McCarthy, MA, ATC, Coe College
 
 
Athletic Trainers as Medical Coordinators: Aces in Their Places
5:00 p.m.-6:00 p.m. Room 123
 
Athletic trainers are uniquely positioned within the sports medicine team to act as medical coordinators for sporting events. This presentation will demonstrate how athletic trainers represent Aces in their Places when it comes to planning, coordinating, and delivering medical coverage for sporting events such as championships, marathons and triathlons. Presenters will illustrate how the medical coordinator role differs from that of a medical director and why this distinction is important
 
Speaker: Mark Cole, PhD, ATC, Western Illinois University
Moderator: Johanna Hoch, MS, ATC, University of Kentucky
 
 
Use of the Head Impact Telemetry System to Understand Concussion
7:15 pm- 8:15 p.m. Rooms 220/221/228/229
 
Researchers have applied a variety of models to better understand concussions, but each method has its limitations. The Head Impact Telemetry (HIT) System permits the real-time tracking of all impacts that occur on the football field and has been used in the high school and collegiate settings. This presentation will provide a theoretical discussion of concussion mechanics and examine the current literature on impact number, magnitude, distribution, and concussion threshold with application toward concussion prevention and diagnosis
 
Speaker: Steven Broglio, PhD, ATC, University of Michigan
Moderator: Michael Fraas, PhD

FRIDAY, JUNE 29
 
What Can We Learn from Studying Concussed Brains of Live Retired Professional Athletes?
8:15 a.m.-10:15 a.m. Ferrara Theatre
 
There have been considerable efforts to characterize the pathological changes associated with repeated head injuries over time in retired professional athletes. Presenters will discuss the study of 30 living former professional football players with a history of concussions; the similarities of treating the younger athlete with post-concussion syndrome sequelae, including long term cognitive disabilities, neurobehavioral and psychosocial sequelae associated with concussion; and best practices for the athletic trainer.
 
Study of 30 Living Ex-Professional Athletes’ Brains Using Multiple Diagnostic Tools
John Hart, MD, University of Texas at Dallas
 
Neurobehavior and Psychosocial Sequelae in the Post-Concussed Adolescent Athlete
James Sterling, MD, MS, Texas Orthopedic Associates
 
Long-Term Cognitive Disabilities Related to Post-Concussed Younger Athletes
Paul Krawietz, EdD, ATC, LAT, University of Texas at Arlington
 
Moderator: Ken Locker, MA, ATC, Texas Health Ben Hogan Sports Medicine
 
 
Emerging Position Statements
Presented by the NATA Foundation Pronouncements Committee
8:15 a.m.-10:15 a.m. Rooms 222- 224
 
This presentation will review the scientific evidence supporting exercise based ACL injury prevention programs as an effective method of decreasing injury rates during sport and physical activity. Speakers will also present recommendations for conservative treatment and prevention of lateral ankle sprains. There are more than an estimated 23,000 lateral ankle sprains (LAS) daily in the U.S. Ankle sprains represent a serious health problem and estimated annual aggregate health care costs of more than $2 billion in the country.
 
Prevention of Anterior Cruciate Ligament Injuries
Darin Padua, PhD, ATC, University of North Carolina at Chapel Hill
 
Conservative Management and Prevention of Ankle Sprains in Athletes
Thomas Kaminski, PhD, ATC, FNATA, University of Delaware
Jay Hertel, PhD, ATC, FNATA, University of Virginia
 
Moderator: Steve Zinder, PhD, ATC, University of North Carolina at Chapel Hill
 
 
Spine Stabilization on Unstable Surfaces
10:45 a.m.-12:45 p.m. Ferrara Theatre
The key to preventing paralysis in an athlete is preparation and practice of spine stabilization protocols. Immobilizing the head to the chest is especially critical for the cervical spine. In the athletic environment, typically spine stabilization occurs on a stable surface. However, there are multiple settings where spine injury can occur where a victim is on an unstable surface such as trampolines, water, airbags, nets or ice. Review of standard practices and protocols with video demonstration and tips on ways to limit spinal movement on unstable surfaces will be discussed.
 
Protocol for the Spine-Injured Athlete
Robert Watkins, MD, Marina Spine Center

Spine Stabilization on Trampolines, Airbags, Nets
Kerry Gordon, MS, ATC, CSCS, Cirque du Soleil-RSD
 
Challenges of Spine Stabilization on Ice for Hockey
Jason Mihalik, PhD, CAT (C), ATC, University of North Carolina at Chapel Hill
 
Moderator: Jessica Lipsett, ATC, DPT, Purdue University
 
 
Catastrophic Injuries in High School and Collegiate Athletes
Presented by the National Collegiate Athletic Association
10:45 a.m.-12:45 p.m. Rooms 222-224
 
Catastrophic injuries are the most significant injuries in sport and physical activity. Education and awareness of the risk of these life changing events is crucial. This session will provide an overview of the breadth of catastrophic injuries and the impact they have on the quality of life of both the patient and athletic trainer. This presentation will also provide the most recent epidemiological data surrounding catastrophic injuries in both the high school and collegiate settings.
 
The Nature, Breadth and Impact of Catastrophic Injury Events
Thomas Dompier, PhD, ATC, Datalys Center
 
The Risk of Rare Injuries and Conditions in High School Athletes
Dawn Comstock, PhD, Nationwide Children’s Hospital
 
Catastrophic Injury Events Reported in the Collegiate and High School Settings: Data from the National Center for Catastrophic Sports Injury Research
Fred Mueller, MD
 
Moderator: David Klossner, PhD, ATC, National Collegiate Athletic Association
 
 
Medical Aspects: Managing Athletes with Inflammatory Rheumatic Diseases
1:15 p.m.-2:15 p.m. Room 123
 
Systemic rheumatic diseases (SRD) are characterized by both inflammatory and autoimmune components and most manifest with a variety of musculoskeletal symptoms. With the advent and increasing use of disease- modifying anti-rheumatic drugs (DMARDs), particularly the biologic response modifiers, children and adults with SRDs have less functional loss, deformities and better function. Children with SRD are participating in more sports and recreational activities. Speakers will discuss the clinical course, disease management, prevention of infections, and exercise precautions for physically active persons with SRD.
 
Speaker: Jennifer Hootman, PhD, ATC, Centers for Disease Control & Prevention
Moderator: Terry DeWitt, PhD, ATC, Ouachita Baptist University
 
The Financial Impact of Athletic Trainers on Hospitals, Orthopedic Practices and the Community
1:15 p.m.-2:15 p.m. Room 124
 
Athletic trainers can have a substantial financial impact on hospitals and orthopedic practices. This presentation will detail how ATs can generate revenue directly and indirectly; their downstream effect and impact on new business and in clinical capacities; and the value of their services to the general public and cost savings to patients and school systems.
 
Speaker: Aaron Hajart, MS, ATC, UMDNJ New Jersey Medical School
Moderator: Pamela Rast, PhD, ATC, LAT, Texas Wesleyan University

Intervention for Pain
3:30 p.m.-5:30 p.m. Ferrara Theatre
 
A growing body of evidence suggests that correlating a patients pain experience as an accurate reflection of the state of tissue healing is inadequate for today’s clinical practice. Driven by advances in treating combat trauma, our understanding of pain indicates a need to extend our clinical intervention strategies beyond the peripheral pain theories. Presenters will discuss the prevailing historical models of pain perception; recent advances in models for understanding pain perception; mechanisms-based classification of pain; the neuroplasticity changes seen in the brain of patients with pain; and select therapeutic interventions using current knowledge of pain perception.
 
Pain: Getting to the Gate and Traveling Toward the Matrix
Dennis Gruber, EdD, ATC, Ashland University
 
Pain: Into the Matrix – Is it Really All in Your Head?
“JC” Jody Andersen, PhD, ATC, PT, University of Tampa
 
Moderator: Dustin Briggs, MS, ATC, CSCS, Central College
 
FREE COMMUNICATIONS (These sessions are administered by the NATA Research and Education Foundation and include oral and poster presentations).