Sleep and the Athlete

Angie Brockman, APRN

Presentation Objectives:

  1. Review definition of OSA
  2. Identify risk factors of OSA
  3. Recognize symptoms of OSA and provide proper screening tools
  4. Recognize when the refer patients
  5. Discuss risks of untreated OSA
  6. Discuss treatment options

Speaker Biography:

Angie Brockmann graduated with her BSN in 1989 from St. Mary of the Plains College. She then received her MSN, FNP in 1994 from Wichita State University. Brockmann has been working in Pulmonology and Sleep since 2006. She has presented at the 2019 APP summit, the Pulmonary Symposium, and at the 33rd  Annual Respiratory Care Conference. She is a member of the American Academy of Sleep Medicine.

Knowledge Gap:

Incorporating sleep training as part of an athlete’s regimen may improve the athlete’s performance and decrease injuries. This presentation will help enable trainers to recognize and address possible sleep disorders in their athletes. Understanding hours outside of practice/training are just as important as the face to face time you give your athletes.

 

 

Common Pitfalls to Avoid in the Practice of Athletic Training

Reese Hays, JD

Presentation Objectives:

  1. Identify common disciplinary issues with ATs in Kansas.
  1. Physician protocol expectations.
  1. Describe best practice in AT/Physician working relationships.

Speaker Biography:

Reese Hays is the current Disciplinary Counsel for the Kansas State Board of Healing Arts who supervises all of the investigations that occurs at the Board. Over the past eight years, Mr. Hays has served in various positions at the Board, to include being the Litigation Counsel and the Disciplinary Counsel for the Board. While an employee of the Board, Mr. Hays has ensured the proper investigation of complaints that have been filed at the Board and prosecuted numerous disciplinary actions in front of the Board and represented the Board through the appellate process. In addition to being the Disciplinary Counsel for the Board, Mr.

Hays is a Kansas Air National Guardsman assigned to the 190th Air Refueling Wing Legal office as a Judge Advocate. Mr. Hays currently holds the rank of Lieutenant Colonel as a Kansas Air National Guard officer and a Reserve officer of the United States Air Force.

Knowledge Gap:

The presentation will provide information to the licensed and any prospective licensed State of Kansas Athletic Trainers as to the common ways licensees have found to violate the Athletic Trainer’s Practice Act.  Additionally, the presentation will go over the statutory and regulatory requirements of the required physician protocol that an AT must enter into to practice in the State of Kansas.

Further, it will provide helpful tips in putting that protocol into practice. This information will provide the licensed AT the tools to help abide by the Athletic Trainer’s Practice Act and work effectively within the protocol they enter into with their supervising physician.

 

 

Upper Extremity Injuries in the Overhead Athlete

Dr. Brian Wilson

Presentation Objectives:

  1. Identifying common injuries and methods for identification.
  2. Common procedures for rehabilitation or repair of these injuries.
  3. Expectations of return to play with these injuries.

Speaker Biography:

Brian Wilson is originally from the Midwest – Kansas City, MO. Wilson completed his medical school and orthopedic residency training at the University Missouri-Kansas City. He then completed his orthopedic sports medicine fellowship at the University of Kentucky.

Wilson has lived in Topeka, KS for the past seven years, passionately caring for patients residing in the region. He has dedicated his time and professional endeavors to serving the Topeka community. Because of his interest and dedication to sports medicine, Wilson is the current program director for the Department of Orthopedic Surgery at Topeka’s local hospital, Stormont- Vail. Additionally, Wilson also holds a membership of the Orthopedic Sports Medicine Department at Stormont-Vail as well.

Knowledge Gap:

This presentation should give a brief history of the injury, and methods for identification of the injury patterns. It will demonstrate methods for repair and rehabilitation of these common injuries. Expectations for return to play will be examined with literature supported outcomes. This will help athletic trainers better prevent, diagnose, understand the surgical process, and rehabilitate upper extremity injuries in their overhead athletes.

 

 

Tobacco Use in Athletes: Incorporating the Brief Tobacco  Intervention in Athletic Training Practice (EBP-CEU)

Emily Carpenter, ATC

Presentation Objectives:

  1. Understand the prevalence of tobacco use.
  2. List negative health effects of tobacco use.
  3. Explain the 2 A’s and R or 5 A’s and 5 R’s of the Brief Tobacco Intervention.
  4. Use the Transtheoretical Model to interpret a patient’s/client’s/student athlete’s readiness to quit.
  5. Apply the Brief Tobacco Intervention within their practice setting to encourage their patient/client/student athlete to quit using tobacco.

Speaker Biography:

Emily Carpenter has been a public health educator and a part of the Community Health Promotion section at the Kansas Department of Health and Environment for two years. The Community Health Promotion section works to increase the number of Kansas residents who have the knowledge, motivation, and opportunity to make lifestyle choices that promote healthy eating, increased physical activity and tobacco-free living. Emily’s work includes responsibilities within the tobacco use prevention program, the Chronic Disease Risk Reduction (CDRR) grant program, and the Senior Farmers Market Nutrition Program. Prior to working at KDHE Emily was

employed by Mercy Health System as a Clinic Outreach-Athletic Trainer at Hillcrest High School and acted as a preceptor within the Missouri State University Athletic Training Education Program. Emily holds a Bachelor of Science in Athletic Training and Master of Arts in Teaching with concentrations in biology and health, both from Missouri State University.

Knowledge Gap:

Tobacco product use is associated with negative health outcomes including cancer, heart disease, stroke, and COPD. Furthermore, smoking is associated with increased fracture risk, increased musculoskeletal injury and negative outcomes in orthopedic procedures. Unfortunately, tobacco use – specifically smokeless tobacco use – has been associated with athletics for decades and data shows that athletes continue to use smokeless tobacco at significantly higher rates than non-athletes. AT incorporation of the evidence-based brief tobacco intervention will allow greater

insight into their athletes’/patients’/clients’ general wellness, performance, risk of chronic diseases, and orthopedic/surgical complications. Athletic trainers will be able to skillfully intervene to

reduce the risk of health complications and negative impacts on performance by referring to appropriate physician or Quitline resources for cessation counseling and/or medication.

 

 

Common Dislocations and Techniques for Reduction in the Athletic  Population

Dr. Hailey Avila, DO, CAQ

Presentation Objectives:

 

  1. To discuss several techniques for reduction of the various types of shoulder dislocations.
  2. To discuss hip dislocations and reduction.
  3. Management and complications of knee dislocations and techniques for reduction.
  4. Patella, elbow and finger dislocations and techniques for reduction.

 

Speaker Biography:

Hailey Avila, DO, CAQ is a physician with Cotton O’Neill Orthopedics and Sports Medicine. She is certified by the American Board of Family Medicine, completing her residency in family medicine in 2017 at the University of Missouri-Kanas City School of Medicine. She went on to complete a Sports Medicine Fellowship, also at UMKC School of Medicine in 2018. She is a currently a team physician for Washburn University.

Knowledge Gap:

This presentation follows the NATA positon statement from 2018 entitled Immediate Management of Appendicular Joint Dislocations. Evaluating and treating dislocations on-site can create a variety of issues for the certified athletic trainers (ATs). This presentation will help highlight the most common dislocations and techniques for reduction. The 2020 CAATE Standards also highlight the importance of evaluating and managing dislocations as well as reduction of dislocations in the new Standard 70. Accredited programs will begin teaching these skills within their curriculums but for current athletic trainers this skill set may have been missing from their academic preparation. This presentation hopes to fill that gap and instruct athletic trainers on common dislocations and reduction techniques.

 

 

Common Foot and Ankle Injuries – Conservative and Surgical  Treatment

Sarah McKenna, PA-C

Presentation Objectives:

  1. Understand the mechanism and evaluation for three foot and ankle injuries: Achilles tendinopathy and rupture, LisFranc and Jones fractures.
  2. Compare and contrast conservative versus surgical management of these three injuries.
  3. Management considerations specific to foot and ankle injuries will also be discussed.

 

Presenter Bio:

Sarah graduated from Fort Hays State University with her degree in Athletic Training and General Science in 2003.  She then continued her education at Wichita State graduating from the Physician Assistant program in 2005.  She has always practiced in Orthopedics as a PA-primarily sports medicine, joint arthroplasty, and now specializing in Foot and Ankle.

Aside from her profession Sarah loves almost all sports –now primarily as a spectator- especially Kansas City Chiefs Football, KC Royals baseball, and Collegiate sports of her alma mater FHSU and locally KU. She also enjoys hiking with her dog Murphy and relaxing with friends.

Knowledge Gap:

Foot and ankle injuries are one of the most common injuries that athletic trainers must deal with. Outside of the inversion ankle sprain, there are other injuries that athletic trainers may not see as frequently. This presentation will highlight three different injury cases: a LisFranc injury, a Jones fracture and a case of Achilles tendinopathy. Each of the injuries have characteristics that require management through foot and ankle specialists. These injuries can be treated conservatively in some instances while being surgical in nature in other instances. LisFranc injuries are rare but 20% of these injuries go undiagnosed or have a late diagnosis (Moracia-Ochagavia & Rodriguez- Merchan, 2019) and athletic trainers are the prime candidate

to catch these injuries early. Ottawa Ankle Rules (OAR) has highlighted the need for radiographs with pain over the 5th  metatarsal when evaluating ankle sprains. Often times any fracture of the 5th  metatarsal is referred to as a Jones fracture when in fact there are three anatomical zones on the 5th  metatarsal and Jones fracture are technically through zone 2 only (Smidt & Massey, 2019). Lastly, when looking at Achilles tendinopathy we will look at the different stages of the condition and how treatment at the different stages can help decrease symptoms.  With a better understanding of the pathogenesis of the condition Athletic trainers can coordinate management of the condition more effectively and prevent further injury such as rupture from occurring (J. Williams, K. Wapner MD AOFAS 2015)

Smidt KP, Massey P. 5th Metatarsal Fracture (Jones Fracture, Dancers Fracture) [Updated 2019 Jun 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544369/