1. Dr. Jack Dolbin Session 71 Orthotic evaluation:  Treadmill evaluation: internal tibial rotation most signifigant.  Scanning  Palpatory exam of foot and ankle  Navicular Drop  Orthotic Prescription

2. Hyperpronation

3. Dr. Jack Dolbin Session 73

4. 4

5. 5

6. Effects of Pronation

7. Pronation, internal tibial Rotation, Valgus Knee Dr. Jack Dolbin Session 77

8. Corrective inserts Dr. Jack Dolbin Session 78

9. Inserts Cont. Dr. Jack Dolbin Session 79

10. Calcaneal Inversion/Eversion Dr. Jack Dolbin Session 710

12. Extremity Adjustment  Talus  Cuboid  Navicular  Head of Fibula  Knee  Hip  SI Joint Dr. Jack Dolbin Session 712

13. Dr. Jack Dolbin Session 713

14. Dr. Jack Dolbin Session 714

15. Dr. Jack Dolbin Session 715

16. Dr. Jack Dolbin Session 716 Sports Nutrition:  Hydration : Lactic acid buffering  Energy S  Glycogen reserve  Nervous system energy systems

17. Kinesiotaping 1.Supports Muscle a.Improves muscle contraction in weakened muscle. b.Reduces muscle fatigue c.Reduces over-extension-over contraction of muscle d.Reduces cramping and possible injury e.Increases ROM f.Relieves pain Dr. Jack Dolbin Session 717

18. Kinesio ( cont )  Removes Congestion to the flow of body fluids  Improves blood and lymph circulation  Removes excess heat and chemical substances  Reduces inflammation  Reduces pain in skin and muscle Dr. Jack Dolbin Session 718

19. Kinesio ( cont )  Activates endogenous analgesic system  Possibly activates spinal inhibitory system and descending inhibitory system Dr. Jack Dolbin Session 719

20. Kinesio ( cont )  Adjusts misalignment caused by spasm and shortened muscle  Normalizes muscle tone and abnormality of fascia in joints  Improves ROM  Relieves pain Dr. Jack Dolbin Session 720

21. Method of Kinesiotaping  Acute: Insertion to origin no stretch. Skin stretched  Chronic and weak muscle: Origin to insertion 15-25% stretch  Ligament or joint injuries: Full stretch with joint in functional position.  Correction strips: Misalignment due to muscle spasm . Dr. Jack Dolbin Session 721

22. Support taping   Designed to prevent injury   Support unstable joint   Protect injured joint   Mimics supporting elements of a joint.

25. Dr. Jack Dolbin Session 725 Getting in the Door:  How do I get involved with a sports team?  Responsibilities  Potential abuses  Expectations

26. Getting in the door  Go in the front door  Do seminars for trainers on topics unique to Chiropractic that have a direct relationship to injury prevention, performance enhancement, and treatment of injuries.  Topics include: exercise, diet, laser therapy, kinesiotaping, rehab. Dr. Jack Dolbin Session 726

27. Getting in the door ( cont)  X-ray services during a game.  Treat your patients well, they will pass the word  Dr. Jack Dolbin Session 727

28. Responsibilities  Vary according to level of involvement.  Professional  College  High school  Individual Dr. Jack Dolbin Session 728

29. Potential abuses  Advertising that you are a member of the University of Maryland sports medicine team  You‘re Steffi Graffs Chiropractor  Brian Westbrook was my patient  The Florida DC’s illustration, Dr. Jack Dolbin Session 729

30. Dr. Jack Dolbin Session 730 Billing and Coding:  How to get paid for your work with a :  Sports team.  Seminars, Certifications  CE Training.

31. Getting paid for your service  Retainer  Per athlete  School insurance  Personal Insurance Dr. Jack Dolbin Session 731

32. Dr. Jack Dolbin Session 732 Ethical Considerations:  Member of a team of specialists  Donot polorize or intimidate other team members  Donot compete with team members  Donot pit team mambers against each other  Donot use your position to advance your practice( it will advance by itself)  You represent your profession

33. Suggested education  Mitch Maley, Kevin Heron  Edkinesiology online courses  CSCS: very valuable  Kinesiotaping  Log onto Pubmed every Monday morning  Be a student: knowledge is key  Illustration Casseous Necrosis. Dr. Jack Dolbin Session 733