2018 TCC AGENDA

 
Here Its Not A Game_Web
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Earn up to 19 CEUs
OVERVIEW
This year’s Team Concept Conference centers on topics related to the tactical and contact athlete. These athletes undergo some of the most intense musculoskeletal stressors due to carrying heavy equipment and suffering direct contact with ballistics or moving bodies. Musculoskeletal injuries are common in the tactical athlete population and present with great similarity to the more traditional athletic population. However, many contemporary healthcare professionals (e.g. physicians, athletic trainers, physical therapists, occupational therapists) are not familiar with the unique presentations of musculoskeletal injuries and performance demands that most often impact military readiness. Knowledge of this information should enhance injury prevention and management efforts by the healthcare team for this unique population.

The sessions of this course provide the participant with evidence-based tools for the care of these specialized athletes. Sessions in concussion, cervical spine and spine injuries, as well as upper extremity and lower extremity injury evaluation, treatment and rehabilitation will be covered.

At the conclusion of the course, the participant should be able to

• Evaluate injured tactical and contact patients more effectively through the use of tools and techniques provided at this conference at the time of injury, during rehabilitation, and during the return to work/sport process
• Implement new evidence-based techniques while evaluating and treating tactical and contact athletes
• Determine return to activity appropriateness for contact athletes of all ages, gender, and site of injury
• Describe five performance demands that may result in injury to the tactical athletes
• Describe how to assess and treat the operator in field conditions without the need to remove their gear is paramount for the embedded physical therapist.
• Identify how musculoskeletal injuries may result in lack of military readiness
• Demonstrate the ability to quickly assess injured athletes in the field complaining of cervical or thoracic pain


Thursday, November 29, 2018   

Special Focus Symposium:
Sports Physical Therapy for Tactical and Combat Athletes: Here It's Not A Game!

Session I
1:00-6:00 p.m.
Conference Hall, Ballroom A
5 CEUs


Session I

LEARNING OBJECTIVES
• Identify common musculoskeletal injuries in the tactical athlete
• Describe five performance demands that may result in injury to the tactical athletes
• Identify how musculoskeletal injuries may result in lack of military readiness
• Demonstrate proper evaluation of the tactical athlete
• Identify the unique clinical implications for managing injuries sustained by combat or tactical athletes
• Describe how injury prevalence compares to the combat or tactical athlete vs traditional athlete
• Identify participation strategies and interventions needed to mitigate common injuries in the combat or tactical athlete
• Demonstrate proper evaluation of the combat or tactical athlete following injury


1:00 p.m. – 2:00 p.m. 
Military, Law Enforcement, and Firefighters: Here It’s Not A Game!
Richard Westrick, DPT, DSc; Casey Stoneberger, PT, DPT

2:00 p.m – 3:00 p.m. 
Tactical Athlete Injuries and Recovery: Are They “Athletes”?
Kenneth Cameron, PhD, ATC; Bailey Vail, DPT, Brian Schilling, PhD, CSCS, FNSCA

3:00 p.m. – 4:00 p.m.
How to Develop Opportunities: Can You Work with Tactical Athletes?
Casey Stoneberger, PT, DPT; Bailey Vail, DPT

4:00 p.m. – 6:00 p.m.
Martial Arts, MMA, and Combat Sports Athletes
George Davies, PT, DPT, MEd, FAPTA,SCS; Charles Rainey, PT, DPT, DSc; Laurey Lou, PT, DPT

6:00 p.m. – 6:30 p.m.
Wrap up

6:30 p.m. – 8:00 p.m.
Reception sponsored by SPTS
Expo Hall, Ballrooms B and C

AGENDA

Updated November 2, 2018

Friday, November 30, 2018
7:00 a.m. – 8:00 a.m.           
Instructional Course Labs (pick one)
Session II


Course 1: Kicking a Ball vs Kicking a Person: Comparative Analysis
Ballroom D
Laurey Lou, PT, DPT, Tiffany Chag, MS, RD, CSCS, Jay Mizuta, PT, DPT


Course 2: Examination of the Patellofemoral Joint

Ballroom E
George Davies, PT, DPT, MEd, FAPTA, SCS; Rob Manske, PT, DPT, MEd, SCS, ATC

Course 3: Perturbation Training Following Knee Ligament Injury
Ballroom F
Lynn Snyder-Mackler, PT, ATC, Sc.D, SCS, FAPTA; Kevin Wilk, PT, DPT, FAPTA

Course 4:
Return to Running Screens
Ballroom A
Stacey Pagorek, PT, DPT, SCS, ATC; Bryan Heiderscheit, PT, PhD; Mitch Rauh, PT, PhD, MPH, FACSM


8:05 a.m. - 8:10 a.m.
The Marty Huegel TCC Welcome and Announcements
Walt Jenkins, PT, DHS, L-ATC, SPTS President
Ballroom A - all general sessions

8:10 a.m. – 9:55 a.m.
Session III: The Dislocated Knee
Moderator: Walt Jenkins, PT, DHS, L-ATC

OVERVIEW
This session will provide an evidence-based overview of the evaluation and management of the dislocated knee. Multi-ligament injuries of the knee, specifically of the medial collateral ligament (MCL), posterior cruciate ligament (PCL), and lateral collateral ligament (LCL), will be the focus. The emphasis will be on current and relevant basic science, anatomy, biomechanics, clinical evaluation, complications, imaging, rehabilitation, and objective and subjective clinical outcomes. Additionally, the presenters will compare-and-contrast indications and contraindications for repair and reconstruction using the most up-to-date surgical techniques, and rehabilitation. The latest controversies in multi-ligament injuries focusing on the history, examination, imaging findings, and treatment strategies will be discussed. Attendee’s will receive essential practical information that will be immediately transferrable to clinical practice.

OBJECTIVES
1.    Educate how ACL injury and re-injury in the athlete is significantly high and increases with level of participation and types of sport participation.
2.    Discuss ACL injury biomechanics and how there are specific mechanisms of injury in this age groups that are biomechanically and neuromusculary different.
3.    Describe surgical options that are very specific and vary with respect to gender, age, type of sport participation, and long-term goal.
4.    Discuss and address concomitant pathology to reduce failure rate (i.e., multiligamentous instability, malalignment, and meniscal insufficiency).
5.    Detail key factors that contribute to ACL graft failure and how to avoid repeating these mistakes in revision ACL surgery


8:10 a.m. – 8:40 a.m.
From the Field to the OR Care of the Dislocated Knee
Michael F. Dillingham, MD
         
8:40 a.m. – 9:10 a.m.
Post-Op Rehabilitation of the Dislocated Knee
Kevin Wilk, PT, DPT, FAPTA

9:10 a.m. – 9:30 a.m.
MCL Problems and Pitfalls of Successful Rehabilitation
Russ Paine, PT

9:30 a.m. – 9:50 a.m.
Managing Motion Loss of the Knee
Tim Tyler, PT, MS, ATC
 
9:50 a.m. – 10:00 a.m.
Panel Discussion

10:00 a.m. – 10:35 a.m.
Exhibitor Break
Exhibitor Demonstration: LiteCure Booth 101

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10:35 a.m. – Noon
Session IV: ACL
Moderator: Tim Tyler, PT, MS, ATC

OVERVIEW
This session reviews practical information and tips for clinicians who rehabilitate anterior cruciate ligament (ACL) reconstruction patients. The presentations will highlight decision-making skills and solutions to common challenging problems. Understanding the mechanisms of injury and prevention of an ACL reinjury in the athlete is a challenge. Once injured it requires a team that can decipher the mechanism of injury, develop pre-rehabilitation, select a specific type of surgical procedure related to the particular athlete, and create a post-operative and return-to-sport program that is reflective of gender and level of participation and is milestone based.  

OBJECTIVES
1.    Educate how ACL injury and re-injury in the athlete is significantly high and increases with level of participation and types of sport participation.
2.    Discuss ACL injury biomechanics and how there are specific mechanisms of injury in this age groups that are biomechanically and neuromusculary different.
3.    Describe surgical options that are very specific and vary with respect to gender, age, type of sport participation, and long-term goal.
4.    Discuss and address concomitant pathology to reduce failure rate (i.e., multiligamentous instability, malalignment, and meniscal insufficiency).
5.    Detail key factors that contribute to ACL graft failure and how to avoid repeating these mistakes in revision ACL surgery


10:35 p.m. – 11:15 a.m.
ACL Problems and Pitfalls of Successful Rehabilitation: What is Optimal Load & Volume?
Russ Paine, PT

11:15 a.m. – 11:35 a.m.
Return to Play Criterion and Post-surgical Follow-up Following The Multi-ligament Knee Reconstruction 
George Davies, PT, DPT, MEd, FAPTA, SCS

11:35 a.m. – Noon
Four Things You Can Do to Prevent ACL Re-Injury
Lynn Snyder-Mackler, PT, ATC, Sc.D, SCS, FAPTA

Noon – 12:30 p.m.
Keynote Speaker
Lynn Snyder-Mackler, PT, ATC, Sc.D, SCS, FAPTA, will present a lecture entitled Don’t Ever Give Up! Dr. Snyder-Mackler will speak on the subject of her journey as a physical therapist with a spouse suffering from ALS.
                                                                       
12:30 p.m. – 1:50 p.m.
Lunch  

1:50 p.m. – 2:10 p.m.
The Kevin Wilk SPTS Traveling Fellowship – A Success Story
Kevin Wilk, PT, DPT, FAPTA and Tim Vidale, DPT

2:10 p.m. – 3:35 p.m.
Session V: Ankle
Moderator: Blaise Williams, PT, PhD

OVERVIEW
This session will provide an evidence-based overview of the evaluation and management of the unstable ankle. It will provide insight into the depth and breadth of ankle instability knowledge. Explore areas that are evolving, and may not be not fully understood by those who do not specialize in ankle instability. Determine factors contributing to complications associated with treating ankle instability. Explore treatment options for athletic, degenerative, and traumatic ankle instability.

OBJECTIVES
1.    Compare and contrast approaches for treating chronic ankle instability.
2.    Describe patient selection and treatment strategies for Operative Vs. NonOperative Treatment of Chronic ankle instability.
3.    Outline the ways to identify and manage complications of Operative Treatment of Chronic ankle instability.
4.    Determine and apply strategies to improve patient rehabilitation & outcomes with Operative Treatment of Chronic ankle instability.


2:10 p.m. – 2:30 p.m.
Evaluation of Chronic Ankle Instability
Ross Nakaji, PT, ATC

2:30 p.m. – 3:00 p.m.
Operative Treatment of Chronic Ankle Instability
Michael F. Dillingham, MD

3:00 p.m. – 3:20 p.m.                                                                                
Rehabilitation Treatment of Chronic Ankle Instability
Brandon Schmitt, DPT, ATC

3:20 p.m. - 3:35 p.m.             
Panel Discussion

3:35 p.m. – 4:05 p.m.
Exhibitor Break
Exhibitor Demonstration: Meyer PT Booth 201

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Recent Advances in Shoulder Rehabilitation Progressions

Kevin Wilk, PT, DPT, FAPTA
                                                                                                                            

Session VI: Instructional Labs             
4:05 p.m. – 5:30 p.m.
Concurrent Sessions           
All PM breakout sessions are lab-based  
       

Course 1: Kicking a Ball vs Kicking a Person: Comparative Analysis
Ballroom D
Laurey Lou, PT, DPT, Tiffany Chag, MS, RD, CSCS, Jay Mizuta, PT, DPT


Course 2: Current Training Techniques for Chronic Ankle Instability

Ballroom E
Brandon Schmitt, DPT, ATC; Ross Nakaji, DPT, ATC


Course 3: Perturbation Training Following Knee Ligament Injury
Ballroom F
Lynn Snyder-Mackler, PT, ATC, Sc.D, SCS, FAPTA; Kevin Wilk, PT, DPT, FAPTA


TeamMates Event
6:00-10:00 PM
$35 per person
All attendees are invited until the room is full!
Italian buffet, cash bar
Register in advance or on site

Our Feature Speaker:

HEATHER LINDEN
DIRECTOR OF PHYSICAL THERAPY, UFC

Heather Linden
Heather Linden serves as the Director of Physical Therapy for the UFC Performance Institute. Prior to joining the UFC, Heather worked at the United States Olympic Committee Sports Medicine Division and was the director of an outpatient orthopedic clinic in Los Angeles.

Heather’s previous title at the USOC was Senior High Performance Health Care Service Provider-Physical Therapist. She worked at the Colorado Springs Olympic Training Center Clinic as part of the USOC’s multi-disciplinary sports medicine team. Heather was on staff for Team USA for the 2012 London Olympic Games, 2014 Sochi Olympic Games, 2015 Parapan Am Games, 2016 Youth Winter Olympic Games, and 2016 Rio Olympic Games. Heather’s responsibilities at the USOC were injury prevention, designing and implementing rehabs, aiding in Elite Athlete Health Profiles, daily treatments, and practice/competition coverage.

Heather is an active member of the American Physical Therapy Association (APTA) and supports the Orthopedic Section within APTA. Heather is a Credentialed Clinical Instructor by the APTA. Her certifications include Pilates Instructor, Kinesio-Tape Techniques, Mobilization with Movement, Graston Technique, Dry Needling, Functional Movement Screen, Myofascial Decompression, Myofascial Manipulation, Dynamic Neuromuscular Stabilization, Postural Restoration, and Selective Functional Movement Assessment. Heather has diverse experience in areas from pediatrics, geriatrics and amputees to vestibular disturbances; her career specialty is orthopedic manual sports physical therapy.

Linden received her Bachelor of Science degree from Virginia Tech University and her Doctorate of Physical Therapy from Old Dominion University. She was an honors graduate and a collegiate varsity athlete.  

Saturday, December 1                                                                                                                                                            
7:00 a.m. – 8:00 a.m.            
Session VII: Instructional Courses (pick one)                                                         
All AM breakout sessions are lecture or demonstration based

Course 1: Assessment and Treatment of Cervical and Thoracic pain in the Operator: Military, Law Enforcement, and Firefighters
Ballroom D
Eric Wilson, PT, DSc, DPT, OCS, SCS, CSCS, PES, FAAOMPT

Course 2: Return to Running Screens
Ballroom E
Stacey Pagorek, PT, DPT, SCS, ATC; Bryan Heiderscheit, PT, PhD; Mitch Rauh, PT, PhD, MPH, FACSM


Course 3: Evaluation of the Dislocated Shoulder
Ballroom F
Kevin Wilk, PT, DPT, FAPTA; Russ Paine, PT; Eric McCarty, MD

 
8:10 a.m. – 8:15 a.m.
Welcome and Announcements
Tim Tyler, PT, MS, ATC, TCC Chair
                                           
8:15 a.m. – 9:50 a.m.
Session VIII: Traumatic shoulder instability
Moderator:  TBA

OVERVIEW
In-season management of Traumatic shoulder instability can present unique challenges compared to off-season management. Safe return to play is paramount, but timely return to play is also emphasized. Managing shoulder instability during the season, with the plan of surgical repair after the season, also presents unique difficulties and safety concerns. These concerns are magnified on the highest levels in contact sports. This course will provide an evidence-based overview of the evaluation and management of shoulder instability.  A discussion balancing the challenges of a safe return in a timely manner will also be given. Other topics for discussion will include the rehabilitation of non-operative and operative approaches and methods for minimizing missed time and emerging bracing technology.

OBJECTIVES
1.    Discuss management of Traumatic shoulder instability, with a focus on rehabilitation and a safe, timely return to play
2.    Discuss managing Traumatic shoulder instability during the season with the goal of surgery after the season
3.    Discuss emerging bracing techniques utilized


8:15 a.m. – 8:35 a.m.
On Field and Off Evaluation of Traumatic Shoulder Instability
Rob Manske, PT, DPT, MEd, SCS, ATC

8:35 a.m. – 9:00 a.m.
Surgical Treatment of Traumatic Shoulder Instability With and Without Bone Loss
Eric McCarty, MD

9:00 a.m. – 9:35 a.m.
Rehabilitation of Traumatic Shoulder Instability – Non-operative and Surgically Stabilized
Kevin Wilk, PT, DPT, FAPTA

9:35 a.m. – 9:50 a.m.
Panel Discussion

9:50 a.m. – 10:30 a.m.
Exhibitor Break
Exhibitor Demonstration: Meyer PT Booth 201

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Dry Needling 101: Everything you wanted to know about dry needling and its use

Sue Falsone, PT, MS, SCS, ATC, CSCS, COMT

10:30 a.m. – 11:50 a.m.
Session IX: Upper Extremity
Moderator:  Rob Manske, PT, DPT, MEd, SCS, ATC

OVERVIEW 
New treatments, new devices, and the utilization of Isokinetics in shoulder rehabilitation are continually evolving. Isokinetic advances improve upon the delivery of clinical care and ultimately become the standard, while others fade away as they are shown to be ineffective in clinical practice. The process of acceptance and validation versus rejection as a failed option takes time, as anecdotal evidence of effectiveness is replaced with objective evidence in the Science & Application of Isokinetics in Sports Medicine. Few established treatments in sports medicine are based on large randomized clinical trials and thus the practitioner must critically evaluate the rationale and supporting evidence for this new treatments and devices. This session will focus on the steps needed in order to incorporate the use of upper extremity Isokinetics from initial concept to clinical practice. An emphasis will also be placed on the rationale for upper extremity Isokinetics during the phases of rehabilitation.

OBJECTIVES
1.    Implement innovative tests, treatments and procedures to address specific limitations in current clinical practice where Isokinetics may be appropriate.
2.    Describe the process of incorporating the use of upper extremity Isokinetics from from initial concept to clinical practice of Isokinetics.
3.    Evaluate clinical innovations of Isokinetics in sports medicine and subsequent rehabilitation components that will enhance the athlete’s recovery process.
4.    Identify new devices, treatment strategies, Isokinetic procedures and protocols based on clinical settings and pathology.
5.    Apply specific tests and objective measures using evidence- based innovations to evaluate the effectiveness of Isokinetics.


10:30 a.m. – 10:50 a.m.
Upper Extremity Functional Testing in 2018: A Comparison to the LE – Is a Limb Index Possible?
George Davies, PT, DPT, MEd, FAPTA, SCS

10:50 a.m. – 11:30 a.m.
Socratic Debate: Isokinetics in Shoulder Rehabilitation – Is There a Role?
15 Minutes – Are Isokinetics Really Functional? (Brandon Schmitt, DPT, ATC)
15 Minutes – Why I Use Isokinetics (George Davies, PT, DPT, MEd, FAPTA, SCS)
10 Minutes – Q & A with Moderator Rob Manske, PT, DPT, MEd, SCS, ATC


11:30 a.m. – 11:45 a.m.
Panel Discussion

11:45 a.m. – 1:00 p.m. 
Lunch
                                                                                                                                
1:00 p.m. – 4:45 p.m.
Session X:  Heading for Trouble: Head and Neck Considerations for Contact Athletes
Moderator: Mitch Rauh, PT, PhD, MPH, FACSM

LEARNING OBJECTIVES
1.  Identify essential protocols for evaluating the concussed athlete
2.  Describe long-term results of improper concussion treatment
3. Describe variations in protocols established at state levels in the US for treatment of potentially concussed athletes
4. Describe the results of the Concussion Assessment, Research and Education (CARE) Consortium’s research and how it affects evaluation of tactical and traditional athletes
5. Cite the individual head impact tolerance levels that are associated with sustained concussions in collegiate football players
6. Describe the differences observed between biological sex and elevated concussion risk in military service academy cadets across various activities
7. Describe the differences between assessment and treatment of cervical and thoracic pain in the tactical athlete as opposed to the traditional athlete
8. Describe the specialized treatment modalities used to treat the tactical athlete with cervical ad thoracic pain
9. Demonstrate the ability to quickly assess injured athletes in the field complaining of cervical or thoracic pain


1:00 p.m. – 1:30 p.m. 
Opening shock! Cervical Spine and Airborne Operations
Richard Westrick, DPT, DSc

1:30 p.m. – 2:00 p.m. 
Brace for Impact! Post-concussion Syndrome in Combat Sports
Laurey Lou, PT, DPT

2:00 p.m. – 2:30 p.m. 
NCAA-DOD Concussion Consortium:  What We’ve Learned at West Point
Kenneth Cameron, PhD, ATC

2:30 p.m. – 3:00 p.m.
Head Supported Mass: Heavy Stuff and a Heavy Helmet
Casey Stoneberger, PT, DPT

3:00 p.m. – 3:30 p.m.
Cervical and Thoracic Spine Pain in the Operator
Eric Wilson, PT, DSc, DPT, OCS, SCS, CSCS, PES, FAAOMPT

3:30 p.m. – 4:00 p.m. 
Unique Demands of Load Carriage
Brian Schilling, PhD, CSCS, FNSCA

4:00 p.m. – 4:30 p.m. 
Case Studies

4:30 p.m. – 4:45 p.m. 
Q&A Session

Up to 14 CEUs for Friday and Saturday sessions

Total of 19 CEUs for entire course