January 29th-February 2nd, 2023 - Yellowstone Conference Center Big Sky Resort, Big Sky, MT
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A little history... The Big Sky Athletic Training Sports Medicine Conference started as a winter ski trip in 1986 which turned into a series of meetings that initially hosted eight people. Since 1995 our gather- ing has evolved and grown. The 2023 Big Sky Athletic Training Sports Medicine Conference is a continuation of those edu- cational sessions that started with Denny Miller of Purdue, Randy Cohen of Arizona and Jeff Monroe of Michigan State. The meeting is possible because of the profound generosity of our Sponsors. The monies pledged to the meeting are unrestricted and go to those meeting expenses that make this possi- ble. We have tried to keep our sponsors involved in the meeting by promoting sponsored func- tions for all, which in turn promotes congeniality among attendees and sponsors. Your Directors encourage you to visit all our sponsors, express what works with their products or services and to establish a dialogue on your uses of such. In the continuing education side of the program, a special thanks goes to the at the Western Michigan University Homer Stryker M.D. School of Medicine for management of CEs for our attendees and speakers. Enjoy your stay and let’s have some fun in Big Sky Country. Jeff Monroe, Executive Director Program Highlights Sunday 1.29 2:30 pm Registration Opens 3:00 pm Opening Remarks, Jeffrey S Monroe Poster Presentations, Sponsored by MioGuard, Ken Zisholz 6:00 pm DJ/Enovis withSamSport NFL Playoffs Welcome Reception, Brian Moore and George Lewis Hosts. Families and friends welcome. Monday 1.30 6:45 am Exhibits Opens 6:45 am, 7-10:30 am Presentations 11:00 pm Basic Splinting and Casting Workshop 1:00 pm Advanced Casting and Splinting Workshop 3:00 pm Presentations 6:00 pm MioGuard Sponsors Reception, complimentary beer and wine Tuesday 1.316:45 am Exhibits Open 7-10:30 am Concussion Day Presentations, Jeffrey Kutcher MD 12:30 pm Name, Claim and Aim Workshop 12:30 pm Management of Acute Concussion: A Cased Based Discussion 1:30-2:30 Procedural Headache and Spine Management in Athletes 3:30-6:00 Presentations 8:00 pm Desert Reception Sponsored by NeuroCatch Athlete’s Perspective on Mental Health Strength and Resilience Wed. 2.1 7-10:30 am Ortho Day Sessions, Geoffrey Baer MD 1-2:00 pm Using Shared Professional Values in Sports Medicine to Guide Ethical Behavior in Clinical Practice 3:00-6:30 Presentations Thur. 2.2 7:00 am Ortho Session 10:30 am End of Conference 3
To obtain Continuing Education credits: Attendees will use a code provided to you by Wmed. There is the 2 step process: 1) The attendee texts the code to the number provided within 12 hours of the conference end- ing, and 2) Then the attendee completes an evaluation within 30 days. (If the attendee does not have an account in CloudCME, they would need to create one. Instructions on this process can be found Full Accreditation for Continuing Education: ============================================ In Support of improving patient care, this activity has been planned and implemented by Western Michigan University Homer Stryker M.D. School of Medicine and Jeffrey S Monroe LLC. Western Michigan University Homer Stryker M.D. School of Medicine is jointly ac- credited by the Accreditation Council for Continuing Medical Education (ACCME), the Ac- creditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Credit amount subject to change. Interprofessional Continuing Education This activity was planned by and for the healthcare team, and learners will receive 24.5 Interpro- fessional Continuing Education (IPCE) credits for learning and change. Physicians Western Michigan University Homer Stryker M.D. School of Medicine designates this live activi- ty for a maximum of 24.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses Western Michigan University Homer Stryker M.D. School of Medicine designates this activity for 24.5 contact hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity. PAs Western Michigan University Homer Stryker M.D. School of Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 24.5 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. Psychologists This program is co-sponsored by the American Psychological Association for continuing education credit. The American Psychological Association retains responsibility for the program. This ac- tivity is designated for 24.5 APA CE Credits. Athletic Trainers Western Michigan University Homer Stryker M.D. School of Medicine (BOC AP#: 4008183) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of 24.5 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program. Physical Therapists May apply within their state of licensure with the approve credits from Accreditation Council for Continuing Medical Education (ACCME). 4
Sunday Afternoon, January 29th, 2023 2:30 pm Registration Opens 3:00 pm Opening remarks: Jeffrey S Monroe, Executive Director, Michigan State University Emeritus 3:05 pm “Practicing as an Emotionally Intelligent Athletic Trainer” Heather Murphy EeD, LAT, ATC, Thomas Jefferson High School for Science and Technology, Fairfax County, VA 3:30 pm “Cooling Modalities During Activity in the Heat: Reduce Risk, Optimize Performance and Enhance Recovery” Erin Dierickx MS, CSCS and Sean Langan MS, CSCS, AT 4:00 pm “Emergency Action Plans/On Field Emergencies in Major League Baseball” David Lintner MD, Head Team Physician, Houston Astros and Jeremiah Randall PT AT, Head Athletic Trainer, Houston Astros Baseball Team 4:30 pm “Abdominal Injuries in Baseball and Return to Play” Ken Crenshaw AT, Director of Sports Medicine and Performance, Arizona Diamond Backs Baseball Team 5:00 pm “Knee Dislocations in College Football” James Carpenter MD, University of Michigan Med Sport, Ann Arbor, MI 5:30pm “Trauma and Emergency Medical Care at Yellowstone National Park” William Fales MD, Homer Stryker MD School of Medicine at Western Michigan University 6:00 pm NFL Playoff Welcome Reception, Hosted by DJ0/Enovis and SAM Sport, Gallatin Room, Families and Friends Invited 6
Monday, January 30th , AM Session Non-CMEs 7:00 am Opening remarks: Jeffrey S Monroe, Executive Director 7:05 am “How to Integrate Hydrotherapy into Your Athletes Recovery Programs” 7:25 am “Utilizing a Pain Management Digital Health Platform to Increase Adherence and Improve Outcomes” Brad Siff CEO manages R&D, product development, clinical studies, quality, regulatory, contract manufacturing and corporate finance. 7:45 am “Return to Play for Anterior Cruciate Injuries” Mark Paterno PT, PhD, ATC Cincinnati Children’s Hospital 8:05 am “Objective Cognitive Evaluation for Concussion: How Neuroscience is Safeguarding Return-to-Play” Dr. Ryan C. N. D’Arcy, Presi- dent and Chief Scientific Officer, HealthTech Connex 8:25 am “The S-shaped Spine, Why You Want It, How It Improves Athleticism, and How to Get It” Eileen Durfee PhD, Creatix Solutions 8:45 am Exhibit Hall Break 9:05 am “Too Hot? Too Cold? Is Contrast Just Right?” Valerie Tinklepaugh-Hairston MS, MPA, LAT, ATC Clinical Product Manager- Kelvi 9:25 am “Utilizing 3D Printing for Casting and Splinting in a Sports Medicine Practice” Gloria Beim, M.D. – Founded Alpine Orthopaedics & Sports Medicine in Colorado (now VSON Alpine) 9:45 am “Blood Flow Restriction, BFR, Where Are We? An Update on the Clinical Use of BFR Training” Zachary Dunkle, DPT, OCS, CPPS, PhysioEdge Physical Therapy, Atlanta, GA 10:05 am “What is radiofrequency (RF)?” Michael McGee, AT, Head Clinical Trainer, Indiba 10:25am End of Monday AM Session ********** Workshop Presentations, Monday, January 30th Big Sky Casting and Splinting Attendees will learn the fundamentals of casting and splinting techniques through hands-on instruction and application. The workshop will cover basic and inter- mediate casting & splinting, including upper and lower extremity indications. Basic Splinting & casting 11:00 am – 12:30 pm Advanced Splinting and Casting 1:00 pm – 2:00 pm Instructor: Steve Reidy, BSN/Essity ********** 8
Monday, January 30th , PM Session Non-CMEs 3:00 pm “Creating Practical and Effective Marijuana Policies in 2023” Jeff Konin PhD AT, PT, FACSM, FNATA, Clinical Professor, Florida International University 3:20 pm “Combined Multicenter Randomized Placebo Controlled Studies of Long Duration Continuous Ultrasound for Soft Tissue Pathology” George K. Lewis, President, ZetrOZ, Rehabilitation Research Chairman, Veterans Health Administration, Board Member, Orthopedic Foundation 3:40 pm “Performance Enhancement Using Wearable Technology” Pat Karns AT, Neuro20 4:00 pm Trazer, Randy Cohen AT PT 4:20 pm Exhibit Break 4:40 pm “Impact Telemetry in Contact Sports” Matt Shimshock, Riddell Corporation 5:00 pm “Limiting Microbials in the Collegiate Setting” William Pommerening, AirPhx & Andy Muntan AT, Penn State University, Football Athletic Trainer 5:20 pm “A Photoceutical Approach to the Continuum of Care” John Bruno AT, MultiRadiance 5:40 pm “Cryopreserved Birth Tissue used to Treat Elite Sport Athletes in the OR and Clinic” Bob Anderson, MD, Honored Professor, Director of Foot and Ankle, Titletown Sports Medicine and Orthopaedics, Associate Team Physician, Green Bay Packers, and Jason Krystofiak MD, Team Physician Rutgers University 6:00 pm Sponsors Reception, Exhibit Hall, adult beverages, attendees are encouraged to attend. ********** 10
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Tuesday, January 31st, AM Sessions, Concussion Day 7:00 am Opening Remarks, Jeffrey Kutcher, MD, Kutcher Clinic for Sports Neurology, Detroit, MI and Park City, UT 7:15 am “New Strategies from the Bench Science Playbook,” Christopher Giza, MD, UCLA BrainSport 7:45 am “Developing a Differential Diagnosis for Concussion Presentations,” Stephanie Alessi, MD, UCONN NeuroSport 8:15 am Exhibits 8:30 am “Update from the 6th International Consensus Conference on Concussion in Sport,” Jeffrey Kutcher, MD, Kutcher Clinic for Sports Neurology, Detroit, MI and Park City, UT 9:00 am Long-term Effects of Contact Sport Participation on Brain Health – Update from Amsterdam, Rudy Castellani, MD, Northwestern University Department of Neurology 9:30 am “A Movement Based Assessment Paradigm for Sport Related Concussion,” Michael Hutchison, PhD, University of Toronto 10:00 am “Accounting for Nuance and Subtlety When Making In-game Concussion Management Decisions,” Andrew Gottschalk, MD, Ochsner Health System, New Orleans 10:30 am End of Morning Session 12
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Tuesday, January 31st, Workshops 12:30 – 2:30 pm Workshop: (Must pre-register, no charge) “Name, Claim, and Aim – Identifying and Using Your Individual Strengths” (Limit of 25) Abstract: As employees and leaders in sports medicine healthcare, understanding ourselves is the first step to achieving vocational satisfaction. Employees who understand their individual strengths and can utilize and leverage them daily demonstrate increased workplace engagement, increased performance, and lower attrition levels. This session will focus on utilizing the Clifton StrengthsFinder tool to assist participants in identifying their inherent talents and explore how they might further develop those talents to approach tasks with higher levels of productivity and efficiency. In addition, participants will become aware of the biases and filters their talents cre- ate and develop strategies for improving self-awareness, self-expression, and self-regulation. Fi- nally, participants will learn how to apply strengths-based development principles to their interactions in individual and team relationships. Workshop Learning Outcomes: 1. Name: Explore individual talent themes and strategies for strengths-based development. 2. Claim: Identify inherent individual biases and filters that impact productivity and relationships. 3. Aim: Understand and appreciate how one can apply strengths-based development theories to promote individual and team engagement and productivity. Presenters: Sara Massey, MSPM, PMP, CFRE Andy Massey, MAT, ATC Each workshop attendee will receive an eBook and code for the CliftonStrengths Online Tal- ent Assessment 12:30-1:30 pm Workshop I: “Management of Acute Concussion: A Case Based Discussion”, Jake Carpenter-Thompson, MD/PhD, Fellow Kutcher Clinic for Sports Neurology, Detroit, MI and Park City, UT Discussion concerning the clinical presentation of acute concussion. A case based approach to treatment of acute concussion. 1:30-2:30 pm Workshop II: “Procedural Headache and Spine Management in Athletes,” Kate Essad, MD, and Paige Buddenhagen, LAT, Aurora Health Care, Milwaukee, WI “Concurrent Spine Injury” Spine injury commonly occurs with mild traumatic brain injuries. These injuries may affect muscles, nerves, nerve roots, joints, and even the spinal cord. Concurrent spinal injury results in fewer gains in physical therapy, more mood disturbance, and prolonged cognitive complaints. Identifying and treating these injuries early reduce time to recovery 1. After this presentation, learners will be able to efficiently screen and identify lingering spine injuries in athletes with concussion 2. After this presentation, learners will have a visual understanding and be able to counsel athletes on procedural management for lingering symptoms from the spine “Side-Stepping Side-Effects-Procedural Headache Management in Athletics” For many years, evidence-based practices have included safe use of prolo-therapy and chemo deinnervation for multiple headache types, with and without concussion. Newer evidence demonstrates the safety and efficacy of these treatments in athletes. 1. After this presentation, learners will be able to identify the opportunity for and offer alternative treatment options to their athletes with headache 2. After this presentation, learners will have a visual understanding and be able to counsel potential recipients of what procedures entail, the risks, and benefits 14
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Tuesday, January 31st, Afternoon Session, Concussion Day 3:00 pm "Coordinating Individualized Management of Return to Sports Participation Following Concussion Diagnoses," Meeryo Choe, MD, UCLA BrainSport 3:30 pm "Protective and Risk Factors for Persistent Post Concussion Symptoms and Return to Play of NCAA Collegiate Athletes: Findings from the NCAA-Department of Defense Care Consortium," Nicholas Port, PhD, Indiana University, Bloomington, IN 4:00 pm "Epidemiology of Concussion Diagnoses by Degrees of Certainty", Adam Sitzmann, MD, and Jayson Nelson, University of Utah School of Medicine, Salt Lake City, UT 4:30 pm Exhibits 4:45 pm Concussion and Sports Neurology Poster Recognition, Jeffrey Kutcher, MD 5:00 pm "Development of the National Football League's Concussion Protocols" Thom Mayer MD, NFLPA Medical Director 5:30 pm Final Discussion-Wrap up-Q&A, Jeffrey Kutcher MD 6:00 pm End of Afternoon Session 8:00 pm DESERT RECEPTION, Sponsored by NeuroCatch with presentation of: “Ups and Downs: Drew Petersen on Navigating the Mountains and Valleys of Mental Health Through Skiing” A short film describing an Athlete’s Perspective on Mental Health Strength and Resilience, short film screening and discussion, Drew Peterson and Jeffrey Kutcher, MD, 16
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Wednesday, February 1st, AM Session, Ortho Day, Lower Extremity 7:00 AM Opening remarks, Geoffrey Baer MD, University of Wisconsin Team Physician 7:05 am “The Preparticipation Evaluation – What if we started from Scratch” David Bernhardt, University of Wisconsin 7:30 am “Cartilage Reconstruction in the Athlete” Geoffrey Baer MD, University of Wisconsin, Madison Wisconsin. 7:55 am “Outcomes after Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty in Young, Active Patients” Jimi Cook DVM PhD 8:20 am “Posterior Shoulder Instability in the Athlete” Grant Jones MD, The Ohio State University 8:45 am “Revision Shoulder Instability in the Athlete” Anthony Zacharias MD, University of Wisconsin, Madison. 9:10 am “Elbow Biceps Tendonitis and Rupture in the Athlete” Aaron Feilich MD, University of Virginia 9:35 am “Trends in Elbow Ulnar Collateral Ligament Injuries in Athletes” Gregory Cvetanovich MD, Team Physician, The Ohio State University 10:00 am “Considerations in the Treatment of Softball Athletes” Matt Smith MD, Washington University Sports Medicine, St. Louis Blues Hockey Team Physician 10:25 am “How Would You Manage Upper Extremity Cases – Panel Discussion” Moderated by Geoff Baer MD 11:00 am End of Morning Session ********** 1:00 – 2:00 pm Workshop: “Using Shared Professional Values in Sports Medicine to Guide Ethical Behavior in Clinical Practice” Kimberly S. Peer, EdD, ATC, FNATA, Kent State University Sports Medicine professionals are obliged to abide by the Code of Ethics established for their discipline-specific organizations and state practice acts. However, interpretation of the Code of Ethics is often times variable and can lead to ethical vulnerabilities in clinical practice. There- fore, professional organizations have explicitly articulated shared professional values to guide behaviors. As sports medicine professionals grapple with the ambiguities of clinical practice, these shared professional values will guide behaviors. The literature contends that these con- sistent shared professional values will guide a professional identity for the practitioner and disci- pline collectively. The purpose of this workshop is to present and connect the tenets of code of ethics and shared professional values in sports medicine professions. Through case analysis and application, these shared professional values will be used as foundational decision-making tools to address ethical decision-making in sports medicine situations. Objectives: At the conclusion of the workshop, the participants will be able to: Understand the connection between professional codes of ethics and shared professional values; Identify how the shared professional values guide professional behaviors in ethical decision making situations; Analyze cases to actively consider the multiple strategies for resolving ethical dilemmas; and, Integrate the construct of professional identity as a substantive outcome of the implementation and inte- gration of shared professional values in clinical decision making. 18
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Wednesday, February 1st, PM Session, Ortho Day Upper, Extremity Issues 3:00 pm Introduction to Afternoon Session, Geoffrey Baer MD 3:05 pm “Psychological Impact of Athletic Injury: Ways to Use Social Support During the Rehabilitation Process” Dr. Ryan Pittsinger, Texas A&M University-Assistant Athletic Director- Director of Counseling and Sport Psychology Services; Louis Duran Head Football Athletic Trainer- Texas A&M University; Daniel Jacobi, Senior Associate Athletic Director- Texas A&M Sports Medicine 3:30 pm “Reconsidering Sports Medicine’s Place in Our Athletic Culture” Dough McKeag MD 4:00 pm “Hip Arthroscopy-Where We Are in 2023” Brian Walczak DO PhD, University of Wisconsin, Madison. 4:30 pm “Rehabilitation of the Hip in Sports following Hip Arthroscopy” Kirk Schultz DPT, University of Wisconsin 5:00 pm “Lateral Extra-articular Tendodesis of the Knee in Anterior Cruciate Injuries” David Diduch MD – is the Allen F. Voshell Professor of Sports Medicine and Chief of Sports Medicine at the University of Virginia, Charlottesville. 5:30 pm “Management of the Failed Rotator Cuff Repair” John Orwin MD, University of Wisconsin 6:00 pm “How Would You Manage Upper Lower Extremity Injuries – Panel Discussion “ Geoff Baer MD, PhD, University of Wisconsin- Madison. 6:30 pm End of Afternoon Session 20
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Thursday, February 2nd , Ortho Day, AM Session 7:00 am “Applying the Principle of Informed Consent on the Sideline” Katie W Flanagan EdD, LAT, ATC East Carolina University & Randy Cohen PT, AT 7:25 am “Game Day Pain Management in Athletics” Leslie Goodavish PA, University of Wisconsin 7:50 am “Protective Equipment in Youth Sports” M. Alison Brooks MD, University of Wisconsin 8:15 am “State of the Art: Use of Biologics in Sports Medicine” Ed Tingstad MD 8:40 am “Youth Sports Specialization: Where Are We Now.” Andrew Watson MD MS, University of Wisconsin 9:05am “Management of the Acutely Injured Knee in Athletes” Jace Heiden MD, Current Fellow at the University of Wisconsin Department of Orthopedics and Rehabilitation 9:30 am “Wrist Dislocations, Subluxations and Fractures” Jon Tueting MD, University of Wisconsin 10:00 am “Sports injuries of the hand” Jeff King MD, Homer Stryker MD School of Medicine at Western Michigan University 10:30 am End of Conference 22
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Poster Presentations Sponsored by Mio-Guard Title: Tracking Professional Medical Referrals as Rationale to Support Hospital-Sponsored Secondary School Athletic Training Services; Original Research; Case Study Author: Caroline E. Faure, EdD; ATC Institution/Department: Idaho State University, Department of Human Performance and Sport Studies Background: Sports-related injuries are common and often require physician or hospital care. While it has been well-documented that the presence of athletic trainers (ATs) leads to a safer sports environment, many secondary school administrators face challenges when attempting to hire ATs. Examples include budgetary constraints, school and community size, and a lack of awareness about the role of ATs. Misconceptions about the medical qualifications of ATs and the scope of other healthcare providers who may already be onsite (such as EMTs) can also present challenges. Since the advent of concussion laws in fifty states, hospitals across the country have come forward to partner with secondary schools in the provision of sports medicine healthcare. The outreach agreements are consistent: Hospitals hire athletic trainers (ATs) and then outsource them to schools. While others have discussed why hospitals get involved with providing AT services to schools, there is a lack of empirical evidence to date directed toward the impact of such decisions. Thus, the goal of this descrip- tive case study was to assess how the implementation of an athletic training program (ATP) benefitted one community hospital (CMC) and its affiliated providers in terms of (a) community relations, (b) patient care con- tacts (PCCs), and (c) professional medical referrals (PMRs). Methods: This investigation spanned the course of the first five years of the hospital’s partnership with four separate high schools. Interviews with key hospital and school district administrators along with additional track- ing of the number of professional medical referrals helped to illuminate the program outcomes. Results: In the first five years of the program, CMC’s seven ATs collectively reported 62,565 PCCs, diagnosed 616 concussions, and generated 2,422 initial PMRs, including 183 surgeries. Conclusions: The partnership strengthened the hospital’s brand and community relations, provided area school sports programs with much-needed medical oversight, and generated a sizeable stream of revenue via professional medical referrals, both for the hospital and for its affiliated providers. Leakage to competing provid- ers was minimal. Hospital administrators should look to this example as one that supports the decision to part- ner with local schools in the provision of athletic healthcare. 24
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Title: A pilot study evaluating a functional test for concussion Authors: Kyla L Pyndiura MSc1, Alex P Di Battista PhD2, Doug Richards MD1, David W Lawrence MD MPH3, Nick Reed PhD4-6, Michael G Hutchison PhD1,3,7 Institutions/Departments: 1Faculty of Kinesiology & Physical Education, University of Toronto, 2Defence Re- search and Development Canada – Toronto Research Centre, 3David L. MacIntosh Sport Medicine Clinic, Faculty of Kinesiology & Physical Education, University of Toronto, 4Department of Occupational Science and Occupa- tional Therapy, Faculty of Medicine, University of Toronto, 5Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, 6Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, 7Keenan Research Centre for Biomedical Science, St. Michael’s Hospital Background: Concussion management and return-to-play medical decisions have evolved over time to include movements and physical exertion assessing the requirements for successful sport participation. We have devel- oped a functional test for concussion (FTC) grounded in physical movements with the goal of making it accessi- ble in a variety of clinical settings requiring few resources. The objectives of the study were to identify: 1) normal progressive responses among healthy athletes, and 2) differences between healthy athletes and athletes with concussion. Methods: The FTC comprises of four stages that increase in complexity based on cardiovascular load, head ac- celeration, coordination, and cognitive tasks. Healthy athletes completed the FTC at a baseline time point and athletes with concussion completed the FTC at multiple time points throughout recovery (1-, 2-, 3-, 4-, 6-, and 8- weeks post injury). Performance variables, heart rate, and change in total symptom severity score were collected. Results: 12 healthy athletes (female n=6, male n=6) and 17 athletes with concussion (female n=9, male n=8) completed the FTC. All healthy athletes successfully completed the FTC with heart rate increasing throughout the FTC. During the first week following concussion, differences in FTC performance were identified when compared to healthy controls with eight athletes with concussion failing the FTC. Nine athletes successfully completed the FTC at the time point closest to medical clearance. Conclusions: Preliminary results show that the FTC is a progressive exertional assessment and that following concussion, athletes perform worse compared to healthy, uninjured athletes. Research is currently ongoing to increase sample sizes in both groups and to determine if the FTC is reliable and can offer clinical utility in the fu- ture. ********** Title: A comparison of an intrinsic vs. extrinsic strengthening protocol for supporting the medial longitudinal arch Authors: Stanek, JM, Schaefer, JS, Jagodinsky, AE Institution/Departments: Illinois State University, College of Applied Science and Technology, School of Kinesi- ology & Recreation Background: Considerable research has studied the muscles that support the medial longitudinal arch (MLA). However, these studies look at intrinsic or extrinsic muscles individually rather than comparing programs that support of the MLA in a static stance. Researchers have yet to examine the changes to the MLA in the gait cycle rather than just looking at it from a static point of view. This study examined the effectiveness of two strengthen- ing protocols for supporting the MLA during stance and gait. Methods: Twenty-four recreationally active patients (14 females, 10 males) participated in the single-blinded study. Participants were randomized into either the intrinsic, extrinsic, or control groups. Static measurements of navicular drop and dynamic measurements of plantar pressure measuring contact area in square centimeters of the midfoot were compared. Two, one-way ANOVAs were used to compare the change scores of participants. Results: A significant difference between groups was found for the change in navicular drop (p=0.001), but not plantar pressure area (p=0.37). Post hoc comparisons revealed a significant difference between the extrinsic and control group (p=0.001, effect size=2.15, 95% CI=0.92 to 3.38) and the extrinsic and intrinsic group (p=0.03, ef- fect size=1.31, 95% CI=0.23 to 2.39), but no difference between the control and intrinsic group (p=0.31). Conclusions: These results suggest the importance of the extrinsic foot muscles in supporting of the MLA during static stance. However, no significant differences were noted within the dynamic measures of plantar pressure. Future research should examine methods for improving support during dynamic activities. 26
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Title: Comparing brain MRI outcomes between youth American football and non-football athletes: A report using Adolescent Brain Cognitive Development (ABCD) Study data Statistical Analysis: General linear models first assessed for a global football effect on each outcome, accounting for other covariates (inc. age, sex, race, TBI history, household income, handedness), with subsequent post-hoc t- tests to identify specific regions of significance (primary). A similar analysis was then repeated including duration of football play (1, 2, 3, > 4 years) as an additional variable in the general linear models (secondary). False-discovery rate corrections were applied to account for multiple comparisons. Results: Structural: There were no main effects of football participation on cortical thickness (p=0.124) or subcorti- cal volume (p=0.696), nor was duration of football play associated with cortical thickness (p=0.725). Duration of football play was associated with hippocampal volumes (p=0.048), with smaller volumes observed in those children who played American football for 4 or more years (FDR-adjusted p=0.017, left; p=0.035, right). Functional: Main effects of football participation were present for both resting state network-to-network (p0.05). No main effects were present for duration of football play on either network-network (p=0.399) or network-region (p=0.078) connectivity. Diffusion tensor: There were neither main effects of football participation nor duration of football play effects on any of the 21 diffusion tensor analyses after FDR correction (all p>0.05). Conclusions: Participation in American football was not associated with clinically concerning structural, functional, or diffusion tensor MRI findings in primary analyses. Secondary analyses suggest a potential dose-effect relation- ship between duration of football play and hippocampal volumes, with smaller volumes identified in those 9-10 year olds reporting 4 or more years of football participation. These findings should be prospectively evaluated as addi- tional ABCD data become available to further assess for potential contact sport effects on brain structure and func- tion in youth athletes. These preliminary results can inform ongoing discussion surrounding youth American foot- ball participation. ********** Title: Player Positional Comparison of Helmet Impact Biomechanics during a Hawaiian High School Foot- ball Season Authors: Glodowski KD*, Lee JS†, Myers JL†, Furutani TM*, Oshiro RS*, Cunningham M†, Murata NM*, Broglio SP⤉, Swartz EE†. *University of Hawaii at Mānoa, Honolulu, HI, †University of Massachusetts-Lowell, Lowell, MA, ⤉University of Michigan Ann Arbor, MI Context: While a growing body of evidence of head impact biomechanics sustained in high school football athletes exist, a lack of data provides a comparison between player position groups, particularly in Hawaii. Therefore, the purpose of this study was to compare helmet impact frequency between player position groups during a Hawaiian high school football season. Methods: This cross-sectional study included participants recruited from two local private high school football teams. Players and their parents provided IRB-approved assent and consent, respectively, prior to participation. Each athlete wore a properly fitted Riddell (Elyria, OH) Speedflex helmet, embedded with a validated Riddell InSite head impact telemetry system sensor. An on-site field researcher collected relevant demographic data for practic- es, games, and scrimmages such as start and stop times during sessions when helmets were worn. Participant attendance of each session was recorded, to standardize impact rate and allow for identification and elimination of spurious impacts for final data analysis. Participants impact data were organized according to 3 player position groups: linemen (offensive and defensive linemen), backers (tight ends, linebackers, running backs), and skill play- ers (cornerbacks, safeties, receivers). An ANOVA (p< .05) with follow-up Tukey's post hoc HSD-test was performed to identify if any differences existed in the dependent variable of total impacts per exposure (Imp/E) between teams and/or positions (independent variables). Results: Participants included linemen (n=34, age 16.11±.72 yrs., height 184.15±7.51 cm, weight 107.39± 23.67 kg), backers (n=20, age 16.25± .71 yrs., height 177.16± 6.19 cm, weight 84.77± 11.92 kg), and skills players (n=45, age 16.13±1.07 yrs., height 173.32±6.29 cm, weight 70.5±11.64 kg). A statistically significant difference was found between position groups (F2,96=10.86, p
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Title: Comparing brain MRI outcomes between youth American football and non-football athletes: a report using Adolescent Brain Cognitive Development (ABCD) Study data Authors: James T Eckner MD MS; Eric Ichesco BS; Yuanzhi Li; Ingrid Ichesco MD; Andrew Schrepf PhD; Andrea Almeida MD; Matthew T. Lorincz MD PhD; Chelsea Kaplan PhD; Mike Popovich MD; Scott J. Peltier PhD; Richard E. Harris PhD; Xuming He PhD; James T. Eckner MD MS* Background: Concern exists regarding the potential risk of contact sport participation on young athletes’ develop- ing brains. Therefore, this study compared structural, functional, and diffusion tensor brain MRI outcomes among 3,820 children aged 9-10 years who play American football vs. non-contact sport controls. Design: Secondary analysis of cross-sectional ABCD study data. Participants: 843 children who play American football (94% males) and 2,977 non-contact sport controls (45% males) recruited across 21 US institutions. Outcomes: Structural MRI measures included 74 bilateral regional cortical thicknesses and 5 bilateral subcortical gray matter volumes; functional MRI measures included 169 network-network correlations and 247 network-region correlations involving 12 resting-state functional networks and 19 regions; diffusion tensor MRI measures included 21 global analyses involving 4 metrics (fractional anisotropy; mean, longitudinal, transverse diffusivity) and 5 par- cellations. Statistical Analysis: General linear models first assessed for a global football effect on each outcome, account- ing for other covariates (inc. age, sex, race, TBI history, household income, handedness), with subsequent post- hoc t-tests to identify specific regions of significance (primary). A similar analysis was then repeated including du- ration of football play (1, 2, 3, > 4 years) as an additional variable in the general linear models (secondary). False- discovery rate corrections were applied to account for multiple comparisons. Results: Structural: There were no main effects of football participation on cortical thickness (p=0.124) or subcortical volume (p=0.696), nor was duration of football play associated with cortical thickness (p=0.725). Duration of football play was associated with hippocampal volumes (p=0.048), with smaller volumes observed in those children who played American football for 4 or more years (FDR-adjusted p=0.017, left; p=0.035, right). Functional: Main effects of football participation were present for both resting state network-to-network (p0.05). No main effects were present for duration of football play on either network-network (p=0.399) or network-region (p=0.078) connectivity. Diffusion tensor: There were neither main effects of football participation nor duration of football play effects on any of the 21 diffusion tensor analyses after FDR correction (all p>0.05). Conclusions: Participation in American football was not associated with clinically concerning structural, function- al, or diffusion tensor MRI findings in primary analyses. Secondary analyses suggest a potential dose-effect rela- tionship between duration of football play and hippocampal volumes, with smaller volumes identified in those 9-10 year olds reporting 4 or more years of football participation. These findings should be prospectively evaluated as additional ABCD data become available to further assess for potential contact sport effects on brain structure and function in youth athletes. These preliminary results can inform ongoing discussion surrounding youth American football participation. 30
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Title: Effective Momentum How to Improve Sports Performance and Power Why the S Shaped Spine Pos- ture is Superior (Sponsored) Abstract: Strength and Spinal Posture. In this analysis we look at two football players going head-to-head and compare the strength and stability of the spine at the point of contact. One with Proper Posture – the S-Shaped Spine and one with Improper Posture. Formula for Power: Momentum = Mass x Velocity and Velocity = Acceleration x Distance Method: Effective Momentum is Greater in Proper Posture and has two parts: First the development of power, and Second the stability at the point of contact. The player with the greatest momentum and greatest stable mass will push the other player back. The S-shaped spine moves into a series of 1st class levers that lock up each vertebra like a vice, and at the point of contact, the spine is stable and transfers the power created to its opponent. Improper posture does not natural- ly have stabilization at each joint. In the improper posture model, there is a dislocating force at the lower four ver- tebrae to the posterior. Improper posture lacks fixed bone stabilization and relies on ineffective multifidus co- contraction to stop injury and stabilize the joints, which ultimately causes more damage, and fatiguing muscle ef- fort and disc compression. Conclusion: Science demonstrates proper posture will beat improper posture and improper posture should ex- pect injuries. Author: Eileen Durfee, CEO & Founder of Creatrix Solutions LLC Reference Materials: Dr. John Schreger's Spinal Fitness and Sports Medicine Series – Kinesiological Analysis of Human Spinal Development & Function in Earth’s Gravity. (Manuals 1 and 2) ********** Title: Comparison of Utility, Accuracy and Cost of Hydration Indices Used in Sport (Sponsored) Authors: Gursharan Chana, Pete Gareri, Paul Calloway Institutions: MX3 Diagnostics Inc., & Mio-Guard Sports Medicine Background: While several methods exist for assessing hydration status in athletes, many lack convenience, accuracy, and cost-effectiveness for routine implementation. Urine specific gravity (USG) has been adopted by many sports teams for assessing hydration status, but its utility is limited due to constraints on the time of sam- pling, together with bias from acute fluid intake. The aim of our comparative analysis was to assess the utility, accuracy, and cost-effectiveness of currently utilised hydration status monitoring tools. Methods: USG, nude body mass loss (BML) and salivary osmolarity (SOSM) as measured by the MX3 HTS, were included as possible hydration monitoring methods. Utility and cost-effectiveness were assessed on time taken to collect a sample and time to result as well as required labour. Accuracy was assessed based on known literature on changes in plasma osmolarity (POSM) during exercise compared to our hydration indices. Results: SOSM took the shortest time to collect a sample (
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Title: The Use of the Sway Medical Mobile Application in Concussion Management (Sponsored) Authors: Jennifer Chikar, PhD; Chase Curtiss, MEd Institutions/Departments: Sway Medical, Inc. Background: The use of computerized neurocognitive tests in sports concussion management is currently limited in both options and applicability. Although there is considerable evidence supporting the validity and reliability of the Sway Medical mobile application (Sway), the sensitivity of this system in concussion management remains unclear. Methods: Athletic organizations that administer both ImPACT and Sway provided preseason baseline and post- injury scores for athletes who sustained a sports-related concussion between Nov 2020 and Oct 2022. Score chang- es (i.e., post-injury score – baseline score) that met or exceeded previously established reliable change indices at the 80% confidence interval were determined for each system, based on four cognitive scores and one balance score for Sway and four cognitive composite scores for ImPACT. Group classification was defined as having one or more post-injury scores reliably worse than baseline. In a separate analysis, Sway baseline and post-injury scores were compared for user profiles identified within the app as sustaining a clinically diagnosed concussion. Results: For athletes who were assessed using both ImPACT and Sway (n=46, mean age 19.6 ± 1.4, 58.7% male), Sway testing showed 70% sensitivity in predicting concussion group membership and ImPACT showed 59% sensi- tivity. Sway testing was completed sooner following injury (mean days post-injury 1.1 ± 1.4) compared to ImPACT (mean days post-injury 2.5 ± 2.4). In a larger supplemental analysis (n=321, mean age 18.7 ± 3.8, 62% male), Sway testing showed 71% sensitivity in predicting concussion group membership. Conclusions: Sway testing identified cognitive and/or balance deficits in a large percentage of concussed amateur athletes in two independent samples. ImPACT testing is often completed at later time frames in the athletic organi- zations that utilize both systems, thereby limiting direct comparisons between ImPACT and Sway in this population. These data support the use of Sway in the management of sports-related concussions. 34
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2023 BSATSMC Faculty: Our two most important program contributors are Geoffrey Baer MD of the University of Wisconsin and Jeffrey Kutcher MD, Sports Neurologist, Director of the Kutcher Clinics. These two are coordinating collaborators in Sports Medicine to bring us the latest in research and practice updates in the fields of Orthopedics and Sports Neurology. Geoffrey Baer MD, PhD Dr. Baer is board certified in orthopedic surgery and fellowship trained in sports medicine. He is an Associate Professor and team physician for the University of Wisconsin Athletic Department and provides orthopedic medical coverage for the Badgers. His special interests include sports medicine surgical procedures involving the knee and shoulder. Jeffrey Kutcher MD In 2006, Dr. Kutcher founded Michigan NeuroSport, an academic and clinical program dedicated to the neurologic care of the athlete. He is a Team Physician for Western Michigan University and the USA Hockey Developmental Program. Dr. Kutcher has research interests in the diagnosis and management of sports concussion, as well as the short and long-term consequences of the injury, with a particular focus on how other neurologic diagnoses can improve our understanding. The rest of our faculty: Stephanie Alessi MD, MPH Dr. Stephanie Alessi-LaRosa graduated from St. George’s University in 2014 and is currently the Director of the Hartford Healthcare Sports Neurology Program. She received her Master of Public Health degree from St. George’s University in 2010. Robert B. Anderson, MD Honored Professor, Director of Foot and Ankle, Titletown Sports Medicine and Orthopaedics, Associate Team Physician, Green Bay Packers and the founding orthopaedic surgeon of the O.L. Miller Foot and Ankle Institute of OrthoCarolina in Charlotte, North Carolina, practicing there since 1989. Gloria Beim MD Dr. Gloria Beim founded VSON alpine (former Alpine Orthopaedics (now VSON Alpine) in 1999 and alpine surgery center in 2006. , and sees patients in Gunnison, Crested Butte, and Telluride. Dr. Beim has served in the following capacities: Medical Director Gunnison/Crested Butte/Telluride; US Ski and Snowboard Medical Provider; Head Team Physician, Western Colo- rado University; Team Physician David Bernhardt MD Dr. David Bernhardt specializes in primary care sports medicine. He is board certified in pediatrics and fellowship trained in sports medicine. He is a team physician for the University of Wisconsin Athletic Department. Alison Brooks MD Dr. Brooks is an Associate Professor in the Department of Orthopedics, Division of Sports Medicine at the University of Wisconsin School of Medicine & Public Health in Madison, WI. She is board certified in Pediatrics and fellowship-trained in Sports Medicine and serves as a team physician for Badger Men’s soccer and Women’s ice hockey and the Forward Madison FC in the USL League One. John Bruno AT John C. Bruno, ATC is a certified athletic trainer credentialed by the National Athletic Trainer’s Association. He possess- es extensive clinical and practical experience rehabilitating many orthopedic and sports medicine conditions and injuries. Paige Buddenhagen MD Paige Buddenhagen is a licensed athletic trainer with AAH. She serves as the AAH CMN triage specialist and liaison. She also is the program’s lead of concussion research. A native of West Bend, WI she received a bachelor’s degree in Exercise Science from Ripon College and master’s in Athletic Training from University of Indianapolis. James Carpenter MD James E. Carpenter, M.D., M.H.S.A., is Professor of Orthopaedic Surgery at the University of Michigan. He is in active clinical practice with a focus in sports medicine and shoulder surgery. He has a long history of involvement with care of athletes, serving as a Team Physician at Michigan for over 30 years. Jake Carpenter-Thompson MD PhD Jake Carpenter-Thompson is a current fellow at the Kutcher Clinic for Sport Neurology. He completed his medical scholar training at the University of Illinois earning both MD and PhD degrees. He received his PhD in Cognitive Neuroscience and Neuro-Engineering supported in part by the National Science Foundation’s Integrative Graduate Education and Research Traineeship which emphasized collaborative research between scientists and engineers. 40
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Rudy Castellani MD Dr. Rudy J. Castellani is board certified in anatomic pathology and neuropathology. He is currently a professor of pathol- ogy and neuroscience, Northwestern University in Chicago Meeryo Choe MD Meeryo Choe, MD grew up in the Los Angeles area, traveled east to attend Amherst College. She is currently an Associ- ate Clinical Professor in Pediatrics, Division of Pediatric Neurology, at the UCLA David Geffen School of Medicine and the Program Director for the child neurology program James Cook DVM After receiving his bachelor’s degree from Florida State University Dr. James (Jimi) Cook completed his DVM in 1994 and PhD in 1998. In 1999, he founded the Comparative Orthopaedic Laboratory at the University of Missouri, a multi- disciplinary team of physicians, veterinarians, engineers, and basic scientists dedicated to translational orthopaedic re- search. Gregory Cvetanovich MD Dr. Cvetanovich is the lead Physician in the OSU Overhead and Throwing Athlete Program, he is also Team physician for the Ohio State Buckeyes, Columbus Clippers and Community High School. Ryan D'Arcy BS, MS, PhD Dr. Ryan C.N. D’Arcy is the Co-Founder of HealthTech Connex. Trained in neuroscience, neurotechnology, and medical imaging, Dr. D’Arcy also holds a BC Leadership Chair in Medical Technology, is a full Professor at Simon Fraser Universi- ty, and a member of the DM Centre for Brain Health at the University of British Columbia. David Diduch MD Dr. David Diduch is the Allen F. Voshell Professor of Sports Medicine and Chief of Sports Medicine in the department of orthopedic surgery at the University of Virginia. He has been on faculty for 25 years at UVA. He serves as the head orthopedic team physician for UVA, providing primary coverage for men's basketball, football and women's soccer. His practice focuses on knee and shoulder problems as well as general sports medicine, with a subspecialty interest in com- plex patella instability Erin Dierickx MS AT Erin Dierickx is a certified strength and conditioning specialist and licensed coach through the US Soccer Federation. She earned her master’s degree from Arizona State University in Exercise and Wellness with a focus in Fitness and Conditioning in 2017. Zachary Dunkle Zac is a board certified orthopedic physical therapist who attended physical therapy school at Emory University and completed an orthopedic residency as well at Emory. He has a special interest in the use of Blood Flow Restriction (BFR) within the clinical setting.. Louis Duran ATC Louis Duran is currently the Head Football Athletic Trainer for Texas A&M University. Duran joined the Athletics De- partment in March of 2019 as Associate Head Football Athletic Trainer Eileen Durfee PhD Inventor and CEO Eileen has passion for spinal fitness, how to use Dr. John S. Scherger’s methods to evaluate athletic ability to spot physically superior athletes less prone to injuries, and how to make weaker players structurally stronger. Kate Essad MD Dr. Essad is the System Director of Concussion Management and Lead of Sports Neurology at Advocate Aurora Health in Milwaukee, WI. She is board certified in neurology, brain injury medicine, and interventional headache. William D Fales MD William Fales, MD, is a board-certified emergency medicine physician. He is a graduate of Indiana University of Pennsyl- vania in Indiana, Pennsylvania. He earned his medical degree from Thomas Jefferson University in Philadelphia, Pennsyl- vania. He completed an emergency medicine residency at Geisinger Medical Center in Danville, Pennsylvania. Aaron Feilich MD Aaron Freilich completed his medical school and residency at the University of Virginia before going to Wake Forest Baptist Medical Center to finish his Hand and Upper Extremity Fellowship. He is currently Associate professor of Or- thopaedic surgery at UVA and the hand fellowship director 42
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Katie Walsh Flanagan, EdD LAT, ATC Dr. Katie Walsh Flanagan is a native of Carmel, California and is a professor of sports safety at East Carolina University in Greenville, North Carolina. She earned her BS at Oregon State, MS at Illinois State and EdD at the University of Southern California. Katie is a practicing athletic trainer, researcher and educator and has held leadership roles thor- ough her career. Chris Giza MD Christopher Giza graduated from Dartmouth College, received his M.D. from West Virginia University and completed his training in Neurology at UCLA. He directs the UCLA Steve Tisch BrainSPORT program and serves as Medical Director for the Operation MEND mild TBI program Leslie Goodavish AT PA Leslie Goodavish is a certified physician assistant and athletic trainer working in the University of Wisconsin Sports Medicine Department. Leslie has been there over 16 years but spent one of those years living in Montana and working part-time at Missoula Bone and Joint. Andrew Gottschalk MD Andrew W. Gottschalk, M.D. trained in sports medicine at both Mayo Clinic and Cleveland Clinic. His extensive experience includes treating athletes of all levels of competition, including those in the NFL, NBA, MLB, and NCAA Division I. Valarie Hairston AT Valerie Hairston is the Clinical Product Manager for Kelvi. Her role encompasses education, training, research and clinical feedback. She came to Kelvi after 11 years as the Associate Director of Sports Medicine at TCU. While providing care for the Women’s Basketball and Men’s golf teams, she also served as a preceptor for the athletic training program and still serves as an adjunct professor in the Department of Kinesiology. Jace Heiden MD Dr. Heiden is the current Orthopaedic sports medicine fellow at the University of Wisconsin. He completed his medical school and Orthopaedic residency training at the University of Nebraska. Michael Hutchison PhD Michael Hutchison an Assistant Professor in the Faculty of Kinesiology and Physical Education at the University of To- ronto. Michael Hutchison holds a PhD in Rehabilitation Science and is a Registered Kinesiologist, who specializes in sport- related concussion research in various populations ranging from adolescent students, university level students, and pro- fessional athletes and had published presented internationally in the area of sport-concussion. Grant Jones MD Grant Jones, MD is a Professor in The Ohio State University Department of Orthopaedic Surgery and is in his 24 th year as a Team Physician for the Ohio State University Department of Athletics. He serves as the Head Team Physician for OSU’s basketball team and an orthopaedic consultant for OSU’s other varsity teams. He has also been the Head Team Physician for the Columbus Clippers (Triple-A Affiliate of the Cleveland Indians) since 2009. Patrick Karns AT Pat is a Certified Athletic Trainer. He has worked extensively with Olympic and Professional athletes for over 35 years, including time as the Head Athletic Trainer for the Colorado Avalanche during their two Stanley Cup wins; the Minnesota Timberwolves in the NBA; and Olympic sports, including soccer, luge, tennis and ice hockey. Jeffrey King MD Dr King is a fellowship trained orthopedic surgeon specializing in surgery of the hand and elbow. He received a Physical Therapy Degree from Boston University and his Medical Degree from Johns Hopkins School of Medicine. He completed his orthopedic residency at Michigan State University/ Kalamazoo Center for Medical Studies and fellowship training in surgery of the hand, wrist and elbow at the Mayo Clinic. Jeff Konin AT PhD Dr. Jeff Konin is a Clinical Professor and Director of the DAT program at Florida International University in Miami, Flor- ida. At FIU, he is also the Director of the Global Initiative for Cannabinoid Research and Education. Andrew Massey AT Andy Massey enjoyed a 32-year career as a clinical athletic trainer, with one year in the high school setting and the re- mainder in the collegiate setting serving at Wofford College, Appalachian State University and Tulane University. Sara Massey BS, HR Sara Massey is an experienced leader with a demonstrated history of growing for-profit and nonprofit companies in com- plex business environments. She has served as the executive director of a grantmaking education foundation supporting experiential learning opportunities for public school students and provided business and fundraising counsel to numerous nonprofits.. 44
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Sean Langan MS, CSCS, AT Sean Langan received a bachelor’s degree in athletic training from Rowan University, New Jersey in 2018, followed by a master’s degree in sports medicine at Georgia Southern University’s Armstrong campus in Savannah, GA. George K Lewis MS, PhD Dr. George Lewis is a Biomedical Engineer, Mechanobiologist and Neurobiologist in Regenerative and Sports Medicine. He serves as the Chair or Rehabilitation Medicine Research for the United States Veterans Health Administration since 2020, and Board Member for the Orthopedic Foundation since 2017. David Lintner MD In June 2005, Dr. Lintner was named Chief of Sports Medicine at The Methodist Hospital in Houston after serving in a similar capacity at Baylor College of Medicine for four years. He is the past President of the Major League Baseball Team Physicians Association, and a member of the Baseball Commissioner’s Medical Advisory Committee. Thom Mayer MD, FACEP, FAAP, FACHE Dr. Mayer is the Medical Director for the NFL Players Association, Executive Vice President of Leadership for LogixHealth, Founder of Best Practices, Inc., Speaker for Studer Group, and Clinical Professor of Emergency Medi- cine at George Washington University and Senior Lecturing Fellow at Duke University. Michael McGee AT, Head Clinical Trainer Indiba USA Michael has worked with thousands of patients and he specializes in orthopedics and sports rehabilitation. In 1987 he began his career in Pittsburgh at St. Margaret Memorial Hospital where he was a member of the Sports Medicine team providing services to the Pittsburgh Steelers, Pittsburgh Penguins, and numerous High School athletic programs. Doug McKeag MD As the One America Professor Emeritus of Sports Preventive Medicine and a former chair for the Department of Family Medicine at the IU School of Medicine, McKeag has turned what once was a health-care afterthought – sports medicine – into a major wing of the industry’s growing focus on health and wellness Andy Mutnan MS AT Andy Mutnan serves at the Head Football Athletic Trainer for Penn State University and has held that title since 2018. Prior to coming to Penn State, he spent five seasons at Washington State University as the head football ath- letic trainer. Prior to Washington State University Andy spent five seasons at the University of Nevada as the asso- ciate director and head football athletic trainer Heather Murphy EdD, LAT, ATC Heather Murphy is the full-time Head Athletic Trainer at Thomas Jefferson High School for Science and Technology in Fairfax County Public Schools, VA. This is her 22nd year as an AT at TJ and in FCPS. She studied Exercise Science and Athletic Training at Truman State University in Kirksville, MO. Jayson Nelson MD John Orwin MD Dr. John Orwin is an orthopedic surgeon in Madison, WI and is affiliated with multiple hospitals in the Madison Wis- consin area, including University of Wisconsin Hospitals and Clinics. Drew Petersen, Professional Skier I am Drew Petersen and I am a lover of the mountains, I believe in living a life with passion as my compass, and I use my career as a professional skier and year-round mountain athlete to share that passion with others. Along my jour- ney, I’ve followed the tracks of a snow leopard to the top of a ski line in Kyrgyzstan, explored the corners of my own backyard in the American West, skied all over the world, and ran ultramarathon ridge traverses. Ryan Pittsinger PhD Dr. Ryan Pittsinger is a Licensed Psychologist and is currently the Assistant Athletic Director and Director of Coun- seling and Sport Psychology Services for Texas A&M University. In his role, Dr. Pittsinger oversees the provision of all mental health and sport psychology services for student-athletes, coaches, and Athletics Department Staff. Nicholas Port PhD Dr. Port’s research training began at New York University as an undergraduate in the laboratory of Dr. Tony Movshon, where he completed an honors thesis in 1991 on visual motion processing At Oxford, he studied the neurophysiology of blindsight with Drs. Colin Blakemore and Alan Cowey, and the neuroscience of albinism with Drs. Andrew Parker and Ian Thompson. 46
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