COMBINED SECTIONS MEETING 2019: A LANDMARK EVENT The American Physical Therapy Association’s (APTA) annual Combined Sections Meeting was a huge success, welcoming over 16,000 physical therapists, physical therapy assistants, and students to Washington DC. The American Academy of Sports Physical Therapy (AASPT) presented 42 sessions, including five of our popular Morning Sports Rounds. The AASPT pre-conference, presented by Jason Hugentobler, PT, DPT, SCS, CSCS; Corina Martinez, PT, DPT, SCS, LAT, ATC; Bobby Jean Sanders Lee, PT, DPT, SCS, CSOMT, CSCS, USAW; Jessica B. Schwartz, PT, DPT, CSCS; and Kate Berz, DO, covered a full day of programming on “Sport-Related Concussion: The Evolving Role of the Sports Physical Therapist” on Wednesday, January 23. On Thursday, Chad Asplund, MD, AMSSM President; Mark De-
AASPT President Walt Jenkins is shown with Dr. Chad Asplund, President of the AMSSM and Sharon Dunn, APTA President, immediately following the AASPT presentation “Opioid Issues in Athletes.” This presentation was standing room only.
Carlo, AASPT Executive Director; Erin Barill; Allen Hardin; Elliott Hughes; and Cindy Whyde gave a powerful presentation on “Opioid Issues in Athletes.” This session not only provided realworld information from the physicians, physical therapists
and athletic trainers who face these issues daily, but also from the standpoint of the effects of drug use from the athlete’s perspective and that of their family. The session was standing room only, reflecting the importance and urgency of the opioid crisis.
Lucas, Stacey Pagorek, Mitchell Rauh, Amelia Arundale, and the Performance Enhancement SIG; and “Do We Fail to Succeed?,” presented by Marisa Pontillo, Scot Morrison, Daniel Safford, and the College and Professional Athlete SIG. These are just a few of the highly-rated sessions presented by the AASPT.
Student members, one of the largest groups at CSM, pause for a photo.
A highlight on Friday was “Beyond Rehabilitation: Physical Therapists’ Role in Building Firefighter Tactical Athlete Resiliency,” presented by Dan MacLean, Jake Morrow, Kristy Yarbrough, and Richard Westrick, leader of the Tactical Athlete SIG. This presentation followed in the footsteps of 2018’s Team Concept Conference popular tactical athlete focus and was well-attended.
Saturday featured several notable presentations, such as “Running vs sports performance training in pregnant and postpartum females,” presented by Meghan Rohde, Christine Morgan, and outgoing Female Athlete SIG President (and Program Chair in Training!) Carol Ferkovic Mack; “Building Athletes for Life,” presented by Jason Hugentobler, Christopher Kovacs, Kathryn
Speakers at Friday’s Tactical Athlete SIG presentation.
Morning Sports Rounds, held Thursday through Saturday for the early risers from 6:15-7:45 am, provided participants with specific sports programming. The one and half hour sessions are targeted to up to the minute sports physical therapy topics. (See the article in this issue about Paul Yerhot, one of the presenters.) As always, CSM was not just for education. It’s always a great time to connect with new contacts and reconnect with old friends. The AASPT booth was a gathering point during the unopposed hours, enthusiastically led by member volunteers, both student and graduate.
Rich Westrick makes a point.
Training on Outcomes following Anterior Cruciate Ligament Reconstruction
The first evening event was held Thursday, with the annual business meeting presented by the Executive Committee. Attendees learned about the past year’s review and about new initiatives to come in 2019. The second evening event was a double header on Friday, beginning with the annual awards ceremony. The AASPT’s brightest stars were honored at this standing room only event. RECOGNITION OF SPORTS CLINICAL SPECIALISTS and 25 YEAR MEMBERS Blaise Williams, Vice President, AASPT
RECOGNITION OF NEWLY ACCREDITED AND RE-ACCREDITED RESIDENCY PROGRAMS Airelle Hunter-Giordano, Residency SIG Chair
JOSPT EXCELLENCE IN RESEARCH AWARD Presented by George Davies Changes in Measures of Cervical Spine Function, Vestibulo-ocular Reflex, Dynamic Balance, and Divided Attention Following Sport-Related Concussion in Elite Youth Ice Hockey Players Authors: Kathryn J. Schneider, Willem H. Meeuwisse, Luz Palacios-Derflingher, Carolyn A. Emery
JOSPT GEORGE DAVIESJAMES A. GOULD EXCELLENCE IN CLINICAL INQUIRY AWARD Risk for Lower Extremity Injury After Concussion: A Matched Cohort Study in Soldiers Authors: Joseph R. Kardouni, Tracie L. Shing, Craig J. McKinnon, Dennis E. Scofield, Susan P. Proctor
AASPT EXCELLENCE IN RESEARCH AWARD Clinical and Return to Sport Outcomes by Graft Type After Completion of a Secondary ACL Prevention Program. Smith, Angela H., Capin, Jacob J., Zarzycki, Ryan, Snyder-Mackler, Lynn
OUTSTANDING STUDENT AWARD Presented to Amit Gohil Burke Wilson and Ed Mulligan.
IJSPT ACHIEVEMENT OF DISTINCTION OUTSTANDING ORIGINAL RESEARCH MANUSCRIPT EXCELLENCE AWARD Presented by Barb Hoogenboom, Senior Associate Editor, IJSPT Two Year ACL Reinjury Rate of 2.5%: Outcome Report of the Men in a Secondary ACL Injury Prevention Program Amelia Arundale, Jacob Capin, Ryan Zarzycki, Angela Smith, Dr. Lynn Snyder-Mackler
IJSPT ACHIEVEMENT OF DISTINCTION CASE REPORT AWARD The use of serial platelet rich plasma injections with early rehabilitation to expedite grade III medial collateral ligament injury in a professional athlete: a case report. Michael Bagwell, Kevin Wilk, Ricardo Colbert, Jeffrey Dugas, MD
IJSPT ACHIEVEMENT OF DISTINCTION CASE REPORT AWARD Patellofemoral chondral defect in a preadolescent skier: A case report in early sports Nicholas DePhillipo, Mark Cinque, Nicholas Kennedy, Jorge Chahla, Gilbert Moatshe, Robert Laprade MD
LEGACY FUND GRANT AWARD Presented by Chuck Thigpen The Effects of Blood Flow Restricted
NEW HORIZON AWARD Presented to Christin Zwolski
EXCELLENCE IN EDUCATION AWARD Presented to Michael Tamburello
LYNN WALLACE CLINICAL EDUCATION AWARD Presented to David Nolan
LIFETIME EXCELLENCE IN EDUCATION AWARD Presented to Barbara J. Hoogenboom
OUTSTANDING SPECIAL INTEREST GROUP CHAIR AWARD Presented to Richard Westrick Chair, Tactical Athlete SIG
OUTSTANDING SERVICE AWARD Presented to Burke Wilson
OUTSTANDING SERVICE AWARD Presented to Chuck Thigpen
HALL OF FAME TURNER A. BLACKBURN LIFETIME ACHIEVEMENT AWARD Presented by Tab Blackburn to Allen Hardin
2019 RONALD G. PEYTON AWARD Presented to Mark Paterno The entire program for the evening is posted on the AASPT website under awards.
Immediately following the awards ceremony, the TeamMates event was held, bringing student and early career members (rookies) and seasoned professionals (captains) together for networking and mentorship.
Billed as “A Landmark Event,” this year’s event gathered its largest ever crowd of over 275 people. Hors d’ouevres and first drinks were provided by AASPT, with attendees staying well over an hour past the 10 pm scheduled close time.
TeamMates is held annually at Combined Sections Meeting and Team Concept Conference.
January 24 through Friday, January 25 at APTA's Combined Sections Meeting.
A new initiative at this year’s CSM: The American Academy of Sports Physical Therapy, the Academy of Pediatric Physical Therapy, and the Council on Prevention, Health Promotion, and Wellness, along with APTA, partnered with Leveling the Playing Field (LPF) and ran a collection drive Thursday,
Leveling the Playing Field collects donated sports equipment and redistributes it to low-income kids throughout the DMV. All donations benefit needy schools, after school programs, and athletic leagues looking to engage their students in the physical and mental benefits of youth sports participation. LPF relies on used/excess sports donations from local communities to engage underprivileged children. A huge thank you to Erik Meira, outgoing Program Chair, and Mike Mullaney, Program Chair, for another job well done!
THE 2019 RONALD G. PEYTON AWARD: MARK PATERNO The award winner of the Ronald G. Peyton Award is required to present a brief lecture at the awards ceremony to inspire and encourage AASPT members. Congratulations to Mark Paterno for winning this year’s award! Thank you! Twenty-five years ago, I attended my first APTA Combined Sections Meeting in New Orleans, LA, and when I attended the Sports Physical Therapy Section business meeting and awards event, I witnessed a young Tab Blackburn win the Ron Peyton Award. Since that time, I have attended every CSM, except one, and I have seen many sports physical therapists who I admire as mentors, friends, and colleagues accept this award, never dreaming I would earn such an honor. I am incredibly humbled at this moment. I would like to start out by thanking Jason Hugentobler, Katie Lucas, Christy Zwolski and Katie Quatman-Yates and everyone else who thought to nominate me for this award. Being nominated by individuals whom I have had the distinct pleasure to mentor over the years, was very special to me. In preparing for today, I tried to think of a topic that was meaningful to me and appropriate for this moment. In reflecting on my journey and considering how fortunate I am to have several individuals who I have had the good
Mark Paterno, right, catches up with one of his nominators, Jason Hugentobler, at the AASPT/CSM Awards Ceremony.
fortune to mentor through my career nominate me for this award, it seemed only fitting that I focus my comments on the these of “Gratitude for Mentorship: Thank you for giving me a chance.” Mentorship has helped mold me into the person I am today, both professionally and personally. When I think about my journey, I often consider my path as a series of very fortunate events. I was introduced to mentorship very early in my life. When I was fifteen years old, I was a young,
undersized kid who loved sports but was not talented enough to compete in sports at a large high school. Loving sports, I was looking for a way to still be involved with the athletic teams. It was then that I learned of an opportunity to be a student athletic trainer with the high school football team. Steve Hoffman, an Academy of Sports Physical Therapy member gave me the opportunity to work in training and later hired me as an aide in his PT clinic. Steve introduced me to sports physical therapy at a
young age and it was a passion I quickly embraced. Thank you, Steve for giving me a chance. I later went on to physical therapy school at Ithaca College, where I had many fabulous professors and mentors. Collectively, they provided me the chance to conduct an independent research project which was an incredible opportunity. Under the mentorship of Hilary Greenberger, I completed a study on the relationship between functional hop testing and isokinetic strength in patients after ACL reconstruction. That work led to my first CSM presentation and my first publication. To all those at Ithaca College and Hilary Greenberger, thank you for giving me a chance. At my first CSM, I was introduced to the Sports Physical Therapy Section, now the American Academy of Sports Physical Therapy. This provided me with an opportunity to foster many incredible friendships, professional relationships and opportunities to grow as a person and a physical therapist. Throughout these many interactions, there were many along the way who took a moment to mentor me or contribute to my career. In Tampa, FL at the Combined Sections Meeting, I mentioned in a conversation with Cookie Friedhoff my desire to become more involved in the section and she made a point to provide me opportunity. At a continuing education event we hosted at Cincinnati Children’s Hospital over fifteen years ago, I had the opportunity to sit next to George Davies at dinner and had
an incredible professional conversation that has led to many more such conversations over the years. These are just a few of the many examples I could give of incredible opportunities I have enjoyed over the years as a result of many Academy of Sports Physical Therapy members reaching out, giving of their time and offering a mentorship moment to me. To the countless number of AASPT section members who mentored me along the way, thank you for giving me a chance. As my career progressed and I started at Cincinnati Children’s Hospital, I was introduced to more formal research mentorship. I was fortunate enough to be mentored by Tim Hewett, Kevin Ford and many others who really educated me on the research process. As I initiated my PhD studies, I had the incredible fortune to be taught by Lori Thein Brody and Mitch Rauh, who both were instrumental in encouraging me to pursue this education and assisting me along the way. Thank you to all of my formal mentors, for giving me a chance. Along the way, I have been fortunate enough to foster strong research collaborations and friendships. None of these collaborations has been more fruitful than my collaboration with Dr. Laura Schmitt. We have worked together on the ACL Relay study for over twelve years. This work as resulted in impactful contributions to the literature which will hopefully continue to drive improvements in the management of the young athlete after ACL in-
jury for many years to come. Thank you, for your willingness to be an outstanding collaborator and for giving me a chance. As you can see, I have had the incredible fortune to be mentored by the best in the Academy of Sports Physical Therapy. Thank you, to all of you, for giving me a chance. In reflecting on this good fortune, it begs the question, “how do I repay my debt of gratitude for the mentorship which has al-
Mark Paterno is shown with his wife Dana at the awards ceremony.
lowed me to enjoy this su cess.” Clearly the answer is to pay it forward. Having the opportunity to mentor the next generation of great Sports Physical Therapists is an incredible honor and I would like to share 3 experiences in my career that have helped shape how I view the opportunity to mentor others. The first experience helped me understand the “why” of mentorship and occurred at the 2007 CSM in Boston, MA. Many remember this meeting for the horrible weather, but I witnessed two examples of the impact of mentorship. Ironically, on separate
occasions at that meeting I saw two very senior members of the AASPT, with what seemed like dozens of their mentees around them, talking to them, learning from them and hanging on their every word. It occurred to me how incredibly valuable that mentoring relationship is and how much each of these mentees appreciated the relationship with their mentor. It was an impactful moment for me to think that I might be able to help other that way, some day.
The third experience helped me understand that having the opportunity to mentor others is a gift as we can foster knowledge, friendships and success in others. The best example of this was shown to me and articulated to me over the years by Dr. Allen Anderson. Allen was an incredible Orthopaedic surgeon best known for developing an allepiphyseal ACL reconstruction for the skeletally immature athlete and helping develop the IKDC.
The second experience deals with the “how” of mentorship. I was once in a group mentoring session with a very well known, senior transplant surgeon at Cincinnati Children’s several years ago, and he encouraged us to read the book Give and Take by Adam Grant. I was later given the book by one of my friends and mentees and it was an incredible read. Adam Grant is an organizational psychologist and, in his book, he suggests the world if full of “givers” and “takers”. The “givers”, are individuals who give freely of their time and talents. In looking through the lens of mentorship, the giver will give of this time, even if it is only but a few moments, to help advance the next generation of sports physical therapists and expect nothing in return. In reality, though, the giver is often much more successful in the end as a result of giving. Conversely, the taker is the person who only will help if there is something in it for him. Be a “giver” and invest a moment of your time to help mentor our future.
Unfortunately, Allen died tragically in a farming accident about fourteen months ago. Allen was a kind gentleman. He was a good man who almost served as a “godfather” to many Orthopaedic surgeons and health care practitioners he mentored. In his presidential address at the Annual AOSSM meeting, Allen talked about his family motto, which was “Spem Successus Alit.” This is a Gaelic saying, which translated means “success nourishes hope.” When I think about mentorship, looking through this lens it occurred to me that as mentors, we have the ability to provide others with an opportunity to succeed and foster hope in their eyes. Mentorship has provided me with great joy throughout my career as I have, hopefully had a small part in the individual success and development of the next generation of sports physical therapists. In summing up my thoughts on mentorship, I would like to encourage all of the senior members of the Academy to continue to nourish success and hope in others. To the junior members of
the academy, I strongly encourage you to seek out mentorship. There are many in this room and in our Academy willing and able to help you with your journey. Finally, in closing, I have a few, final thank you’s: 1. Thank you to the Academy of Sports Physical Therapy for bestowing this incredible honor on me. To those who nominated me, thank you again. 2. To the many, many individuals who have given of their time and talents to mentor me along my journey, thank you for giving me a chance. 3. To those who I have had the good fortune and privilege to mentor along the way, you have taught me much more than I could ever teach you. Thank you for giving me a chance to mentor you. 4. Finally, I would like to thank my family. Through my life, I have been so fortunate to be incredibly supported. Early on, the support of my parents and, more recently, the support of my wife, Dana, my daughter Serena and my son, Dominic have been incredible. They have all been exceptionally supportive and tolerant of me pursuing my dreams and I can never thank you all enough. In closing, I would like to thank the Academy for this incredible award and I would encourage all of you to mentor like a Giver to help shape the next generation of sports physical therapy. Thank you for giving me a chance. Good night.
THE 2019 TURNER A. BLACKBURN LIFETIME ACHIEVEMENT HALL OF FAME AWARD: ALLEN HARDIN We are pleased to reproduce here the acceptance speech from this year’s Turner A. Blackburn Lifetime Achievement Hall of Fame Award winner, Allen Hardin. Thank you, Tab. And thank you HOF committee. I am most honored to receive this award. It is perhaps the most meaningful recognition of my professional career. To receive an award, honoring and named for one of my mentors, Tab Blackburn, someone who I admire so, is extremely humbling. Tab is truly one of a kind. He is not just a mentor but a dear friend. He is celebrated by many, esteemed by all. He is a man of character. I respect his honesty and integrity, but also his candor. He tempers actions with wisdom. He will leave an indelible mark on me, on many in this room, and on our profession of sports physical therapy. And I’ve never met anyone who didn’t like Tab Blackburn. This award is a lasting tribute to Tab, one that I am especially proud to accept. My standing before you tonight isn’t just about me, or about Tab. It’s about many, many others. University of Texas legend, late football coach Darryl K. Royal said it best when he told his players, “If you feel like celebrating, wait until the other ten get there
Allen Hardin poses with the person for whom the award is named, Tab Blackburn, at the AASPT/CSM Awards Ceremony.
and celebrate together. You didn’t do it by yourself.” Well, I surely didn’t do it by myself. I’ve been blessed with the unconditional love and support of my
wife of 23 years, Morgen, and my two boys – Will and Warner. And I had parents that provided all I ever needed.
I’m fortunate to have spent 22 years in Division 1 athletics. The successes I’ve enjoyed are largely due to my commitment to serve – to serve student-athletes and, to serve coaches.
Throughout my life, I always wanted to make dad proud. That has been one of the primary motivators for me. Some of you know I lost my dad in October this past year, and while I miss him dearly and regret he’s not here to celebrate tonight, I know he would be extremely proud of me, his youngest son. Life events such as these seem to always cause one to reflect on what really matters most.
If we as Sports physical therapists are to succeed, we must do what we inherently do, as caregivers – we must serve others. My Athletic Director Chris DelConte has a philosophy that is really simple, yet powerful. One that resonates with me. The first time I heard it I wrote it on a sticky note that still hangs in my office:
It’s people. When I reflect, I’m reminded of the good fortune I’ve had and the grace I’ve been given, not just the support of my family, but that of colleagues with whom I’ve built lasting relationships over the years. I’ve enjoyed the administrative support of two of the absolute best in college athletics, DeLoss Dodds and Chris Plonsky. I’ve been mentored by the best of the best – truly incredible people – the likes of Tab, Mike Voight, Ed Mulligan, Barb Sanders, Barb Hoogenboom, Steve Tippett, Walt Jenkins, John Guido, Gordon Eiland, Cookie Friedhoff, Pete Zulia, Bob Mangine, Joe Black, and Hall of Fame Athletic Trainer, the late Tina Bonci, to name but a few. All I’ve learned I learned from you. And lastly, to my partners in crime - John Stemm, JR Robinson, Andrew Bloch, and Cullen Nigrini, you always kept it entertaining. I’m glad we can afford our own hotel rooms now! I’ve made some really dear friends along the way, many of whom are in the room tonight. This award symbolizes what each of you has poured into me. Your
gifts of time and talent. Your wisdom. Your encouragement. Your friendship. Your grace. You taught me that listening is more important than speaking. You taught me to be authentic. You showed me the power of relationships and the meaning of serving others. Words cannot express my heartfelt gratitude for each of you. In my Ron Peyton Award address several years ago, I spoke of promoting the identity of the sports physical therapist, citing the need for collaboration, humility, and significance as precursors to success. I’m encouraged that just recently the leaders of the APTA and NATA issued a joint statement committing to greater collaboration between the two organizations. What was previously unthinkable now creates opportunity for mutual respect. Maybe we can finally all row the boat in the same direction.
Be honest. Be humble. And serve others If we can strive to do those three things our opportunities will know no bounds. Thank you.
A NON-TRADITIONAL ROLE AS A PHYSICAL THERAPIST IN THE QUALTY OF LIFE PLUS PROGRAM Physical therapists have the unique ability to work in a variety of settings geared towards helping people lead the best quality of life they can. The following program is described by a physical therapist who is a Board-Certified Clinical Specialist in Sports and Orthopaedic Physical Therapy, is retired from the Army, and now serves as the Director of Operations for QL+. Please spread the word about QL+ so they can help more disabled patriots enjoy life through sports and recreation while at the same time empowering engineering students to help those with disabilities.
student team for the mounting/ dismounting recumbent bicycle challenge, with QL+founder Jon Monet.
By Barbara Springer Who We Are: The Quality of Life Plus Program, known as QL+, was established in 2009 as a 501(c)3 nonprofit organization. Its mission is to foster and generate innovations that aid and improve the quality of life for those who have served our country. What We Do: QL+, through unique partnerships with 12 engineering schools at leading universities across the country, sponsors and directs a wide array of technology development projects aimed squarely at improving the quality of life for our nation's wounded, ill or in-
jured active duty military, veterans, first responders, law enforcement and intelligence officers. This includes new technology to adapt sports equipment for unique individual needs. How We Do It: QL+ recruits patriots with life-altering injuries and debilitating medical conditions from across the United States. Our team works one-on-one with these patriots to understand the lifestyle limitations they endure as a result of their injuries. These men and women become "Challengers" in the QL+ Program. Leveraging our expertise in engineering, physical therapy, and program management, QL+ identifies specific
Student welders working on the butt brake project.
Left, engineering student Nadia.
obstacles in the Challenger's life that can be eased or overcome through the development of a custom assistive device or prosthetic modification – an innovative solution not otherwise available on the market. QL+ presents these projects or "Challenges" to our partner universities. Once accepted, QL+ connects the Challenger directly with the student team working his or her Challenge. Throughout the academic year, QL+ mentors, monitors, and supports this unique collaboration between the Challenger and the student team. At the conclusion of the academic year, each team formally presents the completed assistive device or modified hardware to the Challenger for use in daily life.
QL+ PROGRAM
ENGINEERING AN IMPROVED QUALITY OF LIFE FOR THOSE WHO HAVE SERVED OUR COUNTRY
The QL+ Program brings together America’s brightest engineering students at leading
PROGRAM OVERVIEW DECEMBER 2018
universities nationwide to create life-transforming
assistive technology for our country’s injured heroes.
dents to form interdisciplinary teams to develop adaptive technologies as part of their education. Since that time, QL+ has greatly expanded to include more universities to serve a larger number of injured patriots and engineering students. They include the Colorado School of Mines, the University of Texas San Antonio, the University of Colorado Boulder, Virginia Tech, Virginia Commonwealth University, George Mason University, the University of Cincinnati, Ohio University, the University of Dayton, Xavier University, and the University of California San Diego. Our Challengers Some examples of projects the senior engineering student teams are currently working on include the following. Voice-Activated Shifting: A Marine Corps veteran is missing his right arm above the elbow, part of his left hand and both of his legs above the knee. He currently shifts his handcycle with his left elbow and can only shift when his left elbow is the back of the cycle stroke. The challenge is to create a voice activated shifting system for him.
Sledge Hockey Sled Transfers: A Marine Corps explosive ordinance device specialist, who lost both of his legs due to an improvised explosive device, plays sledge hockey. It is currently very difficult to transfer him from his wheelchair to the sled and back, so he requested a device that will safely help him with these transfers. Waterproof Osseointegration Covers: An Army veteran, who lost both legs above the knee to an improvised explosive device (IED), had bilateral osseointegration surgery, which is a procedure where an implant is used to permanently anchor artificial limbs to the human skeleton. Although the veteran will be cleared for swimming in certain bodies of water, he would still like a waterproof cover to protect his legs and the implant during water activities with his kids.
THE QL + PROGRAM IS UNMATCHED IN ITS IMPACT: Giving injured veterans greater independence DQG DFFHVV WR HYHU\GD\ DFWLYLWLHVb
Developing a Science, Technology, Engineering and Mathematics (STEM) workforce
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Where We Do It: QL+ Headquarters is in McLean, Virginia just outside our nation's capital. The QL+ Lab at California Polytechnic State University (Cal Poly) in San Luis Obispo, CA served as the launchpad for the program, providing an opportunity for some of America’s best and brightest engineering stu-
Thermoregulation: An Air Force veteran who has multiple sclerosis requested a wearable cooling system/device that regulates and monitors his body temperature during his physical activities such as mowing the lawn and exercising.
Disabled veteran and his SpikeBoard.
Adaptive SpikeBoard: A Marine Corps veteran has two prosthetic legs due to bilateral transfemoral amputations he suffered in Afghanistan. He enjoys SpikeBoarding, a sport similar to skateboarding but with the use of a spike. He asked for a SpikeBoard that he can safely use with his prosthetics.
operated with her buttocks. Mounting/Dismounting Recumbent Bicycle: A former Navy fighter pilot, who is now an incomplete quadriplegic, would like a mounting system that allows him to get in and out of his recumbent bike independently. Mono Ski Base Area Transport: An Army veteran, who was paralyzed from the waist down after being shot multiple times in Afghanistan, enjoys using his mono-ski on the slopes in the winter. He would like a system that allows him to independently transport/carry his mono-ski from the car to the slopes and back again. Motorcycle Wheelchair Carrier: An Army veteran, whose legs were paralyzed in a horseback riding accident, enjoys riding her motorcycle but cannot bring her wheelchair with her on her motorcycle trips. She requested a device that allows her to carry her wheelchair on her motorcycle safely.
Surf Board Handles: A former Navy SEAL is now a wheelchair bound paraplegic after injuries that occurred during training. He loves surfing and would like handles that will allow him to steer and better control his board while surfing. Surf Leg Prosthetic: A surf instructor, who has observed many difficulties that veterans with prosthetic legs encounter when surfing, has challenged QL+ to help create the first of its kind surf leg prosthetic. Sand Foot: A veteran who lost his right leg below the knee, and who is now a recreational director, has difficulty walking on sand with his prosthetic beach/water foot on because it lacks flexibility which leads to back pain. He cannot use his current walking foot, because the components would be damaged by the sand and water. He is asking for a foot that will allow for more flexibility, be water and
Swimmer Lift: It is very challenging to transfer disabled swimmers out of the water onto a floating portable dock. There is a need at the Travis Mills Foundation for a lift system to be used on a 600 square foot floating dock, that does not use electrical power and does not need to be drilled into the dock. Butt Brake: An Army veteran, who has limited use of her hands, is passionate about cycling and rides an adapted upright road bicycle. She requested a safer and more reliable hydraulic disc brake that she can
Creating a butt brake for a passionate cyclist.
• “The ability to tell an engineer exactly what would make my life better and have my opinion be part of the design process is exciting and innovative. I’m proud to be part of this amazing program.”
sand-proof, and yet be functional in soft sand. Amputee Speed Skate: An Army Veteran whose severely injured lower leg was amputated wants to speed skate. He wears a below the knee prosthetic that requires adaptation to accommodate a speed skate. Skating would provide him an additional conditioning option in the winter months. Keeping active is important to his well-being and mental health. Mixed Martial Arts Leg: An Army Veteran’s severely injured leg was amputated above the knee. He trains and competes in adaptive mixed martial arts but wants to participate with non-disabled mixed martial athletes. The regulating state commission requires his prosthetic leg be covered to protect his competitors during a bout. This covering will allow unprecedented participation by a disabled fighter. Our Results The QL+ program has produced over 120 innovative solutions in collaboration with 600 students. QL+ student teams in 12 Universities are working on an additional 38 Challenges in the 2018-2019 academic year. QL+ results in a win-win situation for Challengers and students alike. Through the delivery of usable devices to each of our Challengers, the QL+ Program directly empowers our nation’s patriots to be more independent and enjoy life while also providing the student teams with the unparalleled opportunity to experience the gift of working with American heroes while creating innovative solutions. For QL+ students, the combination of pa-
triotism and the desire to make a difference in a person’s life is powerful and offers lasting effects. Further, the QL+ Program is helping develop and advance the next generation of a well-prepared, innovative science, technology, engineering, and mathematics (STEM) workforce. Students who participate on Challenge teams in QL+ laboratories nationwide master new knowledge and skills while collaborating across disciplines to shape the future of the humantechnology interface in the workplace. Surveys A recent survey of QL+ Challengers and QL+ student teams demonstrates the powerful impact of the QL+ Program for all involved.
• “Thank you QL+ for working with the most difficult of circumstances to help those that need it so much! Rebuilding a new life after injury is not easy. The injured require help to do so and help is difficult to find. Thank you for being there to help those that need it! You are not only changing the life of the Challenger, but impacting the entire family unit as well. We will be forever grateful for the care and support we received through the program. Thank you QL+!” QL+ student teams voiced overwhelming satisfaction with their engagement in the program. When asked about the most beneficial aspect of their participation in the QL+ Program, students shared • “Being able to help a person/ family made it easy to be passionate about the project.” • “Working with veterans certainly improves the drive to succeed.”
QL+ Challengers scored the QL+ Program an average of 9.5 out of 10 – as a measurement of their overall experience, and 9.3 out of 10 for the usefulness of the assistive end-product. In addition, they shared many positive comments such as
• “Being able to give back to a program that helps the brave men and women who fight for our country.”
• “The most beneficial aspect of being a QL+ Challenger was the experience working with the students and the end product.”
• “We were able to connect handson machining abilities with a direct need of a challenger”
• “Helping out our client and seeing the difference that our work made in her life.”
• “The reward of knowing the difference you were making in a veteran’s life.” • “The satisfaction of seeing your hard work benefit someone who deserves it.” • “Seeing the design come to life and have our challenger use it.” • “It was a real-world challenge that was going to directly benefit a disabled veteran.” Our Request We are always looking for new “Challengers” and hope that you can introduce us to any potential Challengers who may benefit from new technology, at no cost to them. Alternatively, if you have a specific “Challenge” in your line of work, please let us know. Thank you! For more information visit www.qlplus.org Visit us on Facebook: @qlplusprogram Telephone: 703-442-0038 Email: info@qlplus.org
FIVE CHAPTERS OF THE APTA TO PARTNER WITH AASPT FOR NORTHEAST SYMPOSIUM For the first time ever, five chapters of the APTA (Connecticut, Massachusetts, New Hampshire, New York and Rhode Island) and the American Academy of Sports Physical Therapy are joining forces for an exceptional day and a half of cutting-edge programming and networking at an affordable price. Speakers • Jessica Schwartz, PT, DPT AASPT Member • Stefania Bell, PT AASPT Member and ESPN personality • Richard Westrick, PT, DPT, DSc, OCS, SCS AASPT Member, and Chair of the Tactical Athlete SIG • Carl Nissen, MD • Taylor Twellman, USMNT Soccer/MLS (retired)
Barbara Springer
Join the AASPT in supporting the 2019 Northeast Physical Therapy Symposium April 12 and 13 in Hartford, CT!
2019 NORTHEAST PHYSICAL THERAPY SYMPOSIUM Friday, April 12, 2019 (1/2 day) and Saturday, April 13, 2019 (Full day) Hartford Hilton 315 Trumbull Street Hartford, CT 1-800-754-7941 Rooms are available at the Hartford Hilton for a special group price of $139. Call 1-800-754-7941 and mention Northeast Regional Physical Therapy Summit for the reduced rate. To register, go to https://www.ctpt.org/Forms/F orm.asp?FormID=18 For more information, go to https://spts.org/docs/defaultsource/default-document-library/hello-nypta-members.pd f?sfvrsn=660fe964_0
CLINICAL PEARL: Can’t Get a Quad Contraction with Muscle Stim? Try This. It is well documented that quadriceps strength deficits exist after knee surgeries including total knee replacements, knee arthroscopies, ACL reconstructions, and a host of others.1-3 Muscle stimulation is routinely used to help facilitate not only a quadriceps contraction, but also in the restoration of quadriceps strength for gait and other ADL’s. The benefits of muscle stimulation in the early post-operative phases to help with improve quadriceps function is supported in the literature.3-8 That being said, sometimes it is difficult for the sports physical therapist to elicit a contraction with muscle stimulation to help facilitate the restoration of quadriceps function. Fortunately, there is a clinical trick you can use to manually find the motor point of the vastus medialis (VMO) and the rectus femoris. To review, motor points are electrophysiologically defined, as the point with the highest excitability of the muscle or the point on the skin where muscle contraction can be observed by the least electrical stimulation or the point on the muscle where muscle contractions can be caused by the minimum intensity and short duration electrical stimulation.9 Thus, placing the electrodes over the motor points should help maximize your ability to elicit a contraction, even in the most stubborn of quadriceps muscles. First, place one electrode in the palm of your hand and place the
By Dan Lorenz other somewhere on the rectus. The rectus location doesn’t matter initially – it will be placed later. You just need it somewhere to complete the circuit. Place ultrasound gel on your
Figure 2.
not only varies, but you also that there are spots you don’t feel it at all. Turn down the stim, and dry off the ultrasound gel and place the electrode from the rectus on
Figure 1.
index finger of the same hand you have the electrode (Figure 1). Then, place your finger on the VMO. Using either the pre-modulated current or Russian stimulation mode, turn up the intensity until you feel it through your fingertip (Figure 2). Type of current doesn’t matter at this time – you’re just needing some form of stimulation to do this technique. Move your finger around the VMO until the point where the stimulation feels the most intense through your fingertip. That is the motor point for the VMO. You will notice that the intensity through your fingertip
Figure 3.
the VMO at this location (Figure 3). Next, repeat the process to find the motor point of the rectus (Figure 4, next page). Once it is
your limiting factor here. Excessive adipose tissue may limit the effectiveness of the technique as well. If the patient is struggling to initiate and/or sustain a contraction, it is suggested that the work:rest ratio be at least 1:5. As quadriceps function improves, it can be decreased.
Figure 4.
discovered, turn down the stim again, clean the skin of ultrasound gel, place the electrode, and then set the machine to the desired settings of the muscle stimulation
It is intuitive that sports physical therapists help our patients obtain quadriceps function and strength following any number of knee procedures. Quadriceps strength imperative for gait, stair ambulation, and eventually, sports participation. Muscle stimulation is just one of many ways this can be achieved, and manually finding the motor point of the muscle will help you maximize the benefit of muscle stimulation when it is utilized. - Dan Lorenz, DPT, PT, ATC/L, CSCS REFERENCES 1. McLeod MM, Gribble P, Pfile KR, Pietrosimone G. Effects of arthroscopic partial meniscectomy on quadriceps strength: a systematic review. J Sport Rehabil. 2012;21(3):285295.
Figure 5.
after both electrodes have been placed (Figure 5). You are now ready to initiate treatment and turn up the intensity to the patient’s desired comfort level. Hopefully, you should get a contraction. If not, it is possible that the patient tolerance or comfort level with muscle stimulation is
2. Palmieri-Smith RM, Thomas AC, Wojtys EM. Maximizing quadriceps strength after ACL reconstruction. Clin Sports Med. 2008;27(3):405-424. 3. Meier W, Mizner RL, Marcus RL, et al. Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthop Sports Phys Ther. 2008; 38(5):246-256.
4. Synder-Mackler L, Delitto A, Bailey SL, Stralka SW. Strength of the quadriceps femoris muscle and functional recovery after reconstruction of the anterior cruciate ligament. A prospective, randomized clinical trial of electrical stimulation. J Bone Joint Surg. 1995;77(8):1166-1173. 5. RL, Silva PD, Daniel DM. Equal effectiveness of electrical and volitional strength training for quadriceps femoris muscles after anterior cruciate ligament surgery. J Orthop Res. 1996; 14(1):131-138. 6. Delitto A, Rose SJ, McKowen JM, et al. Electrical stimulation versus voluntary exercise in strengthening thigh musculature after anterior cruciate ligament surgery. Phys Ther. 1998;68(5):660-663. 7. Fitzgerald GK, Piva SR, Irrgang JJ. A modified neuromuscular electrical stimulation protocol for quadriceps strength training following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2003; 33(9):492-501. 8. Dmercioglu DT, Parker N, Erbil E, et al. The effect of neuromuscular electrical stimulation on functional status and quality of life after knee arthroplasty: a randomized controlled study. J Phys Ther Sci. 2015;27(8): 2501-2506. 9. Moon JY, Hwang TS, Sim SJ, et al. Surface mapping of motor points in biceps brachii muscle. Ann Rehabil Med. 2012;36(2): 187-196.
MEMBER SPOTLIGHT: PAUL YERHOT, PT, DPT By Vien Vu Paul Yerhot’s physical therapy career is taking off as fast as his collegiate track career as an eight-time All-American; he has accomplished many career goals in just 3 years of working. Paul received his undergraduate degree and doctorate of physical therapy at the University of Wisconsin-La Crosse. After graduation, he received valuable experience working in private practice in a small northwest Wisconsin town performing aquatic therapy, hand therapy, sports therapy, and even strength coaching at a local high school. His first job gave him excellent variety and repetitions as a new graduate where he enjoyed “always being uncomfortable.” Despite his enriching time at his first job, Paul always knew he wanted to focus on sports, stemming from his collegiate career and interests in graduate school. A very rewarding internship as a student motivated him to apply (and ultimately be accepted) to be a part of the inaugural year of the Mayo Clinic’s sports residency program. At Mayo, he enjoyed working alongside his co-resident, Anthony Thompson, who he credits in bringing out the best in him. Although the residency felt like a year-long sprint, he finished with a strong desire to continue to learn and grow.
Corey as an integral factor to his early career success. Corey continues to nudge Paul in opportunities that fit his goals such as mentoring and teaching – areas in which his name is becoming most prominent.
Anthony Thompson and Paul Yerhot.
Currently, he is a staff sports physical therapist at Mayo, and also participates as a faculty of the sports and orthopedic residency programs. He stayed at Mayo for the rich culture in education and research. Being around a star-studded cast of researchers and clinicians raises his standards every day, and enables him to learn from others in regards to his favorite topics: bone stress, tissue capacity, and biomechanics. He was humbled in being selected for this spotlight because he says the norm at Mayo is to go above and beyond; he remarks he was merely doing what was “normal”. Most importantly, Paul is still around his mentor Corey Kunzer who is the current Mayo Sports Residency program director. He credits
Through Corey’s encouragement, Paul lectured at Mayo’s most recent sports symposium. Several physical therapists noted his fantastic presentation style. “He has a great way of translating research into clinical practice you can do immediately, and makes it very easy for others to
understand,” said Sadie Zebell, sports physical therapist at Gundersen Health Systems. Corey also guided him toward teaching his first morning session at this year’s Combined Sections Meeting, where he taught
registrants about tendinopathy and tissue loading alongside Scot Morrison. Next up for him is to develop a two-day course taking a tissuefirst perspective on rehab focusing on how our exercise inventions impact bone, tendon, muscle, and cartilage tissue. Although he says it’s a pipe dream, we all know it will happen sooner than later based on this track record. He continues to move forward at a blistering pace due to his value in education. Not only does he enjoy learning and teaching, but he hopes to influence continuing education on a larger scale through his role as a co-Chair of Minnesota Physical Therapy Association Education Committee. Amongst his many responsibilities within that role, he schedules and recruit the best CEU courses for members. He
enjoys promoting courses that involve open discussions rather than death by powerpoint. Additionally he serves in an unpaid position on the advisory board for SaRA Health (sarahealth.io). SaRA Health and their platform, SaRA – the Simplifying Recovery Assistant, provide a web-based home exercise program application that allows therapists to create personalized home programs that are immediately available to the patient. Paul feels strongly that SaRA is a solution to reducing PT documentation burden while providing more concise home education. When asked about any advice for students and new graduates, he had three things to say. The first is to not fear variance between clinicians and perspectives. We are all on the same mission to improve the quality
of life for our patients. Plant that flag and lean into an uncomfortable conversation. Second, Paul advocates for learning how to question ideas in a productive way. Skepticism can breed productive learning but also friction when done aggressively. Lastly, he recommends a willingness to be wrong – both with patients and colleagues. Your personal ego should not be the rate limiting step in changing a plan of care or accepting ideas from others. Paul shows enthusiasm and has enjoyed every moment of his career development. Be sure to stay updated on his career by catching one of his presentations or follow him on social media! Instagram: @paulyerhot Twitter: @Pyerhot
The American Academy of Sports Physical Therapy will once again present Team Concept Conference, December 5-7, 2019 at the Westgate Las Vegas Resort and Casino. This year’s event will have a different flavor, according to Tim Tyler, Team Concept Conference Chair. “The committee has listened to the desire of our attendees to hear new topics from new speakers. We’ve answered the call with a fresh look.” The committee won’t divulge the theme and speakers as yet, but indicates that there will be contributions from those authors involved in the updated Sports Certified Specialist exam home study preparatory course currently being finalized by the Education Committee. “The breadth of subject matter is even more extensive in this year’s conference, and attendees will see new faces and hear new evidence-based practices they can use in their own clinics.” This year’s conference will also feature the first AOSSM Exchange Lecture. The welcome reception will be held, as always, on Thursday evening, with TeamMates held on Friday evening. Both will have special features this year, so plan on attending both events to network with your friends and make new ones!
THIRD WORLD CONGRESS OF SPORTS PHYSICAL THERAPY COMING TO VANCOUVER, BC IN OCTOBER!
The International Federation of Sports Physical Therapy (IFSPT) Third World Congress of Sports Physical Therapy will be held October 4-5, 2019 in Vancouver, British Columbia, Canada in conjunction with Sports Physiotherapy Canada. Join us at the Vancouver Convention Centre to gain new tools for your toolbox with this year’s conference theme - High Performance to Clinical Practice! Programming Programming for this year’s Congress will cover a variety of topics, including but not limited to, injury screening and return to play, neuroplasticity in athlete rehabilitation, concussion updates, surgical vs. non-surgical management of the athlete, rehabilitation of the upper and lower extremities, pain science in athlete rehab and performance, the use of technology in sport, women’s health, and leadership in sport. CEUs will be available for U.S. physical therapists and physical therapist assistants.
By Shanon Fronek The IFSPT General Meeting will be held on October 3, 2019 in conjunction with the Congress. Pre-Congress Courses will also be held on October 3, 2019. For a full program overview, visit https://www.sportphysio.ca/calendar-of-upcomingevents/spc2019/meet-the-speake rs/ Confirmed Speakers Dr. Clare Ardern PT, PhD, Editor of JOSPT Professor Roald Bahr, MD, PhD Dr. Christian Barton PT, PhD Dr. Keith Baar, PhD Dr. Lara Boyd PT, PhD Dr. Johann Windt, PhD Dr. Maria Constantinou PT, PhD Dr. Ann Cools PT, PhD Professor Kay Crossley PT, PhD Sarah Haag PT, DPT, Women’s Health Certified Specialist Dr. Alex Hutchinson Journalist, PhD Dr. Greg Lehman PT, MSc, DC Karen Litzy PT, DPT
Dr. Kerry MacDonald Dr. Bob McCormack MD Dr. Luciana De Michelis Mendonca, PT, PhD Dr. Ebonie Rio PT, PhD Professor Ewa Roos, PT, PhD Dr. Emma K Stokes PT, PhD, MSc Mgmt. Dr. Anthony Schneiders PT, PhD Sarah Smith, PT Dr. Kristian Thorborg PT, PhD Dr. Jane Thornton, MD, PhD Dr. Rod Whiteley PT, PhD Registration is open! Don’t miss this miss this opportunity. Take advantage of the Super Early Bird Registration rate now through March 31, 2019. Please note prices are listed in Canadian Dollars. AASPT members will also receive the discounted IFSPT membership rates. Registration link and more information: https://www.sportphysio.ca/ calendar-of-upcomingevents/spc2019-2/registration-for2019-world-congress-of-sport-phys ical-therapy/ See you in Vancouver!
DON’T FORGET TO REGISTER!
REGISTER ONLINE AT WWW.APTA.ORG/NEXT IN JANUARY
REGISTER ONLINE AT WWW.APTA.ORG/NSC
COURSES March Open EMR Recertification Course from 8am until 5pm on Sunday, March 24, 2019 at Cincinnati Children’s Hospital Medical Center Winslow Building of the Oak Campus 2800 Winslow Avenue Cincinnati, OH 45206 Presented by CogentSteps Registration at www.cogentsteps.net Open ERA Course from 8am to 5pm on Saturday, March 30 through Sunday, March 31, 2019 at: BodyCentral Physical Therapy An AASPT Sponsor 1991 E Ajo Way, Suite 149 Tucson, AZ 85712 Presented by CogentSteps Registration at www.cogentsteps.net Open ERA Course from 8am to 5pm on Saturday, March 30 through Sunday, March 31, 2019 at Gerald Francis Center School of Health Sciences, Elon University 762 E. Haggard University Elon, NC 27244 Presented by CogentSteps Registration at www.cogentsteps.net
The Science of Running Medicine March 30-31, 2019 Johns Hopkins Baltimore, MD Three faculty members. Two days of evidence-based education. Go to www.scienceofrunning.net For information and registration April Open ERA Course from 8am until 5pm on Saturday, April 6 and Sunday, April 7, 2019 at: Big Stone City Community Center 400 Washington Street Big Stone City, SD 57216 Presented by CogentSteps Registration at www.cogentsteps.net
Open ERA Course from 8am to 5:30pm on Saturday, April 6, and from 8am until 5pm on Sunday, April 7, 2019 at Fast Track Sports Medicine and Performance center 2751 Prosperity Avenue, Ste 100 Fairfax, VA 22031 Registration at www.cogentsteps.net
NORTHEAST PHYSICAL THERAPY SYMPOSIUM Friday, April 12, 2019 (1/2 day) and Saturday, April 13, 2019 (Full day) Hartford Hilton 315 Trumbull Street Hartford, CT 1-800-754-7941 Rooms are available at the Hartford Hilton for a special group price of $139. Call 1-800-754-7941 and mention Northeast Regional Physical Therapy Summit for the reduced rate. Open EMR Recertification from 8am until 5pm on Sunday, April 14, 2019 at Mayo Clinic Square 600 Hennepin Ave, Suite 310 Minneapolis, MN 55403 Presented by CogentSteps Registration at www.cogentsteps.net May
Certified Running Gait Analyst – Level 1 June 8-9, Wilmington, DE We provide the knowledge, skills, and tools to simplify running and turn rehab and fitness professionals into heroes for runners. Running injuries are complex and runners want results fast! Learn how to simplify running to get runners back to enjoying the sport they love. The five most common running gait impairments will be covered, and participants will have the chance to use the latest in 3D technology to analyze form and learn advanced methods for gait re-training. Register Here: https://learnwithace.com/ace-courses/
MedSport Courses: Mind, Body, Spirit: Treating the Entire Athlete An evidence-based approach to sports medicine Sponsored by MedSport, UM Athletics, UM Kinesiology, UM Injury Prevention Center, Michigan Medicine May 30-31, 2019 Register or find more information here: https://www.eventbrite.com/o/universityof-michigan-medsport-12168806519 June Certified Running Gait Analyst – Level 1 June 8-9, Wilmington, DE We provide the knowledge, skills, and tools to simplify running and turn rehab and fitness professionals into heroes for runners. Running injuries are complex and runners want results fast! Learn how to simplify running to get runners back to enjoying the sport they love. The five most common running gait impairments will be covered, and participants will have the chance to use the latest in 3D technology to analyze form and learn advanced methods for gait re-training. Register Here: https://learnwithace.com/ace-courses/ July Open ERA Course from 8am until 5:30pm on Saturday, July 20, 2019 and 8am until 4:30pm on Sunday, July 21, 2019 at: Carew Education Center Trine University’s Rinker-Ross School of Health Sciences 1819 Carew Street Fort Wayne, Indiana 46805 Presented by CogentSteps Registration at www.cogentsteps.net September Open ERA Course from 8am to 5pm on Saturday, September 28 through Sunday, September 29, 2019 at: BodyCentral Physical Therapy An AASPT Sponsor 1991 E Ajo Way, Suite 149 Tucson, AZ 85712 Presented by CogentSteps Registration at www.cogentsteps.net All CogentSteps LLC courses register at www.cogentsteps.net. CogentSteps is an AASPT Sponsor.