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Orthotic evaluation:

Orthotic evaluation:. Treadmill evaluation: internal tibial rotation most signifigant . Scanning Palpatory exam of foot and ankle Navicular Drop Orthotic Prescription . Hyperpronation. Effects of Pronation. Pronation , internal tibial Rotation, Valgus Knee. Corrective inserts.

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Orthotic evaluation:

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  1. Orthotic evaluation: Treadmill evaluation: internal tibial rotation most signifigant. Scanning Palpatory exam of foot and ankle Navicular Drop Orthotic Prescription Dr. Jack Dolbin Session 7

  2. Hyperpronation

  3. Dr. Jack Dolbin Session 7

  4. Dr. Jack Dolbin Session 7

  5. Dr. Jack Dolbin Session 7

  6. Effects of Pronation

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

  8. Corrective inserts Dr. Jack Dolbin Session 7

  9. Inserts Cont. Dr. Jack Dolbin Session 7

  10. Calcaneal Inversion/Eversion Dr. Jack Dolbin Session 7

  11. Extremity Adjustment Talus Cuboid Navicular Head of Fibula Knee Hip SI Joint Dr. Jack Dolbin Session 7

  12. Dr. Jack Dolbin Session 7

  13. Dr. Jack Dolbin Session 7

  14. Dr. Jack Dolbin Session 7

  15. Sports Nutrition: • Hydration : Lactic acid buffering • Energy S • Glycogen reserve • Nervous system energy systems Dr. Jack Dolbin Session 7

  16. Kinesiotaping Supports Muscle Improves muscle contraction in weakened muscle. Reduces muscle fatigue Reduces over-extension-over contraction of muscle Reduces cramping and possible injury Increases ROM Relieves pain Dr. Jack Dolbin Session 7

  17. Kinesio ( cont ) Removes Congestion to the flow of body fluids Improves blood and lymph circulation Removes excess heat and chemical substances Reduces inflammation Reduces pain in skin and muscle Dr. Jack Dolbin Session 7

  18. Kinesio ( cont ) Activates endogenous analgesic system Possibly activates spinal inhibitory system and descending inhibitory system Dr. Jack Dolbin Session 7

  19. Kinesio ( cont ) Adjusts misalignment caused by spasm and shortened muscle Normalizes muscle tone and abnormality of fascia in joints Improves ROM Relieves pain Dr. Jack Dolbin Session 7

  20. Method of Kinesiotaping Acute: Insertion to origin no stretch. Skin stretched Chronic and weak muscle: Origin to insertion 15-25% stretch Ligament or joint injuries: Full stretch with joint in functional position. Correction strips: Misalignment due to muscle spasm . Dr. Jack Dolbin Session 7

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

  22. Getting in the Door: • How do I get involved with a sports team? • Responsibilities • Potential abuses • Expectations Dr. Jack Dolbin Session 7

  23. Getting in the door Go in the front door Do seminars for trainers on topics unique to Chiropractic that have a direct relationship to injury prevention, performance enhancement, and treatment of injuries. Topics include: exercise, diet, laser therapy, kinesiotaping, rehab. Dr. Jack Dolbin Session 7

  24. Getting in the door ( cont) X-ray services during a game. Treat your patients well, they will pass the word Dr. Jack Dolbin Session 7

  25. Responsibilities Vary according to level of involvement. Professional College High school Individual Dr. Jack Dolbin Session 7

  26. Potential abuses Advertising that you are a member of the University of Maryland sports medicine team You‘re Steffi Graffs Chiropractor Brian Westbrook was my patient The Florida DC’s illustration, Dr. Jack Dolbin Session 7

  27. Billing and Coding: • How to get paid for your work with a : • Sports team. • Seminars, Certifications • CE Training. Dr. Jack Dolbin Session 7

  28. Getting paid for your service Retainer Per athlete School insurance Personal Insurance Dr. Jack Dolbin Session 7

  29. Ethical Considerations: • Member of a team of specialists • Donotpolorize or intimidate other team members • Donot compete with team members • Donot pit team mambers against each other • Donot use your position to advance your practice( it will advance by itself) • You represent your profession Dr. Jack Dolbin Session 7

  30. Suggested education Mitch Maley, Kevin Heron Edkinesiology online courses CSCS: very valuable Kinesiotaping Log onto Pubmed every Monday morning Be a student: knowledge is key Illustration Casseous Necrosis. Dr. Jack Dolbin Session 7

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