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Interprofessional Collaboration: Combining Disciplines in Treatment

and Performance A DC and ATC’s Guide to Maximizing Complimentary Skillsets for the Benefit of the Athlete

Kyle Boland DC & Joel Luedke Mse, ATC|L

Clinically Pressed

#complicatedsimple

Sports Performance (as it might be known)

• “Traditional” Strength & Conditioning • Huge Focus on Strength, not as much on the conditioning.

• What does conditioning all consist of?

• Training Harder (not always smarter)

• Moving more weight • (videos across the internet)

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Sports Performance as It Should Be

• Movement based training

• Putting strength on good movement patterns

• Teaching movement skills

• Training smarter, not just harder

• Building a more robust athlete • Allows the coach to team the specificity

• Training vs. Working Out

Four Pillars of Performance

• Mindset • Smarter training and trusting the process.

• Nutrition • Has to be a focus. Need the fuel to run the car.

• Movement • Efficient patterns to put strength and power on.

• Recovery • Recovery Hard, Train Hard.

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Movement Based Training vs. Everything Else

• Training for a more robust athlete.

• Establishing basic movement competencies allow for focus on more advanced techniques.

• Injury reduction and resilience. • Not just a function of strength and eccentric training.

• UWL Football example.

What is Our Actual Goal

• Training vs. Working Out • Annual Plans

• Planning for peak performance

• When do our athletes need to be most fit?

• Sport Specificity in the weight room • Basic athleticism

• Movement skills (do we need to train different sports that differently)

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Performance Model

• Increased mobility to apply strength too.

• Better movers make better athletes.

• Adaptability.

• We don’t forget about strength/power and performance

• Adapting training to the characteristics that last • Strength vs. Speed

“Prevention” Model

• Can we actually prevent injuries from occurring? • Acute vs. Chronic

• Injury resilience through better movement • Hip mobility and upper leg injury

• Hamstring contraction at end ranges

• Teaching mechanics

• Progression in mechanics and training, priming the body

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Combining the Two for Optimal Results

• Movement First

• Progress

• Focus on the entire year

• Regeneration • Recovery

• Mobility

• Self soft tissue

• Healthier/fresher athletes

Collaborating in Treatment and Rehabilitation • Utilizing of different perspectives to create a holistic approach to

care.

• Different “eyes” can provide unique insight and challenge assumptions.

• It takes a team to lead a team to high performance.

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Athletic Training Skill Sets

• Sport specific knowledge

• Implementation on a large scale

• Consistent interaction with patients/athletes

• Creativity with resources

• Soft tissue mobilization

• Rehabilitation techniques

• Modalities

Chiropractor Skill Sets

• Adjustment/joint mobilization

• Specialized Rehab Systems

• Soft Tissue Mobilization

• Specific Injury Management

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Rehabilitation Philosophies

• Building rehab concepts into performance practice.

• Abdominal bracing for movements (small and large)

• Creating torque through the system

• Maintaining positional integrity

• Joint centration

• Solid foundation

Exercises Based on 8 Basic Principles

- IAP

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Exercises Based on 8 Basic Principles - 90-90

Exercises Based on 8 Basic Principles

- Functional Progression 1

- https://youtu.be/6Okk1SJUSYo

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Exercises Based on 8 Basic Principles

- Functional Progression 2

- https://youtu.be/GDT8cqnOjNQ

Exercises Based on 8 Basic Principles

- Functional Progression 3

- https://youtu.be/xW8uVL6uFHQ

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Exercises Based on 8 Basic Principles

- Crawl (can use slides)

- https://youtu.be/nBJaymTS38E

Exercises Based on 8 Basic Principles

- Bear

- https://youtu.be/kCIO-kE7WAc

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Exercises Based on 8 Basic Principles

- Bear w/ lifts

- https://youtu.be/6td4Kk6mbqM

Exercises Based on 8 Basic Principles

- Bear crawl (can use slides)

- https://youtu.be/nBJaymTS38E

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BREAK

Fixing Problems Before They Start

• Addressing common injury trends across sports • Team specific?

• Data collection and collaboration

• The number one ‘prevention’ protocol is really, really good Sports Performance Training

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What’s in a “Screen”?

• Is there a need for screening? • Injury prevention • Exercise implementation

• “What gets measured, gets accomplished.”

• We have to know where we are so we can figure out where we are going.

• Options: • FMS • CES/Fusionetics

• Implementation at UW-La Crosse

Tensegrity

• The importance of maintaining tension throughout the system

• Examples: • Sprinting

• Squat form

• RDL-low back discomfort

• Bend at the elbow example.

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The “Perfect” Squat

• Is there such thing?

• Guiding Principles • Break at the hips, then the knees (or

simultaneously)

• External rotators engaged

• Knees “out”

• Foot placement

Avoiding Injury Risk for “the sake of performance” • Exercise variations

• Olympic Lifts: where do they fit in.

• “Pull” Variations • Eliminating the catch • Low pulls • High pulls • Jump shrugs

• Alternatives • Jump squat (bar/hex bar)

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Intentional Practice

• The Perfect Program without perfect implementation leads us right back to where we were at.

• Not only training, regeneration, nutrition and recovery.

• As with rehab, it’s the little things that can have the most profound impact.

Name The Sport/Movement/Activity

- Implementation into athletic movement world - Variety of University athletics - Crossfit, yoga, martial arts, etc

- Why these exercises translate into functional movements - Apply to more global movement

- Speaking with the athlete - How it translates - Application to a specific activity - Education/communication is important

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Kinematic Sequence - Force Generation:

- The faster a segment accelerates, the more force is generated - The faster a segment decelerates, the more energy is transferred to the next

segment in the chain - Proper Kinematic Sequence

- Optimal force distribution between involved segments - Improper Kinematic Sequence

- Overloads the segment breaking the sequence

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Anatomy Trains

Energy Leak

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DNS Principles Into Movement and Mechanics

- Pitcher - Scapular dyskensis

- Offensive lineman - Diver - Wrestler

- Cervical disc derangement - Gymnast - Crossfitter - Yoga

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How We’ve Implemented DNS Principles

- Points of support - Foot - Hand

- Wall Shoulder Floss - https://youtu.be/FCRv8EyvDtA

Exercises continued

- High Oblique Sit - Position alone - HOS exercise - HOS to high kneel

https://youtu.be/iBZERxHx5oQ

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Exercises continued

- Prone 3 Months

- https://youtu.be/8nMkFB3-m0w

Exercises continued

- Serratus Theraband

- https://youtu.be/sdN7n0v7CRM

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Exercises continued

- Low Oblique Sit - https://www.youtube.com/watch?v=6pZcSbsf_I8&t=1s

Exercises continued

- Squat Rotations

- https://youtu.be/cQmkbRsn2ms

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Tying it all Together

- Our process in the ATC - Paint the picture on ATC side up until they even get on schedule for DC - Luxury of having Joel running SPC - What seems to work well, what doesn’t

- Timing - Time of year - Day of week - Time of day - Appt lengths

- Notes from week to week (looking back) - Directional preference, orthos

- Everybody needs to buy in (DC, ATC, athlete, staff)