News That just

happened

Diamonds &

Pearls Dress it up a bit

Continuing

Education

Polish your

practice

Research

review

Eccentric hamstring’s for

prevention

Care team

profile

Where it is, how

to update it?

Issue 25 April 2015

Providence Sporting News

Stay involved and up to date

What’s in this edition

Safety in Numbers Eric Marchek, PT, CSCS – Sports Manager

Evidence Based Practice, Clinical Practice

Guidelines, Clinical Reasoning, Peer and Self

Assessments – Oh My!

Unless you have been under the proverbial rock over the past few

years, you have likely heard about all of the things in the subject line

above. You may even be tired of hearing about it! As sports therapists,

we are being asked to take get athletes back safely and faster than ever.

One of the hardest aspects of our job is deciding when an athlete is

‘safe’ to return to play. How do we make this determination while

keeping in mind that the athlete must get back quickly – sometimes

quicker than you would normally be comfortable with? That’s where

all of the things above can help us. There is a tide coming from our

payer sources and expectations from our patients - and a cultural shift

that needs to happen so that we can successfully stem that tide. Ask

yourself how comfortable you would be having a peer or supervisor sit

in on your evaluation or treatments. Would this make you anxious or

would you welcome the opportunity for feedback? Autonomy in our

practice is very important. Autonomy, however, should not mean that

we do our own thing without regard to new evidence, best practice and

continued learning. Next time you get a cancel, spend time observing

what your peers are doing. Learn and give feedback! Our best

education can come from- and to those around you. We all strive to

provide the best patient care we can. Feel safe to share, learn and grow

together at Providence!

2

That just happened Old News:

- Heart to Start Our rehab team in Newberg is partnering with Dr. Beckerman and #teamprovidence for a great event, the Royal Kids 5K in Newberg, Oregon on June 7th. Follow facebook https://www.facebook.com/hearttostart and join the training this week!

- Sports Therapy website Providence web development team is working on a website for Sports Therapy.

New News:

- Hood to Coast & Portland to Coast Marketing materials are in the works for Hood to Coast & Portland to Coast 2015. If you are interested in contributing or participating in HTC events this year contact Erika.

- Continuing Education 2015 There are several continuing education classes this fall with sports related content. Check Sharepoint or this newsletter for upcoming classes. The Sports Competencies course is highly recommended for folks wanting to grow their sports practice.

- Alter G treadmill now in Southern Oregon (Central Point) The Alter G treadmill is a great tool for graduated loading of the lower extremity. Southern Oregon, Hood River, and PSCC are now equipped with this treadmill.

Regional goals for the committee & subcommittee Development of Sports Therapy website Identify areas of strength & weakness in our therapists and system wide sports therapy practice Target education on areas of weakness for 2015 Cont. Ed. Increase Sports Therapy visibility across the state Grow 2015 Community Outreach

CONNECT with your local Sports Therapy Committee Rep!

Tom Moline - Hood River

Karen Baltz-Gibbs - Sherwood - Newberg

Kelly Powers - Westside - Wilsonville - Bridgeport - PSTV - Scholls

Roger Hamilton - Eastside - NE - Gresham - Camas - Downtown - Gateway

Lisa Perrault - Happy Valley - Willamette

Falls - PMH

Bruce Mendelson - Southern OR - Central Point

Erika Lewis Regional Sports Therapy Clinical Lead

Eric Marchek Sports Manager

3

Sports Therapy

website!

Sport Therapy Diamonds & Clinical Pearls

These look good in your daily practice, not just when you’re all dressed up!

Social Media and professionalism in the digital age.

Physical Therapy Journal March 2015

Guidelines….

Never share patient-specific information This is a no-no.

Have clear objectives Define your goals. Is your goal marketing, connecting with other professionals, sharing ideas, or learning?

Be yourself and declare conflicts of interest Refrain from anonymous posting. Take ownership of your own views. Make sure you clarify which views are your own and not that of your organization

Practice digital professionalism Refute bad information, be honest and share good health care information. Referencing the original post or poster if sharing other’s content. Be respectful in commends and thank others who comment or share your content.

Control information sharing Be thoughtful about who may be viewing your content. Consider friend management. Use privacy settings.

Take an agnostic approach to social media Be flexible and nimble in your technologies. New technologies will emerge and popular ones will fall out of favor.

Monitor your online identity If you “Google” yourself frequently you can verify that your online identity is authentic and accurate.

4

WHERE

COURSE OFFERINGS: Hip Symposium: Clinical Medicine, Functional Science and Applications to the Hip and Trunk April 24-25, 2015, Seattle http://www.neseminars.com/products/hip-symposium-clinical-medicine-functional-science-and-applications-to-the-hip-and-trunk

Orthopedic & Sports Taping. May 16-17th. PSTV. www.healthclick.com Concussion Symposium – $50 for Providence employees June 27-28. Contact Joanna Mullet SFMA – Selective Functional Movement Assessment. Sept 25-26th. PPMC. www.rehabeducation.com EIM Sports Competencies Course. Oct 3-4. Contact Joanna Mullet www.evidenceinmotion.com

Running Course with Brian Heiderscheidt. Oct. 10th. PSTV. www.opta.org

Runner’s Rehab Course. Oct. 24-25th. PSTV. www.healthclick.com Specialized Care for the Young Athlete: A Rehab Perspective. Oct. 16th. PSTV. www.ptsseminars.com

ONLINE: APTA: How to keep runners running – May 14th http://learningcenter.apta.org/shared/courseDescription.aspx?courseID=1925&clientID=501&URL=http://learningcenter.apta.org

NES: Functional Relationships of the Lower Half http://www.neseminars.com/products/functional-relationships-of-the-lower-half-1 NES: Analysis of Exercises for the Knee and Core http://www.neseminars.com/products/analysis-of-exercises-for-the-knee-and-core

WHY

Because….

“A child can teach an adult three things: to

be happy for no reason, to always be

busy with something, and to know how to demand with all his might that which he

desires.”

- Paulo Coelho

“You’ll never know everything about

anything, especially something you love.”

- Julia Child

Purpose: To determine the effect of eccentric hamstring strengthening on the risk of hamstring injury. Also to

quantitatively explore the impact of intervention non-compliance on the precision, heterogeneity and strength of pooled estimates.

Methods: 349 studies were included after a literature search. Keywords: eccentric strengthening and hamstring injury were used. Four studies met inclusion criteria of RCT, athlete, eccentrics as intervention,

report of outcome of hamstring injury, compliance was available or able to be calculated.

What’s know on this topic: Eccentric strengthening has show the potential to decrease hamstring injury.

There is inconclusive evidence regarding eccentric hamstring strengthening in randomized controlled trials

implementing intent-to-treat analysis.

What does the study add to the topic: Decreased compliance is a key reason for inconclusive evidence. When compliance is proven there is a significant and strong amount of evidence that eccentrics decrease risk

of injury by 65%. The primary reason for poor compliance is DOMS (delayed onset muscle soreness).

Recommendations: Eccentrics for the hamstrings should be used for prevention, especially in populations at risk such as sprinters and soccer players. Implementation requires compliance. Exercise implementation should be applicable to the entire team to improve compliance.

For the full article refer to Sharepoint, Sports Therapy, LQ Articles.

Eccentric training for prevention of hamstring injuries may depend on intervention compliance: a systematic review and meta-analysis.

Goode, Adam, Et. Al. Br. J Sports Med 2015;49: 349-356. April 2015.

Recommended exercise for eccentric hamstring strengthening

Nordic (Russian) hamstrings

o Beginner 3-5 reps, 1-2 sets

o Intermediate 7-10 reps, 1-2 sets

o Advanced 12-15 reps, 1-2 sets

As always we appreciate your input: If you have any events or need volunteers for an event and would like it included

in the newsletter then email Erika Lewis the information for consideration. Articles, exercises or suggested topics are always appreciated.

Need access to articles? Providence online library has access to many articles.

Check out the link http://in.providence.org/or/resources/libraries/Pages/default.aspx

Thank you!

Update your care team profile! What?

It’s your bio on the main Providence website

Where can I view my bio?

http://oregon.providence.org/our-services/p/providence-rehabilitation-services/our-providers/

Why am I doing this?

Our patients search here to find a therapist that fits what they are looking for. Many patients like

to see our faces and get to know a little about us before they schedule that initial evaluation.

What’s critical to update?

It’s all important but when you check the boxes in the “programs/services/conditions” area your name comes up when someone searches. The other areas to update are care locations and

your brief written bio.

How long does it take?

It’s quick, easy, and pays off. You get the patients with common interests and diagnoses you

have a passion for. Do it now!

http://oregon.providence.org/HTML/rehabilitation-services-care-team-update-request

SOLD. How am I to do this?

providenceoregon.org/careteamupdate