『Sports Medicine Broadcast』のカバーアート

Sports Medicine Broadcast

Sports Medicine Broadcast

著者： Jeremy Jackson
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- a Podcast to Promote and Improve YOUR practice of Athletic Training 衛生・健康的な生活 身体的病い・疾患
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  • Working Around Upper Extremity Injuries: Maximizing Athletic Potential in Rehab

    Working Around Upper Extremity Injuries: Maximizing Athletic Potential in Rehab
    2026/09/22
    Sports Medicine Broadcast A Podcast to Promote and Improve Your Practice as an Athletic Trainer

    When an overhead or rotational athlete—such as a baseball pitcher, softball player, volleyball server, or tennis player—suffers a significant upper extremity injury, traditional care often calls for shutdown periods lasting anywhere from six weeks to several months. While restricting arm motion is crucial for surgical or tissue healing, completely shutting down the athlete can lead to lost athleticism, decreased conditioning, and a difficult return-to-play process.

    In this episode of the Sports Medicine Broadcast, host Chase Morales is joined by Cathy Nguyen, Xavier Porter, and physical therapist Ryan Collins to dive into strategies for keeping overhead athletes conditioned and engaged while protecting healing shoulder and elbow tissues.

    Training Beyond the Injured Arm

    Overhead performance relies heavily on total-body coordination, trunk rotation, and lower-body ground reaction forces. When the arm is immobilized or restricted, clinicians have a valuable window to address other components of the kinetic chain:

    • Lower Quarter & Ground Forces: Maintaining single-leg strength, lower-body power, and leg drive so the athlete does not lose the foundation of their throwing or hitting mechanics.
    • Trunk & Core Rotation: Safe, controlled hip and trunk rotation work keeps the core responsive and strong without placing mechanical stress across the healing arm.
    • Cardiovascular Conditioning & Movement: Avoiding long periods of inactivity prevents overall physical decline and eases the physical transition back to sport-specific drills.
    Protocols Are Templates, Not Rigid Rules

    Standard rehabilitation protocols for procedures such as SLAP repairs, UCL reconstructions, or rotator cuff repairs are designed around histology—how tissue heals over specific timeframes. While respecting these tissue-healing boundaries is mandatory, Collins points out that protocols should serve as adaptable templates rather than rigid, calendar-only directives:

    1. Avoid Automatic Time-Based Progression: Moving an athlete to the next phase purely because a calendar week has passed can overload tissues that are not yet ready or flexible enough.
    2. Prevent Monotony & Stagnation: Relying solely on basic wrist curls, passive stretching, or light band work for weeks can lead to boredom and sloppy execution. Challenging athletes safely keeps their buy-in high.
    Key Progression Criteria Before High-Velocity Loading

    Before introducing plyometrics, medicine ball throws, or return-to-throwing protocols, clinicians should look beyond simple pain ratings:

    • Full Mobility & Range of Motion: Ensure full structural motion is established without compensatory mechanics.
    • Baseline Controlled Strength: “If you can’t do it slow, you definitely can’t do it fast”. Validate that slow, controlled movements (e.g., standard push-ups or consistent band resistance) are well-tolerated before attempting explosive tasks.
    • Movement Coordination & Quality: Verify that the athlete can properly sequence their core and hips without substitute patterns that increase inflammation or stress nearby joints.

    By viewing rehabilitation as an ongoing part of athletic training, sports medicine professionals can ensure that sidelined athletes return to the field fully prepared, strong, and confident.

    Speaker Contact Information
    • Guest: Ryan Collins, PT, ATC
    • Email: Ryan.Collins@memorialhermann.org
    Episode Credits
    • Host: Chase Morales
    • Audio Engineer: Shelby Gaytan
    • Equipment Provided By: Russell Sadberry
    • Recording Made Possible By: Bob Marley and the Memorial Hermann Rockets Sports Medicine Institute team

    YouTube Presentation: https://youtu.be/D4l77KKSfkU
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    15 分
  • Navigating GI Evaluation in Sports Medicine: Red Flags, Gut-Brain Axis, and Athlete Care

    Navigating GI Evaluation in Sports Medicine: Red Flags, Gut-Brain Axis, and Athlete Care
    2026/10/06
    Explore GI evaluations, red flags, the gut-brain axis, and supplement trends with Dr. Sean Healy on the Sports Medicine Broadcast hosted by Chase Morales. Sports Medicine BroadcastA Podcast to Promote and Improve Your Practice as an Athletic Trainer Executive Summary Gastrointestinal (GI) complaints are among the most common yet challenging non-musculoskeletal issues encountered by athletic trainers in clinical and sideline settings. In this episode of the Sports Medicine Broadcast, host Chase Morales sits down with team physician Dr. Sean Healy to break down essential GI examination techniques, triage methods for acute abdominal pain, the interplay between psychological health and Irritable Bowel Syndrome (IBS), and practical guidance on supplement safety and gastroenteritis management. Key Takeaways for Athletic Trainers 1. Basic Physical Examination & Quadrant Triage Evaluating abdominal complaints begins with taking a structured patient history and correlating symptoms to specific anatomical quadrants. When evaluating an athlete presenting with abdominal discomfort: Quadrant Mapping: Correlate localized pain to underlying structures (e.g., right lower quadrant pain suggesting appendicitis).Pain Trajectory: Pay close attention to how pain migrates. For instance, appendicitis often originates periumbilically before localizing to the right lower quadrant over several hours.History Taking: In younger or pediatric athletes, reframe questions in multiple ways to obtain an accurate clinical timeline. 2. Immediate Red Flags & Triage Thresholds Distinguishing urgent medical conditions from benign or non-urgent GI distress is vital for quick referral. Dr. Healy highlights several immediate red flags requiring urgent higher-level care: Red Flag SymptomClinical ConcernRecommended ActionFeverSystemic infection/inflammationMeasure body temperature; urgent referral if elevatedPersistent VomitingObstruction, severe gastroenteritis, dehydrationEvaluate fluid status; withhold oral intake; referHematochezia or HematemesisActive gastrointestinal hemorrhageImmediate emergency/physician referralRebound Tenderness / GuardingPeritoneal irritation (peritonitis)Avoid deep palpation; immediate physician transfer 3. The Gut-Brain Axis and Managing IBS The relationship between neurological/psychiatric factors—such as anxiety and performance stress—and GI motility is significant. Gut-Brain Correlation: Pre-competition anxiety commonly manifests as lower GI distress or IBS flares.Treatment Considerations: While some anti-anxiety medications can cause secondary GI side effects, others resolve both neurological and intestinal symptoms simultaneously.Conservative Strategies: Talk therapy and dietary adjustments (e.g., low-fat, Mediterranean diet, or avoiding spicy foods and alcohol) are effective non-pharmacological tools. 4. Navigating Supplement Trends and Hydration With the rise of protein-dense foods and pre-workout products, athletes are consuming high quantities of nutritional supplements. Hydration Demands: High protein intake and creatine supplementation increase systemic fluid needs. Inadequate hydration alongside high protein consumption often leads to constipation.Pediatric Oversight: Athletic trainers should ensure coaches, parents, and guardians are aware when youth or high school athletes are using specialized supplements. 5. Acute Gastroenteritis & Over-the-Counter Cautions When managing acute gastroenteritis or suspected “stomach bugs”: Avoid Early Imodium (Loperamide): In the first 24 to 48 hours of suspected infectious diarrhea, avoid anti-diarrheal agents like Imodium. Trapping infectious pathogens within the GI tract can prolong illness and delay recovery.First-Line Care: Prioritize oral rehydration solutions (electrolyte beverages like Gatorade or Powerade) and diet progression. Most viral gastroenteritis cases self-resolve within 24 to 72 hours. 6. Destigmatizing GI Health and Step-Up Referral Athletes often feel hesitant or embarrassed to report gastrointestinal issues. Athletic trainers should work to normalize gut health conversations and establish a progressive referral pipeline: Athletic Trainer Assessment -> Primary Care Physician (PCP) -> GI Specialist Guest Contact Information Dr. Sean Healy can be reached directly for professional inquiries via email: Email: Sean.T.Healy@uth.tmc.edu Podcast Credits Host: Chase MoralesAudio Engineer: Shelby GaytanEquipment provided by: Russell SadberryRecording made possible by: Bob Marley and the Memorial Hermann Rockets Sports Medicine Institute team Presentation on YouTube: https://youtu.be/jNlHXVZti9k
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    11 分
  • Addressing Faulty Throwing Mechanics: Biomechanics, Sequencing, and Injury Risk

    Addressing Faulty Throwing Mechanics: Biomechanics, Sequencing, and Injury Risk
    2026/09/08
    A Podcast to Promote and Improve Your Practice as an Athletic Trainer In a recent episode of the Sports Medicine Broadcast, host Chase Morales, along with Ross Little and second-year M.A. student Dorothy Bailey, sat down with Dr. Craig Garrison, Director of Research and Education at the Memorial Hermann Rockets Sports Medicine Institute. Dr. Garrison shared critical insights on identifying and correcting faulty throwing mechanics, understanding the biomechanical drivers of modern throwing velocity, and implementing practical strategies to protect overhead athletes across sports. The Evolution of Velocity and Biomechanics In today’s sports landscape, throwing velocity serves as the baseline measuring stick for recruitment and advancement. High school baseball pitchers striving for Division I recruitment are now expected to consistently throw in the low-to-mid 90s—a notable contrast to a decade ago when lower velocity ranges were far more common. This rise in velocity is heavily linked to advancements in biomechanical evaluation and motion analysis technology. By leveraging data-driven insights, clinicians and strength coaches can optimize kinetic sequencing, helping athletes generate explosive power while aiming to mitigate tissue stress. Kinetic Principles Beyond Baseball Although baseball pitching dominates discussions around overhead biomechanics, the core mechanical principles extend across multiple disciplines. Dr. Garrison highlighted that track and field throwers—specifically javelin athletes—exhibit nearly identical mechanical principles and injury risk profiles: Force Generation: Throwers must produce substantial force through their drive limb and transition efficiently onto their stride limb.Energy Transfer: Force generated from the ground must be transferred sequentially up the kinetic chain into the upper extremity.High-Stress Breakdown: Flaws in timing or force transfer place extreme stress across the elbow joint, frequently leading to UCL tears, shoulder pathologies, and Tommy John surgeries in both baseball pitchers and javelin throwers. Balancing Force Production and Kinematic Sequencing To lower injury risk, clinicians must evaluate both force production and kinematic sequencing. An athlete who produces exceptional lower-body force but lacks proper sequencing will experience high stress on the upper extremity, drastically increasing injury risk. Mechanical FactorPrimary FunctionClinical & Training FocusLower Extremity PowerForce generation from the groundSquats, jumps, explosive lower-body force productionKinematic SequencingTransferring force up the kinetic chainAuditory cueing, rhythm drills, metronome synchronizationWorkload & Load ManagementControlling cumulative joint fatigueTracking pitch counts, training volume, and day-to-day loads Actionable Strategies for Athletic Trainers and Physical Therapists When designing rehabilitation protocols or performance programs for young overhead throwers, focus should remain on foundational movement rather than isolated arm exercises. 1. Build Power from the Legs Forces delivered at ball release originate in the lower body. Training should prioritize lower extremity power, squat performance, and jumping mechanics. The upper extremity primarily serves as the vehicle for delivering the force generated by the legs and core. 2. Implement External Auditory Cueing Because a baseball pitch is delivered in approximately 250 milliseconds, the human brain cannot consciously process complex internal mechanical adjustments mid-throw. To overcome this, Dr. Garrison advocates for external cueing using simple tools like a metronome: Match the metronome tempo to the athlete’s desired pitching tempo.Align the initial beat with stride-foot contact and the subsequent beat with the point of ball release.Allow the athlete’s central nervous system to self-organize and adjust rhythm naturally through auditory cues, eliminating conscious overthinking. Managing Athlete Capacity and Gaining Buy-In Addressing biomechanics effectively also requires managing realistic athlete capacities and behavioral compliance: Understanding Movement Capacities: Neuromuscular coordination and movement capacity vary significantly. Clinicians and coaches must occasionally lead candid conversations with parents and young athletes regarding individual physical limits and ceiling potential.Overcoming the Compliance Barrier: Healthy youth athletes often struggle to appreciate subtle mechanical adjustments. Buy-in generally increases following an injury or through proactive coaching and parental reinforcement. Summary & Guest Information Addressing throwing mechanics requires a comprehensive approach that prioritizes lower-body force generation, external timing cues, and careful workload management. Guest: Dr. Craig Garrison (Director of Research and Education, Memorial Hermann Rockets Sports Medicine Institute)Contact Email: Craig.Garrison@memorialhermann.orgEpisode Link: ...
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    12 分
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