2018 Student-Athlete Health Conference

May 10-12, 2018Aria Resort & CasinoLas Vegas, Nevada

www.pac12sahc.org

PROGRAM SCHEDULEThursday May 10th, 2018Pre-Conference Meetings8:00am Student-Athlete Health and Well Being Board Meeting – Primrose Ballroom 112:00pm Lunch at Five50 Pizza Bar1:00pm Student-Athlete Health and Well Being Board Meeting (con’t) – Starvine 33:00pm Brain Trauma Task Force – Starvine 4 Grant Review Committee – Starvine 6 SIRMAP Campus Administrators/PCCU – Starvine 5 Mental Health Task Force – Starvine 37:30pm Select Vendor Presentations (ATs Only) – Starvine 38:00pm Welcome Reception at “The Pub”

Friday May 11th, 20186:45am Breakfast – Juniper 2 & 37:45am Welcome – Juniper 17:50am Woodie Dixon: Pac 12 State of the Union Address – Juniper 18:00am Keynote Speaker: Brian Hainline, NCAA Chief Medical Officer – Juniper 18:45am Committee Updates – Juniper 1(a) Student-Athlete Health and Well Being Board – Kim Harmon, MD (UW)(b) Brain Trauma Task Force – Doug Aukerman, MD (OSU)(c) Grant Committee – Dan Nordquist (WSU), Lynn Fister MA, CPA (Pac 12)(d) SIRMAP Project – Kevin Robell (Pac 12)Awarded Grant Research Presentations; Moderator: Dan Nordquist (WSU) – Juniper 19:05am “Health and Wellness: Assessing Student-Athlete Health and Performance” Matthew McQueen, ScD (CU) 9:15am “Overuse Injuries/Injury Prevention: A Prospective Study to Improve Bone Health” Aurelia Nattiv, MD (UCLA) Michael Fredericson, MD (Stanford)9:25am “Overuse Injuries/Injury Prevention: Integration of Biomechanics-based Infor-matics for Prevention of Stress Fractures” Mike Hahn (UO) 9:30am “Injury Prevention: Simple Motion Capture Technology for Readiness of Return to Sport Assessment and Injury Risk Prediction” Christopher Kweon, MD (UW) Albert Gee, MD (UW)9:45am “Thermal Management for Athletes: Problems and Opportunities” Craig Heller (Stan)9:55am “Cardiovascular Screening in the Pac 12 Conference: Establishing Best Practic-es” Kim Harmon, MD (UW)

10:05am Break – Juniper 2 & 3

Mental Health Session; Moderator: Tandi Hawkey MA, ATC (UCLA) -- Juniper 110:20am “Bridging the Gap: An Analysis of Meeting Relational Challenges of Inter-gen-erational Populations” Duncan Simpson, PhD (IMG Academy)10:40am “Sleep and Mental Health in Student Athletes” Amy Athey, PhD (UA)11:00am “Sleep Essentials for Optimizing Performance in Elite Athletes” Cheri Mah (UCSF)11:20am “Performance Psychology: Helping Athletes Return from Injury” Christina Fink, PhD (HP Sports/Philadelphia Union)11:50am “Student-Athlete Presentation on Mental Health Programming” Michael Amick (UCLA)Awarded Grant Research Presentations – Juniper 112:20pm “Mental Health and Head Trauma: Brain Health in Male and Female Basketball Players at the University of Utah” Deborah Yurgelun-Todd (Utah) Charlie Hicks-Little (Utah)

12:25 Lunch – Juniper 2 & 3

Head Injuries/Concussions/Brain Trauma Task Force Session Moderator: Tandi Hawkey MA, ATC (UCLA) – Juniper 11:30pm VICIS Presentation, Dr. Sam Browd1:40pm “Targeting in Football” David Coleman, Head of Pac 12 Officiating2:00pm “Understanding Concussion Pathobiology: Balancing Risk and Benefit” Christo-pher Giza, MD (UCLA)2:20pm “What is the Role of Sex in Sports-Related Concussion?” Meeryo Choe, MD (UCLA) 2:40pm “Concussion Clinical Profiles: Emerging Evidence” Anthony Kontos, PhD (Pitt)3:00pm “Treatment of Concussion with Sub Threshold Exercise” Barry Willer (U of Buffalo)

3:40pm Break – Juniper 2 & 3

3:55pm “Concussion Management and the Effectiveness of Rehabilitation Techniques” Randy Cohen, ATC (UA)4:15pm “Supplements for Return to Play/Injury Protocols” Becci Twombley, RD (USC)

Awarded Grant Research Presentations; Moderator: Lynn Fister MA, CPA (Pac 12)4:35pm “Head Trauma: Roles of Nutritive Support and Supplementation” Ryan Cobb (Cal) In Place of Dr. Brooks4:40pm “Pac 12 and NCAA Collaboration-CARE (Concussion Assessment, Research & Education) Consortium Data Collection: Establishing a Research Infrastructure and Framework” & Pac 12 Equipment Grant Implementation Doug Aukerman, MD (OSU) Matthew McQueen, ScD (CU) Theresa Hernandez (CU) Adam Bohr (CU) 4:55pm “Pac 12 Student-Athlete Project on Developing Coach Education” Emily Kroshus (UW) Sara Chrisman (UW)

5:10pm Discipline Business Meetings – All Institutional Personnel(a) Orthopedic Physicians – Starvine 3(b) Primary Care/Sports Medicine Physicians – Starvine 4(c) Athletic Trainers – Juniper 1(d) Mental Health Professionals – Starvine 6(e) Dietitians – Starvine 55:45pm Brainstorming Session for Potential Research Projects5:45pm Vendor Open House (90 min) Beer, Wine, Snacks – Juniper 2 & 37:30pm Dinner #1 – Jean Georges Steakhouse; Sponsored by DJO Dinner #2 – Sage Dinner #3 – Julian Serrano Tapas

Saturday May 12th, 20186:45am Breakfast – Juniper 2 & 3Best Practices in Sports Medicine Moderator: Tandi Hawkey MA, ATC (UCLA) – Juniper 17:45am “Air Quality and Event Management” Sunday Henry, MD (WSU)8:05am “Mental Health: Screening Student-Athletes” Kelli Moran-Miller (Stanford); Kate Geiger (WSU)8:20am “Management of a Student-Athlete Death” Christopher Bader, PhD (CU); Fer-nando Frias (OSU); Kate Geiger (WSU)

Educational Presentations

10:35am “Rehabilitation Following Injury – A Movement Criterion Approach” Robert Butler PT, DPT, PhD (St. Louis Cardinals) – Juniper 1

11:15am Discipline Case Studies/Best Practice Reviews – All Institutional Personnel(a) Orthopedic Physicians – Starvine 3(b) Primary Care/Sports Medicine Physicians – Starvine 4(c) Athletic Trainers – Juniper 1(d) Mental Health Professionals – Starvine 6(e) Dietitians – Starvine 511:45am Summary of Discipline Business Meetings/Discussion – Juniper 1

11:55am Closing Remarks – Juniper 112:00pm Adjourn

Friday May 11, 2018

The NCAA and Student-Athlete WellnessPresented by: Brian Hainline, MD, NCAA Chief Medical OfficerLearning Objectives: 1. Review the mission and vision of the NCAA. 2. Outline strategic priorities including cardiac health, concussion, doping & substance abuse, mental health, nutrition, sleep & performance, overuse injuries and periodiza-tion, sexual assault and interpersonal violence, athletics healthcare administration and data-driven decisions. 3. Discuss Unified Standards of Care.

Health and Wellness: Assessing Student-Athlete Health and PerformancePresented by: Matthew McQueen, ScD, University of Colorado Learning Objectives: 1. Discuss the comprehensive approach to optimize the academic, athletic, health, and wellness experience of student-athletes. 2. Assess important indicators of student-athlete health and wellness, specifically information within the Pac 12 SIRMAP and implement best practices for sustainable student-athlete training and performance throughout the Pac 12.

Overuse Injuries/Injury Prevention: A Prospective Study to Improve Bone Health Presented by: Aurelia Nattiv, MD, UCLA; Michael Fredericson, MD, Stanford UniversityLearning Objectives: 1. Review data collection that assesses risk factors of bone stress injuries in female collegiate distance runners. 2. Discuss strategies to improve the health, reduce the incidence and severity of bone stress injuries, and shorten recovery time in this population. Overuse Injuries/Injury Prevention: Integration of Biomechanics-based Informatics for Prevention of Stress Fractures Presented by: Mike Hahn, PhD, University of Oregon Learning Objectives: 1. Discuss data collection of runners’ biomechanical information such as foot motion patterns, foot-to-ground contact patterns, and accelerations and tracking of stress fracture development over a three-year period to see which biomechanical patterns are associated with development of stress fractures. 2. Identify what biomechanics-based information can be integrated with already know risk factors such as nutrition status and training volume/intensity to predict runners who are at a higher risk of stress fracture.

Injury Prevention: Simple Motion Capture Technology for Readiness of Return to Sport Assessment and Injury Risk Prediction Presented by: Christopher Kweon, MD, University of Washington; Albert Gee, MD, Univer-sity of Washington Learning Objectives: 1. Discuss the comparison of a low cost simple motion capture technology to the gold standard motion capture technology. 2. Review data collection of functional movement data collected in health volunteers used in both systems and review results to determine which system is the better option to measure abnormal joint movements and help facilitate safe return to sports after injury.

Thermal Management for Athletes: Problems and Opportunities Presented by: Craig Heller, PhD, Stanford UniversityLearning Objectives: 1. Review data collection that assesses telemetric changes in body temperature of athletes during practice and competition as a function of environmental conditions. 2. Discuss comparative studies of methods to achieve rapid recovery from hyper-thermia and studies the benefits of heat extraction in physical conditioning of female athletes.

Cardiovascular Screening in the Pac 12 Conference: Establishing Best PracticesPresented by: Kim Harmon, MD, University of Washington Learning Objectives: 1. Answer critical questions regarding screening for cardiovascular conditions that predispose athletes to sudden death by comparing the schools that screen with history and a physical to those that add a screen with history and a physical to those that add an electrocardiogram. 2. Compare conditions identified, total costs, costs per diagnosis, time lost from com-petition, and any adverse outcomes related to screening with each strategy.

Bridging the Gap: An Analysis of Meeting Relational Challenges of Inter-generational Populations Presented by: Duncan Simpson, PhD, IMG Academy Learning Objectives: 1. Identify challenges of personal interactions across generations. 2. Understand the characteristics of different generations. 3. Discuss strategies on how to connect to student-athletes.

Sleep and Mental Health in Student Athletes Presented by: Amy Athey, PhD, University of Arizona Learning Objectives: 1. Discuss the medical physiology of sleep 2. Understand the effects of sleep on mental health.

Sleep Essentials for Optimizing Performance in Elite Athletes Presented by: Cheri Mah, MS, University of California, San Francisco Learning Objectives: 1. Identify the positive and negative impacts on performance when student-athletes are rested vs sleep deficient. 2. Discuss strategies to ensure proper rest to ensure optimal performance. Performance Psychology: Helping Athletes Return from InjuryPresented by: Christina Fink, PhD, HP Sports/Philadelphia Union Learning Objectives: 1. Discuss the Injury Performance Model and discuss the implications of injury on mental health. 2. Review the role of motivation during injury. 3. Identify coping strategies to manage the stress responses to injury.

LEARNING OBJECTIVES

Student-Athlete Presentation on Mental Health Programming Presented by: Michael Amick, BS, UCLA Learning Objectives: 1. Depict the current organization and application of mental health support and policies for student athletes across the NCAA Power 5 Conferences athletic departments. 2. Identify the perception of mental health from a student athlete perspective to under-stand their individual and team perceptions, help-seeking behavior, and preferences for preventative interventions. 3. Utilize current research on universal and targeted prevention for depression, anxiety, and stress outcomes to determine best practices and future directions for implementa-tion of programs in collegiate student-athlete settings. Mental Health and Head Trauma: Brain Health in Male and Female Basketball Players at the University of Utah Presented by: Deborah Yurgelun-Todd, PhD, University of Utah; Charlie Hicks-Little, PhD, University of Utah Learning Objectives: 1. Discuss the association between concussive symptoms, mood states, cognitive performance, and brain changes in female and male basketball student-athletes and football student-athletes.

Targeting in Football Presented by: David Coleman, Head of Pac 12 Officiating Learning Objectives: 1. Review targeting rules in NCAA football. 2. Discuss safety concerns and consequences of reckless contact between football players.

Understanding Concussion Pathobiology: Balancing Risk and Benefit Presented by: Christopher Giza, MD, UCLA Learning Objectives: 1. Review pathobiology of concussion. 2. Discuss issues relevant to sport concussion and the risk vs benefit of participation in sport.

What is the Role of Sex in Sports-Related Concussion? Presented by: Meeryo Choe, MD, UCLA Learning Objectives: 1. Discuss the physiology of concussion as it relates to sex differences.2. Review return-to-play protocols and the implications of sex in concussion manage-ment.

Concussion Clinical Profiles: Emerging Evidence Presented by: Anthony Kontos, PhD, University of Pittsburg Learning Objectives: 1. Discuss varying profiles of concussion presentation.2. Discuss varying profiles of concussion presentation.

Treatment of Concussion with Sub Threshold Exercise Presented by: Barry Willer, PhD, University of Buffalo Learning Objectives: 1. Review return-to-play management of concussion and the role of sub threshold exercise. 2. Discuss the autonomic nervous system dysfunctions associated with concussion. 3. Outline the effects of exercise on the autonomic nervous system.

Concussion Management and the Effectiveness of Rehabilitation Techniques Presented by: Randy Cohen, ATC, PT, University of Arizona Learning Objectives: 1. Review current management of concussion and return-to-play protocols. 2. Discuss the effectiveness of the utilization of rehabilitation in post-concussion cases.

Supplements for Return to Play/Injury Protocols Presented by: Becci Twombley, RD, University of Southern California Learning Objectives: 1. Identify macronutrients required for growth and recovery. 2. Understand the effects of nutrient timing on the administration of modalities and rehabilitation techniques. 3. Provide resources for practical application of nutrient delivery in the student-athlete population.

Head Trauma: Roles of Nutritive Support and SupplementationPresented by: Ryan Cobb, ATC, University of California, Berkeley Learning Objectives: 1. Review the findings that patients with traumatic brain injury (TBI) are often under-nourished, meaning the brain has less fuel sources to use for healing. 2. Discuss whether or not supplementation with lactate on the background of adequate nutrition will improve TBI recovery by giving the brain an extra fuel source.

Pac 12 and NCAA Collaboration-CARE (Concussion Assessment, Research & Education) Consortium Data Collection: Establishing a Research Infrastructure and Framework & Pac 12 Equipment Grant Implementation Presented by: Doug Aukerman, MD, Oregon State University; Matthew McQueen, ScD, University of Colorado; Theresa Hernandez, PhD, University of Colorado; Adam Bohr, PhD, University of Colorado Learning Objectives: 1. Discuss the first full-conference regional research hub of the landmark CARE Consortium, which is a multi-site, longitudinal investigation of concussion and repetitive head impacts in NCAA athletes and military service academy cadets that addresses major gaps in the understanding of concussion.

Pac 12 Student-Athlete Project on Developing Coach Education Presented by: Emily Kroshus, ScD, University of Washington; Sara Chrisman, MD, Univer-sity of Washington Learning Objectives: 1. Review the evidence-based, easily scalable educational programs for college coach-es about

Saturday May 12, 2018

Air Quality and Event Management Presented by: Sunday Henry, MD, Washington State University Learning Objectives: 1. Review safety concerns of participation in outside sporting events during inclement weather conditions with poor air quality. 2. Suggest best practices for management of hazardous environmental situations and policies for activity restriction

Mental Health: Screening Student-Athletes Presented by: Kelli Moran-Miller, PhD, Stanford University; Kate Geiger, PhD, Washington State University Learning Objectives: 1. Review best practices concerning screening for mental health conditions in stu-dent-athletes. 2. Discuss current policies and procedures in the Pac 12 conference regarding screen-ing type and screening frequency.

Management of a Student-Athlete DeathPresented by: Christopher Bader, PhD, University of Colorado; Fernando Frias, PhD, Oregon State University; Kate Geiger, PhD, Washington State University Learning Objectives: 1. Discuss the implications of a student-athlete death on an athletic department. 2. Review policies and procedures for response management.

Food Tracking and Technology: Benefits and Pitfalls Presented by: Lauren Papanos, RD, UCLALearning Objectives: 1. Examine the benefits and downfalls that food technology can have on student athletes. 2. Identify the best procedures and methods for utilizing food technology in practice.

Diagnostic Ultrasound vs MRI for Soft Tissue Imaging and RTP Decisions Presented by: Daniel Vigil, MD, UCLA; Jeremy Vail, PT, ATC, UCLA Learning Objectives: 1. Review best practices for diagnosis of soft tissue injuries and return-to-play proto-cols. 2. Discuss the diagnostic tools available and alternative strategies for utilization of ultrasound for return to sport.

Femoral Acetabular Impingement in Collegiate Athletes Presented by: Steven Aoki, MD, University of Utah Learning Objectives: 1. Review etiology of hip injuries and biomechanical considerations, specifically femoral acetabular impingement. 2. Discuss treatment strategies including injury prevention and conservative manage-ment.

Cannabidiol (CBD) Oil and Current Uses Presented by: Ema Thake, RD, University of Washington Learning Objectives: 1. Review the chemical profile and pharmacology of CBD Oil. 2. Discuss current utilization and positive/negative effects of use as it pertains to student-athletes.

Current Approaches to Cartilage Repair and Restoration in High Demand Athletes Presented by: Kris Jones, MD, UCLA Learning Objectives: 1. Discuss current research and approaches to management of cartilage injuries in athletes.2. Review alternative surgical procedures and effective management of cartilage repair.

Femoral Acetabular Impingement: Evidence Based Rehabilitation Presented by: Jill McVey PT, ATC, University of Puget Sound Learning Objectives: 1. Review current practices in the rehabilitation concepts for femoral acetabular impingement. 2. Discuss appropriate management and return to play protocols post-injury.

USADA Drug Education Presented by: Stacy Michael Miller, USA Swimming Learning Objectives: 1. Review USADA drug testing procedures. 2. Discuss prescription medication management and potential risks for consumption by student-athletes as it related to USADA rules and regulations.

Mental Health De-stigmatization: Challenges, Strategies & Successes Presented by: Jonathan Ravarino, PhD, University of Utah; David Mikula, PhD, University of Oregon; Kelli Moran-Miller, PhD, Stanford University; Melinda Kirschner, PhD, UCLA; Fernando Frias, PhD, Oregon State University Learning Objectives: 1. Identify sources of mental health stigma in the general population and the athlete population. 2. Discuss strategies to normalize mental health care.

SUNSPORT: Protecting the Long-term Skin Health of NCAA Athletes Presented by: Kristin Nord, MD, Stanford University Learning Objectives: 1. Review risks of sun-exposure and exposure rates of athletes. 2. Discuss long-term skin care and treatment of skin health over time. Suicide Prevention & Risk Management Presented by: Amy Athey, PhD, University of Arizona; Cassie Pasquariello, PhD, University of Washington Learning Objectives: 1. Discuss the risk factors that student-athletes are exposed to and warning signs. 2. Review prevention training for staff and student-athletes.

Blood Flow Restriction Rehabilitation: Mechanisms and Clinical Application Presented by: Johnny Owens, MPT, Owens Institute Learning Objectives: 1. Present the theories that explain the mechanism behind the results from Blood Flow Restriction therapy. 2. Review the patient population that is indicated for BFR therapy; specifically people recovering from injury or the elderly who may not be able to tolerate normal exercise loads, which can limit their ability to have an adequate strength and hypertrophy response.3. Discuss the clinical applications including but not limited to total joint arthroplasties, Achilles tendon repairs, fractures, rotator cuff repairs, muscle strains, nerve injuries, post-operative cartilage arthroscopies and reconstructions, and tendinopathies.

Rehabilitation Following Injury – A Movement Criterion Approach Presented by: Robert Butler PT, DPT, PhD, St. Louis Cardinals Learning Objectives: 1. Discuss a multi-disciplinary approach to rehabilitation following injury. 2. Review integration of sport science, data-driven results, and functional evaluation into a comprehensive rehabilitation plan.

Special thanks to the 2018 Student-Athlete Health Conference Planning Committee:

Tandi Hawkey, UCLAMiguel Rueda, University of Colorado

Sunday Henry, Washington State UniversityAlbert Gee, University of Washington

Laura Dixon, CalEma Thake, University of WashingtonChris Bader, University of Colorado

Additional thanks to Woodie Dixon, Meghan Cesnik from the Pac-12 Conference and Kim Harmon from the University of Washington for their help in planning this event.