dr. jack dolbin session 71 orthotic evaluation: treadmill evaluation: internal tibial rotation most...

Dr. Jack Dolbin Session 7Dr. Jack Dolbin Session 7 11

Orthotic evaluation:Orthotic evaluation: Treadmill evaluation: internal tibial rotation Treadmill evaluation: internal tibial rotation

most signifigant.most signifigant. ScanningScanning Palpatory exam of foot and anklePalpatory exam of foot and ankle Navicular DropNavicular Drop

Orthotic Prescription Orthotic Prescription

Hyperpronation

Effects of Pronation

Pronation, internal tibial Pronation, internal tibial Rotation, Valgus KneeRotation, Valgus Knee


Corrective insertsCorrective inserts


Inserts Cont.Inserts Cont.


Calcaneal Calcaneal Inversion/EversionInversion/Eversion


Extremity AdjustmentExtremity Adjustment

TalusTalus CuboidCuboid NavicularNavicular Head of FibulaHead of Fibula KneeKnee HipHip SI JointSI Joint



Sports Nutrition:Sports Nutrition:

Hydration : Lactic acid bufferingHydration : Lactic acid buffering Energy SEnergy S Glycogen reserveGlycogen reserve Nervous system energy systems Nervous system energy systems

Kinesiotaping Kinesiotaping

1.1. Supports MuscleSupports Muscle

a.a. Improves muscle contraction in weakened Improves muscle contraction in weakened muscle.muscle.

b.b. Reduces muscle fatigueReduces muscle fatigue

c.c. Reduces over-extension-over contraction of Reduces over-extension-over contraction of musclemuscle

d.d. Reduces cramping and possible injuryReduces cramping and possible injury

e.e. Increases ROMIncreases ROM

f.f. Relieves painRelieves painDr. Jack Dolbin Session 7Dr. Jack Dolbin Session 7 1717

Kinesio ( cont )Kinesio ( cont )

Removes Congestion to the flow of body Removes Congestion to the flow of body fluidsfluids

Improves blood and lymph circulationImproves blood and lymph circulation Removes excess heat and chemical Removes excess heat and chemical

substancessubstances Reduces inflammationReduces inflammation Reduces pain in skin and muscleReduces pain in skin and muscle



Activates endogenous analgesic systemActivates endogenous analgesic system Possibly activates spinal inhibitory Possibly activates spinal inhibitory

system and descending inhibitory systemsystem and descending inhibitory system



Adjusts misalignment caused by spasm Adjusts misalignment caused by spasm and shortened muscleand shortened muscle

Normalizes muscle tone and abnormality Normalizes muscle tone and abnormality of fascia in jointsof fascia in joints

Improves ROMImproves ROM Relieves painRelieves pain


Method of KinesiotapingMethod of Kinesiotaping

Acute: Insertion to origin no stretch. Skin Acute: Insertion to origin no stretch. Skin stretchedstretched

Chronic and weak muscle: Origin to insertion Chronic and weak muscle: Origin to insertion 15-25% stretch15-25% stretch

Ligament or joint injuries: Full stretch with joint Ligament or joint injuries: Full stretch with joint in functional position. in functional position.

Correction strips: Misalignment due to muscle Correction strips: Misalignment due to muscle spasmspasm

..Dr. Jack Dolbin Session 7Dr. Jack Dolbin Session 7 2121

Support taping

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


Getting in the Door: Getting in the Door:

How do I get involved with a sports How do I get involved with a sports team?team?

ResponsibilitiesResponsibilities Potential abusesPotential abuses Expectations Expectations

Getting in the doorGetting in the door

Go in the front doorGo in the front door Do seminars for trainers on topics unique Do seminars for trainers on topics unique

to Chiropractic that have a direct to Chiropractic that have a direct relationship to injury prevention, relationship to injury prevention, performance enhancement, and performance enhancement, and treatment of injuries.treatment of injuries.

Topics include: exercise, diet, laser Topics include: exercise, diet, laser therapy, kinesiotaping, rehab.therapy, kinesiotaping, rehab.


Getting in the door Getting in the door ( cont)( cont)

X-ray services during a game.X-ray services during a game.

Treat your patients well, they will pass Treat your patients well, they will pass the wordthe word


ResponsibilitiesResponsibilities

Vary according to level of involvement.Vary according to level of involvement. ProfessionalProfessional CollegeCollege High schoolHigh school IndividualIndividual


Potential abusesPotential abuses

Advertising that you are a member of the Advertising that you are a member of the University of Maryland sports medicine University of Maryland sports medicine teamteam

You‘re Steffi Graffs ChiropractorYou‘re Steffi Graffs Chiropractor Brian Westbrook was my patientBrian Westbrook was my patient The Florida DC’s illustration, The Florida DC’s illustration,



Billing and Coding:Billing and Coding:

How to get paid for your work with a :How to get paid for your work with a : Sports team.Sports team. Seminars, CertificationsSeminars, Certifications CE Training.CE Training.

Getting paid for your Getting paid for your serviceservice

RetainerRetainer Per athletePer athlete School insuranceSchool insurance Personal InsurancePersonal Insurance



Ethical Considerations:Ethical Considerations:

Member of a team of specialistsMember of a team of specialists Donot polorize or intimidate other team Donot polorize or intimidate other team

membersmembers Donot compete with team membersDonot compete with team members Donot pit team mambers against each otherDonot pit team mambers against each other Donot use your position to advance your Donot use your position to advance your

practice( it will advance by itself)practice( it will advance by itself) You represent your professionYou represent your profession

Suggested educationSuggested education

Mitch Maley, Kevin HeronMitch Maley, Kevin Heron Edkinesiology online coursesEdkinesiology online courses CSCS: very valuableCSCS: very valuable KinesiotapingKinesiotaping Log onto Pubmed every Monday morningLog onto Pubmed every Monday morning Be a student: knowledge is keyBe a student: knowledge is key Illustration Casseous Necrosis.Illustration Casseous Necrosis.


dr. jack dolbin session 71 orthotic evaluation: treadmill evaluation: internal tibial rotation most...

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