Tactical Athlete Symposium: Physical Therapists Working with Firefighters, Law Enforcement, and Military personnel

Transcription

1 Tactical Athlete Symposium: Physical Therapists Working with Firefighters, Law Enforcement, and Military personnel Combined Sections Meeting 2016 Anaheim, California, February 17-20, 2016 Description: Tactical Athletes experience a high frequency of injuries resulting from intensive occupational demands, which are uniquely different from the demands of traditional athletes. Rehabilitation professionals working with Firefighters, Law Enforcement, or Military personnel must recognize the physical demands Tactical Athletes encounter on a daily basis and appreciate the similarities and differences in treatment and training approaches. Emphasis will be placed on understanding the need to prepare these athletes to excel at physically demanding tasks in challenging environments. This symposium will examine the incidence and prevalence of common injuries in tactical athletes; the clinical presentation and differential diagnosis of these conditions; and the occupation/sport specific rehabilitation concerns. Symposium Objectives: 1. Describe the incidence and prevalence of injuries in tactical athlete populations. 2. Understand the physical demands of tactical athletes. 3. Discuss common injuries in tactical athletes. 4. Understand the variables involved with constructing evidence-based, occupation & sport-specific rehabilitation programs for tactical athletes. 5. Understand the importance of facilitating relationships between therapists and strength & conditioning professionals. ***The opinions or assertions contained in this presentation are the private opinions of the speaker(s) and are not to be construed as official or as reflecting the views of the the Department of Defense, United States Army, or United States Army Medical Command. Who is the Tactical Athlete? MAJ Richard Westrick, PT, DPT, DSc, OCS, SCS Deputy Chief, Military Performance Division U.S. Army Research Institute of Environmental Medicine Natick, MA I. Traditional athletes vs. Tactical Athletes Definitions Overview of Military Tactical Athletes o Special Operations, Army, Navy, Air Force, Marines, Coast Guard

2 o Active duty, Reserve, National Guard Overview of Law Enforcement Tactical Athletes o Police, SWAT, Federal/State/Local entities Overview of FireFighter & Rescue Tactical Athletes Pre-hab and Injury Prevention Rehabilitation following Musculoskeletal Injury Strength & Conditioning Programs Physical Therapists Working with Military Tactical Athletes MAJ Sean Suttles, PT, DPT, OCS, CSCS Internship Site Director U.S. Army-Baylor University DPT Program Darnall Army Medical Center Fort Hood, TX I. Objectives 1. Describe the impact of musculoskeletal injuries on military tactical athletes. 2. Review common upper and lower extremity injuries in military tactical athletes. 3. Introduce the unique physical demands required of military tactical athletes. 4. Understand sport-specific rehabilitation concerns for military tactical athletes. II. Background Who is the Military Tactical Athlete? o Special Operations, Army, Navy, Air Force, Marines, Coast Guard o Active duty, Reserve, National Guard Musculoskeletal injury incidence Financial burden & lost duty time o Impact on public safety & military readiness Causes o unit training (running, lifting) o sports, & recreational activities o occupational demands III. Injury Details i. Occupations Demand specific analysis o Special Operations o Army, Navy, Air Force, Marines, Coast Guard ii. Injury Types Overuse Sprains

3 Strains Bone trauma iii. When & Why injuries occur Training o Initial Training ( basic training ) o Specialty Training (Ranger, SF, SEAL, Airborne, etc) o Military Training (regular unit training / physical training) Occupation demands o Variations by occupational specialty o Physical training o Running Deployment vs. home/garrison Sports & recreation Injury reporting challenges IV. Treatment & Prevention for Military Tactical Athletes Injury Risk o Screening, Assessing, Testing o Movement Patterns / Faulty movement patterns Mobility, strength, stability o Insufficient skill Occupation/ Sport-specific rehabilitation focus o Infantry, Armor, Support, etc Finishing Rehab o Restoring function and returning to pre-injury level of capability is likely not enough for prevention of subsequent injury (Wilk JOSPT 14) Determining Return to Duty o Understanding physical demands o Running o Combatives, hand-to-hand/mma Strength & conditioning Physical Therapists Working with Firefighter & Rescue Tactical Athletes Jacob Morrow, PT, DPT, OCS Firefighter (& Army Reserve Physical Therapist) Beverly Hills Fire Department Beverly Hills, CA I. Objectives

4 1. Describe the impact of musculoskeletal injuries on the effectiveness of firefighter tactical athletes. 2. Review common upper and lower extremity injuries in firefighter tactical athletes. 3. Introduce the unique physical demands required of firefighter tactical athletes. 4. Understand sport-specific rehabilitation concerns for firefighter tactical athletes. II. Background Who is the Firefighter Tactical Athlete? o Fire o Rescue Musculoskeletal injury incidence Financial burden & lost duty time o Impact on public safety Causes o Physical training (running, lifting) o sports & recreational activities o occupational demands III. Injury Details i. Occupations Demand specific analysis o Fire o Rescue ii. Injury Types Overuse Sprains Strains Bone trauma iii. When & Why injuries occur Training o Initial Training ( fire academy ) o Specialty Training o Regular / proficiency training Occupation demands o Variations by occupational specialty o Physical training o Running Movement Patterns / Faulty movement patterns o Mobility, strength, stability o Insufficient skill

5 IV. Treatment & Prevention for Firefighter & Rescue Tactical Athletes Injury risk? o Screening, Assessing, Testing Occupation/ Sport-specific rehabilitation focus Finishing Rehab Return to Duty o Understanding physical demands Strength & conditioning Law Enforcement Tactical Athletes Kyle Sela, PT, DPT, OCS, SCS, CSCS Sports Medicine Program Coordinator St. Luke s Health System Boise, ID I. Objectives 1. Describe the impact of musculoskeletal injuries on the effectiveness of incidence and prevalence of injuries in law enforcement tactical athletes. 2. Review common upper and lower extremity injuries in law enforcement tactical athletes. 3. Introduce the unique physical demands required of law enforcement tactical athletes. 4. Understand sport-specific rehabilitation concerns for law enforcement tactical athletes. II. Background Who is the Law Enforcement Tactical Athlete? o SWAT, police, local/state/federal agencies Musculoskeletal injury incidence Financial burden & lost duty time o Impact on public safety Causes o Physical training (running, lifting) o sports, & recreational activities o occupational demands III. Injury Details i. Occupations Demand specific analysis o Police, SWAT, local/state/federal agencies

6 ii. Injury Types Overuse Sprains Strains Bone trauma iii. When & Why injuries occur Initial Training ( police academy ) Specialty Training Regular / proficiency training Occupation demands o Variations by occupational specialty o Physical training o Running Movement Patterns / Faulty movement patterns o Mobility, strength, stability o Insufficient skill IV. Treatment & Prevention for Law Enforcement Tactical Athletes Injury risk? o Screening, Assessing, Testing Occupation/ Sport-specific rehabilitation focus Finishing Rehab Return to Duty o Understanding physical demands Strength & conditioning Collaborating with Strength & Conditioning Coaches for Tactical Athletes Tyler Christiansen, CSCS*D, USAW, RSCC Director, Tactical Strength & Conditioning Program (TSAC) National Strengthening & Conditioning Association Colorado Springs, CO I. Objectives 1. Describe the role of strength coaches for tactical athletes. 2. Review tactical athlete programs for military, law enforcement, and firefighter tactical athletes. 3. Introduce the unique physical demands required of law enforcement tactical athletes. 4. Sport-specific conditioning concerns for tactical athletes. II. Background The role of strength coaches working with tactical athletes

7 o Military o Firefighter o SWAT, police, local/state/federal agencies Tactical athlete strength & conditioning programs / examples III. Training Techniques Training reflecting physical demands o Implications for Training o Current training challenges Training differences o Military o Law enforcement o Firefighters IV. The Strength Coach & Physical Therapist relationship Strength and conditioning <> rehabilitation <> strength and conditioning o Military o Firefighter o SWAT, police, local/state/federal agencies Facilitating the relationship at your location References: 1. Butler RJ, Contreras M, Burton LC, et al. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013; 45: Cameron KL, Owens PD. The burden and management of sports-related musculoskeletal injuries and conditions within the U.S. military. Clin Sports Med 2014; 33: Goss DL, Christopher GE, Faulk RT, Moore J. Functional training program bridges rehabilitation and return to duty. J Spec Oper Med. 2009;9(2): Orr R, Stierli M, Amabile M, Wilkes B. The Impact of A Structured Reconditioning Program On The Physical Attributes and Attitudes of Injured Police Officers: A Pilot Study. Journal of Australian Strength and Conditioning. 2013;21(4): Yancosek KE, Roy T, Erickson M. Rehabilitation programs for musculoskeletal injuries in military personnel. Curr Opin Rheumatol. 2012;24(2): Frost DM, Beach TA, Crosby I, McGill SM. Firefighter injuries are not just a fireground problem. Work Aug 5. [Epub ahead of print] 7. Beach TA, Frost DM, McGill SM, Callaghan JP. Physical fitness improvements and occupational low-back loading - an exercise intervention study with firefighters. Ergonomics. 2014;57(5): McDonough SL, Phillips JS, Twilbeck TJ. Determining Best Practices to Reduce Occupational Health Risks in Firefighters. J Strength Cond Res Jul;29(7): Reichelt PA, Conrad KM. Musculoskeletal injury: ergonomics and physical fitness in firefighters. Occup Med Oct-Dec;10(4):

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9 Prevention: Eagle Tactical Athlete Program (ETAP) Part I. J Spec Oper Med Fall;10(4): Grier T, Canham-Chervak M, McNulty V, Jones BH. Extreme conditioning programs and injury risk in a US Army Brigade Combat Team. US Army Med Dep J Oct-Dec:36-47.