uno atep fall newsletter 2010

11
A Year In Review MATS A student organization dedicated to achieve- ment, community, and personal enrichment. Inside this issue: Year in Review 1 MATS 2010- 2011 Goals 2 Summer Interns 3 Meet the New GA’s 5 Newsroom 6 Alumni Corner 8 Os Trigonum Case Report 9 Fall welcome 10 Where are they now? 11 UNIVERSITY OF NEBRASKA OMAHA MATS News Maverick Athletic Training Students Newsletter Fall 2010 MATS News Welcome to the 2010-11 school year- I hope that this newsletter finds everyone happy, healthy, and enjoying the start of fall. As always, every year seems to go by faster and faster, and the summers seem to last only days! We are all hard at work here at UNO, help- ing to teach and mentor our 40 athletic training students and provide the heath-care needs of the student-athletes at UNO. This year marks my second year as program director for the athletic training educa- tion programs at UNO, and gives me a chance to reflect upon the past year. Taking over two programs results in a steep learning curve, and I owe a debt of gratitude to the amazing staff and faculty involved in our programs at UNO. Tycee served as a critical „bridge‟ between the students and myself as I was „learning the ropes‟, and her effort went above and beyond the expectations of our clinical coordinator. Rusty, Lisa, Mike, Erin, and Masa all lent supportive hands during the first year transition, and really provided stability to the program during that tumultuous time. And the students enrolled in our programs last year provided patience, un- derstanding, and enthusiasm for the changes implemented during the year. With the support from all members of the ATEP, the 2009-10 academic year resulted in the largest total gradu- ating class in UNO ATEP history (18 total: 11 graduate students, 7 undergraduate). We are so proud of our graduates, and even prouder that (as of August) over 80% of our recent grads were employed (or in graduate school) within the profession! Even in this economy, graduates from UNO are having success finding employment in athletic training. Last year, I had three primary goals for the ATEP: 1) to maintain our current good standing with CAATE (our athletic training accreditation organization), 2) to actively recruit students for the ATEP (particularly the undergraduate program) in order to increase enroll- ment for the 2010-11 school year, and 3) initiate a progressive research agenda in athletic training. We have made excellent progress in all three areas: CAATE: We were one of 35 programs randomly audited by CAATE, and turned in the required documentation for the audit process in September 2009. The audit was approved, and we are in good standing with CAATE through 2011. The pro- posals to turn the current academic “concentrations in athletic training” into stand-alone degree programs and majors are in the final steps of approval. And, we are preparing to submit our Re-accreditation Self-Study at the end of the 2010-11 school year. Recruitment and enrollment: We admitted 10 new graduate students and 9 new un- dergraduate students this year, resulting in a net gain of 2 students in our athletic training programs. Six of our new undergraduate students came from Omaha high schools, and four graduated from UNO ATEP Affiliated schools (Bellevue East, Westside, Omaha North). We had one student enroll via the transfer agreement between UNO and Iowa Western CC. We had an 88% retention rate from the beginning of fall semester 2009 to the beginning of fall semester 2010. Continued of page 2. By Program Director Melanie McGrath, Ph. D., ATC

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Page 1: UNO ATEP Fall Newsletter 2010

A Year In Review

MATS

A student organization

dedicated to achieve-

ment, community, and

personal enrichment.

Inside this issue:

Year in Review 1

MATS 2010-

2011 Goals

2

Summer

Interns

3

Meet the New

GA’s

5

Newsroom 6

Alumni Corner 8

Os Trigonum

Case Report

9

Fall welcome 10

Where are they

now?

11

UNIVERSITY

OF

NEBRASKA

OMAHA

MATS News Maverick Athletic Training Students Newsletter

Fall 2010 MATS News

Welcome to the 2010-11 school year- I hope that this newsletter finds everyone

happy, healthy, and enjoying the start of fall. As always, every year seems to go by faster and

faster, and the summers seem to last only days! We are all hard at work here at UNO, help-

ing to teach and mentor our 40 athletic training students and provide the heath-care needs of

the student-athletes at UNO. This year marks my second year as program director for the athletic training educa-

tion programs at UNO, and gives me a chance to reflect upon the past year. Taking over two

programs results in a steep learning curve, and I owe a debt of gratitude to the amazing staff

and faculty involved in our programs at UNO. Tycee served as a critical „bridge‟ between the

students and myself as I was „learning the ropes‟, and her effort went above and beyond the

expectations of our clinical coordinator. Rusty, Lisa, Mike, Erin, and Masa all lent supportive

hands during the first year transition, and really provided stability to the program during that

tumultuous time. And the students enrolled in our programs last year provided patience, un-

derstanding, and enthusiasm for the changes implemented during the year. With the support

from all members of the ATEP, the 2009-10 academic year resulted in the largest total gradu-

ating class in UNO ATEP history (18 total: 11 graduate students, 7 undergraduate). We are so

proud of our graduates, and even prouder that (as of August) over 80% of our recent grads

were employed (or in graduate school) within the profession! Even in this economy, graduates

from UNO are having success finding employment in athletic training. Last year, I had three primary goals for the ATEP: 1) to maintain our current good

standing with CAATE (our athletic training accreditation organization), 2) to actively recruit

students for the ATEP (particularly the undergraduate program) in order to increase enroll-

ment for the 2010-11 school year, and 3) initiate a progressive research agenda in athletic

training. We have made excellent progress in all three areas: CAATE: We were one of 35 programs randomly audited by CAATE, and turned in

the required documentation for the audit process in September 2009. The audit

was approved, and we are in good standing with CAATE through 2011. The pro-

posals to turn the current academic “concentrations in athletic training” into

stand-alone degree programs and majors are in the final steps of approval. And,

we are preparing to submit our Re-accreditation Self-Study at the end of the

2010-11 school year. Recruitment and enrollment: We admitted 10 new graduate students and 9 new un-

dergraduate students this year, resulting in a net gain of 2 students in our athletic

training programs. Six of our new undergraduate students came from Omaha

high schools, and four graduated from UNO ATEP Affiliated schools (Bellevue

East, Westside, Omaha North). We had one student enroll via the transfer

agreement between UNO and Iowa Western CC. We had an 88% retention

rate from the beginning of fall semester 2009 to the beginning of fall semester

2010. Continued of page 2.

By Program Director Melanie McGrath, Ph. D., ATC

Page 2: UNO ATEP Fall Newsletter 2010

Year in Review Cont’d “We are proud of

the history and

traditions at

UNO, and look

forward to

building upon the

outstanding

reputation of

Maverick Athletic

Training.”

Page 2 MATS News

Research: I was able to present research data at two national conferences, and

began a research study this summer investigating the balance, posture,

strength, and movement differences between ACL-reconstructed athletes and

healthy controls. So far, 6 of our current ATEP students have been able to

assist with the data collection process, helping to expose them to the rigors

of clinical research. This year, I have set some new goals to continue our vision of “growing our aca-

demic programs while incorporating the latest research, evidence-based practice, and edu-

cational methods, so that UNO is considered the top athletic training education program

in the region”. For 2010-11, we aim to 1) complete a comprehensive self-study in prepara-

tion for our re-accreditation evaluation in 2011-12, 2) engage the metropolitan high

schools in outreach events to encourage students to consider athletic training at UNO,

and 3) incorporate the latest research and evidence into the curriculum to prepare our

students to be competent professionals. We are proud of the history and traditions at UNO, and look forward to building

upon the outstanding reputation of Maverick athletic training. Here is to a fantastic 2010-

11 academic year for all our alumni, current family, and supporters.

New Year...New Vision for MATS By MATS President, Kelsey Reilly and

Vice President, Jill Kumrow

As President and Vice President of MATS, we have many goals for the upcoming

school year. We would like to try and draw in more involvement as a student organiza-

tion, as well as communicating networking with other ATEP programs throughout the

state. A main goal of ours is to do three large gatherings over the year and possibly

monthly get-togethers in order to get to know the fellow students we work with outside

of the athletic training setting. Community service is another important goal of ours.

We want to get involved within the community and continue doing service projects that

we have participated in for the last few years. Relay for Life, North Pole fundraiser,

March of Dimes, participation in food drives, Adopt a Family, and the Rake-a-Thon are

just some of the projects that MATS has been involved in that we would like to continue.

MATS is also looking into trying new opportunities to help others, such as volunteering

at an area soup kitchen or helping provide first aid at the Omaha Marathon. As a student organization, it would also be nice to see more students honored

for their hard work and dedication to the program. Having more students from within

MATS and the ATEP programs apply for scholarships and awards, not only through

HPER, but at the district and national level, is another goal that we would like to accom-

plish. These are just a few of the things that we are looking forward to for the upcom-

ing school year. We hope to have a good year and lots of success!

MATS Officers:

Kelsey Reilly: President

Jill Kumrow: Vice President

Andrew Gschwind: Treasurer

Brittany Breiner: Secretary

Page 3: UNO ATEP Fall Newsletter 2010

Rehab Works is located at the Kennedy Space Center in east central Florida along

the Atlantic coast. Here, I interned under the supervision of Mary Kirkland ATC, MS, LAT, CSCS and Erik Nason MS, ATC, CSCS. The internship was a 40-hour a week opportunity

that focused on physical medicine and musculoskeletal rehabilitation. During this intern-ship I was given the opportunity to be challenged with hands on evaluations, rehabilitation

design, work site ergonomic evaluations, educational outreach and injury prevention pro-grams. I came out of this internship with a better understanding of rehabilitation tech-

niques. I also came out of this internship more confident in my injury evaluation skills.

Rehab Works is a free on-site musculoskeletal rehabilitation service developed to provide all KSC employees with a free and convenient means of receiving rehabilitation

services by Certified/Licensed Athletic Trainers (ATC/L). The staff provides injury assess-ment and rehabilitation services to the industrial athlete in order to maximize long-term

recovery and reduce lost work time. The program is staffed by only ATCs and does not

charge for services so there are no limitations for treatments by insurance companies.

My favorite part of my internship experience was the opportunities that I had eve-ryday to meet amazing people and see extraordinary things. How many people can say

they went to work today walked down the hall with an astronaut, or got to see the view of Florida‟s coast from the top of a launch pad? Every person I met and worked with genu-

inely loved their jobs and the space program and would do anything to help it continue.

Overall, my experience was amazing. I not only gained knowledge in the field of

athletic training, I also grew personally. Who would have ever thought that, myself (a small town farm girl from Nebraska) would be given the opportunity to break out of my shell for

a summer and spend it at NASA. With that being said, never limit yourself, and always push to bigger and better things. You are the only thing that limits your opportunities. I

applied to this internship thinking there was NO way that I would get it, and well, I guess I

was wrong!

...And Interning too!

Page 3 MATS News

“I not only

gained

knowledge in

the field of

athletic

training, I also

grew

personally”

Kelli Gutzman on site at the Kennedy Space

Center, Florida

Rehab Works Kennedy Space Center, Florida

By Kelli Gutzman

Every year, UNO Athletic Training Students take advantage of out-of-state

summer internship opportunities offered around the nation. In the past, our students

have interned for the Chicago Cubs, Kansas City Chiefs, and various other training

facilities and healthcare facilities around the nation. Summer internships provide stu-

dents with excellent opportunities to experience Athletic Training in other environ-

ments aside from UNO athletics. Summer internships allow future AT‟s to apply and

expand the knowledge they have gained while studying at UNO as well as creating es-

sential networking opportunities that will be beneficial for future career goals. This

past summer (Summer 2010), Kelli Gutzman, Tyler Moos, and Brittany Breiner, partici-

pated in summer internships in Florida, Alabama, and Colorado, respectively. Take a

moment to read about each intern‟s clinical experience.

Intern: Kelli Gutzman Experience:

RehabWorks Location: Fort

Lauderdale, FL

Intern: Tyler Moos Experience: Mobile

Bay Bears

Location: Mobile, AL

Intern: Brittany Breiner Experience: Steadman-

Hawkins

Clinic-Denver

Location: Denver, CO

Page 4: UNO ATEP Fall Newsletter 2010

Steadman Hawkins Clinic-Denver Denver, Colorado

By Brittany Breiner

Page 4 MATS News

The Steadman-Hawkins Clinic has a primary clinic in Vail, Colorado and a sister clinic located in

Greenwood Village, Denver, Colorado. Steadman-Hawkins is well known world-wide for its involve-

ment and research in sports medicine. The clinic works with a variety of patients and is the primary

rehabilitation center for local professional teams including the Colorado Rockies and Denver Broncos.

I was fortunate enough to be a part of this world-renown clinic during the summer. Steadman-Hawkins is very unique because of its all-inclusive design. Acute and chronic

injury evaluations, pre-operatory exams, surgical procedures, and rehabilitation all occur in the

same building making patient care very efficient and convenient. The physical therapy clinic sees

over 100 patients daily making Steadman-Hawkins an excellent learning environment. Each day pro-

vides a new and challenging case. Under the supervision of Jason McWilliams, ATC, and Justin Rossetter, PT, ATC, I experi-

enced hands on rehabilitation opportunities and techniques. My primary responsibilities were to

guide patients through their therapy exercises in order to insure proper form and technique. By

the end of the summer, I was responsible for creating therapy exercise sessions for select patients.

I also had the unique privilege to assist with the rehabilitations of professional athletes including UFC fighters, NFL players

and MLB players. Along with rehabilitation, I was also able to administer electrical stimulation, perform patellar mobiliza-

tions, deep tissue messages, injury evaluations, and passive-assistive range of motion exercises under the supervision of a PT

or ATC. The Steadman-Hawkins Clinic provided me with excellent learning opportunities and challenged my abilities as a

future athletic trainer. I left feeling more confident in being able to create effective and challenging rehabilitation programs

for future clients/athletes. I also felt extremely fortunate to work with such a knowledgeable and skilled staff of PT‟s, AT‟s,

and physicians. I truly learned a tremendous amount that I will be able to use for years to come. Thank you Steadman-

Hawkins!

I interned with the Mobile Baybears, a class AA baseball team located in Mobile, Alabama. This

internship interested me because I've always been involved with baseball and would one day like to be

an AT for a professional or college baseball team. I saw this internship as a great way to get involved

with baseball outside of UNO. As the intern ATC, I was responsible for assisting with treatments, rehabilitation and

preparations prior to games. During the games, I observed the ATC as he preformed treat-

ments and other duties during the game. Also, After the games, I helped with the treat-

ments and rehabilitation that he preformed. One of the major concepts that I took from my internship is that there is a wide

variety of techniques that we as ATC‟s can use in the treatment of injuries and help to

maintain the health of our athletes. There is never just one way that is more correct than

another as long as the goal of having the athlete be healthy and being able to preform at his

peak is accomplished. Also, I was able to take away some very unique treatments and forms of rehabilitation that I may have

not been exposed to at UNO. The finial thing that I took away from my internship is that I was able to watch and observe

many upper extremity evaluations allowing me to refine my evaluation technique for the upper extremity. My favorite part of the program was that I was lucky to land in a good situation with a great medical staff, group of

coaches and players that allowed me to really feel like part of the team. I was able to observe an ATC working in a profes-

sional environment and see the skills, knowledge and techniques that are necessary to make it to that point in this profes-

sion. Also, sitting in the dugouts and walking through the line with the coaches and players after a win was cool too. My overall review of my experience with the Baybears was great . I was able to see what is necessary to work as an

AT in professional baseball and came back to school motivated to improve my skills and continue my education to hopefully

one day achieve that goal of working in professional baseball.

Mobile Baybears Mobile, Alabama

By Tyler Moos

Summer Fun Cont‟d

Page 5: UNO ATEP Fall Newsletter 2010

Sam Wilkins

Rachel Hadacheck

Page 5 MATS News

I grew up on a farm near Cheyenne Wells, CO, which is along the eastern border

of Colorado. I attended the University of Nebraska at Kearney for four years, where I

received my bachelors degree in Exercise Science with an emphasis in Athletic Training.

In between UNK and UNO, I worked for the Tulsa Shock of the WNBA for their sum-

mer season as an Assistant Athletic Trainer, also working with the former Olympian,

Marion Jones. While at UNO, I am studying Health Education. My future goals are to

work in the college setting as an Athletic Trainer, but I also have a passion to work in

healthcare at the international level in areas of poverty, especially Africa. My hobbies include being outdoors, scrapbooking, playing racquetball and many other sports, and

traveling. After graduating from UNK, I knew that I wanted to be in the Omaha area. The division II level

suits my personality best, so the opening at UNO was very suitable for me. I also was attracted to the

Omaha area to be closer to my boyfriend who works at Boys Town, but is currently in Africa. While at

UNO, I will be covering the Cross Country and Track teams for 2 years, along with assisting coverage for

the Men‟s Basketball team. My favorite thing about being an ATC is that our field has been hands-on since the intro class, so

that when you are finally in the field for the first time, it‟s not like being thrown to the wolves. We already

know how to apply our knowledge, unlike many other fields. The most challenging part of being an ATC is

making the transition from being a student to a certified. It‟s not that difficult, but there are several things

like giving injury reports to coaches, dealing with insurance, and other aspects that a student really doesn‟t

have to face. My favorite part about UNO so far is the relaxed environment.

I am originally from Peculiar, MO. It is a small town about 30 minutes south of

Kansas City. I received my bachelor‟s degree from Missouri State University in Springfield,

MO. While at UNO I am studying in the Exercise Science program. When I finish my mas-

ter‟s degree, I would like to find a job working at a college or high school working as an

athletic trainer. I want to eventually get my doctoral degree and teach in an athletic train-

ing education program. I was attracted to UNO after meeting Rusty at the District V Convention in

March 2010. I had been applying for awhile and I did not have a job offer. Rusty approached me with a job

offer after coming for an interview, and now here I am. I work primarily with baseball and also help Mike

with the early part of wrestling season. My favorite part about athletic training is the variety of people and the variety of injuries that we get

to see. I am a firm believer that each injury is different. The most challenging is getting used to having a full

time job and still having to take classes. I am a person that likes to have a very organized schedule. I am fi-

nally adjusting to it now. I really like the size of UNO, the athletes I have worked with so far and also the athletic training

staff and students. I have talked to some of my fellow classmates from Missouri State and they don‟t have it

as good as I have it here. I look forward to the next couple of years working here at UNO.

INTRODUCTIONS UNO Welcomes 2010-2011 Athletic Training GA‟s

Page 6: UNO ATEP Fall Newsletter 2010

Night of the Mavs By Kelsey Reilly

Page 6 MATS News

A group of 10 athletic training students were given the chance to listen

to the captain of the “Miracle” hockey team speak at A Night with the

Mavs. The event took place on March 31, 2010 at the Embassy Suites Conven-

tion Center in La Vista. The night began with a social hour and silent

action, continuing with the main event of dinner, inductions into the

athletic hall of fame, and listening to speaker Mike Eruzione, captain of

the 1980 Winter Olympics gold medal-winning hockey team. The night

was capped off with another auction of a 1980 U.S. Olympic Hockey team jer-

sey, signed by all 20 members of the “Miracle Team”. Erruzione gave a very entertaining and inspiring talk. He talked about

how he got his start in hockey, his career, making the 1980 Olympic Team,

playing for legendary coach Herb Brooks, and defeating the Russians to win

the gold medal. In attendance from the athletic training program were Brittany Breiner,

Christine Klever, Andrew Gschwind, Marissa Miller, Stacy Schuerman,

Stehpanie Hamersky, Jill Kumrow, Kelsey Reilly, Crystal Cantu, and Michelle

White. Also in attendance were Certified Athletic Trainers Lisa Scnhiepp and

Erin Hicks, Masa Takaiwa, and ATEP program director Melanie McGrath.

Relay For Life By Jill Kumrow

This year, we participated in Relay for Life. This event took place on April 23rd at 6:00

PM and ended April 24th at 6:00 AM. The reason why this event lasted all night was to show that

cancer never sleeps. Luminaries were set up around the track with glow sticks and when they

went out, it was to show that some people do not win the fight over cancer. We had 13 partici-

pants who walked and participated in the activities. The participants were: Andrew

Gischwind, Christine Klever, Stephanie Hamersky, Jill Kumrow, Kelsey Reilly, Marissa

Miller, DJ Gehr, Caitlin Bird, Crystal Cantu, Chelsea Milks, Tyler Moos, Shaneka Hamp-

ton, and Sam Tienken. We participated in almost all of the activities including root beer

pong, chubby bunny, volleyball, dance off, musical chairs, and knock-out. We also had at

least one person walking on the track at all times. They also had a remembrance slide-

show, showing the names of the people who lost, won, and are still fighting the battle of

cancer and a remembrance walk in silence while the luminaries were being

lit. As a team, we won with raising the most money as a student or-

ganization and third overall. Our team goal was $1,500.00 and we raised

$1,645.00!!! Kelsey won us second in the women‟s knock-out and DJ won

third in the men‟s knock-out. Stephanie got second in the dance off. Over-

all, Relay for Life was a great success and I thank everyone for their partici-

pation! Cannot wait to do this for many years to come!

Recap of Spring 2010 Events

Page 7: UNO ATEP Fall Newsletter 2010

The Mid-America Athletic Trainers Association‟s (MAATA) convention is to-

wards the end of March every year in various places. This meeting is held for the

seven states in the Midwest: South Dakota, North Dakota, Nebraska, Missouri, Iowa,

Oklahoma, and Kansas. It is an event to unite the neighboring states. This past year,

it was in Columbia, Missouri. As athletic training students, it is highly recom-

mended to attend this event because it is a great opportunity to make new con-

tacts and potentially get job offers. It is full of seminars, company booths, stu-

dent presentations, socials, meetings, and many more activities.

I attended many different lectures regarding subjects like concussions,

nutrition, and NATA history. It was also very interesting to walk though various

booths that were advertising the latest products for athletic training from com-

panies like Cramer, Medco, Johnson and Johnson, Mueller, and many more. An-

other exciting event offered is to attend the State Meeting for your perspective state. This is a good way

to find out what is going on in your state and find out different ways to

help.

The last day is typically filled with different student presenta-

tions. Students from all over are selected to give their presentations

that cover a variety of topics. I was selected to give a student presenta-

tion with former student, Shanna Massman. We presented a case study

about an athlete that had a partial patella tendon rupture. Shanna and I

were asked to compile the basic case study requirements and also per-

form research on the way her surgery was performed compared to the

way other surgeons prefer to fix the injury.

I encourage all students who have a unique injury in the athletic training room to consider present-

ing at MAATA for the upcoming year. Not only does it make UNO look good, but it also looks really

good on resumes. The presentations only needs to be 15 minutes and you get a prize for presenting. Last

year we received fancy desk pens. If you have any questions about presenting please talk to Melanie

McGrath or myself. Overall, I enjoyed the MAATA convention and am looking forward to attending the

convention in March, 2011 right here in Omaha!

MAATA District Convention 2010 By Brooke Groteluschen

Page 7 MATS News

Maverick Athletic Training Students participated in a campus wide food drive sponsored by Delta Epsilon Iota (DEI) and Catholic Charities. The food drive, started in early March, was put on to benefit Catholic Charities and the Food Pantries of Omaha. The event ended with a finale on April 1st, sponsored

by Rave Motion Pictures, Cold Stone Creamery, HyVee, and Taco Bell.

MATS came away with prizes both in food collection and creativity. The students were able to bring in 115 items, earning them third place in food collection, as well as second place in creativity with the shoe-shaped box to go along with the theme “Stomp Out Hunger”.

In total, the campus wide food drive raised over 1,500 items to benefit the food pantries of Omaha. DEI, Catholic Charities, and MATS are already looking forward to helping out next year!

Ready, Set...COLLECT!

2010 UNO Food Drive

By Kelsey Reilly

Page 8: UNO ATEP Fall Newsletter 2010

Alumni Corner: Akinori Kashiwagi

Page 8 MATS News

Brief History of Akinori: From: Tokyo, Japan

Graduated from UNO: 2006

Current Location: Suburban of Philadelphia, PA

How did you become interested in athletic training? My personal injury experiences including the surgery and rehabilitation for my ankle made me

interested in the field of Athletic Training and working with athletes.

What drew you to UNO? A Japanese ATC working in my university in Japan recommended UNO for an Entry Level

Master‟s degree for athletic training. What was your favorite memory from UNO as an athletic training student? Were

there any events that you covered that stick out? The process of taking care of the athletes, discussions with ATC and considering a lot

about evaluations, treatments, and rehabilitations. AND of Course, the SWIM EX. Traveling

to Duluth, MN for the football game by the van, 10 hours, following the bankruptcy of the

charter airplane company. The longest day was working for the wrestling tournament after

the football NCAA play-off.

Where are you currently working?

Ursinus College, PA What is a "typical" day like as an Athletic Trainer at Ursinus College? What are

your primary responsibilities? Ursinus College is the NCAA Division 3 school, so all athletic events follow the academic events. I

start working around 9 am doing office work or attending meetings with coaches, and open the athletic

training room for rehabilitation for 2 hours. In the afternoon, resume working in the athletic training room

and prepare for practices around 4pm. I then cover practice from 5pm, post practice treatment, making the

injury report, and finish work around 9pm. My primary responsibilities are women‟s soccer, women‟s cross country, indoor track and field, and

men‟s lacrosse. In addition, I take care of student workers for athletic training room. What has been the most memorable moment in your current position? Most challenging mo-

ment? I always feel something special when injured athlete returns to play. Another memorable moment

was when the Athletic training staff celebrated my 30th birthday. I always challenge myself to revise the returning plan for the injured athletes and how I can help

them return to the field as fast as they can.

What is your favorite part about your job? Ursinus is a small college and the campus is a very friendly environment be-

tween students and staff. I also work with a great and very experienced boss and co-

workers. They make me very comfortable to work here.

What has been your greatest career accomplishment (s) to date?

Returning 3 ACL female athletes to the field last year. Do you have any pieces of advice for our future Athletic

Trainers?

Don‟t be lazy. Think deep and see the detail of the inci-

dent for injury evaluation, treatment, rehabilitation, or administra-

tion. For improving our profession, please do not use “Trainer”.

We are an “Athletic Trainer”.

Page 9: UNO ATEP Fall Newsletter 2010

Os Trigonum Case Report Presented by Katie Heckenbach, UNO ATS

“The os

trigonum is an

accessory bone

that appears

between ages

eight and

thirteen.”

Page 9 MATS News

In July of this year, a Marian High School junior and All-State volleyball setter was approach-

ing the net during a summer volleyball camp. As she was about to jump, she felt a sudden pain in the

back of her right foot. The pain was localized in the space anterior to the Achilles and posterior to

the talus, and swelling also occurred in this region. She had difficulty walking, and the pain increased

drastically when she went into plantarflexion. The athlete was evaluated by MHS Athletic Trainer,

Melissa Brusnahan, and the symptoms were eerily familiar; in Grad school, Melissa worked with an

athlete with an os trigonum fracture who presented initially with these exact symptoms. Melissa sent

the athlete to the Orthopedic Specialists over at GIKK for a full physician examination. After numer-

ous doctor examinations, multiple x-rays, an MRI, and a CAT scan, Dr.

Timothy Fitzgibbons, concluded that the athlete was suffering from either

an os trigonum or an old fracture of the Stieda‟s process that has devel-

oped into a synchondrosis injury. Collectively, this is known as Os

Trigonum Syndrome. The os trigonum is an accessory bone that appears between

ages eight and thirteen. Normally, this bone fuses into the Stieda‟s proc-

ess on the posterior aspect of the talus within one year of initial develop-

ment. However, in a small percent of the population, this bone does not

fuse and merely floats in the space posterior to the talus where it should

have attached. Having this extra bone is normally of no consequence, but

some suffer from impingement-type problems that cause damage to the

surrounding tissue causing pain and a decreased ability to plantarflex. Additionally, when the os

trigonum fuses into the Stieda‟s process, it is possible for it to fracture off again due to excessive and/

or repetitive plantarflexion, thus, forcefully creating an os trigonum. In either case, the bone can

damage the surrounding tissues, causing the symptoms to present in a nearly identical fashion. In this particular case, physicians were unable to determine which situation was the cause of

her pain, but both conditions are treated identically. Normally, the bone is excised, eliminating the

mechanism of injury and allowing the patient to return to normal function and activity. However,

since the volleyball season at MHS was approaching, the athlete was adamant about holding off on the

surgery until the end of the season. Dr. Fitzgibbons acquiesced, suggesting that she wear a walking

book for 4 weeks, take Clinoril twice a day, get a soft inlay orthotic with a lateral wedge and, if nec-

essary, consider a fluoroscopic guided injection to get her through the season. Additionally, Dr.

Fitzgibbons recommended that the athlete see Melissa on a regular basis for evaluation of pain and

maintenance treatment. This maintenance plan included whirlpool treatment, an ankle strengthening

exercise program, ultrasound, and a modified taping technique, similar to the Achilles taping tech-

nique, to minimize plantarflexion, described in Table 1 below.

Continued on Page 12

Tape Type Methods

Begin with the foot dorsiflexed, just as if beginning a standard ankle tape.

Prewrap Wrap as normal, including heel and lace pads.

White Athletic

Tape

Apply anchor strips around the arch and the lower leg.

Apply the standard stirrups, medially to laterally, and closing them off.

Elastikon Cut a 2.5” strip and split each end

Circle the top split partially around the lower leg, just above the malleoli.

Circle the bottom split partially around the arch anchor strip.

Lightplast Close up the tape job, using the standard ankle tape figure-8 and heel lock

pattern.

Table I

Page 10: UNO ATEP Fall Newsletter 2010

Page 10 MATS News

First Row (Left to right): Samantha Steinspring, Caitlin

Chandler, Megan Stuhr, Anne Kortes, Katie Hill

Second Row (Left to right): Ian Grigsby, Kristen Cook,

Corey Vestal, Marcus Palimenio, Samantha Steinspring

Each year, the UNO Athletic Training Program (ATEP) accepts a new undergrad and graduate class into the

program. For the 2010—2011 academic year, MATS is pleased to welcome a total of 18 new students: 9 under-

grads and 9 graduates. The Athletic Training program is a competitive curriculum that selects students based on

their academic performance, previous experience with Athletic Training, and character qualities. Each prospec-

tive student must submit a formal application and undergo interviews with staff and current students.

Please welcome our new Athletic Training students fort the 2010-2011 academic year!

First Row (Left to right): Katie Heckenbach and Ta-

keshi Kitamura

Second Row (Left to right): Cassie Metzner, Kelsi

Huseman, AJ Ropers, Justin Annin, Courtney Peart,

Heidi Murphy, Stacy Dahlkoetter

1st Year Undergrads1st Year Undergrads1st Year Undergrads

1st Year Grads1st Year Grads1st Year Grads

As the volleyball season is currently in full swing, The Marian volleyball player is play-

ing with reasonable strength. While it is occasionally painful for her to plantarflex, she has

become accustomed to the discomfort. The key piece of pain-reducing treatment has been

the modified taping technique, which Melissa applies before every practice and game. At this

point, she has not needed an injection to reduce pain and the hope is for her to finish the

season without one. Upon completion of the season, the os trigonum will by excised to al-

low the athlete to return to normal function and activity without pain.

Fall WelcomeFall WelcomeFall Welcome New Faces for 2010New Faces for 2010New Faces for 2010——— 2011 Academic Year2011 Academic Year2011 Academic Year

Lateral x-ray of a ballet dancer

who experiences pain of the

left ankle in the demi-pointe

position. The pain is produced

by compression of the avulsed

os trigonum.

Os Trigonum Cont’d

Page 11: UNO ATEP Fall Newsletter 2010

If you have ANY

questions, please feel

free to contact us!

Thank you for reading

MATS Fall

Newsletter.

Lisa Schneipp MA,ATC

[email protected]

Brittany Breiner

[email protected]

Kelli Gutzman [email protected]

Katie Heckenbach [email protected] Upcoming Events:

MATS News Page 11

Remember to look for us

on

Where Are They Now? Keeping track of our May, 2010 graduates

Josie Asher………………..GA at University of Missouri and AT

Crystal Cantu……………..GA at South Dakota State University

Megan Ecker………………Working at IMG in Bradenton, FL

Tenshi Furumi……………. Interning with Coastal Carolina University

Donald “DJ” Gehr………...Working and high school outreach in Fremont, NE

Jessica Hilsabeck…………. .AT and teacher at a local high school in Graceland, IA

Takayo Karasawa………… Interning with RPI in New York

Kyle Kasperbauer…………Excel Physical Therapy, Omaha, NE

Chie Koizumi……………...GA at San Houston State University, TX

Shanna Massman…………..Papio La Vista-South, Omaha, NE

Marissa Miller……………..San Louis Sports Therapy Clinic, CA

Stacey Schuerman…………Orthopaedic Associates of Wisconsin

Ayumi Shimada……………Interning with Niagra University, NY

Austin “Cole” Webster…...Interning with the Kansas City Chiefs

www.facebook.com/#!/

group.php?gid=127889539249

MATS Meeting

Friday, November 19th, 2010

12:00 Noon

Kaufman Wrestling Open Saturday, November 20th,

2010

High School Olympics

Saturday, December 4th, 2010

UNO Finals Week

Monday, December 13th, 2010

In the Bleachers