Roopesh Krishnamoorthy

As an aspiring professional in Sports and Exercise Medicine field, X-rays hold immense importance in my career journey. These images provide critical insights into musculoskeletal conditions, aiding in accurate diagnosis and tailored treatment plans for athletes and active individuals. X-rays help uncover hidden injuries and enable informed decisions for rehabilitation and return to play. They play a pivotal role in understanding the structural aspects of the body, empowering me to deliver specialized care. Recognizing the significance of X-rays in patient assessment will be fundamental in my role, ensuring the well-being and performance of athletes in the field. #Xrays #SportsMedicine #UpcomingProfessional.

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The American College of Sports Medicine published scientific and practical guidelines for #medical doctors to incorporate exercise in chronic disease and disability. The following information is published by the ACSM: “What physicians usually want to know is when things are not going according to expectations, because that is a situation in which the physician needs to figure out why the patient is not responding as expected. Another isssue is the multidisciplinary nature of exercise management. Experts who have worked in this field a long time know that physicians and allied health care staff have very different professional cultures in training and don’t think in the same fashion. At first, it’s a little shocking to learn this, because one might think that all of health care would be based on the same “textbook”. But, in fact, that is often not the case, and it’s common to find various healthcare staff having very different takes on a situation.” Our reply to this from experience in the real world: THE PERSPECTIVE FROM PHYSICIANS: Physicians often focus on the macro clinical and diagnostic aspects of health. Following an exercise test they are primarily interested in the MACRO clinical data points: a) was maximal exertion reached? b) was sufficient oxygen provided / sufficient oxygen extracted? c) was ECG normal? The culture (according to their training) from physicians are to assume medical clearance can be provided as there are no macro clinical diagnostic evidence if macro data points are normal. THE PERSPECTIVE FROM ALLIED HEALTHCARE PROVIDERS Allied health care professionals are looking at this a bit differently. Obviously the macro data points need to be cleared first and addressed accordingly during exercise when required, but once the macro data points are normal, their culture (according to their training) focus more on the finer details exposed during exercise that are underlying weaknesses that are not clinical but rather sub-clinical which could improve the overall quality of life. EXAMPLE A classic example is a fit individual who will undergo a physical exam, showing normal macro data points. However only during exercise training intensities (according to CPET outcomes) are these underlying sub-clinical weaknesses exposed. If not addressed, these underlying sub-clinical weaknesses can become “the little foxes that destroy the outcome” that can fast track the development of macro acute events. Healthcare environments need to marry the macro and micro data points to ensure superior clinical outcomes. The future need is to create practical solutions how to manage the macro and micro data points, and allow an environment where the different cultures of physicians and allied healthcare providers to work together as a team. At the end, this is the bottom line for the patient, as this approach will assist the patient to proactively understand what is required to manage their lifestyle. This is the essence of Medicise.

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Managing the student-athlete in hot environments presents challenges for athletic programs. A recent publication elevates the need to manage athletes [Anderson SA, Eichner ER, Bennett S, et al. Preventing Exertional Heat Stroke in Football: Time for a Paradigm Shift. Sports Health. 2024;0(0). doi:10.1177/19417381241260045] . Here at Butler our process includes individual sweat testing (Precision Hydration) which provides sweat rate and sweat content. Then education and an individual prescription each athlete has a tailored guide to meet their hydration needs. Further work is done by adding Inflow Generation 2 urine feedback devices to urinals. Below is our chart placed in lockers for each athlete. #hydration #sportsbusiness #athlete #soccer #ncaa #football #volleyball #sportsmedicine #strength #fitness

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In this episode of PhysioShow, we’re exploring the world of physical therapy clinics, uncovering the good from the bad. Discover what you need to know to ensure you choose the right physical therapy clinic and therapist. Share your experiences in the comments below. Don't forget to like, share, and subscribe for more valuable insights on your body, how it works, and what it needs to keep moving! #PhysicalTherapy #ClinicsToAvoid #PTMill #RevolvingDoor #OldSchoolClinic #Physiotherapy #Therapist #PatientExperience #Healthcare #Wellness #PhysioShow 🚑✨

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NEW CEU! Position Statement Series-Management of Sport-Related Concussion LINK: https://lnkd.in/g28FN6an Learn more from the NATA Bridge Statement on Concussion and the changes that are in place and coming. #complicatedsimple #resultsthatgiveback #CEUs

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Have you ever wondered how your sleep is affected during the month of Ramadan? Our team at Ultrahuman used Ring AIR data to uncover two distinct strategies people employ to cope with sleep disruption - and the surprising impacts on sleep metrics. Check out our latest white paper for these fascinating insights into the effects of Ramadan on sleep patterns!

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Athletic training programs offer specialized education in injury prevention, treatment, and rehabilitation, equipping future trainers with essential skills. Enhance your career by exploring accredited programs that emphasize both practical and theoretical knowledge. #AthleticTraining #SportsMedicine #CareerDevelopment #Education #HealthAndWellness

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ARTICLE ABOUT ACL Injury . . One of the most common knee injuries is an anterior cruciate ligament (ACL) sprain, or tear. Athletes who participate in high demand sports like soccer, football, and basketball are more likely to injure their ACL. If you have injured your ACL, you may require surgery to regain full function of your knee. This will depend on several factors, such as the severity of your injury and your activity level. Three bones meet to form the knee joint: the femur (thighbone), tibia (shinbone), and patella (kneecap). The kneecap sits in front of the joint to provide some protection. Bones are connected to other bones by ligaments. There are four primary ligaments in your knee. They act like strong ropes to hold the bones together and keep your knee stable. The anterior cruciate ligament can be injured in several ways: Changing direction rapidly Stopping suddenly Slowing down while running Landing from a jump incorrectly Direct contact or collision, such as a football tackle Treatment for an ACL tear will vary depending on the patient's individual needs. For example, a young athlete involved in agility sports will most likely require surgery to safely return to sports. A less active older, individual may be able to return to a quieter lifestyle without surgery.. #snscop #snsdesignthinkers #snsdesigthinking

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While overhead #sports rely heavily on the shoulders and wrists, the core is often forgotten for athletes such as pitchers and throwers. Our latest #blog covers core exercises to help athletes improve performance and prevent injury. https://lnkd.in/gWdDa77u

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If you want to work in baseball sports medicine, here are some tips: 1. Immerse yourself in baseball. Not just the sports medicine world. General baseball knowledge goes a long way. 2. Build a strong network. The baseball world is small. I'd guess there's maybe 2-3 degrees of separation across all of baseball. Baseball people know people. 3. Consider specialty training. This one is geared towards physical therapists. It's absolutely not required to work in sports, but I really enjoyed my residency training. Residency can be a great way to get your foot in the door. Summary: - Live and breathe baseball - Build a baseball network - Pursue extra baseball training What did I miss?

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As the landscape of the athletic training settings keeps increasing into different environments what is going to be the common glue that keep us all stuck together, other than a common name? We are all quickly expanding and practicing in different territories, which require patient demographic specialization, but how do we prevent disconnection from what unites us as athletic trainers? Should we use the American Physical Therapy Association and its division into different specialties as a weary tale, or should we embrace the change? In the APTA, each specialization requires additional education, training, and successful completion of a certification exam. These specialties were created to advance the profession of physical therapy by establishing, maintaining, and promoting standards of excellence for clinical specialization, and by recognizing the advanced knowledge, skills, and experience of physical therapist practitioners through specialist credentialing. Our athletic training services settings currently range from: Occupational Health Industrial Health Fitness & Performance Military & Armed Forces Physician Practice & Hospitals Public Safety Performing Arts Collegiate Sports Secondary Schools Professional Sports Youth Athletic Clubs Private & Emerging Practice Community Outreach Rehabilitation & Clinic Health Care administration What would be the best way to navigate this wide spread of specialty care while keeping us united? #athletictraining #athletictrainer #NATA #BOC #sportsmedicine National Athletic Trainers'​ Association Board of Certification for the Athletic Trainer CAATE - Commission on Accreditation of Athletic Training Education

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While I was at MedSport - Dominos Farms, I had the opportunity to present a case study about preoperative fatty infiltration of the rotator cuff and how that can affect postoperative outcomes on rotator cuff pathologies. The 5 main takeaways from my research I would like to share are the following: 1. All fatty infiltration of the teres minor negatively affects the outcomes post-operatively of rotator cuff repairs compared to no infiltration 2. An intact repair helps limit the progression of fatty infiltration and muscle atrophy of the rotator cuff as compared to retears but does not cause muscle regeneration 3. The teres minor is more important than you may have previously thought: Fatty infiltration of the infraspinatus has been shown to lead to hypertrophy of the teres minor which showed increased strength and ROM in ER 4. Expect a slower rate of return with outcomes postsurgically due to muscle fatty infiltration being weaker than no fatty infiltration and more likely to retear. 5. More research needs to be done on how specific post-operative interventions may impact a patient’s functional outcomes I enjoyed researching this topic and comparing our patient case to normal values due to this topic not being as highly researched as others. Please feel free to comment on any opinions/experiences with this pathology or if you have any questions!

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Should courses focused on domain 5 be a CEU requirement to help ATs in the slump of our profession? What would it take to have the BOC require CEU's directly related to Domain 5? If this is where ATs are struggling to gain traction in respect of others understanding our role, why wouldn't we start focusing our attention to these critical characteristics and make them required in our CEU reporting period? Domain V: Health care administration and professional responsibility There are four tasks in Healthcare Administration and Professional Responsibility. They address quality improvement, policy development, legal compliance, and documentation. Must have knowledge of: 1. Methods of gathering, analyzing, and interpreting qualitative and quantitative data 2. Benchmarking 3. Project and program management 4. Resources available for adapting policies and procedure 5. Job expectations, personal goals, and priorities (e.g., work-life balance, job satisfaction) 6. Organizational resources available for professional development and personal support 7. Role of professional collaboration 8. Leadership and management styles and theories 9. Evidence-based principles and practices 10. Post-event assessment techniques 11. Goal-setting principles and practices 12. Appropriate software and technologies available I am sure that CAATE will not be implementing these as requirements into the ATEP programming anytime soon. #athletictraining #athletictraining #NATA #BOC #ATC National Athletic Trainers'​ Association Board of Certification for the Athletic Trainer #domain5 #leadership #CEUs CAATE - Commission on Accreditation of Athletic Training Education BOC. Practice Analysis, 8th ed. https://lnkd.in/e-_TUnui

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Even within the diverse realm of strength and conditioning, specialization is prevalent. The distinction between being labeled as a Strength and conditioning expert or not is of minimal concern to me; rather, I am interested in understanding your area of expertise to glean knowledge from your experiences. For instance, in collegiate American football, my expertise is recognized not by mere tenure or specific certifications, but by the extensive hands-on experience I have accumulated over time, resulting in tangible outcomes. Conversely, if placed in a Mixed Martial Arts setting, my proficiency would be considered rudimentary at best. While human physiology remains constant, the context-specific training methods and applications play a pivotal role in delivering significant benefits. Transitioning from football to tactical training, I am grateful for the guidance of many mentors who emphasized the importance of expanding my understanding beyond simple metrics like a 300-yard shuttle run lol, illustrating the need to comprehend the nuances of different training environments for optimal results.

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Most return-to-run programs suck at preparing athletes to return to high-speed running and sprinting. Many programs focus on jogging and completely miss the mark on high-speed preparation. Athletes need a comprehensive approach that includes acceleration, deceleration, and change-of-direction/agility work. Simply jogging won't cut it when the game demands explosive sprints and quick direction changes. Imagine a college offensive lineman going through a return-to-run program that has them jogging 3 miles! Effective return-to-run programs must mirror the intensity and movements of actual sports. Incorporating sport-specific drills and adjusting speed and intensity based on the athlete and the demands of their sport is key.

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Isometric and Isokinetic Athlete Testing 🧪 💪 We are NOT simply measuring strength with these assessments. We are measuring the athlete’s ability to comprehend, compartmentalize and execute a task in order to PRODUCE FORCE. Example - ▶️ An athlete, 3.5-months post-op R ACL-R (quad tendon), performs isokinetic testing for the first time ▶️ You find that the athlete has a 30% deficit in R quadriceps peak force output at 60 degrees/second ▶️ The athlete reports being very anxious about the test and had anterior knee discomfort during the task The quadricep’s ability to produce force concentrically, eccentrically and isometrically is INCREDIBLY important. Jumping to the conclusion - “I JUST need to get this athlete stronger” - may impact an athlete’s rehab. Several factors that influence FORCE OUTPUT - A. An athlete’s understanding of the test B. Cuing of the test C. Environment D. Joint swelling E. Fear of movement F. Limited joint range of motion G. Pain H. Velocity of movement I. Quality & quantity of sleep J. Nutrition intake **And many more Regarding the above example, this athlete absolutely needs to improve their maximal quadriceps strength. However, I am challenging myself to look beyond just adding more sets and reps to an exercise to improve this quality. It is key to acknowledge, control for and/or address these other factors of force output. Would love to get your thoughts and any other considerations for these assessments👇 #AthleticMedicine #SportsPT #AthleticTraining #SportsRehab #ACLRehab #PostOpRehab

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