KIN 496 INTERNSHIP IN EXERCISE SCIENCE

Taylor Gordon Clark

Fall 2014

Facility Information• Name: Cincinnati Children’s Medical Center (CCHMC),

Sports Medicine Biodynamics Center (SMBC)

• Address: 2800 Winslow Ave. Cincinnati Ohio 45206

• Phone: (513) 315-7905

• Web Site: http://www.cincinnatichildrens.org/service/s/sports-medicine/services/sports-performance-training/

• Facility Focus: Biomechanics research aimed at injury prevention, physical therapy, and post PT training for children.

Supervisor Information• Name: Adam Kiefer, PhD• Title: Assistant Professor/Director, TEAM VR Laboratory

• Phone: (513) 315-7905• Educational Background: BS in Exercise and Sports Science at the University of Wisconsin. MS in Movement Science/Sport Psychology at Barry University in Miami, FL. PhD in Experimental Psychology at the University of Cincinnati. Post-doctoral Brown University in Providence, RI.

Supervisor Information• Name: Adam Kushner, CSCS• Title: Sport Performance and injury Prevention Specialist Clinical Research Coordinator

• Phone: (513) 636-1243• Educational Background: BS in Biology at Ohio State University. Certified Strength and Conditioning Specialist (CSCS) through the National Strength and Conditioning Association (NSCA).

My Role at CCHMC/SMBC• Responsibilities:

• Testing and training child athletes• Assist in data collection when necessary• Prepare to discuss assigned readings• Completing assigned projects (TBA)

Organizational Graph

Organizational Graph LinksHospitals

Boston Children’s – http://www.childrenshospital.org/ CHOP – http://www.chop.edu/ Phoenix Children’s – http://www.phoenixchildrens.org/ Connecticut Children’s – http://www.connec9cutchildrens.org/ Mayo Clinic – http://www.mayoclinic.org/

 Medical Research

Micheli Center – http://www.themichelicenter.com/ ACL Study Group – http://aclstudygroup.net/ ROCK Group – http://kneeocd.org/ OSU Sports Medicine – http://sportsmedicine.osu.edu/

 Injury Prevention and Sport

Ireland SCC – http://www.nscda.ie/ UK Sports/English Institute of Sport – http://www.eis2win.co.uk/pages/default.aspx IOC – http://www.olympic.org/ioc

 Professional Sports

Chicago Bulls – http://www.nba.com/bulls/ Industry

ElMindA – http://www.elminda.com/ VT--‐MAK– http://www.mak.com/ MAC – http://www.mo9onanalysis.com/ Qualisys – http://www.qualisys.com/ Tobii – http://www.tobii.com/ Recon Instruments – http://www.reconinstruments.com/

Adam Kiefer, PhD• Collaborative Relationships:

• Orthopaedics, Occupational Therapy/Physical Therapy, Physical Medicine and Rehabilitation, Heart Institute, Center for Better Health, and Nutrition.

• Purpose of Position:• To expand and extend the research capabilities of the

Sports Medicine Division through the development of an independently-funded line of investigation in the area of injury prevention and physical activity promotion in youth. This position is responsible for the supervision and operation of the Human Performance Laboratory.

Adam Kushner, CSCS•Duties and Responsibilities:

• Researcher in 3D Motion Analysis and Injury Prevention  Human Performance Laboratory.

• Research study coordinator for human subject research and biomechanical experiments.

• Manage Injury Prevention and Sports Performance Training program and serve as training specialist.

• Manage injury prevention outreach program to Greater Cincinnati schools and sports clubs.

• Student research internship coordinator and counselor.

• Sports Medicine grant proposal submission specialist.

Peak Load of Facility• Clinics are more active during the Fall and Spring

because that is when school sports are offered.• The Training program is biggest during the off season

(summer). Afternoons are most busy during the Fall and Spring. Before 3 o’clock kids are in school.

• The lab is busy if there is data collection being conducted. There are times when there is nothing and there are times when they have people moving through all day.

Facility Layout• Outline the equipment used and where it is placed.

• The Lab has three purposes; to collect data, Physical therapy, and the training program. On a typical day physical therapy will be conducted in half of the lab and training in the other half. All of the equipment is placed around the edge of the lab with the center being open for plyometric activities.

• Summarize the specific equipment manufacturers and explain why your facility chose that particular equipment.• Most of the gym equipment was purchased with cost efficiency in mind. All of

the weights are rubberized and cost more than steel plates but they are safer for children. Other equipment is standard physical therapy equipment. The research equipment is top of the line. The spare no expense in this department to stay ahead of the competition.

• Does the layout facilitate safe and efficient traffic flow? Explain your answer.• Yes it does because all the equipment is arranged around the edge of the lab

which leaves the center open for plyometric training. There is enough space that people can walk by without interrupting training.

Facility Layout Continued…• If you had an unlimited budget, what would you

change in the facility (equipment, layout, space, ect.)?• Cincinnati Children’s is building a new, bigger lab that will be complete

sometime spring 2015. A goal with this new lab is to have enough space to motion capture subjects in full sprint. Also the lab will be big enough to allow subjects to go through sports scenarios in virtual reality without bumping into anything. If it were up to me I would also make the lab bigger and I would add a rotary hip machine. A lot literature correlates weak hip abductors (among other things) to knee valgus which is a primary movement mechanic that Children’s tries to correct in their training program. A rotary hip machine would help target hip abduction much more efficiently. I typically see hip abductors training by using band walks or by holding a kettle bell in the opposite side of a single leg squat. A rotary hip machine can perform adduction, extension, and flexion at the hip as well and doesn’t take up as much space as a seated two legged hip machine with less muscle actions trained. A rotary hip machine is more specific to sports because it requires you to stand.

Outline the equipment used and where it is placed.

• The Lab has three purposes; to collect data, Physical therapy, and the training program. On a typical day physical therapy will be conducted in half of the lab and training in the other half. All of the equipment is placed around the edge of the lab with the center being open for plyometric activities.

Outline the equipment used and where it is placed.

Summarize the specific equipment manufacturers and explain why your facility chose that particular equipment.• Most of the gym equipment was purchased with cost

efficiency in mind. All of the weights are rubberized and cost more than steel plates but they are safer for children.

• Other equipment is standard physical therapy equipment.• The research equipment is top of the line. Cincinnati

Children’s spared no expense in this department to stay ahead of the competition.

Is the facilitate layout safe and efficient? Explain your answer.• Yes it does because all the equipment is

arranged around the edge of the lab which leaves the center open for plyometric training.

• There is enough space that people can walk by without interrupting training.

• The location of the facility itself is in a very centrally located place in downtown Cincinnati. However this particular part of the city is a very high crime area. The parking lot is fenced in. A sky walk takes you across the street to the Biodynamics Center.

If you had an unlimited budget, what would you change in the facility?• Cincinnati Children’s is building a new, bigger lab that will be complete

sometime spring 2015. A goal with this new lab is to have enough space to motion capture subjects in full sprint. Also the lab will be big enough to allow subjects to go through sports scenarios in virtual reality without bumping into anything.

• If it were up to me I would also make the current lab bigger and I would add a rotary hip machine. A lot literature correlates weak hip abductors (among other things) to knee valgus which is a primary movement mechanic that Children’s tries to correct in their training program. A rotary hip machine would help target hip abduction much more efficiently. I typically see hip abductors trained by using band walks or by holding a kettle bell in the opposite side of a single leg squat. A rotary hip machine can perform adduction, extension, and flexion at the hip as well and doesn’t take up as much space as a seated two legged hip machine with less muscle actions trained. A rotary hip machine is more specific to sports because it requires you to stand.

Marketing• The Name

• The biggest thing Cincinnati Children’s Medical Center (CCHMC) uses in marketing is their name. Children’s is so big and well known that the name markets itself and they are very conscious of maintaining their good image. https://twitter.com/SportsMed4Kids

• Research• CCHMC generally uses email blasts to their large faculty to recruit subjects

for studies. Sometimes they will have a local relationship that they pull subjects from. For example Children’s is currently working with the Saint Xavier high school hockey team testing a new anti-concussion collar. In this case subjects are paid but most are not. Typically the benefits of participating in the study itself is enough compensation for subjects.

• Training• Training is marketed over the internet, brochures, word of mouth, and by

referral from doctors and physical therapists. CCHMC markets their training program as one that further rehabilitates injured children back to a level of sport participation after their insurance has stopped paying for physical therapy. Healthy children can also sign up for the program.

Email Blast

Training Marketing Brochure

Documents Used in the Facility

What would you revise?• There isn’t much I would consider revising. If the training

program was bigger then you could set up a fancy online scheduling system that anyone can view. With only one paid training employee it sounds nicer than it would be practical for the money they might pay.

• It would be neat to have that same scheduling system be able to track the child’s progress by having the trainer report it online. The current method is writing a routine on paper (sometimes just before the child arrives) then translating it to a computer at a later time. I personally don’t rush when I’m lifting weights and I don’t prefer to be rushed when I’m writing up a schedule for someone else. However children are not consistent. We frequently modify training on the fly.

Avondale Moves! Promoting Physical Activity with Safe Play Days• Avondale Moves is a program started by Gregg Kottyan, a

Med student at CCHMC. Avondale Moves creates safe play days for children in the local Avondale, Cincinnati community.

• This was started because it was identified that a primary barrier to children not going outside to play was safety.

• I assisted Avondale Moves in collecting snapshot data of park usage in the area. I also helped translate paper data into computer data so that statistical analysis could more easily be calculated.

Avondale Moves! Park Snap Shot