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Police Officers,

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Rebecca Swan

on 20 August 2015

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Transcript of Police Officers,

Police Officers,
Are They Athletes?
Ath-lete
A person who is trained or skilled in exercises, sports or games requiring physical strength, agility or stamina.
Treating the Tactical Athlete
Police Officers Are Tactical Athletes!
Rebecca Swan

B.H.K, B.A.H.Sc, CAT(C), C.S.C.S, FMS
After some amazing years with teams I
happily accepted a position as fitness coordinator
at the Vancouver Police Department
Universities started to use athletic trainers
Universities
Colleges
High schools
Benefits to the University
decrease in injuries
faster recovery times
full return to abilities
increased performance
longer athletic careers
VPD History
Fitness Coordinator
Fitness programs and testing
Managing gym facilities
In-House
Therapy
Benefits
Athletic Therapy at the VPD
Budget Options
Off-Site Therapy
Functional Movement Screen

www.functionalmovement.com
In-house Therapy
- contracted therapist
In-House Therapy
Salary & Contracted
In-House Therapy
-Salary
Benefits of in-house therapy
Athletic therapy at the VPD
Injury programs for different
BUDGETS!

Stretching
Graston Technique
Cranial Sacral Therapy
Ultrasound
Active Rehabilitation

Assessments
Soft Tissue Release
Joint Mobilization
Stretching
Electrical Stimulation
relief from sudden acute pain
"safe place"
increased morale
physically rehabilitated properly
therapeutic use of the workplace
less time away from work for treatments
16 treatments x 1 hour total travel
= 16 hours a week of travel time saved!
Multiply that by the average constable wage!
therapist may not understand the demands of the job
lack of motivation to seek treatment
scheduling difficulties due to work and family life
communication gaps between the therapist, officer and workplace
officers may be unaware of types of therapy
no cost to the department
members can use their extended medical plan
plans cover a wide range of therapies
Advantages
Disadvantages
low cost!
multiple types of therapies can be provided at the workplace
can provide insight to if employing a therapist in the future would be cost effective for your department
Disadvantages
members may not want to pay fee
the department may not be able to utilize the therapists expertise in other areas
communication with HR or health and safety may be limited due to not being part of the department
worker unions may not allow an outside contractor
balance with current fitness coordinators
increased use of extended benefits
Advantages
multiple therapists with a smaller budget
someone knowledgeable in the area to manage therapists
therapist on staff can provide short consults, help with WCB injuries, lectures, fitness testing, fitness programs (if no fitness coordinator)
improved ratio of therapist to staff
therapist can communicate with HR
Disadvantages
therapist on salary can have a growing workload as interest builds
officers trying to book with salary therapist to avoid paying fee
difficulty with getting therapists to collaborate on treatments
contracted staff may not be invested in specializing in treating the tactical athlete if they also work somewhere else
Advantages
integrative care opportunity for each officer
therapist can work with fitness coordinators and HR to create an effective RTW program
expertise ranging from peak performance to return to peak performance
specific rehabilitation for the demands of the job
Disadvantages
expensive to start and may take a few years to see ROI
limited examples to follow when creating the unit and positions
may see an initial increase in injury reports due to members utilizing the free service
Benefits of In-House Therapy
Injury Programs for
Different Budgets

Sports teams are not the only ones that know the benefits of in house therapy!
Mills
Hospitals
Warehouses
Functional Movement Screen (FMS)
7 movements based on movement patterns
score out of 3 per exercise
balanced scores of 2-3 correlates with healthy movement patterns
Take home questions

What budget do you have?

What space do you have?

New staff or current staff?
Common Injuries
Hip/Pelvis
Knees
Injuries are the same whether you are an athlete or a worker
Decreasing injury rate and improving recovery time will result in more officers working at their full capacity
What happens if an athlete does not rise to the challenge?
What happens if an officer doesn't?
a progressive corrective exercise program is provided based on individual scores
the online database provides pictures, videos and schedules
Automotive Factories
Benefits of Therapy in the Workplace
4 weeks post rotator cuff injury (3)
71.4% workers treated in-house returned to work vs 37% that were rehabilitated off site
therapy in a hospital setting resulted in earlier RTW, 60% with in-house vs 40.3% with not in program (9)
decrease in lost work days due to injury
greater odds of returning to full capacity
decrease in psychological issues and de-conditioning
early report of injuries and early treatment can speed up recovery times!
improved morale
increased productivity
first hand knowledge of the workplace
Limitations - worker motivation, relationship with
therapist, job satisfaction, work relationships (9)
Shoulders
Neck
earlier assessments
convenience
faster recovery time = less sick leave
second opinions
supplement to other therapy
relief from PTSD and concussion symptoms
Advantages
low cost to start = approximately $1100-1300
course fee $379 (all USD)
monthly subscription $360-$500/year based on use
yearly certification fee $50
testing equipment $179
corrective exercise equipment $200
find and correct dysfunctional movement patterns
easy to administer, a civilian or officer can be trained in the program
can enhance the effectiveness of fitness programs by creating a strong movement foundation
Disadvantages
basic understanding can sometimes do more harm then good
takes a lot of practice to fully understand the program in depth
effectiveness depends on the amount of work the officer puts into doing their exercises
does not diagnose or treat specific injuries
supplement to therapy
officers may have to be referred out to therapist
Set-up
treatment space - free or rent it out
what type of therapist
billing through extended medical
equipment
insurance
security clearance
treatment booking
Advantages
Set-up
treatment space - free or rent it out
what type of therapist
billing through extend medical
equipment
insurance
security clearance
1 therapist on salary
manages other therapists
provides other services to the department
1+ contracted therapist
Costs
salary and benefits of one therapist
continuing education and re-certification fees
office space for the therapist plus at least one more room for the contracted therapists to work in
equipment
Set up & Cost
salary and benefits for each therapist hired
what type of therapists? Most bang for your buck?
blend of therapists and conditioning experts?
who will manage the group?
treatment rooms or open concept?
equipment
THOR3 Program
US Military rehabilitation program
multidisciplinary - ATC, S&C, dieticians, physiotherapist, administration
Peak performance coordinator
addresses "prehab" and "rehab"
analyzed by RAND Corporation
References
1. Athletic trainers help control occupational injuries. (2003). Professional Safety, 48(12), 1.

2. Briand, C., Durand, M. -., St-Arnaud, L., & Corbiere, M. (2008). How well do return-to-work interventions for musculoskeletal conditions address the multicausality of work disability?. Journal of Occupational Rehabilitation, 18(2), 207-217. doi:http://dx.doi.org.ezproxy.library.ubc.ca/10.1007/s10926-008-9128-1

3. Cheng, A. S. -., & Hung, L. -. (2007). Randomized controlled trial of workplace-based rehabilitation for work-related rotator cuff disorder. Journal of Occupational Rehabilitation, 17(3), 487-503. doi:http://dx.doi.org.ezproxy.library.ubc.ca/10.1007/s10926-007-9085-0

4. Davis, A. (2011). Holding off health costs with athletic trainers. Employee Benefit Adviser, 9(12), 16-17.

5. Franche, R., Cullen, K., Clarke, J., Irvin, E., Sinclair, S., & Frank, J. (2005). Workplace-based return-to-work interventions: A systematic review of the quantitative literature. Journal of Occupational Rehabilitation, 15(4), 607-631.

6. Gensby, U., Labriola, M., Irvin, E., Amick, B., & Lund, T. (2014). A classification of components of workplace disability management programs: Results from a systematic review. Journal of Occupational Rehabilitation, 24(2), 220-241. doi:10.1007/s10926-013-9437-x

7. Hanak, M. P., & Menapace, K. (1992). Industrial athletes. Occupational Health & Safety, 61(5), 20.

8. Hepburn, C. G., Franche, R. L., & Francis, L. (2010). Successful return to work: The role of fairness and workplace-based strategies. International Journal of Workplace Health Management, 3(1), 7-24. doi:http://dx.doi.org.ezproxy.library.ubc.ca/10.1108/17538351011031902

References cont.



9. Larson, M. C., Renier, C. M., & Konowalchuk, B. K. (2011). Reducing lost workdays after work-related injuries: The utilization of athletic trainers in a health system transitional work program. Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine, 53(10), 1199-1204. doi:10.1097/JOM.0b013e31822cfab3

10. Lysaght R, Donnelly C, & Luong D. (2010). Best practices in the rehabilitation of acute musculoskeletal disorders in workers with injuries: An integrative review and analysis of evolving trends. Work, 35(3), 319-333. doi:http://dx.doi.org.ezproxy.library.ubc.ca/10.3233/WOR-2010-0993

11. Nastasia, I., Coutu, M., & Tcaciuc, R. (2014). Topics and trends in research on non-clinical interventions aimed at preventing prolonged work disability in workers compensated for work-related musculoskeletal disorders (WRMSDs): A systematic, comprehensive literature review. Disability & Rehabilitation, 36(22), 1841-1856. doi:10.3109/09638288.2014.882418

12. Neal, T., Quandt, E., Thornton, J., & Anderson, J. (2014). Recognize the valuable role of athletic trainers. College Athletics and the Law, 11(9), 1-5. doi:10.1002/catl.30013

13. Nelson, R. A. (2015). Athletic trainers as primary care physician extenders (M.S.). Available from ProQuest Dissertations & Theses Global. (1681622965).

14. Ouellette V, Badii M, Lockhart K, & Yassi A. (2007). Worker satisfaction with a workplace injury prevention and return-to-work program in a large canadian hospital: The importance of an integrated approach.Work, 28(2), 175-181.

15. Palmer, K. T., Harris, E. C., Linaker, C., Barker, M., Lawrence, W., Cooper, C., & Coggon, D. (2012). Effectiveness of community- and workplace-based interventions to manage musculoskeletal-related sickness absence and job loss: A systematic review. Rheumatology, 51(2), 230-242.

16. Shaw, L., Domanski, S., Freemanc, A., & Hoffelea, C. (2008). An investigation of a workplace-based return-to-work program for shoulder injuries. Work, 30(Collaboration in the workplace, in injury prevention, and in return to work.), 267-276.

17. Weber, Matt. Dropping the Sponge: A history of early athletic training 1881 - 1947. (athletictraininghistory.com)

18. Werner, T. (2003, 02; 2015/6). Athletic trainers expand role in industrial medicine. Inside Case Management, pp. 5+.

19. Zimmerman, G. R. (1993). Industrial medicine and athletic training: Cost-effectiveness in the non-traditional setting. Journal of Athletic Training, 28(2), 131-136.


What type of therapy or therapist?
Chronic
Vs
Acute
Full transcript