2. 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.
3. 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.
4. 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).
5. 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)
7. Organizational Graph Links
Hospitals
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/
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.
13. 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.
15. 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.
16. 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.
17. 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.
18. 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.
22. 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.
23. 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.
