www.njchiropractors.com I 17 the patient (their allowable load on the knee) we also need to consider their subjective complaints in allowing return to play. Will exercising through pain assist the strengthening process, or will it exacerbate the inflammatory cascade? Training through pain that is transient (ends shortly after the workout, not present the following day and not associated with an increase in swelling or breakdown in arthrokinematics) can be allowed. However, sharp pain that escalates during the workout, lasts into the next day, causes an increase in inflam- mation, or causes a deteriorating in kinematics should be avoided. For additional information concerning the patient’s readiness to return to play, the literature suggests considering the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). This is a standardized outcome assessment form that measures several variables in ADLs as well in in sport activities. Higher scores indicate higher levels of function, with a top score of 100 points. The form can be scored manually; however, there are online resources and APP’s that allow immediate scoring. Guidelines for returning to play for the injured knee has many variables from subjective complaints to the fear of re-injury. The guidelines established for RTP in ACL repair can be extrapolated for non-surgical cases as well. Your take-home message is to be thoughtful, understand the demands of the sport, build up power and speed progressively and to coordinate care with other members of the patient’s healthcare team. Donald DeFabio, DC, DACBSP, FAC, is in private practice in Berkeley Heights, NJ, and is the team chiro- practic doctor for a local university. His exercise protocols can be found on his YouTube Channel which has over 7M views and 15K subscribers. He conducts Relevant Rehab hands-on seminars nationally to teach the keys of successful integration of active care into the everyday chiropractic office. Aug. 9 NEC Seminar – Stockton Seaview, Galloway Sept. 6 Sports Council Seminar – Days Inn, East Brunswick Sept. 12 Central Regional Meeting – Forsgate Country Club Sept. 20 Southern Regional Meeting – Adelphia Restaurant, Deptford Oct. 3 NE/NW Regional Meeting – Holiday Inn, Parsippany Oct. 13 & 14 Fall Summit – Hyatt New Brunswick Nov. 8 Technique Seminar – Holiday Inn, Cherry Hill Nov. 15 Rehab Seminar – Radisson Hotel, Freehold For more details, visit www.anjc.info (click Calendar for a complete Save the Dates list) [ CONTINUED FROM PAGE 1 ] chiropractic physicians to see and treat more patients each day. We are also pleased to be able to offer chiropractic physicians who are current ANJC members the training they will require in order to oversee the clinical aspect of the licensure.” Designed to be a 12-18 month course, the program’s curriculum will provide the specialized training needed to pursue LCA licensure and become vital members of the chiropractic healthcare team. The course will satisfy the 120-hour instructional component of the 500-hour LCA program. The remaining 380 hours will be clinical training supervised by a Doctor of Chiropractic who has been approved as an LCA clinical trainer. DCs who complete a two-hour online training course may serve as LCA clinical trainers. This “Train the Clinical Trainer” course will be offered through the ANJC free of charge to its members. In addition to providing the proper certification to chiropractic physicians to supervise the clinical hours, the “Train the Trainer” webinar will also count as two hours of continuing education credit toward their New Jersey license renewal. “NYCC-trained LCAs will help increase the quality of patient-cen- tered care that New Jersey-based chiropractors can offer and allow them more time to grow their practices and advocate for the profession,” Mestan said. “LCAs will serve as excellent liaisons between the doctor and the patient, and we know that the natural healthcare marketplace rewards those practices with a very knowledgeable staff supporting the chiropractor’s goal of increased patient compliance and satisfaction.” The ANJC expects chiropractic assistant licensing to catch on around the nation. Several states offer certification and chiropractic assistant training, but once the successes New Jersey will have with the full licensed chiropractic assistant program become known, other states will soon follow, Mestan believes. “I have a great respect for the ANJC and its position as one of the most progressive chiropractic state associations in the country. ANJC is an incredibly strong voice for its members, and has created a connected professional community that has a feeling of a large family,” he continued. “NYCC and ANJC are both committed advocates for the chiropractic profession, and we both exist to serve our stakeholders to the utmost of our resources. I’m looking forward to NYCC and ANJC continuing to work together as we focus on our shared purpose to advance chiropractic care and natural healthcare. For more on the Licensed Chiropractic Assistant (LCA) training program, visit www.nyccpostgrad.com. Upcoming ANJC CEU Opportunities!