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Jacklyn Lowe, a physicians assistant with the Sports Medicine and Rehabilitation Therapy Clininc at the SMART Clinic aboard Marine Corps Air Station Miramar, examines Jano Williams' knee, A health technician with the clinic, using an ultrasound machine. Marines and sailors will get this kind of treatment in they have incurred a knee injury.

Photo by Lance Cpl. Manuel F. Guerrero

SMART Clinic gets physical on ACL injuries

26 Jan 2010 | Lance Cpl. Manuel F. Guerrero Marine Corps Air Station Miramar-EMS

For a Marine, a typical physical training schedule consists of running, sprinting and lifting, which can lead to chronic knee problems over time.

In order to educate commands about one of the most serious knee injuries, Marine Corps Air Station Miramar’s Sports Medicine and Rehabilitation Therapy Clinic physicians will implement the Anterior Cruciate Ligament Injury Prevention Program.

The physicians plan to travel to each command aboard the air station and teach them preventative stretches before working out, targeting the strength and integrity in and around the knee. They also have a six to eight week regiment if a service member does get injured.

“It’s a program where we’re going to teach about the anatomy of the ACL and importance of it,” said Joseph Moore, a retired Navy captain and the current sports medicine advisor to Navy Medical West. “We’re going to try to roll it out over the next six months to help prevent ACL injuries. We are going to work with our fitness leaders to help implement, educate and train Marines on it.”

Most of the time service members incur knee injuries while playing recreational sports like basketball, soccer and football where cutting and jumping are prevalent, commented Moore.

“The pillars of prevention are flexibility, strength and endurance,” said Moore. “Marines should take one day a week working on lower extremity strength.”

Although the ACL Prevention Program is about prevention and knowledge, the SMART Clinic can also help heal injuries and rehabilitate service members.

After the SMART physicians initially diagnose the injured service members, they set a physical therapy schedule and monitor the injured service member. The SMART physicians also review the service members past medical history, conduct an initial physical exam and have recurring weekly exams.

“The trainers will do everything in their power to control pain, restore range of motion, function, strength and flexibility of the knee,” said Moore. “After the set time, we’ll see if they need surgery to repair the ACL.”

The introduction of ACL Injury Prevention Program at the SMART Clinic will help service members aboard the air station will be better equipped to recognize and prevent ACL injuries, and injured individuals will get the care they need to get back on their feet.

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POLICY

The most important starting point for an EMS* is the development of an environmental policy. ISO14001 requires local governments to implement their own environmental policy. The environmental policy acts as a basis for the environmental management system.

PLANNING

ISO14001 requires that an environmental management system is planned properly. It requires the organization to consider the following carefully: Environmental Aspects; Legal and Other Aspects; Objectives and Targets; and an Environmental Management Program.

IMPLEMENTATION

The two requirements for implementation of an EMS is to define, document, and communicate roles, responsibilities and authorities, and to allocate the resources needed to implement and control the EMS.

CHECKING

The key requirement in this EMS step is to regularly monitor and measure key characteristics of activities and operations that could have a significant impact on the environment. Changes to EMS procedures may become necessary in order to deal with nonconformances with the EMS, with mitigating environmental impacts, or corrective and preventive action.

REVIEW

The management review process ensure that information is collected to enable management to carry out proper review. Top management review the need for changes to policy, objectives and targets, and ensure that a commitment to continual improvement is being demonstrated.

Marine Corps Air Station Miramar-EMS