CEU: Technology in the Clinic: The Application of Smart Phones in Everyday Practice - 214

Hey, this is Sandy. And Randy? And we're here on at Corner. Being an Athai trainer comes with ups and downs, and we're here to showcase it all. Join us as we share our world in sports medicine. Welcome back to another episode of At Corner. For this week's episode, we are going to be bringing another CEO episode and we're going to be talking about technology. Just like this podcast. Actually, yeah, I didn't think of it that way. You're right. Yeah, Athletic. Training didn't always have

podcasts, you're right. So Speaking of podcast, this is a CEU podcast. So like Randy said, thank you so much to Athletic Training Chat and Clinically Pressed for making this AC EU. If you are interested in claiming your free category AC EU as you're listening to this, go to clinicallypressed.org slash courses. I believe it's down in the show notes below for the exact link and you can just complete the quiz and the course evaluation and then you'll get your certificate.

If you're listening to this at a later date than when it comes out, you can still purchase it for that certificate. Absolutely. So for this episode, we are going to be particularly talking about smartphones, right? That's the actual technology that we're going to be talking about. So we're going to discuss the various smartphone applications that can be applied into the clinic. We'll discuss their validity and reliability on actually do they do what they say they're

supposed to be doing. And then we'll actually describe some of just kind of some clinical applications and even like maybe some tips on kind of implementing some of these applications into your practice. Something right at your fingertips. Yes, exactly. And that is that's the theme of what this is, right. So what does that like how can we actually apply a smartphone

into clinical practice? I feel like not a lot of people think of this of like, oh, how can I use this thing or like what is this thing actually capable of and. I feel like more people sorry to interrupt you or are like, I don't want to use my phone to take notes or anything because it looks like I'm just playing on my phone or just on my phone instead of, you know, doing whatever I need to do.

Yeah, seriously, I think like checking e-mail or something like that, like it looks you're right. There's still that perception of like, oh, that looks bad. Like even stay crafty has a sticker that says I'm not texting I'm documenting. I think that's what it says. Oh, that's good. That's funny, right? But like, kind of like what you're alluding to, right? Technology like continues to advance just how we practice as athletic trainers, like that, right?

And that now, like I said, of documenting on paper or having to sit at a computer, right? Theoretically, you can do some documentation on your phone now, right? And again, the whole idea of that, the whole goal of technology in general is to make us more efficient, right? It's supposed to help us like make our jobs easier, right? Like again, documenting now is just. It's never easier, but it's a little bit easier than probably what it used to be because it's a little more accessible.

Right, right. And now they have like AI apps that can listen to your eval and stuff like that and like document it for you, right? That's crazy. I mean, just like we were talking to Chad Starkey and he was talking about how AI is basically like when people said there was a you know, you do math by yourself or you use a calculator. The calculator is going to be the end of the world. Right. And it wasn't so. We're still here. So how do we use this technology to actually help us?

Yes. And you know what? Again, the whole goal of technology is to provide us with quote UN quote, accurate objective data, right? It's actually supposed to give us something that like, hey, this is a true measure of what we're looking at, whatever you're trying to evaluate. So the idea is, hey, you should be able to make a better clinical decision based on

better data. But the problem that we've kind of seen with technology in like sports medicine or even like performance is it's always associated with this like huge cost or it's not really accessible. You need like 10 cameras, you need this big space and like all this stuff and you read the research and like they have like all these parameters and you're just like, holy smokes, what am

I ever going to do? Be able to do that all right, or like even like strength testing, right isokinetic machine and you got there's a certain way to do it. You got to set them up and like, holy smokes, that's expensive. And it's not very feasible for the everyday clinician. And then even if you actually have all that stuff or access to it, right, just getting the footage is not good enough.

You have to actually be able to, OK, now you have to process the data, you have to analyze it and like actually get the computer to know what's going on. And there's literally degrees to do this, right, right. So it's not feasible for like a clinician to sit there and do that, right? So where we're at today is really being able to bring that technology to the actual clinician.

All right? So over the past decade, I would say a lot of that technology of actually like video cameras and like bio mechanics, like all the fancy marker stuff is getting a lot more accessible to the clinician, all right. And I think where we really see this at is that fancy supercomputer that's at your fingertips all the time, right? Right. And I think most people really don't focus or appreciate what our smartphones are actually

able to do for our practice. Like I said, I think most people feel like it's a communication device, right? I can e-mail, I can text. You can do like your concussion tests if you have like an app or something. Yeah, Like you use it for a timer, right? Yeah, but it can actually do a lot more. And there are applications within whatever smartphone you have, like application store, right? There's actually stuff that could be clinically useful,

right? So before we actually dive in on like what some of these apps are or like what it can be used for,

it's still important to understand how are phones even able to do this. And I feel like, again, that really gives you an appreciation of what these devices can do and like how powerful they are and how accurate they actually are. So our phones have accelerometers and gyroscopes in them, right? So basically what that does is it help kind of determines where the position of the phone is and

its movement, right? So if the if the if the phone's like moving at a certain speed or moving in a certain direction, right? So when you think of that, think of maybe measuring joint angles, question mark, right? That's one way that these phones are able to do that. And again, those accelerometers and gyroscopes are actually very accurate. But I think what most people kind of start to gravitate towards when we start talking about like, oh, the phone can do fancy things is the camera,

right? And of course, this is what most people make fun of iPhone 4 is like. They'll create a new iPhone and throw an extra camera on there. And they're like, oh, the camera just got a hair better. But really, these cameras are pretty darn good, right? They're getting pretty close to just like the same like digital camera, like expensive thing. You'd get it like Best Buy.

And let me tell you, the space on the phone camera is like a lot better than the space like of our, for example, our podcast camera, because that has like the amount of gigabytes that it takes up. The compression on the phone is so much better. Yeah, for sure. All right. So these cameras are very high quality in your phone, even though we drop our phones all the time. But another key aspect of the camera is how it samples like so how many frames it's actually

taking in a video. And this is what makes those really expensive setups very important because when the computer or when you are analyzing movement, you're analyzing it by frame, right? So the more frames that you have, the better you are at capturing the motion. And most of these like expensive, like 10 camera system and like biomechanical studies, they film at what? At a frequency of 240 Hertz. So that's basically 240 frames per second. That's a lot.

That's a lot you want to know. It's crazy. Your slow motion camera on your phone samples at 240 Hertz. Well, that's sounds perfect. It's literally the equivalent of what these biomechanical studies sample at, so you have that literally in your pocket. OK, sweet. At all times so. How do we use it?

Exactly. So how come, how does this, how does this even translate to my practice? Well, like we alluded to, you could do range of motion testing and there are Goniometer apps. Literally you can like go into an App Store and type in Goniometer and you're going to get like 5 of them. So I've used the level as a goniometer, the level on the iPhone OK. Which I think, yeah, I think that's a valid way.

Which I have found it has. It helps if you are starting at something that's like 90 or 0. But anything that like for example I was trying to use it for hamstring return to play and hamstring range of motion tests and I was trying to do one that it's called the MH fake. I don't know how to say it, but yeah, maximal hip flexion, active knee extension, I call it the MH fake. I don't know how to, but you bring their knee all the way into their chest and then you

have them extend their knee. Sorry. Yeah. Bring their knee all the way to the chest. Yep. And so they're in maximal hip flexion. And I found that it was like putting the the level app on their shin and measuring that. I found that it was a lot harder to like subtract the numbers rather than the active knee extension test that I was doing where we started of a hip flexion at 90° and had them knee extend.

And so just like that, that math was like a lot easier than the the math that didn't start like at a 0 or 90. So I'm sure a goniometer app would be a lot better than that. Yeah, 'cause I would say I've used it. The app that I use doesn't isn't supported anymore. Like I don't know what happened. It was really actually pretty simple to use it really bummed out. But yeah, it was a lot easier. Like it literally acted like a

goniometer. You'd put it on the the movement part that you're trying to do and get your joint angle right through that way. So yeah, there are plenty of goniometer apps that you can look at. Another one, a lot of kind of apps are geared towards like bio mechanics. So there's a lot of different ones that measure certain bio mechanics. One thing that's really becoming common and not necessarily the center of this of this episode, is markerless motion capture.

Oh, that's really cool. Yeah. So like anytime we think of bio mechanics, most people commonly think of, oh, the markers, right, the dots on people, right, all that is, is really for the cameras to pick up that joint's movement, right? That's all those markers are for. But again, what that requires is you basically film and you tell the computer this is what this marker means, and then it just tracks it.

Markerless motion capture is basically artificial intelligence looks at the video and the image and is able to say, oh, that's a shoulder, and now I'm going to watch that shoulder as it moves. Oh, that's cool. There are applications that do that. Crazy, right? There's also another app specifically, and again, I'm not, we're not trying to

advertise for certain apps. This is just one that I've used in the past and it, it is validated, they actually did study on this particular app is Runmatic. I mean, it's really geared towards actually looking at someone's like gait mechanics for running. So it can like calculate like stiffness and like flight time and all that stuff, right? Specific towards kind of running gait. And so it's called Runmatic. I've used that one in the past. That one's pretty cool.

I got to check that out. Yeah, it's it's actually pretty dope. It's actually pretty intuitive. Another aspect that I don't think a lot of people think about is it could be used for strength testing, not all strength testing. There's actually one app in particular that looks at hamstring strength, and it basically calculates hamstring eccentric strength using the Nordic hamstring curl. How?

We will talk about a little bit more, so it might be redundant, but what it does is you basically film them doing the Nordic hamstring curl and basically the air like the angle at which point like they can't hold it anymore and they fail. Based on that break point angle, it goes through an equation to estimate their eccentric strength. Interesting. I know it's pretty cool. I've used that one before. Do you feel like it was user

friendly? Yes. That's another thing about like using apps is I feel like sometimes there are so many things at our fingertips, we just don't necessarily know how to use them. And we if we don't know how to use them like it's hard to implement. For sure. So the nice thing with these apps especially like the Run Matic and this Nordic Hamstring curl 1 and then the next one I'm going to talk about, it's very user friendly.

Like the, again, the problem with like a lot of video analysis is not capturing the video, but processing the videos. So you actually have to like, oh, I have to identify this body part and make sure this looked good and like stuff like that. These apps pretty much take most of that out. The only processing that you really have to do for like the Nordic hamstring curl is label which one's the ankle joint? Where's the knee joint? Where's the hip joint? Because it has to create that

angle. That's it. And then the computer or the application does the rest, right? Or like for the runmatic, right, you have to define in your video when does the foot hit the ground and when does the foot leave the ground, right? So still some processing has to be done. I think in the future, right, more of these apps will use AI to do that. So then literally it's you pointing a video, recording it, and then it'll analyze it for you. Probably real time too.

Probably real. And actually, yeah, there is an app that has looked at, that's funny you brought that up there. There is an app that has looked at velocity training and like actually able to do it in real time. So you like say you're doing a bench press and this is what the study did. They did bench press and they had the camera watching the bench press and the camera's able to determine the velocity and actually let you know real time how your velocity's doing, if there's any change in

velocity throughout the workout. And crazy. But yeah, I think over time it'll be real time stuff. And then another one that's kind of been looked at is like for power, and in particular vertical jump performance. So there is an app that can actually tell you what your vertical jump would be and how much power you're doing just by

videoing the actual jump. Again, there's the processing part where you literally just have to go in and be like, that's when their foot left the ground, that's when it came back on the ground, right? So still an element of processing, but when you look at what those high quality 10 camera systems have to do, this is very simple. Yeah, I mean, you're not solving any problems with this, you're just using it as a part of your. Clinical Tool.

Exactly. Yeah. So now that you kind of have an idea of what apps are out there,

what they can kind of do, do they even work right? Should we even, like, do I bother, even like getting this app and bother pulling out my phone for this stuff? And actually what's crazy is the evidence behind it, it's very solid, right? A lot of these apps perform very identical to the gold standard methods of whatever method they're kind of looking at. That's really nice. Yeah. So like for goniometers, it's like comparing to an inclinometer or an actual

universal. So that's actually why I started doing it was because I was going to have a lot of our like students and other athletic trainers measuring all these hamstrings. And so I was just trying to figure out in a more objective way. And I figured what would be more objective than like a phone like measuring. But again, then I found it's like your starting point. So as long as you're like cognizant of some of these like confounding factors, I think you

can manage them. Yeah, and I think the nice thing with like, OK, now let's look at like the goniometers is like especially goniometer in like range of motion.

Like I feel like it's like I'm not a hot topic, but I feel like it's one of those things where like we're constantly told as a profession, especially like students who are getting ready to transition to practice that like, oh, you, you need to use the goniometer like objective data, objective data in your practice, which it is very important, right? But like a goniometer can be time consuming.

It can be so time consuming and it's because, sorry to interrupt you, but again, like I think the phone is just a lot faster. You just put it on their shin and then they extend their knee and you just look at the number like.

Yeah. Whereas like the goniometer, you have to like make sure you line up the axis of rotation, like make sure the access is where it should be right, Make sure the stationary arm is lined up correctly and then you make sure the movement arm's lined up correctly and then do the motion right, right. So it's like, yes, theoretically that doesn't take that much time.

Like like I, I heard someone one time brought up like, Oh, everyone should be doing it. It only takes a few seconds to do it. I'm like, that was coming from like someone who's more like research based. Like, yes, you probably do it all the time, but like in the clinic when you have 50 people waiting for you, right, right. Those few seconds are going to add up. And then of course, when we eval, you should be getting multiple like areas evaluated, right.

So now I'm going to take a few seconds on like knee range of motion, then ankle range of motion, then hip range of motion for a knee eval, right, right, because all those could influence the knee. All right, so I, I think there needs to be a more efficient way and here's the possibility right again, using the phone, it's a lot easier to set up boom. And they've actually been shown when compared to universal

goniometer. So everyone's favorite like circle and thing with wings and inclinometer, it's very valid and reliable and they're actually within 5° of each other for most studies, right? Some are even less nice, right? So again, when you think about a goniometer, I think this error for goniometers about 3°, that's not bad to be that within each other. And this has been validated for

the spine. So like cervical, thoracic and even lumbar, the hip, ankle, wrist, elbow, shoulder, it's all been validated to actually get those ranges, ranges of motion, right. So that's pretty huge. And so that's something again, as we talked about like, oh, as a professional, we need more objective data. Hey, here's a way that we can kind of make it a little more accessible and a little bit easier. Right, that's what it sounds like.

Right. My thing with it, though, is like putting my phone on like other people's bodies. That's just. You know, I actually never thought I'm movie because I'm putting it on their shin. Yeah, I like never really thought about that. But I've, I've kind of thought of some ways around it, like just put your phone in a bag. I don't know, I don't know, I get kind of weird about it 'cause I'm like, oh, now it's going to be touching all these people. You. Could just put a towel on them

and then that's true. Put the phone right on the towel. Good point. I feel like your phone is actually pretty dirty anyway. I know, but it's just weird to think of like I'm just touching it on all these people. But yeah, that's a good point. The towels it I never thought I was actually going to start putting in a bag and like towels easier. I don't think you have to be too extra.

Yeah, that's true. So now looking at more like the bio mechanics stuff, and I think this is the really cool part, right? Because when we talk about like everyone wishes they could do like a biomechanical analysis on someone and have like all 3D and all that fun stuff, but again, expensive, inaccessible, all that fun stuff, right? So actually having an app that might be able to do that would be really, really cool. I think a lot of people would

really buy in on that. So for the running specific one, right, that run Manic app that I was kind of talking about, again, it was found reliable and valid when compared to like an instrumented treadmill. So a treadmill that again, analyzes flight time like forces and stuff like that. And the results actually showed a very close relationship. Like they were fairly identical for the markerless motion

capture. The the, the article that I saw on this and there's more stuff coming out on markerless motion capture, but there actually was a high correlation between a 2D image, right? So like the actual application filming and 3D motion capture. That's crazy. Just with a regular video. Just the same, yeah, same regular video. I think it was not necessarily regular like the slow motion. Video. So you needed that 240 OK frames per second, but same same result. Very similar results as 3D

motion capture. The crazy part about this is it was able to estimate the sagittal plane motion very similarly to a 3D motion capture, with the camera only filming in the frontal plane. I don't know. One view is no view. I know, but it was able to get similar results. That's really good. Or like fairly close, fairly close, again within about 5°.

That's crazy. And I think one of the things there is it really shows you the power of AI and what it can do, because that's how it basically estimated what those angles would be. It did have like the ankle like angle progression was a little bit more variable, but for the most part hip knee looked pretty. Good. Sure, both important joints.

Absolutely. And there's some other stuff, again, not this isn't really geared towards markerless motion capture, but there's also some stuff I think Stanford has like an open one that you can do. I think it's open cap, I think it's called that. Literally all you need are two video angles and you can like get it analyzed through this thing for free and it'll do all that for you just from 2 angles. So even that is still more accessible than the whole 10

camera. Deal. So kind of shifting away from like the actual bio mechanics. Now going into, again, the strength, we already kind of alluded to it, but using that Nordic hamstring curl app, it actually is valid compared to isokinetic testing to quantify eccentric hamstring strength. So again, that's really cool considering like most time gold standard for strength is

isokinetic testing. You have an app that all you have to do is film someone doing a Nordic hamstring curl, hit a couple buttons and now you can quantify. Here's what their hamstring strength is. See, if you tell me the day that I can use my phone as a a muscle dynamometer that is would be cool. Yeah, at basically you can right there. Of course, the limitation is the Nordic hamstring.

Coral is a bilateral exercise. So you're basically quantifying the strength, the total strength of both hamstrings. So all you're telling me is we need to be have the our athletes be doing single leg Nordic hamstring coral? So what's crazy is in this app there actually is a way I think it can test single leg. So then you can then quantify each leg. Can you even do a single leg? That's what I said. I was like, that's cool, but I don't think any of my kids would be able to do.

That like. I'm pretty sure they'd pop their hamstring. Before I'm pretty sure I would pop mine watching them do it right. So it is possible, but the app initially was for bilateral. That's funny. But it still does kind of tell you information, at least anything it could help with progress. But yeah, I thought that was very interesting that it actually again could quantify eccentric strength similar to what an isoconnect machine could do. And then finally, power.

And I think power, this one's a really good one, especially because as we start looking at return to play testing, right, we have hop testing and all that stuff, but single leg vertical jump has been shown to be really crucial at looking at quad strength and ACL return to play. So again, that's kind of hard to do. Like you need like a Vertec to do that And like who who remembers even how to like

calculate jump height from that? Or you use a jump map but that costs like 700 bucks like or a force plate which is just you might as well mortgage your house. Not accessible. Not accessible, right? So now you have an app that's like cost like 17 bucks, 18 bucks that can film, and you can actually quantify someone's power and their jump height just from a video recording. So the question is, is is it a subscription? So the app itself is not, at least when I got these apps.

I haven't done the Jump 1 yet. I want to so I'm excited to actually try to get that one. But like the hamstring one, the running one, it was a one time purchase. I believe the maker of this app is they do have like a newer set called like I think it's like the My Jump Lab or whatever that has like all these apps all in one. I think that one's a subscription because it's using

more AI, but I think. See, that's, that's another limitation that we run into with all these like these technology because before like you get rehab equipment, you buy it and then it's, yeah. Whereas now like we're just running into like, oh, you want to use this technology, It's a subscription. You want to use this, it's a, it's a subscription. And like, you're not necessarily going to use, if you like, you want this big toolbox, right?

And you're not going to necessarily use every single part of your toolbox every single day for sure. So and you're not going to it's, it's just a little bit more fluid, I would say when you're using these things and it's hard when there's a subscription because like those things are just going to keep adding up. Yeah, no, for sure. So yeah, to my my experience, the ones that I have were not subscription based literally one time purchase and you have

access to the whole thing. But yeah, so the actual jumping one, which again I think is my jump, I think it's called the one that I've seen and the one that has been kind of analyzed in the literature. Basically what it does is you film them jump and you you basically tell the application, here's when the foot left the ground and here's when it came

back. And through that it uses an equation to determine, oh, here's how much power they used, here's what their jump height was, stuff like that. And again, this has been valid and reliable compared to a jump mat or a force plate. Like the relationship between the two was very close. Like we're talking like if you remember from your stats class, like your correlation statistic is the R statistic. It was like an R of like .9. Like that's a darn near perfect relationship, right?

So like is it? Supposed to be close to 1. Yeah, one would indicate perfect. So these are like near perfect relationships that we're talking about for across a lot of these apps. That's really good. It's crazy to think just how powerful just our phones are. Of course, the apps doing the calculation like the this isn't a coding thing. Chat chat. Actually, we'll probably know the coding. I'm. Sure, but that's basically what's happening, right?

The coding and the equations, what giving us the number, but literally it's just, it's making technology that seemed like holy smokes, it's expensive, it's time consuming, just at our fingertips. And it's really cool to see some tips to actually like, how can I actually use these apps? Because it's not it's it's not as easy as just like point and shoot, right? One of the biggest thing is if

it's a video thing, right? If you're like recording something, make sure the camera's on a stable surface, right? Like make sure it's on a tripod or like make sure it's really locked in between like books or something. Like something that's going to keep it stable. Because if there's any movement on the camera, it's going to affect the quality of the video. And now your data is going to be affected because the video doesn't look great, right? So you get what you put in,

right? So make sure that you're on a stable surface and it can actually like record stable and just try and be consistent with that, right? Don't try and hold the camera while you're doing it and that's not going to work or have like a tripod or something. Most of these apps still kind of need some processing. Like I said, like the Nordic hamstring one, right?

You actually have to go in like after the video and like let the app know this is where their ankle joint is, this is where their knee is, this is where their hip is. So it knows how to measure. But again when you compare to like what those 3D like assessments need like that processing is way easier than the 3D models. Well, also what I was going to say is like if I'm going to run a functional test on someone in person, I still have to calculate their differences by hand.

Yeah. So if even if this app needs some sort of processing, it needs my hands on something, it's going to be my hands on something that's a little bit less than me doing it. Yes, by myself in person. For sure, for sure. All right. So I think over time, as AI continues to get better and more integrated in into our practices and our lives, I think AI will remedy this. And we already see it with the

markerless motion, right? It's able to identify here's what a shoulder is and here's how the shoulder moves with these kind of movements. So I think Mai will remedy that in the future. So hopefully it literally will just be, oh, I just filmed it and here are my numbers. So I think it'll get there. The last one that I like is more of like a a thought that I had is like how does HIPAA play into

this? Absolutely. Right. And like most of these apps, you really don't need the patient's face, right? So you could really just not film the face or just like crop it out before you upload the video into like the application. But like, so I would have really just avoid filming the face of

your patient. And like I said, you can even crop that out before you because like a lot of them are literally looking at lower extremity and you just need to calculate, oh, when the foot touched the ground, right? We don't need to see people's face for that. I mean, even if you did need to see their face, technically you could record anyone's gait, you could record anyone's jump height, you could record any, anyone's of these.

Like, it's not like it's you're putting into a system like, oh, I'm looking for this injury and this is what happened. And here's all the details. Exactly. Yeah, yeah. Definitely some good considerations. Yeah, for sure. So I think it is all like a lot of this is all very accessible. It's just feeling comfortable enough to purchase the app and then trying to implement in your practice. And I think you could just start small and like start using it on

like someone's return to play. What are some apps that you like to use action item? So I've used the Runmatic one. I used the Nordic Hamstring Curl 1. I really liked those. I used the Nordic Hamstring Curl 1A little bit more and it really easy to do. It doesn't take long to actually test somebody. And then like I said, my goniometer one went away. I liked that one and I think it was Goniometer Pro. That's gone. That's a bummer.

I know it makes me sad but I am working on getting the my jump one for doing jump height and power so that one I'm excited for. There's also like some postural control apps out there that you can, they like put a grid up so you can like see. Posture Eval. Yeah, for posture eval, you can also, I mean your standard staples like sway concussion or or sway medical that we use like for concussion. Yeah. Or what's the other one I'm thinking of? I mean we didn't even talk about anatomy apps.

Yeah, anatomy apps are super helpful and you can like. Educating patients. Exactly this is what your. Sartorius looks like. I mean technically Blaze pods has an app. Oh yeah. Yeah, a lot of blaze pods is technology. Yeah, a lot of those, like you said, kind of subscription things are like some of these rehab tools, right? They have their app associated with it that you can monitor, like you said. Yeah, the blaze pods 'cause right, It can tell you the time. You can set.

You can, yeah. You can set. Like if there's like, let's say I'm working with someone on impulse control, like I can have like only two colors, like red and blue. And then I'll tell them like only hit the red ones. And then I can see the reaction time as they're doing it and I can see how many times they missed. I can see how many times they hit. Like, that's cool. Yeah, I mean, shoot, even Norma Text now have an app. Yeah, everything has. For for like their the recovery

and stuff. I'm like dude like you said everything has an app. Yeah, but I think mostly I use the level sway and blaze pods. Nice, I want blaze pods. They're pretty cool. I I've heard. We are not affiliated with them. So our true opinion, actually everything we share is our true opinion for advertising, so. For sure. So blaze pods, if you're listening, I do want, I do want a pair or a set. What a What's your action item for this?

I would say these are all very accessible apps and I think go ahead and start small and just try one, right? It even if you're like, I don't want to pay $18.00 for an app, get a goniometer app, all right, like try that and like again,

like be able to apply. And now you can see how, wow, it's easy for me to get objective data instead of feeling the pressure if I have to pull out this whole thing and like line things up and God, this takes forever and then next thing you know, the goniometer goes flying. Has that happened before? No. In your head, not for me. I'm sure there's a lot of people that have wanted to destroy that thing. So like we said before, this is ACEO episode.

So if you're interested, head to clinically pressed website down in the show notes below. So you can take the quiz and course evaluation for your certificate. If you want to look at the references for this webs for this, it's on our website. So Randy's going to put those up there. If you guys are new, we do every episode as either CE, US, Education episodes like this where we where Randy reads a lot and then we kind of take it into

a conversational format. We also have interview episodes and then we also have story episodes where we take stories from real life athletic trainers across various topics all around the world and we bring them together to hear other people's experiences. This is a reporting year, so make sure you check out all of our CU opportunities down below in the show notes, like I said before, and Medbridge, if you'd like a subscription, Speaking of technology, they have on demand

C us and it is a subscription. So you're good for a year, which is great because you have this cycle that you can start doing C US for and then next cycle you can start doing C us for under the same subscription. So you can use just code 80 corner for $101.00 off dope. So other than that. Thank you for helping us showcase athletic training behind the tape. Bye.