definition: branch of medicine concerned with the medical aspects of sports participation athletic...
TRANSCRIPT
History of sports med andthe Sports Medicine Team
Sports Medicine
Definition: Branch of medicine concerned with the medical aspects of sports participation
Athletic Trainers: health care professionals who specialize in preventing, recognizing, managing and rehabilitating injuries
Historical perspectives
Evidence of sporting events have been around since early societies
Greeks and Romans Athletic training as we know it came into existence
during the late 19th century with the establishment of intercollegiate and interscholastic athletes in the US.
Early athletic trainers possessed no technical knowledge and used various methods such at rubs, ointments, counterirritants and home remedies to treat the athlete
It has taken MANY years for the athletic trainer to attain the status of a well-qualified and educated allied health care professional
Trainers vs Athletic Trainers Historically, “training” implies the act of
coaching or teaching In comparison, “athletic training” has been
known as the field concerned with the athlete’s health and safety
What is a “trainer”???? Someone who trains dogs or horses or functions in coaching or teaching acts
What is an ATHLETIC TRAINER??? A certified or licensed individual who specializes in the prevention and care of athletic injuries or illnesses
Roles and Responsibilities of Athletic Trainers The AT is the person who deals with
the patient throughout the initial injury management and rehabilitation process from restricted use to return to play activity FIVE DOMAINS▪ 1. Injury/prevention and wellness protection▪ 2. Clinical evaluation and diagnosis▪ 3. Immediate and emergency care▪ 4. Treatment and rehabilitation▪ 5. Organization and professional health and
well-being
Roles and Responsibilities of the Athletic Trainer
Prevention Conducting Pre-participation physical
exams Developing Training and conditioning
programs Ensuring a safe playing environment by
minimizing safety hazards Selecting, fitting, and maintaining
protective equipment Explaining the importance of diet and
lifestyle choices
Roles and Responsibilities of the Athletic Trainer
Proper medication usage Clinical evaluation and diagnosis Understanding pathology of injury
and illness Referring patients to medical care Referring patients to other support
services Immediate and Emergency Care Treatment and Reconditioning Designing and supervising rehab
programs Incorporating Therapeutic modalities
Roles and Responsibilities of Athletic Trainers
Offering psychosocial intervention Record keeping Ordering equipment and supplies Supervising personnel Establishing policies and procedures Continuing education Educator Counseling and advising patients Research
Qualities needed
Stamina and ability to adapt to job Empathy Sense of humor Ability to communicate Intellectual curiosity Ethical Professional membership
Sports Medicine
Sports Participation In the United States, 6.7 million public
high school children are involved in sports activities annually.
Title IX Education Assistance Act of 1972 Since its passing, female sports participation
increased by 700%. Research indicates injuries are sports
specific, NOT gender specific.
General Injury Data
*According to a Pennsylvania study, rates of athletic injuries among of high school students were:
Football – 46.7% Boys’ basketball –10% Wrestling – 9.68% Girls basketball – 7.5%
In a two-year study of a community sports program, children participating in soccer had the highest rate of injury, followed by baseball, football, and softball.
Contusions were the most common injury.
Definition of Sports Injury There is no universally acceptable definition. The majority of today’s definitions use “time lost” criteria as the
major determinant.
Extent of Injuries: Tackle Football
25.5 injuries for every 100 players with the highest rate of injury occurring during games.
Game injury rates were double the rates seen in practice.
Hip, thigh, and leg regions injured most often. 2.4% of injuries required surgery, and of those
59.4% involved the knee. Contusions, strains, sprains, and fractures are
common injuries. Offensive players have higher risk than defensive
players. Older players have higher risk than younger ones. Spinal cord and brain injuries are a major concern.
Extent of Injuries: Basketball
Ankle sprains are the most common injury in both sexes.
Girls have higher risk of knee injuries than boys and are more likely to require surgery.
The rate of ACL injury during games was 3 times higher for women than men.
Extent of Injuries: Baseball
In 2004, over 450,000 high school boys participated.
Nearly 12% sustained injuries. Forearm/wrist/hand or shoulder/arm were often injured.
Of these injuries, most were strains or sprains. Children between the ages 5 and 14 have
increased vulnerability to chest impact injuries from balls.
Little League Elbow – Chronic elbow injuries are a concern for adolescent pitchers. Sidearm pitching presents the greatest risk for elbow
problems.
Extent of Injuries: Wrestling
In 2004, there were over 240,000 high school participants. About 27% sustained injuries.
Collisions with opponents and mats, and takedown and escape maneuvers resulted in various injuries.
Shoulder/arm, knee, and forearm/wrist/hand were injured most often. Most of these injuries were strains & sprains.
Friction burns, skin infections, weight management, and “cauliflower ear” are also common issues.
Extent of Injuries: Volleyball
Extent of Injuries: Volleyball During 2004, nearly 400,000 high
school girls participated. Nearly 15% suffered injury, mostly
sprains. Ankle/foot region is most often
injured.
Extent of Injuries: Soccer
In the United States, there are 14 million participants under 18 years of age.
During the 2002 season almost: 340,000 high school boys participated. 300,000 high school girls participated.
Contusions are the most common injury. The majority of injuries are in the lower extremity –
accounting for about 60% of total injuries. Female athletes have a higher ratio of knee, specifically
ACL, injuries than male athletes. Research has shown that the majority of head injuries
result from collisions not intentional heading. Improperly constructed, movable soccer goals have been
involved in a number of severe injuries and deaths.
Professional Associations
NATA – National Athletic Trainers Association▪ 10 Districts; established in 1950
SWATA – Southwest Athletic Trainers Association ▪ District 6 of the NATA ( Texas and Arkansas);
established in 1954
Professional Organizations FIMS- International Federation of
Sports Medicine AAFP- American Academy of Family
Physicians ACSM- American College of Sports
Medicine AOSSM- American Orthopedic
Society for Sports Medicine NSCA- National Strength and
Conditioning Association
Professional Organizations
American Academy of Pediatrics, Sports Committee
APTA- American Physical Therapy Association, Sports Physical Therapy Section
NCAA- NCAA Committee on Competitive Safegaurds and Medical Aspects in Sports
NASM- National Academy of Sports Medicine
Sports Medicine Team
The team’s role in medical management of athletes includes:
Coordinating pre-participation physical exams. Providing medical management of injuries and
illnesses on and off the field. Coordinating rehab and a safe return to
participation after illness or injury. Providing education and counseling for coaches,
athletes, and parents. Providing proper documentation and medical
record keeping.
Who is Included in the Sports Medicine Team?
•Primary Care Physicians •Orthopedic Surgeons •Athletic Trainers•Sports Physical Therapists•Dentists•Exercise Physiologist•Strength & Conditioning Coaches•Sports Nutritionists•Sports Psychologists•Podiatrist •Biomechanist •Sports Massage Therapy
Why?
Who is Included in the Sports Medicine Team?
Primary Care Physician (MD)– general practitioner Treats acute or chronic illness and provides
preventative care and health education for all ages and genders.
When your sick, wellness check ups, physicals, etc..
Orthopedic- Doctor who specializes in bones, muscular tissue, joints, ligaments, and tendons. Sets broken bones, dislocations, strains, sprains,
degenerative issues, etc…
Who is Included in the Sports Medicine Team?
Sports Psychologist – Studies the human mind (not a medical Dr.; can not prescribe) Deals with mental health issues among
athletes.▪ Career ending injuries, long term rehabilitation,
personal issues, etc. Dentist – Treats and examines dental issues
Broken/Chipped tooth, Avulsion, Infection, etc.. Podiatrist – Treats and diagnoses disorders
and injuries to the foot and ankle Plantar fasciitis, bunions, foot mechanics, etc…
Who is Included in the Sports Medicine Team?
Ophthalmologist – Treats diseases and conducts surgeries of the eye and pathways Object impaled in the eye, retina
detachment, etc… Optometrist – Conducts eye exams
and vision issues related to the eye Glasses and contacts
Who is Included in the Sports Medicine Team?
Exercise Physiologist – Study of acute/chronic changes in response to a wide range of exercise conditions (effect of exercise on pathology) Research studies/ clinical trials
Biomechanist – analyze human motion; studies human movement
Who is Included in the Sports Medicine Team?
Sports Physical Therapist – A physical therapist who is highly trained in the rehabilitation, evaluation, and treatment of an injury specifically dealing with an athlete or athletic injury.
Key Team Members
Coaches
Team Physicians – Captain of the Team
NATABOC-Certified Athletic Trainer (ATC) or Licensed Athletic Trainer (LAT)
Coaches
Coaches in public school settings should be trained in:
Basic conditioning procedures. Maintenance and fitting of protective
equipment. First aid/CPR/AED training Recognition and management of
common sports injuries. Skills instruction
Athletic Trainer
BOC-Certified Athletic Trainer: an allied health care professional with extensive education in clinical care & prevention of sports injuries.Athletic trainers receive formal instruction in: Injury prevention. Recognition, evaluation, and immediate care. Treatment and rehabilitation. Health care organization and administration. Professional development and responsibility.
Athletic Trainer
LAT – Licensed Athletic Trainer: Licensed to practice injury prevention, recognition, assessment, management, treatment, disposing of, and reconditioning athletic injuries under the direction of a physician licensed in the state of Texas.
Student must complete 1,800 internship hours to be eligible
BOC Certification
To qualify: Complete a CAATE-accredited
Athletic Training Education Program (ATEP). TCU, Texas State, SFA, Baylor, UTA,
Texas Tech, Arkansas, UCA Take certification examination
that is now offered via a national network of computerized testing centers Takes 2-4 hours to complete; 150
questions
Professional Settings for Athletic Trainers
Professional Settings for Athletic Trainers
Colleges/Universities
Secondary Schools Professional Sports Rehabilitation
Clinics/Hospitals Industrial Settings NASCAR Academic Corporate Settings
Military Rodeo Fine Arts Law Enforcement NASA Medical Equipment
Sales Physician Extender Recreational Sports
How Do You Get an Athletic Training Job?
Open Position Postings School websites, professional association
websites (TSATA, NATA & SWATA)
Networking
Annual Symposiums/conferences Job postings and interviews
Resume
Name/Contact Information Objective Education Certifications/Licenses Work Experience Awards/honors Activities References