Collegiate and Professional Ice Hockey Athletic Trainers’ Hydration Practices and Knowledge: Part 1

2020 ◽  
Vol 25 (2) ◽  
pp. 86-93
Author(s):  
Dawn M. Emerson ◽  
Toni M. Torres-McGehee ◽  
Susan W. Yeargin ◽  
Kyle Dolan ◽  
Kelcey K. deWeber

Despite cool environments, ice hockey athletes are predisposed to hypohydration due to extensive equipment, high intensity activity, and high sweat rates. The purpose of this study was to determine hydration practices and awareness of fluid recommendations among athletic trainers (ATs) working with NCAA Division I, NCAA Division III, and professional ice hockey teams. Most professional ATs (90.1%) utilized at least one hydration status measure, while 61.7% of collegiate ATs did not measure hydration. Compared to Division I, more Division III ATs did not have electrolyte supplements (p < .001) and believed they did not have adequate access through budget/sponsorship (p < .001). Both professional (72.0%) and collegiate (53%) ATs reported athletes had open access to electrolyte supplements or gave them to any athlete who asked. Athletic trainers provided patient education and had fluids accessible to athletes. Areas to improve clinical practice include monitoring electrolyte supplement access and collegiate ATs assessing hydration status.

2020 ◽  
Vol 25 (2) ◽  
pp. 94-97
Author(s):  
Dawn M. Emerson ◽  
Toni M. Torres-McGehee ◽  
Susan W. Yeargin ◽  
Kyle Dolan ◽  
Kelcey K. deWeber

An athletic trainer’s (ATs) role requires current knowledge about factors that can influence hydration status. The purpose of this study was to determine awareness of alcohol and caffeine effects on hydration. Participants were 94 ATs with NCAA Division I or III men’s and/or women’s ice hockey teams and 82 head ATs with professional ice hockey teams. The majority of ATs were correct regarding alcohol’s effects on hydration, specifically knowing alcohol increases urine output (92.1%), delays fluid recovery (81.7%), and dehydrates a euhydrated individual (83.5%). In contrast, fewer ATs were correct that moderate, regular consumption of caffeine does not cause dehydration (20.7%), delay fluid recovery (15.2%), or impair fluid regulatory hormones (9.8%). While ATs were knowledgeable about alcohol effects, there remains misconceptions about caffeine on hydration.


2013 ◽  
Vol 27 (10) ◽  
pp. 2691-2699 ◽  
Author(s):  
Lawrence W. Judge ◽  
David M. Bellar ◽  
Erin L. Gilreath ◽  
Jeffrey C. Petersen ◽  
Bruce W. Craig ◽  
...  

2017 ◽  
Vol 45 (11) ◽  
pp. 2622-2629 ◽  
Author(s):  
John M. Rosene ◽  
Bryan Raksnis ◽  
Brie Silva ◽  
Tyler Woefel ◽  
Paul S. Visich ◽  
...  

Background: Examinations related to divisional differences in the incidence of sports-related concussions (SRC) in collegiate ice hockey are limited. Purpose: To compare the epidemiologic patterns of concussion in National Collegiate Athletic Association (NCAA) ice hockey by sex and division. Study Design: Descriptive epidemiology study. Methods: A convenience sample of men’s and women’s ice hockey teams in Divisions I and III provided SRC data via the NCAA Injury Surveillance Program during the 2009-2010 to 2014-2015 academic years. Concussion counts, rates, and distributions were examined by factors including injury activity and position. Injury rate ratios (IRRs) and injury proportion ratios (IPRs) with 95% confidence intervals (CIs) were used to compare concussion rates and distributions, respectively. Results: Overall, 415 concussions were reported for men’s and women’s ice hockey combined. The highest concussion rate was found in Division I men (0.83 per 1000 athlete-exposures [AEs]), followed by Division III women (0.78/1000 AEs), Division I women (0.65/1000 AEs), and Division III men (0.64/1000 AEs). However, the only significant IRR was that the concussion rate was higher in Division I men than Division III men (IRR = 1.29; 95% CI, 1.02-1.65). The proportion of concussions from checking was higher in men than women (28.5% vs 9.4%; IPR = 3.02; 95% CI, 1.63-5.59); however, this proportion was higher in Division I women than Division III women (18.4% vs 1.8%; IPR = 10.47; 95% CI, 1.37-79.75). The proportion of concussions sustained by goalkeepers was higher in women than men (14.2% vs 2.9%; IPR = 4.86; 95% CI, 2.19-10.77), with findings consistent within each division. Conclusion: Concussion rates did not vary by sex but differed by division among men. Checking-related concussions were less common in women than men overall but more common in Division I women than Division III women. Findings highlight the need to better understand the reasons underlying divisional differences within men’s and women’s ice hockey and the need to develop concussion prevention strategies specific to each athlete population.


2014 ◽  
Vol 49 (5) ◽  
pp. 665-673 ◽  
Author(s):  
Kassandra C. Kelly ◽  
Erin M. Jordan ◽  
A. Barry Joyner ◽  
G. Trey Burdette ◽  
Thomas A. Buckley

Context: A cornerstone of the recent consensus statements on concussion is a multifaceted concussion-assessment program at baseline and postinjury and when tracking recovery. Earlier studies of athletic trainers' (ATs') practice patterns found limited use of multifaceted protocols; however, these authors typically grouped diverse athletic training settings together. Objective: To (1) describe the concussion-management practice patterns of National Collegiate Athletic Association (NCAA) Division I ATs, (2) compare these practice patterns to earlier studies, and (3) objectively characterize the clinical examination. Design: Cross-sectional study. Setting: Online survey. Patients or Other Participants: A total of 610 ATs from NCAA Division I institutions, for a response rate of 34.4%. Main Outcome Measure(s): The survey had 3 subsections: demographic questions related to the participant's experiences, concussion-assessment practice patterns, and concussion-recovery and return-to-participation practice patterns. Specific practice-pattern questions addressed balance, cognitive and mental status, neuropsychological testing, and self-reported symptoms. Finally, specific components of the clinical examination were examined. Results: We identified high rates of multifaceted assessments (ie, assessments using at least 3 techniques) during testing at baseline (71.2%), acute concussion assessment (79.2%), and return to participation (66.9%). The specific techniques used are provided along with their adherence with evidence-based practice findings. Respondents endorsed a diverse array of clinical examination techniques that often overlapped objective concussion-assessment protocols or were likely used to rule out associated potential conditions. Respondents were cognizant of the Third International Consensus Statement, the National Athletic Trainers' Association position statement, and the revised NCAA Sports Medicine Handbook recommendations. Conclusions: Athletic trainers in NCAA Division I demonstrated widespread use of multifaceted concussion-assessment techniques and appeared compliant with recent consensus statements and the NCAA Sports Medicine Handbook.


2010 ◽  
Vol 42 ◽  
pp. 158
Author(s):  
Karissa Peyer ◽  
James M. Pivarnik ◽  
Joey C. Eisenmann ◽  
Mike Vorkapich

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