scholarly journals Preventing catastrophic injury and death in collegiate athletes: interassociation recommendations endorsed by 13 medical and sports medicine organisations

2019 ◽  
Vol 54 (4) ◽  
pp. 208-215 ◽  
Author(s):  
John T Parsons ◽  
Scott A Anderson ◽  
Douglas J Casa ◽  
Brian Hainline
Keyword(s):  
Sports Medicine ◽  
Athletic Trainers ◽  
Collegiate Athletes ◽  
Medical Society ◽  
Strength And Conditioning ◽  
Safety Issues ◽  
Catastrophic Injury ◽  
National Athletic Trainers Association ◽  
Orthopaedic Society ◽  
Member School

The following organisations endorsed this document: American Association of Neurological Surgeons, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, American Osteopathic Academy of Sports Medicine, College Athletic Trainers’ Society, Collegiate Strength and Conditioning Coaches Association, Congress of Neurological Surgeons, Korey Stringer Institute, National Athletic Trainers’ Association, National Strength and Conditioning Association, National Operating Committee for Standards on Athletic Equipment, Sports Neuropsychology Society. The following organisation has affirmed the value of this document: American Academy of Neurology.The Second Safety in College Football Summit resulted in interassociation consensus recommendations for three paramount safety issues in collegiate athletics: (1) independent medical care for collegiate athletes; (2) diagnosis and management of sport-related concussion; and (3) year-round football practice contact for collegiate athletes. This document, the fourth arising from the 2016 event, addresses the prevention of catastrophic injury, including traumatic and non-traumatic death, in collegiate athletes. The final recommendations in this document are the result of presentations and discussions on key items that occurred at the summit. After those presentations and discussions, endorsing organisation representatives agreed on 18 foundational statements that became the basis for this consensus paper that has been subsequently reviewed by relevant stakeholders and endorsing organisations. This is the final endorsed document for preventing catastrophic injury and death in collegiate athletes. This document is divided into the following components. (1) Background—this section provides an overview of catastrophic injury and death in collegiate athletes. (2) Interassociation recommendations: preventing catastrophic injury and death in collegiate athletes—this section provides the final recommendations of the medical organisations for preventing catastrophic injuries in collegiate athletes. (3) Interassociation recommendations: checklist—this section provides a checklist for each member school. The checklist statements stem from foundational statements voted on by representatives of medical organisations during the summit, and they serve as the primary vehicle for each member school to implement the prevention recommendations. (4) References—this section provides the relevant references for this document. (5) Appendices—this section lists the foundational statements, agenda, summit attendees and medical organisations that endorsed this document.

scholarly journals Preventing Catastrophic Injury and Death in Collegiate Athletes: Interassociation Recommendations Endorsed by 13 Medical and Sports Medicine Organisations

2019 ◽  
Vol 54 (8) ◽  
pp. 843-851
Author(s):  
John T. Parsons ◽  
Scott A. Anderson ◽  
Douglas J. Casa ◽  
Brian Hainline
Keyword(s):  
Medical Care ◽  
Sports Medicine ◽  
Collegiate Athletes ◽  
College Football ◽  
Collegiate Athletics ◽  
Traumatic Death ◽  
Safety Issues ◽  
Diagnosis And Management ◽  
Catastrophic Injury ◽  
Member School

The Second Safety in College Football Summit resulted in interassociation consensus recommendations for three paramount safety issues in collegiate athletics: (1) independent medical care for collegiate athletes; (2) diagnosis and management of sport-related concussion; and (3) year-round football practice contact for collegiate athletes. This document, the fourth arising from the 2016 event, addresses the prevention of catastrophic injury, including traumatic and non-traumatic death, in collegiate athletes. The final recommendations in this document are the result of presentations and discussions on key items that occurred at the summit. After those presentations and discussions, endorsing organisation representatives agreed on 18 foundational statements that became the basis for this consensus paper that has been subsequently reviewed by relevant stakeholders and endorsing organisations. This is the final endorsed document for preventing catastrophic injury and death in collegiate athletes. This document is divided into the following components. (1) Background—this section provides an overview of catastrophic injury and death in collegiate athletes. (2) Interassociation recommendations: preventing catastrophic injury and death in collegiate athletes—this section provides the final recommendations of the medical organisations for preventing catastrophic injuries in collegiate athletes. (3) Interassociation recommendations: checklist—this section provides a checklist for each member school. The checklist statements stem from foundational statements voted on by representatives of medical organisations during the summit, and they serve as the primary vehicle for each member school to implement the prevention recommendations. (4) References—this section provides the relevant references for this document. (5) Appendices—this section lists the foundational statements, agenda, summit attendees and medical organisations that endorsed this document.

scholarly journals National Athletic Trainers' Association Position Statement: Preparticipation Physical Examinations and Disqualifying Conditions

2014 ◽  
Vol 49 (1) ◽  
pp. 102-120 ◽  
Author(s):  
Kevin M. Conley ◽  
Delmas J. Bolin ◽  
Peter J. Carek ◽  
Jeff G. Konin ◽  
Timothy L. Neal ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Scientific Evidence ◽  
Athletic Trainers ◽  
Health And Safety ◽  
Sports Participation ◽  
Position Statement ◽  
Organized Sports ◽  
Physical Examinations ◽  
National Athletic Trainers Association ◽  
Medicine Community

Objective To present athletic trainers with recommendations for the content and administration of the preparticipation physical examination (PPE) as well as considerations for determining safe participation in sports and identifying disqualifying conditions. Background Preparticipation physical examinations have been used routinely for nearly 40 years. However, considerable debate exists as to their efficacy due to the lack of standardization in the process and the lack of conformity in the information that is gathered. With the continuing rise in sports participation at all levels and the growing number of reported cases of sudden death in organized athletics, the sports medicine community should consider adopting a standardized process for conducting the PPE to protect all parties. Recommendations Recommendations are provided to equip the sports medicine community with the tools necessary to conduct the PPE as effectively and efficiently as possible using available scientific evidence and best practices. In addition, the recommendations will help clinicians identify those conditions that may threaten the health and safety of participants in organized sports, may require further evaluation and intervention, or may result in potential disqualification.

Knowledge, Attitudes, and Behaviors Regarding Hydration and Fluid Replacement of Collegiate Athletes

2005 ◽  
Vol 15 (5) ◽  
pp. 515-527 ◽  
Author(s):  
Phillip E. Nichols ◽  
Satya S. Jonnalagadda ◽  
Christine A. Rosenbloom ◽  
Marvin Trinkaus
Keyword(s):  
Sports Medicine ◽  
Collegiate Athletes ◽  
Fluid Replacement ◽  
Team Meetings ◽  
Attitudes And Behaviors ◽  
Significant Difference ◽  
The Mean ◽  
And Behaviors ◽  
National Athletic Trainers Association ◽  
And Behavior

The purpose of this study was to determine collegiate athletes’ knowledge, attitudes, and behaviors concerning hydration and fluid replacement. A survey containing questions pertaining to demographics and knowledge, attitude, and behavior on hydration and fluid replacement was distributed to the athletes during team meetings and practices. A total of 139 out of 171 (81.3%) athletes participated in the study. The mean age of the athletes was 19.8 y. The mean score for knowledge, attitude, and behavior was 13.9 ± 1.8, 9.8 ± 2.2, and 12.4 ± 2.5, respectively, with higher scores indicating positive hydration knowledge, attitudes, and behaviors. Significant positive correlation was observed between knowledge, attitude, and behavior scores (P < 0.05). Significant difference (P < 0.05) was observed in the reported hydration behaviors between skilled (11.79 ± 2.08) and endurance (12.71 ± 2.63) athletes. Most athletes correctly answered the general hydration questions on the survey, but the majority did not correctly answer statements in regards to National Athletic Trainers’ Association (NATA) and the American College of Sports Medicine (ACSM) position stands and lacked knowledge regarding appropriate use of sports drink. The results of this study identify specific areas of education for athletes with regards to hydration.

scholarly journals Pediatric HEALTHCARE Provider Awareness, Confidence, and Use of Sports Specialization Recommendations and Application towards Youth Athlete Counseling

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0014
Author(s):  
Tamara Valovich McLeod ◽  
Traci Snedden ◽  
Eric Post ◽  
Tracy Zaslow ◽  
Shelly Fetchen-DiCesaro ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Sports Medicine ◽  
Injury Risk ◽  
Online Survey ◽  
Athletic Trainers ◽  
Healthcare Providers ◽  
Physician Assistants ◽  
Medical Society ◽  
Future Research ◽  
Cross Sectional

Background: Sport specialization is increasingly common in many youth sports and has been linked to increased injury, overtraining, and burnout. Several organizations have developed safe sport recommendations in an effort to mitigate injury risk. Healthcare providers (HCPs) can be a source of education for parents and athletes on safe sports practices, but the awareness, confidence, and use of these recommendations among HCPs who work with youth athletes is limited. Hypothesis/Purpose: To evaluate the awareness, confidence, and use of sports specialization and safe sport recommendations of HCPs who work with pediatric athletes. Methods: A cross-sectional online survey was developed to assess pediatric HCP awareness of, confidence in, and clinical use of sports specialization recommendations. The survey included 1) personal demographics, 2) professional demographics, 3) knowledge and perceptions of sport specialization, 4) awareness, confidence, and use of recommendations, and 5) HCP program training and professional development background specific to sports specialization. Survey links were sent by email to 5000 secondary school athletic trainers and 297 PRiSM members during October 2019-January 2020. The survey was open for 4 weeks, with a reminder email sent after 2 weeks. Data was analyzed with descriptive statistics. Results: The survey was accessed by 620 HCPs (access rate=11.7%) and completed by 508 HCPs (completion rate=81.9%). Respondents (279 females, 228 males; age=37.2±10.5 years) included athletic trainers (74.5%, n=379), physicians (16.9%, n=86, physical therapists (6.7%, n=35), nurse practitioners (1.0%, n=5), and physician assistants (0.1%, n=4) with 11.2±9.1 years of experience providing care to pediatric athletes. Three-fourths of respondents (n=373) were aware of recommendations from the National Athletic Trainers’ Association, but fewer were aware of those from the American Academic of Pediatrics (42.3%, n=212), American Medical Society for Sports Medicine (40.3%, n=200), American Orthopaedic Society for Sports Medicine (45.2%, n=225), International Olympic Committee (14.2%, n=69), Major League Baseball (30.6%, n=151), USA Hockey (13.6%, n=66), and National Basketball League (9.3%, n=45). The percentage of respondents who were confident in knowledge of (Table 1) and used (Table 2) each organization’s recommendation are provided in the tables. Table 3 presents the degree to which various reasons limit the use of sports specialization recommendations. Conclusion: Healthcare providers are aware of sport specialization recommendations and believe they are associated with decreased risk of injury. However, barriers to applying the recommendations most cited were the inability of parents and children to change specialization behaviors. Future research should focus on implementation of recommendations to enact behavior change. Tables [Table: see text][Table: see text][Table: see text]

scholarly journals Sports Nutrition Knowledge Among Collegiate Athletes, Coaches, Athletic Trainers, and Strength and Conditioning Specialists

2012 ◽  
Vol 47 (2) ◽  
pp. 205-211 ◽  
Author(s):  
Toni M. Torres-McGehee ◽  
Kelly L. Pritchett ◽  
Deborah Zippel ◽  
Dawn M. Minton ◽  
Adam Cellamare ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Athletic Trainers ◽  
Collegiate Athletes ◽  
The United States ◽  
Nutrition Knowledge ◽  
Sports Nutrition ◽  
Nutrition Information ◽  
Integrative Approach ◽  
Registered Dietitians ◽  
Strength And Conditioning

Context: Coaches, athletic trainers (ATs), strength and conditioning specialists (SCSs), and registered dietitians are common nutrition resources for athletes, but coaches, ATs, and SCSs might offer only limited nutrition information. Little research exists about sports nutrition knowledge and current available resources for nutrition information for athletes, coaches, ATs, and SCSs. Objective: To identify resources of nutrition information that athletes, coaches, ATs, and SCSs use; to examine nutrition knowledge among athletes, coaches, ATs, and SCSs; and to determine confidence levels in the correctness of nutrition knowledge questions within all groups. Design: Cross-sectional study. Setting: National Collegiate Athletic Association Division I, II, and III institutions across the United States. Patients and Other Participants: The 579 participants consisted of athletes (n = 185), coaches (n = 131), ATs (n = 192), and SCSs (n = 71). Main Outcome Measure(s): Participants answered questions about nutrition resources and domains regarding basic nutrition, supplements and performance, weight management, and hydration. Adequate sports nutrition knowledge was defined as an overall score of 75% in all domains (highest achievable score was 100%). Results: Participants averaged 68.5% in all domains. The ATs (77.8%) and SCSs (81.6%) had the highest average scores. Adequate knowledge was found in 35.9% of coaches, 71.4% of ATs, 83.1% of SCSs, and only 9% of athletes. The most used nutrition resources for coaches, ATs, and SCSs were registered dietitians. Conclusions: Overall, we demonstrated that ATs and SCSs have adequate sports nutrition knowledge, whereas most coaches and athletes have inadequate knowledge. Athletes have frequent contact with ATs and SCSs; therefore, proper nutrition education among these staff members is critical. We suggest that proper nutrition programming should be provided for athletes, coaches, ATs, and SCSs. However, a separate nutrition program should be integrated for ATs and SCSs. This integrative approach is beneficial for the continuity of care, as both categories of professionals might be developing and integrating preventive or rehabilitative programs for athletes.

scholarly journals Experiences and Attitudes of Collegiate Athletic Trainers Regarding Alcohol-Related Unintentional Injury in Athletes

2014 ◽  
Vol 49 (1) ◽  
pp. 83-88 ◽  
Author(s):  
James W. Brenner ◽  
Stacie M. Metz ◽  
Jack Entriken ◽  
Christina J. Brenner
Keyword(s):  
Athletic Trainers ◽  
Unintentional Injury ◽  
Collegiate Athletes ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Negative Effects ◽  
Collegiate Athlete ◽  
Cross Sectional ◽  
National Athletic Trainers Association ◽  
Collegiate Athletic Trainers

Context: Alcohol-related unintentional injury (ARUI) has been an unexamined consequence of alcohol consumption by collegiate athletes. It has a potentially devastating effect on their athletic performances and careers. Awareness of this problem in athletes could have a huge effect on what athletic trainers (ATs) do to recognize, treat, and prevent it in a collegiate athlete population. Objective: To examine the experiences and attitudes among collegiate and university ATs about ARUI in the athletes in their care. Design: Cross-sectional study. Setting: Web-based survey. Patients or Other Participants: A total of 1767 e-mail addresses for collegiate and university ATs within National Athletic Trainers' Association Districts 1, 2, 3, and 9. Main Outcome Measure(s): We calculated frequencies, percentages, and attitudes of ATs regarding ARUI in collegiate athletes during the 2010–2011 academic year. Results: The resulting sample size for the analysis was 459 (26.0%) participants of the initial total sample. More than 56% (n = 260) of the ATs reported that they had evaluated, treated, or referred if needed at least 1 ARUI in a collegiate athlete. On average, these ATs had evaluated, treated, or referred if needed 3 alcohol-related unintentional injuries within the 2010–2011academic year. About 73% (n = 331) of ATs agreed that ARUI is a serious problem. Nearly 80% (n = 358) indicated they believe ATs should receive more training to identify student–athletes with alcohol-related problems. Conclusions: Alcohol-related unintentional injury is a common and serious consequence of alcohol use among collegiate athletes. Many ATs also view it as a serious problem yet would like more training in how to address it. Alcohol-related unintentional injury may have important negative effects on the careers and athletic performances of athletes. Researchers need to determine how prevalent ARUI is in the collegiate athlete population and what ATs can do to address it.

Psychological Aspects of Athletic Injuries as Perceived by Athletic Trainers

1996 ◽  
Vol 10 (1) ◽  
pp. 37-47 ◽  
Author(s):  
Gerald A. Larson ◽  
Chad Starkey ◽  
Leonard D. Zaichkowsky
Keyword(s):  
Athletic Training ◽  
Sport Psychology ◽  
Sports Medicine ◽  
Athletic Trainers ◽  
Psychological Trauma ◽  
Athletic Injuries ◽  
Psychological Aspects ◽  
Certified Athletic Trainers ◽  
Sport Psychologist ◽  
National Athletic Trainers Association

This study investigated the perceptions of certified athletic trainers concerning their attitudes, beliefs, and application of a variety of psychological strategies and techniques used in the treatment and rehabilitation of athletic injuries. The Athletic Training and Sport Psychology Questionnaire (ATSPQ) was adapted from instruments developed by Wiese, Weiss, and Yukelson (1991) and Brewer, Van Raalte, and Linder (1991). The ATSPQ, a letter of introduction, and a self-addressed stamped envelope were distributed to 1,000 certified athletic trainers randomly selected from the membership database maintained by the National Athletic Trainers’ Association (NATA). Only 482 (48.2%) of these questionnaires returned were usable. 47% of athletic trainers who responded believe that every injured athlete suffers psychological trauma. 24% reported that they have referred an athlete for counseling for situations related to their injury, and 25% reported that they have a sport psychologist as a member of their sports medicine team. This study concludes that future education of athletic trainers should address the psychological aspects of injury treatment as well as the development of a sport psychology referral network.

scholarly journals Pressure on Sports Medicine Clinicians to Prematurely Return Collegiate Athletes to Play After Concussion

2015 ◽  
Vol 50 (9) ◽  
pp. 944-951 ◽  
Author(s):  
Emily Kroshus ◽  
Christine M. Baugh ◽  
Daniel H. Daneshvar ◽  
Julie M. Stamm ◽  
R. Mark Laursen ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Athletic Trainers ◽  
Collegiate Athletes ◽  
Cross Sectional Study ◽  
Athletic Department ◽  
Collegiate Sports ◽  
Cross Sectional ◽  
Web Based ◽  
Medicine Department ◽  
Concussion Recovery

Context  Anecdotal and qualitative evidence has suggested that some clinicians face pressure from coaches and other personnel in the athletic environment to prematurely return athletes to participation after a concussion. This type of pressure potentially can result in compromised patient care. Objective  To quantify the extent to which clinicians in the collegiate sports medicine environment experience pressure when caring for concussed athletes and whether this pressure varies by the supervisory structure of the institution's sports medicine department, the clinician's sex, and other factors. Design  Cross-sectional study. Setting  Web-based survey of National College Athletic Association member institutions. Patients or Other Participants  A total of 789 athletic trainers and 111 team physicians from 530 institutions. Main Outcome Measure(s)  We asked participants whether they had experienced pressure from 3 stakeholder populations (other clinicians, coaches, athletes) to prematurely return athletes to participation after a concussion. Modifying variables that we assessed were the position (athletic trainer, physician) and sex of the clinicians, the supervisory structure of their institutions' sports medicine departments, and the division of competition in which their institutions participate. Results  We observed that 64.4% (n = 580) of responding clinicians reported having experienced pressure from athletes to prematurely clear them to return to participation after a concussion, and 53.7% (n = 483) reported having experienced this pressure from coaches. Only 6.6% (n = 59) reported having experienced pressure from other clinicians to prematurely clear an athlete to return to participation after a concussion. Clinicians reported greater pressure from coaches when their departments were under the supervisory purview of the athletic department rather than a medical institution. Female clinicians reported greater pressure from coaches than male clinicians did. Conclusions  Most clinicians reported experiencing pressure to prematurely return athletes to participation after a concussion. Identifying factors that are associated with variability in pressure on clinicians during concussion recovery can inform potential future strategies to reduce these pressures.

scholarly journals Current Sport-Related Concussion Teaching and Clinical Practices of Sports Medicine Professionals

2009 ◽  
Vol 44 (4) ◽  
pp. 400-404 ◽  
Author(s):  
Tracey Covassin ◽  
Robert Elbin ◽  
Jennifer L. Stiller-Ostrowski
Keyword(s):  
Athletic Training ◽  
Sports Medicine ◽  
Athletic Trainers ◽  
Program Directors ◽  
Position Statement ◽  
Return To Play ◽  
Clinical Practices ◽  
Certified Athletic Trainers ◽  
National Athletic Trainers Association ◽  
Teaching Preferences

Abstract Various consensus and position statements recommend a multifaceted approach when diagnosing a possible concussion. The effectiveness of these materials depends largely on their content being disseminated to educators and to those in the clinical setting.Context: To identify the concussion management methods and guidelines currently taught in the athletic training classroom and clinical settings and to track the dissemination of the Vienna guidelines throughout the educational curriculum.Objective: A 17-question Internet survey.Design: A Web link was e-mailed to the program directors and certified athletic trainers holding educational positions in athletic training at 300 accredited programs in the United States.Setting: 513 program directors and athletic trainers.Patients or Other Participants: Survey questions addressed education level, years of certification, employment setting, concussion assessment and return-to-play guidelines used in the clinical setting and the classroom, and clinical and teaching preferences for existing position statements and concussion grading systems. The Vienna guidelines' “simple” and “complex” definitions of concussions were provided with the return-to-play stepwise approach.Main Outcome Measure(s): The National Athletic Trainers' Association position statement was the most widely used method of assessing, managing (61%), and making return-to-play decisions (47%) among participants. More than half of participants (66%) had never heard of the Vienna guidelines. After reading the Vienna guidelines' definitions and return-to-play criteria, nearly three-fourths of participants agreed with them. In addition, 68% said that they would use them, and 84% reported that they would teach them to students.Results: The majority of program directors and certified athletic trainers used a multidimensional approach to assess and manage a concussion. The National Athletic Trainers' Association position statement and Vienna guidelines were underused in both the classroom and clinical settings.Conclusions:

scholarly journals An overview of concussion consensus statements since 2000

2006 ◽  
Vol 21 (4) ◽  
pp. 1-6 ◽  
Author(s):  
Robert C. Cantu
Keyword(s):  
Athletic Training ◽  
Sport Medicine ◽  
Sports Medicine ◽  
Athletic Trainers ◽  
International Consensus ◽  
Consensus Statements ◽  
Clinical Journal ◽  
National Athletic Trainers Association

✓ More refereed publications on sports-related concussion have appeared since 2000 than in all previous years combined. Three international consensus statements, documents from the National Athletic Trainers' Association (NATA) and the American College of Sports Medicine (ACSM), and entire issues of the Clinical Journal of Sport Medicine and the Journal of Athletic Training have been devoted to this subject. The object of this article is to critique the consensus statements and NATA and ACSM documents, pointing out areas of controversy.

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