scholarly journals High School Athletic Trainers' Understanding of Best Practice and Incorporation of The NATA's Position Statement on Ankle Sprains

Author(s):  
Alisha Hayes ◽  
Jennifer Walker ◽  
Erika Smith-Goodwin
Author(s):  
Kathryn Calpino ◽  
Jaclyn Morrissette

Abstract COVID-19 has drastically changed everyday life across the world and has dramatically impacted how athletics operate. Since the return of high school sports, high school athletic trainers are now responsible for ensuring the safe return of athletes previously diagnosed with COVID-19 to sports. Due to the relatively recent identification of this novel virus, very little is understood about the long-term effects of COVID-19 infection on the cardiac and respiratory systems. Due to the rapid return of athletics, there is unfortunately limited research available regarding how athletes respond to COVID-19 and how it may affect their ability to return to play. Therefore, it is recommended that high school athletes previously diagnosed with COVID-19 undergo a comprehensive medical evaluation with their physician and complete a graduated medically supervised return to play protocol.


2020 ◽  
Author(s):  
Revay O. Corbett ◽  
Luzita Vela ◽  
Paul C. Harris ◽  
Susan Saliba ◽  
Jay Hertel

Abstract Context: Ankle sprains common occurrences in athletic and general populations. High volumes of ankle sprains elevate the clinical burden on Athletic Trainers (AT). While there is a position statement from the National Athletic Trainers' Association (NATA) regarding the treatment and management of ankle sprains, there may be factors impacting an AT's ability to effectively implement the recommendations. Objective: To evaluate current understanding, perceptions and difficulties ATs have regarding the treatment, management, and long-term effects of ankle sprains. Design: Cross-sectional study. Setting: Online survey instrument. Patients or Other Participants: Seven hundred and ninety-six ATs across all athletic training job settings (years certified=12.1±9.2 years). Interventions: None. Main Outcome Measures: Participants completed a thirty-eight-question survey that recorded demographics, perceptions and knowledge on epidemiology, treatment, and management of ankle sprains. The survey also documented participants' patient education practices, attitudes towards the NATA position statement regarding ankle sprains, along with challenges and pressures against implementation. Descriptive statistics, correlations, and analyses of variance were used to analyze the data and evaluate group differences and relationships. Results: Eighty-three percent of participants demonstrated a moderate understanding of fundamental ankle sprain epidemiology. Group differences were seen between education levels, years certified, and job setting regarding patient education. Overall, 38.1% of ATs were either unsure or unaware of the NATA position statement, but those aware of it expressed it to be a 3.89 on a scale to five, regarding usefulness; with one being “Not Useful at All”, three being “Neutral” and five “Very Useful”. On average, 1.9±0.88 challenges were documented to implementing effective treatment practices, and an average of 2.0±0.95 pressures reported to returning athletes to play following an ankle sprain. Conclusion: Nearly 40% of ATs were either unaware or unsure of current recommendations available to inform how ankle sprains are treated, which could impact how care is delivered.


2014 ◽  
Vol 49 (2) ◽  
pp. 245-265 ◽  
Author(s):  
Steven P. Broglio ◽  
Robert C. Cantu ◽  
Gerard A. Gioia ◽  
Kevin M. Guskiewicz ◽  
Jeffrey Kutcher ◽  
...  

Objective: To provide athletic trainers, physicians, and other health care professionals with best-practice guidelines for the management of sport-related concussions. Background: An estimated 3.8 million concussions occur each year in the United States as a result of sport and physical activity. Athletic trainers are commonly the first medical providers available onsite to identify and evaluate these injuries. Recommendations: The recommendations for concussion management provided here are based on the most current research and divided into sections on education and prevention, documentation and legal aspects, evaluation and return to play, and other considerations.


2013 ◽  
Vol 48 (4) ◽  
pp. 528-545 ◽  
Author(s):  
Thomas W. Kaminski ◽  
Jay Hertel ◽  
Ned Amendola ◽  
Carrie L. Docherty ◽  
Michael G. Dolan ◽  
...  

Objective: To present recommendations for athletic trainers and other allied health care professionals in the conservative management and prevention of ankle sprains in athletes. Background: Because ankle sprains are a common and often disabling injury in athletes, athletic trainers and other sports health care professionals must be able to implement the most current and evidence-supported treatment strategies to ensure safe and rapid return to play. Equally important is initiating preventive measures to mitigate both first-time sprains and the chance of reinjury. Therefore, considerations for appropriate preventive measures (including taping and bracing), initial assessment, both short- and long-term management strategies, return-to-play guidelines, and recommendations for syndesmotic ankle sprains and chronic ankle instability are presented. Recommendations: The recommendations included in this position statement are intended to provide athletic trainers and other sports health care professionals with guidelines and criteria to deliver the best health care possible for the prevention and management of ankle sprains. An endorsement as to best practice is made whenever evidence supporting the recommendation is available.


2018 ◽  
Vol 14 (2) ◽  
pp. 137-148
Author(s):  
Alvin Wiharja ◽  
Sri Nilawati

Cedera sprain pada pergelangan kaki merupakan cedera yang sering terjadi pada saat melakukan latihan fisik (Terada et al., 2013; Kaminski et al., 2013; Ktaiche et al., 2015; Lin et al., 2012). Para klinisi telah mengupayakan berbagai metode tata laksana untuk menangani cedera ini. Terdapat keanekaragaman pilihan terapi dan strategi penanganan masalah kesehatan pada pasien dengan keluhan nyeri pada pergelangan pasien (Kaminski et al., 2013; Terada et al., 2013). Namun demikian, kombinasi ataupun pilihan terapi yang paling efektif pada cedera ini masih belum dapat ditentukan secara pasti (Terada et al., 2013). Langkah pertama yang dilakukan adalah menentukan pertanyaan penelitian, yaitu: “Jenis terapi pilihan apakah yang sesuai untuk cedera sprain pergelangan kaki?” Kemudian dilakukan systematic review untuk mengumpulkan bukti-bukti ilmiah terbaru agar membantu menjelaskan tata laksana dan pencegahan cedera sprain pergelangan kaki. Didapatkan 2 manuskrip yang membahas isu yang hampir serupa dengan berjudul “Theurapetic Intervention for Increasing Ankle Dorsoflexion After Ankle Sprain: A Systematic Review” dan “National Athletic Trainers’ Associations Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes”. Pada manuskrip tersebut menjabarkan kombinasi latihan peregangan, latihan kekuatan, latihan propioseptif dalam terapi latihan fisik sebagai prosedur tata laksana dan pencegahan cedera sprain pergelangan kaki berulang yang paling efektif (Kaminski et al., 2013; Terada et al., 2013). Dapat disimpulkan terapi pilihan berdasarkan penelusuran ilmiah pada pasien dengan keluhan cedera sprain pada pergelangan kaki adalah terapi latihan fisik. Namun perlu diperhatikan pada peresepan latihan fisik setiap pasien akan berbeda disesuaikan dengan kondisi dan keadaan masing-masing individunya.ABSTRACTAnkle sprain is a common injury that often occurs during exercise (Terada et al., 2013; Kaminski et al., 2013; Ktaiche et al., 2015; Lin et al., 2012). Clinicians have been seeking various ways to deal with this injury. There are a variety of treatment options and strategies to manage this health issues in patients (Kaminski et al., 2013; Terada et al., 2013). However, the most effective therapy in these injuries still has not be determined (Terada et al., 2013).Firstable, by determining the research question: "Which is the most appropriate therapy for an ankle sprain injury?" Then conducted a systematic review to gather the latest scientific evidence in order to help in choosing the appropriate the treatment and prevention of ankle sprain injury. Obtained two manuscripts that discuss the similar issue, entitled "Intervention for Increasing Ankle Theurapetic Dorsoflexion After Ankle sprain: A Systematic Review" and "National Athletic Trainers' Associations Position Statement: Conservative Management and Prevention of Ankle sprains in Athletes". In the manuscript describes a combination of stretching exercises, strength training, exercise therapy propioception in exercise is the most effective procedures on managing and preventing recurrent ankle sprains (Kaminski et al., 2013; Terada et al., 2013).We can conclude that the treatment of choice based on scientific searches in ankle sprain injury patients is exercise therapy. However, it should be noted on the prescription of exercise will vary according to the conditions and circumstances of each patients.Keywords: ankle sprain, exercise therapy, recurrent injury, prevention program


2019 ◽  
Vol 13 (2) ◽  
pp. 106-117
Author(s):  
Alvin Wiharja ◽  
Sri Nilawati

Ankle sprain is a common injury that often occurs during exercise. Clinicians have been seeking various ways to deal with this injury. There are a variety of treatment options and strategies to manage this health issues in patients.  However, the most effective therapy in these injuries still has not be determined.Firstable, by determining the research question: "Which is the most appropriate therapy for an ankle sprain injury?" Then conducted a systematic review to gather the latest scientific evidence in order to help in choosing the appropriate the treatment and prevention of ankle sprain injury. Obtained two manuscripts that discuss the similar issue, entitled "Intervention for Increasing Ankle Theurapetic Dorsoflexion After Ankle sprain: A Systematic Review" and "National Athletic Trainers' Associations Position Statement: Conservative Management and Prevention of Ankle sprains in Athletes". In the manuscript describes a combination of stretching exercises, strength training, exercise therapy propioception in exercise is the most effective procedures on managing and preventing recurrent ankle sprains.We can conclude that the treatment of choice based on scientific searches in ankle sprain injury patients is exercise therapy. However, it should be noted on the prescription of exercise will vary according to the conditions and circumstances of each patients.ABSTRAKCedera sprain pada pergelangan kaki merupakan cedera yang sering terjadi pada saat melakukan latihan fisik. Para klinisi telah mengupayakan berbagai metode tatalaksana untuk menangani cedera ini. Terdapat keanekaragaman pilihan terapi dan strategi penanganan masalah kesehatan pada pasien dengan keluhan nyeri pada pergelangan pasien. Namun demikian, kombinasi ataupun pilihan terapi yang paling efektif pada cedera ini masih belum dapat ditentukan secara pasti.Langkah pertama yang dilakukan adalah menentukan pertanyaan penelitian, yaitu: “Jenis terapi pilihan apakah yang sesuai untuk cedera sprain pergelangan kaki?” Kemudian dilakukan systematic review untuk mengumpulkan bukti-bukti ilmiah terbaru agar membantu menjelaskan tatalaksana dan pencegahan cedera sprain pergelangan kaki. Didapatkan 2 manuskrip yang membahas isu yang hampir serupa dengan berjudul “Theurapetic Intervention for Increasing Ankle Dorsoflexion After Ankle Sprain: A Systematic Review” dan “National Athletic Trainers’ Associations Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes”. Pada manuskrip tersebut menjabarkan kombinasi latihan peregangan, latihan kekuatan, latihan propioseptif dalam terapi latihan fisik sebagai prosedur tatalaksana dan pencegahan cedera sprain pergelangan kaki berulang yang paling efektif. Dapat disimpulkan terapi pilihan berdasarkan penelusuran ilmiah pada pasien dengan keluhan cedera sprain pada pergelangan kaki adalah terapi latihan fisik. Namun perlu diperhatikan pada peresepan latihan fisik setiap pasien akan berbeda disesuaikan dengan kondisi dan keadaan masing-masing individunya.


Author(s):  
Ryan S. McCann ◽  
Ashley M.B. Suttmiller ◽  
Phillip A. Gribble ◽  
Julie M. Cavallario

Athletic trainers’ reasons for selecting or avoiding certain evaluation techniques for patients with an ankle sprain are not fully understood. Such information is important to facilitating evidence-based practice and eliminating barriers. The purpose of this qualitative study was to determine what factors influence athletic trainers’ selection or avoidance of specific outcomes used to determine patients’ return to activity readiness following an ankle sprain. Participants cited many factors that facilitate and inhibit their use of best-practice recommendations and alternative methods for evaluating patients with ankle sprains. Athletic trainers’ should continue to promote facilitators and eliminate barriers to the use of best practices.


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