scholarly journals Perceived Management of Acute Sports Injuries and Medical Conditions by Athletic Trainers and Physical Therapists

Author(s):  
Alan Wallace ◽  
Matthew S. Briggs ◽  
James Onate ◽  
John DeWitt ◽  
Laurie Rinehart-Thompson
2006 ◽  
Vol 86 (12) ◽  
pp. 1619-1629 ◽  
Author(s):  
Diane U Jette ◽  
Kerry Ardleigh ◽  
Kellie Chandler ◽  
Lesley McShea

Abstract Background and PurposeOpponents of direct access to physical therapy argue that physical therapists may overlook serious medical conditions. More information is needed to determine the ability of physical therapists to practice safely in direct-access environments. The purpose of this study was to describe the ability of physical therapists to make decisions about the management of patients in a direct-access environment. Subjects. Of a random sample of 1,000 members of the Private Practice Section of the American Physical Therapy Association, 394 participated. Methods. A survey included 12 hypothetical case scenarios. For each case, participants determined whether they would provide intervention without referral, provide intervention and refer, or refer before intervention. The percentage of correct decisions for each group of scenarios was calculated for each participant, and participants were classified as having made correct decisions for 100% of cases or less for each group. Three sets of logistic regressions were completed to determine the characteristics of the participants in relation to the decision category. Results. The average percentages of correct decisions were 87%, 88%, and 79% for musculoskeletal, noncritical medical, and critical medical conditions, respectively. Of all participants, approximately 50% made correct decisions for all cases within each group. The odds of making 100% correct decisions if a physical therapist had an orthopedic specialization were 2.23 (95% confidence interval=1.35–3.71) for musculoskeletal conditions and 1.89 (95% confidence interval=1.14–3.15) for critical medical conditions. Discussion and Conclusion. Physical therapists with an orthopedic specialization were almost twice as likely to make correct decisions for critical medical and musculoskeletal conditions.


2004 ◽  
Vol 36 (Supplement) ◽  
pp. S103
Author(s):  
Christian C. Evans ◽  
Lisa Schwarz ◽  
Minal Masihi

2008 ◽  
Vol 17 (2) ◽  
pp. 171-185
Author(s):  
Christian C. Evans ◽  
Lisa Schwarz ◽  
Minal Masihi

Context:Sudden cardiac death in athletes may be preventable if healthcare providers perform a thorough screening of the cardiovascular system during routine athlete evaluations.Objective:Determine the adequacy of routine screening of athletes for heart disease by athletic trainers (ATs) and physical therapists (PTs).Design, Participants, Setting, and Methods:National Athletic Trainers Association and Sports Physical Therapy Section members were surveyed using a stratified sampling technique via e-mail and postal mail.Results:ATs performed significantly higher than PTs on the composite screening score (CSS; mean of 13 items) as well as on 9 of 13 individual items. Logistic regression analysis revealed that “involvement in preparticipation screenings for sports (PPSS)” was most closely related to CSS (P < .01) and controlling for this factor in the ANOVA eliminated differences between the professions.Conclusions:Clinicians working with athletes who are not involved in PPSS may not adequately screen these patients for heart disease.


2004 ◽  
Vol 36 (Supplement) ◽  
pp. S103
Author(s):  
Christian C. Evans ◽  
Lisa Schwarz ◽  
Minal Masihi

Disabilities ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 471-480
Author(s):  
Shinsuke Tamai ◽  
Shusei Kuroda ◽  
Takayuki Yabe ◽  
Tsunehiko Wada

Disability sports have been globally promoted to achieve an inclusive society. However, the current opportunities for people with disabilities are few in terms of participating in supporting positions, such as athletic trainers. In Japan, many people with visual impairment (VI) work as physical therapists; thus, they can become active as medical staff in the sports field. An example of a medical assessment is the muscle tightness test (MTT); however, conducting it is expected to be difficult for people with VI. To improve this difficulty, the current study developed an assistive instrument (AsI) and examined its effectiveness. We recruited 22 physical therapists with VI. The measurement for MTT targeted the hamstrings, iliopsoas, gastrocnemius, and quadriceps. The participants performed the MTT using a universal goniometer (UG) and the AsI and filled up a questionnaire. AsI was compared against UG based on three aspects, namely, ease, accuracy, and measurement time. In terms of ease, significant differences were observed in 9 out of 12 questionnaire items. The mean (SD) score for “Comprehensive ease of the MTT” improved from 2.8 (1.0) to 3.9 (0.8). For accuracy, the AsI yielded a decrease in the total error of the measurement. Lastly, the measurement time for AsI was longer than that for the UG. Therefore, the AsI was effective in terms of ease and accuracy, whereas measurement time remained as an issue.


Author(s):  
Timothy L. Miller ◽  
Rose Backs

Presented here is the case of a 16-year-old male cross-country runner with chronic leg pain who was diagnosed with popliteal artery entrapment syndrome. An extensive workup was performed on the athlete that eventually included a postexercise arteriogram to reach the diagnosis. Ultimately the athlete’s symptoms required him to undergo bilateral leg surgeries to decompress the popliteal arteries. Extensive collaboration between athletic trainers, physical therapists, orthopedic surgery, sports medicine, and vascular surgery was required to treat the athlete’s condition and return him to distance running.


2003 ◽  
Vol 35 (Supplement 1) ◽  
pp. S326 ◽  
Author(s):  
J Grassel ◽  
A Z. Hoch ◽  
M A. Staton ◽  
N M. McDowell ◽  
C S. Vetter ◽  
...  

2008 ◽  
Vol 17 (4) ◽  
pp. 413-431 ◽  
Author(s):  
Jill Tracey

Context:Health professionals (ie, physical therapists, athletic trainers) can play an integral role in the psychological recovery from injury.Objective:To examine health professionals’ perceptions of the roles they play and their influence on the psychological recovery of their clients.Design:A qualitative design using semistructured interviews that were transcribed and analyzed using interpretational analyses to reveal themes.Setting:4 rehabilitation clinics specializing in sport- and physical-activity-related injuries.Participants:18 participants (17 physical therapists, 1 athletic trainer) with a mean age of 36 years.Results:Using thematic coding of the interview data, general-dimension data themes identified were centered on the roles of rapport builder, educator, and communicator. Health professionals perceive that they play important roles in the psychological recovery of their clients in spite of a lack of professional training in psychology and strive to create a caring and supportive environment. Results demonstrate the perceptions of the roles they play and the influence they have on the psychological component of the recovery process.


2020 ◽  
Vol 1 ◽  
pp. 36-48
Author(s):  
Sarah Stokowski ◽  
Amanda Paule-Koba ◽  
Andrew Rudd ◽  
Alex Auerbach

The success of an athletic program is often defined by wins and losses. According to the sporting success framework (De Bosscher et al., 2006) as well as the athlete development literacy (ADL) model (Livengood et al., 2015), athlete development contributes to athletic achievement. The purpose of this study is to investigate the relationship between athlete development personnel resources and winning success at NCAA Division I institutions. A total of 150 universities were included in this study. Utilizing the ADL model (Livengood et al. 2015) of personal and player development literacies, athletic department personnel selected for this study included: academic advisors, athletic trainers, doctors, learning specialists, nutritionists, mental health professionals, physical therapists, sport psychologists, as well as strength and conditioning coaches. Winning success was measured using the final 2017-18 Learfield IMG Directors’ Cup standings (Directors’ Cup, 2019). The results suggest that athletic trainers, learning specialists, and sport psychologists significantly contribute to winning success. As such, athletic departments should appropriately invest in athlete development specialists.


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