scholarly journals National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

2011 ◽  
Vol 46 (2) ◽  
pp. 206-220 ◽  
Author(s):  
Tamara C. Valovich McLeod ◽  
Laura C. Decoster ◽  
Keith J. Loud ◽  
Lyle J. Micheli ◽  
J. Terry Parker ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Sports Injuries ◽  
Pediatric Population ◽  
Athletic Trainers ◽  
Position Statement ◽  
Current Evidence ◽  
Certified Athletic Trainers ◽  
Pediatric Injury ◽  
Physical Examinations ◽  
National Athletic Trainers Association

Abstract Objective: To provide certified athletic trainers, physicians, and other health care professionals with recommendations on best practices for the prevention of overuse sports injuries in pediatric athletes (aged 6–18 years). Background: Participation in sports by the pediatric population has grown tremendously over the years. Although the health benefits of participation in competitive and recreational athletic events are numerous, one adverse consequence is sport-related injury. Overuse or repetitive trauma injuries represent approximately 50% of all pediatric sport-related injuries. It is speculated that more than half of these injuries may be preventable with simple approaches. Recommendations: Recommendations are provided based on current evidence regarding pediatric injury surveillance, identification of risk factors for injury, preparticipation physical examinations, proper supervision and education (coaching and medical), sport alterations, training and conditioning programs, and delayed specialization.

scholarly journals National Athletic Trainers' Association Position Statement: Preventing and Managing Sport-Related Dental and Oral Injuries

2016 ◽  
Vol 51 (10) ◽  
pp. 821-839 ◽  
Author(s):  
Trenton E. Gould ◽  
Scott G. Piland ◽  
Shane V. Caswell ◽  
Dennis Ranalli ◽  
Stephen Mills ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
National Collegiate Athletic Association ◽  
Emotional Health ◽  
Financial Burden ◽  
Athletic Trainers ◽  
Adult Life ◽  
Dental Trauma ◽  
Current Evidence ◽  
National Athletic Trainers Association

Objective: To provide athletic trainers, health care professionals, and all those responsible for the care of athletes with clinical recommendations for preventing and managing sport-related dental and oral injuries. Background: Participation in competitive sports continues to grow at both the interscholastic and intercollegiate levels. Therefore, exposure to, and the incidence of athletic-related injury, including orofacial injury, will also likely increase. At the time of this writing, the leading governing agencies for interscholastic (National Federation of State High School Associations) and intercollegiate (National Collegiate Athletic Association) sports require only protective orofacial equipment (eg, mouthguards) for 5 and 4, respectively, of their sanctioned sports. Although orofacial injuries represent a small percentage of all sport-related injuries, the financial burden associated with these injuries (eg, tooth avulsion) can exceed $15 000 over an adult life. Therefore, effective management of sport-related dental injuries is critical to the long-term financial, physical, and emotional health of people who have experienced dental trauma. Recommendations: Based upon the current evidence regarding sport-related orofacial injury, we provide recommendations related to planning considerations, education, and mouthguard efficacy, material, fabrication, and care considerations. Additionally, suggested best practices for managing sport-related dental injury are also given for athletic trainers and other health care professionals.

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.

scholarly journals Cervical Spine Motion During Football Equipment-Removal Protocols: A Challenge to the All-or-Nothing Endeavor

2014 ◽  
Vol 49 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Bradley Jacobson ◽  
Michael Cendoma ◽  
Jacob Gdovin ◽  
Kevin Cooney ◽  
Dustin Bruening
Keyword(s):  
Cervical Spine ◽  
Repeated Measures ◽  
Athletic Trainers ◽  
Movement Analysis ◽  
Position Statement ◽  
Ice Hockey ◽  
American Football ◽  
Certified Athletic Trainers ◽  
National Athletic Trainers Association ◽  
Spine Movement

Context The National Athletic Trainers' Association position statement on acute management of the cervical spine-injured athlete recommended the all-or-nothing endeavor, which involves removing or not removing both helmet and shoulder pads, from equipment-laden American football and ice hockey athletes. However, in supporting research, investigators have not considered alternative protocols. Objective To measure cervical spine movement (head relative to sternum) produced when certified athletic trainers (ATs) use the all-or-nothing endeavor and to compare these findings with the movement produced using an alternative pack-and-fill protocol, which involves packing the area under and around the cervical neck and head with rolled towels. Design Crossover study. Setting Movement analysis laboratory. Patients or Other Participants Eight male collegiate football players (age = 21.4 ± 1.4 years; height = 1.87 ± 0.02 m; mass = 103.6 ± 12.5 kg). Intervention(s) Four ATs removed equipment under 4 conditions: removal of helmet only followed by placing the head on the ground (H), removal of the helmet only followed by pack-and-fill (HP), removal of the helmet and shoulder pads followed by placing the head on the ground (HS), and removal of the helmet and shoulder pads followed by pack-and-fill (HSP). Motion capture was used to track the movement of the head with respect to the sternum during equipment removal. Main Outcome Measure(s) We measured head movement relative to sternum movement (translations and rotations). We used 4 × 4 analyses of variance with repeated measures to compare discrete motion variables (changes in position and total excursions) among protocols and ATs. Results Protocol HP resulted in a 0.1 ± 0.6 cm rise in head position compared with a 1.4 ± 0.3 cm drop with protocol HS (P < .001). Protocol HP produced 4.9° less total angular excursion (P < .001) and 2.1 cm less total vertical excursion (P < .001) than protocol HS. Conclusions The pack-and-fill protocol was more effective than shoulder pad removal in minimizing cervical spine movement throughout the equipment-removal process. This study provides evidence for including the pack-and-fill protocol in future treatment recommendations when helmet removal is necessary for on-field care.

scholarly journals National Athletic Trainers' Association Position Statement: Skin Diseases

2010 ◽  
Vol 45 (4) ◽  
pp. 411-428 ◽  
Author(s):  
Steven M. Zinder ◽  
Rodney S. W. Basler ◽  
Jack Foley ◽  
Chris Scarlata ◽  
David B. Vasily
Keyword(s):  
Skin Diseases ◽  
Athletic Trainers ◽  
Relevant Information ◽  
Position Statement ◽  
Skin Infections ◽  
Infectious Agents ◽  
Certified Athletic Trainers ◽  
Prophylactic Measures ◽  
Common Skin ◽  
National Athletic Trainers Association

Abstract Objective: To present recommendations for the prevention, education, and management of skin infections in athletes. Background: Trauma, environmental factors, and infectious agents act together to continually attack the integrity of the skin. Close quarters combined with general poor hygiene practices make athletes particularly vulnerable to contracting skin diseases. An understanding of basic prophylactic measures, clinical features, and swift management of common skin diseases is essential for certified athletic trainers to aid in preventing the spread of infectious agents. Recommendations: These guidelines are intended to provide relevant information on skin infections and to give specific recommendations for certified athletic trainers and others participating in athletic health care.

scholarly journals National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

2016 ◽  
Vol 51 (12) ◽  
pp. 1053-1070 ◽  
Author(s):  
Joel W. Beam ◽  
Bernadette Buckley ◽  
William R. Holcomb ◽  
Mario Ciocca
Keyword(s):  
Health Care ◽  
Adverse Reactions ◽  
Athletic Trainers ◽  
Position Statement ◽  
Athletic Trainer ◽  
Medical Professionals ◽  
Specific Knowledge ◽  
Certified Athletic Trainers ◽  
National Athletic Trainers Association ◽  
Certified Athletic Trainer

Objective:  To present recommendations for the cleansing, debridement, dressing, and monitoring of acute skin trauma in patients. Background:  Acute skin trauma is common during participation in athletic and recreational activities. Clinical decisions and intervention protocols after injury vary among athletic trainers and are often based on ritualistic practices. An understanding of cleansing, debridement, and dressing techniques; clinical features of infection and adverse reactions; and monitoring of acute skin trauma is critical for certified athletic trainers and other allied health and medical professionals to create a local wound environment that promotes healing and lessens the risk of complications. Recommendations:  These guidelines are intended to provide the certified athletic trainer and others participating in athletic health care with specific knowledge about and recommendations for the management of acute skin trauma.

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 National Athletic Trainers' Association Position Statement: Immediate Management of Appendicular Joint Dislocations

2018 ◽  
Vol 53 (12) ◽  
pp. 1117-1128
Author(s):  
Susan L. Rozzi ◽  
Jeffrey M. Anderson ◽  
Scott T. Doberstein ◽  
Joseph J. Godek ◽  
Langdon A. Hartsock ◽  
...  
Keyword(s):  
Athletic Trainers ◽  
Standard Of Care ◽  
Position Statement ◽  
Medical Setting ◽  
Certified Athletic Trainers ◽  
State Regulations ◽  
Joint Dislocations ◽  
Initial Care ◽  
National Athletic Trainers Association ◽  
First Time

Objective To provide certified athletic trainers (ATs) with recommendations and guidelines for the immediate management of patients with joint dislocations. Background One of the primary responsibilities of ATs is to provide immediate injury care for active individuals. Although ATs are confronted with managing patients who have many kinds of injuries, the onsite management of a joint dislocation presents challenges in evaluation and immediate treatment. The critical concern in managing a dislocation is deciding when a joint can be reduced onsite and when the patient should be splinted and transported for reduction to be performed in the hospital or medical setting. Factors that influence the decision-making process include the following: whether the AT possesses a documented protocol that is supported by his or her supervising physician(s), employer documents, and respective state regulations; the AT's qualifications and experience; the dislocated joint; whether the dislocation is first time or recurrent; the patient's age and general health; and whether associated injuries are present. Recommendations These guidelines are intended to provide considerations for the initial care of specific joint dislocations. They are not intended to represent the standard of care and should not be interpreted as a standard of care for therapeutic or legal discussion.

scholarly journals National Athletic Trainers' Association Position Statement: Management of Sport Concussion

2014 ◽  
Vol 49 (2) ◽  
pp. 245-265 ◽  
Author(s):  
Steven P. Broglio ◽  
Robert C. Cantu ◽  
Gerard A. Gioia ◽  
Kevin M. Guskiewicz ◽  
Jeffrey Kutcher ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Best Practice ◽  
Athletic Trainers ◽  
The United States ◽  
Position Statement ◽  
Legal Aspects ◽  
Return To Play ◽  
Concussion Management ◽  
Best Practice Guidelines ◽  
National Athletic Trainers Association

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.

scholarly journals National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

2013 ◽  
Vol 48 (4) ◽  
pp. 528-545 ◽  
Author(s):  
Thomas W. Kaminski ◽  
Jay Hertel ◽  
Ned Amendola ◽  
Carrie L. Docherty ◽  
Michael G. Dolan ◽  
...  
Keyword(s):  
Health Care ◽  
Conservative Management ◽  
Health Care Professionals ◽  
Preventive Measures ◽  
Athletic Trainers ◽  
Position Statement ◽  
Return To Play ◽  
Initial Assessment ◽  
Ankle Sprains ◽  
National Athletic Trainers Association

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.

scholarly journals National Athletic Trainers' Association Position Statement: Environmental Cold Injuries

2008 ◽  
Vol 43 (6) ◽  
pp. 640-658 ◽  
Author(s):  
Thomas A. Cappaert ◽  
Jennifer A. Stone ◽  
John W. Castellani ◽  
Bentley Andrew Krause ◽  
Daniel Smith ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Providers ◽  
Athletic Trainers ◽  
Position Statement ◽  
Care Providers ◽  
Certified Athletic Trainers ◽  
Problem Solving Skills ◽  
Work Related ◽  
National Athletic Trainers Association

Abstract Objective: To present recommendations for the prevention, recognition, and treatment of environmental cold injuries. Background: Individuals engaged in sport-related or work-related physical activity in cold, wet, or windy conditions are at risk for environmental cold injuries. An understanding of the physiology and pathophysiology, risk management, recognition, and immediate care of environmental cold injuries is an essential skill for certified athletic trainers and other health care providers working with individuals at risk. Recommendations: These recommendations are intended to provide certified athletic trainers and others participating in athletic health care with the specific knowledge and problem-solving skills needed to address environmental cold injuries. Each recommendation has been graded (A, B, or C) according to the Strength of Recommendation Taxonomy criterion scale.

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