Sports Medicine and Athletic Training for Athletes With Disabilities

2005 ◽  
Author(s):  
Ron Davis ◽  
Mike Ferrara
Keyword(s):  
Athletic Training ◽  
Sports Medicine ◽  
Athletes With Disabilities

Cardiorespiratory Responses During Underwater and Land Treadmill Exercise in College Athletes

2011 ◽  
Vol 20 (3) ◽  
pp. 345-354 ◽  
Author(s):  
Peter Brubaker ◽  
Cemal Ozemek ◽  
Alimer Gonzalez ◽  
Stephen Wiley ◽  
Gregory Collins
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Sports Medicine ◽  
Perceived Exertion ◽  
College Athletes ◽  
Random Order ◽  
Original Research ◽  
Cardiorespiratory Responses ◽  
Significant Difference ◽  
The Relationship

Context:Underwater treadmill (UTM) exercise is being used with increased frequency for rehabilitation of injured athletes, yet there has been little research conducted on this modality.Objective:To determine the cardiorespiratory responses of UTM vs land treadmill (LTM) exercise, particularly with respect to the relationship between heart rate (HR) and oxygen consumption (VO2).Design and Setting:This quantitative original research took place in sports medicine and athletic training facilities at Wake Forest University.Participants:11 Wake Forest University student athletes (20.8 ± 0.6 y, 6 women and 5 men).Intervention:All participants completed the UTM and LTM exercise-testing protocols in random order. After 5 min of standing rest, both UTM and LTM protocols had 4 stages of increasing belt speed (2.3, 4.9, 7.3, and 9.6 km/h) followed by 3 exercise stages at 9.6 km/h with increasing water-jet resistance (30%, 40%, and 50% of jet capacity) or inclines (1%, 2%, and 4% grade).Main Outcome Measures:A Cosmed K4b2 device with Polar monitor was used to collect HR, ventilation (Ve), tidal volume (TV), breathing frequency (Bf), and VO2 every minute. Ratings of perceived exertion (RPE) were also obtained each minute.Results:There was no significant difference between UTM and LTM for VO2 at rest or during any stage of exercise except stage 3. Furthermore, there were no significant differences between UTM and LTM for HR, Ve, Bf, and RPE on any exercise stage. Linear regression of HR vs VO2, across all stages of exercise, indicates a similar relationship in these variables during UTM (r = .94, y = .269x − 10.86) and LTM (r = .95, y = .291x − 12.98).Conclusions:These data indicate that UTM and LTM exercise elicits similar cardiorespiratory responses and that HR can be used to guide appropriate exercise intensity for college athletes during UTM.

Infectious Mononucleosis in an Athlete: Another Potentially Life-Threatening Complication

2017 ◽  
Vol 22 (6) ◽  
pp. 28-31
Author(s):  
Byron Moran ◽  
Eric E. Corris
Keyword(s):  
Athletic Training ◽  
Infectious Mononucleosis ◽  
Sports Medicine ◽  
Nasal Congestion ◽  
Football Player ◽  
Laboratory Evaluation ◽  
Severe Thrombocytopenia ◽  
Intercollegiate Football ◽  
Life Threatening ◽  
Medicine Team

A 19-year-old male intercollegiate football player presented to the athletic training room with symptoms of sore throat, nasal congestion, fatigue, and bleeding, experienced for 3 weeks. His clinical and laboratory evaluation was consistent with infectious mononucleosis and severe thrombocytopenia. The athlete was immediately removed from participation and evaluated by a hematologist who confirmed the diagnosis and started oral glucocorticoid therapy. The athlete’s symptoms improved and thrombocytopenia resolved with therapy. Timely identification of severe thrombocytopenia allows for safe removal from participation. Collaboration among the sports medicine team as well as specialists, when needed, allows for optimal management of these rare complications.

Sports Medicine Research Practices for Categorizing Transgender and/or Intersex Participants

2021 ◽  
pp. 1-5
Author(s):  
Valerie W. Herzog ◽  
Alysia Cohen
Keyword(s):  
Clinical Research ◽  
Athletic Training ◽  
Sports Medicine ◽  
Research Participant ◽  
The United States ◽  
Medicine Research ◽  
The Individual ◽  
Published Research ◽  
Leading Journals ◽  
Research Studies

Context: Approximately 1 to 1.4 million individuals (0.58% of the population) in the United States identify as transgender, yet no literature could be found regarding how researchers should adapt clinical research studies when intersex or transgender individuals volunteer as participants. Therefore, the objective was to determine if there is a consensus among recently published researchers in 3 athletic training and sports medicine journals regarding procedures used to categorize participants and data of transgender or intersex individuals in a research study. Methods: The authors developed a 14-item survey using Qualtrics XM to assess how researchers categorize individuals and their data when intersex or transgender individuals volunteer to participate in clinical research studies that are not intended to focus on intersex or transgender individuals. The survey was sent to 378 individuals in athletic training and related fields who recently published research manuscripts from 2018 to 2020 in one or more of 3 leading journals in the field including the Journal of Athletic Training, the Journal of Sport Rehabilitation, and the Athletic Training and Sports Health Care Journal. Results: A total of 82 respondents completed the survey, yielding a response rate of 21.69%. When categorizing research participants who were not using hormones or surgery to transition, several respondents were unsure how to categorize transgender individuals (n = 14, 17.1%) or intersex individuals (n = 35, 42.7%). If the research participant was using hormones and/or surgery to transition, many respondents were unsure how to categorize the sex of the individual (n = 27, 32.9%). Only 5 (6.1%) respondents indicated that their organization has policies that guide their inclusion of transgender and/or intersex individuals in research studies. Conclusions: There does not appear to be consensus among researchers who recently published in athletic training and sports medicine journals regarding how to categorize transgender and intersex individuals who volunteer to participate in research studies.

Sports Medicine and Cardiac Rehabilitation for Coronary and Peripheral Artery Disease Patients

2018 ◽  
pp. 495-516
Author(s):  
Gregory S. Thomas ◽  
Myrvin H. Ellestad
Keyword(s):  
Cardiac Rehabilitation ◽  
Athletic Training ◽  
Peripheral Artery Disease ◽  
Sports Medicine ◽  
Exercise Program ◽  
Peripheral Artery ◽  
Large Populations ◽  
Habitual Exercise ◽  
Artery Disease ◽  
Asymptomatic Individuals

The chapter Sports Medicine and Cardiac Rehabilitation for Coronary and Peripheral Artery Disease (CAD) reviews the benefits and potential risks of physical activity and the opportunity for particular benefit in patients with coronary artery disease and peripheral artery disease (PAD). Longitudinal studies of large populations have found a benefit to habitual exercise on cardiovascular health, including decreasing cardiovascular mortality. A physiologic training effect is not required for benefit. Mild exercise is better than inactivity and increasing activity provides even greater benefit. Athletic training induces expected electrocardiographic changes at rest in athletes. Prescribing exercise with or without an exercise test is discussed in asymptomatic individuals as well as prior to participation in traditional cardiac rehabilitation or a supervised exercise program for patients with peripheral artery disease. PAD patients often do not have classic intermittent claudication yet are able to benefit from exercise therapy.

scholarly journals Key Factors for Providing Appropriate Medical Care in Secondary School Athletics: Athletic Training Services and Budget

2010 ◽  
Vol 45 (1) ◽  
pp. 75-86 ◽  
Author(s):  
George S. Wham ◽  
Ruth Saunders ◽  
James Mensch
Keyword(s):  
South Carolina ◽  
Secondary School ◽  
Medical Care ◽  
Athletic Training ◽  
Sports Medicine ◽  
Interscholastic Athletics ◽  
Care Assessment ◽  
Interscholastic Athletes ◽  
Training Services ◽  
Medicine Supply

Abstract Context: Research suggests that appropriate medical care for interscholastic athletes is frequently lacking. However, few investigators have examined factors related to care. Objective: To examine medical care provided by interscholastic athletics programs and to identify factors associated with variations in provision of care. Design: Cross-sectional study. Setting: Mailed and e-mailed survey. Patients or Other Participants: One hundred sixty-six South Carolina high schools. Intervention(s): The 132-item Appropriate Medical Care Assessment Tool (AMCAT) was developed and pilot tested. It included 119 items assessing medical care based on the Appropriate Medical Care for Secondary School-Age Athletes (AMCSSAA) Consensus Statement and Monograph (test-retest reliability: r  =  0.89). Also included were items assessing potential influences on medical care. Presence, source, and number of athletic trainers; school size; distance to nearest medical center; public or private status; sports medicine supply budget; and varsity football regional championships served as explanatory variables, whereas the school setting, region of state, and rate of free or reduced lunch qualifiers served as control variables. Main Outcome Measure(s): The Appropriate Care Index (ACI) score from the AMCAT provided a quantitative measure of medical care and served as the response variable. The ACI score was determined based on a school's response to items relating to AMCSSAA guidelines. Results: Regression analysis revealed associations with ACI score for athletic training services and sports medicine supply budget (both P < .001) when controlling for the setting, region, and rate of free or reduced lunch qualifiers. These 2 variables accounted for 30% of the variance in ACI score (R2  =  0.302). Post hoc analysis showed differences between ACI score based on the source of the athletic trainer and the size of the sports medicine supply budget. Conclusions: The AMCAT offers an evaluation of medical care provided by interscholastic athletics programs. In South Carolina schools, athletic training services and the sports medicine supply budget were associated with higher levels of medical care. These results offer guidance for improving the medical care provided for interscholastic athletes.

scholarly journals Injury Patterns in Collegiate Club Quidditch

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Christopher M. Fox ◽  
Jonathan G. Wu ◽  
Lucia Chen ◽  
Dena L. Florczyk
Keyword(s):  
Incidence Rate ◽  
Athletic Training ◽  
Sports Medicine ◽  
Body Part ◽  
Common Mechanism ◽  
Injury Incidence ◽  
Injury Patterns ◽  
Lower Extremity Injuries ◽  
Injury Type ◽  
Medicine Physician

Abstract Background The purpose of this study is to assess injury patterns in collegiate club quidditch athletes at a single university over three seasons. Injury data were gathered from athletic trainers that provided sideline medical coverage during competitions, the on-site athletic training center where athletes had daily access for evaluation and treatment for acute and chronic injuries, and a sports medicine physician at the on-campus student health center. Athlete exposures were estimated using available previous rosters, practice, and game schedules for the 2014–2017 quidditch seasons. Injuries were evaluated regarding the sex of the athlete, mechanism, body part injuries, and injury type. This is a retrospective descriptive epidemiology study. Results The overall injury incidence rate (IR) for collegiate club quidditch injuries was 4.55 per 1000 athlete exposures (AEs). Male athletes had an IR = 5.22 (95% CI 3.77, 7.23). Females had an IR = 3.77 (95% CI 2.49, 5.72). The most common mechanism of injury in males was collision with another athlete (36%; IR = 1.88; 95% CI 1.09, 3.24). The most common injuries were lower extremity injuries (foot, ankle, lower leg, knee, thigh, hip/groin) at 57%. The most common injury type in males was sprains at 39% (IR = 2.03; 95% CI 1.20, 3.42). The overall incidence rate for all quidditch athletes for concussions was 1.18 per 1000 AEs. Conclusions Quidditch is an increasingly popular mixed-gender collegiate club sport. This study helps identify areas for improvement in education, injury prevention, and care of athletes at the local and national levels. Concussion rates in quidditch are comparable to other contact sports and should encourage discussion to make rule changes to improve the safety of the sport.

scholarly journals Athletic Training and Sports Medicine, ed 4

2006 ◽  
Vol 86 (6) ◽  
pp. 890-891
Author(s):  
Daniel Rovny
Keyword(s):  
Athletic Training ◽  
Sports Medicine
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