Summary Statement: Appropriate Medical Care for the Secondary School-Aged Athlete

Almquist, Jon; McLeod, Tamara C. Valovich; Cavanna, Angela; Jenkinson, Dave; Lincoln, Andrew E.; Loud, Keith J.; Peterson, Bart C.; Portwood, Craig; Reynolds, John R.; Woods, Thomas S.

doi:10.4085/1062-6050-43.4.416

Cited by 71 publications

(86 citation statements)

References 25 publications

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“…Beyond taping and therapeutic exercises, ATs are often responsible for other preventive services, such as assessing field safety, fitting equipment properly, and implementing team-based injury-screening and injury-prevention sessions. 8 Although essential to patient safety and a primary responsibility of ATs, these preventive services are not normally recorded in patient documentation or even on daily encounter forms. Thus, to understand the scope of the volume and demands of providing preventive services during clinical practice, future authors should aim to capture all aspects of preventive services provided by ATs.…”

Section: Discussionmentioning

confidence: 99%

“…For example, the ''Recommendations and guidelines for appropriate medical coverage of intercollegiate athletics'' from the National Athletic Trainers' Association (NATA) 10 includes a rating system based on injury rates, the potential for catastrophic injury, and demands on clinicians for treatment and rehabilitation tasks related to time-loss and nontime-loss injuries in various sports, along with factors such as team size, travel, season length, and staff administrative duties. Similarly, the ''Summary statement: appropriate medical care for the secondary school-aged athlete'' 8 and the ''Interassociation consensus statement on best practices for sports medicine management for secondary schools and colleges'' 11 call for secondary schools to develop comprehensive athlete health care administrative teams based on the demands associated with onsite injury evaluation, treatment, and rehabilitation and the development of injuryand illness-prevention strategies. Although factors such as team size and injury rates can be easily calculated by the clinician or estimated using epidemiologic data, the best way to evaluate other clinical factors, such as the overall demands of patient care, is less clear.…”

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confidence: 99%

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Athletic Training Services During Daily Patient Encounters: A Report From the Athletic Training Practice-Based Research Network

Lam

Valier

Anderson

et al. 2016

Journal of Athletic Training

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Context: Athletic training services such as taping, wrapping, and stretching are common during routine care but rarely captured in traditional patient documentation. These clinical data are vital when determining appropriate medical coverage and demonstrating the value and worth of athletic trainers (ATs). Objective: To analyze clinical data from daily encounter forms within the Athletic Training Practice-Based Research Network (AT-PBRN). Design: Descriptive study. Setting: Secondary school athletic training clinics. Patients or Other Participants: Adolescent patients (n = 4888; age = 16.3 ± 1.4 years) seeking care from ATs. Main Outcome Measure(s): We used Web-based electronic medical records from December 1, 2009, to July 1, 2015, to obtain patient characteristics via deidentified data. Descriptive data regarding practice characteristics from patient encounter forms were analyzed and reported as percentages and frequencies. Results: A total of 36 245 patient encounters (mean = 7.5 ± 11.6 encounters per patient) were recorded. Football, basketball, soccer, track, and volleyball accounted for 85.1% of all encounters. Most encounters were for preventive services (48.8%, n = 22 329), followed by care for a current injury (37.2%, n = 17 027) and care for a new injury (13.9%, n = 6368). Of the preventive encounters, taping (52.7%) was the most common service provided, followed by ice- or hot-pack application (25.4%) and treatment (9.6%). Taping (28.7%) was also the most common service for current injuries, followed by treatment (26.7%) and ice- or hot-pack application (26.2%). Conclusions: Our findings highlight the unique role of ATs as health care providers who provide substantial preventive services to their patients. Further, these results represent one of the first attempts to describe athletic training services related to nontime-loss injuries, emphasizing the significant role that ATs play in the health care of secondary school athletes. These findings should help clinicians and administrators make more informed decisions regarding appropriate medical coverage.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Athletic Training Services During Daily Patient Encounters: A Report From the Athletic Training Practice-Based Research Network

Lam

Valier

Anderson

et al. 2016

Journal of Athletic Training

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“…Wham 24 used the Appropriate Care Index based on the ''Appropriate Medical Care for Secondary School-Aged Athletes'' consensus statement to quantitatively correlate higher levels of medical care with the employment of ATs. 23,24 High schools that directly contracted with ATs had higher levels of care based on Appropriate Care Index scores than schools that contracted with ATs through outside sources (ie, clinics, hospitals). 24 This observation was attributed to differences in hours of availability to student-athletes; those hired directly by the high school were not restricted to hours spent working for the contracting agency.…”

Section: Lack Of Powermentioning

confidence: 99%

“…Organizations including the American Medical Association, the American Academy of Pediatrics, and the NATA have recommended hiring ATs in high schools for decades. 9,23 The recommendation seemed largely anecdotal until 2010. Wham 24 used the Appropriate Care Index based on the ''Appropriate Medical Care for Secondary School-Aged Athletes'' consensus statement to quantitatively correlate higher levels of medical care with the employment of ATs.…”

Section: Lack Of Powermentioning

confidence: 99%

Athletic Directors' Barriers to Hiring Athletic Trainers in High Schools

Mazerolle

Raso

Pagnotta

et al. 2015

Journal of Athletic Training

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Context In its best-practices recommendation, the Inter-Association Task Force for Preventing Sudden Death in Secondary School Athletics Programs urged all high schools to have a certified athletic trainer (AT) on staff. Despite the recommendation, many high schools lack the medical services of an AT. Objective To examine the barriers that athletic directors (ADs) face in hiring ATs in public high schools and in providing medical coverage for their student-athletes. Design Qualitative study. Setting Semistructured telephone interviews. Patients or Other Participants Twenty full-time public high school ADs (17 men, 3 women) from various geographical regions of the United States (6 North, 4 South, 4 Midwest, 6 West) participated. Data saturation guided the total number of participants. Data Collection and Analysis We completed telephone interviews guided by a semistructured questionnaire with all participants. Interviews were recorded and transcribed verbatim. Multiple-analyst triangulation and peer review were included as steps to establish data credibility. We analyzed the data using the principles of the general inductive approach. Results We identified 3 themes. Lack of power represented the inability of an AD to hire an AT, which was perceived to be a responsibility of the superintendent and school board. Budget concerns pertained to the funding allocated to specific resources within a school, which often did not include an AT. Nonbudget concerns represented rural locations without clinics or hospitals nearby; misconceptions about the role of an AT, which led to the belief that first-aid–trained coaches are appropriate medical providers; and community support from local clinics, hospitals, and volunteers. Conclusions Many ADs would prefer to employ ATs in their schools; however, they perceive that they are bound by the hiring and budgeting decisions of superintendents and school boards. Public school systems are experiencing the consequences of national budget cuts and often do not have the freedom to hire ATs when other school staff are being laid off.

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“…This issue is especially critical for high-level sportsmen in the process of intensive physical training, when demand of proteins, vitamins and mineral substances considerably increases in the setting of reduced ability to observe an adequate diet due to intensive training regimen. At the same time, inanition affects both sports results and sportsmen's health [15][16][17][18]. This calls forth use of special products enriched with a certain set of nutrients.…”

Section: Parametermentioning

confidence: 99%

Nutritive Support of Young Sportsmen Using a Specialized Russian Product

Баранов¹,

Макарова²,

Боровик³

et al. 2013

Pediatr. farmakol.

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Nutritive support of young sportsmen using a specialized Russian product Author affiliation: Svetlana Gennad'evna Makarova, PhD, leading research fellow at the pediatric nutrition department of the SCCH Address: 2, Lomonosovskii Ave., Moscow, 119991, tel.: +7 (499) The issue of adequate nutrition for children going in for sports is rather urgent. Despite the developed dietary recommendations for children sportsmen [1][2][3], literature data and evaluation of real diet of such children showed that the real consumption of macro-and micronutrients is considerably different from the recommended norms [4][5][6][7]. The main reasons of insufficient consumption of certain nutrients are intensive training regimen, which impedes compliance with the necessary dietary pattern (in almost all children), selective appetite, food allergy or intolerance, whereas diet of a child or an adolescent actively going in for sports ought to provide the body with the necessary amount of calories and nutrients, such as proteins, fats, carbohydrates (macronutrients), mineral substances, vitamins and other vital bioactive food factors (micronutrients) and ensure natural processes of its growth and development. Moreover, it ought to cover the additional caloric and plastic needs in order to compensate for physical stress, muscle bulk upbuilding, psychoemotional stress and strain. Unfortunately, the analysis we conducted previously showed that the most unsatisfactory diet is observed among adolescent sportsmen, i.e. in the most difficult body development periodpuberty, which is even further complicated by considerably training and competitive stress. A child's growing body reacts especially rapidly to shortage or excess of certain nutrients in a diet with physical or emotional developmental disability, malfunction of the organs vital for homeostasis and decrease in immunity. Imbalanced nutrition in such a situation is a real threat to a child's health and, without any doubt, affects sports results [5][6][7]. We developed a complex personified approach aimed at correcting a child's diet in the course of individual consultations based on evaluation of the real diet, its chemical composition and individual preferences: body weight composition parameters (bioimpedance analysis) and the malfunctions of a child's body organs and systems revealed in the course of examination. Threpsological approach is based on the formation of an adequate diet out of regular wholesome products. However, one of the dietary issues of young sportsmen to be resolved is to provide a child with all the necessary macro-and micronutrients in a compact form. This issue is especially critical for high-level sportsmen in the process of intensive physical training, when demand of proteins, vitamins and mineral substances considerably increases in the setting of reduced ability to observe an adequate diet due to intensive training regimen. This creates a demand of using special products enriched with a certain set of nutrients. At the same time, there is a deficit of trials em...

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Summary Statement: Appropriate Medical Care for the Secondary School-Aged Athlete

Cited by 71 publications

References 25 publications

Athletic Training Services During Daily Patient Encounters: A Report From the Athletic Training Practice-Based Research Network

Athletic Training Services During Daily Patient Encounters: A Report From the Athletic Training Practice-Based Research Network

Athletic Directors' Barriers to Hiring Athletic Trainers in High Schools

Nutritive Support of Young Sportsmen Using a Specialized Russian Product

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