HISTORY The Role of Athletic Trainers. What is Sports Medicine? GOALS Know who we are & what we do Know who we are & what we do Know what areas we work

HISTORYHISTORY

The Role of The Role of Athletic TrainersAthletic Trainers

What is Sports Medicine?What is Sports Medicine?

GOALSGOALS

Know who we are & what we doKnow who we are & what we do Know what areas we work inKnow what areas we work in Know the sports medicine teamKnow the sports medicine team


The areas of specialization under the The areas of specialization under the umbrella of Sports Medicine is umbrella of Sports Medicine is broken into two parts – Performance broken into two parts – Performance Enhancement and Injury Care and Enhancement and Injury Care and Management.Management.


Performance enhancementPerformance enhancement• Exercise PhysiologyExercise Physiology• BiomechanicsBiomechanics• Sports PsychologySports Psychology• Sports NutritionSports Nutrition• Strength and ConditioningStrength and Conditioning• CoachingCoaching• Personal Fitness TrainersPersonal Fitness Trainers

Sports MedicineSports Medicine

Injury Care and ManagementInjury Care and Management• Practice of Medicine (physician)Practice of Medicine (physician)• Athletic TrainingAthletic Training• Sports Physical TherapySports Physical Therapy• Sports Massage TherapySports Massage Therapy• Sports DentistrySports Dentistry• Osteopathic MedicineOsteopathic Medicine• Orthotists/ProsthetistsOrthotists/Prosthetists• Sports ChiropracticSports Chiropractic• Sports PodiatrySports Podiatry


What is Athletic Training?What is Athletic Training?

NATA – founded in 1950NATA – founded in 1950• Governing boardGoverning board• Recognizing the need for a set of professional Recognizing the need for a set of professional

standards and appropriate professional recognition, standards and appropriate professional recognition, the NATA has helped to unify certified athletic trainers the NATA has helped to unify certified athletic trainers across the country by setting a standard for across the country by setting a standard for professionalism, education, certification, research and professionalism, education, certification, research and practice settings. practice settings.

• The NATA is headquartered in Indianapolis, IN. The The NATA is headquartered in Indianapolis, IN. The association has expanded to encompass a global association has expanded to encompass a global membership totaling over 32,000 and 25 countries.membership totaling over 32,000 and 25 countries.

Advisory Board of Athletic TrainersAdvisory Board of Athletic Trainers• Texas governing boardTexas governing board• http://www.dshs.state.tx.us/at/default.shtmhttp://www.dshs.state.tx.us/at/default.shtm


Other Organizations:Other Organizations:Recognized by the AMA (American Medical Assoc.)Recognized by the AMA (American Medical Assoc.)

ACSM – ACSM – American College of Sports MedicineAmerican College of Sports Medicine

AOSSM – AOSSM – American Orthopaedic Society for American Orthopaedic Society for

Sports MedicineSports Medicine

APTA – APTA – American Physical Therapy AssociationAmerican Physical Therapy Association

NSCA – NSCA – National Strength and Conditioning National Strength and Conditioning

AssociationAssociation

Athletic Training job marketAthletic Training job market

Job MarketJob Market – –- Secondary SchoolsSecondary Schools- College/UniversitiesCollege/Universities- Olympic sports – winter & Olympic sports – winter &

SummerSummer- Professional sportsProfessional sports

- Football, Basketball, Baseball, Football, Basketball, Baseball, Hockey, SoccerHockey, Soccer

- NASCAR, X Games, NASCAR, X Games, - Golf, Tennis, RodeoGolf, Tennis, Rodeo

- ClinicsClinics- PT and Physician extendersPT and Physician extenders

- Industrial/corporate settings Industrial/corporate settings - MilitaryMilitary- Department of Homeland Department of Homeland

SecuritySecurity- Performing ArtsPerforming Arts

Board Certification Domains of Board Certification Domains of Athletic TrainingAthletic Training

In 2004 the Board of Certification – In 2004 the Board of Certification – which covers many health fields -which covers many health fields -finished a role delineation study that finished a role delineation study that identified six roles that the athletic identified six roles that the athletic trainer covers.trainer covers.

Board Certification Domains of Board Certification Domains of Athletic TrainingAthletic Training

66 Performance domains of athletic Performance domains of athletic trainingtraining

1.1. Prevention of athletic injuriesPrevention of athletic injuries2.2. Clinical evaluation and assessmentClinical evaluation and assessment3.3. Immediate CareImmediate Care4.4. Treatment, rehabilitation, and reconditioningTreatment, rehabilitation, and reconditioning5.5. Organization and administrationOrganization and administration6.6. Professional development and responsibilityProfessional development and responsibility

Domain 1:Domain 1: PreventionPrevention

• Physical examsPhysical exams• Developing training and conditioning Developing training and conditioning

programsprograms• Ensuring safe environment,Ensuring safe environment,• Selecting/fitting/maintaining protective Selecting/fitting/maintaining protective

equipmentequipment• Consulting and guidance with diet and Consulting and guidance with diet and

lifestyle choiceslifestyle choices• using medications appropriately.using medications appropriately.

Domain 2Domain 2:: Clinical Evaluation & DiagnosisClinical Evaluation & Diagnosis

• EvaluationEvaluation Medical historyMedical history ObservationObservation PalpationPalpation ROM and strength testROM and strength test Special tests, joint stability testsSpecial tests, joint stability tests

• Understanding the pathology of injury and Understanding the pathology of injury and illnessillness

• referral to appropriate medical carereferral to appropriate medical care• Referring to support servicesReferring to support services

Domain 3Domain 3:: Immediate CareImmediate Care

• Responsible for on-field evaluationResponsible for on-field evaluation• Must have sound skills for initial Must have sound skills for initial

recognition of potential serious recognition of potential serious injuries and/or illnessesinjuries and/or illnesses

• Responsible for correct decision for Responsible for correct decision for proper acute injury managementproper acute injury management

• Must have skills to take care of Must have skills to take care of emergency careemergency care

Domain 4:Domain 4:Treatment, Rehabilitation, and Treatment, Rehabilitation, and

ReconditioningReconditioning Designing rehabilitation programsDesigning rehabilitation programs

• Must have sound knowledge in anatomy to help Must have sound knowledge in anatomy to help evaluate the injury correctly and build the proper evaluate the injury correctly and build the proper program.program.

Supervising rehabilitation programsSupervising rehabilitation programs• Must have a very good understanding of the healing Must have a very good understanding of the healing

process of the many tissues in the body.process of the many tissues in the body. Incorporating therapeutic modalitiesIncorporating therapeutic modalities Offering psychosocial interventionOffering psychosocial intervention

• Must have a good understanding of psychologyMust have a good understanding of psychology• Athletes go through a wide range of emotions during Athletes go through a wide range of emotions during

and after an injury.and after an injury.• Athletes have different pain thresholds, cooperation, Athletes have different pain thresholds, cooperation,

motivationsmotivations

Domain 5:Domain 5: Organization & AdministrationOrganization & Administration

Record keepingRecord keeping• Pre-participation physicals and Emergency cardsPre-participation physicals and Emergency cards• Injury reportsInjury reports• Treatment and Rehabilitation reportsTreatment and Rehabilitation reports• InsuranceInsurance

Ordering supplies and equipmentOrdering supplies and equipment Supervising assistants and studentsSupervising assistants and students Establishing policiesEstablishing policies

• Student athletic trainer policiesStudent athletic trainer policies• Day to day operationsDay to day operations• Emergency managementEmergency management

Domain 6:Domain 6: Professional responsibilitiesProfessional responsibilities

Continuing educationContinuing education• Always learning – never know enoughAlways learning – never know enough

CounselorCounselor• Informing parents of injuriesInforming parents of injuries• Prevention educationPrevention education

ResearcherResearcher• Research helps us do our job better – many colleges hire Research helps us do our job better – many colleges hire

athletic trainers to do research. athletic trainers to do research. • Most if not all decisions we make for our athletes is done Most if not all decisions we make for our athletes is done

off evidence-based medicineoff evidence-based medicine We have supported literature to help base our decisionsWe have supported literature to help base our decisions

Qualities an AT must possessQualities an AT must possess

- stamina- stamina- - difficult jobdifficult job- long hours- long hours

- ability to adapt- ability to adapt- practice schedules, game changes- practice schedules, game changes- environment- environment

- empathy- empathy- the capacity to enter into the feeling or spirit of - the capacity to enter into the feeling or spirit of

another person.another person.

- sense of humor- sense of humor- helps lighten mood in tense situations- helps lighten mood in tense situations- help relieve stress- help relieve stress- ranked most important by patients- ranked most important by patients

- ability to communicate- ability to communicate- good communication skills key in dealing with many types of entities – parents, - good communication skills key in dealing with many types of entities – parents,

coaches, administrators, athletescoaches, administrators, athletes

- intellectual curiosity- intellectual curiosity- always learning – there is always something new out there or a better way to - always learning – there is always something new out there or a better way to

do somethingdo something

- ethics- ethics- must always act with the highest standards- must always act with the highest standards

The Sports Medicine TeamThe Sports Medicine Team

School nurse

Student Trainer

Athlete

Coach

Athletic Trainer

Team Physician

Parent

Urologist

Team Dentist

Physical Therapist

Urologist

Cardiologist

Allergist

Neurologist

Chiropractor

PodiatristPrimary Care Physician

Equipment ManagerRegistered Dietitian

National Athletic Training National Athletic Training Certification - RequirementsCertification - Requirements

College students must enter a College students must enter a program that is CAATE certified.program that is CAATE certified.• 18 programs in Texas (16 18 programs in Texas (16

undergraduate, 2 entry-level undergraduate, 2 entry-level master) master)

• TCU, UTA, UT, TTU, Baylor, Texas TCU, UTA, UT, TTU, Baylor, Texas State to name a fewState to name a few

• Website for CAATE Website for CAATE http://www.caate.net/http://www.caate.net/

CAATE programsCAATE programs 12 area that you will master by the time you 12 area that you will master by the time you

graduategraduate• Risk management and injury preventionRisk management and injury prevention• Pathology of injuries and illnessesPathology of injuries and illnesses• Orthopedic clinical examination and diagnosesOrthopedic clinical examination and diagnoses• Medical conditions and disabilitiesMedical conditions and disabilities• Acute care of injuries and illnessesAcute care of injuries and illnesses• Therapeutic modalitiesTherapeutic modalities• Conditioning and rehabilitative exerciseConditioning and rehabilitative exercise• PharmacologyPharmacology• Psychosocial intervention and referralPsychosocial intervention and referral• Nutritional aspects of injuries and illnessesNutritional aspects of injuries and illnesses• Health care administrationHealth care administration• Professional development and responsibilityProfessional development and responsibility

CertificationCertification

Complete CAATE programComplete CAATE program Proof of graduation from schoolProof of graduation from school Endorsement from CAATE programEndorsement from CAATE program CPR/first aid certifiedCPR/first aid certified Pass certification testPass certification test

State LicensureState Licensure 45 states have some type of licensure, 45 states have some type of licensure,

registration, certification at the state level to registration, certification at the state level to protect athletic trainers.protect athletic trainers.• 32 states have licensure32 states have licensure

Licensure the most restrictive (which is good)Licensure the most restrictive (which is good) For licensure you must meet a minimum level of For licensure you must meet a minimum level of

requirements to work in the state or you cannot requirements to work in the state or you cannot practice as an athletic trainerpractice as an athletic trainer

Some use there own test; some use the BOC testSome use there own test; some use the BOC test• Texas has there own testTexas has there own test• Passing test does not allow you to work outside the state Passing test does not allow you to work outside the state

of Texasof Texas

Review/Clinical application Review/Clinical application exercisesexercises

An athletic trainer has taken a job working in a An athletic trainer has taken a job working in a sports medicine clinic that has four physical sports medicine clinic that has four physical therapists and two PTA’s. The clinic has never therapists and two PTA’s. The clinic has never employed an AT before, and there is uncertainty employed an AT before, and there is uncertainty among the PT’s as to exactly the role the athletic among the PT’s as to exactly the role the athletic trainer will play in the function of the clinictrainer will play in the function of the clinic

How does the role of the athletic trainer working How does the role of the athletic trainer working in a clinic differ from the responsibilities of the in a clinic differ from the responsibilities of the athletic trainer working in a university or athletic trainer working in a university or secondary setting?secondary setting?

Clinical application exercise #2Clinical application exercise #2

A high school is looking into hiring there A high school is looking into hiring there first athletic trainer. However the first athletic trainer. However the administrators do not completely administrators do not completely understand why an athletic trainer may be understand why an athletic trainer may be more beneficial for their athletes than an more beneficial for their athletes than an EMT.EMT.

What reasons should the local athletic What reasons should the local athletic trainers use to persuade the trainers use to persuade the administrators to hire one at their school?administrators to hire one at their school?

Clinical application exercise #3Clinical application exercise #3 A basketball player suffers a grade 2 ankle A basketball player suffers a grade 2 ankle

sprain – after 3 weeks of rehab most of the sprain – after 3 weeks of rehab most of the pain and swelling has been eliminated. pain and swelling has been eliminated. The athlete is anxious to get back and The athlete is anxious to get back and subsequent injuries to teammates have subsequent injuries to teammates have placed pressure on the coach to want the placed pressure on the coach to want the player back quickly. Unfortunately the player back quickly. Unfortunately the player is still unable to perform basketball player is still unable to perform basketball skills, cutting and jumping.skills, cutting and jumping.

Who is responsible for making the decision Who is responsible for making the decision regarding when the athlete can fully return regarding when the athlete can fully return to practice and game situations?to practice and game situations?

Clinical application exercise #4Clinical application exercise #4 A young athletic trainer has just taken their first A young athletic trainer has just taken their first

job at a high school, the school administrators are job at a high school, the school administrators are concerned about the number of athletes who get concerned about the number of athletes who get hurt playing various sports. They have charged hurt playing various sports. They have charged the athletic trainer with the task of developing a the athletic trainer with the task of developing a program that can effectively help prevent of program that can effectively help prevent of injury to athletes in all sports at the school.injury to athletes in all sports at the school.

What actions can the athletic trainer take to What actions can the athletic trainer take to reduce the number of injuries and to minimize the reduce the number of injuries and to minimize the risk of injury in competitive athletes at the risk of injury in competitive athletes at the school?school?


A second semester college sophomore has A second semester college sophomore has decided that she is interested in becoming decided that she is interested in becoming a certified athletic trainer. She happens to a certified athletic trainer. She happens to attend a school that has an advanced level attend a school that has an advanced level athletic training but not a entry level athletic training but not a entry level program.program.

How can this student effectively achieve How can this student effectively achieve her goal of becoming a certified athletic her goal of becoming a certified athletic trainer?trainer?


A certified athletic trainer moves to a A certified athletic trainer moves to a different state to take a new job. She different state to take a new job. She discovers that in that state the ATC must discovers that in that state the ATC must be licensed to practice athletic training.be licensed to practice athletic training.

Since she was registered as an athletic Since she was registered as an athletic trainer in the other state she wonders if trainer in the other state she wonders if she must go through the process of she must go through the process of getting a license in her new state?getting a license in her new state?

Documents

HISTORY The Role of Athletic Trainers. What is Sports Medicine? GOALS Know who we are & what we do Know who we are & what we do Know what areas we work