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Room 535 Jeff Perry, MS, ATC Deborah Cassidy, ATC [email protected] [email protected] Office: 703-426-6818 Cell: 703-932-1950

Room 535 Jeff Perry, MS, ATC Deborah Cassidy, ATC [email protected]@fcps.edu [email protected]@fcps.edu Office: 703-426-6818 Cell: 703-932-1950

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Room 535

Jeff Perry, MS, ATC Deborah Cassidy, ATC

[email protected] [email protected]

Office: 703-426-6818

Cell: 703-932-1950

Sports Medicine Support StaffTeam Physician:

Marc Childress, MD

Family/Sports Medicine,

Fairfax Family Medicine, Fair Oaks

3650 Joseph Siewick Dr. Ste. 400

Fairfax, VA 22033

Team Orthopaedic:

Matt Levine, MD

Sports Medicine/Orthopedic Surgeon

Inova Orthopaedics and Sports Medicine

3299 Woodburn Rd., Ste. 230,

Annandale, VA 22003

Please contact athletic trainer first to expedite Orthopedic appt.

Sports Medicine Support Staff

George Mason Univ. ATS: Salvatore Ferranti (Spring 2015)

The ATS is a University athletic training student studying in professional educational program at GMU. They typically spend between 100 and 200 hours outside of their academic classes observing, assisting, and receiving instruction in each semester long clinical rotation.

RHS ATSAs: Alisha C, Giselle C, Lexi Hsu, Seye Raymond

The ATSA is a high school athletic training student aide interested in going to college to study athletic training, physical therapy, medicine, or other allied health care field. Valuable experience observing and assisting can be obtained.

Certified Athletic Trainer (ATC)

• What is an Athletic Trainer?– At least 4 year degree and successful completion

of National Accreditation Exam– Licensed by Virginia’s Board of Medicine to

practice athletic training– Often confused with “personal trainer” or “sports

trainer” at a gym or fitness club

– Visit www.nata.org for more

information

AT Responsibilities

1. Prevention of injuries and re-injury 2. Recognition, evaluation, and assessment of

injuries and conditions resulting 3. Immediate care of injuries 4. Rehabilitation and reconditioning of injuries5. Organization and administration of Athletic

Training Program 6. Professional development and education (for

athletes, coaches, community)

Athletic Trainer Coverage

Athletic Training Center Room 535Located upstairs south side of field house.

The Athletic Trainer is available for evaluations, treatments, rehabilitation, andquestions from student athletes, parents andphysicians each school day afternoon.

Office Hours: generally M-F 12:30 to 5 PM, then practice or event coverage to 8, 9 or10 PM.

FALL• Football (all games and

equipment/contact practices)

• Field Hockey• Volleyball*• Cheer Competition• Cross Country Meets*

WINTER• Wrestling• Basketball• Gymnastics• Indoor Track • Swim playoff meets*

Athletic Trainer Event Coverage

SPRING• Boys and Girls Lacrosse Track and Field • Soccer Tennis* • Softball• Baseball *ATC on site

VHSL Sports Physicals (PPE) Before participation, Athletes must have a sports

physical completed after May 1st and before sport season. It is valid until June 30th the following year.

It Must be completed on a current VHSL Pre-Participation Exam form (Revised March 2013).

A Commonwealth School Entrance Exam or BSA form are NOT valid for sports.

Find the current form on the athletics website. Don’t save a copy to your computer as forms are occasionally updated and VHSL does not accept older versions of their own form.

PPE is needed to join in team related conditioning and “green day” activity as well.

VHSL Sports Physicals• Completed page 1 of VHSL form and have student

signed the bottom of page.• Complete page 2 health questions and box used to

explain any “Yes” answers. Both student and a parent signed bottom of page 2.

• The doctor (MD, DO, LNP, PA only) completes page 3, make sure they have signed and dated it.

• Page 4 should be completed by parent including medical insurance company name and requires a parent signature in 2 places at bottom of page

• SAVE time, Do not turn in incomplete forms!

Concussion Education• Student-athletes and a parent must complete State mandated

concussion education on an annual basis before tryouts.• This component of compliance can be completed by going to

www.fcps.edu/sports and following path for Concussion Education. Please read directions.

• There is a link for parents and a link for students. • Enter Student ID number for each High School student in your

family that may tryout for a sport. • Include correct date of birth. • Also, be sure to choose the correct school---Robinson!• It is best to complete Concussion Education early to avoid

last minute rush, or web problems, and then not be able to

participate in tryouts for a day or two.• If any questions contact the athletic trainer.

Assumption Of Risk• There is inherent risk of injury in all sport

• Not all injuries can be prevented

• Even catastrophic injuries can occur in any sport

A comprehensive Athletic Training health care program has proven to influence a reduction in the severity of injury and prevalence of re-injury.

When Injury Occurs: • Any injury, illness, or medical condition

must be reported to Athletic Trainer (AT) regardless of severity, or prior consultations with other Health Care Professional

• Minor injuries are evaluated and treatment instructions given to the athlete, with daily follow up to full resolution

• For injuries that MAY be more serious (where a physician evaluation recommended), parents will be contacted and receive a written report as well

Injuries Happen• If present at game, feel free to check on your

child’s injury status on bench, sideline, or in AT clinic after their initial evaluation.

• Referral decisions are based on injury type, potential complication, initial injury grade, lack of progress, etc.

• AT philosophy is to keep injured athletes involved with their team to some level of participation while protecting injured area

• Athletes should be doing some rehabilitation under AT direction until released.

Immediate Treatment = RICES• Rest it!!• Ice – 20 minutes max

each hour (if freezer ice-- use wet cloth barrier)

• Compression – wrap with even pressure

towards heart

• Elevation – Raise Above the Heart

• Support – Crutches, Cane, Brace, Sling

all help to protect injury

• Physician Visits – Please bring in a note* that informs us of diagnosis, what rehab or treatment the physician would like, and participation status.

• Physical Therapist of ChiropractorPT or DC Intervention should be in conjunction with school based (ATC) treatment and rehab.

PHYSICIAN RESPONSE FORM

To be completed by the attending physician Patient name:____________________________ Date of Referral: ____________ Reason for referral: _________________________________________________________ Physician name: _________________________________ Date of Consult: ____________ Practice Name: __________________________________ Physician address (please use stamp): Physician signature:_______________________________________________________ Diagnosis (please be specific): _______________________________________________ ________________________________________________________________________ ____ Please call physician’s office for further instructions Participation Status: ____ No Restrictions ____ No Participation ____ Limited Participation (Please explain): _________________________________________________ Adaptive Equipment Suggestions: ____________________________________________ Expected Date for Full Participation: _________________________________________ Follow up in office required: ___Yes ___No ___ As needed Comments: _____________ Treatment: ____ Treat as needed (ATC’s discretion) ____ Rehabilitation to be performed in athletic training room ____ Referred to physical therapy Duration of prescription: _______________ ____ Please contact physical therapist to coordinate treatment protocols Special Instructions: _______________________________________________________ ____ Treat as indicated: ____ Range of motion exercises ____ Heat ____ Functional, progressive exercise program ____ Ice ____ Functional testing ____ Strength exercises ____ Electrical Stimulation ____ Ultra Sound Restrictions: _____________________________________________________________ ________________________________________________________________________

Return to: Athletic Trainer School: Robinson Phone #: (703) 426-6818 Fax #: (703) 426-2299

The “Physician Response Form”can be found on the Athletics web site.

Bring it to your doctor appointment or Urgent Care visit so we have clear feedback from treating physician

conducted by AT under the supervision of a physician may include the use of modalities in the form, cold, heat, manual therapy, electrical stimulation, or ultrasound

• Communication between AT, PT, MD or other HCP and parent may enhance the overall treatment and recovery of the student-athlete (see “Physical Therapist Response Form”)

Treatments

Rehabilitation

• Rehabilitation and reconditioning is another primary role of Certified Athletic Trainers

• We have the tools and time to work with your student-athlete on a daily basis

• Every injury will benefit from some form of rehabilitation

Athletes who are compliant with a proper rehabilitation program are less likely to become re-injured or have detrimental long-term consequences to health or athletic performance Athletes recovering from injury must be evaluated by an ATC to determine a schedule for safe return to full participation

Return To Play

• A Parent, Coach, Treating Physician, Athlete, Administrator, ATC, or Team Physician can exclude an athlete from participation.

• All of these individuals must agree that the athlete can and should play

• The Athletic Trainer is to ensure athlete is returned to play in the quickest and SAFEST manner possible to avoid re-injury.

Look for more information, forms, etc. on Web

“Problems” vs. Time Loss Injuries Fall 2011

35 (time loss)

(585 total “problems” = lesser than injury)

550

*************************46 cases(106 Total Injury cases)60 cases

Data on services provided to student-athletes for given periods are typical samples of ATP interventions.

Tx Summary Fall/Winter 2011-12

Injury Treatment Encounters: 4,161Total Unique Athletes Seen:

442

Evaluations and Tests: 2,632

Modalities(ice, heat, ES, US,etc): 3,099

Manual Therapy: 580

Rehab Exs: 4,674

Protection (tape, wrap, pad, brace): 1,502Wound Care:

407

Some Common Concerns

• MRSA• Personal Hygiene• Nutritional Concerns• Supplements & “Energy” Drinks• Steroids• Medications• Concussions (Education & Management

Issues)

MRSA: What Is It?

• MRSA is a “Staph” infection. “Methicillin Resistant Staphylococcus Aureus”

• It does not respond to some antibiotics• It is treatable• Like other infections, this can become

serious if left untreated• Severe infections can be prevented by

practicing proper hygiene and early detection

MRSA: What Does It Look Like?

Mild infections may look like a pimple or boil. Can be red, swollen, painful, have pus or other drainage and are usually easily treated. More serious infections may cause pneumonia or bloodstream infections.

MRSA: What Are We Doing?

• FCPS Certified Athletic Trainers provide information to athletes specific to MRSA during the athlete meetings at the beginning of each season. Included in this session:

• View a DVD specific to MRSA– Prevention strategies for staph and other

communicable diseases. – Importance of proper personal hygiene and

clothes washing. – Importance of bringing all questionable

lesions to the attention of the certified athletic trainer and parent immediately.

 

MRSA: What Are We Doing?

• The FCPS Athletic Training Program includes the use of a cleansing product for wound care that contains 4% CHG (chlorhexidine gluconate) which specifically targets MRSA and provides a continuous action to kill MRSA on contact for 6 hours.

• Suspicious lesions will be treated, covered and referred to parents with information to take to family physician.

• Contact History Inventory and implementation of disinfecting of specific facilities/equipment.

 

What Can Parents Do?Encouraging good hygiene (i.e. hand washing:

ollowing these tips can minimize the risk of infectious diseases including MRSA:

1. Clean clothes and equipment daily– Wash in warm water and dry completely in hot

dryer– Spray equipment with diluted 1-5% bleach

solution or commercial product (Lysol, i.e.)2. Showering after all practices/competitions3. Proper use and daily cleaning of water bottles4. Check with your family physician if suspicious

skin lesion5. Read communicable disease info on ATP web

site

Nutrition• Nutrition is often not a priority for teens• Encourage sufficient water intake, proper

eating habits--and adequate sleep!

• Proper Hydration is essential Top choices:• WATER! (At least 64 oz./day)• Gatorade / Sports Drinks• Chocolate Milk (after exercise)

• There is no quick fix…real food is far better than any pill or supplement

• Avoid junk food. Provide a good balanced diet 60-70% CHO, 15-20% K, 10-15% fat

Nutrition• For serious athletes, and those with specific

nutritional concerns, consultation with an registered dietician or sports nutritionist at least once in their athletic career is a great idea.

• Discourage the use of supplements; they are not regulated--may not state all ingredients, and usually are not appropriate for adolescents without consulting a physician or dietician.

• No FCPS employee may supply, endorse, or encourage the use of supplements.

BANNED

Using products like these may disqualify a student from participating in contest

Anabolic Steroids• Signs and Symptoms: Severe Acne, mood

swings, aggression, depression, unusually fast strength/wt. gains, change in physical characteristics, among others.

• The consequences for being caught using steroids is 2 years disqualification from sports. (Virginia state law)

• Certified athletic trainers are a resource on negative health effects of Anabolic Steroids

• For more info visit http://taylorhooton.org/

Medications• Inhalers, Epi Pens & any other

Emergency Meds must be with athlete at all times. If they don’t have it, they should not play or practice until they get it

• The same authorization form you turn in to Health Room is used for us to hold medicines after school.

• Avoid giving your child prescribed or OTC pain medication before OR during a game. Masking pain may make existing or potential injury worse. NSAIDs may increase bleeding.Talk with your family doctor.

Your

Nam

e

Concussion Education“bell rung” = “dinged” = ConcussionIt is an injury to the brain (or mTBI)Metabolic, physiological, or microscopic as

opposed to visible physical damage.Therefore…A Negative CT Scan does NOT rule

out or diagnose a concussionCan be life threatening if ignoredSigns & Symptoms include: Headache, confusion,

dizziness, change in personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of memory, “feeling foggy,” etc., etc.

Concussions can alter a student’s ability to learn Most are resolved in one to two weeks although some

can take much longer, especially if not proper rest. (at least 5 days regardless if cleared by MD)

Concussion ManagementConcussions are managed on Individual Basis

Standardized “sideline” tests at time of injuryACE Care Plan,

Recommendation for rest, no school or partial days for initial period

Clinical Evaluation Follow-ups Symptoms scores Vestibular/Balance and Vision Testing

Computerized Neuro-cognitive Test

is a web based concussion management tool used to help us identify if the brain has recovered to a point the athlete is safe to begin or continue a progressive return to sport. (Baseline tests are completed on Freshmen and Juniors.

Academic Instructional Strategies Are given to teachers through Counselor to

assist teachers and students with return to full academic workloadStep-wise return to play protocol, Usually 4-5

days to full return to play after all symptoms resolve. May be longer if had a lengthy inactive period

Medical referral may be warranted for a prolonged recovery. (3 or 4 weeks without expected progress).

Proper physical and mental rest, and reducing anxiety that athletes often feel when returning from concussion are key elements to recovery.

Concussion Management

Concussion Management ResourcesResources for Parents if AT not available

or student having a prolonged recovery:SCORE Fairfax Office, Maegan Sady, PhD

www.childrensnational.org/score Dr. Scott Ross, MD, Manassas/S. RidingFairfax Family Medicine Concussion

Center, 703-391-2020Pediatric Neuropsychology.

www.fnapc.com/neuropsychology (Jillian Schneider, PhD)

AnnouncementsVHSL Sports Physicals at Robinson

Tuesday, JUNE 9, 2015. This is Fundraiser, in which proceeds cover about 90% of AT budget for supplies and equipment used for all activities, sports and student-athletes.

• $50 donation Robinson Secondary• Look for KIT message after spring break

for on-line registration information • Medical Professionals interested in

volunteering for the first time? Please contact Mr. Perry or Dr. Childress.

On-Line Resources

• http://www.robinsonathletics.com• Click on “Athletic Training”• You are here!• Check other tabs: News, Photos, Links,

Files, health information

• www.fcps.edu/sports click on <Parents> for more Sports Medicine information, forms, etc.