Transcript Athletic Training Week Celebration

Parent and Coaches Guide
Prevention & Care
of Common
Sport/Activityrelated Injuries
Parent and Coaches Guide
Sponsored by the Pennsylvania
Athletic Trainers’ Society and the
over 1300 certified Athletic
Trainers in the Commonwealth.
Athletic Training
Recognized by the American Medical
Association, athletic training is an
allied health profession dedicated to
the provision of quality health care
for the physically active.
Athletic Training
What can Certified
Athletic Trainers
do?
Athletic Training
Scope of Practice
• Prevention of Injuries and Illnesses
• Emergency Management and Treatment
• Recognition and Evaluation
Athletic Training
Scope of Practice
• Rehabilitation and Reconditioning
• Organization and Administration
• Continuous Health Education
PTA & PATS Partnership
Keeping Our Kids Safe
Athletic Trainers’ Week
October 8th - 14th
PTA & PATS Partnership
Dedicated to helping to educate
parents and coaches to prevent
common injuries from occurring to
children who are participating in
sports and other physical activities
PTA & PATS Partnership
Six Principles to Safeguard Children’s Health
1. Ensure that children receive a general health exam
and an orthopedic exam prior to participating in
organized sports activities
2. Ensure that children always wear appropriate
safety gear and equipment the fits and receive
instruction on its proper use
3. Determine if child/children is/are physically and
psychologically conditioned, trained, and matched
with opposing kids
PTA & PATS Partnership
Six Principles to Safeguard Children’s Health
4. Ensure that children are supervised at all times by a
responsible adult who strictly enforces rules and
who has a plan to deal with emergencies
5. Ensure that children drink adequate amounts of
fluid prior to, during, and following activities and
eat a health diet
6. Ensure that the playing environment is safe
Parent and Coaches Guide
Common Injuries & Conditions
–Fractures
–Sprains and Strains
–Tendinitis
–Bruises
–Concussions
Parent and Coaches Guide
• Myth #1
It’s not a broken bone, because
my child can still
move the joint.
Parent and Coaches Guide
Joint movement is rarely an indicator
of a fracture. The only way to truly
confirm a fracture is by x-ray.
However, there are a few simple
guidelines to help you identify a
fracture at home.
Parent and Coaches Guide
Indications of a Fracture may include..
* Deformity
* Pain that keeps the child awake at night
* Swelling and pain over a bone that
persists for more than a few days
Parent and Coaches Guide
A fracture is any disruption
(break, chip, or crack) in a bone
Parent and Coaches Guide
Fractures are normally NOT an
emergency situation UNLESS
either blood flow is interrupted OR
the nerves are affected (loss of
sensation or unable to use the body
area)
Parent and Coaches Guide
What should I do if I suspect my child
has a fracture?
* Contact your family physician
* Apply ice to the area
* Splint to prevent joints above and below the
injury from moving
* Elevate the body part; if possible
Parent and Coaches Guide
• Myth #2
A fracture will
hurt more than
a sprain or
strain.
Parent and Coaches Guide
Pain tolerance varies
from person to person.
A sprain or strain can
be as painful as a
fracture. When in
doubt, contact your
family physician.
Parent and Coaches Guide
• Sprain
Stretching or tearing of
ligaments. Usually occurs to
the “outside” of the ankle where
there is less ligamentous support
Parent and Coaches Guide
• Strain
Stretching or tearing of muscle
and/or tendon. Usually
caused by an overstretching or
overstressing a muscle
Parent and Coaches Guide
• Indications of a Sprain may include..
* Swelling over a joint area
* Pain with joint movement, particularly
the movement that caused the injury
Parent and Coaches Guide
• Indications of a Strain include…
* Pain when the muscle or tendon is
used or stretched
* May be some swelling
* May be a divot or deformity
Parent and Coaches Guide
• What should I do if I suspect my child
has a sprain or strain?
*
*
*
*
*
Protection
Rest
Ice
Compression
Elevation
Parent and Coaches Guide
• Protection
–Protect that child
from further injury or
harm by removing
him/her from the
activity
Parent and Coaches Guide
• Rest
–If unable to walk normally,
should be on crutches; splints or
slings for upper extremity
–Avoid excessive use, but some
motion is helpful - within the
painfree range of motion
Parent and Coaches Guide
• Ice
–Encase area with ice bag(s)
–Apply for 15-20 minutes
every hour
–Avoid using heat
Parent and Coaches Guide
• Compression
–Apply elastic wrap
–Be sure that wrap is not too
tight or too lose
Parent and Coaches Guide
• Elevation
–The injured body area
should be elevated at
least to the level of
the heart
Parent and Coaches Guide
• Myth #3
Once my child has been
“cleared” by the physician, it
is okay for my child to return
to full activity immediately.
Parent and Coaches Guide
• All athletes should be evaluated and
pass functional tests before returning to
full activity.
If your child can do some, but not all
activities without pain or disability, he/she
should not participate fully and should be
put on a rehabilitation program.
Parent and Coaches Guide
Functional Testing - Lower Body
– Bear full weight - both, one leg
– Jump (two)--> Hop (one foot)
– Jog --> Sprint forward/backward
– Figure 8
– Sport Specific Activities
– Cutting and Running motion
Parent and CoachesGuide
Functional Testing - Upper Body (activitydependent)
– Four Corner Touch
– Throwing - vary distance and intensity
– Push-up
– Sport Specific activities
Parent and Coaches Guide
• Myth #4
Tendinitis appears
suddenly and is
difficult to
distinguish from
a strain.
Parent and Coaches Guide
Tendinitis, an inflammation of a
tendon, usually “appears” gradually
over a course of a week or two.
Usually, there is no one incident that
causes the injury.
Parent and Coaches Guide
Indications of a Tendinitis include …
* Pain that appears gradually over a few weeks
* Pain that is worse in the AM
* Pain is lessened when area is warm but
returns when activity stops/area cooled
Parent and Coaches Guide
• What should I do if I suspect my child
has tendinitis?
* Rest the body area
* Ice; then heat or ice
* OTC anti-inflammatories
* Return to activity gradually after pain ceases
Parent and Coaches Guide
• Myth #5
It’s no big deal, it is only a bruise.
Parent and Coaches Guide
A bruise is a closed wound; there is
internal bleeding. If not properly
handled, calcium deposits could form
in the muscle belly. You usually will
not “see” bruising immediately.
Parent and Coaches Guide
• Indications of a “new” bruise include
* Redness of skin at the point of contact
* Warmth or heat in the area
* Swelling or mild deformity
Parent and Coaches Guide
• What should I do if I suspect that
my child has a bruise?
* PRICE
* Mild, active range of motion
* Protection from reinjury
Parent and Coaches Guide
• Myth #6
Not to worry, my child doesn’t
have a concussion. He just has a
headache.
Parent and Coaches Guide
• Cerebral Concussion
–Grade 1 - Dazed and disoriented;
“bell rung”
–Grade 2 - Minor confusion/amnesia,
headache, unsteady, tinnitus
Parent and Coaches Guide
• Cerebral Concussion
–Grade 3 - Same symptoms as Grade
2 plus loss of memory of events
before the injury
–Grade 4 - “Knocked out” plus loss
of memory
Parent and Coaches Guide
• What symptoms should parents
watch for at home?
–Mild headaches and slight nausea
are common symptoms. Monitor
child for next 24-48 hours to check
for worsening symptoms.
Parent and Coaches Guide
• Do not give athlete aspirin
• If hungry, eat lightly
• Observe for worsening condition
Parent and Coaches Guide
• Worsening Symptoms
* Dizziness, blurred vision
* Confusion, tinnitus
* Severe headache, disorientation
* Severe nausea or vomiting
Parent and Coaches Guide
• Worsening Symptoms
* Pupils of eyes unequal in size or do not
respond to light
* Bleeding from nose, ear canal or mouth
* Change of sensation or coordination of
extremities
Parent and Coaches Guide
• DO NOT allow your child to
return to participation until
symptom free
• If symptoms do not lessen or
significantly disappear in 2-3 days,
contact physician
Just the Beginning…...
Thank You
Paula Sammarone Turocy, EdD, ATC
Liaison to Pennsylvania Congress of Parents and Teachers
www.gopats.org
Department Chair & Associate Professor
Duquesne University
122 Health Sciences Building
Pittsburgh, PA 15282
(412)396-4766
[email protected]