Transcript Introduction To Athletic Training

Room 535
Jeff Perry, MS, ATC
[email protected]
Office: 703-426-6818
Cell: 703-932-1950
Deborah Cassidy, ATC
[email protected]
Sports Medicine Support Staff
Team 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 injuries
5. Organization and administration of Athletic
Training Program
6. Professional development and education (for
athletes, coaches, community)
Athletic Trainer Coverage
Athletic Training Center Room 535
Located upstairs south side of field house.
The Athletic Trainer is available for
evaluations, treatments, rehabilitation, and
questions from student athletes, parents and
physicians each school day afternoon.
Office Hours:
generally M-F 12:30 to 5 PM, then practice or
event coverage to 8, 9 or10 PM.
Athletic Trainer Event Coverage
FALL
WINTER
• Football (all games and
equipment/contact
practices)
• Field Hockey
• Volleyball*
• Cheer Competition
• Cross Country Meets*
•
•
•
•
•
Wrestling
Basketball
Gymnastics
Indoor Track
Swim playoff meets*
SPRING
•
•
•
•
Boys and Girls Lacrosse
Soccer
Softball
Baseball
Track and Field
Tennis*
*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 PreParticipation 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 Chiropractor
PT or DC Intervention
should be in conjunction
with school based (ATC)
treatment and rehab.
Return to: Athletic Trainer
School:
Robinson
Phone #: (703) 426-6818
Fax #:
(703) 426-2299
PHYSICIAN RESPONSE FORM
To be completed by the attending physician
Patient name:____________________________
Date of Referral: ____________
Reason for referral: _________________________________________________________
Physician name: _________________________________ Date of Consult: ____________
The “Physician
Response Form”
can be found on the
Athletics web site.
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: _____________________________________________________________
________________________________________________________________________
Bring it to your doctor
appointment or
Urgent Care visit so
we have clear
feedback from
treating physician
Treatments 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”)
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 reinjury.
Look for more information, forms, etc. on Web
“Problems” vs. Time Loss Injuries
Fall 2011
Data on services provided to student-athletes for given
periods are typical samples of ATP interventions.
35 (time loss)
(585 total “problems”
= lesser than injury)
550
*************************
46 cases
(106 Total Injury cases)
60 cases
Tx Summary Fall/Winter 2011-12
Injury Treatment Encounters:
Total Unique Athletes Seen:
4,161
442
Evaluations and Tests:
Modalities(ice, heat, ES, US,etc):
Manual Therapy:
Rehab Exs:
Protection (tape, wrap, pad, brace):
Wound Care:
2,632
3,099
580
4,674
1,502
407
Some Common Concerns
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•
•
•
•
•
•
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/competitions
3. Proper use and daily cleaning of water bottles
4. Check with your family physician if suspicious
skin lesion
5. 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.
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.
Concussion Education
“bell rung” = “dinged” = Concussion
It 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 concussion
Can be life threatening if ignored
Signs & 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 Management
Concussions are managed on Individual Basis
Standardized “sideline” tests at time of injury
ACE 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.
Concussion Management
Academic Instructional Strategies
Are given to teachers through Counselor to
assist teachers and students with return to
full academic workload
Step-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 Resources
Resources 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. Riding
Fairfax Family Medicine Concussion
Center, 703-391-2020
Pediatric Neuropsychology.
www.fnapc.com/neuropsychology
(Jillian Schneider, PhD)
Announcements
VHSL 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.