Transcript Essentials of athletic injury management Part 1

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Essentials of athletic
injury management
Part 1-Chapter 1
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What is Sports Medicine???
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People have been participating in athletic events for
thousands of years.
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Because of that, people have also been getting injured for
thousands of years.
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Sports Medicine is the overall care of any injury that is
caused by athletic participation.
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Sports Medicine
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Refers to a broad field of medical professions related to
physical activity and sport.
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This field exists to enhance an individual’s capabilities in
exercise and sport.
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The branches of Sports Medicine
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It’s not just about doctors and athletic trainers…
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Many divisions of sports medicine exist to form the umbrella
of professions that define the term.
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The Umbrella of Sports Medicine
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Performance Enhancement
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Injury Care/Management
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Definition- Actions that lead to
improvement of athletic
capabilities.
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Definition-Prevention,
treatment, & rehabilitation of
sport related injuries.
The
Umbrella
of
Sports
Medicine
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Performance Enhancing
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COACHING-Guides individuals in
athletic competition. Responsible
for success and understanding
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STRENGTH AND CONDITIONINGOversees the overall fitness
program of athletes. i.e.
weightlifting and running workouts
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SPORTS NUTRITION- Oversee the
diet and hydration intake of athletes.
Without proper education of
nutrition, our bodies wouldn’t work
properly
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Injury Care/ Management
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ATHLETIC TRAINER- Responsible for
the prevention, treatment, and
rehabilitation of athletic injuries.
Usually the individual who first notices
something wrong with an athlete
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PHYSICIAN- A doctor who diagnoses
and operates athletic injuries. This type
of doctor will also surgically repair any
thing in need
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Sports Physical Therapy-A physical
therapist who specializes in the
rehabilitation of athletic injuries. This is
a specialization field, diff. from typical
PT
Misconception
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Athletic trainers are oftentimes mistaken for
PERSONAL TRAINERS.
A personal trainer is an individual who
specifically trains someone to enhance athletic
performance through exercise and diet.
Oftentimes have no other duty
No post-high school education required
REMEMBER!!!
PERSONAL TRAINER-GOLD’S GYM, PLANET
FITNESS, CROSSFIT
ATHLETIC TRAINER-HIGH SCHOOL, NFL, NBA,
RODEO, ANYTHING SPORT RELATED.
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ROLES OF ATHLETIC TRAINER
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Primarily responsible for prevention, treatment, and
rehabilitation of the athlete
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Initial assessment and recognition of injuries
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High schools
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Universities
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Professional
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Roles of Athletic Trainer…
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Athletic Trainers may have numerous skills and may use
them all in their respective profession.
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ATC-Athletic Trainer Certified. Recognized as a certified
athletic trainer once he/she meets all requirements set by
BOC, a national committee.
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BOC- Board of Certification- Governing body that oversees
certification requirements for athletic trainers across the U.S.
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Roles of Athletic Trainer con’t…
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LAT-Licensed Athletic Trainer- An A.T. who is
recognized by their state as being licensed to practice
A.T. in that state only after passing exam created by
statewide standards. (i.e. Texas, Oklahoma)
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CSCS- Certified strength and conditioning specialistIndividual who is certified to oversee the overall fitness
of athletes. Includes weight lifting, cardio vascular work,
plyometric exercise, and flexibility.
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Roles of Athletic Trainer con’t…
Professional responsibilities
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Insurance and record keeping.
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Equipment inventory (med. equip and sport equip.)
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Medical documentation (physicals, injury profiles, rehab…)
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Policies and procedures
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Student trainers (high school and college)
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Continuous education (live or online seminars)
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COMMUNICATION!!! (Parents, doctors, coaches, physical
therapists, strength coaches, administration…)
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Role of the team physican
 Every
athletic organization, regardless of level, has
an overseeing physician.
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individual is responsible for diagnosing,
treating, and releasing athletes who need this level
of treatment. If this individual crosses something
outside his scope of practice (legal and
educational capabilities), then he/she will refer to
someone else who can help.
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following are examples of various physicians
and health care professionals who can serve as
head of a team or who can help with diagnosing
and treating athletic injuries.
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ORTHOPEDIC
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Specializes in Musculoskeletal disorders. (joints, muscles,
bones, ligament, tendons, concussions, sprains, strains)
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Can perform surgery to repair most disorders.
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Most commonly sought physician for athletic injuries.
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Neurologist
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Specializes in treating disorders associated with the nervous
system.
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The nervous system starts in our brain is spreads through our
bodies through our spinal cord in our spine. (sort of like a
messenger system. Brain is post office and spinal cord
delivers message)
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Seen for brain injuries or nerve disorders.
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Dermatologist
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Specializes in skin disorders.
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May prescribe medications to treat such issues
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Rash, infections (staph, blisters), allergies.
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Pediatrician
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Typically sees patients that are younger ( less than 18 y/o)
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Can diagnose many ailments that are associated with
bacteria or virus (flu, chicken pox, strep throat).
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No surgery, little to no specialization in sports injuries.
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Dentist
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We all know what a dentist works on…
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Sports- Emergency care/repair
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Fitting of custom mouth guards
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Can remove teeth or create artificial ones if needed.
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May provide helpful advice regarding braces, retainers, etc.
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Podiatrist
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Specialization in the study and care of the athlete’s foot (not
the nasty fungus!)
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Can provide very important insight regarding the way we
step, walk, run, jump, and land
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These actions can have negative effects on our bodies if not
handled properly
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Custom orthotics, shoes, surgery on disorders ( broken
ankles, toes, torn muscles/tendons)
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School Nurse
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Essential team member in recognizing disorders
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Could be first one to notice a variety of issues
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LVN- Licensed Vocational Nurse- No degree required, but an
extensive cert. program is needed. Also, hands-on
experience is necessary through education.
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Basic health care
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Vitals, bandages, record keeping, administer meds
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School Nurse con’t…
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RN-Registered Nurse- Longer education
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Can do everything a LVN can do, plus:
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Provide diagnostic testing/analysis
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Provide advice for post-treatment plan
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Discuss patient plan with doctor
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SCHOOL NURSES ARE ESSENTIAL TO SPORTS MEDICINE
PROGRAM
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A school nurse would most likely detect a disorder once a
kid has symptoms in class. (migraine, concussion, disease)
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Sometimes, issues arise after the cause (i.e. concussion
symptoms 1 hour after hit to head)
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COMMUNICATION WITH NURSE IS CRITICAL.
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Performance Enhancing members
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This is the other half of the umbrella.
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These professions sometimes do not deal with the medical
aspect of sports medicine, but rather with pure athletics and
the preparation of activity.
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Strength and Conditioning coach
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Not every high school has one
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Every college/pro team does
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Specializes in the overall fitness of the athlete.
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Creates workouts that are specific to the athlete and their
sport or time of year.
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Knowledgeable in weight training, plyometric work,
stretching, warming up, running, core fundamentals.
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Sport Psychologists
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A psychologist works with people’s emotions and thoughts.
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Sports psychologist specializes in the athlete’s mental state
regarding athletics.
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May be used after a serious injury (season/career ending).
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May be used during a strenuous time (intense rehab, or
training)
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Sport physical therapist
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Physical therapists oversee the rehabilitative exercises that
allow individuals to return to activity as soon as possible
while providing adequate training to repair and prevent
injury.
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Some work with all ages, from young to old, blind and deaf,
some with no legs or 1.
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Those that specialize in sports work only with athletes and
their disorders.
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Prosthetist
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Creates artificial support mechanisms to eliminate pain or
discomfort (custom inserts)
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Also creates artificial limbs for those who are missing (arm,
leg, hand)
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Technology has allowed this profession to grow
tremendously and has been very beneficial to those who use
them.
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Exercise Physiologist
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This individual studies and examines how the body functions
when engaged in physical activity
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Can provide essential insight on how to improve athletic
performance through testing and analyzing breathing, heart
rate, metabolism.
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Biomechanist
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You don’t have to be an actual bio mechanist…
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A thorough understanding of how the body is supposed to
move can make you good at this.
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These individuals analyze the way an athlete’s body moves in
certain areas to ensure that proper technique is being used.
(i.e. throwing motion of a young quarter back. OR the
technique of a young female diver)
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This is helpful because improper technique can lead to
injury over time or immediately. Correction can prevent
injury.
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Nutritionist
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An expert in the field of nutrition and healthy lifestyles.
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Can help someone lose/gain weight the RIGHT way.
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Can create a nutrition plan for someone who wishes to
maximize their energy potential.
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Up to date on latest trends and fads in diet (paleo diet, Dr. Oz
stuff, no carbs?, starving…)
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Chiropractor
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Skilled in the field of skeletal manipulations and
understanding how the body’s bones, muscles, and nervous
system work together
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Not firm believers in medicine or surgery
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Skilled in detecting misalignments and asymmetrical body
regions
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Can be beneficial if used in appropriate setting
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Things to know….
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3 fields under the umbrella of Performance Enhancement
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3 fields under the umbrella of injury care
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3 professional responsibilities of athletic trainers
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1 role of the team physician