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Warm-up. When do you think medicine started? Who are some professionals on the sports med. Team? What is the responsibility of the physician? What is the coaches responsibility?. SPORTS MEDICINE. CHAPTER 1 & 2 Sports Medicine: The Multidisciplinary Approach to Athletic Health Care
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Warm-up • When do you think medicine started? • Who are some professionals on the sports med. Team? • What is the responsibility of the physician? • What is the coaches responsibility?
SPORTSMEDICINE CHAPTER 1 & 2 Sports Medicine: The Multidisciplinary Approach to Athletic Health Care Athletic Training
Historical Perspectives • Sports developed in many early societies • Sports used as peaceful nonharmful competition • There is some evidence to support individuals such as coaches and trainers in early Greek and roman civilizations • The first athletic trainers were those who performed rubdowns • There was confusion as to what trainers were • were they coaches in strength and conditioning? • Did they teach? • Who did they train?
Sports Medicine encompasses many different fields of study related to sports. The field has 7 specializations Athletic Training Biomechanics Exercise physiology Medicine Physical therapy Sports nutrition Sport psychology Growth in the profession can be attributed to many of the following organizations International federation of sports medicine American academy of family physicians NATA American college of sports medicine American orthopaedic society for sports medicine National strength and conditioning associations American physical therapy association NCAA Sports Medicine and Athletic Training
Professions Associated with Sport Medicine • Sports medicine and Athletic Training combine for a team approach. • Health care professionals range from school nurse, family doctor, and chiropractor to specialist.
SPORTS MEDICINE TEAMINNER CIRCLE COACH ATHLETIC TRAINER PARENTS ATHLETE DOCTOR
SPORTS MEDICINE TEAM OUTER CIRCLE EQUIPMENT MANAGER ORTHOPAEDIC SCHOOL NURSE EMT DENTIST PHYSICAL THERAPIST OFFICIALS ADMINISTRATION STRENGHT/CONDITIONING COACH PODIATRIST EQUIPMENT MANUFACTURER PSYCHOLOGIST
Family and Team Doctor • Team Doctor: Physician who specializes in sports medicine and helps the athlete maximize function and minimize time away from sports • Family Doctor: Primary physician in the care of the athlete
Responsibilities of the physician • Compiles medical history • Diagnosis of injury • Decides on disqualification and return to play • Attends games and practice • Commitment to sports and athlete
Physician Assistant • Mid-level health care practitioner who works interdependently with physicians to provide diagnostic and therapeutic care • Started at Duke University • Histories, physical exams, write prescriptions, sutures, help in surgery • Will find many in hospitals and orthopedic offices.
Physical Therapist • Responsible for performing treatments that require special training in therapeutic exercises, hydrotherapy, and electrotherapy. • Work in a variety of settings. • Work with a variety of injury situations from athletics to neurological. • Rehabilitation of injuries is their main responsibility. • Physical therapy assistant
Chiropractor • Conservative management of neuromusculoskletal disorders and functional clinical conditions • Chiropractor means “done by hands” • Chiropractors work on back pain, neck pain, and headaches. • They also work on postural conditions.
Massage Therapy • One of the oldest known methods for providing relief of pain and discomfort. • Massage therapy took a hit in reputation during the early 19th century. • It is now a growing field that is now recognized as important in promoting wellness and reducing stress.
Certified Strength and Conditioning Specialist/ personal trainer • CSCS: specialists who design and implement safe and effective strength and conditioning programs • NSCA-CPT: specialists who design and implement safe and effective strength and conditioning programs with individual clients
Sports Nutritionist • Design special diets with a goal of enhancing athletic performance. • Deals with athletes diet, supplements, weight gain/loss, and body awareness.
Sport Psychologist • Works with athletes to recover from serious injury through emotional support. • Goal setting • Motivation • Imagery • Employed by most professional teams
COACHES RESPONSIBILITY • COACH YOUR TEAM • DESIGN PRACTICES THAT ARE SAFE • PLANNING IS ESSENTIAL TO LIABILITY • UNFORTUNATELY EVERY SCHOOL DOES NOT HAVE AN ATC ON SITE SO PREVENTION, RECOGNITION, AND TREATMENT OFTEN FALL ON YOU! • ETHICAL COACHING PRACTICES
Warm-up • Early Greek and roman cultures tried to use sports to replace? • What is the responsibility of the officials • What role does the physical therapist have in the sports med team. • What is the main responsibility of the sports med. Team? • Define sports medicine.
Evolution of the Athletic Trainer • Athletic training started with the appearance of AT in intercollegiate athletics around WWI • The major influence during this time was Dr. S.E. Bilik who wrote “The trainers Bible” in 1917 • In the early 1920s the Cramer family developed a liniment to treat ankle injuries • The Cramer family found that there was a market for training supplies and is a leading manufacturer and distributor today • During the late 1930s an effort was made by the college and university AT to establish a national organization named the National Athletic Trainers Association (NATA) • The organization struggled and was hindered because of WWII • After WWII the AT began to organize and established the NATA in 1950 in Kansas City Missouri • Currently the association has well over 25,000 members and is recognized by the American Medical Association as a well qualified allied health care provider
PERFORMANCE DOMAINS OF THE ATHLETIC TRAINER • PREVENTION OF ATHLETIC INJURIES • RECOGNITION, EVALUATION, & ASSESSMENT OF ATHLETIC INJURIES • IMMEDIATE CARE • TREATMENT, REHABILITATION & RECONDITIONING • ORGANIZATION AND ADMINISTRATION • PROFESSIONAL DEVELOPMENT AND RESPONSIBILITY
PREVENTION OF ATHLETIC INJURIES • Develop training and conditioning programs • Ensuring safe playing environments • Selecting, fitting and maintaining protective equipment • Counseling • Preparticipation screenings • Monitoring environmental conditions • Education of parents, coaches, players • Preventative taping and bandaging • hydration
Recognition, Evaluation, and Assessment of Athletic Injuries • The athletic trainer must be skilled in recognizing the nature and extent of an injury. • Conducting physical exam • Understanding the pathology of injury and illness • Referring to medical care • Referring to support services • Recognition can be tough sometimes • Evaluation-who, what, when, where, why, and how
Immediate Care of Injury or Illness • Must be ready for life threatening injury or illness • Trained in Cardiopulmonary resuscitation (CPR) and first aid • Emergency planning • Relationships with EMS, Hospital, Doctors is essential • Must be able to identify an emergency quickly and calmly
Treatment, Rehabilitation, and Reconditioning • Design rehabilitation programs • Supervise rehabilitation programs • Incorporate therapeutic modalities (ice bag, heat packs, ultrasound, whirlpools, electric stim etc.) • Offering psychosocial intervention
Organization and Administration • Record keeping • Ordering equipment • Supervising personnel • Establishing policies for operation of an athletic training program • Inventory • In-service for staff and students
Professional Development and Responsibilities • Education and Counselor • Acquire continuing education units • Attend conferences • Review literature • Stay updated • Teaching • Informing parents and coaches about injury situations • Counsel athletes and parents
Personal Qualities of the Athletic Trainer • Stamina and ability to adapt (burnout) • Empathy • Sense of humor • Communication • Intellectual curiosity • Professional membership • Ethical practice • Respect the rights welfare, and dignity of all • Comply with the laws and regulations • Accept responsibility and exercise sound judgment • Maintain high standards
Requirements for certification as an Athletic Trainer • Must attend a accredited program • In Maryland there are only 2 (Towson University and Salisbury University) • Salisbury is ranked 12th in the nation out of over 170 accredited programs • Must pass the certification exam • This exam has three parts • Written portion • Oral practical portion • Written simulation portion (the first time pass rate is just above 55%) • Continuing Education is required for recertification every 3 years
Chapter 1 summary • Athletic training is a specialization within sports medicine, with its major concern being the health and safety of athletes. • The primary sports med. team (inner circle) is made up of the athlete, coach, parents, doctor, and athletic trainer. • The athletic trainer is a highly educated, well-trained professional. The athletic trainer must be certified • The athletic trainer must be motivated and have personal qualities such as humor, empathy and ethical practice
Quiz on Mondaymake sure you know! • When was NATA formed and what year • Roles of athletic trainer • What does a physical therapist do • Where do Athletic trainers work • Members of the sports medicine team • Certification requirements • Why are officials so important to the team
Ankle tape • Anchors 2 top 1 bottom • 3 stirrups and horse shoes ( weaved) • Heel locks and figure eights • Finishing strips