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Diagnosis and Treatment of Neurogenic Thoracic Outlet Syndrome in a Collegiate Ice Hockey Player: A Case Report

Anthony Berardo, Jacob Friedman, Stephanie Arlis-Mayor, and Eleni Diakogeorgiou

A 22-year-old male ice hockey player reported days of worsening bilateral upper-extremity weakness, hand tremors, and difficulty grasping his stick. Subjective information included sleeping in a “curled-up” position due to lack of heat in their residence. Provocation tests and imagining studies were positive for thoracic outlet syndrome. Primary treatment focused on decreasing stress on the anterior chest wall while secondary treatment focused on strengthening the posterior thorax to improve posture. Emphasis is given to core stability and scapular mobility. Removal from sport never occurred, but symptom alleviation occurred after 3 weeks. Thoracic outlet syndrome can be resolved quickly if proper recognition and adequate treatment are utilized. Athletic trainers fill a sociomedical role for their patients and should perform patient-centered care rather than tunnel vision on the pathology.

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The Evolution of the Athletic Training Profession

Eleni Diakogeorgiou, R. Richard Ray Jr., Sara Brown, Jay Hertel, and Douglas J. Casa

Athletic training is a health care profession with roots in athletics and kinesiology that has evolved into a critical component of contemporary sports medicine. The aim of this article is to review the history and evolution of the athletic training profession, contextualize the current state of athletic training education and research, and address priorities and challenges that the athletic training profession must confront if it is to continue to thrive. Specific challenges include addressing health disparities in sports medicine, increasing the diversity of the athletic training profession, clearly delineating athletic training’s place in the health care arena, and increasing salaries and retention of athletic trainers in the profession.