The key players in sports health care in the '90s will be physicians, athletic trainers, and physical therapists. The social and economic forces affecting our health care delivery system today must be considered by these professions as they assume their roles in sports health care. Athletic trainers are qualified to treat athletes in any setting but are best used in the traditional environment. Physical therapists should reemphasize the rehabilitation of the sick, infirm, and disabled and should take the lead in providing care for disabled athletes. Physicians must be the leaders in sports health care. They are best prepared to arbitrate the ongoing conflict between athletic trainers and physical therapists and to decide which of these professionals can treat recreational athletes.
Joseph J. Godek
Jesse C. Christensen, Caitlin J. Miller, Ryan D. Burns and Hugh S. West
Health care payment reform has dramatically increased employers and group health insurance companies incentive to take measures to control the rising costs of medical care in the United States. 1 High-deductible plans, cost sharing, and health savings accounts have all been employed to urge
Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen and Neil B. Alexander
of acute and long-term health care resources. 2 In addition, loss of muscle mass, impaired balance, and decline in muscle strength and endurance are attributed to the aging process. 3 Comorbidities influence mobility limitations, particularly cardiovascular disease and obesity. 4 Nevertheless
Nathan H. Parker, Rebecca E. Lee, Daniel P. O’Connor, An Ngo-Huang, Maria Q.B. Petzel, Keri Schadler, Xuemei Wang, Lianchun Xiao, David Fogelman, Richard Simpson, Jason B. Fleming, Jeffrey E. Lee, Ching-Wei D. Tzeng, Sunil K. Sahai, Karen Basen-Engquist and Matthew H.G. Katz
to provide additional support during home-based exercise programming. Health care providers and exercise professionals may benefit patients by helping them explore maps of their home neighborhoods to find safe and convenient places to exercise, including parks, trails, and fitness centers. This study
Joseph M. Day, Robert Barry Dale and Elizabeth Kennedy
, with the rise in health care costs, many patients and rehabilitation specialists are opting to reduce the number of on-site visits and focus on home exercise programs (HEP). As a result, many rehabilitation specialists and patients now depend on HEPs as the primary intervention to treat LE. Focused
Gabrielle Ringenberg, Jill M. Maples and Rachel A. Tinius
clinically obese ( Flegal et al., 2016 ). In order to combat obesity, many health care providers recommend a healthy diet and exercise. There are many health-related benefits of exercise for those who are overweight and obese. These benefits include improvements in strength, blood lipid profiles, glucose
Sarah Daniels, Gabriela Santiago, Jennifer Cuchna and Bonnie Van Lunen
Clinical Scenario Therapeutic ultrasound (US) is a popular modality among health care professionals and is used to treat a variety of musculoskeletal conditions. 1 Throughout the past 70 years of clinical use, 2 US has been shown to be an effective way to decrease pain, 2 , 3 increase tissue
Nicole Cascia, Tim L. Uhl and Carolyn M. Hettrich
-ending injury, it is imperative that the best treatment option is provided to these professional throwing athletes. Immediate and long-term RTP rates after conservative management of partial UCL injuries can help guide health care providers in deciding the best treatment in professional throwing athletes
Brenda Lindstrom, Karen Chad, Nigel Ashworth, Bobbi Dunphy, Elizabeth Harrison, Bruce Reeder, Sandi Schultz, Suzanne Sheppard and Kori Fisher
Engaging sedentary individuals in physical activity (PA) is challenging and problematic for research requiring large, representative samples. For research projects to be carried out in reasonable timeframes, optimum recruitment methods are needed. Effective recruitment strategies involving PA interventions for older adults have not been determined.
To compare the effectiveness of recruitment strategies for a PA intervention.
Two recruitment strategies, print media and personal contact, targeted health-care professionals and the general public.
The strategies generated 581 inquiries; 163 were randomized into the study. Advertising to the general public via print materials and group presentations accounted for 78% of the total inquiries. Referrals from physicians and health-care professionals resulted in 22% of the inquiries.
Mass distribution of print material to the general public, enhanced by in-person contact, was the most effective recruitment strategy. These findings suggest various recruitment strategies targeting the general population should be employed.
Todd A. Evans and Kenneth C. Lam
Evidence-based practice is an established guiding principle in most medical and health care disciplines. Central to establishing evidence-based practice is the assessment of clinical outcomes. Clinical outcomes represent a form of evidence on which to base medical decisions, as well as providing the mechanism for assessing the effectiveness of evidence-based interventions. However, clinical outcomes are not routinely assessed in sport rehabilitation. If sport rehabilitation clinicians fail to incorporate clinical outcomes assessment and, as a result, evidence into daily practice, they may be missing an opportunity to improve patient care and putting their professional reputation at risk within the medical community. The purposes of the article are to highlight the emergence of clinical outcomes assessment in the medical community and the current health care system, illustrate the role of clinical outcomes assessment as it pertains to providing the best patient care, and identify challenges that could potentially impede the implementation of outcomes assessment in sport rehabilitation.