The incidence of concussions and potential for long-term health effects has captured the attention of the media, general public, medical professionals, parents, and obviously the athletes themselves. Concussions have been blamed for a variety of mental and physical health issues. The athletic trainer is at the forefront of the concussion management team, as they are typically on the scene when the concussion occurs and are often the first medical personnel to evaluate and, hopefully, remove the athlete from activity. There has been controversy of late regarding the influence of coaches in the care of concussed athletes. Therefore, a move to the “medical model” of sports medicine management can go a long way in resolving conflict of interest issues regarding the care of concussed athletes. A comprehensive concussion team and protocol are also essential to providing the highest level of care. This article takes a closer look at concussion management in the collegiate arena, with a particular focus on Princeton University.
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Determining the Appropriate Model for Concussion Health Care in the College or University Setting
Charles R. Thompson
Ipsilateral Proprioceptive Neuromuscular Facilitation Hamstring Stretching Results in Bilateral Improvements in Flexibility: Study Results and Clinical Application
Craig R. Denegar and Justina Gray
clinical importance in the management of radiculopathy and other clinical conditions. Stretching of muscle-tendon units, especially the hamstring muscles, is a common practice of active individuals and is also included in the plan of care of patients with low back, leg, and knee conditions. Although
Mind–Body Interventions for an Occupational Athlete Following Total Knee Arthroplasty: A Clinical CASE Report
Lucas C. Bianco
TKA. 6-Min Walk Test The 6-min walk test is a measurement of function through the distance walk in a 6-min time frame. For this test, the minimal detectable change is 63.1 m. 21 , 22 The patient in this case experienced improved outcomes throughout the entire plan of care. Specifically, the outcomes
Parental Perceptions of the Importance and Effectiveness of Patient-Centered Care Delivery
Sadie Rose Adado and Kenneth E. Games
important is it for your child’s provider to provide emotional support to your child? 2/102, 2.0% 3/102, 2.9% 14/102, 13.7% 38/102, 37.3% 45/102, 44.1% 4.19 ±0.92 5 How important is it for your child’s provider to involve your child’s desired support system in the plan of care? 2/102, 2.0% 1/102, 1.0% 11
Policies, Procedures, and Confidence in Managing Pregnancy Among Secondary School Athletic Trainers
Kaylie Simpson, John Goetschius, and Victor Liberi
students learn to develop a plan of care for patients with health conditions of the “reproductive system.” 19 Also, students must learn to “develop, implement, and revise policies that pertain to prevention, preparedness, and response to medical emergencies and other critical incidents.” 19 Based on the
Muddying the Water?: The Role of Verbiage in Patient-Reported Outcome Measures
Ashley N. Marshall and Jennifer S. Howard
.” Patient-centered care incorporates shared decision making between patients and clinicians to develop and manage a plan of care that is comprehensive and individualized for each patient. This is important because there are often discrepancies between patient and clinician views. 2 The patient may not
Blood Flow Restriction Therapy Following Microfracture Surgery for Osteochondritis Dissecans in a Collegiate Athlete
Emily E. Kruithof, Spencer A. Thomas, and Patricia Tripp
detached, nondisplaced fragment Type IV: Completely detached, displaced fragment At the time of this case, no high-level evidence existed in the literature relating to the treatment and management of OCD in elite athletes. Patient demographics, activity level, and lesion type dictate plan of care
Surgical Intervention of a Nonunion Navicular Stress Fracture in a Collegiate Soccer Player: An Exploration Clinical CASE Report
Sonia DelBusso and Michael Matheny
). Both athletes continued to train through the pain and only obtained imaging beyond radiographs after months of continued activity. 7 Due to this unique presentation of symptoms, several challenges arose with an appropriate and effective plan of care for this athlete. There were challenges not normally
Rehabilitation Utilizing Controlled Aerobic Activity in Patients With a Concussion: A Critically Appraised Topic
Janelle Prince, Eric Schussler, and Ryan McCann
critically appraised topic is to examine the safety of varying aerobic exercise intensities in patients with a concussion. In appraising the safety of controlled aerobic activity in comparison with complete rest, clinicians will be able to determine if physical activity can be implemented in the plan of care
Immediate Effects of a Single Spinal Manipulation on Lower-Limb Strength in Healthy Individuals: A Critically Appraised Topic
Christopher Kevin Wong, Lizbeth Conway, Grant Fleming, Caitlin Gopie, Dara Liebeskind, and Stephen Xue
within a plan of care, and rapport with the therapist. Spinal manipulation, when indicated to obtain an immediate strength improvement for specific limb weakness, could jump-start a strengthening program and enhance patient motivation for rehabilitation. Conclusion The use of lumbar spine manipulation to
