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History of Sports History of Sports Medicine Medicine Mrs. Dobbins

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History of Sports MedicineHistory of Sports Medicine

Mrs. Dobbins

Topics of DiscussionTopics of Discussion

History of athletic trainingHistory of athletic training The field of sports medicineThe field of sports medicine The field of athletic trainingThe field of athletic training The role of: the student athletic trainer, The role of: the student athletic trainer,

the coach, the certified/ licensed the coach, the certified/ licensed athletic trainer, the team physician, and athletic trainer, the team physician, and other staff membersother staff members

IntroductionIntroduction

Athletic training is the Athletic training is the preventionprevention,,recognitionrecognition, , treatmenttreatment and and rehabilitationrehabilitation of athletic injuries. of athletic injuries.

The Field of Sports MedicineThe Field of Sports Medicine

Sports medicine is a generic term that Sports medicine is a generic term that encompasses many different areas of sports encompasses many different areas of sports related to both performance and injuryrelated to both performance and injury

Areas of sports medicine may include:Areas of sports medicine may include:1. Athletic training1. Athletic training2. Biomechanics2. Biomechanics3. Exercise physiology3. Exercise physiology4. Physical therapy4. Physical therapy5. Sports nutrition5. Sports nutrition6. Sports Psychology6. Sports Psychology

The Field of Sports MedicineThe Field of Sports Medicine

So what? Why is this important?So what? Why is this important?The clinical application of the work of The clinical application of the work of

these disciplines is performed to these disciplines is performed to improve and maintainimprove and maintain an individual’s an individual’s functional capacities for physical labor, functional capacities for physical labor, exercise, and sports.exercise, and sports.

It also includes the It also includes the prevention and prevention and treatmenttreatment of diseases and injuries of diseases and injuries related to exercise and sports.related to exercise and sports.

History of Athletic TrainingHistory of Athletic Training

Reflected mostly in ancient Greece and Reflected mostly in ancient Greece and roman civilizations.roman civilizations.

- The Olympics- The Olympics- The Gladiators- The Gladiators

Galen,Galen, the greatest name in roman the greatest name in roman medicine,served as physician at gladiatorial medicine,served as physician at gladiatorial contestscontests

Herodicus Herodicus was consider to be the first sports was consider to be the first sports medicine physicianmedicine physician

History of Athletic TrainingHistory of Athletic Training

Sports declined after the fall of the roman Sports declined after the fall of the roman empire and remerged in the renaissanceempire and remerged in the renaissance

Athletic training as we know it came into Athletic training as we know it came into existence during the existence during the late nineteenthlate nineteenth century century with the establishment of intercollegiate with the establishment of intercollegiate athletics in the USathletics in the US

The growth of athletic training in the US has The growth of athletic training in the US has mainly followed the growth of American mainly followed the growth of American FootballFootball

The Field of Athletic TrainingThe Field of Athletic Training

Athletic training is a sub Athletic training is a sub specialization of sports medicine specialization of sports medicine providing a providing a major link between a major link between a sports program and the medical sports program and the medical communitycommunity for the implementation for the implementation of of injury prevention, emergency injury prevention, emergency care, and rehabilitation procedurescare, and rehabilitation procedures..

The Field of Athletic TrainingThe Field of Athletic Training

National athletic trainers National athletic trainers association (association (NATANATA) was formed ) was formed in in 19501950

The certified/ licensed athletic The certified/ licensed athletic trainer is recognized by the trainer is recognized by the American Medical Association American Medical Association (AMA)(AMA)

CCertified ertified AAthletic Trainerthletic TrainerAATTCC

ATC’s are…ATC’s are…–Board Certified (NATABOC)Board Certified (NATABOC)–State Licensed (LAT)State Licensed (LAT)–Recognized by the AMARecognized by the AMA–Works under the direction of Works under the direction of a licensed physiciana licensed physician

Certified Athletic TrainerCertified Athletic TrainerATCATC

ATC specializes inATC specializes inPreventionPrevention of injuries of injuriesRecognitionRecognition, , EvaluationEvaluation, , immediate care of injuriesimmediate care of injuries

RehabilitationRehabilitation and Care of injuries and Care of injuriesHealthcareHealthcare administration administrationProfessionalProfessional development development

The Sports Medicine Injury The Sports Medicine Injury Prevention TeamPrevention Team

The three persons having The three persons having the closest relationship to the closest relationship to the athlete are the the athlete are the coachcoach, , the the athletic trainerathletic trainer, and , and the the team physicianteam physician

The Sports Medicine Injury The Sports Medicine Injury Prevention TeamPrevention Team

The athlete and parents also are The athlete and parents also are involved when and injury occursinvolved when and injury occurs

The The Coach Coach is responsible for:is responsible for: Conditioning of the athleteConditioning of the athlete Equipment (equip manager)Equipment (equip manager) Correct skills & techniquesCorrect skills & techniques Apply proper first aidApply proper first aid Environmental factorsEnvironmental factors The coach coaches and the athletic trainer deals with athletic The coach coaches and the athletic trainer deals with athletic

training matterstraining matters

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

The The Certified Certified Athletic TrainerAthletic Trainer (ATC) (ATC) QualificationsQualifications

Ideally every organized sports program Ideally every organized sports program should have an ATCshould have an ATC

Better title??? Better title??? Sports therapist or sports Sports therapist or sports medicine therapistmedicine therapist

Qualifications of a NATA-certified athletic Qualifications of a NATA-certified athletic trainer requires an extensive background of trainer requires an extensive background of formal academic preparation and supervised formal academic preparation and supervised practical experience in a clinical settingpractical experience in a clinical setting

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

The ATC’s Functions (The ATC’s Functions (6 Domains6 Domains))1.1. PreventionPrevention of injury (major goal of athletic of injury (major goal of athletic

training)training)

2.2. Evaluation, RecognitionEvaluation, Recognition and and Assessment Assessment of of injuriesinjuries

3.3. First Aid and Emergency CareFirst Aid and Emergency Care

4.4. Rehabilitation and ReconditioningRehabilitation and Reconditioning

5.5. OrganizationOrganization

6.6. AdministrationAdministration

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

ATC employmentATC employment High schoolsHigh schools Colleges & universitiesColleges & universities Professional teamsProfessional teams Industrial settingsIndustrial settings ClinicsClinics Wellness/Fitness CentersWellness/Fitness Centers MilitaryMilitary Anywhere!Anywhere!

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

The Team PhysicianThe Team Physician Must have a full understanding of sport Must have a full understanding of sport

injuries. Ideally with a background in injuries. Ideally with a background in sports medicinesports medicine

Can be an M.D. or D.O. may be family Can be an M.D. or D.O. may be family physician, pediatricians, internal physician, pediatricians, internal medicine, or orthopedic surgeonmedicine, or orthopedic surgeon

Has the finial authority over the coach and Has the finial authority over the coach and athletic trainer in health mattersathletic trainer in health matters

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

The Team Physicians duties The Team Physicians duties include:include:

Seeing that a complete medical history of the athlete Seeing that a complete medical history of the athlete is obtainedis obtained

Determine athletes health status by providing a Determine athletes health status by providing a physical examphysical exam

Diagnosing and treating injuries and illnessDiagnosing and treating injuries and illness Acting, when necessary, as an instructor to the Acting, when necessary, as an instructor to the

athletic trainer, student athletic trainer, coach, etc.athletic trainer, student athletic trainer, coach, etc.

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

The Team Physicians duties The Team Physicians duties include:include:

Attend all games, athletic contests, scrimmages, and practices Attend all games, athletic contests, scrimmages, and practices when feasiblewhen feasible

Decides when, on medical grounds, athletes should be Decides when, on medical grounds, athletes should be disqualified from participation and when they may be permitted disqualified from participation and when they may be permitted to reenter competitionto reenter competition

Serve as an advisor to the athletic trainer, coach, and when Serve as an advisor to the athletic trainer, coach, and when necessary, as a counselor to the athletenecessary, as a counselor to the athlete

Work closely with the school administration, school dentist, Work closely with the school administration, school dentist, athletic trainer, coach, and health services personnel to athletic trainer, coach, and health services personnel to promote and maintain consistently high standards for the care promote and maintain consistently high standards for the care of the athleteof the athlete

The Sports Medicine Team The Sports Medicine Team Con’t.Con’t.

NurseNurse OrthopedistOrthopedist DentistDentist PediatricianPediatrician PodiatristPodiatrist NutrionistNutrionist Equipment Equipment

PersonnelPersonnel BiomechanistBiomechanist

Strength and Conditioning Strength and Conditioning CoachCoach

Sports PsychologistSports Psychologist Physical TherapistPhysical Therapist Exercise PhysiologistExercise Physiologist RefereeReferee Student Athletic TrainersStudent Athletic Trainers UrologistUrologist CardiologistCardiologist NeurologistNeurologist

A number of support health services may be used by A number of support health services may be used by a sports program. They may include:a sports program. They may include:

Is an Athletic Trainer the same thing as a Is an Athletic Trainer the same thing as a Personal Trainer or Strength Coach?Personal Trainer or Strength Coach?

NOT EVEN CLOSE!!!!NOT EVEN CLOSE!!!!   The name of our profession is sometimes confusing because Athletic The name of our profession is sometimes confusing because Athletic

Trainers don't "train" athletes.  Trainers don't "train" athletes.  Athletic Trainers are Athletic Trainers are healthcarehealthcare providers who provide care for both providers who provide care for both

athletes and non-athletes alike!  athletes and non-athletes alike!  Athletic Trainers must obtain a license to practice and the nationally Athletic Trainers must obtain a license to practice and the nationally

recognized ATC® credential requires at least a bachelors degree from recognized ATC® credential requires at least a bachelors degree from an accredited program, extensive clinical practice time under the an accredited program, extensive clinical practice time under the supervision of credentialed professional, repeated demonstration of supervision of credentialed professional, repeated demonstration of proficiency in over 680 clinical skills, and passing a very rigorous proficiency in over 680 clinical skills, and passing a very rigorous national certification examination. national certification examination.

Personal trainers, on the other hand, are Personal trainers, on the other hand, are fitnessfitness professionals and professionals and NOT healthcare professionals.  NOT healthcare professionals. 

There is little or no regulation of their professional practice and there There is little or no regulation of their professional practice and there are very few requirements to obtain a personal training credential are very few requirements to obtain a personal training credential (some of which can be obtained with as little as a weekend course). (some of which can be obtained with as little as a weekend course). 

The only similarity between Athletic Trainers and personal The only similarity between Athletic Trainers and personal trainers is that both work with athletes, but we do VERY different trainers is that both work with athletes, but we do VERY different jobs.jobs. If you are interested in becoming a personal trainer, you should If you are interested in becoming a personal trainer, you should consider majoring in exercise science. consider majoring in exercise science. 

Athletic Trainers VS Personal Trainers Athletic Trainers VS Personal Trainers

A Certified Athletic Trainer is a person A Certified Athletic Trainer is a person who meets the qualifications set by a who meets the qualifications set by a state regulatory board and/or the Board state regulatory board and/or the Board of Certification, Inc., and practices of Certification, Inc., and practices athletic training under the direction of a athletic training under the direction of a physician.physician.

A Personal Trainer is a person who A Personal Trainer is a person who prescribes, monitors and changes in prescribes, monitors and changes in individuals specific exercise program in individuals specific exercise program in a fitness or sport setting.a fitness or sport setting.

Athletic Trainers VS Personal Trainers Athletic Trainers VS Personal Trainers

Certified Athletic Trainers:Certified Athletic Trainers:

Must have at least a bachelor's Must have at least a bachelor's degree in athletic training, which is degree in athletic training, which is an allied health professionan allied health profession

Must pass a three-part exam Must pass a three-part exam before earning the ATC Credentialbefore earning the ATC Credential

Must keep their skills current by Must keep their skills current by participating in continuing participating in continuing educationeducation

Must adhere to practice guidelines Must adhere to practice guidelines set by one national certifying set by one national certifying agencyagency

Personal Trainers:Personal Trainers:

May or may not have higher May or may not have higher education in health scienceseducation in health sciences

May or may not be required to May or may not be required to obtain certificationobtain certification

May or May not participate in May or May not participate in continuing educationcontinuing education

May become certified by any May become certified by any one of numerous agencies that one of numerous agencies that set varying education and set varying education and practice requirementspractice requirements

Athletic Trainers VS Personal TrainersAthletic Trainers VS Personal TrainersDaily Duties:Daily Duties:

Certified Athletic Certified Athletic Trainers:Trainers:

Provide physical medicine and Provide physical medicine and rehabilitation servicesrehabilitation services

Prevent, assess and treat injuries Prevent, assess and treat injuries (acute and chronic)(acute and chronic)

Coordinate care with physicians Coordinate care with physicians and other allied health providersand other allied health providers

Work in schools, colleges, Work in schools, colleges, professional sports, clinics, professional sports, clinics, hospitals, corporations, industry, hospitals, corporations, industry, and military settingsand military settings

Personal Trainers:Personal Trainers: Assess fitness needs and design Assess fitness needs and design

appropriate exercise regimensappropriate exercise regimens

Work with clients to achieve Work with clients to achieve fitness goalsfitness goals

Help educate the public about the Help educate the public about the importance of physical activityimportance of physical activity

Work in health clubs, wellness Work in health clubs, wellness centers and various other centers and various other locations where fitness activities locations where fitness activities take placetake place

PHYSICIAN ASSISTANT

Physician assistants (PA) are licensed health care professionals that practice medicine with physician supervision.

PAs – conduct physical exams, – diagnose and treat illnesses, – order and interpret tests, – counsel on preventive health care, – assist in surgery, – and write prescriptions.

PHYSICAL THERAPIST

Physical therapists (PTs) are health care professionals who diagnose and treat individuals of all ages, from newborns to the geriatric population.

PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability.

The Role of the Student Athletic The Role of the Student Athletic TrainerTrainer

What is the role as a student What is the role as a student athletic trainer (student assistant)?athletic trainer (student assistant)?

Assist the ATC with daily tasksAssist the ATC with daily tasks–Treatment logTreatment log–Taping athletesTaping athletes–Stock tables, cabinets, and bagsStock tables, cabinets, and bags–Hydrate athletes at practiceHydrate athletes at practice–Prepare for rehabilitation proceduresPrepare for rehabilitation procedures

The Role of the Student Athletic The Role of the Student Athletic TrainerTrainer

Relay information to injured Relay information to injured athletes in a “Lingo” they can athletes in a “Lingo” they can understandunderstand

Student athletic trainers can only Student athletic trainers can only function under the direct function under the direct supervision of an ATC or LATsupervision of an ATC or LAT

What is Athletic Training?What is Athletic Training? Where did Athletic Training/Sports Medicine Where did Athletic Training/Sports Medicine

start?start? What are the roles of the ATC, Coach, and What are the roles of the ATC, Coach, and

Team Physician?Team Physician? What are some other occupations that may What are some other occupations that may

assist the sports medicine team?assist the sports medicine team? Where might you find employment as an Where might you find employment as an

ATC?ATC? What is the role of the student athletic What is the role of the student athletic

trainer and list some of their duties.trainer and list some of their duties.

SummarySummary

QUESTIONS / COMMENTS?QUESTIONS / COMMENTS?