Author: clm16105

2017 ACSM Annual Meeting Recap

Yasuki Sekiguchi, MS, CSCS, Assistant Director of Athlete Performance

 

The American College of Sports Medicine (ACSM) Annual Meeting was held in Denver, CO from May 30-June 3. Most of the KSI staff attended this outstanding conference and they were honored with the opportunities to present their research. We had great discussion with the audiences and received critical feedback for future work via these presentations.

  • Douglas J. Casa, PhD, ATC, FACSM- Catastrophic Heat and Exertional-Related Conditions among Athletes
  • Robert A. Huggins, PhD, ATC- Biomarkers of Endocrine, Muscle, and Inflammatory Health Track Training Loads of a Collegiate Soccer Season

  • William M. Adams, PhD, ATC- Monitoring Cardiovascular, Hepatic, Renal, and Hematological Markers of Health in Collegiate Soccer Players
  • Yuri Hosokawa, PhD, ATC- Outcomes from a Modified Heat Tolerance Test to Track Thermal Strain

  • Samantha E. Scarneo, MS, ATC- Assessing the Reliability and Validity of an Objective Method of Measuring Postural Stability: Preliminary Data

  • Luke N. Belval, MS, ATC, CSCS- Comparison of Rectal Temperature Prediction Models Utilizing Machine Learning

  • Ryan M. Curtis, MS, ATC, CSCS- Starters and Non-starters Require Separate Load Monitoring and Analyses Throughout a Collegiate Soccer Season
  • Rachel K. Katch, MS, ATC- Weighted Heat Stress Score as a Predictor of Rectal Temperature in a Warm Weather Race

  • Courteney L. Benjamin, MS, CSCS- Monitoring Markers of Nutrition Status Throughout a Collegiate Soccer Season

  • Gabrielle EW. Giersch, MS- The Effect of the Cypla2 -163 c>A Polymorphism on the Metabolism of Caffeine and Effect on Performance

  • Yasuki Sekiguchi, MS, CSCS- Thirst Modulates Cycling Performance in the Heat in Dehydrated Males
  • Andrea R. Fortunati, MS, ATC- Monitoring Markers of Oxygen Transport Throughout a Collegiate Soccer Season
  • Brad D. Endres, BS, ATC- Epidemiology of Sudden Death in American Youth Sports.

 

 

Furthermore, the ACSM annual meeting provided great opportunities to meet with former colleagues. The University of Connecticut Alumni Association Reception was held on Thursday night (6/1). A lot of attendees spent time with old friends and shared current work with them. This kind of reunion always enables us to recall great memories and have energy for future work. We are grateful for all of the people who helped coordinate this event.

 

 

This conference also allows attendees to make new relationships with other professionals through attending various sessions and meetings. These opportunities lead KSI staff to obtain further knowledge, skills and new ideas. They certainly help to develop KSI and execute our mission “to provide research, education, advocacy and consultation to maximize performance, optimize safety and prevent sudden death for the athlete, soldier and laborer.” The KSI staff members are thankful to all of the presenters and attendees for their contributions to this field as well as helping make this conference one where individuals who are passionate about similar topics can meet, collaborate, and enjoy one another. We look forward to seeing everyone again soon!!!

 

121st Boston Marathon

William M. Adams, PhD, ATC Vice President of Sport Safety

Robert A. Huggins, PhD, ATC Vice President of Research and Vice President of Athlete Performance and Safety

April 17, 2017 was the 121st running of the Boston Marathon, a race considered by many as the world’s most elite marathon drawing over 30,000 participants in the 26.2-mile trek from Hopkinton, MA to Boylston Street in downtown Boston. This years’ race was warmer (70-75°F) than the average year, thus resulting in a greater number of runner’s seeking medical care during or following the completion of the race. In total, ~2,400 runners were treated in medical tents both at the finish and along the course throughout the day ranging from minor issues (muscle cramps, dehydration and musculoskeletal injuries) to more severe injuries such as exertional heat stroke and hyponatremia. As a result of the heat, 20-25 runners were treated for exertional heat stroke (EHS) both on the course and at the finish line. Why so many EHS’s you might ask? Well given the time of the year (April) and provided that many runners training throughout the winter months have limited heat exposure during training, there is a greater risk of exertional heat stroke when environmental conditions become warmer than average conditions, which was evident at this year’s race.

For KSI’s William Adams, PhD, ATC and Robert Huggins, PhD, ATC, it was their 6th time being part of the medical staff that volunteers their time on Marathon Monday to assist the runners in need of medical care. Below is a reflection from both Dr. Adams and Dr. Huggins on their experiences at this year’s race and from their previous years as medical volunteers

Dr. Adams’ Perspective

For the 2017 Boston Marathon, I was assigned to the finish line chute, which is located from behind the finish line to the medical tent in front of Boston Public Library. I was responsible for observing the finishers crossing the finish line and identifying those runners who were injured or suspected of having potential issues (e.g. exertional heat stroke). In previous years, I have worked in the medical tents located at finish line, so this year was a new experience for myself as a clinician as I transitioned from treating runners triaged to the medical tent to identifying runners in need of medical care upon finishing the race.

Overall, the Boston Marathon is an amazing experience and it has been a privilege to work alongside great clinicians over the past 6 years. It is a gratifying feeling having runners stop after finishing the race and thanking you for being there and making their race experience the best it can be. Marathon Monday also has special meaning for myself personally as I met my now wife 6 years ago at the race as we both volunteered to be a part of the medical staff in 2011.

For clinicians wanting to get a sense of what it is like to provide medical care at a mass participation event, I would strongly encourage anyone to sign up to volunteer for the Boston Marathon and get to experience what the world’s best marathon has to offer.

Dr. Huggins’ Perspective

Every year on Partriot’s Day I wake up at 4:00 am and drive with some of my colleagues to Boston, MA to volunteer my services in the finish line medical tent at the Boston Marathon. Each year I am amazed at the sheer number of medical professionals who gather to be there for the runners. Hundreds of healthcare professionals, students, and volunteers work together to provide care to thousands of runners for approximately 6 hours. The entire team is under the direction of the BAA Medical Directors (Chris Tryanos, ATC, Pierre d’Hemecourt, MD, Aaron Baggish, MD, and Sophia Dyer, MD). Every year, myself and all of the other medical professionals show up at 6:00am, get our credentials, head to the medical meeting, assemble with our respective group leaders for our assignments (Lawrence Venus for the Athletic Trainers), get our lunch, and report to our sections. This year I had a little time to spare before reporting to the medical tent and took a moment to visit one of the bombing sites near the finish on Boylston Street. Attached to the tree nearest the site, (see image) there was a memorial on the tree to remind those of the tragedy that happened back in 2013. Although I was not present in the medical tent that year, I was so proud of how my fellow Athletic Trainers and the other medical professionals responded to that emergency. Each year we are reminded of that tragic event and certainly it is in the back of our minds, but each year since, we push on for if we dwell on that day and live in fear, “they” win and “they” WILL NEVER WIN! #BOSTONSTRONG

My first 3 years I worked in Medical Tent A, however for the past 3 I have had the honor of working in Medical Tent B on the heat team. Good ole’ section 19! This year was like the rest in that my primary responsibility was to assist in the administration of the cold-water immersion treatment for any runners whose core body temperatures exceeded 104°F.  Given the number of EHS patients is not nearly that experienced in Med Tent A, in addition to being on the heat team, my section also provided care in a similar fashion to the other sections of the tent. I had the honor of working with two fantastic nurses, two physical therapists, and a medical student in charge of documentation. Each year I meet new people and it is always a great experience. Although, the weather this year brought more dehydrated, slightly hyponatremic (low blood sodium), and muscle cramping athletes our way than years past, it was another successful day in Boston and I strongly encourage anyone who is interested in working the medical tent to volunteer and come see a side of the marathon that most don’t even know about. I promise it will be an experience that you will always remember!

2017 Collaborative Solutions for Safety in Sport

William M. Adams, PhD, LAT, ATC Vice President of Sport Safety

March 28-29, 2017 Kansas City, MO

The 3rd annual Collaborative Solutions for Safety in Sport meeting was held last week in Kansas City, MO that brought over 100 individuals representing all 50 states and the District of Columbia together to continue the task of enhancing the health and safety policies for high school athletics. This meeting, hosted by the National Athletic Trainers’ Association and the American Medical Society for Sports Medicine and supported by the Korey Stringer Institute and Gatorade, began out of an idea spawned by Drs. Douglas Casa, PhD, ATC, FACSM, FNATA, FNAK and Jonathan Drezner, MD to make high school sports safer for the participating athletes.

This years’ meeting was constructed so that the attendees decided on the topics to be discussed. Prior to the meeting, all of the attendees were sent a survey that asked them which topics they would either want to learn more about or have in depth discussions about. From the survey, 16 breakout sessions were formed where the attendees who wanted to learn more about one particular topic were able to come together in small groups to have further discussions.

 

Overall, these breakout sessions were immensely successful as they stimulated many fruitful discussions over the successes, barriers, and other strategies to help develop and implement health and safety policies across the US. It was great to see states that have been successful in implementing change in a certain area (i.e. heat acclimatization) providing feedback and suggestions to states that have not been successful in implementing such policies. These discussions provided great peer-to-peer feedback, which may have been better received for some individuals.

 

Having attended all of Collaborative Solutions for Safety in Sport meetings over the past three years, it has been amazing to see the efforts taken by leaders within state high school athletics associations and sports medicine advisory committees following the meeting to develop and implement health and safety policies. States like Vermont, Illinois, South Carolina, Utah, New Jersey and many others have taken advantage of these meetings to implement best-practice policies in their state with many crediting the Collaborative Solutions meeting as the event that was the impetus for change.

 

While many states have made great strides in improving the health and safety of their student athletes, others have remained resistant to change and often citing “We haven’t had anything happen in our state, so there is no reason to change.” We must remember that implementing evidence-based minimum best practice policies such as emergency action plans, heat acclimatization, access to AEDs, environmental-based activity modification guidelines and the management of sport related concussion, cost little to no money to implement and there should be no reason not to take the proactive steps to keeping our young student athletes safe.

 

Keeping the forward progress mindset and further cultivating relationships between sports medicine advisory committees, high school athletics associations and coaches with the mindset of having the most up-to-date evidence-based policies in place is needed to ensure that our young athletes are protected while playing the sports that they love.

Collaborative Solutions for Safety in Florida High School Sports

William Adams, PhD, LAT, ATC

 

On March 9-10, 2017, Drs. Douglas Casa, PhD, ATC, FACSM, FNATA, FNAK and William Adams, PhD, ATC along with KSI staff member Courteney Benjamin, MS, CSCS traveled to the University of Florida to attend their Collaborative Solutions for Safety in Florida High School Sports meeting. Organized by the University of Florida and the Florida Association of Sports Medicine, the aim of the meeting was to begin the steps of health and safety policies for the Florida’s high school student-athletes.

 

The meeting was attended by representatives from various regions within the state of Florida and included sports medicine physicians, athletic trainers, high school administrators, coaches and the Florida High School Athletics Association. Dr. Casa spoke on the importance of implementing evidence-based best practice policies focused on the leading causes of death in sport and provided numerous case examples as to how these policies have been effective at reducing the number of sport-related deaths. Dr. Adams followed by discussing the current standing of health and safety policies mandated for high school athletics in Florida.

 

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Following these initial talks, the rest of the meeting consisted of various break out sessions specifically designed to stimulate discussion amongst the group and discuss strategies for how to implement changes to current policies related to emergency action plans, environmental monitoring and activity modification guidelines, concussion, AEDs and coaching education. Discussing the current barriers for implementing the aforementioned policies and strategies to overcome these barriers with the attendees, who many are the state leaders in their respective professions, allowed everyone in the room to participate to assist in developing a plan going forward to present to the Florida High School Athletics Association to further protect their student-athletes.

 

Overall, this meeting was a tremendous success and we are truly thankful for the University of Florida and FASmed for organizing this meeting and for the University of Florida for hosting the meeting at their facilities.  Having a group of highly motivated individuals from across the state of Florida come together to discuss how they can improve high school student-athlete health and safety is a model example of ways other states can have similar successes. The coordinated efforts of sports medicine professionals, high school and state high school athletics association administrators and coaches is instrumental for preventing sudden death in our young athletes who have a full life to live in front of them.

 

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Wet Bulb Globe Temperature or Heat Index?

Yuri Hosokawa, PhD, ATC, Vice President of Education, Vice President of Communication

 

On February 27th, KSI’s Vice President of Education and Communication, Yuri Hosokawa, PhD, ATC was invited to give a presentation on wet bulb globe temperature (WBGT) based activity modification guidelines at the Athletic Trainers’ Society of New Jersey.

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In the CAATE Athletic Training Education Competencies [5th Edition] under the Prevention and Health Promotion section, it is stated that athletic trainers should be able to “explain the principles of environmental illness prevention programs to include acclimation and conditioning, fluid and electrolyte replacement requirements, proper practice and competition attire, hydration status, and environmental assessment (e.g., sling psychrometer, wet bulb globe temperatures [WBGT], heat index guidelines).” That being said, we, as Athletic Trainers and clinicians have all been exposed to the utilization of a sling psychrometer, WBGT, and heat index to monitor and assess environmental heat risk. But do you know the differences in how they work? Without the proper understanding of these indices, you may not be capturing the heat strain appropriately. For example, WBGT of 82°F and heat index of 82°F represent very different environmental conditions because of how these numbers are derived.

To calculate WBGT, you will need: wet bulb temperature (Tw), globe temperature (Tg), and dry bulb temperature (Td). Wet bulb temperature is a measurement of humidity, globe temperature is a measurement for amount of solar radiation, and dry bulb temperature is a measurement for air temperature. In addition, wet bulb temperature and globe temperature are influenced by wind speed. WBGT equation (see bellow) weighs heavily on the Tw (70%) because the air saturation dictates the capacity for the body heat dissipation through sweat evaporation. Since evaporative heat loss accounts for the majority heat dissipation during exercise, an environment that hinders this process will pose an extreme heat strain.

 

WBGT= 0.7Tw + 0.2Tg + 0.1Td

 

On the other hand, heat index is a number that shows “how hot it feels” when relative humidity is factored into the air temperature. It also assumes that the environment is under shade (i.e., not full sunshine) and that the person is walking at 3-mph, which is does not depict the heat stress of someone performing intense exercise in the heat. Therefore, it is apparent that activity modification guidelines that rely on heat index is not appropriate in an athletics context. Lastly, the measurement taken from the sling psychrometer is reflective of the Tw and Td. Typically, a sling psychrometer unit comes with a conversion scale, which allows the clinicians to use the Tw and Td values to calculate the heat index.

Athletic trainers, who are interested in checking or improving current activity modification guidelines, are encouraged to review Table 5 from the NATA Position Statement on Exertional Heat illness, which shows an example from the Georgia High School Athletics Association’s activity modification policy using WBGT.

2017 Youth Sport Safety Governing Bodies Meeting

Samantha Scarneo, MS, ATC, Director of Sport Safety

Screen Shot 2017-02-26 at 6.48.14 PMFour years ago, Dr. Casa had a vision to bring together the representatives responsible for safety initiatives for the leading national governing bodies (NGBs) of youth sports and educate them on how to make their sport safer. This past week, the four-year effort concluded with a meeting at the National Athletic Trainers Association (NATA) headquarters in Carrollton, TX. We have accomplished an astonishing amount over the past three years. In 2015, the 1st Youth Sport Safety Governing Bodies (YSSGB) Meeting was convened by the Korey Stringer Institute and hosted by the National Football League in New York, NY. The goal of this inaugural meeting was to educate the NGB attendees on the top causes of sudden death in sport and to learn what various NGBs have done up to this point to improve youth athlete safety. From this meeting, we were able to leave with a better understanding of the inner-workings of the NGBs; we also learned that it was extremely difficult for NGBs to provide any type of mandate or requirement because they do not have a structure to govern and oversee mandates outside of sport rules. From there, we knew we needed to create a document that outlines what the best practice recommendations should be for youth organizations.

Several position statements, consensus statements, inter-association task force documents, and research articles have been published by professional organizations. However, these documents have had a focus on the high school and older athlete, leaving paucity in the literature as to best practice recommendations for the youth athlete. The 2nd YSSGB meeting led by the Korey Stringer Institute and the National Athletic Trainers’ Association in 2016 focused on creation of a document and aimed to get feedback from the NGBs on what should be included in a best practice document. The outcome from this meeting includes a document to serve as the first of its kind to guide recommendations for improving sport safety for the youth athlete.

 

It was also in the 2016 meeting that the leaders in the NGBs requested to KSI and NATA that we convene to discuss how to continue efforts to make youth sport safer. Which led to our objective for the 2017 YSSGB meeting to discuss the potential tasks that should be addressed for future efforts and again lead by the NATA and KSI.

 

This year’s attendees included a mix of both new faces and veterans to the meeting:

 

US All Star Federation USA Lacrosse
USA Baseball US Soccer
USA Basketball USA Football
USA Track and Field USA Wrestling
USA Gymnastics USA Hockey
American Academy of Pediatrics American Medical Society for Sports Medicine
Korey Stringer Institute National Athletic Trainers Association
Safe Kids World Wide

 

At the meeting, we discussed strengths, areas for improvement, facilitators and barriers for promoting safety initiatives within their own organizations. We had veteran NGBs that discussed their successes and struggles in spearheading the youth sport safety initiatives, while other NGBs that are relatively new shared their recent achievement in mandating the background checks for their coaches, which is also an important topic to be addressed by the NGBs to ensure youth athlete safety. Every representative from the NGBs believed that they could continue to learn from this collaborative effort and were  hopeful for future meetings to continue their discussions in keeping their youth athletes safe.

 

I would be remiss if I did not conclude with a heart-felt thank you to the NATA for their extremely warm welcome to their facilities and for their sponsorship of the meeting. Specifically, to Katie Scott, MS, ATC, Athletic Trainer in Residence at the NATA, for all of her time and effort into the creation of this meeting during the past two years, and for her continued commitment, dedication, and passion for improving the profession of athletic training and sport safety for all athletes. I would also like to thank the NATA Foundation for hosting our dinner on Thursday night, and to Camelback and Jones and Bartlett for donating their products.

 

As I have concluded this blog post the past two years, If you want to go fast, go alone. If you want to go far, go together”—Unknown.

The Rise of the Quantified Athlete Review

Courteney Benjamin, MS, CSCS, Associate Director of Communication and Assistant Director of Athlete Performance and Safety

Gabrielle Giersch, MS, Associate Director of Education and Assistant Director of Athlete Performance and Safety

 

It’s not a secret that the use of wearable technology in sports is a hot topic among many of the world’s leading experts in sports and research. The popularity of this idea led to the creation of the first symposium of its kind called “The Rise of the Quantified Athlete.” Harvard Innovation Labs, Sports Innovation Lab, and OneTeam Collective worked together to create what is sure to be the first of many similar meetings between the world’s leading experts and innovators in sports and technology. At this symposium, there were four panels designed for informing, optimizing, and focusing the use of wearable technologies in sports and a fifth panel of elite athletes centering on their experiences with various technologies.

We were fortunate to attend this meeting at the world-class facilities of the Harvard Innovation Lab on Harvard University’s campus in Boston, MA. This lab “is a unique collaboration and education space designed to foster entrepreneurship and innovation across Harvard.1

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This group worked with the Sports Innovation Lab founders Isaiah Kacyvenski (NFL veteran), Angela Ruggiero (Hockey Olympic Gold Medalist), and Joshua Walker (Researcher) to put on this event.  The purpose of this organization is to “identify and evaluate the technology products and services that will power the future of sports.2” OneTeam Collective, the third partner responsible for putting on this event, is an organization “designed to accelerate growth for companies seeking to align with the sports industry.3

The organizations that attended this meeting ranged from veterans to up-and-coming companies trying to gain a niche in this growing market. In addition to our group from KSI, the following companies and/or organizations were involved in the panel discussions.

Company/Organization Website
Harvard Innovation Lab https://i-lab.harvard.edu/
Sports Innovation Lab https://www.sportsilab.com/
OneTeam Collective http://www.oneteamcollective.com/
Intel http://www.intel.com/content/www/us/en/wearables/wearables-overview.html
Gatorade Sports Science Institute http://www.gssiweb.org/en
ESPN Sports Science http://www.espn.com/espn/sportscience/
US Army http://www.usariem.army.mil/
Harvard Biodesign Lab http://biodesign.seas.harvard.edu/
MIT Sports Technology Group https://innovation.mit.edu/
USC Center for Body and Computing https://www.uscbodycomputing.org/
VERT https://www.myvert.com/
NIX http://nixbiosensors.com/
MC10 https://www.mc10inc.com/
Humon https://humon.io/
Halo Neuroscience https://www.haloneuro.com/
Rabil Companies http://endurancecos.com/meet-the-team/paul-rabil/
STRIVR Labs http://strivrlabs.com/
WHOOP http://whoop.com/
Zebra Technologies https://www.zebra.com/us/en/solutions/location-solutions/zebra-sport-solution.html
STATS https://www.stats.com/

 

 

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Dr. Casa during the “4th Quarter” Panel Discussion

Dr. Douglas Casa served on the third panel titled: “Software Changing the Role of Coaches and the Analysis of Athletic Performance” where he was able to discuss the importance of research in development of wearable technologies and how KSI has been involved in that research world. He suggested that every company entering this market should reach out to a third-party research group to validate their device in a peer-reviewed fashion. This type of validation will provide the company and the consumer confidence that their product works.

 

To wrap up the symposium, the following big names in sports discussed their experience with technology:

Matt Hasselbeck IMG_0393(NFL, ESPN), Ryan Fitzpatrick (NY Jets), Sean Sansiveri (NFLPA), Dr. Leslie Saxon (USC Center for Body Computing), Meghan Duggan (United States Olympic Committee), Paul Rabil (MLL and US Lacrosse), Zak DeOssie (NY Giants), Shawn Springs (NFL), andCraig Adams (NHL).

 

Overall, this symposium was an awesome start to a much larger, much needed conversation. It seemed that the general consensus with most attendees was that all of the technology and data we are now able to gather is phenomenal. Moving forward, we must all continue to strive to validate every measurement tool, make sense of all of the data these tools are collecting, and determine best practices for using this analysis to make meaningful differences in performance. This is an exciting time to be in this field, in its infancy, when the potential for growth is limitless.

 

 

  1. Harvard i-lab. (n.d.). Retrieved February 23, 2017, from https://i-lab.harvard.edu/
  2. Sports Innovation Lab (n.d.). Retrieved February 23, 2017, from https://www.sportsilab.com/
  3. OneTeam Collective. Retrieved February 23, 2017, from https://www.nflpa.com/oneteamcollective

 

Why Exercise Science Matters

By: Gabrielle Giersch M.S., Assistant Director of Education, Korey Stringer Institute

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I am a Ph.D. student at the University of Connecticut in the field of exercise science. I received my Bachelor of Science Degree in Exercise Science from Roanoke College, a small liberal arts college in Virginia, and my Master’s Degree in Exercise Physiology from James Madison University. This educational background leads me to the first edition for this educational editorial series from the Korey Stringer Institute: Why Exercise Science Matters. Exercise science is a largely growing academic subject area and department in many universities. But not many people, including students that are in this major, know what to do with an exercise science degree. For many, it’s seen as a precursor for PT or PA school, and the material isn’t always taken very seriously for it’s value. It’s often seen as the in between, something one has to do to get somewhere else, not some place where many students actually want to stay.

 

My hope is that people see that there are so many things you can do with an exercise science degree. For example, technology is evolving to be more adept at measuring physiological variables so everyday people, not just elite athletes or coaches, can monitor their wellness, fitness, stress, sleep, and many other physiological variables. Research is constantly improving to better equip individuals with technology and provide guidance in interpreting the data properly with goals to optimize athletic performance, health, and safety. To achieve that, we analyze detailed data, from the level of microscopic molecules and genetic expressions, in combination with observations from what actually happens in the field, to make informed decisions about human physiology. Exercise science provides practitioners with the ability to directly relate the research back to the human body and its movements. This makes the education of those in exercise science even more important, particularly with regard to evidence and research based education.

 

For this field to advance, it is vital for everyone who is involved in exercise science to have access to evidence and research-based practices, as well as outstanding educational resources. This applies not only to the students, athletic trainers, athletes, team coaches, strength and conditioning coaches, clinical exercise physiologists, physical therapists, professors, and researchers, but, ANYONE who is partaking in physical activity, exercise, or sports. We need to spread the word about exercise science and evidence based knowledge instead of dispelling myths from previous generations (see classical heat stroke vs. exertional heat stroke). Using evidence and research can not only improve performance of elite athletes, it can also help to save lives. The American College of Sports Medicine has a global health initiative called Exercise is Medicine (http://www.exerciseismedicine.org/) which refers to the applicability of exercise and physical activity for all people. Our goal should be to use evidence to broaden our field of expertise and make this field larger and more applicable to our society as a whole. The athletic trainers, the professors, the researchers, the physical therapists, and the exercise scientists already know that it matters. I think it’s time the rest of the world did too!

 

The views represented in this editorial are those of the author and may not reflect the views of the Korey Stringer Institute. Statements made within this editorial should not be construed as official statements from the Korey Stringer Institute.

NATA Meeting Preview

Rachel Katch, ATC, MS

Associate Director of Military and Occupational Safety

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On June 26th – 29th, members of both the Korey Stringer Institute’s (KSI) staff and Medical & Science Advisory Board will be traveling to Houston, Texas to present at the National Athletic Trainers’ Association (NATA) 68th Clinical Symposia & AT Expo. Topics for dissemination range from the most up-to-date biomechanical research, to preventing sudden death in sport, all the way to new ground-breaking research regarding insurance costs for athletic trainers. No matter the topic, these presentations will provide those in attendance with evidence based research and information pertinent to enhancing the athletic training profession. Specific dates, times, and locations for each presentation being disseminated by the KSI staff and Medical & Science Advisory Board members are available below in Table 1. Hope to see you at the NATA Clinical Symposia, and always, please make sure to come and see us at our KSI booth at the AT Expo!

 

KSI Medical & Science Advisory Board Presentations

Lindsay DiStefano, PhD, ATC, from the University of Connecticut (UConn) will be disseminating multiple presentations during the course of the symposium. One presentation is titled, “Anterior Cruciate Ligament Injury Prevention Strategies: Translation of Research Findings into Clinical Practice,” and focuses on introducing the most current ACL injury prevention research and the evidence behind it. Additionally, Dr. DiStefano has a feature presentation during the session, “Lower Limb Preventative Training Programs Best Practice,” titled, “Effectiveness of Lower Limb Preventive Training Programs at Reducing Injuries.” This presentation will focus on educating attendees about the effectiveness, best practices, and implementation of preventative training programs.

 

Kevin Guskiewicz, PhD, ATC from the University of North Carolina – Chapel Hill will be presenting, “Catastrophic Traumatic Injuries in Sport,” during the session titled, “Catastrophic Sports Injury and Illnesses Among US College and High Schools.” This is a feature presentation alongside Douglas Casa, PhD, ATC, FNATA who will also be speaking during this session with a presentation titled, “Catastrophic Heat and Exertional-Related Conditions Among Athletes.” This session will focus on the incidence and characteristics of catastrophic events, and evidence-based policies and recommendations to minimize the risk of these events in the future.

 

From the University of South Florida, Rebecca Lopez, PhD, ATC will be presenting, “Exertional Heat Illness in Younger Athletes,” as well as a learning lab titled, “Recognition and Treatment of Exertional Heat Stroke.” The purpose of the first evidence-based forum is to provide clinicians with the best evidence-based clinical practice regarding the prevention, recognition, treatment, and return to play for the most common exertional heat illnesses. Second, the learning lab will focus on providing clinicians with the knowledge and opportunity to practice rectal thermometry and cold water immersion in a safe learning environment.

 

Also from the UConn, Stephanie Mazerolle, PhD, ATC, FNATA in the session, “A Multi-Level Examination of Career Intentions and Work-Life Balance,” will be presenting, “Individual Elements that Influence the Development of Career Planning and Work-Life Balance.”  This is a feature presentation that will examine and discuss research available regarding alternative therapies utilized in the clinical setting to promote work-life balance. Additionally, Brendon McDermott, PhD, ATC from the University of Arkansas will be presenting, “Exertional Heat Illness in Younger Athletes.” This committee session will focus on providing clinicians with the best evidence-based clinical practice regarding the prevention, recognition, treatment, and return to play for the most common exertional heat illnesses.

 

Lastly, Kevin Miller, PhD, AT, ATC from Central Michigan University will be presenting, “New Advances in Exertional Heatstroke Diagnosis, Treatment and Prevention.” This special topic presentation will discuss recent experimental studies that address the necessity of equipment removal prior to initiating cold-water immersion; whether cooling garments can prevent the onset of hyperthermia or affect hydration status; whether temperate water can be used to effectively cool hyperthermic humans; and how far into the rectum Athletic Trainers should insert a thermometer to obtain the most valid data.

KSI Staff Presentations

Multiple KSI staff will be presenting in a session titled, “Enhancing Safety of Secondary School Athletics Through Policy Change,” including Alicia Pike, MS, ATC, Robert Huggins, PhD, ATC, and William Adams, PhD, ATC. Individually, their presentation titles are, “Examining Sport Safety Policies in Secondary Schools: An Analysis of States’ Progress Toward and Barriers to Policy Implementation,” “State High School Athletics Policy Change Successes and Barriers: Results from the Collaborative Solutions for Safety in Sport Meeting,” and, “Current Status of Evidence-Based Best Practice Recommendations in Secondary School Athletics,” respectively. This feature presentation will provide participants with evidence describing the barriers associated with implementing policy change from a state administrative level and the steps that have been made to initiate change to protect secondary school student athletes.

 

Additionally in a session titled, “The Secondary School AT Value Model, Minimizing Cost and Maximizing Safety from an Insurance Perspective,” Yuri Hosokawa, MAT, ATC, and Robert Huggins, PhD, ATC, will be disseminating their respective presentations titled, “Optimizing the Direction of Care: A Secondary Insurance Claims Analysis,” and, “We Can’t Afford to Hire an AT…You Can’t Afford Not To! Reducing Risk, Saving Money, and Saving Lives.” In this committee session presented by the NATA Initiative, the speakers will: (1) discuss ways athletic training services may directly benefit multiple entities (insurance providers, policy holders, and school districts), (2) critically assess the secondary insurance cost to identify unnecessary medical costs, and (3) minimize the financial burden of secondary schools through injury prevention and appropriate risk management.

 

Lastly, Robert Huggins, PhD, ATC will present, “An Overview of the Secondary Schools ATLAS Project: Where Are We Now?” in the session, “Out of the Fire and Into the Frying Pan.” This committee session presented by the Secondary School Athletic Trainers’ Committee will outline the use of the ATLAS project to show the concentration of secondary school athletic trainers and its value for potential networking within and between states and organizations.

 

Table 1. List of Presenters

Presenter Presentation Title Time / Location
  TUESDAY, JUNE 27th, 2017
Rebecca Lopez, PhD, ATC Exertional Heat Illness in Younger Athletes 8:15 AM

BCC, Room 370

Stephanie Mazerolle, PhD, ATC, FNATA Individual Elements that Influence the Development of Career Planning and Work-Life Balance 8:15 AM

BCC, General Assembly A

Brendon McDermott, PhD, ATC Exertional Heat Illness in Younger Athletes 8:15 AM

BCC, Room 370

Kevin Miller, PhD, AT, ATC New Advances in Exertional Heatstroke Diagnosis, Treatment and Prevention 10:45 AM

BCC, Grand Ballroom C

Rebecca Lopez, PhD, ATC Recognition and Treatment of Exertional Heat Stroke 1:30 PM

BCC, Room 342

Robert Huggins, PhD, ATC An Overview of the Secondary Schools ATLAS Project: Where Are We Now? 2:10 PM

BCC, Grand Ballroom A

WEDNESDAY, JUNE 28th, 2017
Kevin Guskiewicz, PhD, ATC Catastrophic Traumatic Injuries in Sport 7:00 AM

BCC, General Assembly A

Douglas Casa, PhD, ATC, FNATA Catastrophic Heat and Exertional-Related Conditions Among Athletes 7:30 AM

BCC, General Assembly A

Lindsay DiStefano, PhD, ATC Anterior Cruciate Ligament Injury Prevention Strategies: Translation of Research Findings into Clinical Practice 7:30 AM

BCC, Room 370

THURSDAY, JUNE 29th, 2017
Lindsay DiStefano, PhD, ATC Effectiveness of Lower Limb Preventive Training Programs at Reducing Injuries 10:45 AM

BCC, General Assembly B

Robert Huggins, PhD, ATC “We Can’t Afford to Hire an AT”… “You Can’t Afford Not To!” Reducing Risk, Saving Money, and Saving Lives 10:45 AM

BCC, Grand Ballroom B

 

Yuri Hosokawa, MAT, ATC Optimizing the Direction of Care: A Secondary Insurance Claims Analysis 11:15 AM

BCC, Grand Ballroom B

William Adams, PhD, ATC Current Status of Evidence-Based Best Practice Recommendations in Secondary School Athletics 3:30 PM

BCC, General Assembly A

Robert Huggins, PhD, ATC State High School Athletics Policy Change Successes and Barriers: Results from the Collaborative Solutions for Safety in Sport Meeting 4:00 PM

BCC, General Assembly A

 

Alicia Pike, MS, ATC Examining Sport Safety Policies in Secondary Schools: An Analysis of States’ Progress Toward and Barriers to Policy Implementation 4:30 PM

BCC, General Assembly A

 

Athletic Director Meeting on Secondary School Health and Safety

Alicia Pike, Associate Director of Research, KSI

 

In collaboration with the National Athletic Trainers’ Association (NATA), the Korey Stringer Institute (KSI) is conducting a study assessing perceptions of medical care provided at the secondary school level from various key stakeholder groups. These stakeholders are in a position to influence the level of medical care provided to secondary school athletes and include athletic directors, principals, superintendents, parents, coaches, and legislators.

 

As part of this initiative, participants are asked if they would like to take part in a focus group session. The purpose of the focus group, similar to a group discussion, is to gain a more in depth understanding of the participants’ perceptions, and allow them to interact with each other through open dialogue in a non-threatening environment. As the study kicks off, the KSI staff couldn’t think of a better place to hold our first focus group than in Nashville, TN!

 

The National Interscholastic Athletic Administrators Association (NIAAA) was holding their National Athletic Director Conference at the Gaylord Opryland Resort and Convention Center in Nashville from December 9th to the 13th. With a meeting made possible by the NATA, we recruited athletic directors for a focus group in support of this research initiative. On December 9th, Christy Eason, a University of Connecticut alum and now Assistant Professor of Athletic Training at Lasell College, and myself, conducted our very first focus group. The meeting was a success and resulted in rich dialogue between athletic directors with diverse backgrounds on various health and safety standards.

 

Dr. Douglas Casa, CEO of KSI, and Dr. Rebecca Stearns, COO of KSI, also made the trip to Nashville and were instrumental in ensuring the success of this meeting. After the focus group session, Rachael Oates, Assistant Executive Director of the NATA, and Amanda Muscatell, NATA External Marketing Manager, spoke about the history of the NATA and its growth over the years, as well as their major marketing initiative, AT Your Own Risk. To finish off the meeting, Dr. Casa presented on best practice standards for preventing sudden death in sport, focusing in on the top safety standards that athletic directors in Tennessee should have in place.

 

This meeting not only provided great insight on athletic directors’ perceptions, but also provided an opportunity to network with a unique group of people. This was only the start, but being a part of this meeting has opened my eyes to the true potential of this research initiative. I am extremely excited to see where it goes from here.

 

Gaylord Opryland Resort & Convention Center

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