Are your kids safe in their sport? Task force recommends new protections (USA Today)

INDIANAPOLIS – Emergencies are rarely predictable and that’s why having a detailed plan matters, especially when it comes to the health and safety of young athletes.

That was the underlying theme as health care experts released comprehensive emergency medical recommendations for youth sports leagues Tuesday at the 8th annual Youth Sports Safety Summit. The findings of a task force that originally convened in 2015 also were published in the Journal of Athletic Training on Tuesday.  The task force was led by the National Athletic Trainers’ Association and the Korey Stringer Institute.

“Our kids deserved preparedness,” said Robert Huggins, the vice president of research, athlete performance and safety at the Korey Stringer Institute. “We need to be proactive. Sometimes our human nature is to be reactive and wait for something bad to happen …

“We’ve seen too many parents have to say goodbye to their child. They deserve that preparedness. They deserve to be able to go home at the end of the day with their family.”

The Sports and Fitness Industry Association says nearly 31 million children ages 6 to 14 participated at least once in sports or activities in 2015. Studies show 3.5 million children under 14 are treated annually for sports injuries.

The guidelines cover creating emergency action plans for sudden cardiac arrest, catastrophic brain and neck injuries, exertional heat stroke, potentially life threatening medical conditions, environmental issues such as lightning and access to medical services.

Beyond creating the plans, the task force called for youth organizations to develop training programs and education members on sports safety practices and create a reporting structure to monitor compliance.

Huggins called the task force’s document “probably the most important document ever released at the youth sports level.”

“There have been no safety documents to date at the youth sports level that have really focused on the emergency best practices,” Huggins said. “This is the first of its kind to comprehensively look at all of those together and identify policy change and procedures that we know will improve health and safety. It’s been shown at the NCAA level, the professional level and the high school levels are improving and getting better with their policies. … I think youth sports should follow suit. It’s a natural progression.”

There is no one organization that rules all of youth sports; each sport has its own national governing body. The task force got commitments from national governing bodies on what key policies they would implement in terms of the emergency assistance plans and changes to their organizational structure. The national governing bodies would then disseminate the information to regional and local leagues.

“Because the national governing bodies operate independently,  implementing best practice safety policies remains a challenge,” said NATA president Scott Sailor. “This document is the first of its kind to serve as roadmap for policy and procedures. …

“We recognize some of this is aspirational. If there is not a policy in place or a policy that can immediately be implemented, we hope to move them in this direction. … Our document contains a lot of valuable information, but we will commit to following up and getting them information and disseminating it in format to get in the hands of policy makers and that might be the soccer mom. There is saying that nothing is more powerful than a soccer mom.”

Huggins pointed out that the document is structured in an easier to use way than many medical studies or journal articles might be.

“Every single bit of information in the text is also in checklist form —  tear it out, take it with you, write stuff in it and use it,” he said. “And then say, do I have this, do I have this or this?

“No one is bigger than the checklist and that’s the head emergency room doctor or the person observing the surgery. The format is forward facing and marketable and easy to understand for parents. We’re really hoping the novel part of this is the check list that can be distributed to parents, coaches and medical personnel and everyone gets to see this document.”

Alexandra Flury from Safe Kids Worldwide noted that education is among the best means to improve safety at the grassroots level.

“We recognize it might be difficult to implement all of this, but the (document) can be a starting point,” she said. “This creates dialogue between parents, coaches and organizations and which items are appropriate.”

A key point was that parents need to know about safety and policies in place rather than assuming they exist or that coaches and league officials have the proper training.

“We have a very serious duty to make parents smarter consumers in youth sports,” said Jon Butler, the executive director of Pop Warner Little Scholars. “There’s become an elevated expectation of the volunteer youth sports coach.”

Huggins noted that parents need to know that in many cases, “the simplest prevention strategies are not being taken to keep them safe from a health and safety standpoint.”

Parents need to ask questions.

“The (document) has many things that parents won’t think to ask of their school, their program or coaches,” said Dr. John Jardine, an emergency room physician. “You go to a physician, you know the level of training. Are the coaches trained? Is there a certain level of expertise? There is a level of training we want to ensure across the board.”

Source: USA Today

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.

Screen Shot 2017-03-01 at 1.05.02 PM

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

Screen Shot 2017-02-23 at 7.57.02 PM

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/

 

 

IMG_0392
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

 

Study: Private schools offer fewer athletic training services than public schools (USA Today)

A new study has revealed that there is a greater percentage of public secondary schools than private schools in the United States offering athletic training services.

The results of the study published in the Journal of Athletic Training state that while 37 percent of public secondary schools have a full-time athletic trainer to meet the healthcare needs of student-athletes, only 28 percent of private secondary schools do.

According to the research, only 58 percent of private secondary schools provide some amount of athletic training services, compared to 70 percent for public schools.

“Despite the documented benefits of having an AT on site for both practices and games, many schools, public and private, do not provide this critical medical service to their students,” writes lead author Alicia Pike, MS, ATC, the associate director of research at the Korey Stringer Institute at the University of Connecticut.

For the study, researchers from the Korey Stringer Institute in the Department of Kinesiology at UConn conducted the survey that was funded in part by the National Athletic Trainers’ Association. School athletic directors (or principals, if no athletic director was employed) from 8,509 public secondary schools and 2,044 private schools responded by phone or email. The data was collected from September 2011 to June 2014.

Despite the differences in athletic training services, though, both settings provided a similar number of student-athletes with access to medical care. Barriers to hiring trainers were seen as comparable between public and private secondary schools.

For more on the study, you can read the study from the scientific publication of the National Athletic Trainers’ Association scientific here.

Source: USA Today

Why Exercise Science Matters

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

Screen Shot 2017-02-05 at 12.29.31 PM

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

screen-shot-2016-12-29-at-11-45-18-am

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

screen-shot-2016-12-15-at-9-46-58-am

6th International Conference on the Physiology and Pharmacology of Temperature Regulation

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

 

This past week (December 5-9th), I had the pleasure of representing KSI at the 6th International Conference on the Physiology and Pharmacology of Temperature Regulation. This conference is a biannual conference held in different locations around the world that brings together the world’s leading thermal physiologists to present on topics from a basic (cellular and molecular) level of thermal physiology to clinical and applied applications of that research. This year’s conference was held in Ljubljana, Slovenia, the patron city of Saint George, which is located in the central part of Slovenia.

 

photo-3

 

The meeting started with an in depth discussion on the association of climate change on health. A European-based project, HEAT-SHIELD, was introduced to the audience which is a group tasked with developing guidelines and policies to handle heat stress from various aspects associated with climate change. The development of a well-rounded set of guidelines is needed to address this issue, especially as Europe is seeing the effects of increasing environmental conditions and a large migration of persons from other areas in the world, which when coupled together may cause downstream detrimental effects on health as a whole.

The conference continued with various symposiums, oral presentations and poster presentations on topics related to inflammation and the thermal response, fever, metabolic influences on thermal physiology, and the influence of exercise on thermal physiology. I had the pleasure of presenting some data that I collected examining the influence of hydration on body temperature and heart rate responses during repeated bouts of exercise in the heat. The talk was well received and it prompted some great discussion amongst other physiologists.

 

photo-2

 

It was great being able to meet new friends, connect with others and to discuss future collaborative work with some excellent researchers. The opportunity to attend this conference and to see the beautiful city of Ljubljana was an extremely rewarding experience and I would encourage anyone that does research in this area to attend the 2018 Conference in Split, Croatia.

 

photo-1

Marine Corps Marathon Weekend

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

 

mcm-1
KSI in the White House

 

Thursday October 27th through Sunday October 30th a group of KSI staff traveled to Washington D.C. to present at the American Medical Athletic Association’s 25th Annual Sports Medicine Symposium and worked in the medical tent at the 42nd Marine Corps Marathon (MCM). While in D.C., the KSI staff got to explore the city, tour the White House, enjoy some of the museums on Constitution Avenue, visit Arlington National Cemetery and view the changing of the guards.

 

fullsizerender
Tomb of the Unknown Soldiers

 

We had a great showing at the American Medical Athletic Association 25th Annual Sports Medicine Symposium at the Marine Corps Marathon at Georgetown University Friday October 28th. Brendon McDermott Ph.D., ATC, alumnus of University Connecticut and also one of KSI’s medical and science advisory board member, and his colleague, Cory Butts M.S., traveled from University of Arkansas and presented Muscle Damage and Renal Function in Athletes with Physiological and Environmental Stress. From KSI, Luke Belval, M.S., ATC, CSCS, presented Changing Guidelines on Exertional Heat Stroke Care: Point of Care to Transport to the ER, and Douglas Casa Ph.D. presented Policy Changes Save Lives in all Levels of Sport: New Evidence and Successes. All three of these presentations helped to illustrate the important role of athletic trainers and medical staff at races, and show successes that KSI has had in treating exrtional heat strokes and changing policies to reduce the prevalence of sudden death in sport.

On Saturday, the staff had a “play day” in D.C. that consisted of visiting museums and playing Escape the Room D.C. Both KSI teams escaped (photo below) with the better team just beating the losing team by a few minutes!

 

mcm-2
On Sunday the real fun began. The staff was up bright and early to make it to Aid Station #9 at mile marker 21 of the MCM! We evaluated and treated several athletes who were experiencing exercise associated muscle cramps and dehydration. Our Medical Advisor, Dr. John Jardine also played a critical role in treating exertional heat stroke patients.

 

mcm-3
MCM KSI Medical Tent

 

The annual trip to D.C./MCM is a great way for the staff to learn, use their expertise, and bond.