ATLAS

The ATLAS Project: The Start of Something Big

By Robert Huggins, PhD, ATC, VP of Research, VP of Athlete Health and Safety

ATLAS UPDATE

There are countless new and innovative ideas that we have at KSI every day, but every once in a while there is that truly life changing idea. Even as daunting as that idea may seem, there is something deep within your gut, I mean really deep down, that you know can make and impact and is worth doing. The ATLAS Project was one of those ideas for us here at KSI and in true KSI fashion this idea would not be possible without the collaboration of the NATA Secondary School Committee and the members of the NATA.

 

The Athletic Training Locations And Services Project was developed by KSI from the “Athletic Training Services in Public Secondary Schools: A Benchmark Study” with the main goals to:

 

  • Create a real-time database of athletic training services in secondary schools
  • Create a directory for each state’s athletic training association and high school athletics association
  • Assist states in moving toward full-time athletic training services
  • Provide useful data to each state’s athletic training association and high school athletic association
  • Identify common factors associated with increased athletic training services across the country
  • Provide data to assist with legislative efforts to improve healthcare for high school athletes

Since its official launch in January, over 4,500 surveys have been taken by Secondary School Athletic Trainers all across the country. The Eastern Athletic Trainers’ Association has the largest percentage of high school athletic trainers who have taken the ATLAS Survey closely followed by Mid-America Mid-Atlantic and Southwest Athletic Training Associations as depicted below. In terms of raw number of surveys California leads with 220 surveys taken and Pennsylvania is in close second with 203 surveys. However, if we look at percentage of surveys taken, District of Columbia, New Mexico, and Utah are in the lead with 80%, 71%, and 55% respectively.

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Currently KSI uses Zeemapsä by Zeesource to map each states’ Athletic Training services and we are proud to say that Vermont and Maine were the first two states to be 100% mapped. Delaware, District of Columbia, Rhode Island and Wyoming are all within 40 schools of being 100% mapped and additional efforts in those states by KSI and their athletic training associations are being made as we speak.
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Recently Robert Huggins PhD, LAT, ATC and Larry Cooper, NATA Secondary School Committee Chair, presented the ATLAS project data at the Collaborative Solutions For Safety In Sport Meeting held at the NCAA headquarters in Indianapolis and will also be discussing this with Athletic Trainers at the NATA Symposium next week in Baltimore where they hope the project will continue to gain more momentum so be sure to stop by booth #2057 at the NATA Expo to map your high school!

ATLAS Update: Vermont Taking Initiative

By Sarah Attanasio, Assistant Director of Sport Safety Policies

ATLAS VT

Happy National Athletic Training Month! As the word is spreading, more information is being collected about the extent of athletic training services through out the country. KSI and the NATA secondary schools committee continue to work together to encourage athletic trainers employed in the high school setting nationwide, to complete the ATLAS (Athletic Training Locations and Services) survey.

The ATLAS team has been working very closely with Denise Alosa, the District 1 secondary school representative from Vermont the past months. Thanks to her hard work in the state of Vermont, they are one of the first states to have responded and collect information whether an athletic trainer is present and the extent of coverage at every school in the state of Vermont. “The information in the survey is amazing, it can provide contact information within their own state or if you are looking to higher an AT for your school or improve a situation; the maps can be useful,” Alosa said.

As of March 2016, more than 3,400 athletic trainers nation wide have responded to the ATLAS survey. Alosa working hard with the ATLAS initiative comments, “Being in the profession for a long time, I have seen it evolve, you have to get involved to keep things moving forward”. The use of these maps can be helpful for present athletic trainers in the work force as well as new athletic trainers seeking positions as the vocation continues to grow and evolve.

With the influx of completed surveys the last few months, it is becoming more apparent what the survey can provide. Denise Alosa added, “Eventually we will be able to obtain insurance information, policy information and best practices within each state. It is good to start somewhere now, where it is doable. Any grass roots have to start somewhere.” The ATLAS Project has grown immensely since it was created years ago, with the dedication of an extensive work force of volunteers, undergraduate students, graduate students, post-doctorates, professors and athletic trainers nationwide.

#NATM2016

ATLAS Project- Gaining Momentum

By Robert Huggins, PhD, ATC, Vice President of Research and Elite Athlete Health and Performance

ATLAS SocialMedia

As we prepare for Athletic Training month to hit in March, secondary school athletic trainers from around the country are helping KSI and the NATA secondary schools committee get a better grasp on the extent of athletic training services that our profession provides. “The KSI team has been working diligently to market the ATLAS Project in various media outlets and get the word out there to secondary school ATs” said Sarah Attanasio assistant director of sports safety policies. “Thanks to the help of Rachael Oats and all of her colleagues at the NATA offices, the ATLAS project was sent out via e-blast in the NATA Range of Motion and has been posted on the NATA website The ATLAS Project ” said Huggins, VP of Research at KSI. One week earlier, secondary school chair Larry Cooper allocated some time during the NATA board of directors meeting in Dallas, Texas for KSI to speak with the members of the Secondary School Committee. Each district representative was provided with content related to the project for distribution to their members and for easy website viewing. As a sign of their excitement and eagerness to start, some regional athletic training associations such as The Far West Athletic Trainers’ Association and state associations such as Michigan Athletic Trainers Society and Louisiana Athletic Trainers Association are linking directly to the ATLAS Project and it appears to be making rapid progress.

“The momentum of the ATLAS project has really shown a positive trend after the official national launch of the ATLAS Project in January,” said Huggins, “we have seen an exponential increase in the number of ATLAS surveys taken.  At one point we were averaging almost 100 surveys per day. In the last week or so it has leveled off to 40 per day which is still fantastic.” In response to the increased demand, KSI has brought on five additional workers per week bringing the total workers to 10 (8 undergraduate, 1 graduate and 1 post doctoral fellow). “We all to help sort the data, work directly with secondary school committee chairs in each state, and make each map as accurate as possible” said Rachel Morris, KSI undergraduate research assistant.

The ATLAS Project is rapidly approaching 3,000 surveys and KSI hopes that their goal of 8,000 surveys by June will come to fruition. “As the word continues to spread within each state, our results will become more accurate and we will be able to not only quantify the extent of AT services, but gather valuable information about where ATs are hired, in what capacity they are hired, and the commonalities from state to state” said Huggins. With this project KSI hopes that AT associations will utilize the maps as a directory to improve the continuity of healthcare within their state, promote legislative efforts to hiring full-time athletic trainers, and potentially reduce medical and insurance costs. “The possibilities are endless” said Larry Cooper, NATA secondary school chair “and we are so excited about where this project will go in the future!”

Eastern Athletic Trainers’ Association Meeting 2016

By William Adams, Director of Sport Safety Policies

EATA Boston 2016

This past weekend KSI traveled to Boston, MA for the Eastern Athletic Trainers’ Association Annual Meeting. KSI had the great opportunity to present during a 2-hour symposium on the recent projects, initiatives, and accomplishments of KSI to the EATA membership. The presentation was very well received and we received a lot of positive feedback following the talk.

Lecture #3 EATA 2016

The talk titled, The Work of the Korey Stringer Institute-Assisting Athletic Trainers and the Profession, was presented by 8 of the staff from KSI. Doug Casa, began the symposium discussing the latest updates on policy changes at the high school level and how policy changes can save athletes lives. Rebecca Stearns followed discussing heat tolerance testing and how KSI has been active in this service area in helping return Exertional Heat Stroke Victims back to full activity. Yuri Hosokawa discussed how KSI utilizes Social Media to share our current initiatives and latest sports medicine related news to our followers.

Lesley Vandermark, Alicia Pike, and Samm Scarneo presented KSI’s work related to investigating the extent of AT services at the high school level. Vandermark presented the results from the Benchmark Study published in Early 2015 by former KSI staff Riana Pryor that showed the extent of AT coverage in public high schools across the United States. Pike followed up with the recent data collected looking at the extent of AT coverage at the Private School setting across the country. Scarneo closed out this topic discussing the ATLAS project, which KSI is partnered with the NATA in helping map the AT services across the United States using an interactive geographical map.

Rob Huggins presented the available data we have on the insurance initiative that we are working on for the NFL. This project is focused on investigating the potential cost savings from an insurance perspective for high schools employing a full time athletic trainer. Lastly, William Adams presented on the current work KSI is doing in the world of wearable technology from both an athlete monitoring perspective and current research being conducted examining the validity and efficacy of using wearable technology in measuring hydration status during exercise.

KSI Group Photo EATA 2016

We are hoping to get the chance to present our current work at other district/regional AT meetings to keep other Athletic Trainers aware of what KSI is doing and how KSI is promoting the profession of Athletic Training from many different avenues.

2017 NATA Meeting Preview

Rachel Katch, MS, ATC 

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