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Through this Gen Med series ATs will learn about common GI issues in athletes that are not related to trauma. GI issues in athletes can be directly related to the physiologic changes that can occur with physical activity. This course will discuss developing preventative strategies to minimize gastrointestinal issues, differentiating between mild and serious issues, and when referral to a physician is warranted. Conditions covered include reflux, vomiting, gastritis, exercise induced abdominal pain (stitch), intestinal cramping, GI bleeding, and diarrhea.
Abstract:
Through this Gen Med series ATs will learn about common GI issues in athletes that are not related to trauma. GI issues in athletes can be directly related to the physiologic changes that can occur with physical activity. This course will discuss developing preventative strategies to minimize gastrointestinal issues, differentiating between mild and serious issues, and when referral to a physician is warranted. Conditions covered include reflux, vomiting, gastritis, exercise induced abdominal pain (stitch), intestinal cramping, GI bleeding, and diarrhea.Learning Objectives:
- Describe common gastrointestinal issues in the athletic population.
- Discuss the etiology of common gastrointestinal issues in the athletic population.
- Develop preventative strategies to minimize gastrointestinal issues in athletes.
- Assess symptoms to determine when to refer athletes for medical evaluation for common gastrointestinal issues.
Level:
EssentialDomain(s):
Domain 2: Assessment Evaluation and DiagnosisCEUs:
0.75 Category AKeywords: gastrointestinal, GI, diarrhea, vomiting, hydration, reflux, gastritis, stitch, general medicine
Nailah Coleman, MD, FAAP, FACSM, FAMSSM
Dr. Nailah Coleman, MD, FAAP, FACSM, FAMSSM is a Primary Care Sports Medicine Attending at Children’s National Hospital. She completed her undergraduate studies at Emory University, receiving a BS in Biology with a double major in International Studies and a minor in Italian. Upon receipt of a second Emory full tuition scholarship for medical school, she remained at Emory University and received her medical degree in 2000. She completed a pediatric residency program at Children’s National Medical Center in Washington, DC in 2003. Following residency, Dr. Coleman remained at Children’s National as a Physician Analyst with their Information Technology Department. She also worked as a Hospitalist for incoming patients, a practicing physician in the Children’s Health Clinic, and as an on-call neonatal pediatrician at The George Washington University Medical Center.
As a pediatrician working in four different hospital environments, Dr. Coleman had the opportunity to see children at different life stages and assess their growth and wellness. She observed a need to improve the physical health of the athletic and the non-athletic student during their various developmental stages. She believes that athletic performance, nutrition, and physical health plans should be developed and tracked for all students, starting in primary school and continuing through college. Sports medicine should include the athlete and the non-athlete. With these ideas in mind, Dr. Coleman moved to Georgia and Phoebe Putney Memorial Hospital to complete a one-year fellowship in Primary Care Sports Medicine, before returning to Children’s in her current capacity, where she now works as a general pediatrician and a sports medicine specialist.
Dr. Coleman is a board-certified pediatrician, sports medicine physician, and clinical informatics physician, licensed in Washington, DC, Virginia, Maryland, and Georgia, and a member of the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society of Sports Medicine, and the American Medical Informatics Association. She also provides medical coverage and sports medicine information to local schools and various athletic events in the DC area.
Nicole Du, MD
Dr. Nicole Du, MD is a fourth-year pediatrics resident at Children's National Hospital in Washington, DC. Dr. Du is originally from Indianapolis, Indiana and she completed her undergraduate studies at Georgtown University, receiving a BS in Biology of Global Health and a minor in Economics. She remained at Georgetown for medical school and received her medical degree in 2020. She has a special interest in pediatric gastroenterology and is pursuing a medical subspecialty in the field.
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Developing an injury prevention program can lead to increased ergonomic awareness within workers. The current literature isn’t definitive on the effectiveness of pre-shift stretching alone to reduce work-related injuries, but developing a holistic prevention program can address the needs of both the worksite and clients to improve client outcomes and improve patient satisfaction. This session will give ATs working in all settings that utilize workers’ compensation the tools to develop a standardized program to prevent work-related injuries, and then use that program to provide subsequent follow-up care within the operational standards of Occupational Safety and Health Administration (OSHA).
This presentation was recorded at NATA 2022 in Philadelphia and featured in our 2023 Encore.
Abstract:
Developing an injury prevention program can lead to increased ergonomic awareness within workers. The current literature isn’t definitive on the effectiveness of pre-shift stretching alone to reduce work-related injuries, but developing a holistic prevention program can address the needs of both the worksite and clients to improve client outcomes and improve patient satisfaction. This session will give ATs working in all settings that utilize workers’ compensation the tools to develop a standardized program to prevent work-related injuries, and then use that program to provide subsequent follow-up care within the operational standards of Occupational Safety and Health Administration (OSHA).Learning Objectives:
- Compare outcomes of traditional pre-shift programs most practiced in the industrial and occupational sites to strengthening wellness programs
- Illustrate ways that a sitewide wellness program can be utilized after a work-related injury has occurred to keep within the confines of OSHA first aid
- Discover ways that a solid injury prevention program can integrate the AT more fully into the site’s safety culture and initiatives
- Develop a program that will be able mitigate recordability within the team members
- Identify barriers to implementing workplace injury prevention programs
Level:
AdvancedDomain(s):
- Domain 1: Risk Reduction Wellness and Health Literacy
- Domain 4: Therapeutic Intervention
- Domain 5: Health Care Administration and Professional Responsibility
CEUs:
1.0 Category AKeywords: pre-shift, recordability, wellness, OSHA, work-related injury, ergonomics, workers’ compensation
Tiffany McGuffin, MS, LAT, ATC
Tiffany currently works in the industrial setting as the Lead Athletic Trainer for Pivot Onsite Innovations in the Dallas-Fort Worth area. She has been in the industrial setting for five years, with previous experience in physician practice, concussion management and research, the secondary and the collegiate settings. She currently serves as the District 6 Secretary, and is a proud COPA Alumni.
Zachary Prater, MS, LAT, ATC
Zachary is an industrial Athletic Trainer for Pivot Onsite Innovations, contracted at Frito-Lay in Frankfort, IN. I have been an AT for almost 2 years, with experience primarily in non-traditional settings. I graduated from Franklin College, during which I was fortunate enough to be an Intern for Rehabworks @ Kennedy Space Center. I enjoy studying and educating on Injury Prevention because I believe it can have the greatest impact on our day-to day life, even if never recognized by ourselves or others. It is a thankless field of study, but crucial to living safe and healthy lives. I enjoy camping, training my German Shepard pup-Apollo, and reading old medical texts. I am a self acknowledged nerd and love learning.
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With the NATA's recent commitment to DEIA, it is imperative for athletic trainers to be knowledgeable about ways to directly engage their current practice in an equitable way. The purpose of this presentation is to provide athletic trainers with background, knowledge, and action steps regarding ways to implement DEIA initiatives in their professional, social, and personal lives. This presentation will include historical perspectives regarding DEIA in the athletic training profession, current national initiatives and future action steps to challenge athletic trainers to take the next steps.
Abstract:
With the NATA's recent commitment to DEIA, it is imperative for athletic trainers to be knowledgeable about ways to directly engage their current practice in an equitable way. The purpose of this presentation is to provide athletic trainers with background, knowledge, and action steps regarding ways to implement DEIA initiatives in their professional, social, and personal lives. This presentation will include historical perspectives regarding DEIA in the athletic training profession, current national initiatives and future action steps to challenge athletic trainers to take the next steps.Learning Objectives:
- Identify and explain the need for inclusive practices in the athletic training profession
- Identify barriers to implementing DElA commitments to their current setting
- Develop and apply DEIA initiatives and strategies to their current work setting
Level:
AdvancedDomain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 5: Health Care Administration and Professional ResponsibilityCEUs:
0.75 Category AKeywords: DEIA Commitments, diversity, equity, inclusion, accessibility
Rebecca Lopez, PhD, LAT, ATC
Dr. Rebecca M. Lopez is a Professor in the Athletic Training Program at the University of South Florida’s Morsani College of Medicine and a Fellow of NATA. Dr. Lopez is currently serving as an Assistant School Director of Diversity, Equity, and Inclusion in the School of Physical Therapy & Rehabilitation Sciences at USF. She also serves as Co-Chair of NATA’s DEIA Task Force. Through her leadership as a Co-Chair of this task force, she has been working to ensure the profession of athletic training continues to grow as health care providers by embracing diversity, cultivating an inclusive and welcoming environment, and reducing the health and health care disparities of underrepresented groups.
Research interests include exertional heat stroke and other exertional heat illnesses, cooling methods for hyperthermic athletes, ergogenic aids and thermoregulation, hydration and exercise performance, exercise heat tolerance issues with American football uniforms, sickle cell trait & the athlete, preventing sudden death in sport, return to activity following heat stroke, youth sports injury, and diversity, equity & inclusion in athletic training.
Trevor M. Bates, DHSc, AT
Dr. Bates holds a Bachelor of Science in Athletic Training from Millikin University, a Master of Science in Kinesiology from the University of Illinois at Urbana-Champaign, and a Doctorate in Health Sciences from AT Still University of Health Sciences. His most recent tenure in academia includes serving as President of Mercy College in Ohio, President of Wilmington College, as Vice President of Academic Affairs and Dean of Faculty at Mercy College of Ohio, and as Founding Associate Dean of Health Sciences at Heidelberg University. Outside of higher education, Dr. Bates served as Executive Vice President of Strategy and Innovation for True Empowering LLC.
In addition to his professional achievements, Dr. Bates is actively engaged in various volunteer appointments in healthcare and has been recognized with numerous awards and honors, including the 2024 Outstanding Educator Award from the Great Lakes Athletic Trainers’ Association and the 2022 Distinguished Alumni Award from the University of Illinois Urbana-Champaign - College of Applied Health Sciences. Dr. Bates is also currently the National Athletic Trainers' Association's DEIA Council Chair.
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Exertional heat stroke (EHS) is a medical emergency diagnosed when body core temperature is >40.5°C (105°F) and central nervous system dysfunction is displayed. The possibility of neurologic deterioration, organ failure, and death increases the longer body temperature remains above 40.5°C. The immediate treatment priority is to lower body core temperature as rapidly as possible--preferably within the first 30 minutes of collapse using cold-water immersion. While the above points are generally accepted, many myths and misconceptions remain about the best way to implement EHS best practices. This presentation will focus on several of these misconceptions and discuss the recent…
Abstract:
Exertional heat stroke (EHS) is a medical emergency diagnosed when body core temperature is >40.5°C (105°F) and central nervous system dysfunction is displayed. The possibility of neurologic deterioration, organ failure, and death increases the longer body temperature remains above 40.5°C. The immediate treatment priority is to lower body core temperature as rapidly as possible--preferably within the first 30 minutes of collapse using cold-water immersion. While the above points are generally accepted, many myths and misconceptions remain about the best way to implement EHS best practices. This presentation will focus on several of these misconceptions and discuss the recent literature that debunks them so that clinicians can implement best practice for this life-threatening condition.Learning Objectives:
- Defend the use of rectal thermometry to diagnose exertional heat stroke.
- Explain why using just clinical signs and symptoms to diagnose exertional heat stroke can lead to poor clinical outcomes.
- Explore examples of cooling strategies that are consistent with excellent patient outcomes.
Level:
EssentialDomain(s):
Domain 2: Assessment Evaluation and Diagnosis
Domain 3: Critical Incident ManagementCEUs:
1.5 Category AKeywords: external heat stroke, heat illness, rectal temperature, cold water immersion, tarp assisted cooling, body bag cooling
Kevin Miller, PhD, AT, ATC
Dr. Kevin Miller is a Professor and Athletic Trainer in the Athletic Training Program at Texas State University. His research interests include the causes, treatments, and prevention of exertional heat illness with a specific emphasis on exercise-associated muscle cramping and exertional heat stroke in American football players.
He has published over 65 peer-reviewed manuscripts in medical journals and presented over 100 international, national, or regional presentations on topics related to heat illness. He has Chaired and co-authored several national and international position statements including the 2021 NATA Roundtable on the Prehospital Care of Exertional Heatstroke, the 2015 NATA Position Statement on Exertional Heat Illness; the Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference; and the NATA round table on Malignant Hyperthermia in Physically-Active Populations.
He was the recipient of the 2019 MATS Distinguished Athletic Trainer Award, the 2022 GLATA Outstanding Educator Award, and the 2022 NATA Professional Development Excellence Award. Stories about his research have appeared in the New York Times, Men’s Health Journal, the BBC, and National Geographic, to name a few.
He is a member of the Korey Stringer Institute’s Medical and Science Advisory Board; an Associate Editor for the Journal of Athletic Training; a member of the Editorial Boards for the Journal of Athletic Training; Exercise Physiology; Sport and Exercise Nutrition; and Athletic Training and Sports Health Care; and member of the NATA’s Convention Program Committee.-
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In the workplace and the community, Athletic Trainers have a unique opportunity to foster an environment which is inclusive, equitable and diverse. The ability to navigate the unconscious attitudes or stereotypes one may have can influence their decisions, actions, and understanding of the community they serve, and work alongside. Addressing implicit bias is vital to the workplace and can affect aspects of hiring, patient care, and practices. Creating and maintaining a practice which is equitable and culturally competent can be challenging for a practitioner. Research indicates a need for Athletic Trainers and Athletic Training Students to increase their cultural proficiency within…
Abstract:
In the workplace and the community, Athletic Trainers have a unique opportunity to foster an environment which is inclusive, equitable and diverse. The ability to navigate the unconscious attitudes or stereotypes one may have can influence their decisions, actions, and understanding of the community they serve, and work alongside. Addressing implicit bias is vital to the workplace and can affect aspects of hiring, patient care, and practices. Creating and maintaining a practice which is equitable and culturally competent can be challenging for a practitioner. Research indicates a need for Athletic Trainers and Athletic Training Students to increase their cultural proficiency within clinical practice. Implicit bias education and strategies of mitigation should be included during structural and institutional policy changes as a method for achieving greater health equity and decrease the gap of those from marginalized communities.Learning Objectives:
- Define and identify the difference between explicit and implicit biases.
- Understand the causes of implicit bias; how they form and operate; and how media can influence societal norms to influence and perpetuate implicit biases.
- Acknowledge and identify the potential harm and negative consequences of implicit biases in healthcare and the workplace.
- Explore strategies to recognize, interrupt and mitigate implicit bias.
Level:
EssentialDomain(s):
Domain 5: Health Care Administration and Professional ResponsibilityCEUs:
1.0 Category AKeywords: Inclusion, implicit bias, cultural awareness, DEIA, diversity,
Carlitta Moore, EdD, LAT, ATC
Dr. Carlitta Moore serves in the role of the Clinical Education Coordinator/Assistant Professor for the Master of Athletic Training Program at Arkansas State University, as well as the Assistant Dean of Diversity, Equity and Inclusion for the College of Nursing and Health Professions. During her time at A-State, she has served as the current National Athletic Trainers’ Association (NATA) Ethnic Diversity Advisory Committee (EDAC) District Six Representative, Chair of the Southwest Athletic Trainers’ Association (SWATA) EDAC and the past Chair/member of the Arkansas Athletic Trainers’ Association (AATA) Diversity and Inclusion Committee. At Arkansas State University, she is the Faculty Senate Vice President and President of the Black Faculty and Staff Association. Dr. Moore also on Commission on Accreditation of Athletic Training Education (CAATE) Professional Programs Accreditation Council, and the American Association of Blacks in Higher Education (AABHE) Board of Directors.
Previously Dr. Moore served as the Assistant Athletics Director for Sports Medicine and Head Athletic Trainer at Fayetteville State University, and was the first African-American female Head Athletic Trainer at Fayetteville State. Dr. Moore commits her service as a member of the Community Health Education Foundation (CHEF) in Jonesboro, AR, and a Diamond Life Member of Zeta Phi Beta Sorority, Inc.
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Recommended Based on Your Interests:
Treatment strategies based on recent evidence and best practices will be demonstrated, allowing the attendee to effectively integrate the information into a post-operative rehabilitation program. The presenters will also share evidence to support the use of manual treatment techniques to address concomitant pathological conditions (joint mobility, spinal alignment, myofascial pain) associated with shoulder dysfunction.
Abstract:
Treatment strategies based on recent evidence and best practices will be demonstrated, allowing the attendee to effectively integrate the information into a post-operative rehabilitation program. The presenters will also share evidence to support the use of manual treatment techniques to address concomitant pathological conditions (joint mobility, spinal alignment, myofascial pain) associated with shoulder dysfunction.
Objectives:- Participants will be able to based on the available evidence, develop a non-operative rehabilitation program for patients with SLAP lesions.,
- Participants will be able to explain best practices for the clinical evaluation of athletes with a SLAP lesion.,
- Participants will be able to interpret results of clinical and diagnostic testing, and explain the common surgical procedures utilized.,
- Participants will be able to develop an appropriate post-operative rehabilitation program based upon the available evidence.
Level:
Essential
Domains:
Domain 2: Assessment Evaluation and Diagnosis
Domain 4: Therapeutic InterventionCEUs:
1.75 Category AKeywords: Superior labral anterior posterior, shoulder, rehabilitation, SLAP lesion, treatment
James Onate, PhD, ATC, FNATA
Dr. Jimmy Onate joined The Ohio State University in January 2010. He earned his PhD in Human Movement Science from the University of North Carolina at Chapel Hill in 2002 with a focus in biomechanics and motor learning. He has been an academic research faculty member interested in all aspects of human movement relative to injury prevention and performance optimization since 2003. He currently serves as the director of the PhD program in Health and Rehabilitation Sciences, chair of graduate studies in Health and Rehabilitation Sciences, a co-director of Ohio State's Sports Medicine's Movement Analysis & Performance (MAP) research program, a research scholar for the National Federation of High School Sports Medicine Advisory Committee, and a research consultant to Naval Special Warfare groups based in Virginia Beach, VA.His main research focus lies in developing functional motion assessment research that bridges the gap across research to clinical systems to allow for evidence-based outcomes for aiding individuals to sustain optimal health and performance throughout their careers and lives.
Research Focus
The specific aims of his research are focused to answer specific issues related to lower extremity injury, in particular anterior cruciate ligament (ACL) injury, pre-participation examinations and human performance optimization. Funding for his work has been provided through the National Institutes of Health, Office of Naval Research, United States Special Operations Command and Naval Special Warfare Development Group for evaluating lower extremity injury in collegiate athletes and the development of physical performance models in military soldiers. The interaction of these two areas initially seems distinct, yet his approach to the questions lies along the fundamental concept of creating a parsimonious screening approach for evaluating injury risk and performance enhancement for physically active individuals, utilizing the movement assessment information to develop an instructional feedback approach to enhance performance and prevent injury and to integrate these two approaches into an implementable scientific model-driven approach to aid physically active individuals throughout their careers and lifetime to optimize health and performance. Dr. Onate acts as a key component in building the bridges between exercise and performance areas relative to all aspects of personalized health care in the hopes of developing proactive integrative approaches for wellness-based medicine aimed at optimizing lifelong health and performance.
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There are over 100 different physical examination tests described to evaluate the shoulder. Confusion exists with regard to not only the proper technique but the validity of commonly used tests. In today's fast paced environment evidence based accuracy and efficiency when examining athletes is very important. This presentation will review the proper technique and statistical validation, and relevance of the best tests based on current literature. The discussion will include a demonstration of an efficient sequence and algorithm incorporating all necessary tests to complete a thorough and comprehensive examination of the shoulder.
Abstract:
There are over 100 different physical examination tests described to evaluate the shoulder. Confusion exists with regard to not only the proper technique but the validity of commonly used tests. In today's fast paced environment evidence based accuracy and efficiency when examining athletes is very important. This presentation will review the proper technique and statistical validation, and relevance of the best tests based on current literature. The discussion will include a demonstration of an efficient sequence and algorithm incorporating all necessary tests to complete a thorough and comprehensive examination of the shoulder.
Objectives:- Participants will be able to describe the history and proper indications for the most commonly used shoulder exam tests.,
- Participants will be able to explain basic statistical terms (i.e., sensitivity, specificity, diagnostic accuracy) to describe the validity of physical exam tests.,
- Participants will be able to describe the proper technique for performing shoulder exam tests.
Level:
Advanced
Domains:
Domain 2: Assessment Evaluation and DiagnosisCEUs:
0.75 Category AKeywords: shoulder, examination, tests, diagnostic, pitching, throwing,
Steve Jordan, MD
Dr. Steve Jordan is a board certified, fellowship trained orthopaedic surgeon. Dr. Jordan earned his Medical Degree from Medical University of South Carolina. Dr. Jordan specializes in sports medicine; however, he takes a special interest in shoulder injuries, throwing injuries, ACL reconstruction, and Tommy John reconstruction. Dr. Jordan is the Team Physician for both Washington High School and Chipola College.
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History of prior injury is the strongest risk factor for future lower extremity injury. In addition, a large portion of secondary injuries occur during the first 2-3 months following return to sport. Thus, there is a gap in determining when an individual is ready to safely return to sport following initial injury. Individuals who pass a comprehensive return to sport testing battery are at lower risk for subsequent injury once returning to sport. As such, the development and utilization of a comprehensive return-to-sport testing battery can help determine one´s readiness to safely return to sport. This presentation will discuss the key components of…
This presentation is a replay from NATA 2019 in Las Vegas, offering a second chance to experience the event's valuable content and insights.
Abstract:
History of prior injury is the strongest risk factor for future lower extremity injury. In addition, a large portion of secondary injuries occur during the first 2-3 months following return to sport. Thus, there is a gap in determining when an individual is ready to safely return to sport following initial injury. Individuals who pass a comprehensive return to sport testing battery are at lower risk for subsequent injury once returning to sport. As such, the development and utilization of a comprehensive return-to-sport testing battery can help determine one´s readiness to safely return to sport. This presentation will discuss the key components of an evidence-based return to sport testing battery following lower extremity injuries.
Objectives:- Participants will be able to describe the changes in injury rates following initial lower extremity injury and subsequent return to sport.,
- Participants will be able to describe the known risk factors for secondary injury following initial lower extremity injury.,
- Participants will be able to utilize validated return to sport testing that can determine an individual´s readiness to return to sport.,
- Participants will be able to discuss the role of training load monitoring and management in the return to sport process following lower extremity injury.
Level:
Advanced
Domains:
Domain 1: Risk Reduction Wellness and Health Literacy, Domain 2: Assessment Evaluation and DiagnosisCEUs: 1.0 Category A
Keywords: knee, injury, lower extremity, return to sport, ankle, leg, testing
Darin Padua, PhD, ATC
Darin A. Padua is the Associate Provost for Academic Operations of the University of North Carolina at Chapel Hill. As an academic leader, he works to listen, collaborate, and empower others to work as a team towards our shared mission, vision, and priorities.
The Joseph Curtis Sloane Distinguished Professor of Exercise and Sport Science, Padua has been a member of UNC’s faculty since 2001. He teaches courses in biomechanics, human anatomy, and kinesiology with a focus on injury risk mitigation and optimizing human performance. Throughout his career, Padua has mentored fellow faculty, along with hundreds of graduate and undergraduate students. He served as chair in the Department of Exercise and Sport Science from 2013 to 2023.
With more than 25 years of experience, Padua is an internationally recognized scholar and is the Co-Director of the Musculoskeletal Injury Prevention (MOTION) Science Institute. His research revolves around prevention of musculoskeletal injuries, such as ACL rupture, by studying the role of movement quality and biomechanics as injury risk factors and intervention targets. He has published over 200 peer-reviewed articles, and his work has been funded by the National Institutes of Health, the National Athletic Trainers’ Association, and the American Orthopaedic Society for Sports Medicine. He
He received the Young Investigator Award by the National Athletic Trainers’ Association (2006) and was later awarded the O’Donoghue Sports Injury Research Award for the most outstanding sport injury related research paper by the American Orthopaedic Society for Sports Medicine (2008). He attained Fellow status in the National Academy of Kinesiology, the National Athletic Trainers’ Association, and received the Most Distinguished Athletic Trainer Award. His career research achievements were recognized by the by the National Athletic Trainers’ Association with receipt of the Medal for Distinguished Research (2017).
Padua earned a B.S. in athletic training from San Diego State University, M.A. in exercise and sport science/athletic training from the University of North Carolina at Chapel Hill, and PhD in sports medicine from the University of Virginia. Born and raised in Visalia, California, he lives with his wife Jody and three daughters in Durham, NC.
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Knee pathologies are common complaints for athletes and active patients presenting to athletic trainers for assessment and intervention, and though often not as complex as other joints in the body (ie, shoulder or hip), can present significant diagnostic challenges when imaging techniques are not readily or immediately available. Common traumatic disorders of the knee include forces that impact the menisci, ligaments, bones, and associated joints (ie, patellofemoral, tibiofemoral), while overuse injuries involving the patellofemoral joint, surrounding tissues (ie, IT Band), patellar tendon and tibiofemoral joint can challenge the unsuspecting diagnostician, as well. Undiagnosed, or improperly diagnosed knee conditions can also lead to lifelong disability and/or profound decreases in…
Abstract:
Knee pathologies are common complaints for athletes and active patients presenting to athletic trainers for assessment and intervention, and though often not as complex as other joints in the body (ie, shoulder or hip), can present significant diagnostic challenges when imaging techniques are not readily or immediately available. Common traumatic disorders of the knee include forces that impact the menisci, ligaments, bones, and associated joints (ie, patellofemoral, tibiofemoral), while overuse injuries involving the patellofemoral joint, surrounding tissues (ie, IT Band), patellar tendon and tibiofemoral joint can challenge the unsuspecting diagnostician, as well. Undiagnosed, or improperly diagnosed knee conditions can also lead to lifelong disability and/or profound decreases in health-related quality of life and functional enjoyment. Unsuspecting or inexperienced clinicians in all branches of sports medicine, if not careful can naively rely on special test results in isolation, or upon medical imaging for a working or final diagnosis, which includes false positive and negative results, increases overall healthcare costs, and/or cause unnecessary delays in treatment or return to participation. Experts in medical research have confirmed that accurate diagnoses come from the history portion of the exam in over 80 to 90% of cases and that individual physical exam test results should be viewed with suspicion in isolation. The focus of this presentation is to present the athletic training profession a review of physical examination special tests for common knee injuries and conditions, while also introducing or reviewing the evidence behind each test's respective diagnostic accuracy. In so doing, an overview of diagnostic accuracy terms and principles will be presented, followed by available diagnostic accuracy dates for each test presented in order for clinicians to become more aware of the strengths and limitations of tests commonly used to help assess athletic injuries of the knee.
Objectives:
- Participants will be able to state the fundamental principles and terms associated with diagnostic accuracy of physical examination tests, including sensitivity and specificity, positive and negative likelihood ratios, positive and negative predictive values, and overall utility scores.,
- Participants will be able to identify the most useful, evidence-based physical examination tests for assessing various conditions of the knee.,
- Participants will be able to recognize and incorporate the best-evidence tests in times of acute and chronic assessment of common knee injuries.,
- Participants will be able to apply use of pooled tests in order to more accurately assess various orthopedic conditions of the knee in athletes and active patients.
Level:
Advanced
Domains:
Domain 2: Assessment Evaluation and DiagnosisCEUs:
1.25 Category AKeywords: knee, orthopedic, menisci, ligaments, bones, joints, patellofemoral, tibiofemoral
Paul Geisler, EdD, AT Ret.
Associate Dean Geisler is a native of Lakeville, MA and current resident of Boston, MA. A certified athletic trainer since 1987 with over 15 years of varied clinical practice and 23 years' experience directing athletic training education programs at Georgia Southern University and Ithaca College. He is deeply interested in the development and assessment of the medico-clinical thinking processes of novice and experienced clinicians, the development of adaptive expertise in clinicians, progressive curriculum design, capability-based education, and meaningful programmatic assessment. He has over 170 national and international presentations and publications on clinical and educational based subjects in athletic training and health professions education to his credit. He is a member of the European Board of Medical Assessors, and past member of the Association of Medical Education, Europe.
As a scholar, he is the recipient of two manuscript awards from the Journal of Athletic Training and the Athletic Training Education Journal. For his many professional contributions, he has been the recipient of the NATA Athletic Training Service Award and NATA Most Distinguished Athletic Trainer Award. As an educator, he was awarded the NATA Executive Council on Education's Sayers "Bud" Miller Distinguished Educator Award in 2021 and has received two Dean's Awards for Excellence & Innovation in Teaching, a Dean's Excellence Award for Diversity and Inclusion in Teaching and Learning, and the all college Faculty Excellence Award, all from Ithaca College.
He admits to being an enthusiastic but slow road cyclist, an amateur shutterbug of nature and wonder, an aspiring wine snob and amateur foodie, and an unabashed promoter of equal rights, freedom, justice, and authentic democracy for all living beings. Susan, his life partner and wife of 34 years and he are fulfilled parents of two amazing young men – Nicholas, a writer living in Los Angeles, CA and Benjamin, a photographer and artist living in Brooklyn, NY.
Series Content Where I am Featured:
Master Preceptor Level Two - Module Five-
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The focus of this presentation is to present the most current clinical recognition strategies for evaluating ankle sprains and linking these strategies to the identification of those who are at the highest risk for developing CAI.
Abstract:
The focus of this presentation is to present the most current clinical recognition strategies for evaluating ankle sprains and linking these strategies to the identification of those who are at the highest risk for developing CAI.
Objectives:- Participants will be able to summarize the recommendations of the NATA Position Statement on the Conservative Management and Prevention of Ankle Sprains in Athletes within the context of Clinical Evaluation and Diagnosis.,
- Participants will be able to identify the most important evidence-based key features associated with lateral ankle sprain recognition.,
- Participants will be able to incorporate the emerging evidence of patient- and clinician-oriented outcome measures for identifying those at risk for developing chronic ankle instability.,
- Participants will be able to make use of the outcome measures discussed in the presentation, including the Foot and Ankle Ability Measure, the Cumberland Ankle Instability Tool, the weight-bearing lunge test, the single limb balance test, and the star excursion balance test, within their clinical practice.
Level:
Advanced
Domains:
Domain 2: Assessment Evaluation and DiagnosisCEUs:
1.0 Category AKeywords: ankle, sprain, instability, diagnosis, lateral ankle sprain, balance test
Patrick McKeon, PhD, ATC, CSCS
Dr. Patrick McKeon is a BOC certified athletic trainer who joined the Ithaca College Athletic Training faculty in 2013. He received his Bachelor of Science degree in Athletic Training from Springfield College in Springfield, MA; his Master of Science degree in Sports Health Care from the Arizona School of Health Sciences in Phoenix, AZ (now in Mesa, AZ); and his PhD in Sports Medicine at the University of Virginia in Charlottesville. He has held several positions as a clinical athletic trainer including Pearl River High School, Canisius College, and Marist College in New York, as well as Phoenix College and Brophy College Preparatory in Arizona.
SCHOLARLY/RESEARCH INTERESTS
Dr. McKeon’s research focuses on functional alterations associated with lower extremity joint injury. He incorporates patient-, clinician-, and laboratory-oriented outcomes to evaluate these alterations due to injury. Dr. McKeon also seeks to develop a greater understanding of the restoration of function associated with rehabilitation. He aims to provide insight into effective clinical interventions for the sports medicine clinician to improve functional outcomes and enhance prevention strategies for patients who suffer lower extremity injury.
EDUCATIONAL INTERESTS
Dr. McKeon's educational focus centers on evidence-based practice concepts and clinical reasoning theory. Within the courses he teaches, Dr. McKeon strives to instill a strong foundation in the integration of internal and external evidence for enhancing decisions related to the recognition, rehabilitation, and prevention of injuries/illnesses associated with athletic training clinical practice.
PERSONAL
Dr. McKeon enjoys spending his free time with his family and friends seeking out great life experiences. His wife, Dr. Jennifer McKeon is the IC Athletic Training Program Director and a faculty member in the Department of Exercise Science and Athletic Training. They have two children (Bobby and Mallory) who are also proud to be Bombers!
Series Content Where I am Featured:
Master Preceptor Level Two - Module Five-
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