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  • New

    Athletic Trainers in Surgery: Breaking Down Walls, Building Pathways

    Evidence has been published to demonstrate the enhancement of physician practice efficacy or physician satisfaction with the addition of a certified athletic trainer. Within recent years the influx of ATs working with orthopedic surgeons has also extended some the opportunity to advance skills and function in a sterile environment as a surgical assist. Various pathways exist to support ATs in the opportunity to gain privileges, as well as many potential barriers. Although athletic trainers may become qualified, the concept is still not widely accepted. In addition, many ATs do not feel confident navigating the process complexities. More discussion is needed to address the knowledge gap of resources that may help an ATs overcome obstacles along the way.

    Abstract:
    Evidence has been published to demonstrate the enhancement of physician practice efficacy or physician satisfaction with the addition of a certified athletic trainer. Within recent years the influx of ATs working with orthopedic surgeons has also extended some the opportunity to advance skills and function in a sterile environment as a surgical assist. Various pathways exist to support ATs in the opportunity to gain privileges, as well as many potential barriers.  Although athletic trainers may become qualified, the concept is still not widely accepted. In addition, many ATs do not feel confident navigating the process complexities. More discussion is needed to address the knowledge gap of resources that may help an ATs overcome obstacles along the way. 

    Learning Objectives:

    • Identify the resources that already exist to support an athletic trainer’s quest to create an advanced opportunity in the operating room (OR).
    • Analyze the practice gap of AT integration into surgery and potential barriers that ATs may need to overcome.
    • Evaluate practice act variabilities, personnel influences and advocacy strategies to consider in the process of earning privileges to assist orthopedic surgeons.

    Level:
    Essential

    Domain(s):
    Domain 5: Health Care Administration and Professional Responsibility

    Orthopedic Domain(s):
    Domain 2: Procedural Knowledge

    CEUs:
    1.0 Category A

    Keywords:
    Surgical assistant, orthopedic surgery

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    Michelle Holt, MA, LAT, ATC

    Michelle Holt is chair of the Physician Practice Panel on the NATA’s Council on Practice Advancement. Michelle recently joined the team at Columbus Orthopedics and Sports Medicine clinic in Columbus, Nebraska to pioneer the clinic AT role there. She relocated from Arlington, Texas where she worked six years at Sideline Orthopedics and Sports broadening skills in clinic and also assisted in surgery. Michelle originally hails from the central valley of California but graduated from Texas Christian University and became certified in 2010. After doing an internship at ESPN’s Wide World of Sports in Florida, she earned her masters degree at San Jose State University in athletic training while working as a GA at Stanford University. Texas called her back to become the first Athletic-Trainer-In-Residence at NATA in 2013, followed by working 3 years at Chisholm Trail High School in Fort Worth before transitioning to the clinic. Michelle is a dedicated volunteer having served previous terms on SWATA’s executive board, Young Professionals committee, and as former D6 NATAPAC Director.

    Brandy Jones-Neelam, MS, LAT, ATC, OTC

    Brandy Jones-Neelam, MS, LAT, ATC, OTC, is a healthcare leader and certified athletic trainer with extensive experience in orthopedic practice management, clinical operations, and sports medicine. She currently serves as Director of Clinical Services at Orthopaedic Specialists of North Carolina, overseeing multi-site clinical operations across orthopedic clinics, urgent care, physical therapy, and ambulatory surgery centers. In this role, she leads staffing, budgeting, workflow optimization, and quality initiatives, while serving as an athenaOne Clinicals superuser focused on documentation accuracy and system efficiency.

    Brandy’s background includes progressive leadership roles in clinical services, sports medicine program coordination, and athletic training residency education, as well as prior academic appointments as a Clinical Education Coordinator and Assistant Professor. She remains clinically active as a credentialed surgical first assistant and licensed athletic trainer. Brandy is also highly engaged in professional service through leadership roles within the National, Mid-Atlantic, and North Carolina Athletic Trainers’ Associations, reflecting her commitment to advancing athletic training practice and patient care.

  • New

    Postural Orthostatic Tachycardia Syndrome: What Athletic Trainers Need to Know

    Postural orthostatic hypotension syndrome (POTS) is an autonomic dysregulation condition characterized by excessive tachycardia upon standing in the presence of orthostatic intolerance. POTS is becoming more recognized across populations including active individuals and athletes. The sports medicine professional needs to have a comprehensive understanding of the recognition and management of this condition. This discussion covers the latest research and management strategies on this emerging topic.

    This presentation is a replay from NATA 2024 in New Orleans, providing another opportunity to access its valuable content and insights.

    Abstract:
    Postural orthostatic hypotension syndrome (POTS) is an autonomic dysregulation condition characterized by excessive tachycardia upon standing in the presence of orthostatic intolerance. POTS is becoming more recognized across populations including active individuals and athletes. The sports medicine professional needs to have a comprehensive understanding of the recognition and management of this condition. This discussion covers the latest research and management strategies on this emerging topic.

    Learning Objectives:

    • Define postural orthostatic tachycardia syndrome (POTS).
    • Discuss assessment strategies for POTS among active individuals and athletes.
    • Describe common management strategies for POTS for active individuals and athletes.

    Level:
    Essential

    Domain(s):
    Domain 4: Therapeutic Intervention

    CEUs:
    1.0 Category A

    Keywords: dysautonomia, autonomic, nervous system

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    Scott Cheatham, PhD, DPT, PT, OCS, ATC, CSCS

    Dr. Scott Cheatham is a Full Professor and Associate Chair in the Department of Kinesiology at CSU Dominguez Hills in Carson, California. He is owner of Sports Medicine Alliance a concierge sports and orthopedic physical therapy company. Dr. Cheatham received his Doctor of Physical Therapy (DPT) and his Doctor of Philosophy (PhD) in Physical Therapy. Dr. Cheatham is a Board Certified Orthopedic Physical Therapist (OCS) and a Certified Athletic Trainer (ATC). He also holds several fitness certifications and is a certified ergonomic specialist.  

    Dr. Cheatham is a national presenter for various organizations and has authored over 120 peer reviewed publications, textbook chapters, and several home study courses on the topics of sports medicine, orthopedics, and health & fitness. He is the co-editor and contributing author of the textbook titled Orthopedic Management of the Hip and Pelvis. Dr. Cheatham’s professional responsibilities include being on the editorial board for the Journal of Sport Rehabilitation, Journal of the Canadian Chiropractic Association, and NSCA Personal Training Quarterly. He is also a manuscript reviewer for several other peer reviewed journals. 

    Dr. Cheatham is an education and research consultant for various health and fitness organizations. His current clinical practice includes sports medicine, orthopedics, and sports-performance training services. 

  • New

    Event Emergency Preparedness for Exertional Heat Stroke: Lessons from the Olympic and Paralympic Games

    Exertional heat stroke is one of the leading causes of sudden death in sports. Its treatment (i.e.., whole-body cold-water immersion [CWI]) is shown to be effective in saving lives of athletes when performed immediately to reduce the duration of extreme hyperthermia (internal body temperature >40.5C) within 30 minutes. However, despite the strong evidence that supports the use of CWI, there remains events that do not use CWI and rectal temperature assessment as part of the policy and procedures for event medical services. The Tokyo Olympic and Paralympic Games was the first summer Olympic Games to formally create and implement policy and procedures for exertional heat stroke prehospital management. It also became one of the first even to create guidelines for para-athletes. Therefore, this presentation aims to provide step-by-step description of the development and implementation of evidence-based exertional heat stroke prehospital management in sporting events using the Tokyo Olympic and Paralympic Games as an example.

    This presentation is a replay from NATA 2024 in New Orleans' Exclusive Content, providing another opportunity to access its valuable content and insights.

    Abstract:
    Exertional heat stroke is one of the leading causes of sudden death in sports. Its treatment (i.e.., whole-body cold-water immersion [CWI]) is shown to be effective in saving lives of athletes when performed immediately to reduce the duration of extreme hyperthermia (internal body temperature >40.5C) within 30 minutes. However, despite the strong evidence that supports the use of CWI, there remains events that do not use CWI and rectal temperature assessment as part of the policy and procedures for event medical services. The Tokyo Olympic and Paralympic Games was the first summer Olympic Games to formally create and implement policy and procedures for exertional heat stroke prehospital management. It also became one of the first even to create guidelines for para-athletes. Therefore, this presentation aims to provide step-by-step description of the development and implementation of evidence-based exertional heat stroke prehospital management in sporting events using the Tokyo Olympic and Paralympic Games as an example.

    Learning Objectives:

    • Develop policy and procedures for exertional heat stroke prehospital management designed for mass participation events.
    • Design heat deck at mass participation events.
    • Understand special considerations required to set up heat deck in para-athlete sports with high risk of exertional heat stroke.
    • Design and lead pre-event training sessions on exertional heat stroke prehospital management for medical volunteers.

    Level:
    Advanced

    Domain(s):
    Domain 3: Critical Incident Management

    CEUs:
    1.0 Category A

    Keywords:
    exertional heat stroke, international competition, prehospital management, para-athletes, extreme heat

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    Yuri Hosokawa, PhD, ATC, FACSM

    Waseda University, Japan

    Yuri Hosokawa is an Associate Professor at the Faculty of Sport Sciences, Waseda University, Japan. Her research interests include prevention and education of sudden death in sport, establishing best practices in road race medicine, developing regional-specific heat guidelines for exertional heat illness prevention, and developing heat acclimatization guidelines for tactical athletes. She is also partaking in research projects in biometeorology to promote interdisciplinary research across physiologists, climatologists, and public health researchers.

    Dr. Hosokawa served as a member of the International Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020 and led the effort to implement best practices for prehospital care of exertional heat stroke in Japan. She established and coordinated prehospital exertional heat stroke management plans for seventeen disciplines during the Olympics and five disciplines during the Paralympics that were deemed high risk for exertional heat stroke. Tokyo Games marked Japan’s first mass-sporting event to implement evidence-based exertional heat stroke prehospital care. Hosokawa’s effort set the standard for future athlete medical service and showcased the expertise of athletic trainers in Japan.

    Dr. Hosokawa currently serves as a heat advisor for the Japan Coast Guard, Fifth Regional Coast Guard, to optimize the resilience of the special rescue team. She is also a member of the Expert and Advisory Board of the World Athletics’ World Academy for Endurance Medicine and the World Lacrosse Medical Commission.

    Dr. Hosokawa received her bachelor’s degree in Sport Sciences from Waseda University in 2011, her master’s degree in Athletic Training from the University of Arkansas in 2013, and her doctoral degree from the University of Connecticut in 2016. She then completed a postdoctoral fellowship at the Korey Stringer Institute (2016–2017) and worked at the Ritsumeikan University as an Assistant Professor in the College of Health and Sport Science (2018–2019).

  • New

    Let’s Talk About Mental Health: Suicide Recognition, Referral and Critical Incident Debriefing

    The session will provide practical steps for an athletic trainer to identify warning signs through evidence-based screening for suicidality. The literature supports referral pathways for a patient in crisis dependent upon their intentionality. Regardless of the outcome from the situation, a patient with suicidal thoughts can be difficult for an athletic trainer to process without time to cope. The management of a critical incident can negatively influence the athletic trainer’s emotional well-being requiring additional support for the healthcare provider following the case. The presentation will comprehensively address the totality of the athletic trainer’s role in the crisis.

    This presentation is a replay from NATA 2024 in New Orleans, providing another opportunity to access its valuable content and insights.

    Abstract:
    The session will provide practical steps for an athletic trainer to identify warning signs through evidence-based screening for suicidality. The literature supports referral pathways for a patient in crisis dependent upon their intentionality. Regardless of the outcome from the situation, a patient with suicidal thoughts can be difficult for an athletic trainer to process without time to cope. The management of a critical incident can negatively influence the athletic trainer’s emotional well-being requiring additional support for the healthcare provider following the case. The presentation will comprehensively address the totality of the athletic trainer’s role in the crisis.

    Learning Objectives:

    • Recognize the signs, symptoms, and risk factors for suicidal ideation with emphasis placed on concerns with women and female patients.
    • Evaluate methods to screen for suicidality.
    • Describe the immediate support procedures for a patient in crisis and establish evidence-based referral pathways for continued support.
    • Compare resources available for athletic trainers following a critical incident.
    • Examine critical incident stress management and debriefing.

    Level:
    Advanced

    Domain(s):
    Domain 3: Critical Incident Management

    CEUs:
    1.0 Category A

    Keywords: behavioral health; grief; second victim syndrome

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    Zachary Winkelmann, PhD, LAT, ATC

    Dr. Zachary Winkelmann is a Clinical Assistant Professor in the Arnold School of Public Health at The University of South Carolina. Currently, Zachary is the Director of Clinical Education for the post-professional Athletic Training Program. He earned his bachelor’s degree from Texas Lutheran University in 2013 his master’s degree from Indiana State University in 2015, and his PhD in Curriculum and Instruction program with a concentration in Athletic Training Education from Indiana State in 2019. 

    Dr. Winkelmann is a certified athletic trainer and researcher with 151 peer-reviewed publications and several national and international presentations focused on telemedicine, simulation-based learning, patient-centered care, and mental health.

    Elizabeth Neil, PhD, LAT, ATC

    Dr. Elizabeth Neil assistant professor of instruction in the Department of Health and Rehabilitation Sciences at Temple University in Philadelphia, PA and the program direction of the professional masters and post-professional DAT. Dr. Neil completed her PhD in curriculum and instruction with a concentration in athletic training education at Indiana State University in Terre Haute, IN. She additionally completed her post-professional master's in athletic training at ISU. Born and raised in Erie, PA, Dr. Neil stayed local to complete a bachelor of science in athletic training with an exercise science minor at Mercyhurst University.

    Dr. Neil currently serves as a per diem athletic trainer for the Philadelphia Union Academy. She has received the Ethos Award for excellence in teaching, scholarship and service at Indiana State University and the Z. Mel Blickenstaff memorial doctoral student scholarship from the National Athletic Trainers' Association. She has spoken and presented research at the state, district and national levels. Her research interests lie in medical documentation and healthcare administration, clinical education, and educational advancements specifically focused on mental health initiatives.

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  • A Systematic Approach for Return to Sport Testing and Management Following Lower Extremity Injury

    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 Diagnosis

    CEUs: 1.0 Category A

    Keywords: knee, injury, lower extremity, return to sport, ankle, leg, testing

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    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.

  • Diagnostic Testing Series: Knee

    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 Diagnosis

    CEUs:
    1.25 Category A

    Keywords: knee, orthopedic, menisci, ligaments, bones, joints, patellofemoral, tibiofemoral

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    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.

  • Diagnostic Testing Series: An Evidence-Based Approach to Lateral Ankle Sprain Clinical Evaluation and Diagnosis

    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 Diagnosis

    CEUs:
    1.0 Category A

    Keywords: ankle, sprain, instability, diagnosis, lateral ankle sprain, balance test

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    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!

  • Diagnostic Testing Series: Special Testing of the Shoulder - Establishing a Core Set of Maneuvers

    The complex design of the glenohumeral joint, which is comprised of multiple structures with varying orientations and attachments, makes it challenging to provide an accurate diagnosis in an injured shoulder. Adding to the difficulty, there are many components within the clinical shoulder examination that provide important information on both a macro (history, range of motion, manual muscle testing, special/stress testing, etc.) and micro (specific questions, directions, movements, and maneuvers within each macro component) level. Research has been scattered regarding the value of the shoulder examination components for diagnosing specific injuries with information being simultaneously supportive and…

    Abstract:
    The complex design of the glenohumeral joint, which is comprised of multiple structures with varying orientations and attachments, makes it challenging to provide an accurate diagnosis in an injured shoulder. Adding to the difficulty, there are many components within the clinical shoulder examination that provide important information on both a macro (history, range of motion, manual muscle testing, special/stress testing, etc.) and micro (specific questions, directions, movements, and maneuvers within each macro component) level. Research has been scattered regarding the value of the shoulder examination components for diagnosing specific injuries with information being simultaneously supportive and critical of similar components. Of greater importance, a comprehensive approach has been advocated as the superior method of examination suggesting that no one area provides concrete information for diagnosticians. Although a comprehensive approach has been recommended, there is conflicting information regarding the effectiveness of special testing maneuvers for diagnosing specific types of shoulder injury. Practicing clinicians currently perform a comprehensive examination to varying degrees, comprised of a multitude of tests and maneuvers but there is no established set of core components for the special testing component. Thus, it would be beneficial for practicing clinicians to be provided a summary detailing the shoulder special tests that can provide reasonable information which can assist clinicians in making diagnoses of common injuries.

    Objectives:

    • Participants will be able to list the definitions of diagnostic accuracy statistics (sensitivity, specificity, likelihood ratios, accuracy, and predictive values), 
    • Participants will be able to identify the special tests that have the best clinical utility for diagnosing rotator cuff injury, labral injury, acromioclavicular joint injury, and glenohumeral instability, 
    • Participants will be able to identify the special tests that have stronger clinical utility when combined with other examination components (patient history, range of motion, manual muscle testing, etc.)

    Level:
    Advanced

    Domains:
    Domain 2: Assessment Evaluation and Diagnosis

    CEUs:
    0.75 Category A

    Keywords: shoulder, range of motion, rotator cuff, labral injury, glenohumeral, instability, diagnostic, testing, examination

    Enhanced Access On-Demand Course Expiration:
    Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
    For full details, refer to the Expiration Date Policy on our FAQ page.

    Aaron Sciascia, PhD, LAT, ATC, PES

    Aaron is the Clinical Outcomes and Research Director at Lexington Clinic. He previously served as an associate professor for Eastern Kentucky University's CAATE-accredited Master’s in Athletic Training program and spent 13 years as the coordinator of the Shoulder Center of Kentucky. He received a Bachelor of Science in Athletic Training degree from the University of Delaware and a Master of Science in Kinesiology degree, graduate certificate in Clinical and Translational Science, and Doctor of Philosophy in Rehabilitation Science, all from the University of Kentucky. He has been previously honored as Clinical Athletic Trainer of the Year and with the Award of Merit from the Kentucky Athletic Trainers’ Society and the Founders' Award from the American Society of Shoulder and Elbow Therapists (ASSET). Aaron has previously served ASSET as President and holds the distinction of Fellow within the Society. He is also an Affiliate Member of the American Shoulder and Elbow Surgeons and a Distinguished Fellow of the Athletic Training Academy within the National Academies of Practice. Aaron has produced multiple peer-reviewed articles and book chapters related to function, evaluation, and treatment of the shoulder and scapula, and he speaks at various venues annually. He has co-edited 2 textbooks and serves as an associate editor for the International Journal of Athletic Therapy and Training.