Abstract:
Evidence suggests that early sports specialization is associated with an increased risk of overuse injuries among children and adolescents. As a result, sport governing bodies and medical organizations have developed recommendations regarding sports participation volume and early sports specialization. However, the awareness and use of these recommendations by various stakeholders, including health care providers, coaches and parents are limited. This session will aim to fill this gap with a review of the evidence regarding the physical and psychological concerns with early sports specialization and empower athletic trainers to be advocates for young athletes through educating other stakeholders about the importance of these recommendations.

Learning Objectives:

• Assess the physical and psychological concerns with early sports specialization.
• Describe the numerous sports specialization recommendations from sport governing bodies and medical organizations.
• Identify gaps in stakeholder knowledge and awareness of sports specialization recommendations.
• Describe efforts to improve stakeholder awareness and use of sports specialization recommendations.
• Formulate ways to advocate for young athletes in regards to early sports specialization.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Overuse injury, Athletic development, Risk reduction

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Tamara Valovich McLeod, PhD, ATC, FNATA

Abstract:
Hamstring strain injuries (HSI) are one of the most commonly occurring injuries and top causes of missed playing time that impact various patient populations. High re-injury rates of HSI, lingering symptoms, and prolonged recovery often make management a frustrating and challenging process for clinicians, yet HSI continuing education sessions remain sparse. While eccentric loading has become the cornerstone of HSI management, evidence now suggests consideration of exposure to sprinting and alternative extrinsic risk factors is warranted.  This presentation will cover the latest empirical data, clinical recommendations and expert consensus to support the design of more effective HSI risk reduction plans.

Learning Objectives:

• Summarize the most recent hamstring strain injury (HSI) epidemiology and incidence rates.
• Synthesize HSI management recommendations based on international clinical expert consensus and the literature related to rehab and return-to-play decisions.
• Consider alternative extrinsic modifiable risk factors, specifically as it relates to the importance of collaboration and teamwork between coaching and medical staffs as part of the HSI management plan.
• Integrate high-speed running and monitoring into the HSI risk reduction plan.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
extrinsic factors; high-speed running; prevention

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Andrea DiTrani Lobacz, PhD, ATC

Abstract:
The highly competitive job market in athletic training has led to what some have called a “labor crisis”. Young employees frequently cite the institutional or workplace culture as a critical point in accepting a job offer and for continued retention within positions. One key aspect in the decision-making process of many employees when considering leaving the workplace are feelings of “lacking value and support” from supervisors. The importance of culture and desire to feel valued highlight the need for further leadership development within organizational/institutional cultures in athletic training. By examining evidence from a variety of industries as well as within athletic training, AT leaders can improve their recruitment and retention initiatives for employees allowing a greater focus on providing patient health care.

Learning Objectives:

• Identify key strategies across industries that can be applied to athletic training to improve recruitment and retention of employees.
• Appraise the evidence on interventions that seek to improve leadership skills in athletic trainers.
• Integrate targeted methods to drive retention and recruitment within the athletic training workplace.

Level:
Advanced

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

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Recruitment, Retention, Stakeholders

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Matthew Mills, EdD, ATC, CHSE

Jessica Barrett, PhD, LAT, ATC

Abstract:
Nearly a quarter of the National Athletic Trainers’ Association (NATA) membership of certified athletic trainers (ATs) works in the secondary school job setting, much of which includes student-athletes who are skeletally immature and are thus classified as “pediatric” by the orthopaedic and sports medicine communities. However, detailed instruction regarding pediatric-specific diagnoses and conditions are not the focus of many athletic training programs. ATs receive their training specific to pediatric orthopaedic and sports medicine diagnoses on-the-field post certification or through specialized study programs. Pediatric diagnoses are unique and require a different approach for recovery and return to activity.

Learning Objectives:

• Describe common pediatric-specific orthopaedic and sports medicine diagnoses, including potential long-term effects of an injury.
• Differentiate chronic, acute, urgent, and emergent pediatric-specific diagnoses.
• Identify appropriate plans of care and activity restrictions for common pediatric-specific orthopaedic and sports medicine diagnoses.
• Educate key stakeholders (parent/guardian, coach, medical care team) about the significance of pediatric-specific orthopaedic and sports medicine diagnoses as well as the need for specialized care, when appropriate.
• Transform the mindset that kids can be treated as “tiny adults.”

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 
Domain 3: Critical Incident Management 
Domain 4: Therapeutic Intervention 

Orthopedic Domain(s):
Domain 1: Medical Knowledge

CEUs:
1.0 Category A

Keywords:
Fracture, Healing timeline, Physis/Physes, Skeletal maturity

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Raena Steffen, MS, LAT, ATC

Abstract:
Increased administrative demands can amplify role strain and burnout risk in athletic trainers. However, clinicians struggle to retain administrative knowledge. Artificial Intelligence (AI) use in education is discussed, but its clinical practicality is minimally presented. AI is a leading-edge, consumer-based technology that athletic trainers should become accustomed to using. AI allows clinicians to assess specific patient and administrative questions, revise policies, and obtain customized responses, enabling clinicians to improve data analysis and clinic operations, reducing workload. This presentation will assist clinical athletic trainers in applying AI during routine patient care and administrative tasks, demonstrating time-saving methods to mitigate workload

Learning Objectives:

• Summarize how to apply and utilize artificial intelligence in a clinical athletic training setting.
• Identify the ethical considerations of using artificial intelligence in clinical practice.
• Use artificial intelligence to streamline administrative tasks in athletic training.
• Use artificial intelligence to inform policy creation for workload management in athletic training.

Level:
Essential

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

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Artificial Intelligence; Administration; Workload

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Kyle Schneider, EdD, ATC

David Tomchuk, DAT, ATC, LAT

Abstract:
Despite evidence that injury prevention programs reduce injuries, injury rates remain high. One contributing factor to this persistent problem is low adoption and adherence to these programs. This begs the question, how do we design injury prevention programs that athletes and coaches actually want to and will do? One reason for the low uptake is that many programs fail to consider the real-world implementation context. The solution relies on integrating key stakeholders’ priorities, preferences, and values into the program design. Attendees will gain practical tools to design, implement, and iterate on evidence- and context-based injury prevention programs that maximize impact.

Learning Objectives:

• Analyze the barriers and facilitators to adopting and implementing injury prevention programs.
• Integrate stakeholders’ perceptions in an iterative approach to designing injury prevention programs.
• Evaluate the success of injury prevention programs using the RE-AIM framework (Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance).

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
adoption; adherence; implementation context

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Travis Pollen, PhD

Abstract:
Sports-related mild traumatic brain injury (mTBI) is limited in available preventative strategies. Protection of the brain from outside the skull (helmets) has failed to significantly reduce mTBI incidence or degree and equipment modification does not address acceleration or deceleration of the brain inside the cranium during impacts. Clinical trials investigating a device that applies gentle bilateral jugular vein compression to reduce head impact energy absorption during collision have been studied to determine the impact related to head impact exposure.

Learning Objectives:

• Describe current research behind jugular vein compression related to head impact exposure.
• Describe the slosh theory and its mechanisms.
• Discuss the implementation of this technology in sport and military setting to reduce impact of exposure to head impacts and blast wave exposure.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
brain health, neurocognitive, slosh

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Kim Barber Foss, PhD, LAT, ATC

Abstract:
Exertional heat stroke (EHS) is a life-threatening emergency defined by an elevated core body temperature and alteration in central nervous system (CNS) dysfunction.  CNS changes may range from collapse secondary to loss of “hind limb” function to malaise, confusion, aggressiveness, and even coma. There is great variation with the timing and severity of the CNS dysfunction.  In our 20+ year experience at a warm-weather road race, we have treated almost 500 patients with EHS.  This presentation will review notable cases with examples of the varied presentations of CNS dysfunction.

Learning Objectives:

• Defend the use of rectal thermometry and CNS dysfunction to diagnose exertional heatstroke (EHS).
• Defend the use of cold-water immersion as the gold standard for treatment of EHS.
• Defend the use of rectal thermometry over mental status as a determinant of when to stop cooling.

Level:
Advanced

Domain(s):
Domain 2: Assessment Evaluation and Diagnosis 
Domain 3: Critical Incident Management 
Domain 4: Therapeutic Intervention 

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Rectal temperature, rectal thermometer, cold-water immersion

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

John Jardine, MD

Abstract:
Many athletes experience femoroacetabular impingement (FAI).  FAI is a condition in which there is abnormal contact between the ball and socket of the hip joint.  Evidence continues to mount and has led to a great deal of concentration in diagnosis and treatment of FAI yet there is still a lack of information regarding FAI pathomechanics.  Despite advances in hip arthroscopy, there is still a discussion in the literature regarding an effective non-surgical treatment to manage FAI.  Restoration of normal lumbo-pelvic-femoral alignment and correct movement patterns may be beneficial to help guide non-operative interventions.

Learning Objectives:

• Recognize the biomechanics of lumbo-pelvic-femoral dysfunction and its interrelationship to femoroacetabular impingement.
• Assess structural influences and dysfunctional movement patterns related to femoroacetabular impingement.
• Apply effective management strategies to restore appropriate lumbo-pelvic-femoral biomechanics across the right and left side of the pelvis.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 
Domain 3: Critical Incident Management 
Domain 4: Therapeutic Intervention 
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
non-surgical treatment of FAI; labral tear; pathomechanics

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Jason Masek, PT, ATC, CSCS

Abstract:
In the field of sports medicine, brain health has been more subjective. Little has been known if an athlete could impact processing speed to enhance performance and prevent concussions. Research is now showing neurotechnology and nutritional intake should be part of this multimodal approach. This lecture will examine evidence on measuring brain function measurements aiding in concussion diagnosis. It offers personalized treatment, monitors recovery, and emphasizes the importance of nutrition, hydration, supplementation, sleep, exercise, omega-3 fatty acids, and antioxidants for optimal brain function, processing speed and returning to play.

Learning Objectives:

• Analyze the components of a multimodal approach toward improving brain health.
• Describe how personalized treatment plans can aid in monitoring recovery and enhancing brain function for athletes.
• Articulate the importance of nutrition, hydration, supplementation, sleep, exercise, omega-3 fatty acids and antioxidants in maintaining optimal brain function and processing speed.
• Explain the significance of brain health in sports medicine, particularly how it impacts processing speed, performance enhancement and concussion prevention.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
concussion, hydration, sleep, supplements

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Dawn Weatherwax, ATC, LAT, CSCS

Abstract:
Considering the high physicality of performing artists and the risks associated with their craft, performing arts offer athletic trainers a rich study in injury risk and risk reduction. The result is robust interchange among practitioners in performing arts, sports, and other settings. This interactive lecture will utilize video snippets of high-level performing arts as the basis for attendees to identify and discuss methods of risk reduction that can span between arts and sports. Foundational to the session’s success will be an evidence-based injury risk model developed for circus arts that is robust in its applicability to sports.

Learning Objectives:

• Discuss injury risk reduction procedures for application in a variety of athletic training settings.
• Evaluate several performing arts activities for risk of injury.
• Explain how injury risk can be reduced in performing arts.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
safety; health; wellness

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Jeffrey A. Russell, PhD, ATC

Carina Nasrallah, MS, ATC

Abstract:
The Stress and Injury Model proposes that negative psychological stress can increase the risk of sustaining a sport injury. However, current injury reduction programs focus on biological aspects, such as strength, flexibility, plyometrics, balance, and agility. Recent literature suggests that incorporating psychological skills, such as mindfulness, into injury reduction programs can help to reduce injury rates in athletes. This lecture will discuss the best available evidence regarding psychological skills that can be implemented to reduce primary and secondary injury risk. Participants will learn how to integrate techniques, including mindfulness and relaxation training, into injury reduction programs to prevent sports-related injuries.

Learning Objectives:

• Explain key biological factors that should be integrated into injury reduction programs based on NATA position statements.
• Discuss current evidence regarding the efficacy of integrating psychological skills to reduce primary and secondary injury risk after sport-related injury.
• Implement mindfulness and relaxation techniques through tech-driven solutions to enhance injury-reduction programs.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy

Orthopedic Domain(s):
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
Mental Health; Prevention; Behavior Change

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Shelby Baez, PhD, ATC

Hana Marmura, PhD, MPT

Abstract:
The session will provide practical steps for athletic trainers to use telehealth and virtual athletic training services as an innovative model for risk reduction strategies. The data supports the use of telehealth for orthopedic and sports medicine practices, but athletic training has seen a decline in the use of this delivery model since the COVID-19 pandemic. Navigating the best practices can be challenging if a provider has not been exposed to telehealth. The presentation will comprehensively address the framework of telehealth and its use in athletic training, as well as explore strategies that have been successfully integrated for risk reduction.

Learning Objectives:

• Summarize the framework of telehealth in athletic training.
• Compose a list of best practices for athletic trainers when using virtual services.
• Review risk reduction strategies across the continuum of athletic training domains.
• Identify practice opportunities to integrate telehealth for risk reduction.
• Explore lived experiences of athletic trainers using telehealth in clinical practice.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 
Domain 3: Critical Incident Management

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
telemedicine; injury prevention; screening

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Zachary Winkelmann, PhD, LAT, ATC

Michael Donahue, DAT, MEd, ATC

Abstract:
Joint hypermobility can lead to joint instability, subluxations, dislocations and sprains among other musculoskeletal injuries. Investigation into the role joint hypermobility plays in increasing the risk of injury within athletes has grown. In sports where flexibility is required, like swimming and dance, hypermobility is aesthetically advantageous, but can lead to increased susceptibility for injury. Studies have found an association between joint hypermobility and an increased risk of knee injury in contact sport athletes, as well as shoulder injury in military and elite athletes. Athletic trainers should be apprised on the best practice for evaluating and treating patients with joint hypermobility.

Learning Objectives:

• Describe the association between joint hypermobility and knee and shoulder joint injuries.
• Execute the Beighton Scoring System in order to assess for joint hypermobility.
• Implement knee and shoulder therapeutic exercises and motor function training to prevent and/or rehabilitate athletes with joint hypermobility.
• Assess the usefulness of adaptive equipment, patient instruction, manual therapy, and functional training as treatment strategies for joint hypermobility.

Level:
Advanced

Domain(s):
Domain 2: Assessment Evaluation and Diagnosis
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
Domain 1: Medical Knowledge

CEUs:
1.0 Category A

Keywords:
screening; injury prevention; rehabilitation

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Joshua Honrado, DAT, LAT, ATC

Abstract:
One of the challenges in sports is quantifying and managing athlete load in season. The swimming season tends to be exhaustive both in training volume and season length. These factors present challenges to the medical staff when athletes suffer in-season shoulder injuries including impingement, multidirectional instability, and labral tears. Implementing preseason objective testing may identify athletes at risk for developing these injuries and allow for preventative programs. The purpose of this presentation is to analyze injury screening, create an evidence based plan of care, and demonstrate specific examples of collaboration among clinicians to address common shoulder pathologies in swimmers.

Learning Objectives:

• Discuss in season shoulder rehabilitation progressions for common injuries in swimming including multidirectional instability, rotator cuff tendinopathy and labral tears with a specific emphasis on swimming athletes.
• Demonstrate taping techniques and manual mobilizations for pain reduction as an adjunct to therapy for swimmers and overhead athletes with shoulder pathology.
• Investigate load management in overhead and determine how total swim and practice volume plays into the plan of care for athletes with shoulder pain.
• Analyze preseason and in season objective shoulder testing and utilize it to inform current rehabilitation progressions or develop injury prevention programs for athletes who may be at risk for developing shoulder pain.
• Explore collaboration and role delineation between athletic training and physical therapy in care of athletes and how to provide the most efficacious care of athletes as a team.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 
Domain 4: Therapeutic Intervention 
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
prevention; rehabilitation; testing

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CST.
For full details, refer to the expiration policy on our FAQ page.

Estefania Zavala, DAT, LAT, ATC

Bailey Lanser, PT

Abstract:
In the past decade, advances in neuroscience have fundamentally changed the way we understand and manage chronic pain. Pain sensitization describes structural and/or functional changes in the nervous system. These nervous system changes alter pain facilitation and inhibition, which can impact treatment outcomes. The omission of pain sensitization and neuroscience in AT educational standards could lead to misinterpretation of signs and symptoms related to pain sensitization, which can be detrimental to rehabilitation program design. Treatment paradigms are shifting toward pain-mechanisms-based approaches to rehabilitation. These rehabilitation strategies often involve tools the AT already has in their toolbox, but rather require decision-making and a strategic order of application.

Learning Objectives:

• Understand the difference between typical pain modulation, peripheral and central nervous system responses in physically active clients/patients.
• Evaluate clinical signs of central sensitization and track these signs throughout rehabilitation.
• Compose appropriate rehabilitation and treatment strategies for individuals with manifestations of central sensitization.

Level:
Essential

Domain(s):
Domain 2: Assessment Evaluation and Diagnosis 
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge

CEUs:
1.0 Category A

Keywords:
quantitative sensory testing, chronic pain, rehabilitation, exercise-induced analgesia

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Kemery Sigmund, PhD, ATC

Abstract:
Recent educational standards include formalized instruction on joint reduction techniques.  Current clinicians and others who graduated before the implementation of new standards need to develop and update expertise in this area.  Thus, the purpose of this session is to present a 4-step evaluation and treatment process, decision making algorithm, and multiple techniques for reducing 3 commonly dislocated joints: the glenohumeral, interphalangeal and patellofemoral joints.  Joint reduction techniques covered will include the exaggeration and traction methods for the finger, patellar reduction method, and several shoulder techniques (e.g. Scapular manipulation, Stimson, FARES, Boss-Holzach-Matter maneuver, External rotation maneuver, Spaso technique, Traction-Countertraction, Hippocratic, and Eskimo).  Where available research evidence supporting each technique will be reviewed (e.g. success rate, time to complete, pain), enabling the attendee to differentiate between various techniques based on patient outcomes.  In addition to clinical indications and contraindications, this breakout session will address practical considerations (e.g. clinician biomechanics, utility on-the-field).  These closed reduction techniques will be presented from the perspective of an athletic trainer with standing orders from a supervising physician which permit closed joint reduction under certain criteria.  Recent educational standards include formalized instruction on joint reduction techniques.  Current clinicians and others who graduated before the implementation of new standards need to develop and update expertise in this area.  Thus, the purpose of this session is to present a 4-step evaluation and treatment process, decision making algorithm, and multiple techniques for reducing 3 commonly dislocated joints: the glenohumeral, interphalangeal and patellofemoral joints.  Joint reduction techniques covered will include the exaggeration and traction methods for the finger, patellar reduction method, and several shoulder techniques (e.g. Scapular manipulation, Stimson, FARES, Boss-Holzach-Matter maneuver, External rotation maneuver, Spaso technique, Traction-Countertraction, Hippocratic, and Eskimo).  Where available research evidence supporting each technique will be reviewed (e.g. success rate, time to complete, pain), enabling the attendee to differentiate between various techniques based on patient outcomes.  In addition to clinical indications and contraindications, this breakout session will address practical considerations (e.g. clinician biomechanics, utility on-the-field).  These closed reduction techniques will be presented from the perspective of an athletic trainer with standing orders from a supervising physician which permit closed joint reduction under certain criteria.

Learning Objectives:

• Identify the steps to a structured evaluation and treatment algorithm for closed reduction of acute dislocation.
• Identify common closed joint reduction techniques for the glenohumeral, interphalangeal and patellofemoral joint.
• Compare and contrast common closed joint reduction techniques utilizing evidence from the research literature.
• Select an appropriate closed joint reduction technique for a particular scenario.

Level:
Advanced

Domain(s):
Domain 3: Critical Incident Management

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge

CEUs:
1.0 Category A

Keywords:
On-the-field; pre-hospital emergency care; closed reduction; dislocation

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Cynthia Wright, PhD, ATC

Abstract:
Long-term effects of traumatic joint injury beyond the athletic career are widely known to increase the risk of developing post-traumatic osteoarthritis (PTOA). However, mechanisms behind persistent sensorimotor, joint loading, and neuroplasticity dysfunction have not been as widely studied. Emerging neuroscience research suggests a need for strategies that train the ability to integrate sensory information to restore optimal neuromuscular function. Focused long-term rehabilitation targeting sensorimotor dysfunction and abnormal knee loading mechanics may help mitigate PTOA development. Athletic Trainers play an important role in the education of potential deficits and interventions to optimize long-term joint health following traumatic joint injury.

Learning Objectives:

• Explain the role of the Athletic Trainer in identifying and mitigating risks for OA.
• Explain the role of somatosensory deficits in increasing risk for short-term injury, reinjury, or decreased long-term joint health.
• Describe the importance of incorporating sensorimotor and cognitive load training strategies during RTP and during ongoing training for maintenance of joint health.
• Identify assessment and training tools, and their applications for addressing potential deficits in sensorimotor and cognitive load function for patients prior to the development of OA.

Level:
Mastery

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 3: Critical Incident Management

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Anterior cruciate ligament, osteoarthritis, sensorimotor function

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Christopher Stickley, PhD, ATC, CSCS

Andrew Takata, PhD, ATC, CSCS

Abstract:
While significant strides have been made in increasing awareness around behavioral health conditions among athletes, there remains a high prevalence of these concerns within our patient populations. Athletic trainers are uniquely positioned as health care providers to both recognize and intervene in behavioral health issues, as well as assist in efforts to reduce the risk of behavioral health concerns for our patients. Blending the van Mechelen (1992) model of risk reduction in sport into primary, secondary, and tertiary prevention strategies may offer an improved approach for mitigating behavioral health risks.

Learning Objectives:

• Describe the current incidence of behavioral health concerns in the athletic population and factors that contribute to these behavioral health concerns.
• Apply a public health lens to the prevention of behavioral health concerns including primary, secondary and tertiary preventative measures that an AT can implement within various settings.
• Select and justify tangible strategies that could reduce behavioral health risk factors, specific to their patient population.
• Establish a plan to implement and evaluate these preventative strategies within their setting/ specific population.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
risk reduction; primary prevention; mental health

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Kelly Pagnotta, PhD, LAT, ATC

William Adams, PhD, ATC

Abstract:
Management and injury prevention of the throwing athlete is an ever-evolving area and often very challenging for most clinicians.  SLAP lesions commonly occur in the throwing shoulder, however; the treatment and management of this injury is not well understood.  New and existing evidence has recently been used to better understand the pathophysiology and biomechanics of SLAP lesions in throwers, in addition to suggesting a change in terminology to Clinically Significant Labral Injuries (CSLI).  This information has challenged the existing treatment paradigm and could improve clinical outcomes following conservative and/or surgical treatment approaches.

Learning Objectives:

• Describe the pathophysiology and biomechanics of SLAP/CSLI lesions in throwing athletes, based on the latest evidence.
• Critically evaluate the existing treatment paradigm for SLAP lesions in throwing athletes, and understand how new data could challenge these approaches.
• Apply scientific discoveries into the management and treatment of SLAP/CSLI lesions in throwing athletes to improve clinical outcomes, whether through conservative or surgical treatment approaches.
• Replace the terminology of SLAP lesion with CSLI to better differentiate significant pathology that generates the clinical symptoms.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
Domain 2: Procedural Knowledge

CEUs:
1.0 Category A

Keywords:
Baseball, shoulder, labral injury

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

John Kelly, MD

Ben Kibler, MD

Abstract:
The industrial athletic trainer utilizes injury trends, data and technology to strategically improve processes and systems to reduce injury risk for laborers across industries. With a creative and systematic approach, ATs can intervene in a way that positively affects employee health, production and company profits. These early intervention strategies are the backbone of the industrial setting and can be adopted by all AT settings to identify root causes to control behaviors and reduce injury risk. Just as important as the risk reduction strategies themselves, clinicians must be able to assign monetary value to these prevention strategies to increase professional opportunities.

Learning Objectives:

• Demonstrate the different ways that they AT can implement prevention strategies that encompasses the whole Prevention Domain, Risk Reduction, Wellness and Health Literacy, to improve patient outcomes.
• Show the impact that the industrial athletic trainer has in changing the environment of the workplace or sport of the patient, and how that corporate approach can translate to other areas of athletic training.
• Organize risk reduction strategies to justify cost of programs and personnel. Demonstrate ways to show return on investment by looking at prevention strategies, instead of relying on only injury evaluation and treatment data.

Level:
Mastery

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 3: Critical Incident Management 
Domain 4: Therapeutic Intervention 
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
Domain 2: Procedural Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
ROI vs VOI; Root Cause; Strategy

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Tiffany McGuffin, MS, LAT, ATC

Bryan Lockhart, ATC

Abstract:
Emergencies are occurring in school settings and preparedness is essential to the outcome for the patient. Creating emergency response teams and implementing trainings with rehearsals is vital. With the increasing environmental temperatures comes an increased risk of exertional heat illnesses (EHI) in young athletes. Exertional heat stroke (EHS) continues to be one of the leading causes of death in young athletes even though death from EHS is preventable with proper recognition and treatment. The purpose of this presentation is to provide clinicians in the secondary school setting with latest evidence-based recommendations on the prevention, recognition, and managements of EHIs.

Learning Objectives:

• Compare AED laws and regulations state to state.
• Express the need to practice emergency action plans during and after school.
• Recognize the signs and symptoms of exertional heat illnesses (EHIs).
• Identify effective strategies for mitigating the risk of EHIs in secondary school athletes.
• Develop a heat safety policy that includes proper recognition and management of exertional heat stroke in the secondary school setting.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 3: Critical Incident Management
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Emergency planning; Wet bulb globe temperature; Sudden death

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Mark D'Anza, MEd, LAT, ATC

Rebecca Lopez, PhD, LAT, ATC

Abstract:
Lower back pain is a pervasive ailment in athletes that can be both debilitating and difficult to resolve. Athletic trainers may not be aware of evidence-based strategies for reducing risk of or treating lower back pain. Further, they may not be aware of strategies that can be used to treat lower back pain when traditional treatments fail. Through a combination of effective risk reduction, best available rehabilitation and novel treatment, it may be possible for athletic trainers to better support athlete health and quality of life.

Learning Objectives:

• Identify risk factors for lower back pain in athletes.
• Describe strategies that can be used to reduce risk of lower back pain in athletes based on the best available evidence.
• Describe strategies that can be used to treat lower back pain in athletes based on the best available evidence.
• Explain novel treatment strategies that can be used when traditional treatments for lower back pain in athletes fails.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Injury prevention, rehabilitation, LBP

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Rodrigo Martinez, DAT, LAT, ATC

Alicia Montalvo, PhD, MPH, ATC

Abstract:
Injury to the anterior cruciate ligament occurs to athletes across the spectrum of skill levels and age ranges. Athletic trainers should be aware of the available surgical interventions and rehabilitation protocols associated with a full return to previous functional capacity and activity level. This presentation will cover contemporary rehabilitation concepts used in professional football with the intent of having them transferable to any patient under the care of an athletic trainer. Evidence based return to activity parameters based on traditional strength testing, functional testing and performance measures with the intent of optimizing outcomes will be presented.

Learning Objectives:

• Outline the phases of rehabilitation following ACL surgery emphasizing the goals and interventions in each phase from initial recovery to functional training.
• Discuss the specific tests and criteria used to determine readiness for return to sport post-ACL reconstruction, including functional and performance measures.
• Evaluate current research and evidence-based practices related to surgical techniques, rehabilitation protocols and return to sport testing to optimize patient outcomes.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 4: Therapeutic Intervention 
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Anterior cruciate ligament; reconstruction; return-to-sport testing

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Kevin Kaplan, MD

Jonathan Boone, PT, DPT, MS, LAT, ATC

Robert Hoenshel, DPT, ATC, CSCS, SCS, PES

Abstract:
Quadriceps weakness after ACL reconstruction (ACLR) is associated with a greater risk for secondary knee injuries and early onset knee osteoarthritis. Therefore, identifying and treating quadriceps weakness is key to protecting joint health after ACLR. Manual muscle tests are a subjective and easily biased method to assess quadriceps strength. Isokinetic dynamometry, the “gold-standard” method for objectively assessing quadriceps strength is too expensive (~$50,000) for many clinics. Therefore, athletic trainers need to be educated on alternative evidence-based techniques, such as handheld/inline dynamometry and repetition max testing, that they can use to perform objective measures of quadriceps strength during ACLR rehabilitation.

Learning Objectives:

• Explain the importance of assessing quadriceps strength as an outcome during ACL reconstruction rehabilitation.
• Analyze the pros and con of the more common and less common methods for assessing quadriceps strength.
• Examine clinically-feasible and cost-effective methods for objectively assessing quadriceps strength in clinical practice.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 4: Therapeutic Intervention 

Orthopedic Domain(s):
Domain 1: Medical Knowledge

CEUs:
1.0 Category A

Keywords:
Knee; Strength; Dynamometer

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

John Goetschius, PhD, ATC

Abstract:
Injury prevention is a multi-level process that is most effective when primary (i.e., measures to prevent the occurrence of injury), secondary (i.e., measures that reduce the acute impact of an injury after it occurs), and tertiary (i.e., measures aimed to lessen the lasting effects of an injury) approaches are employed together. Athletic trainers are key community-based healthcare providers that facilitate the development and implementation of concussion policies and procedures, which should incorporate a variety of clinical practices that span the multiple levels of prevention. The purpose of this presentation is to provide athletic trainers with an overview of evidence-supported concussion primary, secondary, and tertiary prevention approaches.

Learning Objectives:

• Demonstrate a foundational understanding of injury prevention and risk reduction models.
• Recognize the important role of the athletic trainer in primary, secondary and tertiary concussion prevention practice development and implementation.
• Construct appropriate, site-specific concussion prevention measures based upon the current research evidence available.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
Concussion risk reduction, prevention,

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Erica Beidler, PhD, ATC

Patricia Kelshaw, PhD, ATC

Abstract:
An estimated 60 million youths ages 6-18 are currently participating in organized sports in the United States. Recent trends have been towards sport-specialization and year-round participation at younger ages, leading to an increase in overuse injuries and burnout in adolescent athletes. ATs should be aware of the risks of sport-specialization and excessive training volume, as well as the current recommendations for organized sports participation in these areas, to implement risk reduction ideas with key stakeholders. In the decline of school physical education programs, safe adolescent sports participation may lead to increased physical activity and better overall health beyond adolescent years.

Learning Objectives:

• Identify current sport trends leading to increased injury risk in adolescent athletes.
• Explain the benefits of multi-sport participation in adolescent athletes.
• Recommend appropriate sport training volume and timing with key stakeholders (parents, coaches, etc.) as they relate to injury risk and motor development in adolescent athletes.
• Develop a preseason training program appropriate to their setting which addresses reducing the risk of adolescent overuse injuries.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 4: Therapeutic Intervention

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
sport specialization; overuse; burnout

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Joshua Yonker, MS, LAT, ATC

Abstract:
Athletic trainers have limited time and resources to identify athletes at higher risk of injuries and to implement established injury risk reduction programs.  This proposal will address both of these gaps through technological innovations.  First, Dr. Buckley will provide a machine learning based algorithm to stratify post-concussion musculoskeletal risk and provide a highly feasible approach to allow ATs to utilize the algorithm.  Secondly, Dr. McPherson will provide a cost effective and mobile immersive environment training program which allows athletes to complete exercise interventions outside of the lab and have sophisticated, but clinically meaningful, outcome measures available to athletic trainers.  Taken together, this proposed session will allow ATs to leverage recent technological developments to improve injury risk identification and subsequent interventions.

Learning Objectives:

• Describe the elevated risk of musculoskeletal injury following a sports related concussion.
• Apply a classification system to an athlete’s injury risk profile based on a machine learning algorithm.
• Implement and utilize a virtual reality based injury risk reduction program.

Level:
Mastery

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 

Orthopedic Domain(s):
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
Musculoskeletal Injury; Concussion; Virtual Reality; Machine Learning

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Thomas Buckley, EdD, ATC

Abstract:
Technology is increasingly used for sport performance enhancement, which includes immersive and non-immersive virtual reality (VR) systems, mobile device apps, and wearable monitors, such as inertial measurement units (IMUs). Despite research evidence of close associations between various indicators of physical performance capabilities and injury susceptibility, data derived from digital sport performance tools are not widely used by athletic trainers to guide injury prevention or post-injury rehabilitation progression and return to sport decision making. This session will review research evidence that supports specific aspects of sport performance assessment and longitudinal monitoring that are highly relevant to injury susceptibility.

Learning Objectives:

• Describe differences between the prevailing reactive and reductionistic paradigm for injury management and a complex dynamical systems approach to optimization of health and performance.
• Relate key indicators of an existing or emerging state of elevated injury risk that can be derived from digital tools that are widely used for sport performance enhancement.
• Provide a proactive and individualized approach to reduction of sport injury risk that includes detection of change in autonomic regulation (e.g., heart rate variability) or external load tolerance.
• Demonstrate the value of data derived from digital sport performance tools for identification of individual athletes who develop an elevated level of injury risk over the course of a sport season.
• Implement a program of longitudinal monitoring of each athlete’s digital record of physiological status and accumulated physical load, with a focus on those who have recently sustained an injury.

Level:
Advanced

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis
Domain 4: Therapeutic Intervention 
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge
Domain 3: Professional Practice

CEUs:
1.0 Category A

Keywords:
Risk Mitigation; Overtraining; Fatigue

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Gary B. Wilkerson, EdD, ATC, FNATA

Abstract:
Recent statements from the NATA and AMSSM mention driving after concussion and highlight the role of clinicians in providing post-concussion driving recommendations to patients. Driving requires the prompt interaction of visual, motor, and cognitive skills - which are commonly impaired after concussion. Individuals with concussion present with poorer vehicle control acutely following concussion. Yet, only 44% of patients reduce their driving following injury. The delicate balance between driving safety, patient autonomy, and medical-legal considerations make this process uniquely challenging. We will discuss: emerging research findings, patient recommendation approaches, return-to-drive progressions, and using clinical assessments to guide this process.

Learning Objectives:

• Synthesize information related to post-concussion driving safety.
• Apply emerging research to develop appropriate patient recommendations on driving safety following concussion.
• Apply gradual return-to-drive strategies in various clinical scenarios, when appropriate.

Level:
Essential

Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy 
Domain 2: Assessment Evaluation and Diagnosis 
Domain 4: Therapeutic Intervention 
Domain 5: Health Care Administration and Professional Responsibility

Orthopedic Domain(s):
N/A

CEUs:
1.0 Category A

Keywords:
mild traumatic brain injury, transportation

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.

Course Expiration: 
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

Julianne Schmidt, PhD, LAT, ATC

Kumiko Hashida, PhD, ATC