The Athletic Health Care and Training Program (A Comprehensive Approach to the Prevention and Management of Athletic Injuries in High Schools)

Abstract

The Athletic Health Care and Training Program was developed to meet the educational, organizational and record-keeping needs of the interscholastic athletic program of the Seattle Public Schools. The program components were the education of coaches, school nurses and student trainers; development of a centralized training room; implementation of written procedures, and establishment of a record-keeping system. At the end of the three-year study period, schools involved in the program were better prepared to handle emergencies than were control schools.

Medial Tibial Stress Syndrome in High School Cross-Country Runners: Incidence and Risk Factors

“…However, they concluded that lower extremity alignment was not a risk factor for running injury in their study. 35 Similarly, Hreljac et al 14 measured arch height of 40 club runners using calipers in a standing position, but found that this measure did not discriminate between injured and noninjured runners. They concluded that preseason screens would not successfully predict running injuries.…”

“…Wen et al 35 as- sessed the arch index (navicular height divided by truncated foot length) of over 300 runners compared with previous injury questionnaires and reported a low right arch index was related to previous shin injury within the past year. However, they concluded that lower extremity alignment was not a risk factor for running injury in their study.…”

“…Another possible limitation of the study was the ability of the DIR to capture minor MTSS injuries. The DIR reporting system has been used by other researchers [33][34][35] to improve recording of injuries that did not limit participation past the initial day of injury. However, the recording of time lost to injury did not capture pain or injury that did not result in time loss from a practice or meet.…”

“…33 Three timeloss classifications were used to assess injury severity: (1) mild, 1-4 days lost; (2) moderate, 5-14 days lost; and (3) major, 15 or more days lost. [33][34][35] Injury rate ratios and their 95% confidence intervals (CIs) were estimated to compare rates between girls and boys.…”

“…[33][34][35] The DIR was completed on a daily basis for the entire season to record each runner's practice and cross-country meet participation, absences, limitations and time lost from participation due to injury. We met with the coaches and certified athletic trainers monthly to collect the injury reports.…”