Concussion-management practice patterns of National Collegiate Athletic Association Division II and III athletic trainers : how the other half lives
Deutscher übersetzter Titel: | Vorgehen bei der Behandlung von Gehirnerschütterungen unter Sportphysiotherapeuten in der "National Collegiate Athletic Association" Division II und III : wie machen es die anderen? |
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Autor: | Buckley, Thomas A.; Burdette, Glenn; Kelly, Kassandra |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 50 (2015), 8, S. 879-888, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201605002795 |
Quelle: | BISp |
Abstract des Autors
Context: The National Collegiate Athletic Association (NCAA) has published concussion-management practice guidelines consistent with recent position and consensus statements. Whereas NCAA Division I athletic trainers appear highly compliant, little is known about the concussion-management practice patterns of athletic trainers at smaller institutions where staffing and resources may be limited. Objective: To descriptively define the concussion-management practice patterns of NCAA Division II and III athletic trainers. Design: Cross-sectional study. Setting: Web-based questionnaire. Patients or Other Participants: A total of 755 respondents (response rate = 40.2%) from NCAA Division II and Division III institutions. Main Outcome Measure(s): The primary outcome measures were the rate of multifaceted concussion-assessment techniques, defined as 3 or more assessments; the specific practice patterns of each assessment battery; and tests used during a clinical examination. Results: Most respondents indicated using a multifaceted assessment during acute assessment (Division II = 76.9%, n = 473; Division III = 76.0%, n = 467) and determination of recovery (Division II = 65.0%, n = 194; Division III = 63.1%, n = 288) but not at baseline (Division II = 43.1%, n = 122; Division III = 41.0%, n = 176). Typically, when a postconcussion assessment was initiated, testing occurred daily until baseline values were achieved, and most respondents (80.6% [244/278]) reported using a graded exercise protocol before return to participation. Conclusions: We found limited use of the multifaceted assessment battery at baseline but higher rates at both acute assessment and return-to-participation time points. A primary reason cited for not using test-battery components was a lack of staffing or funding for the assessments. We observed limited use of neuropsychologists to interpret neuropsychological testing. Otherwise, most respondents reported concussion-management protocols consistent with recommendations, including a high level of use of objective measures and incorporation of a progressive return-to-participation protocol.