Athletic Training Student Primer A Foundation For Success Third Edition Athletic Training Student Primer A Foundation For Success Third Edition Andrew P. Winterstein, PhD, ATC Distinguished Clinical Professor Program Director, Athletic Training Program Department of Kinesiology University of Wisconsin‒Madison Madison, Wisconsin www.Healio.com/books Copyright © 2018 by SLACK Incorporated Instructors: Athletic Training Student Primer: A Foundation for Success, Third Edition includes ancillary materials specifically available for faculty use. Included are Instructor’s Materials. Please visit www.efacultylounge.com to obtain access. Dr. Andrew P. Winterstein serves as an educational consultant for the Mueller Sports Medicine Company. Dr. Jay Hertel has no financial or proprietary interest in the materials presented herein. The Cape Words and Music by Guy Clark, Susanna Clark and Jim Janosky © 1994 EMI APRIL MUSIC INC., SUSANNA CLARK MUSIC AND SUSANNA’S SANCTUARY All rights for SUSANNA CLARK MUSIC and SUSANNA’S SANCTUARY Administered by BUG MUSIC INC., A BMG CHRYSALIS COMPANY All Rights Reserved International Copyright Secured Used by Permission Reprinted by Permission of Hal Leonard Corporation All rights reserved. No part of this book may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without written permission from the publisher, except for brief quotations embodied in critical articles and reviews. The procedures and practices described in this publication should be implemented in a manner consistent with the professional standards set for the circumstances that apply in each specific situation. Every effort has been made to confirm the accuracy of the information presented and to correctly relate generally accepted practices. The authors, editors, and publisher cannot accept responsibility for errors or exclusions or for the outcome of the material presented herein. There is no expressed or implied warranty of this book or information imparted by it. Care has been taken to ensure that drug selection and dosages are in accordance with currently accepted/recommended practice. Off-label uses of drugs may be discussed. Due to continuing research, changes in government policy and regulations, and various effects of drug reactions and interactions, it is recommended that the reader carefully review all materials and literature provided for each drug, especially those that are new or not frequently used. Some drugs or devices in this publication have clearance for use in a restricted research setting by the Food and Drug and Administration or FDA. Each professional should determine the FDA status of any drug or device prior to use in their practice. Any review or mention of specific companies or products is not intended as an endorsement by the author or publisher. SLACK Incorporated uses a review process to evaluate submitted material. Prior to publication, educators or clinicians provide important feedback on the content that we publish. We welcome feedback on this work. Published by: SLACK Incorporated 6900 Grove Road Thorofare, NJ 08086 USA Telephone: 856-848-1000 Fax: 856-848-6091 www.Healio.com/books Contact SLACK Incorporated for more information about other books in this field or about the availability of our books from distributors outside the United States. Library of Congress Cataloging-in-Publication Data Names: Winterstein, Andrew P., 1962- author. Title: Athletic training student primer : a foundation for success / Andrew P. Winterstein. Description: Third edition. | Thorofare, NJ : Slack Incorporated, 2017. | Includes bibliographical references and index. Identifiers: LCCN 2017050807 ISBN 9781630915797 (epub) | ISBN 9781630915803 (web) Subjects: | MESH: Athletic Injuries--therapy | Allied Health Personnel--education | Sports Medicine | Emergency Treatment Classification: LCC GV223 | NLM QT 261 | DDC 617.1/027--dc23 LC record available at https://lccn.loc.gov/2017050807 For permission to reprint material in another publication, contact SLACK Incorporated. Authorization to photocopy items for internal, personal, or academic use is granted by SLACK Incorporated provided that the appropriate fee is paid directly to Copyright Clearance Center. Prior to photocopying items, please contact the Copyright Clearance Center at 222 Rosewood Drive, Danvers, MA 01923 USA; phone: 978-750-8400; website: www.copyright.com; email: [email protected] Please note that the purchase of this e-book comes with an associated website or DVD. If you are interested in receiving a copy, please contact us at [email protected] D EDICATION He’s one of those who knows that life Is just a leap of faith Spread your arms and hold your breath Always trust your cape. ~Guy Clark For my wife Barb, and all the leaps of faith. This book is also dedicated to the memory of Shari Khaja Dorresteijn. Her smile, energy, and passion for athletic training are missed by all who knew her. Try to save us a seat. C ONTENTS Dedication ..........................................................................................................................................................................................v Photo and Illustration Credits .........................................................................................................................................................ix Acknowledgments .............................................................................................................................................................................xi About the Author ............................................................................................................................................................................xiii Interview Participants and Contributors ......................................................................................................................................xv Foreword by Jay Hertel, PhD, ATC, FNATA..............................................................................................................................xvii Preface .............................................................................................................................................................................................xix Section I Understanding Athletic Training ..................................................................................1 Chapter 1 Athletic Training: An Allied Health Profession ...................................................................................................3 Chapter 2 Historical Perspectives and Future Directions ...................................................................................................29 Chapter 3 Getting Started: Educational Requirements for Athletic Training .................................................................45 Chapter 4 Educational Resources for Athletic Training Students ......................................................................................65 Section II Common Injuries and Conditions ...............................................................................87 Chapter 5 Understanding Athletic Injury/Illness: Terminology and Classification .......................................................89 Chapter 6 Common Injuries to the Lower Extremity .........................................................................................................111 Chapter 7 Common Injuries to the Upper Extremity ........................................................................................................143 Chapter 8 Common Injuries to the Head, Face, and Spine ................................................................................................169 Chapter 9 Common Injuries to the Abdomen and Thorax, and General Medical Conditions ..................................209 Section III Planning, Prevention, and Care .................................................................................235 Chapter 10 Blood-Borne Pathogens and Standard Precautions ..........................................................................................237 Chapter 11 Emergency Planning and Injury Evaluation .....................................................................................................249 Chapter 12 Environmental Concerns ......................................................................................................................................265 Chapter 13 First Aid and Initial Injury Care .........................................................................................................................285 Chapter 14 Components of Rehabilitation .............................................................................................................................301 Chapter 15 Taping and Bracing .................................................................................................................................................317 Section IV Preparing for Success .................................................................................................331 Chapter 16 Looking Ahead .......................................................................................................................................................333 Appendix A Board of Certification Standards of Professional Practice ..............................................................................349 Appendix B Athletic Training Manifesto ...............................................................................................................................353 Appendix C The Musculoskeletal System ..............................................................................................................................355 Appendix D Sport Concussion Assessment Tool—5th Edition (SCAT5) .............................................................................357 Appendix E Sample History and Pre-Participation Physical Examination Forms ...........................................................367 Appendix F Résumé Action Words ........................................................................................................................................371 Instructors: Athletic Training Student Primer: A Foundation for Success, Third Edition includes ancillary materials specifically available for faculty use. Included are Instructor’s Materials. Please visit www.efacultylounge.com to obtain access. P I C HOTO AND LLUSTRATION REDITS Illustrations and Figures Original Medical Illustrations by Melissa Ebbe Chapter 5: Figures 2 to 9, 11, and 12 Chapter 6: Figures 1 to 8, 10 to 12, and 19 and illustrations on pp 112, 120 (right), 122, 127, and 134 Chapter 7: Figures 1 to 7, 10, and 15 and illustrations on pp 144, 148, 150, 154 (left), 155, and 157 (top) Chapter 8: Figures 1, 2, and 12 to 18 Chapter 9: Figure 7 Appendix C: Illustrations on pp 355 and 356 All illustrations by Melissa Ebbe © 2003 Melissa Ebbe. Figures Provided by Andrew P. Winterstein Chapter 5: Figure 1 Chapter 6: Figures 9, 14 to 16, 18, and 20 and figures on pp 121, 130, and 135 Chapter 7: Figures 16 and 17 and figures on pp 154 (right), 163, and 166 Chapter 8: Figure 10 Chapter 9: Figures 4 to 6 Chapter 12: Figures 1 to 5 Chapter 13: Figures 3 to 5 Chapter 14: Figure 3 Chapter 15: Figure 2 Chapter 6 opening photo (p 111) and Chapter 8 opening photo (p 169) reprinted with permission from UW–Health. Chapter 2 opening photo (p 29) reprinted with permission from the National Athletic Trainers’ Association. Chapter 1 opening photo (p 3), Chapter 3 opening photo (p 45), Chapter 14 opening photo (p 301), Chapter 16 opening photo (p 333), Figure 11-4, and images on pp 161 (right), 261, and 304 used under license from iStockphoto.com. Chapter 5 opening photo (p 89) reprinted with permission from University of Wisconsin–Madison Athletic Communications. Chapter 11 opening photo (p 249) reprinted with permission from Matej Kastelic/Shutterstock.