Journal of Athletic Training最新文献

{"title":"Non-linear interactions of lower limb clinical measures associated with asymptomatic Achilles tendon pathology in ballet dancers.","authors":"Bruna M Tessarin, Ebonie K Rio, Larissa R Souto, Guilherme S Nunes, Luciana de M Mendonça, Fábio V Serrão","doi":"10.4085/1062-6050-0275.24","DOIUrl":"https://doi.org/10.4085/1062-6050-0275.24","url":null,"abstract":"<p><strong>Context: </strong>Tendon abnormalities on imaging are commonly observed in individuals with Achilles tendinopathy. Those abnormalities can also be present in asymptomatic individuals, which is an important risk factor for developing tendon symptoms. Ballet dancers are particularly vulnerable due to the high loads placed on their Achilles tendons. Understanding the relationship between clinical measures and tendon abnormality is essential for this population.</p><p><strong>Objective: </strong>To investigate the predictive value of clinical measures for identifying Achilles tendon abnormality in asymptomatic ballet dancers using a non-linear statistical analysis.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Dance company facility and research laboratory.</p><p><strong>Patients: </strong>Thirty-five asymptomatic professional and amateur ballet dancers enrolled (23 female/12 male).</p><p><strong>Main outcome measures: </strong>Presence of Achilles tendon abnormality were investigated using grey-scale ultrasound. Tendons were classified as having abnormality if presenting fusiform shape and/or hypoechoic areas. Clinical measures assessed were foot pronation, ankle dorsiflexion angle, hip, knee, and ankle isometric torque, and standing calf endurance. CART analysis was used to explore nonlinear interactions among clinical measures and their role in identifying tendon abnormality.</p><p><strong>Results: </strong>68 tendons were included in analysis. Structural change was common in asymptomatic dancers, with 80% presenting tendon abnormality. Hip isometric torque, ankle dorsiflexion range of motion, and calf endurance were measures related to tendon abnormality. Interactions between hip torque and ankle dorsiflexion range of motion were statistically associated with presence of tendon abnormality. Increased hip abductor torque was linked to a 59% reduction in the probability of tendon abnormality. 26 The CART model reached proper accuracy (total classification percentage of 83.8%).</p><p><strong>Conclusions: </strong>Hip torque was an important clinical measure related to tendon structure. Assessment of dancers should include the whole lower limb as combination of hip torque and ankle dorsiflexion range of motion accurately identified presence of tendon abnormality.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors That Impact Time to Athletic Trainer Evaluation Following Acute Injury Among Secondary School Athletes: A Report From the Athletic Training Practice-Based Research Network.","authors":"Madison N Renner, Kenneth C Lam, Emily C Srygler, Stephanie N Adler, Jennifer S Chambers, David R Bell","doi":"10.4085/1062-6050-0287.24","DOIUrl":"10.4085/1062-6050-0287.24","url":null,"abstract":"<p><strong>Context: </strong>Immediate athletic trainer (AT) availability for acute injuries is essential as worse long-term outcomes are associated with delays in receiving medical care. Several factors have been found to influence AT availability between secondary schools, but few studies have evaluated how medical coverage varies between athlete groups.</p><p><strong>Objective: </strong>The purpose of this project was to identify factors that impact the time to AT evaluation following acute sport-related injury in a secondary school setting.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Retrospective analysis of deidentified patient records via the Athletic Training Practice-Based Research Network.</p><p><strong>Patients or other participants: </strong>High school athletes diagnosed with an acute sport-related injury during in-season play from 2010 to 2023.</p><p><strong>Main outcome measure(s): </strong>Time to AT evaluation was measured as the number of days between injury onset, reported by the patient, and AT evaluation.</p><p><strong>Results: </strong>This report consists of 17 354 patient cases representing 20 different sports. Overall, 46.9% (n = 8138) of patients who sustained an injury during in-season play were evaluated by an AT the same day (range, 0-14 days). Significant group differences were reported for sex (P < .001), setting (P < .001), and sport level (P < .01), with female athletes and in-game injuries associated with longer times to AT evaluation. Freshmen were evaluated sooner than junior varsity (P < .01) and varsity (P < .001) athletes. No difference was observed between junior varsity and varsity athletes (P = .34).</p><p><strong>Conclusions: </strong>Almost half of patients received medical care within 24 hours following an acute injury during in-season play, highlighting how qualified health care is accessible for many student-athletes through ATs in the secondary school setting. Differences in time to AT evaluation may be attributable to sex discrepancies in immediate medical coverage between sports and injury reporting patterns among athletes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"29-33"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Look to the Future, but First a Look Back at Our Past.","authors":"Stephanie M Singe","doi":"10.4085/1062-6050-1201.24","DOIUrl":"10.4085/1062-6050-1201.24","url":null,"abstract":"","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":"60 1","pages":"1-2"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Rehydration Beverages for Treating Exercise-Associated Dehydration: A Systematic Review, Part II. The Effectiveness of Alternatives to Carbohydrate-Electrolyte Drinks.","authors":"Niels De Brier, Vere Borra, David C Berry, David Zideman, Eunice Singletary, Emmy De Buck","doi":"10.4085/1062-6050-0686.22","DOIUrl":"10.4085/1062-6050-0686.22","url":null,"abstract":"<p><strong>Objective: </strong>Dehydration associated with exertion is a commonly encountered condition in the first aid setting, particularly at outdoor sporting events. Part I of this systematic review demonstrated that commercial sports drinks can be suggested for effective restoration of fluid balance in dehydrated people. In part II, we perform a systematic review to compare alternative liquids, such as cow's milk, beer, and coconut water, with water for effective oral rehydration after prolonged exercise.</p><p><strong>Data sources: </strong>Cochrane Library, MEDLINE via the PubMed interface, and Embase databases were searched up until June 1, 2022.</p><p><strong>Study selection: </strong>Controlled experimental and observational studies involving adults and children were included when dehydration was induced by physical exercise and oral rehydration fluids were administered and compared with regular water. No additional food intake accompanied the rehydration drinks or water. Articles in all languages were included if an English abstract was available.</p><p><strong>Data extraction: </strong>Study design, study population, intervention, outcome measures, and study limitations were extracted from each included article.</p><p><strong>Data synthesis: </strong>Of 3485 articles screened, 11 articles in which authors compared skim or low-fat cow's milk, coconut water, or beer (0%-5% alcohol) with water were included. Authors of 4 studies showed that drinking skim or low-fat milk, without additional food intake, led to improved volume/hydration status compared with drinking water. Authors of 3 trials showed no differences at multiple times for outcomes related to volume/hydration status after rehydration with fresh coconut water compared with water. Evidence to recommend beer (0%-5% alcohol) for rehydration is insufficient.</p><p><strong>Conclusions: </strong>Consuming skim or low-fat cow's milk without additional food intake as compared with water appears to improve volume/hydration status in people with exercise-induced dehydration. However, evidence is of very low certainty and should be interpreted with caution.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"55-69"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive-Motor Dual-Task Performance of the Landing Error Scoring System.","authors":"Madison McWethy, Grant E Norte, David M Bazett-Jones, Amanda M Murray, Justin L Rush","doi":"10.4085/1062-6050-0558.23","DOIUrl":"10.4085/1062-6050-0558.23","url":null,"abstract":"<p><strong>Context: </strong>The Landing Error Scoring System (LESS) is a common assessment used to determine biomechanical landing errors. However, this assessment is completed as a single motor task, which does not require additional attentional resources. It is unclear if the LESS can be used to detect cognitive-motor interference (ie, dual-task cost) in biomechanical errors associated with lower extremity injury.</p><p><strong>Objective: </strong>To determine if the LESS is a suitable clinical assessment of dual-task performance in uninjured women and to evaluate whether specific landing criteria are more affected by an additional cognitive load than others.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>University research laboratory.</p><p><strong>Patients or other participants: </strong>A total of 20 uninjured, physically active female participants (age = 22.4 ± 2.5 years, height = 1.68 ± 0.07 m, mass = 67.0 ± 13.8 kg, Tegner Activity Scale = 5.9 ± 1.1).</p><p><strong>Intervention(s): </strong>Participants performed the LESS under 3 different conditions: baseline landing with no cognitive distraction (Single), a visual-based dual task (Visual), and a number-based dual task (Number).</p><p><strong>Main outcome measures(s): </strong>Mean sagittal-plane, frontal-plane, and total LESS scores were compared between conditions using a 1-way repeated-measures analysis of variance with Tukey post hoc correction. A Cohen d effect size with a 95% confidence interval was used to determine the magnitude of differences. The frequency of errors for each LESS item under the 3 conditions was compared using χ2 analysis.</p><p><strong>Results: </strong>Participants exhibited greater sagittal-plane (P = .02, d = 0.91; 95% confidence interval, 0.26-1.56) and total (P = .008, d = 1.03; 95% confidence interval, 0.37-1.69) errors during the Visual condition than during the Single condition. The frequency of errors observed for each LESS item did not differ between conditions (all P > .05).</p><p><strong>Conclusions: </strong>The LESS was able to detect a dual-task cost in landing errors during both the Visual conditions. We recommend developing clinically oriented solutions to incorporate similar dual-task paradigms in traditional injury risk-reduction programs.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"21-28"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Athletic Trainer Access, Socioeconomic Status, and Race and Ethnicity in United States Secondary Schools.","authors":"Matthew J Rivera, Adrienne Willis, Omar Ramos, Justin P Young, Eliza W Barter, Eric G Post, Lindsey E Eberman","doi":"10.4085/1062-6050-0135.24","DOIUrl":"10.4085/1062-6050-0135.24","url":null,"abstract":"<p><strong>Context: </strong>Authors of extensive research have exposed health care disparities regarding socioeconomic status (SES) and race and ethnicity demographics. Previous researchers have shown significant differences in access to athletic training services (athletic trainer [AT] access) in the secondary school setting based on SES, but with limited samples.</p><p><strong>Objective: </strong>To investigate differences in AT access based on race and ethnicity and SES on a national scale.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Database study using secondary analysis. Data were collected from the National Center for Education Statistics, Athletic Training Location and Services database, and US Census Bureau.</p><p><strong>Patients or other participants: </strong>A total of 10 983 public schools.</p><p><strong>Main outcome measure(s): </strong>Descriptive data were summarized by measures of central tendency. A 1-way analysis of variance determined differences between school characteristics (median household income, percentage of students eligible for free and reduced lunch, percentage of White students, and percentage of non-White students) based on AT access: full-time (FT-AT), part-time (PT-AT), and no AT (no-AT). A Bonferroni pairwise comparison was used for variables with significant main effects.</p><p><strong>Results: </strong>Across all schools included in the study, 43.8% had no-AT (n = 4812), 23.5% had PT-AT access (n = 2581), and 32.7% had FT-AT access (n = 3590). Significant effects were found between AT access and median household income (P < .001), the percentage of students eligible for free and reduced lunch (P < .001), the percentage of White students (P < .001), and the percentage of non-White students (P < .001). Schools with FT-AT access had a higher SES than PT-AT and no-AT schools. Significant differences existed between AT access groups and the race and ethnicity of schools. Schools with FT-AT access had a significantly lower percentage of non-White students (31.3%) than schools with no-AT (46.0%; P < .001). No significant differences between FT-AT and PT-AT access based on race and ethnicity demographics presented (P ≥ .13).</p><p><strong>Conclusions: </strong>Schools with higher SES had greater AT access, whereas schools with a higher percentage of non-White students were more likely to have no AT access, demonstrating the disparities in health care extends to athletic health care as well. To increase AT access, future initiatives should address the inequities where larger minority populations and counties of lower SES exist.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"82-87"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Newly Credentialed Athletic Trainers' Onboarding Process During the Transition to Practice.","authors":"Ashley B Thrasher, Stacy E Walker, Julie M Cavallario","doi":"10.4085/1062-6050-0073.24","DOIUrl":"10.4085/1062-6050-0073.24","url":null,"abstract":"<p><strong>Context: </strong>As new athletic trainers (ATs) transition into their roles, some employers provide orientation and onboarding to assist with the transition to practice. Research in which authors outline the ideal onboarding process for new ATs transitioning to practice is lacking.</p><p><strong>Objective: </strong>To examine the onboarding process for new ATs.</p><p><strong>Design: </strong>Grounded theory.</p><p><strong>Setting: </strong>College or university, secondary school, and hospital or clinic.</p><p><strong>Patients or other participants: </strong>Seventeen newly credentialed, employed ATs who recently graduated from professional masters' programs (11 female, 6 male; 25.6 ± 2.2 years) and 12 employers (6 female, 6 male; years in role supervising new ATs: 8.5 ± 4.9) participated in this study.</p><p><strong>Data collection and analysis: </strong>Participants were recruited via purposive sampling. Each participant was interviewed via phone using a semistructured interview guide. Employees were interviewed approximately 3, 6, 9, and 13-15 months after beginning employment. Employers were interviewed 1 time. Data saturation guided the number of participants. Data were analyzed through grounded theory, with data coded for common themes and subthemes. Trustworthiness was established via peer review, member checks, and multianalyst triangulation.</p><p><strong>Results: </strong></p><p><strong>Conclusions: </strong>Onboarding is vital in transitioning to practice for newly credentialed ATs, as it provides support and helps new employees understand and adapt to their roles. Onboarding should go beyond initial orientation and include regular meetings with supervisors, other ATs, and site visits to provide feedback and ensure new ATs adapt to their roles. New ATs should seek support from supervisors and local ATs to help better understand their role.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"70-81"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Rehydration Beverages for Treating Exercise-Associated Dehydration: A Systematic Review, Part I. Carbohydrate-Electrolyte Solutions.","authors":"Vere Borra, Niels De Brier, David C Berry, David Zideman, Eunice Singletary, Emmy De Buck","doi":"10.4085/1062-6050-0682.22","DOIUrl":"10.4085/1062-6050-0682.22","url":null,"abstract":"<p><strong>Objective: </strong>Exercise-associated dehydration is a common problem, especially at sporting events. Although recommendations have been made to drink a certain volume per kilogram body mass lost after exercise, no clear guidance about the type of rehydration beverage is available. We conducted a systematic review to assess the effectiveness of carbohydrate-electrolyte (CE) solutions as a rehydration solution for exercise-associated dehydration.</p><p><strong>Data sources: </strong>MEDLINE (via the PubMed interface), Embase, and the Cochrane Library databases were searched up until June 1, 2022.</p><p><strong>Study selection: </strong>Controlled trials involving adults and children were included when dehydration was the result of physical exercise and when drinking carbohydrate-electrolyte solutions, of any percentage carbohydrate, was compared with drinking water. All languages were included if an English abstract was available.</p><p><strong>Data extraction: </strong>Data on study design, study population, interventions, outcome measures, and study limitations were extracted from each included article. Certainty was assessed using Grading of Recommendations Assessment, Development and Evaluation.</p><p><strong>Data synthesis: </strong>Of 3485 articles screened, 19 articles in which authors assessed CE solutions (0%-9% carbohydrate) compared with water were included. Although variability was present among the identified studies, drinking 0% to 3.9% and especially 4% to 9% CE solution may be effective for rehydration.</p><p><strong>Conclusions: </strong>A potential beneficial effect of drinking CE drinks compared with water was observed for many of the reviewed outcomes. Commercial CE drinks (ideally 4%-9% CE drinks or alternatively 0%-3.9% CE drinks) could be suggested for rehydration in individuals with exercise-associated dehydration when whole foods are not available.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"34-54"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual and Combined Effects of Sport-Related Concussion and Anterior Cruciate Ligament Injury on Neurocognitive and Neuromechanical Reaction Time.","authors":"Ryan N Moran, Dustin R Grooms","doi":"10.4085/1062-6050-0369.24","DOIUrl":"10.4085/1062-6050-0369.24","url":null,"abstract":"<p><strong>Context: </strong>Recent epidemiological data have indicated a potential connection between sport-related concussion (SRC) and elevated anterior cruciate ligament (ACL) injury risk. Limited research exists in which authors have quantified cognitive and motor outcome measures between SRC and ACL injury history.</p><p><strong>Objective: </strong>To examine the individual and combined effects of a history of SRC and ACL injury and reconstruction (ACLR) on neurocognitive and neuromechanical function.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Research laboratory.</p><p><strong>Patients or other participants: </strong>Forty-seven recreationally active college individuals with either an injury history of SRC (n = 12), ACLR (n = 12), combination of SRC + ACLR (n = 11), or uninjured controls (n = 12).</p><p><strong>Main outcome measure(s): </strong>Participants completed a neurological battery using the C3 Logix application and TRAZER system for neuromechanical reaction time (RT). C3 Logix subtests consisted of the Trail Making Test (TMT) A, B, and B - A; simple and choice RT; and processing speed. TRAZER subtests consisted of simple, Flanker-task, and Stroop-task RT. Participants were categorized into 3 group comparisons of either (i) SRC, ACLR, SRC + ACLR, and controls, (ii) any or no SRC overall, or (iii) any or no ACLR overall.</p><p><strong>Results: </strong>No differences were demonstrated between SRC, ACLR, SRC + ACLR, and controls on TMT (P = .07-.14), neurocognitive (P = .14-.93), or neuromechanical (P = .64-.99) performance. Those with any SRC had slower TMT B - A times (P = .03), while those with any ACLR had slower TMT A (P = .02) times than those with no ACLR. No differences were noted for the TRAZER simple, Flanker, or Stroop RT for any or no SRC and ACLR groups.</p><p><strong>Conclusions: </strong>College students with a combined effect of SRC and ACLR did not differ from other groups on neurocognition and neuromechanical RT. Individuals with a history of SRC or ACLR had a worse TMT, leading to inquiry about potential long-term neurological deficits, despite no differences in those with a combined history.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"3-10"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Working With and Through Athletic Trainers to Meet Student-Athletes' Mental Performance and Mental Health Needs.","authors":"Morgan Eckenrod, Melissa K Kossman","doi":"10.4085/1062-6050-0132.24","DOIUrl":"10.4085/1062-6050-0132.24","url":null,"abstract":"<p><p>Recently, the National Collegiate Athletic Association (NCAA) has placed more attention on the mental health of student-athletes because they are experiencing mental health challenges at a higher rate than their nonathlete peers. This led the NCAA to create a mental health initiative that encouraged athletic departments to hire a mental health professional to meet the psychological needs of student-athletes. Over the last 7 years, we have seen an increase in the number of psychological providers hired in NCAA Division I athletics to meet the varying needs of student-athletes. However, most universities are only hiring 1 professional to meet the mental health and mental performance needs of student-athletes. Mental health services focus on addressing pathological mental health concerns, whereas mental performance services are designed to assist student-athletes with performance-related challenges (eg, managing performance pressures). In addition to the mental health initiative, the NCAA Transformational Committee published a report that continued to emphasize the importance of meeting the mental health needs of student-athletes but did not acknowledge mental performance services as an essential resource. Therefore, student-athletes' mental performance needs may not be met. In this paper, we call on athletic trainers to assist in advocating for more education about the differences between services and for both mental performance and mental health services to be available to student-athletes. With athletic trainers often having strong relationships with student-athletes and sport-related administrators, foundational training competencies in both mental performance and mental health, and the desire to balance improving health and performance, they are in a unique position to advocate for better educational resources and the inclusion of both mental performance and mental health services to meet the varying psychological needs of student-athletes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":"60 1","pages":"88-91"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}