Use of the stepwise progression return-to-play protocol following concussion among practicing athletic trainers  

作　　者：Jessica Wallace Tracey Covassin Meghan Lafevor 

机构地区：[1]Department of Kinesiology,Michigan State University [2]Human Performance & Exercise Science Department,Youngstown State University

出　　处：《Journal of Sport and Health Science》2018年第2期204-209,共6页运动与健康科学（英文）

摘　　要：Purpose: The purpose of this study was to determine whether practicing athletic trainers(ATs) were using the stepwise progression to make return-to-play(RTP) decisions after concussion and to determine what factors influenced their decision to use the stepwise progression.Methods: A total of 166 ATs(response rate = 16.6%) completed a 21-item questionnaire that evaluated participant demographics, methods of concussion management, and RTP decision-making using the stepwise progression. Descriptive statistics and a logistic regression were completed to analyze data.Results: Factors such as education level(p = 0.05) and number of concussions treated(p = 0.05) predicted use of the stepwise progression,whereas sex(p = 0.17), employment setting(p = 0.17), state law(p = 0.86), and years practicing(p = 0.17) did not predict whether ATs were following the stepwise progression.Conclusion: The majority of the ATs from this study are employing the stepwise progression to safely return athletes to play after sustaining a concussion. This demonstrates that ATs are providing a standard of care for concussed athletes across various athletic training settings; however,having a graduate degree and treating more concussions per year are predictors of whether an AT follows all steps of the stepwise progression.Purpose： The purpose of this study was to determine whether practicing athletic trainers（ATs） were using the stepwise progression to make return-to-play（RTP） decisions after concussion and to determine what factors influenced their decision to use the stepwise progression.Methods： A total of 166 ATs（response rate = 16.6%） completed a 21-item questionnaire that evaluated participant demographics, methods of concussion management, and RTP decision-making using the stepwise progression. Descriptive statistics and a logistic regression were completed to analyze data.Results： Factors such as education level（p = 0.05） and number of concussions treated（p = 0.05） predicted use of the stepwise progression,whereas sex（p = 0.17）, employment setting（p = 0.17）, state law（p = 0.86）, and years practicing（p = 0.17） did not predict whether ATs were following the stepwise progression.Conclusion： The majority of the ATs from this study are employing the stepwise progression to safely return athletes to play after sustaining a concussion. This demonstrates that ATs are providing a standard of care for concussed athletes across various athletic training settings; however,having a graduate degree and treating more concussions per year are predictors of whether an AT follows all steps of the stepwise progression.

关 键 词：Athletic trainers CONCUSSION Concussion management Graduate degree Return to play Sports medicine Stepwise progression 

分 类 号：G806[文化科学—运动人体科学]