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History of Sports Medicine
Mrs. Marr
Topics of Discussion
 History of athletic training
 The field of sports medicine
 The field of athletic training
 The role of: the student athletic trainer,
the coach, the certified/ licensed
athletic trainer, the team physician, and
other staff members
Introduction
Athletic training is the
prevention,recognition, treatment and
rehabilitation of athletic injuries.
 C. Marr, ATC, LAT (certified and
licensed athletic trainer).
The Field of Sports Medicine
Sports medicine is a generic term that
encompasses many different areas of sports
related to both performance and injury
Areas of sports medicine may include:
1. Athletic training
2. Biomechanics
3. Exercise physiology
4. Physical therapy
5. Sports nutrition
6. Sports Psychology
The Field of Sports Medicine
So what? Why is this important?
The clinical application of the work of
these disciplines is performed to
improve and maintain an individual’s
functional capacities for physical labor,
exercise, and sports.
It also includes the prevention and
treatment of diseases and injuries
related to exercise and sports.
History of Athletic Training
 Reflected mostly in ancient Greece and
roman civilizations.
- The Olympics
- The Gladiators
 Galen, the greatest name in roman
medicine,served as physician at gladiatorial
contests
 Herodicus was consider to be the first sports
medicine physician
History of Athletic Training
 Sports declined after the fall of the roman
empire and remerged in the renaissance
 Athletic training as we know it came into
existence during the late nineteenth century
with the establishment of intercollegiate
athletics in the US
 The growth of athletic training in the US has
mainly followed the growth of American
Football
The Field of Athletic Training
 Athletic training is a sub
specialization of sports medicine
providing a major link between a
sports program and the medical
community for the implementation
of injury prevention, emergency
care, and rehabilitation procedures.
The Field of Athletic Training
 National athletic trainers
association (NATA) was formed
in 1950
 The certified/ licensed athletic
trainer is recognized by the
American Medical Association
(AMA)
Certified Athletic Trainer
ATC
 ATC’s are…
–Board Certified (NATABOC)
–State Licensed (LAT)
–Recognized by the AMA
–Works under the direction of
a licensed physician
Certified Athletic Trainer
ATC
ATC specializes in
Prevention of injuries
Recognition, Evaluation,
immediate care of injuries
Rehabilitation and Care of
injuries
Healthcare administration
Professional development
The Sports Medicine Injury
Prevention Team
The three persons having
the closest relationship to
the athlete are the coach,
the athletic trainer, and
the team physician
The Sports Medicine Injury
Prevention Team
 The athlete and parents also are
involved when and injury occurs
 The Coach is responsible for:




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
Conditioning of the athlete
Equipment (equip manager)
Correct skills & techniques
Apply proper first aid
Environmental factors
The coach coaches and the athletic trainer deals with athletic
training matters
The Sports Medicine Team
Con’t.
 The Certified Athletic Trainer (ATC)
 Qualifications
 Ideally every organized sports program
should have an ATC
 Better title??? Sports therapist or sports
medicine therapist
 Qualifications of a NATA-certified athletic
trainer requires an extensive background of
formal academic preparation and supervised
practical experience in a clinical setting
The Sports Medicine Team
Con’t.
 The ATC’s Functions (6 Domains)
1. Prevention of injury (major goal of athletic
training)
2. Evaluation, Recognition and Assessment of
injuries
3. First Aid and Emergency Care
4. Rehabilitation and Reconditioning
5. Organization
6. Administration
The Sports Medicine Team Con’t.
 ATC employment
 High schools
 Colleges & universities
 Professional teams
 Industrial settings
 Clinics
 Wellness/Fitness Centers
 Military
 Anywhere!
The Sports Medicine Team Con’t.
 The Team Physician
 Must have a full understanding of sport
injuries. Ideally with a background in
sports medicine
 Can be an M.D. or D.O. may be family
physician, pediatricians, internal
medicine, or orthopedic surgeon
 Has the finial authority over the coach and
athletic trainer in health matters
The Sports Medicine Team Con’t.
 The Team Physicians duties
include:
 Seeing that a complete medical history of the athlete
is obtained
 Determine athletes health status by providing a
physical exam
 Diagnosing and treating injuries and illness
 Acting, when necessary, as an instructor to the
athletic trainer, student athletic trainer, coach, etc.
The Sports Medicine Team Con’t.
 The Team Physicians duties
include:
 Attend all games, athletic contests, scrimmages, and practices
when feasible
 Decides when, on medical grounds, athletes should be
disqualified from participation and when they may be permitted
to reenter competition
 Serve as an advisor to the athletic trainer, coach, and when
necessary, as a counselor to the athlete
 Work closely with the school administration, school dentist,
athletic trainer, coach, and health services personnel to promote
and maintain consistently high standards for the care of the
athlete
The Sports Medicine Team Con’t.
A number of support health services may be used by
a sports program. They may include:
 Nurse
 Orthopedist
 Dentist
 Pediatrician
 Podiatrist
 Nutrionist
 Equipment
Personnel
 Biomechanist
 Strength and Conditioning
Coach
 Sports Psychologist
 Physical Therapist
 Exercise Physiologist
 Referee
 Student Athletic Trainers
 Urologist
 Cardiologist
 Neurologist
Is an Athletic Trainer the same thing as a
Personal Trainer or Strength Coach?
NOT EVEN CLOSE!!!!
 The name of our profession is sometimes confusing because Athletic
Trainers don't "train" athletes.
 Athletic Trainers are healthcare providers who provide care for both
athletes and non-athletes alike!
 Athletic Trainers must obtain a license to practice and the nationally
recognized ATC® credential requires at least a bachelors degree from
an accredited program, extensive clinical practice time under the
supervision of credentialed professional, repeated demonstration of
proficiency in over 680 clinical skills, and passing a very rigorous
national certification examination.
 Personal trainers, on the other hand, are fitness professionals and
NOT healthcare professionals.
 There is little or no regulation of their professional practice and there
are very few requirements to obtain a personal training credential
(some of which can be obtained with as little as a weekend course).
 The only similarity between Athletic Trainers and personal trainers
is that both work with athletes, but we do VERY different jobs. If
you are interested in becoming a personal trainer, you should consider
majoring in exercise science.
Athletic Trainers VS Personal Trainers
 A Certified Athletic Trainer is a person
who meets the qualifications set by a
state regulatory board and/or the Board
of Certification, Inc., and practices
athletic training under the direction of a
physician.
 A Personal Trainer is a person who
prescribes, monitors and changes in
individuals specific exercise program in
a fitness or sport setting.
Athletic Trainers VS Personal Trainers
Certified Athletic Trainers:
Personal Trainers:
 Must have at least a bachelor's
degree in athletic training, which is
an allied health profession
 May or may not have higher
education in health sciences
 Must pass a three-part exam
before earning the ATC Credential
 Must keep their skills current by
participating in continuing
education
 Must adhere to practice guidelines
set by one national certifying
agency
 May or may not be required to
obtain certification
 May or May not participate in
continuing education
 May become certified by any
one of numerous agencies that
set varying education and
practice requirements
Athletic Trainers VS Personal Trainers
Daily Duties:
Certified Athletic
Personal Trainers:
 Assess fitness needs and design
Trainers:
appropriate exercise regimens
 Provide physical medicine and
rehabilitation services
 Prevent, assess and treat injuries
(acute and chronic)
 Coordinate care with physicians
and other allied health providers
 Work in schools, colleges,
professional sports, clinics,
hospitals, corporations, industry,
and military settings
 Work with clients to achieve
fitness goals
 Help educate the public about the
importance of physical activity
 Work in health clubs, wellness
centers and various other
locations where fitness activities
take place
PHYSICIAN ASSISTANT
 Physician assistants (PA) are licensed
health care professionals that practice
medicine with physician supervision.
 PAs
– conduct physical exams,
– diagnose and treat illnesses,
– order and interpret tests,
– counsel on preventive health care,
– assist in surgery,
– and write prescriptions.
PHYSICAL THERAPIST
 Physical therapists (PTs) are health care
professionals who diagnose and treat
individuals of all ages, from newborns to the
geriatric population.
 PTs examine each individual and develop a
plan using treatment techniques to promote
the ability to move, reduce pain, restore
function, and prevent disability.
The Role of the Student Athletic
Trainer
 What is the role as a student
athletic trainer (student assistant)?
 Assist the ATC with daily tasks
–Treatment log
–Taping athletes
–Stock tables, cabinets, and bags
–Hydrate athletes at practice
–Prepare for rehabilitation procedures
The Role of the Student Athletic
Trainer
 Relay information to injured
athletes in a “Lingo” they can
understand
 Student athletic trainers can only
function under the direct
supervision of an ATC or LAT
Summary
 What is Athletic Training?
 Where did Athletic Training/Sports Medicine
start?
 What are the roles of the ATC, Coach, and
Team Physician?
 What are some other occupations that may
assist the sports medicine team?
 Where might you find employment as an
ATC?
 What is the role of the student athletic
trainer and list some of their duties.
QUESTIONS / COMMENTS?