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High School Athletic Trainer Services for Knee Injuries.

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High school athletes experience many knee injuries, with athletic trainers providing extensive care. Time-loss injuries received significantly more services, highlighting the burden of knee injuries in sports.

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Area of Science:

  • Sports Medicine
  • Epidemiology
  • Athletic Training

Background:

  • High school athletics present a significant risk for musculoskeletal injuries, especially knee injuries.
  • Limited data exist on the specific care athletic trainers provide for these injuries.

Purpose of the Study:

  • To describe the athletic training services provided for high school athletes with knee injuries.
  • To analyze the association between injury type (time-loss vs. non-time-loss) and the number of athletic training services received.

Main Methods:

  • A descriptive epidemiology study was conducted using data from 147 high schools across 26 states.
  • Athletic training facility visits and services for diagnosed knee injuries in student-athletes were recorded over three academic years (2011-2014).
  • Data were analyzed based on sport, and injury status (time-loss [TL] or non-time-loss [NTL]).

Main Results:

  • A total of 28,788 athletic training facility visits and 81,245 athletic training services were documented for 6,797 knee injuries.
  • While most visits were for non-time-loss (NTL) injuries, the majority of services were for time-loss (TL) injuries.
  • Therapeutic activities/exercise constituted the most common service (52.5%), with TL injuries receiving significantly more services (average 34) than NTL injuries (average 9).

Conclusions:

  • Knee injuries represent a substantial healthcare burden in high school sports.
  • Athletic trainers provide extensive evaluation and treatment for these injuries, aligning with recommended management practices.
  • Neuromuscular and therapeutic activities are primary interventions for knee injuries in this population.