twenty five year summary report of the athletic training department kim blackburn lat, atc msed head...
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Twenty Five Year Twenty Five Year Summary Report of Summary Report of
the Athletic Training the Athletic Training DepartmentDepartment
Kim Blackburn LAT, ATC Kim Blackburn LAT, ATC MSEdMSEd
Head Athletic TrainerHead Athletic Trainer
Strongsville High SchoolStrongsville High School
0
1000
2000
3000
4000
5000
6000
7000
8000
# of Athletes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
Athlete's Visits in the Athletic Training Room
New Sports Teams since New Sports Teams since 19851985
• ““88 – 89”88 – 89”– Girl’s SoccerGirl’s Soccer
• ““92 – 93”92 – 93”– Boy’s SwimmingBoy’s Swimming– Girl’s SwimmingGirl’s Swimming
• 2000 – 20012000 – 2001– HockeyHockey– DanceDance
• 2009 – 20102009 – 2010– Club RugbyClub Rugby
Increase in AthletesIncrease in Athletes
• 1998 – 19991998 – 1999– Addition of ninth graders to High SchoolAddition of ninth graders to High School– Additional Ten Freshmen teamsAdditional Ten Freshmen teams– Increased size to Boy’s & Girl’s Increased size to Boy’s & Girl’s
• Cross CountryCross Country• Track & FieldTrack & Field
• This past year 833 athletes This past year 833 athletes participating in sportsparticipating in sports
Football VisitsFootball Visits
0
500
1000
1500
2000
2500
# of Athletes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
Training Room Visits: Football & Volleyball
FB VB
Cheerleaders VisitsCheerleaders Visits
0
20
40
60
80
100
120
# of Athletes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
Athletic Training Room Visits: Cheerleaders & SwimmingCHEER SWIM
Gymnastic VisitsGymnastic Visits
0
200
400
600
800
1000
1200
# of Athletes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
Athletic Training Room Visits: Gymnastics & Wrestling GYM WR
Boy’s & Girl’s SoccerBoy’s & Girl’s Soccer
0
100
200
300
400
500
600
700
800
# of Athletes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
Athletic Training Room Visits: Boy's & Girl's Soccer BSOC GSOC
Student VisitsStudent Visits
0
5
10
15
20
25
30
35
40
# of persons
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
Training Room Visits: Students, Others & Dance STUDENTS Others DANCE
Gender VisitsGender VisitsAthlete Visits in the Athletic Training Room
0
1000
2000
3000
4000
5000
6000
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
# of Athletes
Male Female
Gender VisitsGender Visits
41%
59%
Male Females
Evaluations Evaluations
• Most Important & demanding functionMost Important & demanding function• Time consumingTime consuming• Require a vast knowledge of human Require a vast knowledge of human
bodybody• Healthcare provider that is an Healthcare provider that is an
inquisitive investigatorinquisitive investigator• Performed on athletes that miss time Performed on athletes that miss time
or need rehab or treatment or need rehab or treatment
EvaluationsEvaluations
0
100
200
300
400
500
600
Num
ber of
Ath
lete
s
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
25 Year History of Recorded Evaluation and Referrals
Evaluations Referrals
Injury Evaluations Injury Evaluations InfluencedInfluenced
• Controlled Variables:Controlled Variables:– EquipmentEquipment– ConditioningConditioning– TechniquesTechniques
• Uncontrolled Variables:Uncontrolled Variables:– Field conditionsField conditions– WeatherWeather– Athlete’s dietAthlete’s diet
Injury EvaluationsInjury Evaluations
• Averaged 31 a month (based 12month period)Averaged 31 a month (based 12month period)• Average cost of a evaluation $125Average cost of a evaluation $125• Total cost per month = over $3,800Total cost per month = over $3,800• Projects to yearly cost savings of over $45,000Projects to yearly cost savings of over $45,000• Does not include following services provided:Does not include following services provided:
– Splinting, crutch fitting/use, immobilizations (sling)Splinting, crutch fitting/use, immobilizations (sling)• Average 12 referrals month or 149 yearlyAverage 12 referrals month or 149 yearly
– Total also includes athletes seen by Team Physician Total also includes athletes seen by Team Physician in Athletic Training Room at no additional cost.in Athletic Training Room at no additional cost.
RehabilitationsRehabilitations
• Today’s Health CareToday’s Health Care– Resulted in shorter hospital staysResulted in shorter hospital stays– Reduced access to adjunct servicesReduced access to adjunct services– Students are being referred early to our Students are being referred early to our
carecare• Increasing the importance of rehabilitation Increasing the importance of rehabilitation
• Rehabilitations have almost tripled Rehabilitations have almost tripled – Due to increase size of facilitiesDue to increase size of facilities– Proximity of the Athletic Training Proximity of the Athletic Training
Room/Weight RoomRoom/Weight Room– State of the art equipmentState of the art equipment
RehabilitationRehabilitation
• Involves the Licensed Athletic TrainerInvolves the Licensed Athletic Trainer– Instructing or guiding the athleteInstructing or guiding the athlete
• Individualized flexibility, ROM, strengthening, Individualized flexibility, ROM, strengthening, manual and/or cardiovascular exercises.manual and/or cardiovascular exercises.
• Average cost of technique $75Average cost of technique $75• Monthly average (last 5 years) 205Monthly average (last 5 years) 205• Monthly cost of over $15,000Monthly cost of over $15,000• Yearly cost savings of over $184,000Yearly cost savings of over $184,000
RehabilitationsRehabilitations
0
500
1000
1500
2000
2500
3000
Nu
mb
er o
f R
ehab
Tec
hn
iqu
es
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
25 Year History of Athletic Training Room Rehabilitations
TreatmentsTreatments
• Involves the Licensed Athletic TrainerInvolves the Licensed Athletic Trainer– Applying modalitiesApplying modalities
• Hot/cold or contrasting whirlpoolsHot/cold or contrasting whirlpools• Ice cup massageIce cup massage• Ice bagsIce bags• UltrasoundUltrasound• Muscle stimulationMuscle stimulation• T.E.N.S.T.E.N.S.• Hot Hydrollator PacksHot Hydrollator Packs• MassageMassage• Debridement of woundsDebridement of wounds• Trimming of callusesTrimming of calluses
TreatmentsTreatments
• Average cost $100Average cost $100• Monthly average is 301(25 year Monthly average is 301(25 year
period)period)• Cost of over $30,000 monthCost of over $30,000 month• Over $361,000 annually cost savingsOver $361,000 annually cost savings
TreatmentsTreatments
0
1000
2000
3000
4000
5000
6000
Nu
mb
er o
f A
thle
tes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
25 Year History of Athletic Training Room Treatments
StrappingsStrappings
• Involves the Licensed Athletic Trainer Involves the Licensed Athletic Trainer applying adhesive tape, bandages, and/or applying adhesive tape, bandages, and/or customizing pads or splints.customizing pads or splints.
• Decreased over the yearsDecreased over the years– Due to better rehab & improved bracingDue to better rehab & improved bracing
• Average cost of material/labor $15Average cost of material/labor $15• Averaged 166 a month (Past 2009-2010)Averaged 166 a month (Past 2009-2010)• Cost of $2,490 a monthCost of $2,490 a month• Cost savings of over $29,000 annuallyCost savings of over $29,000 annually
StrappingsStrappings
0
1000
2000
3000
4000
5000
6000
Nu
mb
er o
f A
thle
tes
85-86
86-87
87-88
88-89
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
School Years
25 Year History of Athletic Training Room Strappings
SIMS: Sports Injury SIMS: Sports Injury Management SystemManagement System
• Computer injury reporting systemComputer injury reporting system• Started using in 1995Started using in 1995
– Part of National High School Sport Injury RegistryPart of National High School Sport Injury Registry• Software was free (saving $1500)Software was free (saving $1500)• 1995 – 19991995 – 1999
• Now we pay only for software updatesNow we pay only for software updates• Utilized to write injury reports & document Utilized to write injury reports & document
physician visitsphysician visits– Allows for tracking of body part Allows for tracking of body part
injuries/frequenciesinjuries/frequencies– Injuries by sports and by venuesInjuries by sports and by venues
• Due to the size of our database there are Due to the size of our database there are limitationslimitations
InjuriesInjuries
• Most frequently injured: ankleMost frequently injured: ankle• 13 of 23 sports13 of 23 sports
Injuries & Illness in All Injuries & Illness in All SportsSports
Practice48%
Game27%
Other18%
Not Team Related
7%
Injuries & Illness in Ice Injuries & Illness in Ice HockeyHockey
Game65%
Practice15%
Other12%
Not Team Related
8%
Head InjuriesHead Injuries
• Greater incidenceGreater incidence– Coincides w/ increased Coincides w/ increased
education/researcheducation/research– Reported more due to greater awareness?Reported more due to greater awareness?– Number One injured area in Ice HockeyNumber One injured area in Ice Hockey– Second leading Injury in FootballSecond leading Injury in Football– In the top three of areas injured for:In the top three of areas injured for:
• Boy’s BasketballBoy’s Basketball• Girl’s BasketballGirl’s Basketball• WrestlingWrestling
25 Year Cost Analysis25 Year Cost Analysis
25 year totals:
Est. Average Cost of Service Total Cost Savings
Treatments: 86686 $100.00 $8,668,600.00
Strappings: 87935 $15.00 $1,319,025.00
Rehabilitations: 30812 $75.00 $2,310,900.00
Evaluations: 8815 $125.00 $1,101,875.00
$13,400,400.00
Benefits to SCSBenefits to SCS
• Reduced risk of liabilityReduced risk of liability• Risk preventionRisk prevention• Enhanced public relationsEnhanced public relations• CPR training since 1999CPR training since 1999
– Currently 596 certifiedCurrently 596 certified• Saving $27,000 for trainingSaving $27,000 for training
• Coaches Pupil Activity Training Since Coaches Pupil Activity Training Since 19941994– Currently trained 356Currently trained 356
• Saving $8,900 for trainingSaving $8,900 for training
SHS WrestlersSHS Wrestlers
• 3 Licensed Athletic Trainers3 Licensed Athletic Trainers– Also Master Assessors for OHSAAAlso Master Assessors for OHSAA– Alpha Weight Assessments since 2006Alpha Weight Assessments since 2006– Certified 233 Strongsville WrestlersCertified 233 Strongsville Wrestlers
• Current cost is $15 per wrestlerCurrent cost is $15 per wrestler– Saving $3,500Saving $3,500
Strongsville High SchoolStrongsville High School
• Scratched the surface of the multifaceted Scratched the surface of the multifaceted programsprograms
• Appropriate medical care availableAppropriate medical care available• Standard of careStandard of care• Depend on itDepend on it• Thrive because of itThrive because of it• Envy of many & positive public relation toolEnvy of many & positive public relation tool• School leaders have had the foresight to School leaders have had the foresight to
provide for such services to their provide for such services to their community & leaders of tomorrow.community & leaders of tomorrow.