Abstract:
CONTEXT:Hiring athletic trainers (ATs) in high schools may lower medical payments by third-party payers such as Medicaid or commercial insurers by reducing injury risks or may increase medical payments due to more referrals to other health care providers. To date, evidence is lacking on the actual financial effect of high school ATs based on an analysis of medical claims. OBJECTIVE:To assess the overall cost-benefit of hiring ATs in Oregon high schools based on medical claims data across years. DESIGN:Cost-benefit study. SETTING:Oregon public high schools. PATIENTS OR OTHER PARTICIPANTS:Patients aged 14 to 18 years old. MAIN OUTCOME MEASURE(S):We analyzed the 2011-2014 limited dataset from the Oregon Health Authority's All Payer All Claims database. Paired t tests were used to compare claims payments at the zip code level between periods of having and not having ATs in Oregon high schools. We also used the percentage of AT effort to adjust for AT investment. The main outcome measure was the return on investment associated with hiring ATs in high schools. RESULTS:The presence of ATs in Oregon high schools may have had different effects on medical payments for Medicaid and commercial insurance. With every dollar invested in hiring ATs in Oregon public high schools from 2011 to 2014, Medicaid payments increased by 24 cents per month at the zip code level, while commercial insurance payments decreased by 24 cents, although the changes were not statistically significant. CONCLUSIONS:Hiring ATs in an outreach model for high schools may not necessarily generate medical savings for Medicaid or commercial insurers. Further research is needed to determine if the lack of cost savings in our study was a factor of the employment model, resulted from increased health care utilization, or reflected the need for ATs to deliver more on-site AT services.
journal_name
J Athl Trainjournal_title
Journal of athletic trainingauthors
Li T,Norcross MF,Johnson ST,Koester MCdoi
10.4085/1062-6050-390-17subject
Has Abstractpub_date
2019-02-01 00:00:00pages
165-169issue
2eissn
1062-6050issn
1938-162Xjournal_volume
54pub_type
杂志文章abstract:OBJECTIVE:To provide an overview of the continuum of muscular responses that typically occur with joint perturbation. The applications and limitations of surface electromyography (sEMG) in evaluating these responses are also addressed. Research applications assessing sex differences in these neuromuscular response char...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:CONTEXT:Sport specialization has been defined as year-round intensive training in a single sport to the exclusion of other sports. A commonly used survey tool created by Jayanthi et al, which classifies athletes as having a low, moderate, or high level of specialization, categorizes only athletes answering yes to "Have...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-379-18
更新日期:2019-10-01 00:00:00
abstract:CONTEXT:Back pain is common in adolescents. Participation in sports has been identified as a risk factor for the development of back pain in adolescents, but the influence of sports participation on treatment outcomes in adolescents has not been adequately examined. OBJECTIVE:To examine the clinical outcomes of rehabi...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-45.1.61
更新日期:2010-01-01 00:00:00
abstract:CONTEXT: Environmental sustainability efforts are becoming a critical concern in health care. However, little is known regarding how athletic trainers feel about the environment or what can be done to reduce the environmental impact of the practice of athletic training. OBJECTIVE: To examine athletic trainers' attit...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.12.19
更新日期:2017-12-01 00:00:00
abstract:CONTEXT:Ankle sprains are the most common orthopaedic pathologic condition, and more concerning is the high percentage of persons who develop chronic ankle instability (CAI). Researchers have reported that patients with CAI are restricted occupationally, have more functional limitations, and have a poorer health-relate...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-50.3.05
更新日期:2015-07-01 00:00:00
abstract:CONTEXT:Whenever professionals have multiple role obligations in the workplace, they face potential professional role complexities. OBJECTIVE:To examine whether certified athletic trainers (ATs) employed at the collegiate level experienced professional role complexities, and if so, what effect those complexities had u...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-43.4.373
更新日期:2008-07-01 00:00:00
abstract::OBJECTIVE: To measure and compare latency, electromechanical delay, and speed of motor response of the peroneus longus muscle in a large sample of subjects with healthy or unstable ankles. DESIGN AND SETTING: Subjects with healthy or unstable ankles underwent identical test procedures consisting of 6 consecutive, sudd...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:CONTEXT:Deficits in dynamic postural control predict lower limb injury. Differing fatiguing protocols negatively affect dynamic postural control. The effect of high-intensity, intermittent exercise on dynamic postural control has not been investigated. OBJECTIVE:To investigate the effect of a high-intensity, intermitt...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.6.08
更新日期:2015-04-01 00:00:00
abstract:CONTEXT:Neuromuscular dysfunction of the leg and thigh musculature, including decreased strength and postural control, is common in patients with chronic ankle instability (CAI). Understanding how CAI affects specific neural pathways may provide valuable information for targeted therapies. OBJECTIVE:To investigate dif...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-50.4.06
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE: To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND: In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed bas...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-59-16
更新日期:2018-03-01 00:00:00
abstract:CONTEXT:Workplace bullying (WPB) is a series of persistent negative interactions that affect a clinician's ability to perform his or her role. Although WPB has been studied in other health professions, to date, no information exists pertaining to WPB in athletic training. OBJECTIVE:To determine the prevalence of WPB i...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.3.16
更新日期:2014-09-01 00:00:00
abstract::Reference: Dunning J, Batchelor J, Stratford-Smith P, et al. A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child. 2004;89:653-659.Clinical Question: Which clinical signs or symptoms of minor head trauma are predictive of intracranial hemorrhage in children and...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To compare the cooling and rewarming effects of two clinical 20-minute cryotherapy treatments on the temperature of the human leg. DESIGN AND SETTING:Sixteen subjects were randomly treated with either 20 minutes of a 1.8-kg crushed-ice pack, placed directly over the left calf, or a 20-minute immersion in a c...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:To determine the electromyographic (EMG) activity of the vastus medialis oblique (VMO), vastus lateralis (VL), semitendinosus and semimembranosus (ST), and biceps femoris (BF) muscles during 4 elastic-tubing closed kinetic chain exercises in postoperative patients with anterior cruciate ligament (ACL)-reconst...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:CONTEXT:Isokinetic and isotonic resistance training exercises are commonly used to increase strength during musculoskeletal rehabilitation programs. Our study was designed to examine the efficacy of isokinetic and isotonic muscle actions using surface electromyographic (EMG) amplitude-to-work ratios (EMG/WK) and to ext...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:First, we will update recommendations for the prehospital management and care of patients with exertional heat stroke (EHS) in the secondary school setting. Second, we provide action items to aid clinicians in developing best-practice documents and policies for EHS. Third, we provide practical strategies clin...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-0173.20
更新日期:2020-12-08 00:00:00
abstract::OBJECTIVE: Low-level laser therapy (LLLT) has been promoted for its beneficial effects on tissue healing and pain relief. However, according to the results of in vivo studies, the effectiveness of this modality varies. Our purpose was to assess the putative effects of LLLT on healing using an experimental wound model....
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract:CONTEXT:In clinical practice, the range of motion (ROM) of the non involved side often serves as the reference for comparison with the injured side. Previous investigations of non-weight-bearing (NWB) ankle dorsiflexion (DF) ROM measurements have indicated bilateral symmetry for the most part. Less is known about ankle...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.3.40
更新日期:2015-01-01 00:00:00
abstract::The comparative effects of adhesive tape and three semirigid ankle orthoses on ankle functional range of motion were studied on 11 college football athletes. Maximum plantar flexion and maximum dorsiflexion were measured under five conditions to determine functional range of motion. Testing conditions included: contro...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract:CONTEXT:Among US collegiate soccer players, the incidence rate and the event characteristics of hamstrings strains differ between sexes, but comparisons in the return-to-participation (RTP) time have not been reported. OBJECTIVE:To compare the RTP time between male and female collegiate soccer players and analyze the ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1052-6050-50.2.12
更新日期:2015-07-01 00:00:00
abstract:CONTEXT:Surgical repair of the ruptured distal biceps brachaii tendon is an effective treatment in injured patients. Timing of surgery is considered an important factor when managing these patients. OBJECTIVE:To compare our outcomes after distal biceps tendon acute (at 4 weeks or less) or chronic (greater than 4 weeks...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-48.1.10
更新日期:2013-01-01 00:00:00
abstract:CONTEXT:Increased rates of sport participation and sport-related injury have led to greater emphasis on and attention to medical care of student-athletes in the secondary school setting. Access to athletic training services is seen as a critical factor for delivering adequate injury prevention and medical care to stude...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-48.4.04
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:To review 16 years of National Collegiate Athletic Association (NCAA) injury surveillance data for men's football and identify potential areas for injury prevention initiatives. BACKGROUND:Football is a high-velocity collision sport in which injuries are expected. Football tends to have one of the highest in...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract:CONTEXT:Sudden cardiac death (SCD) is a relatively rare yet unfortunate risk of athletic participation. To reduce the incidence of SCD, electrocardiogram (ECG) use during athletic preparticipation examinations (PPEs) has been proposed to detect underlying cardiac abnormalities. OBJECTIVE:To estimate the effectiveness ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-45.3.265
更新日期:2010-05-01 00:00:00
abstract:CONTEXT:Greater musculotendinous stiffness may enhance spinal stretch reflex sensitivity by improving mechanical coupling of the muscle spindle and the stretch stimulus. This heightened sensitivity would correspond with a shorter latency and higher-amplitude reflex response, potentially enhancing joint stability. OBJE...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-43.1.29
更新日期:2008-01-01 00:00:00
abstract:CONTEXT: :The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of data for girls' and women's field hockey injuries. OBJECTIVE: :To describe the ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-173-17
更新日期:2018-10-01 00:00:00
abstract::OBJECTIVE: To describe a treatment strategy for paradoxical vocal-cord dysfunction (PVCD) as it applies to an athletic population. BACKGROUND: Paradoxical vocal-cord dysfunction has been identified as a cause of dyspnea and stridor in athletes. The basic element of PVCD is an inappropriate closure of the vocal cords d...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract:CONTEXT:Ankle sprains are common problems in acute medical care. The variation in treatment observed for the acutely injured lateral ankle ligament complex in the first week after the injury suggests a lack of evidence-based management strategies for this problem. OBJECTIVE:To analyze the effectiveness of applying res...
journal_title:Journal of athletic training
pub_type: 杂志文章,meta分析,评审
doi:10.4085/1062-6050-47.4.14
更新日期:2012-07-01 00:00:00
abstract:CONTEXT:Clinicians should consider multiple factors when estimating tissue-heating rates. OBJECTIVE:To report 3 separate occurrences of blisters during an ultrasound treatment experiment. BACKGROUND:While we were conducting a research experiment comparing the measurement capabilities of 2 different intramuscular temp...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract::OBJECTIVE: To examine the influences of clinician technique on performance and interpretation of the Lachman test. DESIGN AND SETTING: Blinded, controlled, and randomized-block design clinical study conducted in an athletic training laboratory classroom. SUBJECTS: Twenty-two certified athletic trainer clinicians and 1...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00