Unit 2: Health Care Organization and Administration in Athletic Training
What should one do to organize and operate an athletic training room?
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Development of Policies & Procedures
New Vocab Words
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Policies o Clear and accurate written out statements of basic rules
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Procedures o Describes the process by which something is done
Creating Policies & Procedures
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Using the white board, create 3 policies & 2 procedures for an athletic training room
Issues Specific to Athletic Training Program Operations
Scoop of the Program
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Who ____________________________ the program? o What Athletes, the Institution and/or the Community o Dependent on staff
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The Athlete o _______________________ or seasonal o During summer and school vacations o Just during competitive season
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The Institution o __________________________________________________ medically
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Non-athletes, other school’s athletes, faculty, club athletes o What are the legalities
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The Community o Any outside groups beyond the institution o Legal use o Abuse of services/ supplies
Providing Coverage
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_______________________________
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Facility hours and sports coverage
Facility Personal Coverage
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Hours the ATC will be ____________________ (contracted) o College 6 am- 11 pm o High School-
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Outreach (2 pm-6pm)
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On staff/ teacher

Sports Coverage
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Certified athletic trainer _______________________________ practices and games dependent on personnel o Potential risks & number of participants
Hygiene & Sanitation
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Essential for an athletic training program
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The athletic training clinic, field of play and the athlete
The Athletic Training Clinic
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Policies set forth by ____________________ (Occupational Safety & Health
Administration) due to blood and bacteria
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Division of responsibilities of maintenance crew and sports medicine staff
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__________________, no food, etc.
Field of Play/ Practice
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____________________________ o Floors and Mats cleaned daily (wrestling)
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Equipment and clothing o Clothing and equipment laundering o Appropriate equipment for weather conditions o Use of clean dry towels
Athlete
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________________________________ health and hygiene is critical o Prompt injury and illness reporting o Showering after practice o Avoid sharing clothes and towels o Avoid common drinking sources o Avoid contact with athletes with contagious disease or infection
Emergency Telephones
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Accessibility to phones in all major areas of activity
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Landline in case wireless is interrupted
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Radios, cell and digital phones provide a great deal of flexibility
Why do we need a budget?
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Budgetary Concerns
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Size of budget???
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Different settings (high school, college)= different size budgets
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______________________ process o Prioritizing, Planning, Documenting, & Evaluating o Yearly _________________ (count of supplies)

Supplies and Equipment
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Items that ____________________ in the athletic training room to function and treat patients
New Vocab Words
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Expendable Supplies: o Supplies that cannot be reused
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Nonexpendable: o Supplies that can be reused
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Non-consumable Capital Equipment: o Items that can be used for multiple years & not usually removed from the athletic training clinic
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Capital Equipment: o Equipment used for multiple years/ seasons and can be removed from the athletic training clinic
How do you think an ATC (certified athletic trainer) buys all the equipment and supplies
(purchasing systems)?
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New Vocab Words
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Direct Buy o Going straight to a vendor and making an order
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Competitive Bidding o Getting multiple bids and buying the least expensive
Developing a Risk Management Plan
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The ATC with administration is _________________________ for developing a plan
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Includes: o Security o Fire Safety o Electrical & Equipment Safety o Emergency Action Plan
Security Issues
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__________________________ to training clinic (staff, physicians, athletic training students)
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Students must be __________________________
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Coaches may have access in secondary school settings (keys)
Fire Safety
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Post evacuation plan in case of fire
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Smoke detectors/alarm system and fire extinguisher should be tested and in place

Electrical Equipment Safety
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Major concern (_____________)
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Be aware of power distribution system to avoid accidents
Emergency Action Plan
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Accessing emergency personnel in the event of emergency
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Include _____________________________ of athletes to emergency facilities
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Meeting with outside personnel to determine roles and rules regarding athlete and equipment care
Designing an Athletic Training Clinic
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Multipurpose area for first aid, therapy/ rehabilitation, injury prevention, medical procedures and administration
Various Areas/ Needs
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Size
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Location
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Special Service Areas o Treatment, Electrotherapy, Hydrotherapy, Exercise Rehabilitation, Taping.
Bandaging, Physician’s Exam, Records
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Storage Facilities
 Athletic Trainer’s Office
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Additional Areas o Pharmacy, Rehabilitation Pool, & Restrooms
Size
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Varies between settings
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Must take advantage and _____________________________ effectively
Location
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__________________ entrance
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Double door entrances and ramps are ideal- getting athletes in and out
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Proximity to locker rooms and toilet facilities
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Light, heat and water source should be independent from rest of facility
Special Service Areas
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Areas may overlap but an athletic training room/ clinic needs to be organized
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Page 45
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__________________________ Area o Should include a minimum of 4 treatment tables (for hot/ cold modalities and manual therapy) o Near modalities

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___________________________ Area o Used for treatment by ultrasound, diathermy, or electrical stimulation units o Needs sufficient number of grounded outlets
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_________________________ Area o Floor should slope towards the drain o All electrical outlets should be _________ feet above ground
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_________________________________ Area o Should accommodate injury reconditioning
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_________________________________ Area o Should have 3-4 taping tables adjacent to storage cabinets
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___________________________________________________ o Doctor’s office in university and college setting
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_______________________ Area o Records should be accessible to sports medicine personnel only
Storage Facilities
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Holds general supplies and special equipment
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Large walk-in storage cabinet for _________________________
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Refrigerator for equipment, ice cups, medicine and additional supplies
Athletic Trainer’s Office
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All areas of training room should be able to be supervised without leaving office space
(_______________________________)
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Equipment should include o Desk, chair, tack board, telephone, computer and independent locking system
Additional Areas
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Pharmacy Area: Under _________________________
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Rehabilitation Pool
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Restrooms
What are the 6 main parts one must have in their design?
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What are the Special Service Areas?
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Issues Specific to Athletic Training Programs Outside Sports Setting
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Clinics
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Hospitals
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Corporations
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Industrial Settings

Scope of Practice
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________________________ of Patients o Pediatrics o Adolescents o Young adults and adults o Geriatric patients
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Variety of injuries, illnesses & conditions
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Limitations and restrictions dictated by state statutes
Other Certifications for ATCs
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Orthopedic Technologist
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Orthotics & Prosthetics
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Certified Surgical Technologist
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Certified Professional Ergonomist
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Certified Strength & Conditioning Specialists
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Performance Enhancement Specialist
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Corrective Exercise Specialist
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Certified Clinical Research Associate
Potential Athletic Training Duties
Ergonomic Assessment- page 47-48
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Ergonomics is the _________________ of designing products, machines and systems to maximize comfort, efficiency and safety of the people who use them
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Primary goal is the ___________________________________________ and injuries by minimizing _______________ factors
Work Hardening/Conditioning Programs
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Intensive ________________________________ for individuals injured on the job o Work conditioning = treatment 3 hours/day, 3 days/week o Work hardening = 8 hours of treatment daily, 5 days/week
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Treatment includes simulated work, education & job analysis
Wellness Center
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Organizing wellness ________________________________________ for: o Asthma & diabetes o Hypertension & stroke o Cholesterol o Osteoporosis o Prostate/skin cancer
Community Outreach and Marketing
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Clinic or hospital based in the morning and provide athletic training coverage in afternoons and evenings o Outreach may occur in the collegiate setting, secondary schools or for single athletic events

Corporate Fitness Programs
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Involves in-house ________________________________ for employees
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Helps increase productivity, reduce absenteeism, decrease turnover, improve morale & reduce sick leave
Drug Testing Programs
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Asked to oversee drug testing programs
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Program may act as a deterrent to employees coming in unfit for duty
What are the 6 potential duties?
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Record Keeping
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Major responsibility and critical
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The rule not the exception - accurate and up-to-date
Maintaining Confidentiality in Record Keeping
Release of Medical Records
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Written consent is required
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Waiver must be signed for any release
HIPAA & FERPA- Page 50 and 51
Health Insurance Portability and Accountability Act (____________________)
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___________________________ how health personal can share private health information (PHI) with others
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Guarantees athlete _____________________ to their medical records and control over hoe information is used and disclosed
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Athlete may provide written authorization for release of information
Family Educational Rights and Privacy Act (___________________)
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Protects the privacy of student _______________________ records, may contain medical
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Gives parents certain rights and these rights transfer to students when child turns ______
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School must have written permission prior to releasing information
Administering Pre-participation Examinations
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Purpose it to identify athlete that may be ________________
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Initial pre-participation exam prior to start of practice, gives _________________
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Reveals conditions that warrant disqualification
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Satisfy insurance and liability issues
Types of Preparticipation Exams
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Examination by Personal Physician o In-depth _____________ and ideal physician-patient relationship o May not result in detection of factors that predispose the athlete to injury

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Station Examination o Provides detailed exam in little time
Parts of Preparticipation Exam
Medical History
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Complete prior to exam to identify ____________________________ medical conditions
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Update yearly and closely review by medical personnel
Physical Examination
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Height/ Weight
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Body composition
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Blood pressure and pulse
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Vision
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Skin
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Dental
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Ear, nose, & throat
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Heart & lungs, etc.
Cardiovascular Screening
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1996 American Heart Association recommended in order to recognize abnormal heart
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Maturity Assessment
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Means to ____________________ young physically active athletes
 Tanner’s five stage assessment is most expedient; matched by maturity not age
Orthopedic Screening
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Part of physical exam or separate
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Various degrees of detail concerning exam (special tests, ROM)
Wellness Screening
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Purpose is to determine if athlete is engaged in a _____________________________
What are the 6 parts of a pre-participation exam?
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Sport Disqualification
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Recommendations can be made (_______________________________________- 1990)
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___________________ makes the final decision
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Certain injuries and illnesses warrant special concerns o Acute Illnesses o
(contagiousness)
Hypertension o Neurological o Musculoskeletal o Organs o Absence/ loss of function of eyes o Skin diseases

Personal Information Card
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Contains contact information for family, personal physician, and insurance information
Injury Reports and Injury Disposition
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Serve as future references, necessary in case of litigation
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SOAP note format o S: ________________________ (history of injury/illness) o O: ________________________ (information gathered during evaluation) o A: ________________________ (opinion of injury based on information gained during evaluation) o P: ________________________ (short and long term goals of rehab)
Collecting Injury Data
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The ___________________________________ of injuries sustained during participation of various sporting activities
New Vocab Words

Accident o An unplanned event capable of resulting in loss of time, property damage, injury, disablement, or even death
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Injury o Damage to the body that restricts activity or causes disability
Incidence of Injuries
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Can look at injuries as a case study (__________________________ of an injury)
OR
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Epidemiologically (from many ____________________________________- occurrence, gender, body region etc.)
New Vocab Words

Epidemiology o Study of factors affecting the health and illness of individuals and population
Gathering Data
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Uses both case studies and epidemiology
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___________________________ factors- activity performed, exposure to injury, environment & equipment
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___________________________ factors- the athlete (age, gender, mental aspect etc.)
Using Injury Data
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Valid and reliable data can be utilized to decrease injuries
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May allow for: o Rule modification o Assist coaches and players in understanding risks o Help manufacturers o Educate parents, athletes and the public on inherent risks associated with sport