Athletic Training

Athletic training encompasses the prevention, examination, diagnosis, treatment and rehabilitation of emergent, acute or chronic injuries and medical conditions. Athletic training is recognized by the American Medical Association (AMA), Health Resources Services Administration (HRSA) and the Department of Health and Human Services (HHS) as an allied health care profession.

What do High School Athletic Trainers Do?

Injury Prevention, Recognition, Diagnosis, and Care: Athletic training responsibilities cover many different domains. Injury prevention, injury diagnosis, and immediate care of injuries comprise the bulk of their duties. High school ATs are often the first point of contact for any injury, illness, or ailment a student-athlete may have.
Therapeutic Interventions: Athletic Trainers can often render care, therapeutic exercises, and apply therapeutic modalities for patients on-site. These interventions can help facilitate and even speed up the healing process for many injuries.

Why are Athletic Trainers in High School Important?

Qualified Health Care

Having certified and licensed athletic trainers in high school is necessary for providing competent and qualified health care for student-athletes and active individuals. Athletic trainers complete rigorous education to enter the profession, preparing them for the range of injuries, illnesses, and challenges that student-athletes may experience. Additionally, they must complete additional education (i.e., continuing education) to maintain their national certification and licensure. An athletic trainer on-site to provide health care increases the likelihood of positive outcomes and safer active participation for everyone involved.

Safety For Participation

Athletic trainers are essential components in the overall safety and care plans for CVCHS Athletics. Athletic trainers have many responsibilities; among those, prevention and recognition of injuries are at the top of the list. The Athletic Trainer at CVCHS has unique training and education that prepares him to implement injury prevention programs, carry out strategies to recognize and mitigate risks, and perform many other vital tasks.

Access To Health Care

Athletic trainers in the high school setting are often one of the few points of access to qualified health care for many student-athletes. ATs commonly provide their health care services at no cost to the patient. ATs can play an integral role in elevating the care that any student can access by being present and rendering the care they are trained to provide. By being on-site, ATs can provide care with minimal disruption to the student-athlete’s participation in school or extracurricular activities. For these reasons, the correlation between athletic trainers and health/well-being is apparent.

Athletic Trainer

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Concussion Protocol
Shin Maintenance Program

Concussion Protocol

CA STATE LAW AB 2127 STATES THAT RETURN TO PLAY (I.E., COMPETITION) CANNOT BE SOONER THAN 7 DAYS AFTER EVALUATION BY A PHYSICIAN (MD/DO) WHO HAS MADE THE DIAGNOSIS OF CONCUSSION, AND ONLY AFTER COMPLETING A GRADUATED RETURN TO PLAY PROTOCOL.

Instructions:

A graduated return to play protocol MUST be completed before you can return to FULL COMPETITION. Below is the CIF RTP Protocol.
- A certified athletic trainer (AT), physician, or identified concussion monitor (e.g., athletic director, coach), must initial each stage after you successfully pass it.
- You should be back to normal academic activities before beginning Stage II, unless otherwise instructed by your physician.
After Stage I, you cannot progress more than one stage per day (or longer if instructed by your physician).
If symptoms worsen at any stage in the progression, IMMEDIATELY STOP any physical activity and follow up with your school’s AT, other identified concussion monitor, or your physician. In general, if you are symptom-free the next day, return to the previous stage where symptoms had not occurred.
Seek further medical attention if you cannot pass a stage after 3 attempts due to concussion symptoms, or if you feel uncomfortable at any time during the progression.

You must have written physician (MD/DO) clearance to begin and progress through the following Stages as outlined below, or as otherwise directed by your physician.

Prior to beginning Stage III, please make sure that written physician (MD/DO) clearance for return to play, after successful completion of Stages I and II, has been given to your school's concussion monitor. You must be symptom-free prior to beginning Stage III.

MANDATORY: You must complete at least ONE contact practice before return to competition, or if non-contact sport, ONE unrestricted practice (If contact sport, highly recommend that Stage III be divided into 2 contact practice days as outlined above).

Stage	Activity	Exercise Example	Objective of the Stage
II-A	Light aerobic activity	10-15 min of brisk walking or stationary biking Must be performed under direct supervision by designated individual	Increase heart rate to <50% of perceived max exertion (e.g. <100 beats per min) Monitor for symptom return
II-B	Moderate aerobic activity (Light resistance training)	20-30 min jogging or stationary biking Body weight exercises (squats, planks, push-ups), max 1 set of 10, <10 min total	Increase heart rate to 50-75% max exertion (e.g. 100-150 bpm) Monitor for symptom return
II-C	Strenuous aerobic activity (Moderate resistance training)	30-40 min running or stationary biking Weight lifting <50% of max weight	Increase heart rate to >75% max exertion Monitor for symptom return
II-D	Non-contact training with sport-specific drills (No restrictions for weightlifting)	Non-contact drills, sport-specific activities (cutting, jumping, sprinting) No contact with people, padding or the floor/mat	Add total body movement Monitor for symptom return
III	Limited Contact practice	Controlled contact drills allowed (no scrimmaging)	Increase acceleration, deceleration and rotational forces Restore confidence, assess readiness for return to play Monitor for symptom return
	Full contact practice Full unrestricted practice	Return to normal training, with contact Return to normal unrestricted training
IV	Return to play (competition)	Normal game play (competitive event)	Return to full sports activity without restrictions

Shin Maintenance Program

Action	Resources
Day A: Soleus Raise 3 x 12 each Heel & Toe Walks 3 x 15 yds each 3-Stance SL Balance 45 sec each 3-Way Towel Scrunch 3 x 3 each SL Towel Squats 3 x 8
Day B: Arch Crunch with 2 second hold 3 x 10 Toe Lift with 2 second hold 3 x 10 Calf Raise + Ball Squeeze 3 x 12 Windshield Wipers 3 x 20 SL Balance + Moving Weight 3 x 45 seconds
Stretches / Rolling: Slow foam rolling Foot Crunches over lax ball 10x Gastroc/Soleus Stretch 2 x 30 seconds each 2-Way Slant Board Stretch 10x each Monk Stretch 2 x 30 seconds Calf/foot PNF stretch 10/10/30 x 4
Tips: Scan codes and watch videos if unsure See Athletic Trainer 1 - 2 times per week for soft tissue work Start by doing maintenance 3 times per week Do more or less maintenance based on how your body responds

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What do High School Athletic Trainers Do?

Why are Athletic Trainers in High School Important?

Qualified Health Care

Safety For Participation

Access To Health Care

Athletic Trainer

Concussion Protocol

Shin Maintenance Program

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Stretches / Rolling:

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