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首页> 外文期刊>Journal of athletic training >Athletic Training Service Characteristics for Patients With Ankle Sprains Sustained During High School Athletics
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Athletic Training Service Characteristics for Patients With Ankle Sprains Sustained During High School Athletics

机译：高中田径期间踝关节扭伤患者的运动训练服务特点

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Context Limited information exists on the amount and type of care provided by athletic trainers (ATs) treating athletes who sustained ankle sprains in the high school setting. Objective To describe AT services provided for patients with ankle sprains injured in high school athletics. Design Descriptive epidemiology study. Setting Athletic training facility (ATF) visits and AT services collected from 147 high schools in 26 states. Patients or Other Participants High school student-athletes participating in 13 boys' and 14 girls' sports who sustained a diagnosed ankle sprain during the 2011?2012 through 2013?2014 academic years. The ATs documented 3213 ankle sprains. Main Outcome Measure(s) Number of ATF visits and individual AT services and mean ATF visits (per injury) and AT services (per injury) were calculated by sport and for time-loss injuries (participation-restriction time of at least 24 hours) and non–time-loss injuries (participation-restriction time 24 hours). Results During the 3-year period, 19?925 ATF visits were reported, with an average of 6 (interquartile range = 1?7) ATF visits per ankle sprain. Most ATF visits were for non–time-loss injuries (65.1%). Football accounted for the largest proportions of ankle sprains (27.3%) and ATF visits (35.0%). In total, 71?404 AT services were provided for ankle sprains. Therapeutic activities or exercise were the most common AT services (47.4%), followed by neuromuscular reeducation (16.6%), strapping (14.2%), and modalities (11.5%). An average of 22 (interquartile range = 4?28) AT services were reported per ankle sprain. The average number of AT services per injury was higher among patients with time-loss than non–time-loss injuries (35 versus 19; P .001). Conclusions The ATs provided a variety of services to treat high school athletes who had sustained ankle sprains, including therapeutic exercises and neuromuscular reeducation, which were supported by research. However, ATs should consider using manual therapy (use supported by grade B evidence) and therapeutic exercise more (use supported by grade A evidence).
机译：背景信息关于运动教练（ATs）提供的护理的数量和类型信息有限，该培训服务的对象是在高中阶段遭受脚踝扭伤的运动员。目的描述为高中田径运动中踝关节扭伤患者提供的AT服务。设计描述流行病学研究。设置来自26个州的147所中学的运动训练设施（ATF）访问和AT服务。患者或其他参与者在2011-2012年至2013-2014学年期间，参与确诊的脚踝扭伤的13名男孩和14名女孩运动的高中学生运动员。 AT记录到3213踝关节扭伤。主要结果衡量指标是通过运动和失时伤害（参与限制时间至少为24小时）计算出的ATF访问次数和个人AT服务次数以及平均ATF访问次数（每次伤害）和AT服务（每次伤害）非时间流逝的伤害（参与限制时间<24小时）。结果在3年期间，报告了19到925次ATF访问，平均每踝扭伤6次（四分位间距= 1到7）ATF访问。大部分ATF探访都是非时间流失的伤害（65.1％）。足球占踝关节扭伤（27.3％）和ATF探视（35.0％）的最大比例。总共为脚踝扭伤提供了71？404个AT服务。治疗性活动或锻炼是最常见的AT服务（47.4％），其次是神经肌肉再教育（16.6％），捆绑（14.2％）和方式（11.5％）。每个脚踝扭伤平均报告22次（四分位间距= 4至28）AT服务。有时间流失的患者每次伤害的平均AT服务数量高于非时间流失的患者（35比19; P <.001）。结论ATs提供了多种服务来治疗患有持续性踝扭伤的高中运动员，包括治疗性锻炼和神经肌肉再教育，这些都得到了研究的支持。但是，AT应当考虑使用手动疗法（B级证据支持使用）和治疗性锻炼（A级证据支持使用）。

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