Study sheds light on the need for standardized concussion management protocols, continuing concussion education, and policy enhancements.
When it comes to concussions in high school sports, ATs are on the front lines. These healthcare professionals are vital in managing concussion recovery and making critical decisions about when an athlete is ready to return to play.
A 2024 study by Dr. James Stavitz of Kean University published in the journal Concussion delved into the experiences and perceptions of ATs working in the high school setting. The researchers explored the topic of concussion management, revealing a complex landscape shaped by varying protocols and external pressures.
The Research Study
The study employed a qualitative design, meaning researchers conducted in-depth interviews with study participants. Twenty certified ATs across various high schools participated in the interviews. The ATs represented a wide range of years of experience; most were male (60%).
The study’s goal was to uncover the ATs’ experiences and perceptions of concussion management in the high school setting.
The Results
After the interviews were transcribed and analyzed, five themes emerged related to the ATs’ experiences and perceptions of concussion management in the high school setting:
- Theme 1: There is a lack of standardization in concussion management.
- Theme 2: Making referrals to trusted physicians is challenging.
- Theme 3: Athletes are getting cleared to return to play by physicians who do not have specific concussion expertise.
- Theme 4: There is external pressure on the athletic trainer from coaches, parents, and athletes to return to play.
- Theme 5: Multifaceted concussion management benefits include increased knowledge and awareness, which results in more effective care for students.
Clinical Implications of the Research Study
The findings of this research study underscore a significant issue in the high school setting: the lack of standardization in concussion management protocols. While ATs undoubtedly use a multifaceted approach—including clinical evaluations and symptom checklists—the specifics can vary drastically.
One central theme that emerged is the varying referral experiences. ATs who can refer athletes to trusted, responsive physicians reported more satisfaction with concussion management. Conversely, those who faced delays or were restricted in their referral options expressed frustration, mainly when non-specialist physicians prematurely cleared athletes for return to play.
Despite these challenges, the study highlighted a significant benefit: increased knowledge and awareness among ATs. Those who embraced a comprehensive approach to concussion management felt better equipped to provide adequate care and advocate for their athletes’ health.
Implications for the Future of Concussion Management
This study sheds light on the complexities of concussion management in high school sports, emphasizing the need for:
- Standardized Protocols: Standardized concussion management protocols help reduce variability in care and ensure all athletes receive optimal treatment.
- Educational Initiatives: Continuing education for ATs, coaches, parents, and athletes can foster a more supportive environment for proper concussion management.
- Policy Enhancements: Schools and sports organizations should consider policies that ensure access to qualified medical professionals.
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References
Stavitz J. Exploring athletic trainers’ experience and perceptions associated with a multifaceted approach to concussion management. Concussion. 2023 Mar 1;8(2):CNC104. doi: 10.2217/cnc-2022-0010. PMID: 37287884; PMCID: PMC10242438.
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