It has been widely recommended that athletes partake in multiple meals throughout the day in order to maintain the energy necessary to participate in athletic events. Most Muslims will automatically adjust their meal frequency to two meals in a 24 hour period, the Suhoor (early breakfast) which takes place at dawn and the Iftar which takes place just after sunset. The challenge is created as student-athletes find it more difficult to eat healthier meals as each Iftar is generally composed of meals that are high in fat, sugar, and salt. It should be noted that meals at both Iftar and Suhoor generally meet the daily caloric needs for student-athletes they may lack proper nutrients that are essential for optimal performance.
Since the daily caloric value is generally met by student-athletes it is important to pay particular attention to the macronutrients (fats, carbohydrates, and protein) consumed. It has been recommended that foods high in both fat and protein are consumed during Iftar and that foods high in carbohydrates and low in glycemic index are consumed during Suhoor in order to provide adequate fuel for the day.
Lack of fluid intake throughout the day can create significant risks for those who participate in physical activity during Ramadan as most athletic events take place while Muslim student-athletes are fasting. A common occurrence for student-athletes is to ingest large quantities of fluids during hours of allowed fluid intake. This practice can prove ineffective as it will induce urine loss as well as disrupt sleep. It is recommended to drink water frequently in shorter intervals with solid foods during meals to aid in digestion and water retention. Another recommendation is to drink water with a marginal amount of salt and/or electrolytes prior to dawn to improve water retention and stores. Sugary and caffeinated drinks should also be avoided as they can cause further dehydration.
Disruption in sleep will cause daytime fatigue and poor concentration. Coupled with a new fasting cycle, student-athletes may find it difficult to maintain a level of physical performance prior to Ramadan. Student-athletes are recommended to maintain a minimum of 8 to 9 hours of sleep a night. Since meals that break the fasts can often disrupt sleep cycles, student-athletes are encouraged to partake in naps in which they can obtain between 1.5 to 2 hours of sleep in the afternoon when able to in order to negate the effect of nocturnal sleep loss.
Considerations for Coaches and Medical Emergencies
Coaches and staff must always be aware of and sensitive to all student-athletes needs both religious and non-religious. It is important during this time that coaches routinely collect feedback from student-athletes but not to do so in a way that draws attention to a student who is practicing a religious observation. It is also important for the student-athlete to make the coaches aware of their practice, as fasting during Ramadan without knowledge can be misconstrued as a lack of effort or performance without the knowledge of these recommendations.
One consideration to keep in mind is the early days and weeks of a new fasting cycle, is the disruption of a student-athletes ability to self regulate their body temperature during activity without the use of fluids. Student-Athletes will have access to cooling towels during athletic events as well as small cooling tubs in the Athletic Training Room. Student-Athletes are able to rinse their mouths with water in an attempt to stave off thirst but in the event that a medical emergency is believed due to dehydration and/or increase in body temperature, it is allowed to give fluids to the student-athlete and activate the Emergency Action Plan. In any instance, regardless of religious views or practices, all student-athletes should be treated equally as to not draw attention to their needs.
Please inform booster families that student-athletes may attend, but will not be able to participate in pasta or pizza parties that take place during the season. In addition please inform banquet planning families to consider providing a take-home option during the postseason banquets. Even though there will be plenty of food for them at home, the notice and consideration will not go unnoticed by the student-athlete and their families.
Internet dropped so we have part one and part two on FB
Rehabilitation for Anterior Cruciate Ligament Reconstruction (ACLR) has for years followed the time-based approach progressing athletes to the next step based solely on how far they are out from surgery. Research has shown that criteria based protocols, where each athlete only progresses once they reach a specific goal improves outcomes in patients, specifically athletic populations. (cited research) In this course, participants will learn and discuss different methodologies for athletic trainers to use determining rehabilitation advancement for patients returning from ACLR.
Why do we say that at 6 weeks every ACL should be able to do a partial squat and be at 90 degrees flexion?
Adrian Peterson only needed 6 months…he rehabbed 25 hours per week
Navarro Bowman had Failure To Thrive and was 12 months +
Normal rehabilitation is about 9 months but often they athlete still lacks full function at this point and they are not totally comfortable with their knee
Let’s look at it similar to school…you pass the test you move on…you fail the test you get held back.
150,000-200,000 ACL surgeries per year.
How are we doing a disservice to our patients using a time-based rehab program?
NFL bases their timeline on RTP for week ONE readiness
What are the parameters for RTP?
Each phase should have criteria before advancing:
Tissue healing – know the biological clock and tissue remodeling for each surgery
At Dublin City University they normally run an injury and rehab clinic for athletes and students. The AT students participate in the clinic as part of their rotations as well as sports team affiliation.
Bolton University in England looks similar to the program run by Aoife Burke in Ireland. They have a clinic for students and athletes and sports rotations. They use the term Sport Rehabilitation instead of Athletic Trainer.
Valerie Pelleck feels the majority of her programs students were done with their practical portions and have been able to transition to online easy enough. In Canada they go by Athletic Therapist instead of Athletic Trainer.
Luzita Vela at UVA us the clinical coordinator for what most Americans know as a 2-year master's degree.
What are the benefits to transitioning to online learning?
Adam Naylor thinks we have to re-assess efficiency.
the switch has likely helped students focus on their knowledge and understanding as well as the utilization of literature.
We can be more directive in the online learning process
In Ireland, Aoife Burke feels it has increased the availability of health care as their system is not as robust or developed.
Some of the other issued discussed:
How are students being encouraged and enabled to be hands-on?
What have been the chief concerns expressed by your students?
Discuss options are your programs considering to make up for lost contact-hours?
What is your national organization doing to accommodate for certification exams given the anticipated delay in graduation?
How is your institution managing to assess practical competencies if face to face opportunities are no longer available?
Amidst COVID 19 and all the shutdows everyone has had a season cut short.
Cari Wood has been monitoring mental health for a few years at Redmond High School. In a recent podcast, we discussed what this looked like for her.
Cari also has a high school senior who is living out all of the things we are discussing.
Now with COVID 19 Robert Andrews has been releasing some articles on how we can help deal with this as parents, athletes, Athletic Trainers, and coaches.
Here are the Season Cut Short talking points:
1)Normalize the first week or two. Look at this as a holiday for the first week or so. Athletes suddenly find themselves at home with little to no schoolwork, no structured workouts, and no competitions.
Let them sleep in for a while. I see so many athletes who are sleep deprived of their rigorous schedules. The grind of training, school, homework, and competitions has left many athletes with serious sleep deprivation. I see athletes that are 40 to 60 hours a month behind in their needed sleep! And we wonder why athletes seem to struggle so much with anxiety and get overwhelmed so easily.
Give them time to get caught up. You will see they will be able to better handle the curveball they have been thrown. They will handle stress, downtime, the experience of being disconnected from their sport and lack of exercise much better with adequate sleep.
2) Have regular family meetings to discuss how everyone is doing, where are they doing well, where are they struggling and where they need help.
Your kids will resist at first, but if you do a good job of modeling openness and vulnerability and lead a structured meeting, they will learn to value this time together.
The family meetings are also good times to discuss expectations around chores, schoolwork, training and any other topic the family needs to focus their attention on.
3)Help your kids create a written planner for their schoolwork and training schedules. Our athletes are used to structure. They need structure and discipline in their lives. Especially now! In this planner have them lay out their training schedule. You might ask, “what training schedule?” Find out the most important strengths they need to conserve to be ready to get back in the gym or on the court or in the pool.
Some might need flexibility, others strength and conditioning. It is time to get creative.
I spoke to a gymnast the other day who committed to do an hour and fifteen minutes of stretching at 2:00 p.m. six days a week. Her mother ordered her a rug to use since they have hardwood floors. I have seen videos of kids doing conditioning work on the roofs of apartments in New York City. Go for walks, bike rides, play tennis.
4)Empower them to take responsibility. There are two key traits that determine what level of development we obtain in our lives. One is the capacity to experience empathy and the other is the ability to take personal responsibility for our lives. This is a great time for them to step up and learn personal responsibility and accountability.
Another suggestion is to have your athlete find an “accountability partner”. This is someone that they can check in with every day to discuss how their workouts are going, if they did them or did not, and why, and if they need support or need to be challenged to stay committed to the agreement they made with themselves and others.
I can guarantee you that the athletes that take responsibility for themselves mentally, emotionally, physically and spiritually will be the ones who make the best comebacks when their respective sport fires back up again.
5) Connect with others. Today more than ever, we have the ability to connect with each other. Have your kids step beyond texting and set up Join Me or Vimeo groups with their friends and teammates. This will go against their nature to communicate via text, but it is critical that they learn how to reach beyond that and make meaningful attempts to reach out in ways that they can see a smile or a laugh.
They need to be able to see when a friend is upset. Connection is critical during this time.
Text messaging is not enough. I have been using FaceTime, Skype or JoinMe with some of my friends on my Mac.
The bigger the screen the better the connection. It is amazing how our faces light up when we see each other.
It has made for a much richer conversation. I hang up filling emotionally full and connected to them. If they set up a team or group list, make sure and include EVERYONE! I have worked with far too many athletes who have been left out of group chats and text groups. They need this connection just as much as anyone else.
6) Try new things to stimulate your mind, body, and emotions as a family. Try a family game night, movie night, bike rides or walks, reading time, family cookouts, or karaoke. These might get your family out of your comfort zones.
This is a time we must get out of the boxes we live in mentally and emotionally. Challenge your family to get uncomfortable with new experiences.
7) Some parents say that no matter what they do their kids won’t get off of their phones or video games. They just sleep and play games or are on their phones. There is a concept called “escalation of leverages”. It goes like this: If your kid won’t get off of their video games or phone, take something that they value away. Limit their data or take their phone away for a few hours a day. If that doesn’t work raise the leverage that you have on them. Take their TV out of their room for a few hours or day. Take their phone away.
When they buy into the structure that they need to hold themselves to, then the reward is that they get the data, the phone, the video controller or the TV back. Sometimes we have to be the wall with our kids. They won’t like it, but as I said earlier, they need structure now more than they quite possibly ever have.
I hope these tips help. It will take time and you will struggle. Keep at it. If your kids aren’t frustrated or angry at you at times, then you aren’t holding them accountable enough. These are trying times for all of us. When kids get stressed, they look for something to push up against as a way of feeling safe. If they don’t find it, they keep pushing. Some will end up getting in trouble with their behaviors. You can be that something that they push up against. It will be good for all of you and it will help them stay on track in their schoolwork and in their respective sport.
Time to Advocate Far and Near I'm An Athletic Trainer and This Is My Life Buckle Up, Cause I Work All Day and All Night We Start In The Concussion Clinic And This Will Take A Minute Tell Me What Happened? When Did The Symptoms Start? There's Voms, Sway, Impact, and Some Other Parts Then Off To The School Lots To Be Done Tie Your Shoes, It's Time To Run Basketball, Wrestling, Swimming, Baseball, Track, and softball Give Me Some Coffee For The Long Haul Evals, treatments, education Injury Prevention and documentation It's All Healthcare It's What Athletic Trainers Do Happy National Athletic Training Month From Me to You
Sarah Baulch and Herd Sports Medicine
Fall in Texas is hot Spring in Texas is quite cold One thing that is constant, ATs are on the go From the football field to the basketball court to running circles on the track There’s one thing you can count on, ATs will have your back We can splint your broken elbow, diagnose your concussion too, rehab that sprained ankle and get you back to play It doesn’t matter what jersey you wear, or what sport you want to play, Athletic trainers truly care, and might just save the day
March is a great month for many reasons: Spring sports, sunshine, it comes with the season. But for Athletic Trainers it means one thing: National AT Month is here, and it’s time to sing! What is an AT, you ask? Don’t know? Let me tell you: We’re allied health professionals, but I’m not through: We cover, we watch, we listen, we care We’re known for taping ankles, but it doesn’t stop there: We help prevent injuries, in all sorts of ways. Through preventative rehabs, and keeping up with the craze. We’re trained in evaluation, assessment, and diagnosis Of pretty much anything that comes with a prognosis. Injury on the field? No worries, don’t fear: Athletic trainers can handle emergency situations with care. Rehab? No problem. Modalities? No sweat. Athletes get care, and are ready to jet. Last but not least, the professional part: ATs handle admin and organization with heart. We’re here for your athletes, day in and day out: Hopefully now, you know of our clout. So come check us out, and see what we do: Ask us some questions, and maybe bring some coffee, too. HAPPY NATM!!!!!
The Haiku by Ryan
Athletic Trainer Fixes people. Rises to the occasion. And gets really tired. And it doesn't show.