Intro: The Sport Medicine Team And Role Of The RD

Question 1

What is the major difference between PA and exercise?

Answer 1

PA: energy expenditure as a result of skeletal muscle movement
Exercise: Planned, structured and repetitive PA with the objective to improve or maintain physical fitness

Question 2

Any bodily movement produced by skeletal muscles that results in energy expenditure. The energy expenditure can be measured in kilocalories.

Answer 2

Physical Activity

Question 3

A subset of physical activity that is planned, structured, and repetitive and has as a final or an intermediate objective in the improvement or maintenance of physical fitness.

Answer 3

Exercise

Question 4

A set of attributes that are either health- or skill-related. The degree to which people have these attributes can be measured with specific tests. E.g. Cardio-respiratory fitness – VO2max

Answer 4

Physical Fitness

Question 5

Activities that we engage in for reasons as varied as relaxation, competition, or growth and may include reading for pleasure, meditating, painting, and participating in sports and excludes activities that are work oriented or that involve life maintenance tasks such as housecleaning or sleeping.

Answer 5

Leisure activity

Question 6

What defines an athlete?

Answer 6

• Training in sport aiming to improve performance/results
• Actively participating in sport competitions
• Formally registered in a local, regional or national sport federations,
• Have sport training and competition as the major activity (way of living) or focus of personal interest, devoting serval hours in all or most days for these activities exceeding time allocated to other types of professional or leisure activities.

Question 7

refers to a broad field of medical practices related to physical activity and sport.

Answer 7

Sport medicine

Question 8

Focus on areas of performance enhancement, injury care and prevention

Answer 8

Sport medicine

Question 9

What are the goals of sports medicine?

Answer 9

Help active individuals (recreationally active or athletes) achieve optimal health and meet their specific performance goals.

Question 10

What is the over-arching goal of sports medicine?

Answer 10

Health!
* Supersedes performance goals if there is a conflict
* Ethically, sport medicine professionals cannot recommend strategies that would enhance performance to the detriment of health.

Question 11

How do sport medicine professionals tailor their advice?

Answer 11

• Age
• Stage of athlete development (LTAD)
• Goals
• Health status
• Existing knowledge or experience.

Question 12

What is LTAD

Answer 12

long-term athlete development
A model that strategicially develops an athlete or active person for training, competition and recovery by recognizing the natural development in skills training of athletes and considerations for physical, mental and emotional developemnt

Question 13

What are the two categories of the sports medicine team?

Answer 13

• sport performance and health promotion
• injury treatment and management

Question 14

What sport medicine professions fall under the 2 categories?

Answer 14

Question 15

Individuals involved in a wide range of care of the athlete
* Mental, physical – performance and/or health related

Answer 15

Athletes circle of care

Question 16

Who is expected to have a circle of care?

Answer 16

athletes (vs. active individuals)
* Athletes are highly competitive and are training year round on a daily (or near daily basis) for an hour or more each day. Training may be their principle form of “employment,” or a daily activity.

Question 17

What is the problem with the circle of care model?

Answer 17

Sometimes there is a bunch of hoops an athlete needs to go through in order to get access to a professional

Question 18

What is the primary obligation of health care providers in the circle of care?

Answer 18

promote lifelong fitness and wellness, and to prevent illness or injury.
* Athlete health and well-being always supersedes performance goals if there is a conflict.

Question 19

Role of parents in the circle of care for an athlete

Answer 19

Parents help kids implement recommendations and should stay in open communication with care providers regarding athletes well-being
* Foundational to the progression of the child’s performance; regarding nutrition they are often in charge on childs nutrition in early years

Question 20

What are the more modern models of athlete care?

Answer 20

• Athlete Management Approach
• Athlete Centred Care Model

Question 21

Describe the athlete management apprach

Answer 21

A performance manager is the mediator between the athletes and the health care providers

Question 22

What is the problem with the athlete management approach?

Answer 22

The athlete may not want to tell a intermediary person they would rather go directly to the professional.

Question 23

Describe the athlete centered care model?

Answer 23

Athlete has more direct access to range of professionals on the team

Question 24

What is IST?

Answer 24

Integrated Support Teams

Question 25

Interdisciplinary (team) approach to promoting sport performance and athlete health where Team members work together collaboratively to identify goals for the athlete.

Answer 25

integrated support team

Question 26

What does the IST support?

Answer 26

* Set goals for the athlete that make sense and prioritize them * More consistent role clarity for the athlete and among care providers * Care is evidence based * Resources used more strategically (time, money, facilities, expertise)

Question 27

The procedures, actions, and processes that a healthcare practitioner is knowledgeable, competent and permitted to undertake in keeping with the terms of their professional license or registration.

Answer 27

Scope of Practice

Question 28

What is important to consider with scope of practice?

Answer 28

IST roles may overlap so it is important to clearly define who does what and to what degree

Question 29

Difference between team and person physician

Answer 29

* team: contracted to team. as an employee * personal: selected by the athlete and not affiliated with the team

Question 30

Assesses the athletes ability to play and contribute and to what level

Answer 30

team physician

Question 31

Provides comprehensive, ongoing health care to the athlete

Answer 31

personal physician

Question 32

Sport related health concerns AND non-sport related health concerns

Answer 32

personal physician

Question 33

Bound by patient-doctor confidentiality expectations

Answer 33

personal physician

Question 34

Attributes of a personal physician

Answer 34

* Provides comprehensive, ongoing health care to the athlete * Sport related health concerns AND non-sport related health concerns * Bound by patient-doctor confidentiality expectations

Question 35

Attributes of team physiciam

Answer 35

* Focus is on screening and assessment * May also diagnose and treat using resources available through the team only. * Shares athlete’s health information with team officials * Must explain role and obtain consent from the athlete

Question 36

Focus is on screening and assessment and may also diagnose and treat using resources available through the team only.

Answer 36

team physician

Question 37

Shares athlete’s health information with team officials

Answer 37

team physician

Question 38

What is the education of a head coach?

Answer 38

May or may not hold any formal coaching education * Most high-performance coaches are certified and well educated.

Question 39

Who is directly responsible for injury prevention and setting requirements for injury prevention?

Answer 39

The head coach

Question 40

Role of the head coach

Answer 40

* act as motivators, demonstrators, strategists, and supports for the athletes they work with. * aware of the abilities, needs and responsibilities of each athlete (even in team situations) * understand limits of their ability to function as a health care provider. * Directly responsible for injury prevention

Question 41

act as motivators, demonstrators, strategists, and supports for the athletes they work with.

Answer 41

Head coach

Question 42

aware of the abilities, needs and responsibilities of each athlete (even in team situations).

Answer 42

Head coach

Question 43

What is the strength and conditioning coach responsible for?

Answer 43

* Training program design * Exercise technique - education/demonstration * Program organization and administration * Fitness testing and evaluation

Question 44

Minimum education of strength and conditioning coach

Answer 44

Typically: * an undergraduate degree * NSCA Membership * CSCS® certification (course work + qualifying examination )

Question 45

Experts in sport injury assessment and rehabilitation

Answer 45

Athletic therapist

Question 46

Roles of athletic therapist

Answer 46

* first responders * athlete education on risks and corrective action * rehabilitative therapy * Administer exercise for performance

Question 47

First responders who provide on-field emergency care of professional and elite athletes

Answer 47

athletic therapist

Question 48

Provide athlete education on risks and corrective actions associated with participation in fitness and sport programs

Answer 48

Athletic therapist

Question 49

Engage in rehabilitative therapy (including electrical, thermal and mechanical modalities) using standard techniques and procedures

Answer 49

Athletic therapist

Question 50

Administer therapeutic and conditioning exercise(s) to facilitate recovery, function and/or performance

Answer 50

Athletic therapist

Question 51

Minimum education of athletic therapist

Answer 51

Must have completed a minimum Bachelor’s degree from a CATA accredited program + practicum

Question 52

Role of physical therapists

Answer 52

* assist with physical performance abilities * prevent and manange acute/chronic limitations * promote fitness, health and well-being * may perform some invasive procedures

Question 53

Improve and maintain athletes physical performance and ability to function independently;

Answer 53

physical therapist

Question 54

Prevent and manage pain, physical impairments, disabilities and limits to participation; and promote fitness, health and wellness.

Answer 54

physical therapist

Question 55

May perform restricted/invasive procedures to support patient care ▪ E.g. Intra-muscular stimulation, ultrasound, etc.

Answer 55

Physical therapist

Question 56

Minimum education of physical therapist

Answer 56

Master’s degree + accredited practicum.

Question 57

diagnose, treat and help prevent musculoskeletal (bones, muscles, cartilage, tendons, joints and connective tissues) conditions and disorders and the effect they have on the nervous system.

Answer 57

Chiropractor

Question 58

delivery is non-invasive procedures to help relieve pain and discomfort, and restore range of motion.

Answer 58

chiropractor

Question 59

Minimum education of chiropractor

Answer 59

At least three years of undergraduate university level study plus a four-year degree at the accredited chiropractic program + practicum

Question 60

assess, diagnose and treat psychological, emotional and behavioural disorders. They also research and apply theories relating to behaviour and mental processes.

Answer 60

Sport Psychologist

Question 61

Which healthcare professional provides emotional support

Answer 61

psychologist * e.g. performance anxiety, goal-setting, motivation.

Question 62

minimum education of sport psychologist

Answer 62

Master’s degree plus accredited practicum

Question 63

Role of massage therapists

Answer 63

* assess soft tissue and joints of the body * treat and prevent physical dysfunction by mobilization and other manual methods

Question 64

Assess the soft tissue and joints of the body

Answer 64

massage therapist

Question 65

Treat and prevent physical dysfunction and pain of the soft tissues and joints by mobilization and other manual methods to develop, maintain, rehabilitate or augment physical function, or relieve pain.

Answer 65

massage therapist

Question 66

minimum education of massage therapist

Answer 66

Diploma in massage therapy plus approved practicum

Question 67

work with individual athletes, teams, and sport organizations to provide nutrition advice and strategies

Answer 67

Sports dietician

Question 68

What do sports dieticians support via nutrition education?

Answer 68

* Achievement of basic nutrient recommendations and promote health * Peak sport performance * Prevention of sport related injuries (E.g. dehydration)

Question 69

What do sports dieticians need competency in?

Answer 69

* foundational knowledge of nutrition and metabolism * dietetic practice skills * foods and culinary arts * sports science * sports knowledge

Question 70

Minimum education requirements for sports dietician

Answer 70

* Bachelor’s degree from a PDEP accredited program * Minimum – 1250 hours approved practicum * Successful completion – Canadian Dietetic Registration Examination (CDRE) * IOC sport nutrition diploma * Msc/PhD work *