Use of the stepwise progression return-to-play protocol following concussion among practicing athletic trainers

作     者：Jessica Wallace Tracey Covassin Meghan Lafevor 

作者机构：Department of KinesiologyMichigan State University Human Performance & Exercise Science DepartmentYoungstown State University 

出 版 物：《Journal of Sport and Health Science》 (运动与健康科学（英文）)

年 卷 期：2018年第7卷第2期

页      面：204-209页

核心收录：

学科分类：0403[教育学-体育学] 04[教育学] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 

主　　题：Athletic trainers Concussion Concussion management Graduate degree Return to play Sports medicine Stepwise progression 

摘      要：Purpose: The purpose of this study was to determine whether practicing athletic trainers(ATs) were using the stepwise progression to make return-to-play(RTP) decisions after concussion and to determine what factors influenced their decision to use the stepwise ***: A total of 166 ATs(response rate = 16.6%) completed a 21-item questionnaire that evaluated participant demographics, methods of concussion management, and RTP decision-making using the stepwise progression. Descriptive statistics and a logistic regression were completed to analyze ***: Factors such as education level(p = 0.05) and number of concussions treated(p = 0.05) predicted use of the stepwise progression,whereas sex(p = 0.17), employment setting(p = 0.17), state law(p = 0.86), and years practicing(p = 0.17) did not predict whether ATs were following the stepwise ***: The majority of the ATs from this study are employing the stepwise progression to safely return athletes to play after sustaining a concussion. This demonstrates that ATs are providing a standard of care for concussed athletes across various athletic training settings; however,having a graduate degree and treating more concussions per year are predictors of whether an AT follows all steps of the stepwise progression.