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Choose the Right Sports Medicine Expert
July 7, 2020
By Christina Eyers, Ed.D., AT, ATC
Henry Ford Health System
If you're an athlete, chances are you'll require specialized care from a health professional during your career.
Confused about the differences between athletic trainers, sports medicine physicians and exercise physiologists, among other experts? You're not alone!
Each of these professionals has different levels of training, expertise and certifications, but the care they provide often overlaps. That's one reason why they often work together.
Sports Professionals Defined
Caring for athletes isn't always clear-cut. In fact, most athletes require a full team of professionals working in concert to stay at the top of their game. Yet confusion remains about which professionals you need to see for training, injury prevention, and recovery and treatment after an injury.
Each type of professional has its own set of experience, training and certifications. Here’s how they measure up:
· Sports medicine doctor: Sports medicine physicians are typically trained in orthopedic surgery, primary care or emergency medicine. These professionals have medical degrees as well as specialized training in sports medicine, including the prevention and treatment of injury. In addition to caring for conditions ranging from concussion to head colds, sports medicine physicians also focus on helping people return to sports safely and effectively after illness or injury.
· Athletic trainer: Athletic trainers take care of athletes from prevention through rehabilitation. In collaboration with a physician, these professionals offer insights that help minimize risk and prevent injuries. They evaluate athletes and provide immediate care and treatment, sometimes even on the sidelines. They also provide rehabilitation and reconditioning after an injury or illness.
· Exercise physiologist: Exercise physiologists study the effect of exercise on the muscular, cardiovascular, and sympathetic and parasympathetic nervous systems. They examine functional capacity and strength due to endurance training or strength training. These professionals may also test athletes for VO2max (your oxygen volume while training) and body composition (the ratio of fatty mass to lean mass).
· Physical medicine and rehab physician: These professionals treat a variety of medical conditions that affect the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons. They take the whole body into account to pinpoint problems and enhance performance without surgery.
· Physical therapist: Physical therapists diagnose and treat individuals of all ages with conditions that limit their ability to move and perform daily activities.
Other Specialized Professionals Who Care for Athletes
In addition to the health care professionals described above, athletes may meet with a host of experts, including:
· Nurses and medical assistants
· Occupational therapists
· Cardiologists
· Neurologists
· Behavioral health specialists
· Dietitians
· Complementary medical practitioners, such as acupuncturists and chiropractors
None of these individuals are "fitness professionals," a term nearly anyone can use to describe a range of professional activities. Rather, these sports medicine experts are part of a comprehensive team that includes at least one physician. They are each licensed by the state to provide specialized care to athletes.
Personal trainers, on the other hand, focus on helping people find their way around the gym, hold them accountable to achieve their goals and help new exercisers and seasoned fitness enthusiasts stick to a workout regimen.
If you're an athlete, you need a team of health professionals who can provide comprehensive care to reach your highest potential.
Christina Eyers, Ed.D., AT, ATC, is the Director of Athletic Training & Community Outreach with Henry Ford Sports Medicine.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
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Specialization Not the Only Pathway
April 21, 2015
By Eric Martin
MSU Institute for the Study of Youth Sports
Specialization is not a new topic facing athletes and parents.
In a 1989 study by Hill and Simons, athletic directors indicated that the three-sport athletes of the past were being replaced by athletes who only participated in a single sport. Multiple athletic directors indicated that the decrease of multi-sport participation was a concern for all involved in the sport environment as increased emphasis on sport specialization was not in the true vision of high school sports.
Even though the distress concerning sport specialization is not a new topic, the rise of club sports and year-round travel teams have increased the number of youth athletes who are forced to make a choice between playing multiple sports or focusing their time and training efforts solely on one sport. The decision to focus solely on one sport sometimes is done by athletes (or their parents) who believe that quitting other sports is the sole way to earn a coveted college scholarship.
However, even though counter intuitive, sport specialization may be hampering their pursuit to play at the next level.
Elite level achievement in sport is rare, with statistics showing that only 0.12 percent of high school athletes in basketball and football eventually reach the professional level. To combat these odds, many in popular media including Malcolm Gladwell have forwarded Anders Ericcson’s proposal that to become an expert in a field, an individual must accumulate 10,000 hours of practice.
To achieve this aim, many parents and athletes disregard other sports believing that extra exposure to a single sport may result in accumulating these hours quicker and increase an athlete's chances of elite skill achievement. Reducing the achievement of sport excellence to solely practice hours overlooks the importance that developmental, psychosocial, and motivational factors play in the achievement of high level success in youth. Further, several research studies have found that elite athletes typically fall short of this 10,000 hour milestone.
Simply accumulating a magic number of hours does not guarantee sport success, and in fact, trying to accumulate these hours too early can lead to many different negative outcomes for youth.
Sport specialization has been shown to have a variety of negative physiological and psychological outcomes for youth athletes. Typically, athletes who specialize in one sport play that sport year-round with little or no offseason. In these cases, athletes who continually perform repetitive motions such as throwing or jumping can experience overuse injuries that can range from tendinitis to torn ligaments.
In addition to the increased risk of injury, youth who specialize and play a single sport year-round are at risk for psychological issues as well. Youth who play a single sport are less likely to allow for proper recovery and face the increased chance of burnout or decreases in motivation that may result in leaving sport entirely. Additionally, as practice time demands and multiple league involvement increases, youth may feel added pressure to succeed due to the increased time and financial costs incurred by parents.
Finally, youth who specialize early in only one sport do not develop the fundamental motor skills that help them stay active as adults, instead only developing a very narrow skill set of a single sport.
If the dangers of sport specialization do not encourage multisport participation, a majority of studies have shown that sport specialization does not increase long-term sport achievement. In fact, most studies indicate that athletes who reach the highest level of sport achievement typically played a variety of sports until after they were well into high school.
For example, a study with British athletes found that youth who played three or more sports at the ages of 11, 13, and 15 had a significantly higher likelihood of playing on a national team at ages 16 and 18. These athletes had a more rounded set of skills, were more refreshed for their chosen sport, and were more psychologically and emotionally ready to perform due to their experiences in a number of sports.
A study recently conducted by the Institute for the Study of Youth Sports with collegiate athletes showed similar results as the British athlete study. In the ISYS study, 1,036 athletes from three Division I universities were asked to report their past youth sport participation. On average, youth participated in three or more sports in elementary and middle school. The number of sports youth participated in decreased with each year of high school, but even with the decrease of participation, a larger number of individuals played more than one sport during every year of high school including senior year than those who played a single sport.
Even though a majority of athletes did play at least two sports throughout high school, several athletes did indicate that they specialized in one sport indicating that there are multiple pathways to elite sport achievement.
Athletes were also asked for their perception of how important it was to specialize in one sport in order to earn a college scholarship. On a scale of 1-9, athletes felt that specializing in one sport prior to high school was neither important nor unimportant (4.97).
Sport specialization is not a new issue, but that does not minimize the damage that can occur if athletes are overtaxed early in their development. Each athlete is unique, and each situation requires care. If an athlete does decide to play in only one sport, the decision should be made in regards to the athlete’s interest and development, not just in the pursuit of a college scholarship. Additionally, if athletes specialize in one sport, it is critical to understand that youth are developing and proper recovery is critical both physically and psychologically.
Early specialization in sport is an issue that is not going to go away, but for coaches, parents, and athletes this decision should be made with a long-term perspective and with the athletes’ long-term well-being central to the choice.
Martin is a fourth-year doctoral candidate in the Institute for the Study of Youth Sports at Michigan State University. His research interests include athlete motivation and development of passion in youth, sport specialization, and coaches’ perspectives on working with the millennial athlete. He has led many sessions of the MHSAA Captains Leadership Clinic and consulted with junior high, high school, and collegiate athletes. If you have questions or comments, contact him at [email protected].