Athletic Training Student Primer A Foundation for Success
3rd Edition
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Athletic Training
Student Primer
A Foundation For Success
Third Edition
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Copyright © 2018 by SLACK Incorporated
Instructors: Athletic Training Student Primer: A Foundation for Success, Third Edition includes ancillary materials specifically available
for faculty use. Included are Instructor’s Materials. Please visit www.efacultylounge.com to obtain access.
Dr. Andrew P. Winterstein serves as an educational consultant for the Mueller Sports Medicine Company.
Dr. Jay Hertel has no financial or proprietary interest in the materials presented herein.
The Cape
Words and Music by Guy Clark, Susanna Clark and Jim Janosky
© 1994 EMI APRIL MUSIC INC., SUSANNA CLARK MUSIC AND SUSANNA’S SANCTUARY
All rights for SUSANNA CLARK MUSIC and SUSANNA’S SANCTUARY Administered by BUG MUSIC INC., A BMG CHRYSALIS
COMPANY
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The procedures and practices described in this publication should be implemented in a manner consistent with the professional standards
set for the circumstances that apply in each specific situation. Every effort has been made to confirm the accuracy of the information
presented and to correctly relate generally accepted practices. The authors, editors, and publisher cannot accept responsibility for errors
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Library of Congress Cataloging-in-Publication Data
Names: Winterstein, Andrew P., 1962- author.
Title: Athletic training student primer : a foundation for success / Andrew
P. Winterstein.
Description: Third edition. | Thorofare, NJ : Slack Incorporated, 2017. |
Includes bibliographical references and index.
Identifiers: LCCN 2017050807
ISBN 9781630915797 (epub) | ISBN 9781630915803 (web)
Subjects: | MESH: Athletic Injuries--therapy | Allied Health
Personnel--education | Sports Medicine | Emergency Treatment
Classification: LCC GV223 | NLM QT 261 | DDC 617.1/027--dc23 LC record available at https://lccn.loc.gov/2017050807
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He’s one of those who knows that life
Is just a leap of faith
Spread your arms and hold your breath
Always trust your cape.
~Guy Clark
For my wife Barb, and all the leaps of faith.
This book is also dedicated to the memory of Shari Khaja Dorresteijn. Her smile, energy, and passion for athletic
training are missed by all who knew her. Try to save us a seat.
Dedication .......................................................................................................................................................................................... v
Photo and Illustration Credits.........................................................................................................................................................ix
Acknowledgments ............................................................................................................................................................................. xi
About the Author............................................................................................................................................................................xiii
Interview Participants and Contributors ...................................................................................................................................... xv
Foreword by Jay Hertel, PhD, ATC, FNATA..............................................................................................................................xvii
Preface .............................................................................................................................................................................................xix
Section I Understanding Athletic Training ..................................................................................1
Chapter 1 Athletic Training: An Allied Health Profession ................................................................................................... 3
Chapter 2 Historical Perspectives and Future Directions ................................................................................................... 29
Chapter 3 Getting Started: Educational Requirements for Athletic Training ................................................................. 45
Chapter 4 Educational Resources for Athletic Training Students ...................................................................................... 65
Section II Common Injuries and Conditions ...............................................................................87
Chapter 5 Understanding Athletic Injury/Illness: Terminology and Classification ....................................................... 89
Chapter 6 Common Injuries to the Lower Extremity .........................................................................................................111
Chapter 7 Common Injuries to the Upper Extremity ........................................................................................................ 143
Chapter 8 Common Injuries to the Head, Face, and Spine ................................................................................................169
Chapter 9 Common Injuries to the Abdomen and Thorax, and General Medical Conditions .................................. 209
Section III Planning, Prevention, and Care .................................................................................235
Chapter 10 Blood-Borne Pathogens and Standard Precautions.......................................................................................... 237
Chapter 11 Emergency Planning and Injury Evaluation ..................................................................................................... 249
Chapter 12 Environmental Concerns ...................................................................................................................................... 265
Chapter 13 First Aid and Initial Injury Care ......................................................................................................................... 285
Chapter 14 Components of Rehabilitation ............................................................................................................................. 301
Chapter 15 Taping and Bracing .................................................................................................................................................317
Section IV Preparing for Success ................................................................................................. 331
Chapter 16 Looking Ahead ....................................................................................................................................................... 333
Appendix A Board of Certification Standards of Professional Practice .............................................................................. 349
Appendix B Athletic Training Manifesto ............................................................................................................................... 353
Appendix C The Musculoskeletal System .............................................................................................................................. 355
Appendix D Sport Concussion Assessment Tool—5th Edition (SCAT5) ............................................................................. 357
Appendix E Sample History and Pre-Participation Physical Examination Forms ........................................................... 367
Appendix F Résumé Action Words ........................................................................................................................................ 371
Instructors: Athletic Training Student Primer: A Foundation for Success, Third Edition includes ancillary materials specifically available
for faculty use. Included are Instructor’s Materials. Please visit www.efacultylounge.com to obtain access.
Chapter 5: Figures 2 to 9, 11, and 12
Chapter 6: Figures 1 to 8, 10 to 12, and 19 and illustrations on pp 112, 120 (right), 122, 127, and 134
Chapter 7: Figures 1 to 7, 10, and 15 and illustrations on pp 144, 148, 150, 154 (left), 155, and 157 (top)
Chapter 8: Figures 1, 2, and 12 to 18
Chapter 9: Figure 7
Appendix C: Illustrations on pp 355 and 356
All illustrations by Melissa Ebbe © 2003 Melissa Ebbe.
Chapter 5: Figure 1
Chapter 6: Figures 9, 14 to 16, 18, and 20 and figures on pp 121, 130, and 135
Chapter 7: Figures 16 and 17 and figures on pp 154 (right), 163, and 166
Chapter 8: Figure 10
Chapter 9: Figures 4 to 6
Chapter 12: Figures 1 to 5
Chapter 13: Figures 3 to 5
Chapter 14: Figure 3
Chapter 15: Figure 2
Chapter 6 opening photo (p 111) and Chapter 8 opening photo (p 169) reprinted with permission from UW–Health.
Chapter 2 opening photo (p 29) reprinted with permission from the National Athletic Trainers’ Association.
Chapter 1 opening photo (p 3), Chapter 3 opening photo (p 45), Chapter 14 opening photo (p 301), Chapter 16 opening
photo (p 333), Figure 11-4, and images on pp 161 (right), 261, and 304 used under license from iStockphoto.com.
Chapter 5 opening photo (p 89) reprinted with permission from University of Wisconsin–Madison Athletic
Communications.
Chapter 11 opening photo (p 249) reprinted with permission from Matej Kastelic/Shutterstock.
“Your boy doesn’t know what he is in for.”
“Nobody would do anything if they knew what they were in for!”
That exchange is from one of my favorite movies (Milagro Beanfield War, 1988 Universal Pictures). It’s true; maybe
none of us would do anything if we knew what we were in for. Oh well. There is a kind of author’s amnesia between
editions where you forgot how hard these projects can be, so of course you say yes to another. Writing projects, by their
nature, are leaps of faith. They can devolve into love-hate relationships that oscillate between excitement and loathing.
Now that it is complete, I have time to think back and say, “Well that wasn’t so bad.” Truth be told, I love the way this third
edition has turned out. Good thing; this one was a long time in the making, and I have many people to thank for helping
it to finally see the light of day. With that in mind…
Thank you to all the instructors who thoughtfully have used earlier editions of the Athletic Training Student Primer
in their courses. Your kind feedback has been put to good use, and I hope you enjoy and use the third edition now that it
is here.
Thanks to all my current and former AT students (the gang). You never fail to represent our program well. Your will-
ingness to play along with a sometimes “out there” instructor is appreciated. Keep up the good work, and always “Dare
Mighty Things.”
A sincere note of appreciation to Scott Barker for his friendship, guidance, and willingness to serve as my technical
advisor for all things digital. Truth be told, his influence extends well beyond all things computer; you have official guru
status in my book.
Stephanie Trigsted is a young PhD with a very bright future. Thank you for your efforts on behalf of this project.
Someone needs to hire this one; she is the goods. I also wish to thank Lindsay Donath and Morgan Lange (2 of our best
and brightest) for their assistance at various stages of this project.
I have amazing colleagues in the Department of Kinesiology, the Athletic Training Program, and sports medicine com-
munity at University of Wisconsin–Madison. I cannot say enough about Shari Clark (WS), David Bell, Pat Hills-Meyer,
Jan Helwig, Julie Stamm, and all of my colleagues who on occasion drag me out to run, join me on the lake to paddle, or
free themselves up for a “research” day on the river or a trip to the Brewers game; thanks to all. A special note of thanks
to Dorothy Edwards and Gary Diffee for their support and interest in the Athletic Training Program during their time
as department chairs. As always, a nod to my grouchy friend Dr. Tim McGuine for his willingness to share his research
expertise, provide a willing ear, and most of all, for his friendship.
Thanks to my friends and colleagues across the athletic training profession. A special acknowledgement goes to every-
one at Boston University and AT Still University for making me part the crew. The professional discussions and friendship
are beyond valuable.
I would be remiss if I did not thank the folks at SLACK Incorporated, both past and present. Jennifer Briggs, John Bond,
Brien Cummings, Emily Densten, Michelle Gatt, and all the editors and production staff who have been flexible working
with a sometimes persnickety author on this long overdue project.
I am blessed with a loving and supportive family. My mom, siblings, and extended family are always a source of inspira-
tion and encouragement. My Pop may not be here, but he certainly guides me daily.
Lastly, I need to say a special thanks to my lovely wife Barb, who tolerates my busy schedule and is always there for
support. You are first team all spouse.
Andrew P. Winterstein, PhD, ATC is a distinguished clinical professor in the Department of Kinesiology at the
University of Wisconsin–Madison where he currently serves as the program director of the athletic training professional
preparation program. A graduate of the University of Arizona, University of Oregon, and UW–Madison, Dr. Winterstein
has been active in athletic training patient care and educational programming at UW–Madison since 1986.
Dr. Winterstein’s academic interests include: emerging technologies and their use in teaching and learning, medical
humanities and their application to athletic training education, organizational dynamics, educational interventions/
behavioral change, and patient-reported outcome measures following injury. His papers and abstracts have appeared in
a variety of athletic training and sports medicine journals, and he has been privileged to make numerous professional
presentations at state, regional, national, and international conferences.
In addition to this text, he is the coauthor of Administrative Topics in Athletic Training: Concepts to Practice, Second
Edition with Gary Harrelson and Greg Gardner and coauthor of The Athletic Trainers Guide to Differential Diagnosis: A
Visual Learning Approach with Sharon Clark.
Dr. Winterstein has received numerous awards, including the 2017 Sayers “Bud” Miller Distinguished Educator Award,
2016 National Athletic Trainers’ Association (NATA) Most Distinguished Athletic Trainer Award, 2008 Great Lakes
Athletic Training Association Outstanding Educator Award, 2007 Wisconsin Athletic Trainers’ Association Outstanding
Educator Award, and the 2006 UW–Madison School of Education Distinguished Service Award. He and his colleagues
are 3-time winners of the NATA Educational Multimedia Committee award for educational innovations and have been
awarded the MERLOT Classics Award for exemplary online learning objects.
Andy enjoys fly fishing, standup paddling, watch collecting, reading, and writing. He resides in Madison, Wisconsin
with his wife, Barb.
I am once again indebted to the thoughtful professionals from around the country who provided insights into their
athletic training lives (for all 3 editions) so that I may provide students with a balanced view of this profession. Thank
you for your honest and thoughtful contributions. A sincere thanks to the young professionals who reflected on their own
student experiences in order to assist new students. I am excited that our profession continues to attract some of the best
and brightest.
These professionals listed below (young and not so young) represent the very best of what the profession has to offer.
These interactions have provided me with so much; your thoughtfulness is appreciated.
Thomas Abdenour Jeff Kraft
Marjorie Albohm Jamie Legner
Chris Anderson Scott Linaker
Scott Barker Bryan Lindl
Ronnie P. Barnes Tony Marek
Eileen Bennett Joshua McCullough
Morgan Bestenlehner Tim McGuine
Kelly Boyce Taylor Meier
Sara Brown Dennis Miller
T. Pepper Burruss Natalie Morales
Beth Chorlton Alexander Munter
Shari Clark Christine P. Nelson
Tricia Comb Mike Nesbitt
Stephen Creamer
Julie O’Connell
Alexandra Douglas
Denise O’Rand
Brad Eppelheimer
Jamie Palmer
Casey Erickson
David Perrin
Michael Estes
René Revis Shingles
Sue Falsone
Sonia Ruef
Emily Francione
Paula Sammarone Turocy
Amy Gibson
Samantha Goeke Tylee Schraufnagel
Thomas Gooding Patrick Sexton
Kevin Guskiewicz Holly Schmies
Dawn Hammerschmidt Brad Sherman
Katherine Harrington Sandra Shultz
Ryan Hedwall Keith Skinner
Dennis Helwig Jackson Smidt
Kaitlin Henderson Chad Starkey
Jay Hertel Hannah Sutter-Balke
Kristian Hill Tamara Valovich McLeod
Patrick Hills-Meyer Ada Weiss
Geoff Kaplan Hayley Mae White
Shari Khaja Dorresteijn Chelsea Williamson
