Describes the medical, legal, and educational benefits of having a certified athletic trainer in the secondary school, explaining that they can prevent or lessen the severity of an injury or chance of re-injury. The article presents eight options for hiring a certified athletic trainer and offers suggestions and resources for locating one. (SM)

Describes infectious mononucleosis (IM), examining viral transmission and infection, clinical features, diagnosis, and management. Focuses on answers to several commonly asked questions about IM in sport (e.g., when it is safe to resume sports after IM, how often fatigue or depression are related to earlier bouts of IM, and how often IM is…

In August 1995, a young football player died as a result of heat exhaustion suffered on the first day of football practice in Arkansas. Spurred by this tragedy, the district made some changes that every school district with an athletic program should consider. These include using a heat-stress monitor; abandoning the practice of group physical…

An athletic trainer provides instruction and direct assistance to student athletes and their coaches to develop maximum performance in an injury-free environment. This job description includes an outline of qualifications and responsibilities of a secondary school athletic trainer. (FMW)

Data collection and analysis helps coaches ensure that they conduct practices and make decisions based on objective and consistently recorded information. The article discusses how, where, and when coaches should collect data on athletes, noting data collection should emphasize include training loads, body weight, sleep, health, and injuries. (SM)

Describes how school nurses can advocate for adolescent female students and help them avoid the female athlete triad that includes disordered eating, amenorrhea, and osteoporosis. The article focuses on consequences of the triad, how to uncover the symptoms, working to improve public support, and creating a successful program through partnership.…

Secondary level physical educators must be sure to instruct their weight lifters in proper spotting and lifting procedures, because weight training carries a high risk of injury. The article explains how to check the equipment, spot properly for specific exercises, and take general safety precautions in the weight room. (SM)

Physically active adolescent girls and young women who eliminate meat from their diets risk developing protein, iron, and zinc deficiencies. Meatless diets signal the possibility of amenorrhea and/or disordered eating, with the attendant risk of osteoporosis. Physicians must educate young women, parents, and coaches about the risks of meatless…

Although cheerleading carries a relatively low injury risk, injuries that do occur can be severe, commonly affecting the ankle, head, and neck. Two case reports are presented that illustrate acute injuries typical of cheerleading. Prevention recommendations are offered related to supervising, screening, limiting stunts, optimizing the environment…

Survey of 100 young female gymnasts examined injuries over a 40-month period. Injury rates were similar to those found in other studies of female competitive gymnasts, but there were several notable findings regarding injury patterns. Prevention methods to reduce injury include modifying mat design and prescribing strengthening and stretching…

Discusses the basics of the preparticipation exam, focusing on aspects specific to females, such as menstrual dysfunction, disordered eating, and orthopedic problems such as scoliosis and patellofemoral pain. Health history questionnaire and other parts of the exam are included in six tables. (SM)

Innovations in equipment and changes in social attitudes are tearing down barriers to sports participation for individuals with disabilities. Many people still do not know about the array of opportunities available, and physicians are uniquely positioned to help them discover the sporting events and fitness options open to them. (SM)

Reviews the role of athletic trainers in New York State secondary schools. Discusses the need for trainers to provide emergency medical care for sports injuries and to develop prevention programs. Reviews efforts to obtain certification for trainers from the New York State Education Department. (FMW)

Without state regulation, high schools can use less-qualified persons to care for student athletes. Surveys of certified athletic trainers indicate that trainers lack recognition and knowledge of the implications of regulations, that state regulations vary widely, that public education is needed, and that many states meet resistance to securing…

Team physicians who establish rapport with athletes and have basic knowledge about Hunan Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) are uniquely positioned to counsel athletes about HIV transmission. The article explains what issues the team physicians should discuss and encourages physicians to maintain an open forum.…