Archive for September, 2016

Who is the Current BOC Board?

Thursday, September 29th, 2016

Posted September 29, 2016

Athletic Trainers have the opportunity to vote for 2 new Athletic Trainer Directors to join the BOC Board of Directors. As you consider the candidates you might wonder, who is the current BOC Board? Take a look below to see who makes up the current BOC Board and their responsibilities. For more information on the BOC Board visit

Then, don’t forget to vote! Online voting opens September 6 and closes October 13, 2016, 11:59pm ET. Learn more about the candidates by visiting





In-Depth Look: Athletic Trainer Who Works in an Industrial Setting

Monday, September 26th, 2016

Posted September 26, 2016

Rosalina Cintron, MS, ATC, CEAS has worked as the FedEx Express on-site Athletic Trainer, and is now working on-site at O'Hare International Airport.

Describe your setting:

I am on-site at O'Hare International Airport providing service to an array of departments.

How long have you worked in this setting?

I have been on-site  for a little over two months.

Describe your typical day:  

On a typical day, I attend leadership meetings, perform injury evaluations and conduct symptom intervention services. The services I provide is an effort to keep each employee safe and productive within their workplace.

What do you like about your position?

As an industrial athletic trainer,  I focus on the whole person. This method of patient care provides me with the opportunity to build relationships that make an impact. The satisfaction of helping someone become pain free and stronger is the most satisfying feeling. It makes me strive to be the best I can be at my profession!

What do you dislike about your position?

There isn’t anything that I dislike about my position!

What advice do you have about your practice setting for a young AT looking at this setting?

The best advice I can provide for a young AT is to never work in seclusion, and most importantly, love what you do!








Return to Sport Post ACL Reconstruction

Wednesday, September 21st, 2016

Posted September 21, 2016

Tim Koba, MS, ATC
Twitter: @timkoba

By Tim Koba, MS, ATC

ACL injuries continue to be a hot topic in the sport world. A big reason is that even though they are still not very common, percentage wise, they have a large impact on long term joint health, recovery, cost and ability to return. As reconstruction techniques continue to evolve, athletes are able to return to play, but how successfully?

After surgery, the treatment consists of rehabilitation to regain motion, function, proprioception strength and control. Once athletes have completed about 6-9 months of rehab, they return to sport. Here’s the sobering news: Of those who suffer an ACL reconstruction, only 65% return to their pre-injury level of sport, with only 55% returning to competitive play. Even more discouraging is the fact that of those who return to sport, up to 1 in 5 will suffer a tear to their reconstructed knee, or the ACL on the non-reconstructed side.

In order to determine what risk factors existed, and ways to modify them, researchers looked at elite soccer players who had their ACL reconstructed and then followed them. They looked at the type of surgery they had, their rehabilitation process and their return to sport. What they discovered was that athletes who did not meet certain bench marks in rehab were 4 times more likely to have another ACL injury. The following table shows the exercises and the discharge criteria that were deemed successful.

Discharge tests and criteria used during the study period

6 part return to sport tests Discharge permitted when criteria was met
Isokinetic test at 60, 180 and 300 degrees/sec Quadriceps deficit <10% at 60 degrees/sec
Single leg hop Limb symmetry index >90%
Triple hop Limb symmetry index >90%
Triple crossover hop Limb symmetry index >90%
On field sport specific rehab Fully completed
T test <11 sec

In addition to the tests above, athletes who had lower hamstring-to-quadriceps strength ratios were also more likely to injure their ACL. Since strong hamstrings act as an assistant to the ACL, weakness there can mean more stress on the ligament.


This study highlights a couple of key points when rehabilitating ACL injuries.

- Prior to return to play, athletes should be fully recovered with equal strength bilaterally

- They should be able to seamlessly perform multidirectional drills

- Athletes should have adequate hamstring strength. Most of us do not have access to isokinetic testing, but spending time having athletes perform hamstring strengthening during their rehabilitation is essential.


Kyritsis, P. et. al. (2016). Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. British Journal of Sports Medicine, 50.

About the Author

Tim Koba is an Athletic Trainer, strength coach and sport business professional based in Ithaca, New York. He is passionate about helping others reach their personal and professional potential by researching topics of interest and sharing it with others. He contributes articles on injury prevention, management, rehabilitation, athletic development and leadership.


Heat Illness Safety: How to Prepare for Rising Temperatures

Thursday, September 15th, 2016

Posted September 15, 2016

Desi Rotenberg

By Desi Rotenberg, MS, LAT, ATC

With the summer months coming to a close, the likelihood of heat related illnesses still remains a hot topic in the athletic population. While to some this topic may seem redundant and like a broken record, we must always remind ourselves that with outdoor participation comes the threat of a heat related incident.

In addition to a constant awareness of the negative outcomes that can arise from poor hydration in the heat, we must also acknowledge that global temperatures continue to rise. According to the National Weather Service, 2014 through 2016 showed the hottest increase in average temperature over a 2-year span since the late 1800s.1 Furthermore, according to NASA, the 10 warmest years for global surface temperature have all come since 2000.1

Now, the intention of this editorial is not to throw global warming statistics at you and inform you that you should all head for your nearest bunker. The purpose of this editorial is to bring further awareness to already prevalent issues in sport and exercise. Further precautions should be taken to ensure all players remain safe and understand proper hydration techniques required on a daily basis to ensure safe and optimal athletic performance. As Athletic Trainers (ATs), we must  continue to educate coaches, athletes and parents and to enforce hydration policy adherence.

Heat illness and rising temperatures are now becoming a hot topic outside of the athletic population as well. As of 2015, the Occupational Safety and Health Administration issued a statement saying, “Under OSHA law, employers are responsible for providing workplaces free of known safety hazards. This includes protecting workers from extreme heat. An employer with workers exposed to high temperatures should establish a complete heat illness prevention program.”2 This attention to heat related injuries has come in response to a 2015 study by the U.S. Department of Labor that concluded, “In 2014 alone, 2,630 workers suffered from heat illness and 18 died from heat stroke and heat related illness on the job.”2 The fact of the matter remains that being outdoors in the heat for prolonged periods of time requires a concrete prevention and treatment plan.

According to the NATA, fluid replacement should approximate sweat and urine losses so that athletes lose no more than 2% body weight per day; on average, this equates to consuming 200-300 mL fluid every 10-20 minutes during exercise.3 In addition to monitoring fluid loss and fluid replacement, it is recommended that the AT or coaches check the temperature and humidity prior to the start of a practice or a game. NATA guidelines suggest a temperature of 90°F at 20% humidity could be suitable for conducting football practice with full protective gear, whereas a temperature of 90°F at 80% humidity could create a dangerous environment for which activity and equipment use should be limited.4

The guidelines are in place and will only change slightly every few years; however, we must do everything we can to educate our population, whether athletic, commercial, industrial or any other group working or exercising outdoors. Whether the temperature on Earth continues to heat up or average temperatures in specific locations continue to rise, our awareness should always be towards safety and hydration education. The best treatment is always a good preventative plan and the best preventative plan always requires a conscientiousness of your surroundings.



2.     United States Department of Labor. Occupational Health and Safety Administration, Heat Illness Safety and Prevention.

3.     Casa DJ, Armstrong LE, Hillman SK, Montain SJ, Reiff RV, et al. National Athletic Trainers' Association position statement: fluid replacement for athletes. J Athl Train 2000;35:212--24.

4.     Binkley HM, Beckett J, Casa DJ, Kleiner DM, Plummer PE. National Athletic Trainers' Association position statement: exertional heat illnesses. J Athl Train 2002;37:329--43.

About the Author

Desi Rotenberg, originally from Denver, Colorado, graduated with his bachelor's degree in 2012 from the University of Northern Colorado. He has been a BOC Certified Athletic Trainer since 2012 and earned his master's degree in Exercise Physiology from the University of Central Florida in 2014. He currently is a high school teacher, teaching anatomy/physiology and leadership development. Along with being a teacher, he wears many hats, such as basketball coach, curriculum developer and mentor. He has been a contributor to the BOC Blog since the summer of 2015. 


How does the BOC Board advocate for you?

Wednesday, September 14th, 2016

Posted September 2016

Athletic Trainers (ATs) have the opportunity to vote for 2 new AT Directors to join the BOC Board of Directors. As you consider the candidates you might wonder, how does voting for the BOC Board affect Athletic Trainers? Take a look below to see how the BOC Board advocates for you.

Then, don’t forget to vote! Online voting opens September 6 and closes October 13, 2016, 11:59pm ET. Learn more about the candidates by visiting


Did your state make the top 10 list?

Tuesday, September 13th, 2016

Posted September and October 2016

The BOC Athletic Trainer Director election is now open. That means you can choose 2 new representatives to the Board of Directors. As the votes come in, we’ll keep you updated on which states are on top in Athletic Trainer (AT) votes for the election.

Take a look at the major ways this election affects you.

1. BOC Board members make decisions on certification standards for ATs.

2. BOC Board members make decisions on continuing education (CE) requirements.

3. BOC Board members’ decisions on certification standards and CE requirements ultimately affect an AT’s ability to work within the profession.

Thank you to all ATs who have already voted in the election. Please encourage others in your state to vote in this election.

To ATs who haven’t voted yet, there is still time!  Don’t delay! Online voting closes October 13, 2016, 11:59pm. Learn more about the candidates by visiting