3Sports EquipmentSelection, fitting and maintenance of protective equipment are critical in injury preventionAthletic trainers and coaches must have knowledge of protective equipment available for different sports and proper fitting proceduresProtection is critical in contact and collision sports
4Safety Standards for Equipment & Facilities Concerns relative to materials, durability, establishment of standards, manufacturing, testing methods, and requirements for its useMust be in place relative to maintenanceConcern should be protective ability; not appearance of equipmentA number of groups and agencies are involved in standardizing sports equipment and facilities
5Equipment Reconditioning & Recertification NOCSAE (National Operating Committee on Standards for Athletic Equipment)Has established test standards in order to reduce head injuriesSet minimum safety requirements for helmets and masks for football, baseball/softball and lacrosseAccepted standards for various regulatory bodies in sportsType of helmet, amount of use/intensity will determine condition of help over a period of time
6Equipment Reconditioning & Recertification NOCSAE label does not warranty helmetsIndicates helmet met requirements when manufactured or reconditionedNOCSAE recommends reconditioning and recertification of equipmentConsumer should use discretion based on use
7Legal Concerns Increasing amount of litigation regarding equipment Must foresee all uses and misuses and warn user against potential risks inherent in equipment misuseIf equipment results in injury due to defect or inadequacy for intended use manufacturer is liable.If equipment is modified – modifier becomes liable
8Off the Shelf vs. Custom Protective Equipment Off the shelf equipmentPre-made and packagedCan be used immediatelyNeoprene sleeves, inserts, ankle bracesMay pose problem relative to sizing
9Off the Shelf vs. Custom Protective Equipment Customized equipmentSpecifically sized and designed for protective & supportive needs
10Head ProtectionDirect Collision sports require head protection due to impacts, forces, velocities and implementsFootball HelmetsNOCSAE developed standards for football helmet certificationMust be protective against concussive forceWhile helmets must be certified, they may not always be fail-safeAthletes and parents must be aware of inherent risks
11Warning labelWarning: Do not strike an opponent with any part of this helmet or face mask. This is a violation of football rules and may cause you to suffer severe brain or neck injury, including paralysis or death. Severe brain or neck injury may also occur accidentally while playing football. NO HELMET CAN PREVENT ALL SUCH INJURIES. USE THIS HELMET AT YOUR OWN RISK.
12RevolutionRevolution IQ Quick ReleaseRevolution IQ hits
13Head Protection Each helmet must have visible exterior warning label. Label indicates that helmet should not be used to strike an opponent due to risk of injury.Also indicates risk of injury accidentally and that athlete plays at own risk while using helmet.Athlete must be aware of risks and what label indicates.Athlete reads and signs statement regarding warning label.There are a number of helmet manufacturers, and even more have closed due to lawsuits and liability cases.
14Helmet FittingWhen fitting, head/hair should be wet to simulate sweat.Follow manufacturer’s directions.Must routinely check fit.Snug fit.With change in altitude, bladder helmets must be rechecked.Chin straps.Jaw pads are essential (prevent lateral rocking).Certification is of no avail if helmet is not fitted and maintained.
15Ice Hockey HelmetsMust withstand high velocity impacts (stick or puck) and high mass low velocity impacts.Helmet will disperse force over large area and decelerate forces that would act on head (energy absorption liner).Helmets must be approved by Canadian Standards Association (CSA).
16Baseball/Softball Batting Helmets Must withstand high velocity impacts.Research has indicated that helmet does little to dissipate energy of ball.Possible solution would be to add additional external padding.Helmet must still carry NOCSAE stamp (similar to football label).
17Cycling Helmets Designed to protect the head during one single impact. Many states require use of cycling helmets, especially in adolescents.
18Face Protection Face Guard Has reduced the number of facial injuries. Number of concussions has increased because head is most often used in initial contact.There are a variety of protective options depending on sport and position.Proper mounting of the mask must occur with no additional attachments that would invalidate the manufacturer’s warranty.All mountings must be flush to the helmet.
20Face ProtectionIn high school hockey, face masks are required (with white plastic coating) that meet Hockey Equipment Certifications Council and American Society for Testing Materials.Opening can not allow passage of sticks or pucks.Additional polycarbonate face shields are also available.The use of throat protectors is also mandated at some levels.
21Throat Protection Should be mandatory in these sports Laryngotracheal injuries, while uncommon can be fatal.Baseball catchers, lacrosse goalies and ice hockey goalies are most at risk.Should be mandatory in these sports
22Mouth guardsMost dental injuries can be prevented with appropriate customized intraoral mouth guards.Protect teeth, minimize lip lacerations, absorb shock of chin blows, and prevent concussions.Should fit comfortably, not impede speech or breathing.Should extend back as far as last molar.Do not cut down mouth guard as it voids warranty for dental protection and could become dislodged and disrupt breathing.
23Mouth guards Three types StockCommercial (formed following submersion in water)Custom (fabricated from dental mold)Mandated use in high school and collegiate levels.
24Ear Guards Ear Guards Most sports do not use. Wrestling, water polo and boxing utilize to prevent ear irritation and ultimate deformity of ears.
25Eye Protection Devices Highest percentage of eye injuries are sports related.Generally blunt trauma.GlassesMay slip on sweat, become bent, fog, detract from peripheral vision or be difficult to wear with headgear.Properly fitting glasses can provide adequate protection.May have polarizing/tinting ability.
26Eye Protection Devices Contact LensesBecome part of the eye and move with it.Peripheral vision, astigmatisms and corneal waviness is limited.Will not fog and can be tinted.Disadvantages include cost, corneal irritation, possibility of coming dislodged.
27Eye Protection Devices Eye and Glasses GuardsNecessary in sports with fast moving projectiles.Athletes not wearing glasses should wear closed eye guards to protect orbital cavity.While eye guards afford great protection, they can limit vision.
28Neck Protection Neck Protection Serve primarily as a reminder to athlete to be cautious rather than providing definitive restrictions.
29Trunk and Thorax Protection Essential in many sports.Must protect regions that are exposed to the impact of forces.External genitalia, bony protuberances, shoulders, ribs, and spine
30Trunk and Thorax Protection Football Shoulder PadsRules of fittingWidth of shoulders must be measured.Inside of pad should cover tip of shoulder in line with lateral aspect of shoulder.Epaulets and cups must cover deltoid and allow motion.Neck opening must allow athlete to raise arms over head w/out pads sliding forward and back.With split clavicle pads, channel for top of shoulder must be in proper position.Straps underneath arms should hold pads firmly in-place, w/out soft tissue restriction.
31Trunk and Thorax Protection Sports BrasMost designed to minimize excessive vertical and horizontal movements that occur with running and jumping.To be effective, should hold breasts to chest, preventing stretching of Cooper’s ligament.Rib ProtectionThorax protectors and rib belts.Protect against external forces.
32Protective Equipment Hips and Buttocks Groin and Genitalia Required in collision and high-velocity sports.Boxing, snow skiers, equestrians, jockeys and water skiers.Girdle and belt types.Groin and GenitaliaSports involving high velocity projectiles.Require cup protection for male participants
33Lower Extremity Protective Equipment SocksPoorly fit socks can cause abnormal stress on the foot.Should be clean, dry and w/out holes.Shoe selectionNumber of options for multiple activities.
34Shoe Selection Guidelines for selection Toe Box: space for toes (½ to ¾ inch of space from toes to front of shoe)Sole: provide shock absorption and durableSpongy layer to absorb force.Midsole that cushions midfoot and toes.Hard rubber which contacts the ground.
35Shoe Fitting Last: form on which shoe is built Straight = flat arch or run on inside of foot (pronator)Semi-curved = foot to fit normal archCurved = more forefoot stability, high arch (supinator)Heel Counter: prevents medial and lateral roll of foot.Shoe Uppers: top of shoe made with combination of materials, designed for appropriate ventilation, drying and support.Arch Support: durable but soft and supportive to foot.Price: due to impact on performance and injury prevention, may be worth the extra investment.
36Shoe Fitting Shoe fitting Measure both feet, as there will be slight differences.Fit at the end of day due to gradual increase in volume due to weight bearing.Should be snug but allow ample movement of foot and toes.Should break at widest part, coinciding with ball of foot.Must also consider width of shank, non-yielding nature of sole and function of arch support.Cleated and specialty shoes may present problems with fitting.Playing surfaces and activities must be considered.
37Lower Extremity Protective Equipment Heel CupsUsed for a variety of conditions including plantar fasciitis, heel spurs, Achilles tendonitis & heel bursitis.Used to help compress fat pad, providing more cushion during weight bearing.Foot OrthoticsDevice for correcting biomechanical problems that exist in foot that can cause injury.Plastic, thermoplastic, rubber, sorbethane, leather support or ready-made products.Can also be customized by physician, podiatrist, athletic trainer or physical therapist.
38Lower Extremity Protective Equipment Ankle SupportsCan be used alone or with tape.Compared to tape, the device will not loosen significantly with use.Shin and Lower LegCommercially marketed, hard molded shin guards are used in field hockey and soccer.
39Lower Extremity Protective Equipment Thigh and Upper LegNecessary in collision sports.Pads slip into ready made uniform pockets.Customized pads may need to be held in place with tape and/or wraps.Neoprene sleeves can also be used for support of injuries.Knee BracesUsed prophylactically to prevent injuries to MCL.AOSSM has expressed concern about their efficacy in reducing injuries.
40Lower Extremity Protective Equipment Types of BracesRehabilitativeWidely used following surgery.Allows controlled progressive immobilization.Adjustable.FunctionalUsed during & following rehab to provide functional support.Ready-made and customized.
41Lower Extremity Protective Equipment Neoprene (w/ medial and lateral support)Used by those that have sustained collateral ligament injuries.Some are also used to provide support in those that have patellofemoral conditions.
42Elbow, Wrist and Hand Protection While the elbow is less commonly injured, it is susceptible to instability, contusions, and muscle strain.A variety of products are available to protect the elbow.Wrist, hand and finger injuries are often trivialized but can be functionally disabling.Susceptible to fracture, dislocation, ligament sprains & muscle strains.Gloves and splints are available for protection and immobilization.