Changes in patient-reported outcome measures from the time of injury to return to play in adolescent athletes at secondary schools with an athletic trainer

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Journal of Athletic Training


Context: Typically, athletic trainers rely on clinician-centered measures to evaluate athletes’ return-to-play status. However, clinician-centered measures do not provide information regarding patients’ perceptions. Objective: To determine whether clinically important changes in patient-reported outcomes were observed from the time of lower extremity injury to the time of return to play in adolescent athletes. Design: Cross-sectional study. Setting: The National Athletic Treatment, Injury and Outcomes Network (NATION) program has captured injury and treatment data in 31 sports from 147 secondary schools across 26 states. A subsample of 24 schools participated in the outcomes study arm during the 20122013 and 20132014 academic years. Patients or Other Participants: To be included in this report, student-athletes must have sustained a knee, lower leg, ankle, or foot injury that restricted participation from sport for at least 3 days. A total of 76 initial assessments were started by athletes; for 69 of those, return-to-play surveys were completed and analyzed. Main Outcome Measure(s): All student-athletes completed generic patient-reported outcome measures (Patient-Reported Outcomes Measurement Information System [PROMIS] survey, Global Rating of Change scale, and Numeric Pain Rating Scale) and, depending on body region, completed an additional region-

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