CNHS Athletic Training
Jamie Skolka MS, LAT, ATC
Phone: 732-761-0190 x 1032
Fax: 732-761-0193
Email: jskolka@frhsd.com
Office hours: 1:30-7:00pm
What is Athletic Training?
Athletic training encompasses the prevention, examination, diagnosis, treatment and rehabilitation of emergent, acute or chronic injuries and medical conditions. Athletic training is recognized by the American Medical Association (AMA), Health Resources Services Administration (HRSA) and the Department of Health and Human Services (HHS) as an allied health care profession.
What is an Athletic Trainer?
Athletic trainers are sometimes confused with personal trainers. There is, however, a large difference in the education, skillset, job duties and patients of an athletic trainer and a personal trainer. Athletic trainers (ATs) are highly qualified, multi-skilled health care professionals who render service or treatment, under the direction of or in collaboration with a physician, in accordance with their education, training and the state's statutes, rules and regulations. As a part of the health care team, services provided by athletic trainers include primary care, injury and illness prevention, wellness promotion and education, emergent care, examination and clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions.
Concussion/Head Injury Information
A concussion is a traumatic brain injury caused by a direct or indirect blow to the head or body. Signs and symptoms of a concussion can show up right after or the injury or may not appear to be noticed until days after the injury. Some signs and symptoms include:
Signs
Appears dazed or stunned
Is confused about assignment or position
Loses consciousness
Shows mood or personality changes
Cant recall events prior or after injury
Symptoms
Headache or "pressure" in head
Nausea or vomiting
Balance problems or dizziness
Blurry vision
Sensitivity to light or noise
Baseline Testing
Every Student-Athlete should have a valid baseline test prior to the start of the season. Results from baseline testing can be used if an athlete has a suspected concussion. Comparing post-injury test results to baseline test results can assist health care professionals in identifying the effects of the injury and making more informed return to school and play decisions. Each test is valid for 2 years.
concussion vital signs info sheet.pdf
Graduated Return to Competition and Practice Protocol:
Step 1- Completion of full day normal cognitive activities (Return to Learn) without re-emergence of any signs or symptoms. If symptomatic the athlete shall be required to have a re-evaluation by their physician or licensed healthcare provider and remain on Step 1 until asymptomatic. If asymptomatic, the athlete may progress to Step 2, after 24 hours.
Step 2- Light aerobic exercise, which includes walking, swimming, or stationary cycling, keeping the intensity less than 70% maximum percentage heart rate. There shall be no resistance training. If a re-emergence of any signs or symptoms of a concussion occurs, the pupil shall remain on this step and may retry after 24 hours. If asymptomatic, the athlete may move on to Step 3 after 24 hours.
Step 3- Sport-specific exercise including skating and/or running. There shall be no head activities. If a re-emergence of any signs or symptoms of a concussion occurs, the pupil shall remain on this step and may retry after 24 hours. If asymptomatic, the athlete may move on to Step 4 after 24 hours.
Step 4- Non-contact training drills such as passing drills, agility drills, throwing, catching, etc. The student-athlete may initiate progressive resistance training. If a re-emergence of any signs or symptoms of a concussion occurs, the pupil shall remain on this step and may retry after 24 hours. If asymptomatic, the athlete may move on to Step 5 after 24 hours.
Step 5- Contact training drills. The pupil’s medical condition upon completing Step 4, with no return of any signs or symptoms of a concussion, shall be evaluated for medical clearance based upon consultation between the school district’s athletic trainer, school or team physician, designated school nurse, and the pupil’s physician. Upon obtaining the written medical clearance, approved by the school or team physician, the athlete may participate in normal training activities. If a re-emergence of any signs or symptoms of a concussion occurs, the pupil shall remain on this step and may retry after 24 hours. If asymptomatic, the athlete may move on to Step 6 after 24 hours.
Step 6- Return to play involving normal exertion or game activity. If an athlete exhibits a re-emergence of any concussion signs or symptoms, they will be removed from physical activity and will follow-up with the school or team physician or licensed health care provider.
For more information about concussions please visit:
CNHS School Physician
Matthew Parisi, MD
Sports Medicine New Jersey
186 County Road 52, Suite 3
Morganville, NJ 07751
732-946-2100
Manalapan Primary Care
28 Briar Hill Drive
Manalapan, NJ 07726
732-303-0700
Dr. Parisi provides comprehensive and individualized treatment plans to allow patients to stay active and to use exercise as treatment for both physical and mental health issues.
Areas of Interest
Sport and exercise related injuries such as sprains, strains, joint pain, and fracture care and management.
Osteoarthritis
Concussion evaluation and management
Diagnostic and interventional musculoskeletal ultrasound
Injection therapy including cortisone, hyaluronic acid, and platelet-rich plasma (PRP)
Sports physicals including electrocardiogram screening