Athletic training re-evaluation
CPT4 code
Name of the Procedure:
Athletic Training Re-Evaluation
Summary
An athletic training re-evaluation is a comprehensive assessment conducted by a certified athletic trainer to review an athlete's progress after an injury, illness, or previous assessment. This procedure helps in updating treatment plans and making necessary adjustments to promote optimal recovery and performance.
Purpose
The re-evaluation addresses the current status of an athletic injury or condition. The goal is to assess healing, track progress, and update treatment and rehabilitation strategies to ensure the athlete's safe return to sports or physical activities.
Indications
- Recurring or non-improving symptoms.
- Post-surgical follow-up.
- Changes in the athlete’s physical condition or performance.
- Periodic checks during long-term rehabilitation.
- Clearance for return to sport.
Preparation
- Bringing previous medical records, such as initial injury reports or past evaluation results.
- Wearing comfortable clothing for physical assessment.
- No specific fasting or medication adjustments unless advised by a healthcare provider.
- Arranging for any necessary diagnostic imaging (e.g., MRI, X-ray) or lab test results to be sent beforehand.
Procedure Description
- Initial Consultation: Review of athlete's medical history and details of the original injury.
- Physical Examination: Assessment of movement, strength, flexibility, and other physical parameters relevant to the injury or condition.
- Functional Testing: Performance-based tests to evaluate sport-specific abilities.
- Discussion: Athletic trainer discusses findings, progress, and any modifications needed to the treatment plan.
- Recommendations: Update on exercise routines, rehabilitation exercises, and any necessary protective gear.
Tools used may include goniometers, strength-testing devices, and specific functional test equipment. No anesthesia or sedation is involved.
Duration
Typically ranges from 30 minutes to 1 hour, depending on the complexity of the case.
Setting
The re-evaluation can be performed in a variety of settings such as:
- Sports medicine clinics
- Rehabilitation centers
- Athletic training facilities
Personnel
- Certified Athletic Trainer (ATC)
- May involve other healthcare professionals like physical therapists and sports physicians.
Risks and Complications
- Minimal risks are associated, primarily involving potential discomfort during physical and functional testing.
- Rare possibility of exacerbating symptoms if not communicated properly during physical tests.
Benefits
- Tailored updates to rehabilitation plans.
- Improved safety in returning to physical activities.
- Enhanced recovery outcomes based on progress assessments.
Recovery
Post-procedure involves following updated rehabilitation or exercise plans as recommended. There may be continued rest of certain activities or follow-up evaluations. Recovery time varies based on individual progress and specific injury; follow-up appointments assist in ongoing assessments.
Alternatives
- Independent rehabilitation without professional re-assessment, which may risk improper recovery.
- Routine follow-ups with physicians or physical therapists for assessment.
- Using telehealth services for evaluation in cases where in-person visits are impractical.
Patient Experience
During the re-evaluation, the athlete may feel some physical exertion during functional tests. Post-evaluation may involve adjusted or new exercises, with continued emphasis on managing any pain or discomfort through prescribed protocols. Ensuring good communication with the athletic trainer aids in comfort and effective recovery.