ATI Evidence-based Guide Investigating Medical and Preventative Services

NCT04050319 | Active Not Recruiting DMC

• 1 other identifier: SOR08012019
• Study Type: observational
• Target: 550,000
• Locations: 1 country
• Sites: 1

Brief Summary

To use existing standard-of-care documentation in a sports medicine electronic medical record (EMR) to evaluate patient characteristics, interventions delivered, utilization management, and clinical outcomes in routine sports medicine care, in order to generate evidence to improve clinical effectiveness and quality of care.

Conditions

Sport Medicine

Keywords

concussions; Fractures; Instability; Sprains; Strains

Outcome Measures

Primary Outcomes (2)

• Numerical Rating Scale (NRS)

  Subjective; Patients rate pain on a scale from 0 (no pain) to 10 (worst pain imaginable).

  Baseline (Day 1 at Evaluation), throughout patient's episode of care asked each visit, on average up to 12 weeks

• Single Assessment Numeric Evaluation (SANE)

  Subjective, Patient-perceived overall function or pain related to a specific condition compared to pre-injury. 0% (least possible) to 100% (most possible/normal)

  Administered at initial evaluation, and every 4th visit for the patient's episode of care (on average 12 weeks).

Interventions

Screening and diagnosis if injured DIAGNOSTIC_TEST

Athletic Training and Physical Therapy

Also known as: athletic training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Individuals receiving medical and/or preventative services when part of an organized sports team.

You may qualify if:

• Care setting and timeframe: Received sports medicine services at ATI Physical Therapy, with documentation available in the ATI Sports Medicine EMR, on or after January 1, 2018, through the date of data extraction.
• Age range: Sports participants including middle school, high school and collegiate aged including adolescents through young adults that have been documented in the EMR.
• Record availability: Have an EMR record that includes the minimum data elements necessary to address the study objectives (e.g., episode identifiers/dates sufficient to define an episode of care, diagnosis/body region, utilization variables, and at least one routinely collected outcome measure when applicable to the specific analysis).
• Standard-of-care data: Data were collected as part of routine clinical care/documentation prior to and independent of this research study.

You may not qualify if:

• The record is outside the eligible timeframe or does not reflect sports medicine care at ATI.
• The record is a duplicate or cannot be reliably linked within the data source to a single episode/patient for analysis.
• The record lacks the minimum necessary variables required for the specific analysis (e.g., missing episode dates needed to define utilization metrics; missing baseline/discharge outcome for analyses requiring change scores).
• The data are corrupted, internally inconsistent (e.g., impossible dates), or otherwise unsuitable for analysis after standard data cleaning.
• The record cannot be adequately coded/de-identified for analysis and reporting under the study's privacy/confidentiality procedures.

Sponsors & Collaborators

• ATI Holdings, LLC: lead

Study Sites (1)

ATI

Downers Grove, Illinois, 60515, United States

Location

Related Publications (6)

• Herring SA. The team physician and return-to-play issues: a consensus statement. Medicine & Science in Sports & Exercise. 2002;34(7):1212-1214.

  BACKGROUND

• Martin CL, Greene J, David RB, Kliethermes S, Naylor J, Kucera K. Athletic Trainers as Outpatient Rehabilitation Providers: An Analysis of Role, Value, and Insurance Reimbursement in a Large Academic Healthcare System. Journal of Athletic Training. 2025;1(aop)

  BACKGROUND

• Patel DR, Yamasaki A, Brown K. Epidemiology of sports-related musculoskeletal injuries in young athletes in United States. Translational pediatrics. 2017;6(3):160.

  BACKGROUND

• Brenner JS, Watson A. Overuse injuries, overtraining, and burnout in young athletes. Pediatrics. 2024;153(2):e2023065129.

  BACKGROUND

• Coronado VG, Haileyesus T, Cheng TA, et al. Trends in sports-and recreation-related traumatic brain injuries treated in US emergency departments: the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) 2001-2012. The Journal of head trauma rehabilitation. 2015;30(3):185-197.

  BACKGROUND

• Rui P, Ashman JJ, Akinseye A. Emergency department visits for injuries sustained during sports and recreational activities by patients aged 5-24 years, 2010-2016. 2019

  BACKGROUND

MeSH Terms

Conditions

Fractures, Bone; Sprains and Strains

Interventions

Mass Screening

Condition Hierarchy (Ancestors)

Wounds and Injuries

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Study Officials

• Chris Stout, PsyD

  ATI

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Target Duration: 3 Years
• Sponsor Type: INDUSTRY
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Research

Study Record Dates

• First Submitted: August 5, 2019
• First Posted: August 8, 2019
• Study Start: April 23, 2026
• Primary Completion (Estimated): April 23, 2029
• Study Completion (Estimated): April 23, 2029
• Last Updated: May 4, 2026

Record last verified: 2026-04

Locations

US (1)