What comes to your mind when you hear the word "trainer?" Do you think of Burgess Meredith shouting at Sylvester Stallone in the corner of the boxing ring? Or perhaps "trainer" conjures an image of a person leading a dog obedience class. It could also be someone who trains you to use a computer. But most likely you think of a fitness professional- someone who works with individuals to lose weight or improve their strength and flexibility. Further, you might think "athletic trainer" and "trainer" are one in the same, but it's important to differentiate between the two.
When choosing the best professional to provide fitness or health care services for you or members of your family, it's essential to recognize that there are significant differences between personal trainers and athletic trainers- both in terms of qualifications and practice.
Athletic trainingis practiced by athletic trainers, who are health care professionals who collaborate with physicians to optimize activity and participation of patients and clients. An athletic trainer meets the qualifications set by a state regulatory board and/or the Board of Certification.
Certified athletic trainers (ATCs):
Must have at least a bachelor's degree from an accredited athletic training education program. Entry-level athletic training education is competency-based in both classroom and clinical settings and mirrors the medical education model. 70 percent of ATCs have earned a master's degree or higher.
Must pass a rigorous and validated certification exam to earn the ATC credential.
Must keep their skills current by participating in lifetime continuing education; the current requirement is 75 contact hours per every three-year reporting period.
Must adhere to practice guidelines set by one national certifying agency.
The practice of athletic training includes:
The provision of physical medicine and rehabilitation services, serving as physician extenders.
Prevention, assessment and treatment acute and chronic injuries and illnesses.
Coordination of medical care with physicians and other allied health care providers.
Making return-to-activity/return-to-work decisions.
Athletic trainers work in a variety of settings, including schools, colleges, professional sports, clinics, hospitals, corporations, industry, performing arts venues, municipalities (e.g. fire and police departments) and the military.
A personal trainer formulates, instructs, monitors and changes an individual's specific exercise program in a fitness or sport setting.
May or may not have higher education in health sciences
May or may not be required to obtain certification
May become certified by any one of numerous agencies that set widely varying education and practice requirements
May or may not participate in continuing education
Assess fitness needs and design appropriate exercise regimens
Work with clients to achieve fitness goals
Help educate the public about the importance of physical activity
Personal trainers work in health clubs, wellness centers and various other locations where fitness activities take place.
My wife's friend recommended that I read a book with the above title by Dr Paul Brand, and felt so strongly about it she sent us the book. The book is about Dr. Brand's experience working with individuals with various conditions such as leprosy, diabetes, and congenital nerve disorders that lead to the absence of pain. Upon reading the first couple of chapters, my view of pain had evolved from pain being a nuisance to pain being a healthy part of being alive.
I have always thought of pain as a negative, imperfect part of the human body. I used to think and imagine what I could be capable of if I did not feel pain. I took this philosophy to my professional life as well, focusing on pain management rather than the cause of the pain.
When the yellow or red check engine light goes on in your car, do you disconnect the dash board so the light goes off and keep driving? No, you research what caused the light to go on and get the problem fixed. It is no different with pain in the body. Pain is our check engine light, and if we ignore it, more serious problems will develop. It is very important we determine the cause of pain so that we can remedy the problem early on. Pain is a warning signal for things like lack of flexibility, training without enough recovery, improper training, muscle imbalance, poor form, etc.
One of the coolest things about being an Athletic Trainer at a college is we are available on campus during practices and competition to address these small problems that can lead to big problems later on. Sure, we treat the big problems as well, but we treat them in such a way that we address the underlying problem so we can prevent future injuries.
So, if you are having pain, don't think of the pain as a negative thing, think of the pain as a warning light. Then get go see a health care professional, such as an Athletic Trainer, to determine the nature of the problem and how to fix the problem so you can get back to doing the activities you enjoy most.