Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 14 Jul 2025

Treatment and Cost Characteristics of Athletic Training Services in Secondary Schools for Knee and Ankle Cases

PhD, ATC,
PhD,
PhD,
PhD, MPH,
PhD, and
PhD, MSW
DOI: 10.4085/1062-6050-0587.24
Save
Download PDF

ABSTRACT

Context:

The monetary costs of sport-related injuries are significant, but complexity in public and private payers and disparate injury-reporting systems create challenges in accurately estimating their economic impact. Few studies have characterized the cost of athletic training services for sport-related injuries.

Objective:

To describe the treatment and cost characteristics of high school athletic training services provided to student-athletes for knee and ankle cases.

Design:

Cross-sectional study

Setting:

Secondary schools

Patients:

High school student-athletes receiving athletic training services for knee and ankle cases

Main Outcome Measure(s):

Treatment and costs characteristics of athletic training services provided to high school student-athletes for knee and ankle cases, including comparison of total cost of care by gender, sport, and injury severity outcome.

Results:

Between 2014-2019, 219 knee and 400 ankle cases and their associated treatments were documented by athletic trainers in the National Athletic Treatment, Injury and Outcomes Network Surveillance Program. Therapeutic exercises and ankle strapping were the most commonly documented services. The median estimated total cost of care was $124.20 (IQR $75.44-$231.64) per knee case and $148.58 (IQR $27.00-287.10) per ankle case. Median total cost of care varied across injury severity.

Conclusion:

This study provides insights into the cost characteristics of high school athletic training services. While costs were generally lower than previous reports, the findings highlight the worth of athletic training services in managing knee and ankle cases and underscore the need for improved documentation and cost data collection to further demonstrate the economic value of athletic training services.

Contributor Notes

Katie Sniffen, PhD, ATC (corresponding author) Assistant Professor, Program Director Saint Louis University Katie.sniffen@health.slu.edu (209) 505-7128 @katie_atc
  • Download PDF