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Kinds of Helmets
>Padded
>Air-filled (bladder)
-Riddell, Schutt, Xenith, Rawlings
**Towson uses Riddell
Helmet fitting
1.Prepare Helmet
-Sanitize
-Check equipment/parts
2.Take measurements
-Circumference
3.Select helmet type
-style
-size
4.Obtain information
-positon playing(useful for determining face mask type)
5.PMHx
6.Past Experience
7.Physical abnormality
Positioning of Helmet
1.Wet head
2.Prepare air-filed pads
3.Check height on forehead(frontal rim .75-1 inch above eyebrow)
4.Chin strap (equal tension & centered)
5.Neck (padding snug & over base of occiput)
Fitting check: Helmet Fitting
1.Back to front (skin or forehead should move; no whiteness on forehead after removal)
2.Sides (ear hole in line with ear; firm contact with skin)
3.Face mask (determined by position; 3 fingers between end of nose & mask)
5.Adjustments (inflate/deflate bladder(s) w/chin strap buckled; replace pads PRN with appropriate parts)
Final check: Helmet Fitting
1.Crown (recoil) check (lock fingers & firmly push down determine if pressure is evenly distributes)
2.Lateral movement (force helmet side-to-side forehead skin should move with some resistance; check pads should bunch cheeks)
3.Vertical movement (force helmet up & down, skin should move & slip a little; should catch on eyebrow w/out hitting nose)
Helmet Fitting: Points to remember
-Never interchange pads between helmet styles
-Make sure all equipment is matched
-Never cut a pad down
-Do not alter function of helmet by over modification
-Check field of vision after fitting with & without shoulder pads
Helmet Fitting: Points to remember 2
>Have athletes read NOCSAE (National Operating Committee on Standards for Athletic Equipment) warning label, read it to them again, & sign waiver
>Check fit on a continual basis
-Check air levels on a regular, if not daily bassi
-Re-inflate bladders as needed (always done with helmet on)
-Temp can affect helmet fit
Re-inflating bladders
-ALWAYS DONE WITH HELMETS ON
-Moisten needle with approved lubricant
-slowly twist into valve
-Inflate with 1-2 pumps
Helmet Reconditioning
Why?
-Inspect helmet for defects or cracks
-Perform NOCSAE impact test
-Clean,repaint
-Change hardware (screws,liners,pads)
When?
-Every year between May-July
-Takes approximately 2 months to complete
Who? Riddell
What? Every helmet, every used shoulder pad
Cost? $40/helmet (165 helmets)
Shoulder Pad Fitting
>Designed for protection while not limiting mobility
-Protects the soft tissue, joints, and bones of the shoulder, back and chest
Shoulder Pad Fitting 2
1.Know athlete PMHx
2.Fit with what athlete would typically wear for activity
3.Determine shoulder width (tip to tip), chest size & weight
4.Know athletes position --match with position
*Have athlete try on pads, securing straps and laces
Anterior view fitting
1.check for AC joint coverage (pad should extend 1/2 inch over deltoid)
2.check for pec, sternum & SC joint coverage (cover nipple line)
3.check for deltoid coverage (pad should cover 3/4 of muscle)
Anterior view continued
1.check for trapezius coverage
2.should have comfortable ROM for neck
3.Raising arms overhead should not cause pad to pinch neck
Lateral view
1.check for proper AC channel
2.check for proper coverage of caps over deltoid
3.check for coverage of clavicle
Posterior view
1.check for coverage of rhomboids and latissimus doors (pads should not overlap)
2.check for spine coverage
3.check neck region again
4.check straps
Shoulder pad fitting 3
>Pads should be examined for broken or damaged parts
-worn/broken laces
-rusted/broken rivets
-brokern cantilever springs and straps
-cracks in plastic
-torn/ripped stitching
-cracks/tears in collar
-worn or loose cap and epaulet hinges
-loose grommets
-rusted hardward
Final Shoulder Pad Check
1.Have athlete raise hands above head (uninhibited ROM)
2.Have athlete get in their stance (with & w/ out helmet)
3.Straps should be snug (fit 1-2 fingers under straps)
4.Straps should not choke or pinch
Other Sports with Shoulder Pads
-Must size per manufacturer guidelines & sport demands
-Lacrosse
-Ice Hockey
Mouthpiece
>Role of mouthpiece
-protects the teeth
-mouth guards DO NOT prevent concussion
-Minimize chance of lacerations to lips & cheeks
-Minimize chance of mandible fractures
Mouthpiece fitting
Two main types of mouthpieces:
1.Customized, intraoral mouthpiece
2.Heat moldable mouthpiece (AKA suck & bite, boil & bite)
Customized Mouthpiece
-Best fit for athlete
-Initial impression of athlete's teeth is made by a dentist or trained individual
-stone mold is formed from impression
-mouthpiece material is heated and placed down over the mold using a vacuum-form machine
Customized Mouthpiece Cont.
-Material is shaped to mold by ATC
-Excess plastic is cut off & edges are smoother prior to use(don not cut past back molar)
-Place in athlete's mouth & have them talk to ensure that it does not fall out
Heat and moldable mouthpiece
1.Dip mouthpiece into boiling water for 30-60 seconds
2.remove when it begins to bend
3.dip into cool water
4.have athlete place in mouth, but down, suck all the water out, & form mouthpiece to teeth using fingers
5.adjust size as needed
6.have athlete talk with mouthpiece in to ensure that is does not fall out
Mouthpiece: Key Points
-Mouthpiece should provide a tight fit, comfort, unrestricted breathing & unimpeded speech
-mouthpiece should never be cut down to cover only front teeth & should always cover back molar
-Mouthpiece should be worn at all times (NCAA rules for football, M/W Lax, field hockey, M/W Hockey)