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Ottawa Ankle Rules internetmedicin

Ottawa Ankle Rules. Ottawa Ankle Rules är ett hjälpmedel vid bedömningen av fotskador. Med hjälp av dessa kan man med god säkerhet utesluta frakturer hos många patienter utan att röntga fotleden. Källa: Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. BMJ 2003 236(7386):417 • PubMed. Smärta kring malleole Kalkylatorer. Här finner du olika medicinska kalkylatorer. Poängskala för bedömning av en nyfödds tillstånd. Ett hjälpmedel för att upatta närvaron av främmande katjoner såsom vid vissa intoxikationer. Beräkna det basala energibehovet i vila. BMI används för att objektifiera närvaron av över- eller undervikt The Ottawa Ankle Rules were established to help physicians decide which patients should have an x-ray following an acute ankle injury. [3] Evidence supports the Ottawa ankle rules as an accurate instrument for excluding fractures of the ankle and mid-foot

O Ottawa rules for x-ray of knee, Ottawa ankle and foot rules Lateral view ankle and foot Medial view Posterior edge or tip of medial malleolus Navicular Malleolar zone Midfoot zone Posterior edge or tip of lateral malleolus base of 5th metatarsal 6cm An ankle x-ray is required only if there is any pain in malleolar zone and any of these findings Korrigerat Na Kroppsyta LDL (beräknat) Lungemboli Medelartärtryck MDRD MELD MEWS Na-brist Na-utsöndring NEXUS-kriterierna Njurfunktion Osmolgap Ottawa Ankle Ottawa Knee Parkland PERC-regeln PESI-scor Rules out clinically significant foot and ankle fractures to reduce use of x-ray imaging. Patients ≥2 years old with ankle or midfoot pain/tenderness in the setting of trauma. The Ottawa Ankle Rule was derived to aid efficient use of radiography in acute ankle and midfoot injuries Ottawa ankle rules. Dr Tom Foster and Dr Henry Knipe et al. The Ottawa ankle rules are a clinical decision-making strategy for determining which patients require radiographic imaging for ankle and midfoot injuries. Proper application has high (97.5%) sensitivity and reduces the need for radiographs by ~35% 1,2,4

Korrigerat Na Kroppsyta LDL (beräknat) Lungemboli Medelartärtryck MDRD MELD MEWS Na-brist Na-utsöndring NEXUS-kriterierna Njurfunktion Osmolgap Ottawa Ankle Ottawa Knee Parkland PERC-regeln PESI-score: Promillehalt Rockall Strokeskala Syncope Rule Sunnybrook Syrgas TIMI NSTEMI TIMI STEMI QTc Vätskebehov Vattenunderskott WETBAGS-5A Winters formel Ögonsjukdomar Översik

Ottawa Ankle Rules - icd.nu; TIMI-score för hjärtinfarkt - icd.nu; Ögondiagnostik - icd.nu; Kollega. Intervju med Staffan Olsson; Kongressrapporter; Kontakta oss; Laboratorieanalyser; Laboratorieanalyser; Lakemedel.info; Lediga jobb. Arbetsgivarprofiler; AT-länken; Logga in; Login; Login Customizer; Läkarmaterial; Material; Mediadatabas; Mednytt. Pubme Ottawa Ankle Rules This guideline will aid you in determining which patients require an x-ray of their ankle. Exclusions • Less than 18 years old • Intoxication • Multiple painful injuries • Pregnant • Head injury • Diminished sensation due to neurological deficit Recommendation In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture.Before the introduction of the rules most patients with ankle injuries would have been imaged. However the vast majority of patients with unclear ankle injuries do not have bone fractures Enroll in our online course: http://bit.ly/PTMSK DOWNLOAD OUR APP: iPhone/iPad: https://goo.gl/eUuF7w Android: https://goo.gl/3NKzJX GET OUR ASSESSMENT B..

He is best known for the development of the Ottawa Ankle Rule, the Canadian C-Spine Rule, and Canadian CT Head Rule and as the Principal Investigator for the landmark OPALS Studies for prehospital care. Dr. Stiell is the Principal Investigator for 1 of 3 Canadian sites in the Resuscitation Outcomes Consortium (ROC) which is funded by CIHR, NIH, HSFC, AHA, and National Defence Canada Validation of the Ottawa Ankle Rules in Children with Ankle Injuries AMY C. PLINT, MD, BLAKE BULLOCH, MD, MARTIN H. OSMOND, MD, IAN STIELL, MD, HAL DUNLAP, MD, MARTIN REED, MD, MILTON TENENBEIN, MD, TERRY P. K LASSEN, MD Abstract. Objectives: The Ottawa Ankle Rules (OAR) have been found to be 100% sensitive in adult patients with ankle injuries, and application of the OAR has resulted in a 28% reduction in the numbe This video features Dr. Ian Stiell, Professor in the Department of Emergency Medicine at the University of Ottawa, discussing the assessment of an ankle and/..

Report by Man-Cheuk Yuen, Senior Medical Officer Checked by Fiona Saunders, Specialist Registrar A 5 year old boy attends the emergency department after sustaining a twisting injury to his left ankle. On examination there is swelling and tenderness over the lateral malleolus. You know that the Ottawa ankle rules are applicable in adult patients and you Last week, we discussed the distal fibula fracture. In the comments we noticed some of you asking about the Ottowa Ankle Rules.These rules were created in 19..

Ottawa Ankle Rules - icd

  1. The Ottawa Ankle and Foot Rule. Watch later. Share. Copy link. Info. Shopping. Tap to unmute. If playback doesn't begin shortly, try restarting your device. Up next
  2. Editor,—Further to previous correspondence I think the use of the Ottawa Ankle Rule needs some clarification.1 Firstly, the Ottawa group2, 3 themselves acknowledge that clinical judgement should take precedence over sticking to rigid rules. They are also careful to point out several groups in whom they do not feel the rules should be applied, such as the intoxicated, the multiply injured, or.
  3. ed
  4. Ankle and foot injuries are common presentations to the Emergency Department, and it can often be difficult to know whether imaging is required. In 1992, Dr. Ian Stiell and his colleagues developed The Ottawa Ankle Rules 12 to facilitate this decision. The Ottawa ankle and foot rules are highly sensitive and widely used as a tool to reduce unnecessary imaging in Emergency Departments

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  1. Le Ottawa Ankle Rules sono una serie di linee guida cliniche per poter decidere se dover fare una radiografia ad un paziente che lamenta dolore alla caviglia o al piede, per escludere la presenza di eventuali fratture.Prima dell'introduzione di queste linee guida, un paziente con distorsione di caviglia veniva direttamente inviato in pronto soccorso per poter fare una radiografia, con la.
  2. Background The Ottawa ankle rules (OAR) are clinical decision guidelines used to identify whether patients with ankle injuries need to undergo radiography. The OAR have been proven that their application reduces unnecessary radiography. They have nearly perfect sensitivity for identifying clinically significant ankle fractures
  3. The Ottawa ankle rules were developed to identify those subjects with an ankle sprain who required radiographs to rule out the presence of subtle or frank fracture. Patients with osseous pain in the lower 6 cm of the fibula or tibia or inability to bear weight immediately after injury should have anterior-posterior, lateral and ankle mortise views taken
  4. e if ED triage nurses could appropriately interpret the Ottawa Ankle Rules (OAR). We conducted a prospective, observational trial of a clinical decision rule in a suburban ED on a convenience sample of ED patients, aged >17 years with acute ankle injuries
  5. Bachmann LM, Kolb E, Koller MT, et al. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003;326:417. Dowling S, Spooner CH, Liang Y, et al. Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis. Acad Emerg Med. 2009;16:277-87

The Ottawa Ankle Rules are a validated tool to identify those needing ankle/foot x-rays. They are sensitive (i.e. can rule out fractures), but are not overly specific (i.e. there will be false positives). Using the rules can reduce the number of unnecessary x-rays by up to 30%. There are limitations Knowing when to order X-rays, or even what to order, can be confusing. The Ottawa Ankle Rules, developed by Stiell, specifies the criteria to be met before ordering X-rays for a patient presenting with an acute ankle injury. 10,11,13,14 The instructions and associated figure below layout these guidelines. Ottawa Ankle Rules Le Ottawa Ankle Rules (OAR) sono delle regole di decisione clinica sviluppate e validate per escludere una frattura clinicamente rilevante dopo una distorsione di caviglia. La maggior parte dei pazienti che visita il pronto soccorso dopo una distorsione di caviglia è esaminata con le radiografie per escludere la presenza di una frattura nonostante il fatto che la probabilità di frattura sia. Objective To review the diagnostic accuracy of the Ottawa Ankle and Midfoot Rules and explore if clinical features and/or methodological quality of the study influence diagnostic accuracy estimates. Design Systematic review with meta-analysis. Data sources MEDLINE, EMBASE, CINAHL, SPORTDiscus and Cochrane Library. Eligibility criteria for selecting studies Primary diagnostic studies reporting.

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COMPARISON OF OTTAWA ANKLE RULES AND BERNESE ANKLE RULES IN ACUTE ANKLE AND MIDFOOT INJURIES injury during daily walking, and the remaining reported other reasons. Radiographic examinations showed 19 fractures out of 100 investigated patients (Table 1). Sensi-tivity and specificity of OAR were 100% and 77% respec-tively Apply the Ottawa Ankle Rules accurately: • palpate the entire distal 6 cm of the fibula and tibia • do not neglect the importance of medial malleolar tenderness • do not use for patients under age 18 Clinical judgement should prevail over the rules if the patient: • is intoxicated or uncooperative • has other distracting painful injurie The Ottawa Ankle Rules (OAR) are a clinical decision tool used to minimize unnecessary radiographs in ankle and foot injuries. The OAR are a reliable tool to exclude fractures in children over 5 years of age when applied by physicians. Limited data support its use by other health care workers in children Ottawa ankle rules: 16 assessed the ankle,7 16 18 26 28 30 31 33 34 37 39-43 46 11 assessed the mid› foot,7161828303340-4346and 10 investigated global accu› racy, which included a combination of both assessments.17 21-23 25 27 35 38 44 45 The Ottawa ankle rules was developed to assist decision making in adults, but six studies reported o

Tiny Tip: The Ottawa Ankle and Foot Rules - To Image or

Ottawa Ankle Rules - Physiopedi

  1. The Ottawa ankle rules (OARs) were introduced to assess the need for x-ray in the 1990s (Stiell et al 1992). Although they are said to have reduced the number of ankle x-rays requested many unnecessary ankle x-rays are still taken, and although the sensitivity of the OARs 95-100% the specificity is consistently low
  2. e whether different criteria.
  3. De Ottawa Ankle Rules zijn een aantal regels die door professionele hulpverleners kunnen worden gebruikt om te beslissen of bij enkelletsel een röntgenfoto noodzakelijk is om een botbreuk uit te sluiten. Hiermee kan men onderzoeken of er sprake is van een verstuikte enkel of een gebroken enkel.. Bij de Ottawa Ankle Rules worden de volgende controles uitgevoerd
  4. Ottawa ankle rule. Ottawa ankle rule. Ankle x-ray needed if: Pain near the maleoli AND. Inability to bear weight immediately and in the ED (4 steps) OR. Tenderness at posterior edge or tip of lateral malleolus OR. Tenderness at posterior edge or tip of medial malleolus

Ottawa ankle rules-骨折の有無を予測する指標-. スポーツにおいて最も受傷数が多いとされている足関節捻挫。. 足部・足関節周囲の骨折については、「Ottawa ankle rules」(オタワ足関節ルール:以下OAR)にてある程度の予測が可能です。. 私は理学療法士として. Ottawa ankle rules Many trials evaluate the validity of the Ottawa ankle rules (OAR) for excluding fractures of the ankle in patients with an ankle sprain: The meta-analysis of Bachmann, with a moderate risk of bias, summarizes the accuracy of the OAR from 1990 to 2002.[1] The authors selected 27 studies describing 15 581 patients. The results.

Ottawa ankle rules. The Ottawa knee rule says that a knee X-ray is required if the patient presents after trauma with at least one of the following findings: 1) age over 55 years or younger than 18 years. 2) bony tenderness at the fibular head or over the patella. 3) inability to flex the knee to 90 °. 4) inability to weight bear (for four. Ottawa Ankle Rule(オタワアンクルルール)は、トレーナーとして知っておくべき必須の評価方法です。本記事では、オタワアンクルルールの使い方をSystematic Reviewを元に解説します。トレーナーの方は必須知識ですよ The Ottawa Knee rules screening is used to determine if there are any fractures at the patella or the head of the fibula. Physiotherapists will first palpate these specific zones of the knee and then also see if the athlete is able to bend their knee to 90 degrees. Similar to the Ankle rules above, the athlete will also attempt to perform 4 steps 3) Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. (2003) Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ; 326(7386):417. 4) Plint AC, Bulloch B, Osmond MH, Stiell I, Dunlap H, Reed M, Tenenbein M, Klassen TP. (1999) Validation of the Ottawa Ankle Rules in children with ankle injuries

The Ottawa Ankle Rules were adapted by TOP's predecessor, the Alberta Clinical Practice Guideline Program, in 1996 as a guideline to assist physicians to make decisions about use of radiography for patients with ankle injuries. The Ottawa Ankle Rules were developed, clinically tested an Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis Published by Hanley and Belfus, 01 April 2009 Dowling S, Spooner CH, Liang Y et al. Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis The Ottawa Ankle rule for foot and ankle fractures was refined and validated in this study. The final rule was 100% sensitive for fracture. Use of the rule could have reduced ankle x-rays by 34% and foot x-rays by 30%. Want a picture of the Ottawa rule? The Ottawa ankle rule may reduce x-ray utilization for foot/ankle injuries Ottawa ankle rules for use of radiography in acute ankle injuries: Multicentre Ankle Rule Study Group. BMJ. 1995 Sep 2;311(7005):594-597. 3. Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003 Feb 22;326(7386):417. 4 Ottawa Ankle Rules(オタワアンクルルール)で見落としが増える??? https://intmed.exblog.jp/8800141/ Practice Quality Improvement Report A multifaceted strategy for implementation of the Ottawa ankle rules in two emergency departments Published 12 August 2009, doi:10.1136/bmj.b3056 Cite this as: BMJ 2009;339:b305

In the case of the Ottawa Ankle Rules, with a sensitivity range of 96.4% to 99.0%, a negative test finding is a reasonable indicator that no fracture is present.4 Test specificity represents the number of the total group of patients without the condition who have a negative test, based on a definitive standard.4 Specificity can be useful as a metric of the number of unnecessary events (eg. OTTAWA ANKLE RULES. Ankle sprains should be evaluated using the Ottawa ankle rules (Figure 2 3), which are well-established clinical guidelines used to determine the need for radiography.5 - 7. Tabell Ottawa Ankle Rules onvermogen van de patiënt om direct na het trauma én in de onderzoekkamer de enkel te belasten door het maken van 4 stappen zonder hulp, óf A pijn bij palpatie van de achterzijde van de onderste 6 cm van de laterale malleolus, óf B pijn bij palpatie van de achterzijde van de onderste 6 cm van de mediale malleolus, ó

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Ottawa Ankle Rule 最早是在 1992 年提出的,後來陸陸續續有人進行研究來探討它的實用性。這個檢測的敏感度(Sensitivity)與陰性預測值(Negative Predicted Value)很高,接近 100%,因此相當適合作爲一個篩檢工具,可以降低不必要的急診 X 光達 30-40 % We use rules like the Ottawa ankle rules all the time. Avoids unnecessary diagnostics and x-ray exposure for the patient while cutting expenses for the system, leaving more resources for patients who actually need the care. Most places I have worked has a triage nurse who sees the patient first and applies the rule A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med. 1992 Apr; 21 (4):384-390. [Google Scholar] Stiell I, Wells G, Laupacis A, Brison R, Verbeek R, Vandemheen K, Naylor CD. Multicentre trial to introduce the Ottawa ankle rules for use of radiography in acute ankle injuries Ep 105 Commonly Missed Ankle Injuries You probably can't remember the last time you worked a shift in the ED and didn't see at least one patient with an ankle injury. While almost all of these patients are relatively straightforward to diagnose and manage a small but significant minority of these patients will have a more elusive diagnosis, that if not identified early, could lead to.

Ottawa Ankle Rule - MDCal

Ottawa ankle rules adalah pedoman klinis yang dapat digunakan untuk membantu diagnosis ankle fracture dan membedakannya dengan acute ankle injury lainnya, seperti ankle sprain. Sensitivitas pemeriksaan ini untuk menyingkirkan diagnosis fraktur pada anak-anak di atas usia 5 tahun hingga dewasa dengan cedera pergelangan kaki dan midfoot oleh 3 studi ditemukan tinggi, >95 % Don't request imaging for acute ankle trauma unless indicated by the Ottawa Ankle Rules (localised bone tenderness or inability to weight-bear as defined in the rules). Date reviewed: 1 March 2016 Most clinically significant acute ankle injuries can be diagnosed with history, examination, and selective use of plain radiography

Ottawa ankle rules Radiology Reference Article

The Ottawa ankle rule (Steil et al., 1992) was originally developed from retrospective study of 750 patients which was later tested and validated in a multi-centre controlled clinical trial of over 12,000 patients (Steill et al 1995). Injuries to the ankle and mid foot are commonly seen in ED's (Bachmann et al, 2003) Objectives: The objectives were to conduct a systematic review to determine the diagnostic accuracy of the Ottawa Ankle Rules (OAR) to exclude ankle and midfoot fractures in children and the extent to which x-ray use could be reduced without missing significant fractures. Methods: The authors conducted comprehensive searches of electronic databases and gray literature sources The Ottawa Rules are a set of rapid and interactive decision tools now available on smartphones and mobile devices. Developed through a series of unique studies, Dr. Ian Stiell and his emergency medicine research group developed the Ottawa Knee Rule, the Ottawa Ankle Rule and the Canadian C-spine Rule

The applicability of the Ottawa ankle rules in children aged 2-16 years has been confirmed with 100% sensitivity for significant fractures of the ankle and mid-foot. This would allow a reduction in radiographs of the ankle of 16% and of the foot by 29%, without missing any clinically significant fracture. 4,5 The Ottawa ankle rules (OAR) are a set of guidelines to help the physician as to decision making regarding need for x ray examination after ankle and mid-foot injury. A previous best evidence topic report examined whether these rules could be applied to children.1 At that time there was insufficient evidence to make a determination. This appraisal updates that topic

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Korrigerat Na Kroppsyta LDL (beräknat) Lungemboli Medelartärtryck MDRD MELD MEWS Na-brist Na-utsöndring NEXUS-kriterierna Njurfunktion Osmolgap Ottawa Ankle Ottawa Knee Parkland PERC-regeln PESI-score: Promillehalt Rockall Strokeskala Syncope Rule Sunnybrook Syrgas TIMI NSTEMI TIMI STEMI QTc Vätskebehov Vattenunderskott WETBAGS-5A Winters. Ottawa Knee Rules. Ottawa Knee Rules. Ålder ≥ 55 år: Isolerad ömhet över patella : Ömhet över fibulahuvudet: Oförmåga flektera knät 90° Evidence supports the Ottawa ankle rules as an accurate instrument for excluding fractures of the ankle and mid-foot. The instrument has a sensitivity of almost 100% and a modest specificity, and its use should reduce the number of unnecessary radiographs by 30-40%. A patient who presents with 0 of the symptoms is less than 1% likely to have a.

The Ottawa Ankle Rule is useful for ruling out fracture (high sensitivity), but poor for ruling in fractures (many false positives). Palpate the entire distal 6 cm of the fibula and tibia. Do not neglect the importance of medial malleolar tenderness. Bearing weight counts even if the patient limps Internetmedicin (3) • 1177 (2) K25.6. Sår i magsäcken-Kroniskt eller ospecificerat med både blödning och perforation. Internetmedicin (2) • 1177 (2) K25.7. Sår i magsäcken-Kroniskt utan blödning eller perforation. Internetmedicin (2) • 1177 (2) K25.9. Sår i magsäcken-Ospecificerat som akut eller kronisk utan blödning eller. Ankle injuries are extremely common but many features on history and physical examination are unreliable The combined Ottawa ankle and foot rules have a sensitivity of 97.8% and a specificity of 31.5%, giving a negative likelihood ratio of 0.07; this will yield a post-test probability of about I % for fracture of the ankle if test results ar CRB‑65 Dos efter yta Dropptakt DVT-score Enheter EGSYS EuroSCORE Glasgow Coma GRACE GUCI CT Head Rule HAS-BLED HbA1c Infusionsmängd Infusionstid Insulindos Lungemboli Medelartärtryck MDRD MELD MEWS Na-brist Na-utsöndring NEXUS-kriterierna Njurfunktion Osmolgap Ottawa Ankle Ottawa Knee Parkland PERC Sjukskrivning • Internetmedicin. The Ottawa ankle rules are a clinical decision-making strategy for determining which patients require radiographic imaging for ankle and midfoot injuries.Proper application has high (97.5%) sensitivity and reduces the need for radiographs by ~35% 1,2,4.. There are two components, assessing for ankle and midfoot fractures

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CRB‑65 Dos efter yta Dropptakt DVT-score Enheter EGSYS EuroSCORE Glasgow Coma GRACE GUCI CT Head Rule HAS-BLED HbA1c Infusionsmängd Infusionstid Insulindos Kalender Kardiovaskulär risk Korrigerat Na Kroppsyta LDL (beräknat) Lungemboli Medelartärtryck MDRD MELD MEWS Na-brist Na-utsöndring NEXUS-kriterierna Njurfunktion Osmolgap Ottawa Ankle Ottawa Knee Parkland PERC-regeln PESI-scor korrigerat calcium vid pH 7.4 - icd.nu. Kreatininclearance - icd.nu. Lungemboliscore - Wells - icd.nu. MELD-score - icd.nu. MEWS (Modified Early Warning Score) - icd.nu. NIHSS (NIH Stroke Scale) - Strokeskala - icd.nu. Osmolgap - icd.nu. Ottawa Ankle Rules - icd.nu. TIMI-score för hjärtinfarkt - icd.nu Internetmedicin (2) • 1177: M01.6* Artrit vid mykoser Internetmedicin • 1177: M01.8* Artrit vid andra infektionssjukdomar och parasitsjukdomar som klassificeras på annan plats Internetmedicin • 1177: M01.1B* Tbc-artrit i axelled Internetmedicin • 1177: M01.1E* Tbc-pelvospondylit Internetmedicin • 1177: M01.1F* Tbc-artrit i höftled.

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  1. The Ottawa Ankle Rules Ankle Fracture Clinical
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  5. The Ottawa ankle rules in children Emergency Medicine
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Ottawa Ankle Rules - YouTub

  1. The Ottawa Ankle and Foot Rule - YouTub
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  5. Ottawa Ankle Rules: escludere fratture nelle distorsioni
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